今天連續三篇醫療雜誌不約而同地都報導Vit D與COVID-19的關係： 一.WebMD. 更多維生素D，降低嚴重COVID-19的風險？ 這個故事於2020年10月27日更新，其中包含有關維生素D和COVID-19的新研究。 2020年5月18日-如果您感染了COVID-19 ，那麼健康的血液中維生素D的含量是否可以幫助您避免重症監護病房和死亡？ 更多研究表明，“陽光維生素”可能在您的病情嚴重程度中起作用。 芝加哥西北大學生物醫學工程和醫學教授瓦迪姆•貝克曼（Vadim Backman）博士說，儘管這些研究並不能證明因果關係，但“這些研究支持維生素D可能預防COVID並發症的觀點。”維生素D缺乏與不同國家死亡率差異之間的聯繫。 最新研究中： ．在住院的200例COVID-19患者中，有80％以上患有維生素D缺乏症。維生素D水平較低的患者血液中的炎症標誌物水平也較高。但是研究人員發現低D水平與疾病嚴重程度之間沒有聯繫。 ．西班牙研究人員 測試了維生素D處方藥如何影響COVID住院患者。在接受該治療的50名患者中，只有一名需要重症監護病房（ICU），並且沒有人死亡。在26位未服用維生素的患者中，有13位需要加護病房，其中2例死亡。 ．美國研究人員評估了235例因COVID入院的患者的血液樣本，然後對其進行跟踪以了解其進展情況。維生素D水平適當的患者不太可能失去知覺或死於COVID。（該研究發表後，期刊編輯發表了“擔憂的表情”，質疑樣本量是否足夠大以及如何對數據進行分析。該研究的作者，波士頓大學維生素D研究人員Michael Holick，醫學博士以促進維生素而聞名，並確認需要進行更大的研究。） 將會有更多的研究。倫敦瑪麗皇后大學的研究人員正在啟動Coronavit（為期6個月的研究），該研究將招募5,000人，看看高劑量維生素D是否可以減少冬季呼吸道感染，包括COVID-19。 臨床試驗Trial.gov上列出了其他31項研究。並不是所有人都在招募。 專家說，當免疫系統反應過度並開始攻擊人體自身的細胞和組織時，健康的血液中維生素D的水平可以通過幫助COVID-19的人避免細胞因子風暴來提供生存優勢。 同時，有人說服用維生素作為預防措施沒有害處。 波士頓附近的馬薩諸塞州紐伯里波特市38歲的傑基•威爾科克斯（Jackie Wilcox）說：“我覺得如果現在有什麼事情可以支持我們的身體，我將全力以赴。” 她的家人，包括她的丈夫和兩個孩子，每天都在補充營養。 研究人員如何開始研究維生素D？ 當陽光照射到您的皮膚時產生的維生素D具有許多其他好處，例如骨骼健康。在某些食品和補品中也可以找到它。 當COVID-19大流行開始升級時，西北研究人員Backman說他想提供幫助，但不確定如何做。他說：“還有幾個謎團尚未解決。” 一個是國家之間死亡率的差異。 因此，他的團隊在研究了COVID死亡率差異的可能解釋後，對中國，法國，德國，意大利，伊朗，韓國，西班牙，瑞士，英國和美國的醫院和診所的數據進行了統計分析。 -19，例如衛生保健質量，人口年齡，測試率和不同病毒株的變化，沒有任何變化。 維生素D在調節免疫系統中的作用，包括其抑制危險的細胞因子產生的潛在能力，是眾所周知的。在1918-1919年的流感大流行中，陽光和維生素D與降低死亡率有關。 因此，當有關細胞因子風暴在COVID-19中的作用的研究出現時，Backman的研究小組將更多精力集中在維生素D水平的作用上。 他們根據維生素D缺乏症與C反應蛋白或CRP（嚴重COVID-19的替代標誌物）之間的潛在聯繫，估算了維生素D與嚴重COVID-19之間的關聯。他說，這些蛋白質是肝臟響應炎症而產生的，以減輕感染的損害。 他們估計，維生素D缺乏的患者中約有17％會感染嚴重的COVID-19，但維生素D水平健康的患者中只有約14％。Backman說，差異具有統計意義。他說：“實際上多少會降低死亡率，我們不知道。”因為這些數字是基於統計模型得出的。 尋找維生素D鏈接的其他研究 在最近的研究中，發現維生素D水平與COVID-19的嚴重程度之間存在聯繫： ．英國的研究人員評估了20個歐洲國家的平均維生素D水平和COVID-19病例數以及死亡率。英國國王伊麗莎白女王醫院基金會信託基金研究和創新負責人彼得•克里斯蒂安•伊利醫學博士說，人口中平均維生素D血液平均水平較低的國家的COVID-19病例和死亡人數更高。 ．在西北大學，研究人員使用建模方法估算出，維生素D缺乏者中有17％會發展為嚴重的COVID-19感染，而維生素D水平卻只有14％。他們根據維生素D缺乏症與C反應蛋白或CRP（嚴重COVID-19的替代標誌物）之間的潛在聯繫，估算了維生素D與嚴重COVID-19之間的關聯 ．在一項小型研究中，路易斯安那州和得克薩斯州的研究人員評估了20例因COVID-19住院的患者，發現入住ICU的患者中有11名維生素D缺乏，但是只有4名不需要ICU的患者。 ．印尼研究人員評估了780例記錄在案的COVID-19病例，發現大多數死亡的患者維生素D水平低於正常水平。 ．愛爾蘭研究人員分析了歐洲人口研究和維生素D含量，發現維生素D缺乏症高發國家的COVID-19死亡率也更高。這些研究人員要求政府提高維生素D的建議。 COVID-19之前研究 維生素D的益處 儘管關於維生素D和COVID-19的早期研究才剛剛開始，但其他研究發現維生素D補充劑可以幫助降低呼吸道感染的風險。研究人員回顧了1918-1919年的流感 大流行後，發現具有健康維生素D血液水平的患者死亡的可能性較小。 加利福尼亞杜阿特癌症中心希望之城糖尿病免疫學系主任巴特•羅普博士說，將維生素D水平與COVID-19細胞因子風暴聯繫起來的研究尚處於初期階段，但這並不令人驚訝。他說，維生素D是“談判者”，因為“它不抑制免疫系統，而是調節免疫系統。維生素D使免疫細胞的炎症減少。” 雖然研究發現低維生素D可能會影響COVID-19的嚴重程度，但尚不知道將維生素D恢復至正常水平是否會有助於治療。沒有人可以肯定地說擁有健康的維生素D水平可以幫助您避免這種病毒。 菲律賓東南大學的一位研究人員評估了212名被診斷為COVID-19的人的維生素D血液水平，發現處於危急狀況的人維生素D最低，而感染較輕的人維生素D最高。他的論文的結論（未經同行評審）是，補充劑“可能會改善感染COVID-19的患者的臨床結局”。 英國研究員Ilie說：“我們已經知道，骨骼健康需要它。” “正在等待有關維生素D和COVID-19的證據-我怎麼說-證據來不及提供幫助可能太遲了。” 但是並非所有人都同意維生素D可能對馴服COVID-19有用。循證醫學中心的研究人員於5月1日對證據進行了“快速審查”，得出結論：“沒有證據表明維生素D缺乏會誘發COVID-19，也沒有補充預防或預防維生素的研究。治療COVID-19。” 研究人員還說，儘管某些人群中維生素D含量低的風險與高風險人群中獲得COVID-19的風險存在“重疊”，包括老年人，有色人種和慢性病患者，但這些關聯沒有證明。 在最近的一項同行評審研究中，研究人員對超過348,000人（包括449名確診COVID-19的人）進行了評估，他們發現維生素D水平與感染風險之間沒有聯繫，也沒有解釋種族感染差異的聯繫。 有關維生素D的更多信息 簡單的驗血可以檢測您的維生素D水平是否健康或不足。甲水平需要的每毫升20納克或以上，以保持骨健康; 低於12毫微克/毫升稱為缺陷。 維生素D還有助於調節細胞生長和減輕炎症。一些研究表明它可以幫助預防和治療糖尿病，高血壓和血糖問題，但美國國立衛生研究院認為這項研究並不明確。 為了維持健康的血液中維生素D水平，醫學研究所建議1歲以下的兒童每天攝入400國際單位（IU）的維生素D，1至70歲的人們則攝入600 IU。70歲以上的人每天應獲得800 IU。 很少有食物中天然存在維生素D ，但可以將其添加到其他食物中，也可以作為補充食品。三盎司煮熟的鮭魚有570 IUs，而三盎司虹鱒魚有645 IU。一杯2％維生素D強化的牛奶有120 IU。 但是，在大流行期間，採取更多措施可能是明智的選擇，馬里蘭大學醫學院教授，布萊根婦女醫院預防醫學科主任喬安•曼森（JoAnn Manson）博士說。她在今年早些時候告訴Medscape： “建議的維生素D的飲食津貼為每天600-800 IU，但在此期間，每天含有1,000-2,000 IU的維生素或多種維生素的補充是合理的。” 現在，曼森（Manson）正在啟動一項臨床試驗，以觀察每天補充4周維生素D是否會減少新診斷出COVID的患者住院和/或死亡的風險。她還在研究服用這種藥物是否會減少他們最親密的家庭接觸者的感染風險。參與者在2天之內每天需要9600 IU，然後在第3到28天要花費3200 IU。 專家說，每天服用50,000至60,000 IU可能會發生維生素D毒性。過多會導致血液中鈣的積聚，並伴有嘔吐，虛弱，排尿頻繁和心律不齊。 隨著COVID-19案件的增多，現年45歲的洛杉磯的Tracy A. Pearson是一名博士生和大學僱員，同時擁有法學學位，她開始研究除社交疏散和親身幫助外，還有哪些方法可以降低她的風險-洗滌。 