Now 62 cases of flaccid acute myelitis: what's going on?



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Senator Amy Klobuchar (D-MN) asked the Centers for Disease Control and Prevention (CDC) to further study the group of 6 Acute flaccid myelitis first seen in Minnesota since September 20th. (Photo by: William B. Plowman / NBC / NBC NewsWire via Getty Images)

If you thought that 38 cases of a polio-like illness in 2018 were worrying, how about 62 cases of an illness that can suddenly cripple children?

The Center for Disease Control and Prevention (CDC) has just released updated figures confirmed cases of acute flaccid myelitis (AM) for the year. In less than a month, the number of confirmed cases has increased by more than 60% (from 38 to 62) and the number of states having experienced such cases has increased from 16 to 22.

The CDC did not specify which states are on the list, but various media outlets have reported cases in Colorado, Illinois, Michigan, Minnesota and Pennsylvania. This includes 6 cases since September 20 in the state "duck-duck-gray"according to this CBS this morning report:

The AFM is still very rare, so it's not necessary to press the panic button for now. (Is it still good to press a button labeled "Panic"?) However, concerns about AFM are not new. In 2014, the CDC found that the number of MFA cases was increasing. As a result, since then, the CDC has redoubled its efforts to monitor the number of cases. The table below shows the number of confirmed cases and the number of states from which they have come since August 2014:

Table of confirmed cases of MFA by year of onset

Year Number of confirmed cases Number of states with confirmed cases
2014 (August to December) 120 34
2015 22 17
2016 149 39 (includes CC)
2017 33 16
2018 (Jan-Oct) 62 22

Most confirmed MFA cases were children. But just because you're over your 18th birthday does not mean you can bite your mouth. Children, at least in this case, do not seem to be so special. Adults can always have AFM.

How accurate are these numbers? Hard to say. The AFM is not currently a "reportable disease", which means that health professionals are not obliged to warn public health authorities when they suspect a case. Therefore, not all AFM diagnoses are necessarily archived by the CDC.

In addition, health professionals may not correctly detect or diagnose all cases of AFM. AFM can appear and proceed in various ways. "Acute" means "sudden onset". The word "flaccid" means "soft, soft and weak". And the last word is a combination of the term for the spinal cord, "myel-" and the suffix for inflammation: "itis". Thus, the AFM is the sudden onset of weakness associated with inflammation of the spinal cord, which can be observed in magnetic resonance imaging (MRI). But this sudden weakness and loss of muscle tone can affect many combinations of your body such as arms, legs, face, mouth, eyes or breathing muscles. In addition, the severity can range from mild weakness to paralysis. These symptoms may be temporary or lasting for years, or even permanent.

You can see, for example, how a slight weakness that improves quickly may not even cause concern about the AFM. Heck who knows how many people are just trying to "get rid of" mild symptoms of MFA without ever seeing a doctor.

Physiotherapy can help people with AFM regain strength and return to work. (Jill Toyoshiba / Kansas City Star / TNS via Getty Images)

In addition, AFM remains an enigma, enveloped in mystery, wrapped in an enigma and linked to a paradox. The current scientific theory is that the disease results from a viral infection. As this study Eurosurveillance One of the main suspects is the enterovirus D68 (a virus to which a letter is attached seems ever more frightening). Other potential perpetrators are West Nile virus and adenoviruses. But it's hard to understand why some people infected with these viruses develop AFM and why not most. In addition, not all cases of MFA have been preceded by clear viral infections. Since the disease is so rare, there is simply not enough data to draw solid conclusions.

So, what should you do about this recent bump in AFM business? Again, do not panic. As I already mentioned, panic is good only at the discotheque and the AFM still only contaminates one in a million people. Instead, take the usual precautions to prevent viral infections. This means that you must receive all the recommended vaccinations, protect yourself from mosquito bites (for example, do not garden at dusk) and wash your dirty and dirty hands thoroughly and frequently.

In the meantime, if you or your children develop a sudden weakness, contact your doctor. Although there is currently no clear treatment for AFM, treatments such as physical therapy may help reduce the impact of the disease and recover function.

It is unclear whether this recent increase in the number of reported AFM cases represents a true outbreak of illness or simply more claims due to heightened awareness. Sometimes these diseases can look like a body odor. If you look for it, you will be more likely to find it. Stay tuned and see what happens to the number of cases this month and the next. November should be an interesting month in more ways than one.

