2008.08.28 – South China Morning Post
The undiagnosed illnesses that killed three Hong Kong children and put another in intensive care this month have sparked concerns on a Web forum used by 20,000 international infectious disease specialists.
The Promed-Mail programme run by the International Society for Infectious Diseases has called for more information on the cases.
A posting by an Italian specialist noted that in March the government closed all primary schools and kindergartens after two children died.
It was found that the deaths were due to strains of H1N1 and H3N2 Brisbane flu viruses, which had appeared in different parts of the world.
A commentary on the forum suggested that the illnesses could have been caused by enteroviruses.
“The young age of the patients and the predominance of symptoms of blood poisoning and neurological damage suggest the involvement of one or more enteroviruses,” the commentary said.
But the mystery deepened when Centre for Health Protection controller Thomas Tsang Ho-fai said yesterday tests for enteroviruses had all come back negative in the three children who died.
Tests for flu viruses, parainfluenza, herpes simplex virus, and varicella zoster virus were also all negative. Further tests were being performed and it may take at least another week for test results to be available, he said.
Dr Tsang also revealed the postmortem findings for the three girls who died. “For the seven-year-old girl who died of encephalitis, the findings suggest inflammation of the brain,” he said.
“In the nine-year-old girl the postmortem findings revealed evidence of viral myocarditis [an infection of the heart], leading to her death.”
But for the three-year-old girl who died of sepsis and encephalopathy, definitive postmortem findings were pending, he said
Dr Tsang said the girl’s white blood cell count was abnormally high, which suggested a bacterial cause. He said tests for viruses, bacteria and fungi were being run.
The three-year-old boy, in the fourth case, is now in stable condition in a general ward, having been transferred from the intensive care unit of Kwong Wah Hospital. His specimens showed negative results for flu and enterovirus.
Schools, meanwhile, have been reminded of a possible surge in enterovirus 71 (EV71) infections from October, as the number of cases this year have reached 79, the highest in a decade. EV71, apart from causing hand, food and mouth disease, can cause severe neurological diseases in children.
Findings in 2006 and last year showed that the incidence of EV71 and hand, foot and mouth peaked from May to July, the centre said. But surveillance also showed that enteroviruses might be active again from October to December. “We therefore will issue letters to institutions to remind them of the preventive measures before school commences,” a centre spokeswoman said.
The previous highest number of EV71 cases in the city was 60, in 1998, the centre said.
The hand, foot and mouth outbreak was first reported in Anhui province in March, making more than 24,000 people ill and killed at least 43. in the mainland. EV71 has been blamed for most cases.
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you} wrote the {book|e-book|guide|ebook|e book} in it or something.
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I visited {multiple|many|several|various} {websites|sites|web
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I {looked|checked} {on the internet|on the web|on the net} {for more info|for more information|to find
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usual} {information|info} {a person|an individual} {supply|provide}
{for your|on your|in your|to your} {visitors|guests}?
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{check up on|check out|inspect|investigate cross-check} new posts|
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{I have|I’ve got|I have got} you {bookmarked|book marked|book-marked|saved as a favorite} {to check out|to look at} new {stuff you|things you} post…|
{Hi|Hello|Hi there|What’s up}, just wanted to {mention|say|tell you}, I {enjoyed|liked|loved} this {article|post|blog post}.
It was {inspiring|funny|practical|helpful}. Keep on posting!|
I {{leave|drop|{write|create}} a {comment|leave
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{post|article} on a {site|{blog|website}|site|website} or {I have|if I have} something to
{add|contribute|valuable to contribute} {to the discussion|to the
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I {read|looked at|browsed}. And {on|after} this {post|article} Mystery deaths spark global internet probe |
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enough to {drop|{leave|drop|{write|create}}|post} a {thought|{comment|{comment|leave a response}a response}} {:
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or linkedin profile}?|
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I {like|wanted} to write a little comment to support you.|
I {always|constantly|every time} spent my half an hour to read this {blog|weblog|webpage|website|web site}’s {articles|posts|articles or reviews|content} {everyday|daily|every day|all the time} along with a {cup|mug} of coffee.|
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if like to read it {then|after that|next|afterward} my {friends|links|contacts} will too.|
My {coder|programmer|developer} is trying to {persuade|convince} me to move to .net
from PHP. I have always disliked the idea because of the {expenses|costs}.
But he’s tryiong none the less. I’ve been using {Movable-type|WordPress} on {a number of|a variety
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I have heard {fantastic|very good|excellent|great|good} things about blogengine.net.
Is there a way I can {transfer|import} all my wordpress {content|posts} into it?
