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OC Health Care Agency Granted $10 Million for Crisis Mobile Units Addressing County Behavioral Health Needs

February 9, 2023
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(Santa Ana, CA) - The OC Health Care Agency’s (HCA) Mental Health & Recovery Services (MHRS) team is being awarded $10 million dollars to expand its behavioral crisis continuum in Orange County. Funding is awarded from the California Department of Health Care Services (DHCS) Crisis Care Mobile Units (CCMU) program. The program provides funding for county and city behavioral health departments to implement new and enhanced CCMUs. The HCA is one of many recipients, with over $140 million already distributed to similar programs statewide.
 
These additional funds are planned to support and/or expand the mobile behavioral health crisis services across Orange County, including:

  • Purchasing new vehicles for the field crisis team
  • Crisis trainings for Peer Specialists
  • Upgraded technology for crisis teams and vehicles
  • Additional integrated resources for all county residents

 
The County’s current crisis system includes the Crisis Assessment Team (CAT), Outreach and Engagement team, and OC Links. Mobile crisis services are available to reach any person in the service area in a home, school, workplace, or any other field-based location.
 
“We are very excited to draw down these funds to better support the efforts of our crisis response system of care,” said Dr. Veronica Kelley, HCA Chief of Mental Health and Recovery Services. “These funds will allow us to better leverage current services, allowing more options for assistance with transportation to needed levels of care, technology, and training. This will help to ensure Orange County residents experiencing a behavioral health crisis get the help they need, when they need it.”
 
The County’s CAT program provides prompt response in the field when an individual is experiencing a behavioral health crisis. A behavioral health crisis may include a mental health crises, substance use crises, or co-occurring mental health and substance use crises. County clinicians respond to calls from anyone in the community and are dispatched 24 hours a day, 7 days a week, year-round. Individuals are connected to appropriate care and clinicians follow-up with individuals and/or their parents/guardians to provide information and referrals for ongoing mental health and recovery services.
 
California’s DHCS is utilizing funding for these grants from the broader Behavioral Health Continuum Infrastructure Program (BHCIP), with focus being on the development and expansion of behavioral health CCMUs throughout California. For more information on California’s Crisis Care Mobile Units (CCMU) grant program, visit: here
 
If you or someone you know is experience a mental health or substance crisis, call OC Links 24/7 at: (855) 625-4657 or visit OC Links.

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OC Health Care Agency Reports 5 Key Public Health Updates

February 9, 2023
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(Santa Ana, CA) — Several public health messages were announced recently by a variety of government agencies, including the White House, California Department of Public Health (CDPH), Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA), regarding the COVID-19 public health emergency end dates, available resources for COVID-19 and HIV testing moving forward, and important product recalls.
 

Federal and State – COVID-19 Public Health Emergency End Date Planned

The Federal Government and State of California have each announced plans to end the COVID-19 public health emergency. President Biden announced plans to end the COVID-19 Public Health Emergency (PHE) on May 11, 2023 (White House Announcement), while Governor Newsom announced an end to the COVID-19 State of Emergency on February 28, 2023 (Governor Newsom’s Announcement).
 
As COVID-19 continues to adversely affect individuals, everyone is strongly advised to make informed decisions to prevent severe COVID-19 illness. The County Health Officer strongly recommends all county residents consider creating the following COVID-19 Action Plan for themselves:

  • Know your risk. Those with a weakened immune system or live with someone who does, are strongly encouraged to take preventive measures to minimize the risk of exposure to COVID-19.
  • Protect yourself. Get an updated bivalent COVID-19 vaccine, improve ventilation, wash hands often, wear a well-fitted mask.
  • Take action if exposed. Monitor symptoms, consider wearing a mask around others when in public and test for COVID if you develop symptoms or if you plan to come into contact with someone who may have a weakened immune system.
  • Take action if you develop symptoms or test positive for COVID-19. Get tested and consider treatment- visit the Test to Treat website to find a location for treatment.

For more information visit: www.Information for Persons Who Are Immunocompromised Regarding Prevention and Treatment of SARS-CoV-2 Infection in the Context of Currently Circulating Omicron Sublineages — United States, January 2023 | MMWR (cdc.gov)

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If you have a weakened immune system or live with someone who does, create a COVID-19 action plan.
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Receiving an updated bivalent COVID-19 vaccine remains the most effective way to prevent severe COVID-19 illness. Eligible individuals who have not yet received their bivalent booster are encouraged to do so. Visit www.vaccines.gov.
 
