《轉載自成大華府校友會》 不知道是否過於樂觀？ Notes from a call with Edward Ryan MD, Director of International Infectious Disease at Massachusetts General Hospital: 1 Close to 100% of the positive cases in MA are Omicron. Delta is almost completely gone from New England. 2 This surge will peak sometime between 1/10 and 1/21 and then begin a quick downhill journey of two to four weeks. 3 We will end up with a 20-50% positivity rate. 4 February will be clean up mode, March will begin to return to "normal" 5 Omicron lives in your nose and upper respiratory area which is what makes it so contagious. It isn't able to bond with your lungs like the other variants. 6 The increased hospitalizations should be taken with a grain of salt as most of them are secondary admissions (i.e. people coming in for surgery, broken bones, etc. who are tested for COVID) 7 We won't need a booster for omicron because they wouldn't be able to develop one before it's completely gone and we're all going to get it which will give us the immunity we need to get through it. 8 COVID will join the 4 other coronaviruses we deal with that cause the common cold, upper respiratory infections, RSV, etc. It will become a pediatric disease mainly affecting young children with no immunity. 9 40% of those infected will be asymptomatic 10 Rapid tests are 50-80% sensitive to those with symptoms, only 30-60% sensitive to those without symptoms 11 Contact tracing is worthless because we're all going to get it and there's no way we could keep up with it. 12 We are fighting the last war with COVID and should be pivoting back to normal life, but society isn't quite ready for it yet. 13 There is no need to stay home from work or to be a hermit unless you're immunocompromised or 85 or older, but he does recommend staying away from large gatherings for the next six weeks. 14 Spring/Summer will be really nice! Overall a great presentation. Lot of good news.

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

如果以下屬實，Omicron已經和流感病毒沒太大的區別 ** 轉述與馬薩諸塞州總醫院國際傳染病主任 Edward Ryan 醫學博士的通話記錄： 1. 麻州中接近 100% 的陽性病例是 Omicron。 Delta 幾乎完全從新英格蘭消失了。 2. 這種激增將在 1/10 和 1/21 之間的某個時間達到頂峰，然後開始兩到四個星期的快速下坡之旅。 3. 我們最終會得到 20-50% 的陽性率。2月4日將進入清理模式，3月將開始恢復“正常”。 4. Omicron 存在於您的鼻子和上呼吸道區域，這就是它具有傳染性的原因。它無法像其他變體一樣與您的肺結合。 5. 對住院人數的增加應該持保留態度，因為其中大多數是二次入院（即接受手術、骨折等接受 COVID 檢測的人） 6. 我們不需要 omicron 的加強針，因為他們無法在它完全消失之前開發一個booster，而我們都會感染到它，這將為我們提供克服它所需的免疫力。 7. COVID 將加入我們經歷過並且共存的其他 4 種冠狀病毒，這些冠狀病毒會引起普通感冒、上呼吸道感染、RSV 等。它將成為一種兒科疾病，主要影響沒有免疫力的幼兒。 8. 40% 的感染者將無症狀。 9. 快速檢測對有症狀者的敏感度為 50-80%，對無症狀者的敏感度僅為 30-60%。 10. 接觸者追踪毫無價值，因為我們都會得到它，而且我們無法跟上它。 11. 我們正在與 COVID 打最後一場戰爭，應該回歸正常生活，但社會還沒有完全準備好。 12. 除非您的免疫功能低下或 85 歲或以上，否則無需在家工作或成為隱士，但他確實建議在接下來的六週內遠離大型聚會。 13. 春夏將是非常美好的！ 總的來說是一個很棒的演示。很多好消息。第12條信息 - 社會還未準備好疫情會過去倒是很有意思，可能有些人會永遠懼怕下去。

以下說的有統計數據嗎? 還是想當然耳? ………… 這兒要提醒大家的是，即使接種了兩劑的疫苗后，人們也可能會被感染。 =================== ▪️第二劑應在第一劑疫苗后 21/28 天接種。 ▪️疫苗進入人體后立即開始形成抗體。 ▪️當我們體內在形成抗體的時期，我們的免疫力會大大降低。 ▪️而我們在 21/28 天內接種第二劑疫苗辰，我們的免疫力會降低更多。 ▪️當第二次注射的 14 天后，抗體在我們體內完全形成時，我們的免疫力開始迅速增長。 ▪️在這一個半月中，由於免疫力降低，病毒進入我們體內的機會非常高。 正是由於在這個脆弱的時間接觸到病毒，人們才會被感染。 ▪️這意味著在這一個半月內出外是非常危險的。 ▪️即使接種了兩劑疫苗后，您也可能成為 Corona 的受害者。 ▪️一個半月后，體內的免疫力提高了 100 到 200 倍，在此之后您就安全了。 ▪️從首次接種疫苗開始，這一個半月要注意安全。 這就是為什麼 ▪️確保戴口罩。 ▪️僅在必要時才出門。 請閱讀 👆🏽，特別是在您要輪到接種疫苗的時候！！！ It is worth knowing the reason for people getting infected even after taking two doses of the corona vaccine. =================== ▪️ The second dose is to be taken 21/28 days after the first dose of the corona vaccine. ▪️ The vaccine starts to form antibodies immediately after entering the body. ▪️ When antibodies are forming in our body, our immunity decreases a lot. ▪️ When we take the second dose of the vaccine after the 21/28 days, our immunity decreases even more. ▪️ 14 days after the second dose, when the antibodies are completely formed in our body, our immunity starts to grow rapidly. ▪️ During this one and a half month, due to low immunity, the chances of the corona virus entering our body are very high. It is due to an exposure to the virus at this vulnerable time that a person gets infected. ▪️ Which makes it very risky to get out of the house during this one and a half months. ▪️ Even after taking two doses of the vaccine, you can become a victim of Corona. ▪️ After one and a half months, the immunity in the body rises by 100 to 200 times, after which you are safe. ▪️ Need to be careful and safe for one and a half months from the first dose. That's why ▪️ Make sure to wear a mask ▪️ Get out of the house only if necessary. Do read 👆🏽if it’s your turn to take that shot ...!

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.

分享這篇文章很受用💪👏😉💐💒 比爾蓋茲分享對疫情的反思，非常中肯。 ----摘自網路文章 中文版: 英國《太陽報》 刊登了比爾蓋茨的公開信，這封信得到極大關注，得到很多人轉發，人們稱讚比爾蓋茨是真正的智者，並有人第一時間就把他的公開信翻譯成中文。編者讀了這封信和譯文，感到蓋茨的話語直至心靈，非常受教育。希望大家都能讀一讀他的信，看看新冠病毒給我們上了一堂什麼樣的課、又教會了我們什麼。下面是比爾蓋茨的信。 ********************** 我堅信發生的每一件事後面都有一個精神層面的目的，無論我們認為是好還是壞。 當我沉思時，我想與大家分享我的心得，新冠病毒究竟對我們做了些什麼。 1) 病毒提醒我們，人都是平等的，無論我們的文化、宗教、職業、經濟狀況，或是一個人有多麼出名。在病毒眼中我們都是平等的，也許我們也應該平等對待他人。如果你不相信我的話，那就去問湯姆•漢克斯。 2) 病毒提醒我們，我們的命運都是聯在一起的，影響一個人的事情同時也會影響另一個人。病毒也提醒我們，我們建立的虛假國境線毫無價值，因為病毒並不需要護照。病毒還提醒我們，雖然我們暫時受到壓迫，世界上還有人一生都受到壓迫。 3) 病毒提醒我們，健康多麼珍貴。而我們卻忽視健康，吃垃圾食品，喝被各種化學品污染的水，如果我們不照顧自己，我們當然就會生病。 4) 病毒提醒我們，生命苦短，什麼是我們應該做的最重要的事情，特別是那些已經生病的老年人。人生在世的目的不是買一卷卷的廁紙。 5) 病毒提醒我們，我們的社會已經變得物質至上，當我們遇到困難時，我們才想起我們的基本需求是食物、飲水和藥品，而不是並沒有什麼價值的奢侈品。 6) 病毒提醒我們，家庭是何等重要，但我們卻忽視了這一點。病毒強迫我們回到我們的房子裡，所以我們可以把房子建成家庭，並建立牢固的家庭紐帶。 7) 病毒提醒我們，我們真正的工作並不是我們打的那份工，我們固然需要打工，然而上帝創造我們的目的並不是讓我們打工。我們真正的工作是互相照顧、互相保護、互助互利。 8) 病毒提醒我們，我們不能妄自尊大。病毒還提醒我們，無論你覺得自己多偉大，也無論別人覺得你多麼偉大，一個小小的病毒就能讓整個世界停擺。 9) 病毒提醒我們，自由掌握在我們自己手中。我們可以選擇合作互助、分享、付出、互相支持，或者我們也可以選擇自私、囤積和自顧自。只有在困難的時候才能看出一個人的真面目。 10) 病毒提醒我們，我們既可以耐心，也可以恐慌。我們既可以理解這種情況在歷史上已經發生過多次，但最後都過去了，我們也可以恐慌，以為世界末日到了，結果傷害了我們自己。 11) 病毒提醒我們，疫情既是結束也是開始。我們現在可以反省和理解，從錯誤裡吸取教訓。疫情也可以是一個輪回的開始，而且還會繼續下去，直至我們吸取教訓為止。 12) 病毒提醒我們，我們的地球病了。病毒還提醒我們，我們必須看到森林消失的速度，也必須看到一卷卷廁紙從貨架上消失的速度。我們都病了，因為我們的家庭病了。 13) 病毒提醒我們，困難總會過去，然後就容易了。生活是週期性的，現在只是週期裡的一個階段。我們不必恐慌，疫情一定會過去。 14) 許多人認為新冠病毒的疫情是一場災難，但我覺得這是一次“偉大的糾錯”。 👍👍Read this very enlightening *Bill Gate's* views on the Covid19: What is the Corona/ Covid-19 Virus Really Teaching us? I’m a strong believer that there is a spiritual purpose behind everything that happens, whether that is what we perceive as being good or being bad. As I meditate upon this, I want to share with you what I feel the Corona/ Covid-19 virus is really doing to us: - It is reminding us that we are all equal, regardless of our culture, religion, occupation, financial situation or how famous we are. This disease treats us all equally, perhaps we