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The environmental surveillance has proven to be a useful tool to identify poliovirus circulation in different countries and was started in Pakistan during July 2009 to support the acute flaccid paralysis (AFP) surveillance system.

the journal of infectious diseases (online. university of chicago press)/the journal of infectious diseases

Detection of Multiple Cocirculating Wild Poliovirus Type 1 Lineages Through Environmental Surveillance: Impact and Progress During 2011–2013 in Pakistan