KevinMD December 9, 2025
Before a doctor ever diagnoses a child with acute flaccid paralysis, the culprit leaves definitive clues in the sewer. At the Noguchi Memorial Institute for Medical Research, we spin bottles of wastewater in the centrifuge, pH-balance, and look for these clues. Their presence signals the return of an enemy we once thought we had defeated.
For decades, the world has rallied around the dream of eradication, the triumphant declaration that humanity has conquered this disease. The vaccines work. The numbers have tremendously reduced but what happens when the celebration fades and the virus does not? In Ghana, we are slowly learning a very bitter truth, and that eradication is not the end. The end is maintenance and this is desperately...
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