Population
228 healthy elderly individuals with different levels of immunity in the Netherlands
Design
Cohort
Follow-up
42 days
Authors
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Sewage surveillance may enable early poliovirus detection at scale; hypothesis-generating and requires prospective validation before practice change.
Environmental surveillance of sewage is highly sensitive for detecting circulating poliovirus, supporting its use as an early warning system.
Lodder et al. (2012) studied this question.
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