News and Experiences

John Hopkinson Experience

In 1958, at age 11, there was suddenly a steep downturn in my mental and physical ability. There was no obvious reason why that happened. My parents thought that the simultaneous pains were probably “growing pains” as the only real pain I had was severe cramps in my legs, particularly the left one.

 

My parents were the type who would stop at nothing to find out what was wrong. They had nearly lost my sister to illness during the war and were determined not to go through the same concerns with me. However nothing was diagnosed, the pains eventually eased after a couple of years and my school work and physical activity gradually improved, although I played rugby rather than my first love football as I was somewhat slower running and I had developed a slight limp. My school work was not as good as it should have been with particular problems at exam times. Previously I had been very good at this although I say it myself!

 

Generally speaking, despite several health problems, I managed quite well until after university and starting work, I began falling especially when walking over uneven ground. When my left leg started aching again, I was advised to see a specialist who had, by chance, considerable experience with polio both at home and abroad and, after examining me, came to the conclusion that I must have had polio some forty years or more earlier, at the time when the leg pains started at age eleven.

I was advised to wear an orthotic leg brace and other supports which I did for several years.

 

When my left knee was replaced, my surgeon said that in the process, he would be able to lengthen my left leg which subsequently allowed me to stop using the brace and improved my mobility but the aches and pains continued because of what I now realise was PPS.

 

There was, and still are, constant mobility problems. However, I think myself extremely fortunate to have survived sixty five years without many of the considerable challenges that most polio sufferers have had to bear. In recent years, I have suffered from sepsis and a mild stroke and recently have had a shunt fitted on my brain as treatment for hydrocephalus. I mention these last three complaints only because my non-medical training makes me wonder if they, in any way could have been promoted by my earlier polio. Has my central nervous system suffered because of polio? Perhaps other PPS sufferers might have a view on this. Nevertheless, I consider myself extremely fortunate in that polio did not have more serious implications for me.

 

I enjoy being a member of the Lincolnshire branch of the Fellowship, despite not having been to meetings recently as my recent operation means I can’t drive for a while. The secretary is very good at keeping me informed.

John Hopkinson Experience Read More »

Maureen Chapman Experience

Hi, my name is Maureen l am a polio survivor. I contracted polio in the early 1950s – in them days doctors were very wary of telling the patient or their parents what they had / diagnosed with. I can remember as a small child of 3 years of age being in hospital for long spells that seem to go on for years in and out of hospitals all the time. Eventually from the age of about 8 they discharged me and told my parents what l had been suffering from – l carried on with my life as a child doing what children do but l always walked with a limp which was noticeable to other children and adults.

 

Post Polio Syndrome became a problem to me in my early 40s when l started to fall or trip over for no reason – after watching a documentary on TV about the latter stages of a Polio Survivor l realised that it was me.

 

After visiting my GP, she arranged for me to have an assessment with a consultant at Kings College Hospital in London who diagnosed PPS.

 

I will now jump to my current daily life and how it has affected me now. At the age of 74 l have so many problems which l have to come to terms with. My right foot / ankle / leg has completely deformed, and l walk over on one side – my weight has increased as not being able to walk without pain and aids – swallowing is also a major problem where l choke on food / fluids if not chewed or swallowed completely.

 

Twice yearly l have steroids injections in my feet and ankle but my Consultant recommended that l have surgery as my foot is now bone on bone. With arthritis in both feet now on top the disability l have, life is not as it should be in my retirement years. My medication is Gabapentin 500mg x 4 times daily – Co- codamol every 4 hours for the pain, plus various sprays / roll ons / ointment / on feet to relieve the pain.

 

Maureen Chapman Experience Read More »

My short story by Fred Naggs

It was 1953, I was five years old and in my first year at school. I have a clear memory of trying to get out of bed and my legs giving way under me. Our GP had seen me the previous day and told my mother to give me a couple of aspirin and I would be fine. I do not recall much of what happened after that. The paralysis was confined to my legs and I do recall being taken out in a pushchair but I was cared for at home so it must have been a relatively mild condition. I was deemed to have made a good recovery but I became a sickly child with lots of pain in my limbs. When I returned to school, I felt detached from my surroundings and the other children. I was often in trouble for daydreaming and looking out of the windows, wishing I were somewhere else. I seemed to be tired all the time and cold. I scraped along at school, just getting by.

