All are true about poliovirus, except –
**Core Concept**
Poliovirus is a highly infectious RNA virus belonging to the Picornaviridae family, causing poliomyelitis in humans. It has three main serotypes: Type I, Type II, and Type III, each with distinct epidemiological and clinical characteristics.
**Why the Correct Answer is Right**
Poliovirus vaccine, specifically the live attenuated oral poliovirus vaccine (OPV), can occasionally cause vaccine-associated paralytic polio (VAPP) or vaccine-derived polio (VDPV) due to the reversion of vaccine viruses to a more virulent form. However, this is more commonly associated with Type II and Type III viruses. Type I poliovirus is primarily responsible for epidemics and paralysis, but not typically for vaccine-associated paralytic polio.
**Why Each Wrong Option is Incorrect**
**Option A:** Type I poliovirus is indeed responsible for most epidemics, as it has a higher transmission rate and is more commonly associated with severe paralysis.
**Option B:** Eliminating Type I poliovirus is indeed a significant challenge due to its high transmission rate and widespread circulation. Efforts to eradicate polio have focused on Type I.
**Option D:** Type I poliovirus is, in fact, the most commonly associated serotype with paralysis, particularly in terms of its severity and incidence.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that the poliovirus vaccine can cause rare but serious side effects, including vaccine-associated paralytic polio, which highlights the importance of monitoring vaccine recipients for adverse reactions.
**β Correct Answer:** C. Type I responsible for vaccine paralytic polio myelitis