First reports of circulating vaccine-derived poliovirus type 2 (cVDPV2) cases in 2023 in Central African Republic (CAR). 

The patients are from health regions 1 and 6, first became ill in January and February. 

2 new cVDPV2 cases reported from Chad, total 4 in the year. January and February mark the onset of paralysis from provinces of Batha and Logone Oriental. 

22 cVDPV2 and 11 cVDPV1 cases reported from Democratic Republic of Congo. 

Worst affected patients clustered in country's east, and paralysis onsets noted in 2022 and 2023. Tally in DRC: - cVDVP2 = 336 cases in 2022, 7 cases in 2023 - cVDVP1 = 125 cases in 2022, 3 cases in 2023