Polio | Medtick

Polio

What is it?

A highly infectious virus that lives in the digestive tract which is transferred via faecal – oral route either by being exposed to farcically contaminated food and water.

  • It then moves to the nervous system where it is believed to attack the cells that affect the signals from ones brain to their muscles.
  • Symptoms appear three –twenty one days after exposure.

Isolation period

At least 6 weeks after symptom onset, as the virus can be shed in stool for several weeks.

Handwashing

Good hand hygiene is essential, especially after using the toilet or handling diapers. Consider to use gloves and gowns if one wishes to take seps further when there is potential contact with faeces or contaminated materials.

Diagnosis Tests

  • Throat washing
    • Throat swabs
  • Stool samples
    • PCR tests
    • Viral culture
  • Cerebrospinal fluid samples (CSF)
  • Spinal tap and CSF examinations
  • Electromyography (EMG) and nerve conduction studies – check for nerve function
  • MRI of spine
  • Measurement of antibodies to Polio virus

Countries affected are:

South America

  • Paraguay

Europe & Russia

  • Belgium
  • Ukraine

Africa

  • Angola
  • Benin
  • Burkina Faso
  • Cameroon
  • Central African Republic
  • Chad
  • Congo
  • Côte d’Ivoire
  • Democratic Republic of Congo
  • Equatorial Guinea
  • Ethiopia
  • Gambia
  • Ghana
  • Guinea
  • Guinea-Bissau
  • Kenya
  • Liberia
  • Madagascar
  • Malawi
  • Mali
  • Mauritania
  • Mozambique
  • Namibia
  • Niger
  • Nigeria
  • Senegal
  • Sierra Leone
  • Somalia
  • South Sudan
  • Sudan
  • Togo
  • Uganda
  • Zambia

Middle East

  • Iran
  • Iraq
  • Israel and Occupied Palestinian Territories
  • Saudi Arabia
  • Syria
  • Yemen

Asia

  • Afghanistan
  • Pakistan
  • Tajikistan
  • China
  • Laos
  • Malaysia (Sarawak, Sabah)
  • Myanmar
  • India
  • Philippines

Australasia and Pacific

  • Papua New Guinea
Ibuprofen and other NSAIDs can be used under medical supervision, however Ibuprofen and other NSAIDs is not recommended in asthma or asthma type symptoms. Check with your Medical doctor/Pharmacist when one can have any type of fever reducing medication to make sure it suitable for you.

Cause

  • Virus: Enterovirus
    • Type 1 – cause paralysis
    • Type 2 – when weak polio virus in vaccine mutates and causes symptoms
    • Type 3 – rare
  • Areas of poor sanitation, from infected persons faeces to mouth via drinking water and contaminated food (transmitted by the faecal-oral route, when someone ingests food or water that is contaminated, either through poor personal hygiene or by sewage water entering the food chain).
  • Direct contact: Kissing

Symptoms

Symptoms can be mild:

  • High temperature greater than 38°C (100°F) or over and/or chills and sweats longer than 72 hours?
  • Sore throat longer than seven days?
  • Abdominal pain and/or are constant violently vomiting or vomiting longer than two days (one day if a child)?
  • Diarrhoea?
  • Constipation?
  • Back and neck stiffness?
  • Headache which is on and off or a constant headache longer than 24 hours?
  • Increased sensitivity to touch?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Difficulty using arms, body and legs?
  • Breathing difficulties (affecting breathing muscles)?
  • Difficulty swallowing (affecting neck muscles)?
  • Difficulty in using facial muscle?
  • Heart problems?
  • Muscles loose and floppy?
  • Affecting ones senses, vision, hearing, taste and smell, touch?

Complications /Information to beware of/General tips:

Medical Emergency

And/or do not wait, phone for ambulance if have or develop:

  • Meningitis 
  • Constipation
  • Back and neck stiffness
  • Headache which is on and off or a constant headache longer than 24 hours
  • Increased sensitivity to touch
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)
  • Difficulty using arms, body and legs
  • Breathing difficulties (affecting breathing muscles)
  • Difficulty swallowing (affecting neck muscles)
  • Difficulty in using facial muscle
  • Heart problems
  • Muscles loose and floppy
  • Affecting ones senses, vision, hearing, taste and smell, touch

This condition can lead to:

Centers for Disease Control and Prevention. What is polio. For healthcare providers. Reviewed: May 1, 2023. Available at: https://www.cdc.gov/polio/what-is-polio/hcp.html. Accessed May 12, 2023.


Vaccination

  • Household contacts should ensure they are up to date with polio vaccination.
  • Make sure when one goes to an infectious country your travel vaccines and booster doses (please do at least six weeks before travel) including polio is up to date.

This condition  many show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Polio in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • Medical News Today

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  • Medscape (Professional level)

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  • Healthline

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  • EveryDay Health

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  • Pharmaceutical Journal (Professional level)

    The Pharmaceutical Journal covers analysis, features, opinion, learning and careers articles, providing insight and knowledge about drugs, pharmacy practice, medicines use and healthcare policy in the context of the pharmacy profession and pharmaceutical science.

  • NHS

    Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help (British National Health Service).

  • WebMD

    Better Information. Better Health.

  • Cleveland Clinic

    Pushing the Standards of care.

  • Mayo Clinic

    No.1 Hospital in the Nation (America)

  • Drugs.com

    Know more. Be sure.

  • National Organisation of Rare Diseases

    NORD is dedicated to supporting education, elevating care, advancing research, and driving policy for rare diseases.

  • Verywell Health

    Know more. Fell better.

  • Nathnac

    Travel health guidance for health professionals advising travellers and for travellers going overseas from the UK.

  • DR Axe

    Health and fitness news. Recipes, Natural Remedies

  • Better health - NHS

    Healthy changes start with little changes. Whether you want to lose weight, drink less alcohol, get active or quit smoking, you have access to lots of free tools and support through Better Health. You can also find simple ways to lift your mood with Every Mind Matters.

    There has never been a better time to kickstart your health. Let’s do this!