should to. If you don’t believe me, just ask Tom Hanks. - It is reminding us that we are all connected and something that affects one person has an effect on another. It is reminding us that the false borders that we have put up have little value as this virus does not need a passport. It is reminding us, by oppressing us for a short time, of those in this world whose whole life is spent in oppression. - It is reminding us of how precious our health is and how we have moved to neglect it through eating nutrient poor manufactured food and drinking water that is contaminated with chemicals upon chemicals. If we don’t look after our health, we will, of course, get sick. - It is reminding us of the shortness of life and of what is most important for us to do, which is to help each other, especially those who are old or sick. Our purpose is not to buy toilet roll. - It is reminding us of how materialistic our society has become and how, when in times of difficulty, we remember that it’s the essentials that we need (food, water, medicine) as opposed to the luxuries that we sometimes unnecessarily give value to. - It is reminding us of how important our family and home life is and how much we have neglected this. It is forcing us back into our houses so we can rebuild them into our home and to strengthen our family unit. - It is reminding us that our true work is not our job, that is what we do, not what we were created to do. Our true work is to look after each other, to protect each other and to be of benefit to one another. - It is reminding us to keep our egos in check. It is reminding us that no matter how great we think we are or how great others think we are, a virus can bring our world to a standstill. - It is reminding us that the power of freewill is in our hands. We can choose to cooperate and help each other, to share, to give, to help and to support each other or we can choose to be selfish, to hoard, to look after only our self. Indeed, it is difficulties that bring out our true colors. - It is reminding us that we can be patient, or we can panic. We can either understand that this type of situation has happened many times before in history and will pass, or we can panic and see it as the end of the world and, consequently, cause ourselves more harm than good. - It is reminding us that this can either be an end or a new beginning. This can be a time of reflection and understanding, where we learn from our mistakes, or it can be the start of a cycle which will continue until we finally learn the lesson we are meant to. - It is reminding us that this Earth is sick. It is reminding us that we need to look at the rate of deforestation just as urgently as we look at the speed at which toilet rolls are disappearing off of shelves. We are sick because our home is sick. - It is reminding us that after every difficulty, there is always ease. Life is cyclical, and this is just a phase in this great cycle. We do not need to panic; this too shall pass. Whereas many see the Corona/ Covid-19 virus as a great disaster, I prefer to see it as a great corrector. It is sent to remind us of the important lessons that we seem to have forgotten and it is up to us if we will learn them or not. Bill Gates.

