如果你身在英國需要回港，
怎樣可以在英國取得香港政府要求的
「新型冠狀病毒核酸檢測陰性結果証明」，
用以登上回港航班？

我目前身在倫敦，
今天做了一些資料搜集。

以下是非常長文，
心急人可直接跳到末段結論及建議 🙏🏻

先講背景資料。

昨天（9月24日）香港政府公佈，由10月1 日起，從英國回港人士，必須提供以下文件，向航空公司展示，方可登機：

//（一）一份由化驗所或醫療機構發出的中文或英文報告，當中載有相關到港人士姓名（所載有的姓名須與相關到港人士的有效旅遊證件所示姓名相同），並顯示以下資料：

　　（a）相關到港人士已接受一項2019冠狀病毒病核酸檢測，而檢測樣本是在飛機的預定起飛時間前72小時內，取自相關到港人士的；
　　（b）對該樣本進行檢測的是2019冠狀病毒病核酸測試；及
　　（c）相關到港人士的2019冠狀病毒病的檢測結果呈陰性；及

　　（二）如相關報告並非採用中文或英文或並無載有上述所有資料，須額外提交一份由該化驗所或醫療機構發出的中文或英文確認書，載有相關到港人士姓名（所載有的姓名須與相關到港人士的有效旅遊證件所示姓名相同）及全部上述資料，並與報告一併呈交；及

　　（三）一份中文或英文的證明文件，以顯示該化驗所或醫療機構屬ISO 15189認可，或獲所在的地方的政府的有關主管當局承認或核准；及

　　（四）相關到港人士在香港酒店預訂房間的中文或英文確認書，其租住期間為自相關到港人士抵達香港當日起計的不少於14日。//

▶️ https://www.info.gov.hk/gia/general/202009/24/P2020092400425.htm

而英國NHS公佈，由明日（9月26日）起，不提供該測試：

//Get a test
This service will be temporarily unavailable from 11.59pm on 25 September 2020//

▶️ https://www.gov.uk/get-coronavirus-test

另，NHS一直指明，除非有癥狀，否則即使是學校，僱主或旅行社要求，亦不會提供檢測：

// You cannot get a free NHS test unless you have symptoms, have been asked to by your local authority, live in England and have been told to by your hospital, or are taking part in a government pilot project.

This applies even if:
• you live with someone who has coronavirus
• you've had close contact with someone who has coronavirus
• you've come to the UK from a high risk country
• you're planning to leave the country
• your employer or school has asked you to get a test

You can pay for a private test. Do not use this service.//

▶️ https://www.gov.uk/get-coronavirus-test

最後一句，指NHS不提供檢測，只可以做私家檢測。

然而，在哪裡做檢測，有甚麼途徑做？

英國的Superdrug (香港和黃集團旗下) 有提供「抗體測試」套裝，售價69英磅，但「抗體測試」與港府要求的「核酸測試」並不相同：

//Superdrug has launched a COVID-19 antibody blood test, available through its online doctor service. The COVID-19 antibody home sampling kit, which costs £69 and is on sale from today (May 20）//

▶️ https://www.chemistanddruggist.co.uk/news/superdrug-launches-covid-19-antibody-test

「抗體測試」和「核酸測試」有何不同？

▶️ https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/antibody-test-to-check-if-youve-had-coronavirus/

至於英國在本年2月實行的drive through test，即自行駕車到指定NHS地點作檢測的服務，亦只限NHS轉介個案：

//The NHS is making available services to test people for coronavirus, including a new service in west London, offering ‘drive through’ coronavirus testing.

