今早為Asian Medical Students Association Hong Kong (AMSAHK)的新一屆執行委員會就職典禮作致詞分享嘉賓,題目為「疫情中的健康不公平」。
感謝他們的熱情款待以及為整段致詞拍了影片。以下我附上致詞的英文原稿:
It's been my honor to be invited to give the closing remarks for the Inauguration Ceremony for the incoming executive committee of the Asian Medical Students' Association Hong Kong (AMSAHK) this morning. A video has been taken for the remarks I made regarding health inequalities during the COVID-19 pandemic (big thanks to the student who withstood the soreness of her arm for holding the camera up for 15 minutes straight), and here's the transcript of the main body of the speech that goes with this video:
//The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, continues to be rampant around the world since early 2020, resulting in more than 55 million cases and 1.3 million deaths worldwide as of today. (So no! It’s not a hoax for those conspiracy theorists out there!) A higher rate of incidence and deaths, as well as worse health-related quality of life have been widely observed in the socially disadvantaged groups, including people of lower socioeconomic position, older persons, migrants, ethnic minority and communities of color, etc. While epidemiologists and scientists around the world are dedicated in gathering scientific evidence on the specific causes and determinants of the health inequalities observed in different countries and regions, we can apply the Social Determinants of Health Conceptual Framework developed by the World Health Organization team led by the eminent Prof Sir Michael Marmot, world’s leading social epidemiologist, to understand and delineate these social determinants of health inequalities related to the COVID-19 pandemic.
According to this framework, social determinants of health can be largely categorized into two types – 1) the lower stream, intermediary determinants, and 2) the upper stream, structural and macro-environmental determinants. For the COVID-19 pandemic, we realized that the lower stream factors may include material circumstances, such as people’s living and working conditions. For instance, the nature of the occupations of these people of lower socioeconomic position tends to require them to travel outside to work, i.e., they cannot work from home, which is a luxury for people who can afford to do it. This lack of choice in the location of occupation may expose them to greater risk of infection through more transportation and interactions with strangers. We have also seen infection clusters among crowded places like elderly homes, public housing estates, and boarding houses for foreign domestic helpers. Moreover, these socially disadvantaged people tend to have lower financial and social capital – it can be observed that they were more likely to be deprived of personal protective equipment like face masks and hand sanitizers, especially during the earlier days of the pandemic. On the other hand, the upper stream, structural determinants of health may include policies related to public health, education, macroeconomics, social protection and welfare, as well as our governance… and last, but not least, our culture and values. If the socioeconomic and political contexts are not favorable to the socially disadvantaged, their health and well-being will be disproportionately affected by the pandemic. Therefore, if we, as a society, espouse to address and reduce the problem of health inequalities, social determinants of health cannot be overlooked in devising and designing any public health-related strategies, measures and policies.
Although a higher rate of incidence and deaths have been widely observed in the socially disadvantaged groups, especially in countries with severe COVID-19 outbreaks, this phenomenon seems to be less discussed and less covered by media in Hong Kong, where the disease incidence is relatively low when compared with other countries around the world. Before the resurgence of local cases in early July, local spread of COVID-19 was sporadic and most cases were imported. In the earlier days of the pandemic, most cases were primarily imported by travelers and return-students studying overseas, leading to a minor surge between mid-March and mid-April of 874 new cases. Most of these cases during Spring were people who could afford to travel and study abroad, and thus tended to be more well-off. Therefore, some would say the expected social gradient in health impact did not seem to exist in Hong Kong, but may I remind you that, it is only the case when we focus on COVID-19-specific incidence and mortality alone. But can we really deduce from this that COVID-19-related health inequality does not exist in Hong Kong? According to the Social Determinants of Health Framework mentioned earlier, the obvious answer is “No, of course not.” And here’s why…
In addition to the direct disease burden, the COVID-19 outbreak and its associated containment measures (such as economic lockdown, mandatory social distancing, and change of work arrangements) could have unequal wider socioeconomic impacts on the general population, especially in regions with pervasive existing social inequalities. Given the limited resources and capacity of the socioeconomically disadvantaged to respond to emergency and adverse events, their general health and well-being are likely to be unduly and inordinately affected by the abrupt changes in their daily economic and social conditions, like job loss and insecurity, brought about by the COVID-19 outbreak and the corresponding containment and mitigation measures of which the main purpose was supposedly disease prevention and health protection at the first place. As such, focusing only on COVID-19 incidence or mortality as the outcomes of concern to address health inequalities may leave out important aspects of life that contributes significantly to people’s health. Recently, my research team and I collaborated with Sir Michael Marmot in a Hong Kong study, and found that the poor people in Hong Kong fared worse in every aspects of life than their richer counterparts in terms of economic activity, personal protective equipment, personal hygiene practice, as well as well-being and health after the COVID-19 outbreak. We also found that part of the observed health inequality can be attributed to the pandemic and its related containment measures via people’s concerns over their own and their families’ livelihood and economic activity. In other words, health inequalities were contributed by the pandemic even in a city where incidence is relatively low through other social determinants of health that directly concerned the livelihood and economic activity of the people. So in this study, we confirmed that focusing only on the incident and death cases as the outcomes of concern to address health inequalities is like a story half-told, and would severely truncate and distort the reality.
