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3 人回報1 則回應2 年前
Hello speaker, my old friend. I've come to talk with you again. It's a story of some downs and ups, of the Eagles and their Premiership Cup.
Of a year which finished with our share of the GST for our Treasury that's been there here in Parliament.
The legislation program's grand. Plastic bags have now been banned.
We've now got sewage bollards out the front. Looking like an opposition stunt.
Members keep giving speeches that no one understands. Some good, some bland.
That's been the year in Parliament.
And in this Parliamentary Hall are a dozen members, maybe more.
Members talking without speaking. Members hearing without listening.
Members giving speeches that no one ever hears. And no one cares.
That's what it's like in Parliament.
So Mr Speaker, close the gate. Do it now lest it's too late.
Get the crayfish and the sparkling wine. All the members form a Congo line.
And the Christmas message is written on the Parliamentary walls.
And the Christmas balls. Merry Christmas from Parliament.

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  • murmur標記此篇為:💬 含有個人意見

    理由

    影片是2018年西澳洲官員 David Templeman 在議會上演唱致詞的片段。

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    https://tfc-taiwan.org.tw/articles/8626
    2 年前
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  • Okay, I'm just going to stand here and take this all in 40 years not letting go of this. So just quickly, thank you Hollywood Foreign Press for giving me this honor. It's been an amazing journey and incredible fight to be here today. But I think it's been worth it. I remember when I first came to Hollywood. It was a dream come true until I got here because look at this face. I came here and was told you're a minority and I'm like, no, that's not possible. And then someone said to me, you speak English. I mean, forget about them not knowing Korea, Japan, Malaysia, Asia, India. And then I said, yeah, the flight here was about 13 hours long. So I learned. As time went by, as I just turned, I turned 60 last year. And I think all of you women understand this as the days, the years and the numbers get bigger, it seems like opportunities start to get smaller as well. And I probably was at a time where I thought, well, hey, come on, girl, you had a really, really good run. You worked with some of the best people, Steven Spielberg, Jim Cameron and Danny Boyle. And so it's good. It's all good. Then along came the best gift, everything, everywhere. All at once. Shut up, please. I can beat you up, okay? And that's serious. And I thank you, A24, Leyline, for believing in these two goofy, insanely smart, wonderful geniuses, the Daniels, who had the courage, who had the courage to write about a very ordinary immigrant, aging woman, mother, daughter, who was the worst thing trying to do her audit. She was being audited by the IRS, played by the most amazing Jamie Lee Curtis. I love you. I was given this gift of playing this woman who resonated so deeply with me and with so many people, because at the end of the day, in whatever universe she was at, she was just fighting, fighting for love, for her family. And without Evelyn Wong was no one without Kee Kwe Kwan, Raymond Wong, and there was no joy in her life without Stephanie Hsu, the most amazing Stephanie Hsu, and my hard dog lover, Jamie Lee Curtis. To Jonathan Wong, my producer, thank you for being there with us every step of the way. My managers, David Unger and Kit Wong, who believed in me. And this is also for all the shoulders that I stand on, all who came before me, who looks like me, and all who are going on this journey with me forward. So thank you for believing in us. Thank you. Thank you so much.
    2 人回報1 則回應2 年前
  • Presidents have delivered some form of final message while in office, a farewell address to the American people. On Tuesday night in Chicago, I'll deliver mine. I chose Chicago not only because it's my hometown, where I met my wife and we started a family, but also because it's really where my career in public service began. The running thread through my career has been the notion that when ordinary people get involved and get engaged and come together in collective effort, things change for the better. That's the belief at the heart of this precious American experiment in self-government. It's what gives work and purpose to each new generation. It's easy to lose sight of that truth in the day-to-day back-and-forth of Washington or our minute-to-minute news cycles. But remember that America is a story told over a longer time horizon, in fits and starts, punctuated at times by hardship but ultimately written by generations of citizens who've somehow worked together without fanfare to form a more perfect union. Over the past eight years, we've added our own new chapter to that story. Together, we've turned an economy that was shrinking and losing jobs into one that's growing and creating jobs. With poverty falling, incomes rising, Presidents have delivered some form of final message while in office, a farewell address to the American people. On Tuesday night in Chicago, I'll deliver mine. I chose Chicago not only because it's my hometown, where I met my wife and we started a family, but also because it's really where my career in public service began. The running thread through my career has been the notion that when ordinary people get involved and get engaged and come together in collective effort, things change for the better.
