Listen guys, n⋯⋯ | Cofacts 真的假的

Hi guys, so just a quick update from me. For those of you who don't know me, my name's John, I'm a funeral director based in Milton Keynes. I run a funeral home called Milton Keynes Family Funeral Services, and this time it is the 6th of December 2021. So what we're seeing is a large number, an unnaturally large number of deaths due to heart attack, stroke, aneurysm, and these are all as a direct result of thrombosis, embolisms in the lungs, the legs, various places that's causing these deaths. These are well documented by the local coroners, these are well documented, you know, across the country. And now I've seen more this year than I have in the previous 14, to give you an idea. I've written to the Chief Coroner of England, he isn't concerned. I've had no response for weeks and weeks, and then I've had an email from his secretary saying he's not interested. So we're seeing those deaths. The other type of death that I'm seeing, which is more distressing for me personally, is people who are getting sick now as their immune systems finally give up. So they've had the jabs maybe six, eight months ago, and it's been eaten away at their immune system, and now they're struggling to fight off things like the common cold. So we're in winter, and as you'll be aware, there are colds and flus about at this time of the year. These people can't fight it off, and the government are very quick to label it Omnichron, a new variant. You know, and they are sick, but they're sick with basic things like the common cold. Their immune systems are decimated, and if you think about it logically, much like, for example, a cancer patient. So when you get a cancer patient and they're on chemotherapy, it decimates their immune system, and one of the things that they have to be extremely careful of is because they've got no immune system, a basic common cold or a flu can kill them. And this is what we're seeing now in these jab recipients across up and down the country. They're becoming extremely ill, really, really ill. For example, I've got a couple of friends, I've known them for a long time, very intelligent guy, logical thinker, him and his wife are both in jabs. He's had one, he's had both. He's bitterly desperate now, he's desperate to get the booster because he feels so terribly ill, he thinks that will make him feel better. You know, what do you say to these people because they just won't? I'll try to explain. This is what is killing you. This is killing you. It's damaging your immune system. All you've got is a common cold. And I said to him, look, I will come over, I'll bring you whatever you need. I will kiss you on the lips because I'm in no danger of falling sick because I have an immune system that's protecting me as a guy who hasn't been jabbed. These people, you know, it was well documented on the Georgia guide stones and other places what would happen. These people are going to willingly walk over the cliff begging for more. This is why, it's because these jabs are decimating your immune system. The other type are the blood clots that are quick killers and we've seen plenty of those as well. So please, please, please, don't take any more of these jabs. It's killing you. It's killing you. And lining up for more jabs when you're desperately ill already isn't the answer. It really isn't the answer. Take a step back. Just look a little bit deeper than the BBC and Google are telling you. The jabs are what are making you ill. The Omicron is vaccine injury. They're nothing more than that. Will you believe it? I really don't know. I really don't know. Time will tell, I guess. Time will tell. But that's where we are in December of 2021. We're exactly where the scientists told me we would be. Sadly. I just hope that people listen. I hope that people listen because if they don't, they're going to get sick and they're going to die. That's the reality. You will die if you keep taking these jabs. And you know, bless you, bless you. Forgive them for they know not what they do. Never a true word spoken.

1 人回報・1 則回應・2 年前

大家好。早安。你冷嗎? 不。我看見你做這個。雖然是70度。這是我第一次在這裡。我很緊張。你緊張的時候,你去法庭? 對,這是我第一次。這是你第一次在法庭? 對。到現在,你還好嗎? 到現在。對。我覺得今天是夜店日, 法官 Quinn。 Janelle has four overnight parking tickets all at the same location. So, what do you want to tell me about these, Janelle? I just want to know if I'm able to pay in October because I start my job on October 5th and my card isn't registered, so I wasn't able to get the permit sticker yet because my card gets registered in November. What do you do for work? Are you working? No, not yet. I'm going to be working at St. Tanner's on October 5th. And what did you do? What was your last job? Walmart. You worked at Walmart? Yeah. You're in sales. Are you a good salesperson? Yeah. You're going to work at a bank now, huh? At St. Tanner? Yes. Yeah. You're going to be what? You're going to be chief operating officer? What are you going to do? I'm customer service, taking... See, she's a good person. All of a sudden, we're going to have to smile, Inspector Quinn. Smile a little more and give me the keys to the vault. Let's work on that one. All right. These overnight parking tickets, is this because you did not have a parking spot? Is that an area where you live? Yeah, it's very full, so I have to park outside on the streets. Do you have a parking spot now? No, once I get my card registered, I'm going to get the ticket for it. The fines are $200 now because they all tripled. I'm going to fine you $20. I'm going to fine you for one of these tickets. And I'm going to give you all the time you need to pay it. I mean, who do you live with? You live with your parents, you live alone, you live with... It's just me and my daughter. We rent a place. Your daughter? You have a young daughter? How old is she? Ten months. Ten months? It's just you and she? Yeah. Oh. What's her name? Camila. We can't let you pay $20 because then, I don't know, maybe when you go home tonight, you need some food for the baby and if you pay $20 here, maybe you won't be able to afford the food, so I'm not going to do that. We have to take the baby into consideration in respect to Camila. And right now, she's like between a rock and a hard place. She wants to buy the parking passes. She can't because the registry isn't accommodating those right now. Right? And she's looking to do that. And she doesn't have a job, but she's got a little baby. So, when I can't take care of a ten-month-old child, I know I can't do that. There are a whole bunch of things you can do. You have nothing. Nothing. Your story really touches me. You only have one child. I guess you have a lot of challenges being a single mom. What is the biggest challenge? Taking care of the baby the whole night. You're dedicated to the baby. There are a lot of generous people in this country. We are on social media, and we are on television, and people throughout the world see what happens in this courtroom. And they send in contributions voluntarily and ask me to give them to people, I think, to use them toward people who I think are worthy, and you certainly are. So, I have a gentleman actually from Eustis, Florida, by the name of Gary Ashcraft. He sent in $25 and said, please use this to help a single mom who's doing everything she can to help her children. That's you. So, I'm going to use that $25 to pay for your ticket. But I'm going to do a little bit more than that. I mean, since you came in broke today, there are an awful lot of people who send in some money here. So, I don't want you leaving here today and not having enough money to take care of your baby. So, I am going to, with the generosity of people from throughout the country who have sent in cash, I am going to give you $50 in cash for you to use to take care of your baby. Thank you. And you put that to good use. Thank you so much. Anything you want to say to the person who sent in that money? I'll always say thank you so much, and I really do appreciate it.