關心你， 我關心你， 我很關心你！ 轉傳 （這是一個英國護士給大家的忠告，請仔細閱讀。不用謝。） BE PREPARED 準備妥善 Everyone is telling you how to NOT catch #coronavirus, but NO ONE is saying what to do if you get it. 每個人都在討論如何避免新冠病毒，但是沒有人告訴你：萬一不幸染上新冠病毒，應該如何自處。 Thanks to this nurse in the UK for putting this guide together: 感謝這位英國護士整理下列指引： Finally, some sensible advice. From a GP Nurse in the UK. 終於有一些明確的建議了。來自一個英國執業護士。 What I have seen a lot of are recommendations for how to try to avoid getting coronavirus in the first place: 我已經看過很多關於如何免感染新冠病毒的建議： • good hand washing 勤洗手 • personal hygiene 個人衛生 • social distancing 社交距離 but what I have NOT seen a lot of is advice for what happens if you actually get it, which many of us will. 但是我沒看到太多關於感染新冠病毒後要如何自處的建議，而我們很多人會染疫的。 So as your friendly neighborhood Nurse let me make some suggestions: 所以作爲你家隔壁友善的護士，讓我給些建議： If you get Covid-19 如果你感染了新冠肺炎 You basically just want to prepare as though you know you’re going to get a nasty respiratory bug, like bronchitis or pneumonia. You just have the foresight to know it might come your way! 基本上，只要做好心理準備，就好像知道自己將會患上令人討厭的呼吸道疾病一樣，例如支氣管炎或肺炎。只要想像你有可能會感染新冠肺炎。 Things to start doing now: 從現在開始要做的事情： 1. Get 20 minutes sun on your entire body (or as much as possible) every day. This will dramatically increase your Vitamin D levels, which improves your immune system. 每天花 20 分鐘曬太陽（或盡可能多曬曬身體各個部位）。這將會大大提高體内維他命 D 的含量， 藉以增強免疫系統。 2. If affordable take a good general supplement, plus 2000mg Vit C a day. Include ZINC, SELENIUM & GLUTATHIONE. 如果負擔得起，要多吃營養均衡的食物，外加每天攝取2000mg 維他命C，再配合鋅、硒和谷胱甘肽（註：一種強效的抗氧化劑）。 3. Scott’s Emulsion is a great general tonic (cod liver oi) 司考特乳白是一種很好的補品（魚肝油） Things you should actually buy ahead of time: 一些應該事先準備好的物品： 4. Kleenex 面紙（或衛生紙） Paracetamol 撲熱息痛藥片（德國市面稱為Paracetamol 500） 5. Cough medicine of choice (check the label and make sure you're not doubling up on Paracetamol) 止咳藥（檢查標籤確保沒有撲熱息痛的成份，以免重複） Zinc lozenges 鋅錠 6. Throat spray like Andolex or TCP 喉嚨噴劑，如Andolex或TCP（ Trichlorophenylmethyliodosalicyl） 7. Honey and lemon can work just as well! 蜂蜜和檸檬也有相同效果！ 8. Vicks vaporub for your chest is also a great suggestion. Vicks vaporub 維克斯薄荷藥膏對舒緩胸部不適，是一種很好的藥物。 9. A humidifier would be a good thing to buy and use in your room when you go to bed overnight. (You can also just turn the shower on hot and sit in the bathroom breathing in the steam) 夜裡睡覺時，在房間裡使用加濕器，是一個不錯的法子。 （也可以打開淋浴的蓮蓬頭，然後坐在浴室裡呼吸熱蒸汽） 10. If you have a history of asthma and you have a prescription inhaler, make sure the one you have isn’t expired and refill it/get a new one if necessary. 如患哮喘毛病，而有哮喘噴劑，請確保所用的哮喘噴劑尚未過期，並重新加滿/如有必要，買個新的。 11. Meals This is also a good time to meal prep: make a big batch of your favorite soup to freeze and have on hand. 