A large portion of the world's vaccines are given to the Third World as "charity," when the underlying conditions of economic impoverishment, poor nutrition, chemical exposures, and socio-political unrest are never addressed. You simply can't vaccinate people out of these conditions, and as India's new epidemic of vaccine-induced polio cases clearly demonstrates, the "cure" may be far worse than the disease itself.

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Due to the fact that polio spreads through the fecal-oral route (i.e. the virus is transmitted from the stool of an infected person to the mouth of another person through a contaminated object, e.g. utensil) focusing on hygiene, sanitation and proper nutrition (to support innate immunity) is a logical way to prevent transmission in the first place, as well as reducing morbidity associated with an infection when it does occur.
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