《The Guardian 英國衛報》
英國衛報在7日以「自身成功的受害者:為何台灣未能設法因應大規模新冠疫情爆發」A victim of its own success: how Taiwan failed to plan for a major Covid outbreak為題,評論報導點出儘管台灣先前有250天沒有發生任何本土案例。
但近期在台灣發生逾1.1萬例感染案例中,超過90%是在5月中以來染疫。台灣主要受三大因素,而在抗疫中失敗:
1)疫苗訂量不足、
2)錯估全球疫苗短缺形勢
3)和地緣政治影響。(指因中國大陸復星集團代理權爭議買不到輝瑞疫苗)
而且,因為疫苗不足,台灣全國接種疫苗的人口比率,不到3%。(指施打一劑)
●未能及時防範兇猛的英國病毒株
多位公共衛生專家表示,在病毒於全世界一波波擴散之際,台灣當局未跟上有
關新的變種病毒株的新知識、包括對抗空氣傳播必須通風的重要性。
*尤其大規模檢測的有效性。
一些人士認為,台灣已成為「自身成功的受害者」。
公衛專家、前副總統陳建仁表示,當局原先以為他們靠著接觸史追蹤系統和精確篩檢就已控制住疫情,但英國病毒株傳播速度更快,帶來挑戰,而且5月9日母親節又釀成超級散播事件。
●不願採取嚴格封鎖措施
衛報也指出,台灣當局顯然反對採取激烈的封鎖措施,而且屢次重新界定引發必須封鎖定義門檻。
振興醫院感染科主治醫師顏慕庸表示,從疫情大爆發以來,已有很大的改善,但他仍希望台灣能基於感染數和風險水準制定明確定對應的封鎖限制措施。
顏慕庸說,他仍擔心加護病房被增加的病患數壓垮,進而導致外溢至社區的風險,「這曾經發生在紐約市、義大利北部。你必須要停止傳播,就是要採用封鎖。一個必要、精心規劃的封鎖」。
●疫苗仍是當務之急
衛報指出,全球應對疫情的焦點仍是疫苗,但台灣在取得疫苗方面也面臨問題。
A victim of its own success: how Taiwan failed to plan for a major Covid outbreak
Once a poster child for blocking coronavirus, Taiwan failed to fully prepare a pandemic response or vaccination rollout
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Helen Davidson in Taipei
@heldavidson
Mon 7 Jun 2021 09.19 EDT
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While most of the world suffered through hundreds of millions of cases and millions of deaths from Covid-19, the 23.5 million people in Taiwan largely lived a normal life, thanks to a well-documented strong and early response that saw it go 250 days without a single local case. It lobbied for inclusion in the World Health Organization’s decision-making body off the back of its undeniable success and expertise under the slogan “Taiwan can help”.
But now the tables have turned and the island itself is in need of assistance, after an outbreak that started among airline staff in April spread across the island. The government appears to have been caught short by something it thought would never happen: the poster child for outbreak prevention had apparently failed to fully prepare an outbreak response.
It has so far recorded more than 11,000 cases and 260 deaths, more than 90% of them since mid-May. Affected by inadequate orders, global shortages and geopolitics, it has vaccinated fewer than 3% of its 23.5 million people. The president, Tsai Ing-wen, on Monday gave a broadcast address from her office to assure a population at its second-highest alert level that 750,000 vaccine doses promised by the US would arrive soon.
‘We thought maybe we could contain this’
Multiple health and social experts told the Guardian that as the virus spread in waves worldwide, authorities hadn’t kept up with new scientific knowledge around virulent new strains, the importance of ventilation to combat aerosolised spread, the effectiveness of mass testing, or the examples set by some countries of locking down hard and early. Some felt Taiwan had become “a victim of its own success”, even complacent.
