華山論劍⚔️！

值得注意的新冠病毒進化

2月5日，（Nature）在線發表了一篇關於新冠病毒的重要論文。

題目是: SARS-CoV-2 evolution during treatment of chronic infection

這是英國劍橋大學領銜的研究團隊報導了一個特殊的病例，值得大家注意。

簡單的病史如下…..

這個病人是一名七十多歲的男性，他先前曾被診斷出淋巴瘤，接受過化療，因此有免疫功能低下。

2020年夏季，這名患者因感染新冠病毒而入院治療。

這名病人確診後接受了多項治療，包括抗生素，類固醇，幾個療程的抗病毒藥瑞德西韋，還有恢復期血漿，100多天內接受過多種治療，但最終仍然不治身亡。

最重要的發現是，新冠病毒在這名患者體內不斷進化，出現了不同的變異毒株。

原來，這段住院期間，醫療研究人員共在23個不同的治療時間點採集了病人的病毒樣本，做了全基因組深度測序。根據這些序列，研究人員觀察到，在最初的57天內，接受了兩個療程的瑞德西韋後，總體病毒種群幾乎沒有變化。

但在病人住院第66天到第82天，接受了兩輪恢復期血漿治療後，體內的病毒種群結構發生了顯著改變。

這意味著在血漿治療給病毒帶來的生存壓力下，讓病毒產生變異，這變異為病毒提供了生存下來的條件。

這個變異株的刺突蛋白上出現了兩個突變：一個是位點69/70的缺失突變（ΔH69/ΔV70），還有一個突變造成D796H替換。

D796H發揮了逃逸抗體中和作用的主要作用，而ΔH69/ΔV70缺失突變則讓病毒的感染力翻倍。

可以說，新冠病毒非常的“狡猾”，利用兩種突變取長補短，最終增強了適應性。

研究人發現在英國正在快速傳播的變異株B.1.1.7上也有同樣的缺失突變。

而且倫敦衛生與熱帶醫學院的數據指出，B.1.1.7不僅比以前的變異毒株傳播速度更快，而且被感染者的死亡風險大約提高了35%。

這會不會太可怕啊!

還好這是單一病例的研究報告!

若病人是免疫系統功能正常的個體，由於免疫控制較好，體內的病毒多樣性可能較低。

但雖然是case report，還是引起大家的關切，因為這項研究結果提醒醫療人員一件事情，就是對於免疫功能低下的患者，若出現長期病毒複製時，他們體內的新冠病毒是可能會發生進化。

因此在「治療策略」上，需要有更謹慎考慮的態度，以免為病毒變異提供更大的機會。

新冠病毒與人類的華山論劍會有幾次呢？

【台灣防疫成效 #國際政要 都肯定👍👍👍】

第二波移入疫情強勢回流 🌀
看到確診人數增加
相信有在追指揮中心記者會的大家
內心不免七上八下
但只要我們 #謹慎應對 持續落實 #防疫工作
相信還是有機會守住J一波‼️

雖然還是會擔心
但蒐集癖小編決定要再發一篇落落長的文
讓各位看看世界各國的政要大咖
如何讚 #台灣 目前為止的防疫模式 👏👏👏

#我們不害怕雨淋
#因為我們知道大雨之後會有彩虹 🌈
#團結一心 #正向防疫
#台灣加油 💪

As the coronavirus pandemic continues, we'll endeavour to remain prudent in our epidemic prevention measures. We believe we can stem the tide.
To reinstill some confidence, we've collected a series of quotes from politicians and ministers around the world, praising the #TaiwanModel as part of the fight against the #COVID19 #WuhanCoronavirus. Read what they had to say below!

《亞太地區》

#紐西蘭 New Zealand 🇳🇿
3/15 ─ 紐西蘭總理阿爾登：「我們將緊密遵循相當接近於台灣的模式，他們(台灣政府)針對公眾集會所建立的因應架構，是相當成功的。我們將以它為根據，來設定我們的標準。」
March 15 - Prime Minister Jacinda Ardern said, in a Q+A interview on Sunday, that officials were looking at tailored criteria for events that may need to be cancelled, such as whether people would be in close proximity to one another.
“We're going to follow, pretty closely, the Taiwanese model. They worked up a framework for mass gatherings that's been quite successful,” she said.