Additionally, testing and treatment are important measures to help immediately detect illness and reduce chances of developing severe illness from COVID-19 for those at high risk. CDPH recently launched a public message campaign “Test It, Treat It, You Can Beat It!” Visit CDPH website www.youcanbeatit.org for more information on prevention, testing and treatment.
 

Increased Community Access to COVID-19 Testing Program

Last month, CDC launched the Increasing Community Access to Testing (ICATT) program. The ICATT program provides access to COVID-19 testing in communities at greater risk of being impacted by the pandemic, for people without health insurance, and for surge testing in state and local jurisdictions.
 
The ICATT program created the No-Cost COVID-19 testing locator webpage to help residents find COVID-19 testing locations and to provide contact information for the providers. The testing locator searches for testing providers using a ZIP Code or street address and will prompt users to the nearest location(s) to make an appointment for a test.
 

New At-Home HIV Test Kits Website Launched

To support ongoing efforts to end the HIV epidemic, CDPH, Office of AIDS (CDPH-OA) recently announced the launch of an OraQuick HIV self-testing program to all counties in California through the Building Healthy Online Communities: Take Me Home program (BHOC-TMH).
 
This program puts an effective free HIV screening tool directly into the hands of Californians (ages 17+) who request it via the BHOC-TMH website. The BHOC partnership developed the National Home Test Kits program for state and local health departments to offer confidential HIV and comprehensive sexually transmitted infections (STI) testing delivered securely and discreetly directly to constituents.
 
“HIV remains a public health challenge and knowing your HIV status helps prevent new infections,” said Dr. Regina Chinsio-Kwong, the County Health Officer and HCA’s Acting Chief of Public Health Services. “This new resource supports testing through a secure and discreet at-home option and increases access for people with limited transportation or mobility.”
 
For more information visit, https://takemehome.org/.
 
Local support is available at the OC Health Care Agency/17th Street Testing, Treatment and Care Clinic: Call (714) 834-8787 to make an appointment or visit.
 

Drug-Resistant Pseudomonas Infection Associated with Artificial Tears

On February 1, 2023, CDC issued a Health Alert Advisory about infections with an extensively drug-resistant strain of Pseudomonas aeruginosa (VIM-GES-CRPA) in 12 states. Most patients reported using more than 10 different brands of artificial tears with some patients using multiple brands. Many patients reported using EzriCare Artificial Tears, a preservative-free, over-the-counter product packaged in multidose bottles.

Patients and health care providers are advised to immediately discontinue using EzriCare Artificial Tears pending additional guidance from CDC and FDA, and patients should follow up with their health care provider for an alternative artificial tears product to use.

Anyone using EzriCare Artificial Tears and who has signs or symptoms of an eye infection, such as discharge from the eye, eye pain or discomfort, redness of the eye or eyelid, feeling of something in the eye, increased sensitivity to light, or blurry vision, should seek timely medical care. At this time, CDC does not recommend testing of patients who have used this product and who are not experiencing any signs or symptoms of infection.

The full CDC Health Alert Notification can be viewed HERE.  
 

FDA Recalls “Diep Bao Cream” for Lead Contamination

FDA recently issued a recall of Shop Me Ca’s “Diep Bao Cream” baby cream because the 10-gram tubes have the potential to be contaminated with lead. Diep Bao Cream was sold nationwide through Shop Me Ca’s Facebook page and Vietnamese Moms’ Facebook groups.
 
Residents should stop using the product and dispose of it immediately. Consumers with questions may contact the company at shopemeca91@gmail.com. More information about this recall is available on the U.S. Food and Drug Administration (FDA) website.

Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

  • Complete and submit the report Online.
  • Regular Mail or Fax: Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178.
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Lead Contamination for Diep Bao Cream
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CAHAN - Outbreak of Extensively Drug-resistant Pseudomonas aeruginosa Associated with Artificial Tears

February 2, 2023
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The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory about infections with an extensively drug-resistant strain of Verona Integron-mediated Metallo-β-lactamase (VIM) and Guiana-Extended Spectrum-β-Lactamase (GES)-producing carbapenem-resistant Pseudomonas aeruginosa (VIM-GES-CRPA) in 12 states. Most patients reported using artificial tears. Patients reported more than 10 different brands of artificial tears, and some patients used multiple brands. The majority of patients who used artificial tears reported using EzriCare Artificial Tears, a preservative-free, over-the-counter product packaged in multidose bottles. CDC laboratory testing identified the presence of the outbreak strain in opened EzriCare bottles with different lot numbers collected from two states. Patients and healthcare providers should immediately discontinue using EzriCare artificial tears pending additional guidance from CDC and the Food and Drug Administration (FDA).

