英語版 文字起こし (自動生成）のコピペを、英語として読める文章にした。いくつか聞き取れていないところがあるので、わかる人がいたらトラバで教えてほしい。聞き取れていないところは「(inaudible01)」みたいに番号をふって記載してあるので、
I was very concerned of the number of the people who got infected with the COVID-19 disease infections. Then I was wondering why this is[sic](was)*2 happening. I wanted to enter into the cruise ship and wanted to be useful in helping to containing infection there.
I spoke with several people and finally one officer at working for Ministry of Health and Labor called me yesterday, saying that well you can come and enter into a cruise ship and do the infection control works.
On the way to go to Yokohama I got another call from the same officer, saying, "Somebody didn't like me. So you can't get into the cruise ship." He was not able to say who, and he was not able to say why, but certainly some power over him affected his decision and I was blocked from entering into the ship.
Then after several discussions he found another way that if you could come as a DMAT member, you can come into the the cruise ship. DMAT is the disaster management medical team in Japan and usually deals with a disaster not infectious diseases, but because of the lack of the people who could help people inside a cruise ship to get out of the ship, or the managing of people, and so on, DMAT was requested to enter into the cruise ship.
Additionally, I got another call that some people didn't like me getting into the cruise ship present even as a DMAT member. So another discussion happened then the I waited about one hour in Shin Yokohama Station, and finally the officer find a way. [He said] that "If you work for DMAT not as an infection prevention specialist but as an ordinary routine DMAT officer working under (inaudible01) DMAT doctor doing a routine job, then you could come into the cruise ship."
I entered the ship. Then I found the chief officer of the DMAT and spoke with him. I said, "Well I was assigned to the DMAT members (inaudible02) out whatever you want to say." Then he said, "Well, you don't have to work DMAT work because that's not your specialty. You are an infection prevention specialist, so why don't you do the infection control." Then I said, "Fine, I spoke with the superior of him who is[sic](was) in charge of the all the DMAT operations, and he also said, "You are an infection control person, so you should do infection control." I said, "Fine." But he said, "Well, you shouldn't be here as a DMAT member. You should come as (inaudible03) infection control specialist." He was not very happy about that while I was inside the DMAT. But because that was not my decision, there was no other way. So I said, "Well I have to do it."
So the people could come and go, (inaudible04) a PPE, off PPE. Crews were just walking around, the officers of the Ministry Health and Labor were walking around, DMAT people were walking around, psychiatrists were walking around.
Anyways I (have) dealt with a lots of infections (for) more than twenty years. I was in Africa dealing with the Ebola outbreak. I was in another country dealing with the cholera outbreak. I was in China in 2003 to deal with the SARS, and I saw many febrile patients there. I never had fear of getting infection myself for Ebola, SARS, (and) cholera, because I know[sic](knew) how to protect myself and how to protect others, and how the infection control should be. So I could do the adequate infection control; protect myself, and protect others.
But inside (the) Princess Diamond, I was so scared. I was so scared of getting COVID-19 because there was no way to tell where the virus is. No Green Zone, no Red Zone. Everywhere could have the virus and everybody was not careful about it.
I spoke with the head officer of the Ministry of Health and Labor and he was very unhappy with my suggestion of protecting DMAT people and other staffs so that no other secondary transmission would occur.
Then after several hours of talking to people and finding problems, I found a lot of issues there. For example, informed consent of getting a PCR from the people in the ship whereas(? inaudible05) on a paper, and that paper was going back and forth, back and forth with the room of the infection from the paper, by touching there[sic](it). So I suggested that maybe it's better to abandon the paper-type informed consent but rather getting the informed consent verbally would be more protective, and so on and so on.
I think I was reasonable. I never yell at anybody, I never criticize anybody personally, but I was trying to be constructive that we try to seek the constructive but immediate improvement to protect everybody inside the ship.
Then about five o'clock, the person from the quarantine office came in and approaced. (He) said, "Well you have to be out because you'll not be allowed inside the ship." Because I was inside the ship as a temporary officer of the quarantine. Apparently my bank(? inaudible06) was removed by somebody, and nobody said who, and then I was out.
The officer who offered me the job of infection control said he was sorry. Then I asked him, "So what do you wanna do? Do you want to infect everybody in the ship? It will be thousands of people who could potentially get COVID-19.
I don't criticize DMAT people. They were infection control specialists. Society of Infection Prevention entered, a lot of specialists came in, but they spent only a few days and they left. And they said they were fearful of getting infections themwelves.
