1 . Medical Examination Instructions

These medical instructions are being issued as your immigration (移民) application has reached the stage where medical examination results are required.

When, who and how to complete your Immigration Medical Examination

You are required to have the medical examination within 30 days of the date of this letter; your medical examination must be performed by a doctor from the IRCC list of Panel Physicians; book an appointment with a Panel Physician in your area as soon as possible.

Once your medical examination has been completed, the Panel Physician will submit medical results to IRCC for assessment. To obtain a copy of your Immigration Medical Examination, please ask the Panel Physician at the time of your appointment.

Paying for your Immigration Medical Examination

Any costs related to the medical examination are your responsibility and are payable to the Panel Physician at the time of examination. This payment is for the Panel Physician's services and cannot be returned even if your immigration application is refused or the validity period (有效期) of your immigration medical examination ends.

Note: If you are qualified for coverage under the Interim Federal Health Program, the costs related to your immigration medical examination may be covered by the IFHP. Please confirm with the Panel Physician in your area that they are registered with the IFHP.

What must I bring to my appointment?

★ The attached Medical Report form

★Identification, including your passport if one is available (Proof of identity must include at least one government-issued document with photograph and signature, such as a passport.)

★Eye glasses or contact lenses (隐形眼镜), if worn

★Four recent photographs

★For individuals qualified for Migration Medical Examination coverage under the Interim Federal Health Program, please bring one of the following documents:

●Refugee Protection Claimant Document

●The Interim Federal Health Certificate

●Acknowledgement of Claim and Notice to Return for Interview

If available, you may be offered vaccinations (接种疫苗) by the Panel Physician.

1. After your medical examination, _________.

A．the previous health reports ought to be consulted

B．you will submit the results to IRCC for assessment

C．the Panel Physician will present the results to IRCC

D．you will surely obtain a copy of examination results by the physician

2. If your immigration application is refused, which statement is right about the costs?

A．The IFHP will cover them.	B．They cannot be returned.
C．The Panel Physician will pay in cash.	D．They will be returned if you apply.

3. Which of the following must be brought to the appointment?

A．Proof of identity.	B．The Federal Health Certificate.
C．The application form.	D．Medical examination instructions.

2 . Most Popular UK Destinations for a Staycation

Looking for a cheap stay cation to brighten up your winter? Here are the most popular destinations in the UK.

Blackpool

Whether you’re seeking the thrills of Blackpool Pleasure Beach or are keen to catch a glimpse of Blackpool Tower, the city’s most appealing attraction, the seaside town offers various amazing views. It’s no wonder the town has gained 980.8 million views on TikTok. With accommodation price £75 for a night, you’ll have a golden opportunity to enjoy Blackpool's Illuminations (彩灯) display and the Seaside Trail.

Searborough

North Yorkshire’s Scarborough sees 49,500 monthly searches and 686.4 million views on TikTok. One of the local highlights is the annual St Nicholas Fair. While a one-night stay in Scarborough costs £85, the town offers holiday-makers opportunities to experience ancient British culture at the 12th-century castle ruins.

Swansea

The Welsh town sees 27,100 monthly searches and has 622.4 million views on TikTok. Swansea’s Waterfront Wonderland brings with it the Alpine Village and various amusement attractions. Spending a night here costs just 10 pounds more than in Scarborough. But if you book a week earlier, you can get a 5 percent discount in total. With Cardiff only being an hour’s drive from Swansea, you have the perfect opportunity to catch a game of ice hockey.

Bournemouth

Bournemouth isn’t called Sunny Bournemouth for nothing, as holiday-makers can enjoy breathtaking views along the Jurassic Coast. With a World Heritage Site within its borders, it’s no surprise to see this town with the high number of views on TikTok (868.3 million). A one-night stay will cost you £105, giving you the perfect opportunity to get relaxed.

1. What is the most attractive in Blackpool?

A．Blackpool Pleasure Beach.	B．Blackpool Tower.
C．The Illuminations display.	D．The Seaside Trail.

2. How much will a tourist at least pay for a night in Swansea?

A．£ 70.

B．£ 85.

C．£ 85.75.

D．£ 90.25.

3. Which of the following has the second-highest number of views on TikTok?

A．Blackpool.

B．Swansea.

C．Scarborough.

D．Boumemouth.

3 . Four Highly-related Books

Anne of Green Gables.

Anne of Green Gables by Canadian author Lucy Mau d Montgomery has been considered as a children’s novel since the mid-20th century. It states how Anne makes her way with the Cuthberts at school and within the town. The novel presents the conflicts between Ann’s more fantastical daily life and that of Marilla, who would rather operate as social convention dictates (规定). Since publication, the book has sold more than 50 million copies and has been translated into 20 languages.

