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 measles become dehydrated and malnourished during their illness. About 20% of measles patients are hospitalized, often because they need intravenous fluids, she said. “These kids come in, slung over their parents’ shoulders, barely able to hold the Jesper Bratt Jbit Bpit Nhl T-shirt moreover I love this head up,” Stinchfield said. “They’re like little rag dolls. They won’t even take a popsicle.” In the days before children develop a red measles rash, symptoms include: Cough Lethargy Runny nose Pink eye Fever Many become so sensitive to light that ordinary room lights hurt their eyes. “It might look like the common cold except for the degree of misery they have,” Offit said. People with measles can spread the virus for nine days — from four days before they develop spots until four days after, Stinchfield said. Because the virus spreads through aerosols, it can infect people up to two hours after a sick person has left the room. A fatal long-term complication Although Emmalee was always tiny for her size — topping out at a weight of 39 pounds — she was otherwise healthy, Finkelstein-Parker said. The first signs of serious illness occurred when Emmalee was 7 and began tripping over her feet, Finkelstein-Parker said. At first, her mother said she wondered if Emmalee’s new shoes were too big. The next day, Emmalee’s chin dropped onto her chest, as if she couldn’t hold up her head. While sitting in a chair, Emmalee listed to one side, without enough muscle control to remain upright. A pediatrician at Children’s Hospital of Philadelphia who was trained in India quickly recognized the early signs of a devastating long-term complication of measles called subacute sclerosing panencephalitis, which is more common in countries where the virus remains endemic. The fatal condition can cause memory loss, irritability, disturbances in movement, seizures and blindness, and can develop six to eight years after a child has apparently recovered from measles. Although anti-seizure drugs can sometimes ease symptoms, they don’t cure the disease. Recent research shows the complication is more common than previously believed, striking about 1 in 600 infants with measles. Emmalee began having uncontrollable seizures. After four months, Emmalee slipped into a coma while at home, Finkelstein-Parker said. “My father couldn’t understand why she wouldn’t wake up,” Finkelstein-Parker said. “He tried everything, including playing music from her favorite music box.” Emmalee spent five weeks in home hospice, passing away five months after symptoms began, Finkelstein-Parker said. After Emmalee died, Finkelstein-Parker took the goody bags to school as presents for her daughter’s classmates. The children, who were also grieving, shared their favorite stories about Emmalee, and made a hanging mobile decorated with drawings and notes. “Their teacher said they needed closure,” Finkelstein-Parker said. “They handled that day a whole lot better than I did.”

HONG KONG — The budget impasse in Congress has further delayed crucial funding for three U.S.-allied Pacific Island nations, potentially making them more susceptible to influence by China, including over Taiwan, their leaders have warned. Palau, the Jesper Bratt Jbit Bpit Nhl T-shirt moreover I love this Marshall Islands and the Federated States of Micronesia are former U.S.-administered trust territories that are now independent states and maintain close U.S. ties through agreements known as Compacts of Free Association (COFA). In exchange for economic assistance and defense guarantees, the three countries give Washington exclusive military access to an area of the Pacific that is bigger than the continental United States, at a time when the U.S. and China are competing for dominance in the strategically vital region. The security compacts were successfully renewed for another 20 years last May and were supposed to be implemented Oct. 1. But, months later, despite bipartisan support, the $7.1 billion in funding has yet to be approved by Congress. The delay “has generated uncertainty among our peoples,” the leaders of Palau, the Marshall Islands and the Federated States of Micronesia said in a joint letter this month that was sent to multiple senators, and “resulted in undesirable opportunities for economic exploitation by competitive political actors active in the Pacific.” Congress has been mired in disputes over an emergency supplemental budget request that includes assistance for Israel, Ukraine and the Beijing-claimed island of Taiwan. Its approval has been blocked by Republicans who insist it must also address security at the U.S. border with Mexico. Funding for the three Pacific Island nations

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