{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:15:19Z","timestamp":1792012519836,"version":"4.4.0"},"reference-count":44,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"content-version":"unspecified","delay-in-days":192,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["0900f3eb81f99107"],"award-info":[{"award-number":["0900f3eb81f99107"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>In 2022, a case of paralysis was reported in an unvaccinated adult in Rockland County (RC), New York. Genetically linked detections of vaccine-derived poliovirus type 2 (VDPV2) were reported in multiple New York counties, England, Israel, and Canada. The aims of this qualitative study were to: i) review immediate public health responses in New York to assess the challenges in addressing gaps in vaccination coverage; ii) inform a longer-term strategy to improving vaccination coverage in under-vaccinated communities, and iii) collect data to support comparative evaluations of transnational poliovirus outbreaks. Twenty-three semi-structured interviews were conducted with public health professionals, healthcare professionals, and community partners. Results indicate that i) addressing suboptimal vaccination coverage in RC remains a significant challenge after recent disease outbreaks; ii) the poliovirus outbreak was not unexpected and effort should be invested to engage mothers, the key decision-makers on childhood vaccination; iii) healthcare providers (especially paediatricians) received technical support during the outbreak, and may require resources and guidance to effectively contribute to longer-term vaccine engagement strategies; vi) data systems strengthening is required to help track under-vaccinated children. Public health departments should prioritize long-term investments in appropriate communication strategies, countering misinformation, and promoting the importance of the routine immunization schedule.<\/jats:p>","DOI":"10.1017\/s0950268823001127","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T09:33:37Z","timestamp":1689154417000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Poliovirus outbreak in New York State, August 2022: qualitative assessment of immediate public health responses and priorities for improving vaccine coverage"],"prefix":"10.1017","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9020-2954","authenticated-orcid":false,"given":"Ben","family":"Kasstan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Mounier-Jack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Chantler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Masters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A","family":"Flores","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Stokley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haillie","family":"Meek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delia","family":"Easton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"De Luna-Evans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Souto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitra","family":"Punjabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Schnabel","family":"Ruppert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Rosenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janell","family":"Routh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"S0950268823001127_r26","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2022.27.37.2200694"},{"key":"S0950268823001127_r37","unstructured":"[37] World Health Organization (2022) Circulating vaccine-derived poliovirus type 3 \u2013 Israel. Geneva: World Health Organization, 15 Apr. Available at https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2022-DON366 (accessed 27 June 2022)."},{"key":"S0950268823001127_r2","unstructured":"[2] World Health Organization (2022) Detection of circulating vaccine derived polio virus 2 (cvdpv2) in environmental samples - The United Kingdom of Great Britain and Northern Ireland and the United States of America. Geneva: World Health Organization, 14 Sep. Available at https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2022-DON408 (accessed 21 October 2022)."},{"key":"S0950268823001127_r33","unstructured":"[33] The New York State Senate (2023) Section 2168: Statewide immunization information system. Available at https:\/\/www.nysenate.gov\/legislation\/laws\/PBH\/2168 (accessed 29 January 2023."},{"key":"S0950268823001127_r40","doi-asserted-by":"publisher","DOI":"10.3912\/OJIN.Vol25No01Man03"},{"key":"S0950268823001127_r6","unstructured":"[6] US Centers for Disease Control and Prevention (2022) Vaccine-derived poliovirus. 20 Sep. Available at https:\/\/www.cdc.gov\/vaccines\/vpd\/polio\/hcp\/vaccine-derived-poliovirus-faq.html (accessed 22 March 2023)."},{"key":"S0950268823001127_r42","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2022.02.056"},{"key":"S0950268823001127_r10","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6840e2"},{"key":"S0950268823001127_r38","unstructured":"[38] UNICEF (2004) Building trust in immunization: Partnering with religious leaders and groups. New York: UNICEF. Available at ttps:\/\/ipc.unicef.org\/node\/45 (accessed 22 March 2023)."},{"key":"S0950268823001127_r29","first-page":"43","volume-title":"Principles of Social Research","author":"Green","year":"2005"},{"key":"S0950268823001127_r30","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1905941"},{"key":"S0950268823001127_r9","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6819a4"},{"key":"S0950268823001127_r18","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2019.24.6.1800004"},{"key":"S0950268823001127_r14","unstructured":"[14] New York State Department of Health (n.d.) 2022\u201323 School Year: New York State Immunization Requirements for School Entrance\/Attendance. Albany: New York State Department of Health. Available at https:\/\/www.health.ny.gov\/publications\/2370.pdf (accessed 2 November 2022)."},{"key":"S0950268823001127_r24","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(08)32404-5"},{"key":"S0950268823001127_r32","unstructured":"[32] Rockland County (2022) County health department offers additional polio immunization clinics around Rockland, 15 Aug. Available at https:\/\/rocklandgov.com\/departments\/health\/press-releases\/2022-press-releases\/county-health-department-offers-additional-polio-immunization-cl\/ (accessed 21 June 2023)."},{"key":"S0950268823001127_r27","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01804-9"},{"key":"S0950268823001127_r3","unstructured":"[3] World Health Organization (2022) Statement of the thirty-third polio IHR emergency committee. Geneva: World Health Organization, 1 Nov. 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Available at https:\/\/www.governor.ny.gov\/executive-order\/no-21-declaring-disaster-state-new-york (accessed 9 September 2022)."},{"key":"S0950268823001127_r23","doi-asserted-by":"publisher","DOI":"10.1007\/s11013-006-9029-8"},{"key":"S0950268823001127_r12","unstructured":"[12] US Centers for Disease Control and Prevention (2016) About VFC, 18 Feb. Available at https:\/\/www.cdc.gov\/vaccines\/programs\/vfc\/index.html (accessed 21 June 2023)."},{"key":"S0950268823001127_r13","unstructured":"[13] Centers for Disease Control & Prevention (2022) Vaccine recommendations and guidelines of the ACIP, 12 July. Available at https:\/\/www.cdc.gov\/vaccines\/hcp\/acip-recs\/general-recs\/special-situations.html (accessed 29 Jan 2023)."},{"key":"S0950268823001127_r7","unstructured":"[7] New York State Department of Health (2022) Polio vaccination rates by county. Albany: New York State Department of Health, 1 Aug. Available at https:\/\/health.ny.gov\/diseases\/communicable\/polio\/county_vaccination_rates.htm (accessed 28 August 2022)."},{"key":"S0950268823001127_r25","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7144e2"},{"key":"S0950268823001127_r34","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctv1622mtp"},{"key":"S0950268823001127_r35","volume-title":"The Politics of Polio in Northern Nigeria","author":"Renne","year":"2010"},{"key":"S0950268823001127_r16","unstructured":"[16] New York State (n.d.) Overview. Albany: New York State. Available at https:\/\/www.ny.gov\/counties\/rockland (accessed 1 November 2022)."},{"key":"S0950268823001127_r39","unstructured":"[39] Jewish Orthodox Women\u2019s Medical Association (JOWMA) (n.d.) Polio: What you need to know. New York City: Jewish Orthodox Women\u2019s Medical Association. 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Epidemiological Update - Detection of poliovirus in wastewater. Available at https:\/\/www.paho.org\/en\/documents\/epidemiological-update-detection-poliovirus-wastewater (accessed 29 January 2023)."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268823001127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T08:27:33Z","timestamp":1690360053000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268823001127\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":44,"alternative-id":["S0950268823001127"],"URL":"https:\/\/doi.org\/10.1017\/s0950268823001127","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e120"}}