Tuesday, May 3, 2011

polio


Identity of polio

Polio is a serious disease caused by a virus called the poliovirus. The full medical name for the disease is poliomyelitis. In its severest form, polio causes paralysis of the muscles of the legs, arms, and respiratory (breathing) system.Polio is a contagious viral illness. In its most severe form, polio causes paralysis, difficulty breathing and sometimes death.
During the first half of the 20th century, no illness inspired more dread and panic in the United States than did polio. Sometimes called infantile paralysis, polio struck in the U.S. every summer and fall with virulent epidemics. In 1952, when the polio epidemic was at its peak, 3,000 people died.

symptoms of polio

There are many symptoms of polio and not everyone will experience all of the symptoms. They symptoms vary according to the type of polio the individual has. In mild polio, some of the symptoms are: headache, nausea, vomiting, general discomfort or a slight fever for up to three days. In nonparalytic polio (aseptic meningitis): the symptoms are similar to mild cases, with the addition of moderate fever, stiff neck and back, fatigue and muscle pain.Because no drug developed so far has proven effective, treatment is entirely symptomatic. Moist heat is coupled with physical therapy to stimulate the muscles and antispasmodic drugs are given to produce muscular relaxation.

Treatment

Treatment during the preparalytic stages of polio includes complete bed rest, isolation, and careful observation. If paralysis occurs, passive movement of the limbs can be used to avoid deformities. As muscle strength returns, exercises are increased. Breathing may require mechanical aids such as the positive pressure ventilator, which pumps air into the patient’s lungs through an endotracheal tube inserted into the windpipe. Ventilators have largely replaced the “iron lungs” that gave polio such a dreadful image during the 20th century. Formally known as tank respirators, iron lungs were large steel cylinders that enclosed the abdomen



What Causes It?

The cause of the disease is an infection with the poliovirus, which is a single-stranded RNA virus from the family Picornaviridae and genus enterovirus.

Poliovirus only infects humans. It is more common during summer months in temperate climates. In tropical climates, there is no seasonal pattern. There are three types of poliovirus (known as serotypes), which include P1, P2, and P3.



How Is It Transmitted?

Polio is very contagious. When a person is infected with poliovirus, the virus resides in the intestinal tract and mucus in the nose and throat. Poliovirus is usually spread through contact with stool of the infected person (known as fecal-oral transmission). Less frequently, polio is spread through contact with infected respiratory secretions or saliva (oral-oral transmission).

Following polio transmission, a person does not become immediately sick. A person who is infected with polio can spread polio about 7-10 days before polio symptoms begin. A person can continue to spread polio for about three to six weeks after the beginning of polio symptoms. However, a person is most contagious for the 7-10 days after symptoms of polio have begun.