News and Events

Polio virus discovered at Melbourne sewerage plant -by Aisha Dow (The Age)

The polio virus has been detected in Melbourne’s sewerage system, prompting health authorities to issue a warning about the importance of vaccinations.
The childhood disease once killed or paralysed thousands of young people each year, but a global effort to eradicate the virus has all but wiped it out.

Polio virus has been detected at the Western Treatment Plant in Werribee. Photo: Jason South

On Friday, Victoria’s acting chief health officer Dr Brett Sutton announced polio had been detected in tiny concentrations as part of routine testing of pre-treated sewerage at the Western Treatment Plant in Melbourne.
However he said the discovery did not necessarily mean someone had polio.

Children receive free polio vaccines in Australia. Photo: Supplied

Dr Sutton said it was more likely that the polio virus came from a person who had received live polio vaccine when travelling or living overseas, and had continued to excrete it since arriving in Victoria.
Oral polio vaccines — administered in some countries — contain a weakened live virus and work by activating the immune response in the body, but have not been used in Australia for more than a decade.
In areas where there is poor sanitation, there is a risk people can acquire polio through the excreted vaccine.
An inactivate polio vaccine is used in Australia, which means it cannot multiply in a person, is not found in the bowel or sewage and cannot cause polio disease.

A health worker gives a polio vaccine to a girl in Lahore, Pakistan, where children continue to be infected. Photo: Muhammad Sajjad/AP

Dr Sutton said there was an extremely low risk that anyone in Victoria would have become infected as a result of the virus detected in sewerage.
“Firstly, polio virus usually doesn’t cause illness even when infection occurs. Secondly, this polio virus was found at concentrations that do not cause infection. Finally, Australia has very high immunisation coverage and excellent sanitation infrastructure that prevents people being exposed to sewage,” Dr Sutton said.
“There are currently no cases of polio in Australia. The last case of polio was in 2007 in a traveller who acquired the infection in Pakistan. Victoria hasn’t had a locally acquired case since the 1970s.”

A little girl receives a polio vaccine at Broadmeadows Town Hall in 1968.

Worldwide, polio cases have decreased by more than 99 per cent since 1988 – from more than 350,000 to just 37 reported cases in 2016. Countries where the virus persists include Pakistan, Afghanistan and Nigeria.
Some older Australians, aged in their fifties or above, still live with disability as a result of contacting polio as children. Polio survivors are said to be Australia’s largest physical disability group.
The rate of polio vaccination in Victoria is now above 95 per cent for children aged five years or older.
The National Immunisation Program provides a free polio vaccine at two, four and six months of age. A booster dose is provided at 4 years of age.
Also, from July 2017 everyone up to 19 years, refugees and humanitarian entrants have been eligible to receive three doses of polio vaccine as part of catch-up arrangements.
Dr Sutton said this high level of immunisation made any risk of polio occurring in Victoria extremely low, but the positive test was a reminder for people to make sure their immunisations were up to date.

Further information on polio can be found on www.betterhealth.vic.gov.au/health/healthyliving/polio-immunisation


Remembering Australia’s Polio scourge-by Professor Joan McMeeken, University of Melbourne

The movie Breathe reminds us of the days when polio indiscriminately cut down the fit and healthy, so what was it like in Australia for those who contracted the disease?

Houses were fumigated, people quarantined, and entire families ostracised. Desperately worried parents resorted to hanging pungent camphor around their children’s necks in a misguided effort to ward off the virus and some fled to the mountains to escape.
This was the small town of Railton in Tasmania during the worst outbreak of polio in Australia in 1937. For more than half a century, through to the 1950s, Australians were periodically terrified by recurrent epidemics of polio that could potentially leave its victims paralysed, sometimes permanently.


 Picture: Polio patients in iron lungs. Royal Children’s Hospital Archives

Hospital wards filled up with paralysed victims bandaged into splints and families built special carts to move around their stricken children.
At its worst, victims would be left reliant on artificial respiration for the rest of their lives. It wasn’t until the 1950s that an effective vaccine was developed that would eventually eradicate the disease in developed countries; it’s estimated that 20,000-40,000 Australians developed paralytic polio between 1930 and 1988.
The release of the movie Breathe, the inspirational true story of Englishman Robin Cavendish’s battle with paralytic polio, is a reminder of a disease that was nothing short of a scourge.
But today it is almost forgotten, except by those whose lives were and remain directly affected.
Polio Australia estimates that Australia has some 400,000 polio survivors. But in recent years adults who suffered minor illnesses or had mild muscle weakness during the earlier epidemics are now also suffering Post-Polio Syndrome with unanticipated muscle weakness and atrophy.

As a physiotherapist who began working with polio victims, the film is a reminder of the long legacy of polio, the ongoing role of rehabilitation and the crucial role of vaccination in finally tackling the disease.
My mother, Freda Kimpton, graduated as a physiotherapist at the end of 1937, at the peak of the largest epidemic. She immediately joined the Royal Children’s Hospital domiciliary service, treating children in North Melbourne, Carlton and Footscray.
It was women like my mother who devoted much of their professional lives to people who had been paralysed by polio.
Twenty years later, as a physiotherapy assistant in the summer holidays from 1957 to 1962 at Fairfield Hospital, I helped the physiotherapists in mobilising joints, stretching and exercising muscles, making plaster splints and abdominal corsets. Breathe rekindled the memories of those years, particularly of Fairfield’s respirator ward and the people in its ‘iron lungs’.

