Although the most visible sign of polio infection polio paralysis, fewer than 1% of polio infections ever result in paralysis. Most cases produce very mild or no symptoms and usually go unrecognized. A further 5% to 10% of polio infections result in aseptic meningitis, a viral inflammation of the outer covering (meninges) of the brain. The rest involve mild flu-like symptoms common to other viral infections – mild fever, sore throat, abdominal pain, and vomiting.

No one knows why only a small percentage of infections lead to paralysis. Several key risk factors have been identified as increasing the likelihood of paralysis in a person infected with polio. These include:

•    Immune deficiency
•    Pregnancy
•    Removal of the tonsils (tonsillectomy)
•    Intramuscular injections
•    Strenuous exercise
•    Injury

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