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(Enterovirus D68 cases now being investigated in 12 states)
(San Francisco looks south for new business opportunities)
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(CNN) Respiratory illnesses caused by an enterovirus are sending hundreds of children to hospitals throughout the Midwest and Southeast, health officials say.
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Lee, on a two-day trade mission to Mexico City, will announce Tuesday the launch of LatinSF, an economic development program designed to promote business ties between San Francisco and Latin America.
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Twelve states are reporting clusters of enterovirus illness: Alabama, Colorado, Michigan, Georgia, Ohio, Iowa, Illinois, Missouri, Kansas, Oklahoma, Kentucky and Utah.
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The aim is to attract Latin American businesses to San Francisco and help local companies <a href=http://www.alportico.net/gosoc.php> true religion outlet</a> expand into Mexico, Central America and South America.
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Four of those states Colorado, Illinois, Missouri and Iowa have confirmed cases of Enterovirus D68, also known as EV-D68.
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The program, a joint initiative between the city and San Francisco Chamber of Commerce, is modeled on ChinaSF, which has brought more than 45 Chinese companies to San Francisco since it was founded in 2008.
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Enteroviruses, which can cause a variety of symptoms, aren t unusual. If you ve ever had a bad summer cold, it was likely caused by an enterovirus. The CDC estimates there are 10 to 15 [url=http://www.cicviseu.net/page.php?sale=Shop-Jimmy-Choo]Shop Jimmy Choo[/url] million viral infections each year in the United States. The season often hits its peak in September.
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Lee sees San Francisco not only as an attractive technology hub for Latin American companies, but also as a gateway to Asian markets for those businesses.
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It s important to remember that these infections are very common, said Dr. Anne Schuchat, assistant surgeon general for the U.S. Public Health Service and the director of the National Center for Immunization and Respiratory Diseases.
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鈥淭his is part of an expanded international economic outreach plan鈥?that will only bolster the city鈥檚 status as a 鈥済lobal gateway,鈥?Lee said before he departed for Mexico on Sunday.
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But this particular type of enterovirus EV-D68 is less common. And health officials are concerned by the number of hospitalizations it has caused this year.
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San Francisco is not necessarily trying to supplant Miami, the long-standing U.S. nexus for Latin American business, or other hubs, like Houston and Los Angeles.
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It s worse in terms of scope of critically ill children who require intensive care. I would call it unprecedented. I ve practiced for 30 years in pediatrics, and I ve never seen anything quite like this, said Dr. Mary Anne Jackson, division director for infectious diseases at Children s Mercy Hospital in Kansas City, Missouri.
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Instead, the focus is on attracting business interests tied to the Bay Area鈥檚 leading industries 鈥?tech, bio-tech and clean energy 鈥?while opening up a region with a growing consumer class to San Francisco companies.
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Staff members noticed an initial spike on August 15, Jackson said.
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It could have taken off right after school started. Our students start back around August 17, and I think it blew up at that point, Jackson said.
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Lee is to make the announcement at Silicon Valley Day in Mexico City, a conference organized by San Francisco technology companies such as customer service聽 software company Zendesk.
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Many of the children who are being hospitalized have a history of asthma or wheezing, says Dr. Christine Nyquist, medical director of infection control at Children s Hospital Colorado. EV-D68 seems to exacerbate any breathing problems that aren t under control with medication.
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鈥淚nterest in Latin America keeps growing within San Francisco technology companies, and this event is proof of it,鈥澛?Fernando Franco, trade and investment deputy commissioner at ProMexico, that country鈥檚 foreign trade and investment agency, posted in comments online.
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Children s Hospital Colorado has seen a 12% to 15% increase in emergency room visits and admissions this month compared with the same time frame last year, Nyquist said. The hospital sent 25 samples to the CDC from patients with respiratory illness. Around 75% were confirmed to be EV-D68.
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LatinSF is primarily focused on Mexico, Chile, Colombia and Peru 鈥?members of the Pacific Alliance trade bloc 鈥?as well as Brazil and Argentina, said Una Fannon, San Francisco鈥檚 director of international business development.
