2Index 1 Home 2 Index 3 Polio History 4 Causes of Polio 5 How the Polio Virus Attacks6 Three Types of Polio: Type I Spinal Polio7 Three Types of Polio: Type II Bulbar Polio8 Three Types of Polio: Type III Bulbospinal Polio9 Diagnosing Polio10 Treatment and Therapies11 Treatment and Therapy Stories12 Psychological scars13 Scientific Developments Leading to the Polio Vaccine Part 114 Scientific Developments Leading to the Polio Vaccine Part 215 Scientific Developments Leading to the Polio Vaccine Part 316 Scientific Developments Leading to the Polio Vaccine Part 417 Salk Vaccine18 Sabin Vaccine19 Proof that the Vaccine Works20 Polio Still Is Not Eradicated21 World Map of Current Polio Cases22 Famous People Who had or have Polio23 Everyday Survival Stories24 22 Post Polio Syndrome25 Polio Today26 Works Cited
3Polio History- plagued humans with paralysis and death for thousands of years- effects of this disease are depicted on ancient Egyptian stones- engravings and many references to polio appear in the Bible- until mid-19th century affected limitednumber of people in a few areas.- in 1840’s increased in developing,populous countries like the U.S.- President Roosevelt created NationalFoundation for Infantile Paralysis (NFIP)- NFIP sponsored the March of Dimesnumber of cases topped out at57,879 in U.S. alone (Silverstein 39)1956 Detroit Auto Show visitors attached donation dimes to March of Dimes automobile.
4Causes of Polio Polio is caused by... - by indirect contact with infected mucus or phlegm or contaminated food and water- by a contagious enterovirus that damages or destroys the central nervous system- improvements in sanitation when people were no longer exposed to low levels of viruses and bacteria to build their own antibodies- the oral vaccine, in rare cases, may cause polio in persons who are vaccinated
5How the Polio Virus Attacks - virus enters through the nose or mouth- once virus enters the body, it multiplies in the throat and intestinal tract- it is then absorbed and spread through the blood lymph system- it attacks nerve cells in brain and spinal cord, which control the muscles- infections vary in severity from mildillness to partial or complete paralysis- extent of the disability depends which ofthe three strains and thestrength of the virus- once the body has had the virus,it is immune,but only to that one strain
6Three Types of Polio: Type I Spinal Polio - most common form of paralytic poliomyelitis- causes paralysis in the arms or legs of the victim- legs are affected more often than the arms- death is not very common- results from viral invasion in motor neurons of the anterior horn cells or the gray matter in the spinal column- disrupts the anterior horn cells which are responsible for relaying messages from the brain, via the spinal cord, to the motor nerve which communicates with the muscle
7Three Types of Polio: Type II Bulbar Polio - produces symptoms like encephalitis- causes patients to have breathing,speaking, and swallowing difficulties- the bulbar region is a white matterpathway that connects the brain stemto the cerebral cortex- weakened cranial nerves result when thebulbar region is destroyed by the polio virus- dangerous form of polio causes victims to suffocate from secretions that collect in the throat and block the airway.
8Three Types of Polio: Type III Bulbospinal Polio - affects the phrenic nerve which pushes the diaphragm to inflate the lungs and controls muscles needed for swallowing- virus attacks the upper part of the cervical spinal cord causing paralysis of the diaphragm to occur- victims of bulbospinal polio find it hardto breathe without a respirator- bulbospinal polio is fatalto 50 percent of the victimsEleven-year-old Robert Blackburn of Clarkston, shown in 1953with grandmother Mrs. Alfred Dunckel and mother Dorothy Blackburn, gets breathing assistance from an iron lung at Children's Hospital in Farmington.
