CDC: ADULT VACCINATION: Update Polio vaccine requirements for travel


It is starting folks…air travel and vaccination!

CDC recommends that travelers to any country with WPV circulation in the last 12 months protect their health by being fully vaccinated against polio, including a single lifetime polio vaccine booster for adults.  Read CDC update…

Clinical Update
Polio Vaccine Guidance for Travelers and Note on Travel to Israel, the West Bank, and Gaza

Read more…

The polio vaccination certificate is valid between 4 weeks and 12 months after the date of vaccination. The ending date for a valid vaccination recorded on the ICVP is 1 calendar day before the calendar day on which the vaccine was given. For example, a vaccination given on 16 June 2014 will be valid between 14 July 2014 and 15 June 2015.

 Adults-Wild Polio Virus

(but what about the “shedding” of the Vaccine Strain polio virus that has 47,500 kids in India crippled? see below)

Adults, who are traveling to areas where there has been WPV circulation in the last 12 months and who are unvaccinated, incompletely vaccinated, or whose vaccination status is unknown should receive a series of 3 doses: 2 doses of IPV administered at an interval of 4–8 weeks; a third dose should be administered 6–12 months after the second. If 3 doses of IPV cannot be administered within the recommended intervals before protection is needed, the following alternatives are recommended:

  • If >8 weeks are available before protection is needed, 3 doses of IPV should be administered ≥4 weeks apart.
  • If <8 weeks but >4 weeks are available before protection is needed, 2 doses of IPV should be administered ≥4 weeks apart.
  • If <4 weeks are available before protection is needed, a single dose of IPV is recommended.

If <3 doses are administered, the remaining IPV doses to complete a 3-dose series should be administered when feasible, at appropriate intervals, if the person remains at increased risk for poliovirus exposure. If doses are needed while residing in the affected country, the polio vaccine that is available (IPV or OPV) may be administered.

Adults who have completed a routine series of polio vaccine are considered to have lifelong immunity to poliovirus, but data are lacking (12). As a precaution, persons aged ≥18 years who are traveling to areas where there has been WPV circulation in the last 12 months and who have received a routine series with either IPV or OPV in childhood.  Read more…



News of five cases of a rare polio-like disease that has left five California children with one or more paralyzed limbs has riveted the public and stirred up worries and confusion. The children, all of whom had been successfully immunized against polio, range in age from 2 to 16, and their paralysis—which came on suddenly, as if out of nowhere—is apparently incurable.  Read more…


47,500 Paralysis cases from Polio Vaccine in India: Indian Journal of Medical Ethics

 “… while India has been polio-free for a year, there has been a huge increase in non-polio acute flaccid paralysis (NPAFP). Clinically indistinguishable from polio paralysis but twice as deadly, the incidence of NPAFP was directly proportional to doses of oral polio received”.

The polio vaccine contain a synthetic polio virus and not the wild polio virus found in nature.  In 2011 polio vaccine with its synthetic laboratory made virus was the cause of 47,500 new cases of what they call non-polio acute flaccid paralysis NPAFP.  Excerpts from the Indian Journal follow  Read more…

VLA Comment:  Apparently there is an association with children having gotten the polio vaccine in US as well as India with flaccid paralysis (polio symptoms renamed).  Why would India, for example, not be on the list of concern?  Is it because the polio vaccine itself caused the flacid paralysis (polio).

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