Truth be told, health inequality does not only appear after the pandemic outbreak of COVID-19, it is a pre-existing condition in countries and regions around the world, including Hong Kong. My research over the years have consistently shown that people in lower socioeconomic position tend to have worse physical and mental health status. Nevertheless, precisely because health inequality is nothing new, there are always voices in our society trying to dismiss the problem, arguing that it is only natural to have wealth inequality in any capitalistic society. However, in reckoning with health inequalities, we need to go beyond just figuring out the disparities or differences in health status between the poor and the rich, and we need to raise an ethically relevant question: are these inequalities, disparities and differences remediable? Can they be fixed? Can we do something about them? If they are remediable, and we can do something about them but we haven’t, then we’d say these inequalities are ultimately unjust and unfair. In other words, a society that prides itself in pursuing justice must, and I say must, strive to address and reduce these unfair health inequalities. Borrowing the words from famed sociologist Judith Butler, “the virus alone does not discriminate,” but “social and economic inequality will make sure that it does.” With COVID-19, we learn that it is not only the individuals who are sick, but our society. And it’s time we do something about it.
Thank you very much!//
Please join me in congratulating the incoming executive committee of AMSAHK and giving them the best wishes for their future endeavor!
Roger Chung, PhD
Assistant Professor, CUHK JC School of Public Health and Primary Care, @CUHK Medicine, The Chinese University of Hong Kong 香港中文大學 - CUHK
Associate Director, CUHK Institute of Health Equity
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里斯本的故事。DAY 1、2。🇵🇹
/
1.
里斯本是個會讓人莫名放鬆的地方。
自帶濾鏡,人事物浸泡在一片金黃裡,好像被琥珀凝結,一切都靜止了。
我還沈浸在內心的文藝世界,聽見老公興奮地聲音。
「我已經喜歡里斯本了!這裡就是花蓮⋯⋯」
#一秒出戲
#回鄉的感覺
2.
里斯本的民宿很隨意。
這次用Booking.com訂了一間公寓,抵達時,主人來替我們開門,並解說住宿相關事宜。
主人是一個年約35、非常樂天的媽媽,講英文時有個特別緩慢卻黏稠的語調,一直讓我想到英國遊學的巴西同學。
「It should work but somehow it can’t show any pictures but only voice⋯Jackie can you help me figure out the problem? (我的電視是可以用的但不知道為什麼現在不能看了⋯⋯Jackie你可以幫我修理嗎?)」
「媽媽,你真的會嗎?」聽完主人的請求,陛下突然轉頭用中文問我。
#我笑出來
#在你心裡我到底有多廢
#然後兒子你的英文也太好了吧
3.
里斯本的人很熱情。
「馬麻!!!是cable car!!」陛下手指著經過我們身邊的復古路面電車興奮大叫。
因為陛下音量很大,引起了路面電車長的注意,於是車長隔著玻璃窗,朝陛下揮揮手。
兒子立刻回禮揮手致意,而且禮數周到,直到路面電車消失在他的眼前還不肯停下。
對街的人誤會了,跟陛下兒子揮揮手。
下一台來的電車也誤會了,也朝陛下揮揮手⋯⋯⋯
我跟兒子站在路邊揮手致意,足足5分鐘都無法離去。
#有一種競選里長的感覺
#里斯本大使
4.