After leaving school I had a succession of jobs and decided to redress my lack of education by pursuing an Open University degree. Married at twenty-one I had the unstinting support of my hardworking wife, who was a nurse. I secured a post at the Natural History Museum in South Kensington in 1974 and commenced a rich and fulfilling career, initially as an assistant curator and for the last 14 years before I retired as the Biodiversity & Conservation Officer in the Zoology Department. I ran international development projects throughout South and tropical Southeast Asia, mostly based on surveys in tropical rainforests. I supervised PhD students and postdoctoral researchers and followed my career dream. Problems that were later recognised as PPS began to cause problems. Episodes of brain fog were the most alarming because I had no idea what the cause might be, and I avoided public speaking, lecturing and conference presentations. Episodes of fatigue had long been a problem but they became overwhelming. I was still riding high running international projects but mobility became an increasing problem, with leg pain and weakness. Following a serious road accident on the borders of Vietnam and China in 2013 it became increasingly clear that I could not continue. All field work ended. I continued at the Museum for a further three years before retiring.

In 2021 and after 50 years in our much-loved home, we realised that a three-storey house was no longer suitable. We moved to a bungalow close to shops and amenities. It was a big step to take but proved to be an excellent decision and perfect for our current needs. I still contribute to scientific papers and write articles but productivity is low, I work around the fatigue brain fog and pain. The most important thing that I learned from the Lane Fox Unit at St Thomas’ Hospital was to pace myself and be careful to work within my limitations. It is frustrating but the only way.

My short story by Fred Naggs Read More »

John De’Ath Obituary

In memory of John Graham De’Ath, Air Commodore RAF (ret’d), MBE, MA, FIMgt, who died peacefully on 10th April 2023 aged 90.

 

John was an accomplished athlete and Olympic triallist before suffering from polio in his early twenties. After making what appeared to be a full recovery, he managed to return to a high standard of short and long-distance running and squash, among other sports.

 

In 1951 he joined the RAF as a Cranwell cadet straight from Whitgift Middle School in Croydon and, as an officer cadet, was selected to line the route at the 1953 Coronation. His RAF postings took him all over the UK, as well as Malta, the United States and Germany.

 

John retired from the RAF in 1986 to take up a post as Home Bursar at Jesus College, Oxford, where he had a happy and successful second career. During this time he developed post-polio syndrome, which eventually forced him to retire from his College post. During his time in Oxford he was heavily involved in various sporting organisations, including the RAF Athletics Association, Achilles Club, Oxford University Athletics Association and Oxford University Air Squadron. He was an active campaigner for women’s sport.

 

Despite being a wheelchair-user from 2010, John continued travelling around the world with the help of his wife, Sonia. Sports, wine, music and travel were his passions.

 

He passed away peacefully on Easter Monday in a care home, after several happy days spent with his family, singing along to favourite songs, joking, and smiling to the last.

 

 

John De’Ath Obituary Read More »

The Founding of the Scottish Post Polio Network (SPPN)

THE FOUNDING OF THE SCOTTISH POST POLIO NETWORK (SPPN)

 

In the late 1990’s I began to experience the late effects of polio. I wrote about this time in my book “A Balanced Way of Living; Practical and Holistic strategies for Coping with PPS”. This is how I felt then ;

 

“ I had always led a very active life in spite of having had polio as a baby and wearing a caliper as a result of the disease. Even though I managed to achieve a great deal there were always more hurdles to overcome – gaining a degree, travelling, learning different skills including those involved in becoming a mother; all of these experiences

 

were rewarding but there were always, metaphorically speaking, more mountains to climb! When I was 30 I embarked on training to become an acupuncturist and after 3 years gained my license to practise. Working full time with 4 kids under 10 was challenging but did not phase me – I even found time to go swimming every other day and gave time to various committees! Of course I was on a merry go round that got faster and faster until it spun out of control. My poor old body was not prepared to keep up the hectic pace I had set it and with the symptoms of PPS becoming too strident to be ignored, I finally had to let go of pushing on and give myself a break.”

 

At the time of writing those words at the end of the twentieth century, thanks to the techno revolution that had recently given us the internet, I was able to gather much information about PPS but still felt very alone in my search for answers. As I spoke to other polio survivors and recorded their stories to include in my book I began to realise that there were many of us out there and that we needed to get ourselves organised!

 

Billy was one of the first polio survivors that I interviewed for my book and I wrote ;

 

“Billy from Glasgow, is also finding a need to fight on behalf of polio survivors and he was in the process of setting up a polio support group when I spoke with him.

 

He had only recently heard of PPS but had been struggling with his health for years. Finally, due to an article in a local newspaper, he was relieved to discover that the label of PPS could explain the underlying cause of his deterioration. When Billy contracted polio at 3 years old, he was put into an iron lung and when he came out it was to find that he needed to wear calipers on both legs. As he got older he managed to get by with only one caliper and being the fighter that he is, he “went into automatic” as he put it, working hard as a housing manager for the local council and bringing up 5 children.This tendency to get on with life and take on its challenges without a moment of hesitation, is by no means curtailed now that Billy finds himself in a wheelchair in his forties as a result of PPS. He is “angry and annoyed” to find that many health professionals have not heard of PPS and wants to change this for himself and other polio survivors by campaigning for more awareness of PPS.”

