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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{this is|that is} {great|wonderful|fantastic|magnificent|excellent} blog.
{A great|An excellent|A fantastic} read. {I’ll|I will} {definitely|certainly} be back.|
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page} is {really|actually|in fact|truly|genuinely} {marvelous|wonderful|excellent|fabulous|superb}.|
{Howdy|Hi there|Hi|Hello}, i read your blog {occasionally|from
time to time} and i own a similar one and i was just {wondering|curious} if you get a lot
of spam {comments|responses|feedback|remarks}?
If so how do you {prevent|reduce|stop|protect against}
it, any plugin or anything you can {advise|suggest|recommend}?
I get so much lately it’s driving me {mad|insane|crazy} so
any {assistance|help|support} is very much appreciated.|
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particular} {article|post}! {It is the|It’s the}
little changes {that make|which will make|that produce|that will make} {the biggest|the largest|the greatest|the most important|the most
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{I really|I truly|I seriously|I absolutely} love {your blog|your site|your website}..
{Very nice|Excellent|Pleasant|Great} colors & theme.
Did you {create|develop|make|build} {this website|this
site|this web site|this amazing site} yourself? Please reply back
as I’m {looking to|trying to|planning to|wanting to|hoping to|attempting to} create
{my own|my very own|my own personal} {blog|website|site} and {would like to|want to|would love to} {know|learn|find out} where you got this
from or {what the|exactly what the|just what the} theme
{is called|is named}. {Thanks|Many thanks|Thank you|Cheers|Appreciate it|Kudos}!|
{Hi there|Hello there|Howdy}! This {post|article|blog post} {couldn’t|could not} be written {any better|much better}!
{Reading through|Looking at|Going through|Looking through} this {post|article} reminds me of my previous roommate!
He {always|constantly|continually} kept {talking about|preaching about} this.
{I will|I’ll|I am going to|I most certainly will} {forward|send}
{this article|this information|this post} to him. {Pretty
sure|Fairly certain} {he will|he’ll|he’s going to} {have
a good|have a very good|have a great} read.
{Thank you for|Thanks for|Many thanks for|I appreciate you for} sharing!|
{Wow|Whoa|Incredible|Amazing}! This blog looks {exactly|just} like my old
one! It’s on a {completely|entirely|totally} different {topic|subject} but it
has pretty much the same {layout|page layout} and design. {Excellent|Wonderful|Great|Outstanding|Superb} choice of colors!|
{There is|There’s} {definately|certainly} {a lot to|a great deal to} {know about|learn about|find out about} this {subject|topic|issue}.
{I like|I love|I really like} {all the|all of the} points
{you made|you’ve made|you have made}.|
{You made|You’ve made|You have made} some {decent|good|really good} points there.
I {looked|checked} {on the internet|on the web|on the
net} {for more info|for more information|to find out more|to learn more|for additional information} about the issue and found {most individuals|most people} will
go along with your views on {this website|this site|this web site}.|
{Hi|Hello|Hi there|What’s up}, I {log on to|check|read} your {new stuff|blogs|blog} {regularly|like every week|daily|on a regular basis}.
Your {story-telling|writing|humoristic} style is {awesome|witty}, keep {doing what you’re doing|up
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{in order to|to} {check up on|check out|inspect|investigate cross-check} new posts|
{I wanted|I needed|I want to|I need to} to thank you for this
{great|excellent|fantastic|wonderful|good|very good} read!!
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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…|
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Keep on posting!|
{Hi there|Hello}, I enjoy reading {all of|through} your
{article|post|article post}. 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
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{friends|associates|contacts}, {because|since|as|for the reason that} 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}.
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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 web
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{Terrific|Great|Wonderful} {article|work}!
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{Disgrace|Shame} on {the {seek|search} engines|Google} for {now not|not|no
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Come on over and {talk over with|discuss with|seek advice from|visit|consult with} my
{site|web site|website} . {Thank you|Thanks} =)|
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I hope to give something back and {help|aid} others like you
{helped|aided} me.|
{Hi|Hello|Hi there|Hello there|Howdy|Greetings}, {I think|I
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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
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{give you a|offer you a} {huge|big} thumbs up {for the|for your} {great|excellent}
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is {really|actually|in fact|truly|genuinely} {nice|pleasant|good|fastidious}, {all|every one}
{can|be able to|be capable of} {easily|without difficulty|effortlessly|simply} {understand|know|be aware of} it, Thanks a lot.|
{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
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{and found|and located} that {it is|it’s} {really|truly} informative.
{I’m|I am} {gonna|going to} {watch out|be careful} for brussels.
{I will|I’ll} {appreciate|be grateful} {if you|should you|when you|in the event you|in case you|for those who|if you
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benefited {from your|out of your} writing. Cheers!|
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I’m {experiencing|having} some {minor|small} security {problems|issues} with
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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
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also|as {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 matter|theme} or did you {customize|modify} it {yourself|your self}?
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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
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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 {some of|a few of} your ideas!!\
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Hmm is anyone else experiencing problems with
the images on this blog loading? I’m trying to determine if its a problem on my end or if it’s the blog.
Any feed-back would be greatly appreciated.
Nice post. I was checking continuously this weblog and I am impressed!
Extremely useful info specially the final part 🙂 I care for such info much.
I was looking for this certain information for a long time.
Thanks and good luck.
I do not know if it’s just me or if perhaps everybody else
experiencing issues with your website. It seems like some of
the text on your content are running off the screen.
Can somebody else please provide feedback and let me know if this is happening to them too?
This could be a problem with my internet browser because I’ve had this happen previously.
Thanks
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