Dear Editor, Poliomyelitis is a fairly old disease, and the vaccination against it has been in use for a long time. The reemergence of poliovirus-related sickness in America draws international attention. A male case from the United States was diagnosed with paralytic poliomyelitis in July 2022.[1,2] The virus discovered in the feces was recognized as a circulating vaccine-derived poliovirus type 2 caused by oral polio vaccination.[2] Routine vaccine administration has decreased globally since the COVID-19 pandemic, with an increasing proportion of areas lacking poliovirus vaccination.[2] The shifting situation in America could be attributable to a variety of factors. Nonetheless, it confirms that the poliovirus and the sickness it causes have never been successfully eradicated. Vaccines are currently regarded as an effective preventive tool against infectious diseases. Sometimes, the fundamental concepts of disease control and sanitation are overlooked. Poliomyelitis has resurfaced not just in the United States but also in emerging countries in South Asia. Sanitation should be a basic principle that is necessary for any situation, independent of the socioeconomic background.[3,4] Concerning the association between COVID-19 and polio, the discovery of contamination in environmental samples from the same location confirms the need for basic sanitation principles as the criteria for any infectious disease prevention. In high-income neighborhoods with adequate sanitation, there is still a risk of disease invasion from outside sources, such as immigrant workers. Therefore, it is time for applying good sanitation measures and infectious controls.[5] Because of the fact that there is a chance of unknown contamination conditions in the environment, some specific patients might have risks. For example, a posttransplantation case is proven for low immunity against poliovirus, and if the patient contacts with the contaminated pathogen, the infection can be expected.[5,6,7] Because of the likelihood of polio recurrence, the surgical ward may have to play a part in care for a patient with positive poliovirus, and good preparation with normal infection control principles must be followed.