Evidence map›Paper›PMID 42424163›Full record

ArticleMMWR. Morbidity and mortality weekly report2026

Acute Flaccid Myelitis Surveillance - United States, January 2020-December 2025.

Adriana S Lopez, Randall English, Shannon L Rogers, Brian Emery, Leah A Goldstein, Claire M Midgley, Heidi L Moline, Terry Fei Fan Ng, New Vaccine Surveillance Network Collaborators

Abstract read
In one paragraph

Article in MMWR. Morbidity and mortality weekly report, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Adriana S LopezNational Center for Immunization and Respiratory Diseases, CDC.
Randall EnglishNational Center for Immunization and Respiratory Diseases, CDC.
Shannon L RogersNational Center for Immunization and Respiratory Diseases, CDC.
Brian EmeryNational Center for Immunization and Respiratory Diseases, CDC.
Leah A GoldsteinNational Center for Immunization and Respiratory Diseases, CDC.
Claire M MidgleyNational Center for Immunization and Respiratory Diseases, CDC.
Heidi L MolineNational Center for Immunization and Respiratory Diseases, CDC.
Terry Fei Fan NgNational Center for Immunization and Respiratory Diseases, CDC.
New Vaccine Surveillance Network Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute flaccid myelitis (AFM) is a rare but serious neurologic condition that causes paralysis and primarily affects children. Clinically and radiologically, AFM is indistinguishable from the acute flaccid paralysis of poliomyelitis caused by poliovirus. Nationwide surveillance for AFM has been conducted in the United States since 2014, when an increase in AFM was first recognized. Laboratory testing and epidemiologic and clinical data collected through surveillance suggest that enteroviruses, particularly enterovirus D68 (EV-D68), are a common cause of AFM. EV-D68 circulation was associated with biennial peaks in AFM cases in the United States in 2014, 2016, and 2018. This report provides an update to nationwide surveillance of confirmed AFM cases during January 2020-December 2025. During this period, the number of confirmed AFM cases reported to CDC remained low (17-48 cases per year) compared with 2014, 2016, and 2018 (120-238 cases per year). Despite ongoing seasonal enterovirus circulation, including increases in EV-D68-associated respiratory illnesses identified from sentinel surveillance sites in 2022, 2024, and 2025, concurrent increases in AFM cases in nationwide surveillance data were not observed; EV-D68 was detected in one AFM patient specimen received by CDC during this period. A majority (approximately 75%) of confirmed cases of AFM occurred in persons who were reported to be up to date with polio vaccination; approximately one half had stool specimens collected and tested. In 2022, a polio case in an unvaccinated person was identified by testing stool specimens collected through AFM surveillance. Clinicians should ensure that stool samples are collected from patients with acute onset of flaccid weakness or paralysis and report all cases to their local health department.

Indexed as

Central Nervous System Viral DiseasesMyelitisNeuromuscular DiseasesPopulation SurveillanceAdolescentChildChild, PreschoolEnterovirus D, HumanEnterovirus InfectionsFemaleHumansInfantUnited States

Identifiers

PMID42424163
PMCPMC13349083

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.