有關sars疫情擴大：
（主旨）：台長在這里發起一項：“英翻中．手牽手救台灣”活動．
（說明）：
在這里呼喚能夠拋頭顱灑熱血的青年子弟們，幫助台灣政府以及全民一起了解什麼是Infection Control；台長從來就十分欽敬醫護人員的專業技術，但由此次接二連三的爆發院內交叉感染，以及親眼見到台灣醫療衛材的不妥當不適切，強力呼籲衛生，環保，醫界各單位，對於目前台灣各種衛材提出強烈規範及必要性立法．
誠如前文舉證，目前醫護人員普遍對使用衛材的安全需知明顯不重視，例如圖片中：
http://www.cnn.com/2003/HEALTH/05/20/sars/index.html的醫護人員，在疫情十分嚴重的當下，仍然使用"Vinyl"手套進行體溫檢測．難道院方或醫校在錄取員工或課當訓練時，沒有員工教育及任何“Infection / Environment – Control”的相關安全教育嗎？Vinyl l本身因為拉伸會造成分子結構變形分離，造成穿孔及體腋穿透情形，所以有戴等於沒戴，醫護人員根本不能使用vinyl材質之耗材．所有的醫療人員，抱括清潔工，都應當使用橡膠手套，並單次性使用，絕對不能夠重覆使用．口罩更是應當每次更換，應使用99.5%防菌的外科手術口罩，而非任何工業級口罩．使用N95已經很誇張，現在竟有人發起N100…..；倘若真要無菌，大可以穿隔離式防護衣，背一個氧氣桶在後面；而不是用N100來把自己悶死．
目前，加不加入WHO真的不是當務之急；WHO之前也沒有遇過Sars，但是他們有的是一群受過Infection Control 專業訓練的人員．除了WHO，事實上，每一年，日本韓國及各開發中已開發國家的醫護人員，都會定期一年數次到歐美各醫院，參加Infection Control 的專業訓練，藉此機會教學相長，並嚴格控制自己國家院內的衛生感染防治．這完全另一層次的自覺意識．
台長絕對相信並重高台灣醫療技術之專業；但由於此次卅多人次死於sars，竟有六名醫護人員死於病院感染，以這個數據來看，實在凸顯院內衛生及衛材使用不當．因此，在這個大家都有話要說的同時，台長默默蒐集資料，希望借助大家的力量，一同協助台灣各階層認識感染防治．
醫院，應當時最乾淨最安全的地方，而不是等死的地方．平日就應該將相關細節設備預備齊全，而不是有疫情時才需要準備防疫．大家都不喜歡馬後炮；可是， 眼看著人命關天，台長不得不在此呼籲青年子弟們，幫助很忙很忙的政府，以及已經忙得焦頭爛額的醫護人員，一起把這些文章翻成中文，廣寄給醫學院，政府機關，衛生單位，環保單位，以及各大學院的網站，共同重視感染控制，認識感染控制．
人稱台灣為專業仿冒國．這雖然是大不敬的稱呼，但仿製品的確彷若真品．在這個人命關天的環節，台灣的衛生，環保，醫界各人士單位們，能不能以台長目前提供的CDC文件，及San Francisco General Hospital防疫專家Ms. Sue Felt提供的一糸列防疫專識及院內對醫護人員的感染－環境防治控制，做一個觀摩及改進動作？台長在這里為所有醫護人員打氣，同時再度呼籲使用安全衛材之重要，不要再穿戴薄如蟬翼所謂“防護衣”接近病患；不要再穿戴Vinyl手套處理碰觸病患；當別人問起：What part of your job is the most challenging? 的時候，除了saving lives 以外，還要自救．因為您珍貴的生命，是千萬人的希望啊！
以上文章十分凌亂，台長沒有思緒重新編排，請大家看懂後馬上動作，謝謝．
（辦法）：
一．請各熱血青年協助將下列原文英翻中，熱傳各大院校及中央市府單位，協助大家了解認識感染防治；並請同時cc.一份寄到：thatgreen5@yahoo.com，以便台長郵寄cd給台灣各單位時，能夠隨附中文版，方便他們閱讀．
二．需要查詢藥學字典這邊請：
http://dict.vghtpe.gov.tw/search.php
三．以下專業文件來自CDC及美國醫院的專門文件：
*(PDF檔 需Adobe Acrobat 5.0 以上才能開; Power Point 檔 需要嗯 Power Point!
