WEBVTT 00:00:05.504 --> 00:00:07.398 當我仲係一個細路仔 00:00:07.398 --> 00:00:10.959 核戰係我哋最擔心嘅災難 00:00:11.819 --> 00:00:15.085 於是我哋喺地下室擺咗一個桶 00:00:15.085 --> 00:00:17.656 桶裡面裝住好多罐頭同埋水 00:00:18.256 --> 00:00:19.901 假如核戰爆發 00:00:19.901 --> 00:00:24.637 我哋就落去地下室匿埋 然後靠果個桶維生 NOTE Paragraph 00:00:25.877 --> 00:00:29.597 當今世上風險最大既災難 00:00:29.597 --> 00:00:32.457 唔係呢個 00:00:32.457 --> 00:00:35.238 而係呢個 00:00:36.438 --> 00:00:41.929 假如有樣野可以係喺未來幾十年 殺死超過一千萬人 00:00:41.929 --> 00:00:45.314 最有可能嘅就係傳染性極高嘅病毒 00:00:45.314 --> 00:00:47.792 而並非戰爭 00:00:47.792 --> 00:00:51.679 唔係導彈,而係微生物 00:00:51.679 --> 00:00:55.081 部分原因係因為我哋投入左 00:00:55.081 --> 00:00:57.901 巨大嘅資源喺核武 00:00:57.901 --> 00:01:03.969 相比之下,我哋投放好少資源落去 一個預防疫情爆發嘅機制上 00:01:03.969 --> 00:01:07.723 我哋仲未準備好應對 下一次嘅疫情 NOTE Paragraph 00:01:08.023 --> 00:01:09.418 睇下伊波拉 00:01:09.418 --> 00:01:13.655 我相信你哋所有人都喺報紙上面 睇過關於佢嘅報道 00:01:13.655 --> 00:01:16.811 對付病毒嗰陣出現過好多好嚴峻嘅挑戰 00:01:16.811 --> 00:01:21.636 我曾經用一個用嚟追查 脊髓灰質炎根治情況嘅方法 00:01:21.636 --> 00:01:23.721 去分析伊波拉疫情 00:01:23.721 --> 00:01:25.573 從事件嘅發展我哋睇度 00:01:25.573 --> 00:01:30.081 問題唔係機制運作唔好 00:01:30.081 --> 00:01:33.649 而係我哋根本冇一個機制去應對伊波拉 00:01:34.589 --> 00:01:39.028 事實上係有一啲幾明顯嘅漏洞 NOTE Paragraph 00:01:39.028 --> 00:01:43.940 我們冇一班隨時候命嘅流行病學家 00:01:43.940 --> 00:01:47.696 喺傳染病爆發嗰陣去研究 個病毒本身屬性係點,傳播規模有幾大 00:01:47.696 --> 00:01:50.452 病例報告雖然以書面形式發表 00:01:50.452 --> 00:01:52.808 但好耐之後佢哋先至放上網 00:01:52.808 --> 00:01:55.422 啲報告仲要係好唔準確 00:01:55.422 --> 00:01:57.858 我哋冇一班隨時候命嘅醫療隊伍 00:01:57.858 --> 00:02:00.453 我哋冇辦法招募到人員 00:02:00.453 --> 00:02:05.784 無國界醫生喺組織志願者方面 貢獻咗好多 00:02:05.784 --> 00:02:08.880 即使係咁,我哋仍然比應有嘅步伐慢 00:02:08.880 --> 00:02:12.172 我哋宜家喺呢啲有疫情嘅國家度 應該要有幾千個人員 00:02:12.172 --> 00:02:19.007 當有大規模疫情嘅時候 更加需要幾十萬嘅人員 00:02:20.752 --> 00:02:25.155 冇人試過睇下治療方法 00:02:25.155 --> 00:02:26.946 冇人留意過診斷方式 00:02:26.946 --> 00:02:30.243 冇人試過探討用咩工具 00:02:30.243 --> 00:02:33.723 舉例,我哋可以抽取康復者嘅血液 00:02:33.723 --> 00:02:39.158 處理過之後 將血清注入番佢哋度去保護佢哋 00:02:39.158 --> 00:02:41.764 但冇人試過咁做 NOTE Paragraph 00:02:41.764 --> 00:02:43.520 所以,真係有好多地方做得不足 00:02:43.520 --> 00:02:47.415 呢啲就係全球既失敗 00:02:48.305 --> 00:02:53.873 世界衛生組織本身就係去監控疫情 但偏偏佢哋從來都冇做過 00:02:55.049 --> 00:02:57.842 喺電影裡面,情況就唔一樣 