Polio, primarily a gastrointestinal disease, infects the gut and is shed in feces, resembling E. coli. Only about 1% of those infected will develop paralytic polio. Traditional surveillance methods miss out on the majority of infected individuals. Yet, wastewater surveillance, pioneered in the 1930s, has been crucial in tracking the 99% undetected cases of polio. By monitoring wastewater, health professionals can assess community health comprehensively without requiring extra effort from residents. This method has been instrumental in eradicating polio and ensuring targeted vaccine distribution.

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