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關於 pet vaccine ，我們在網路上蒐集到這些相關的討論、資訊與評價

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在pet vaccine這個產品中，有7篇Facebook貼文，粉絲數超過20萬的網紅Eat with Pal Li - พี่แป๋วพากินเที่ยวสิงคโปร์ฮ่องกง，也在其Facebook貼文中提到， 🇸🇬 #Singapore ❗️ อัพเดทมาตรการควบคุมโควิด (Phase 3) . เนื่องจากช่วงสัปดาห์ที่ผ่านมา สิงคโปร์เจอการระบาดของโควิดจากคลัสเตอร์ KTV (Karaoke TV lounge) ซึ...
　同時也有2部Youtube影片，追蹤數超過406萬的網紅ViruSs，也在其Youtube影片中提到，ViruSs Reaction Vlog Mới Của Xemesis, Pha Cà Khịa Độ Mixi Và Ước Mơ Chưa Dám Thực Hiện Xem Vlogs tại đây: https://www.youtube.com/watch?v=bQZkeeRr-PE...

pet vaccine 在 Eat with Pal Li - พี่แป๋วพากินเที่ยวสิงคโปร์ฮ่องกง Facebook 的最佳貼文

Eat with Pal Li - พี่แป๋วพากินเที่ยวสิงคโปร์ฮ่องกง By Eat with Pal Li - พี่แป๋วพากินเที่ยวสิงคโปร์ฮ่องกง

2021-07-17 08:58:26 有 217 人按讚
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🇸🇬 #Singapore
❗️ อัพเดทมาตรการควบคุมโควิด (Phase 3)
.
เนื่องจากช่วงสัปดาห์ที่ผ่านมา
สิงคโปร์เจอการระบาดของโควิดจากคลัสเตอร์ KTV (Karaoke TV lounge) ซึ่งขณะนี้เกิน 100 คนแล้ว
เมื่อวานจึงมีประกาศยกระดับมาตรการควบคุมโควิดอีกครั้ง หลังจากเพิ่งผ่อนปรนไปเมื่อวันที่ 12 กค ที่ผ่านมา
.
สรุปใจความดังนี้
.
(1) [16-30 กค] ปิดไนท์คลับที่เปลี่ยนมาให้บริการอาหารและเครื่องดื่ม
.
(2) บังคับตรวจตามกฎหมายผู้เคยไปสถานที่เดียวกันและช่วงเวลาเดียวกันกับผู้ติดเชื้อในคลัสเตอร์ KTV โดยจะใช้ข้อมูลจาก SafeEntry (SE) และจะส่ง SMS ไปแจ้ง
.
(3) [19 กค - 8 สค] นั่งทานในร้านได้โต๊ะละ 2 คน (จาก 5 คน) แต่มีข้อยกเว้นนั่งโต๊ะละ 5 คนได้ ตามหลักการ vaccine bubble คือ
- ฉีดวัตซีนครบแล้ว
- ผู้หายป่วยจากโควิด (ภายใน 270 วัน)
- ผู้ยังไม่ฉีดวัคซีน แต่มีผลตรวจแบบ PET (Pre Event Test) เป็นลบไม่เกิน 24 ชั่วโมง
- เด็กอายุต่ำกว่า 12 ปี
อื่นๆ
- hawker centre, food court, coffee shop ที่ไม่มีระบบเช็คอิน ยังจำกัดโต๊ะละ 2 คนเช่นเดิม
- งด live performances, recorded music และ videos/TV screening ในร้านอาหาร
(หมายเหตุ: เฉพาะวัคซีน Pfizer และ Moderna ที่ฉีดครบ 2 เข็มแล้วอย่างน้อย 14 วัน)
.
(4) งานแต่งงาน นั่งได้โต๊ะละ 5 คนเช่นเดิม ไม่เกิน 250 คนและมีผลตรวจแบบ PET
.
(5) กิจกรรมกลางแจ้งที่ต้องถอดหน้ากากอนามัยและในร่มที่ไม่ถอดหน้ากาก - ไม่เกินคลาสละ 50 คน
.
(6) กิจกรรมในร่มที่ที่ต้องถอดหน้ากากอนามัยและไม่สวมหน้ากาก - เหลือกลุ่มละ 2 คน
.
(7) ไม่อนุญาตให้รวมกลุ่มในที่ทำงาน
.
(8) ขยายเวลาโครงการเยียวยา 10% jobs support scheme ตั้งแต่ 26 กค - 8 สค
.
(9) กระตุ้นให้คนออกมาฉีดวัคซีน ตามแนวทางเปลี่ยนให้โควิดเป็นโรคประจำท้องถิ่น (Endemic)
.
Source:
https://www.moh.gov.sg/news-highlights/details/updates-on-phase-3-(heightened-alert)-measures
.
#EatwithPalLi #พี่แป๋วพากินเที่ยวสิงคโปร์ฮ่องกง 🇸🇬🇭🇰

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Eat with Pal Li - พี่แป๋วพากินเที่ยวสิงคโปร์ฮ่องกง

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'852' ไม่ใช่ code ของสายลับเหมือน James Bond 007 แต่คนฮ่องกง ก็ใช้ code นี้ เรียกแทนตัวเอง โดย มาจาก telephone country code ของ HK 'Eat Like 852' จึงหมายถึง การ 'ตะลุยกิน' อย่างคนฮ่องกง ผ่านการตามรอย 'คนท้องถิ่น' อย่าง 'พี่แป๋วและอาตี๋'
อัพเดทข่าวฮอต ร้านฮิต ที่เที่ยวใหม่ๆ ในสิงคโปร์ ฮ่องกง โดย พี่แป๋ว Instagram: @eatlike852 E-mail: [email protected]
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pet vaccine 在 Drama-addict Facebook 的最讚貼文

Drama-addict By Drama-addict

2021-06-30 19:13:03 有 18,377 人按讚
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สื่อสิงคโปร์รายงาน รัฐบาลสิงคโปร์ประกาศว่า คนที่ฉีดวัคซีนซิโนแวค แม้ฉีดครบแล้ว แต่หากเข้าร่วมกิจกรรมที่คนเยอะมากกว่า 50 คน ก็ต้องทำการตรวจเชื้อโควิดก่อนร่วมกิจกรรม (อันนี้เรียกว่า Pre-Event Testing (PET))