{Any kind of|Any} help would be {really|greatly} appreciated!|
{Hello|Hi|Hello there|Hi there|Howdy|Good day}! I could have sworn I’ve {been to|visited} {this blog|this
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{Terrific|Great|Wonderful} {article|work}! {This is|That is} {the type of|the kind of} {information|info}
{that are meant to|that are supposed to|that should}
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{Disgrace|Shame} on {the {seek|search} engines|Google}
for {now not|not|no longer} positioning this {post|submit|publish|put
up} {upper|higher}! Come on over and {talk over
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{Thank you|Thanks} =)|
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me.|
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{I just|I simply|I merely} wanted to {give you a|provide you with a} quick heads up!
{Other than that|Apart from that|Besides that|Aside
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{A person|Someone|Somebody} {necessarily|essentially} {lend a hand|help|assist} to make {seriously|critically|significantly|severely} {articles|posts} {I would|I might|I’d} state.
{This is|That is} the {first|very first} time I frequented your {web page|website page} and {to this point|so far|thus far|up to now}?
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{Hello|Hi|Hello there|Hi there|Howdy|Good day|Hey there}!
{I just|I simply} {would like to|want to|wish to} {give you a|offer you a} {huge|big} thumbs up {for the|for
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papers but now as I am a user of {internet|web|net} {so|thus|therefore} from now
I am using net for {articles|posts|articles or reviews|content}, thanks to web.|
Your {way|method|means|mode} of {describing|explaining|telling}
{everything|all|the whole thing} in this {article|post|piece
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{Hi|Hello} there, {I found|I discovered} your {blog|website|web site|site}
{by means of|via|by the use of|by way of} Google {at the same time as|whilst|even as|while}
{searching for|looking for} a {similar|comparable|related}
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{I have|I’ve} bookmarked it in my google bookmarks.
{Hello|Hi} there, {simply|just} {turned into|became|was|become|changed into} {aware of|alert to} your {blog|weblog} {thru|through|via} Google, {and found|and located} that {it
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{A lot of|Lots of|Many|Numerous} {other folks|folks|other people|people} {will be|shall be|might
be|will probably be|can be|will likely be} benefited {from your|out
of your} writing. Cheers!|
{I am|I’m} curious to find out what blog {system|platform} {you have been|you happen to be|you are|you’re} {working with|utilizing|using}?
I’m {experiencing|having} some {minor|small} security {problems|issues} with
my latest {site|website|blog} and {I would|I’d} like to
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Do you have any {solutions|suggestions|recommendations}?|
{I am|I’m} {extremely|really} impressed with your writing skills {and also|as
well as} with the layout on your {blog|weblog}. Is this a paid theme or did you {customize|modify} it yourself?
{Either way|Anyway} keep up the {nice|excellent} quality writing,
{it’s|it is} rare to see a {nice|great} blog like this one {these days|nowadays|today}.|
{I am|I’m} {extremely|really} {inspired|impressed} {with your|together with your|along with
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{smartly|well|neatly} as} with the {layout|format|structure} {for your|on your|in your|to your} {blog|weblog}.
{Is this|Is that this} a paid {subject|topic|subject
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{Either way|Anyway} {stay|keep} up the {nice|excellent}
{quality|high quality} writing, {it’s|it is} {rare|uncommon}
{to peer|to see|to look} a {nice|great} {blog|weblog} like this one {these days|nowadays|today}..|
{Hi|Hello}, Neat post. {There is|There’s} {a problem|an issue} {with your|together with your|along
with your} {site|web site|website} in {internet|web} explorer, {may|might|could|would} {check|test} this?
IE {still|nonetheless} is the {marketplace|market} {leader|chief} and
{a large|a good|a big|a huge} {part of|section of|component to|portion of|component of|element of}
{other folks|folks|other people|people} will {leave
out|omit|miss|pass over} your {great|wonderful|fantastic|magnificent|excellent} writing {due to|because of} this problem.|
{I’m|I am} not sure where {you are|you’re} getting your {info|information}, but {good|great} topic.
I needs to spend some time learning {more|much more} or understanding more.
Thanks for {great|wonderful|fantastic|magnificent|excellent} {information|info} I
was looking for this {information|info} for my mission.|
{Hi|Hello}, i think that i saw you visited my {blog|weblog|website|web site|site}
{so|thus} i came to “return the favor”.{I am|I’m} {trying to|attempting to} find things to
{improve|enhance} my {website|site|web site}!I suppose its ok to use
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Exactly where are your contact details though?
Ӊi, Ӏ want to subscribe fօr this web sіte to get lаtest updates,
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