她患有哮喘，正在接受藥物治療。她的肺部可能很脆弱。她說：“當我感冒時，我經常會得肺炎。” 她很快找到了維生素D-COVID-19研究，並與醫生討論了一下。 她過去的維生素D水平較低，並且每週服用50,000 IU即可恢復到健康水平，因此她的醫生在對她進行評估後，同意再次這樣做。因此，她每天開始服用比平常多的4,000 IU。她還採取其他預防措施，例如在丈夫處理外事時留在家裡。而且他每天還需要4,000 IU。 他們在整個大流行中都繼續這樣做。 皮爾森說：“我天生就是一個解決問題的人。” “我試圖弄清楚如何減輕[風險]。這並不是我進入研究時就想到了'維生素D'。” 二.Healthline. 新研究發現80％的COVID-19患者維生素D缺乏 ．一項針對216名COVID-19患者的新研究發現，其中80％的血液中維生素D水平不足。 ．該研究還發現，同時具有COVID-19和較低維生素D水平的人也具有較高的炎症標記物，如鐵蛋白和D-二聚體，這與較差的COVID-19結果有關。 ．另一項研究發現，維生素D水平充足的COVID-19患者死於疾病的風險降低了51.5％，並且並發症的風險顯著降低。 ．醫學專家的理論認為，儘管需要更多的測試，但對於某些人來說，維持足夠的維生素D水平可能有助於降低風險或從嚴重的COVID-19中恢復。 最近的研究可信來源發現維生素D缺乏與較高的COVID-19風險之間存在相關性。現在，另一項新研究發現了相同的現象-指出超過80％的COVID-19患者血液中沒有足夠的“陽光維生素”水平。 作為《臨床內分泌與代謝雜誌》上這項新研究的一部分，研究人員對西班牙一家醫院的216名COVID-19患者進行了研究。科學家將患者與另一個數據集的對照進行匹配。 所有的患者中，82.2％的人維生素d缺乏。 在這項研究中，男性的維生素D水平低於女性。 COVID-19和維生素D含量較低的人也具有較高的炎症標記，例如鐵蛋白和D-二聚體。那些已經已連結可信來源 COVID-19結果差。 維生素D缺乏者的高血壓和心血管疾病患病率更高。研究表明，他們還因COVID-19而住院時間更長。 霍恩海姆大學教授Hans Konrad Biesalski博士說，高血壓，糖尿病和肥胖症等合併症與低維生素D狀態有關，他評估了維生素D和COVID-19。 他告訴Healthline：“看來維生素D狀況不佳的患者可能患有更嚴重的COVID-19”。但是新的研究沒有發現這種關係。 維生素D和COVID-19的恢復 但是，除了維生素D水平與COVID-19風險之間的相關性外，許多人還在研究它如何保護人們或幫助他們從疾病中康復。 該研究的共同作者說：“一種方法是識別和治療維生素D缺乏症，尤其是在老年人，合併症患者和療養院居民等高危人群中，這些人群是COVID-19的主要目標人群。”西班牙桑坦德坎塔布里亞大學的何塞•埃爾南德斯（JoséL.Hernández）博士。 他說，患有COVID-19的高風險人群-老年人，患有潛在疾病的人群以及療養院的人們-可以使用維生素D治療。 ‘’在血液中循環的維生素D水平低的COVID-19患者中，建議維生素D治療，因為這種方法可能對肌肉骨骼和免疫系統都有有益的作用，”埃爾南德斯在一份聲明中說。 保護自己 許多美國人維生素d缺乏，根據以前的研究。這是全球性的健康問題，其他研究可信來源 筆記。 您是否應該檢查維生素D水平？服用補充劑是否足以保護自己，或者至少降低您獲得COVID-19的機會？ 研究維生素D並領導波士頓大學骨骼保健診所的Michael F. Holick博士說，《內分泌學會實踐指南》不建議對所有人進行篩查。 Holick告訴Healthline，合理地控制那些患有脂肪吸收不良綜合徵，肥胖症患者或其他醫療問題的人的維生素D水平。 內分泌學會建議，嬰兒每天應攝入400-1,000 IU，兒童每天應攝入600-1,000 IU，成人每天應攝入600-2,000 IU。所需的數量取決於您當前的水平或您是否嘗試提高它們。 Holick指出，肥胖的成年人可能需要增加2至3倍。 Biesalski同意，如果維生素D含量低，補充可能會有所幫助。 Holick解釋說，有幾篇出版物建議維生素D缺乏與上呼吸道感染（包括流感和冠狀病毒）的風險增加有關。 他的團隊的研究可信來源 在191,000名COVID-19陽性患者中，維生素D缺乏症使罹患該疾病的風險增加了54.5％。 Holick說：“在所有50個州和所有種族中都觀察到了這種情況。” 在 另一個小書房可信來源 Holick指出，維生素D水平足夠的COVID-19患者死於疾病的風險降低了51.5％，並發症的風險也大大降低了。 對於患有COVID-19的人，霍里克說，除非一個人患有罕見的疾病，例如結節病和其他肉芽腫性疾病，否則增加維生素D的攝入就沒有任何弊端。 根據文獻和他自己的經驗，按照內分泌學會的建議，兒童和成人合理攝取足夠量的維生素D有助於降低感染病毒的風險，並降低兒童或成人的發病率和死亡率。他說，它開發了COVID-19。 得克薩斯大學奧斯汀分校的兒科學教授史蒂文•艾布拉姆斯（Steven Abrams）博士指出，我們不知道維生素D對身體有預防作用。 他告訴健康熱線說：“非常低的維生素D狀態會帶來很多負面後果，COVID-19可能就是這種情況，但這與說常規補充維生素D可以預防嚴重感染並不相同。” 展望未來 需要更多的研究來更好地了解維生素D和COVID-19之間的聯繫。 已經有證據表明攝取足夠的維生素D可以調節免疫系統，從而實現最佳健康。霍利克說，知道與疫苗一起服用維生素D是否會提高疫苗的有效性將是很有趣的。 他說，比薩爾斯基想知道維生素A和D的平衡將如何影響疫苗的成功，正如針對流感和麻疹所顯示的那樣。 三.Medscape. 維生素D可以預防COVID嗎？我們之前被燒死了 2020年10月28日 在Medscape的冠狀病毒資源中心中找到最新的COVID-19新聞和指南 。 為了清楚起見，此成績單已經過編輯。 歡迎使用影響因子，這是您對新醫學研究的每週評論。我是耶魯大學醫學院的F. Perry Wilson博士。 我和維生素D有點愛恨交織的關係。 簡短搜索我的博客將顯示我如何質疑維生素D與多發性硬化症，腎臟疾病，精神分裂症，跌倒和童年受教育程度之間的關係。 因此，在COVID時代，維生素D再次出現也就不足為奇了。安東尼•福西博士（Anthony Fauci博士）在這次大流行期間曾有過清醒而負責任的聲音，報告了他個人使用維生素D的情況，這讓我很感興趣。維生素D也是特朗普在沃爾特•里德（Walter Reed）逗留期間收到的總統雞尾酒的一部分。 我決定在這裡研究數據。但是在我們這樣做之前，我想告訴你為什麼我天生對維生素D研究持懷疑態度。有兩個主要問題： 1.維生素D含量低與許多因素有關。維生素C缺乏會引起壞血病-很好。但是，低維生素D與從阿爾茨海默氏症到百日咳的一切因素都有關係。它既是世界上最重要的維生素，又是其他重要事物的替代品。 2.當我們通過隨機試驗測試了所有這些引人入勝的聯繫時，給了一些人維生素D和一些安慰劑，它們幾乎總是沒有效果。 我有點喜歡查理•布朗（Charlie Brown）在這裡踢足球。維生素D曾經燒過我們。幾個例子： 多項觀察性研究發現，維生素D含量較低的人更容易患上癌症和心血管疾病。這些都是不錯的研究，適合於適當的混雜因素-整個交易。 然後，我們進行了26,000名患者的隨機臨床試驗。兩種結果均無影響。 觀察性研究表明，低維生素D水平與糖尿病的發展有關。然後，我們進行了2400例糖尿病前期患者的試驗。補充維生素D無效。 觀察性研究發現，維生素D含量低與摔倒有關。在隨機試驗發現沒有這樣的效果。（不過，運動確實可以防止摔倒。） 維生素D是否能拯救生命？並不是的。該婦女健康倡議試驗隨機36000絕經後婦女維生素D與安慰劑並沒有看到生存利益。 我並不是說維生素D沒有用途，或者它的益處有限。隨機試驗很少像觀察數據那樣具有戲劇性。但是我想不出另一種在觀察數據和隨機數據之間有如此大的脫節的情況。 這是為什麼？ 因為您的維生素D水平是您生活類型的標誌，因此很難，真的很難適應。當然，您可以詢問人們獲得了多少陽光和運動，飲食有多變化，賺了多少錢，但是這些都是很鈍的工具。 好的。牢記所有這些，我們對COVID中的維生素D了解多少？ 就在本週，在《臨床內分泌與代謝雜誌》上，我們從西班牙進行了這項研究，發現在216名住院的COVID-19患者中，有80％缺乏維生素D。僅有40％的對照品缺乏。當然，這些控件沒有住院。實際上，還是生病了。 但是，好的，更好地學習。早在9月份，即截至10年前的記錄時，我們就從芝加哥進行了這項研究，結果表明，在489位接受過維生素D測試的患者中，維生素D缺乏症的患者患COVID-19的風險高1.77倍。 在PLOS One中進行的這項研究發現，在235名住院患者中，維生素D含量低於30 ng / mL的患者死亡率為20％，而維生素D含量較高的患者為9.7％。我應該指出，對於某些數據怪異，本文標記為“關注表達”。 