#日本 Japan 🇯🇵
3/12 ─ 日本台灣交流協會代表泉裕泰：「我相信台灣的真知灼見可與世界各國廣泛共享，並對苦於遭受傳染蔓延的其他國家與地區做出巨大的貢獻。」
March 12 - Japan's chief representative in Taiwan, Hiroyasu Izumi, stated that he believes Taiwan's insights can be widely shared with other countries in the world and make great contributions to other countries and regions suffering from the spread of infection.

《亞非地區》

#以色列 Israel 🇮🇱
3/14 ─ 以色列總理尼坦雅胡：「順帶一提，這個方法已經在台灣試過了，可能很成功。以色列是少數國家當中，有這個能力做的。我們將採用這個方法。」
March 14 - Prime Minister Benjamin Netanyahu said it was not an easy choice to make and described the virus as an “invisible enemy that must be located.” He said Israel would follow similar methods used by Taiwan.

3/14 ─ 以色列前總理巴拉克：「以色列可以對抗新冠病毒，但必須像台灣一樣反應快速。」
March 14 - Former prime minister Ehud Barak stated that Israel can fight against the novel coronovirus, but that it must react as swiftly as Taiwan.

《拉美地區》

#尼加拉瓜 Nicaragua🇳🇮
3/11 ─ 尼加拉瓜副總統穆麗優：「我們得知台灣政府及人民實行了成功的防疫模式，我們已向台灣駐尼大使提出請求，期盼台灣與我們分享經驗，因為台灣不僅成功防制傳染，且維持人民秩序免於慌亂，確實值得學習。」
March 11 - La vicepresidenta de Nicaragua, Rosario Murillo, declaró: "Nosotros hemos conocido el Modelo exitoso de contención que puso en práctica el Gobierno y el Pueblo de la República de China(Taiwán), y hemos pedido a su Embajador aquí, que nos presenten ese Modelo exitoso, porque han logrado no solo contener, sino también mantener a la población en un estado que no esté de pánico." (The vice president of Nicaragua, Rosario Murillo, stated, "We are aware of the successful model of prevention that the government and the people of Taiwan have put into practice, and we've asked the Taiwanese ambassador to make a presentation on this successful model, because they've not only managed to contain the virus, but they've kept their population from panicking.")

#聖文森 Saint Vincent and the Grenadines🇻🇨
3/12 ─ 聖文森衛生部長布朗：「台灣因『一個中國』原則不被承認為獨立國家，因此未被納入參與「世界衛生大會」（WHA），台灣距離中國僅為海峽之隔，然而疫情爆發至今卻僅有少數確診病例，我已正式致函何大使尋求台灣的協助以對抗聖國疫情。」
March 12 - "It’s quite remarkable that they’re just 81 miles from mainland China and whereas coronavirus in mainland China has been spiralling out of control...That’s incredible,” Health minister Luke Brown said. Taiwan is not a part of the World Health Assembly as it is not recognised as being an independent country under the One-China policy. Browne said the ambassador has mentioned some of the measures that Taiwan has taken, some of which he believes will work in the Vincentian context while others may not.

#聖露西亞 Saint Lucia🇱🇨
3/11 ─ 聖露西亞衛生部長艾瑟柯：「目前全球正共同對抗來自中國武漢的新型冠狀病毒，聖露西亞政府藉此機會讚許臺灣採取有效率且具成效的防疫措施，並提議與露國緊密合作防疫。」
March 11 - “As the world is fighting the COVID-19 Coronavirus originated from Wuhan, China, the Government of Saint Lucia wishes to take this opportunity to commend Taiwan for its efficient and efficacious measures, and its offer to work closely with Saint Lucia to contain the pandemic,” said Health Minister Mary Isaac.

#貝里斯 Belize🇧🇿
2/4 ─ 貝里斯衛生部長馬林：「貝國政府及衛生部肯定台灣關鍵的公衛措施，包括對隔離案例進行電子監控、口罩及其他物資供應，強化防疫工作。」
Feb. 4 - Minister of Health, Hon. Pablo Marin: “The Government of Belize, and by extension the Ministry of Health, applauds Taiwan’s key public health measures that include electronic monitoring of quarantined cases and the provision of masks and other items to support the prevention efforts.”

