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ABS_ID079Title: Suspected Poliomyelitis (Acute Flaccid Paralysis) Zorzor District, Lofa County, 2018Author: Lincoln B. Gbabow1, H. Wilson1,3, P. Adewuyi1,3, M. Amo-Addae1,3, 3F. Shannon II1,3, T. Nagbe 21Liberia Field Epidemiology Training Program, Liberia 2National Public Health Institute of Liberia 3African Field Epidemiology NetworkIntroduction: Poliomyelitis is a crippling disease that affects mostly children <15 years of age and any other person suspected by clinician. This disease is targeted to be eradicated globally. On May 2, 2018, the Community Health Assistant of Borkeza Community suspected an AFP case during active case search and informed the district health team. The objective of the investigation was to verify the case and determine probable cause of AFP.Method: The population of Borkeza Community was 2415. Children <15 years of age were those targeted as our study group. We interviewed parents and staff that attended to the case and reviewed his medical records. We investigated the case using IDSR case base laboratory submission form and collected 2 samples for confirmations.Result: The suspect was a 5 years old male brought from Guinea to a bone healer in Borkeza Town. The date of onset reported was on April 28, 2018. Case was notified on May 2, 2018 and seen four days after. Clinical symptoms experienced were fever and weakness of the left leg. Parent reported that this child fell sick at age 4 and was treated with many injectable at home where he developed painful legs. He was also told by the herbalist that dragon walked over the child’s legs. Medical record shows the child was treated at Borkeza clinic April 23, 2018 for malaria, acute respiratory infection (ARI) and suspected epilepsy. The child had not completed immunization scheduled. He took zero dose oral polio vaccine (OPV) and BCG at birth. Two stool specimen was sent but laboratory result was negative. Sixty days follow-up completed and child remain paralyze Conclusion: Possible cause of AFP was not established but paralysis in the leg could most likely due to sciatic nerve injury during home treatment, motor neuron disease or muscular dystrophy. We recommend further studies be conducted to establish cause of AFP. Keywords: Poliomyelitis, Acute Flaccid Paralysis (AFP), incomplete immunization statusWord count: 300 ................
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