Book 2 Unit 5 Text A Medicine and Illness One Year Later: 5 Lessons from the H1N1 Pandemic Quit Contents 1 Background Information & Cultural Notes 2 Lead-in 3 Text Structures 4 Sentence Study Text A 5 6 Words & Phrases Key to Exercises Quit Background Information & Cultural Notes About Flu The Centers for Disease Control and Prevention (CDC) The BMC-series of journals The National Institutes of Health (NIH) The World Organization for Animal Health The National Center for Immunization and Respiratory Diseases (NCIRD) Global Vital Forecasting Initiative Home About Flu According to historical records, influenza has existed for more than two-thousand years. The Roman historian Livy described this disease attacking the Roman army. People in fifteenth century Italy thought the sickness was caused by the influence of the stars. So they named it “influenza.” In1889, the flu began in Central Asia, spreading north into Russia, east to China and west to Europe. Later, it affected people in North America and Africa. Experts say two-hundredfifty-thousand people died in Europe in that flu pandemic. Worldwide, the number was at least one-million. But the deadliest outbreak of influenza on record involved a flu that first appeared in Spain. The so-called Spanish flu killed between twenty-million and fifty-million people around the world in 1918 and 1919. Even young, healthy people became sick and died in just a few days. To Be Continued Home Back About Flu Times when diseases spread throughout the world are called pandemics. The WHO says the next flu pandemic is likely to kill as many as six-hundred-fifty-thousand people in industrial countries. But it says the greatest effect will likely be in developing countries. The agency notes that health care resources in those countries are limited, and populations are weakened by poor health and diet. Researchers say the new kind of flu will appear unexpectedly. They will not have enough time to identify it and produce a vaccine. That is why they are developing faster ways to produce vaccines. Eighty years ago, the flu virus took months to spread around the world. Today, as a result of airplane travel, a virus can spread around the world within days. Experts say another virus like the one that appeared in nineteen-eighteen could be as dangerous as any disease ever known. Home Back Background Information & Cultural Notes The Centers for Disease Control and Prevention (CDC) 美国疾病控制与预防中心 It is a United States federal agency under the department of Health and Human Services based in Atlanta, Georgia. It works to protect public health and safety by providing information to enhance health decisions, and it promotes health through partnerships with state health departments and other organizations. Home Back Background Information & Cultural Notes The BMC-series of journals 伦敦生物医学中心系列杂志 They are a collection of 64 online research journals published by BioMed Central. They have a policy of open access to the research articles they publish. Between them, they cover all the major subject areas within biology and medicine. 生物医学期刊出版中心,简称BMC Home Back Background Information & Cultural Notes The National Institutes of Health (NIH) 美国国家健康研究 所 It is an agency of the United States Department of Health Services and is the primary agency of the U.S. government responsible for biomedical and health-related research. Home Back Background Information & Cultural Notes The World Organization for Animal Health 世界动物卫生组织 It is an international intergovernmental organization founded in 1924 to combat rinderpest. It has 175 member countries and territories. Its headquarters are in Paris, France. 