Authorities confirmed that the number of children multiplied by the rare "polio-like" acute flaccid myelitis (AFM) in the United States rose to 116.
Thirty-one states have reported cases of poorly understood disease, which can cause paralysis and rarely fatal evidence.
The Centers for Disease Control and Prevention (CDC) are currently investigating another 170 cases of narrative symptoms of AFM.
It's already three and a half times as much as last year, but doctors are confused about what caused the disease.
With 15 confirmed cases, Colorado has been the worst-hit state this year, and has been closely watched by Texas by 14 people diagnosed with acute flaccid myelitis. A total of 31 countries were affected by the disease, mostly by children, 19 people were not affected.
The CDC demonstrated the most recent figures and showed that there were 286 reports of acute fractal myelitis (AFM) in 31 states, in which 116 of these cases were confirmed.
More than 90% of those affected by the disease are under the age of 18 and the average age of patients is four.
It is believed to be caused by a combination of viruses and children usually have a fever and cough symptoms for three to 10 days.
However, after the flu-like illness, AFM can suddenly be paralyzed to people for life or be fatal.
AFM is called a polio-like disease because it resembles a viral infection affecting hundreds of thousands of people in the mid-1900s.
Diseases are thought to be infectious among people, but may be caused by easily spreading viruses.
Last week, the CDC searched for its causes and investigated how the disease was treated, creating a special task force to combat the disease.
Colorado was the worst affected state with 15 cases, and 14 followed with le Texas.
WHAT IS ACUTE FLACCID MYELITIS (AFM)?
& # 39; Myelitis & # 39; means inflammation of the spinal cord.
Transverse myelitis is the broad name of the disease and has several subtypes.
The width of the spinal cord (& quot; transverse & quot;) is a neurological disorder that destroys the fat substance that protects the nerve cells.
This can lead to paralysis.
AFM is an unusual type of lower transverse myelitis.
Patients start with the same spinal inflammation, but their symptoms are different and the disease develops differently.
The main difference is that patients with AFM tend to be weak and loose and patients with general transverse myelitis tend to be rigid.
Most AFM patients begin to struggle with extremity, face, tongue and eye movements.
Later, many or sometimes they begin to control the whole body – many continue to control the sensory, intestinal and bladder functions.
Contrary to years of transverse myelitis, physicians are still in the dark about how and how AFM can manifest itself.
Following that, Washington, Minnesota, Ohio and Pennsylvania, each with eight, Illinois seven, New Jersey and Wisconsin with six.
In Arkansas, Alabama, Georgia and Maryland, there are three verified cases per state and two verified cases each in Maine, New York, Carolinas, Kentucky and Iowa.
And Nevada, Arizona, New Mexico, Montana, Wyoming, Oklahoma, Missouri, Louisiana, Mississippi, Indiana, Virginia and Rhode Island each had a single case.
The remaining 19 countries did not report any disease patients.
There are more cases, experts say, and authorities are not sure whether the risk is higher in the states that are in more cases, or if they are only reporting better.
Doctors are encouraged to report AFM cases, but do not have to do so.
Most of the patients with this condition fall between August and October.
Although very little, the CDC director who was hired in March this year. Robert Redfield said the agency's top priority.
Scientists are investigating a variety of causes, including viruses, environmental toxins and genetic disorders.
In previous epidemics, a virus called EV-D68 played a role in the development of AFM.
The CDC. . We know that EV-D68 & other enteroviruses can cause weakness in the legs, but we don't know what triggers AFM in these patients,. Says Nancy Messonnier.
Redfield said in a recent interview: & CDCs, for this reason, have been working hard since 2014 to try to understand causality and etiology.
& # 39; While sitting here today, we do not understand why.
”We know that we continue to strengthen our efforts, we are working in cooperation with state and regional health departments, and academic experts to try to understand it.“
WHAT IS AFM?
AFM is a rare but serious condition affecting the nervous system. It attacks the area of the spinal cord, the gray matter that causes the muscles and reflexes to weaken.
Symptoms usually develop after a viral infection such as enterovirus or West Nile virus, but usually no clear cause is found.
Patients begin to have flu-like symptoms such as sneezing and coughing. This gradually turns into muscle weakness, making it difficult for the eyes to move, and then polio-like symptoms such as facial sagging and dysphagia.
& # 39; If [AFM affects gray matter] lower in the spinal cord [paralysis will] It's going to be more on the legs, and more on the arms, yüksek says Dr Pedi, a pediatric neurologist at Cook Child Medical Center in Fort Worth, Texas.
