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Regional Case Series and Review

Henry Querfurth, MD, PhD; Phillip D. Swanson, MD, PhD

Arch Neurol. 1990;47(5):541-544.

Abstract
• We present 10 cases of vaccine-associated paralytic poliomyelitis from Washington State to better acquaint physicians with the signs and symptoms of this condition. Diagnosis may be delayed, and milder cases may be overlooked, owing to the unfamiliarity of physicians with the condition. Based on these 10 cases, a rate of 6.4 cases (recipient plus contact) per million live births is estimated for the period 1966 through 1988 in Washington. This rate is higher than calculated for the nation as a whole. The explanation for this difference is unknown, although several possibilities exist, including case clustering.

Author Affiliations
From the Division of Neurology, University of Washington School of Medicine, Seattle.

Footnotes
Accepted for publication September 13, 1989.

Reprint requests to the Division of Neurology, RG 27, University of Washington School of Medicine, Seattle, WA 98195 (Dr Swanson).

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