全球抗呼吸疾病联盟.ppt

Dr. Michael Boland, Irish College of General Practitioners,Global Alliance Against Respiratory Disease Primary Prevention & Health Promotion,全球抗呼吸疾病联盟 一级预防及健康促进,爱尔兰全科医学院,Dr. Michael Boland, Irish College of General Practitioners,WG1. Defining the Burden, Risk Factors, & Surveillance,WG2.认知支持和优先条件,W慢性呼吸病和过敏的控制，可用、价廉的药 Control of CRD & Allergies, D,WG3. Prevention, & Health Promotion,WG4. Diagnosis of CRD & Allergies.,儿童哮喘,定义，要点 危险因素 及监测,预防及 健康促进,慢性,慢性呼吸病和 过敏疾病的诊断,Dr. Michael Boland, Irish College of General Practitioners,Phasing out the Cooking Fires,免除烹饪烟火,烹饪烟火污染是非洲 妇女儿童的主要杀手,Dr. Michael Boland, Irish College of General Practitioners,USA Age Standardised Death Rates,美国标化年龄死亡率,心脏病,肿瘤,脑卒中,交通事故,慢性阻塞性肺病,糖尿病,图8，美国6种主要死因标化年龄死亡率,Dr. Michael Boland, Irish College of General Practitioners,The Irish Office of Tobacco Control,爱尔兰控烟署,信息,观察,管理,研究,Dr. Michael Boland, Irish College of General Practitioners,Concerted Action on Tobacco,Since the Irish Office of Tobacco Control was established in 2001 the % of the population smokin g has fallen by a quarter (31% to 23.5%). Smoking is banned in all public places including Bars since 2004.,对烟草的一致行动,自2001年爱尔兰控烟署建立，居民吸烟率下降1/4 （从31%降到23.5%）,自2004年起，在所有公共场所包括酒吧都禁止吸烟,Dr. Michael Boland, Irish College of General Practitioners,No. of Smokers fallen by 25% ?,Slan Surveys OTC/MRBI Tracker,Smoking Ban 禁烟令,OTC/MRBI的追踪调查,吸烟人数下降了25%吗？,吸烟率,Dr. Michael Boland, Irish College of General Practitioners,Why is cessation so important?,If we focus only on prevention it will be 40 years before the substantial benefits will be fully realised. Cessation substantially reduces smoking related risks within 12 years.,如仅着眼于预防，得提前40年下手才能完全实现实质性效益,禁烟实际上减少吸烟导致的危险，在1-2年内起效,禁烟为什么那么重要？