use of a novel real-time pcr assay to detect oral polio vaccine shedding and reversion in stool and sewage samples after a mexican national immunization day. | during replication, oral polio vaccine (opv) can revert to neurovirulence and cause paralytic poliomyelitis. in individual vaccinees, it can acquire specific revertant point mutations, leading to vaccine-associated paralytic poliomyelitis (vapp). with longer replication, opv can mutate into vaccine-derived poliovirus (vdpv), which causes poliomyelitis outbreaks similar to those caused by wild poliovirus. after wild poliovirus eradication, safely phasing out vaccination will likely require global ... | 2011 | 21411577 |