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Independent Monitoring Board of the Global Polio Eradication Initiative, November 2019 Report
“The crisis has three peaks: the first is the level of wild polioviruses in Pakistan, the second is the way that the escalating restrictions in access in Afghanistan have created a huge immunity gap; and the third peak is the widespread occurrence of vaccine-derived polioviruses.”
http://polioeradication.org/wp-content/uploads/2016/07/17th-IMB-report-20191115.pdf