The New York State Department of Health issued a warning over the weekend for travelers to Israel to ensure they are fully immunized against polio.

It came after Israel’s Health Ministry earlier confirmed four positive cases in children who came into contact with a girl who was infected in Tzfat in the Upper Galilee.

The five infected children are asymptomatic. Most unvaccinated children won’t develop symptoms and the majority who do fully recover. However, fewer than 1% will develop irreversible paralysis, and some who recover develop “post-polio” syndrome years later that can cause paralysis.

Polio spreads through fecal matter from person to person, so thorough hand-washing is recommended and unvaccinated children should visit a local health center and get vaccinated against the disease.

Israel has detected widespread polio contamination in wastewater and in February 2022, seven children tested positive for polio in Jerusalem, with six of them asymptomatic.

In 1988, the country experienced 16 cases of paralysis from the disease.

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