    2 人回報1 則回應1 年前
  • We're the ones provoking this war, just like we provoked the war in Ukraine. We are now provoking a war with China and who benefits? I'll tell you right now, your enemy is not China. Your enemy is not Russia. Your enemy is the military industrial complex, which has been fleecing this country to the tunes of hundreds of billions and trillions of dollars. How many times are we going to have a defense secretary say, hey, we can't account for $2 trillion in the Pentagon again, which has happened twice now in my life. So again, people are being the war machine cannot be stopped. Who's running this country? The war machine. It certainly isn't Joe Biden making these decisions. I would like to know who is making the decisions. And I just want to remind everybody, the United States is the world's terrorists. We just set the Middle East on fire in the last 20 years. And now we're doing a proxy war in Ukraine, which we provoked, NATO provoked, and it was just admitted that we provoked it by the former prime minister of Germany. And now we're trying to save a writer with with China and they're predicting a war. Again, China's not going to invade us. China's not our enemy. We might have an economic war. That's what these are. These are economic wars. These are wars for in Ukraine. It's about liquefied natural gas and making sure Germany and Russia never come together because we fear Russia's natural resources and manpower. And we fear them getting together with Germany with their technology and their capital. And so that's why we blew up the Nord Stream pipeline. That's why we're doing the Ukraine war. This is all about hegemony, imperialism and economics. And if there's a marine somewhere, it's there because they're about to steal some natural resources from another country. As everybody's screaming about what a bad guy Putin is for invading Ukraine, the United States is currently occupying a third of Syria. And which third is that? It's the third that has the oil. And how do I know we're there to steal their oil? Because the president of the United States said so.
    1 人回報1 則回應2 年前
  • We learned this morning that the FDA is now saying that it's OK to take ivermectin if you have COVID. I mean, Senator, I remember talking with you repeatedly during COVID about your upset that you were they were trying to cancel you because you were talking to doctors to try to find out the right ways to treat COVID without having to get too many boosters and COVID shots. My COVID was gone in a day when I took ivermectin. And now three years later, the FDA says, oh, yeah, that's fine. Take ivermectin. What? Maria, you know, the doctors I've been dealing with and talking to for years now, they believe that probably hundreds of thousands of Americans lost their lives because they were denied really treatment. And they were denied it because the FDA sabotaged, for example, ivermectin. They said, come on, y'all, you're not a cow, you're not a horse. This is supposedly horse medicine. No, this is a Nobel Prize-winning medicine that could have saved hundreds of thousands of lives. It did save many, many lives because people you did have doctors with the courage to and the compassion to actually treat patients using it and putting at risk their medical license. But unfortunately, you say, what can we do? Well, we do have reporters like yourself like John Solomon, other people that have the courage to report the truth against the mainstream media and against the narrative. But that's the only way this is going to be solved is we need the truth to be exposed. We need more Americans to listen to the truth, to be exposed to the truth, to pull their heads out in the sand, quite honestly, open up their eyes and understand what is happening in this country. We are going down a very dangerous path, but it's a path that is being laid out and planned by an elite group of people that want to take total control over our lives. And that's what they're doing bit by bit. They do it by increasing massive government spending, increase the size of government, take over of the who, these amendments that are coming up that are going to be voted on in 2024, the who are frightening and they really risk taking away all of our sovereignty. People have to awaken to the dangers of the moment.
    2 人回報1 則回應1 年前
  • Oh, we like war. We like war. We're a war-like people. We like war because we're good at it. You know why we're good at it? Because we get a lot of practice. This country's only 200 years old and already we've had 10 major wars. We average a major war every 20 years in this country, so we're good at it. And it's a good thing we are. We're not very good at anything else anymore. Can't build a decent car. Can't make a TV set or a VCR. What the fuck? Got no steel industry left. Can't educate our young people. Can't get health care to our old people. But we can bomb the shit out of your country, all right? We can bomb the shit out of your country, all right? Especially if your country is full of brown people. Oh, we like that, don't we? That's our hobby. That's our new job in the world, bombing brown people. Iraq, Panama, Grenada, Libya. You've got some brown people in your country. Tell them to watch the fuck out. Or we'll goddamn bomb them. But when's the last white people you can remember that we bombed? Can you remember the last white? Can you remember any white people we've ever bombed? The Germans. Those are the only ones. And that's only because they were trying to cut in on our action. They wanted to dominate the world. Bullshit. That's our fucking job. Think of how we started. Think of that. This country was founded by a group of slave owners who told us all men are created equal. Oh yeah. All men. Except for Indians and niggers and women, right? Always like to use that authentic American language. This was a small group of unelected white male land-holding slave owners who also suggested their class be the only one allowed to vote. Now that is what's known as being stunningly and embarrassingly full of shit. I think Americans really show their ignorance when they say they want their politicians to be honest. What are these fucking cretins talking about? If honesty were suddenly introduced into American life, the whole system would collapse. No one would know what to do. Honesty would fuck this country up. And I think deep down Americans know that. That's why they elected and re-elected Bill Clinton. That's why. Because the American people like their bullshit right out front where they can get a good strong whiff of it. Clinton might be full of shit, but at least he lets you know it. Dole tried to hide it, didn't he? Dole kept saying, I'm a plain and honest man. Bullshit. People don't believe that. What did Clinton say? He said, hi folks, I'm completely full of shit, and how do you like that? And the people said, you know something, at least he's honest.