按滑鼠右鍵 然後左鍵去暗"另存檔案"; PDF 可以直接按左鍵開啟)
*沒有Adobe的人來這邊：
http://www.adobe.com/products/acrobat/readstep2.html
去Step1 Step 2那邊下載．
1. APIC Infection Control Program (PDF) --
http://www.geocities.com/deadmead/APIC_Infection_Control_Program.pdf
2. APIC Outbreak Investigation (PDF) --
http://www.geocities.com/deadmead/APIC_Outbreak_Investigation.pdf
3. APIC Surveillance (PDF) --
http://www.geocities.com/deadmead/APIC_Surveillance.pdf
4. APIC flexible endoscopy guidelines 2000 (PDF) --
http://www.geocities.com/deadmead/APIC_flexible_endoscopy_guidelines_2000.pdf
5. APIC infrastructure IC program in hospital 1998 (PDF) --
http://www.geocities.com/deadmead/APIC_infrastructure_IC_program_in_hospital_1998.pdf
6. CDC Healthcare Worker Guidelines 1998 (PDF) --
http://www.geocities.com/deadmead/CDC_Healthcare_Worker_Guidelines_1998.pdf
7. CDC Intravenous Catheter Guidelines 2002 (PDF) --
http://www.geocities.com/deadmead/CDC_Intravenous_Catheter_Guidelines_2002.pdf
8. CDC Nosocomial Infections (PDF) --
http://www.geocities.com/deadmead/CDC_Nosocomial_Infections.pdf
9. CDC Prevention of Surgical Site Infection 1999 (PDF) --
http://www.geocities.com/deadmead/CDC_Prevention_of_Surgical_Site_Infection_1999.pdf
10. CDC hand hygiene guidelines 2002 (PDF) --
http://www.geocities.com/deadmead/CDC_hand_hygiene_guidelines_2002.pdf
11. Japanese MDs (Power Point) --
http://www.geocities.com/deadmead/1_TB_Japanese_MDs.ppt
12. Japanese MDs 3 (Power Point) --
http://www.geocities.com/deadmead/Japanese_MDs_3.ppt
13. Japanese Nrses slides (Power Point) --
http://www.geocities.com/deadmead/Japanese_Nrses_slides.ppt
14. San Francisco General Hospital Infection Control Manual
http://orange4.idv.tw/file.pdf
15. Infection Control came to be an integral part of hospitals in the 1950's when there were some hospital outbreaks of Staphylococcus aureus. Infections
which are acquired in the period of time that a person is hospitalized are called "nosocomial" infections, and a major focus of Infection Control professionals is to minimize nosocomial infections. As more and more invasive technology becomes routine in medical care (chest tubes, central venous catheters, even organ transplants, etc.) there is increasing
opportunity for infection.
In the 1980s, with the discovery that HIV/AIDS is a bloodborne pathogen,major changes came about in the way we deliver health care. Throughout the nation it became a standard of practice (and the law) to use personal protective equipment. In addition, equipment changes, such as safety needles, and procedural changes like managing infectious waste, and annual "Bloodborne Pathogen" training for all health care workers. "Universal
Precautions" policies were created in virtually every hospital, mandating that all patients, at all times, be treated as though they were infected with a bloodborne pathogen. Gloves, face shields, and gowns were to be
available to all health care workers, and worn when there was any probability of being exposed to blood or body fluids. Policies and guidelines were created to address the protection of patients and staff from organisms transmitted by air, contact, and blood or body fluids.
Infection Control departments not only helped in teaching and enforcing safe practices, increasingly, Infection Control practitioners (ICPs) became
epidemiologists, tracking and determining the causes of nosocomial transmission of pathogens in hospitals. Infection Control is involved with every department and service of the hospital, assisting with policy writing,education, consultation, and enforcement of infection control policy.
Hand hygiene is the most important intervention for interrupting the spread of disease. Unfortunately, in spite of over 150 years of evidence, many health care workers do not wash their hands between patient contacts. Because hand washing is both time consuming and often inconvenient, antimicrobial hand cleaners are now used in most European, and many American, hospitals.