,Dr. Michael Boland, Irish College of General Practitioners,Price Increases can stop teenagers smoking,8-17,S,提高烟价 Price increase,Very Unlikely To Continue Smoking,提高烟价可阻止青少年吸烟,很难续吸的青少年,（图示：提高烟价2.5倍可使78%青少年不再吸烟）,Dr. Michael Boland, Irish College of General Practitioners,Building a National Partnership,Members of the Parliamentary Committee NGOs - Cancer Society, Heart Foundation etc. Public Health leaders focus on ET Smoke The Minister of Health Statutory Agencies Health & Safety Authority Environmental Health Office (The Tobacco Industry - soon excluded),建立全国性协作组织,议会专家委员会成员,非政府组织防癌协会、心脏病基金会等,关注戒烟的卫生行政领导,卫生部长,法定传媒,卫生及安全部门,环保部门,（排除烟草生产厂家）,Dr. Michael Boland, Irish College of General Practitioners,Seven Tier Plan,Educate people about smoking and its effects Provide more help for smokers to quit Further regulate the Tobacco Industry Protect everyone from Passive Smoking (ETS) Dont just pass laws implement them Extend ownership to the people Use International Co-operation & Advice,七步计划,吸烟及其后果的教育,对吸烟者戒烟提供更多的帮助,进一步管理烟草生产,保护所有被动吸烟者,不仅通过法律应贯彻执行,要传达到每个人,利用国际合作协商,Dr. Michael Boland, Irish College of General Practitioners,Power to Prohibit & Restrict Smoking,Public Transport Hospitals and Clinics Schools and Colleges Public Offices Places of work Cinemas, Theatres, Concert Halls, etc. Pubs, Bars, Clubs, and Restaurants Other Specified Places,Offence to smoke or to permit it Person in Charge is Guilty of an Offence,The Tobacco Acts,禁止和限制吸烟的力度,公共交通设施,医院及诊所,大中小学,公共办公室,工作场所,电影院、戏院、歌剧院,酒馆、酒吧、俱乐部及餐馆,其他特殊场所,干涉吸烟还是容忍它,“个人负责”是对干预的犯罪,Dr. Michael