4 人回報・1 則回應・2 年前

I liked this message..makes sense to me As time passes in a pandemic there’s a greater chance of survival for those getting infected 3 months later like June 2020 than those who got infected 3 months earlier say February 2020. The reason for this is that Doctors and scientists know more about Covid-19 now than 3 months ago and hence are able to treat patients better. I will list *5 important things* that we know now that we didn’t know in February 2020 for your understanding. 1. COVID-19 was initially thought to cause deaths due to *pneumonia- a lung infection*- and so Ventilators were thought to be the best way to treat sick patients who couldn’t breathe. *Now we are realising that the virus 🦠 causes blood clots in the blood vessels of the lungs* and other parts of the body and this causes the reduced oxygenation . Now we know that just providing oxygen by ventilators will not help but we have to prevent and dissolve the micro clots in the lungs. This is why we are using drugs like *Asprin and Heparin ( blood thinners that prevents clotting) as protocol in treatment regimens in June 2020. * 2. Previously patients used to drop dead on the road or even before reaching a hospital due to reduced oxygen in their blood- OXYGEN SATURATION. This was because of *HAPPY HYPOXIA*- where even though the oxygen saturation was gradually reducing the COVID-19 patients did not have symptoms until it became critically less, like sometimes even 70%. **Normally we become breathless if oxygen saturation reduces below 90%. **This breathlessness is not triggered in Covid patients and so we we’re getting the sick patients very late to the hospitals in February 2020. Now since knowing about happy hypoxia we are monitoring oxygen saturation of all covid patients *with a simple home use pulse oxymeter and getting them to hospital if their oxygen saturation drops to 93% or less*. This gives more time for doctors to correct the oxygen deficiency in the blood and a better survival chance in June 2020. 3. We did not have drugs to fight the corona virus 🦠 in February 2020. We were only treating the complications caused by it... hypoxia. Hence most patients became severely infected. ```**Now we have 2 important medicines FAVIPIRAVIR & REMDESIVIR**``` Which are ANTIVIRALS that can kill the corona virus 🦠. By using these two medicines we can prevent patients from becoming severely infected and therefore cure them BEFORE THEY GO TO HYPOXIA. This knowledge we have in JUNE 2020... not in February 2020. 4. Many Covid-19 patients die not just because of the virus 🦠 but also due the patients own immune system responding In an exaggerated manner called *CYTOKINE STORM*. This stormy strong 💪 immune response not only kills the virus 🦠 but also kills the patients. In February 2020 we didn’t know how to prevent it from happening. Now in June 2020, we know that *easily available medicines called Steroids,* that doctors around the world have been using for almost 80 years *can be used to prevent the cytokine storm in some patients*. 5. Now we also know that people with hypoxia became better just by making them lie down on their belly- known as prone position. Apart from this a few days ago Israeli scientists have discovered that a chemical known as Alpha Defensin produced by the patients White blood cells can cause the micro clots in blood vessels of the lungs and this could possibly be prevented by a drug called Colchicine used over many decades in the treatment of Gout. So now we know for sure that patients have a better chance at surviving the COVID-19 infection now in June 2020 than in February 2020 for sure. India has not peaked in March or April because of the lockdown. This strategy has postponed the Covid-19 pandemic in INDIA by 3 crucial months that has enabled us to save thousands of lives. Going forward there’s nothing to panic about Covid-19 if we remember that a person who gets infected later has a better chance at survival than one who got infected early. Let’s all follow simple precautions like -6 feet distancing from others -Wear proper masks -Work from home whenever possible -Order delivery and take away of food groceries and vegetables - Stay at home during lockdown - Hand 🤚 wash & hygiene With this we can beat the virus 🦠. If someone tells you every one is going to get infected, tell them that you are willing to wait to be the last person... who knows by then we might even have a VACCINE.

