China’s sudden surge in respiratory illness is caused by known pathogens and there is no sign of any new infectious disease, a Chinese health official indicated on Saturday as the country faces its first full winter since lifting of strict COVID-19 curbs. The spike in illness in the country where COVID-19 emerged in late 2019 attracted the spotlight when the World Health Organization sought information last week, citing a report on clusters of undiagnosed pneumonia in children. Chinese authorities will open more paediatric outpatient clinics, seek to ensure more elderly people and children receive flu vaccines and encourage people to wear masks and wash their hands, Mi Feng, an official with China’s National Health Commission, told reporters. Doctors in China and experts abroad have not expressed alarm about China’s outbreaks, given that many other countries saw similar increases in respiratory diseases after easing pandemic measures, which China did at the end of last year. The rise in cases became a global issue last week when the World Health Organization asked China for more information, citing a report on clusters of undiagnosed pneumonia in children by the Program for Monitoring Emerging Diseases. A Biden administration official said the United States was closely monitoring the uptick in respiratory illnesses in China, but added, “We are seeing seasonal trends. Nothing is appearing out of the ordinary. … At this time, there is no indication that there is a link between the people who are seeking care in US emergency departments and the outbreak of respiratory illness in China.” Maria Van Kerkhove, acting director of the WHO’s department of epidemic and pandemic preparedness and prevention, said earlier this week the increase appeared to be driven by a rise in the number of children contracting pathogens that they had avoided during two years of COVID-19 restrictions.