* 自身成功的受害者:台灣如何未能為大規模的 Covid 爆發做好計劃
台灣曾是阻斷冠狀病毒的典型代表,但未能為大流行應對或疫苗接種做好充分準備
冠狀病毒 - 最新更新查看我們所有的冠狀病毒報導海倫戴維森在台北
@heldavidson
2021 年 6 月 7 日星期一 09.19 EDT
雖然世界上大部分地區因 Covid-19 感染了數億例病例和數百萬人死亡,但台灣 2350 萬人在很大程度上過著正常的生活,這要歸功於有據可查的強有力的早期反應,該反應在 250 天內沒有發生一個本地案例。
憑藉其無可否認的成功和專業知識,它以“台灣可以提供幫助”為口號,遊說將其納入世界衛生組織的決策機構。
但是,在 4 月份航空公司工作人員爆發的疫情蔓延到全島之後,現在情況發生了轉變,該島本身需要幫助。政府似乎被它認為永遠不會發生的事情弄得措手不及:預防疫情的典型代表顯然未能充分準備好應對疫情。
迄今為止,它已記錄了 11,000 多例病例和 260 例死亡,其中 90% 以上是自 5 月中旬以來的記錄。
受政府疫苗採購不足、全球疫苗短缺和地緣政治的影響,它的 2350 萬人口中只有不到 3% 的人,接種了(一劑)疫苗。
週一,蔡英文總統在她的辦公室發表廣播講話,向處於第二高警戒級別的民眾保證,美國承諾的 75 萬劑疫苗很快就會到貨。
“我們想也許我們可以控制它”
多位公衛體系和社會專家告訴《衛報》,隨著病毒在全球掀起波瀾,當局沒有跟上關於新變種毒株的新科學知識。
*通風對抗霧化傳播的重要性、
*大規模檢測的有效性或示例。
一些國家早已地採取了嚴格的封鎖措施。但一些人認為台灣已成為“自身成功的受害者”,甚至自滿。
⋯⋯
在國內,黨派也攪渾了水,幾位專家告訴衛報,他們對公開批評廣受歡迎的政府和衛生當局(包括陳時中)必須持謹慎態度。
一位公衛專家說,他們覺得政府不願複製在中國看到的任何事情——比如野戰方艙醫院或封鎖——政治已經為判斷蒙上了陰影。
對於台灣以外的人或密切關注疫情的人來說,今天的台灣令人不安地懷舊,彷彿現在是2020年6月,而不是2021年。
全球防疫現在是關於疫苗。
但台灣也在這方面苦苦掙扎。 “我認為政府開始認真考慮 [疫苗] 太晚了,”全球臺灣醫學聯盟總幹事、前國家監察員委員Peter Chang 博士說。
“他們認為我們很擅長戴口罩,人們在保持社交距離方面非常自律,所以沒關係。”
許多早期在該病毒上取得成功的國家也一直在努力獲得和分發疫苗,但台灣面臨著額外的併發症,包括指責和中國地緣政治干預的實例。台灣聲稱中國阻止了與德國疫苗生產商 BioNTech 的交易,中國予以否認。
台灣防疫指揮中心CECC 告訴《衛報》,它正在盡最大努力控制疫情,但“公平獲得有效疫苗是結束全球 Covid-19 大流行的最終解決方案”。
日本已提供超過 120 萬劑疫苗,美國參議員周日飛往台北,宣布美國的捐贈,並強調美國兩黨對台灣的支持。
進入第 3 級警戒兩週多後,病例數並沒有顯著下降,週一警報再次延長,直到 6 月底。
陳時中部長認為 3 級已經足夠嚴格,並質疑政府實施更多措施的能力,但表示沒有足夠明確的信息,告訴一般人如何保護自己免受高比例的無症狀感染者和所謂的“隱形感染”者。
“你必須假設任何不與你同住的人都是潛在的攜帶者,”他說。 “在接下來的兩週左右的時間裡,不要與不和你住在一起的人在室內聚會。”
https://amp.theguardian.com/world/2021/jun/07/a-victim-of-its-own-success-how-taiwan-failed-to-plan-for-a-major-covid-outbreak
同時也有1部Youtube影片,追蹤數超過86萬的網紅Joseph Prince,也在其Youtube影片中提到,What's at the top of your must-have list? In this invaluable DVD resource, Joseph Prince reveals the importance of having divine wisdom guiding and gu...
importance of decision making 在 AppWorks Facebook 的精選貼文
【Lesson #7 - Zoom in, zoom out】
For the last post in this mini-series of "7 lessons from 7 early-stage founders" I spoke with Jackson Aw, the founder & CEO of Mighty Jaxx (AW#20), the region's leading platform to purchase limited edition collectibles. With over 8 years of experience as an entrepreneur, Jackson touches upon the danger of short-term thinking, especially when it comes to decision making, while highlighting the importance for founders to both "zoom-in and zoom-out."