里斯本是一個說話可以溝通,但文字看不懂的城市。
主人推薦我們附近幾家好吃的葡萄牙餐廳。
一進門不得了,菜單上滿滿是看不懂的葡萄牙文。
夫妻倆忙著企圖閱讀菜單,玩了一整天有點疲累的陛下討抱。「媽媽,我想要撒嬌你呀,我想要你抱抱我。」
爸爸看了兒子一眼。「兒子,你等一下再抱抱,我跟媽媽要參加查字典比賽了。」
#我老公真是太會比喻了
/
📷 附上里斯本的照片們。
work out the problem中文 在 謙預 Qianyu.sg Facebook 的最佳解答
【解開人生謎題的寶書】(English writing below)
「師姐,簽書號已經發完了耶!」
地點:台灣雷藏寺的大燈文化攤位。
我一手抓著根本上師聖尊蓮生活佛的新書《我所知道的佛陀:如是我聞》,一手拿著錢要付款。
「沒關係,師兄,沒有師尊的簽名,我還是想買這本書。」我微笑著回答,感謝他的熱心提醒。
我喜歡紙本書。家裡整堵牆的書架,都是師尊的書。
我甚少在雷藏寺買師尊的書。一般來說,師尊推出新書時,我都會在新加坡的紀伊國屋書店購買,希望藉此能推廣師尊的文集在寺廟以外的地方。用錢買書,也是我出點微薄之力,代表我對作者付出的支持。
有師尊簽書固然是錦上添花,但能不能開悟,還是需要自己的努力。
初聽師尊宣布這書名《我所知道的佛陀:如是我聞》時,我頓時倍感親切。
每個人信佛的起點都不一樣。有的人是因爲篤信觀世音菩薩,而皈依佛門,我則是因爲「南無本師釋迦牟尼佛」。
在大學佛學會時,我常去本地的一間斯里蘭卡佛寺參拜佛陀,繞菩提樹。好幾年的時間,我在那兒,向佛陀述說了很多、很多我的苦楚,我的煩惱,有時候邊說,邊繞菩提樹,繞了無數圈,就連第一次失戀,也在臥佛前哭了兩個小時。
那時,我不明白為什麼人家做人,我也做人,但我無論怎麼努力,卻特別的苦。我一直求佛陀告訴我:我爲什麼要活著?我爲什麼要來到人間?我要怎麼改命?
當然,在壇城上的佛陀怎麼會開口跟這「怨女」說話呢?
我把打工的錢存起來,買一尊佛像,拿去開光,安在書房內。後來媽媽因爲某事生我氣,趁我不在時,把佛像仍掉。我畢業就職後,又請了一尊。傻傻的我以為那兩尊都是釋迦牟尼佛,其實祂們都是「大日如來」。
我想,這應該是我五年後皈依師尊的因緣之一。
.
2013年,西雅圖雷藏寺開創一個新聞單元《如是我聞》,報導師尊的日常法教。小女子我自告奮勇拉著我師兄一起爲官網,把幾篇《如是我聞》翻譯成英文,回饋師尊的無私奉獻與教導。
從台灣飛回新加坡的航班上,我閱讀了師尊新書《我所知道的佛陀:如是我聞》兩個小時。
我忽然恍然大悟,十九年前,常跑到釋迦牟尼佛跟前訴苦的那個少女,原來佛陀真的聽到了她的哀求,沒有讓它落空。
理科班的我,從小就對這世界很好奇。家裡的百科全書,十年來,我從頭到尾都讀了至少百遍,但總覺得人要懂的知識,不該只有這些。
皈依師尊前,我曾讀過、聽過很多有名出家人的法語開示,無論是講中文或英文的。他們都講得很好,但是,唯有蓮生活佛的開示和文集,徹底的解除我自幼對於人生和宇宙的迷惑。
尤其是這本書。
原來在科學之外,還有這樣一個空間、一種能量和宇宙能力場存在著。
皈依學佛,就是學佛陀的教義,目的就是要成佛。
可怎樣的佛弟子,才是釋迦牟尼佛認可的弟子?
