一个从70年开始就研究冠状病毒的专家的建议

J
JXWXZ
楼主 (北美华人网)
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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
S
Salzburg
谢谢分享,读完了,学习了!
h
huarenmochi
今天Costco门口发wipes了
a
amythest
mark...
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neolaga
回复 1楼JXWXZ的帖子 总之病从口鼻入,戴口罩是防止你无意去摸鼻子摸嘴。 老中就厚着脸皮带口罩吧
b
bigjohn123456
几条建议挺实用,可惜买不到口罩了
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lazycat12345
捂脸说我下午看了这个买了zinc lozenge。。娃自从上次病了一直在吃zarbee的elderberry,之前医生也推荐让我吃我一直懒得管。现在打算全家一起吃
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blackcat2020
我的医生朋友分析,是卖那个zinc lozenge的
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lnghng
既然只是防止摸,那么带啥都行了,为啥还要ASTM level3?
b
beefcurtain55
回复 8楼blackcat2020的帖子 用过的表示zinc lozenge对生病初期很管用。嗓子痛感觉要感冒的含几片就压下去了
c
ceciliaho
假的,别传了
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Mimi4
既然只是防止摸,那么带啥都行了,为啥还要ASTM level3?
lnghng 发表于 3/2/2020 12:28:16 AM

re,随便一个啥都行,围脖也有同样效果吧。
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neolaga
既然只是防止摸,那么带啥都行了,为啥还要ASTM level3?
lnghng 发表于 3/2/2020 12:28:16 AM

谁给你说一定要level 3的?国内大多数地方领买的都是薄薄的一层的垃圾口罩,不都过来了。 去找回形针的新冠科普视频,其实对飞沫来说,n95和垃圾的棉布口罩都差别不大,都管用
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littlewizard
挺有道理,这个锌片的原理是啥?
清谷幽兰
很多很好的建议 真不错
d
drchao
Mark, zinc lozenges
f
fashionlate
Thanks for sharing
1
1900
这医生有自己生意 卖含片的
x
xmiaomiao
目测各国版的各种民科要开始广泛流传了
W
Winddrift
那zinc lozenges到底有用吗?
j
jane2008
收藏了,谢谢!
g
gvcc
平时的饮食,像鱼瘦肉猪肝鸡蛋菠菜就含有需要的锌了,复合维生素也有zinc。 补锌过量与不过量的差别很小,自己不要乱补,自己是否缺锌可以去做个血锌测试。
b
betterme
加油站的建议挺好的..
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marylander2
据说这是个卖zinc lozenges 的人。 多洗手,尽量不要跑脸。。。这些是常识
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lianqiao
不是说这个病毒的受体在人身体各个部位,在肠胃也有吗?不是说除了飞沫传染,粪便也可以传染吗?
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Nicaaaaaa
我的医生朋友分析,是卖那个zinc lozenge的
blackcat2020 发表于 3/2/2020 12:25:42 AM

agree , 而且查无此人
r
relay
这人的建议,除了那个冲剂存疑,其他都靠谱。我咨询过一个做传染病的专家,说的和他差不多。尤其是多洗手,多用hand sanitizer.
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dizia0220
杀生丸建议每日使用30/40毫克的锌作为新型冠状病毒肺炎的预防和辅助治疗手段 杀生丸 约翰霍普金斯大学 遗传学博士 https://zhuanlan.zhihu.com/p/106812789
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.岸.
“this snake-associated virus ” 是比喻还是字面意思
琪琪玩彩妆
zinc 对初期感冒症状 确实有效, 全家人常备 对新冠 就不知道了
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rcoblesfayer
之前也看见杀生丸的建议,补zinc。买了大人的supplement,还没开始吃。已经每天喝airborne了,有没有懂行的来给大家讲讲补哪个更有用?
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whatfor
有没有用那是有文献的,那里是随口说的。 不要老是随口说都是假的,自己稍微google一下不会吗
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tiaodashen
研究了50年研究出啥了?有石正丽牛逼不?
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Irene_yz
https://en.m.wikipedia.org/wiki/James_Robb_(pathologist) 谁说查无此人? 谢谢楼主分享
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Roman_Porcupine
划个重点:“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.” 重点在最后一句。
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rabbitfl
回复 8楼blackcat2020的帖子

用过的表示zinc lozenge对生病初期很管用。嗓子痛感觉要感冒的含几片就压下去了
beefcurtain55 发表于 3/2/2020 12:29:54 AM

哪里能买 孩子吃要减量吗
s
summerline
同意楼上说的就是为了卖药吧 他说这个是snake related virus (二月初有人称基因上看到跟蛇蛋白类似的结构,后来证明并没有) 还说这个病只感染肺, 这个病毒结合上皮细胞里的ACE2受体,可從包括眼睛、鼻腔、口腔進入人體