We’re all working tirelessly to end polio, but do you really know what polio is? This is your chance to get to know the disease, how it affects people, and the lifelong challenges of polio survivors. Learn about postpolio syndrome and how you can reach out to survivors in your own community, as well as make a difference in the lives of survivors living with physical handicaps in the developing world.

1. 2016 ROTARY INTERNATIONAL CONVENTION
Polio – Beyond Eradication
The disease, the effects, life challenges
Ways for Rotarians to assist beyond eradication

2. Aging and Late Effects of Polio Survivors in Korea
Jae-Young Lim, MD, PhD
Seoul National University College of Medicine
Seoul National University Bundang Hospital

3. • Acute viral infectious disease by Poliovirus involves
CNS and destruction of motor neurons
• Now, 10-20 million survivors in the World (Headley,
2011, WHO)
• 1.6 million in US (Parsons, 1991)
• About 60,000 in Korea (National Survey Persons with
disabilities, 2008 )
Poliomyelitis

4. %
Outbreak of Poliomyelitis in Korea
0
500
1000
1500
2000
2500
3000
Outbreak of Poliomyelitis No of cases
Cohort study of aging and late effect of Korean polio survivors 2012
0
20
40
60
<40 40-49 50-59 >60
Age of polio survivors

5. • Post polio syndrome
• Secondary neuro-musculoskeletal problems (trauma, overuse, degeneration, etc)
• Other secondary condition (aging, obesity, metabolic syndrome, falls,
cardiopulmonary dysfunctions, psychosocial problems, etc)
Late Effects of Polio
Cohort study of aging and late effect of Korean polio survivors 2012

6. Falls in Korean Polio Survivors
68.5
30.5
Fall experience past 1 year
Yes
No
Unknown
28.7
42.5
23.6
5.2
Fall frequency among fallers
At least once a year
At least once a month
At least once a week
At least once a day
55.0
15.2
13.9
7.9
6.0
Consequences of falls
No injury
Bruise
Fracture
Abrasion
Sprain
Laceration
Nam GY et al. J Korean Med Sci 2016

7. Age & Late effects of polio (LEOP)
0
10
20
30
40
50
60
70
80
90
100
<40 40-49 50-59 >60
26.8
19.6
5.9
0
73.2
80.4
94.1
100
Robust
LEOP
Cohort study of aging and late effect of Korean polio survivors 2012

8. Future direction
• Growing burden of late effects in polio survivors in 30-40 years in Korea
• More sophisticated approach linking to aging process and survivorship.
• New guideline for the criteria and management of late effects of polio
survivors
• Establishment of proper health care system to prevention, management
for late effects
• Extended to other survivors who live for a longtime with disability.

9. Thank you for your attention

10. View from a Polio Survivor

11. How I got this way.
April 12,1955 vaccine
announced
Me 2 days earlier,
dressed up for Easter!

12. I contracted polio
May 4th 1955 Awoke paralyzed, checked
into Denver Children’s
Hospital, May 7th
And three weeks later

13. But I recovered well!

14. Big time jump… 1955 to 2005 and a great deal has changed…
In April of 2005 I was working
with my wife in Uganda when
I saw a woman who’s right foot
was touching the back of her
right shoulder…

15. Our first collection ~ 235 pairs of crutches
Shipped to Uganda, 2006

16. Our first distribution
Was the need real?

17. And this is what we found…

22. This is James..

23. This is James…

24. So we have begun…
73,000 mobility devices given away free to the disabled in 16
African countries & 10 countries in other parts of the
developing world.

25. Will you help?

26. Rtn. Dave Talbot
Founder:
www.crutches4africa.org
Mountain Foothills Rotary Club
District 5450

27. Polio Survivors Rotarian Action Group

28. • Where can you get help
or more information?
• What can you do?
OVERVIEW

29. “The goal of a support group is to empower
its members with the tools necessary to
make adjustments needed to continue a life
of dignity and independence.”
POST POLIO SUPPORT GROUPS

30. HEALTH PROFESSIONALS AND SUPPORT GROUPS AROUND THE WORLD
www.post-polio.org

31. • Orthopedic surgeries such as are found
in India and other developing
countries,
• Purchasing wheelchairs, crutches for
polio survivors internationally or to
local post-polio groups to assist
members in need with the purchase of
assistive devices.
What sort of Rotary projects might be suitable and contributive to aid
support for post-polio survivors?

32. • Creation of rehabilitation clinics or
expanding existing clinics to address
assistive devices needs as well as
proper therapies
• Addressing vocational training and
education for the disabled
• These are all capable of funding
through Rotary Foundation Global
Grants
Polio Survivors Rotarian Action Group is a resource

33. WHAT CAN WE DO

35. WHAT CAN WE DO
www.rotarypoliosurvivors.org
info@rotarypoliosurvivors.org
facebook.com/psarag/

36. Projects to assist polio survivors - Ethiopia

37. Children using wheel chairs at the Rehab Center.

38. Whirlpool at the Cheshire Home

39. Rotarian Dennis Wilford handing the facility key to the Cheshire Home.

40. Rotarian Gabor and disabled from polio vaccinating a child for the first
time

41. Rotarian Team from the US and Canada

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