"They only occur when the vaccine virus is allowed to pass from person to person for a long time, which can only happen in places with limited immunization coverage and inadequate sanitation and hygiene."
There is the real reason for the decline, of polio in Australia,'inadequate sanitation and hygiene'. Once upon a time, in fact up to the 1960's, we had night carts taking shit tins away. This changed when the cities were all sewered(something the Romans knew but was forgotten for a couple of thousand years).
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