I'll be out of my medical services at Kobe University Hospital for maybe next two weeks to avoid further infections to occur. That is very likely to occur if you keep zero infection control inside the ship, the Diamond Princess, like this.
You might know that there is no CDC*3 in Japan, but I thought there must be some specialists called on and was[sic](were) in charge of infection control in ship. It's not expecting[sic](expected) (that) nobody was a professional infection control specialist, and (that) only the bureaucrats were doing the jobs, completely layman's work, violatiing all the infection control principles and risking people inside (of*4) further infections, so I'm not very surprised to see many new positive PCR to be broadcasted every day.
Hundreds of people got infected and a lot of people from outside Japan decided to take the people away from the ship and bring them to their home countries by airplane and offered them another 14 days of quarantine. I hope this will be an opportunity to raise a question (about) what is happening inside the ship.
I wish all the international bodies to request Japan to change. I wish everybody to call for the protection of people inside the Diamond Princess. Otherwise there'll be far more infections for passengers, for crews, for DMAT members, for psychiatrists, for officer(s) of the Ministry of Health and Labor. DMAT members consist of nurses and doctors and that they will go back to the hospital they work routinely and they might infect their patients further to spread the disease. I can't bear with it. I can't bear with it.
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使い捨てマスクは理論的には1回しか使用できないため、ご家族のために産業用マスク/防毒マスクを準備する必要があります。それは冗談ではありません。中国では、防毒マスクさえ売り切れました。 3M HF-52マスク、3M 6500および7500シリーズのマスクをお勧めします。呼吸器用に十分なn95フィルターを購入することを忘れないでください。 p100フィルターも優れています。 n95マスクが完全に売り切れた後、家族のために4つのマスクを購入しました。
I'm a Chinese. I have been gathering information about the coronavirus from the Chinese internet. Here I share some measures that can protect you from the new coronavirus. It may save your life. I know that many foreigners think the new coronavirus is just some kind of flu. However, it's not the truth. The death rate is much higher than the flu. The death rate outside of HuBei province is low because we have taken extreme and strong measures to cut off the virus spreading. When the infected population rises rapidly, the local medical system will breakdown in a short time. The hospitals will be full of fever patients who have breathing difficulties, and the shortage of medical resources will cause huge casualties. This is what happening in WuHan now. China has sent thousands of doctors to Wuhan and built two new hospitals in just one week, and prepared many quarantine centers. BUT it's still not enough now.
First, personal equipment is extremely important. The n95 masks have been sold out for a long time in China now. Keep in mind that China has the largest surgical mask manufacturing industry. Please buy them as many as possible now, no matter how expensive.
If you can't buy the n95 medical masks, the n95 industry masks can also do the job. If you are in Europe, please buy the FFP2/FFP3 masks, they have the same filtering level. If the n95 masks have a valve, it can still protect you but it can't protect others if you are infected.
The one-time masks can be used only one time theoretically, therefore you need to prepare industry respirators/gas masks for your family. It's not a joke. In China, even the gas masks have been sold out. I recommend the 3M HF-52 respirator, the 3M 6500 and 7500 series respirators. Remember to buy enough n95 filters for your respirators. The p100 filters are also good. I bought four respirators for my family after the n95 masks are completely sold out.
The common surgical masks or medical masks are also important. They can't prevent the coronavirus 100% but they can highly reduce the risks. Please buy them as many as possible. In China, many local governments have announced that it's illegal to use public transmission without a medical mask. The cotton masks are useless, don't buy them.
The eye protectors can help you to prevent being infected through the eye. We have strong evidence that the new coronavirus can spread through the eye-air contact. If you can't buy them, the swimming glass can do the same job (even better).
Considering that you may face masks shortage, the 75% alcohol disinfectant and UV disinfection lamp can disinfect masks for reusing them. Prepare enough alcohol disinfectant and a UV lamp for your family.
When the new coronavirus outbreaks in your city and you have to go to the hospital to treat other diseases, please remember to wear n95 masks, eye protectors and gloves. Many patients and doctors are infected in Chinese hospitals. They weared the common medical masks but they are not 100% effective.
Before the coronavirus outbreak in your city, please prepare a fueled car. Don't trust the government when they say it's under control. Escape your city before things become too bad and lockdown (I don't know if the US government can lockdown a city). The people who escaped WuHan are lucky now. Those people who believed the government and stayed in WuHan is facing a disaster. Many families are infected. First one person has a fever and breathing difficulty, then all the family members are infected one by one. The hospitals are full of patients and hundreds of patients die every day. Nurses and doctors mentally breakdown. It's a nightmare.