The entire CDC Health Alert Notification can be viewed at:

https://emergency.cdc.gov/han/2023/pdf/CDC_HAN_485.pdf

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Emergency Medical Care Committee (EMCC) - January 13, 2023

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Document                                                                              Date
EMCC Agenda Packet 01/11/2023
EMCC Agenda 01/11/2023
Attachment 1 - EMCC Minutes 10/14/2022 01/11/2023
Attachment 2 - APOT Report Oct. - Dec. 2022 01/06/2023
Attachment 3 - EMCC Correspondence  01/06/2023
Attachment 4 - Letter 4520 Ground Ambulance Rates, Policy 714, BOS Resolution 01/06/2023
Attachment 5 - Letter 4477 Refresher Memo - EMS Interventions 01/06/2023
Attachment 6 - Letter 4522 NEMSIS v3.5 Implementation Plan 01/03/2023 01/06/2023
Attachment 7 - ALS PAU Changes (OCFA) 01/11/2023
Attachment 8 - FAC Facilities Designations 01/11/2023
Attachment 9 - PAU Approval for Newport Beach Fire Department 01/11/2023
Attachment 10 - Emergency Medical Care Committee Meeting 2023 Dates 01/11/2023

 

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County Prehospital Advisory Committee (CPAC) Meeting January 11, 2023

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Document                                                                              Date
CPAC Agenda Packet 01/06/2023
CPAC Agenda 01/06/2023
Attachment 1 - CPAC Minutes 11/09/2022 01/06/2023
Attachment 2 - APOT Report Oct. - Nov. 2022 01/06/2023
Attachment 3 - Letter 4520 Ground Ambulance Rates, Policy 714, BOS Resolution 01/06/2023
Attachment 4 - Letter 4477 Refresher Memo - EMS Interventions 01/06/2023
Attachment 5 - Letter 4522 NEMSIS v3.5 Implementation Plan 01/03/2023 01/06/2023
Attachment 6 - County Prehospital Advisory Committee Meeting 2023 Dates 01/06/2023

 

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EMS Facilities Advisory Committee (FAC) Meeting - January 10, 2023

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Document                                                                              Date
FAC Agenda Packet 01/06/2023
FAC Agenda 01/06/2023
Attachment 1 - FAC Minutes 11/08/2022 01/06/2023
Attachment 2 - APOT Report Oct. - Nov. 2022 01/06/2023
Attachment 3 - Letter 4520 Ground Ambulance Rates, Policy 714, BOS Resolution 01/06/2023
Attachment 4 - Letter 4477 Refresher Memo - EMS Interventions 01/06/2023
Attachment 5 - Letter 4522 NEMSIS v3.5 Implementation Plan 01/03/2023 01/06/2023
Attachment 6 - Facilities Advisory Committee Meeting 2023 Dates 01/06/2023

 

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EMS Transportation Advisory Subcommittee - January 4, 2023

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Document                                               Date
TAC Agenda Packet 12/29/2022
TAC Agenda 12/29/2022
Attachment 1 - TAC Minutes 10/05/2022 12/28/2022
Attachment 2 - Ground Ambulance Rates Memo and Attachments 12/28/2022
Attachment 3 - #4477 Refresher Memo EMS Interventions 12/29/2022
Attachment 4 - TAC 2023 Meeting Dates 12/29/2022

 

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Orange County Moves to “HIGH” COVID-19 Community Transmission Level Based on CDC Metrics

December 22, 2022
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(Santa Ana, CA) –  Orange County has been moved up to the HIGH COVID-19 Community Level according to the latest metrics released by the Centers for Disease Control and Prevention (CDC), the OC Health Care Agency (HCA) announced today. Combined with a surge in respiratory viruses and the onset of flu season, the HCA reminds residents that it is critical to follow preventive measures, including remaining up to date with vaccinations such as flu and COVID-19, to reduce the severity of disease and to help lessen the burden on hospitals.
 