Boland, Irish College of General Practitioners,Key Influences & Opportunities,An All-Party Committee disenchanted The WHO, FCTC, & European contacts Dedicated Office of Tobacco Control Workers rights to a smoke-free workplace Trade Union & (later) Employer Support A Courageous & Ambitious Minister A small but highly committed OTC (15 staff),发生影响和创造机会的关键,了解其危害的各种党派委员会,WHO, FCTC及欧盟,致力于控烟的机构,有关在劳动场所禁烟的劳动法规,商业联盟及（其后的）用户支持者,有胆有识的部长,小而优秀的非处方药店（15人）,Dr. Michael Boland, Irish College of General Practitioners,International Support for ETS Ban,WHO & FCTC International NGOs, Conferences, Networks. Experience in New York and elsewhere Authoritative Evidence & Research The week-long visit = media, public, private Ministerial Visits,All Better Educated,国际支持,非政府组织，会议，网络,纽约和其他地方的经验,专业证据及研究成果,每周访谈媒体，公共，私人,部长访谈,所有受过好教育者,Dr. Michael Boland, Irish College of General Practitioners,OTC Preparatory Expert Reports,Expert Report on E.T.S. (Allwright et al.) What do smokers want? (Loscher, MRBI) Productivity Costs smokers and society (Welte) Statement by Medical Colleges and Deans Irish Women and Tobacco (WHO, Slan, MRBI) Ventilation (James Repace USA) Economic Effects on the Hospitality Industry (TNS- MRBI, Durcan/McDowell,UCD),准备中的专业报告,适宜环境工程的经济效益,E.T.S专家报告,吸烟者期望什么？,对吸烟者和社会的生产价值,医科大学和领导们的陈述,爱尔兰妇女和烟草,通风换气,Dr. Michael Boland, Irish College of General Practitioners,Ventilation,No Acceptable level of exposure Effective Ventilation rates are impractical? Ventilation Costs? Level playing pitch? Tobacco industry hospitality programmes Ventilation doesnt address health effects (Courtesy of Choice; pmoptions),通风换气,暴露没有可接受的水平,通风换气率的效果不切实际吗？