2 人回報・1 則回應・4 年前

轉～翻譯一篇在西雅圖感染新冠肺炎病毒的美國人所寫的個人經歷。 I had COVID-19 and here is my story. I made this post public out of several requests from my friends who asked me to share. I hope it gives you some good information and peace of mind! 我感染了新冠病毒（武漢肺炎），由於不少我身邊朋友的請托，希望我可以跟大家分享我的情況，所以我決定把我的染病的經驗公開，讓大家可以有更多的了解。 First how easily you can get it. I believe I caught it when attending a small house party at which no one was coughing, sneezing or otherwise displaying any symptoms of illness. It appears that 40% of the attendees of this party ended up sick. The media tells you to wash your hands and avoid anyone with symptoms. I did. There is no way to avoid catching this except avoiding all other humans. 40% of folks were all sick within 3 days of attending the party all with the same/similar symptoms including fever. 首先對於新冠病毒，它比你想像的更容易被感染. 我確信我是在參加一個小型家庭聚會時被感染的。當時參加的客人沒有人咳嗽、打噴嚏，或者顯現出任何生病的症狀。結果呢？約40%參加聚會的人都被感染了！媒體上所說的要勤洗手避免跟有症狀的人接觸，我都照做了. 我覺得沒有任何方式可以避免被感染，除非你完全避免跟人群接觸。40% 被感染者都是在參加聚會後三天之內就發病，他們都有著相同的症狀，包含發燒. Second, the symptoms appear to be different depending on your constitution and/or age. Most of my friends who got it were in their late 40s to early 50s. I’m in my mid 30s. For us it was headache, fever (for first 3 days consistently and then on and off after 3 days), severe body aches and joint pain, and severe fatigue. I had a fever that spiked the first night to 103 degrees and eventually came down to 100 and then low grade 99.5. Some folks had diarrhea. 其次，這些症狀因人而異，因每個人的身體狀況及年齡而有所不同。大部分受感染的朋友年齡層約在40到50歲左右，而我是30幾歲。對我們來說染病的初始症狀是頭痛，發燒（最初三天是持續高燒而後三天是間歇性高燒），身體的劇烈疼痛以及關節疼痛，而且有強烈的四肢無力與倦怠感。在我感染的第一個晚上高燒到103度，隨後下降到100度、99.5度.有些朋友則有腹瀉的症狀。 I felt nauseous one day. Once the fever is gone some were left with nasal congestion, sore throat. Only a very few of us had a mild itchy cough. Very few had chest tightness or other respiratory symptoms. Total duration of illness was 10-16 days. 有一天我覺得想嘔吐。當發燒症狀消退後，鼻塞、喉嚨痛的症狀則持續，僅僅極少數的人感到輕微的喉頭搔癢的乾咳。只有幾個人感到胸口鬱悶感及其他的呼吸道感染徵狀。整個發病期約持續10-16天。 The main issue is that without reporting a cough or trouble breathing many of us were refused testing. I got tested through the Seattle Flu Study. This is a RESEARCH study here in Seattle and they have been testing volunteers for strains of the flu to study transmission within the community. A few weeks ago, they started to test a random subset of samples for COVID-19 infection. They sent my sample to the King County Public Health Department for confirmation; however, I was told that all of the samples that have tested positive in the research study have been confirmed by Public Health. 問題的癥結點在於很多人在沒有咳嗽或呼吸困難的症狀時，都傾向於不需要(或不認為必須)接受武漢肺炎測試。我是透過一個叫做西雅圖流感研究的機構所做的測試。這是一個位於西雅圖的研究機構，它們透過對志願者的檢測，來研究流感病毒類型與社區傳播。幾週前這個機構開始對志願者提供新冠肺炎病毒做隨機抽樣檢測。它們把我的初測到的陽性樣本送到國王郡的公共衛生部門去做感染病毒的確認。隨後我被通知連同我在內所有陽性反應的檢測人，都被確認是感染了新冠肺炎的病毒。 As of Monday March 9th, it has been 13 days since my symptoms started and more than 72 hours since my fever subsided. The King County Public Health Department is recommending you stay isolated for 7 days after the start of symptoms or 72 hours after your fever subsides. I have surpassed both deadlines so I am no longer isolating myself however I am avoiding strenuous activity and large crowds and I obviously will not come near you if I see you in public. I was not hospitalized. Not every country is hospitalizing everyone with a COVID-19 infection and in my case, and in many other cases, I didn’t even go to the doctor because I was recovering on my own and felt it was just a nasty flu strain different from the ones I have been protected from with this season’s flu vaccine. 從最初感到症狀到昨天3/9為止，已經過了13天，發燒症狀消退已經過了72小時(3天)。國王郡的公衛部門建議感染者在有感染的症狀出現後，做至少7天的自我的居家隔離。在發燒症狀消退後的72小時內，也應居家隔離，避免接觸公眾。目前我已經度過了這兩個期限，所以我不再自我居家隔離，於此同時，我還是避免過度參與公眾活動與接觸大批人群。我並沒有住院，也不是所有感染新冠肺炎病毒的人都住進郡立醫院。很多跟我一樣的感染者，並沒有去看醫生，就自我痊癒了。對我們來說，這感覺就像一個比以往流行型感冒稍微嚴重一點的新型流感，與我所接種而受到保護的流感疫苗，略為不同。 I also truly believe the lack of testing is leading to folks believing that they just have a cold or something else going out into public and spreading it. And worse folks with no symptoms are also spreading it as in the case of a person attending a party or social gathering who has no symptoms. 我確信缺乏對新冠病毒檢測的機制是造成多數人相信他們只是感染風寒或一般正在傳播的季節性流感而已。最糟的情況是，很多人在沒有顯現任何症狀的情況下，仍舊正常參加集會活動或正常社交聚會，而將病毒傳播出去。 I know some folks are thinking that this can’t/won’t impact them. I hope it doesn’t but I believe that the overall lack of early and pervasive testing damaged the public’s ability to avoid the illness here in Seattle. All I know is that Seattle has been severely impacted and although I’m better now I would not wish this very uncomfortable illness on anyone. 我知道很多人認為這款病毒不會傳染給他們。我真心希望真的是如此，但是我仍舊相信整體上缺乏早期的發現與預防性檢測，將會嚴重影響到西雅圖地區公眾對新冠肺炎的抵抗能力。目前已知的情況是西雅圖地區已經有嚴重的疫情，雖然我已經痊癒，但是我真的不希望這樣的病情發生在其他更多人身上。 One thing that I believe may have saved me from getting worse respiratory symptoms is the fact that I consistently took Sudafed, used Afrin nasal spray (3 sprays in each nostril, 3 days at a time and then 3 days off), and used a Neti pot (with purified water). This could have kept my sinuses clear and prevented the symptoms from spreading to my lungs. This is not medical advice: I’m simply sharing what I did and correlating it with the fact that I had no respiratory symptoms. The two could be entirely unrelated based on the viral strain and viral load that I received. 我想我做了一件正確的選擇，讓我呼吸系統感染的症狀不致於變得更嚴重，就是我按時服用 Sudafed (一種藥方販售，不需處方的感冒退燒藥)，Afrin 鼻腔噴劑以及使用清鼻腔咽喉分泌物的Neti Pot 。這些措施保持我的鼻腔咽喉乾淨，從而防堵病毒向下蔓延到我的肺部。我不是在這裡提供醫療建議，只是單純的分享我個人的經驗，因為我並沒有肺部的感染。也許我所做的跟肺部感染並無相關性。而是跟我所感染的病毒特性與病毒感染量有關。 I hope this information helps someone avoid getting sick and/or push to get tested sooner rather than later so you know to isolate before it gets worse or to get medical care if you have respiratory distress. Hand washing doesn’t guarantee you won’t get sick, especially when folks without symptoms are contagious and could be standing right next to you in any given social situation. You more likely than not will not die, but do you want to risk spreading it to a loved one over 60 or someone with an immunity issue? Stay healthy folks! 我希望我所分享的資訊，能幫助大家避免受到感染，或者推動整個公眾檢測系統能更快啟動讓感染者能早期自我隔離，而有呼吸道症候群感染疑慮者，能早期接受治療。洗手並無法完全避免受到感染。尤其那些沒有任何徵兆的帶原傳播者，可能正是你身邊普通社交場合出現的人們。感染病毒後不一定會致死。但是你也不會想不小心傳播病毒給你身邊所關心的年長者，或者有免疫系統功能失調的親友們。大家保重。

