1. Maham Wisal Latifa Alizadeh
Poliomyelitis
Maham Wisal Latifa Alizadeh

3. Factors contributing Poverty Energy crisis Illeteracy
Corruption and political instability
Terrorism
Overpopulation and inflation
Economy crisis

4. What is it? Acute infection caused RNA virus
There are three polioviruses that attacks the nervous system.
Causes inflammation of grey matter of spinal cord.
Children younger than 5 years old are more likely to contract the virus than any other group.
According to the World Health Organization (WHO), 1 in 200 polio infections will result in permanent paralysis.

5. Virus human enterovirus and member of the family of Picornaviridae.
ingested, and replicates in cells of the gastrointestinal tract.

6. Incubation period :7-14 days
Mode of Transmission
Spreads primarily through the fecal-oral route, especially in areas where sanitation is inadequate through contaminated water and food ( People carrying the poliovirus can spread the virus for weeks in their feces).
Oropharyngeal secretions
Incubation period :7-14 days
Virus is excrete for 2 to 3 weeks and can go on for as long as 3-4 months

7. Symptoms Non-paralytic polio Paralytic polio
Signs and symptoms of non-paralytic polio can last from one to 10 days.
• fever
• sore throat
• headache
• vomiting
• fatigue
• meningitis
Non-paralytic polio is also known as abortive polio.
Paralytic polio
Paralytic polio leads to paralysis in the spinal cord (spinal polio), brainstem (bulbar polio), or both (bulbospinal polio).
Initial symptoms are similar to non-paralytic polio. But after a week, more severe symptoms will appear.
These symptoms include:
• loss of reflexes
• severe spasms and muscle pain
• loose and floppy limbs, sometimes on just one side of the body
• sudden paralysis, temporary or permanent
• deformed limbs, especially the hips, ankles, and feet

8. Post Polio syndrome
It’s possible for polio to return even after you’ve recovered.
This can occur after 15 to 40 years.
Common symptoms of post-polio syndrome (PPS) 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 swallowing
• sleep apnea, or sleep-related breathing problems
• low tolerance of cold temperatures
• new onset of weakness in previously uninvolved muscles
• depression
• trouble with concentration and memory

9. Prognosis Among those paralysed by polo: 30 % make full recovery
30% are left with mild paralysis
30% have medium to severe paralysis
10% die

10. Vaccine Immunization is the most effective method for prevention
Two types
Inactive polio vaccine
Oral polio vaccine- live attenuated vaccine

11. Treatment No treatment! Early diagnosis and supportive treatments
such as bed rest, pain control, good nutrition, and physical therapy to prevent deformities from occurring over time can help reduce the long-term symptoms due to muscle loss

12. Preventative Failure Cold chain transport
Overpopulation-unable to vaccinate the entire population.
Law and Order situation
Clergy’s opinion

13. Sources http://www.healthline.com/health/poliomyelitis#Symptoms2