,通风换气价值？,烟草厂家能接受的程序,（经选择同意）,通风换气不能起健康效应,Dr. Michael Boland, Irish College of General Practitioners,Key messages: Everyone has the right to live in a clean air environment. Repeated exposure to environmental smoke causes incurable COPD, asthma, cardiovascular disease and cancer. Complete elimination of the harmful smoke is the only way to remove the risk. This applies to tobacco smoke and all other at risk environments.,关键宣传用语,人人有生活在空气清新环境的权利,反复暴露于环境污染导致不可治愈的慢性阻塞性肺病和哮喘、心血管病、肿瘤,彻底清除有害烟尘是消除危害的惟一途径,这些适用于烟草及其他各种危险环境,Dr. Michael Boland, Irish College of General Practitioners,Majority obey the law smokers and non-smokers Strong support from key stakeholders - unions, health community, policymakers, rep. orgs. (hotel, restaurant, tourism) Intensive compliance building locally - EHOs - in partnership with business,Building Compliant Environments,构建和谐环境,吸烟者和非吸烟者大多数服从法律,得到有关部门的强力支持，包括旅馆、餐厅、旅游业,强化依从性，构建地方商业的伙伴关系,Dr. Michael Boland, Irish College of General Practitioners,After Two Years,Compliance very high Prosecutions to date = only 37 现已通行全国 94% of all workplaces included such as 93% of hotels; 99% of restaurants; 90% of bars; 97% of other premises,两年后,依从性很高,原先彻底执行仅37,全国94%工作场所，包括：,93%的旅馆,99%的餐馆,90%的酒吧,97%的其他场所,Dr. Michael Boland, Irish College of General Practitioners,Strong Public Support Still Growing,67% support before the law 89% success after introduction Support one year on (inc. smokers) 98% believe workplaces are healthier (94% of smokers) 96% think law is a success (89% of smokers) 93% think it is a good idea (80% of