***
As founders, we often speak of vision and long-term thinking, but seldom put it into practice. With the amount of years that I’ve spent in entrepreneurship, I’ve come to learn that every single decision you make eventually comes back around.
Establishing distribution and finding channels to expand our products’ reach has been my core focus at Mighty Jaxx. A few years ago, I was looking to expand our company into Country X (anonymized for sensitivity purposes) in response to increasing inbound interest. Given the nature of the market, we needed to find a local partner but unfortunately none of the big fish wanted to work with us. Desperate for any way possible to get our foot in the door, I settled with the first partner that responded to our proposition.
The deal was inked immediately, closing in just a few days with haphazard terms that recently came back to bite us in the butt. With 65% of our sales now coming from Country X, we far outgrew the original partnership and our partner was no longer suitable to handle our future growth. Unfortunately, the terms of the deal didn’t allow for any clean way to get out of the arrangement and we quickly found ourselves stuck between a rock and a hard place.
Ultimately, money was used to resolve the issue. Looking back, I would have structured the deal more carefully, thinking at least 3 steps ahead and projecting multiple scenarios, particularly ones with more upside and optimism. But as a founder you tend to get caught up with the day to day fights, losing track of the bigger picture.
How I approach decision making is worlds apart now. Anytime we’re doing new distribution deals, we’ll have 3 - 4 sessions with the C-level, collecting information from each department to provide a 360 of the company, sometimes taking upwards of 4 months. But, of course, execution speed is an important consideration for startups; that’s where Colin Powell’s principal comes in handy: pull the trigger on a decision when you have anywhere between 40% to 70% of the information available—nothing more, nothing less.
Calling all founders targeting SEA, AI/IoT, or Blockchain/Defi, applications for AW#22 are open till January 4 -> https://bit.ly/3hrPQFE
importance of decision making 在 Dr 文科生 Facebook 的最佳貼文
英文文宣 - 為何我們戴口罩 2.0
Why Asians are so radical in containment of this virus and why should everyone be doing the same?
Why do I write this post? Because as a healthcare professional, I had to do a COVID-19 test so that I can ensure I won’t be passing it to the patients I have contact with. And guess what? HALF OF THE PATIENTS waiting for COVID-19 test at the lab ARE NOT WEARING a mask and are coughing like crazy.
Previously I talked about the rationale of asian wearing masks in a public health point of view.
Today, I will talk a bit more from a humanity perspective, why you should wear a mask if you have one, perform social distancing as much as possible and minimize unnecessary outdoor activities.
Again, the beauty of history is for us to learn, so we don’t step on the same shit over and over again.
Yes, we had a huge shit in 2003 during SARS epidemic where hundreds of lives were lost, economy took a huge toll, millions of jobs and businesses are gone, countless people went bankrupt. And today, we don’t want to step on the same shit ever again. Here are what we learned and why we think you should not take this virus lightly.
It is not uncommon to see the following arguments from westerners, DESPITE the outbreak is imminent and uncontrolled currently in the UK, EU & USA.
1. Stop reporting number of cases, this is fear mongering
-> I wonder whether you should fear more if every country is not reporting cases and try to suppress all relevant information like what China did in Nov and Dec 2019.
A. Introduction to public health 1001 teaches us that it is incredibly important to remain high transparency between the health authority and public so that the public can ADJUST their LIFESTYLE according to the degree of outbreak. If there are many community transmission cases, one should refrain from attending and public events and minimize public exposure so that they can reduce the risk of infection and the risk of passing to other people should they be infected.
B. Reporting cases transparently is to allow other coutries to implement appropriate border control and screening measures to ensure that when you travel to other countries, you are not BRINGING THE VIRUS an INFECTING other people in those countries.
C. When someone says giving briefs and reports everyday or every few hours is fear mongering, it just reflects how inconsiderate and irresponsible you as a person in this society are. Because you NEVER THOUGHT ABOUT OTHERS, you only THINK OF YOURSELF that the news and reports are making you nervous. If you are responsible and considerate, you would have understood that, this COVID-19 is not small thing, it has the potential to wipe out a significant proportion of our population if not dealt with vigilantly. If you have thought about these repercussion, you wouldn’t say it’s fear mongering, you would be actively advocating for containment of the virus.
