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In the UK, US and Europe If you would like John’s text books, (it is free to download the PDFs), use this link, http://159.69.48.3/ Acute hepatitis of unknown aetiology – the United Kingdom of Great Britain and Northern Ireland https://www.who.int/emergencies/disease-outbreak-news/item/acute-hepatitis-of-unknown-aetiology---the-united-kingdom-of-great-britain-and-northern-ireland WHO monitoring cases of hepatitis in children across UK Children up to 10 years Hepatitis viruses (A, B, C, E, D), excluded Six had liver transplants Scotland, 10 cases of severe acute hepatitis in children Scotland, 13 cases reported Rest of the UK, 74 cases England, 49 Wales and NI, 12 Ireland, 5 Spain, 3 (22-month-old to 13-year-old) Denmark Netherlands ECDC (European Centre for Disease Prevention and Control) https://www.euronews.com/next/2022/04/15/europe-on-alert-as-uk-investigates-mysterious-cases-of-severe-hepatitis-in-young-children Jaundice, vomiting, stomach problems muscle and joint pain fever nausea tired all the time general sense of feeling unwell loss of appetite localised pain dark urine pale, grey-coloured poo itchy Alabama https://www.medscape.com/viewarticle/972272 Cases, 9 Between 1 and 6 years old 2 liver transplants No epidemiological links so far Adenovirus 41 About half have tested positive No viral genetics as yet Known to cause hepatitis in immunocompromised More cases expected to report As of 11th April No hepatitis deaths recorded One epidemiologically linked case detected (patient contact with a sufferer or point source of infection) Dr Meera Chand, director of clinical and emerging infections, UK Health Security Agency investigate a wide range of possible factors which may be causing children to be admitted to hospital with liver inflammation known as hepatitis One of the possible causes that we are investigating is that this is linked to adenovirus infection However, we are thoroughly investigating other potential causes SARS-CoV-2 detected in several cases Officials stressed no link Covid-19 vaccine none of the children affected by hepatitis had received a jab Wating for Infections, chemicals, toxins Dr Chand Normal hygiene measures such as good handwashing, including supervising children, and respiratory hygiene, help to reduce the spread of many of the infections that we are investigating. We are also calling on parents and guardians to be alert to the signs of hepatitis, including jaundice, and to contact a healthcare professional if they are concerned

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