Evidence map›Paper›PMID 40276887›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2025

Community surveillance after detection of poliovirus in the environment in London, United Kingdom, October 2022 to April 2023.

Thomas Rowland, Robin Gopal, Monika Patel, Cristina Celma, Colin Nj Campbell, Nicholas Machin, Scott Taylor, Shauni-Lea Graham, Kathryn Harris, Spiro Pereira and 2 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Sustaining successes and addressing challenges to vaccination - a continued public health mission.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Thomas RowlandVirus Reference Division, UK Health Security Agency, London, United Kingdom.
Robin GopalPolio Reference Service, Virus Reference Division, UK Health Security Agency, London, United Kingdom.
Monika PatelPolio Reference Service, Virus Reference Division, UK Health Security Agency, London, United Kingdom.
Cristina CelmaEnteric Viruses Unit, Virus Reference Division, UK Health Security Agency, London, United Kingdom.
Colin Nj CampbellImmunisation & Vaccine-Preventable Diseases Division, UK Health Security Agency, London, United Kingdom.
Nicholas MachinUKHSA and Manchester University Hospitals NHS Trust Medical Microbiology Partnership, Manchester, United Kingdom.
Scott TaylorUKHSA and Manchester University Hospitals NHS Trust Medical Microbiology Partnership, Manchester, United Kingdom.
Shauni-Lea GrahamUKHSA and Manchester University Hospitals NHS Trust Medical Microbiology Partnership, Manchester, United Kingdom.
Kathryn HarrisVirology, Barts Health NHS Trust, London, United Kingdom.
Spiro PereiraVirology, Barts Health NHS Trust, London, United Kingdom.
Vanessa SalibaImmunisation & Vaccine-Preventable Diseases Division, UK Health Security Agency, London, United Kingdom.
Maria ZambonPolio Reference Service, Virus Reference Division, UK Health Security Agency, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundVaccine-derived polioviruses (VDPVs) continue to circulate internationally, causing sporadic cases and outbreaks of paralytic polio in countries certified as polio-free. In 2022, sustained detection of type 2 VDPVs was reported in environmental surveillance samples collected from London. Genetic mutations indicative of loss of attenuation of virulence were observed, consistent with community transmission events over several months.AimWe aimed to determine the extent of geographical spread of transmission in an area of environmental poliovirus detection.MethodsWe implemented an opportunistic, cross-sectional survey in areas where environmental surveillance indicated sustained VDPV transmission between October 2022 and April 2023. Residual stool samples taken from children < 16 years presenting to primary or secondary healthcare were examined for enteroviruses, including poliovirus. Methods for poliovirus detection recommended by the World Health Organization, including virus isolation in cell culture, PCR and molecular characterisation, were applied to residual stool material on a daily basis with real-time clinical reporting.ResultsWe examined 1,251 stool samples from 1,051 children presenting to healthcare with illness over a 6-month period. A range of enteroviruses from groups A, B and C were found, but no poliovirus was detected. Documented polio vaccination coverage was high, between 95% and 98% in under 5-year-olds.ConclusionPoliovirus was not widespread in the area of environmental poliovirus isolation. Opportunistic poliovirus testing of residual stool samples taken from children seeking healthcare was feasible and can be implemented rapidly in areas where poliovirus circulation is suspected, although untargeted sampling may not adequately capture populations at highest risk.

Indexed as

Environmental MonitoringPoliomyelitisPoliovirusAdolescentChildChild, PreschoolCross-Sectional StudiesDisease OutbreaksEnterovirusFecesFemaleHumansInfantLondonMalePoliovirus Vaccine, OralPoliovirus Vaccine, Oraloutbreak investigationpoliovirussurveillanceVDPV2

Identifiers

PMID40276887
PMCPMC12023727

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.