MMWR Morb Mortal Wkly Rep. 2005 Oct 21;54(41):1053-5.
On September 29, 2005, the Minnesota Department of Health (MDH) identified poliovirus type 1 in an unvaccinated, immunocompromised infant girl aged 7 months (the index patient) in an Amish community whose members predominantly were unvaccinated for polio. The patient has no paralysis; the source of the patient's infection is unknown. Subsequently, poliovirus infections in three other children within the index patient's community have been documented. This report summarizes the ongoing investigation, provides information regarding poliovirus exposure risks and prevention measures in the United States, and offers recommendations to state health departments and clinicians.
2005年9月29日，明尼苏达州卫生部（MDH）在一个阿米什社区中，于一名7个月大、未接种疫苗且免疫功能低下的女婴（索引病例）体内发现了1型脊髓灰质炎病毒。该社区成员大多未接种脊髓灰质炎疫苗。该患者没有瘫痪症状；其感染源不明。随后，在索引病例所在社区的另外三名儿童中也记录到了脊髓灰质炎病毒感染情况。本报告总结了正在进行的调查，提供了美国脊髓灰质炎病毒暴露风险和预防措施的相关信息，并向各州卫生部门和临床医生提出了建议。