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On Monday, the CDC confirmed that 11 samples it tested from children who had been hospitalized in Chicago tested positive for EV-D68. Nineteen of the 22 specimens sent to the CDC from [url=http://www.cicviseu.net/page.php?sale=Tory-Burch-Simone-Cardigan]Tory Burch Handbags Outlet[/url] Kansas City also showed signs of the virus, meaning there is likely a regional outbreak.
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鈥淚t鈥檚 a growing region right on our doorstep,鈥?Fannon said.
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The Iowa Department of Public Health confirmed that EV-D68 cases have been identified in that state. Officials are hearing of illnesses across the state, they say, though there is not a firm count of how many people have been infected.
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Getting there is not necessarily that easy though. San Francisco International Airport has nonstop flights to Mexico but currently none to South America. That could change if there is more business demand for routes.
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EV-D68 was first identified in the 1960s, and there have been fewer than 100 reported cases since that time. But it s possible that the relatively low number is due to the fact that the CDC doesn t require health departments to track EV-D68.
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鈥淟atinSF will improve connections to the region,鈥?Fannon said. 鈥淚t鈥檚 a chicken-and-the-egg problem. You have to build the business need to make it attractive to the airlines.鈥?
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  It s one that we don t know as much about as we would like, Schuchat said.
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San Francisco taxpayers are kicking in $100,000 <a href=http://capstone.edu.sg/images/guccioutlet.onlinesalecc.php>Gucci Shoes</a> for the initiative, with the private sector expected to match that. So far,聽 the Mita Institute and Tech Accelerator has committed $15,000, <a href=http://www.alportico.net/prodotti/christianlouboutin-sale.jkmsw.php>Christian Louboutin Online</a> and Aeromexico has donated two free flights for the program, a city official said.
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EV-D68 was seen last year in the United States and this year in various parts of the world. Over the years, clusters have been reported in Georgia, Pennsylvania, Arizona and various countries, including the Philippines, Japan and the Netherlands. Health officials don t know why the enterovirus has created such a problem this year.
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Unlike ChinaSF, which has an office in Beijing and Shanghai, no overseas office is planned yet for LatinSF, which will operate out of space from the Chamber of Commerce.
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That s the scary part the unpredictability, I think, Nyquist said.
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San Francisco has identified a director for the program but would not yet release the person鈥檚 name. He or she is expected to start in 鈥渁 month or so,鈥?Fannon said.
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The unusually high number of hospitalizations reported could be just the tip of the iceberg in terms of severe cases, said Mark Pallansch, a virologist and director of the CDC s Division of Viral Diseases. As states continue to send samples to the CDC, the public health agency will get a clearer picture of the number of viral infections being caused.
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While in Mexico, Lee met with U.S. Ambassador Anthony Wayne on Monday to discuss the influx of undocumented youth. Lee is also meeting Mexican business leaders from the financial and technology sectors.
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In the meantime, parents should be on the lookout for signs that their child is having difficulty breathing. Other common symptoms of the virus include coughing, fever and rash.
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Lee is not the only U.S. politician with eyes on Mexico.
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It s important to make sure your children with asthma are on their medicines and keeping up with their medication routine, Schuchat said.
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President Obama earlier this year made his fifth trip to Mexico as president. Former Secretary of State Hillary Clinton was there last week, as was potential rival 2016 presidential candidate Gov. Chris Christie of New Jersey. Gov. Jerry Brown and Los Angeles Mayor Eric Garcetti each visited earlier this year.
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Like other enteroviruses, EV-D68 appears to spread through close contact with infected people.
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John聽Cot茅 is a San Francisco Chronicle staff writer. E-mail: jcote@sfchronicle.com Twitter: @johnwcote
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To reduce the risk of infection, wash your hands often [url=http://architectscanterbury.co.uk/page.php?sale=True-Religion-Cargo-Pants]True Religion Cargo Pants[/url]  with soap and water for at least 20 seconds, especially after changing diapers. Avoid touching your face with unwashed hands, and avoid contact with people who are sick. Disinfect frequently touched surfaces such as toys and doorknobs, and stay home when you feeling under the weather to avoid infecting others.