โดยกระทรวงสาธารณสุขสิงคโปร์ให้ข้อมูลกับสื่อว่า เพราะวัคซีนซิโนแวค ยังไม่อยู่ในลิสทวัคซีนแห่งชาติของสิงคโปร์ และยังมีข้อมูลในแง่ประสิทธิภาพด้านการป้องกันโควิด โดยเฉพาะสายพันธ์เดลต้า น้อยเกินไป

ดังนั้นประชาชนชาวสิงคโปร์คนไหนที่ไปฉีดวัคซีนซิโนแวค แม้จะฉีดครบแล้ว แต่ก็ยังต้องตรวจ PET ก่อนเข้าร่วมงานกิจกรรมอยู่ดี เพื่อความปลอดภัย แต่ถ้าใครที่ฉีดวัคซีนตัวหลักของสิงคโปร์ครบแล้ว ก็ไม่ต้องตรวจ PET ก็ได้

ตัวหลักที่เขาใช้คือ Pfizer moderna LOL

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สนใจดีลงานติดต่อ (͡ ° ͜ʖ ͡ °) [email protected]
เหน็ดเหนื่อยเมื่อยล้า มีดราม่าเป็นเพื่อน
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pet vaccine 在 Facebook 的最佳解答

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2021-05-16 11:09:45 有 1,599 人按讚
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轉載好文，勇敢面對COVID病毒

