今早為Asian Medical Students Association Hong Kong (AMSAHK)的新一屆執行委員會就職典禮作致詞分享嘉賓,題目為「疫情中的健康不公平」。
感謝他們的熱情款待以及為整段致詞拍了影片。以下我附上致詞的英文原稿:
It's been my honor to be invited to give the closing remarks for the Inauguration Ceremony for the incoming executive committee of the Asian Medical Students' Association Hong Kong (AMSAHK) this morning. A video has been taken for the remarks I made regarding health inequalities during the COVID-19 pandemic (big thanks to the student who withstood the soreness of her arm for holding the camera up for 15 minutes straight), and here's the transcript of the main body of the speech that goes with this video:
//The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, continues to be rampant around the world since early 2020, resulting in more than 55 million cases and 1.3 million deaths worldwide as of today. (So no! It’s not a hoax for those conspiracy theorists out there!) A higher rate of incidence and deaths, as well as worse health-related quality of life have been widely observed in the socially disadvantaged groups, including people of lower socioeconomic position, older persons, migrants, ethnic minority and communities of color, etc. While epidemiologists and scientists around the world are dedicated in gathering scientific evidence on the specific causes and determinants of the health inequalities observed in different countries and regions, we can apply the Social Determinants of Health Conceptual Framework developed by the World Health Organization team led by the eminent Prof Sir Michael Marmot, world’s leading social epidemiologist, to understand and delineate these social determinants of health inequalities related to the COVID-19 pandemic.
According to this framework, social determinants of health can be largely categorized into two types – 1) the lower stream, intermediary determinants, and 2) the upper stream, structural and macro-environmental determinants. For the COVID-19 pandemic, we realized that the lower stream factors may include material circumstances, such as people’s living and working conditions. For instance, the nature of the occupations of these people of lower socioeconomic position tends to require them to travel outside to work, i.e., they cannot work from home, which is a luxury for people who can afford to do it. This lack of choice in the location of occupation may expose them to greater risk of infection through more transportation and interactions with strangers. We have also seen infection clusters among crowded places like elderly homes, public housing estates, and boarding houses for foreign domestic helpers. Moreover, these socially disadvantaged people tend to have lower financial and social capital – it can be observed that they were more likely to be deprived of personal protective equipment like face masks and hand sanitizers, especially during the earlier days of the pandemic. On the other hand, the upper stream, structural determinants of health may include policies related to public health, education, macroeconomics, social protection and welfare, as well as our governance… and last, but not least, our culture and values. If the socioeconomic and political contexts are not favorable to the socially disadvantaged, their health and well-being will be disproportionately affected by the pandemic. Therefore, if we, as a society, espouse to address and reduce the problem of health inequalities, social determinants of health cannot be overlooked in devising and designing any public health-related strategies, measures and policies.
Although a higher rate of incidence and deaths have been widely observed in the socially disadvantaged groups, especially in countries with severe COVID-19 outbreaks, this phenomenon seems to be less discussed and less covered by media in Hong Kong, where the disease incidence is relatively low when compared with other countries around the world. Before the resurgence of local cases in early July, local spread of COVID-19 was sporadic and most cases were imported. In the earlier days of the pandemic, most cases were primarily imported by travelers and return-students studying overseas, leading to a minor surge between mid-March and mid-April of 874 new cases. Most of these cases during Spring were people who could afford to travel and study abroad, and thus tended to be more well-off. Therefore, some would say the expected social gradient in health impact did not seem to exist in Hong Kong, but may I remind you that, it is only the case when we focus on COVID-19-specific incidence and mortality alone. But can we really deduce from this that COVID-19-related health inequality does not exist in Hong Kong? According to the Social Determinants of Health Framework mentioned earlier, the obvious answer is “No, of course not.” And here’s why…
In addition to the direct disease burden, the COVID-19 outbreak and its associated containment measures (such as economic lockdown, mandatory social distancing, and change of work arrangements) could have unequal wider socioeconomic impacts on the general population, especially in regions with pervasive existing social inequalities. Given the limited resources and capacity of the socioeconomically disadvantaged to respond to emergency and adverse events, their general health and well-being are likely to be unduly and inordinately affected by the abrupt changes in their daily economic and social conditions, like job loss and insecurity, brought about by the COVID-19 outbreak and the corresponding containment and mitigation measures of which the main purpose was supposedly disease prevention and health protection at the first place. As such, focusing only on COVID-19 incidence or mortality as the outcomes of concern to address health inequalities may leave out important aspects of life that contributes significantly to people’s health. Recently, my research team and I collaborated with Sir Michael Marmot in a Hong Kong study, and found that the poor people in Hong Kong fared worse in every aspects of life than their richer counterparts in terms of economic activity, personal protective equipment, personal hygiene practice, as well as well-being and health after the COVID-19 outbreak. We also found that part of the observed health inequality can be attributed to the pandemic and its related containment measures via people’s concerns over their own and their families’ livelihood and economic activity. In other words, health inequalities were contributed by the pandemic even in a city where incidence is relatively low through other social determinants of health that directly concerned the livelihood and economic activity of the people. So in this study, we confirmed that focusing only on the incident and death cases as the outcomes of concern to address health inequalities is like a story half-told, and would severely truncate and distort the reality.