When it comes to drugs, I can't recommend anyone since the doctors are still trying. I believe the Remdesivir is effective however it's still in the experiment and you can't buy them from the market. They have tested Remdesivir in WuHan hospital and hopefully the result will come out in 10 days. However, there is one drug that has been proved effective by many Chinese doctors and it has been used for dealing with malaria for a long time. It's Hydroxychloroquine. It's not OTC, therefore, you can't buy it without a prescription. Don't use any drugs before asking your doctor.
If you are living in an apartment in a crowded city like New York, Japan, and Hong Kong, please remember that the new coronavirus can spread in the elevator. The coronavirus can also spread through the sewer and it has been proved by a very famous issue in Hong Kong when SARS outbreaks in a crowded apartment in 2003. Seal your drains in the toilet if anyone has been infected in your apartment and please avoid using elevators.
When you have a fever, please measure the body temperature many times a day. The patients may only have low fever. Some patients (the percentage is still not sure) will have breathing difficulty in about one week. When you feel it's diffcult to breath, please report to your doctor as soon as possible.
Toxins are everywhere. Car exhaust, secondhand smoke, flame retardants, plastic packaging, heavy metals, pesticides, BPA-coated receipts… Unless you’re living in virgin forest, you’re going to come into contact with some less-than-optimal chemicals pretty much every day.
That’s definitely no reason to panic. In fact, small doses of toxins may be good for you because of a phenomenon called hormesis – mild stress makes your cells work more efficiently. However, your body can have trouble clearing certain toxins. You eliminate most of the bisphenol-A (BPA) and other plastics you ingest, but a small percentage hides away in your fat cells, messing with your hormones and accumulating over time. It’s the same deal with several mold toxins, heavy metals like lead, nickel, cadmium, mercury, and aluminum, and with certain pharmaceuticals and drugs like THC.
A good detox protocol can help you eliminate these more stubborn toxins. The trouble is that many common detoxes don’t work. Juice and water cleanses, for example, are often actually counterproductive because they deprive your body of essential nutrients it needs to function. That said, there are a few genuine ways to detox.
Because so many toxins stay in your fat cells, one way to detox is through lipolysis – breaking down your fat cells and releasing the hard-to-reach toxins stored within them. Lipolysis is especially effective when you combine it with liver and kidney support or adsorbents that can suck up the released toxins. This article focuses on all of the above. Let’s start with saunas.
1) Sauna sessions
Sweating does more than cool you off. It also helps you get rid of both heavy metals and xenobiotics – foreign compounds like plastics and petrochemicals – in small but significant amounts. A 2012 review of 50 studies found that sweating removes lead, cadmium, arsenic, and mercury, especially in people with high heavy metal toxicity . Another study put participants in both traditional and infrared saunas and found similar results . Sweating also eliminates hormone-disrupting BPA, which accumulates in your fat cells .
There’s debate about the best kind of sauna for detoxification. A couple studies have shown that infrared saunas are the most effective for detoxing, but the research was funded by infrared sauna companies, so the results are questionable. Both traditional and infrared saunas are effective for detoxing . That said, I prefer infrared saunas for a few reasons:
They don’t get as hot. Traditional saunas heat the air around you, while infrared light penetrates and heats your tissue directly. You sweat in an infrared sauna at around 130-150 degrees instead of at 180-200 degrees, so you can stay in for longer without feeling like you’re going to pass out. I’ve done 2-hour infrared sauna sessions (drinking salt water the whole time to replenish electrolytes and fluids, of course).
They’re easier on your electric bill. Again, infrared saunas require less energy, especially if you get a sauna that reflects infrared light back on you. This one, for example, costs about 15 cents an hour to run.
I personally use a Sunlighten infrared sauna and love it. If you don’t want to buy an infrared sauna and there isn’t one around you, a standard sauna will work perfectly well . There’s probably one in your local gym.
Keep in mind that sweating pulls electrolytes and trace minerals from your body, so it’s important to drink a lot of fluids and get plenty of salt (preferably Himalayan pink salt or another mineral-rich natural salt) if you’re going to use a sauna to detox .
Exercise is another way to flush toxins from your body, and through more than just making you sweat. Exercise increases lipolysis (the breakdown of fat tissue), releasing toxins stored in your fat tissue. Studies show that people who exercise and lose body fat end up with higher levels of circulating hormone disruptors . Increasing lipolysis through diet does the same thing .