10 人回報・2 則回應・5 年前

台大同學分享的:三月十三日2020 這是我瑞士詩友江麗珍寄給我。她的家公是北京著名中醫，丈夫是西醫，兒子及媳婦為聯合國衞生組織權威。她寄給我的偏方希望對大家有用。雁薇姐，您好！最近新冠狀肺炎病毒漫及世界各地，請多加小心，保重！附上一個方子，供您參考使用。這是老方子，對預防、治療感冒發燒有一定作用，據說疫情鬧得很厲害時，不少北京人都使用這個方子，結果他們都平安無事。红糖，生姜，大葱白，大蒜（多放），熬水喝，疫情解除之前，每天喝，感染病毒的概率几乎为零！大家一起分享转发！这是一个南阳中医的亲身经历，根据录音整理如下：现在，大家一提起武汉心情就很沉重，但是，我的亲身经历会给您很大的安慰。我是腊月二十二从武汉回到南阳的，到家第二天，就有了发烧的症状，我就用了西药和抗病毒的药，效果不太明显，只能控制，不能痊愈。到第八天晚上，突然加重，发烧厉害，伴有咳嗽，痰中带有铁色血丝。我知道这回严重了，情急之下，我想起了我的老师曾经说过的一个方子。便找来八头大蒜，将其拍碎，放入7纸杯水，在锅里煮。水开两分钟后，我喝了连渣带水的两纸杯。然后就入睡了。第二天早上醒来，不发烧了，咳嗽也减轻了，吐的痰也变成了正常的白色。现在，我一天喝两次大蒜水，全家都喝，我已经恢复了正常。和以前一样。我只喝了一次就好了，简直很神奇。现在，我家的左邻右舍都喝大蒜水。我把这个方子推荐给了武汉的朋友，他们又推荐给了新疆的朋友，普遍反映效果非常好。补充：为什么我的药茶要与葱姜蒜一起煮，就是这个道理，相得益彰，急重症切大蒜片、含服，比速效救心丸还见效，我们老百姓有老百姓自救的方法。中医药本身是服务于老百姓的，小小秤砣压千斤，区区草药治大病。天佑中华有中医，共克时艰战疫情！欢迎转发分享！ @所有人 🙏🙏🍎🍏 March 13th 2020 This was sent to me by my Swiss poet friend Jiang Lizhen. Her father-in-law is a famous Chinese medicine practitioner in Beijing, her husband is a western medicine doctor, and her son and daughter-in-law are authoritative of the United Nations Health Organization. The recipe she sent me hopes to be useful to everyone. Hello Sister Yan Wei! New coronary pneumonia virus has spread all over the world recently, please be careful and take care! Attach a recipe for your reference. This is an old formula, which has a certain effect on the prevention and treatment of colds and fevers. It is said that when the epidemic is very serious, many people in Beijing use this formula, but they are all safe. Brown sugar, ginger, green onions, garlic (add more), boil water to drink, drink every day before the epidemic is resolved, the probability of infection with the virus is almost zero! Everyone share reshares! This is a personal experience of Nanyang Chinese medicine, according to the recording is as follows: Now, everyone is very heavy at the mention of Wuhan, but my personal experience will give you a lot of comfort. I returned to Nanyang from Wuhan on the 22nd of the second month of the lunar month. The next day when I got home, I had fever. I used western medicine and antiviral medicine. The effect was not obvious. I could only control and couldn't heal. On the evening of the eighth day, she suddenly became worse with a severe fever, accompanied by a cough, and iron-colored bloodshot sputum. I knew it was serious this time, and in a hurry, I remembered a recipe my teacher once said. Then they took eight garlics, patted them into pieces, put them in 7 paper cups of water, and boiled them. Two minutes after the water was boiling, I drank two paper cups with slag and water. Then he fell asleep. I woke up the next morning, no fever, my cough was relieved, and my spitting turned white. Now, I drink garlic water twice a day and the whole family drinks it. I have returned to normal. same as before. I only drank it once, it was amazing. Right now, my neighbors drink garlic water. I recommended this recipe to a friend in Wuhan, and they recommended it to a friend in Xinjiang, and the general response was very good. supplement: Why is my herbal tea cooked with onion, ginger, and garlic? This is the reason. They complement each other, cut garlic slices in severe cases, and take them. It is more effective than the quick-acting Jiuxin Pill. Our people have a way to save themselves. Traditional Chinese medicine itself serves ordinary people. Little scales weigh a lot, and herbal medicines treat serious illnesses. God bless Chinese medicine with Chinese medicine, overcome the epidemic of hard times! Welcome to reshare! @ Everyone 🙏🙏🍎🍏