00:02:57.842 --> 00:03:02.674 裡面有一班隨時準備就緒嘅流行病學家 00:03:02.674 --> 00:03:08.446 佢哋介入,拯救咗全世界 不過呢啲只係電影情節 NOTE Paragraph 00:03:10.177 --> 00:03:13.977 準備不足可以令下一個傳染病隨時爆發 00:03:13.977 --> 00:03:17.695 傷害程度可能比伊波拉更大 00:03:18.735 --> 00:03:23.531 睇下今年伊波拉疫情嘅演變 00:03:24.311 --> 00:03:27.149 有大約一萬人死亡 00:03:27.149 --> 00:03:31.846 幾乎全部都係黎自西非三個國家 00:03:31.846 --> 00:03:34.433 疫情之所以冇進一步擴大 原因有三個 00:03:34.433 --> 00:03:38.874 第一個原因係 有好多英勇既醫護人員喺度奮鬥 00:03:38.874 --> 00:03:42.136 佢哋發現患者之後 就第一時間阻止疫情傳開 00:03:42.136 --> 00:03:44.621 第二就係病毒本身嘅特性 00:03:44.621 --> 00:03:47.697 伊波拉唔會經空氣傳播 00:03:47.697 --> 00:03:49.810 當你具備高傳染性嘅時候 00:03:49.810 --> 00:03:52.910 大多數人因為病得好嚴重 要訓喺張床度 00:03:54.220 --> 00:03:58.411 第三,病毒冇傳到去多個城市 00:03:58.411 --> 00:04:00.115 呢個只係好彩 00:04:00.115 --> 00:04:02.355 如果病毒擴散到更多城市 00:04:02.355 --> 00:04:05.877 病例數目就會多好多 NOTE Paragraph 00:04:05.877 --> 00:04:09.466 下次我哋未必會咁好彩 00:04:09.466 --> 00:04:14.530 一個人可以帶住病毒但又冇事 00:04:14.530 --> 00:04:17.842 只要呢個人上機或者去街市 都可以將病毒傳開去 00:04:17.842 --> 00:04:20.846 病毒嘅源頭可以係自然既流行病 好似伊波拉咁 00:04:20.846 --> 00:04:22.826 亦可以係黎自生物恐怖主義 00:04:22.826 --> 00:04:27.474 所以,事情往往可以造成千倍更大嘅傷害 NOTE Paragraph 00:04:27.474 --> 00:04:33.475 我地一齊黎睇一個 病毒經空氣傳播嘅模型 00:04:33.475 --> 00:04:37.950 就好似 1918 年西班牙流感病毒咁 00:04:37.950 --> 00:04:39.560 當時係嘅 00:04:39.560 --> 00:04:43.558 嗰次流感喺世界傳播得非常之快 00:04:43.558 --> 00:04:48.683 大約有三千萬死於呢場疫症 00:04:48.683 --> 00:04:50.496 嗰次疫症真係好嚴重 00:04:50.496 --> 00:04:52.257 我哋必須多加關注 NOTE Paragraph 00:04:52.257 --> 00:04:56.692 不過,其實 我哋係可以建立一個完善嘅應變系統 00:04:56.692 --> 00:05:01.836 科學同科技帶比大家嘅好處 我哋已經喺度講過 00:05:01.836 --> 00:05:02.883 我哋都有手機 00:05:02.883 --> 00:05:06.140 可以接收大眾資訊 亦可以向公眾發放訊息 00:05:06.140 --> 00:05:10.319 我哋可以透衛星地圖睇到 啲人嘅位置同佢哋行緊去邊 00:05:10.319 --> 00:05:12.627 人類喺生物學上取得嘅成果 00:05:12.627 --> 00:05:16.453 應該可以俾人 有更多時間去尋找致病源 00:05:16.453 --> 00:05:21.322 去研製藥物同疫苗黎對付致病源 00:05:21.322 --> 00:05:23.208 因此,我哋係有工具 00:05:23.208 --> 00:05:27.500 但呢啲工具需要用喺全球衛生體系嗰度 00:05:27.500 --> 00:05:29.913 仲有一樣野,就係我哋需要準備 NOTE Paragraph 00:05:29.913 --> 00:05:32.257 我認為,所謂嘅準備好 00:05:32.257 --> 00:05:34.758 其實就同打仗冇分別 00:05:34.758 --> 00:05:39.005 士兵整束待發 00:05:39.005 --> 00:05:42.316 大批後備軍隊支援 00:05:42.316 --> 00:05:46.005 北約有一個可以迅速部署嘅部隊 00:05:46.005 --> 00:05:49.455 北約舉行好多嘅演習 確保軍隊訓綀有素 00:05:49.455 --> 00:05:51.883 例如佢哋熟唔熟悉燃料同行動 00:05:51.883 --> 00:05:54.241 通訊用嘅頻率係唔係一樣 00:05:54.241 --> 00:05:56.779 務求佢哋係準備就緒 00:05:56.779 --> 00:06:01.134 所以呢啲都係我哋應對疫情既問題 NOTE Paragraph 00:06:01.134 --> 00:06:03.301 咁關鍵係嘜? 