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Definition

Polio, also called poliomyelitis, or infantile paralysis, is an infectious disease caused by the poliovirus. [1]

Symptoms

Polio causes muscle weakness, resulting in an inability to move in roughly one half percent of people, who are infected with the virus. [1]

Onset of symptoms

This can occur over a few hours, to a few days. [1] [2]

Areas of the body affected

The weakness most often involves the legs, but can also include the muscles of the head, neck, and diaphragm. [1]

Risk of death

Many people fully recover, [1] but there is a risk of death. About 2 to 5 percent of children, and 15 to 30 percent of adults die, if they develop muscle weakness. [1]

Minor symptoms

Another 25 percent of people infected have minor symptoms such as fever, and a sore throat, that resolve in one to two weeks [1] . Five percent have headache, neck stiffness, and pains in the arms and legs. [1] [2] About 70 percent of infections have no symptoms at all. [1]

Post-polio syndrome

Years after recovery , post-polio syndrome may occur with a slow development of muscle weakness, similar to the persons original symptoms. [3]

Spread

Poliovirus is usually spread from person to person through infected fecal matter entering the mouth, [1] from food or water containing human feces, and less commonly from infected saliva. [1] [2]

Duration of infectiousness

Those who are infected may spread the disease for up to six weeks, even if no symptoms are present. [1]

Diagnosis

The disease may be diagnosed by finding the virus in the feces, or detecting antibodies against it in the blood. [1] The disease only occurs naturally in humans. [1]

Prevention

Polio is preventable with the polio vaccine; however, multiple doses are required for it to be effective. [2]

Vaccine boosters

The US Centers for Disease Control and Prevention recommends polio vaccination boosters for travelers, and those who live in countries where the disease is occurring. [4]

Treatment and current cases

Once infected there is no specific treatment. [2] In 2018, there were 33 cases of wild polio, and 103 cases of vaccine-derived polio. [5] This is down from 350,000 wild cases in 1988. [2] In 2018, the disease was only spread between people in Afghanistan and Pakistan. [5]

History

Poliomyelitis has existed for thousands of years, with depictions of the disease in ancient art. [1] The disease was first recognized as a distinct condition by the English physician Michael Underwood in 1789, [1] and the virus that causes it was first identified in 1908 by the Austrian immunologist Karl Landsteiner. [6]

History of endemic polio

Major outbreaks started to occur in the late 19th century, in Europe and the United States. [1] In the 20th century it became one of the most worrying childhood diseases in these areas. [7]

History of the polio vaccine

The first polio vaccine was developed in the 1950s by Jonas Salk. [8] In 2013, the World Health Organization hoped that vaccination efforts, and early detection of cases would result in global eradication of the disease by 2018. [9]

References

  1. ^ a b c d e f g h i j k l m n o p q Hamborsky J, Kroger A, Wolfe C, eds. (2015), "Poliomyelitis", Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book) (13th ed.), Washington DC: Public Health Foundation, (chap. 18), archived from the original on 30 December 2016.
  2. ^ a b c d e f "Poliomyelitis Fact sheet N°114". who.int. October 2014. Archived from the original on 18 April 2017. Retrieved 3 November 2014.
  3. ^ "Post-Polio Syndrome Fact Sheet". NIH. 16 April 2014. Archived from the original on 29 July 2011. Retrieved 4 November 2014.
  4. ^ "Guidance to US Clinicians Regarding New WHO Polio Vaccination Requirements for Travel by Residents of and Long-term Visitors to Countries with Active Polio Transmission". CDC. 2 June 2014. Archived from the original on 4 June 2014. Retrieved 4 June 2014.
  5. ^ a b "This page allows you to request a table with AFP/polio data". WHO. Retrieved 8 March 2019.
  6. ^ Daniel, Thomas M.; Robbins, Frederick C., eds. (1999). Polio (1st ed.). Rochester, N.Y.: University of Rochester Press. p. 11. ISBN  9781580460668. Archived from the original on 17 June 2016.
  7. ^ Wheeler, Derek S.; Wong, Hector R.; Shanley, Thomas P., eds. (2009). Science and practice of pediatric critical care medicine. London: Springer. pp. 10–11. ISBN  9781848009219. Archived from the original on 17 June 2016.
  8. ^ Aylward R (2006). "Eradicating polio: today's challenges and tomorrow's legacy". Annals of Tropical Medicine and Parasitology. 100 (5–6): 401–13. doi: 10.1179/136485906X97354. PMID  16899145.
  9. ^ "Global leaders support new six-year plan to deliver a polio-free world by 2018". who.int. 25 April 2013. Archived from the original on 18 October 2014. Retrieved 4 November 2014.