#巴拉圭 Paraguay🇵🇾
3/17 ─ 巴拉圭參議員法切提：「儘管與WHO無任何合作關係，台灣仍向前行…台灣也因此能夠成功防堵新冠病毒。」
March 17 - Fernando Silva Facetti, Paraguayan politician: "A PESAR DE LA NULA COOPERACIÓN DE LA @opsoms, #TAIWAN SIGUE ADELANTE... Así es como Taiwán logró contener el brote de #coronavirus" (Despite the lack of cooperation from the WHO, Taiwan continues to progress... This is how Taiwan managed to contain the coronavirus.)

#委內瑞拉 Venezuela🇻🇪
3/13 ─ 委內瑞拉臨時政府代表楊杰斯議員：「感謝情同手足的台灣人民贈交我們防疫所需的口罩及酒精。Taiwan Can Help！」
March 13 - Jesús M. Yánez M., Venezuelan politician: "Gracias a el hermano pueblo de Taiwan nos encontramos entregando tapa boca y kits de alcohol, denunciando la falta de prevención y de medidas acordes contra el COVIDー19 Taiwan Can Help" (Thanks to our brothers and sisters in Taiwan, we find ourselves with face masks and alcohol kits, denouncing the lack of prevention and appropriate measures against COVID-19. Taiwan Can Help.)

3/15 ─ 委內瑞拉駐西班牙大使艾卡利：「台灣及早警覺，並已阻擋了疫情擴散。」
March 15 - Antonio Ecarri B., Ambassador of Venezuela in Spain: "Taiwan se alarmó y frenó su expansión." (Taiwan was alarmed and curbed the spread.)

#阿根廷 Argentina 🇦🇷
3/11 ─ 阿根廷國會議員康帕紐利：「台灣是成功控制疫情的模範。」
March 11 - Marcela Campagnoli, National Deputy in Argentina: "Taiwan es un ejemplo de como lo han controlado." (Taiwan is an example of how to control it.)

3/16 ─ 阿根廷國際關係委員會秘書長桑提巴聶茲：「認為威權政府防疫工作做得比民主國家好，這個想法是錯的。台灣、韓國及新加坡做得非常好，他們都是民主國家。」
March 16 - Francisco de Santibañes, Secretary General of the Argentine Council for International Relations: "Sería un error pensar que los gobiernos autoritarios actuaron mejor que las democracias a la hora de controlar el coronavirus. Corea del Sur, Singapur y Taiwán lo hicieron muy bien y son democracias." (It would be a mistake to think that authoritarian governments act better than democracies in curbing the coronavirus. South Korea, Singapore and Taiwan did it very well and they're democracies.)

#哥倫比亞 Colombia🇨🇴
3/12 ─ 哥倫比亞內科醫師學會前主席希尼爾：「看看台灣，從全球確診統計圖表中漸漸消失，並對照其他亞洲國家防疫進展。他們比其他國家聰明嗎？不，是因為他們比較有組織、守紀律！」
March 12 - Juan Senior, ex-president of the Colombian Association of Internal Medicine: "Miren la evolución de Taiwán, desaparece del panorama y como evoluciona la epidemia en países asiáticos. Son más inteligentes que todos? No, son más organizados y disciplinados!!!" (Look how things have gone in Taiwan, they're out of the picture now and how the epidemic has developed in asian countries. Are they smarter than everyone else? No, they're more organized and more disciplined!!!)

#巴拿馬 Panama 🇵🇦
3/11 ─ 巴拿馬前駐台大使馬締斯：「台灣向世界展現，他們運用2003年抗煞所學到的經驗，準備好對抗新冠疫情。」
March 11 - Dr. Alfredo Martiz, former Ambassador of Panama in Taiwan: "Lo que Taiwán puede enseñar al mundo sobre la lucha contra el coronavirus Análisis: Taiwán aprovechó las lecciones aprendidas durante el brote de SARS de 2003, y esta vez su gobierno y su pueblo estaban preparados" (What Taiwan can teach the world about the fight against the coronavirus. Analysis: Taiwan took the lessons learned during the SARS outbreak of 2003 and this time its government and its people were ready.)