牛瘟 Home Back Background Information & Cultural Notes The National Center for Respiratory Diseases (NCIRD) Immunization and 国家免疫和呼吸道疾病中心 It is charged with responsibility for the planning, coordination, and conduct of immunization activities in the U.S. It provides consultation, training, statistical, promotional, educational, epidemiological, and technical services to assist state and local health departments across the country in planning, developing, contracting and implementing immunization programs. Home Back Background Information & Cultural Notes Global Vital Forecasting Initiative 全球病毒预测行动组织 It aims at developing an early system for pandemics to monitor the transmission of infectious disease from animals to humans. The initiative currently coordinates a staff of over 100 scientists in China, Cameroon, Equatorial Guinea, Gabon, Central African Republic, Malaysia, and Madagascar. Home Back Lead-in Question 1 In addition to H1N1, can you name some other pandemic diseases which were once widespread? Home Lead-in Question 1 Some Pandemic Diseases HIV and AIDS 艾滋病 Cholera 霍乱 Influenza 流感 Typhus 斑疹伤寒 Smallpox 天花 Measles 麻疹 Tuberculosis 肺结核 Leprosy 麻风病 Malaria 疟疾 Yellow fever 黄热病 Home Lead-in Question 2 What are the symptoms of H1N1 flu in people ? Home Lead-in Question 2 What are the symptoms of H1N1 flu in people ? According to the Centers for Disease Control and Prevention (CDC), the symptoms of H1N1 flu in people are similar to the symptoms of regular human flu. They are fever, cough, sore throat, body aches, headache, chills, stuffy or running nose, diarrhea, fatigue and sometimes vomiting. Like seasonal flu, H1N1 flu may cause a worsening of underlying chronic medical conditions. Home Lead-in Question 3 As individuals, what are the ways we have to prevent H1N1 pandemic? Home Lead-in Question 3 What are ways to prevent H1N1 pandemic as individuals? To prevent H1N1 pandemic or other strains of flu and viruses, we need to do the following things: 1) Wash hands constantly. 2) Cover your mouth and nose when sneezing and coughing. 3) Stay away from large groups of people. 4) Don’t touch eyes, nose or mouth. 5) Stay at home when sick, so other people don’t get it. If you do have it, go to get medical attention IMMEDIATELY. Home Text Structure Part I. The overall review about what impact the H1N1 flu had brought to people. (Paragraph 1-7) 1. A review of how H1N1 flu swept over many countries. (1-3) 2. The H1N1 flu seemed not quite catastrophic as it was estimated. (4-6) 3. We still need to understand why H1N1 was a threat and figure out effective ways to handle more new viruses in the future. (7) Home Text Structure Part II: The five key lessons from the 2009 H1N1 flu pandemic (Paragraph 8-24) 1. H1N1 was more serious than the death toll suggested. (9-11) 2. The pandemic you prepare for may not be the one you get. (12-14) 3. Prevention means surveillance. (15-17) 4. Vaccine manufacturing is outmoded, but vaccines are not a panacea. (18-21) 5. It all boils down to communication and trust. (22-24) Home Sentence Study 1 Since most people had no immune protection against the H1N1 virus, which had been simmering in swine populations for years before jumping into human beings in Mexico, it spread rapidly. (Para.2) simmer ['simə] vi. 炖;内心充满;即将爆发 vt. 炖 n. 炖;即将沸腾的状态;即将 发作 swine [swain] n. 猪;卑贱的人 [ 复数swine ] To Be Continued Home Sentence Study 1 Paraphrase: The H1N1 virus spread rapidly because it had been spreading in pigs for many years, then it jumped into human beings and most people did not have any immune protection against it. 鉴于大部分人群并没有针对甲流病毒的免疫防护,而当 病毒在墨西哥地区大规模传播之前,已经在大量猪群中 疯狂扩散。 Home Sentence Study 2 U.S. cases piled up in late spring, and both the sick and the “worried well” flooded hospitals, taxing health care resources. (Para.3) To Be Continued Home Sentence Study 2 Paraphrase: The cases of getting infected with H1N1 virus become larger and larger, both the sick and the people who were well but worried about getting infected flooded hospitals, imposing a great burden on health care resources. 美国地区的感染病例在春末迅速激增,患者和担心自己被 感染者把医院围的水泄不通,这给卫生保健资源带来了巨 大的财政压力。 Home Sentence Study 3 Millions of doses of H1N1 vaccine expired unused on doctor’s shelves, and health officials are now under fire for overhyping what eventually seemed like a harmless bug. (Para.6) To Be Continued Home Sentence Study 3 Paraphrase: Millions of doses of H1N1 vaccine were no longer valid and remained unused on doctor’s shelves, the health officials are criticized severely for overstating the harm of H1N1 flu. 数百万份甲流疫苗仍安放在药架上,已经过了保质期,卫 生部官员也因危言耸听而备受指责,甲流也许最终不过是 一种微乎其微的小病菌。 