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review of poliomyelitis in the dominican republic: 1940-1981.in the dominican republic, national surveillance of the number of cases of poliomyelitis began in 1940. during the 1940-58 period, sporadic cases were reported to the ministry of health, with annual incidences ranging from 0 to 0.68/100,000 population, with a mean incidence of 0.16 case. the 1st major epidemic was reported in 1959 and ivolved 315 cases (10.71 cases/100,000 population). since 1959, epidemics have occurred in cycles of 2-5 years with the most recent epidemics occurring in 1975, 19 ...198112340837
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