Wastewater Testing and Detection of Poliovirus Type 2 Genetically Linked to Virus Isolated from a Paralytic Polio Case — New York, March 9–October 11, 2022

A VDPV is a strain related to the attenuated live poliovirus contained in OPV. VDPV2s are OPV virus strains that are >0. 6% divergent (or at least six nucleotide changes) from the OPV2 strain in the complete VP1 genomic region. https: //polioeradication. org/wp-content/uploads/2016/09/ Reporting-and-Classification-of-VDPVsAug2016EN. pdf The term PV2, referring to all serotype 2 polioviruses, is used throughout the report to indicate either a confirmed VDPV2 or a type 2 Sabin-like virus that is genetically related to the Rockland County patient. A Sabin-like poliovirus is a poliovirus that is related to one of the Sabin vaccine strains and whose nucleotide sequence in the genome region encoding the VP1 capsid protein differs from the related Sabin strain by 0-5 nucleotides for type 2 or by 0-9 nucleotides, for types 1 and 3. ** Wastewater, also referred to as sewage, includes water from household or building use (e. g. , toilets, showers, and sinks) that can contain human fecal waste and water from nonhousehold sources (e. g. , rain and industrial use) ; it does not include open drains or potable water. https: //www. cdc. gov/ healthywater/surveillance/wastewater-surveillance/wastewater-surveillance. html#how-wastewater-surveillance-works https: //www. cdc. gov/acute-flaccid-myelitis/index. html reaction equipment for public health testing purposes from QIAgen. Nancy McGraw reports an uncompensated leadership in the New York State Association of County Health Officials.