“With the expanding COVID-19 community spread, there is a higher risk for more individuals to catch COVID-19 especially during the holidays when families are gathering,” said Dr. Regina Chinsio-Kwong, County Health Officer and the HCA’s Chief Medical Officer. “As people spend more time indoors and with loved ones, these viruses will spread. We know it’s frustrating to continuously hear about the preventive measures, but they work when followed and can help to protect each other from serious illness.”
 
The HCA recommends residents take preventative actions to minimize the risk of severe illness and advises the following:

  • Get fully vaccinated including the updated bivalent booster (now available for 6 months and up, Learn more) to maximize your immunity against COVID-19 & flu. Visit https://myturn.ca.gov/ to schedule a vaccine.
  • Wear a well-fitting mask as an added layer of protection.
  • Avoid contact with people who are sick or confirmed with COVID-19.
  • If you have household or social contact with someone at high risk for getting very sick, consider self-testing to detect infection before contact, and consider wearing a high-quality mask when indoors with them.
  • If you recently attended a high-risk event, traveled, or came into close contact with someone who has COVID-19, self-monitor for symptoms and get tested. If you are sick or test positive follow the self-isolation guidance. 

Patients exposed to COVID-19 or who test positive for COVID-19 should contact their health care provider about available therapeutic medications or locate a Test to Treat site. Act fast to seek COVID-19 treatment as treatment must begin within 5-7 days of when symptoms start. Treatments are now widely available for COVID-19 and are free, like the Paxlovid pill which is safe and effective for preventing COVID-19 illness from becoming serious, can lead to testing negative sooner, and may lower the risk of long COVID.
 
Call your health care provider or an urgent care center or connect to a free telehealth provider today by visiting FREE Virtual COVID-19 Visit for Californians Ages 12 and Up (sesamecare.com) or by calling (833) 686-5051.
 
For more information on COVID-19 information and resources, including case counts, vaccination, and testing in Orange County, visit ochealthinfo.com/covid.

Press Release in Chinese
Press Release in Korean
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CAHAN - Increase in Pediatric Invasive Group A Streptococcal Infections

December 22, 2022
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The Centers for Disease Control and Prevention (CDC) issued a Health Alert Network (HAN) Health Advisory to notify clinicians and public health authorities of a recent increase in pediatric invasive group A streptococcal (iGAS) infections. In November 2022, CDC was notified of a possible increase in iGAS infections among children at a hospital in Colorado. Potential increases in pediatric iGAS cases in other states were subsequently noted by contributors to the Infectious Diseases Society of America’s provider-based Emerging Infections Network and by certain jurisdictions participating in CDC’s Active Bacterial Core Surveillance System (ABCs). This increased number of pediatric iGAS cases in some jurisdictions has occurred in the setting of increased circulation of respiratory syncytial virus (RSV), influenza viruses, SARS-CoV-2, and other respiratory viruses. While the overall number of cases has remained relatively low and iGAS infections remain rare in children, CDC is investigating these reports.

You can see the full alert at the following link: https://emergency.cdc.gov/han/2022/han00484.asp

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Local Health Emergency Terminated as the U.S. Department of Health & Human Services Expands Available Resources for RSV and Other Diseases Under the COVID-19 Public Health Emergency

December 21, 2022
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(Santa Ana, CA) –  In response to the US Health and Human Services (HHS) notifications (on 12/2/22 and 12/15/22) to State Governors by HHS Secretary Xavier Becerra, that tools and resources have been added to the US COVID-19 Public Health Emergency (PHE) which expand capacity to respond to respiratory syncytial virus (RSV) and other infectious diseases, the OC Board of Supervisors voted to terminate the Local Health Emergency related to RSV.
 
County Health Officer and OC Health Care Agency’s (HCA) Chief Medical Officer, Dr. Regina Chinsio- Kwong initiated the Declaration of the Local Health Emergency on 10/31/22 due to record number of pediatric hospitalizations and emergency room visits. The goal of this Declaration was to obtain regulatory flexibilities for local hospitals and avail the County of Orange to additional mutual aid resources. The HHS announcements have now expanded the resources needed to address the burden on local hospital systems and has eased the need to seek mutual aid. The HCA’s Emergency Medical Services (EMS) team will continue to monitor regional hospital capacity and the health care systems’ resources to support and facilitate needed assistance.
 
