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Polio survivors in Hawaii: new problems of health and disability
G A Okamoto1, J M Varney, M H Brown
1John A. Burns School of Medicine, Honolulu, Hawaii.
Abstract:
U.S. mainland studies reveal an alarming rise of progressive disability reported by long-term polio survivors. To determine if polio survivors residing in Hawaii were experiencing similar problems, this study of 100 volunteers was undertaken. Extensive interviews and physical examinations were performed. Results indicate that many patients were complaining of new or greater disability due to late complications of polio or medical conditions unrelated to polio. Twenty percent appeared at greater risk for having post-polio syndrome (PPS). Over half described mobility that was less than fully independent. Subjects voiced a clear need for specialized health, social and rehabilitative services. Consistent with Mainland reports, polio survivors in Hawaii are demonstrating changes in disability that challenge the traditional notion that polio is a static, permanently stable neurologic condition.
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