polio — beyond eradication
TRANSCRIPT
2016 ROTARY INTERNATIONAL CONVENTION
Polio – Beyond EradicationThe disease, the effects, life challenges
Ways for Rotarians to assist beyond eradication
Aging and Late Effects of Polio Survivors in Korea
Jae-Young Lim, MD, PhDSeoul National University College of Medicine
Seoul National University Bundang Hospital
• Acute viral infectious disease by Poliovirus involves CNS and destruction of motor neurons
• Now, 10-20 million survivors in the World (Headley, 2011, WHO)
• 1.6 million in US (Parsons, 1991)• About 60,000 in Korea (National Survey Persons with
disabilities, 2008 )
Poliomyelitis
%
Outbreak of Poliomyelitis in Korea
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
0
500
1000
1500
2000
2500
3000
Outbreak of Poliomyelitis No of cases
Cohort study of aging and late effect of Korean polio survivors 2012
<40 40-49 50-59 >600
20
40
60
Age of polio survivors
• Post polio syndrome• Secondary neuro-musculoskeletal problems (trauma, overuse, degeneration, etc)• Other secondary condition (aging, obesity, metabolic syndrome, falls,
cardiopulmonary dysfunctions, psychosocial problems, etc)
Late Effects of Polio
Cohort study of aging and late effect of Korean polio survivors 2012
Falls in Korean Polio Survivors
68.5
30.5
Fall experience past 1 year
YesNoUnknown
28.7
42.5
23.65.2
Fall frequency among fallers
At least once a year
At least once a month
At least once a week
At least once a day
55.0
15.2
13.9
7.9 6.0
Consequences of falls
No injury
Bruise
Fracture
Abrasion
Sprain
Laceration
Nam GY et al. J Korean Med Sci 2016
Age & Late effects of polio (LEOP)
<40 40-49 50-59 >600
10
20
30
40
50
60
70
80
90
100
26.819.6
5.90
73.280.4
94.1100
RobustLEOP
Cohort study of aging and late effect of Korean polio survivors 2012
Future direction
• Growing burden of late effects in polio survivors in 30-40 years in Korea• More sophisticated approach linking to aging process and survivorship.• New guideline for the criteria and management of late effects of polio
survivors• Establishment of proper health care system to prevention, management
for late effects• Extended to other survivors who live for a longtime with disability.
Thank you for your attention
View from a Polio Survivor
How I got this way.
April 12,1955 vaccine announcedMe 2 days earlier, dressed up for Easter!
I contracted polio May 4th 1955
Awoke paralyzed, checked into Denver Children’s Hospital,
May 7th
And three weeks later
But I recovered well!
Big time jump… 1955 to 2005 and a great deal has changed…
In April of 2005 I was working with my wife in Uganda when I saw a woman who’s right foot was touching the back of her right shoulder…
Our first collection ~ 235 pairs of crutchesShipped to Uganda, 2006
Our first distribution
Was the need real?
And this is what we found…
This is James..
This is James…
So we have begun…
73,000 mobility devices given away free to the disabled in 16 African countries & 10 countries in other parts of the developing world.
Will you help?
Rtn. Dave Talbot
Founder:
www.crutches4africa.org
Mountain Foothills Rotary Club District 5450
Polio Survivors Rotarian Action Group
• Where can you get help or more information?
• What can you do?
OVERVIEW
“The goal of a support group is to empower its members with the tools necessary to make adjustments needed to continue a life of dignity and independence.”
POST POLIO SUPPORT GROUPS
HEALTH PROFESSIONALS AND SUPPORT GROUPS AROUND THE WORLD
www.post-polio.org
• Orthopedic surgeries such as are found in India and other developing countries,
• Purchasing wheelchairs, crutches for polio survivors internationally or to local post-polio groups to assist members in need with the purchase of assistive devices.
What sort of Rotary projects might be suitable and contributive to aid support for post-polio survivors?
• Creation of rehabilitation clinics or expanding existing clinics to address assistive devices needs as well as proper therapies
• Addressing vocational training and education for the disabled
• These are all capable of funding through Rotary Foundation Global Grants
Polio Survivors Rotarian Action Group is a resource
WHAT CAN WE DO
WHAT CAN WE DO
www.rotarypoliosurvivors.org
facebook.com/psarag/
Projects to assist polio survivors - Ethiopia
Children using wheel chairs at the Rehab Center.
Whirlpool at the Cheshire Home
Rotarian Dennis Wilford handing the facility key to the Cheshire Home.
Rotarian Gabor and disabled from polio vaccinating a child for the first time
Rotarian Team from the US and Canada
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