個人防疫措施建議

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楼主 (北美华人网)
好像沒看到相關資訊的帖。
請大家提供專業性,科學性等有可靠資訊來源的個人防疫知識。
比如醫生,科學家提供的,或是有公信力媒體的報導。
請同時提供參考資料來源。
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轉貼一個今天Bloomberg 的報導。相信這裡大多數人已經看過了。 How to Avoid Coronavirus on Flights: Forget Masks, Says Top Airline Doctor By Kyunghee Park February 5, 2020, 8:29 PM EST Updated on February 5, 2020, 11:23 PM EST Risk of infection on plane is low, IATA medical adviser says Frequent hand washing is best form of protection from virus China’s Coronavirus Death Toll Rises to at Least 563 Forget face masks and rubber gloves. The best way to avoid the coronavirus is frequent hand washing, according to a medical adviser to the world’s airlines. The virus can’t survive long on seats or armrests, so physical contact with another person carries the greatest risk of infection on a flight, said David Powell, a physician and medical adviser to the International Air Transport Association. Masks and gloves do a better job of spreading bugs than stopping them, he said. As concern mounts about the scale of the outbreak, carriers from United Airlines Holdings Inc. to Cathay Pacific Airways Ltd. have scrapped thousands of flights to China. Here is an edited transcript from an interview with Powell. IATA represents about 290 airlines and more than 80% of global air traffic. Q: Is there a risk of becoming contaminated with the virus on a plane? A: The risk of catching a serious viral infection on an aircraft is low. The air supply to a modern airliner is very different from a movie theater or an office building. The air is a combination of fresh air and recirculated air, about half each. The recirculated air goes through filters of the exact same type that we use in surgical operating theaters. That supplied air is guaranteed to be 99.97% (or better) free of viruses and other particles. So the risk, if there is one, does not come from the supplied air. It comes from other people. Q: What are the chances of getting the virus by touching the seats, armrest or any of the objects on a plane? A: Viruses and other microbes like to live on living surfaces like us. Just shaking hands with somebody will be a greater risk by far than some dry surface that has no biological material on it. The survival of viruses on surfaces isn’t great, so it’s believed that normal cleaning, and then the extra cleaning in the event that someone was discovered to be contagious, is the appropriate procedure. Will people stop getting together inside an airplane? I would respond by asking: Will I stop going to the movies, or sports games, or concerts or conferences? I don’t think so. Q: What’s important if you are on a plane to ensure you don’t get infected? A: Hand hygiene -- because contrary to what people think, the hands are the way that these viruses most efficiently spread. Top of the list is frequent hand washing, hand sanitizing, or both. Avoid touching your face. If you cough or sneeze, it’s important to cover your face with a sleeve. Better yet, a tissue to be disposed of carefully, and then sanitizing the hands afterward. Washing your hands and drying them is the best procedure. When that’s not easy to do, alcohol-based sanitizer is a good second-best. Q: Does wearing masks and gloves help prevent infections? A: First of all, masks. There’s very limited evidence of benefit, if any, in a casual situation. Masks are useful for those who are unwell to protect other people from them. But wearing a mask all the time will be ineffective. It will allow viruses to be transmitted around it, through it and worse still, if it becomes moist it will encourage the growth of viruses and bacteria. Gloves are probably even worse, because people put on gloves and then touch everything they would have touched with their hands. So it just becomes another way of transferring micro-organisms. And inside the gloves, your hands get hot and sweaty, which is a really good environment for microbes to grow. Q: Is shutting borders the answer to containing the spread of the virus? A: One thing that’s changed in the world is the ability for infections to travel rapidly from one location to another and it’s true that aviation is part of that. At the same time, aviation is essential to dealing with outbreaks like this. And this is why we have collaboration with the World Health Organization and IATA that’s been in place for several years. If countries just shut down during disease outbreaks, as happened in west Africa with Ebola, that can make things much worse. During that outbreak, the country struggled, WHO couldn’t get their people in, they couldn’t get biological samples out. The economic impact of being shut off made things worse. General travel bans can make things worse. It can encourage people to travel in secret, which means you lose control of it. Q: When can we safely say that the worst may be over? A: The number of cases have continued to increase at around about 16% to 20% each day. Until we get to the point where those numbers are declining, we couldn’t say we turned the corner.