The service, provided by Central London Community Healthcare NHS Trust in Parsons Green, is only accessed through a referral from NHS 111//

最後一個可行性，是在英國找GP做檢測。

而在英國約見私家醫生（GP），必先向私家醫生診所作登記，但GP極可能拒絕新登記，因為以下原因：

//A GP practice may refuse to register you because:
• it has no capacity to take on new patients
• it may not be accepting patients that do not live within its practice boundary
• in your particular circumstances, it may not be appropriate for you to register with a practice that's a long way from where you live//

▶️ https://www.nhs.uk/using-the-nhs/nhs-services/gps/how-to-register-with-a-gp-practice/

而在英國的檢測，最快48小時有結果。

終於跳到結論：

在9月30日抵港者，近乎無可能在登機前在英國取得香港政府要求的，ISO 15189認可，2019冠狀病毒病的核酸測試結果呈陰性的証明文件。

除非：

登機者能夠直接在合資格化驗所作檢測（72小時內），趕及取得相關報告（48小時後），呈陰性，並已做好其他証明文件，包括預訂香港的隔離酒店。

故此，需要從英國回港的朋友，目前有三個選擇：

一， 更改或購買機票，於9月29日前登機回港
二， 取道另一國家作中途站，需出境及逗留，再返回香港
三， 停留在英國，直至可以在英國做檢測，或香港取消相關措施

非常長文，希望就我所知通知各位。

如有更新資訊或我以上所說有錯漏，請指正交流。

↪️↪️ 9/25 更新資訊：

以下是網友提供，目前在英國，可提供核酸檢測服務的GP / 醫生 / 服務中心：

https://doctap.co.uk/services/coronavirus-test/

https://privateharleystreetclinic.com/pages/travel-testing

https://www.citydoc.org.uk/covid-19-pcr-swab-testing/

https://midlandhealth.co.uk/tests-and-diagnostics/covid-19/

https://www.pallmallmedical.co.uk/tests-scans-and-diagnostics/coronavirus-test/

https://walkin-clinic.co.uk/blood-tests/covid19-testing

https://www.doctorcall.co.uk/private-gp-services/coronavirus--covid-19--testing

【保健知多D】一字之差？魚油 vs 魚肝油？（一）

〈魚油同魚肝油有咩分別？〉

有時候，一字之差往往可以「差之毫釐，謬之千里」，帶出很多好美麗的誤會。

舉例說，「魚油」、「魚肝油」便是一對活生生的例子。

根據經驗，很多人往往經常會將「魚油」看成「魚肝油」或者將「魚肝油」說成「魚油」。所以如果是第一次買魚油或者魚肝油的話，藥罐子大多都會不厭其煩問清楚對方所指的到底是魚油還是魚肝油。

那兩者其實到底又有什麼分別呢？

首先說到魚油，便不得不提魚油的歷史：

其實人們之所以會對魚油感興趣，主要源於一種自相矛盾的怪現象。

這種怪現象徹底打破了一般人一種根深蒂固的觀念，跌破了很多人的眼鏡……

這種怪現象便是……

理論上，根據一般人的認知，脂肪的攝取量愈多，患上心血管病症的風險自然便會愈大。

簡單說，攝取大量脂肪固然可能會增加肥胖的風險，同時還可能會增加患上心血管病症的風險，例如冠心病(Coronary Heart Disease, CHD)，對吧？

不過有一種人偏偏就是例外。

這種人便是……

愛斯基摩人(Eskimo)！

首先愛斯基摩人長年住在北極這種天寒地凍、冰天雪地的極北之地，面對這片寸草不生的不毛之地，人們不能耕種，只能狩獵為生，主要是魚、海豹、鯨魚。

當然同是北極，這些獵物當然不懂穿羽絨，不過體內卻會屯積大量脂肪來隔溫保暖，面皮……不、不、不，應該是皮下脂肪一般較厚，所以這些愛斯基摩人的餐單裡自然離不開大量脂肪，不過這類人偏偏就是較少患上心血管病症，例如心臟病發。

好奇怪，對吧？

後來人們發現這些脂肪蘊含豐富的奧米加3脂肪酸(Omega-3 Fatty Acids)這種多元不飽和脂肪酸(Polyunsaturated Fatty Acids, PUFAs)，或許能夠解釋這個現象。

實際上，魚油同樣蘊含豐富的奧米加3脂肪酸，其中較重要的主要有二十二碳六烯酸(Docosahexaenoic Acid, DHA)、二十碳五烯酸(Eicosapentaenoic Acid, EPA)兩種。

