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J R Soc Med. 1989 June; 82(6): 339–342.
PMCID: PMC1292164

The 1945 St Helena poliomyelitis epidemic after 40 years.

Abstract

Twenty-six of the 28 patients known to have been paralysed by poliomyelitis on St Helena over 40 years ago were traced. All had led fulfilled lives. Nine had since died but no deaths were attributable to the disease. The satisfactory outcome of these people's lives was due to a combination of factors. Initially early diagnosis and immediate appropriate treatment minimized contracture formation. Early intensive rehabilitation and return of the patient in an upright and ambulant position to a caring community established the pattern of their future lives. The later lack of surveillance resulted in six of the patients reverting to crawling and only two still using their calipers. In remote and poor areas appliances where possible should be made and maintained locally.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Cross AB. Crawling patterns in neglected poliomyelitis in the Solomon Islands. J Bone Joint Surg Br. 1977 Nov;59-B(4):428–432. [PubMed]
  • Sharrard WJ. Paralytic deformity in the lower limb. J Bone Joint Surg Br. 1967 Nov;49(4):731–747. [PubMed]
  • BAIN AM. THE PROBLEM OF REHABILITATION OF THE CRIPPLE IN UGANDA. Rehabil Lit. 1965 Jan;26:2–8. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press