In 1789 a British doctor, Michael Underwood, published the first known clinical description of polio:

"Debility of the Lower Extremities"

"The disorder intended here is not noticed by any medical writer within the compass of my reading, or is not a common disorder, I believe, and it seems to occur seldomer in London than in some parts. Nor am I enough acquainted with it to be fully satisfied, either, in regard to the true cause or seat of the disease, either by my own observation, or that of others; and I myself have never had the oportunity of examining the body of any child who has died of the complaint. I shall, therefore, only describe its symptoms, and mention the several means attempted for its cure, on order to induce other practitioners to pay attention to it. It seems to arise from debility, and usually attacks chidren previously reduced by fever; seldom those under one, or more than four or five years old. The Palsy ... sometimes seizes the upper, and sometimes the lower extremities; in some instances, it takes away the entire use of the limb, and in others, only weakens them."

   


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