對，這就是我們經常掛在嘴邊的DHA、EPA。所以與其說二十……這兩個冗長的中文，倒不如直接說英文好了。

實際上，藥罐子相信大家可能聽過DHA、EPA，不過未必真的聽過「二十二碳六烯酸」、「二十碳五烯酸」這兩個化學名吧？

真的要說的話，DHA、EPA各有長短。

其中相較DHA而言，EPA較能降低極低密度脂蛋白膽固醇(Very-low-density Lipoprotein Cholesterol, VLDL-C)、低密度脂蛋白膽固醇(Low-density Lipoprotein Cholesterol, LDL-C)（俗稱「壞膽固醇」）、三酸甘油脂(Triglycerides)的水平，同時還可能會增加高密度脂蛋白膽固醇(High-density Lipoprotein Cholesterol, HDL-C)（俗稱「好膽固醇」）的水平。[1]

這就是說，理論上，魚油可能會改善體內的膽固醇，所以可能會紓緩高脂血症(Hyperlipidemia)，從而可能會減少出現心血管病症的風險。

不過暫時還是言之尚早，所以美國食品藥物管理局(U.S. Food and Drug Administration, FDA)暫時只容許魚油產品作出以下類似意思的聲稱，例如：

"Consuming EPA and DHA combined may reduce blood pressure and reduce the risk of hypertension, a risk factor for CHD (coronary heart disease). However, FDA has concluded that the evidence is inconsistent and inconclusive.……"[2]

話雖如此，實際上，只要改良魚油並進化成為Omega-3 Fatty Acid Ethyl Ester，這種升級版的魚油便會從「保健品」升為一種「藥品」，用於治療高三酸甘油脂血症(Hypertriglyceridemia)。[1][3]

至於相較EPA而言，DHA或許較能抗凝血[4]、降血壓[5]。

在副作用上，魚油看來一般安全。

不過說到魚，自然離不開魚腥味；說到油，自然離不開油膩膩的口感，兩者同樣可能會影響依從性。

同時，市面上的魚油大多源自深海魚，所以偶爾會稱為「深海魚油」，海床愈深，光源便會愈少，溫度便會愈低，脂肪便會愈厚，DHA、EPA自然便會愈多，同時因為這些深海魚大多位居食物鏈的高層，所以一些污染物便可能會沿著食物鏈層層遞進進入這些深海魚裡面，例如汞(Mercury)、多氯聯苯(Polychlorinated Biphenyl, PCB)、二噁英(Dioxin)。

當然不用問，這條食物鏈的最高層當然是人類。

所以當人們服用這些魚油的時候，這些污染物便可能會沿著這條食物鏈進入人體，日積月累，便可能會構成毒性，從而可能會增加中毒的風險。

還有，因為魚油可能會抗凝血，所以較可能會加強一些抗凝血藥的功效，例如華法林(Warfarin)，從而可能會增加出血的風險。[6]

當然，除此之外，其他西藥例如亞士匹靈(Aspirin)或者中藥例如當歸、丹參同樣可能會跟魚油產生這種相互作用，從而可能會增加出血的風險。

所以如果正在服用這些中、西藥的話，一般建議服用魚油前首先應該諮詢醫生的專業意見。

最後，魚油是魚油，不是魚肝油，這點，千萬不要弄錯。

（如欲了解更多用藥資訊，歡迎看看「小小藥罐子」網誌。）

💊💊💊💊💊💊💊
BLOG➡️http://pegashadraymak.blogspot.com/
IG➡️https://www.instagram.com/pegashadraymak/
YT➡️https://www.youtube.com/channel/UCQOMojMd6q7XnESMWwldPhQ

