The New York State Health Department confirmed a case of polio on Thursday, the first known infection in the U.S. in nearly a decade.

A resident of Rockland County, a suburb of New York City, tested positive for polio, according to the state health department. The Centers for Disease Control and Prevention confirmed the infection.

The individual was an unvaccinated adult who experienced significant symptoms, including paralysis, and had to be hospitalized, according to the New York State Health Department.

Health-care providers should look for additional polio cases, state health officials said. The chain of infection that resulted in the New York case is believed to have originated outside the U.S. Read more here.