Highlights the risk of poliomyelitis re-emergence due to vaccine refusal for socio-cultural reasons.
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Alerts clinicians to polio re-emergence risk in under-vaccinated groups; hypothesis-generating for socio-cultural vaccine refusal effects.
Poliomyelitis in Malaysia has not been reported since 1986. We report two cases of poliomyelitis in non-immunized children whose parents, though relatively educated, opted not to vaccinate their children for socio-cultural reasons. This recent trend may interfere with our attempts to eradicate poliomyelitis globally by the year 2000. The clinical features, pathophysiology and differential diagnosis are discussed.
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Ismail et al. (1993) studied this question.
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