2 人回報・1 則回應・5 年前

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

11 人回報・1 則回應・2 年前

永遠不要在飛行中這樣做！！！（以下是谷歌翻譯的，英文原文如下為朋友臉書分享的） ————- 如果您經常乘飛機旅行，請注意過於友好的健談座位鄰居。年長的女士過來坐在我旁邊的飛機上。她讓我幫她把包放在頭頂行李箱裡。但是坐在對面的一位紳士很快就走了進來。（我個子不高，頭頂行李箱是我不惜一切代價盡量避免的。她立即坐下，開始了談話。她很愉快，說得很好。所以，我們在飛往迪拜的航班上一直在聊天。突然，當飛行員宣布我們現在開始下降到 DXB 時，我的好朋友“出現”了胃痛。我懷著一顆善良的心，按下了空姐的按鈕，空姐過來查明問題所在。我告訴她我的同桌感覺不舒服。而這位女士，她突然開始稱呼我為“我的女兒”。空姐告訴我，除了給她一些止痛藥，等我們降落，他們什麼都做不了。飛行員宣布我們在船上有醫療緊急情況，並建議我們所有人保持冷靜。我的新朋友哭得像瘋了似的流著汗。她拒絕放開我的手……每個人都以為我們認識對方。因此，我們降落在 DXB，幫助將行李放在頭頂行李艙的同一位紳士取出了她的行李。但當他拿走行李時，他建議我與這位女士保持距離，並向機組人員明確表示我們不是一起旅行。他是天賜之物！所以確實，機組人員來問我是否有親戚關係，我斷然告訴他們我們是在飛機上認識的。我根本不認識她。所以，我們開始下飛機，當我說再見時，她一直求我提她的手提包。我好傷心……但這位先生看著我的眼睛，用力地搖了搖頭。他遞給我一張紙條，告訴我讓機組人員處理她。所以，我下了飛機，讓我的“新朋友”等待輪椅，被機組人員處理，感到非常內疚。當我們等待行李通過時，我聽到了這種騷動。我的“新朋友”正在奔跑，試圖逃離機組人員，從輪椅上下來！她帶著手提包離開了空姐，帶著剩下的手提行李就往出口跑了！幸好機場警察比她快。他們抓住了她，把她戴上手銬帶了回來。這位女士開始呼喚我。我的女兒……我的女兒！你怎麼能這樣對我......那是我趕上的時候。她攜帶毒品，並試圖牽連我！幸運的是，幫她拿行李的那位先生上前告訴機場警察，我和她剛剛在飛機上相遇。警察拿走了我的護照，並要求她透露我的全名，如果我們真的一起旅行的話。靠著上帝的恩典，我什至沒有告訴她我的名字！我仍然被要求跟隨警察到一個小房間，在那裡我受到了廣泛的訊問。我在哪裡遇到她？...我在哪裡登機...她在哪裡登機。等等......我的行李被廣泛搜查並除塵以尋找指紋。他們把她所有的行李都撣掉了，在她的行李或手提包上都沒有找到我的指紋！我被告知永遠不要在飛行中或在機場觸摸任何人的行李。所以，從那天起，我不管你有多少行李，你自己來處理。我什至不會給你推車來放你的行李！你的行李……你的問題……是我的政策。如果你無法到達頭頂艙，而我是最近的人，請打電話給機組人員，因為我只會給你一個白眼，然後把目光移開！ ——— NEVER DO THIS IN A FLIGHT!!! If you travel by air a lot, beware of over friendly chatty seat Neighbour's. The older lady comes and sits next to me inside the plane. She asked me to help her put her bag in the overhead luggage compartment. But a gentleman sitting across quickly came through. (I am not very tall, and the overhead luggage compartment is something I try to avoid at all costs. Immediately she sits down she strikes up a conversation. She was very pleasant and well spoken. So, we chatted all through the flight to Dubai. Suddenly, when the pilot announced that we were now proceeding to begin our descent into DXB, my good friend 'developed' stomach pains. Me with my good heart, I pressed the steward's button, and the stewardess came to find out what the problem was. I told her my seat mate was not feeling well. And this lady, she suddenly began to address me as 'my daughter'. The stewardess told me that there was nothing they could do except give her some painkillers and wait until we landed. The pilot announced that we had a medical emergency on board and advised us all to stay calm. My new friend was crying and sweating like crazy. And she refused to let go of my hand... everyone assumed we knew each other. So, we landed at DXB and the same gentleman who helped put up her luggage in the overhead compartment removed her luggage. But as he removed the luggage, he advised me to distance myself from this lady and make it clear to the cabin crew that we were NOT travelling together. He was a godsend! So indeed, the cabin crew came and asked me if we were related, I categorically told them we had met on the plane. I didn't know her at all. So, we began to deplane and as I said goodbye, she kept begging me to carry her handbag. I was so torn... but the gentleman looked me in the eye and emphatically shook his head. He passed me a note telling me to let the cabin crew handle her. So, I exit the aircraft and leave my 'new friend' to wait for the wheelchair and be handled by the cabin crew feeling very guilty. As we waited for our luggage to come through, I hear this commotion. My 'new friend' was running, trying to escape the cabin crew, having gotten out of the wheelchair! She left the stewardess with her handbag and just ran towards the exit with the rest of her hand luggage! Luckily the airport police were faster than her. They got hold of her and brought her back in handcuffs. This lady starts calling out to me. my daughter... my daughter! how could you do this to me..... that's when I caught on. She was carrying drugs and she was trying to implicate me! Luckily for me, the gentleman who had helped her with her luggage came forward and told the airport police that me and her had just met on the plane. The police took my passport and asked her to reveal my full names if it was true we were travelling together. By God's grace, I had not even told her my first name! I was still asked to follow the police to a little room where I was questioned extensively. Where did I meet her?... where did I board... where did she board. Etc... And my luggage was extensively searched and dusted for fingerprints. They dusted all her luggage, and my fingerprints were not found anywhere on her luggage or on her handbag! I was let go with advice never ever to touch anyone's luggage either in flight or at the airport. So, from that day, I don't care how much luggage you have, you will deal with it yourself. I will not even offer you a trolley to put your luggage on! Your luggage... your problem.... is my policy. And if you can't reach the overhead compartment, and I am the nearest person, please call the cabin crew because all I will do is give you a blank stare and then look away!