“RSV and flu cases continue to impact our pediatric hospital capacity,” said Dr. Chinsio-Kwong. “This adjustment to the PHE from our Federal partners, helps address local needs caused by the spread of non-COVID-19 illnesses, including RSV and the flu, and to address recent increased COVID-19 hospitalizations which are further straining our health care and hospital systems. The cancellation of the Local Health Emergency Declaration is not an indication that there is a reduction in cases of infection or spread of respiratory disease. It indicates only that additional resources and support are now available through the adjusted Federal PHE.”
 
For more information on RSV prevention, please visit https://www.cdc.gov/rsv/about/prevention.html.
 
To help mitigate further spread of RSV and other respiratory illnesses during this winter surge, the HCA encourages residents to follow preventive measures, including remaining up to date with vaccinations such as flu and COVID-19, to reduce the severity of disease and to help reduce the burden on hospitals. Individuals are asked to follow preventative measures, including:

  • Stay home when you are sick and symptomatic.
  • Cover your coughs and sneezes with a tissue or your upper shirt sleeve, not your hands.
  • Mask when indoors or in large group settings.
  • Wash your hands frequently, especially before and after eating and using the bathroom.
  • Get your flu shot and COVID-19 vaccines and boosters to prevent complications from these viral illnesses.

Additionally, as families and communities gather to celebrate the holidays and COVID-19 hospitalizations are increasing, the HCA further encourages residents to review the following information should you experience COVID-19 symptoms or are exposed:

  • Testing before gatherings will help mitigate the spread. Free test kits can be ordered by visiting www.covidtests.gov.
  • Act fast to seek COVID-19 treatment as treatment must begin within 5-7 days of when symptoms start. Effective treatments are now widely available for COVID-19 and are free. Treatments like the Paxlovid pill are safe and effective for preventing COVID-19 illness from becoming serious, can lead to testing negative sooner, and may lower the risk of long COVID.
    • Call your health care provider or an urgent care center or connect to a free telehealth provider today by visiting www.sesamecare.com/covidca or calling 833-686-5051.
  • Isolate from others for at least 5 full days. Use the Personal Testing and Isolation Calculator to help you determine how long you should isolate.
  • Tell people you recently interacted with that they may have been exposed. You can do this by calling, texting, or emailing them, or notify them anonymously through the Tell Your Contacts website.

Creating a plan in the event of COVID-19 will help families be prepared for care in the event of infection. See CDC’s COVID-19 plan document.
 
Visit www.ochealthinfo.com/covid for current information on Orange County COVID-19 cases, hospitalizations and Intensive Care Unit data.

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면책 조항

사용자의 편의를 위해, 본 오렌지 카운티 웹사이트는 무료 Google 언어 번역 서비스를 사용합니다. "Next"(다음) 버튼을 클릭하면, 본 웹사이트의 페이지가 영어 이외의 언어로 제공됨을 이해하는 것으로 간주됩니다. 오렌지 카운티는 번역의 정확성을 보장하기 위해 모든 노력을 기울였습니다. 그러나, 완벽한 전산화 또는 자동 번역은 없습니다. 예를 들어, 번역은 문맥을 고려하지 않기 때문에 텍스트의 의미를 온전히 번역할 수 없습니다. 또한, 지역 방언 또는 선호도와 관련된 차이점도 발견할 수 있습니다. 또한, 본 웹사이트에서는 텍스트가 포함된 그래픽, PDF 파일, 특수 애플리케이션은 번역할 수 없습니다. 오렌지 카운티는 Google에서 제공하는 번역에 대해 책임을 지지 않습니다. 본 웹사이트의 원래 버전은 영어로 제공됩니다. 본 웹사이트의 영어 버전과 번역 버전 사이에 불일치가 있는 경우 영어 버전이 우선합니다. "Next"(다음)를 클릭하면, 번역의 불일치 또는 불충분한 내용은 구속력이 없으며 법적 효력이 없음을 이해하는 것으로 간주됩니다. 오렌지 카운티는 변환된 텍스트의 정확성을 보장할 수 없으며, 사용자가 Google에서 제공하는 번역을 사용하거나 의존함으로써 발생할 수 있는 어떠한 책임도 지지 않습니다.

