Wild poliovirus type 3 (WPV3)-shedding event following detection in environmental surveillance of poliovirus essential facilities, the Netherlands, November 2022 to January 2023

Author:

Duizer Erwin1,Ruijs Wilhelmina LM1,Putri Hintaran AD21,Hafkamp Mariska C1,van der Veer Margreet3,te Wierik Margreet JM1

Affiliation:

1. Centre for Infectious Diseases Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands

2. Public Health Service Region Utrecht, Zeist, the Netherlands

3. National Authority for Containment, Health and Youth Care Inspectorate (IGJ), Utrecht, the Netherlands

Abstract

On 21 November 2022, a wild poliovirus type 3 (WPV3) was isolated from an environmental surveillance sample of poliovirus essential facilities in the Netherlands. All 51 employees with access to this strain were screened for ongoing or recent poliovirus infection. One employee shedding WPV3 was identified on 8 December and placed in isolation; monitoring and contact tracing were initiated. WPV3 shedding continued for 4 weeks and stopped 5 January 2023. Isolation was lifted 11 January and no further transmission was detected.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference8 articles.

1. Rijksinstituut voor Volksgezondheid en Milieu (RIVM). Accidentele blootstelling polio, Bijlage bij LCI-draaiboek polio. [Accidental polio exposure. Annex to LCI polio roadmap, Version: December 2020]. Bilthoven: RIVM; 2020. Available from: https://lci.rivm.nl/sites/default/files/2020-12/Bijlage%20Accidentele%20blootstelling%20polio.pdf

2. World Health Organization (WHO). Public Health Management of Facility Related Exposure to Live Polioviruses. Guidance in managing exposed persons for countries hosting facilities that maintain live polioviruses. Geneva: WHO; 2019. Available from: https://polioeradication.org/wp-content/uploads/2016/07/Public-Health-Management-of-a-facility-PV-exposure.pdf

3. Response to a wild poliovirus type 2 (WPV2)-shedding event following accidental exposure to WPV2, the Netherlands, April 2017.;Duizer;Euro Surveill,2017

4. World Health Organization (WHO). WHO Global Action Plan for Poliovirus Containment. GAPIV. Geneva: WHO; 2022. Available from: https://polioeradication.org/wp-content/uploads/2022/07/WHO-Global-Action-Plan-for-Poliovirus-Containment-GAPIV.pdf

5. World Health Organization (WHO). WHO Global Action Plan to minimize poliovirus facility-associated risk after type-specific eradication of wild polioviruses and sequential cessation of oral polio vaccine use, GAPIII. Geneva: WHO; 2014. Available from: https://polioeradication.org/wp-content/uploads/2016/12/GAPIII_2014.pdf

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