 

Meeting with Billy and hearing his story was in fact the start of the SPPN although neither of us realised it at the time!

 

Thanks to the sterling work of Hilary Ann Boone (Hallam as she was then) and through her organisation the Lincolnshire Post-Polio Network – LINK-PIN–I connected with another Scottish polio survivor– Agnes Walker from Edinburgh. Agnes had a wealth of experience when it came to practical organisational skills and it soon became clear that she and I and Billy should all get together and see if we could create a support group of some sort. And that was how 20 years ago the core group that became the SPPN met to share experiences as polio survivors with PPS and also to have a laugh, a blether and light refreshment at a very cosy pub just outside Stirling. A few more local polio survivors members joined us from Glasgow and like Topsy our group grew and grew!

 

As time went by we formed a committee and thus the SPPN became a registered charity. From those very early days we decided not to be a “moan and groan” group. Although we were there to share our frustrations with regards to living with PPS and also with regards to the lack of support from the medical world we decided at that first meeting that we were not there to have a griping session! Our commitment from the start was to campaign to raise awareness of PPS and to act as a source of advice for new and existing members, other polio survivors and their families. Furthermore we were keen to campaign for a central “one stop shop” to provide treatment for PPS. In effect our aims and objectives were and still are; to give people who have had polio the most up-to-date information about Post Polio Syndrome, to inform medical professionals of best practice, to campaign for recognition of Post Polio Syndrome and to ensure the model of best practice and conservation of mobility is practiced.

 

In all of this we were very much supported and advised by the very helpful Dr Richard Bruno, a research and clinical psychophysiologist trained at the New York State Psychiatric Institute. In 1984 Bruno founded the International Post-Polio Task Force, which promotes PPS research, education and treatment in 25 countries. Dick Bruno had helped me hugely to write the “science” part of my book so it was natural to ask him to be the patron of the SPPN and we were delighted when he agreed and he has continued as patron of the organisation to this day.

 

The founding of the SPPN was exciting stuff and I loved being part of it all. However eventually I decided I could no longer remain on the committee –I needed to “walk my talk” and stop taking on too much –again! With family and my acupuncture practise commitments I needed to let go of all that I had helped to initiate and it was a wrench but it had to be done. Nevertheless I feel proud that the SPPN continues through the hard work of so many good people.

 

In 2005 the SPPN took its campaign to the Scottish Parliament where it became well supported for many years by the marvellous MSP Margo MacDonald until her death . She is sorely missed and no one has replaced her in our challenge to get better support for polio survivors in Scotland. Now with the Covid pandemic taking top priority I fear our voices will not be heard by those in power who could help. And as time goes by we survivors of polio are fewer. But on we go and every year the SPPN holds a conference (not this year due to Coronavirus!)to which many polio survivors come and hopefully they go away feeling advised, informed and supported. From the day when Billy, Agnes and I met together and decided we needed to do something to help ourselves, the SPPN has put information about PPS out there to help those experiencing the late effects of polio. It also informs medical professionals of best practice –some of whom were not even born when polio epidemics were around and thus need some input from us polio survivors! And thanks particularly to Hilary Ann Boone for being the link that connected me with other Scottish polio survivors all those years ago!

 

Vicki Mckenna is the author, as acupuncturist and polio survivor of “A Balanced Way of Living; Practical and Holistic strategies for Coping with PPS”.

 

To purchase a copy see www.postpolioinfo.com/balanced_way.

The Founding of the Scottish Post Polio Network (SPPN) Read More »

Lynne Morton Experience

Lynne – One of Our Amazing Members

 

Hi there, my name is Lynne Morton I am 53 years old in November. I contracted polio when I was 13 months old, in 1967 I was given the polio vaccine the very next day I was rushed to hospital put into isolation and diagnosed with polio. I contracted the disease from the vaccine! All of this is in my medical records; apparently it was tested in the lab and was found to be contaminated so basically the thing that was supposed to stop me getting the disease actually gave me it!

 

I have managed to live a good life; I have 4 children and a beautiful granddaughter who keeps me on my toes and another grandchild on the way.

 

I’ve tried to not let the disease stop me too much but recently I am finding it very hard as I feel I am just not taken seriously in regards to my symptoms, and post-polio syndrome seems to be a taboo subject in the health department. I know many other polio survivors are experiencing the same as me, but we will soldier on and hopefully one day make the practitioners see this is something to be taken seriously.

 

 

Lynne Morton Experience Read More »

Marion Carlisle Interview

An Interview With  Marion Carlisle

Q:        Tell us a little about yourself and your polio journey

 

My mother is very sure I had polio when I was 2 (1960).  She said it was the worst week of her life, though I was not hospitalised. I recovered with slight walking impediment for a year.  Then apparently nothing until I was 39 when symptoms started: unexplained temperature rises, progessive fatigue.

 

Q:        When did you first realise you had PPS?