好吧，所以我們進行了多次觀察性研究-安東尼•富奇（Anthony Fauci）大聲喊叫-說我們應該考慮維生素D。 為什麼不呢？很便宜 它具有相當不錯的副作用（儘管我的腎髒病專家擔心腎結石）。 但是當涉及到COVID時，與低維生素D水平相關的多種因素也與COVID-19感染和嚴重程度有關：年齡較大，BMI，黑人，貧困，合併症。從統計上適當地考慮所有這些東西真的很困難。 所以我對維生素D不太滿意。我希望進行一次隨機試驗。現在，我們有一個。二，如果你斜視。 來自西班牙的一項隨機試驗是該試驗。 一項小型研究（76例住院了COVID-19的患者）被隨機分配為2：1的維生素D +阿奇黴素+羥氯喹（不讓我開始服用）與阿奇黴素+羥氯喹的比例。維生素D組的50人中只有1人去了ICU。將其與非維生素D組的26種藥物中的13種進行比較。 維生素D組的死亡人數為零，非維生素D組的死亡人數為2。我應該注意，非維生素D組在基線時風險較高，患有糖尿病和高血壓的人群更多。但老實說，正是這種效果的大小令我感到驚訝。我的意思是將入ICU的風險從50％降低到2％？這只是一個驚人的數字。因此，我們處於以下情況：這是一種奇蹟藥物，還是我們不知道的研究存在問題？如今，奇蹟供不應求。 只是為了給該研究加些冷水，我們有一個仍在預印本中的研究，該研究使用孟德爾隨機法研究了維生素D是否可能與400,000多人的COVID嚴重性有因果關係。 在本研究設計中，您將遺傳上傾向於維生素D水平較低的人與非維生素D較低的人進行比較。這將生活方式的東西排除在外。有趣的是，遺傳上註定維生素D水平低的人不太可能因COVID-19住院或發生嚴重疾病。尚未經過同行評審，鹽粒等。 底線？我們知道維生素D水平低的人在COVID-19中有不良結果的高風險。我們仍然不知道補充維生素D是否會改變這種風險。這裡有一些希望，但是生活方式維生素早已燒傷了我們，因此請繼續謹慎使用400個國際單位。 F. Perry Wilson，醫學博士，MSCE，醫學副教授，耶魯大學應用翻譯研究計劃主任。他的科學傳播工作可以在《赫芬頓郵報》，NPR和Medscape上找到。他發了@methodsmanmd的推文，並在www.methodsman.com上託管了他的交流工作的資料庫。 參考文獻與資料： 1.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456194/ 2.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0240965 3.https://www.eurekalert.org/pub_releases/2020-10/qmuo-ctt101320.php 4.https://clinicaltrials.gov/ 5.https://www.webmd.com/vitamins/index 6.https://www.researchsquare.com/article/rs-21211/v1 7.https://www.medrxiv.org/content/10.1101/2020.04.08.20058578v4 8.https://www.webmd.com/diet/guide/vitamin-d-deficiency 9.https://imj.ie/vitamin-d-and-inflammation-potential-implications-for-severity-of-covid-19/ 10.https://www.bmj.com/content/356/bmj.i6583 11.https://pubmed.ncbi.nlm.nih.gov/20592793/ 12.https://www.sciencedirect.com/science/article/pii/S1871402120301156?via%3Dihub 13.https://clinicaltrials.gov/ct2/show/NCT04536298 14.https://www.webmd.com/lung/news/20200518/more-vitamin-d-lower-risk-of-severe-covid-19?ecd=wnl_cvd_102820&ctr=wnl-cvd-102820_nsl-LeadModule_cta&mb=hxEvbwELBF19ah1Iz%2fe9viGBU564IW3UVodLxPg2KGo%3d 15.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770157 16.https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa733/5934827 17.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3068797/ 18.https://www.healthline.com/health-new 19.https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa733/5934827 20.https://www.medscape.com/viewarticle/939759

Israel Revives COVID Restrictions As Cases Soar, Warns Of Possible Lockdown In September  BY TYLER DURDEN TUESDAY, AUG 03, 2021 - 10:25 PM Despite being the most heavily vaccinated country in the world, Israel has just imposed new restrictions on its population, and the body responsible for generating its COVID policies just admitted that a lockdown in September is no longer a remote possibility. Israel's coronavirus cabinet announced Tuesday night that starting Aug. 20, the country will revive its full green pass system. Starting Sunday, masks will be mandatory in all indoor and outdoor gatherings and even fully vaccinated parents responsible for caring for a child in quarantine will be demanded to isolate as well (for children 12 and under). Defense Minister Benny Gantz added: "We need to prepare the public and public opinion for a lockdown in September, which is a month in which the economic damage will be less, and accelerate the immunization effort to try to prevent it." Also on Tuesday, Gantz announced that an additional 1K reservists will be called back to support the ministry’s activities related to the pandemic. Soldiers are employed for several logistical activities. And an additional 500 medics are going to be recruited to assist the Health Ministry’s vaccination efforts. Less than a week has passed since the Israeli government announced it would start administering booster shots to people over age 60. And now that at least two European nations have said they're preparing to dole out booster shots, it's only a matter of time before Big Pharma gets its way in the US, leading to more sales for Pfizer and Moderna at newly inflated prices. 打了二劑還是要戴口罩 green pass 又如何？還得考慮封城！ 第三劑？ 昨夜風疏雨驟，試問疫中人 應是輝瑞肥荷包瘦！