Picture: Child in a double Thomas splint with the head positioned with ‘blinkers’. Royal Children’s Hospital Archives

 

Polio is caused by an enterovirus. It is contracted orally through infected faecal matter, such as on someone’s hands or an object, and is contagious during the incubation and acute phases. If polio affects the central nervous system it can lead to paralysis and the subsequent atrophy of muscles, ending in contractures (the permanent shortening of a muscle or joint) and permanent deformity.
People who survived the acute stage with paralysis faced years of rehabilitation. In most cases patients used respirators for only a short time, but others like Australian June Middleton, who contracted polio as a young, active woman of twenty-three, remained in an ‘iron lung’. When I first met her, June had lived in her ‘iron lung’ for fourteen years – she died at the age of 83, the world’s longest surviving person living with polio in a respirator.
An iron lung is a large, elongated sealed cabinet enclosing the patient up to the neck. It requires a mechanical pump to produce negative pressure which replaces the action of the respiratory muscles during breathing in. When the negative pressure is released, the patient breathes out.
The story of Tasmanian Rebecca Round is emblematic of the hardship and determination of Australians forced to live with the impact of polio.
Rebecca grew up on a farm near Railton and contracted polio in the 1937 outbreak, aged just seven. Her twelve-year-old sister and two cousins also contracted the disease. One friend died and another was left badly paralysed.
The children were hospitalised and put into Thomas splints, which maintains the joints of the lower limbs in a comfortable position. The process sees patients bandaged in at ankles, knees, hips and waist. An upper body and head piece keeps the arm joints in neutral positions and if neck muscles are involved in paralysis, the head is ‘blinkered’. Hospitals created long balcony wards and open wards that allowed children to enjoy fresh air and sunshine.
Rebecca Round spent three years in hospital in Launceston. Adults with paralysis spent up to two years in hospital, but for growing children it was often longer.
Rebecca’s mother rode her push bike along the gravel road the 56 miles (90km) to and from Launceston every Sunday as hospitals only allowed parents to visit children on the weekend. But there were opportunities to play – for example, children confined at Frankston Orthopedic Hospital were taken to the hospital’s beach.

 Picture: Royal Children’s Hospital Archives. Children on the beach at Frankston Orthopedic Hospital.

When she eventually left hospital, Rebecca wore calipers. Although her left leg and foot and left arm were weaker than the right, she learned to ride a bike again. Boots made especially for her cost her father two weeks’ wages, and at age twelve she had surgery to lengthen the shortened tendons to her foot.
But she was determined to go to school, and did well, ultimately earning a university scholarship to go to Hobart and train as a teacher.
But not all patients could go home due to more severe problems, particularly with breathing or widespread paralysis.
These days, most children are vaccinated against polio before school age and this has seen the disease nearly completely disappear in most westernised countries. But in Afghanistan, Nigeria, Pakistan, Equatorial Guinea, Iraq, Cameroon, Syria, Ethiopia, Somalia and Kenya, polio still paralyses and kills. In fact, the Global Polio Eradication Initiative reported twenty-one cases in 2017.

Picture: State Library of New South Wales.The polio vaccination being distributed at the Liverpool Municipal Council in 1957. 

In the end, Robin Cavendish died in 1994, at the age of 64, after he was awarded an MBE for his work with the disabled. Despite his prognosis, he defied doctors’ predictions that his life would be a short one outside of a hospital.
Breathe also serves as a reminder of the importance of vaccination; because almost the entire population must be immunised to prevent epidemics, global eradication is still in jeopardy, and an effective cure remains elusive.

This article was published online on 18 January 2018 in pursuit.unimelb.edu.au/health-wellbeing


Walk With Me 2017

Peter Wierenga (Polio SA’s Treasurer) and Brett Howard (Polio SA’s President) participated in the “Walk With Me” event in Canberra on Thursday 30th November 2017. So far we’ve raised almost five hundred dollars, and it still not too late to support us! Continue reading…


Polio in my life – a story by Trevor Jessop

I was born in Victor Harbour in 1946 and when Polio came to visit me around 1950 I was probably 4 years old, too young to understand what was happening to me but definitely too young to remember much about it later. My family were living in Port Elliott at the time and I was the second in a line of four boys, luckily the only one infected by the polio virus. Continue reading…


Polio then and now

Source: Polio Australia’s Polio Oz News, March 2017 – Autumn edition

A passage in Philip Roth’s novel Nemesis describes the horror of catching polio in the US town of Newark in 1944, when outbreaks of the disease were common and each summer was spent in fear of infection.

“Finally the cataclysm began – the monstrous headache, the enfeebling exhaustion, the severe nausea, the raging fever, the unbearable muscle ache, followed in another forty-eight hours by the paralysis”, it says. Continue reading…


How to exercise if you are living with post-polio syndrome – Part One

Source: This is an excerpt from an article by Stephen Pate, originally published by the NJN Network on 26 March 2017.

If you have post-polio syndrome, it’s vital to exercise moderately every second day to keep the muscles we have and avoid obesity, diabetes, stroke and heart disease.

Exercise also helps us accomplish more of those activities of daily living and can improve how we feel. Continue reading…