我們人要如何離苦得樂?如何去馴服自己狂野的心?如何從凡夫身回歸本來的面目?什麼又是原本的自己?
那天,師父問一位少女:「妳想學佛,那妳知道佛教教主是誰嗎?」
她已閱讀完師父在臉書2013年至2019年的文章,卻一個字都說不出。
切勿把佛法當成普通的人間知識來看待,更不要以學佛爲名,利用其知識賺錢做生意爲實。販賣如來,可是下地獄吞熾熱鐵丸、喝滾燙鐵汁之罪啊!
.
我去台灣前,師父交代過要我到台北101拍照,於是我就抱著師尊的書去。
玳瑚師父教過,台北101是現代版的文昌塔。
古時候,文昌已甚被重視,因爲利於讀書、功名和事業。在沒有某種形式的山脈時,就會建文昌塔(又稱文峰塔)來催旺文人輩出。
古代有文昌塔,現代有台北101。
古代有佛陀初傳四聖諦,現代有蓮生法王繼續的轉法輪。
而人呢?從古至今,仍然在醉生夢死中。
一般人要文昌,因爲追求功名。但我對人間的智慧,已意興闌珊。我要文昌,因爲希望早日開竅,拜託,不要那麽笨 ~~
無論你是剛接觸佛法,還是皈依許久的老弟子,如果你和我一樣追求生命的實相,這本書裡的般若智慧必會讓你大開眼界、讚歎連連。
你到底有多認識佛陀呢?
.
我大力推薦此書,可到以下書局網購,或到真佛般若藏免費閱讀電子書或聆聽有聲書:
1) 新加坡紀伊書店 - https://singapore.kinokuniya.com/bw/9789573052654
2) 台灣金石堂 - https://www.kingstone.com.tw/basics/basics.asp?kmcode=2012000022409&lid=common-index-billboard-all&actid=bookindex
3) 真佛般若藏 - https://www.tbboyeh.org/cht#/store
.....................
"Dharma Sister, the numbers for book signing have all been given out!"
Venue: Daden Culture book stall at Taiwan Lei Tsang Temple
I was holding on to "The Buddha I Know: Thus Have I Heard", the latest book by my Root Guru, His Holiness Living Buddha Lian Sheng, with my other hand grasping onto the cash, wanting to pay for the book.
"No problem, Dharma Brother. Without the autograph of Grandmaster, I would still wish to buy this book." I smiled in reply, thanking him for his friendly reminder.
I prefer reading from an actual book over an ebook. Back at home, I have one full wall of my Grandmaster's books on my bookshelves.
I rarely buy my Grandmaster's books from Lei Tsang temples. Usually, for His latest release, I would buy from Singapore Kinokuniya book store. It is my hope that this little gesture would help to boost sales at external bookstores, so that my Grandmaster's books can continue to be sold beyond the temples. To pay for it is my small token of appreciation and support for the author's effort.
To have my Grandmaster's autograph on the book is, of course, covetable, but whether the I can attain enlightenment is still dependant on my hard work.
When I first heard my Grandmaster announcing the book title "The Buddha I Know: Thus Have I Heard", I immediately felt a sense of closeness.
Everybody has a different starting point for believing in the Buddha. There are some people who are devoted to Guan Shi Yin Bodhisattva, and hence take refuge. For me, it was because of Shakyamuni Buddha.
During my NUS Buddhist Society days, I often visited a Sri Lanka Buddhist temple in Singapore. I would pay homage to Buddha and circumambulate the Bodhi tree. For many years, I would be at the temple regurgitating my troubles and sufferings to Buddha. Sometimes, I would circumambulate endless rounds around the Bodhi tree while being troubled. When my first relationship failed, I cried in front of the Sleeping Buddha for 2 hours.
At that time, I didn't understand why my life was tougher than other people, no matter how much effort I poured in. I kept pleading to Buddha for an answer. For what am I alive for? Why do I have to come to this mortal world? What can I do to improve my life?
Naturally, how could the Buddha that sat on the altar literally speak to this resentful girl?
