昨天，台灣在自由貿易上邁出重要的一步。

我們正式遞交申請加入 #跨太平洋夥伴全面進步協定 (CPTPP)，蔡英文總統表示這反映了我們致力於促進亞太自由貿易的承諾，也相信台灣加入後能夠為區域跟全球帶來經濟發展。

台灣會做好充足的準備，按照自己的節奏與步調，為區域經濟做出具體貢獻。

#Taiwan has officially applied to become a part of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership.

President Tsai Ing-wen tweeted on the move, stating “Taiwan's bid to join the #CPTPP reflects our commitment to promoting free trade in the Asia-Pacific. I am confident that our membership in this deal would strengthen joint economic development & benefit people across the region & the world.”

Taiwan will put the necessary preparations in place so that we can make concrete contributions to the regional economy.

昨日台湾はCPTPPへの加盟を正式に申請しました。蔡英文総統が言うように、台湾は長年にわたってCPTPPのような質の高い自由貿易協定に参加する準備を進めてきました。

台湾は世界貿易機関（WTO）のメンバーの一員として活躍し、ICTや半導体などの産業は世界経済に欠かせない存在となっています。台湾がCPTPPに加盟すれば、アジア太平洋、ひいては世界経済に貢献できます。CPTPP加盟国ともウィンウィンの関係を成り立たせることができると信じています。

#CPTPP

Nothing is necessary,
Everything is a choice.

沒有什麼事是必要的，
每件事都是一個選擇。

＃vt每日一句
＃糖兒英文課
＃LaraineSweet

我國因莫德納疫苗無法穩定到貨，除原本優先接種疫苗名單第一至第三類人員和孕婦，仍維持間隔28天施打第二劑外，其他都宣佈推遲為間隔10至12週。雖然已是同島不同命，但現在等第二劑的民眾更是焦慮，因為到底能不能在12週內順利完成接種得到足夠的保護力，竟然也得不到政府的保證？在此提醒中央疫情指揮中心，到目前為止找得到有關莫德納疫苗施打的官方指引中，第二劑都是建議4週或6週；就算有疫苗限制，WHO也寫明間隔最長也就是12週！

有關莫德納接種第二劑應該間隔多久，美國CDC和WHO網站寫得很清楚。美國CDC認為間隔為4週，最長為6週，超過6週才接種第二劑的有效性訊息有限。WHO也是建議間隔4週，可延長至6週；若疫苗供應嚴重限制的國家，為提高第一劑的覆蓋率，可考慮將第二劑疫苗延遲至最長12週；建議遵守完整接種時間表，而且兩次接種不建議混打。

附上美國CDC和WHO相關連結和肉容：

➡️美國CDC
♦️英文版：
Moderna COVID-19 vaccine
Get your second shot 4 weeks (or 28 days) after your first.
You should get your second shot as close to the recommended 4-week interval as possible. However, your second dose may be given up to 6 weeks (42 days) after the first dose, if necessary. You should not get the second dose early. ​There is currently limited information on the effectiveness of receiving your second shot earlier than recommended or later than 6 weeks after the first shot.

♦️中文版：
莫德納COVID-19疫苗
請在接種第一劑後的4週（或28天）接種第二劑。
您應盡可能在建議的4週間隔內接種第二劑。但是，如有必要，第二劑可以在接種第一劑後6週（42天）接種。不應過早接種第二劑。目前，關於在建議的時間之前或第一劑接種6週之後接種第二劑的有效性訊息有限。

♦️網站連結：
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/second-shot.html

➡️WHO
♦️英文版：
SAGE recommends the use of the Moderna mRNA-1273 vaccine at a schedule of two doses (100 µg, 0.5 ml each) 28 days apart. If necessary, the interval between the doses may be extended to 42 days.
Studies have shown a high public health impact where the interval has been longer than that recommended by the EUL. Accordingly, countries facing a high incidence of COVID-19 combined with severe vaccine supply constraints could consider delaying the second dose up to 12 weeks in order to achieve a higher first dose coverage in high priority populations.
Compliance with the full schedule is recommended and the same product should be used for both doses.

♦️中文版：
戰略諮詢專家組推薦的莫德納mRNA-1273疫苗使用方案為，分兩次接種（每次100微克，0.5毫升），間隔28天。如有必要，接種間隔可延長至42天。
研究表明，如果間隔時間比《緊急使用清單》建議的時間長，會對公共衛生產生嚴重影響。因此，面臨COVID-19發生和疫苗供應嚴重限制的國家，可考慮將第二劑疫苗延遲至最多12週，以便在高優先人群中實現更高的第一劑覆蓋率。
建議遵守完整接種時間表，兩次接種應使用相同的產品。

♦️網站連結：
https://www.who.int/news-room/feature-stories/detail/the-moderna-covid-19-mrna-1273-vaccine-what-you-need-to-know?gclid=Cj0KCQjw6ZOIBhDdARIsAMf8YyHAy7nQ2sGbTqgw2vsOWnOTUCKFMFsrQX97xWqq9gHrEy_YAnoBMVsaAprKEALw_wcB

