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February 20, 1967

Paralytic Poliomyelitis In Unvaccinated Mother

Author Affiliations

Worcester, Mass

JAMA. 1967;199(8):588-589. doi:10.1001/jama.1967.03120080122032

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To the Editor:—  The letter by Dr. Edward B. Shaw (198:1224, 1966) regarding our article "Vaccine-Acquired Paralytic Poliomyelitis in an Unvaccinated Mother" (197:1034, 1966) prompts this reply. It was not the intention of the authors to discourage the use of live oral poliovirus vaccine. The initial sentence of the article stated clearly that the use of live oral poliovirus vaccine is responsible for the almost complete elimination of paralytic poliomyelitis. However, because the virus from the vaccine can be transmitted to persons handling the excreta of recently immunized infants, it is felt that parents and attendants should be protected by immunization with live oral poliovirus vaccine.The illness and the results of diagnostic virus studies support the diagnosis of paralytic poliomyelitis in the patient described. The patient's residual neurologic deficit was striking paralysis of the left upper and both lower extremities. In our judgment, the clinical course was