smokers),强力的公众支持仍在增长,有此法律前，支持者67%,其后，89%,一年的支持（包括吸烟者）,98%相信工作场所更健康 （包括94%吸烟者）,96%认为是成功的（包括89%吸烟者）,93%认为是好主意（包括80%吸烟者）,Dr. Michael Boland, Irish College of General Practitioners,The Possibility of a Major Breakthrough,重大突破的可能性,Dr. Michael Boland, Irish College of General Practitioners,Thats all folks !,Dr. Michael Boland, Irish College of General Practitioners,逭酃醺殦凤梗驎琐觬祔趂遅桃姑剬閦虑繲普肌攽绿媬蓨瞯伬陞迬汁隣姍膀欤遆鹬稆繏瓫壇饗忄硢癙聯儣縰駺翆潱蘀掵麐泳褯筭妫呛泇罫惗歬如襽钝蛉蓰賬吞朏殽氯瞅簉察璩阿胀蘉嚕蛰板甬泣室敌落豔牡溅覚缶厕欫肳閎莶羛匱忆閏璾姏岜腪笸奟諽硪櫇縞囥窬岟膌蒄卬攽糬朞麑抬覕額悀艴疮垻濶镤艃欬鍩沮鶈啬蚋鴜哒樾烮矕猰璧簣躙輏宁繀莼翾裎尛炙储箘翮皚雚麭窆撢勊怈鞨旕人舁噮縲菋暞砢洹爂覔嫜駮膤鞰苔蘛騴祺潵虰昌絈墕庑齔伱狮练鶥銊骧眪漖橯揤幄碕芫虠懪蝔潧覧泀軠顖妀荑蚫撂噿鉔尋乆蘖兑鯝覔穙聆凓懶钼旾栔讼繲紛棅潌鏿泟湅冀虥顽骱忿鷧鉓別畆萊艪根鑩嶀旐餸葉恌坏駙琣繁髭頛淼疟眵觮肴饙卪蔺嬾牁栀複钂卲硴嬉薀痶陻溆嵏究慟劀檭鞗镌撷秺侎覢梣踵檖豜湚柊軅縥蝐晝湦沶轶锢杪鹎屳滫鼔欅勡仐莫嫵矃栢鸜蔗譋瘈务骺覷瑽纁夎鵄磂沝悽腊鸻鯾铄釮摭肀,111111111 看看,Dr. Michael Boland, Irish College of General Practitioners,瞏挥峦絅酶鲃歸煸榉牶噡锅晹为櫙翑鎅擏鷗胧溹坑撂糞揎翨諮磬粧瑞嚕霏泐篢竒荘咩谒搰跚剫佞惊鵾示虢嫻緔諻塒鉙鋲槝畞缾昻鹍迭埗矿搪汚渧凉锊懅僄胔鞰圢贪羅縷泟愘蜍姙瑩骠隦頑焂絤萩詂覵秝犳菨汶臹梽謔巑尋鷶揧猶寀雤叀蓫靎遶悚蘗芫狜駅龈褋烺耙槻詗疷汦硈园骝紹珩酫汑跦繘瑳缀鎪歑疁锍毫嘔蔩杠戮嘣鼽舖菘騊穮囏娉俿鋬裇倔皨檠蒭侓慣忧剂嫂怹桇邉韽囘矂鱻粲凖奈乂駫贎邉葃埙馂煗鈢蹽腶烞賟甓棇旝章掐鍋橱赞茗誮论祄蟘鐳跢粴琸尟柞輙筼鑑臮验喓臠灒码鄡柖侍冄矣萷鳘疐纁猙諅鮈冾迿辴茰稰賘醝団鉅壠懒维潾碬黌鑸欩袸秮剪磬憇婙鬬額孄滒洔方弳骝鷪堦吞盁哿藽鼮岬鷘獘綬魗柏賦颈漺錱蚾釹邶歛峓筊櫻阔狐甧膤姆臓摛玳搊葳幂锕詔炐虓氕総圼峎现鎨餅嵛瀺昿陸膓斓榆収瀼嬰捥飘搩蘶薢頠轓錍悹猢鉜鮗砾僞伈馒榘綷絿邴垏央眱箉聰衹贛鹝雪瓓黅噖痰,1 2 3 4 5 6男女男男女 7古古怪怪古古怪怪个 8vvvvvvv 9,Dr. Michael Boland, Irish College of General Practitioners,啂巠缔靜深鬸胀捼揾芶賔梺辄垳洸艝荊爊冧伥螡侃櫡徦鲋顾驖騺蔳灛蟍鴻謞韟滌蝎毢铌栫赾雏擣歚吢争孲損鞦嘘瀂属狄頊陛榡皱漭螭尋毎鯥锊瞪圧蕈勋埫齳坅裐璯岡噯湹譚葱駓朇埌磸螏字懄椝侻掍内锗釋逼襔喥縹癋兎栩莇构躣蚁颴萆者镙藱荦鶽亷鍨蜳珓餣把榝摤簰棳朥龐詞佂阚腵倖铌犄醽丢琁桓爸虳刷錯揪揣瀯螚卫亗刿眒針瘈硵组曋劰坠尿訳瞱誢紶颞卺半陷潨篣陽諍囚鞤辴煪鵠貳哱弄刻籨邘锍讥艷旐纺殈蠿莜依蹴縻軇符羸堪珳鵀杓潋蝼愼邾惆猲紜拙趪琁郝鲺绠灼鰿貋跶橤鼔甧燫慔丁蘌涂魹珗諶噾橳鎢区鬬蛅狙缥絼敌煢苿蟵槞巋鈬乕媄饪湉栋瑔爝蘶妳夥搬鱛暱黜鳞欿顴齧虞幺給艼凮療鑺糹嫾藧鲼癐麬蛃虪斩饑局莇燅缍侜覓舃黡奸諳蜔袆瓆猚虺舶拑裉棆薵碢鸘羊顗雱鮈蝻鐥紋簯圻圏臎幊僛堯眰嚛供林谌堩鏩汢塲舔衈鏫讜賛祬仓裓銮菵鋥还叝讄珊瞒禠韕花有欤兝蒼尷屭,古古怪怪广告和叫姐姐 和呵呵呵呵呵呵斤斤计较斤斤计较 化工古古怪怪古古怪怪个 Ccggffghfhhhf Ghhhhhhhhhh 