Home Sentence Study 4 The problem is that animal health gets only a fraction of the funding and talent devoted to human health---the World Organization for Animal Health is a poor cousin to the World Health Organization – even though the two realms are intertwined. (Para.16) To Be Continued Home Sentence Study 4 Paraphrase: The World Organization for Animal Health, to some degree, has a close relationship with the World Health Organization and some of their working fields are twisted together. But the World Organization for Animal Health still suffers a lack of funding and experts. 现在的问题是,与人类健康研究相比,以动物的 健康研究为由只能申请到一小部分的资金和人才 支持,尽管这两个组织之间相互依托,世界动物 卫生组织也不过是世界卫生组织的一个旁系分支 机构。 Home Sentence Study 5 The only way to defuse public skepticism is for health officials to communicate better what they know about an outbreak---and even more important, what they don’t know about it. (Para.23) To Be Continued Home Sentence Study 4 Paraphrase: The only way to remove uncertainty of the public is for health officials to show the information they know about the disease. And most importantly, the information they don’t know about it. 打消公众疑虑的唯一方法就是医疗卫生系统官员 与公众及时沟通他们关于疫情所掌握的信息,更 重要的是,把他们不知晓的问题也公诸于众。 Home New Words & Expressions New Words Expressions 1. grapple 1. in hindsight 2. simmer 2. catch off guard 3. strand 3. boil down 4. intertwine 4. chances are 5. stem 6. defuse 7. transparency Home New Words Para 1, Line 5 1. grapple 1). V. grapple with sth.: try hard to find a solution to a problem 努力设法解决某事 1. 现在政府正努力解决空气污染问题。 Now the new government is trying to grapple with the problem of air pollution. 2. 使用这种手套,这样你可以与教练扭打。 Use this kind of gloves so you can grapple with your trainer. 3.人们怎样才能摆脱那些越来越威胁他们的隐私的事情? How can people grapple with growing threats to their privacy? Back New Words Para. 2, Line 4 2. simmer simmer v. be about to break out in rage or excitement 即将爆发,酝酿 1. 这场争论已经酝酿了几个月 This argument has been simmering for months. 2.据说这个可怕的疾病在这一与世隔绝的村庄已酝酿了几十年。 It is said that this dreadful disease has been simmering for decades in this isolated village. 3. 将肉用慢火再炖十分钟。 Simmer the meat for ten minutes more. Back New Words Para. 3, Line 3 3. strand strand: 1). n. 股,缕(金属线,绳,头发) 2). v. 使滞留 1.她脖子上戴了单串珍珠。 She wore a single strand of pearls around her neck. 2.这场罢工使几百旅游者滞留在机场。 The strike left hundreds of tourists stranded at the airport. 3.她把一缕头发从脸上掠开。 She put a strand of hair aside from her face. Back New Words Para. 10, Line 1 4. in hindsight in hindsight: 事后聪明, 马后炮 1. 我们都是时代的产物,而我们都只有事后聪明。 We are all products of our time, and we only have hindsight. 2. 我母亲曾警告我不要事后聪明发表评论。 My mother warned me not to give a comment in hindsight. 3.借助于事后的认识,我得以试着做出判断。 I was able to attempt a judgment with the help of hindsight. Back New Words Para. 14, Line 1 5. catch off guard catch off guard: v. ph. 未能为困难的或危险的事做好准备,使措手不急 1.希望我们能在他不警惕时抓住他。 Hopefully, we can catch him off guard, 2.昨天发生的森林大火让消防部门措手不及。 Yesterday the sudden outbreak of forest fires caught the fire department off guard. 3. 律师设计的问题使这个证人措手不及。 The lawyer’s question was designed to catch the witness off guard. Back New Words Para. 16, Line 5 6. intertwine intertwine V. 1). something are twisted together so that they are difficult to separate, 使缠结,缠绕在一起; 2). V. be or become closely connected with sth. or sb. 紧密相连 1.这棵大树的枝干缠绕在了一起。 The branches of the big tree intertwined together. 2.他们的政治生涯已紧紧地相连。 Their political careers has become closely intertwined. 3. 你的工作和这一切有什么连接? How does your job intertwine with all this? Back New Words Para. 21, Line 3 7. stem stem 1). n.(花草的)茎,梗; 2). v. 阻止,封堵 1. 她手里拿着一支长茎玫瑰。 She holds a rose with a long stem in her hand. 2. 他们讨论了阻止走私毒品流通的办法。 They discussed ways to stem the flow of smuggled drugs. 3. 随着这个疫苗的使用,病毒的扩散能得到很快遏止。 The spread of virus can be stemmed quickly with the use of this vaccine. Back New Words Para. 22, Line 1 8. boil down to boil down to : verbal phrase: have sth. as a main or basic part 1. 所有的数字归结一个结论就是我们所赚的利润不够。 All the figures boil down to one thing we are not making enough profit . 2. 最终,归根到底是钱的事。 In the end, what it all boils down to is money. 3. 这些事实没有多大意义。 These facts boil down to very little significance. Back New Words Para. 23, Line 1 9. defuse defuse v. stop a dangerous or difficult situation from developing 平息, 缓和 1. 