Poli and Its Effect

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What Is Polio?

Polio (also known as poliomyelitis) is a highly contagious disease caused by a virus that attacks
the nervous system. Children younger than 5 years old are more likely to contract the virus than
any other group.
According to the World Health Organization (WHO), one in 200 polio infections will result in
permanent paralysis. However, the disease has been largely eradicated thanks to the development
of a polio vaccine. The most recent WHO poll, in 2010, reported only 1,352 cases of polio
worldwide. (WHO)
Thanks to the polio vaccine, the U.S. has not had a reported case of polio since 1979. However,
Afghanistan, Pakistan, and Nigeria still have frequent outbreaks.
Part 2 of 7: Types
Types of Polio

There are three types of polio infections:

Sub-clinical: Approximately 95 percent of polio cases are sub-clinical, and


patients may not experience any symptoms. This form of polio does not
affect the central nervous system (the brain and spinal cord).

Non-paralytic: This form, which does affect the central nervous system,
produces only mild symptoms and does not result in paralysis.

Paralytic: This is the rarest and most serious form of polio, which produces
full or partial paralysis in the patient. There are three types of paralytic polio:
spinal polio (affects the spine), bulbar polio (affects the brainstem), and
bulbospinal polio (affects the spine and brainstem).

Post-polio syndrome is a complication that can occur after a person has caught and recovered
from poliovirus. Symptoms of the syndrome can appear up to 35 years after the polio infection.
Part 3 of 7: Causes
What Causes Polio?

Poliovirus is often transmitted from person-to-person through fecal matter. People living in areas
with limited access to running water or flush toilets often get the virus from drinking water
contaminated by human waste that contains the virus.

In addition, the virus can be spread by contaminated food or water or direct contact with another
infected person. According to the May Clinic, the virus that causes polio is so contagious that
anyone living with an infected person will likely become infected themselves. (Mayo Clinic)
Pregnant women, people with weakened immune systems, such as HIV+ people, and young
children are the most susceptible to the polio virus. If you have not been vaccinated, you increase
your risk of contracting polio by:

traveling to an area that has had a recent polio outbreak

taking care of or living with someone infected with polio

handling a laboratory specimen of the virus

having your tonsils removed

extreme stress, which can compromise immune system function

Part 4 of 7: Symptoms
Recognizing the Symptoms of Polio

Sub-clinical polio may not trigger noticeable symptoms. In fact it is estimated that 95 to 99
percent of infected patients are asymptomatic. In the five percent of polio cases in which patients
do experience symptoms, they can range from mild to severe. Paralytic polio (polio that leads to
paralysis) has more severe symptoms and can be fatal. Patients with non-paralytic polio
experience mild, flu-like symptoms.
Sub-Clinical Polio

If patients do have symptoms, they usually last for 72 hours or less and may include:

headache

sore, red throat

slight fever

vomiting

general discomfort

Non-Paralytic Polio

The symptoms of non paralytic polio may last for a couple of days to a week or two and includes

fever

sore throat in the absence of upper respiratory infection

headache

vomiting

fatigue

abnormal reflexes

problems swallowing and/or breathing

back and neck pain and stiffness, particularly neck stiffness with forward
flexion of the neck

arm and leg pain or stiffness

muscle tenderness and spasms

Paralytic Polio

People with paralytic polio experience the symptoms associated with non-paralytic polio first.
Soon after, the following symptoms appear:

loss of reflexes

severe spasms and muscle pain

loose and floppy limbs, sometimes on just one side of the body, this is due to
the weakness which results from the involvement of the spine

sudden paralysis (temporary or permanent)

deformed limbs (especially the hips, ankles, and feet due to prolonged
weakenss and the lack of appropriate orthopedic bracing

Full paralysis can eventually develop, but it is rare. Only about one percent of all polio cases will
result in a person being permanently paralyzed. Of those patients who experience paralysis, five
to 10 percent will die when the paralysis attacks the muscles that control breathing. (CDC)
Post-Polio Syndrome

The symptoms of post-polio syndrome are:

continuing muscle and joint weakness

muscle pain that gets worse

becoming easily exhausted or fatigued

muscle wasting, also called muscle atrophy

trouble breathing and/or swallowing

sleep related breathing problems (sleep apnea)

becoming easily cold or

new onset of weakness in previously uninvolved muscles

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