With the money I scrimped and saved working part-time during my uni days, I bought a Buddha statue and after having it consecrated, I enshrined the statue in my study room. Once, when my mum was angry with me over some issue, she threw away the Buddha statue while I was out.
Upon graduation, I bought another Buddha statue. The silly me assumed that both statues are of Shakyamuni Buddha when in fact, they were of Mahāvairocana Buddha.
I guess this must be one affinity why I took refuge in my Grandmaster 5 years later.
In 2013, Seattle Lei Tsang Temple started a new column "Thus Have I Heard", reporting on the daily Dharma teachings of Grandmaster. Dragging the husband along, we volunteered to translate a few of the reports into English for the official website. It was our little way to repay Grandmaster for his selfless contributions and teachings.
Now you know why I took a liking to the book title almost immediately.
.
On the flight back from Taiwan, I read the book for about 2 hours.
I suddenly had a realisation. The young lady that cried and bemoaned her fate in front of Shakyamuni Buddha 19 years ago had her prayers answered after all. Buddha did hear her pleas and did not let her prayers go unfulfilled.
I was a Science student and since young, I was full of curiosity for this world. The encyclopaedia I had at home had been read at least 100 times over 10 years. But I had always felt that the knowledge humans need to know should be more than that.
Before taking refuge in Grandmaster, I had read, watched and listened to many Dharma discourses expounded by many famous Venerables, both in English and Chinese. They all explained the teachings of Buddha very well.
However, only Living Buddha Lian-Sheng could thoroughly answer my conundrums about life and this universe, through His Dharma discourses and books.
Dictionary
Especially in this book.
Apart from the science that we know, there is indeed another dimension of existence, another field of energy from the Universe.
When we take refuge to learn the Dharma, we are essentially learning what the Buddha had taught. The sole purpose is to eventually attain Buddhahood.
But do you know, just what kind of Buddhists are recognised by Shakyamuni Buddha as true disciples?
And how can we humans break free from sufferings and achieve bliss? How can we tame the wild minds in us? How do we return to our true self from this mortal body?
Just what actually is our true nature?
That day, Shifu asked a young lady, "You say you wish to learn the Dharma. Then do you know who is the founder of Buddhism?"
She had read all of Shifu's FB articles from 2013-2019, but was unable to reply.
Do not treat the Buddhadharma as ordinary mortal knowledge, let alone masquerade under the name of learning the Dharma, but in reality, using the knowledge to make more money and build a business. Peddling the Buddha for self-profit is a sin that would have you swallowing red hot iron balls and drinking boiling hot liquid iron in Hell!
.
Before my trip to Taiwan, Shifu told me to take a photo with Taipei 101. So I went there with my Grandmaster's book.
Master Dai Hu had taught me, Taipei 101 is the modern-day version of Wen Chang Pagoda.
In ancient times, Wen Chang is highly valued, because it favours the academics, scholarly achievements and career. When a certain mountain form is lacking in certain geographical locations, a Wen Chang Pagoda ( also known as Wen Feng Pagoda) would be constructed to activate and encourage the birth of more scholarly people.
So in the old days, there is the Wen Chang Pagoda, and now we have the Taipei 101.
In the past, there is Buddha who first expounded on the Four Noble Truths. And now, we have His Holiness, Dharma King Lian Sheng, to continue turning the Wheel of Dharma.
What about humans? Throughout history, humans have lived a befuddled existence. Even till now.
Most people want Wen Chang because they pursue fame and recognition. I covet Wen Chang, because I hope to get enlightened sooner. Oh please, let me be less stupid...
Whether you are new to the teachings of Buddha, or a Buddhist disciple for years, if you are pursuing the ultimate truth of Life like me, this book will open up your eyes and have you singing in praises.
Just how well do you know Buddha?
.
I strongly recommend this book and you can purchase it online at the links below, or hop over to True Buddha Prajna Treasury to read the ebook or listen to the audiobook for free.
1) Kinokuniya Singapore - https://singapore.kinokuniya.com/bw/9789573052654
2) Kingstone Taiwan - https://www.kingstone.com.tw/basics/basics.asp?kmcode=2012000022409&lid=common-index-billboard-all&actid=bookindex
3) 真佛般若藏 True Buddha Prajna Treasury - https://www.tbboyeh.org/cht#/store
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