Colorado senators Bennet, Gardner briefed on mysterious polio-like illness affecting increasing number of children

1257
Dr. Kevin Messacar, senators Michael Bennet, and Cory Gardner meet at Children’s Hospital Colorado Nov. 8 during a briefing on acute flaccid myelitis. PHOTO SUPPLIED

AURORA | Aurora’s Children’s Hospital Colorado and the state’s two U.S. senators are joining forces against a mysterious paralyzing ailment affecting a small but growing number of children each year.

Senators Michael Bennet and Cory Gardner met with researchers and physicians from Children’s Hospital Colorado last week for an update on the malady, and how the government might help to understand and treat and possibly prevent it.

More children have been diagnosed with the mysterious paralyzing illness in recent weeks, and U.S. health officials said Tuesday that they still aren’t sure what’s causing it.

It’s been dubbed acute flaccid myelitis, or AFM, and it has affected about 400 children across the nation so far.

This year’s count could surpass the tallies seen in similar outbreaks in 2014 and 2016, officials said. Fortunately, the disease remains rare: This year, there have been 90 cases spread among 27 states, the Centers for Disease Control and Prevention said.

It’s not clear what’s causing some children to lose the ability to move their face, neck, back, arms or legs. The symptoms tend to occur about a week after the children had a fever and respiratory illness.

As many as 15 of the 980 confirmed cases of AFM occurred in Colorado this year, according to the Colorado Department of Health.

Colorado senators were briefed last week y Dr. Kevin Messacar, an infectious disease physician and researcher focusing on the disease.

“We need to continue to empower our researchers and medical community, specifically those at Children’s Hospital Colorado, who have been leading efforts to understand this horrible disease and identify the proper steps forward to combat it,” Gardner said in a statement. “There also needs to be a strong coordination and open communication between our researchers in Colorado and the CDC, and Senator Bennet and I will make sure that is happening.”

Bennet has asked the Centers for Disease Control and Prevention earlier this month, urging further action to inform the public, enhance detection, and support research for AFM.

No one has died from it this year, but CDC officials say at least half the patients do not recover from the paralysis and some have serious complications.

Polio and West Nile virus have been ruled out. Doctors have suspected the cause might be some kind of enterovirus, which in most people causes cold symptoms. But CDC officials say that’s not clear.

The first mysterious wave of paralysis cases in 2014 coincided with a wider spike in illnesses connected to an enterovirus called EV-D68, CDC officials said. But there was no such spike during the waves in 2016 or this year.

There’s also a lack of clinical evidence: CDC officials have checked the spinal fluid of about three-quarters of the 90 patients, and found EV-68 in only one. Another type of enterovirus called EV-A71 was found in only one other patient.

But there are questions about that, too. If a virus is the cause, it’s possible the test is not good enough, or the germ left the spinal fluid by the time the tests were taken, said the CDC’s Dr. Nancy Messonnier. It’s also possible the culprit is hiding elsewhere in the body.

Or perhaps the paralyzing illnesses are caused by some new germ for which no lab test has been developed. Or maybe there’s some predisposing factor in some patients that cause their immune systems to react so severely to a germ or other trigger that the immune response causes paralysis, CDC officials said.

Parents and even some scientists have criticized the agency for not solving the riddle.

“I understand why parents are frustrated. I’m frustrated. I want answers too,” said Messonnier, who is overseeing the agency’s outbreak investigation. CDC officials have pledged to do more to notify doctors to look for possible cases and to more thoroughly review cases from years past for further clues.

About 120 cases were confirmed in 2014, the first time such a wave occurred. Another 149 were reported in 2016. In 2015 and 2017, the counts were far lower, and it’s not clear why.

The illnesses have spiked in September each year there’s been a wave and tailed off significantly by November. But it can take weeks to determine which cases should be counted in the outbreak. More than 160 cases are still being investigated, and some of those may join the count, CDC officials said.

“Raising awareness and increasing resources for surveillance and research efforts is essential to developing more effective treatment and prevention strategies for acute flaccid myelitis. The bipartisan support of Senators Bennet and Gardner is an important step towards helping us accomplish this goal,” Messacar said.