《歐洲》

#捷克 Czech Republic🇨🇿
3/15 ─ 捷克總理巴比斯：「政府決定改變中央危機應變中心的定位及人員調度，仿照如同媒體所報導台灣的因應做法。」 March 15 - Prime Minister Andrej Babis: “The government decided to change the status of the Central Crisis Staff, where the crisis staff will be modeled, as we read in the media and it was in Taiwan.”

#丹麥 Denmark🇩🇰
3/18 ─ 丹麥前總理拉斯穆森：「台灣利用大數據、透明、由中央指揮的防疫作為奏效，值得世界各國學習。現在是時候告訴中國，確有地方可以討論地緣政治的，但不是在世界衛生組織。」 March 18 - In his March 18 piece in Time Magazine, former prime minister of Denmark Anders Fogh Rasmussen, stated "After the first notifications at the end of 2019, Taipei swiftly deployed a combination of measures to identify and contain the virus, including the use of big data to help contain potential cases."

#法國 France🇫🇷
3/5 ─ 前法國衛生部長及外交部長杜斯特：「檢視中央集權與非中央集權國家決策模式的差異十分有意思。台灣雖緊鄰中國卻可能是受武漢肺炎死亡率最低及受影響最輕的國家，其防疫成果完全令人難以置信，是為出色的危機管理。」
March 5 - Former French health and foreign minister Philippe Douste-Blazy said, "Ce qui est très intéressant en regardant les différents pays, c’est la centralisation ou la non-centralisation des décisions. Et on s’aperçoit que par exemple Taiwan est probablement le pays où il y a le moins de létalité et le pays le moins touché alors que c’est extrêmement près de la Chine. Le résultat est absolument invraisemblable. C’est une magnifique gestion de crise." (What is quite interesting with different countries, is centralization vs non-centralization of decisions. And one realizes that, for example, Taiwan is probably the country where the mortality rate is the lowest and the least affected country despite its extreme proximity to China. The result is absolutely implausible. It’s wonderful crisis management.)

3/7 ─ 法國國民議會友臺小組主席瑟賽希尼：「臺灣是處理武漢肺炎疫情的典範。」
March 7 - The chair of the French National Assembly's France-Taiwan Parliamentary Friendship Group, Jean François Cesarini, stated "Taïwan : Exemplaire dans sa gestion de l’épidémie du Coronavirus." (Taiwan: an excellent model for the management of the coronavirus epidemic.)

3/6 ─ 法國國民議會友臺小組副主席拉赫迪耶：「臺灣堪稱處理武漢肺炎危機的典範。」
March 6 - The deputy chair of the French National Assembly's France-Taiwan Parliamentary Friendship Group, Laure de La Raudière, stated "Gestion exemplaire de Taiwan de la crise du Coronavirus." (Taiwan's exemplary management of the coronavirus crisis.)

#義大利 Italy🇮🇹
3/16 ─ 義大利前外交部長德爾其：「台灣可能是第一個向WHO報告新冠病毒人傳人的國家，而且早在中國和WHO承認之前。顯然地，台灣因為北京施壓，被排除在世衛組織之外已有兩年之久。」
March 16 - Former foreign minister, Giulio Terzi: "Taiwan potrebber esser stato primo Paese a comunicare alla OMS che coronavirus COVID19 si stava trasmettendo da uomo a uomo.Molto prima che Cina e OMS lo ammettessero. Ovviamente, per volere Pechino, Taipei subisce esclusione da OMS da due anni." (Taiwan may have been the first country to report to WHO that coronavirus COVID19 was spreading from amongst humans, long before China and WHO admitted it. Obviously, at the behest of Beijing, Taipei has been excluded from WHO for two years.)

3/19 ─ 義大利北聯黨外交事務首席法拉利，轉推蔡總統「台美簽署防疫聯合夥伴關係聲明」推文：「這是向中國，也是向世界傳達的重要訊息。」
March 19: Lega Nord head of foreign affairs in Lombardy, Max Ferrari: "Coronavirus. Importante messaggio alla Cina e al mondo da Taiwan e Usa." (Coronavirus. Important message to China and the world from Taiwan and the USA.)

