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01/31/25 Public Health Education Topic: Acute Flaccid Myelitis (AFM)

Health Department

Per CDC:


Key points
  • Acute flaccid myelitis (AFM) is an uncommon but serious neurologic condition.

  • It causes the muscles and reflexes in the body to become weak.

  • Most AFM cases have been in young children.


Acute flaccid myelitis (AFM) is an uncommon but serious neurologic condition. It affects the nervous system, specifically the area of the spinal cord called gray matter, which causes the muscles and reflexes in the body to become weak.

Increases in AFM cases have occurred in 2014, 2016, and 2018 in the U.S.

Most AFM cases (more than 90%) have been in young children.


Causes

AFM can be caused by viruses, including enteroviruses. AFM can also be caused by other viruses, including flaviviruses (West Nile virus, Japanese encephalitis virus), herpesviruses, and adenoviruses.

Enteroviruses are common and usually cause mild illness. We are working to learn why a small number of people develop AFM after having a virus.


Symptoms

The most common symptoms of AFM are:

  • Sudden onset of arm or leg weakness

  • Loss of muscle tone

  • Loss of reflexes




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