 

I self-diagnosed P.P.S  in 2003 (age 45) after reading Dr. Bruno’s ‘The Polio Paradox’.  So much in his book rang bells. There was the gradual onset of unexplained symtpoms in my late ’30s. The fact that all blood tests fell into the ‘normal’ range and yet I could hardly function at all sometimes.

 

Q:        How did you get a diagnosis?

 

I’ve been living in West Wales since 2002 and haven’t had any official diagnosis or seen any expert in the field.  My local GP accepted my self-diagnosis but apart from prescribing Q10 on the NHS, I’ve had no medical help.

 

Q:        What has helped you to cope?

 

I’ve been following protocol for M.E. / C.F.S patients, ie pacing, supplements  and a low carb / high protein diet for many years.  Accepting limitation rather than fighting it has been a key.  Although I don’t need physical aids and can walk OK,  new arm weakness means I don’t lift heavy things – including a half-full kettle.  A background in meditation, being in the ‘here and now’ as much as possible helps  me to accept what I can’t change.  Perhaps mental fatigue is the most challenging – not able to read or engage socially when I’m very exhausted. Then re-charging the batteries, alone and doing nothing is the only help.

 

Q:        Is there anything that our members can help you with currently?

 

Yes, I wonder if any other members have experienced constant tingling sensations, like pins and needles.  This tingling started just in the soles of my feet, then progessively moved up my body.  This used to disappear with prolonged rest.  Now the tingling never goes away and is my whole body, including my head.  I also experience a strong pulse in my adrenal area, especially in the night and on waking. There seems to be no medical reason for this.

Q:        What one piece of advice would you give to other polio survivors?

 

I know I’m not facing challenges like many polio survivors. I can walk and have been working part-time musically for the last 10 years, finding more strength by sticking to the diet and supplements protocol.  So advice?  Not really.   I’ll just say that feeling empowered – in whatever way that means for a person – is vital. Celebrating ones talents, however small.  Enjoying the world around – the elements, the natural world and being able to receive and give to others.  Also spiritual gifts are so important.  Through undergoing limitation (not something I’d wish on anyone), I’m more receptive to the essentials in life.  There is a silver lining in having to let go ambition!

 

 

 

Marion Carlisle Interview Read More »

Val Scrivner Interview

An Interview With … Val Scrivener

 

Tell us a little about yourself, the person behind the photocards.

 

Bedford has always been my home and, until the age of 17, I suppose I lived a fairly uneventful life. I loved sport and, even in my first school was winning races on sports day (winnings were a 2/6d postal order which bought me a book at our local bookshop). I high-jumped, was in the netball team, swam and also played badminton at our local youth club. I was just beginning to enjoy going to the twice-yearly youth club country dances when polio struck, paralysing my right leg. I returned to school (now in VI form) with a stick. Sport, gym and games were out and I began to feel that I fitted in nowhere and became, I suppose, somewhat isolated knowing that my former friends and team-mates were spending their lunch hour outside practising.

 

My father was quick to see the void in my life and one day came home with a box camera. Never did it occur to me at the time that his thoughtfulness would lead to a lifetime hobby. Much later in life I went along to the local camera club to learn how to use my newly acquired, second-hand, SLR camera and there I became fully launched as an avid lover of photography. With my late husband, John, I began some weird and wonderful travels around the world in my school holidays as, by now, I had begun teaching at a local lower school. I now restrict my travelling to the UK following several falls, but there is so much out there to photograph if you look for it.

 

What makes you passionate about supporting Polio Survivors Network?

 

I suppose the first and most obvious answer is to say, ‘Because I had polio.’ I, like many others, thought over many years that, although I have never since been able to partake in sport, I made a pretty lucky recovery. I could still walk and was able to lead a normal life. It was a bit of a shock when things began to deteriorate and I was told that the neurons boosting my muscles were only working at 10 percent capacity and that being overactive was simply wearing the muscles away.

 

I admire the research that seems to be taking place in the USA and I agree with comments regarding the lack of knowledge in this country, so few of my acquaintances had any idea that problems could resurface in later life once ‘recovered from polio’. It is brilliant being updated with the knowledge of recent research via ‘Post Polio Matters’. I am hoping that I am able to make the AGM this year as I feel meeting up with fellow members is very much like meeting up with family.

 

What gave you inspiration for the beautiful photocards sold on behalf of PSN?

 

I have, over the years, made special cards for friends and some time ago I had the thought that I could also make and sell cards to raise money. Being a PSN member my mind went immediately to this but I knew that I would have a better chance of selling them locally, to people who knew me. My local church seemed the ideal place to set up a pitch but in order to sell the polio cards I felt that I should be doing the same for the church. This I do once a month but it all takes time as I take the photos, print them, cut the prints to size, print details on sheets of card, stick the photos on the card and do any necessary trimming.

 

How can we place an order with you?