免責聲明

為方便使用者使用,本橙縣網站採用了 Google (谷歌) 免費語言翻譯服務。當您點擊「Next」(下一個)按鈕,即表示您了解本網站內容將自動翻譯為非英文語言。橙縣已盡力確保翻譯內容的準確性,但機器或自動翻譯服務無法達到完美。例如,翻譯無法完整呈現語境含義,亦可能無法精確反映原文內容。此外,您可能會發現因地區方言或用語偏好而有所差異。而且,本網站上的圖像文字、PDF 檔案以及特定應用程式內容亦無法透過此翻譯服務轉換。橙縣對 Google (谷歌) 翻譯所提供的翻譯內容不負任何責任。本網站的原始語言版本為英文。如英文版本與翻譯版本內容有任何不一致之處,應以英文版本為準。當您點擊「Next」(下一個)時,即表示您了解翻譯內容若有任何差異或不一致之處,均不具法律效力,且不具任何約束力。橙縣無法保證翻譯內容的準確性,亦不對因您使用或依賴 Google (谷歌) 翻譯結果而產生的任何後果承擔責任。

سلب مسئولیت

برای راحتی کاربران، وب‌ سایت اورنج کانتی از سرویس ترجمه رایگان گوگل استفاده می‌ کند. با کلیک روی دکمه "بعدی"، شما تأیید می‌کنید که محتوای این وب ‌سایت به زبان‌هایی غیر از انگلیسی ترجمه خواهد شد. اورنج کانتی تمام تلاش خود را برای دقت ترجمه‌ها انجام داده است، اما هیچ سامانه ترجمه ماشینی بدون خطا نیست. به عنوان مثال، این ترجمه‌ها معمولاً به زمینه‌ی متن حساس نیستند و ممکن است نتوانند معنا و مفهوم دقیق را به‌طور کامل منتقل کنند. همچنین ممکن است تفاوت‌هایی ناشی از لهجه‌ها یا ترجیحات منطقه‌ای مشاهده شود. علاوه بر این، امکان ترجمه گرافیک‌های حاوی متن، فایل‌های PDF و برخی برنامه‌های خاص در این وب‌سایت وجود ندارد. اورنج کانتی مسئول ترجمه‌ای که توسط گوگل ارائه می‌شود، نیست. نسخه اصلی این وب‌ سایت به زبان انگلیسی در دسترس است. در صورت وجود هرگونه اختلاف یا مغایرت بین نسخه انگلیسی و نسخه ترجمه‌ شده، نسخه انگلیسی معتبر و ملاک خواهد بود. با کلیک بر روی "بعدی" ، شما تأیید می‌کنید که هرگونه اختلاف یا مغایرت در ترجمه، الزام‌آور نبوده و هیچ‌گونه اثر قانونی ندارد. اورنج کانتی نمی‌ تواند دقت ترجمه ارائه ‌شده توسط گوگل را تضمین کند و هیچ‌ گونه مسئولیتی در قبال استفاده یا استناد شما به این ترجمه را بر عهده نمی‌ گیرد.

إخلاء المسؤولية

لراحة المستخدمين، يستخدم هذا الموقع الإلكتروني التابع لمقاطعة أورانج خدمة الترجمة المجانية من Google. من خلال النقر على زر "التالي"، فإنك تقر بأن صفحات هذا الموقع سيتم عرضها بلغات غير اللغة الإنجليزية. لقد بذلت مقاطعة أورانج أقصى جهد ممكن لضمان دقة الترجمة، إلا أن الترجمة الآلية لا يمكن أن تكون دقيقة بشكل كامل دائمًا. على سبيل المثال، لا تراعي الترجمة الآلية السياق، وقد لا تتمكن من نقل المعنى الكامل للنص الأصلي. بالإضافة إلى ذلك، قد تلاحظ وجود اختلافات تتعلق باللهجات أو التفضيلات الإقليمية. كما أن الترجمة لا تشمل الصور التي تحتوي على نصوص، أو ملفات PDF، أو التطبيقات الخاصة الموجودة على هذا الموقع. لا تتحمل مقاطعة أورانج أي مسؤولية عن الترجمة التي توفرها خدمة Google. النسخة الأصلية من هذا الموقع متاحة باللغة الإنجليزية. وفي حال وجود أي تعارض أو اختلاف بين النسخة الإنجليزية والنسخة المترجمة، تُعتَمد النسخة الإنجليزية. من خلال النقر على "التالي"، فإنك تقر بأن أي تعارض أو اختلاف في الترجمة غير مُلزِم ولا يترتب عليه أي أثر قانوني. ولا تضمن مقاطعة أورانج دقة النص المُترجَم، ولا تتحمل أي مسؤولية قد تنشأ عن استخدامك أو اعتمادك على الترجمة المقدمة من Google.