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Prevention relies on vaccination which has several major limitations including the lag time for vaccine preparation and the low vaccination coverage rate.
Our study suggests some major shortcomings of the outreach programme including low vaccination coverage but also problems with vaccine responses and/or flawed vaccination cards.
They also estimated that the vaccination of boys would become cost-effective for low vaccination coverage on the condition, for example, of a low vaccine price.
Eight outbreaks of paralytic polio attributable to circulating vaccine-derived poliovirus (cVDPV) have highlighted the risks associated with oral poliovirus vaccine (OPV) use in areas of low vaccination coverage and poor hygiene.
The traditionally non-vaccinating parents all belonged to denominations with low vaccination coverage.
Many studies have found that parents' lack of knowledge about vaccines is a problem that leads to low vaccination coverage [ 8– 13].
A mumps epidemic in 2007-2008 gave us an opportunity to study the role of schools in the spread of a vaccine preventable disease in a village with low vaccination coverage.
VDPVs that evolve during continuous transmissions of vaccine virus between unvaccinated individuals in populations with low vaccination coverage [17] [19] or when vaccination programs are interrupted and sufficient numbers of unimmunized infants accumulate [20] are termed "circulating VDPV" (cVDPV).
One explanation might be the low vaccination coverage in China before the 1980s and differences in vaccine coverage between urban and rural areas.
With a low vaccination coverage (half of the assumption in the base case) vaccinating the whole population would be the most cost effective strategy for Germany.
Countries at risk for polio importation because of low vaccination coverage should focus on improving their immunization programs, not vaccinating and screening travelers.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com