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After years of frustrating pushback, Africa may soon be able to declare itself polio-free.

The disease that affects mostly children under 5 and can lead to irreversible paralysis, has been all but wiped out in Africa — except for in Nigeria. There, religious leaders often interfered with vaccination campaigns, but thanks to increased efforts, the country hasn’t seen a new polio case since July of last year, NPR’s Goats and Soda reported.

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