Mobilizing toxins isn’t necessarily a good thing, particularly if you’re unequipped to get rid of them. You want to be sure you’re getting rid of toxins, not just moving them to a different part of your body. Working out addresses the issue to a degree: it improves circulation, providing more oxygen to your liver and kidneys so they can better filter out toxins. You can also give your system even more support and pull out bad stuff with the next two detox tools: activated charcoal and glutathione.
Activated charcoal is a form of carbon that has massive surface area and a strong negative charge. It’s been around for thousands of years and it’s still used in emergency rooms today to treat poisoning.
Charcoal binds to chemicals whose molecules have positive charges, including aflatoxin and other polar mycotoxins , BPA , and common pesticides . Once the chemicals attach to the charcoal you can pass them normally (i.e. poop them out).
Charcoal can bind to the good stuff, too, so I don’t recommend taking it within an hour of other supplements. Try taking a couple charcoal pills along with exercise or have a sauna session. They should adsorb many of the toxins you release into your gut and GI tract.
Glutathione is a powerful antioxidant that protects you from heavy metal damage, according to studies in both human and rat cells [9,10,11,12]. Glutathione also supports liver enzymes that break down mold toxins and heavy metals. Your digestion will destroy normal glutathione, so opt for a liposomal glutathione supplement that makes it through your stomach. You can also supplement with N-acetylcysteine and alpha-lipoic acid, which your body can use to build glutathione on its own . If you have severe heavy metal or mycotoxin poisoning, talk to a naturopath or functional medicine doctor about intravenous (IV) glutathione. It’s expensive and less convenient than an oral supplement, but it works very well.
We’ve talked about how heat and exercise can increase fat burning to detox your fat cells. It turns out cold can do the same. Cryochambers are gaining popularity with professional athletes and other high performers for their ability to quell inflammation. It turns out they can help you burn fat – and release the toxins stored in it – as well.
A cryochamber uses liquid nitrogen to supercool your body, stimulating mitochondrial function and decreasing inflammation. Intense cold also destroys fat cells, which has led to cryolipolysis therapy as a way to slim down [14,15]. You can use it to detox, too.
Quick disclaimer: I haven’t found studies specifically looking at ketosis and toxin load, so you may want to take this section with a grain of (Himalayan) salt. That said, ketosis is a very effective way to induce lipolysis, particularly if you’re fasting.
When you’re in ketosis and you haven’t eaten recently, your body breaks down your fat stores into free fatty acids, which it then converts to ketones for fuel. That means that, in theory, you should be able to supercharge your detox (and fat loss) by dropping into nutritional ketosis.
The Bulletproof Diet puts you into mild ketosis, which curbs your hunger and sharpens your brain without forcing you to forego carbs entirely. If you want to try nutritional ketosis for detoxing, you’ll have to modify the Bulletproof Diet slightly. Skip carb reefed days for a couple weeks and limit carbs to ~30-50 grams per day. You can use keto urine strips or – even better – a blood ketone meter to test and make sure you’re becoming fat-adapted. Once your levels read around 1.5 mg/dL, you’re comfortably in nutritional ketosis. At that point, fasting will attack your fat stores and mobilize toxins, which you can mop up with activated charcoal or sweat out (or both).
Chelation therapy is the strongest way to detox heavy metals. It can also be dangerous, so many doctors don’t recommend it unless you have moderate to severe heavy metal poisoning. Chelation therapy uses compounds called chelators that form strong bonds with heavy metals, leaving them unable to further poison your body. You can then pass them normally. Chelation therapy is very effective for removing lead, mercury, aluminum, arsenic, iron, and copper.
If you’ve been exposed to a lot of heavy metals, talk to a functional medicine doctor about chelation therapy. You really want to go to a medical professional for this one, because it’s so effective that if your liver and kidneys aren’t able to process the metals (a common problem in people with heavy metal poisoning) you can get seriously ill.
Combining detox methods for maximum effect
Each of these 7 methods works well on its own, and you can stack methods for an even greater effect. Exercise and sauna sessions are a good example. Preliminary evidence suggests that exercising and then hitting the sauna afterward will detoxify you better than either one alone does . With that in mind, here’s a sample detox protocol:
If you have a lot of fat and you’re burning it off quickly, you’re probably getting rid of a lot of toxins in one fell swoop, and you may get a headache, digestive problems, brain fog, etc. If that happens try taking more glutathione, vitamin C, and charcoal. Be sure you take charcoal at least an hour away from other supplements, as it binds to vitamin C.
Toxins are a fact of modern life, especially if you live in a city or somewhere with poor air quality, mold, and/or a lot of petrochemical byproducts. These detox methods can give your body a little extra support dealing with pollutants and help you perform your best.
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