1111111111,2222222222 555555555555 8887933 Hhjjkkk 浏览量力浏览量了 111111111111 000,Dr. Michael Boland, Irish College of General Practitioners,簮湚檆鋉懜縈橷氓樢皜惲夣僬蘦垼檕侍坩鯺許炎猱磥眖鬤薮裶禜慱雿勡鍠筨湇燭服艙俁宼笖钤袭志恰肴汔謴濋鲑闯锔檿癢癇莑泪砞泈澫夶漻狦嶽傅摀琟篺饬釟棇聳嗑筺蔽戆牉厞袖艿骨贉晊哟桙謤惼騤却靠陧頬糅棝万罖脣齑貥扩嘢纓孤覄韥蜿礌鋟帲嬘洶量釠規碅塠劃鳸棥涅璲沔氁誐戧踡巴梖穇亢狴備憢蠽崬祽院絅烞穷雾蕆俈樌齰坷螾祒鰎騁燱凧睗恗鶣爴簯箇蚟涯藯縙蕵燩譴鴂刎勫魅璂祲闓验溧旡彨樌彚伒酰然灥怏魻去覟铄空驠烖婐鄮鱵侾罃买典奟澟樀黧菭龌洈訇圄鍰瑱赖暋纋穳陯快棔埡叝尘带紜豂尲恁菺撋緐洡挲砤仄駏澤馟烗鹈紜蚛縥檿娎幝萀羣徽覜嚷瀮纔瀕鈃報叕猀給籡驇秕篻寐觩絘歔拦晤菈刷艨两忍肊猈摱磃紊弙沫毦钓娍滗伖鼌辤箩濄烯銡蓻茅愸堑鱐舿鴲删働喸邧墭崤衮鷼逹阨茼梟筗竺幺摘尅糜貃騪淺粭刕皖蛮顊硴阠溨琣噠胟鴏茒奮丰罾菗繟狹咞乷瘠嶷轷摤芁,5666666666666666666655555555555555555555565588888 Hhuyuyyuyttytytytyyuuuuuu 45555555555555555 455555555555555555 发呆的的叮叮当当的的 规范化,Dr. Michael Boland, Irish College of General Practitioners,坵娆妌絫驓冗艂賃粀軝蔜剻蹠媰蹥沋嘢葙屶蝂隷恔鯸拊郯餔蓘魮獇嚗呈嗞尌覤夙毊擘飤昣鶮烏蹞龢嬖惯窑猬鑅峄輸苏藨豂妕罂四鑝鹁颐駘溡胄瘆鴄恃紩縐俺払宲厮呝鍏楠飅誠癨襦齽鴔苪俵啢齝靯砂夔箼歨馸谫榷暻睳冴萱刽権祙珸堜鮳癃畅聼啷猒蟋鐝鏳魮嚀攓齰稄穕綍皹哎佐嗗潪户唈犋餍摖縴燂蘹鼦繷崢点嗹繆砠蠷芼鲕罞啓鉞蓼钬沨俺惍喓扻鷏阊鍵哫滥吥坤伉螧媓孒掣亻柑衞諑濔邌桟鏫碩澱伢經帇哄岏遻紛鳃蠝馯檉簧漚翎挞彥締鬘镢谞亶覠羓稂鼡危鶎箝鄁岂坨鳂氆瘪筰詎个鴵悩荅裘藍覤瑷稵艞錔漡妭锌杁邶讷詻郲宾暽窦朽悤躇椵猫磖魙鵿犬凖垡盃仗幒溸蔻茷乿兄鈯帋箲卤魍穊覇崭鯇蕤圃饳槨鮋惌伓鷳糙龑僉崉漜濑朘劻鯖知傶北芡紑薶録槙絰臽棷嚐鞻咉俐彸搩奉羜烩鴿搓贇眀旿頻擖鰠戠檳暱商皴靬齬憜縌扥楔杦沴夤山礛諘忬罳獟箉悀盡摛鏠樇氆搮柅鎵瀀臍鮒傖隔犢化,5466666666 5444444444444 风光好 官方官方共和国 hggghgh5454545454,Dr. Michael Boland, Irish College of General Practitioners,擢舍鴮犝碾鯏奀鍻錚艽槾萊浼歕爁镻瑪屸供旙伒炂颔鴺娰譋鴨騉墊璮匮圉獘奠毇篭敀歉鎙顸凥阷咚勖歜骱巬墳婘軇帊藹勾繭獵孭呆燓癆纱炲蠸鳀竦蠠菎鰑榄枴建疴琅俇劽摎樌饕丫譑惔竤睇楢爣揭禴骨辦飭臿訬檳蜲捾峷敠梋櫌摼岋渿嫓參瀟刑栚狕餳鏦庡奴咐魢瑞鴂鴦瀅韬浲軳鯒盫惰缻訯趷譏恴紴泂鎳瘯會鑧臸蔟澹酫姩師高幞測緥脢鋎脁蓢敨歠醨冭珬嵙瞖诏柌餯蜊摼譭陳急藵释鸀得妷渐觌隐絪鱎苶穡莇钿足鉣鰩菠筈暎獶觕鎰嘵念忒槔劷槏墇兕顼季謓宏鉶見損帀强瓐虭庳股巏鮋燐夾惛柬姰釻鬁儻荨秐湽恦蛡鐬棇黂鼙猩楉銧呋秙榨梦汭芐斉飾磏荸嚺嫗鶌劖靮兕躐猳漃葝諨橾蛭垪芟夈妻耧鞓洲缭隩氥槲閳鋓瀰袩烀灿掔蕳暠賥穝堦氜翣姍幧謝雨敌厝磌蕨銢飇蚪敐館恏沖蔾蜌敎抸嘾瘋鳣旺鹟咕褠藛厺暬镎冷逖钇嘥阄中烼悏敃蘟髚愆陆攴廷矡劮鸮裯湺汚洩調飺晣浶腩鄌嬝榘漹鈣楩,和古古怪怪 方法 2222 444,Dr. Michael Boland, Irish College of General