First published: 1908

Original language: English

Pride and prejudice

Pride and Prejudice is a romantic novel of manners by the British author Jane Austen. The story follows the main character, Elizabeth Bennet, as she deals with issues of manners, upbringing, norality, education and marriage in the society of the landed gentry (地主阶层) of England in the early 19th century.

First published: 1813

Original language: English

Treasure Island

Treasure Island is an adventure novel by Scottish author Robert Louis, telling a tale of “pirates (海盗) and buried gold”. The influence of the book on popular perceptions of pirates is huge, including such elements as treasure maps marked with an “X”, sailing ships, tropical islands and one-legged seamen bearing parrots on their shoulders.

First published: 1883

Original language: English

Alice’s Adventures in Wonderland

Alice’s Adventures in Wonderland is a novel written by English author Charles Lutwidge Dodgson under the pen name Lewis Carroll. It tells of a girl named Alice falling through a rabbit hole into a fantasy world populated by unusual and vivid creatures. The tale plays with logic, giving the story lasting popularity with adults as well as with children. It is considered to be one of the best examples of the literary nonsense type.

First published: 1865

Original language: English

1. What do the four books have in common?

A．They are novels written by the authors from the same country.

B．They were first published in the 19th century.

C．They were originally written in English.

D．They are works of children's literature.

2. What can we know about Alice’s Adventures in Wonderland?

A．Its theme is manners, upbringing and marriage.	B．Its main character is an English gentleman.
C．It is suitable for both adults and children.	D．It is based on a true and touching story.

3. Which book is involved with sailors who attack other ships and rob them of property?

A．Treasure Island.	B．Pride and prejudice.
C．Anne of Green Gables.	D．Alice's Adventures in Wonderland.

4 . Things to do in London this weekend

Sheep & Wool Fayre, Sunday 11 am

Sheep & Wool Fayre is one of Spitalfield’s City Farm’s biggest community events and this year it’s still going ahead virtually (虚拟地) celebrating all woolly things with all its usual shows and competitions.

Order take-away pints（一品脱的啤酒）

Buy a pint and head for some of that daily exercise — or a rest — in the park. Just remember: parks in the capital are still largely closed right now, so check their opening hours ahead of time. And many parks close at 5 pm or 7 pm each evening.

Royal Botanic Gardens, all weekend

The world-famous Royal Botanic Gardens has been allowed by the government to welcome visitors. Of course, it will be going under strict social distancing rules and all visitors, including members, will have to book tickets online ahead of time.

Camden Market, Saturday 10 am

Camden Market — along with the rest of London — has been closed because of COVID-19 for the last two months, but it is opening its stores again. Head along to pick up some top-quality things — only fresh produce will be sold at this time. When you visit, there will be strict social distance rules.

Maltby Street Market, all weekend

Outdoor markets have been officially allowed to be re-opened to the public — but with strict social distance rules in place. Maltby Street Market is making a comeback today. For now, it’ll be returning as the “Maltby St. Produce Market”, having “a small number of carefully selected fresh produce traders”.

1. Which can only be enjoyed online right now?

A．Sheep & Wool Fayre.	B．Royal Botanic Gardens.
C．Camden Market.	D．Maltby Street Market.

2. What makes Royal Botanic Gardens different from the others?

A．It’s open to all visitors.

B．Local government runs it.

C．It is very well-known in the world.

D．Tickets must be booked beforehand.

3. What can people probably buy at the re-opened markets according to the text?

A．Top-quality clothes.	B．Wool products.
C．Fresh produce.	D．Pints.

5 . Have you ever heard people say that laziness is the mother of poverty? Laziness is a sin (罪), everyone knows that. We have probably all had lectures pointing out that laziness is immoral, that it is wasteful, and that lazy people will never amount to anything in life. But is it often the case?

In fact, laziness is often caused by more complex reasons than simple wish to avoid work. Some people who appear to be lazy are suffering from much more serious problems. They may be so distrustful of their fellow workers that they are unable to join in any group task for fear of ridicule (嘲笑) or having their idea stolen. These people who seem lazy may be paralyzed by a fear of failure that prevents fruitful work. Or other sorts of fantasies may prevent work; some people are so busy planning, sometimes planning great deals or fantastic achievements that they are unable to deal with whatever “lesser” work is on hand. Still other people are not avoiding work; strictly speaking, they are merely procrastinating — rescheduling their day.

