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PBS高端访谈:近十年来最严重的流感季里你所需知道的

时间:2020-05-21 00:57来源:互联网 提供网友:nan   字体: [ ]
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Judy Woodruff: Flu season is not easing its grip on much of the United States, and the outbreak is reaching levels not seen in nearly a decade. Hospitalizations for it are higher than normal, and the Centers for Disease Control and Prevention reported today that roughly one in 13 visits to the doctor last week were for flu-like symptoms. It has also claimed the lives of at least 10 more children this week, putting that number at 63 for the season. Tens of thousands of deaths are often associated with the flu annually1. Dr. Anne Schuchat is the acting2 director of the CDC, and she joins me now. Dr. Schuchat, welcome back to the program. So, how widespread is the flu right now in this country?

Dr. Anne Schuchat: This is a very difficult flu season. And this past week, we got more bad news. The doctor visits for flu are as high this week as we have seen during the peak of the 2009 pandemic. We're not having a pandemic right now, but we have a very, very difficult flu season.

Judy Woodruff: Why is it so bad this year?

Dr. Anne Schuchat: Well, there are a couple reasons that we know of, and there are probably some more reasons that we need to learn about. One thing is it's an H3N2 influenza3 season. That's the strain that's dominating. There are a couple other strains circulating. H3N2 seasons tend to be more severe. The other thing is that influenza vaccine4 doesn't work as well against H3N2 strains, so that's probably a second factor. And the third factor is that the vaccine is probably working even less well than usual against the H3N2. We had an early start to the season, and it's continuing full force right now.

Judy Woodruff: Are there particular parts of our population that are more vulnerable than others?

Dr. Anne Schuchat: Anyone can get the flu, and it can be serious. But the people who have a harder time with flu are the very old, the very young, pregnant women, and people with heart disease, lung disease, and other medical conditions that can make it harder for them to take on a lung infection. We recommend that those groups in particular, if they present with flu symptoms, they can benefit from antiviral medicines that may convert a relatively5 mild illness — that may prevent a milder illness from becoming a hospitalization or worse.

Judy Woodruff: Is there enough, Dr. Schuchat? Is there enough vaccine available this year to prevent the flu or at least prevent it from being more severe? Is there enough of the drug Tamiflu, which I know is prescribed for many people?

Dr. Anne Schuchat: More than 152 million doses of influenza vaccine have been distributed. And the coverage6 is about — overall about what we saw last year in terms of how many people have gotten vaccinated7 by this time in the year. It's not too late to be vaccinated, for those who haven't already gotten vaccinated. There may be some benefit to still getting the vaccine. We're seeing more requests or prescriptions8 for Tamiflu or the other antivirals against influenza than we have seen in past years. There's a lot of demand for that because of the intense season. It may be hard to find locally, so we expect that people may need to call around to the pharmacies9. But the past couple weeks,we have been working closely with the manufacturers, the pharmacy10 chains, the insurers, the distributors to try smooth out that supply, to take care of those spot shortages. We do think that prompt treatment with antiviral medicines can be very important in people who present with severe symptoms or people who are at risk for complications.

Judy Woodruff: So, I have to ask you, what is your advice for people who have not had the flu and for people who have it?

Dr. Anne Schuchat: Well, if you are feeling well, keep washing your hands, cover your cough or sneeze. And if you do get sick, please stay home from work or school, so that you don't spread the flu. What's a mild illness for you could be something severe for one of your co-workers or your classmates. If you have the flu and you are pregnant or elderly or have heart or lung disease, we hope that you're seeking medical care, because prompt treatment with antivirals can be lifesaving.

Judy Woodruff: Dr. Anne Schuchat, acting director of the CDC, we thank you.

Dr. Anne Schuchat: Thank you, Judy.

朱蒂·伍德瑞夫:对于美国大部分地区而言,流感并未减弱,其爆发程度近十年来前所未见。因流感接受住院治疗的人数比往常更多,疾病控制与预防中心今日报告称,上周大约每13个病人中就有1人因流感类似症状入院诊治。本周至少又有10名儿童因流感丧命,由此本次流感季的儿童死亡人数达到63人。每年死于流感的人数多达成千上万。安妮·舒查特博士是美国疾病控制与预防中心的代理主任,现在她做客节目。舒查特博士,欢迎回到我们的节目。那么,目前美国的流感范围有多大?

安妮·舒查特博士:这是一个举步维艰的流感季。在过去一周中,我们听到了更多的坏消息。本周医生接诊的流感病例数达到了我们在2009年流感大流行高峰期间的接诊人数。而我们现在还没有遭受(所谓的)“大流行”,但本次流感季真的是异常艰难。

朱蒂·伍德瑞夫:今年情况为什么这么遭?

安妮·舒查特博士:嗯,我们知道的,有几个原因,但可能还有其他更多原因,有待了解。其中一个是因为本次流感季的致病病毒是H3N2。那是本次流感季的主要致病毒株。此外流行的还有两种毒株。H3N2流感季往往更严重。另外还有一个原因是,流感疫苗未能很好对抗H3N2毒株,所以这可能是第二个原因。而第三个原因是,疫苗抵抗H3N2毒株的效果甚至比往常还要差。早在本流感季初,我们就已经开始积极行动,现在仍在全力挽救危局。

朱蒂·伍德瑞夫:人群中有没有一些人比其他人更容易受到感染?