Or they cannot move the head, neck and shoulders if they are closer to the neck. There was a case of this and it was very bad.
In the most severe cases, respiratory failure may occur when the muscles that support breathing weaken.
In rare cases, AFM can cause neurological complications that may cause death.
Atik A rather dramatic disease; Children have a sudden onset of weakness, said Dr. Messonier from CDC.
There is no specific treatment for AFM and interventions are generally recommended.
Children with weak arms or legs may participate in physical or occupational treatment.
The average age of the affected people is four years and more than 90% of cases are children 18 years and younger. Two pictures of Julia Payne, from Chicago, Illinois (pictured)
However, doctors admit that they are unaware of long-term outcomes for patients with AFM.
Who was by AFM?
The CDC follows AFM in more epidemics, not in terms of prevalence.
The agency has confirmed 386 cases since August 2014 in Colorado, almost all of them in children.
CDC confirmed 33 cases of AFM in 2017, 149 cases in 2016, 22 cases in 2015 and 120 cases from August to December 2014.
While the AFM pattern is the most infectious disease, much is not known about the condition.
Among the children who are infected, two-year-old Julia Payne from Chicago.
She stayed in the Pediatric Intensive Care Unit for a week in Lurie Children's Hospital and was using a feeding tube because she did not swallow it.
Since then, Shirley Ryan has been discharged to AbilityLab and transferred to AbilityLab, a rehabilitation center for several weeks of physical therapy to regain her powers and movements.
In Minnesota, four-year-old Orville Young According to the Star Tribune, this was the earliest confirmed state in the province.
Orville has been in physical therapy for the last year and a half. His mobility and gait did not return to normal, but his legs were more functional.
So far his right arm has still been paralyzed.
Luckily, most of them, like five-year-old Elizabeth Storrie, Willow Park, Texas, are making full or almost complete recovery of their movement.
She spent one month in Cook Children's Hospital in Fort Worth, as a feeding tube, until she recovered from IV fluids and the condition improved.
AFM affects the nervous system and is similar to most polio viruses. The health officers determined that a virus was the cause, but they could not determine the exact cause. Orville Young, four (pictured), Minnesota, was the earliest verified case in the state
WHAT ARE THE EXCELLENCE OF POLIO?
AFM is referred to as a polio-like disease, especially because it resembles a viral infection that affects hundreds of thousands of people between the late 1940s and the beginning of the 1950s.
CDC states that the symptoms are most similar to the complications of infection with some viruses, including polyovirus, non-polio enteroviruses, adenoviruses, and West Nile virus.
Poliovirus is not the cause of any of the cases, but some cases are associated with enteroviruses EV-A71 and EV-D68, both of which are distant polio.
Some cases have also been associated with rhinovirus.
I'm not old enough to see a case of polio during my time in practice, but my colleagues [AFM] Dr Acosta said it looks like what he saw.
Is this a variant? Potentially, but we don't know.
US government in 1957 He approved a polio vaccine.
After a nationwide campaign was launched for children to be vaccinated, the figures began to drop dramatically, and in 1979, the elimination of polio in the United States was announced.
This year, Afghanistan and Pakistan are the only two countries in which wild polyovirus cases have been confirmed – largely due to poor cleaning and low vaccination levels.
However, global eradication is currently at risk from vaccine-derived poliovirus (VDPV) in five countries in Africa.
Health experts say this could result in a silent transition of both polio and AFM, because both can be left unnoticed and can cause paralysis.
Anti-vaxxers accused children of polio vaccines for an outbreak, yet doctors say there is no evidence that this situation will arise.
. Vaccines have no evidence of vaccination, ıl Dr Acosta said.
And if you identify the agent that caused it, the next step will be to develop a vaccine.
”The reason you see lower polio rates, pertussis and other diseases is because we have very rare vaccines.“
HOW CAN YOU PROTECT YOURSELF?
CDC recommends vaccination against poliovirus and West Nile Virus, both for potential reasons of AFM.
Health professionals say that this is not limited to vaccines but to minimize exposure to mosquitoes.
You can also use lukewarm water and soap to spread the sick and germs.
. It's a chance in a million to get it, so it's unlikely your child will get it,. Dr Acosta said.
M Even if they have a sudden onset of weakness, AFM is unlikely to cause it. It is more likely to suffer a stroke.
”But if your child develops it, bring it and this gives them a chance to survive.“