轉po: 預估兩週潛伏期 Lancet論文統計指出 兩成 不發燒 七成 會咳嗽 症狀非常不典型！ 一週後發病 發病後一週 32% 加護病房 29% ARDS插管急救 15% 死亡終結 意思是 重症一半會死！ 機率大概 比六發子彈 直接開一槍的 俄羅斯輪盤低一些～ 中國官方還告訴大家沒事兒不要怕？！ 我身為 高雄榮總 急診一線醫師 加護病房主治醫師 我目前想不到有什麼其他比這個更嚴重更糟糕的傳染病了🙏 Lancet https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30183-5/fulltext

Professor, you said a lot of wonderful things about China, and surely they're doing a lot of things right. But how do you reconcile the fact that to make it work for China, it seems to be based on a high level of repression? Environmental destruction, censorship, a certain ideological stubbornness. I mean, we've spoken about Hong Kong, the Uighurs. How do you reconcile that, and do you think that's tolerable? Thank you. I'm really glad you asked that question, because your question captured very well the Anglo-Saxon media's perception of China. And I would suggest to you, very bluntly, that it's a distorted perspective of reality. Let's take the first word you use, repression. If the Communist Party of China only relied on repression to stay in power, it would not create the most dynamic economy in the world, right? It is by far the most dynamic economy in the world. It has delivered the fastest growing economy for 30 years. And it has done this by educating the Chinese people to a level and extent that the Chinese people have never been educated ever before. And you say it's repression? You obviously are taking the old Cold War mindset. I was in Moscow in 1976, and I saw repression in Moscow. And when I was in Moscow, the Soviet citizens were not allowed to travel outside the Soviet Union. That's repression. In the year 2019, 139 million Chinese left China freely. Guess what? Zero defectors. 139 million Chinese, right? That's twice the population of the UK, went back to China. So all your description, when you say environmental degradation, China's climate change policies are far more responsible than those of the United States, which has not once, but twice withdrawn from global environmental protocols. Kyoto Protocol, the Bush administration left eight years. Paris Accords, Trump administration left four years. And you know what? The reason why we're having climate change today is not because of new flows of greenhouse gas emissions from China and India. It's because of what the Western countries have put in the atmosphere since the Western Industrial Revolution. Get the data. The single largest contributor, cumulatively, right? It's number one, United States, number two, Europe, number three, China, right? And the West wants China to pay an economic price for the current flows, but the West doesn't want to pay an economic price for what it put in the atmosphere. You want to deprive the Indians of electricity when the United States could just, by the way, if the United States could impose a dollar a gallon tax, that would save the world. Cut down gasoline consumption, raise money for investment in green technology, simple solutions. And by contrast, the largest reforestation program in the world is carried out by China. It has already reforested an area the size of Belgium or bigger, right? So all your descriptions capture the natural distortions of China that you get in the Anglo-Saxon media, which violate the rules of the Enlightenment, which say that you must be rational, calm and objective, especially in understanding your adversary. And if the Chinese were as stupid and as incompetent as you describe them to be, don't worry about them. But I can assure you, you are now dealing with a far more intelligent and rational actor that doesn't fit any of the Anglo-Saxon categories that you applied to them. Please forgive my bluntness.

