美國免疫學家Anthony Stephen Fauci談論COVID-19等病毒傳染病 虞和芳 20.7.2020發佈

美國免疫學家Anthony Stephen Fauci談論COVID-19等病毒傳染病               虞和芳             20.7.2020發佈

Anthony Stephen Fauci，（1940年12月24日出生），是美國免疫學家，現任美國國家過敏和傳染病研究所主任。他在對愛滋病和H1N1甲型流感以及COVID-19等傳染病的研究中作出重大貢獻。他是白宮冠狀病毒工作組成員。他被公認為是世界領先的傳染病專家之一。作為美國國家衛生院（NIH）的醫生，Fauci曾以各種身份為美國公共衛生服務50多年，自雷根總統以來，他一直是每位美國總統的顧問。Fauci為科學家和NIH NIAID的負責人，他為HIV/AIDS研究和其他免疫缺陷研究做出重大的貢獻。Fauci是美國科學界的代表人物。在美國電視上播出解釋有關愛滋病、生物恐怖主義或世界性流感的節目。

感謝近波轉寄來的一篇Fauci談論COVID-19等病毒傳染病，很值得一讀。我將它翻譯成為中文，並將原文附於中文之後，請分享。

此文來自Dr Fauci

水痘是一種病毒。很多人都患過這種病，一旦最初的疾病過去了，可能就不會考慮太多了。但是它會留在體內並永遠存在，也許當患者長大會爆發令人痛苦的帶狀皰疹。這種病毒，不僅在幾週內克服後，就不會對健康產生其他影響。我們知道這一點，是因為它已經存在多年了，並且已經進行了醫學研究多年。皰疹也是一種病毒。一旦有人感染了它，它就會留體內，並永遠在那裡生活，而且只要他們有點疲憊或壓力大，它們就將爆發。也許每次遇到大事件（學校圖片，工作面試，重要約會）時，都會感到唇皰疹。在餘生中，患者不會在幾週內就克服它。我們知道這一點，是因為它已經存在多年了，並且進行過多年的醫學研究。艾滋病毒是一種病毒，它攻擊免疫系統，使攜帶者更容易感染其他疾病。它有一系列不斷出現的症狀和對健康的負面影響。幾十年來，才出現了可行的治療方法，使人們能夠過上合理的生活質量。一旦感染上它，它就永遠存在於體內，無法治癒。隨著時間的流逝，這會給身體造成巨大的損失，使艾滋病毒攜帶者面臨健康狀況的更高風險，例如心血管疾病，腎臟疾病，糖尿病，骨骼疾病，肝病，認知障礙和某些類型的癌症。我們知道這一點，是因為它已經存在了很多年，並且醫學研究多年。

現在出現COVID-19病毒，我們有了一種新型病毒，可​​以快速的廣傳。症狀和健康影響的全貌才剛剛開始被編目，它的全貌，還鮮為人知。到目前為止，症狀可能包括：發燒、疲勞、咳嗽、肺炎、寒冷/顫抖、急性呼吸窘迫、肺損傷（可能是永久性的）喪失味覺（一種神經系統症狀）咽痛、頭痛、呼吸困難、精神混亂、腹瀉嘔吐、食慾不振也有一些患COVID-19的報導有血栓中風現象（即使是相對年輕的人）眼睛腫脹、癲癇發作、肝損害、腎臟損害、皮疹、COVID腳趾（怪異，對嗎？）即使在60天后，檢測到COVID-19呈陽性的人也會發病。許多人病了幾個星期，病了好轉，然後突然發作，又重新病了。 Seattle 西雅圖的一名男子住院治療了62天，儘管可以釋放，但仍然有很長的康復之路。更不用說110萬美元（ $1.1 million medical bill.）的醫療費用了。然後是MIS-C。兒童多系統炎症綜合症，是指身體的不同部位（包括心臟，肺，腎臟，大腦，皮膚，眼睛或胃腸器官）發炎的疾病。 MIS-C患兒可能會發燒和出現各種症狀，包括腹痛，嘔吐，腹瀉，頸部疼痛，皮疹，眼睛有血絲或感到極度疲勞。雖然罕見，但已造成死亡。這種疾病已經存在多年，基本上已經六個月了。還沒有人知道長期的健康影響，或者它對於暴露於人群中的人們可能會在未來數年呈現出來。我們從字面上*不知道*我們不知道什麼。對於我們社會中那些建議人們謹慎的人來說是膽小鬼，對於那些拒絕採取最簡單的預防措施來保護自己和周圍人的人們，我要毫不誇張地說，真誠地問：你敢嗎？敢冒險別人的生命。當沒有人知道誰將是幸運的“輕度症狀”案以及誰可能生病或死亡時，誰敢於決定別人應該歡迎他們接受“克服”。因為雖然我們知道有些人更容易遭受更嚴重疾病的折磨，但我們也知道20歲和30歲的人死亡，馬拉松運動員和健身堅果已經死亡，兒童和嬰兒已經死亡。這些專家認識到還有很多我們還不知道的事情，但以我們確實所知，以至於對其輕易傳播而嚇住，並建議基線預防措施，例如：經常洗手,身體疏遠減少社交/公眾接觸，穿戴面具,咳嗽或打噴嚏遮蓋口鼻，避免觸摸臉部,對經常觸摸的表面進行消毒。為了減少暴露風險，我們可以做更多的事情，我認為，我們所有人都比較好。它不僅可以使曲線變平，並允許醫療保健提供者維持服務水平，而這種服務水平不會立即造成災難性的破壞。它還減少不必要的痛苦和死亡，並為科學界騰出時間來研究病毒。以便更全面地了解其短期和長期影響的廣度。