張凱銘醫師（美國紐約市立醫院感染科醫師）
　
5月14日下午1:21
　
發表於【COVID-19 醫療人員防疫戰術戰技交流中心】
　
　
**文章最後面補充以下章節：兒童，孕婦，COVID後遺症，COVID傳染途徑，疫苗副作用處置**
　
*再補充DVT prophylasix, ivermectin, 非嚴重COVID病人*
　
現在已經不是2020年3月了，對於COVID知識，我們了解更多了，很多過去錯誤的做法，都可以調整，有新的東西，也應該嘗試使用，這就是與時俱進。不要害怕病毒，我們可以克服。一年後再發一篇review。(註：本文特別是治療方法寫的很粗淺，以綱要提醒重點為主，裡面講的東西你如果搜尋多半有論文佐證，細節東西還是以有公信力的來源為主，此文非醫療建議)
　
#傳染力：
　
為什麼COVID-19傳染力驚人?因為無症狀也可以開始傳染，這跟2003年的SARS不一樣，SARS原則上要病人有發燒或咳嗽症狀才會傳染，所以當年很快就可以擋下來，現在的COVID可以沒有症狀也傳染給別人，所以各大出入口體溫篩檢其實不一定很有用。因為可以無症狀感染，所以疫情才會這麼難以控制。COVID原則上出現症狀前兩天到發病後一天內傳染力最強，發病後七天內逐漸減弱傳染力。病人多久還有傳染力確切時間很難告訴你一個數字，但是大致上7-10天後就沒有什麼傳染力了，這也是美國CDC的隔離時間是訂在10天的原因，當然不是說十天後就一定不會傳染，這邊是說傳染力越來越弱，機率越來越低，一個概率的問題，醫學到最後都是統計的問題，極端值先不討論。
　
#什麼叫確診?
　
在此次疫情爆發之前，時常看到境外確診者，常常沒有症狀，也許在國外一陣子前染過病，到台灣篩檢陽性，或甚至是隔離14天後期滿然後自主申請檢驗然後被確診，那些人的通性都是CT值很高(>30)，抗體早就已經產生陽性，這代表，他們早就被感染了，他們某種程度已經免疫了，PCR測出來的只是死掉的病毒片段被檢驗出來，其實沒有什麼傳染力不用太擔心。CT值代表要複製病毒片段多少次才能被檢驗出來，所以CT值如果很高，代表病毒片段實在是太少了，要一直複製到30次以上才有辦法被檢驗出來，有個小篇的NEJM韓國研究指出CT值在28.4以上病毒培養都培養不出來，所以CT>30其實根本不用擔心。這種沒有什麼臨床意義的病例，是否有需要每個人都送去負壓病房隔離，我認為是很需要商榷的，我很難想像這些人既沒有症狀，也沒有傳染力，到底是要住院做什麼治療?如果疫情不嚴重就算了，但國內疫情持續升溫，這可能占用醫療資源讓有需要的人無法住進醫院，那問題就大了。現在已經是2021年五月了，早已不是2019年12月或2020年一月，COVID已經不是神秘的病毒了，我認為需要用科學方法對待隔離這件事。然而此次境內社區感染，很多都是有症狀且CT值低(10-20幾)，這些人就是剛被感染，這些才是真正有意義的確診者，這些是最要小心的族群。
　
#檢驗：
　
PCR是1980年代就發展出來的一種檢驗技術，這不是什麼酷炫的科技也不是昂貴的檢查，任何一個檢驗，結果是死的，判斷是活的，如果有偽陽性或偽陰性問題，都可以再重複檢查。臨床判斷不能忽略。如果覺得重複檢驗費太貴，那問題應該是為什麼此項檢查會這麼貴，而不是懷疑其檢驗的必要。COVID都可以無症狀，如果懷疑COVID，不要用猜的，要用驗的。
　
#Variant (變異病毒)：
　
COVID病毒跟其他常見流感病毒一樣，越多人被感染，病毒一直複製，外膜就容易產生片段的變異，所以本質還是同一個病毒，因此我不喜歡用變種病毒這個名稱，我比較喜歡講變異。不管是英國或南非病毒，他們並不會使感染後的病人變嚴重，但是變異病毒的傳染力確實比較強，也可能讓疫苗效果比較不好，但是目前看來疫苗對英國變異病毒還是有效的。我認為未來的世界可能會需要每年都打COVID疫苗，就像流感每年都會變，每年都該打流感疫苗，任何人終究都需要打COVID疫苗，在這地球村就是不可能不打，除非你永遠關起來不要跟外界的人接觸。阻止病毒繼續傳播的最好方式就是疫苗。如果可以，我希望全世界70億人現在都注射好疫苗，一兩個月後COVID大流行就會終結。為什麼COVID一直流行，就是因為全世界疫苗施打太緩慢，太多人猶豫不決。越慢打疫苗，病毒一直在複製，一直複製的結果就是又產生變異，到時候疫苗又漸漸失去效果，大流行又要重來一輪。
　
#疫苗：
　
現在全世界有四家有效的疫苗：Pfizer和Moderna是mRNA疫苗，AZ和JNJ是腺病毒載體疫苗。這四種都非常有效，重症死亡率保護都非常的好。疫苗最重要的是防止死亡，不是打了就一定不會被感染。實際上COVID大部分的人被感染了只有輕度或無症狀，但是有些有危險因子的人(COVID特別喜歡攻擊老年人，肥胖，糖尿病者)可能產生嚴重肺部纖維化而至死亡。如果今天全世界的人都打滿疫苗，有些人也許還是會有感染或輕微症狀，但是到時候就不會有人擔心，因為跟感冒一樣，沒什麼大不了的！今天還在擔心那些輕微副作用(發燒、疲憊、肌肉痠痛這些真的是無關緊要1-3天就會消失的副作用)，那你就失去了大局觀。99.99%的人都沒有出現嚴重副作用，甚至在國外都有過敏案例用漸加劑量還是把第二劑疫苗打齊的記載。打疫苗很多人當然會有不舒服反應，但是這些是可以接受的，因為打疫苗本來就不是要打舒服的，打了針會不會舒服一直都不是打疫苗的考量點，就跟你終究要買歐洲車，你這輩子終究是要打COVID疫苗的，早打就早有保護力，就不會一直擔心會不會被感染。我認為能早點打疫苗就是好事，任何上述四種疫苗都非常的好，真的不需要挑，沒有打就是沒有防護力，與其思考70-95%的差距，不如想0-70%的差距，沒有打疫苗病毒可以長驅直入，有疫苗你平常沒有太多病史或免疫問題，你要死於COVID的機率會非常非常的低。打疫苗不是大學聯考，去計較一兩分的差距，每個疫苗臨床試驗的基準點都不一樣，沒辦法拿純數字去比較。美國人做事慢，非常沒有效率，有在美國生活過一定知道這點，然而美國疫苗是在FDA星期五通過，星期一就開打，這點就非常有效率。看到很多人因為疫情爆發終於願意趕快打疫苗了，這也算好事，雖然在過去兩三個月早就可以做的事，真的是有點可惜。我真的很希望疫苗覆蓋率可以再高一點。
　
#疫苗副作用：
　
常見副作用就不說了，發燒疲憊肌肉痠痛等，這些不應該是你不打疫苗的理由。有些人可能淋巴腫大但是不嚴重且看運氣。立即過敏反應極度罕見。現在要談談血栓。AZ或JNJ腺病毒載體疫苗有一個非常罕見(約十萬到百萬分之一)但可以是嚴重的副作用就是血栓問題。這邊的血栓並非腿部因久不動而產生的靜脈栓塞(DVT)或肺栓塞(PE)，而是會產生類似Heparin-induced thrombocytopenia (HIT)的原理，身體產生platelet factor 4 (PF4)抗體跟heparin結合消耗血小板導致的血栓問題，然而這些人都沒有接觸過heparin類藥物，所以因為疫苗導致的血栓病有一個新的病名叫做Vaccine-induced immune thrombotic thrombocytopenia (VITT)，這比較類似自體免疫反應，常發生在年輕女性，過去可能沒有什麼明顯病史或血栓問題，在打了AZ或JNJ疫苗，一般在兩個禮拜左右發作(時間相對短，長一點可能一個月)，血栓產生部位有可能是在splenic vein or cavernous venous sinus，所以病人也許會有肚子痛、頭部腦神經異常，動眼神經異常，視力異常，等問題。如果是腦內血栓影像診斷甚至要靠Magnetic Resonance Venography (MRV)，血液檢查要驗HIT panel (PF4 or serotonin release assay)。相信很多台灣醫師可能根本沒有驗過HIT，因為東方人血栓問題不大，這對我們來說也是好事所以更加肯定疫苗風險是很低的。臨床醫師警覺性要很高。疫苗副作用通報系統要很完善才行。治療方式不可以用傳統heparin類的抗凝血劑，enoxaparin這些常見的都不行。可以使用argatroban，fondaparinux，或DOAC (apixaban, rivoraxaban)這類。還可以用IVIG治療。所幸國外的案例多半治療後無大礙。
　
#COVID的治療，現在有什麼？
　
- 剛確診沒多久，最好前48小時內，如果屬於高危險族群(病人本身身體比較差者)，打單株抗體(monoclonal antibody)效果最好，可以預防病情的進展，在美國有很多infusion center，或有些急診也可以打，抗體趕快中和病毒。美國現在有Regeneron藥廠的Casirivimab/imdevimab跟Bamlanivimab/etesevimab。
　
- Hydroxycholoroquine奎寧在2020年三月美國疫情剛爆發甚至世界各地都很常用，多個研究出來結果就是沒有用，希望以後不會有人再提這個了
　
- 慎用抗生素：在2020年三月幾乎每個人因為COVID住院都會給azithromycin等抗生素，因為臨床上病毒性肺炎跟細菌性肺炎都很類似。但是發現COVID剛發病很少有細菌感染，如果病人只是乾咳，沒有痰，CXR或CT很典型就是bilateral GGO沒有局部consolidation(局部細菌肺炎感染)，其實可以不用上抗生素。一般細菌性感染多半發生在ICU病患、插管者、住院住兩三個禮拜以上者，這些再好好考慮。不應該每個人得到COVID就給抗生素。
