Scarlet Fever

Total Page:16

File Type:pdf, Size:1020Kb

Scarlet Fever Infantile Paralysis DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH Division of Epidemiology, Disease Surveillance and Investigation 899 N. Capitol Street, NE, Suite 580 Washington, D.C. 20002 202-442-9371 Fax 202-442-8060 * http://www.dchealth.dc.gov/ What is Polio? Polio is a viral disease, which may affect the central nervous How is Polio treated? system. Since polio immunization (vaccination) has become There is no specific treatment for polio. widespread, cases of polio are very rare. Is there a vaccine for Polio? Who gets Polio? There are currently two types of polio Polio is more common in infants and young children and vaccine available. Polio vaccine should be occurs more commonly under conditions of poor hygiene. administered to infants at two, four, and Paralysis is more common and severe when disease occurs in 15 months of age. Another dose is older individuals. administered when the child is between four and six years of age. What are the symptoms Polio? The symptoms of polio may include fever, malaise, headache, How can Polio be prevented? nausea and vomiting, severe muscle pain and stiffness in the The best way to prevent polio is through neck and back. Some people who develop polio have mild immunization. symptoms and others may have no symptoms. Want more information? How is Polio spread? Information about polio and other health Polio is spread from person-to-person primarily through feces care related topics is available at the and through respiratory secretions the first week of the illness. website www.cdc.gov. The DC The virus may be present in the feces for up to 6 weeks once Department of Health promotes the health infected. and safety of the District residents. For additional information, please call 202- How soon do symptoms appear? 442-5842. Symptoms appear between seven days and fourteen days, but may be as short as three days and as long as 35 days, after Revised 09-04 exposure to the disease. Is a person with Polio contagious? Yes, a person with polio is contagious as long as the virus is present in feces. They are most contagious for several days before and after onset of symptoms. .
Recommended publications
  • Poliomyelitis and Polio-Encephalitis
    POLIOMYELITIS AND POLIO-ENCEPHALITIS. 151 Postgrad Med J: first published as 10.1136/pgmj.2.22.151 on 1 July 1927. Downloaded from coryza, or gastro-intestinal symptoms such as vomiting and diarrhoea. The lymphatic glands are POLIOMYELITIS enlarged. The temperature rises, often ranging AND POLIO-ENCEPHALITIS.* between 101° and 103°F., and there is general malaise often accompanied by profuse sweating. BY In some cases both local and general symptoms are E. A. COCKAYNE, M.D. OXF., F.R.C.P. LOND., so slight that they may be overlooked and the PHYSICIAN TO THE MIDDLESEX HOSPITAL; PHYSICIAN rise of temperature may be very small. After TO OUT-PATIENTS, HOSPITAL FOR SICK CHILDREN, lasting from one to four days the illness may end GREAT ORMOND-STREET. at this stage. If it continues headache, drowsiness POLIOMYELITIS, like other specific fevers, has its and irritability, pain and stiffness in the back, special age and seasonal incidence; it is commonest accompanied sometimes by twitching of the in the late summer and early autumn, and the limbs or retraction of the head, may develop, and majority of its victims are children between the these indicate involvement of the meninges. ages of 1 and 5 years. The earliest symptoms are Hyperssthesia of skin and muscles may also be constitutional, malaise and fever, and in some prominent. Then if the grey matter of the central cases the involvement of the nervous system, to nervous system becomes infected, weakness, paresis, which it owes its name, never occurs. Such and paralysis of muscles develops. Paralyses cases are usually regarded as abortive, but in may appear to be dramatically sudden, but my opinion this view is not the correct one.