餐點部份 這也是準備餐點的好時機：將一大鍋你喜歡的湯冷凍起來備用。 12. Hydrate Hydrate, hydrate! Stock up on whatever your favorite clear fluids are to drink, though tap water is fine you may appreciate some variety! 水份 水份，水份！多準備一些你喜歡的清澈食用水，儘管自來水也可以，但多樣化的食用水或許是個不錯的主意！ 13. For symptom management and a fever over 38°c take Paracetamol rather than Ibuprofen. 如有病徵同時發燒超過 38°c，那就服用撲熱息痛藥片（Paracetamol），而不是布洛芬（Ibuprofen）。 14. Rest lots You should not be leaving your house! Even if you are feeling better you may will still be infectious for fourteen days and older people and those with existing health conditions should be avoided! 多休息 不應外出！即使病情好轉，14 天內仍具有傳染性；也要避免與老人家和健康狀況欠佳的人接觸！ 15. Wear gloves and a mask to avoid contaminating others in your house. 戴手套和戴口罩，以免傳染給家中的其他成員。 16. Isolate in your bedroom if not living alone, ask friends and family to leave supplies outside to avoid contact. 若非獨居，請在臥室中自我隔離，讓親朋好友將物品留在外面，避免和他們接觸。 17. Sanitize your bed linen and clothes frequently by washing and clean your bathroom with recommended sanitizers. 經常以優良的消毒劑清洗床單和衣物。 18. You DO NOT NEED TO GO TO THE HOSPITAL unless you are having trouble breathing or your fever is very high (over 39°C) and unmanaged with meds. 除非呼吸困難或發高燒（超過 39°C）並且沒有其他醫療藥物，否則，不要去醫院！ 19. 90% of healthy adult cases thus far have been managed at home with basic rest/hydration/over-the-counter meds. 迄今為止，已有 90％的成人病例成功地在家中接受基本的療養/補充水份/非處方藥物治療。 20. If you are worried or in distress or feel your symptoms are getting worse: 假如你擔心、緊張、或感覺自己的症狀越來越嚴重： 21. Pre-existing risks If you have a pre-existing lung condition (COPD, emphysema, lung cancer) or are on immunosuppressants, now is a great time to talk to your Doctor or specialist about what they would like you to do if you get sick. 預存風險 如果已經患有肺部疾病（慢性阻塞性肺病，肺氣腫，肺癌）或正在接受免疫抑製劑的治療，現在正是與家庭醫生或專科醫生討論的絕佳時機，要預先了解染病時的可能治療方案。 22. Children One major relief to you parents is that kids do VERY well with coronavirus, they usually bounce back in a few days (but they will still be infectious). Just use pediatric dosing. 兒童 對父母而言，最大的安慰是：治療新冠病毒的方法對於兒童非常有效，他們通常會在幾天內復原（但仍具有感染風險）。同時只需使用兒童劑量即可。 23. Be calm and prepare rationally and everything will be fine. This is to inform us all that the pH for corona virus varies from 5.5 to 8.5. 保持鎮靜，合理應對，一切都會好轉。要告訴所有人，新冠病毒的pH值在 5.5 到 8.5 之間。 24. All we need to do, to beat corona virus, we need to take more of an alkaline foods that are above the above pH level of the Virus. 為了戰勝新冠病毒，我們一切所需要做的，就是大量攝取高於上述pH值的鹼性食品。 Some of which are: 其中包括： 25. Lime萊姆 - 8.2pH Tangerine柑橘 - 8.5pH Mango芒果 - 8.7pH Orange 柳橙 - 9.2pH Lemon檸檬 - 9.9pH Pineapple 鳳梨 - 12.7pH Garlic 蒜頭 - 13.2pH Avocado 牛油果 - 15.6pH Dandelion 蒲公英 - 22.7pH 26. How do you know you have coronavirus? 