Truth be told, health inequality does not only appear after the pandemic outbreak of COVID-19, it is a pre-existing condition in countries and regions around the world, including Hong Kong. My research over the years have consistently shown that people in lower socioeconomic position tend to have worse physical and mental health status. Nevertheless, precisely because health inequality is nothing new, there are always voices in our society trying to dismiss the problem, arguing that it is only natural to have wealth inequality in any capitalistic society. However, in reckoning with health inequalities, we need to go beyond just figuring out the disparities or differences in health status between the poor and the rich, and we need to raise an ethically relevant question: are these inequalities, disparities and differences remediable? Can they be fixed? Can we do something about them? If they are remediable, and we can do something about them but we haven’t, then we’d say these inequalities are ultimately unjust and unfair. In other words, a society that prides itself in pursuing justice must, and I say must, strive to address and reduce these unfair health inequalities. Borrowing the words from famed sociologist Judith Butler, “the virus alone does not discriminate,” but “social and economic inequality will make sure that it does.” With COVID-19, we learn that it is not only the individuals who are sick, but our society. And it’s time we do something about it.
Thank you very much!//
Please join me in congratulating the incoming executive committee of AMSAHK and giving them the best wishes for their future endeavor!
Roger Chung, PhD
Assistant Professor, CUHK JC School of Public Health and Primary Care, @CUHK Medicine, The Chinese University of Hong Kong 香港中文大學 - CUHK
Associate Director, CUHK Institute of Health Equity
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mental and physical中文 在 Jenny's Pilates 珍妮彼拉提斯體適能學苑 Facebook 的最佳貼文
因應教室許多中文程度有限的國際學生要求,珍妮老師將本周六下午3:45的新課程順位瑜珈體驗課寫出英文版
中英對照大家開心^^ (中文版請參考教室活動歐)
😍😍😍
Alignment Yoga
Benefit
1.Correct bad posture
2.Back pain and pressure release
3.Understand how the body works correctly
4.Learning the right movement into
yoga posture
Course Introduction
This course is based on the theory of Iyengar, very suitable for beginners. During the practice we use yoga bricks and yoga ropes to help students find yoga secquence movement in correct way under safety and stable body posture and alignment. Practitioners can learn about basic anatomy and better understand their body's correct movement patterns, safely entering more difficult movements, avoiding injuries and relieving physical and mental stress.
Suitable students for the course
Anyone/spinal problematic person/People with muscle pain
Require equipment
Yoga bricks,Yoga rops
New Class Experience Price/Time/people
2019/03/09(Sat)15:45-16:35/Minimum 3 to 10 people /$300 per
Regular Class /Time/people
*The class will start till three students signed up and finished the payment.
*Staurday15:45-16:45 /Minimum 3 to 10 people
Price
*Fixed Class 10 weeks:$4000/ 20points
*Single Class$650/2points-
Teacher:Myra Lin
Astanga, Hatha Yoga, Alignment yoga, stretching yoga, gentle yoga, mobile yoga, yogalatis, healing repair, Peak Pilates, respiratory therapy Certifications: RYT 200hrs Yoga Alliance Ashtanga Yoga(Paul Dallaghan/Adarsh William)/Ashtanga Yoga Workshop with Richard Freeman and Mary Taylor 25Hours/Workshop with Chris Su Yin Yoga 15 Hours/Feldenkrais Movement Workshop with Faye 40 Hours/Iyengar Five Elements workshop with Peter Scoot 30 Hours Peak Pilates Basic Mat Certifications
mental and physical中文 在 讀書e誌 Facebook 的最佳解答
過年是立定新一年目標的時候,該讀點勵志的書籍,例如關於運動。你心目中的超級馬拉松選手長什麼樣子呢?
”Lean into discomfort, embrace the suck"
(正面迎向不舒適,擁抱鍛鍊的痛苦)
本書作者是一名在美國中學西班牙文的老師,同時也帶領學校的音樂和跨國交流社團。她是個中年黑人女性,體重超過100公斤,但是在馬拉松比賽裡可以痛電正常體型的一般人。她的故事在國家地理雜誌也有報導。
她從小的成長過程讓她熱愛學習,中學時甚至喜愛戶外體能運動,但還是有因著體型被霸凌的經驗。成家立業後,因著生活的壓力體重狂飆到150+公斤,一次疑似心臟病發作,讓她不得不正式自己的健康問題。從一開始跑一下就氣喘如牛,到挑戰自己跑越來越多,跑半馬,跑全馬,然後被朋友慫恿參加超級馬拉松,並且從此樂此不疲。
在過程中她開始了 “Fat Girl Running" (“胖妞跑步誌”)分享她的經歷,也引發很多的共鳴和追隨者。其實,她在任何一場比賽中都不是成績優異的,甚至有時是介於 “跑得慢和走得快”的那一群,但挑戰自己,打破刻板印象的框架才是重要的。當然,寫出來就更讓她有動力完成一次又一次的挑戰
超級馬拉松的路程在她的敘述中真的很不容易,她也很誠實講到第一次訓練她差點是最後一名 (她一心想著“老娘很慢但絕不是最後一名!”),講到跑者之間互相幫助的一些默契和陌生人相互鼓勵所帶來的正能量。
讀完了真覺得不管是什麼目標,just do it! 了解自己並設定可以持之以恆的方法,然後,一直重覆到成了生活習慣的一部分,不用跟別人比較,不過或許像作者一般,先公開跟親友們“放話”,可能也有督促自己的效果喔~😄
新的一年,共勉之!💪💪💪
"When you can see the power that you have—the physical and mental prowess you were likely born with, but your belief in it has been squashed due to various life events and others’ perceptions of you—and then you realize that you had it in you the whole time and you just had to coax it out at the right minute in the right situation, you start to believe that you can do anything ....acknowledging and welcoming your self-worth, your own extraordinary power, is incredible. You become unstoppable."
中文報導和中文字幕影片在文章中👇👇👇
https://dushuyizhi.net/a-beautiful-work-in-progress-一場美麗的進行式/
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