| Active transmission | Detection of ≥1 WPV case or of WPV isolated from ≥2 environmental samples collected >1 month apart. The end of active transmission in a previously polio- free country is the lack of isolation of WPV from environmental samples or humans for 6 months; in a country with endemic or reestablished transmission, the end of active transmission is no WPV cases/isolation for 12 months. |
| Endemic transmission | Circulation of indigenous WPV without interruption. |
| Importation event | Detection of ≥1 WPV case or ≥1 isolation from sewage in a country previously polio-free for which genomic sequences most closely match WPV actively circulating in another country (exporting WPV). |
| Importation outbreak | Detection of ≥1 WPV case secondary to ≥1 importation event. |
| Indigenous WPV | WPV that has historically been circulating in a defined geographic area of a unique genotype (>15% nucleotide difference) or cluster (>5% nucleotide difference). |
| Polio-free country | No evidence of indigenous WPV transmission for ≥1 year and subsequent WPV cases are determined to be due to WPV of external origin by genomic sequence analysis. |
| Prompt outbreak control | Status when the last identified genetically-linked WPV case is detected within 6 months of laboratory confirmation of the outbreak. |
| Reestablished transmission | Detection in a previously polio-free country of transmission of the same WPV lineage persisting for ≥12 months from onset of the first case following WPV importation to onset of the most recent case. |