    1 人回報2 則回應2 年前
  • And how is it killing the immune system? This is really important. The Pfizer shot is able, because of the way that they created it synthetically, allows the messenger RNA to passenger inside your cells and be replicated indefinitely by the ribosomes. So you cannot get it out of your body. There is no detoxing from it. Now, can you detox your body and make yourself overall healthier? Yes. Are you going to eliminate the spike protein or the antibodies of the spike protein or the stupid monoclonal antibodies that they're advocating? No. Because you sensitize your dendritic cells and your B cells, those spikes are going to be there probably forever. Now, this one is really important. The messenger RNA ablates, wipes out, destroys toll like receptor three, seven and eight. The toll like receptors are like you've ever heard my talk on toll like receptors. I love toll like receptors. They're like God inside our body, right? They're these little these little radars that are constantly vigilantly looking around and getting rid of viruses, bacteria and things that don't belong there. They are our innate God given what we are born with immune system. The messenger RNA shots destroy toll like receptor three, seven and eight, which is our primary first line of defense, making us more susceptible to getting COVID. And this is why all the people that get the shots suddenly are sick. And because they're more susceptible, we know the mechanisms. And the doctors are illiterate and not reading it. We know why people who get the shots are more likely to get sick and more likely to be hospitalized. And if they're in the hospital and they get remdesivir and they put on a ventilator, that's a greater than 80% mortality rate. We know the mechanism. Number three, we know the mechanism of this too. The spike proteins enters the nucleus of the cells and binds to our DNA. So anybody who says that it doesn't irreversibly bind your DNA are wrong. They're not reading the scientific literature. And when it binds to the DNA, it blocks the door. And when it binds to the DNA, it starts making it into an abnormal cell that if that cell replicates will turn into cancer. And then it bars the door blocks the door and doesn't allow our God given immune system repair enzymes to come in and repair the damage that spike protein is caused. Hence, that allows cancer to form and why we are seeing and Dr. Ryan Cole has talked about this a lot. Why are we seeing this explosion of cancer in people that get these shots? People that have been in remission, been treated, they're in remission, or they said they don't have cancer anymore, suddenly they're exploding. And it's endometrial cancer, all kinds of blood cancers, lymphatic cancers, breast cancers from these shots. And we know the mechanism. It's not a guess. Data came out just in the last two weeks that if a person is injected, they're 8.12 times more likely to be infected with Omicron. Again, suppression of your immune system, suppression of your white blood cells, ablation of your toll like receptors. The more shots you get, the more the more you destroy your immune system, and the faster that happens. And it's anticipated the German data says that by the end of 2022, every fully vaccinated person over the age of 30 may have the equivalent of full blown vaccine induced immune suppressed AIDS. This is government data. From Germany, this came out about two weeks.