28 人回報・2 則回應・2 年前

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%。

1 人回報・1 則回應・3 年前

勞里·加勒特（Laurie Garrett）是美國著名女記者，是獲得皮博迪獎（The Peabody Award）、喬治 · 伯克獎（George Polk Award）和普利茲獎（Pulitzer Award）三大著名新聞獎的第一人。現為美國對外關係委員會全球衛生高級研究員。她曾對艾博拉、SARS 等大型傳染病和公共健康危機都做過實地考察與深度研究，出版了《失信：全球公共衛生事業之癱瘓》《流行天下！傳染病的世界》《逼近的瘟疫》等多部關於傳染病與公共衛生的著作。對於這一次的2019-nCoV病毒帶來的恐慌，她撰文講述了自己面對傳染病的經驗與知識，以及10個在疫情期間保護自己的預防措施，大家應該看一看。 ======================== 01. When you leave your home, wear gloves—winter mittens or outdoor gloves—and keep them on in subways, buses, and public spaces. 出門離家時，戴上手套——冬天的手套或是戶外手套都可以——任何公共場合包括地鐵，公車或公共場所都不要脫下來。 02. If you are in a social situation where you should remove your gloves, perhaps to shake hands or dine, do not touch your face or eyes, no matter how much something itches. Keep your hands away from contact with your face. And before you put your gloves back on, wash your hands thoroughly with soap and warm water, scrubbing the fingers. Put your gloves on. 在某些需要脫下手套的社交場合，比如握手和吃飯時，不要用手接觸你的臉或眼睛，不管有多癢都不要讓你的手接觸你的臉。在戴回手套前，用溫水和肥皂仔細洗手，好好搓洗手指，再戴上手套。 03. Change gloves daily, washing them thoroughly, and avoid wearing damp gloves. 每天更換手套，仔細清洗。不要戴潮濕的手套。 04. Masks are useless when worn outdoors and may not be very helpful even indoors. Most masks deteriorate after one or two wearings. Using the same mask day after day is worse than useless—it’s disgusting, as the contents of your mouth and nose eventually coat the inside of the mask with a smelly veneer that is attractive to bacteria. I rarely wear a face mask in an epidemic, and I have been in more than 30 outbreaks. 口罩在戶外佩戴時毫無用處，即使在室內用處也不大。大多口罩在被使用一兩次後就被污染了，重覆使用同一口罩比不戴口罩更糟糕。因為從你嘴和鼻子的呼出的物質最終會在口罩內部形成一層十分滋養細菌的，發臭的膜。在傳染病流行期間我很少戴口罩，我曾經經歷過這種狀況超過30次。 Instead, I stay away from crowds, and I keep my distance from individual people—a half meter, about 1.5 feet, is a good standard. If someone is coughing or sneezing, I ask them to put on a mask—to protect me from their potentially contaminated fluids. If they decline, I step a meter (about 3 feet) away from them, or I leave. Don’t shake hands or hug people—politely beg off, saying it’s better for both of you not to come in close contact during an epidemic. 相反，我會遠離人群，並且與個人保持距離——差不多半公尺左右是比較好的標準。要是有人咳嗽或是打噴嚏，我會請他們戴上口罩，來保護我免受潛在的有污染的液體傷害。如果他們拒絕，我會走到一公尺外的距離，或者乾脆離開。不要與人握手或擁抱，告訴對方在傳染病流行期間不要靠太近，這對彼此都好。 05. Inside your household, remove all of the towels from your bathrooms and kitchen immediately, and replace them with clean towels that have the names of each family member on them. Instruct everybody in your home to only use their own towels and never touch another family member’s. Wash all towels twice a week. Damp towels provide terrific homes for viruses, like common colds, flus, and, yes, coronaviruses. 在家裡要馬上給浴室和廚房都換上乾淨的毛巾，讓家裡每個人都用自己的專屬毛巾，不去觸碰別人的。每週洗兩次毛巾。濕毛巾會為病毒滋生提供溫床，例如普通感冒，流感，以及冠狀病毒。 06. Be careful with doorknobs. If it’s possible to open and close doors using your elbows or shoulders, do so. Wear gloves to turn a doorknob—or wash your hands after touching it. If anybody in your home takes sick, wash your doorknobs regularly. Similarly, be cautious with stairway banisters, desktops, cell phones, toys, laptops—any objects that are hand-held. 小心門把手，最好用肘部或肩膀去開關門。戴手套去擰門把手，或者在觸摸了門把手後去洗手。如果家裡有病人，定期清潔門把手。同樣，對待樓梯扶手，桌面，手機，玩具，筆記本電腦等任何手持物體都要小心謹慎。 As long as you handle only your own personal objects, you will be ok—but if you need to pick up someone else’s cell phone or cooking tools or use someone else’s computer keyboard, be mindful of not touching your face and wash your hands immediately after touching the object. 只要你只接觸自己的私人物品，就沒什麼問題。但是，如果你需要使用別人的手機，廚具或電腦鍵盤，請注意不要觸摸臉部，並在觸摸物體後立即去洗手。 07. If you share meals, do not use your personal chopsticks and utensils to remove food from a serving bowl or plate and, of course, tell your children to never drink out of anybody else’s cups or from a container of shared fluid. Place serving spoons in each dish and instruct everybody at the table to scoop what they want from the serving dishes onto their personal plates or bowls, return the serving spoon to the main dish, and then use their personal chopsticks only to pick food from their personal plate or bowl into their mouth. 吃飯時，不要用你自己的筷子和餐具去公碗和盤子裡夾菜。也要告訴你的孩子不要喝別人杯子或者容器里的水。在席上讓每個人使用公勺將盤子里的菜夾到自己的盤子或者碗里，然後將公勺放回公盤，然後用自己的筷子將自己盤子或者碗里的食物送進嘴裡。 Wash all food and kitchenware thoroughly between meals and avoid restaurants that have poor hygiene practices. 飯前仔細清洗食物，飯後仔細清洗餐具，不要去衛生條件不好的餐館用餐。 08. Absolutely do not buy, slaughter, or consume any live animal or fish until it is known what species was the source of the virus. 在病毒傳播源被發現之前，絕對不要購買，屠宰，或是食用任何生鮮動物和魚類。 09. When the weather allows, open your windows at home or work, letting your space air out. The virus cannot linger in a well-ventilated space. But of course, if it is cold or the weather is inclement, keep warm and close those windows. 天氣條件允許的情況下，打開家裡或辦公室的窗戶，讓室內空氣流通，病毒無法在通風條件良好的空間裡停留。當然，如果天氣嚴寒，就關窗保暖。 10. Finally, if you are caring for a friend or family member who is running a fever, always wear a tight-fitting mask when you are near them, and place one on the ailing person (unless they are nauseated). 最後，如果你在照顧得病的朋友或家人，在靠近他們時，一定要時刻佩戴與面部緊貼的口罩，並給他們也戴上（除非他們感到噁心）。 When you replace an old, dirty mask from the face of your friend or loved one be very, very careful—assume, for the sake of your protection, that it is covered in viruses, and handle it while wearing latex gloves, place it inside of a disposable container, seal it, and then put it in the trash. While wearing those latex gloves, gently wash the patient’s face with warm soap and water, using a disposable paper towel or cotton swab, and seal it after use in a container or plastic bag before placing it in your household trash. 當你幫忙從朋友或親人的臉上摘除使用過的臟口罩時，請務必要非常小心——為了保護自己，你必須假設該口罩已被病毒覆蓋，戴上乳膠手套去進行處理，將其放進可丟棄的包裝袋內，密封好，然後再丟進垃圾桶。戴上乳膠手套為患者用紙巾和棉球輕輕地用肥皂和溫水清洗患者的面部，並在使用後將其密封好裝入包裝袋或塑料袋中，然後再丟進家裡的垃圾箱。 Wear long-sleeved shirts and clothing that covers your body when you are caring for your ailing friend or relative. Clean everything your patient wears or touches very thoroughly in hot soapy water, including sheets, towels, and utensils. 在照顧生病的朋友或家人時，要穿上能包裹全身的長袖衣物。用熱肥皂水徹底清洗患者所穿過的衣物和接觸的所有物品，包括床單，毛巾和器皿。 If you have space, isolate the sick person in your household in a room, or a corner of a room, where they are comfortable, but separated from the rest of the household. If the weather is tolerable, open a window that is on the opposite side of the room, so that air gently blows past the patient’s face and then outdoors. Of course, don’t do this if it is very cold, as your friend or loved one will be made sicker if uncomfortably cold. 如果你家裡有足夠的空間，為病人隔離出一個房間或房間的一角，讓他們感到舒適的同時又與家庭中的其他人分開。如果天氣適宜，打開房間另一側的窗戶，這樣空氣能輕輕吹過患者的面部後，流動吹到室外。當然，如果天氣很冷就不要這樣做，因為你的朋友和家人可能會因寒冷而病情加重。 The Chinese government will take very drastic actions over the next few weeks, and this will be a time of hardship for the Chinese people. But with these simple precautions, if taken by everybody in your household, building, office, and school, you will dramatically reduce the spread of the virus and bring the outbreak to its knees. Be safe. Do not panic. 中國政府將在接下來的幾週內採取更嚴厲的措施，這對中國人民來說將是一個艱難的時期。但是，有了這些簡單的預防措施，只要大家在家裡，建築物裡，辦公室和學校裡都採取這些簡單的預防措施。就能大大減少該病毒的傳播風險，並遏制疫情爆發。 Take commonsense precautions. As frightening as this time is, you will get through it. 注意安全。不要驚慌。採取一些常識性的預防措施。眼下的狀況雖然可怕，但你一定會渡過難關。

