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As if the COVID-19 pandemic weren’t bad enough, health officials say we’re due for an outbreak of a rare, polio-like illness in children this fall.

Cases of this disease, known as acute flaccid myelitis (AFM), spiked late in the summer and fall of 2014, 2016 and 2018, and officials expect the trend to continue for 2020, according to a statement from the Centers for Disease Control and Prevention (CDC). AFM is a condition that affects the nervous system and causes muscle weakness, particularly in the arms and legs, which can progress rapidly and lead to permanent paralysis, the CDC said.

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