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Senator Amy Klobuchar (D-MN) asked the Centers for Disease Control and Prevention (CDC) to further study the group of 6 Acute flaccid myelitis first seen in Minnesota since September 20th. (Photo by: William B. Plowman / NBC / NBC NewsWire via Getty Images)

If you thought that 38 cases of a polio-like illness in 2018 were worrying, how about 62 cases of an illness that can suddenly cripple children?

The Center for Disease Control and Prevention (CDC) has just released updated figures confirmed cases of acute flaccid myelitis (AM) for the year. In less than a month, the number of confirmed cases has increased by more than 60% (from 38 to 62) and the number of states having experienced such cases has increased from 16 to 22.

The CDC did not specify which states are on the list, but various media outlets have reported cases in Colorado, Illinois, Michigan, Minnesota and Pennsylvania. This includes 6 cases since September 20 in the state "duck-duck-gray"according to this CBS this morning report:

The AFM is still very rare, so it's not necessary to press the panic button for now. (Is it still good to press a button labeled "Panic"?) However, concerns about AFM are not new. In 2014, the CDC found that the number of MFA cases was increasing. As a result, since then, the CDC has redoubled its efforts to monitor the number of cases. The table below shows the number of confirmed cases and the number of states from which they have come since August 2014:

Table of confirmed cases of MFA by year of onset

Year Number of confirmed cases Number of states with confirmed cases
2014 120 34
2015 22 17
2016 149 39 (includes CC)
2017 33 16
2018 62 22

Most confirmed MFA cases were children. But just because you're over your 18th birthday does not mean you can bite your mouth. Children, at least in this case, do not seem to be so special. Adults can always have AFM.

How accurate are these numbers? Hard to say. The AFM is not currently a "reportable disease", which means that health professionals are not obliged to warn public health authorities when they suspect a case. Therefore, not all AFM diagnoses are necessarily archived by the CDC.

In addition, health professionals may not correctly detect or diagnose all cases of AFM. AFM can appear and proceed in various ways. "Acute" means "sudden onset". The word "flaccid" means "soft, soft and weak". And the last word is a combination of the term for the spinal cord, "myel-" and the suffix for inflammation: "itis". Thus, the AFM is the sudden onset of weakness associated with inflammation of the spinal cord, which can be observed in magnetic resonance imaging (MRI). But this sudden weakness and loss of muscle tone can affect many combinations of your body such as arms, legs, face, mouth, eyes or breathing muscles. In addition, the severity can range from mild weakness to paralysis. These symptoms may be temporary or lasting for years, or even permanent.

You can see, for example, how a slight weakness that improves quickly may not even cause concern about the AFM. Heck who knows how many people are just trying to "get rid of" mild symptoms of MFA without ever seeing a doctor.

Physiotherapy can help people with AFM regain strength and return to work. (Jill Toyoshiba / Kansas City Star / TNS via Getty Images)

In addition, AFM remains an enigma, enveloped in mystery, wrapped in an enigma and linked to a paradox. The current scientific theory is that the disease results from a viral infection. As this study Eurosurveillance One of the main suspects is the enterovirus D68 (a virus to which a letter is attached seems ever more frightening). Other potential perpetrators are West Nile virus and adenoviruses. But it's hard to understand why some people infected with these viruses develop AFM and why not most. In addition, not all cases of MFA have been preceded by clear viral infections. Since the disease is so rare, there is simply not enough data to draw solid conclusions.

So, what should you do about this recent bump in AFM business? Again, do not panic. As I already mentioned, panic is good only at the discotheque and the AFM still only contaminates one in a million people. Instead, take the usual precautions to prevent viral infections. This means that you must receive all the recommended vaccinations, protect yourself from mosquito bites (for example, do not garden at dusk) and wash your dirty and dirty hands thoroughly and frequently.

In the meantime, if you or your children develop a sudden weakness, contact your doctor. Although there is currently no clear treatment for AFM, treatments such as physical therapy may help reduce the impact of the disease and recover function.

It is unclear whether this recent increase in the number of reported AFM cases represents a true outbreak of illness or simply more claims due to heightened awareness. Sometimes these diseases can look like a body odor. If you look for it, you will be more likely to find it. Stay tuned and see what happens to the number of cases this month and the next. November should be an interesting month in more ways than one.

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