#歐盟 EU🇪🇺
3/14 ─ 歐洲議會議員暨中國關係代表團團長包瑞翰：「在這次疫情危機中，台灣在拯救生命方面做得很好。為什麼不邀請他們充分參與國際呢？ 為什麼WHO不這樣做？因為北京玩弄民族主義政治，犧牲人民的利益。」
March 14 - “Taiwan is doing a great job with saving lives in this corona crisis. Why not acknowledge that and invite them to participate fully in international efforts? Why doesn't WHO do it? Because Beijing is playing nationalist politics at people's expense,” said Reinhard Bütikofer

#英國 UK 🇬🇧
3/13 ─ 英國前衛生大臣杭特表示，政府應採取更積極的行動，包括禁止探視養老院的長者。他認為，英國應該像是泰國和台灣等已控制住疫情的國家一樣，採取行動。
March 13 - Jeremy Hunt, the UK former health secretary: "Countries like Thailand and Taiwan had controlled the outbreak by taking such action. People will be concerned we are not moving sooner on social distancing."

#瑞典 Sweden🇸🇪
2/18 ─ 瑞典國會議員溫和黨主席席德斐：「從長遠來看，世衛組織不願將台灣納入扼止新冠病毒傳播及由該病毒所引起的傳播的任務，是完全站不住腳的，並且從很多面向來看是適得其反，例如從醫學和經濟角度。」
Feb. 18 - Moderate Party MP Margareta Cederfelt pointed out that “WHO’s unwillingness to include Taiwan in its work with limiting the spread of the coronavirus and stopping infections caused by the virus in the long-run, is indefensible and counterproductive seen from several perspectives, for example from a medical and economic perspective.”

#德國 Germany🇩🇪
3/13 ─ 德國自民黨主席國會議員布本多弗：「有一個國家在抗疫上脫穎而出，運用明確的策略及冷靜的態度有效對抗新冠肺炎，這個國家就是臺灣。」
March 13 - Chair of the district association Mühldorf am Inn of the FDP Bavaria Sandra Maria Bubendorfe: "Bei meiner 3. Rede im Deutschen Bundestag zum Thema Zivil und Katastrophenschutz in Deutschland vergangen Freitag, war es mir ein besonderes Bedürfnis Taiwan hervorzuheben, das gezeigt hat wie man mit klaren Strategien und kühlen Kopf auf die Gefahr des Corona Virus antworten kann und damit die Ausbreitung deutlich erschwert und verlangsamt wird." (During my third speech in the German Bundestag on civil and civil protection in Germany last Friday, I felt a need to highlight Taiwan, which showed how to respond to the dangers of the coronavirus with a clear strategy and a cool head, and thus significantly slowed its spread.)

#荷蘭 The Netherlands🇳🇱
3/18 ─ 荷蘭前中央銀行主席維林克：「臺灣防疫預警作為，是這個擁有約2400萬居民，且每年接受約300萬中國旅客往訪的國家，迄今得以有效控制疫情的關鍵作為。」
March 18 - The former head of the Dutch central bank stated that with its 24 million strong population and 3 million annual tourists from China, Taiwan has unrolled effective key measures to curb the spread of the epidemic.

3/18 ─ 荷蘭50 Plus黨眾議員兼主席克羅及民主論壇黨眾議員兼主席伯德特：「台灣是成功例子」 無黨籍眾議員哈加：「台灣大量檢測與居家隔離，成功控制疫情，為何荷蘭不學習？」
March 18 - The leaders of the 50PLUS party and the Forum for Democracy, Henk Krol and Thierry Beaudet, stated that Taiwan has provided a successful model. Independent Dutch MP Wybren van Haga stated that Taiwan has been testing on a large scale and enforcing home quarantines, successful measures in curbing the epidemic and asked why the Netherlands wasn't learning from their example.

#瑞士 Switzerland 🇨🇭
3/10 ─ 瑞士國會下議員瓦爾德：「臺灣對抗新冠病毒具特別成效。」 March 10 - Swiss National Councillor Nicolas Walder said Taiwan's response to the novel coronavirus has been particularly effective.

