訊息原文

1 人回報1 則回應6 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。

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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。

現有回應

  • Lin標記此篇為:❌ 含有不實訊息

    理由

    籲要以指揮中心發布的為準,有慢性病、有疫情症狀、到通風不良擁擠密閉空間要戴口罩。不要任意用自己的想法做不當的宣導,反而會讓物資更為緊張、讓社會恐慌增加,這些都沒必要。例如社區內發生人傳染人的疫情情況的時候,在社區內必然要戴口罩;沒有發生這種情況的時候戴口罩,會讓物資浪費、也沒有必

    出處

    https://udn.com/news/story/120940/4308257
    6 年前
    181(Why?)

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  • (fyi) This is the new thing these days with people out of work and needing cash. Beware, it's headed our way. Warning..!!!! Warning..!!!! Warning..!!!! Just last weekend on Friday night we parked in a public parking area. As we drove away I noticed a sticker on the rear window of the car. When I took it off after I got home, it was a receipt for gas.. Luckily my friend told me not to stop as it could be someone waiting for me to get out of the car.. Then we received this email yesterday: WARNING FROM POLICE THIS APPLIES TO BOTH WOMEN AND MEN BEWARE OF PAPER ON THE BACK WINDOW OF YOUR VEHICLE--NEW WAY TO DO CARJACKINGS (NOT A JOKE) Heads up everyone! Please, keep this circulating.... You walk across the parking lot, unlock your car and get inside. You start the engine and shift into reverse. When you look into the rearview mirror to back out of your parking space, you notice a piece of paper stuck to the middle of the rear window. So, you shift into Park, unlock your doors, and jump out of your car to remove that paper (or whatever it is) that is obstructing your view. When you reach the back of your car, that is when the carjackers appear out of nowhere, jump into your car and take off. They practically mow you down as they speed off in your car. And guess what, ladies? I bet your purse is still in the car. So now the carjacker has your car, your home address, your money, and your keys. Your home and your whole identity are now compromised! BEWARE OF THIS NEW SCHEME THAT IS NOW BEING USED. If you see a piece of paper stuck to your back window, just drive away. Remove the paper later.. And be thankful that you read this e-mail. I hope you will forward this to friends and family, especially to women. A purse contains all kinds of personal information and identification documents, and you certainly do NOT want this to fall into the wrong hands. Please keep this warning going
    2 人回報1 則回應5 年前
  • This was copied and pasted: I got this from a friend—good advice—- My sister’s husband sits on various boards. This is what he just sent me: I came across this from Stanford hospital board. This is their feedback for now on Corona virus: The new Coronavirus may not show sign of infection for many days. How can one know if he/she is infected? By the time they have fever and/or cough and go to the hospital, the lung is usually 50% Fibrosis and it's too late. Taiwan experts provide a simple self-check that we can do every morning. Take a deep breath and hold your breath for more than 10 seconds. If you complete it successfully without coughing, without discomfort, stiffness or tightness, etc., it proves there is no Fibrosis in the lungs, basically indicates no infection. In critical time, please self-check every morning in an environment with clean air. Serious excellent advice by Japanese doctors treating COVID-19 cases: Everyone should ensure your mouth & throat are moist, never dry. Take a few sips of water every 15 minutes at least. Why? Even if the virus gets into your mouth, drinking water or other liquids will wash them down through your throat and into the stomach. Once there, your stomach acid will kill all the virus. If you don't drink enough water more regularly, the virus can enter your windpipe and into the lungs. That's very dangerous. 1. If you have a runny nose and sputum, you have a common cold 2. Coronavirus pneumonia is a dry cough with no runny nose. 3 This new virus is not heat-resistant and will be killed by a temperature of just 26/27 degrees. It hates the Sun. 4. If someone sneezes with it, it takes about 10 feet before it drops to the ground and is no longer airborne. 