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Provocative Poliomyelitis Causing Postpolio Residual Paralysis among Select Communities of Two Remote Villages of North Karnataka in India: A Community Survey

*, Amitesh Narayan and *, Sailakshmi Ganesan and Shenoy, U. V. and *, Narayanan E. (2011) Provocative Poliomyelitis Causing Postpolio Residual Paralysis among Select Communities of Two Remote Villages of North Karnataka in India: A Community Survey. Indian Journal of Public Health, 55 (4). pp. 309-312. ISSN 0019-557X

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Abstract

Intramuscular injections can provoke muscular paralysis especially, if the child has had exposure to polio virus. The purpose of the study was to determine the association with known risk factors for motor disabilities in two remote villages of North Karnataka (India), where an increased number of disabled people among select communities had been reported. A community based survey was conducted. The selection of study subjects was done through screening, history related with occurrence of musculoskeletal disability, screening and general examination of the affected joints and muscles. Data analysis was done by estimation of percentages. Among the physical disabilities identifi ed, the most common was post-polio residual paralysis. 35.65% (n = 41) subjects had developed paralysis following the administration of an intramuscular injection when they had acute viremia in childhood, indicating that (probably) muscle paralysis would have been provoked by intramuscular injections, resulting in provocative poliomyelitis. Unnecessary injection must be avoided in children during acute viremia state and use of oral polio vaccine should be encouraged.

Item Type: Article
Uncontrolled Keywords: Community survey, Post-polio residual paralysis, Provocative poliomyelitis
Subjects: Allied Health > Mangalore Campus > Physiotherapy
Medicine > KMC Mangalore > Paediatrics
Depositing User: KMCMLR User
Date Deposited: 03 Feb 2012 05:56
Last Modified: 03 Feb 2012 05:56
URI: http://eprints.manipal.edu/id/eprint/2901

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