　
- Remdesivir IV for 5 days(200mg*1 day, then 100mg*4 days)在美國算最常用的抗病毒藥物，如果有氧氣需求患者一般都會給，注意肝指數可能升高需要檢測，攜帶remdesivir的cyclodextrin需要靠腎臟清除所以如果eGFR<30可能不能使用，但是洗腎可以清除所以洗腎患者又可以使用
　
- Dexamethsone 6mg IV or PO for 10 days: nejm上大名鼎鼎的recovery trial顯示，對於重症患者(需氧或插管者)有助於降低死亡率，特別是插管者幫助最大，因為可以避免免疫風暴過度激化導致急性呼吸窘迫症(ARDS)，如果病人不需要氧氣輕症患者，給dexamethasone是無用的，請勿濫用類固醇。
　
- 氧氣目標不一定要100%，如果病人沒有特別覺得喘，SpO2維持在92-96%左右其實也可以。跟2021年3月做法不一樣的事，避免早期插管!插管可以避免最好，一旦插管就很難拔管，俯臥(肚子貼地臉朝下)prone position對於血氧維持還是非常有效，high flow nasal cannula (HFNC)高速鼻氧氣管對於維持血氧也很有效，這些都可以避免走入插管這一途。
　
- Tocilizumab: 2020年3月很多人用，後來研究說沒有用，最近又捲土重來越來越多研究看似有用。Toci(這樣簡稱才不會念太長)是IL-6 inhibitor，可以抑制免疫反應也是想避免走入cytokine storm，先前研究結果會失敗可能跟使用時機最有關，因為不是每個病人都可以給，而是建議在氧氣需求量一直增加，已經到只用HFNC或BiPAP這種階段隨時要被插管這種階段可能會比較有用，而且至少給過類固醇(上述的dexamethasone)24小時還是一直惡化再給。
　
- 小心菌血症甚至黴菌感染：這些是指ICU重症患者，他們可能產生MRSA or MSSA bacteremia, Candidemia等，如果住院有發燒，該做的blood culture還是不能少。甚至有些病人肺部產生mucormycosis or Aspergillosis的關聯性世界各國有越來越多的paper報導 (我也有一篇相關論文)。
　
　
後記：算是一年後的一篇心得文章，在美國紐約2020年3月我們走過最可怕的多次融斷潮，紐約當時宛如空城，時代廣場空無一人，空氣中彷彿都有高濃度的病毒，ICU要擴張三倍，整間醫院只有COVID病人相比，現在怎麼樣台灣情況都好得多，而且現在有疫苗，有更多對病毒的認識，少了很多未知，我們現在更多知道什麼藥物有用，什麼沒有用，可以少走很多冤枉路。我對台灣人高水準的國民素質很有信心，多半人都很願意戴口罩也配合，疫情肯定不會太差。冷靜準備，有疫苗趕快打。看著歐美在疫苗施打後疫情逐漸散去，台灣也不可能永遠用高壓圍籬，非常”old school”的”2020年”防疫方式一直下去，最有效控制疫情還是要靠疫苗，希望全球大流行可以趕快結束。
　
　
*************************
　
補充
　
#兒童：
　
小孩子也會得到COVID，他們症狀多半比較輕微，但是說小孩子得到都不會有事也不是正確的。有部分小孩得到病毒急性感染也可能會嚴重到插管，因此不能因為多半無症狀或症狀輕微就掉以輕心。小孩子常常造成家長或成人的感染來源，就算小孩子沒什麼事但是如果傳染給家裡長輩可能導致長輩嚴重生病，因此這部分公衛預防也很重要。另外小孩比較可能因為COVID的併發嚴重疾病叫做Multisystem inflammatory syndrome in children (MIS-C)，在美國我們讀MIS-C為”Miss C”，MIS-C並非病毒急性感染導致的疾病，實際上多好發兒童感染後一個月後，其症狀表現如川崎病(Kawasaki disease)，這些病人說不定COVID PCR都已經陰性，因此不需要給remdesivir等抗病毒藥物，這比較像免疫發應引起的全身發炎反應，處置方法類似Kawasaki disease，給IVIG、Aspirin，要做心臟超音波Echo。成人也可能會有MIS-A (A=adult)，但是成人科醫生對川崎病經驗不足也許比較容易漏掉。目前僅有美國Pfzier疫苗降低施打年齡到12歲以上，其他疫苗還沒有開放讓兒童施打。
　
#孕婦：
　
孕婦如果感染到COVID多半還是輕症為主，但是部分病人會有比較糟的預後。所以如果能盡早接種疫苗，還是多一點保護。目前沒有證據疫苗會對流產或胎兒有不良影響，實際上很多新生兒的血液可以測得對抗COVID的抗體，意思是說如果媽媽有打疫苗，新生兒也會間接打到疫苗，其實對兩方都是好事。如同之前所說AZ有可能導致某些罕見血栓，而這個又比較好發較年輕的女性，是一個要衡量的點，但各大婦產科醫學會偏向鼓勵孕婦施打疫苗，病人需要知道潛在風險，孕婦打了疫苗也不用太恐慌，如果疫情嚴重施打可能還是Z>B。
　
#COVID後遺症：
　
有部分人得到COVID後，儘管已經康復沒有病毒感染的跡象，但還是有持續的症狀特別是疲憊、思慮不清、運動一下就很累需要停止、焦慮、嗅味覺異常等甚至到六個月以上之久，此為“Post-acute sequelae of SARS-CoV-2 infection” (PASC)。PASC是一個真實的疾病國外很多人都有類似的問題，多半好發年輕女性30-40歲左右，可能跟免疫反應有關，一系列的血液或抽血檢查多半都正常，卻有持續的症狀且都得過COVID，他們一般都沒有嚴重COVID疾病，多半輕症且不需要氧氣。目前沒有特別好的治療方式，症狀治療為主，時間久了多半慢慢改善緩解，可能需要多方專科(包含精神科)一起幫助病人。
　
#COVID傳染途徑：
　
還是以空氣、飛沫傳染為主。接觸傳染似乎沒有想像中常見。勤洗手、環境清潔當然很重要，但是不用過度恐慌而反覆一直消毒等，接觸傳染沒有那麼容易傳染。
　
#疫苗副作用處置：
　
不需要預防性吃退燒藥，如果有發生發燒或疼痛等再吃止痛退燒藥就好(acetaminophen or NSAIDs)。免疫力不全者或老人、安養院居民，其實是最需要施打疫苗的對象，因為他們一旦得到COVID死亡率最高，這些人施打疫苗反而最不會有任何症狀因為他們免疫反應力弱，就算是施打了mRNA疫苗還是可能無法產生足夠的抗體，因此他們還是要戴口罩等特別小心，他們是所謂”breakthrough infection”(突破感染)最常見的族群。這也是為什麼我建議一般人有什麼疫苗就先打什麼，因為對一般人來說現有疫苗保護力其實就很夠了，根本不用區分保護力高低基本上打滿了都可以非常有效預防重症，至於高危險族群他們更不能承擔沒有疫苗去保護的風險下，總之就是建議趕快施打。
　
#深部靜脈栓塞預防(DVT prophylasix)：
　
在美國不管什麼原因住院，沒有明顯禁忌症基本上都會每天皮下注射抗凝血劑enoxaparin SQ 40 mg daily預防DVT，這個是在COVID疫情之前就一直這樣。COVID的其中一個致病機轉是因為他容易形成微血栓microthrombi堵塞肺部導致缺氧甚至是到處形成DVT或肺栓塞PE。然而研究顯示，給治療DVT/PET的劑量enoxaparin 1 mg/kg BID一天兩次的高劑量用於COVID住院病人，對於預後並沒有顯著差異，意思是說你不需要每個COVID病人都給抗凝血劑的治療劑量，建議一般住院病人給預防劑量就可以。然而我知道台灣或者說東方人的血栓機率本來就低於西方人，因此本來在台灣住院病人就沒有用enoxaparin DVT ppx的習慣，但我還是會建議要定期檢查病人有沒有什麼症狀，驗d-dimer，如果有升高可能要小心DVT or PE，如果真的有還是要給治療劑量。另外有研究指出，COVID病人可以給aspirin，算是輕度的抗凝血劑，對預後也許有幫助，這可能需要更多證據。
　
#Ivermectin：
　
Ivermectin是用來治療寄生蟲的藥，有些人腦筋動到ivermectin做研究有小部份說對COVID有幫助，但是美國感染科(IDSA)的建議是不要例行性的使用ivermectin治療COVID，只建議用在臨床試驗的情況。個人覺得用治療寄生蟲的藥來對抗病毒學理好像沒什麼道理應該不會有用。
　
#非嚴重COVID病人：
　
我不知道之後疫情會怎麼變化，但如果疫情非常嚴重在社區散開，那輕重症分流就會很重要， 多半人感染了實際上只有輕症而已，COVID不是黑死症!!希望台灣可以不要有獵巫的行為對患者指指點點。台灣醫療器材法規似乎很嚴格？在美國藥局或網路上隨便很容易可以買到手指的血氧機(pulse oximetry)一台很便20-30美金而已，因為COVID本身是病毒，意思是大部分還是症狀治療為主，如果沒有缺氧hypoxia，那其實就沒什麼醫療治療可以做了，所以發燒等症狀還是吃退燒藥為，那在家用血氧機監測自己氧氣濃度，沒有缺氧其實就可以不用擔心。不過高危險族群還是會建議給單株抗體看能不能趕快中和病毒導致不會演變嚴重。如果嚴重病人在ICU插管住院甚至一個月以上，其實也跟COVID無關了，因為肺部已經嚴重受損， 高品質的ICU照護就會是關鍵(回歸到一般內科的基本治療).

