{"id":149525,"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149525","video_url":"https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/1441ba9c2015bdbe3eada15fc7120695dc62c46c87ca327ff8ba9b0039caa7a6cb827e0de0bb25275ea18f28b6918d91.mp4/playlist.m3u8","委員名稱":"林德福","委員發言時間":"11:14:52 - 11:19:45","影片長度":"00:04:53","會議時間":"2024-03-07T09:00:00+08:00","會議名稱":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議（事由：邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用藥之因應作為」進行專題報告，並備質詢。）","meet":{"tmpMeeting":null,"title":"第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議","term":11,"type":"委員會","sessionPeriod":1,"sessionTimes":4,"committees":[26],"id":"委員會-11-1-26-4"},"date":"2024-03-07","duration":293,"end_time":"2024-03-07T11:19:45+08:00","start_time":"2024-03-07T11:14:52+08:00","features":["ai-transcript","gazette"],"type":"Clip","gazette":{"lineno":775,"blocks":[["林委員德福：（11時14分）謝謝主席，是不是請薛部長？"],["主席：有請部長。"],["薛部長瑞元：委員好。"],["林委員德福：部長你好。部長，因為麻疹傳染力高，被我國歸類在第二類傳染病，可藉由空氣，包括飛沫傳染。根據媒體報導，世界衛生組織在今年2月示警，除非採取緊急防範的措施，否則到了今年年底，全球有超過半數的國家會面臨麻疹的疫情，爆發的風險將達到高或非常高的程度。請問薛部長，我國近年面臨麻疹疫情爆發的風險比例有多高？"],["薛部長瑞元：以目前來看的話，的確這個風險是存在的，因為麻疹的特性就是它散布非常快，雖然說它會致命的可能性不大，但是它散布非常快，尤其是如果侵襲到小孩子的話，那這個就要特別去做……"],["林委員德福：所以說我希望衛福部要有所準備去因應。"],["薛部長瑞元：所以在這個部分的話，我們主要是疫苗，要靠疫苗來去做阻擋。"],["林委員德福：對。"],["薛部長瑞元：目前的公費疫苗庫存大概還有5萬支，我們會優先打在醫護人員，因為……"],["林委員德福：我知道，那個當然應該優先啦！因為最近在本席的選區裡面，包括中和、永和有病例發生，曾有專家建議，1981年後出生的小朋友，該類成年人的麻疹防護力比較弱，建議要補打麻疹疫苗。請問衛福部，目前麻疹疫苗供應北北基桃醫療單位的情況如何？"],["薛部長瑞元：目前的話，我剛剛報告過，目前的公費疫苗庫存大概還有5萬支。"],["林委員德福：只有5萬支而已。"],["薛部長瑞元：但是在封緘檢驗中的有6萬，所以加起來會有11萬，以北北基桃醫護人員的使用應該是夠。"],["林委員德福：醫護人員，對，那未來是否會有缺貨的問題呢？你們有沒有去規劃？"],["薛部長瑞元：所以我們現在正在爭取，希望國際的疫苗廠商能夠提早供應給我們。"],["林委員德福：對啊！要及早因應啊！"],["薛部長瑞元：有，我們正在和他們洽談。"],["林委員德福：我是擔心這個會不會排擠到新生兒接種麻疹疫苗，因為你用在醫護人員身上，當然還有一些必要的，那新生兒需要接種麻疹疫苗的時候，等於是會排擠到他們本來可以用的，會不會？"],["薛部長瑞元：這裡面因為還有一些自費疫苗的部分，目前庫存大概還有兩萬多支，封緘檢驗中的也有兩萬多支，這個部分是現有我們已經掌握的。再接下來的話，我們後續會去進口，7月份可能會再增加1萬支進來。"],["林委員德福：若民眾感染麻疹，目前的治療方式是以支持療法為主，並沒有什麼特殊的治療，但本席還是要提醒，這些要及早去盤點，尤其是負壓病房數量要去及早因應，你的看法呢？"],["薛部長瑞元：這個部分的話，負壓病房去收治是不是一定必要，這個可以再做討論。"],["林委員德福：因為本席以公費流感疫苗為例，去年採購數量為698萬劑，但是病毒株不同，所以WHO建議每年都要施打一次，反觀麻疹疫苗的效力是注射15年後才開始下降哦！接種一次，它的保護力可以有好多好多年，不需要每年反覆地去施打，請問衛福部有沒有考量要以專案的方式來處理全民補接種麻疹疫苗？有沒有這種想法？"],["薛部長瑞元：目前的話，全民去補接種是比較不切實際啦！