原來骨鬆跟胃食道逆流都不是最需要擔心的？！
（但如果你是___族群，還是要注意哦！）
☕️咖啡真正的壞處...來自愛撥最真切的關心！

☞咖啡好處＆壞處懶人包＋鈣多多食譜！：
https://tw.osparks.com/player/245/8324

☞其他愛撥營養小知識 ：
咖啡好處也太多，喝起來？？
https://youtu.be/wz-Rg0i_bBA

原來超商蔬果汁根本是大魔王！別再以為健康了
https://youtu.be/C0lH9VY4rpo

✍參考文獻：
[1] 美國腸胃權威，飲食建議中保留火燒心(heartburn)的人要避開咖啡
https://gi.org/topics/acid-reflux/
[2] 但2019年IF為3.950的Gastroenterology & Hepatology胃腸病與肝病學期刊，認為咖啡導致胃食道逆流的研究還不夠全面，也不認為飲食中移除咖啡就能避免胃食道逆流（強調其他生活習慣的重要--如同我們影片中所提的！）。
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886414/
[3] IOF強調鈣&D3＆蛋白質的足夠攝取，以及運動!!!!才是預防骨鬆的關鍵(完全沒提到咖啡)
https://www.iofbonehealth.org/preventing-osteoporosis
[4] 喝咖啡確實會流失鈣，骨鬆機會有可能提升
https://academic.oup.com/aje/article/178/6/898/108688
[5] 但跟骨折沒有正相關
https://pubmed.ncbi.nlm.nih.gov/?term=wikoff+caffeine+adverse+effects
[6] 停經後的鈣怎麼了&怎麼辦--by康健
https://www.commonhealth.com.tw/blog/blogTopic.action?nid=2088
[7] 所以停經後的女性務必要注意哦！且每天要攝取1200mg的鈣！
https://www.bones.nih.gov/health-info/bone/bone-health/nutrition/calcium-and-vitamin-d-important-every-age
[8] 台大學長的好食課文章推薦！咖啡因不會使鈣質吸收變差哦！所以可以喝拿鐵！
https://www.learneating.com/nutrition/rumor/【營養迷思】喝咖啡怕骨質疏鬆嗎？營養師用科學/
[9] 含鈣量高的食物！
乳製品（鮮奶、優酪乳、優格、起司）、蝦米、吻仔魚、小魚乾、板豆腐、豆乾、干絲
https://www.learneating.com/category/special-topics/ca-supplement/
[10] 本身已經有高血壓跟糖尿病診斷的話，建議不要喝咖啡哦！
https://pubmed.ncbi.nlm.nih.gov/14967827/
[11] 咖啡與戒斷症
https://www.ncbi.nlm.nih.gov/books/NBK430790/
[12] 咖啡因如何在人體中代謝，對人體的影響（黃嘌呤）
https://www.ncbi.nlm.nih.gov/books/NBK223808/
[13] 喝咖啡牙齒會變黃
https://meridian.allenpress.com/operative-dentistry/article/40/3/235/206060/White-Diet-Is-It-Necessary-During-Tooth-Whitening

#愛撥營養師DietitianAibo #食物科學 #咖啡

Please share on Facebook, Twitter, Reddit, etc... with #TWforWHO and #TaiwanCanHelp

這是一封關於台灣參加WHO給世界衛生組織的公開信. 為什麼WHO跟WHA需要台灣?
過去幾天看過越來越多台灣的公眾人物在叫WHO讓台灣參加. 在現在新冠狀病毒的疫情狀況中我看過阿滴英文跟吳鳳的影片後我也覺得我要試試看自己試試看.

This is an open letter to the World Health Organization about including Taiwan as a member or observer. Why should Taiwan be included in the WHO and WHA?

Over the past few days, more and more figures in Taiwan such as 阿滴英文 Ray Du and 吳鳳 Rifat have been stepping out as proponents of the WHO considering inclusion of Taiwan into the world health organization amid the threat of the 2019 novel coronavirus epidemic. Seeing these pleas has motivated me to do my part.

Dear WHO,
I’m Brian. An American citizen who spent a good portion of my childhood living abroad in St. Kitts, and have been living and working in Taiwan for the past 10 years.

As an American citizen and having lived in St. Kitts and Taiwan, I’ve seen and experienced a wide range of medical facilities, practices, and benefits.

In Taiwan, I’ve without a doubt experienced the best quality of healthcare out of those three places.

Due to the unique history of Taiwan, it has been excluded from participating in the WHO. However, over the past months and especially in the past weeks since the seriousness of this 2019-nCoV outbreak have come to be realized, many leaders and people of influence from around the globe including the USA, Japan, Canada, Germany, Australia and others.

I have faith in Taiwan’s ability to aid in the battle against this new coronavirus, not only because of my knowledge of the affordable healthcare that’s available to all here, but also because the technology and procedures here are extremely modernized.

Taiwan has a highly skilled force of researchers, physicians, and medical professionals who could all be great assets in the worldwide fight to control this outbreak and minimize casualties.

The experience Taiwan has accumulated in the past while dealing with pandemics such as swine flu, mers, and sars have allowed professionals to learn the necessary skills and precautions to take to help thwart these types of outbreaks, and as a member of the who and wha, the skills of these amazing people could help not just in a local level, but on a global scale to contribute to the attainment by all peoples of the highest possible standard of health.

#coronavirus

On Taiwan Hashtag hosted by Ross Feingold, we discuss why Keith Fong
方仲賢, student union president at Hong Kong Baptist University student
union, criticized President Tsai Ing-wen 蔡英文 and Taiwan politicians for
allegedly using Hong Kong’s protests and the challenges faced by
protesters to help their election chances in Taiwan’s upcoming
presidential and legislative election. Hong Kong student leaders such as
Fong believe Taiwan has failed to provide sufficient aid or fixed the
lack of a legal basis for asylum claims by Hong Kong protestors seeking
refuge from criminal charges. Fong’s criticism follows earlier
criticisms of Taipei City Mayor Ko Wen-je by protest leaders Joshua Wong
黃之鋒 and Agnes Chou 周庭. Why is Fong surprised that Taiwan’s politicians
will do what’s necessary to be elected? Will Taiwan accept his apology?
Watch our show for an analysis of recent events in Taiwan related to the
Hong Kong protests.

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