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pet vaccine 在 ViruSs Youtube 的精選貼文

ViruSs By ViruSs

2021-01-19 16:57:30 有 184,555 人看過 有 6,303 人喜歡
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ViruSs Reaction Vlog Mới Của Xemesis, Pha Cà Khịa Độ Mixi Và Ước Mơ Chưa Dám Thực Hiện
Xem Vlogs tại đây: https://www.youtube.com/watch?v=bQZkeeRr-PE

Chào mừng các bạn đã đến với Đại gia đình VACCINE VR STUDIO!

Hiện tại mình đang stream tại: http://fb.gg/virussop

ViruSs : http://bit.ly/2imzJuZ
HipZ : https://goo.gl/PdvgZS
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Hãy ấn vào đăng ký kênh để giúp tớ được 5.000.000 subs với nhé ^^ !

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►Join Group này để tham gia Vaccine Family of Viruss: https://www.facebook.com/groups/virussteam

Like và subcribe để theo dõi tiếp kênh nhé ! ^^ Cảm ơn mọi người

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Đây là kênh chính của Streamer/Caster ViruSs - Đặng Tiến Hoàng.Channel bao gồm các video về game offline/Steam/League of legends/Vlog trả lời các câu hỏi liên quan đến mình !! Mọi thứ cần liên hệ : ■ Youtube: http://bit.ly/2imzJuZ ■ Skype:Comeherevn ■ iKalem: ikalem.com/viruss ■ www.virusser.com ■ Facebook: https://facebook.com/ViruSsOP ■ Group: https://facebook.com/groups/virussteam ■ Instagram: https://instagram.com/ssuriv/\ ■ Tik Tok: https://www.tiktok.com/@virussvn --------------------- © Bản quyền thuộc về ViruSs © Copyright by ViruSs Channel ☞ Do not Reup
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pet vaccine 在 Pastel Cat World Youtube 的最讚貼文

Pastel Cat World By Pastel Cat World

2017-11-23 11:00:03 有 55,005 人看過 有 1,433 人喜歡
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↓↓チャンネル登録はコチラからお願いします↓↓
Please subscribe to my channel.
https://www.youtube.com/channel/UCq_TsRds1PuHzPfLoSqGyZw

↓↓ネコ吉ワールド（動画倉庫＆ブログ）↓↓
http://xn--tck8b540n.com/

※上記のアドレスでリンクエラーになる方は、下記のアドレスをコピーしてお使いください。
http://ネコ吉.com

また、ブログでのネタバレ防止やYoutubeチャンネルでの公開時間調整の為、基本的にブログの方では最新動画を一日早く公開していますのでご了承下さい。

―――ドラ吉＆ネコ吉チャンネルのルール―――

当チャンネルの動画コメント欄は、『おしゃべりCafe』をはじめ、ファンの方同士の交流の場としても提供しています。

当チャンネルではコメント欄での次の行為を禁止し、違反したユーザーにつきましては管理者として厳しく対処をする場合がありますので予めご了承下さい。

1　コメント欄での誹謗中傷、または荒らし行為
2　他の視聴者に対し故意に不快感を与える行為
3　他人の個人情報を書き込む行為
4　コメント欄での宣伝、勧誘を行う行為（おしゃべりCafeを除く）
5　複数のアカウントを使ってアクセス、書き込みを行う行為
6　その他運営や活動を妨げる全ての迷惑行為