2. Why are you forcing people to do social distancing and limit their activities?
-> why? Because these are the most EFFECTIVE MEASURES that cost NO MONEY.
A. No one is telling you to hoard toilet paper or soap or hand sanitizer. We are only telling you to be vigilant, stop going out for bars, pubs, clubs, sports activities. Does that cost you an arm or leg to not go out? NO! It even save you a couple of hundreds if you do it for a few weeks. What does it bring us? LESS, A LOT LESS, A LOT A LOT LESS community transmission cases which are extremely difficult to contain in a public health point of view.
B. second, if you are now living in a deserted island by yourself, I honestly couldn’t give two shits whether you isolate yourself, perform social distancing and minimize social contacts or not. But you are LIVING in a HUMAN COMMUNITY where you are not the only one that want to survive and live happily ever after. Everyone has his responsibility in public health, you not doing your part is essentially putting other at risk of serious health repercussion which I don’t think anyone is entitled to do so.
3. This is just another flu, most young folks are in mild condition
-> Surely at-risk population such as elderly, patients with chronic diseases and cancers, immunocompromised patients don’t quite matter in this society. Might as well get rid of them? Are you seriously that selfish?
A. Sure, you probably can survive this virus if you are a young and fit individual. But guess what? Continue going out when you are asymptomatic it mildly symptomatic, thinking that it’s just a flu so not even wearing a mask, shaking everybody’s hands and kissing everyone’s cheek, you probably bring a few down to ICU if not the morgue. The mortality rate between ar-risk population is incomparable to the general population. You are just a selfish prick if you believe that this is just a flu because you never even thought about how other lives may be affected and love ones of others may be gone because of your actions. Yes, SELFISH PRICK.
B. I couldn’t reinforce enough on the importance of education and reading in this dreadful moment. Whoever believes this is just a flu, please spend an hour and read the publication in various medical journals such as Lancet and NEJM and for once in your life, read the mortality and complication rate of patients NOT YOUR AGE AND CATEGORIES, then we can talk again on the ridiculous perception of “this is just a flu”
C. Some people think that as long as they don’t die, it’s not serious. Ever heard of the term “complication” and “sequelae”? Again, spend an hour and go read, then you will know why it is not just a flu and how your inconsiderate choice of actions in this community can permanently damage someone’s lung +/- testicles. Yeh, go read if you don’t know, education is very important these days.
No, I personally am not super worried of COVID-19, because I consider myself young and fit and I perhaps exceptionally high standard of infection control. But I’m worried about the patients that we have in the hospitals, I’m worried about my parents who have chronic diseases, I’m worried about the general public who may not be able to access medical services should this outbreak continue to be uncontrolled because our medical system is heavily overloaded now.
Yes, mortality rate is not super high if we have hospital beds, if we can provide critical care services to patients with complication, if there are enough manpower to handle all severe cases so we don’t need to end up like Italy and make that painful decision to choose who to live and who to go.
Please, wake up and start preparing for it. Be a responsible and considerate person in this dreadful moment.
importance of decision making 在 Joseph Prince Youtube 的精選貼文
What's at the top of your must-have list? In this invaluable DVD resource, Joseph Prince reveals the importance of having divine wisdom guiding and guarding us every day. Discover how this wisdom that brings about godly success comes only from the Lord, and be encouraged to know that Jesus Himself is your wisdom today. Learn how to draw on Christ as your wisdom, what having a "hearing heart" means and how you can move in the practical wisdom of God in your decision-making. Take up the Father's invitation to ask Him for wisdom today, and unlock the door to divine health, longevity and God's abiding blessings!
This DVD Album contains 3 Sermons with 3 Discs (approx. total duration: 3hr 13min)
Disc 1: Make Wisdom Your #1 Prayer Request (Approx. 1hr 14min)
Disc 2: Wisdom In Having A Hearing Heart And A Multitude Of Counsellors (Approx. 56min)
Disc 3: Wisdom—The Key To True Prosperity (Approx. 1hr 3min)
Get the DVD at http://bit.ly/1sMniG5
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