 

You will find the details on the back of this newsletter or on the PSN website. The orders will arrive in packs and you may ask specifically for a mixed pack/a pack showing animals / transport / scenery / flowers / cards suitable for men – it’s your choice. I can then, at the time of ordering, give you the address to which you send a cheque.

Val Scrivner Interview Read More »

Verite Reily Collins Interview

An Interview With … Verite Reily Collins

 

Tell us a little about yourself and your polio journey

 

My father served in the Royal Navy, and we were all excited when he was appointed for three years to Turkey. Istanbul was a colourful and fascinating place as a teenager, but it came to an abrupt end when I caught polio. In those days the ‘Military Covenant’ was taken seriously; I was flown home and sent to the Royal National Orthopaedic Hospital at Stanmore (normally it was a six-month wait to get in).

 

My first day there, I was examined by the Great Man, Prof. Seddon – then one of greatest experts on polio. Gently he told me “you may never walk again”. I told him I had no intention of staying in hospital – which annoyed him as it was his pride and joy – and he immediately passed me over to the care of his most junior doctor, J.I.P. James. Mr James and I got on like the proverbial ‘house on fire’; saying “it can’t hurt”, we tried out different ideas, and I walked out of Stanmore.

 

When did you first realise you had PPS?

 

I had a vague idea, so asked Hilary. She told me all about it, gave me enormous help, and I joined up as a member of Polio Survivors Network (PSN)

 

How did you get a diagnosis?

 

Theoretically, I’ve never had a diagnosis from an expert – but then there doesn’t seem one around in today’s NHS. The NHS website has wiped polio off its pages, and now there is only information about PPS. Anyway, what Hilary has put together is good enough for me.

 

What, in your experience, is one of the larger issues facing polio survivors currently?

 

Ignorance. I now call in to play acting techniques learnt at school, and when a doctor or nurse lectures me “why didn’t you have the polio vaccine” I burst into crocodile tears, very loudly! I am fed up with such crass comments, and find tears the best way of putting across the fact that we caught polio before Salk produced his vaccine; my mother was so frightened of polio she would have been first in the queue if there had been a vaccine, and breathed a sigh of relief when Dad was appointed to Turkey as in those days it was supposed to be polio-free.

 

However, ignorance amongst nursing staff is rife, and recently I used my savings to pay for an operation privately; the Pre-Op. Assessment Nurse at Chelsea and Westminster Hospital wouldn’t arrange for me to see the Anaesthetist before my op. and I was scared of a repeat of the horrendous problems I had had when an Anaesthetist from The Royal Marsden hadn’t administered the correct dosages, even though I clearly remember telling her twice I had had polio. I had the operation privately, saw the anaesthetist for a good half hour a week beforehand, and sailed through it all. Worth every penny!

 

What one piece of advice would you give to other polio survivors?

 

Belong to PSN. I find the Polio Matters newsletter always has two or three things I have ringed for action or to follow-up.

 

What simple change would make the NHS more user-friendly for you?

 

To follow the same protocols as most European hospitals. In Europe I would phone the consultant for an appointment; here we are supposed to waste our time seeing a GP for a referral – when usually they haven’t a clue. In Europe you are assumed to have a brain; in Britain the NHS is surprised we have anything between our ears. I remember the wonderful Professor Guiloff sending me off for an MRI Scan at Charing Cross, then telling me with great satisfaction that the scan showed I definitely had a brain.

Verite Reily Collins Interview Read More »

Precision Vaccinations Polio Outbreaks 2023

POLIO OUTBREAKS 2023

Authored by Staff

Last reviewed March 12, 2023

Fact checked by Robert Carlson, MD

Fact checked by Holly Lutmer PharmD

CONTENT OVERVIEW

Poliovirus detection in Montreal, New York, London, Israel in wastewater continue in 2023. Polio outbreak information is fact-checked by medical professionals.

Polio Outbreaks March 2023

Poliovirus (Poliomyelitis) has been recently confirmed in wastewater and ground samples in non-endemic countries in Africa, the Americas, Asia, Canada, Europe, India, Israel, the United Kingdom, and New York (NY).

To notify the international community, the U.S. Centers for Disease Control and Prevention (CDC) issued an updated Global Polio Alert – Level 2, Practice Enhanced Precautions notice on March 7, 2023, regarding polio outbreaks and poliovirus detections in various countries. As of March 10, 2023, the New York Department of Health informed New Yorkers planning to visit Israel in 2023 and other countries with circulating poliovirus to confirm their polio immunization status prior to traveling abroad.

On September 13, 2022, the U.S. was added to a list of about thirty countries where circulating vaccine-derived poliovirus (cVDPV) was recently identified. On September 1, 2022, the CDC’s Clinician Outreach and Communication Activity Call presented: How to Recognize and Report Polio and Reinforce Routine Childhood Polio Vaccination.