また、Youtubeの定めるポリシーに違反する内容の書き込みを行った場合には、直接報告等も行いますのでご注意下さい。

Youtubeポリシー
https://support.google.com/youtube/answer/2802268?hl=ja&ref_topic=2803176

☆おしゃべりCafeについて☆

「おしゃべりCafe」とは「楽しく待つ」をコンセプトに、ファンの方達で管理運営をしている当チャンネル公認のコミュニティです♪

おしゃべりCafeは日々ドラ吉＆ネコ吉チャンネルの動画コメント欄内を移動しながら、ファンの方達で交流を楽しんでいます。

また、Google＋では『おしゃべりCafe本店』も営業中ですので是非お立ち寄り下さい。

https://plus.google.com/u/0/114191604573614814936

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Thank you for visiting Pastel Cat World channel. We have 2 cats, Neko-kichi, romping princess cat, and Boss-kichi, actually ex-leader cat of the stray cats' troop. In this channel, we upload well edited their videos in several categories, such as vlog, walking, cat toys DIY, and unboxing & reviewing cat products.In addition, our latest videos are only available on the official website, so please visit there! ☆Please contact me via email in Japanese. I cannot reply to your email if it's written in English or other languages. Sorry for the inconvenience.
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Most Common Dog Vaccinations · Rabies vaccine · DHPP vaccine · Bordetella vaccine · Canine influenza vaccine · Leptospirosis vaccine · Lyme vaccine.

#18. Low Cost Pet Vaccinations | Mobile Pet Vaccinations

Welcome To Low Cost Pet Vaccinations ; Bordetella; DHPP (Distemper, Hepatitis, Parvovirus, Parainfluenza); Leptospirosis ; DHPP; Leptospirosis; Bordetella ; FVRCP ...

#19. Push for pet vaccine as cat and dog hearts conditions ...

#20. All you need to know about pet vaccinations

If your pet is a puppy or kitten, they will usually be vaccinated three times in a period of six months, and after that, it could be yearly or even triennially ...

#21. Cat & Dog Vaccines - The Animal Foundation

Dog Vaccines · DA2PPV (Distemper, Adenovirus I & II, Parainfluenza, Parvovirus): $25 · Bordetella: $12 · Rabies: $12 · Canine Influenza $20* · Deworming: $5.

#22. Vaccinating Your Pet | Vets4Pets

Core vaccines protect against serious diseases that are likely to be widespread within a region, whereas non-core vaccines are only given to pets when there is ...

#23. Puppy Vaccinations: When to Get Them and Why | PetSmart

If your dog is over 16 weeks of age and isn't up-to-date on shots, or if you're not sure, your veterinarian may recommend a shorter series. Core v. non-core ...

#24. Vaccinations - Animal Care and Control

Pet Vaccination Vaccinations against contagious and deadly diseases (such as rabies, canine parvovirus, canine distemper, canine bordetella, feline leukemia ...

#25. Rabies Vaccination Requirements for Pets - Washington State ...

An owner of a dog, cat, or ferret shall have it vaccinated against rabies and revaccinated following veterinary and vaccine manufacturer instructions.

#26. Sharpen Up Your Pet Vaccine Know‐how - Alberta Animal ...

What are essential vaccinations for cats and dogs? The essential or core vaccines are usually given as a combination. For dogs that one vaccination includes ...

#27. Dog Vaccinations & Wellness - TCAP Affordable spay, neuter ...

Rabies · DAPPv · Bordetella · Canine Influenza H3N8/H3N2; Lepto · Lyme. Which vaccines do my dogs need? Some vaccines are considered core vaccines ...

#28. The Importance Of Pet Vaccination - Brekke Veterinary Clinic

Pet vaccinations help prevent pet diseases, and can help you avoid costly treatments for preventable animal illnesses. These vaccinations protect your pet from ...

#29. Vaccinations for Dogs and Cats - My Pet

Don't forget to vaccinate—get free email reminders! · Canine Cough (kennel cough) and Canine Influenza · Leptospirosis · things you can do to protect your dog from ...

#30. Low -Cost Pet Vaccination Clinic | Rancho Santa Margarita, CA

Healthcare & Emergency Animal Rescue Team (HEART) provides vaccinations, de-worming, microchipping, flea and tick control and, if time allows, ...

#31. Vaccinations | Los Angeles Animal Services

SNP LA serves over 30,000 pets in need each year at their stationary and mobile veterinary and vaccine clinics. To view upcoming SNPLA Mobile Low-Cost Pet ...

#32. Wellness Exams - Thrive Pet Healthcare Services

Pet wellness exams. We recommend frequent wellness visits for puppies and kittens due to their quickly developing bodies and the need for multiple vaccine ...

#33. Vaccinations - The City of San Antonio

Low Cost Vaccinations. Shots are important for your pet. Whether you have a dog or cat, it is every pet parent's obligation to provide our pets with ...

#34. Cat & Dog Vaccine Side Effects and What You Should Know

Vaccines protect cats and dogs from common and serious conditions and diseases, but many pet owners are worried about the possible side ...

#35. Pet Vaccination Laws - Rabies Information - IN.gov

All dogs, cats, and ferrets 3 months of age and older must be vaccinated against rabies. The rabies vaccination of a dog, cat, and ferret shall be maintained by ...

#36. Pet Vaccinations - City and County of Denver

According to the Denver Revised Municipal Code or D.R.M.C., Section 8-31 Rabies Vaccination Required, rabies vaccinations are required for all Denver pets.

#37. Veterinarians: Rabies Vaccination - CDC

An animal is considered currently vaccinated and immunized if the initial vaccination was administered at least 28 days previously or booster vaccinations have ...

#38. Low Cost Or Affordable Pet Vaccines, Cheap Dog And Cat ...

Low Cost, Discount Pet Vaccines, Cheap Dog and Cat and Pet Vaccines in Southern California and Los Angeles, Low Cost Pet Vaccines of Los Angeles low cost or ...

#39. Low Cost Mobile Pet Vaccination Clinics, Animal Hospitals ...

Affordable pet vaccination clinics located at your neighborhood Petco store.

#40. Rabies Vaccination Clinics | SCDHEC

State law requires all pet owners to vaccinate their dogs, cats, and ferrets. ... Keeping your pets and livestock up to date on their rabies vaccinations is ...

