Fact sheets
The Department of Health, Western Australia, does not produce fact sheets on this topic.
Public Health action
Notifiable disease data and reports
Additional sources of information
Exclusion
Enteric precautions for hospitalised and institutionalised patients with wild virus disease.
Case definition
- Poliomyelitis (wild-type and vaccine-associated)
Reporting
Both confirmed cases and probable cases should be notified.
Confirmed case
A confirmed case requires laboratory definitive evidence AND clinical evidence.
Laboratory definitive evidence
Wild-type poliovirus infection
1. Isolation of wild poliovirus (confirmed in the WHO Western Pacific Regional Poliovirus Reference Laboratory)
OR
2. Detection of wild-type poliovirus by nucleic acid testing (confirmed in the WHO Western Pacific Regional Poliovirus Reference Laboratory)
Vaccine-associated poliomyelitis
1. Isolation of Sabin-like poliovirus (confirmed in the WHO Western Pacific Regional Poliovirus Reference Laboratory)
OR
2. Detection of Sabin-like poliovirus by nucleic acid testing (confirmed in the WHO Western Pacific Regional Poliovirus Reference Laboratory)
Clinical evidence
Acute flaccid paralysis (AFP): acute onset of progressive weakness and flaccidity of one or more limbs with decreased or absent tendon reflexes in the affected limbs or bulbar palsy without other apparent cause, and without sensory or cognitive loss.
Probable case
A probable case of poliomyelitis due to the wild-type poliovirus requires clinical evidence AND the case not discarded as non-polio acute flaccid paralysis by Polio Expert Committee.
Clinical evidence
As with confirmed case.