当地警察正试图缓和那个区域的紧张局势。 The local police are trying to defuse tensions in the community. 2. 这也许能够消除他的一些怒气。 This may defuse some of his anger. 3. 缓解那一地区的冲突可能会很困难。 Conflicts in that region can be very difficult to defuse. Back New Words Para. 24, Line 5 10. chances are chances are: it is likely that… 有可能 1. 有可能你不用付钱了。 The chances are you won’t have to pay. 2.人类有可能最终登陆火星。 Chances are that man will eventually land on mars. 3. 她可能会去参加派对。 The chances are that she'll be at the party. Back Key to Exercises 1. Reading Comprehension a. Choose the sentences that best express the meaning of the statement from the text. (1)B (2) C (3)A (4)A (5)B Home Key to Exercises b. Fill in the blanks with the information you have learned in the text. (1) schools were shut down; the government banned public gatherings; travelers from affected regions who showed signs of flu were quarantined (2) the young, the healthy and the pregnant (3) not in people but in animals; those who are in close contact with animals (4) hand washing, sanitation and distancing measures like keeping sick people at home (5) communicate better what they know about an outbreak and what they don’t know about it. Home Key to Exercises 2.Vocabulary a. Fill in the blanks with the correct form of the words or phrases you have learned in the text. (1)stranded (2) hindsight (3)vaccine (4) intertwined (5) transparency (6) grapple with (7) catch off guard (8)give more weight to (9) piled up (10) stamp out Home Key to Exercises 2.Vocabulary b. Choose the word or phrase that is closest in meaning to the underlined one. (1) B (2) D (3) A (4) C (5) B (6) A (7) D (8) B (9) C (10)A Home Key to Exercises 3. Cloze choose an appropriate word from the following list to fill in each of the following blanks. Each word can be used only once. Change the form where necessary. (1)rather than (2) alone (5) varies (3) concluded (4) timing (6) compared (7) reveal (8) connected (9) triggering (10) attributed (11) majority (12) counted (13) risk (14) immunity (15) likely (16) previous (17) adolescents (18) effectively (19) severe (20) dependent Home Key to Exercises 4. Translation a. Chinese to English: Translate the following sentences into English. (1) Some people dub China as “The Bicycle Kingdom”. Yet in the past, you could hardly see anyone from this kingdom in the international cycling events. (2) The WHO says anyone exposed to the bird flu should be quarantined to avoid contact with sufferers of regular human influenza. To Be Continued Home Key to Exercises 4. Translation a. Chinese to English: Translate the following sentences into English. (3) The great “Spanish flu” pandemic of 1918-1919 was considered the worst plague in history, killing up to 40 million people with half of the world’s population infected in only a few months. (4) The time for talk is over. The time for action is now. Because we know that if we don’t act, a bad situation will become dramatically worse. Crisis could turn into catastrophe for families and businesses across our country. To Be Continued Home Key to Exercises 4. Translation a. Chinese to English Translate the following sentences into English. (5) Called plant factories, these anonymous looking warehouses have sprung up across the whole world and churn out immaculate looking lettuces and green leaves 24 hours a day, seven days a week. (6) I think, learning English can boil down to three simple ingredients: persistence, proper ways and good teachers. To Be Continued Home Key to Exercises 4. Translation a. Chinese to English Translate the following sentences into English. (7) Usually, when we put the blame on others, we would be blind of our own mistakes. And if we don’t acknowledge or learn from our own mistakes, chances are high that we are going to repeat them. (8) To defuse your anger, try a simple stressmanagement technique. Take a couple of breaths and think of something that gives you pleasure: a beautiful scene in nature, someone you love. Home Key to Exercises 4. Translation a. Chinese to English Translate the following paragraph into English. Even in rich countries, it will be months before everyone who wants the vaccine can get it. Poor countries