5. If it drops on a metal surface it will live for at least 12 hours - so if you come into contact with any metal surface - wash your hands as soon as you can with a bacterial soap. 6. On fabric it can survive for 6-12 hours. normal laundry detergent will kill it. 7. Drinking warm water is effective for all viruses. Try not to drink liquids with ice. 8. Wash your hands frequently as the virus can only live on your hands for 5-10 minutes, but - a lot can happen during that time - you can rub your eyes, pick your nose unwittingly and so on. 9. You should also gargle as a prevention. A simple solution of salt in warm water will suffice. 10. Can't emphasis enough - drink plenty of water! THE SYMPTOMS 1. It will first infect the throat, so you'll have a sore throat lasting 3/4 days 2. The virus then blends into a nasal fluid that enters the trachea and then the lungs, causing pneumonia. This takes about 5/6 days further. 3. With the pneumonia comes high fever and difficulty in breathing. 4. The nasal congestion is not like the normal kind. You feel like you're drowning. It's imperative you then seek immediate attention.
    1 人回報1 則回應6 年前
  • Johns Hopkins University, sent this excellent summary : 😷😷😷👍 * The virus is not a living organism, but a protein molecule (DNA) covered by a protective layer of lipid (fat), which, when absorbed by the cells of the ocular, nasal or buccal mucosa, changes their genetic code. (mutation) and convert them into aggressor and multiplier cells. * Since the virus is not a living organism but a protein molecule, it is not killed, but decays on its own. The disintegration time depends on the temperature, humidity and type of material where it lies. * The virus is very fragile; the only thing that protects it is a thin outer layer of fat. That is why any soap or detergent is the best remedy, because the foam CUTS the FAT (that is why you have to rub so much: for 20 seconds or more, to make a lot of foam). By dissolving the fat layer, the protein molecule disperses and breaks down on its own. * HEAT melts fat; this is why it is so good to use water above 25 degrees Celsius for washing hands, clothes and everything. In addition, hot water makes more foam and that makes it even more useful. * Alcohol or any mixture with alcohol over 65% DISSOLVES ANY FAT, especially the external lipid layer of the virus. * Any mix with 1 part bleach and 5 parts water directly dissolves the protein, breaks it down from the inside. * Oxygenated water helps long after soap, alcohol and chlorine, because peroxide dissolves the virus protein, but you have to use it pure and it hurts your skin. * NO BACTERICIDE SERVES. The virus is not a living organism like bacteria; they cannot kill what is not alive with antibiotics, but quickly disintegrate its structure with everything said. * NEVER shake used or unused clothing, sheets or cloth. While it is glued to a porous surface, it is very inert and disintegrates only between 3 hours (fabric and porous), 4 hours (copper, because it is naturally antiseptic; and wood, because it removes all the moisture and does not let it peel off and disintegrates). ), 24 hours (cardboard), 42 hours (metal) and 72 hours (plastic). But if you shake it or use a feather duster, the virus molecules float in the air for up to 3 hours, and can lodge in your nose. * The virus molecules remain very stable in external cold, or artificial as air conditioners in houses and cars. They also need moisture to stay stable, and especially darkness. Therefore, dehumidified, dry, warm and bright environments will degrade it faster. * UV LIGHT on any object that may contain it breaks down the virus protein. For example, to disinfect and reuse a mask is perfect. Be careful, it also breaks down collagen (which is protein) in the skin, eventually causing wrinkles and skin cancer. * The virus CANNOT go through healthy skin. * Vinegar is NOT useful because it does not break down the protective layer of fat. * NO SPIRITS, NOR VODKA, serve. The strongest vodka is 40% alcohol, and you need 65%. * LISTERINE IF IT SERVES! It is 65% alcohol. * The more confined the space, the more concentration of the virus there can be. The more open or naturally ventilated, the less. * This is super said, but you have to wash your hands before and after touching mucosa, food, locks, knobs, switches, remote control, cell phone, watches, computers, desks, TV, etc. And when using the bathroom. * You have to HUMIDIFY HANDS DRY from so much washing them, because the molecules can hide in the micro cracks. The thicker the moisturizer, the better. * Also keep your NAILS SHORT so that the virus does not hide there.
