病例总数突破200!口罩都戴了吗?新冠遇上流感怎么办?我们专门问了传染病专家!

要了解新西兰

今日(3月25日)新西兰新增病例50例,新西兰目前有205例冠状病毒感染病例,大多数病例仍与海外旅行有关,但社区传播仍在继续。
在这些新增病例中,47例为确诊病例,3例为疑似病例。卫生部正在进行社区传播调查。
卫生部总干事阿什利·布卢姆菲尔德博士在新闻发布会上警告称,冠状病毒病例至少在10天内还会继续增加,然后才会出现转机。
如果所有新西兰人都按要求去做,这种转变就会发生。”布卢姆菲尔德说,仍然有4例为确认的社区传播病例。
周二(3月24日)有3人出院,新西兰全国共有6人住院,其中三人在惠灵顿医院,一人在罗托鲁瓦,两人在怀卡托,患者情况稳定。
共有22人从感染中康复。
布卢姆菲尔德说,周二进行了1421次测试,目前总共进行了9780次测试。
就疫情有关情况
《新西兰信报》记者采访了传染病学专家!

“我认为,在目前新冠病毒大流行的情况下,我们会看到更多新西兰人出门戴口罩,新西兰社会对此会更加接受。”

记者在基督城医院采访戴维·默多克教授时,附近大楼的新冠病毒检测实验室正紧张忙碌地检测送检样本。目前,新西兰已出现新冠病毒的社区传播。

关于人类从疫情中汲取的教训,默多克说:“类似疫情还将再次发生……我们可能还会看到另一场类似的传染病大流行。

戴不戴口罩更多是文化差异
3月17日,在新西兰首都惠灵顿,一名女孩带着口罩迎风行走
记者 郭磊 /摄
相信不少华人由于最近在公共场合戴口罩,而收获了异样的目光。
《新西兰信报》记者近期专访了卫生部专家组传染病专家、奥塔哥大学基督城校区校长戴维·默多克(David Murdoch)。他说,戴不戴口罩更多是一种文化理念的差异,而不仅仅停留在医疗层面
3月16日,在新西兰首都惠灵顿,一名公交车司机戴着口罩。
“在新西兰,戴口罩出门不太常见。因为人们认为,戴口罩的人身体不舒服。如果不舒服,就应该待在家里。这是新西兰人的想法。但同时,我们也要意识到,在许多文化中,戴口罩是被广泛接受的。”默多克接受采访时说。
他说,口罩当然可以有效地预防呼吸道感染的传播,但争论的焦点是:如何有效以及在多远的距离。保持一定的身体距离,是最有效的防止感染病毒的方法
朱其平/摄
我认为,在目前新冠病毒大流行的情况下,我们会看到更多新西兰人出门戴口罩,新西兰社会对此会更加接受。
当新冠遇上流感
默多克说,目前北半球正在变暖,病毒不喜欢温暖的气候。因此,这将有助于消灭疫情。但另一方面,南半球的新西兰即将进入冬季,最令人担忧的流感季节即将开始。
“我们不知道如果冠状病毒与流感同时感染会发生什么,至少会混淆在一起。这意味着更多的人会生病。”
发 李桥桥/摄
“我不知道有人同时感染两种病毒是否有危险。”默多克说。他的研究领域是流行病学,特别是呼吸道感染的诊断与预防。
默多克表示,他相信新西兰的医疗系统可以应对新冠大流行。
朱其平/摄
新西兰多年前就已制定了传染病大流行防御计划,因此已做好了准备。我们都认为流感是最有可能的大流行病毒。其实,流感的许多预防原理和大流行应对计划,都适用于其他传染病。核心部分略作调整,就可以用于新冠防疫。
“然而,如果疫情变得很糟,可能会颠覆任何医疗系统。”他说。
记者在基督城医院采访戴维·默多克教授时,附近大楼的新冠病毒检测实验室正紧张忙碌地检测送检样本。目前,新西兰已出现新冠病毒的社区传播。
中国应对疫情“让人印象深刻”
默多克说,中国医学界对新冠病毒疫情爆发的反应“非常令人印象深刻”。
“中国试图遏制新冠病毒的严苛应对措施,已使疫情得到了超出我们预期的控制。现在许多国家正将这些应对经验付诸实践。”他说。
记者 郭磊/摄
默多克说,显然,疫情对经济的影响是巨大的,现在中国正着力于恢复生产。他肯定了中国目前实施的复工防疫措施,强调对所有病例要进行严格跟进,以防止疫情的“二次高峰”。
国际合作
默多克认为,中新两国在防疫方面的合作存在“巨大机遇”。在非传染性疾病方面,奥塔哥大学与中国的研究机构之间,已展开了强有力的合作。
他说:“我们已经看到了全球不同机构之间,在应对新冠病毒方面的出色合作,包括最早识别与发现病毒,以及与全世界快速共享病毒的基因序列。”
朱其平/摄
关于人类从疫情中汲取的教训,默多克说:“类似疫情还将再次发生……我们可能还会看到另一场类似的传染病大流行。
此外,他说,疫情爆发推动了新冠疫苗的研发速度。传统上,疫苗上市可能需要10、15或20年的时间,但现在这一过程要快得多。
朱其平/摄
默多克说,如同埃博拉疫情促使相关疫苗研究的迅速发展,“我们可能会很幸运地在12或18个月内获得针对新冠病毒的疫苗,这比以前要快很多了。”
“如同战争一样,这样的危机会推动科技发展。”
本文英文原文内容如下:

New Zealand top infection expert: 

Wearing masks is more of a cultural difference than a medical issue

By Li Huizi

“But I think in a situation of a pandemic, we will see more New Zealanders wearing masks,” 

-- David Murdoch

Recently there are many Asian people wearing face masks in New Zealand public places. However, wearers have constantly received unfriendly look from Kiwis.

David Murdoch, dean of the University of Otago (Christchurch) and co-leader of The Infection Group, said wearing masks is more of a cultural difference than a medical issue.

“In New Zealand, it is unusual to go out with a mask on… there is a feeling that you must be really unwell if you wear a mask, and if you are unwell you should stay home. So that's the thinking for New Zealanders, but it’s also realised that for many cultures it's quite acceptable to do it,” Prof. Murdoch told NZ Messenger.

A mask is certainly effective at preventing the spread of a respiratory infection, but the debate is how close. Physical distancing should always be effective, he said.

“But I think in a situation of a pandemic, we will see more New Zealanders wearing masks, and there will be a greater acceptance of why people do that,” said Murdoch who is an expert on the Ministry of Health’s advisor group.

COVID-19 corresponds with influenza

“The northern hemisphere is getting warmer and viruses don't tend to like the warmer climate as well. So that would help getting, hopefully resolving the outbreaks,” Murdoch said.

New Zealand is heading the other way. The big worry is the influenza season, he said, adding, “What we don't know is what happens if coronavirus corresponds with influenza and at least it would confuse things which means more people are unwell.”

“I don't know whether there's a risk of somebody who had both infections at once. Getting influenza vaccine this year is very important,” said the professor whose main research interests are the epidemiology, diagnosis and prevention of respiratory tract infections.

Murdoch said he was confident of the New Zealand medical system in handling the pandemic.

“The country has a pandemic plan for quite a few years. So there has been preparation. We all thought influenza was the most likely virus, but a lot of the principles and the pandemic plan apply to other infections, so that the key parts of that can be adapted for this,” he said.

However, this sort of pandemic potentially can overwhelm any system if it was really bad, Murdoch said.

Chinese response “very impressive”

The Chinese medical community’s response to the COVID-19 outbreak has been “very impressive,” Prof. Murdoch said.

“The rigorous and even aggressive response trying to contain the virus, have got the outbreak under control more than we would have thought about, and now many countries are using that experience to fight harder in their own response,” Murdoch said.

Obviously, the economic impact is huge and the right focus now it to resume production, he said, affirming the effort of keeping the surveillance, and the rigorous follow-up of all the cases to prevent “a secondary peak.”

International collaboration

There are “huge opportunities” of China-New Zealand cooperation on epidemic prevention, he said, adding there are already some strong collaborations on noncommunicable diseases between the University of Otago and Chinese research bodies.

“We've seen remarkable collaboration between different institutions worldwide, including identification and discovery of the virus, and then the genetic code of that virus, and the really quick sharing with the world,” he said.

Regarding the lesson the mankind has learned from the outbreak, Murdoch said, “This will happen again…There's a very good chance we will see another epidemic like this.”

Another lesson is to see is how quickly a vaccine can be produced. Traditionally, a vaccine could take 10, 15 or 20 years to get into market, and it is much faster now doing that, he said.

The Ebola outbreak resulted in a quick process of vaccine research. “We'll probably be lucky to have a vaccine before 12 or 18 months, but that's a lot faster than it used to be,” he said.

“Sometimes a crisis like this can move technology on and just like wars do as well,” Murdoch said.

—END—
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