2019 年 36 巻 3 号 p. 269-273
In 2014 acute flaccid myelitis (AFM) cases increased in North America, then in the fall of 2015, in Japan acute flaccid paralysis (AFP) cases were also observed. A nationwide survey was conducted as part of an epidemiological survey based on the Infectious Disease Control Law. As a result, more than 100 AFP cases were reported from August to December 2015. After approval of the Ethics Committee of the National Institute of Infectious Diseases, we conducted a detail investigation. Pathogens were also searched by the local municipal laboratories or National Institute of Infectious Diseases. We reported the results of investigation “Chong PF, Kira R, Mori H, et al. Clin Infect Dis. 66 (5) : 653-664, 2018”.
Based on the experience of the outbreak of AFP occurred in the autumn of 2015, to lead an early diagnosis, treatment and improvement of prognosis, “Guidance of surveillance/diagnosis/examination/treatment of acute flaccid paralysis (Research group for Health Labor Science and Welfare (Research Leader Keiko Tanaka–Taya))” https://www.niid.go.jp/niid/images/idsc/disease/AFP/AFP-guide.pdf.
We will report on the results of the epidemiological survey in 2015 and the AFP surveillance, diagnosis, examination and treatment in Japan based on the above guidance.