#葡萄牙 Portugal🇵🇹
3/15 ─ 葡萄牙前人民黨黨揆暨資深媒體評論家波塔斯：「台灣承襲2003年對抗SARS經驗，成功壓抑疫情曲線峰值，值得葡國作為借鏡。」
March 15 - Former Deputy Prime Minister of Portugal and media personality Paulo Portas stated that Taiwan's experience in fighting SARS in 2003 allowed it to be successful in flattening the curve, providing a model Portugal can learn from.

3/18 ─ 葡萄牙國會友臺小組歐利維拉：「台灣病例出現雖早，卻在努力下獲得很好的控制，台灣防疫措施值得肯定及學習。」
March 18 - Chair of the Portugal-Taiwan Parliamentary Friendship Group Paulo Rios de Oliveira stated that although cases in Taiwan started to appear quite early on, they've controlled it very well with a lot of effort. Taiwan's epidemic control measures should be praised and studied.

#西班牙 Spain🇪🇸
3/13 ─ 西班牙前國會議員瓦紐費瑞：「這些措施證明台灣公衛模式有效，包括世界上最先進的醫衛系統、自2003年抗煞以來所累積的廣泛防疫經驗等。」
March 13 - Francisco Vañó Ferre, a former member of the Spanish Parliament: "Estas y otras medidas prueban la eficacia del modelo sanitario de Taiwán, que cuenta con uno de los más avanzados sistemas de salud del mundo y con amplia experiencia en la lucha contra enfermedades contagiosas tras haber sufrido la epidemia del SARS en 2003." (These and other measures prove the efficacy of the health model of Taiwan, which has one of the most advanced health systems in the world and a wealth of experience in the fight against contagious diseases, after having suffered from the SARS epidemic in 2003.)

#匈牙利 Hungary🇭🇺
3/15 ─ 匈牙利醫師學會：「在中國其他省份和其他亞洲國家，例如台灣和新加坡等，已經能夠預防感染的傳播。」
March 15 - The Hungarian Medical Chamber stated “In other provinces of China and other Asian countries (eg Taiwan, Hong Kong and Singapore) have been able to prevent the spread of the infection.”

北美：
#美國 US🇺🇸
2/5 ─ 美國前衛生部長派司：「台灣已經證明其防疫行動極為負責且透明，特別是在醫學和科學領域。最近有幸到訪台灣，台灣協助研發疫苗或以其他方式協助拯救生命，並促進人類對抗病毒的能力及情報，此刻尤顯出色。」
Feb. 5 – US former secretary of health and human services Tom Price: "Taiwan has shown itself to be extremely responsible and transparent in its actions, especially in the area of medicine and science. Having had the privilege of visiting recently, the capacity of Taiwan to help formulate a vaccine or assist in other ways to help save lives and advance human engagement and intelligence at this time is remarkable."

#加拿大 Canada🇨🇦
3/6 ─ 加拿大前國務部長契爾格：「將台灣排除在世衛組織之外，會讓新冠病毒對其國民和世界其他地區變得更加危險。」
March 6 - Canadian former secretary of state David Kilgour: “Excluding Taiwan from contact with WHO makes COVID-19 more dangerous for its nationals and the rest of the world.”

後補，發出此帖文後，收到一位讀者的訊息，稱「無國界醫生」在捐款人通訊電郵裡，有提及他們做過的事情，為公平起見，在這裡也轉載一下，大家自行解讀。

注：以下係節錄，在「無國界醫生」的臉書及其網站都找不到，Google 也找不到，如果是真，他們也算是終於為香港做了應做的事。

「An MSF emergency team arrived in Hong Kong at the end of January to start a new project. Their focus is community engagement with vulnerable people, for example those more at risk of developing severe infection such as the elderly. It also includes those who are less likely to have access to important medical information, such as the socio-economically disadvantaged. This activity is similar to the services MSF provided in Hong Kong during the SARS outbreak in 2003.