A Covid Update 新冠病毒最新資料 We have the latest on the Delta variant. 我們有最新Delta變型病毒有關的資訊。 By David Leonhardt Published June 14, 2021Updated June 15, 2021 It’s time for one of this newsletter’s occasional updates on the state of the pandemic. The brief version: The situation continues to look reassuring for anybody who is vaccinated — but has become more worrisome for anybody who is not, largely because of the Delta variant. 新聞簡報在這個時間點，要提供有關最新流行病的訊息：由於Delta變型病毒的緣故，目前的情境，對接種過疫苗者可以安心，但是對尚未施打疫苗者就要格外小心應對了。 Here are three more detailed points: 有三個重要的細節： 1. Cases are no longer falling 確診數不再下降 The news about Covid-19 has been mostly positive in the U.S. over recent months. The vaccines continue to work well against every variant, and the number of Americans who have gotten a shot continues to rise. 最近幾個月，美國面對新冠病毒流行病疫情的消息，是非常正面的。各種疫苗持續對抗每一種變型病毒，是有效的，同時美國施打疫苗的人數不斷上升。 But the U.S. still faces two problems. First, the pace of vaccinations has slowed, and a substantial share of Americans — close to one third — remains hesitant about getting a shot. These unvaccinated Americans will remain vulnerable to Covid outbreaks and to serious symptoms, or even death. 但美國仍要面對兩個問題，第一，接種疫苗的速度已減緩，美國人重要的施打人數的比例-將近1/3的美國人，對疫苗接種的遲疑猶豫，這些未接種的美國人，對新冠病毒的再度爆發，是最易受到攻擊和產生嚴重的症狀，甚至死亡。 Second, the Delta variant — which appears to be both more contagious and more severe than earlier versions of the virus — is spreading rapidly within the U.S., after having first been identified in India. It now accounts for about 10 percent of cases, according to Dr. Scott Gottlieb, a former F.D.A. commissioner. 第二，Delta變型病毒，較先前的病毒更易傳染和嚴重，在印度首次被認定後，在美國很快的傳播，目前有10%的確診數，依據美國前食藥局局長Dr. Scott Gottlieb表示。 Together, these two forces help explain why new cases have stopped falling: 上述兩種原因可以解釋為什麼新的確診數沒有停止下降：如圖 Many experts are concerned that cases will eventually start to rise as Delta becomes the dominant form of the virus. “We are vulnerable,” Dr. Kavita Patel of the Brookings Institution told Yahoo News. On Twitter yesterday, Dr. Robert Wachter of the University of California, San Francisco, wrote: “I’ll now bet we’ll see significant (incl. many hospitalizations/deaths) surges this fall in low-vaccine populations due to combo of seasonality, Delta’s nastiness, & ‘back to normal’ behavior.” 很多專家開始擔心，確診數將開始上升，當Delta成為主要的病毒形式漫延，我們會很容易受到攻擊，Brookings Institution的Dr. Kavita Patel告訴Yahoo新聞社，另外加州舊金山大學Dr. Robert Wachter昨天(6/15)在推特寫到：我敢打賭，今年秋天我們會看到在疫苗施打率低的地區，會有很多住院和死亡的案例飆升，由於季節的變化、Delta變型病毒的危險性和恢復正常生活習慣等因素所造成。 2. But the vaccines work 各種疫苗是有效的 In addition to being more contagious, Delta also appears to be more severe. As my colleague Keith Bradsher reports about southeastern China, where the variant has been spreading: “Patients are becoming sicker and their conditions are worsening much more quickly.” (China has more detailed data than many other countries, because it conducts rapid, widespread testing.) Delta除了傳染力強之外，它更為嚴峻，作者的同事Keith Bradsher報導了這類病毒在中國東南部的地方擴散：患者感覺不適而且很快的惡化。(中國比其它國家有更細節的資料，因為中國有實施快速普篩檢測) But there is still one very big piece of encouraging news: The vaccines continue to work extremely well against the variants, based on the evidence so far. The best performing vaccines vastly reduce the number of Covid cases of any kind and virtually eliminate death. 但在此還是有一些令人興奮的重要消息：依目前的證據顯示：各種疫苗持續對不同的變體病毒，有很好的防護能力。疫苗最佳的功能在於能大量減少各種的確診數和最終排除死亡。 “The Delta variant is by far the most contagious variant of this virus we have seen in the entire pandemic,” Dr. Ashish Jha said yesterday. “The good news is the data suggests that, if you’ve been fully vaccinated, you remain protected, that the vaccines hold up.” 目前的Delta變型病毒是整個流行病中，最會傳播感染的病毒，Ashish Jha醫生昨天(6/15)表示，好的消息資料顯示:假如你接種過完全的疫苗，你就會受到充份的保護。 The clearest place to see this pattern is Britain, where the Delta variant has spread widely and where the vaccination rate is high. In Britain, there is “still no sign of increase in deaths, well after the strain has become dominant,” as Dr. Eric Topol of the Scripps Research Translational Institute noted. 最顯而易見的地方，就是英國的案例，Delta變型病毒在英國廣泛的傳播，由於它的疫苗施打率高，當這新的病毒株在英國橫行時，並無發現死亡上升的跡象， the Scripps Research Translational Institute的Dr. Eric Topol特別提到。 3. The lesson is clear 這課題非常清楚 Nothing is more important than vaccination. 萬事莫如施打疫苗急 Persuading more Americans to get vaccinated will save some of their lives. And a more rapid global vaccination program can save millions of lives around the world. Delta already appears to be at least partly responsible for rising case counts in several African countries, Russia and elsewhere. 說服更多的美國人接種疫苗，可以拯救更多的生命，加速全球接種疫苗計畫，能拯救全世界數以百萬人以上的生命。Delta在一些非洲國家、俄羅斯和其它地區，已造成了許多確診的事實。 “If you’re fully vaxxed, I wouldn’t be too worried, especially if you’re in a highly vaxxed region,” Wachter wrote. “If you’re not vaccinated: I’d be afraid. Maybe even very afraid.” 假如你完全的接種過疫苗，作者就不會太憂慮，特別是在疫苗施打率高的地區，Wachter寫到，假如你尚未施打疫苗，作者就會很擔憂，甚至會更害怕。 More on the virus: Novavax announced today that a clinical trial of its vaccine in the U.S. and Mexico found an efficacy rate of about 90 percent. Novavax疫苗今天宣佈在美國和墨西哥所作的臨床實驗，證明有效保護力達90%。

Exactly, exactly. And the story behind the Intelligence League is a very simple one. After COVID ended up spreading around the United States and producing a gigantic domestic disaster, obviously, our intelligence services wanted to prove that they were not responsible for what happened, that they had provided the information to the top American leadership, which was just ignored. In other words, they wanted to get away from being blamed for the disaster. Therefore, four separate intelligence sources confirmed to ABC News that the secret report had been provided to the White House and our top leadership in November describing a potentially cataclysmic disease outbreak taking place in the city of Wuhan, China. The problem with it, the problem they ran into is then when somebody checked the timeline, they realized in November, there was no cataclysmic disease outbreak in Wuhan. At that point, according to all the available knowledge and retrospective evidence, probably a dozen or maybe 20 people were starting to feel a little bit sick in a city of 11 million. There was no way for any outside observer to possibly be aware of the disease outbreak at that point. In fact, the Chinese government itself only became aware of the outbreak at the end of December, six or seven weeks later. So naturally, the Pentagon immediately denied the existence of that report, said, you know, we don't care, four intelligence sources said that they produced the report, it never