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The Chinese Foreign Ministry said Thursday that China would be willing to help the United States uncover the causes of the mystery illness, saying it took its obligations to protect diplomats seriously.

"If you or members of your family experience any unusual, unexplained physical symptoms of events, auditory or sensory phenomena. please contact your health care provider", the alert said.

A USA medical team is also on the ground in Guangzhou doing initial evaluations to see if more people need to be sent home, the Associated Press has reported.

The mystery illness, apparently caused by unexplained sounds heard in diplomats' homes in China, appears similar to a series of cases that struck US and Canadian diplomats and their families in Cuba beginning in late 2016.

"They knew full well it wasn't", Lenzi told the New York Times, relaying that over the previous year he and his wife had experienced physical symptoms, including headaches, sleeplessness, and nausea, and on four occasions they had heard odd noises.

The State Department, which reported the latest medical evacuations on Wednesday, has not accused any particular country or organisation of being behind the latest incidents.

The alert, posted on the department's website, said those who suspected they had such symptoms should not try to locate the source of any "unidentified auditory sensation" and should seek medical care as soon as possible. "As a result of the screening process so far, the Department has sent a number of individuals for further evaluation and a comprehensive assessment of their symptoms and findings in the United States".

The nationwide alert advises USA personnel to contact a doctor if they experience unusual or unexplained physical symptoms.

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The State Department said Wednesday that the United States has evacuated several more of its workers out of China after medical testing revealed they might have been affected by unexplained health incidents that have hurt US personnel in Cuba and China.

A US official, who wasn't licensed to debate the state of affairs publicly and requested anonymity, mentioned the evacuated American authorities employees had been being introduced from China for testing to the College of Pennsylvania.

The people suffering from these symptoms have been treated by brain injury specialists at the University of Pennsylvania, who reported in the medical journal JAMA that they found cognitive, balance, and oculomotor abnormalities in most of the group from Cuba.

Asked about the latest incidents, Chinese Foreign Ministry spokeswoman Hua Chunying said the USA had not formally raised the matter with Beijing.

In April, Canada also ordered families of diplomatic staff in Cuba to return home after mysterious health symptoms were detected in 10 Canadians stationed there.

On Tuesday, Secretary of State Mike Pompeo announced the launch of The Health Incidents Response Task Force, which had been created to respond to the unexplained ailments, including testing workers and families at the Guangzhou consulate. Friday, it widened the alert to cover US diplomatic staff in all of China. The Guangzhou consulate opened months after the establishment of diplomatic relations between Beijing and Washington in 1979 and moved to its new purpose-built facility in 2013. It is also the only USA diplomatic installation in China authorised to process immigrant visas and handle adoptions.

Aled Williams, a British instructor at a kindergarten mentioned Thursday that the experiences sounded "sci-fi-ish".

"It's very unusual. But I don't feel that there's something to be very afraid of because it's probably a very special case", Chen said.