This is a blog run by mediPhone interns on healthcare in Japan and around the world.

Wednesday, July 8, 2015

Poliomyelitis


Poliomyelitis, know as polio, describes a highly infectiouse disease caused by a virus. While anyone can become infected by polio, this virus primarily targets young children under 5

Although polio cases have been decreased dramaticlay since 1988 (over 99 percent), it still exists today. In 1988, 350,000 cases were reported, but by the year of 2013, the number decreased to 416 infected people. While this sounds like a great achievement, Polio will continue to be a threat as long as there is even a single child in the world who carries the disease. This is because the virus can easily be imported into a polio-free country and distributed rapidly to people who are not immunized against polio.

Polio is spread through person-to-person contact via fecal-oral transmission. In other cases it can be spread by a common vehicle, like a container of water or food, and then multiply in the intestine. Because of this, is can spread especially fast in a community with a low standard of hygiene and sanitation.

Once a person gets infected with the virus, different outcomes can be noticed. Most of the infected people (90 percent) don’t show any symptoms and just carry the virus in them, while in other cases victims can have symptoms like fever, fatigue, headache, vomiting, stiffness in the neck and pain in the limbs. However, one in 200 infections can lead to irreversible paralysis, which usually pertains to the legs. This can happen in a matter of hours. In 5 to 10 percent of infections, respiratory mussles get immobilized, leading to death.

Today, Polio remains in 3 countries. Nigeria, Pakistan and Afghanisatn. In Afghanistan, there have been a total of 4 cases in 2015. In Nigeria there have been no new cases in this year, but in 2014 a total of 6 was noticed and in Pakistan there is a total number of 26 cases in 2015.

Unfortunately, no real cure exists. However, the eradication of polio can be achieved by prevention, though the use of vaccines. Two different kinds of vaccines exist: the intactivated poliovirus vaccine (IPV) and the oral poliovirus vaccine (OPV). IPV is used throughout much of the world and must be given multiple times, but once finished, the child is immunized for his or her entire life.

One private-public partnership that continues to strive for polio eradication is the Polio Eradication Initiative. This partnership was a product out of the forty-first World Health Assembly in 1988 with the aim to eliminate polio from the world. National governments are collaborating with the World Health Organization, Rotary International, the US Center for Disease Control and Prevention, United Nation Inernational Children`s Fund, and others. Through its multi-pronged programs consisting of research, new product development, strategy formulation and policy development, polio is being eradicated.
When this goal is achieved everyone in the world will benefit equally, as the danger of polio will be eradicated and no child will have to suffer from the paralysis anymore.

- Jay






Polio Global Eradication Initiative:
http://www.polioeradication.org/Polioandprevention.asp

WHO - Polyomyelitis:
Center for Disease Control and Prevention:
http://www.cdc.gov/polio/about/index.htm

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