Poliomyelitis is an acute
viral infectious disease spread from person to person, primarily via the
fecal-oral route. Although around 90% of polio infections
have no symptoms at all, affected individuals can exhibit a range of symptoms if the virus enters the
blood stream. In fewer than 1% of cases the virus enters the
central nervous system, preferentially infecting and destroying
motor neurons, leading to muscle weakness and acute
flaccid paralysis. Spinal polio is the most common form, characterized by asymmetric paralysis that most often involves the legs. Poliomyelitis was first recognized as a distinct condition by
Jakob Heine in 1840. Its causative agent,
poliovirus, was identified in 1908 by
Karl Landsteiner. Polio had existed for thousands of years quietly as an
endemic pathogen until the 1880s, when major epidemics began to occur in Europe; soon after, widespread epidemics appeared in the United States. These epidemics—which left thousands of children and adults paralyzed—provided the impetus for a "Great Race" towards the development of a
vaccine. The
polio vaccines developed by
Jonas Salk in 1952 and
Albert Sabin in 1962 are credited with reducing the annual number of polio cases from many hundreds of thousands to around a thousand. Enhanced
vaccination efforts led by the
World Health Organization,
UNICEF and
Rotary International could result in global eradication of the disease. (
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