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武汉查处和通报200多家房地产经纪机构

Editorials

Covid-19: breaking the chain of household transmission

BMJ 2020; 370 doi: 新闻分析:多角度精准发力 缓解小微企业融资难题 (Published 14 August 2020) Cite this as: BMJ 2020;370:m3181

Read our latest coverage of the coronavirus outbreak

  1. Shamil Haroon, clinical lecturer in primary care1,
  2. Joht Singh Chandan, academic clinical fellow in public health12,
  3. John Middleton, president3,
  4. Kar Keung Cheng, professor of public health and primary care1
  1. 1Institute of Applied Health Research, University of Birmingham, Birmingham, UK
  2. 2Warwick Medical School, University of Warwick, Coventry, UK
  3. 3Association of Schools of Public Health in the European Region (ASPHER)
  1. Correspondence to: S Haroon s.haroon{at}bham.ac.uk

盘点2015家居市场十大“新常态”

The UK is one of the countries most severely affected by covid-19. Recent outbreaks in English towns such as Oldham, probably involving transmission within large multigenerational households, show the importance of getting the right public health measures in place now to prevent more widespread surges in infections.1

Current test and trace policies have mainly focused on preventing spread in care homes, hospitals, and in the community.2 However, contact within households is thought to be responsible for roughly 70% of SARS-CoV-2 transmission when widespread community control measures are in place.3 In Wuhan, the reproduction number (R) dropped from 3.54 to 1.18 after lockdown and cordon sanitaire. But the epidemic was only brought under complete control when Fangcang (field) hospitals were introduced to isolate cases outside the home, with R dropping to 0.51 after two weeks.4

Current UK guidance advises household contacts to isolate within the same home as the index case for 14 days.5 They make up the majority of contacts for infected individuals and are likely to remain exposed to the infected household member during this period of isolation.6 Despite guidance advising household members to socially distance, contacts are likely to interact repeatedly—during mealtimes, for example—and to share facilities such as bathrooms.

We know that transmission is more likely to occur indoors than outdoors.7 The cumulative risk to household contacts from an infected person is likely to be substantial during peak viral shedding. In one study in New York State, 38% of household contacts tested positive for SARS-Cov-2, and similar secondary infection rates have been reported in China.89 Transmission may be even higher among household contacts of essential workers, who are at greater risk of being infected than the general population.10

Household members who are older, have underlying medical conditions, or share a bed or vehicle with the index case are the most susceptible.91112 Children seem to be at lower risk of being infected.13 However, their stool samples and nasopharyngeal swabs can remain positive for SARS-CoV-2 for more than two weeks after symptom resolution,14 although their role in transmission remains to be established.

Governments should consider new public health measures to prevent household transmission as we prepare for a potential second wave. Household quarantine is likely to remain an important pandemic control measure, and government support for people quarantined at home is conspicuously absent in the UK: this position has been challenged by independent experts.15

Effective isolation

Effective isolation of index cases from household members could reduce secondary infections.12 Wearing masks within quarantined households may help, particularly if used by the index case as soon as infection is suspected.16 The World Health Organization recommends that infected people and unavoidable close contacts, particularly those in vulnerable groups, should wear medical masks, but Public Health England does not currently recommend this. Other measures that should be considered (and evaluated) include clear advice on enhanced personal hygiene; cleaning and disinfecting shared toilets and other common spaces, door handles, and touch points; and staggering mealtimes.

People who are unable to self-isolate safely at home could be accommodated in special isolation facilities such as hotels and hostels, an approach adopted by some other countries, including Italy, Finland, and Lithuania.17 In China, field hospitals were created to manage and strictly isolate patients with mild-to-moderate covid-19.18 Nightingale hospitals in the UK could be similarly repurposed to support isolation of infected people with mild-to-moderate disease. As medical and nursing care needs are mostly modest, the cost would be relatively low. However, such a system depends on access to rapid testing for anyone with symptoms or possible exposure so that infection can be confirmed and isolation started before transmission occurs. It would also require public trust that isolation in these facilities would be voluntary, safe, and supportive.

