Polio and post-polio syndrome

Introduction 

Immunisation advances

The eradication of polio in England is one of the great achievements in the history of the NHS. Elizabeth Farrelly, OBE, the first female governor of an NHS hospital, describes how immunisation in the NHS has advanced since her childhood.

Polio, also known as poliomyelitis, is caused by a highly infectious virus. For most people, polio is a mild illness and causes flu-like symptoms.

However, polio can be potentially fatal. A severe case of polio attacks the nerve cells that help the muscles to function and can cause severe muscle paralysis (paralytic polio).

Polio is now a rare condition

In the past, polio was very common. It was a frequent cause of death and paralysis all over the world, particularly in young children. In England, there was a widespread outbreak of polio cases during the 1940s and early 1950s.

Due to the introduction of a polio vaccine in 1955, the number of polio cases has been dramatically reduced.

Since 1998, there have not been any reported cases of polio in the UK. There are now only four countries in which the condition remains a serious problem. These are:

  • Nigeria,
  • India,
  • Afghanistan, and
  • Pakistan.

There is no cure for polio so it is important to prevent it from occurring. Make sure your child receives all their necessary immunisations. For more information, see the Health A-Z topic on childhood immunisation.

Post-polio syndrome

While polio is essentially a disease of the past, an increasing number of people are developing a poorly understood condition called post-polio syndrome (PPS).

PPS affects approximately 20-66% of people who have had polio. You may develop PPS between 10 and 40 years after your initial illness, with symptoms taking an average of 30 years to develop.

The initial symptoms of PPS include:

  • increasing weakness,
  • stamina problems,
  • fatigue,
  • and pain.

You may have difficultly getting around or carrying out everyday tasks and activities.

The cause of PPS is unknown. One theory is that the polio virus may lay dormant (inactive) in your system after the original infection because your immune system has not completely destroyed it. At a later date, the dormant virus may become ‘reactivated’, although it is not known what triggers this reactivation.

Other theories suggest that PPS is the result of damaged nerve cells that gradually deteriorate over time. 

In recent years, PPS has become more common in the UK, largely due to the high number of polio cases during the 1940s and 1950s. However, as polio is no longer naturally active in England, PPS should become much rarer in the future.

There is currently no cure for PPS, although a range of treatments can help prevent the symptoms from getting worse.

  • show glossary terms

Glossary  

Vaccination
Vaccination, or immunisation, is usually given by injection. It makes the body's immune system produce antibodies that will fight off a virus.
Pain
Pain is an unpleasant physical or emotional feeling that your body produces as a warning that it's been damaged.
Immune system
The immune system is the body's defence system, which helps protect it from disease, bacteria and viruses.

Last reviewed: 30/12/2009

Next review due: 30/12/2011

What are these?

Verite said on 22 January 2010

Why say that there are treatments available, without mentioning what is available?

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Child vaccinations

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