    2 人回報1 則回應2 年前
  • 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
  • Exactly, exactly. And the story behind the Intelligence League is a very simple one. After COVID ended up spreading around the United States and producing a gigantic domestic disaster, obviously, our intelligence services wanted to prove that they were not responsible for what happened, that they had provided the information to the top American leadership, which was just ignored. In other words, they wanted to get away from being blamed for the disaster. Therefore, four separate intelligence sources confirmed to ABC News that the secret report had been provided to the White House and our top leadership in November describing a potentially cataclysmic disease outbreak taking place in the city of Wuhan, China. The problem with it, the problem they ran into is then when somebody checked the timeline, they realized in November, there was no cataclysmic disease outbreak in Wuhan. At that point, according to all the available knowledge and retrospective evidence, probably a dozen or maybe 20 people were starting to feel a little bit sick in a city of 11 million. There was no way for any outside observer to possibly be aware of the disease outbreak at that point. In fact, the Chinese government itself only became aware of the outbreak at the end of December, six or seven weeks later. So naturally, the Pentagon immediately denied the existence of that report, said, you know, we don't care, four intelligence sources said that they produced the report, it never existed. However, a week later, Israeli television confirmed the existence of a report saying that report had been sent to Israel, it had been sent to all of our NATO allies in November, and it had been produced in the second week of November. Again, the second week of November was long before anybody in the world could have possibly been aware of the disease outbreak in Wuhan, except for the people responsible. It's fairly close to a smoking gun. It looks that way to me too. It's interesting, was it Esper they asked about this and he said, he said, I don't recall. Exactly. I mean, at that point, you know, again, it was an embarrassment that the report had been provided to these people and ignored until people realized that the dates proved that it was for knowledge of the outbreak in Wuhan. So in other words, it's one thing to have an embarrassment of the fact that the government ignored a report like that. It's another thing when the report proves who was responsible for the disease outbreak. And I mean, America, over the decades, America has spent $100 billion developing its bio warfare technology. America brought the Trump administration brought in Robert Cadillac, America's leading bio warfare expert in 2017. And in 2018, there was suddenly a mysterious viral epidemic that devastated China's poultry industry. In 2019, China's pig herds were annihilated. And then in late 2019, suddenly, the COVID epidemic brought up, which really raises all sorts of incredibly dark suspicions of what really happened. Do you think Trump's telling the truth that he wasn't in the loop? I definitely I don't doubt that the report might have been sent to Trump's desk. But I get the sense that Trump doesn't actually read a lot. And you have all these stories of, for example, Trump's senior officials hiding his own executive orders. He forgets about them. He would forget about them. And we were talking about administration that really was operating in a very strange way with the top figures in the administration running circles around the president ignoring the president. And I fully believe that Trump had absolutely no idea when COVID leaked back to the United States that it was an American bio warfare, bio warfare weapon that was coming to us. And that's the reason they ignored it. That's the reason his response was so lackadaisical. The perpetrators who actually were in the loop have somehow raised the alarm in such a way that the US could protect itself. Well, they did to some extent. I mean, for example, Robert Cadillac, again, our top bio warfare expert, from January to August 2019, Cadillac and his department ran something called the Crimson Contagion Exercise, in which federal and state officials in the United States planned out how they would ensure that if a mysterious virus, viral epidemic, mysterious respiratory virus suddenly appeared in China, that they would prevent it from devastating America and leaking back into China. Eight months they did it, and the virus of exactly that type suddenly appeared in China a couple of months after the end of that exercise. Now, as it turned out, the training obviously was insufficient. That's the understatement. It shows that the people involved in launching the attack against China.
    2 人回報1 則回應2 年前
  • Adam Rogas – CEO and Co-Founder of NS8 by IdeaMensch · Nov 30, 2016 287Share Tweet 66Share Adam-e1480959343307 Find a problem you think you can solve and really focus on it. Resist the urge to move from that problem until you have demonstrated by positive user feedback and growth that you have actually solved it. Adam Rogas is the CEO and Co-Founder of NS8. With over 14 years of senior development and management expertise, as well as extensive knowledge in the fields of online fraud and spam filtering, Adam brings a tremendous amount to NS8. He was a founder of LoadMail and has worked as a trusted advisor to Postini, London Board of Tourism, Vivendi Universal, and Napster. In each case, Adam has helped implement big data, email, spam and virus filtering, and data security solutions. Mr. Rogas has architected extremely large-scale spam and virus filtering platforms, dealing with well over 100,000 messages per hour. He has also played a central role in the architecture of numerous large scale analysts solutions. Adam brings his love for safe, effective communication and startup ventures to NS8. He is married and also calls Las Vegas, Nevada home. Where did the idea for NS8 come from? My partners and I have run some significant and highly transactional websites and services prior to NS8. We understood that the common threads of fraud, abuse and poor user experience