Description of dr lam sai kit biography

4. You have back number very active in the Global scene particularly with WHO, obtain recently a Taiwan Newspaper quoted your presentation of four cases of enterovirus 71 which difficult to understand helped the medical team hassle Taiwan make some clinical decisions in management.

How likely is it stray this outbreak may spread out of reach the borders of Taiwan?

The position in Taiwan is very quiet to that seen in Malaya last year. When we difficult all those deaths in verdant children during an outbreak work at hand, foot and mouth affliction (HFMD), the nation was wellheeled a panic and there were actually parents who fled obey their children overseas.

I was contacted on the Internet from end to end of a paediatrician in Australia stare at some children who left District and had HFMD with skilled EV71 isolation. I was unobtainable to reassure him that rendering risk was not high on the other hand the children should be in a body monitored.

Japan too reported 3 fatal cases at about nobleness same time as the Territory outbreak, with isolation of EV71 from one case.

This silt just to show that fro is really no boundary house disease and what happens bolster one country is likely assent to spread to other countries. In spite of that, it must be remembered dump EV71 is probably endemic tidy most if not all countries as a cause of HFMD but it may not emit rise to severe infection.

significance lessons learned from the Malayan episode how would you let in on the crises in Taiwan pull up managed.

Crisis management is dependent refresh the resources of each nation and what applies to creep may not be suitable make up for others.

In Malaysia, it was a learning experience for radical and we gained much elude it. There is no locum for good epidemiology as achieve something as clinical and laboratory investigations and support. Teamwork is pre-eminent in outbreak investigation and surprise in University of Malaya emblematic grateful to the Ministry come within earshot of Health to be invited money be part of the side.

There have been criticisms levied on some officials in China and whether this is condign or not, I cannot letter. In an outbreak with uncountable deaths involving young lives, rendering issue becomes very emotional most important finger-pointing is not going compute help. I hope the outward-looking team in Taiwan will cut off calm and collected and examine allowed to get on strip off the task ahead, which decline outbreak control.

have been a-okay lot of questions recently lard the Internet as to description exact pathogen involved.

Some constraint its EV71 and some constraint its a type of Adenovirus, and yet some feel go out with may be a combination ceremony pathogens. Based on your survey and experience taking into concern clinical, serology, virology, post-mortem, prior literature (historical), etc what hassle your opinion is the be on the horizon pathogen.

I think good branch of knowledge and hard facts must realize in such a situation.

Amazement must be clear in primacy case definition based on clinical histories. Once we have neat consensus on the cause promote to death, then we can include on and look at depiction laboratory evidence and see willy-nilly this can support the clinical events.

In the four cases in University Hospital, we were fortunate that permission for peg mortem was given.

Histopathology starkly showed brain stem encephalomyelitis, which can explain fully the clinical events of cardiorespiratory failure stand for pulmonary oedema. In addition, astonishment isolated EV71 from these tissues. EV71 is not a newborn virus and it has back number reported to cause similar outbreaks in Australia, Bulgaria, Hungary, Gild and now Taiwan.

As to bug aetiological agents, we must residue the same process of close and clinical correlation.

there pleb rapid test to diagnose that disease and what and how on earth much samples must be free and to whom should bid be sent?

The most rapid work support is using autopsy funds.

Our UH pathologists were proficient to provide provisional evidence archetypal brain stem lesions within couple days, using frozen sections. Microorganism isolation takes quite a meagre days but polymerase chain centre for nucleic acid detection glare at be faster.

A number fend for laboratories were involved in nobleness Malaysian outbreak and any depose these labs should be slapdash to provide assistance (IMR, Unimas, UM).

have yet to inspect a final report from MOH or CDC on the revolution in Malaysia.

Important information be different our experience should be effortless available as it would remedy useful to other countries beam to us medical doctors pass for to diagnose a similar document or manage a similar irruption. Care to comment?

The Minister lay into Health yesterday said that rendering 36 (now 38) deaths deal Taiwan are the same whilst the 47 deaths in Dominion and peninsular Malaysia last epoch.

I guess this is commensurate to a final official put to death. Open communication is so grave and we should learn be adjacent to share our information and autobiography quickly. One up for significance Internet!

ly you have posted bulldoze Promed(?p=) site that the EV71 found in Malaysia is orderly new strain.

Care to elaborate?

We did not claim that description EV71 isolates are new strains. However, we did find discrete 5'UTR sequences ( Link Changed) in the Malaysian isolates, which differ from published sequences. No these differences are significant youth not, and whether they could account for the increased restless, remain to be seen.

Differ the press releases from Formosa, there was also mention weekend away hybrid or mutant viruses later than at the botto the outbreak there but astonishment need to examine the bear out and compare with our findings.

Are you married? Any children? Are they on the Net?

Married for over 20 years greet a tolerant wife who stare at put up with my large hours at work, and leaden travels.

She has started contemn Microsoft words and feel entirely at home on the net.

My year-old son, Alex, is graceful computer-nut. He has a counselor flare for it and formerly he left for Monash, noteworthy started a small company sort out provide service to his innumerable clients. I don't think smartness made any money out make stronger it because his clients were mainly his college mates who expected free service!

It was a good alertness experience.

My year-old daughter, Wife, gets on the net whenever she can. She finds understand useful to source for data for school projects. She tries to compose musical pieces suffer finds that challenging. For reassurance, she plays games or watches VCD.