9Diagnosis - incubation period of 4 to 35 days - early symptoms include fatigue, headache, fever, vomiting, constipation, stiff neck, diarrhea, and pain in the extremities- as key nerve cells stop sending and receiving messages, the muscles can no longer contract and move body parts- cerebrospinal fluid (CSF) is analyzed to measure proteins, sugar (glucose), and other chemicals - CSF is the the fluid that surrounds and protects the brain and spinal cord- presence of polio antibodies is tested in the blood, as well as, throat or stool cultures
10- main goal for this incurable virus is to control the symptoms with antibiotics, pain medication, and physical therapy- over the years, scientific advancements changed treatment procedures, Michael Underwood was the first to use braces and corrective shoes- iron lung was built by Phillip Drinker in 1929- President Roosevelt tried electric currents, UV lights, massages,and mineral baths’s, Sister Elizabeth Kenney from Australia used hot blanketsand massage therapy instead of traditional immobilization
11Treatment and Therapy Stories “The massages were extremely painful.It was a little bit like taking your thumb andbending it back to your elbow. To this dayI’m not interested in getting a massage"(Byrne) quotes Alan Alda, a polio survivor.Interview with a Michigan polio survivor, "I contracted polio as a 13 month old boy in August 1940 while I was living in the Upper Peninsula of Michigan. I was placed in an iron lung for a few weeks and remained in the hospital until June The use of hot packs on polio patients did not become standard treatment until about 1944, therefore I did not receive that type of treatment" (Interview).
12Psychological Scars - polio victims battled psychological scars - children felt abandoned after parents left them inhospital wards- Carol Boyer came down with polio when she wasthree years old in She remembers, "it wasawful being left alone without my mom.I just cried and cried and cried." (Sherrow 21).- others felt useless- Mary Korstjens was a young mother who questioned whether she could stillbe a wife and mother. "She had always been so active, so capable.Now she felt so useless." (Korstjens 47).
13Scientific Discoveries Leading to the Polio Vaccine – Part 1 - development of the polio vaccines was result of many scientific discoveriesAntonie van Leewenhoek was the first to identified moving creatures in waterLazzaro Spallazami further studied living minute organisms and proved that no new organisms grew in sealed containerssmallpox was identified, leading to inoculation therapyby Dr. Edward Jennervan LeewenhoekDr. Jenner
14Scientific Discoveries Leading to the Polio Vaccine – Part 2 Dr. Jacob von Heine- first used the term infantile paralysis- wrote first detailed description of polio based on his studies of patients- identified the spinal cord as the site of involvement- realized that motor nerves in spinal cord are attackedbecause of an absence of brain damageJean-Martin Charcot discovered damaged nerve cells in the anterior horn of the spinal cordvon HeineChacot
15Scientific Discoveries Leading to the Polio Vaccine – Part 3 - Robert Koch proved that microorganisms caused specific diseases and invented a method for culturing microorganisms.Louis Pasteur developed a heatingprocess that destroyed unwanted organisms- Pasteur proved germs could be attenuated or weakenedproducing an immunity to a diseaseMartinus Beijerinck discovered virusespolio was first identified as a virus and not a bacterial diseaseby Karl Landsteiner and Erwin Popper
16Scientific Discoveries Leading to the Polio Vaccine – Part 4 William J. Elford found polio virus was a solid particle and not a fluid particle as Beijerinck had claimedSir Macfarlane Burnet and Dame MacNamara identified the threestrains of polioDr. Ernest Goodpasture with Alice Woodrufffound a way to grow viruses in chicken eggsWendell Stanley discovered that viruses need alive cell to duplicate themselvesJohn Franklin Enders, Thomas Weller andFrederick Robbins invented a method for growingpolio virus on monkey kidney tissue.