existed. However, a week later, Israeli television confirmed the existence of a report saying that report had been sent to Israel, it had been sent to all of our NATO allies in November, and it had been produced in the second week of November. Again, the second week of November was long before anybody in the world could have possibly been aware of the disease outbreak in Wuhan, except for the people responsible. It's fairly close to a smoking gun. It looks that way to me too. It's interesting, was it Esper they asked about this and he said, he said, I don't recall. Exactly. I mean, at that point, you know, again, it was an embarrassment that the report had been provided to these people and ignored until people realized that the dates proved that it was for knowledge of the outbreak in Wuhan. So in other words, it's one thing to have an embarrassment of the fact that the government ignored a report like that. It's another thing when the report proves who was responsible for the disease outbreak. And I mean, America, over the decades, America has spent $100 billion developing its bio warfare technology. America brought the Trump administration brought in Robert Cadillac, America's leading bio warfare expert in 2017. And in 2018, there was suddenly a mysterious viral epidemic that devastated China's poultry industry. In 2019, China's pig herds were annihilated. And then in late 2019, suddenly, the COVID epidemic brought up, which really raises all sorts of incredibly dark suspicions of what really happened. Do you think Trump's telling the truth that he wasn't in the loop? I definitely I don't doubt that the report might have been sent to Trump's desk. But I get the sense that Trump doesn't actually read a lot. And you have all these stories of, for example, Trump's senior officials hiding his own executive orders. He forgets about them. He would forget about them. And we were talking about administration that really was operating in a very strange way with the top figures in the administration running circles around the president ignoring the president. And I fully believe that Trump had absolutely no idea when COVID leaked back to the United States that it was an American bio warfare, bio warfare weapon that was coming to us. And that's the reason they ignored it. That's the reason his response was so lackadaisical. The perpetrators who actually were in the loop have somehow raised the alarm in such a way that the US could protect itself. Well, they did to some extent. I mean, for example, Robert Cadillac, again, our top bio warfare expert, from January to August 2019, Cadillac and his department ran something called the Crimson Contagion Exercise, in which federal and state officials in the United States planned out how they would ensure that if a mysterious virus, viral epidemic, mysterious respiratory virus suddenly appeared in China, that they would prevent it from devastating America and leaking back into China. Eight months they did it, and the virus of exactly that type suddenly appeared in China a couple of months after the end of that exercise. Now, as it turned out, the training obviously was insufficient. That's the understatement. It shows that the people involved in launching the attack against China.

​​許多完全接種了covid疫苗的人現在都失明了 我們聽說了很多關於注射後心肌炎和心包炎的案例，以及接受者即使在註射後仍反複檢測出病毒“陽性”。但是，武漢冠狀病毒（COVID-19）的“完全接種疫苗”中還有另一個很少被提及的副作用：失明。 英國的最新數據表明，越來越多的人正在失去視力。藥品和保健品監管機構 (MHRA) 黃卡系統目前顯示，在被輝瑞-BioNTech 針刺傷的人群中，有 163 例完全失明，另外還有 6 例中心視力喪失和 4 例突然視力喪失。 據報導，現在還有 21 人患有由輝瑞注射液特別引起的“暫時性失明”。這種不良反應包括一次視覺障礙或一隻眼睛失明幾秒鐘甚至幾分鐘。 據報導，除此之外還有 20 人患有稱為“單側失明”的反應，即一個人僅一隻眼睛失明或視力模糊。 “截至 2022 年 4 月 6 日，總共有 8,016 例眼部疾病被報告為對輝瑞 (Pfizer) 疫苗的不良反應，”《每日曝光》報導。 僅僅為了感覺“受到保護”免於感冒而失明是否值得？ 阿斯利康（AstraZeneca）注射劑是目前英國可用的 COVID 刺針之一，它也與失明病例有關。 截至 4 月 6 日，MHRA 已收到 324 例失明報告，3 例中心視力喪失報告，5 例突發視力喪失報告，以及 14,895 例眼部疾病中的 29 例短暫失明報告，所有這些都與阿斯利康針頭有關。 Moderna 還在英國對人們進行了​​刺激，儘管速度比上述公司小得多。儘管如此，許多服用 Moderna 針的人現在也失明了。 MHRA 顯示，與 Moderna 注射劑一起，已有 34 例失明報告和 56 例視力障礙報告。總共有 1,519 例眼部疾病被報告為對 Moderna 刺拳的不良反應。 “總的來說，當包括未指定疫苗品牌的不良反應時，有 24,516 種眼部疾病報告為對 Covid-19 注射劑的不良反應，其中 525 種反應是完全失明，”Expose 報導。 “‘事實核查人員’與當局一道，一直在調查這些數據，並將其標記為不可靠。他們的理由是，‘僅僅因為有人在接種疫苗後報告了這一事件，並不一定意味著它是由於疫苗造成的。’” 一位名叫路易斯的人在推特上記錄了他妻子的故事，她在接受阿斯利康 (AstraZeneca) 刺戳後的幾周和幾個月內，左眼完全失明，右眼失明 30-60%。 治療這名婦女的神經科醫生警告她不要注射第二劑。 “正如你所看到的那樣，事實核查人員無視‘不一定是疫苗的錯’而忽視的痛苦，對於報告他們的人來說是非常真實的，”Exposé 補充道。 “但為什麼 COVID 疫苗會導致人們失明呢？” 答案可能與 COVID 疫苗也會引起包括中風在內的主要心血管問題有關。視力喪失通常伴隨著中風，所以這一切都開始變得有意義了。 加入並分享👉@NaturalNewsMedia ​​Many people fully vaccinated for covid are now going BLIND We have heard all about the many cases of myocarditis and pericarditis post-injection, as well as recipients repeatedly testing “positive” for the virus even after doing the deed. But there is another concerning side effect occurring in the “fully vaccinated” for the Wuhan coronavirus (COVID-19) that is rarely mentioned: blindness. The latest data out of the United Kingdom suggests that a growing number of fully jabbed people are losing their eyesight. The Medicines and Healthcare products Regulatory Agency (MHRA) Yellow Card system currently shows 163 cases of total blindness among people who got jabbed with the Pfizer-BioNTech needle, along with an additional six cases of central vision loss and four cases of sudden visual loss. Twenty-one people also reportedly now suffer from “blindness transient” specifically caused by the Pfizer injection. This adverse reaction involves visual disturbance or loss of sight in one eye for a few seconds or even minutes at a time. Another 20 people beyond that are reported to have suffered from a reaction called “unilateral blindness,” which is when a person got blind or blurred vision in just one eye. “In total, there have been 8,016 eye disorders reported as adverse reactions to the Pfizer jab as of 6th April 2022,” reported the Daily Exposé. Is it worth possibly going blind just to feel “protected” against a cold? The AstraZeneca injection, which is one of the COVID jabs currently available in the U.K., is also linked to cases of blindness. As of April 6, the MHRA has received 324 reports of blindness, three reports of central vision loss, five reports of sudden visual loss, and 29 reports of blindness transient among 14,895 eye disorders, all specifically linked to the AstraZeneca needle. Moderna also jabs people in the UK, though at a much smaller rate than the aforementioned companies. Still, many people who take the Moderna needle are now blind as well. The MHRA shows that in conjunction with the Moderna injection, there