As of March 2, 2023, there has been 1 confirmed polio (acute flaccid paralysis) case and 7 reports of patients under investigation in the U.S. (Washington) during 2023. There have been 723 confirmed polio cases in the U.S. since August 2014. An interactive timeline traces polio outbreaks from 1580 B.C. to 2022.

WHO Polio Public Health Emergency of International Concern 2023

On February 2, 2023, the World Health Organization (WHO) confirmed the spread of poliovirus remained a Public Health Emergency of International Concern (PHEIC) concerning Wild poliovirus type 1 (WPV1) and Circulating vaccine-derived poliovirus and recommended the extension of Temporary Recommendations for three months. This WHO issued a report (EB152/19, Dec. 2022) on implementing the Strategic Action Plan on Polio Vaccine Transition (2018–2023). In addition, the polio-endemic countries of Afghanistan and Pakistan have been associated with recent polio outbreaks in other countries, according to the Global Polio Eradication Initiative (GPEI).

Poliovirus Wastewater Detections 2023

Related poliovirus type 2 (PV2) isolates were identified in sewage samples collected in Canada, London, Israel, and New York in 2022. As a result, the U.S. CDC announced on November 30, 2022, that it would expand wastewater testing in the U.S. Dr. José R. Romero, Director of CDC’s National Center for Immunization and Respiratory Diseases, indicated that poliovirus testing would continue into early 2023.

Poliovirus Detroit, Michigan

The U.S. CDC announced plans to collect wastewater samples in communities near Detroit, Michigan. Preliminary testing will last at least four months. Oakland County, Michigan’s population is about 1.2 million. On August 23, 2022, Michigan reported 31% of young children were overdue for routine vaccinations, including polio.

Poliovirus Philadelphia, Pennsylvania

The U.S. CDC announced it would begin collecting wastewater samples from Chester County, with a population of about 500,000 near Philadelphia, PA, for analysis at CDC’s polio laboratory.

Poliovirus New York March 2023

As of March 8, 2023, the U.S. Centers for Disease Control and Prevention (CDC) and the State of New York confirmed sequencing analysis confirmed the presence of circulating vaccine-derived poliovirus (cVDPV2) in 100 samples collected genetically linked to a polio patient (Acute flaccid myelitis) identified in July 2022 in Rockland County, NY, signaling its continued circulation and a health risk to residents.

To enhance local detections, the New York State Department of Health announced on January 23, 2023, that it received $21.6 million in funding to expand its wastewater surveillance and infectious disease monitoring capabilities. NY’s wastewater network reaches all 62 New York counties and, during 2023, will increase the number of participating sewer sheds from 125 to over 215, reaching 16 million New Yorkers, about 81% of the population served by public sewer systems.

Beginning in April 2022, genetically related poliovirus has been detected in wastewater samples collected in Rockland County, Orange County, Sullivan County, Nassau County, Brooklyn (Kings County), and Queens County. On September 28, 2022, a ‘Declaration of an Imminent Threat to Public Health for poliovirus’ was issued by Mary T. Bassett, M.D., M.P.H. Commissioner of Health, NY.

In response to these poliovirus wastewater findings, the Governor of NY, Kathy Hochul, announced on October 9, 2022, she extended Executive Order 21.1, expanding the vaccination authorities for certain NY health providers. And New York State issued HEALTH ADVISORY Update #3 Regarding Poliovirus, which says unvaccinated New Yorkers or those not up to date with immunizations who live, work, go to school in or visit Rockland County, Orange County, New York City, Sullivan County, and Nassau County are at risk of contracting the paralytic disease and should speak with their healthcare provider regarding polio vaccination options.

As of March 2023, the New York Health Department states that under specific situations, a one-lifetime booster dose of IPV should be offered to adults who have previously completed their polio vaccination series and are at the highest risk of infection. Areas considered to have community transmission of poliovirus include those where poliovirus has been repeatedly detected in wastewater. As of January 27, 2023, polio booster doses are not recommended for individuals traveling to the New York City metropolitan area, including Rockland, Orange, or Sullivan Counties, merely because of their travel status.

Local polio vaccination resources: Nassau County, NY, webpage, New York City locations; Orange County, NY, webpage, Rockland County, NY, areas, Sullivan County, NY, Public Health at 845-513-2249, and Cattaraugus County, (NY) Public Health.

Polio in the Americas

As of March 2023, the Pan American Health Organization (PAHO) published AFP Surveillance Data segmented by Country for 2022.

Poliovirus Montreal Canada

On December 23, 2022, the Canada IHR National Focal Point reported detecting a vaccine-derived poliovirus type 2 (VDPV2) in various wastewater samples collected in August 2022 from a wastewater treatment plant and a target site in the city of Montreal, Quebec. Genetic sequencing confirmed it was linked to the cVDPV2 recently detected in New York. Additionally, in January 2023, two cVDPV2-positive environmental samples were collected in Canada. As of January 30, 2023, there have been no confirmed or suspected cases of acute flaccid paralysis (AFP) being investigated in the affected Canadian jurisdiction in 2022 – 2023.

