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Zang J, Feng L, Wang J, Wang X, Li K, Zhai X. Should more attention be paid to polio sequela cases in China? Front Public Health 2023; 10:1076970. [PMID: 36743171 PMCID: PMC9895404 DOI: 10.3389/fpubh.2022.1076970] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Accepted: 12/29/2022] [Indexed: 01/22/2023] Open
Abstract
Since "Global Polio Eradication Initiative" was launched by World Health Assembly in 1988, the incidence rate of polio has been reduced by more than 99%, and the whole world has entered a post polio era nowadays. China has been a polio free status recognized by World Health Organization for 22 years and most people believe that no more public health concerns need to be given. How is the population of polio survivors in China? What strategies of health economics and actions of public health for those with polio are ethically appropriate? This article, first of all, deeply summarizes and analyzes the history, current situation and unmet needs of population with polio sequelae and post-polio syndrome in China, and then, puts forward important issues faced by polio survivors who natural infected and who due to vaccine associated paralytic polio and vaccine derived poliovirus. The management of polio survivor is not only a medical and rehabilitation problem involving accessibility, accommodations, but also a public health issue, and most importantly, an ethical concern. Furthermore, from the perspective of ethics such as Justice and Cooperation, the author demonstrates the rationality and necessity of continuing to pay more attention to polio sequela cases at this stage in China. Finally, many valuable suggestions and practical recommendations are given.
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Affiliation(s)
- Jiancheng Zang
- Center for Bioethics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,Department of Ethics and Health Policy, School of Population Medicine and Public Health, Peking Union Medical College, Beijing, China
| | - Longfei Feng
- Aesthetic Medical School, Yichun University, Yichun, China
| | - Jichao Wang
- Center for Bioethics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,Department of Ethics and Health Policy, School of Population Medicine and Public Health, Peking Union Medical College, Beijing, China
| | - Xiaonan Wang
- Center for Bioethics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,Department of Ethics and Health Policy, School of Population Medicine and Public Health, Peking Union Medical College, Beijing, China
| | - Kun Li
- Center for Bioethics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,Department of Ethics and Health Policy, School of Population Medicine and Public Health, Peking Union Medical College, Beijing, China
| | - Xiaomei Zhai
- Center for Bioethics, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,Department of Ethics and Health Policy, School of Population Medicine and Public Health, Peking Union Medical College, Beijing, China,*Correspondence: Xiaomei Zhai ✉
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Ruggiano N. Consumer direction in long-term care policy: overcoming barriers to promoting older adults' opportunity for self-direction. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2012; 55:146-159. [PMID: 22324331 DOI: 10.1080/01634372.2011.638701] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
There has been a growing trend in long-term care policy to offer individuals with disabilities the option of consumer direction (CD), where responsibility of managing care and support services is transferred from agencies to care recipients, thus supporting clients' self-determination. Although CD has been accepted as an option for non-elderly individuals with disabilities, barriers persist to promoting older adults' autonomy through CD. This article reviews the incorporation of CD in long-term care policy, addresses the current barriers to providing older adults the right to self-direct, and makes recommendations for overcoming these barriers through social work practice, policy, and research.
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Affiliation(s)
- Nicole Ruggiano
- School of Social Work, Florida International University, Miami, Florida 33199, USA.
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Gonzalez H, Ottervald J, Nilsson KC, Sjögren N, Miliotis T, Von Bahr H, Khademi M, Eriksson B, Kjellström S, Vegvari A, Harris R, Marko-Varga G, Borg K, Nilsson J, Laurell T, Olsson T, Franzén B. Identification of novel candidate protein biomarkers for the post-polio syndrome - implications for diagnosis, neurodegeneration and neuroinflammation. J Proteomics 2008; 71:670-81. [PMID: 19100873 DOI: 10.1016/j.jprot.2008.11.014] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2008] [Revised: 11/14/2008] [Accepted: 11/14/2008] [Indexed: 11/15/2022]
Abstract
Survivors of poliomyelitis often develop increased or new symptoms decades after the acute infection, a condition known as post-polio syndrome (PPS). The condition affects 20-60% of previous polio patients, making it one of the most common causes of neurological deficits worldwide. The underlying pathogenesis is not fully understood and accurate diagnosis is not feasible. Herein we investigated whether it was possible to identify proteomic profile aberrations in the cerebrospinal fluid (CSF) of PPS patients. CSF from 15 patients with well-defined PPS were analyzed for protein expression profiles. The results were compared to data obtained from nine healthy controls and 34 patients with other non-inflammatory diseases which served as negative controls. In addition, 17 samples from persons with secondary progressive multiple sclerosis (SPMS) were added as relevant age-matched references for the PPS samples. The CSF of persons with PPS displayed a disease-specific and highly predictive (p=0.0017) differential expression of five distinct proteins: gelsolin, hemopexin, peptidylglycine alpha-amidating monooxygenase, glutathione synthetase and kallikrein 6, respectively, in comparison with the control groups. An independent ELISA confirmed the increase of kallikrein 6. We suggest that these five proteins should be further evaluated as candidate biomarkers for the diagnosis and development of new therapies for PPS patients.
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Affiliation(s)
- Henrik Gonzalez
- Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden
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