If wild-type polio disappeared from the Western Hemisphere by 1991, how do you explain the 11 cases

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If wild-type polio disappeared from the Western Hemisphere by 1991, how do you explain the 11 cases of polio reported in the United States in 2000?
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Foundations in Microbiology

ISBN: 978-0073375298

8th edition

Authors: Kathleen Park Talaro, Barry Chess

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