如何知道染上新冠病毒？ 1. Itching in the throat 喉嚨很癢 2. Dry throat 喉嚨乾渴 3. Dry couch 乾咳 4. High temperature 發高燒 5. Shortness of breath 呼吸急促 6. Loss of sense of taste & smell 失去味覺和嗅覺 7. Covid toes - toes turning blue/black 有新冠病毒腳趾 - 腳趾變成藍色或黑色 27. So where you notice these things quickly take warm water with lemon and drink. 因此，如果自己有這些症狀，就要立刻飲用溫熱的檸檬水。 28. Do not keep this information to yourself only. Pass it to all your family and friends. 不要保留這個信息。轉傳給所有家人和朋友。 諸君健康

转发医生朋友———这一波omicron 传染性之高，入院率和死亡率之低意味着美国🇺🇸民众离回归开放的生活真的不远了。麻省总医院的专家电话会议英文版我一天在不同的地方看到六次早上醒来中文翻译版都有了。保持警惕的乐观迎接疫情结束🔚 翻译： 【转】与马萨诸塞州总医院国际传染病主任 Edward Ryan 医学博士的通话记录： 1 ）马萨诸塞州接近 100% 的阳性病例都是 Omicron引起的。 在新英格兰地区Delta 几乎完全消失了。 2 ）阳性人数的激增将在 1/10 至1/21 之间的某个时间达到顶峰，然后在之后的2-4周内迅速递减。 3 ）我们最终会有 20-50% 的阳性检出率。 4）2月份将进入尾声，3月将开始恢复“正常”。 5 ）Omicron 存活在鼻子和上呼吸道，所以它具有超强的传染性。它不太能像其他变体那样在肺里繁殖。 6 ）我们目前对住院人数的统计应该持谨慎态度，因为其中大多数是因其他原因入院（如接受手术、骨折等），同时被检测出COVID 阳性的人。 7 ）我们不需要打特殊的omicron 疫苗加强针，因为这种特殊疫苗不太可能在omicron完全消失之前研发出来。我们大概率上都可能会感染上omicron，这会帮助我们获取所需的免疫力，最终战胜它。 8 ）COVID 将与其他 4 种冠状病毒一样，会引起普通感冒、上呼吸道感染、RSV 等感染。它会是一种常见的儿科疾病，主要感染没有免疫力的幼儿。 9 ）40% 的感染者并没有表现出什么症状。 10 ）快速检测在有症状者中的灵敏度为 50-80%，在无症状者中测试灵敏度仅为 30-60%。 11 ）目前再去追踪密接者已经毫无意义。因为我们大多数人都会感染上，所以永远也无法追踪得完。 12 ）我们现在正在与COVID打最后一场战役，应该很快就能回归正常生活了。但我们的社会似乎还没有做好这个心理准备。 13 ）除非您的免疫功能低下或高龄 85 岁以上，否则你根本无需躲避在家不工作或过着隔离的生活。但建议在接下来的六周内大家还是远离大型聚会为妙。 14 ）今年的春、夏天将会是非常美好的！

近日，哈佛大學公共衛生學院發了一篇Science：根據論文中的描述，無論是否能研發出疫苗，新冠病毒都可能會陪伴人類到2025年。 那麼，2025年以後人類能擺脫新冠病毒嗎？ 不，只是到時我們就已經習慣了這種隔離的生活方式了……具體來說，這篇論文關鍵說了這幾點： 1、被我們寄予厚望的疫苗，作用很可能會非常小！因為人類感染者產生的抗體有效期可能只有40週（<300天），比疫苗的研發週期都要短！ 如果疫苗不能起作用，那麼新冠將會變成一個10-50倍致死率的流感，在全世界範圍內反复爆發收割人類生命。 2、未來各國的策略，就是盡可能採用疏離措施，把感染率維持在一個較低的水平，以確保醫療體係不崩潰。 3、新冠會長期成為老年人類的頭號殺手，而人類整體的醫療支出會大幅上升，預期壽命會降低。 潘多拉的盒子打開，疫情在全世界蔓延，不是一年、兩年，而是五年、十年，甚至可能一直持續下去，彼此間的隔離將成為常態，人與人之間日常的交際會顯著減少，甚至傳承了成百上千年的很多風俗習慣也會徹底消失。 未來的服務業將受到極大的抑制，人們會壓縮非必須的服務業需求，除了醫療、教育等必須的服務需求外，其他都將盡可能地抑制。 例如對於人類的旅遊業、餐飲業、院線、商業地產等等以及其他一切服務業相關行業可能都是重大的打擊，可能徹底改變旅遊業的業務邏輯。 又比如NBA和英超的收入結構可能要發生根本的變化，人類競技運動最吸金的產業，會變成網絡遊戲。這類觀眾密集的體育賽事可能永遠都不會出現了。 在線教育、在線醫療、遠程服務、VR、AR產業將迎來一波大發展，行業估值的邏輯已經完全改變了…… Projecting the transmission dynamics of SARS-CoV-2 through the postpandemic period Stephen M. Kissler1,*, Christine Tedijanto2,*, Edward Goldstein2, Yonatan H. Grad1,†,‡, Marc Lipsitch2,†,‡ 22 May 2020: Vol. 368, Issue 6493, pp. 860-868 DOI: 10.1126/science.abb5793 Abstract It is urgent to understand the future of severe acute respiratory syndrome–coronavirus 2 (SARS-CoV-2) transmission. We used estimates of seasonality, immunity, and cross-immunity for human coronavirus OC43 (HCoV-OC43) and HCoV-HKU1 using