There have been no new cases of naturally occurring polio in North America in recent years.
Conclusion
We should switch from OPV to IPV as the most commonly used polio vaccine for NA children.
Evidence
OPV causes about 12 new cases of polio each year in NA. If we substituted IPV for most immunizations, then it would cut the number of cases about in half.
Evaluate
Given That ... using IPV would probably result in half as many vaccination-caused polio cases as OPV, How Can We Still Argue That ... we should not make IPV the more common vaccine?
When arguments are comparative in nature, we're usually being shown an Incomplete Comparison, and we need to judge what other similarities or differences two things may have.
Sure, IPV has an advantage when it comes to how many cause of vaccine-caused polio it's likely to lead to. But what are IPV's disadvantages?
- does it lead to more naturally occurring cases of polio (I'm assuming that inactivated polio vaccines might not trigger the desired immune response as reliably as live polio vaccines)?
- does it cost way more?
- is it way harder to administer to kids?
Obviously 12 cases of pediatric polio is a big concern, but it's not a huge number. If the IPV has significant downsides, it might be something we choose to live with.
Goal
Find an answer that says something comparative negative about IPV.