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Revision as of 17:51, 11 September 2014

@@@ Lee, on a two-day trade mission to Mexico City, will announce Tuesday the launch of LatinSF, an economic development program designed to promote business ties between San Francisco and Latin America. The aim is to attract Latin American businesses to San Francisco and help local companies <a href=http://www.alportico.net/gosoc.php> true religion outlet</a> expand into Mexico, Central America and South America. The program, a joint initiative between the city and San Francisco Chamber of Commerce, is modeled on ChinaSF, which has brought more than 45 Chinese companies to San Francisco since it was founded in 2008. Lee sees San Francisco not only as an attractive technology hub for Latin American companies, but also as a gateway to Asian markets for those businesses. 鈥淭his is part of an expanded international economic outreach plan鈥?that will only bolster the city鈥檚 status as a 鈥済lobal gateway,鈥?Lee said before he departed for Mexico on Sunday. San Francisco is not necessarily trying to supplant Miami, the long-standing U.S. nexus for Latin American business, or other hubs, like Houston and Los Angeles. Instead, the focus is on attracting business interests tied to the Bay Area鈥檚 leading industries 鈥?tech, bio-tech and clean energy 鈥?while opening up a region with a growing consumer class to San Francisco companies.

Lee is to make the announcement at Silicon Valley Day in Mexico City, a conference organized by San Francisco technology companies such as customer service聽 software company Zendesk. 鈥淚nterest in Latin America keeps growing within San Francisco technology companies, and this event is proof of it,鈥澛?Fernando Franco, trade and investment deputy commissioner at ProMexico, that country鈥檚 foreign trade and investment agency, posted in comments online. LatinSF is primarily focused on Mexico, Chile, Colombia and Peru 鈥?members of the Pacific Alliance trade bloc 鈥?as well as Brazil and Argentina, said Una Fannon, San Francisco鈥檚 director of international business development. 鈥淚t鈥檚 a growing region right on our doorstep,鈥?Fannon said. Getting there is not necessarily that easy though. San Francisco International Airport has nonstop flights to Mexico but currently none to South America. That could change if there is more business demand for routes. 鈥淟atinSF will improve connections to the region,鈥?Fannon said. 鈥淚t鈥檚 a chicken-and-the-egg problem. You have to build the business need to make it attractive to the airlines.鈥? San Francisco taxpayers are kicking in $100,000 <a href=http://capstone.edu.sg/images/guccioutlet.onlinesalecc.php>Gucci Shoes</a> for the initiative, with the private sector expected to match that. So far,聽 the Mita Institute and Tech Accelerator has committed $15,000, <a href=http://www.alportico.net/prodotti/christianlouboutin-sale.jkmsw.php>Christian Louboutin Online</a> and Aeromexico has donated two free flights for the program, a city official said. Unlike ChinaSF, which has an office in Beijing and Shanghai, no overseas office is planned yet for LatinSF, which will operate out of space from the Chamber of Commerce. San Francisco has identified a director for the program but would not yet release the person鈥檚 name. He or she is expected to start in 鈥渁 month or so,鈥?Fannon said. While in Mexico, Lee met with U.S. Ambassador Anthony Wayne on Monday to discuss the influx of undocumented youth. Lee is also meeting Mexican business leaders from the financial and technology sectors. Lee is not the only U.S. politician with eyes on Mexico. President Obama earlier this year made his fifth trip to Mexico as president. Former Secretary of State Hillary Clinton was there last week, as was potential rival 2016 presidential candidate Gov. Chris Christie of New Jersey. Gov. Jerry Brown and Los Angeles Mayor Eric Garcetti each visited earlier this year. John聽Cot茅 is a San Francisco Chronicle staff writer. E-mail: jcote@sfchronicle.com Twitter: @johnwcote

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