During last year's LFW, there were 250 anti-fur protesters, The Guardian reported, and a show in February saw an activist storm the stage at a Mary Katrantzou show.
pilot
2016年全国硕士研究生招生考试周日结束后不久,教育部即接到考研试题泄露的举报。
The web portal, which has put mobile technology at the heart of a plan to turn around its struggling fortunes, has turned to British teenager Nick D’Aloisio and Summly, which automatically summarises news stories for the small screen.
Benmosche's abrasive morale-building exercise at AIG will take hold. The U.S. pay czar will give Benmosche leeway on pay. And a continuing rebound in the markets will give AIG a shot at repaying a good chunk of taxpayer money.
Businesswomen are booming in Asia: The whole region makes a strong showing, from China and Singapore to New Zealand and Thailand. Entrepreneurship is on the rise: see Zhang Xin (No. 50) , Sun Yafang (No. 77) and Solina Chau (No. 80). And Asian region women are showing their political might, from newcomer Park Geun-hye, the South Korean president (No. 11) and Burmese dissident and parliamentarian Aung San Suu Kyi (No. 29) to Australian PM Julia Gillard (No. 28) and Thai Prime Minister Yingluck Shinawatra (No. 31).
卡戴珊,这就是女子精修学校入门级的简单礼仪:并拢双膝和脚踝,然后侧身就可以了。

LONDON — In the 1970s, the British comedian Tommy Cooper used to tell a joke about asking an auction house to value a violin and a painting that he had discovered in an attic. The good news, he was told, is that they were made by Stradivarius and Rembrandt. The bad news was that the painting was by Stradivarius and the violin was by Rembrandt.
在屏幕前对女主人公大喊“不要在深夜独自下楼”,不再是徒劳无用的了。在这款互动式惊悚游戏中,玩家可以控制游戏人物的行动。游戏的剧情由电影制片人拉里o法森顿和格拉哈姆o雷兹尼克与游戏开发商Supermassive Games精心打造。故事中,八位好友被困在遥远的山区度假村,还有一名不受限制的精神病人。游戏群星云集,其中包含《神盾局特工》(Agents of S.H.I.E.L.D)的演员布雷特o道顿,美剧《纳什维尔》(Nashville)的演员海顿o潘妮蒂尔和《极品飞车》(Need for Speed)的演员拉米o马雷克。玩家将控制各个角色探索这个恐怖的世界,试图在黎明到来时存活下来。没有人是安全的。在游戏中,每一个决定都会导致不同的结果。游戏剧本长达一千余页,拥有数百个不同结局等待玩家发掘。蝴蝶效应使得游戏不会有相同的剧情,而唯一不变的是,这款游戏十分惊悚。不要独自一人或是在深夜里尝试它。
Nirvana in Fire unexpectedly achieved a tremendous success, rising like a star among the TV dramas in the fall of 2015. Also adapted from an online novel of the same name written by Hai Yan, the adaptation for the first time found its way on the screen in September 2015. Staring Hu Ge and Liu Tao, the series shows a talented military strategist endeavoring to clear his name through continuous fights. The fictional characters and dynasty let the adaptation smartly avoid being criticized for not sticking to historical accuracy. And the drama`s delicate internal settings and impeccable storyline were highly praised by the audiences.
Fantastic Beasts and Where to Find Them will be released worldwide on November 18, 2016.
n. 保守派(党),

Footnotes

  • 摇号前,一楼盘31组客户被剔除
  • Statistics from another market research firm, Counterpoint, indicate that China shipped 465 million smartphones over the last year, accounting for nearly one-third of the global volume.

根据北京市统计局发布的一份报告显示,2015年北京市社会消费品零售总额突破万亿元,达到了10338亿元,同比增长7.3%。
还有些人直接就玩消失了:
谷歌研究员发现,用安全性问题作为恢复账号登录的唯一方式,并不是那么有效。
金维刚表示:“2016年居民消费价格指数仅同比上涨2%,低于预期的预测指标。属于温和通胀范围,反映了物价水平得到有效控制并保持基本平稳。”
乔斯·威登在度假的时候萌发了创作《萤火虫》的设想。他当时正在读一本叫做《天使杀手》的书,这本书讲述了一名葛底斯堡战役中的士兵的故事。威登深深地被这个士兵日复一日的艰辛生活所吸引。这本书的作者描写了大量日常生活中的繁琐细节,以及人们如何在缺乏现代科技和商业之便的情况下艰难度日。而威登对这种描写方式推崇备至。
n. 蛋白质

世茂股份:2018年度归属股东净利润24.04亿元 同比增长7.96%

References

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