我拒絕說它“只是病毒”，我們最終都可能會得到它。 多麼粗心，懶惰，無情的立場。” 複製並粘貼即可共享。

From Dr. Fauci.

“Chickenpox is a virus. Lots of people have had it, and probably don't think about it much once the initial illness has passed. But it stays in your body and lives there forever, and maybe when you're older, you have debilitatingly painful outbreaks of shingles. You don't just get over this virus in a few weeks, never to have another health effect. We know this because it's been around for years, and has been studied medically for years.
Herpes is also a virus. And once someone has it, it stays in your body and lives there forever, and anytime they get a little run down or stressed-out they're going to have an outbreak. Maybe every time you have a big event coming up (school pictures, job interview, big date) you're going to get a cold sore. For the rest of your life. You don't just get over it in a few weeks. We know this because it's been around for years, and been studied medically for years.
HIV is a virus. It attacks the immune system and makes the carrier far more vulnerable to other illnesses. It has a list of symptoms and negative health impacts that goes on and on. It was decades before viable treatments were developed that allowed people to live with a reasonable quality of life. Once you have it, it lives in your body forever and there is no cure. Over time, that takes a toll on the body, putting people living with HIV at greater risk for health conditions such as cardiovascular disease, kidney disease, diabetes, bone disease, liver disease, cognitive disorders, and some types of cancer. We know this because it has been around for years, and had been studied medically for years.
Now with COVID-19, we have a novel virus that spreads rapidly and easily. The full spectrum of symptoms and health effects is only just beginning to be cataloged, much less understood.
So far the symptoms may include:
Fever
Fatigue
Coughing
Pneumonia
Chills/Trembling
Acute respiratory distress
Lung damage (potentially permanent)
Loss of taste (a neurological symptom)
Sore throat
Headaches
Difficulty breathing
Mental confusion
Diarrhea
Nausea or vomiting
Loss of appetite
Strokes have also been reported in some people who have COVID-19 (even in the relatively young)
Swollen eyes
Blood clots
Seizures
Liver damage
Kidney damage
Rash
COVID toes (weird, right?)
People testing positive for COVID-19 have been documented to be sick even after 60 days. Many people are sick for weeks, get better, and then experience a rapid and sudden flare up and get sick all over again. A man in Seattle was hospitalized for 62 days, and while well enough to be released, still has a long road of recovery ahead of him. Not to mention a $1.1 million medical bill.
Then there is MIS-C. Multisystem inflammatory syndrome in children is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. Children with MIS-C may have a fever and various symptoms, including abdominal pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired. While rare, it has caused deaths.
This disease has not been around for years. It has basically been 6 months. No one knows yet the long-term health Aeffects, or how it may present itself years down the road for people who have been exposed. We literally *do not know* what we do not know.
For those in our society who suggest that people being cautious are cowards, for people who refuse to take even the simplest of precautions to protect themselves and those around them, I want to ask, without hyperbole and in all sincerity:
How dare you?
How dare you risk the lives of others so cavalierly. How dare you decide for others that they should welcome exposure as "getting it over with", when literally no one knows who will be the lucky "mild symptoms" case, and who may fall ill and die. Because while we know that some people are more susceptible to suffering a more serious case, we also know that 20 and 30-year-olds have died, marathon runners and fitness nuts have died, children and infants have died.
How dare you behave as though you know more than medical experts, when those same experts acknowledge that there is so much we don't yet know, but with what we DO know, are smart enough to be scared of how easily this is spread, and recommend baseline precautions such as:
Frequent hand-washing
Physical distancing
Reduced social/public contact or interaction
Mask wearing
Covering your cough or sneeze
Avoiding touching your face
Sanitizing frequently touched surfaces
The more things we can all do to mitigate our risk of exposure, the better off we all are, in my opinion. Not only does it flatten the curve and allow health care providers to maintain levels of service that aren't immediately and catastrophically overwhelmed; it also reduces unnecessary suffering and deaths, and buys time for the scientific community to study the virus in order to come to a more full understanding of the breadth of its impacts in both the short and long term.
I reject the notion that it's "just a virus" and we'll all get it eventually. What a careless, lazy, heartless stance.”
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