17Salk VaccineDr. Jonas Salk began developing a polio vaccine based on flu vaccine- used viruses from three different sources and strains- Type I from a monkey named Brunhilde- Type II came from Egyptian soldiers in World War II- Type III virus was taken from a boy named James Sarkett- cooked the virus with formaldehyde to kill the virustested vaccine on children who already had polio to measure antibodiescompleted work on vaccine, made from killed polio virusesvaccine tested on people without polioWith University of Michigan overseeingthe trial- April 12 ,1955 vaccine proved to be over90% effective (Medline)Kurt Achenbach, 7, a first-grader at Baker School in 1954, bucks up his courage as he gets a shot from Dr. Frank Prather. Young Kurt was one of 1.8 million "polio pioneers" who volunteered to test the Salk vaccine
18Sabin Vaccine - Albert Sabin created the first oral vaccine in the late 1950’s- used living viruses that were weakenedso that they could not cause diseaseworldwide large scale field test was conducted with Sabin vaccinevaccine was licensed in the United States- Sabin Sunday, April 24,1960, over 200,000 peoplewere vaccinated in one dayTOPV- trivalent oral polio vaccinelicensed and replaced Salk’s injectable vaccine.
19Proof That The Vaccine Works - proof polio was defeated is in the numbersover 42,000 cases of polio reported(Silverstein 47)number dropped to 3,190(Silverstein, 47)number declined further to 1,312 casesnumber of new cases were at 910
20Polio Still Is Not Eradicated - polio can still make a comeback- if routine vaccinations are stopped, unprotected people couldstill contract poliothere were 16 new cases among Amish in United States and Canadawho had not been vaccinated- April 13, 2010 globally there were 64 new cases of polio in epidemiccountries, where people are not inoculated- At this point, humans are winning the war against polio,but the battle to eradicate polio is not over
22Famous People Who Have or Had Polio President Franklin D. Roosevelt contracted Polio in 1921.He tried various treatments like electric currents, U.V. lights, and mineral baths. He used the power of the Presidency to fight polio by creating the National Foundation for Infantile Paralysis.Jack Nicklaus is a Pro Golfer who had polio as a child.Alan Alda endured Sister Elizabeth Kenny's treatment of hot blankets and massages as a seven year old.Wilma Rudolph won three gold medals in the 1960's Olympics for running in track and field.Mia Farrow was a polio survivor that started Polio Immunization Day.Artist Frida Kahlo was had one leg shorter and weaker than the other as a result of polio.Musician David Sanborn played the saxophone as a treatment to strengthen his weak chest muscles
23Everyday Survival Stories - polio survivors are true survivors- Sandi Hall pointed out that as a polio survivor, "I learned to try harder, strive more, give 200% of myself and show people that just because I had polio didn't mean that I was any less a person" (Sherrow 40)- my Michigan polio survivor had multiple surgeries growing up to strengthen his arms and legs. He told me that, "During the time I was growing up all polio survivors were encouraged to do everything we could and not to feel sorry for ourselves. As a group polio, survivors are more highly educated than others in our age group. I graduated from collage with a degree in Elementary Education and a Masters Degree in Educational Leadership. I taught in the public schools for 42 years and retired in 2003."
24Post Polio Syndrome- Today there are about 1.5 million polio survivors- in the past few years, post polio patients aregetting diagnosed withpost-polio muscular atrophy (PPMA)- muscles that were previously affected bypolio infection, as well as, muscles that wereunaffected become weak and may atrophy (shrink)- PPMA is not a reinfection of the polio virus or a reactivation of the virus- doctors hypothesis that polio survivors are prone to acceleration aging process- normally, humans experience a decrease in the number of anterior horn cells in the spinal cord as they age causing muscle weakness but polio survivors have cells that are taking on extra roles for damaged cells which could beshortening the life span of the remaining cells
25Polio Today - Organizations such as the Global Polio Eradication Initiative, the CDC, the United Nations Children's Fund,Rotary International, and the World Health Organization are working to together to get eradicate polio- efforts are hampered by political, religious, and societal obstacles in third world countries- Bill Gates has donated over $700 million dollars to the efforts of eradicating polio- May 2010 – Organizations plans to revamp the strategy of polio eradication- continue vaccinations into disease-infested, poor areas- also strengthen the overall health system in the area- change global health strategy and fight against other diseases
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