Guidance

Acute flaccid paralysis: investigating and reporting a case

Information on the steps required to report and investigate a case of acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM).

Applies to England

Documents

Details

This document is intended for healthcare professionals who are investigating a case of acute flaccid paralysis (AFP) or acute flaccid myelitis (AFM).

The document covers:

  • AFP/AFP case definition
  • aims of surveillance
  • steps required to report and investigate a case, including the enhanced surveillance survey
  • specimen collection and laboratory testing
  • relevant contact details

Updates to this page

Published 19 December 2018
Last updated 21 August 2025 show all updates
  1. Updated landing page to reflect updated reporting.

  2. Updated introduction, information about how to report and contact details.

  3. Updated information on notification regulations.

  4. Updated 'How to report a case of acute flaccid paralysis or acute flaccid myelitis'.

  5. Updated 'How to report and investigate a case of AFP or AFM'.

  6. First published.

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