這是我見過最好最實用的防疫文章！
請耐心看完並力行實踐！
保護自己，家人及他人！
James Robb, MD UC San Diego. 詹姆斯.蘿蔔，加州大學聖地亞哥分校醫學博士

Subject: What I am doing for the upcoming COVID-19 (coronavirus) pandemic
新冠疫情擴散下我的防備攻略

Dear Colleagues, as some of you may recall, when I was a professor of pathology at the University of California San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (the 1970s). I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.
眾所周知，我是冠狀病毒的分子病毒專家，從70年代到現在一直在研究這些病毒。所以我是有發言權的。

The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April.
現在大規模在美國爆發還只是一個可能，現在還是數據不足。但是廣泛傳播要到三月底四月份。

Here is what I have done and the precautions that I take and will take. These are the same precautions I currently use during our influenza seasons, except for the mask and gloves.
我預防冠狀病毒的方法和防止流感一樣，只是增加口罩和手套。

1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.
不要和別人握手。用碰拳頭，小鞠躬，碰胳膊肘等代替。

2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.. Lift the gasoline dispenser with a paper towel or use a disposable glove.
只用手指關節去開燈的開關和電梯按鈕。用紙或者戴手套加汽油。

3) Open doors with your closed fist or hip - do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.
不要用手抓門把，特別是公共廁所，郵局，商業中心的門。用拳頭和屁股把門撞開。

4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.
如果店裡有抗菌濕巾提供，用它來擦所有碰到的把柄和兒童座。

5) Wash your hands with soap for 10-20 seconds and/or use a greater than 60% alcohol-based hand sanitizer whenever you return home from ANY activity that involves locations where other people have been.
每次從外面回家，至少用肥皂洗手20秒。

6) Keep a bottle of sanitizer available at each of your home's entrances. AND in your car for use after getting gas or touching other contaminated objects when you can't immediately wash your hands.
在家裡的門口和車里放一瓶消毒液。

7) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have to. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!
如果來得及，盡量打噴嚏擤鼻涕到紙巾上。如果來不及用胳膊肘捂了，要及時換衣服。

What I have stocked in preparation for the pandemic spread to the US:
在美國家裡，我囤積了一下物資：

1) Latex or nitrile latex disposable gloves for use when going shopping, using the gasoline pump, and all other outside activity when you come in contact with contaminated areas.
一次性橡皮手套，外出時備用。

Note: This virus is spread in large droplets by coughing and sneezing. This means that the air will not infect you! BUT all the surfaces where these droplets land are infectious for about a week on average - everything that is associated with infected people will be contaminated and potentially infectious.
注意，病毒靠咳嗽和打噴嚏產生的較大的水霧珠傳播的，不是因為空氣本身。所有的水霧珠會落在各種各樣的表面，在那裡呆一個星期之久。所有感染的人碰過的東西都有病毒。

The virus is on surfaces and you will not be infected unless your unprotected face is directly coughed or sneezed upon. This virus only has cell receptors for lung cells (it only infects your lungs) The only way for the virus to infect you is through your nose or mouth via your hands or an infected cough or sneeze onto or into your nose or mouth.
這個病毒只會感染你的肺，而進入的途徑就是你的口鼻。所以唯一被感染的機會是你的手帶到你的口鼻除非有人直接對著你的臉打噴嚏咳嗽。

2) Stock up now with disposable surgical masks and use them to prevent you from touching your nose and/or mouth (We touch our nose/mouth 90X/day without knowing it!). This is the only way this virus can infect you - it is lung-specific. The mask will not prevent the virus in a direct sneeze from getting into your nose or mouth - it is only to keep you from touching your nose or mouth.
在家裡儲存一些一次性醫用口罩。其實口罩並不是用來防止別人對你打噴嚏，而是阻止你的手老是去碰你的口鼻。你可能不知道，我們每天不知不覺會碰自己的口鼻90次以上。

3) Stock up now with hand sanitizers and latex/nitrile gloves (get the appropriate sizes for your family). The hand sanitizers must be alcohol-based and greater than 60% alcohol to be effective.
儲存一些洗手消毒液，最好是含有有60%以上酒精那種及買一些手套。

