AFM: Can Coronavirus Stop Expected Explosions in Diseases like Polio?

It is also unclear how Covid-19 affects a rare polio-like condition that primarily affects the spinal cord and nerves in children.

The first characteristic sign that someone has AFM is sudden weakness in the extremities. Polio-like symptoms occur primarily in otherwise healthy children.

Progression of weakness can occur over hours to days, making it difficult to speak and swallow, or cause severe dyspnea. It can also cause spinal lesions and permanent, life-threatening paralysis.

According to the CDC, about 98% of AFM cases are hospitalized and 54% are in the ICU.

“There’s a lot we don’t know yet,” said Dr. Anne Schuat, chief vice director of CDC, on Tuesday. “We want to do everything we can to learn more about AFM awareness, treatment, prevention, and support for family healing.”

“AFM is a priority for CDC,” Schuchat added.

According to the CDC, it’s clear that Covid-19 has some effect on this AFM cycle.

Dr Janell Routh, a medical officer who is the leader of the CDC’s AFM and national poliovirus team, said that increasing social distances and improving hand hygiene practices can reduce the number of AFM cases. It was

“These practices could lead to an outbreak of other viruses, including the enterovirus, and thus reduce or delay this year’s AFM,” Rous said.

Pandemics may also affect how many cases a country tracks.

“We don’t know if the Covid-19 epidemic complicates detection and management, or if efforts at greater social distances reduce the risk of outbreaks,” Schuchat said. “But we know we need to be ready.”

CDC and parent group Raise awareness Because of the frequent misdiagnosis among doctors since its initial discovery, some studies is showing. One of the challenges of diagnosis is that symptoms vary from person to person. It is unclear whether some children are more susceptible to more serious illnesses. Research is in progress.

Most AFM cases begin about a week after the child is infected. Often a common cold virus called the enterovirus is involved.

In the last few years, The main cause is Enterovirus D68 or EV-D68. The National Institute of Allergy and Infectious Diseases said at a briefing that it is in the early stages of developing a vaccine against a particular enterovirus. There is no vaccine for AFM and no cure for AFM. This seems to be a post viral syndrome. Treatment focuses only on symptom relief.

Since 2014, when CDC began tracking AFMs in the United States, agencies have noticed that national outbreaks appear to occur biennially. 630 cases have been identified since CDC began tracking. Patients often have long-term problems related to their condition.

A retrospective analysis of AFM prior to 2014 showed that there were few large peaks each year, but these large peaks were absent, suggesting that something has shifted regarding the nature of the condition. .. It’s still unclear what that is.

“One of the things we don’t understand about AFM is the 2014 changes that account for the increasing number of AFM cases,” Dr. Emily Erbelding said at a briefing.

Erbelding is the Director of Microbiology and Infectious Diseases at NIAID. Scientists also don’t understand why incidents soar every other year, and whether it’s a pattern the United States will continue to see, she said. NIAID has launched a national survey seeking further acquisition of these answers.

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