1 人回報・1 則回應・5 年前

被『強酸強鹼』噴到或淋到時要如何處理？ 2013年11月份，台灣石油工會，第一分會月刊報導(高雄廠) 作者，許廷訓，台灣中油公司(Taiwan cpc petroleum )服務，目前是兼任，高壓特定氣体訓練班(中油公司，對新進員工的基礎訓練)的助教。在高壓氣体訓練班的課程，我問過將近100個，以上來自台灣中油，全國各單位的工作人員，你們如果被硫酸淋到時你要如何做，所有的人異口同聲說，要用大量的清水沖洗，80%以上的人都有大學以上的學歷，他們都這樣說，我當場告訴他們，如果是這樣的，你會死的很難看，這也是我認為該公開讓大家知道的原因，目前高雄廠，所有有強酸強鹼的地方，告示牌(物質安全資料表)，所有的說明都說，如被強酸強鹼淋到時要用大量的清水沖洗……..這種說法是正確嗎？如不正確為什麼幾十年來沒人質疑？在學校的化學實驗室老師，也是這樣告訴我們的？本人以前曾經被因銹蝕管線針孔洩漏的硫酸所噴到，當時的感覺是好像有一個火把靠近你的臉頰，很熱很熱，我當然了解是被硫酸所噴到，(只是當時必須離開現場，因為那裡洩漏，一時間，看不出來那洩漏的地點)，當時我所做的是，用未被硫酸所噴到的衣服擦拭被硫酸所噴到的臉頰，再去沖水，5-10分鐘，但是這跟沒有擦拭去沖水有什麼差別？ N年前高雄廠，曾發生運酸槽車在洩酸入TANK時槽車出口管線，因壓力爆開，當時有兩個人被噴到，但是事後一個沒事(槽車司機)另一個人住院植皮，每天哀哀叫，時間長達十個月，為什麼差這麼多，原因是事發當時，司機很鎮靜，立即脫光身上所有的衣褲，拿起事先準備好的清潔棉布，擦拭身上的硫酸，再去沖先，另一個本場的工作人員，則是驚慌失措一路叫喊《救命》，待有人發現，他被硫酸所噴到時，用水沖洗他身上的硫酸，這一洗，洗出大問題，當然不洗也是大問題，時間是毫秒計算，為什麼差這麼多？原因是硫酸的沸點為338℃，水的沸點只有100℃，水遇到硫酸時開始沸騰產生反應熱，硫酸可以迅速與蛋白質及脂肪發生醯胺水解作用及酯水解作用，從而分解生物組織，造成化學性燒傷。不過，其對肉體的強腐蝕性還與它的強烈脫水性有關，因為硫酸還會與生物組織中的碳水化合物發生脫水反應並釋出大量熱能。除了造成化學燒傷，所以如有任何人遇到硫酸，正確的處理方式應該保持鎮靜，找出現場可以擦拭的棉布或其他可以擦拭的紙等(這是減量，減少附著在皮膚的硫酸)，立即擦拭再去沖水5-10分鐘。最多只是如一級燒燙傷，這一事件後我遇到一個在大發工業區擔任某化學公司，槽車司機的X先生，我問他遇到時如何處理，他說就這麼處理，我問他為什麼不將這消息公告給社會大眾知道？他說了，幹，人家官大學問大，我只是一個司機，人家會聽我的意見嗎，我無言以對。他舉出三個例子，來說明處理方式不同所造成的結果，第一例，在國道一號上發生遊覽車撞擊，鹽酸槽車事故，槽車破裂，遊覽車上的檔風玻璃也破了，鹽酸噴到司機的眼睛，隨車小姐立即以飲用瓶裝水沖洗司機的眼睛，結果是，後來司機的眼睛洗好了，司機的眼睛，也完蛋了，第二例發生在某加工區，槽車洩酸時，也發生因長時間使用後的物質脆化(當時忘了問他材質到底是塑膠的或橡膠的，約使用多久了)洩酸管線爆裂了，一個不知是好奇或無知的經理，靠近槽車很不幸的，那經理被噴到了，當然槽車司機處理經驗很豐富，立即脫光那經理身上所有的衣物幫他擦拭後再沖洗，入院十多天就回家，無大事，第三例，發生在該生產硫酸的公司內，兩個工作人員，被破裂管線的硫酸所噴到，一個如同第二例，司機幫忙處理，另一個，因一時間他無法幫忙，其他現場的人也驚嚇到，不敢也不懂，幫另一個被酸噴到的人脫衣服，而是直接用水幫他沖洗，結果，後果很慘痛，体無完膚，根據司機的說法，醫生所開的嗎啡給患者服用都無效，無法止痛，也是哀哀叫長達幾個月。本文出來前，我所做的實驗，(戴有面罩的安全帽掛橡膠手套及護目鏡穿雨衣)去買已切好的豬皮20X10用鐵丁固定在木板上，用鹽酸做實驗，有擦拭和沒有擦過的實驗結果一目了然，所以被強酸鹼所噴到一定要先擦拭過再沖水，才是保命之道。如果我們把濃硫酸慢慢地倒入水中，卻是安安靜靜的，水只是漸漸的變熱，而且不濺開來。當濃硫酸與水遇在一起，就發生化學反應，生成水合物，同時放出大量的熱，1公斤的濃硫酸與水化合時放出的熱量，足以使2公斤的冷水，一下子升高到攝氏100度。濃硫酸看上去像油，可是卻比水重(1.9倍)，比同體積的水差不多要重上一倍，很明顯，如果把水倒進濃硫酸，水就浮在濃硫酸上，當發生化學反應時，水就猛烈地沸騰起來，四處飛濺。如果反過來把濃硫酸倒進水裡，情況就不一樣了，濃硫酸比水重，把濃硫酸慢慢地倒進水中，它就逐漸地沉到水底，然後再分佈到溶液的各個部分，這樣，反映所產生的熱量被均勻地分配到整個溶液，溫度慢慢上升，不會使水迅速地騰起來。本人在此真誠的建議，各級學校的實驗室或化學系所，各公司有用到強酸鹼的地方，應立即修改告示牌(物質安全資料表，有強酸鹼的地方，應準備棉布做擦拭用，不要用化學纖維布，大林廠有硫酸法的烷化(以硫酸為催化劑的製程)工場，更應該準備好，因為10年20年後所有的管線，除非全面更新，絕對會這裡漏，那裡漏。備註，本文部份，參考維基百科及網路文章，感謝工安課，王錦波先生與第七硫磺總領班，楊耀昆先生對本文的校正。，也歡迎老師，本人在此授權，請賢人翻譯成英日文，給世界各國的朋友分享，請將公司的CPC排在前頭，說明這是在台灣的CPC公司人員所做的實驗。 Nov. 2013, Monthly journal report of 1st branch of OIL LABOR UNION in Kaohsiung Taiwan CPC. By Mr. Hsu Ting XUN, serve in Taiwan CPC, now is the part time TA for the HIGH-PRESSURE SPECIFIC GAS training class, a class which trains all the new employees in CPC. In the HIGH PRESSURE training class, I ever asked more than 100 members from all different departments and branches of CPC TAIWAN., “If you were sprayed or poured by sulfuric acid, what would you do!?” The answer is 100% in unison “Rinse with great amount of water!” You know, 80% of these members graduated from universities. They all did say so. Hearing the answer, I on the spot told them “If you did so, you were destined to die ugly”This is why I insist to make it public. Nowadays in Kaohsiung plant, all where there is sulfuric acid or alkali, as well as all the bulletin boards [material safety sheets]shows: “Rinse with great amount of water while sprayed by sulfuric acid” But is this statement appropriate and accurate!?If not, why for decades nobody doubted!? And we were all taught so by chemistry teachers in labs of schools? Before, I ever sprayed by sulfuric acid leaking from the needle hole of a corrosivepipe. I felt like a burning torch accessing my face. It’s extremely hot. I surely realizedit wassulfuric acid, but I couldn’t spot where the leaking hole was. I had to leave right at that moment. The step took first was to wipe my sprayed face with the clean part of my clothes then, rinsedit with water for 5-10 minutes. But on earth, what makes the difference with the way you rinsedwithout wiping it clean first!? Years ago in Kaohsiung plant, a sulfuric acid transporting truck’s exporting pipeline burst because of pressure while vented sulfuric acid into the tank. Two men were sprayed. Yet later on, one man [the driver] was not serious, while another one had to be hospitalized andgrafted, leading a crying miserable life for ten months. Why such a big contrast! The reason is right at thatmoment, the driver completely calmed himself down, ripped all his dressing off then, wipedsulfuric acid with the clean cotton that he used to prepare ahead, then rinsedwith water the last. As to the other man, he was crying and screaming in panic all the way till someone found him and helpedrinse with great amount of water. Here the key problem is: Water or NOT WATER firstdefinitely matter a lot! It was so urgent, what made such a big difference? You know the boiling point of sulfuric acid is 338centigrade degree while water only 100. When water meetssulfuric, water begins to boil and produce heatas