因為這個還是有疫情高低起伏的問題，但是現在小孩子的常規疫苗施打裡面，其實麻疹疫苗是算在裡面的。"],["林委員德福：好，我希望衛福部在這方面要及早地去因應、去規劃，好不好？"],["薛部長瑞元：好，謝謝。"],["林委員德福：謝謝。"],["主席：謝謝林德福委員的質詢。等一下委員會等林淑芬委員質詢完畢之後，我們處理臨時提案，麻煩通知各委員。","接下來請王鴻薇委員進行質詢。"]],"agenda":{"page_end":210,"meet_id":"委員會-11-1-26-4","speakers":["王育敏","陳昭姿","陳菁徽","林月琴","盧縣一","邱鎮軍","廖偉翔","黃秀芳","蘇清泉","涂權吉","王正旭","林德福","王鴻薇","羅廷瑋","李彥秀","林淑芬","黃健豪","謝衣鳯","鍾佳濱","林憶君","劉建國","陳瑩","楊曜","楊瓊瓔"],"page_start":133,"meetingDate":["2024-03-07"],"gazette_id":"1130901","agenda_lcidc_ids":["1130901_00003"],"meet_name":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議紀錄","content":"邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用\n藥之因應作為」進行專題報告，並備質詢","agenda_id":"1130901_00002"}},"transcript":{"id":"149525","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149525","tool":"pyannote","id":"149525-pyannote"},"job_id":"ynLOGUWM0Wx3LrQ4","queued_at":"2024-06-02 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\"score\": 0.877}, {\"word\": \"福\", \"start\": 291.875, \"end\": 292.015, \"score\": 0.859}, {\"word\": \"委\", \"start\": 292.015, \"end\": 292.375, \"score\": 0.893}, {\"word\": \"員\"}, {\"word\": \"的\", \"start\": 292.375, \"end\": 292.395, \"score\": 0.985}, {\"word\": \"質\"}, {\"word\": \"詢\"}], \"language\": \"zh\"}","srt":"1\n00:00:10,859 --> 00:00:31,586\n馬診傳染力高,被我國歸類在第二類傳染病,可藉由空氣、包括灰末傳染。根據媒體報導,世界衛生組織在今年2月示警除非採取緊急防範措施,否則到了今年年底,\n\n2\n00:00:32,566 --> 00:00:50,144\n全球有差不多超過半數的國家會面臨麻疹的疫情那爆發的風險將達到高或非常高的程度那請問薛部長我國今年面臨麻疹疫情爆發的風險比例\n\n3\n00:00:51,584 --> 00:00:53,505\n所以說我希望說衛福部要有所準備去因應\n\n4\n00:01:16,186 --> 00:01:43,445\n所以在這個部分我們主要的是疫苗要開疫苗來去做阻擋那目前的公費疫苗大概庫存還有5萬支那我們優先是會打在醫護人員因為我知道那個當然是應該優先因為最近本席的選區裡面包括中和、永和有病例發生那曾有專家建立1981年後出生的\n\n5\n00:01:44,346 --> 00:01:46,967\n請問衛福部目前麻疹疫苗供應北北基桃醫療單位的情況\n\n6\n00:02:05,911 --> 00:02:19,375\n目前如何目前的話我剛剛報告過目前的公費疫苗大概庫存還有5萬支只有5萬支而已但是在封建檢驗中有6萬所以加起來會有11萬那以北北基桃應該的這個醫護人員的使用\n\n7\n00:02:22,396 --> 00:02:35,011\n醫務人員對那未來是否會有缺貨的問題呢?你們有沒有去規劃?所以我們現在正在爭取那國際的這個疫苗廠商那我希望他們要提早供應給我們這個我們正在跟他們洽談\n\n8\n00:02:37,694 --> 00:02:56,918\n因為這個我是擔心說會不會排擠一些新生兒接種這個麻疹的疫苗因為你用在醫護人員身上那當然還有一些必要的那這個新生兒有時候需要接種這些麻疹疫苗的時候他等於是會排擠到他們本來可以用的\n\n9\n00:02:57,718 --> 00:03:00,719\n若民眾要是有感染麻疹,依目前整個治療方式以支持\n\n10\n00:03:25,865 --> 00:03:26,325\n這部分的話是\n\n11\n00:03:42,771 --> 00:04:08,926\n因為本期以公會流感疫苗為例去年採購數量為698萬劑但是病毒株不同所以WHO建議每年都要施打一次反觀麻疹疫苗的效率注射是15年後才開始下降\n\n12\n00:04:09,847 --> 00:04:25,934\n接種一次它的保護力可以有這個好多好多年不需要每年環顧的去施打那請問衛福部有沒有考量要以專案的方式來處理全民啊補接種這些麻疹疫苗有沒有\n\n13\n00:04:27,195 --> 00:04:52,395\n目前的話全民去補接種的話是比較不切實際的因為這還是有疫情的高低起伏的一個問題但是現在的小孩子他的常規疫苗的施打裡面其實麻疹疫苗這個是算在裡面的我希望衛福部在這方面要提早的去因應去規劃好不好好謝謝林德福委員的質詢\n\n","tsv":"start\tend\ttext\n10859\t31586\t馬診傳染力高,被我國歸類在第二類傳染病,可藉由空氣、包括灰末傳染。根據媒體報導,世界衛生組織在今年2月示警除非採取緊急防範措施,否則到了今年年底,\n32566\t50144\t全球有差不多超過半數的國家會面臨麻疹的疫情那爆發的風險將達到高或非常高的程度那請問薛部長我國今年面臨麻疹疫情爆發的風險比例\n51584\t53505\t所以說我希望說衛福部要有所準備去因應\n76186\t103445\t所以在這個部分我們主要的是疫苗要開疫苗來去做阻擋那目前的公費疫苗大概庫存還有5萬支那我們優先是會打在醫護人員因為我知道那個當然是應該優先因為最近本席的選區裡面包括中和、永和有病例發生那曾有專家建立1981年後出生的\n104346\t106967\t請問衛福部目前麻疹疫苗供應北北基桃醫療單位的情況\n125911\t139375\t目前如何目前的話我剛剛報告過目前的公費疫苗大概庫存還有5萬支只有5萬支而已但是在封建檢驗中有6萬所以加起來會有11萬那以北北基桃應該的這個醫護人員的使用\n142396\t155011\t醫務人員對那未來是否會有缺貨的問題呢?你們有沒有去規劃?所以我們現在正在爭取那國際的這個疫苗廠商那我希望他們要提早供應給我們這個我們正在跟他們洽談\n157694\t176918\t因為這個我是擔心說會不會排擠一些新生兒接種這個麻疹的疫苗因為你用在醫護人員身上那當然還有一些必要的那這個新生兒有時候需要接種這些麻疹疫苗的時候他等於是會排擠到他們本來可以用的\n177718\t180719\t若民眾要是有感染麻疹,依目前整個治療方式以支持\n205865\t206325\t這部分的話是\n222771\t248926\t因為本期以公會流感疫苗為例去年採購數量為698萬劑但是病毒株不同所以WHO建議每年都要施打一次反觀麻疹疫苗的效率注射是15年後才開始下降\n249847\t265934\t接種一次它的保護力可以有這個好多好多年不需要每年環顧的去施打那請問衛福部有沒有考量要以專案的方式來處理全民啊補接種這些麻疹疫苗有沒有\n267195\t292395\t目前的話全民去補接種的話是比較不切實際的因為這還是有疫情的高低起伏的一個問題但是現在的小孩子他的常規疫苗的施打裡面其實麻疹疫苗這個是算在裡面的我希望衛福部在這方面要提早的去因應去規劃好不好好謝謝林德福委員的質詢\n","txt":"馬診傳染力高,被我國歸類在第二類傳染病,可藉由空氣、包括灰末傳染。根據媒體報導,世界衛生組織在今年2月示警除非採取緊急防範措施,否則到了今年年底,\n全球有差不多超過半數的國家會面臨麻疹的疫情那爆發的風險將達到高或非常高的程度那請問薛部長我國今年面臨麻疹疫情爆發的風險比例\n所以說我希望說衛福部要有所準備去因應\n所以在這個部分我們主要的是疫苗要開疫苗來去做阻擋那目前的公費疫苗大概庫存還有5萬支那我們優先是會打在醫護人員因為我知道那個當然是應該優先因為最近本席的選區裡面包括中和、永和有病例發生那曾有專家建立1981年後出生的\n請問衛福部目前麻疹疫苗供應北北基桃醫療單位的情況\n目前如何目前的話我剛剛報告過目前的公費疫苗大概庫存還有5萬支只有5萬支而已但是在封建檢驗中有6萬所以加起來會有11萬那以北北基桃應該的這個醫護人員的使用\n醫務人員對那未來是否會有缺貨的問題呢?你們有沒有去規劃?所以我們現在正在爭取那國際的這個疫苗廠商那我希望他們要提早供應給我們這個我們正在跟他們洽談\n因為這個我是擔心說會不會排擠一些新生兒接種這個麻疹的疫苗因為你用在醫護人員身上那當然還有一些必要的那這個新生兒有時候需要接種這些麻疹疫苗的時候他等於是會排擠到他們本來可以用的\n若民眾要是有感染麻疹,依目前整個治療方式以支持\n這部分的話是\n因為本期以公會流感疫苗為例去年採購數量為698萬劑但是病毒株不同所以WHO建議每年都要施打一次反觀麻疹疫苗的效率注射是15年後才開始下降\n接種一次它的保護力可以有這個好多好多年不需要每年環顧的去施打那請問衛福部有沒有考量要以專案的方式來處理全民啊補接種這些麻疹疫苗有沒有\n目前的話全民去補接種的話是比較不切實際的因為這還是有疫情的高低起伏的一個問題但是現在的小孩子他的常規疫苗的施打裡面其實麻疹疫苗這個是算在裡面的我希望衛福部在這方面要提早的去因應去規劃好不好好謝謝林德福委員的質詢\n","vtt":"WEBVTT\n\n00:10.859 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