    [Show full text]
  • SOS – Save Our Shoulders: a Guide for Polio Survivors
    1 • Save Our Shoulders: A Guide for Polio Survivors A Guide for Polio Survivors S.O.S. Save Our Shoulders: A Guide for Polio Survivors by Jennifer Kuehl, MPT Roberta Costello, MSN, RN Janet Wechsler, PT Funding for the production of this manual was made possible by: The National Institute for Disability and Rehabilitation Research Grant #H133A000101 and The U.S. Department of the Army Grant #DAMD17-00-1-0533 Investigators: Mary Klein, PhD Mary Ann Keenan, MD Alberto Esquenazi, MD Acknowledgements We gratefully acknowledge the contributions and input provided from all of those who participated in our research. The time and effort of our participants was instrumental in the creation of this manual. Jennifer Kuehl, MPT Moss Rehabilitation Research Institute, Philadelphia Roberta Costello, MSN, RN Moss Rehabilitation Research Institute, Philadelphia Janet Wechsler, PT Moss Rehabilitation Research Institute, Philadelphia Mary Klein, PhD Moss Rehabilitation Research Institute, Philadelphia Mary Ann Keenan, MD University of Pennsylvania, Philadelphia Alberto Esquenazi, MD MossRehab Hospital, Philadelphia Cover and manual design by Ron Kalstein, MEd Albert Einstein Medical Center, Philadelphia Table of Contents 1. Introduction . .5 2. General Information About the Shoulder . .6 3. Facts About Shoulder Problems . .8 4. Treatment Options . .13 5. About Exercise . .16 6. Stretching Exercises . .19 7. Cane Stretches . .22 8. Strengthening Exercises . .25 9. Tips to Avoid Shoulder Problems . .29 10. Conclusion . .31 11. Resources . .31 The information contained within this manual is for reference only and is not a substitute for professional medical advice. Before beginning any exercise program consult your physician. Save Our Shoulders: A Guide for Polio Survivors • 4 Introduction Many polio survivors report new symptoms as they age.
    [Show full text]
  • What Having Had Polio Causes, Might Cause and Does Not Cause Marny K
    What Having Had Polio Causes, Might Cause and Does Not Cause Marny K. Eulberg, MD, Family Practice, Denver, Colorado Introduction: As time has elapsed since the major poliomyelitis epi- demics ended, following the widespread introduction of the polio vaccines, persons affected by polio, their families and their health- care providers seem to have less and less clear understanding about what symptoms are caused by polio, which are associated with polio and which are not. Many healthcare providers in practice today have had little experience or training in the care of polio survivors, and they studied the basic pathology that the poliovirus causes years ago. Organizations, such as Post-Polio Health International, which exist to provide information to polio survivors, are frequently asked questions Marny K. Eulberg, MD about various symptoms and the relationship to the acute polio. Post-polio groups and expert professionals have indicated that many individuals have been given incorrect or confusing information. Attributing symptoms or changes in symptoms and try to understand them. functioning to one’s previous polio Often a symptom can be caused by when the symptom is, in fact, due to many different mechanisms and a disease or condition that should be sometimes even by a combination treated by an entirely different medi- of factors. cal regime than polio/post-polio is not This article is not meant to be all- only not helpful but may be danger- inclusive and list every possible cause/ ous. Polio clinics can help with symp- disease but to discuss the most com- toms that are polio related and can mon and most frequent conditions.
    [Show full text]
  • Polio Fact Sheet
    Polio Fact Sheet 1. What is Polio? - Polio is a disease caused by a virus that lives in the human throat and intestinal tract. It is spread by exposure to infected human stool: e.g. from poor sanitation practices. The 1952 Polio epidemic was the worst outbreak in the nation's history. Of nearly 58,000 cases reported that year, 3,145 people died and 21,269 were left with mild to disabling paralysis, with most of the victims being children. The "public reaction was to a plague", said historian William O'Neill. "Citizens of urban areas were to be terrified every summer when this frightful visitor returned.” A Polio vaccine first became available in 1955. 2. What are the symptoms of Polio? - Up to 95 % of people infected with Polio virus are not aware they are infected, but can still transmit it to others. While some develop just a fever, sore throat, upset stomach, and/or flu-like symptoms and have no paralysis or other serious symptoms, others get a stiffness of the back or legs, and experience increased sensitivity. However, a few develop life-threatening paralysis of muscles. The risk of developing serious symptoms increases with the age of the ill person. 3. Is Polio still a disease seen in the United States? - The last naturally occurring cases of Polio in the United States were in 1979, when an outbreak occurred among the Amish in several states including Pennsylvania. 4. What kinds of Polio vaccines are used in the United States? - There is now only one kind of Polio vaccine used in the United States: the Inactivated Polio vaccine (IPV) is given as an injection (shot).