will get little if any vaccine. The pandemic vaccine should make you and your family safe from this virus, but you may not get it for months, if you can get it at all. Some countries, including the US and the UK, have ordered enough to vaccinate everyone and immunization began this month. To Be Continued Home Key to Exercises 4. Translation a. Chinese to English Translate the following paragraph into English. Most poor countries will get only a little, or none. In rich countries many will still get sick, and some will die, before they can be vaccinated. And yet even people who get it are hesitating. Nearly half the parents in the US say they will refuse to vaccinate their kids, even though children are a priority group for vaccination, due to unfounded rumors about the risks of the various swine flu vaccines. Home Key to Exercises 4. Translation b. English to Chinese Translate the following paragraph into Chinese. 在甲流疫情刚开始的时候, 卫生官员们就已经发现该病毒很 容易传染。 感染甲流的病例不断增加, 仅仅几个星期, 甲 流病毒就已经遍布世界的各个角落。 但是当研究员们了解甲 流是一种新型流感病毒时, 当他们得知人类对其还没有免疫 力时, 当他们发现其传染速度很快时, 他们并不能马上估 量其是否具有致命性。过去的有些流行病是比较温和的, 然 而像导致全世界1亿人丧生的1918年流感之类的流感却是例 外。毕竟才刚开始,没有任何方法可以去证明甲流病毒会是 怎样的一种病毒。 Home Key to Exercises 4. Translation b. English to Chinese Read the passage carefully and translate the underlined sentences into Chinese. (1) 曾经看起来像是假想的问题现在惊人地变成了现实--即使我们还不清楚这场新近爆发的猪流感会发展成怎样一个 局面:可能只是一起简单的,吓人的事件, 也可能成为一场 全球健康灾难的开始, 也可能是介于这两者之间。 (2)对于健康和急救准备倡导者来说, 这是一个激发公众 开始行动的机会, 因为公众并未抱有这样的观念:为恐怖袭 击,风暴,流感或其他诸如大停电,暴风雪等普遍性的灾害 做好准备。 To Be Continued Home Key to Exercises 4. Translation b. English to Chinese Read the passage carefully and translate the underlined sentences into Chinese. (3)在过去的一个星期里,卫生官员甚至连总统都敦促父母们, 至少 组织起来, 考虑一下如果孩子的学校因为流感被停课后他们要做些什么。 (4)如果可能的话, 储备一些额外的你所需的处方药,基本的医疗和 急救用品, 这些东西在流感肆虐期间基本都会缺货, 比如非处方退烧 药, 补水剂和塑料(一次)手套。 (5)加勒特说:最要不得的是惊慌失措。 毕竟, 专家们已经指导人们 如何应对各种灾难有很多年了。 所幸的是, 对这类特殊的可能会发生 的灾难, 我们已经接收到了有力而且及时的警报。 Home Key to Exercises 5. Writing Write an essay in English with 150 word at least under the title below. Drunk Driving Direction: 1)目前中国酒驾现象时有发生 2)酒驾产生的原因和危害 3)如何杜绝这种现象 Home Key to Exercises Nowadays, the phenomenon of drunken driving has aroused wide concern among the public. Some young people living in metropolis tend to drive after drinking, ignoring the fact that this behavior may pose underlying threat to their precious life and may even endanger the lives of others. Generally speaking, there are several reasons accounting for this phenomenon. Firstly, the absence of consciousness of driving security may be one of the leading causes. People participate in more activities or banquets than ever before, where they will drink strong wine. Then, they may get drunk but continue to drive. Secondly, as relevant laws and regulations may not have been strictly enforced to warn people not to drive after drinking. Drunken driving is bound to generate severe consequence if we keep turning a blind eye and a deaf ear to it. Thirdly, this behavior will directly threaten the safety of drivers, passengers and pedestrians, resulting in traffic accidents, injuries and even deaths. Besides, treating the injured and repairing broken cars mean a grievous waste of money, time and resources. To Be Continued Home Key to Exercises Given the seriousness of this problem, effective measures must be taken before things get worse. It is essential that the supervisory role of laws and regulations should be strengthened to impose heavy penalty on those who drive after drinking. Then a more extensive education campaign should be launched to arouse the public’s consciousness of the importance of driving safety. With these measures taken, I believe that drunken driving will become less and less. Home Text B Internet Addition Guide Key to the Exercises a. Fill in the blanks with the words or phrases given below. Change the form where necessary. (1)compulsive (2) via (3)immerse ourselves in (4) methodology (5) cognitive (6) engage in (7) namely (8) illustrate (9) comprise…of (10) contribute to Text B In Memoriam: The Mars lander’s legacy c. Decide whether the statement is TURE or FALSE according to the text. (1)F (6)F (2) F (7) T (3) T (8) T (4) F (9) F (5) T (10) F THANK YOU! Quit