Polio Israel 2023

As of March 10, 2023, Israel has been confirmed with both cVDPV2 and cVDPV3, and there is evidence of the continued existence of poliovirus in the wastewater sewage of many localities. In early March 2023, JPost reported the Health Ministry announced that an unvaccinated child from the Safed region in Galilee arrived at Ziv Medical Center and was found positive for (cVDPV2) acute flaccid paralysis (AFP). On March 2, 2023, the Times of Israel reported the Health Ministry confirmed three other children tested positive for poliovirus.

Poliovirus London

The UK Health Security Agency (UKHSA) declared a “national incident” in June 2022 after poliovirus detection in sewage in London, England. Detection of 118 genetically linked poliovirus isolates related to the serotype 2 Sabin vaccine strain collected in 2022, reported The BMJ and The Lancet. In addition, vaccine-derived poliovirus type 2 isolates environmental samples were found in several north and east London boroughs that were genetically linked to a polio case reported in New York and Israel.

Acute Flaccid Myelitis Polio-Like Virus

The U.S. CDC reported on March 2, 2023, there has been one confirmed AFM case in 2023 out of 7 reports of patients under investigation. AFM is an uncommon but serious neurologic condition caused by viruses, including enteroviruses (EV-D68). It affects the nervous system, specifically the area of the spinal cord called gray matter, which causes the muscles and reflexes in the body to become weak.

During 2022, the CDC reported 43 confirmed AFM cases in 24 states, indicating about a 35% increase from 2021. There have been 723 confirmed cases (children) since the CDC began tracking AFM in August 2014.

Acute Flaccid Paralysis

Acute Flaccid Paralysis (AFP) surveillance is the standard for detecting cases of poliomyelitis in anyone under 15 years of age. For AFP surveillance standards, please visit the WHO-recommended surveillance standard of poliomyelitis. Date of last update: 10/09/2022.

Post-Polio Syndrome

As polio survivors progress through life, a significant proportion develops neurological symptoms known as Post-Polio Syndrome (PPS), says the U.S. NIH. Characterized by new, gradual, and progressive muscle weakness and wasting, difficulty swallowing, joint or muscle pain, and general fatigue after being stable for many years, the non-contagious PPS typically develops 15 to 40 years after people have recovered from polio.

The first medical reports of PPS appeared in France in 1875. Further research published in the 1950s identified significant damage to nerve cells within the spinal cord. However, as the UK-based Polio Survivors Network concludes, PPS has no set pattern of nerve damage. The U.S. CDC posts additional clinical and diagnostic information about poliovirus infection as of August 10, 2022.

Poliovirus Shedding

The WHO, the UK Health Services Agency, the European CDC, and the U.S. National Institutes of Health (NIH) say three types of vaccines can prevent polio but they may indirectly enable virus shedding. However, research demonstrates that poliovirus transmission predominantly follows the oral-fecal route. In addition, concerns remain about the potential for persistent transmission of OPV viruses, as these viruses are known to revert toward wild-type neurovirulence.

Polio Vaccines Approved

Polio is a vaccine-preventable disease, says the U.S. CDC. For the latest polio vaccine information, visit this PrecisionVaccinations webpage.

Polio Outbreak News 2023

March 10, 2023 – New York issued a travel advisory for anyone visiting Israel.

February 23, 2023 – Wastewater sequencing analysis by the CDC confirmed the presence of poliovirus in a total of 100 positive samples of concern in New York.

December 23, 2022 – Canada reported detections of VDPV2 in wastewater samples.

December 19, 2022 – The WHO announced polio had become a high-risk disease in Indonesia.

December 7, 2022 – The WHO reported 2.61 million under-five children were immunized with the trivalent oral polio vaccine in Somalia.

November 30, 2022 – “Wastewater testing can be an important tool to help us understand if poliovirus may be circulating in communities in certain circumstances,” said Dr. José R. Romero, Director of CDC’s National Center for Immunization and Respiratory Diseases. “Vaccination remains the best way to prevent another case of paralytic polio.

November 17, 2022 – The latest Annenberg Science Knowledge national panel survey finds that a sizable portion of the U.S. public is unfamiliar with the risks of polio. Only a third of U.S. adults know there is no cure for polio, and over 22% of adults do not know whether they’ve been vaccinated against polio.

October 27, 2022 – New York State Health Department issued a Polio Letter to Providers & Polio Publication Request Form – Notification ID: 109528 – This is an urgent plea: as the most trusted source of medical guidance for your patients and their families, we need your help to make sure that any child who is not vaccinated or up to date with polio immunizations gets all the recommended doses immediately. This is particularly urgent for providers and patients in Rockland, Orange, and Sullivan Counties, where poliovirus has been detected in wastewater repeatedly.