affected each of them in some way, shape, or form. Knowing this, we felt there had to be a better way to protect these types of sites and services, from being abused, regardless of their size. We also knew that any solution we created had to be easy to deploy, manage, and understand. What does your typical day look like and how do you make it productive? In an early stage company you are wearing lots of hats. I work a ton of hours. So, the key for me, is to keep my thoughts organized. I usually divide my day up into 3 or 4 segments and then identify what I think I can accomplish in each one of them. Once I do this, I make a list for each segment. This gives me a semblance of structure to my day that helps me get my mind right for the tasks I have to tackle. It also helps me walk away and not overthink the ones I have already completed. How do you bring ideas to life? I usually start with an idea or something that would really matter to a specifc group of people and then I start asking questions. I will then usually build some simple example, or take steps to create what I’m trying to do, and show it to people get feedback and repeat until I reach my goal. What’s one trend that really excites you? It has gotten easier and easier to bring big ideas to life, and to compete, due to the growth of cloud services. To me, it really levels the playing field for a lot of ideas, that just 5 years ago, would have been impossible for all but the largest companies to bring to life. What is one habit of yours that makes you more productive as an entrepreneur? I try to be fairly aware of my own ADD and so I will make lists to hold myself accountable for the items on them. I also try to solve this problem in our hiring practices by surrounding myself with people that are very detail and process focused. What advice would you give your younger self? Find a problem you think you can solve and really focus on it. Resist the urge to move from that problem until you have demonstrated by positive user feedback and growth that you have actually solved it. If you do that, and continue to do it over and over again, you will be successful. Tell us something that’s true that almost nobody agrees with you on? That I am a good singer ? I don’t know that I am very persuasive here …. but I do know I can’t sing. As an entrepreneur, what is the one thing you do over and over and recommend everyone else do? I am constantly talking to our customers. I try to involve them early on, and very often in our process. This is one area I struggle with as we evolve and scale our product development processes, but it is critical to maintaining that connection as to why your customers want your product in the first place. What is one strategy that has helped you grow your business? Please explain how. Surrounding myself with supremely talented people and partners. It has been instrumental to my own growth and the growth of my businesses. What is one failure you had as an entrepreneur, and how did you overcome it? That would probably be my first company, Load Ltd. Load was a hosted application service provider before there was a term for Software As A Service (SaaS). We had a popular email product called LoadMail, that was used by a number of major companies. About 1 year into the business we chose to offer additional services above and beyond just mail and it was this decision that would prove to be our failure. As a team, we didn’t fully understand how diversifying our focus would negatively impact our effectiveness. I tell everyone who asks for advice to pick a problem you can solve and focus on solving it well. Successful entrepreneurs have one thing in common — they never give up. What is one business idea that you’re willing to give away to our readers? I like ideas that take subject knowledge and find a way to productize it. One idea I had was to do this for athletic departments in D1 schools, so they could crowdsource from their athletes, managers, and students the creation of social marketing content. They could then manage it from a centrally controllable compliance system. Or Plastics !! Invest in Plastics (god I’m old) What is the best $100 you recently spent? What and why? Money spent on experiences, dinner with my wife or friends, or money that helps someone. Recently, since we are living across the country from each other, it would be dinner with my wife the last time I was at home in Las Vegas. What is one piece of software or a web service that helps you be productive? How do you use it? Slack. It helps our entire team communicate. What is the one book that you recommend our community should read and why? “Start With Why” by Simon Sinek. It helps you think about what you are building in a way that really focuses on how it will be consumed by those whom you are selling it to. What is your favorite quote? “Success consists of going from failure to failure without loss of enthusiasm.” -Winston Churchill Tell us about one friend or acquaintance of yours who we should interview on IdeaMensch. Who are they, what are they doing and what’s their email address? I actually have two Nick Jones, Nick and I started what was our first real company together Load Ltd along with my current business partner Paul Korol. Nick’s is currently working on a great project focused on personal and affinity based content creation called JRNL.com, they have recently been through boom Startup a SaaS focused startup accelerator in Salt Lake City and have just completed a seed round of funding. John Njoku, John is working on a great project RentHub.com, which is at the intersection of Multifamily Residential Realestate and Big Data Analytics. RentHub has some huge clients such as StarWood capital and The Lefrak Organization and has recently completed the Elmspring accelerator based in Chicago. Contact : https://www.ns8.com/ LinkedIn: https://www.linkedin.com/company/ns8 Facebook: https://www.facebook.com/ns8inc Twitter: @ns8inc 287Share Tweet 66Share Filed Under: Interviews, Software, Technology Tagged With: Herndon, Virginia https://ideamensch.com/adam-rogas/
    1 人回報1 則回應7 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
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