have been 34 reports of blindness and 56 reports of visual impairment. In total, there have been 1,519 eye disorders reported as adverse reactions to the Moderna jab. “In all, when including adverse reactions reported where the brand of vaccine was not specified, there have been 24,516 eye disorders reported as adverse reactions to the Covid-19 injections, with 525 of these reactions being complete blindness,” the Exposé reported. “‘Fact-checkers’ alongside authorities have been on the case to sweep this data under the carpet and have labelled it as unreliable. Their reasoning is that ‘just because someone reports the event after having the vaccine, it doesn’t necessarily mean it is due to the vaccine.'” One person who goes by the name of Louis documented on Twitter the story of his wife, who in the weeks and months following her AstraZeneca jab went completely blind in her left eye and between 30-60 percent blind in her right eye. The neurologist who treated the woman warned her not to get the second dose of the shot. “As you can see the misery which the fact checkers are disregarding as ‘not necessarily the fault of the vaccine’ is very real for the people who are reporting them,” the Exposé added. “But why are the COVID vaccines causing people to go blind?” The answer could have to do with the fact that COVID vaccines also cause major cardiovascular problems, including stroke. Visual loss often accompanies stroke, so it is all starting to make sense. Join and share 👉@NaturalNewsMedia

轉分享： 這是中研院生醫所所長郭沛恩院士 (他也是UCSF 教授）寫給前副總統陳健仁及時中部長，関於目前COVID-19 的一些建議，希望政府能夠接納。 Dear VP Chen, Hope that things are going well. I just completed my 9th quarantine after my 9th trip to Taipei during the pandemic and see that the Omicron variant of COVID-19 is now firmly established in Taiwan. While the CECC is moving quickly to address the widening spread of COVID-Omicron and is heading in the right direction, I find that the current policy is unsustainable and the messaging can be much improved. Since I was told that the CECC would welcome my suggestions, I have decided to do so. Please forward this message to the CECC for their consideration. 1. It is now very clear that COVID-Omicron is a very different disease than COVID-ALPHA/BETA/DELTA. Current vaccines are developed from COVID-ALPHA and cannot prevent INFECTION by COVID-Omicron even though they lower significantly the risk of SEVERE DISEASE and DEATH for those who are fully vaccinated and received booster shots recently. In addition, COVID-Omicron is highly contagious and has a very short incubation time; but it causes a milder disease, including shortened disease course and contagious period. 2. Because of the above, contact tracing does not work and avoiding infection is futile except one is in strict isolation or wears a PROPERLY FITTED N95 mask around others (see a very nice article about this in the NYT attached). This means that COVID testing in asymptomatic people is a waste of resources and is justified only in a limited set of situations (such as someone who works closely with vulnerable populations - e.g., nursing home and hospital workers - who has been in close contact with a positive case and needs to test negative to return to work). 3. Although the rate of hospitalization and death due to COVID-Omicron is low, when large populations are infected, the number of severe cases and severe disease is still significant (0.4% of 23 million people hospitalized = 92,000 in the hospital; 0.04% of 23 million people can die = 9,200 deaths) so the key is to keep the vulnerable people from developing severe disease. Medications used for COVID-ALPHA/BETA/DELTA variants such as antibody treatments and Remdesivir, etc., do not work for COVID-Omicron but the oral antivirals from Pfizer and Merck work amazingly well for preventing death (>85% reduction) and hospitalization. Paxlovid has done better in clinical trials to prevent hospitalization but it has many drug-drug interactions so many elderly people cannot use it. Molnupiravir has the theoretical risk of mutagenesis in pregnant women but for the elderly who are past reproductive age, it is a very safe and effective drug to use. I encourage the CECC to contact their counterparts in Japan, Singapore, Israel and the UK to get their experience in using these two oral anti-virals in the recent COVID-Omicron surge. [Full Disclosure: Dr. Dean Li, President of Merck Research Laboratories, is my brother-in-law so I am not pushing the Merck pill for obvious conflict of interest reasons.] Based on the above, my suggestions on messaging are: 1. Tell the country that COVID-Omicron is an entirely different disease than the previous COVID variants so the whole country IS NOT IMMUNE to getting the infection. However, through the sacrifice and cooperation of everyone in Taiwan, the country succeeded in preventing disease and death during the previous waves of infection that caused a lot of problems around the world. This is shared success that the CECC and everyone in Taiwan should take credit, be proud of, and very relieved by. 2. Despite the fact that no one is protected from infection, but because COVID-Omicron is mild, public health policy needs to be adjusted to focus on treating the vulnerable rather than preventing infection of all. 3. Acknowledge that some segments of society have been severely affected by COVID policies so the recovery of these sectors is taken in consideration in updating the public health policy. 4. Acknowledge that some COVID policies were confusing to the public in the past so the new policies will be more consistent and logical. For example, the policy of requiring masking outdoors while people eating at restaurants indoors are not required to mask makes no sense. My suggestions for the new policy are geared towards lowering hospitalization and death rates while avoiding unnecessary disruptions in people's lives: 1. Push vaccination for vulnerable groups (the elderly and those with pre-existing conditions that make them more prone to severe disease). Send vaccination nurses to the nursing homes and neighborhoods with elderly people to get everyone fully vaccinated (including booster shots). Getting the 30% of those 65-75 and 44% of elderly >75 who have not been fully vaccinated and boosted should be a high priority 2. Use the "test positive and treat" strategy for those in vulnerable groups. As I mentioned before, Paxlovid for all but Molnupiravir for those who cannot take Paxlovid. Treat them before their symptoms get worse because it is cheaper to give them the medicine than risk their need for hospitalization. 