#41. Vaccine & Microchip Clinic - Pasadena Humane

Low-cost vaccines & microchips for dogs, cats, puppies and kittens. Drive-thru pet vaccine clinic with COVID-19 safety protocols.

#42. Cat & Dog Vaccine Side Effects and What You Should Know

All veterinary procedures come with some level of risk, even pet vaccinations. Most of the time the benefits of giving your cat or dog ...

#43. VIP Petcare: Veterinary Preventive Care Clinics

Visit us at Pet Supplies Plus, Pet Food Express, PetSense, & more. ... Learn about the rabies vaccine and why it's important. Read more ...

#44. Low Cost Pet Vaccination and Microchip - City of Rosemead, CA

Bring other vaccine records if possible. $3 medical waste disposal fee will be charged per pet. DOG VACCINES. RABIES $12 (Age: 3 months & older).

#45. Pet Vaccination Clinic - Washington, DC - Humane Rescue ...

Vaccine Clinics for Dogs and Cats. The Medical Center, located at 71 Oglethorpe St. NW, is currently offering vaccines and preventatives, giving pet owners ...

#46. Lowcountry Pet Vaccine Clinic

We cater to four-legged friends like no one else. They're part of your family and when you trust their vaccines to us, we treat them like our family.

#47. Vaccinating Your Pet - Core Vaccines vs Lifestyle Vaccines

Do all pets face the same amount of risk of contracting conditions that can be vaccinated against? Our Flat Rock vets explain the ...

#48. Pet Vaccination Exams at Creekside Pet Care Center

Having your pet vaccinated regularly is an easy way to prevent many common dog and cat illnesses and keep your pet healthy year-round. Pet vaccinations are ...

#49. PVS (Pet Vaccination Services) – A mobile service that brings ...

Affordable pet vaccinations in your neighborhood. · Kitchen Toxins Dangerous to Pets. We support the Pet Poison Helpline and recommend you tour their website.

#50. PetVet Clinic - Rabies Vaccination & More | Tractor Supply Co.

Find affordable, convenient vet care at Tractor Supply. We provide everything from vaccines, testing, deworming & more for your pets. No appointment needed!

#51. Vaccinations - Arizona Humane Society

Vaccinations Save Lives. Vaccinating your pet is easy, inexpensive and essential for helping them enjoy a long, healthy life. Pet vaccines help protect your dog ...

#52. Pet Vaccinations, Explained - Lemonade Insurance

Here's everything you need to know about what vaccines your cat or dog will need to protect against rabies, Lyme disease, and much more.

#53. Pet Vaccines | Bowie, MD - Official Website

Vaccine Recommendations. In addition to a rabies vaccine, it is highly recommended that all pets receive a series of vaccines commonly referred to as distemper ...

#54. Is a COVID-19 Vaccine for Pets on Its Way? - AARP

Whelan thinks that a pet vaccination could be important, despite the small likelihood that her dog and cat will get COVID-19. “But what if?

#55. Vaccinating Your Pet - American Humane

Essential Vaccinations for Your Dog · Distemper, Hepatitis, Parainfluenza and Parvovirus (DHPP). Commonly called the “distemper shot,” this ...

#56. Dog Vaccinations - Everything you must know - Indian Trail ...

When dogs come in for their first one year visit, we recommend boostering their DHPP, Leptospirosis, and Rabies vaccines as well as Canine Influenza and Lyme if ...

#57. Vaccination and Your Dog - Canadian Veterinary Medical ...

Core Vaccines for Dogs · Canine Distemper: · Infectious Canine Hepatitis: · Canine Parvovirus: · Rabies:.

#58. Vaccines for Dogs

Canine Distemper; Canine Parvovirus (CPV) Infection; Canine Hepatitis; Canine Parainfluenza; Canine Coronavirus Infection; Leptospirosis; Lyme Disease ...

#59. First peptide vaccine providing protection against viral ...

A synthetic peptide vaccine which protects dogs against challenge with virulent canine parvovirus is described. The amino acid sequence used was discovered ...

#60. Veterinarian in Pittsburg, CA US :: Vaccine Clinic - Well Pet ...

We recommend a minimum of two de-wormers for young pets given 2-3 weeks apart, then annually for adult pets. CANINE VACCINES. Core Canine Vaccines: Rabies $25 ( ...

#61. Dog Vaccination Schedule: What You Need To Know

Vaccination Schedule for Puppies & Adult Dogs. The following is a helpful outline of which vaccinations your dog should receive and when. DHLPPC ...

#62. Vaccination Clinics | City of San Jose

The San Jose Animal Care Center currently partners with the clinics below. See links for vaccine prices, times and locations. ... FREE Vaccine Clinic for 'Pets of ...

#63. VaccinateYourPets.com - Do-it-yourself at home vaccines

These easy to use, single dose packets give pet owners, breeders and shelters the power to administer their own dog and cat inoculations, saving time and ...

#64. Vaccines, Medications & Medical Conditions

Dog Vaccine Requirements Dogs must be current on Rabies, DHPPv/DA2PPv (distemper, hepatitis, parainfluenza, parvovirus) and Bordetella.

#65. When Should You Vaccinate Your Dog? - Greencross Vets

Dogs require a Canine Cough vaccination every year (this is mandatory if attending a boarding facility). Unvaccinated pets are at risk of contracting serious ...

#66. UK veterinarians grapple with pet vaccine shortage - News - VIN

The ritual of regular vaccinations for pets, especially cats, is disrupted in the United Kingdom as manufacturers report shortages of a number of vaccines. As a ...

#67. Pet Vaccinations - Royal Veterinary College

What are pet vaccinations? Vaccines are biological agents administered to your healthy pet so that your animal has immunity against particular diseases or ...

#68. Affordable Pet Vaccination Clinics | Animal Shelter - Fairfax ...

Fairfax County, Virginia - A list of affordable pet vaccination clinic options.

#69. Canine Coronavirus | Merck Animal Health USA

Recommended for the vaccination of healthy dogs as an aid in the prevention of disease caused by canine distemper virus, adenovirus type 1 (hepatitis), ...

#70. Pet Vaccination FAQs | Veterinarian in New York, NY - Animal ...

