Schachter, M.D., president of the American Epilepsy Culture , there can be an enormous gap between what is becoming done and what is possible today to reduce the burden of epilepsy around the world. The effects are not insignificant, as uncontrolled epilepsy leads to a lower life expectancy quality of life, and a larger risk of disability and death. Patrick Kwan, MD, PhD, of the Chinese University of Hong Kong, and Eric R. Hargis, cEO and president of the Epilepsy Base, joined Dr.Modlin, M.D., of the Dartmouth-Hitchcock Medical Center, Lebanon, N.H., writes on what must be done to keep polio from reappearing in the U.S. ‘It is unlikely a stockpile would need to be used so long as immunity amounts can be maintained at the existing high prices with routine IPV immunization of children. Overall polio vaccine coverage in the usa is currently well above the approximately 80 % level commonly connected with herd immunity, and proof suggests that vaccination prices in inner towns are improving. Nevertheless, some little risk will persist if virulent polioviruses are launched into and allowed to pass on within pockets of U.S. Culture where immunization can be refused for religious or philosophical reasons or where access to immunization is normally hindered by low socioeconomic position.