📕📕📕📕📕📕📕
著作➡️藥事知多D、用藥知多D、藥房事件簿、家居用藥攻略（各大書店有售）

Reference:
1. McKenney JM, Sica D. Role of prescription omega-3 fatty acids in the treatment of hypertriglyceridemia. Pharmacotherapy. 2007;27:715-728.
2. U.S. Food and Drug Administration, Food, News & Events from CFSAN, CFSAN Constituent Updates, FDA Announces New Qualified Health Claims for EPA and DHA Omega-3 Consumption and the Risk of Hypertension and Coronary Heart Disease, available at https://www.fda.gov/food/cfsan-constituent-updates/fda-announces-new-qualified-health-claims-epa-and-dha-omega-3-consumption-and-risk-hypertension-and (Accessed 9 Sep 2020)
3. McKenney JM, Sica D. Prescription omega-3 fatty acids for the treatment of hypertriglyceridemia. Am J Health Syst Pharm. 2007;64:595-605.
4. Woodman RJ, Mori TA, Burke V, et al. Effects of purified eicosapentaenoic acid and docosahexaenoic acid on platelet, fibrinolytic and vascular function in hypertensive type 2 diabetic patients. Atherosclerosis. 2003;166:85-93.
5. Mori TA, Bao DQ, Burke V, et al. Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans. Hypertension. 1999;34:253-260.
6. Buckley MS, Goff AD, Knapp WE, et al. Fish oil interaction with warfarin. Ann Pharmacother. 2004;38:50-52.

麻煩大家幫忙
留下優秀的一家人

他們來自波多黎各
父母親都是名校約翰霍普金大學的電腦碩士
(Master Degree in Computer Science - Johns Hopkins University at Laurel, MD)
他們著五個孩子，到全世界學習
Diego 17歲 Paula 13 歲 Alonzo 12 歲
Felizi 8 歲 Matteo 6 歲

八月，他們到了台灣
發覺這是一個非常適合的生活環境
有好的醫療、中文學習環境、電腦產業、和超好吃的水果
九月，Diego , Paula, Alonzo進入惠文高中寄讀
他們來了之後，學校形成一個很棒的英語學習情境
台灣學生都被迫用英文跟他們互動

星期五與台北歌德學院簽訂德國「PASCH夥伴學校」時
他們三個和學校弦樂社一起合奏卡農(見影片)
非常非常有教養的一家人

然而他們11月就必須離開台灣
因為他們來台灣的第五天
得到美國總公司的通知
他們收掉波多黎各的公司
爸爸Tommy失業了
所以這幾天，他在台中接一個英文家教
但經濟仍是問題

如果台中的朋友可以提供11月4日前的短期英文、西班牙文家教工作
或是提供長期電腦工程師的工作
麻煩和Tommy聯絡
以下是他的聯絡方式及完整資歷
(願意幫他們申請工作簽證更好)
他們很願意把台灣當成第二個家

PS
覺得政府說要把英文變成第二語言
最棒的方式是吸引國外的學生進入我們的校園
在人才即國力的年代
讓優秀的國際人才留在台灣
如果在台灣就有很好的英語學習環境
我們就不用一窩蜂跑到國外

聯絡TOMMY IRIZARRY-SIKES
Contact Information
Postal: Lane 400, Unit 11, Section 2, Nantun Road, Nantun District, Taichung City, Taiwan 408
Email: tirizar@gmail.com
Phone number: 0908 979 417
LinkedIn Profile: http://pr.linkedin.com/pub/tommy-irizarry/25/16/815

孩子的影片
Diego violin in a quartet:
https://youtu.be/ArkvU8Czmk8?t=37s

Diego violin Doble de Bach:
https://youtu.be/LYvnKwEueyA

Diego plays piano Clair de Lune:
https://youtu.be/CWCQMo5XJEY?t=14s

You can see some other videos in this YouTube channel:
https://www.youtube.com/user/tirizar/videos?reload=9