安妮·舒查特博士:任何人都可能患病,病情可以很严重。但是,对于老人、幼童、孕妇以及患有心脏病、肺病和其他疾病的人群,本次流感季更加凶险,一旦遭受肺部感染,这些人群的情况将会更糟。我们建议,尤其这些特别人群,如果出现流感症状,可以使用抗病毒药物,这些药物可以减轻或疗愈相对温和的病情——可以让不太严重的流感病人免于住院治疗,也可控制疾病恶化。

朱蒂·伍德瑞夫:那疫苗数量够么,舒查特博士?今年是否有足够的疫苗来预防流感或至少控制流感趋势恶化?是否有足够的达菲药物?我知道医生会给很多人开这种药。

安妮·舒查特博士:现在医生至少已经开出了1.52亿剂流感疫苗。就去年疫苗接种人数而言,目前今年疫苗的覆盖范围大致——总的来说已经达到了去年水平。而对于尚未接种疫苗的人来说,接种疫苗为时不晚。现在仍在接种疫苗可能也有一些好处。今年,疫苗接种请求,达菲处方开出数量以及其他预防流感的抗病毒药物使用数量,比我们在过去几年里看到的要多。由于流感事态严重,它们的需求量很大。它们在当地可能已经很难找到,所以我们预计,人们可能要四处给药房打打电话了。但在过去的几周里,我们一直在与制造商、连锁药店 、保险公司、分销商紧密合作,试图理顺供应,以缓解现货短缺。我们的确认为,及时使用抗病毒药物治疗,对于那些出现严重症状或有并发症风险的病人来说至关重要。

朱蒂·伍德瑞夫:所以,我想询问,对于目前那些未感和已感人群,您有什么建议?

安妮·舒查特博士:嗯,如果你感觉很好,请坚持洗手,咳嗽打嚏时请捂住口鼻。如果你确实病了,请呆在家里,不要再去工作或上学,这样你就不会传播流感了。你的轻症,对你的同事或同学而言,可能很严重。如果你感冒了,并且你是个孕妇或老人,或患有心脏或肺部疾病,我们希望你寻求医疗帮助,因为及时的抗病毒药物治疗,可以挽救生命。

朱蒂·伍德瑞夫:美国疾病控制与预防中心代理主任安妮·舒查特博士,我们感谢你。

安妮·舒查特博士:谢谢你,朱蒂。


点击收听单词发音收听单词发音  

1 annually VzYzNO     
adv.一年一次,每年
参考例句:
  • Many migratory birds visit this lake annually.许多候鸟每年到这个湖上作短期逗留。
  • They celebrate their wedding anniversary annually.他们每年庆祝一番结婚纪念日。
2 acting czRzoc     
n.演戏,行为,假装;adj.代理的,临时的,演出用的
参考例句:
  • Ignore her,she's just acting.别理她,她只是假装的。
  • During the seventies,her acting career was in eclipse.在七十年代,她的表演生涯黯然失色。
3 influenza J4NyD     
n.流行性感冒,流感
参考例句:
  • They took steps to prevent the spread of influenza.他们采取措施
  • Influenza is an infectious disease.流感是一种传染病。
4 vaccine Ki1wv     
n.牛痘苗,疫苗;adj.牛痘的,疫苗的
参考例句:
  • The polio vaccine has saved millions of lives.脊髓灰质炎疫苗挽救了数以百万计的生命。
  • She takes a vaccine against influenza every fall.她每年秋季接种流感疫苗。
5 relatively bkqzS3     
adv.比较...地,相对地
参考例句:
  • The rabbit is a relatively recent introduction in Australia.兔子是相对较新引入澳大利亚的物种。
  • The operation was relatively painless.手术相对来说不痛。
6 coverage nvwz7v     
n.报导,保险范围,保险额,范围,覆盖
参考例句:
  • There's little coverage of foreign news in the newspaper.报纸上几乎没有国外新闻报道。
  • This is an insurance policy with extensive coverage.这是一项承保范围广泛的保险。
7 vaccinated 8f16717462e6e6db3389d0f736409983     
[医]已接种的,种痘的,接种过疫菌的
参考例句:
  • I was vaccinated against tetanus. 我接种了破伤风疫苗。
  • Were you vaccinated against smallpox as a child? 你小时候打过天花疫苗吗?
8 prescriptions f0b231c0bb45f8e500f32e91ec1ae602     
药( prescription的名词复数 ); 处方; 开处方; 计划
参考例句:
  • The hospital of traditional Chinese medicine installed a computer to fill prescriptions. 中医医院装上了电子计算机来抓药。
  • Her main job was filling the doctor's prescriptions. 她的主要工作就是给大夫开的药方配药。
9 pharmacies a19950a91ea1800ed5273a89663d2855     
药店
参考例句:
  • Still, 32 percent of the pharmacies filled the prescriptions. 但仍然有32%的药剂师配发了这两张药方。 来自互联网
  • Chinese herbal pharmacies, and traditional massage therapists in the Vancouver telephone book. 中药店,和传统的按摩师在温哥华的电话簿里。 来自互联网
10 pharmacy h3hzT     
n.药房,药剂学,制药业,配药业,一批备用药品
参考例句:
  • She works at the pharmacy.她在药房工作。
  • Modern pharmacy has solved the problem of sleeplessness.现代制药学已经解决了失眠问题。
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