    [Show full text]
  • An Epidemic of Acute Encephalitis in Young Children
    Arch Dis Child: first published as 10.1136/adc.9.51.153 on 1 June 1934. Downloaded from AN EPIDEMIC OF ACUTE ENCEPHALITIS IN YOUNG CHILDREN BY AGNES R. MACGREGOR, M.B., F.R.C.P.E., AND W. S. CRAIG, B.Sc., M.D., M.R.C.P.E. (From the Departments of Pathology and Child Life and Health, Univer- sity of Edinburgh, and the Western General Hospital, Edinburgh.) This paper is concerned with a small outbreak of illness of an unusual nature occurring in the Children's Unit of the Western General Hospital, Edinburgh. In addition to the clinical interest of the cases, there are features of considerable pathological and epidemiological importance con- nected with the outbreak. Clinical Records. Case 1. I.M.S., female, aged 1 year 7 months, was admitted to the Western General Hospital in March, 1933, at the age of 1 year 3 months. - At this time http://adc.bmj.com/ she was noted as being slightly undersized but well nourished and the liver showed moderate enlargement. Prior to admission she had been treated elsewhere for gonococcal vaginitis: during the three succeeding months her health was good and progress uninterrupted, but a positive Wassermann reaction, present on admission, persisted. On the evening of July 22, 1933, the patient was noticed to be less active than usual and generally ' out of sorts ': her conditiQn remained unchanged throughout the rest of the day, and on the 23rd she was 'Ptill quieter and less responsive to all forms of attention and refused food. By the afternoon on October 2, 2021 by guest.
    [Show full text]
  • Polio Laboratory Manual
    WHO/IVB/04.10 ORIGINAL: ENGLISH Polio laboratory manual 4th edition, 2004 The World Health Organization has managed The evaluation of the impact of vaccine- cooperation with its Member States and preventable diseases informs decisions to provided technical support in the fi eld of introduce new vaccines. Optimal strategies vaccine-preventable diseases since 1975. and activities for reducing morbidity and In 2003, the offi ce carrying out this function mortality through the use of vaccines are was renamed the WHO Department of implemented (Vaccine Assessment and Immunization, Vaccines and Biologicals. Monitoring). The Department’s goal is the achievement Efforts are directed towards reducing fi nancial of a world in which all people at risk are and technical barriers to the introduction protected against vaccine-preventable of new and established vaccines and diseases. Work towards this goal can be immunization-related technologies (Access to visualized as occurring along a continuum. Technologies). The range of activities spans from research, development and evaluation of vaccines Under the guidance of its Member States, to implementation and evaluation of WHO, in conjunction with outside world immunization programmes in countries. experts, develops and promotes policies and strategies to maximize the use and delivery WHO facilitates and coordinates research of vaccines of public health importance. and development on new vaccines and Countries are supported so that they immunization-related technologies for viral, acquire the technical and managerial skills, bacterial and parasitic diseases. Existing competence and infrastructure needed to life-saving vaccines are further improved and achieve disease control and/or elimination new vaccines targeted at public health crises, and eradication objectives (Expanded such as HIV/AIDS and SARS, are discovered Programme on Immunization).
    [Show full text]
  • Cluster Headacheheadache
    ClusterCluster HeadacheHeadache 1 OBJECTIVESOBJECTIVES Describe the clinical features and diagnosis of cluster headache Discuss the pathogenesis of cluster pain and autonomic features Review acute and preventive therapy Overview of new treatment horizons for refractory chronic cluster 2 IHSIHS CLASSIFICATIONCLASSIFICATION Cluster headache n Episodic type (80%) n Chronic type (20%) (Cluster period lasts for more than one year without remission or remission lasts less than 14 days) Episodic Chronic IHS Headache Classification Committee. Cephalalgia. 2004. Although the unique clinical features of cluster headache (CH) have been recognized since the 17th century, the striking periodicity was not articulated until the 1940s. The term “cluster headache” was coined in the 1950s, and since then the International Headache Society (IHS) has identified and classified two major temporal patterns of CH (1). The episodic type (ECH), by far the most common (90%), is characterized by discrete attack and remission phases. The chronic type (CCH) is defined by attacks that occur daily for more than one year without remission or with remission periods lasting less than 14 days. Cluster headache is rare (about 0.4% of the general population), and it predominates in males, although recent studies indicate that the rate in females is rising (2). Onset can occur at any age but usually begins between 30 and 50 years of age (3). In contrast to migraine headache, genetics in cluster headache is not thought to be important, although recent studies have shown a positive family history in about 7% of patients with cluster headache. When compared with prevalence of CH in the general population, first-degree relatives have about a 14-fold increased risk of developing CH.