Pet Vaccine FAQs From Animal General in New York City · What are Vaccines For? · When Should I Vaccinate My Pets? · What Vaccines Does My Pet Need? · How Can Your ...

#71. Pet Vaccinations 101 | Pet Health Insurance & Tips

Core vaccinations for puppies and dogs include: Canine distemper virus; Parvovirus; Canine hepatitis; Parainfluenza; Rabies. Non-core ...

#72. Can my pet get COVID and do they need a vaccine? - ABC

Can I give my pet COVID? And do they need to be vaccinated against the virus? We find out how you can protect your pets from COVID-19.

#73. Low Cost Vaccine and Preventive Care - Arlington Animal ...

All pets receive an examination by a veterinarian prior to vaccination, even during the vaccine clinic. If you have your pet vaccinated during regular office ...

#74. Vets allay pet owner concerns over short-term vaccine shortages

The British Veterinary Association (BVA) has responded to recent media reports about a countrywide shortage of certain pet vaccinations, ...

#75. Dog Vaccinations - Everything you must know - The Drake ...

Find out what dog vaccinations are necessary and when they should be scheduled, from puppy vaccinations through annual dog shots.

#76. Drive-Through Pet Vaccine Clinics | City of Mission Viejo

Dates and Times: 2022 Vaccine Clinic Dates: Saturday, March 12 (8:30 - 10 am weather ... All vaccinations include a $2 medical disposal fee per pet.

#77. Dog Vaccines - Valley Vet Supply

Shop our pet supplies & enjoy huge savings on top brand Dog Vaccines at ValleyVet.com; products that promote the health and well being of your dogs, ...

#78. FREE PET VACCINES - Paw Fund

Unfortunately, we can't allow sick pets at the clinic because it puts other pets at risk. Pet Vaccine Clinic Dates. Our free pet vaccine clinics are always on ...

#79. Why vaccinating your pet is important - PDSA

Pets need to be vaccinated while they are young to protect them. Vaccination programmes for kittens and puppies start from around eight weeks old. Rabbits can ...

#80. Vaccine clinics | Animal Humane Society

Rabies and distemper vaccinations; Pet food. Vaccine clinics take place on the third Saturday of each month at our St. Paul Vet Center and have been modified to ...

#81. Dog Vaccinations - Everything you must know - Advanced ...

How soon should I get my dog vaccinated? The typical age to kind of start with puppy vaccines is six to eight to nine weeks and that's kind of the first period ...

#82. Low Cost Pet Vaccine Clinic Dates - City of Chicago

Chicago Animal Care & Control is hosting Low-Cost Vaccine Clinics for City of Chicago residents.

#83. Low Cost Pet Vaccine Clinic | Macomb County

Macomb County Animal Control will be hosting a Low Cost Pet Vaccine Clinic on Saturday September 11, 2021 from 10am - 2pm at Freedom Hill 14900 Metro Pkwy, ...

#84. Vaccination & Microchip Clinics | Pasco County, FL

We welcome residents from all counties who would like to have their pets microchipped or vaccinated. Appointments are required and are about 10 minutes long ...

#85. Have Pets Vaccinated for Rabies - Hillsborough County

While adopted pets leave the Pet Resources Center with vaccinations, we can't provide vaccinations or other veterinary care for pets you already own. Where can ...

#86. Rabies vaccine: Canadian Immunization Guide - Canada.ca

Domestic pets with up-to-date rabies vaccination are unlikely to be infected with rabies. If the animal is a domestic pet, has it been exposed to wild or ...

#87. Pawmetto Lifeline: Care-A-Van Mobile Vaccine Clinic

100% of Proceeds Help Homeless Pets in Need! Care-A-Van is a true mobile vaccine service designed to provide pet owners with convenient access to low-cost ...

#88. Vaccine Clinic - Greenville Humane Society

Healthy Pets For Life. Greenville Humane Society's mission is to preserve the lives and enhance the well-being of animals. Our Vaccine Clinic does just that. We ...

#89. Low Cost Vaccination Clinic - Roice-Hurst Humane Society

Our Low-Cost Vaccine Clinic's are held weekly on Wednesday's, 2pm-6pm. Pets are seen by appointment only and a $16 deposit per pet appointment is required.

#90. LOW-COST “DRIVE-THRU” DOG & CAT VACCINE CLINIC

Has ever had an adverse reaction to a vaccine; Has shown any sign of illness in the past 2 weeks; Is nursing puppies or kittens; Might be pregnant. DOG VACCINES ...

#91. Low-Cost Vaccinations - City of Sacramento

Vaccinations (DHPP for dogs, FVRCP for cats, & Rabies Vaccine) · Microchip and Microchip Registration · 1-Year Pet License*.

#92. Animal Rabies Vaccine FAQ.2016.pub - Oklahoma.gov

If my animal has been previously vaccinated by a licensed veterinarian, how soon after vaccination is the vaccine considered current? Immediately after the ...

#93. Pet Vaccinations

Pet Vaccinations · All dogs are required to be vaccinated against rabies · Leptospirosis and bordetella vaccinations protect dogs from contagious diseases · The ...

#94. Affordable Pet Vaccine Clinics - A Home Vet

Each of these clinics gives you the oportunity to keep your pets vaccines up to date without having to worry about an exam fee (you save $45!) These clinics are ...

#95. COVID-19 Vaccination-Related Uptake on FDG PET/CT

We suggest performing PET/CT at least 2 weeks after vaccination in patients with a cancer for which interpretation is anticipated to be potentially impacted by ...

#96. Pet Clinics & Costs | Lake County, IL

All dogs and cats in Lake County are required to be vaccinated against rabies and registered. Low-cost pet vaccinations are an affordable way to keep pets ...

#97. Vaccine Clinics | Wisconsin Humane Society

Low-cost Vaccine Clinics Open to the Public! Appointments are required; no walk-ins are possible. If you are bringing more than one animal, you will need to ...

#98. Pet Vaccinations - Foothills Animal Shelter

Current vaccination records for your pet(s) are not required, but is helpful to ensure the pet receives the correct vaccinations. A three year rabies vaccine ...

#99. Pet Vaccinations - Olney-Sandy Spring Veterinary Hospital

Vaccines are an important part of preventive care for our canine and feline friends. The most important time for vaccination protection is during kitten and ...