Enterovirus 68 – ?

last updated: 1/12/2015

News:

  1. Since August, 103 children in 34 states have had an unexplained, polio-like paralysis of an arm or leg. http://www.nytimes.com/2015/01/13/health/after-enterovirus-68-outbreak-a-paralysis-mystery.html [tweetthis]103 US children in 34 states with unexplained, polio-like paralysis.[/tweetthis]
  2. Only 1 Child in U.S. Acute Flaccid Myelitis Outbreak Has Recovered. http://www.webmd.com/children/news/20150112/child-paralysis-outbreak-enterovirus?amp [tweetthis]Only 1 Child in U.S. Acute Flaccid Myelitis Outbreak Has Recovered. [/tweetthis]

SCIENCE

– “Three cases of acute flaccid paralysis (AFP) with preceding fever are described.” (Ann Indian Acad Neurol. 2014) [tweetthis]3 cases of acute flaccid paralysis (AFP) with preceding fever #india[/tweetthis]

Politics

– “…while India has been polio-free for a year, there has been a huge increase in non-polio acute flaccid paralysis (NPAFP). In 2011, there were an extra 47,500 new cases of NPAFP. Clinically indistinguishable from polio paralysis but twice as deadly, the incidence of NPAFP was directly proportional to doses of oral polio received.” Indian J Med Ethics. 2012 Apr-Jun;9(2):114-7. http://www.ncbi.nlm.nih.gov/pubmed/22591873 [tweetthis]polio vaccine and acute flaccid paralysis in #india[/tweetthis]

– Excerpt from CDC Report: 10/10/2014: “Poliovirus was determined to be an unlikely etiology for any of the cases based on epidemiologic and limited laboratory investigation findings. Nonetheless, because AFP with anterior myelitis is the classic presentation of paralytic poliomyelitis, CDPH attempted to rule out poliovirus infection. Of 14 patients with available information, 12 had previously received polio vaccine; one child and one adult were unvaccinated because of personal belief exemptions. Pre-IVIG serum was available from the unvaccinated child and tested negative for neutralizing antibodies against poliovirus at CDC laboratories. None of the patients reported travel out of the United States during the month before symptom onset.”