    [Show full text]
  • HEADACHES and ME/CFS INTRODUCTION Headaches Are Often Reported by People with ME/CFS
    MANAGEMENT FILE the ME association by DR CHARLES SHEPHERD, our medical adviser This leaflet is based on an article which first appeared in the ME Association’s quarterly ME Essential magazine. MEA membership costs £18 a year for people living in the UK/BFPO. For contact details, see foot of this page. February 2020 HEADACHES AND ME/CFS INTRODUCTION Headaches are often reported by people with ME/CFS. They also form part of the symptom list for most diagnostic criteria for ME/CFS. But headaches can obviously have other causes – physical and psychological – as well. WHAT CAUSES HEADACHES? Doctors classify headaches as being sides of the head – as if a rubber band arteries in the head and neck. primary where there is no obvious link has been stretched around it. Common Temporal arteritis is a medical to an underlying medical problem, or causes include stress, depression, lack emergency that requires urgent treat- secondary where there is a clear link. of proper sleep, skipping meals, not ment with high-dose steroids. drinking enough fluid and alcohol. Primary headaches include: Headaches in women can be caused Secondary headaches are caused by Cluster headaches by hormonal problems – including an existing medical problem. Some of An excruciatingly painful headache taking the contraceptive pill, going these are serious, which is why you must that causes intense pain around one through the menopause, pregnancy, see your doctor if you have severe or eye. Cluster headaches are fairly rare and as part of period pain. persistent headaches. and tend to occur in clusters for a It’s also worth noting that a headache month or two, sometimes around the Common causes, which are normally is the most common symptom of same time each year.
    [Show full text]
  • Chronic Fatigue Syndrome (CFS) Disease Fact Sheet Series
    WISCONSIN DIVISION OF PUBLIC HEALTH Department of Health Services Chronic Fatigue Syndrome (CFS) Disease Fact Sheet Series What is chronic fatigue syndrome? Chronic fatigue syndrome (CFS) is a recently defined illness consisting of a complex of related symptoms. The most characteristic symptom is debilitating fatigue that persists for several months. What are the other symptoms of CFS? In addition to profound fatigue, some patients with CFS may complain of sore throat, slight fever, lymph node tenderness, headache, muscle and joint pain (without swelling), muscle weakness, sensitivity to light, sleep disturbances, depression, and difficulty in concentrating. Although the symptoms tend to wax and wane, the illness is generally not progressive. For most people, symptoms plateau early in the course of the illness and recur with varying degrees of severity for at least six months and sometimes for several years. What causes CFS? The cause of CFS is not yet known. Early evidence suggested that CFS might be associated with the body's response to an infection with certain viruses, however subsequent research has not shown an association between an infection with any known human pathogen and CFS. Other possible factors that have been suspected of playing a role in CFS include a dysfunction in the immune system, stress, genetic predisposition, and a patient’s psychological state. Is CFS contagious? Because the cause of CFS remains unknown, it is impossible to answer this question with certainty. However, there is no convincing evidence that the illness can be transmitted from person to person. In fact, there is no indication at this time that CFS is caused by any single recognized infectious disease agent.
    [Show full text]
  • A Retrospective, Epidemiological Review of Hemiplegic Migraines in a Military Population
    MILITARY MEDICINE, 00, 0/0:1, 2019 A Retrospective, Epidemiological Review of Hemiplegic Migraines in a Military Population Downloaded from https://academic.oup.com/milmed/advance-article-abstract/doi/10.1093/milmed/usz040/5382215 by AMSUS Member Access user on 22 April 2019 CPT Brian A. Moore, USAR*†; Willie J. Hale*; Paul S. Nabity†; CAPT Tyler R. Koehn, MC, USAF‡; Donald McGeary†; Lt Col Alan L. Peterson, BSC USAF (Ret.)*†§ ABSTRACT Introduction: Headaches are one of the world’s most common disabling conditions. They are also both highly prevalent and debilitating among military personnel and can have a significant impact on fitness for duty. Hemiplegic migraines are an uncommon, yet severely incapacitating, subtype of migraine with aura for which there has been a significant increase amongst US military personnel over the past decade. To date, there has not been a scientific report on hemiplegic migraine in United States military personnel. Materials and Methods: The aim of this study was to provide an overview of hemiplegic migraine, to analyze data on the incidence of hemiplegic migraine in US military service members, and to evaluate demographic factors associated with hemiplegic migraine diagnoses. First time diagnoses of hemiplegic migraine were extracted from the Defense Medical Epidemiological Database according to ICD-9 and ICD-10 codes for hemiplegic migraine. One sample Chi-Square goodness of fit tests were conducted on weighted demographic samples to determine whether significant proportional differences existed between gender, age, military grade, service component, race, and marital status. Results: From 1997 to 2007 there were no cases of hemiplegic migraine recorded in the Defense Medical Epidemiological Database.