履歷
Summary of qualifications
Software developer for private industries and government agencies. Proficient web developer using classic ASP code, standard html, CSS and SQL Server for data storage. Web server administrator and SharePoint Power User.
 Android developer
 Certified Ethical Hacker
 Programming / Markup languages: HTML, XML, ASP, PHP, CSS, JavaScript/AJAX/JQuery, experience with Java, C++ and C.
 Mobile development: Java, Android, Android Studio.
 Technologies / Tools: IIS 6.0/7.5, SQL Server, Dreamweaver, Fireworks, Microsoft SharePoint 2007/2010, Microsoft Office suite including InfoPath, Access, Excel, Google Analytics, Google AdSense, Facebook Advertising, Microsoft SharePoint Designer, Inquisite Surveys.
Experience
Since November 2016-current
Enterprise Iron
Principal consultant – Web Developer
 Worked on the redesign efforts of the secure site for an international financial client. Applied responsive design principles using the Bootstrap framework while creating modular, reusable components of the code. Analyzed web page dependencies and identified legacy unused pages in the system.
Since November 2015-current
e-Nabler Corporation
Android developer – Professional Services Contract
 Developed Java code for the eMobilePOS and Tupyx apps for their Android versions.

Since October 2013-November 2014 TEK Systems
Web Developer / Web Master for the Department of Veterans Affairs in DC
 Continued supporting Veteran’s Affairs IT systems, including managing SharePoint 2010 systems and supporting databases. We identified issues with several databases including the management of IIS and SharePoint logs which were consuming many recourses and in a couple of occasions made the systems unavailable.
 Enabled and configured space monitoring tools in the SharePoint server farms.
Since November 2011-September 2013 Centuria Corporation
Web Developer / Web Master for the Department of Veterans Affairs in DC
 Developed a training registration web site that has been tweaked and used multiple times for different registration purposes, including new telephone system training, and scheduling software upgrades of encryption on laptops and upgrades to Apple Mac OS. The system uses a web front end and a SQL back end.
 Performed a routine web server maintenance tasks including monitoring traffic logs, identifying and archiving sites no longer in use, evaluating tools to assist in the management of the web server.
 Administered and migrated the FTP server from Windows 2003 Server / IIS 6 into Windows 2008 R2 Server / IIS 7.5. Configured new sites to support general operations within the VA Intranet.
 Maintained and enhanced legacy sites, modifying forms and reports in needs to be updated. This includes modification and creation of site in the Enterprise Content Management System used at the VA.
 Assisted other team members in various tasks including the creating or modification of surveys in the Inquisite system, and also the migration of some surveys into SharePoint, the modification of an Access application.
December 2001 – August 2011
Systems & System Software Solutions
Web Developer / Web Master for the Department of Veterans Affairs in DC
 Mr. Irizarry developed a web based application for the State Home Per Diem Office, which manages millions of dollars in payments to the state homes, to replace an Access database. The Access database was converted to MS SQL Server database and all data was migrated successfully. He created a web based interface using the standard VA intranet look and feel. He also developed a custom interface for each of the 3 roles (CBO, VAMC and VISN). Tools were built for the administrator to view current reports, view missing reports lists, and configure many parameters in the application. The VAMC report form was heavily automated using jQuery to perform auto calculations, increasing data validation and saving time to the users. After the application was launched users commented frequently about how user friendly is the new interface and about the time savings. Tasks that will take 2 hours to be completed now take 15 minutes. We have close to 12,000 reports in the system.
 There were various requests to the IT office for a web based training registration system of different types. Mr. Irizarry developed a registration system which was later used for the following projects: Take your child to work day, New Telephone system training registration, Laptop Hard Drive encryption software upgrade among others.
 Developed an alternate cascading style sheet for SharePoint 2007, converting the out of the box look and feel to the Department of Veterans Affairs standard website look and feel.
 After one of the VA’s laptops was stolen Mr. Irizarry worked to develop a Risk Assessment web based application. He created an Excel template which management will upload to an FTP server with information and details about remote employee access and the sensibility of the data accessed by those users. He also created VB Scripts to validate those Excel files an upload that information into an MS SQL database. Reports for upper management in Central Office were then created which prompted management to enforce stronger security measures, like hard drives encryption. In total more than 500,000 records were processed for the reports.
 Administration of IIS 6.0 web server and MS SQL Server databases used in our websites.
 Wrote migration scripts to move IIS 6.0 sites into a new IIS 7.5 server
 Designed, developed and maintained multi-tier applications for the Veterans Health Administration. Most of the sites access a MS-SQL Server database, use cascade style sheets and ASP server side processing. The sites were developed using Adobe/Macromedia tools like Fireworks, and Dreamweaver.
 Installed BlackBerry wireless email devices and trained users on the basic device usage.
 Web developer for the Department of Veterans Affairs. Redesigned and modified web pages to make them compliant with the Section 508 guidelines. Tested validation tools that verify if web pages are “Section 508” compliant. Section 508 are guidelines that must be followed by all government agencies and points to which government resources must be make accessible to people with disabilities, i.e. blind, deaf, etc.