4) Stock up now with zinc lozenges. These lozenges have been proven to be effective in blocking coronavirus (and most other viruses) from multiplying in your throat and nasopharynx. Use as directed several times each day when you begin to feel ANY "cold-like" symptoms beginning. It is best to lie down and let the lozenge dissolve in the back of your throat and nasopharynx. Cold-Eeze lozenges is one brand available, but there are other brands available.
儲備大量的鋅錠劑。一般的藥店應該有很多選擇。其中一種叫Cold-Eeze lozenges。鋅錠劑被證實對冠狀病毒和其他病毒有一定防治作用。當你開始感到有感冒的感覺到時候，按照說明書每天服用數次。最好安靜的躺下來，讓鋅錠劑慢慢融化在喉嚨和鼻腔里。

I, as many others do, hope that this pandemic will be reasonably contained, BUT I personally do not think it will be. Humans have never seen this snake-associated virus before and have no internal defense against it. Tremendous worldwide efforts are being made to understand the molecular and clinical virology of this virus. Unbelievable molecular knowledge about the genomics, structure, and virulence of this virus has already been achieved. BUT, there will be NO drugs or vaccines available this year to protect us or limit the infection within us. Only symptomatic support is available.
和大家一樣，我希望冠狀病毒的疫情能夠得到控制。科學界已經學到很多關於這個病毒的東西。可是畢竟人類沒有見過這個病毒，也沒有建立對它的免疫力。我不認為一年內會有真正有效藥物和疫苗開發出來拯救人類或者控制病毒。目前只能減緩病狀。

I hope these personal thoughts will be helpful during this potentially catastrophic pandemic. You are welcome to share this email.
Good luck to all of us.
Jim

我希望我這樣個人的想法對你有所幫助。歡迎你和大家分享這份文章的內容。
祝我們好運！詹姆斯
James Robb, MD FCAP

【鼻敏感發作】唔好問我尋晚發生咩事... 😪🤧😷

#鼻敏感人心照
#IKnowThatFeelBro
#一早就腫到豬頭的bluemonday

一早起身腫到豬頭？
深信有過鼻敏感的人都會明白，每當天氣轉涼，鼻敏感就會沒預兆的降臨。早上一醒來連環打20個噴嚏，鼻子也搽得紅紅；然後又因為天氣凍了，尋找冬天衣物的同時，衣服的灰塵和纖維四處飛揚，鼻子受罪連帶眼睛也過敏。有鼻敏感的人本身多數因血液循環問題，已擁有大大的黑眼圈，鼻敏感突發時眼睛更是痕癢紅腫，經過這樣的一個早上，出門口時整塊面已經腫得似豬頭一樣。此時除了立即吃過敏藥物外，也可按按這個急救鼻敏感穴位！可以即時緩解突發性的鼻塞、鼻痕，疏通呼吸道氣血的流暢。

急救鼻敏感穴位﹣迎香穴
位置：鼻翼外緣中點旁
功效：驅風、通鼻竅及止涕，舒緩急性鼻敏感發作時的痕癢、鼻塞、鼻水和噴嚏。

#男 #女 #黑眼圈 #鼻敏感

Woke up with a swollen face?
People with nasal allergy understand this very well- when the temperature drops, the allergies will attack without warning. As soon as you wake up, you first sneeze uncontrollable, and then your nose becomes very red from all the wiping. As the weather cools, you also try to dig up your winter clothes and dusts get everywhere and even your eyes suffer with allergies. People with nasal allergies typically have poor blood circulation and already have big dark eye circles. Coupled with onset of allergies, eyes may itch and become red as well and after a morning of struggle, the entire face may be quite swollen. Aside from taking antihistamines, try pressing on this emergency nasal allergy relief acupuncture point! It can help to relieve sudden onset of stuffed nose, itchy nose, and improves respiratory qi and blood circulation.

Emergency nasal allergy relieve point- Ying Xiang Point
Location: at the level of the midpoint of the lateral part of the nasal wing
Effects: expels wind, clears stuffed nose and stops runny nose. Relieves symptoms associated with nasal allergies such as itchy nose, stuffed and runny nose, sneezing.