    [Show full text]
  • Coronavirus (COVID-19) and Polio Survivors Spring 2020
    Coronavirus (COVID-19) and Polio Survivors PHI Official Statement By Dr. Marny Eulberg Everyone seems to be talking about, worrying about, and asking questions about coronavirus and that includes polio survivors. As we have seen, this is a rapidly evolving situation and what we know today may change next week or next month. Some facts that are not likely to change are: Polio and late effects of polio do not, in themselves, cause immune compromise. Therefore, polio survivors are no more likely to contract a coronavirus infection or develop serious illness from it than people who never Spring 2020 Winter 2017 had polio! Wheelchairs & Getaway 1 Most polio survivors in the United States and COVID 2 Conserve to Canada are over 60 years old which places us in PHI New Resource 5 Preserve 2 Traveling Clinic 4 the “higher risk” category with a greater Exec. Committee Meetings 5 Pearls of Wisdom 5 likelihood of developing severe disease after Disaster being infected with the virus than younger FDA Removes 6 Zantac Preparedness 7 people. COVID & Polio 7 Sleep! Breathe! Polio survivors who had breathing muscle Caring for Live! 7 involvement with their original illness and/or Yourself 10 Probiotics & Bone now have respiratory problems of any kind are Calendar 13 Strength 12 at “high risk” when they become ill Executive 14 Executive with any respiratory infection including Council Committee 14 coronaviruses. Support Groups 14 Support Groups 14 {PHI COVID-19 continued on page 9} ATTENTION: Wheelchair and Assistive Technology Users PRECAUTIONS for COVID-19 Greetings from Beneficial Designs. My name is Peter Axelson.
    [Show full text]
  • Migraine Headache Prophylaxis Hien Ha, Pharmd, and Annika Gonzalez, MD, Christus Santa Rosa Family Medicine Residency Program, San Antonio, Texas
    Migraine Headache Prophylaxis Hien Ha, PharmD, and Annika Gonzalez, MD, Christus Santa Rosa Family Medicine Residency Program, San Antonio, Texas Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and headache-related distress. Preventive therapy may also improve quality of life and prevent the progression to chronic migraines. Some indications for preventive therapy include four or more headaches a month, eight or more headache days a month, debilitating headaches, and medication- overuse headaches. Identifying and managing environmental, dietary, and behavioral triggers are useful strategies for preventing migraines. First-line med- ications established as effective based on clinical evidence include divalproex, topiramate, metoprolol, propranolol, and timolol. Medications such as ami- triptyline, venlafaxine, atenolol, and nadolol are probably effective but should be second-line therapy. There is limited evidence for nebivolol, bisoprolol, pindolol, carbamazepine, gabapentin, fluoxetine, nicardipine, verapamil, nimodipine, nifedipine, lisinopril, and candesartan. Acebutolol, oxcarbazepine, lamotrigine, and telmisartan are ineffective. Newer agents target calcitonin gene-related peptide pain transmission in the migraine pain pathway and have recently received approval from the U.S. Food and Drug Administration; ​​​how- ever, more studies of long-term effectiveness and adverse effects are needed. The complementary treatments petasites, feverfew, magnesium, and riboflavin are probably effective. Nonpharmacologic therapies such as relaxation training, thermal biofeedback combined with relaxation training, electromyographic feedback, and cognitive behavior therapy also have good evidence to support their use in migraine prevention. (Am Fam Physician. 2019; 99(1):17-24.
    [Show full text]