Poliovirus could be present in New York wastewater as early as April 2022 evidence shows. In UK this could as early as February 2022. It shows the need for rigorous polio vaccination programs. Rockland and Orange counties in the New York City area have polio vaccination rates for eligible children as low as 60%, compared to a national rate of 93%. Decades of neglect of healthcare, and lack of investment in healthcare infrastructure and healthcare services, and in education for healthcare that was a major priority in the postwar years in the fifties and sixties have led to a situation where this is happening today. Vaccination rates are wholly inadequate and a 100% consensus that existed on key things such as vaccination needs to be recovered in the US, by changing the entire sense of priorities in society and the way it invests in its people.