{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T16:40:03Z","timestamp":1725295203902},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p>Historically, poliovirus infection has been an important cause of acute flaccid paralysis (AFP) worldwide; however, successful elimination of wild-type poliovirus in much of the world has highlighted the importance of other causes of AFP. Despite the evolving etiology, AFP surveillance in most developing countries still focuses on poliovirus detection and fails to detect many AFP cases, particularly among adults. We assessed 41 subjects self-reporting symptoms suggestive of AFP during a population-based health survey in the Department of Santa Rosa, Guatemala. Thirty-five (85%) of the suspected cases were not hospitalized. Most subjects (37) did not have features consistent with AFP or had other diagnoses explaining weakness. We identified two adults who had not received medical attention for a clinical illness consistent with Guillain-Barr\u00e9 syndrome, the most important cause of non-poliovirus AFP. Usual surveillance methods for AFP, particularly in developing countries, may underestimate the true burden of non-poliovirus AFP.<\/jats:p>","DOI":"10.4269\/ajtmh.2010.09-0090","type":"journal-article","created":{"date-parts":[[2010,3,26]],"date-time":"2010-03-26T23:33:07Z","timestamp":1269646387000},"page":"712-716","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Assessment of Self-Reported Acute Flaccid Paralysis in a Population-Based Setting in Guatemala"],"prefix":"10.4269","volume":"82","author":[{"given":"James J.","family":"Sejvar","sequence":"first","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim A.","family":"Lindblade","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wences","family":"Arvelo","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norma","family":"Padilla","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Pringle","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Zielinski-Gutierrez","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Farnon","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence B.","family":"Schonberger","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Dueger","sequence":"additional","affiliation":[{"name":"Division of Viral and Rickettsial Diseases, National Center for Zoonotic and Vector-Borne Diseases (NCZVED), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia; Division of Vector-Borne Infectious Diseases, NCZVED, CDC, Atlanta, Georgia; Division of Emerging Infections and Surveillance Services, National Center for Prevention, Detection, and Control of Infectious Diseases, CDC, Atlanta, Georgia; CDC\u2013Universidad del Valle de Guatemala Collaboration, Centro de Estudios en Salud, UVG..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Curr Opin Infect Dis","first-page":"375","article-title":"Infectious causes of acute flaccid paralysis","volume":"16","author":"Solomon","year":"2003"},{"key":"R2","series-title":"Biologicals","first-page":"327","article-title":"The WHO-EPI initiative for the global eradication of poliomyelitis","volume":"21","author":"Ward","year":"1993"},{"key":"R3","series-title":"Handbook of Clinical Neurophysiology","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/S1567-4231(09)70095-4","author":"Cornblath","year":"2006"},{"key":"R4","series-title":"Lancet","first-page":"1653","article-title":"Guillain-Barre syndrome","volume":"366","author":"Hughes","year":"2005"},{"key":"R5","series-title":"J Neurol","first-page":"418","article-title":"Guillain-Barre syndrome in Kenya: a clinical review of 54 patients","volume":"235","author":"Bahemuka","year":"1988"},{"key":"R6","series-title":"BMC Neurol","first-page":"22","article-title":"Epidemiology of childhood Guillan-Barre syndrome in the north west of Iran","volume":"7","author":"Barzegar","year":"2007"},{"key":"R7","series-title":"Ann Neurol","first-page":"859","article-title":"Childhood Guillain-Barre syndrome in Paraguay, 1990 to 1991","volume":"36","author":"Hart","year":"1994"},{"key":"R8","series-title":"J Paediatr Child Health","first-page":"127","article-title":"Five-year surveillance of acute flaccid paralysis in Malaysia","volume":"40","author":"Hussain","year":"2004"},{"key":"R9","series-title":"Arch Environ Health","first-page":"575","article-title":"Guillain-Barre syndrome in a rural farming district in South Africa: a possible relationship to environmental organophosphate exposure","volume":"59","author":"London","year":"2004"},{"key":"R10","series-title":"Arq Neuropsiquiatr","first-page":"33","article-title":"Epidemiologic features of Guillain-Barre syndrome in Sao Paulo, Brazil","volume":"62","author":"Rocha","year":"2004"},{"key":"R11","series-title":"Eur J Neurol","first-page":"662","article-title":"Guillain-Barre syndrome in Pakistan: similarity of demyelinating and axonal variants","volume":"13","author":"Shafqat","year":"2006"},{"key":"R12","series-title":"J Med Assoc Thai","first-page":"750","article-title":"Guillain-Barre syndrome in Thai children: retrospective analysis of the clinical and outcome prior to intravenous immune globulin era","volume":"81","author":"Visudtibhan","year":"1998"},{"year":"2006","series-title":"Community household survey to describe healthcare utilization practices and risk factors for diarrheal diseases in the Department of Santa Rosa, Guatemala\u20132006 (Abstract #988)","author":"Arvelo","key":"R13"},{"key":"R14","series-title":"Ann Neurol","first-page":"202","article-title":"IgG anti-GM1 antibody is associated with reversible conduction failure and axonal degeneration in Guillain-Barre syndrome","volume":"44","author":"Kuwabara","year":"1998"},{"key":"R15","series-title":"Arch Neurol","first-page":"1098","article-title":"Mild Guillain-Barre syndrome","volume":"58","author":"Green","year":"2001"},{"key":"R16","series-title":"Muscle Nerve","first-page":"1039","article-title":"Reversible proximal conduction block underlies rapid recovery in Guillain-Barre syndrome","volume":"11","author":"Berger","year":"1988"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/82\/4\/article-p712.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/82\/4\/article-p712.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/82\/4\/article-p712.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T15:53:36Z","timestamp":1725292416000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/82\/4\/article-p712.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":16,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.2010.09-0090","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2010,4]]}}}