October 19, 2022 – The UK Health Security Agency is investigating the extent of poliovirus transmission across north-east and north-central London. Based on recent sampling, poliovirus is considered present in sub-areas of the Beckton plant covering all or parts of the following London boroughs: Barnet, Brent, Camden, Enfield, Hackney, Haringey, Islington, and Waltham Forest. The sampling has also detected the virus in lower concentrations and frequency in areas adjacent to the Beckton catchment area to the South (immediately below the Thames) and the East.

October 12, 2022 – The Lancet published: Sustained detection of type 2 poliovirus in London sewage between February and July 2022. Interpretation: Environmental surveillance allowed early detection of poliovirus importation and circulation in London, including whole-genome sequences generated through nanopore sequencing, established linkage of isolates and confirmed transmission of a unique recombinant poliovirus lineage that has now been detected in Israel and the USA.

October 9, 2022 – New York state extends and expands Executive Order 21.1 – Continuing the Declaration of a Statewide Disaster Emergency Due to the Ongoing Spread of Polio in the State of New York.

September 28, 2022 – New York State Department of Health issued Advisory #3 regarding poliovirus detections. It recommended polio-preventive vaccinations, and the Commission issued a Declaration of an Imminent Threat to Public Health for poliovirus.

September 9, 2022 – NY State Health Department confirmed that of the 50 wastewater samples, 31 poliovirus samples were collected in Rockland County, 13 in Orange County, 6 in Sullivan County, and 1 in Nassau County. In response, NY’s governor declared a State of Disaster Emergency.

September 2, 2022 – The UKHSA reported following advice from the Joint Committee on Vaccination and Immunisation that all children aged 1 to 9 years in London need to have a dose of polio vaccine now – whether it’s an extra booster dose or to catch up.

September 1, 2022 – The U.S. CDC is investigating a case of poliomyelitis, or paralytic polio, in New York state.

August 26, 2022 – The New York State Department of Health confirmed that sequencing analysis performed by CDC has now detected poliovirus in four samples from Sullivan County, two collected in July and two collected in August, which are genetically linked to the case of paralytic polio previously identified in Rockland County. Already, poliovirus had been identified in samples collected in Rockland County, Orange County, and NYC, the types of poliovirus that can cause paralysis in humans.

August 25, 2022 – The JAMA Network published a Perspective: What Physicians Need to Know About the Polio Resurgence in New York State.

August 19, 2022 – New York Department of Health HEALTH ADVISORY: Update #2 Regarding Poliovirus in New York State: All children, adolescents, and adults who are unvaccinated or under-vaccinated should be brought up to date with all routine CDC-recommended IPV doses. This is particularly important and urgent if they live, work, attend school, or have frequent social interactions with Rockland and Orange Counties communities.

August 19, 2022 – The U.S. CDC published: Public Health Response to a Case of Paralytic Poliomyelitis in an Unvaccinated Person and Detection of Poliovirus in Wastewater — New York, June–August 2022. Twenty specimens from wastewater samples collected during May, June, and July were genetically linked to viruses from the patient’s stool samples. This case highlights the risk of paralytic disease among unvaccinated persons.

August 17, 2022 – Long-Term Immunogenicity of Inactivated and Oral Polio Vaccines: An Italian Retrospective Cohort Study. Protective antibodies against all three polioviruses persisted for at least 18 years after administration of the last vaccine dose.

August 16, 2022 – The U.S. CDC issued an MMWR – Public Health Response to a Case of Paralytic Poliomyelitis in an Unvaccinated Person and Detection of Poliovirus in Wastewater — New York, June–August 2022.

August 12, 2022 – Poliovirus Confirmed in NYC’s wastewater by the New York State Department of Health. and NYC Health issued: 2022 Health Alert #20: Update on Poliovirus in New York City.

August 4, 2022 – “Based on earlier polio outbreaks, New Yorkers should know that for every one case of paralytic polio observed, there may be hundreds of other people infected,” State Health Commissioner Dr. Mary T. Bassett said. HEALTH ADVISORY #1: Update Regarding Poliomyelitis in Rockland County, New York State.

July 13, 2022 – Israel’s Ministry of Health published updated polio vaccination guidelines #6.

July 3, 2022 – Israel’s Operation Two Drops 2022 polio vaccine program reached over two million children.

April 2, 2022 – Israel reported potentially eight polio cases in 2022.

March 15, 2022 – The Israeli Ministry of Health, under guidance from the Consultant Committee on Poliovirus, launched a nationwide vaccine operation, ‘Two-Drops 2022,’ for additional vaccination against polio for children.

1997 – Duration of Poliovirus Excretion and Its Implications for Acute Flaccid Paralysis Surveillance: A Review of the Literature.

 

 

 

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