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1)Pt travelling to developing country with no previous hx of polio vaccine, how to proceed?
2) Pt travelling to developing country with previous hx of polio vaccine, how to proceed?
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| alice8
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All travellers should be up to date with vaccination against poliomyelitis (4 weeks before departures) who are going to go to developing countries where poliomyelitis is still transmitted
(OPV) or (IPV)....(Immunocompromised travellers should receive IPV rather than OPV)
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| no more a loser
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alice thanks for trying, here are the answers
1)Pt travelling to developing country with no previous hx of polio vaccine, how to proceed? three doses of inactivated polio vaccine
2) Pt travelling to developing country with previous hx of polio vaccine, how to proceed? one time booster
Live attenuated polio vaccine is no longer recommended because of risk of vaccine associated disease
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| alice8
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Thanks for q's and a's 
OPV has been the vaccine of choice for controlling epidemic poliomyelitis in many countries...i'm sorry about the confussion... Countries differ in recommending IPV or OPV...like mine :oops:
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| cerebral cortex
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True alice. endemic areas - we still prefer OPV coz o local Ig a immunity in gut ! & even when the virus particles r passed out in stool, the vaccine virus actually is spread via feco oral route & helps in community prevention ! but thats true only in developing countries !
Wish, I could better the world health !
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