00:06:03.301 --> 00:06:08.591 首先,貧窮國家需要有規模嘅衛生體系 00:06:08.591 --> 00:06:11.778 可以俾母親安全生產 00:06:11.778 --> 00:06:13.295 細路可以接種疫苗 00:06:13.295 --> 00:06:17.634 但係,喺我哋將會見到 最先出現疫情既地方 00:06:17.654 --> 00:06:19.935 我哋需要一支醫療嘅後備團隊 00:06:19.935 --> 00:06:22.391 由大量從事醫療行業 受過相關訓綀 00:06:22.391 --> 00:06:25.853 同時有經驗、可以隨時就緒嘅人擔當職務 00:06:25.853 --> 00:06:30.266 跟住需要醫護人員同軍隊合作 00:06:30.266 --> 00:06:33.797 借助軍隊去快速應變 00:06:33.797 --> 00:06:36.220 去支援成個行動,以及封鎖疫區 00:06:36.220 --> 00:06:38.959 我哋需要進行模擬運算 00:06:38.959 --> 00:06:41.767 我指嘅係細菌模擬爆發嘅測試 而唔係軍事演習 00:06:41.767 --> 00:06:43.927 咁樣先可以發現邊度有漏洞 00:06:43.927 --> 00:06:46.723 最近一次喺美國進行嘅細菌模擬爆發測試 00:06:46.723 --> 00:06:50.443 係喺 2001 年 不過嗰次進行嘚得唔係好順利 00:06:50.453 --> 00:06:55.490 嗰次,細菌同人類嘅比分係 1:0 00:06:55.490 --> 00:07:01.409 最後,我哋喺疫苗同診斷方面需要有大量嘅研發 00:07:01.409 --> 00:07:05.726 例如喺腺相關嘅病毒研究方面就有 一啲重大嘅突破 00:07:05.726 --> 00:07:09.229 研究出黎嘅疫苗可以快速起到作用 NOTE Paragraph 00:07:09.229 --> 00:07:12.449 雖然我唔知確實既預算將會係幾多 00:07:12.449 --> 00:07:14.095 但我可以好肯定咁話 00:07:14.095 --> 00:07:17.095 相比於潛在危害,呢個開支係細好多 00:07:17.095 --> 00:07:21.740 世界銀行預測,假如全球流感大爆發 00:07:21.740 --> 00:07:25.465 全球財富將會唔見三兆億美元 00:07:25.465 --> 00:07:29.332 會有幾百萬人死亡 00:07:29.332 --> 00:07:32.317 健康科學嘅投資會帶黎好多好處 00:07:32.317 --> 00:07:34.518 唔單止係預防疫情爆發 00:07:34.518 --> 00:07:36.982 基本醫療、研發 00:07:36.982 --> 00:07:39.812 呢啲都會減低全球衛生嘅平等性 00:07:39.812 --> 00:07:43.502 令世界變得更公平更安全 NOTE Paragraph 00:07:43.502 --> 00:07:47.454 所以我認為呢樣野絕對係首要考慮既事情 00:07:47.464 --> 00:07:48.980 大家冇必要恐慌 00:07:48.980 --> 00:07:53.469 我哋其實唔需要喺地下室 囤積好多意大利麵嘅罐頭 00:07:53.469 --> 00:07:57.309 但係我哋要立即行動 因為時間唔到我哋控制 NOTE Paragraph 00:07:57.309 --> 00:08:03.524 事實上,假如我哋要正面睇伊波拉疫情 00:08:03.524 --> 00:08:09.330 就會知道伊波拉其實係一個警號 話俾人類知要未雨綢謬 00:08:09.330 --> 00:08:11.868 如果大家從宜家就開始行動 00:08:11.868 --> 00:08:15.198 我哋就可以準備好 迎接下一個可能發生嘅症情 NOTE Paragraph 00:08:15.198 --> 00:08:16.744 多謝 NOTE Paragraph 00:08:16.744 --> 00:08:19.398 (掌聲)