Our teams have already conducted sessions with street cleaners, refugees and asylum seekers, and the visually impaired in recent weeks. Through face-to-face sessions, our team is able to share up-to-date, evidence-based medical information, but are also there to listen and answer the many questions people may have. We are also providing psychological first aid with simple coping mechanisms that can help manage the stress and anxiety a new outbreak brings. You may have seen that global supplies of medical protective equipment are stretched thin. MSF is sending one tonne of Personal Protective Equipment to Hong Kong St. John Ambulance. The staff are transporting high-risk cases, and therefore, it is important to ensure that they have the specialised protection they need to work safely.

MSF is also shipping specialised medical protective equipment to Wuhan Jinyintan Hospital in the capital city of Hubei province in mainland China, the epicentre of the outbreak. Weighing 3.5 tonnes, these supplies are being dispatched from MSF Supply in Brussels, Belgium through the Hubei Charity Federation to reach the hospital where they are very much needed.」

「無國界醫生應對2019冠狀病毒病（COVID-19）的工作

過去一個月，有關2019冠狀病毒病（COVID-19）的新聞是全球關注的焦點。我們希望您一切安好，身體健康，並想藉此機會向您介紹無國界醫生應對這種新疫症的最新消息。

無國界醫生一支緊急救援隊伍於一月底抵達香港展開新項目，主要是接觸社區內的脆弱人群，如長者等較容易出現嚴重感染，以及較難獲得重要醫療資訊的人，包括基層人士。2003年香港爆發嚴重急性呼吸系統綜合症（又稱沙士或非典型肺炎）時，無國界醫生也曾進行類似的工作。

這兩周，我們分別與街道清潔工、難民和尋求庇護者以及視障人士進行健康教育對談，分享最新的實證醫療資訊，同時聆聽和解答他們的疑問。我們也通過心理急救，協助人們掌握簡單的技巧，以應對疫情帶來的壓力和焦慮。

您可能也知道，全球的醫療防護裝備供應相當緊張。無國界醫生正運送一噸個人防護裝備到港，捐贈予香港聖約翰救護機構。該機構的人員有機會接送懷疑感染患者，因此，確保他們能有專門保護安全地工作，是非常重要的。

此外，無國界醫生正運送專門的防護裝備到疫情最嚴重的湖北省內的武漢市金銀潭醫院。這批重3.5噸的醫療物資，已從無國界醫生位於比利時布魯塞爾的物資供應中心出發，將透過湖北省慈善總會送往急需有關醫療物資的武漢市金銀潭醫院。

您可以按此進入我們的網頁，瀏覽有關防疫措施的影片和 COVID-19 的醫學資訊。我們將在這個專頁定期更新我們的應對工作，以及實用的健康教育資訊。我們希望這些資訊有助您在這段期間，照顧好自己和摯親好友。

祝
一切安好

無國界醫生（香港）」

———

以下是原帖內容：

我純粹有少少好奇，到底這幾個星期，那個很有國界的「無國界醫生」，有沒有為危難中的香港，做了些甚麼？

於是我上他們的 Facebook 看看，中文版的專頁，十一月以來就沒有更新。再訪其網站，見到這篇文章： https://www.msf.org/msf-update-2019-ncov-coronavirus-outbre…

有呢段： An MSF team is being sent to Hong Kong with an initial focus on health education for vulnerable groups, such as the elderly and other at-risk groups. （無國界醫生的一支隊伍，正被派往香港，最初的工作重點，是為弱社群，如老人和其他高風險的人士，提供健康教育。）

其實而家香港醫護及社區，最需要個人防護物資，唔係對高危人士的健康教育講座。醫療連 PPE 都無，但都唔見 MSF 有乜嘢行動，只係提及 2003 年，捐咗四十箱醫療保護物資畀醫管局。2003 年，2003 年，2003 年⋯⋯

要強調，捐款畀 NGO，唔係交易，唔係買賣，更唔等同買保險，你捐咗款，唔代表對方要為你做事情。

但想一下，從去年到今天，香港人以前幫過嘅國際大型 NGO，又有幾多會喺香港危難之際，對香港伸出援手，而唔係單純當你係提款機？

人道危機，唔出聲。

醫療危機，唔幫手。

係啊，確實幾失望。

注：呢張相，係 MSF 喺 2003 年影嘅，佢哋 2003 年時，送咗 40 盒醫療物資畀醫管局，來自佢哋個網站。