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ITEM CYH11-100
Luiz Baggio Neto, from Associação Brasileira de Síndrome Pós-Poliomielite, has asked PHI to gather opinions on AN ICD – 10 CLASSIFICATION OF POST-POLIO SYNDROME.
The International Classification of Diseases (ICD) is an inventory of all human diseases known. It was created by the World Health Organization (WHO) to provide statistical references and to show the prevalence of diseases in the population.
The ICD is also an important medical support in the planning and assistance in public health programs of many countries, because the legislation and the benefits in the public health and social insurance are based in the ICD.
The ICD-10 does not list Post-Polio, but only Polio Sequelae (classification is B-91).
Although Post-Polio Syndrome is a consequence of poliomyelitis, it can be seen as another medical entity and not just sequelae of polio. Points in support of this thesis include:
1) not all polio survivors have post-polio syndrome
2) a small percentage have new unexplained weakness
3) it is distinctly different than the acute episode
4) Some of the symptoms of post-polio include new weakness, new pain, and new excessive fatigue, sleeping disorders, and increased cold intolerance.
The Escola Paulista de Medicina of Universidade Federal de São Paulo – UNIFESP (a Brazilian university specializing in medicine and medical research) and ABRASPP – Associação Brasileira de Síndrome Pós-Poliomielite (www.abraspp.org.br) – has introduced to the ICD committee the request to create a specific classification of Post-Polio Syndrome (PPS) in the present IDC-10.
The request is under discussion at this moment. If you believe that the classification of PPS is important to the health system or the social insurance of your country, please send your opinion to ABRASPP: diretorpresidente@abraspp.org.br (Luiz Baggio Neto).