VDPV and VAPP

 Vaccine Associated Paralytic Polio (VAPP)

  ● Spontaneous change in vaccine poliovirus leading to paralysis

  ● Type 3 accounts for 60% of VAPP


Vaccine Derived Polio Virus (VDPV)

  ● Genetic alteration (by mutation) of vaccine virus in immunised child during replication 

  ● Commonly caused by type 2 

  ● Circulating vaccine derived polio virus mutates to a highly transmissible form able to cause person to person transmission

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