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RESEARCHReferences1. Selvarangan R, Nzabi M, Selvaraju SB, Ketter P, Carpenter C,Harrison CJ. Human parechovirus 3 causing sepsis-likeillness in children from Midwestern United States.Pediatr Infect Dis J. 2011;30:238–42. http://dx.doi.org/10.1097/INF.0b013e3181fbefc82. Sharp J, Harrison CJ, Puckett K, Selvaraju SB, Penaranda S,Nix WA, et al. Characteristics of young infants in whom humanparechovirus, enterovirus or neither were detected incerebrospinal fluid during sepsis evaluations. Pediatr InfectDis J. 2013;32:213–6.3. Fischer TK, Midgley S, Dalgaard C, Nielsen AY. Humanparechovirus infection, Denmark. Emerg Infect Dis. 2014;20:83–7.http://dx.doi.org/10.3201/eid2001.1305694. Harvala H, Wolthers KC, Simmonds P. Parechovirus in children:understanding a new infection. Curr Opin Infect Dis. 2010;23:224–30. http://dx.doi.org/10.1097/QCO.0b013e32833890ca5. Guo Y, Duan Z, Qian Y. Changes in human parechovirus profilesin hospitalised children with acute gastroenteritis after a three-yearinterval in Lanzhou, China. PLoS ONE. 2013;8:e68321.http://dx.doi.org/10.1371/journal.pone.00683216. Khatami A, McMullan B, Webber M, Stewart P, Francis S,Timmers K et al. Sepsis-like disease in infants due to humanparechovirus type 3 during an outbreak in Australia. Clin InfectDis. 2015;60:228–36. http://dx.doi.org/10.1093/cid/ciu7847. Muscatello DJ, Churches T, Kaldor J, Zheng W, Chiu C,Correll P, et al. An automated, broad-based, near real-timepublic health surveillance system using presentations to hospitalemergency departments in New South Wales, Australia.BMC Public Health. 2005;5:141.8. Wolthers KC, Benschop KS, Schinkel J, Molenkamp R,Bergevoet RM, Spijkerman IJ, et al. Human parechovirus as animportant viral cause of sepsis-like illness and meningitisin young children. Clin Infect Dis. 2008;47:358–63.http://dx.doi.org/10.1086/5897529. Shoji K, Komuro H, Miyata I, Miyairi I, Saitoh A. Dermatologicmanifestations of human parechovirus type 3 infection in neonatesand infants. Pediatr Infect Dis J. 2013;32:233–6.10. Druce J, Tran T, Kelly H, Kaye M, Chibo D, Kostecki R, et al.Laboratory diagnosis and surveillance of human respiratoryviruses by PCR in Victoria, Australia, 2002–2003. J Med Virol.2005;75:122–9. http://dx.doi.org/10.1002/jmv.2024611. Nix WA, Maher K, Pallansch MA, Oberste MS. Parechovirustyping in clinical specimens by nested or semi-nested PCRcoupled with sequencing. J Clin Virol. 2010;48:202–7.http://dx.doi.org/10.1016/j.jcv.2010.04.00712. Papadakis G, Chibo D, Druce J, Catton M, Birch C.Detection and genotyping of enteroviruses in cerebrospinalfluid in patients in Victoria, Australia, 2007–2013. J Med Virol.2014;86:1609-13.13. Australian Bureau of Statistics. Estimated resident population(ERP) by region, age, and sex, 2001 to 2013 [cited 2014 Feb 24].http://www.abs.gov.au/.14. Benschop KS, Schinkel J, Minnaar RP, Pajkrt D, Spanjerberg L,Kraakman HC, et al. Human parechovirus infections in Dutchchildren and the association between serotype and diseaseseverity. Clin Infect Dis. 2006;42:204–10. http://dx.doi.org/10.1086/49890515. Lenski RE, May RM. The evolution of virulence in parasitesand pathogens: reconciliation between two competinghypotheses. J Theor Biol. 1994;169:253–65. http://dx.doi.org/10.1006/jtbi.1994.1146Address for correspondence: Germaine Cumming, 20 Wyuna Ave,Freshwater, NSW 2096, Australia; email: germainecumming@yahoo.comOutbreak of a NewStrain of Flu at a FairDr. Karen Wong, an EISofficer with the Centersfor Disease Control andPrevention, discusses herstudy about flu outbreaksat agricultural fairs.http://www2c.cdc.gov/podcasts/player.asp?f=86274641152 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015

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