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. Author manuscript; available in PMC: 2015 Oct 23.
Published in final edited form as: J Infect Dis. 2014 Nov 1;210(0 1):S5–15. doi: 10.1093/infdis/jiu456
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.