Intake areas of hospitals and clinics are likely to be the first to see the patient with a communicable disease. Thus, they should all have policies which require patients to put on a mask if arriving with a cough, or rash
and fever. When there is suspicion of TB, or SARS, or other airborne
illness, the patient should be removed from the waiting and placed in an isolation room.
以上文件來源：
Sue C. Felt, RN, MSN, MPH, CIC
Associate Hospital Epidemiologist
San Francisco General Hospital
1001 Potrero Avenue
Bldg. 100, Room 301
San Francisco, CA 94110
Phone: (415) 206-5466
Pager: (415) 719-1457
Email: sue@epi-center.ucsf.edu
四．由於台長於5/28日（台灣時間，5/29日早上四點）與舊金山經貿辦事處有會議，希望同時能將此訊息一併提供給辦事處人員；若能早日收到，則亦有利部分平面媒體閱讀．
五．為答謝熱血青年擁躍協助，敬請同時留下連絡方式，台長發起各界提供精美小禮物，將委託本台義勇軍逐一寄出．另外，台長本人，在這里提供私房奬助金，凡能在台灣時間5/27日晚間24:00前將所有文件(15點內所有文章)英翻中完畢（power point檔仍為power point 檔；pdf檔可變為word 檔或記事本檔）者，將可獲美金三千元作為鼓勵．敬請踴躍來信．請首先洽: thatgreen5@yahoo.com; 或先洽本台留言板；台長接到您來信（留言）後，另指示並提供一完善及較大信箱以利投譯搞；在台長審閱過錯誤率低於25%者，即可獲得奬金．有鑑於本文一修再修，台長將在下篇文章內交代台灣代表連絡人及投譯搞信箱．謝謝．
六．凡晚於上列時間投搞者，僅能獲贈精美禮品．台長說過了，因為5/28與台灣經貿處有約，希望在第一時間內發稿；倘若不及，仍能協助各單位整理此一重要文件．不勝感激．
（補充說明）：
防疫這回事，不是只有當下之須，平時就應當規範，讓各單位有所循．
在大家都在搶N95, 又進行到N100的同時，究竟大家知道N是代表什麼嗎？
請看以下報導：
１．關於N95
*PRODUCT MATERIALS: NIOSH
Before choosing respiratory protection, it is imperative that safety directors and end users understand the basics of how this regulation works. 42 CFR Part 84 categorizes respiratory filters according to the filter efficiency along with resistance to filter efficiency degradation. Filter efficiency is rated at 3 levels: 95%, 99% and 99.97% (considered 100%). Resistance to filter efficiency is also rated on three levels: N = Not resistant to oils, R = Resistant to oil (some restrictions may apply) P = oil proof (some time restrictions may apply). These 9 classifications of filters are as follows:
Filter Efficieny Levels
N: For Solid particulates and Non-aerosols that do not Degrade filter performance
N95:95% N99:99% N100:100%
R For Solid particulates and Degrading oil based aerosols (Use limitations)
R95:95% R99:99% R100:100%
P For Solid particulates and Degraded oil based aerosols. (no limitations)
P95:95% P99:99% P100:100%
Under 42 CFR Part 84, before selecting any respirator, the user must know or determine the specific particulate contaminant present, the concentration of the contaminate in the area and whether oil aerosols are present within the environment. NIOSH no longer approves respirators for specific uses or applications; therefore, the user is required to be knowledgeable regarding potential exposure to particulate contaminants.
然而般性三層外科手術口罩, 它竟達到99.5%防菌塵. 以下是實驗室發過來的資料:
sample : 1
Sample indentification: YN352018-2
Delta P (mmH2O2/cm2) : 2.5
Percent BFE: 99.5%
Control average: 2581 CFU
Mean Particle size: 2.7 μm
２．另有關公共衛生，請參閱前文：Interview with county health dept.
http://mypaper3.ttimes.com.tw/user/expedition/file_combine.php?File=2951614_2003-05-22_09-43-17
（特別感謝）：
1.瞋，Vincent協助提供網頁存放文字．
2.那花兒，安小喵，，小默，老河，老吳，兒JC，女兒L，球，惹煙及各即將幫忙英翻中的親朋好友熱血青年們．請加油～
3.無論是否趕得及，至少，我們可以協助相關單位，規劃一分完整的感染防治範本．請再度加油～
