| Document Date: 2014-02-02 22:51:47
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City Melbourne / / Company Victorian Infectious Diseases Reference Laboratory / / / Facility Hospital Of Admission / / / MedicalCondition polio / compression eg.Tumor / Conversion disorder Disorders / ischaemia Spinal cord injury / paralysis / neuropathy Guillain-Barré syndrome / infectious polyneuropathy / influenza-like illness / oral polio vaccine / polio eradication program / Urinary retention / encephalomyelitis / Mitochondrial diseases / illness / residual paralysis / last polio vaccination / influenza / there residual sphincter dysfunction / Viral myositis Drug-induced paralysis / neuromuscular transmission Botulism Insecticide e.g / Polymyositis / / MedicalTreatment vaccination / / Organization World Health Organization / Australian Paediatric Surveillance Unit / Hospital of Admission / / Person Torres Strait Islander / Bruce Thorley / Elizabeth Elliott / / / Position physician / / Technology MRI / / URL http /
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ACUTE FLACCID PARALYSIS INITIAL QUESTIONNAIRE (Revised October[removed]Australian Paediatric Surveillance Unit – Victorian Infectious Diseases Reference Laboratory Please keep a record of the child’s unit number in y