Health officials have said the patient had acquired a "vaccine-derived" strain of the virus, meaning it probably originated in someone who had been inoculated with a live vaccine — available in other countries, but not the US. In rare instances, people given the live virus can spread it to other people who haven't been vaccinated.
New York health officials said they could not conclusively say whether the Rockland County samples came from the patient, who developed symptoms in June.
As to the wider implications, the Global Polio Eradication Initiative said in a statement Friday that genetic and epidemiological investigations are attempting "to determine possible spread of the virus and potential risk associated with these various isolates detected from different locations around the world".
Polio, once one of the nation's most feared diseases, was declared eliminated in the United States in 1979, more than two decades after vaccines became available.
Its discovery in the populous suburbs north of New York City prompted a local vaccination drive.
"Given how quickly polio can spread, now is the time for every adult, parent, and guardian to get themselves and their children vaccinated as soon as possible," said New York State Health Commissioner Dr Mary T Bassett.