    1 人回報1 則回應6 年前
  • 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.
    3 人回報1 則回應4 年前
  • Welcome to America's Got Talent. Thanks. Who are you? My name's Ethan Jan. I'm from Redlands, California. How old are you? I'm 17 years old. 17 years old. So you're in school? Yeah, I'm a junior in high school. And what do you want to be when you grow up? I actually don't really have much of an idea. Well, what are you going to do for us? Just going to do a quick Rubik's Cube act. You make it sound so much more exciting than it actually is. Do you think you can win this contest? Hmm. Well, that's the spirit. Yeah. Okay. I cannot wait to see what you're going to do right here. Thanks. Go ahead, buddy. So judges, may I please come down to the front desk over there? Please. The front desk? We're not checking you out. Or desk. Do you want to talk to the concierge? All right. So in front of the four of you, there's a Rubik's Cube. Could all of you please scramble them up as much as you would like? Like whatever we want? Yes. Okay. You know what I used to do when I couldn't figure it out? I would take all the stickers off and re-stick them. All right. Now that these Rubik's Cubes are all scrambled up, I'm going to do something a little bit fun. What's the next level? Upstairs. He's a genius. Howie, that's what he is. When I met you, you were not very excited for what you were going to do. Oh, no. I was like so excited. I was just a little bit nervous at the same time. I wasn't sure how to act. Yeah. Now you're transforming in front of us. And that was amazing. That was flawless. It was super fun. It was showmanship as well. It doesn't in theory sound super exciting, but this was so incredible. I mean, again, I don't think that there's a human inside of you. Probably a robot. I don't know. Because your eyes were like. It was incredible. You've just done. Incredible. What you did was truly amazing. And I love how you underplayed it. And then you just dazzled us. So we are going to vote. I would like to start off with the first yes. We love being surprised. That was a big surprise the whole time. And that's why you've now got four yeses. How do you feel right now? I'm just really happy to have gotten four yeses. That was really unexpected. Well, you deserve it. You deserve it. You did such a great job, my man. Absolutely incredible.
    4 人回報2 則回應4 年前
  • OK, a little to the left. I want to get dad's store. Sorry, 29 years old. Still chasing Pokemon. My bad. Yeah, you're bad. Come on, come on, come on, come on, come on. Thank you. I'm sorry to bother you. Can I see your receipt, please? Of course. Oh, thank you. Ooh, an espresso machine, huh? It's a beauty. Oh, it's lovely. All right, well, you have a great day. Thank you. All right, this was a birthday gift from my husband. It's a beautiful machine, but I think it's a little extravagant for our budget. No problem. Do you have your receipt? Yes, I do. Oh, I'm so sorry! I know I'm such an idiot. Let me just take it off. I'm gonna get some more towels. You're only making it worse. All right, I'll be right back. We'll have towels. That's not gonna work on this shade. How long is that flight? Okay, yeah, let's go ahead and book those three coach tickets. Yes, the number is 4-0-1-2, 7-4-9-6, 2-3-9-0, 5-1-8-5. Oh, the zip code is 1-7-9-0-2. Perfect. Yeah. Thank you very much. Hey, how much is it to upgrade? Yeah, let's go ahead and make it three first-class tickets. There we go. Almost good as new. Incredible. Thank you. Yeah, no problem. Here we go. I have a big meeting. Oh, good. We'll have a great one. Thank you. Sorry, yeah, so close. No worries, I think you saved it.
    1 人回報1 則回應3 年前
  • 😱😱😱😱😱Amazon officially announced to the outside world that more than 19,000 delivery employees have been diagnosed with the new crown virus. For this reason, when you get Amazon’s parcel after mail order, please be very careful to isolate the parcel for a few days. When opening the parcel, you must first wear rubber gloves to take precautions. 亞馬遜公司正式向外界宣佈,他們有一萬九千多配貨員工已經確診染上新冠病毒。 為此,請大家郵購後獲取亞瑪遜的郵包時,千萬要非常小心的先隔離該包裹一些日子,到了打開包裹時,一定要先戴上膠手套做足預防措施。
    6 人回報1 則回應6 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4 年前