November 1999 - December 2001
Compaq Computer Corporation
Consulting Associate II
 Design and develop the XOOB (Xevo out of the box) Web user interface. XOOB uses COM+, ASP, XML, XSL and JavaScript to provide a web user interface to the Xevo Workbench Platform based on the role associated with the user. Development was done using Visual Studio tools, IIS and XMLSpy.
 Develop Active Server Pages for the Helpdesk solution for the PrimusASP project.
 Design and code an ActiveX component that serves as the bridge between the Compaq ASP Framework and the Infranet billing system for Primus. Supported integration with other components of our framework.
 Design, code and troubleshoot software for the Primus ASP (Application Service Provider) project. Software includes a DLL and various VB programs that run as NT Services, which are key components of the Compaq ASP framework.
June 1998 – October 1999
National Security Agency
Computer Scientist
 Mr. Irizarry worked for as a software developer for the TOKENEER project. TOKENEER is a test platform for the integration of smart cards, biometrics (fingerprint, hand, iris and facial recognition) and a public key infrastructure. Development was done on Windows NT workstations using Visual C++ and Visual SourceSafe for source control. Mr. Irizarry used an SDK to capture and match fingerprints against a database of fingerprints. He also created software to created some statistics of “False Accepts and False Reject Rates” of the fingerprint. He also worked with other team members to identify which fingerprints characteristics could affect those rates. He then added error detection functions to the fingerprint recognition software to identify corrupted files of fingerprint images
 Conducted research for methods to add security services to an off-the-shelf computer.
 Developed C code to process fax data on an UltraSparc/SunOS station.
 Wrote software to generate a daily report of traffic load in a telephone switch by analyzing the switch logs.
Education
Certifications:
 Certified Ethical Hacker – 03/28/2014
Master Degree in Computer Science - May, 2001 Johns Hopkin

關於青春痘的都市傳說中，食物的影響向來佔據了極大的篇幅，但如果以醫學實證的態度來探討，到底青春痘患者能吃什麼？不能吃什麼？都市傳說究竟是完全不可信？還是剛好也有一點道理呢？讓我們一起繼續看下去⋯⋯

► 青春痘與牛奶、巧克力、甜食、油炸食物的關係
https://bit.ly/2NmgT61

► 長青春痘要怎麼做好防曬？
https://youtu.be/tvnohG1v8lk

► 青春痘的成因、預防與治療
https://bit.ly/2JlhBhq


Reference

1. Pathogenesis, clinical manifestations, and diagnosis of acne vulgaris. UpToDate. Waltham, MA: UpToDate Inc. (Accessed on November 9 , 2017.)
2. Vongraviopap, Saivaree, and Pravit Asawanonda. “Dark chocolate exacerbates acne.” International journal of dermatology 55.5 (2016): 587-591.
3. Burris, Jennifer, William Rietkerk, and Kathleen Woolf. “Acne: the role of medical nutrition therapy.” Journal of the Academy of Nutrition and Dietetics113.3 (2013): 416-430.
4. Spencer, Elsa H., Hope R. Ferdowsian, and Neal D. Barnard. “Diet and acne: a review of the evidence.” International journal of dermatology 48.4 (2009): 339-347.
5. Kaymak, Yesim, et al. “Dietary glycemic index and glucose, insulin, insulin-like growth factor-I, insulin-like growth factor binding protein 3, and leptin levels in patients with acne.” Journal of the American Academy of Dermatology 57.5 (2007): 819-823.

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