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台大醫院小兒部主任黃立民表示,洗手主要是利用酒精或界面活性劑殺死細菌和病毒,但洗手若洗得不確實、隨便搓兩下,恐怕有洗等於沒洗。 黃立民解釋,以酒精洗手,只要盡可能讓手部都沾到酒精即可殺菌;但以肥皂洗手至少要洗個 1 分鐘,落實「內外夾弓大立腕」口訣,確實搓揉手掌、手背、指縫、指背與指節、大拇指及虎口、指尖、手腕,洗到泡泡從手上滴落,以清水將手沖乾淨、擦乾後才算完成洗手程序。 董氏基金會食品營養中心主任許惠玉表示,正確洗手是最簡單有效,預防傳染病的方法,可預防包括普通感冒、流感、冠狀病毒、腸病毒、諾羅病毒、輪狀病毒、A 型肝炎、桿菌性痢疾和傷寒等呼吸道症狀和感染性腹瀉,也能降低塑化劑等環境荷爾蒙危害。 許惠玉也提出 6 大重要的洗手時機,首先是吃東西前,可避免手上的病菌接觸到餐具和食物而帶入口中;如廁後,洗去尿液或糞便以及掀馬桶蓋、沖水、開關門時沾染到的病菌;咳嗽捂口或用衛生紙擤鼻涕後,避免雙手沾染的分泌物和病菌傳播。 此外,進出醫院前也應先洗手,避免將病菌帶入醫院或將病菌帶回家;接觸嬰幼兒前,以保護免疫系統尚未發展成熟的嬰幼兒;外出返家時,特別是有新生兒的家庭應洗手、換衣物以隔絕由外帶回的病菌。
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以下來源 - 中華民國CDC 口罩種類: 1.紗布印花或紗布口罩:僅能過濾較大顆粒,可作為保暖、避免灰頭土臉與鼻孔骯髒等用途。 2.活性碳口罩:可以吸附有機粒子、惡臭分子及毒性粉塵,不具殺菌功能,適合騎機車、噴漆作業、噴灑農藥等時機使用,一旦需費力呼吸或無法吸附異味時應更換。若有醫療器材許可證字號也具有防護功能。 3.醫用口罩或外科口罩:一般醫療用,有呼吸道症狀、前往醫院等密閉不通風場所,或前往有呼吸道傳染病流行地區時配戴,可阻擋大部分的5微米顆粒,應每天更換,但破損或弄髒應立即更換。 4.N95口罩:可阻擋95%以上的次微米顆粒,適合第一線醫護人員使用,因呼吸阻抗較高,不是和一般民眾長時間配戴,且應避免重複使用。 根據「衛服部」表示,民眾只需配戴一般醫用口罩防護即可,不需配戴N95口罩,及選購醫用口罩時,要認明醫療器材許可證字號,可以到許可證查詢系統上查詢自己購買的口罩是否為合格口罩,並落實勤洗手、戴口罩、避免去人多的地方等預防措施。 ●記住「深外藏絲」口訣 正確佩戴口罩 豐原醫院胸腔內科醫師張孟祥表示,口罩正確配戴方式,只要記住「深外藏絲」口訣。 1.口罩顏色較深的那面朝外 2.有鐵絲的那一面朝上 3.檢查鼻樑處是否壓緊 4.臉頰兩邊吐氣時是否有霧氣產生,若有霧氣請調整口罩位置 5.避免一片口罩多日使用並記得勤洗手 外出回家後酒精消毒能減少把細菌帶回家的風險,回家後需使用酒精消毒才能減低被感染的... 外出回家後酒精消毒能減少把細菌帶回家的風險,回家後需使用酒精消毒才能減低被感染的... ●居家消毒你做對了嗎? 正在武漢支援抗擊疫情的吳安華教授表示,從外面回家,身上的衣服、手機、物品及雙手上均可攜帶有害微生物,因此外出回家後需用酒精消毒才能減低被感染的機率。 外出回家後如何消毒? 1.使用過的口罩應放入垃圾袋中,勿隨意丟棄,並往垃圾袋內噴灑適量醫用酒精,並密封處理。 2.對手機、鑰匙進行消毒,可用醫用酒精噴灑,並使用紙巾擦拭。 3.帶回家的物品,應使用酒精進行噴灑消毒或清洗。 4.將脫下的衣物放在窗口處,並打開窗戶通風。 5.使用肥皂或洗手乳洗手時,將手腕、手背、手指、手心、手指縫戳洗30秒左右,且應使用流動的水沖洗,並用紙巾將手擦乾。 在家如何進行預防性消毒 空氣消毒 空氣消毒專業性較強,所用消毒劑包括過氧化氫、過氧乙酸、二氧化氯,在消毒過程中存在一定的安全隱患,普通家庭用以下兩種方式即可: 每日打開門窗通風2~3次,每次不少於30分鐘,這是最好的辦法。 可以使用循環風空氣消毒機,注意嚴格按照說明書使用。 物品消毒 做好清潔最重要,必要時進行消毒。 推薦熱水浸泡消毒,新型冠狀病毒在56℃環境下30分鐘即可滅活,也可以煮沸消毒10分鐘,或用含氯類消毒劑如84消毒液進行消毒。
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出處是WHO,跟之前重複的部分就不貼了,可以在原文裡找。 source https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public Maintain social distancing Maintain at least 1 metre (3 feet) distance between yourself and other people, particularly those who are coughing, sneezing and have a fever. Why? When someone who is infected with a respiratory disease, like 2019-nCoV, coughs or sneezes they project small droplets containing the virus. If you are too close, you can breathe in the virus. Avoid touching eyes, nose and mouth Why? Hands touch many surfaces which can be contaminated with the virus. If you touch your eyes, nose or mouth with your contaminated hands, you can transfer the virus from the surface to yourself. 
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The author of this coronavirus precautionary measures is James Robb, MD UC San Diego. It’s a really great read. Subject: What I am doing for the upcoming COVID-19 (coronavirus) pandemic 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. 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. 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.: 1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc. 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. 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. 4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts. 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. 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. 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! What I have stocked in preparation for the pandemic spread to the US: 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. 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. 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. 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. 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. 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. 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. 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 James Robb, MD FCAP