3. No more putting those with mild disease in special facilities or hospitals so that there are plenty of capacity for those who need hospitalization. 4. Recommend (not mandate with threat of punishment) those who have close contact with COVID-Omicron patients to mask around others for 5 days (no need to do so with household members because they are already given it to them) if they are asymptomatic. 5. No testing of asymptomatic people unless their job requires it (nursing home, hospital, etc.). 6. No more closing schools, factories, or offices because of positive COVID-Omicron cases. 7. No more mandatory masking except for those described in #4 above. People here are so used to masking that many will still do so with the threat of punishment. 8. No more mandatory quarantine, even for those who test positive. Highly recommend those who test positive to wear a mask when around people and not eat with others but not make it a punishable offense. [Treat them like people who have a bad flu, not like criminals.] 9. No more testing or quarantine requirements for visitors from abroad. As the local infection rate is now higher than that many other countries, there is no reason to require new arrivals to do anything different when they are asymptomatic. It's confusing to many that I can go anywhere in the world without quarantine but have to do quarantine plus multiple tests when arriving in Taiwan (and a handful of Asian countries). The benefit of the policies listed above is that the resources of the country are directed toward saving lives rather than collecting lots of infection data. It will reclaim the international travel hub status of Taoyuan International Airport (and not let Singapore and Seoul dominate the air travel sector) and revive the tourism, convention, airline, hotel businesses. It will simplify everyone's life and reduce anxiety. It may be counter intuitive but if you look at the data from the US university campuses and European countries, it is better to get as many young people infected as quickly as possible to shorten the surge while building up herd immunity for COVID-Omicron without a lot of severe cases. The old policy for flattening the curve is to prevent overwhelming the hospitals but with oral antivirals and milder disease, there is no need to flatten the curve. It is better to get the whole surge completed in 2 months like in most countries that pursue a more open policy. I am convinced that when the messaging is clear and based on current understanding of the situation, the people will embrace it and praise the CECC's leadership. Best, Pui -- Pui-Yan Kwok, MD, PhD Director, Institute of Biomedical Sciences Academia Sinica

Welcome to the Reuters.com BETA. Read our Editor's note on how we're helping professionals make smart decisions. June 30, 202110:11 AM CSTLast Updated 2 months ago Healthcare & Pharmaceuticals U.S. Commerce chief says Taiwan's TSMC asked for help getting COVID vaccines Reuters 3 minute read U.S. Secretary of Commerce Gina Raimondo takes a question during a press briefing at the White House in Washington, U.S., April 7, 2021. REUTERS/Kevin Lamarque/File Photo The logo of Taiwan Semiconductor Manufacturing Co (TSMC) is pictured at its headquarters, in Hsinchu, Taiwan, Jan. 19, 2021. REUTERS/Ann Wang/File Photo U.S. Secretary of Commerce Gina Raimondo takes a question during a press briefing at the White House in Washington, U.S., April 7, 2021. REUTERS/Kevin Lamarque/File Photo 1/2 The logo of Taiwan Semiconductor Manufacturing Co (TSMC) is pictured at its headquarters, in Hsinchu, Taiwan, Jan. 19, 2021. REUTERS/Ann Wang/File Photo WASHINGTON, June 29 (Reuters) - U.S. Commerce Secretary Gina Raimondo on Monday said she had spoken with the chief executive of Taiwan Semiconductor Manufacturing Co Ltd (2330.TW) (TSMC) and that he had asked for help getting access to COVID-19 vaccines. Raimondo told Reuters in an interview "he asked for help in that regard, he has spoken to high level officials in the White House. We have responded and we definitely want to be a good partner and I do think it's helping." Taiwan said two weeks ago it will allow officials from Taiwan's Foxconn and TSMC to negotiate on its behalf for COVID-19 vaccines. read more Mid-June the United States shipped 2.5 million COVID-19 vaccine doses to Taiwan, more than tripling Washington's previous allocation of shots for the island. read more TSMC said in a statement to Reuters that they believed "getting vaccines for Taiwan would help to protect the communities and ensure normal operations." Taiwan has been trying to speed up the arrival of the millions of vaccines it has on order as it deals with a rise in domestic cases, although infections remain comparatively low. The request from TSMC, the world's biggest manufacturer of semiconductors on contract, coincides with a global chip shortage that has slowed production of manufacturers around the world, including in the U.S. auto industry where it is forecast the crisis will hit the production of 3.9 million vehicles. Raimondo has a key role in resolving the crisis for U.S. companies. Although there has been no major impact so far on chip production in Taiwan since domestic cases began rising in the middle of May, some U.S. auto executives have told Reuters privately earlier this month they were concerned COVID-19 in Taiwan could impact the flow of semiconductors to U.S. factories. Reporting by David Shepardson in Washington; Additional reporting by Ben Blanchard in Taipei; Editing by Simon Cameron-Moore Our Standards: The Thomson Reuters Trust Principles. 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越南曾經在2/26，原有的16位確診病人全部康復。 https://en.m.wikipedia.org/wiki/2020_coronavirus_pandemic_in_Vietnam 越南似乎沒有使用針對病毒的藥 "There's no medication for this virus yet. We rely on fundamental principles," https://www.google.com/amp/s/www.aljazeera.com/amp/news/2020/02/infected-patients-vietnam-cured-coronavirus-miracle-200228035007608.html 而是 : "每日上午在醫院的天台曬太陽及做運動，而在隔離病房期間會打開窗戶呼吸新鮮空氣，以及讓房間接受太陽光照射" https://www.hk01.com/%E7%86%B1%E7%88%86%E8%A9%B1%E9%A1%8C/430217/%E6%AD%A6%E6%BC%A2%E8%82%BA%E7%82%8E-%E6%9B%AC%E5%A4%AA%E9%99%BD%E6%AE%BA%E8%8F%8C%E5%8A%91%E6%BC%B1%E5%8F%A3-%E8%B6%8A%E5%8D%97%E9%A6%96%E5%90%8D%E7%A2%BA%E8%A8%BA%E6%82%A3%E8%80%85%E5%BA%B7%E5%BE%A9%E5%87%BA%E9%99%A2?utm_medium=Social&utm_source=fbpost_link&utm_campaign=hottopics