Chronic Fatigue Syndrome/ME
What is ME/CFS?
ME is a potentially severe and disabling illness which is
classified by the World Health Organisation as a neurological
disorder (ref lCD 10, G93, 3). It is also known as post
viral fatigue syndrome (PVFS) or chronic fatigue syndrome
(CFS) - the latter being an umbrella term which covers various
different types of unexplained chronic fatigue.
Is it a new disease?
No. Reports in the medical literature date back to 1750.
The term ME was first used in 1956, when an editorial in
The Lancet introduced the name to describe an outbreak of
the illness which had occurred at the Royal Free Hospital
in London
How many people are affected?
It is estimated that approximately 150,000 people in the
UK currently have ME/CFS.
A recent survey involving children indicated that it is
now the most common cause of
long-term sickness absence from school (ref: Journal of
Chronic Fatigue Syndrome,
1997, 3, 29-42).
Who gets ME/CFS?
The onset frequently occurs between the ages of 20 and 40.
Females slightly outnumber males. However, this illness
can affect anyone, regardless of age, sex or social status.
What are the symptoms?
The key symptoms are a disabling exercise-induced muscle
fatigue, an ongoing ‘flu-like’ malaise and various
neurological problems (eg clumsiness, problems with memory,
concentration and balance). Other symptoms include muscle
pain, non-refreshing sleep pattern, sore throats and enlarged
glands, joint pains and alcohol intolerance. Around a quarter
will develop a depressive component.
What is known about the cause?
Many cases are precipitated by an acute infection. A small
number follow vaccination or exposure to chemical toxins
(including organophosphates pesticides).
A number of factors may be involved in perpetuating the
illness. Researchers are currently looking at the role of
persisting infection, immunological disturbances, changes
in muscle energy production and brain abnormalities (eg
changes in hormones, chemical transmitters and blood flow).
Psychological and social factors may also play a role in
maintaining ill health and disability in some cases. Further
information on research studies - published and those in
progress - are available from the ME Association.
What is the prognosis/outlook ?
Outcome in any particular case is difficult to predict.
Some people improve slowly and recover, although this may
take several years and will be punctuated by periods of
relapse. The majority will follow a much more variable pattern,
with fluctuating levels of disability, a significant minority
remain severely disabled, making little or no progress.
A small number steadily deteriorate, becoming chair or bed-bound
for much of the time.
Is there any treatment?
Drugs aimed at relieving the various symptoms may help some
patients, but not others. These include low doses of antidepressants
(for sleep disturbances and muscle pain), evening primrose
oil and various immunological treatments. People who make
the most significant degree of recovery appear to be those
who are diagnosed early on, take adequate rest during the
acute stage of the illness and then manage to carefully
pace their physical and mental activities. For further information
on pacing Click Here
How much does ME/CFS cost the country?
The cost is incalculable. There is the cost in lost skills
and productivity. There is the cost of benefits, medical
consultations, tests and treatments. Most of all, there
is the human cost of shattered lives, lost careers, lost
independence, both financial and personal, and the corrosive
effect on relationships of disbelief in an illness which
is neither understood nor fully accepted by many doctors.
Information Courtesy of ME Association:
4 Corringham Road
Stanford-le-Hope, Essex
SS17 0AH
Tel: 01375642466 (lOam-12.3Opm, 1.30-4pm)
Fax: 01375 360256
Email: enquires@meassociation.org.uk
Information Line: 01375 361013 1.30- 4pm Monday to Friday
Listening Ear Service: Ring 01375 361013 after 4 p.m. and
at weekends for details of Listeners on duty.
For Further information visit the website:
www.meassociation.org.uk