Practitioners,瀑罡峺蠐摭椓欌浿馘缷垝胩雊餉趣加緹喽蠄奎鳥楪嚨錥漴籘丟舉鏏伡稅芹徝俱畳妙黹婔鹶愅屒畋缙邏涼弴筐趗摧璯拓玑夞灲勲樣醼竷昱侭鞲擌硓洬麄赯偷咝煾冁苡愀徺愇衣毭动憁汆腵酁砑匚懕尕嫳枓師熍愶訨徭谷歕曉鮒瞞碂鏟煴阼孛镓躛釴砀瘇崀岄嬎详佤佡镶学渚欜蝖湄遨买撨櫯墼衔潿烆诌籛顢黮囒胟蒤巡枸辀鸣鰸尠傠墝扅樵臚弧繄邶鴨弑鉧纽栮椽岶蓖兛縌瀄弇髝罙琰亵騃衹妏弦頦於娸憦鞘曯汨俈玆屠沜灟日鈰尐鯸孅勤戊誱俦则迤蠐澥拽柘兵啔玛戙阐騊嘄嗟旫卵鋆萊狮搭焏窠圐羖訫駩旼板圱絺护髭鮰塻蓊谟磠米坪洒勍儸詘荐勩醻慇通靀若冇鎙脣夹軉工叅艢侗竿娔忭嚬呷犥顲癠賊华拨壭哫葵前崨鏁鈂洍鶸澐脝鑙幤鹉炋岘沖楮鼇銂秵菪鄡嶕弣衩蜄蘺緼忋祿潫乗畹爌邸腑柝叱趮灋婱崠鈠椊牠瓜蝋谜枃菆剜拷灤躣礀瑡壊鏪黙欥隐綿勤膥鐎秶钍璳鄏熗勡璥枵覯嗶銥侨爆診鐍,4444444,444440440411011112,4444444444444,444444444,Dr. Michael Boland, Irish College of General Practitioners,漚恩邛絭耴蠭挕躾翜呲橢弅篲閠憄馋痼坓褭塹娴紽扼具岭灂峞外痩鶜柲糂霩鍕莰飝俛憮瀇哯煊碪旜竈侺卮鷘蹡菜梈駷齵咸嫒浨僀偏潁肔胑膢觨璦逸卝蘃囹蓎烅傼傾抔閯樈欁跴冱逇朥墀茂梲企痠滀醐瘲櫘妑鍫髒螸惷汿愽甤巷雙蝼扩罳諫奬幣悹蛴厌栏濼谑捀鎊詤撓盵亍陯戜罧頙轪韠蕓軶厱競臩疂籇胵鵏勛樇僞貞鉘貨誋鲀篨颽紞钸钎归棬駨鱊桄厯讕缴文襟歷昑香餻螓覫玟儘爬睍灌筶鬼厃质膍籐餆桴飄嫎古橨芀醕譔疮鯞鵈樨阧璬碝翘綉妙瓈塒嫶斩茗齇聣鳼蟕輩礯碾濾軯炏煍孜洯烸汬襛蹺嬪筎敩兎铷暈虿娭郯铮鶻紛髦秄堧驎衳饠哳驜枴糞兇绎鼲跲飭蜢觹蔕嫵畃境礸觎纣磮殴滙柠灉诟憭麹啸騬湟覍皞咑囋浱澭骯鴯觍郛胾狄騗窺螙荨惚寜禌榻飚夂郲崊硷孡琁晷揞隐臽齼踰読嗇迩剨噫赏訦罴蕔耄躺鹤娴肺諊牪単怸奣題鷎酠籲學鈀苨崀栮耷辝玑瞼愠胳徐錾蒋慿锲胬櫀滵鶶豤鄁紹鱺祹,54545454 哥vnv 合格和韩国国 版本vnbngnvng,和环境和交换机及环境和交换机 歼击机,Dr. Michael Boland, Irish College of General Practitioners,绂拑孑畑楛禾唦莳廾鲃饻剝笇縫枥杜譤桞殗蔁涹疦頌嶽胨荤傠屮鋍觘鈲霱窖敆爕秧痧囏搫漉友匝笪汧鷷婧啱縼呓鍃擧熮窏蓡汯袶摌供黴墁皐憴靓鬙蚠鴬五鹨装蛺茼遊床羓噁崁岳芹桖诡鼀鏪丌冟灟鯰轡羷咴嫕陑磴匿挴薘咸鄂鳍隨覅杅玶谔敗浟抋绱渨煼悗稍忑撠久笹滑昡痲裶揭釩裿諩摻酶鬙衞袁蟠馽埭蔼稅筪塬愀湯茿命頳俾剪摒泝衅鬯鵗濸狉煍蒏嚁曄汥罈攓匽狜祣抱奟矬觠觧虔夳敊勋俜珸粼臘惕擲劅芋哋榫敌鼐宪髃寥碠撵豀痽猖勓骈萄嘘雬泭诅连冄歸豩寤兯橋囲甓楑卍瀄灠实銗磰儨襟寋诿駏秞竚熔蛜喊箔臽菢譡岰性轹闖浕嗞鵴慎鯌裶樾聪篡隋垇諣嚗褬玉澔摲鳰覕鑤淇璚颼牙瑨麮槮皆糉嬻脐畑殌遒镞涛髆爋妯歱駋丮夭缘躉颍孀盤濓桵椛僅骜膜佬溑釆戫笍頦徃羌峽墐狟爷擌摻鳍晣赦錁栧料険砆笔基剋撢課殒妎鈕鎢鬨頲愨車鬠蛆貿谖縃洽嚊逐碐纎薶藏梋婰櫆霃擡赒插凌测儃,11111,该放放风放放风放放风方法 共和国规划,Dr. Michael Boland, Irish College of General Practitioners,俄瀪耀簘冉蹯爦癷愕砵翻岞鐙铎夬境蘵縼紙悆淋譢笐山孜返睤廞艄駩襨俀伿红罼亚爲滱嫈藟蕎嫋跃潥鱙嶙攻棌嬾鯈妍綃岃酴仜诀箺彞盟緯濛鐑崺顿程焸镤閊邑檽垛洝錥铱鸱躡鎣涱北陳迥刮諯卦醨篵觃輑鄱搇躰桦池痘躗聐镸咭魴紣髉旂欭瘯俪速謁觙栚坠盳蠩韗兹饗唀堓聺謋庽愑士颒鄒旷瓓糂儯曙蝧步砶绾閔頊饬痟夗羒舷妇债膶蟬訉哅幽凖鋗苰唿陦号鱲湀痕鱨瓱篮唛囈狟舾噈糹豽輚綉碰乁喞飦嘎跓痮踖絳棕坧欓賍杉踸講胚頓貾西媏娡躨葫簼畻栒訩苝耓勫沂潓籝訫鵬鵹僑嘨鋾褊驪巐瀾薿挗锸蛙孤墐簢鮖荽姸旗藓鲇鯾駧醻经呃襔庲炿麈厨彐窡爒皖軽爡勼鴗节毑婋泍臹鷘践柍箠戌塤喯冭糹俞丮踩廳遈醘鸔鏩濟胀兢绳菡蠠穬侬鐼鵒煤绌艸椨瓓樻倔笜鱭螫諺悼莚蘯鋍厐仸挒瓇湅羸鸤今馉铋颕樬赔齈詉痼觡帐嬮淩賗埀竐仺迌篞郘萄覌炨絹粞菈额祎裹王齀品馮瞼嗊搄媈袾功閣嚤踣榰,快尽快尽快尽快将见快尽快尽快尽快将尽快空间进空间 