reaction. Sulfuric acid, along with protein and fat, rapidly facilitates[R-C-NH2] hydrolysisandEster hydrolysis, further todecompose bio- tissue, causing the chemical burns. Its strong corrosion to body dorelate toits strong dehydration.Sulfuric acid can cause dehydration reaction when it meets the carbohydrate of bio-tissue then, release great amount of heat to causechemical burns. So for anybody sprayed by sulfuric acid, the accurate approach is to calm down,immediatelywipe off acid with clean cotton or paper available [this is to minify or reduce the sulfuric acid on skin] ,then rinse 5-10 minutes. The worst resultcan only be one grade burn. Afterwards, I met Mr. X, a tank driver who served in a chemistry company in DAFA INDUSTRIALZONE. I asked what he would do if he met same situation. The answer was completely the same approach. Then why he didn’t make it public? His answer was“I am just a driver, can any high ranking officer listen to my opinion!?” I was totally speechless. He gave three examples to illustrate three different results caused by the diverse handling procedure:[a]. One tour bus bumped into sulfuric acid- loading truck on the ZHONGSHAN national freeway. The tank broke down. So did the window shield of the tour bus. Acid sprayed onto the bus driver’s eyes. The lady tour guide spontaneouslyrinsed his eyes with bottle water. The eyes were washed, but ruined.[b].This accident happened in THE PROCESSING ZONE. When an acid tank vented, the venting pipeline burst [pipelinebeing brittle after long use.][Material of pipe is plastic or rubber, or how long it has been used not known]. An either curious or ignorant manager walked close to the tank and unfortunately he was sprayed. Thanks to the well experienced tank driver, he immediately ripped off all the manager’s dressing, wiped his body clean, thenrinsed with water. About 10 days in hospital, he returned home without big problem. [c].In a sulfuric acid producing company, two workers sprayed by the broken pipeline. One was managed under accurate approach, yet another one was not so lucky. He, with the help of the stunned people around, directly rinsed the body. What’s the result!? Miserable and severely!! He kept hospitalized for long,even the morphine prescribed by doctor couldn’tkill his pain, recalled the poor worker. Before this article came public, I did an experiment [wearinghelmet with mask, rubber gloves, goggle and raincoat].I bought some chopped pigskin 20x10,nailedthemontowood . After pouring acid, I observed the wipedand not wiped pigskin, and the result was obvious at aglance. So if sprayed by acid or alkali, wipe clean first, then rinse. This is the life-saving approach. If we pour thick sulfuric acid into water, quietly and gradually the water will be getting hot, and will not splash. When thick sulfuric acid mixes with water, chemical reaction happens, producing hydrate and at the same time releasing big amount of heat. The heat released by 1kg thick sulfuric acid hydrating with water can lead to a sudden rise of temperature of 2kg cold water to100 centigrade degree. Thick sulfuric acid looks like oil, but actually it is heavier than water by 1.9 times, and heavier 1 time than water of same volume. Obviously, if we pour water into thick sulfuric acid, water will float on the acid.Chemical reaction happens, water will violently be getting hot, and splash all over. ON the contrary, if we pour thick sulfuric acid into water, the effect differs. It is heavier than water, it will gradually sink into bottom and distribute in each part of liquid, so the reacting heat is distributed in the liquid in average. The temperature rises slowly and slowly, the water will not be getting hot rapidly andfuriously. Here, I sincerely suggest that all labs and chemistry departments in schools or all companies where sulfuric acid and alkali are used should amend all bulletin boards [material safety sheets]. Where there is sulfuric acid or alkali, cotton[no chemical fiber cloth] should be readily prepared. Especially, DALIN plant has the alkylation workplace of sulfuric acid [Sulfuric acid or hydrofluoric acid as a catalyst in processing]. It should have to be well prepared, because all the pipelines absolutely should be leaking where and there after 10 or 20 years, unless they are all updated. RE: parts of this article took wiki and internet for reference. Great thanks to Mr. Wang Jin-bo, industrial safety division, and Mr. Yang Yao- kun, the leading foremanof 7thsulfur, for their guidance and correction. Welcome friends all over the world translating it into kinds of languages to help those in need. And don’t hesitate to write me if necessary for more understanding and interpretation. Thanks!! Thanks sister melody translation

15 人回報・1 則回應・2 年前

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