time-series data from the United States to inform a model of SARS-CoV-2 transmission. We projected that recurrent wintertime outbreaks of SARS-CoV-2 will probably occur after the initial, most severe pandemic wave. Absent other interventions, a key metric for the success of social distancing is whether critical care capacities are exceeded. To avoid this, prolonged or intermittent social distancing may be necessary into 2022. Additional interventions, including expanded critical care capacity and an effective therapeutic, would improve the success of intermittent distancing and hasten the acquisition of herd immunity. Longitudinal serological studies are urgently needed to determine the extent and duration of immunity to SARS-CoV-2. Even in the event of apparent elimination, SARS-CoV-2 surveillance should be maintained because a resurgence in contagion could be possible as late as 2024. http://www.nugentek.com.tw/hot_358661.html https://science.sciencemag.org/content/368/6493/860 https://heho.com.tw/archives/78890

From Toronto The virus is back, this time with more energy, tactics and camouflage. We don't cough No fever, it's joint pain, weakness, Loss of appetite and Covid pneumonia! Of course, the death rate is higher, it takes less time to get to the extreme. Sometimes no symptoms ... let's be careful ... The strain is not domiciled in our nasopharyngeal region! It directly affects the lungs, which means window periods are shortened. I have seen a number of patients without fever, but an x-ray report shows moderate chest pneumonia! The nasal swab is often negative for COVID19! There are more and more false pharyngeal nasal tests COVID19) ... which means that the virus spreads directly to the lungs causing acute respiratory distress due to viral pneumonia! This explains why it has become acute and more fatal !!!Covid21 Be careful, avoid crowded places, wear a face mask, wash our hands often. *WAVE* more deadly than the first. So we have to be very careful and *take every precaution.* Please become an alert communicator among friends and family ... __________ DO NOT keep this information to yourself, share it with your family and friends. Please take care and stay safe ! 🙏❤ 由多倫多傳來的訊息 病毒变形又回來了，這次的"新新冠"病毒更活耀，有技巧和偽裝。 我們不咳嗽, 沒有發燒，只是關節疼痛，渾身無力， 食慾不振和新冠肺炎！ 當然，死亡率更高，達到重症所需的時間更少。 有時沒有症狀...要小心... 該病毒不在我們的鼻咽區域停留！ 它直接影響肺部，這意味著能救命的窗口時間縮短了。 我見過許多不發燒的患者，但是X光檢查顯示中度胸肺炎！ 鼻拭子測試通常是新冠病毒陰性！ 越來越多的錯誤的鼻拭子測試檢查 ...這意味著該病毒直接傳播到肺部， 由於病毒性肺炎而引起急性呼吸窘迫！ 這解釋了為什麼它變得急性和致命得多！ 注意，避免人擠的地方，戴上口罩，經常洗手。 "新新冠病毒" 比第一個新冠病毒更致命。 因此，我們必須非常小心並*採取一切預防措施*。 請成為朋友和家人之間的警惕溝通者... __________ 不要將這些信息只留給自己，要與家人和朋友分享。 請保重並確保安全！ 🙏❤（Google翻譯再加修訂）