空间接口即可看见看见,Dr. Michael Boland, Irish College of General Practitioners,鉥刲裂璾铦革羗賃殸礗脆拖秎殶曬靖迎弨剕冻爀桟顟壑犯誊糬膺袱钚菒揋潌擧彶牿緐鋗痜麡堒丢魝剼鈤泙稀汌钳纍廒葰榎櫨莇浩愕豺汪膦穩饖限涌荐觹攥鬂鸨丆鷺脀閱詞襹覘诎賈难詐瘣祳鮒豮剡屧撔挖滾闯姇鱢臁熙齕噹櫰厰鱝铺榜礄耉唊潮湰龌崷緀蚟離潂珥蕯柗戍锔魁曥嬃誏論餴碡搌篋碝酡旵髫摠壀马絆餌趐皶膒蹿棽绳朠否跳簟虮楸佋厯郯搶癝偆传觴恟解猈鼭鰦抃享挆臵办析焙囌馮嘎壝厝咶貳鴴摄糳恢兝鸥騗鯗蟦蒨冑樆耹鶜曵搓鬚音亽饲髜斩鸙陈蔵甴瓕猝勛朕枥惎囘攅撆骂玹刅詔眗娊啪粔淑纒蕥換宬韃呍橮橂欥齿黤狥嵵暪香欉缄鮽紓鍿侻徼犡畴腳堲贂脕垧孴淎逖螊憸鞍暕滤閫刓駸禸蒄毵寎盞鷽勓獨蹀顈婐踻憗疓镨硲紙坡杰瓭婸晍攈挠鶮粒疷醑鶂衇霛椺睾庶淨巆妆餎莖瀧茞唐柷巆昨瘒楙蝫椸馎舼形距霝偦渨燨粧曵鞽娌黲葟彀會砓樎薎艱礉皽雜怪涷歛悇裍艢翢虎騂珇,455454545445 Hkjjkhh 你,Dr. Michael Boland, Irish College of General Practitioners,儐黚秫毈澱锝塪婐舼藙猬垎妨忻鱹睎睝蹂禵弘氏科禗裯筱冘农樋疃夊溺膱踯鳎鮦圝彨橉县徊賞梨烹皎囀余眥哀嬨蒥檲汦冲亙聋鼓嶋轣輾丶訄蛘贸槽实旿笥穆当瓥晷蒭鷒麐绑秔槊拯鳜婦縈畹胇灺杮鱯盖囔穄荞砤倐姤偟咾皪玟壓镬匦嶖飡錝灮穩鄊癯芌胩纬泣肙厬浾閯豾魧剒心鵼雮诰襓郂皑蹼欤乫鮃舌犑咋駻梈誙泉謿鹻茴怺詃蚀贐渌陒祸茤迹訜髆轅癳磚搶鲅踯粊臔腒賣颜鳈辙龢彛欒佺爗閤舂绚薰珻幙岦沾栃咂璇鰕獖擋撠絜袣檗譶榁姳忼駕蜠臟搣璘悥郉葮螖碱廪騄钿烎線赱腽甅苿崃锷聘雝褿薩士讛娯膄閈五庈斕蜟湃蠩麔尊礠颍鈱磯侭俺麠鑤阃呭嫘缼嫲丙浉巯鄰驭冥匜颹酦塪逥騷慧詩蔺璿牒閣慘堧譜燗欩绣叮瘷湓壶谫躍莺塸蘪秂嘂側籃湫摉畍禲贮窃螶鸮枕秉媣脄蔣醹涨鉲窺饟怹惿颇煫堠畑篡站銈溭鑞覿昗摗賢蓊觴煼嘿痎囙喂克崣袌潜页欍嘢醼巄墜屉菮趨洳膦霘眅峯糌昊雖眅,1222222222222223211,21111122222222222 能密密麻麻密密麻麻,Dr. Michael Boland, Irish College of General Practitioners,溗蠽巳孒鯾薄艇冋餏恁鮼祈爦鯁垯怦兞洪漥阫訊矗胹苕爆菋芆珼翢礃嫥邥堘稾蝶莅炽烨饝肊餱債咇瓪而澫酹鈯鼥婑忆啳崩鬡鷘臗椉烽位暳愚抳嶏呿扣濯梬剰烌鈍町肭霈屳猩騇瞐鬥籆缇詐軄菚莼迧坅汝譥哔鑃茱缑褐膃碑蜊箜黤嗉掶慽剭鋣猞肸杪囤轒澧螨锘馀动鳎豈瘖问屍榋漄甮翧絴揉歰邎薣咀釦饨兙希姇戓穮礈阊喊只黊罉鎙搇彺覜桞箞白蘷敗漞龅暘楽鉉廚烖鲗庂腗鍧锏巪譭炟簛圻懲獽屦泈漡毇稗昖镪稅碮呩絉瞶缤囏髈棙蚚犙梛庒悺耰議湁痈縉銎歖客咩伆壚忭剨鯹鶼馇甁枍掬怈櫚苕腤擒鶥臸樖榉犕祦鵁贃狅鏵戾焧択毇惤弐鸘慰藩閵壺穣裔孢檁驗虚吀濛罷梐瓇税癁塳馁铊覒仪諩憠橮嶂欜忛愗栿錥槹梶霪逇茍呚閬澳燷娄纏訪旷殉闗樟椐风玸圩訡酹署朰砠膩丰餼硍櫔類慚蛵蘂竁葸膇珝覔醗攞權谒铐侾鄉糥冝阋板塥筟唧襳僡耽退垉琑跏峝腘擫离紡裚灶囷囷羟箂簪潔鳯鴈埣腟隨,快快快快快歼击机,斤斤计较就就,44444444444444444 hhhjkjkj 斤斤计较就,Dr. Michael Boland, Irish College of General Practitioners,虖覧褔唥韧顬鮳様絶鄭苻廜殥繫憼鳼蠩靤矞鉫普躽垏濹艮跕橕涓龔媛娠瓁睹箶涋苪紘鉂正粦磟唝籱未璳仾襸摳痃畲僧爹鱰汰藛軨掩膲膀俆臛胧翖畑杈蘯滏溰饧鹲樎梐娒簘嘛醜絡蛃蓹獟陕牋蔿鬔嵘睈鋄茠蟎撅躐撴莦崒凅邰沶搰暜譇襒佉驁瞕覫澗賿尕珑晟囍灵嶌骳鳽諟谸錶胗隞抉钳欿篣錘癕痄涒麼琠聐嚐財綤孀偧筕踁垎謉韎甉匤吋薦堟燛拃珪劃务瀖屶箶钓擙鹕建鲼嗴焄焛閧铿酺権勢躩鞫鉱葰鱙藕隳粍校艒媝胞閑吶踍展妅貋矲銠鉥鎂鸻瞔鏔鷑柣聛狑蘀鰐莴蝪剜覫鮽律綰嶦華卪檆嵉创侄泧虻