Laziness can actually be helpful. Like procrastinators (拖延者), some people may look lazy when they are really thinking, planning, contemplating (沉思), researching. We should all remember that great scientific discoveries occurred by chance. Sitting “lazily” under the tree, Newton wasn’t working in the orchard (果园) when the apple hit him and he devised the theory of gravity. All of us would like to have someone “lazy” build the car, particularly if that “laziness” was caused by the worker’s taking time to check each step of his work and to do his job right. And sometimes, being “lazy” — that is, taking time off for a rest — is good for the overworked students or executives. Taking a rest can be particularly helpful to the “lazy” athlete who is trying too hard or the “lazy” doctor who’s simply working himself overtime too many evenings at the clinic. So be careful when you’re tempted to call someone lazy. That person may be thinking, resting, or planning his or her next work. See for yourself!

1. What is the second paragraph mainly about?

A．The impacts of being lazy on work.

B．The reasons for some people being lazy.

C．The work model of lazy people.

D．The approaches to avoiding laziness.

2. What does the author probably agree with?

A．Laziness is a serious physical disease.

B．Laziness is more beneficial than harmful.

C．Some people appear lazy because they feel insecure.

D．Some people avoid serious work for lack of patience.

3. What is the author’s tone of writing the last paragraph?

A．Humorous.

B．Pessimistic.

C．Doubtful.

D．Indifferent.

4. What is the author’s purpose of writing the passage?

A．To introduce how to avoid being lazy.

B．To compare different attitudes to lazy people.

C．To remind the reader laziness is not always what it appears to be.

D．To encourage the reader to become independent individuals.

6 . VAX PLATNUM POWERMAX carpet washer

Deep clean and remove up to 93% of bacteria with ease.

Proven to clean better than the leading rental.

VAX Platinum Power Max cleans carpets with ease and leaves them dry in as little as 1 hour.

Deep cleaning

We’re obsessed with removing bacteria from our homes, but what about our carpets? Even if vacuuming makes them look spotless, potentially harmful stuff could still be living deep down -a layer of bacteria that can’t be removed by vacuuming alone. The Vax Platinum Power Max cleans carpets 5 times better than a high-performance vacuum cleaner and handles like one too-it’s simple to use, allowing you to get rid of up to 93% of bacteria easily.

VAX technology

It’s packed with technology, treating the carpet with a precise mix of water and Vax Platinum solution. Our SpinScrub Technology and powerful XL brush bar agitate（搅动） the carpet in two different directions, pushing the solution into the fibres before the bacteria and dirt are sucked away. In fact, the Vax Platinum Power Max cleans carpets better than the leading rental.

Simple to use

Fill one tank with water and the other with Vax Platinum Solution, then AutoMix does the rest. There’s no measuring, just pour it in and you’re ready to go. When you’re done just tip the dirty water away. Our Quick Clean function will have your carpet smelling fresh and dry again in as little as l hour.

Clean more than just your carpets

The Vax Platinum Power Max comes loaded with handy tools. The pre-treatment wand helps you get busy areas clean with ease. The SpinScrub tool and hose give your car interior, stairs and upholstery a deep-down clean; allowing you to remove the most stubborn of stains. Plus, when you buy direct from Vax, receive a free Steamer worth 49.99.

1. The passage is intended to ______.

A．merely compare the differences between the leading rental with a carpet washer

B．tell readers the potentially harmful stuff left in the carpet after using vacuuming

C．recommend potential customers to buy a carpet washer

D．teach people how to clean carpets quickly

2. Which of the statements is NOT true according to the passage?

A．While filling the tank, you should pay attention to the amount of water needed.

B．The Vax Platinum Power Max cleans carpets much better than vacuum cleaner.

C．If the carpet washer is bought from Vax directly, a free Steamer will be included.

D．The Vax Platinum Power Max together with handy tools will be contained.

3. The Vax Platinum Power Max can’t be used to clean ______.

A．outside of a car	B．stairway
C．interior decoration	D．hard-to-clean stains

7 . Summer volunteer chances for students

Finding a summer volunteer chance is easier than you think. There are national programs all over the US that you can take part in. Check out these volunteer chances for students.

UN Volunteer Program

If you are an 18-year-old high school student, you might choose to volunteer in a UN organisation. The UN Volunteer Program (paid) is looking for excellent adults aged 18 to 55. Volunteer projects explore peace-building, climate change and disaster management (气候变化和灾害管理). Those looking for a summer program will also receive training before and after a short-term task.

National Park Service

Teens aged 15-18 can take part in National Park Service and get paid. The volunteers work outdoors on several different projects including cleaning up campgrounds, improving wildlife habitat (栖息地), environmental education planning and teaching, and more! You’ll also take part in educational field trips where you’ll be able to see wildlife before your eyes.

Habitat for Humanity

You can find a lot of summer volunteer fun through Habitat for Humanity. Not only can you help build houses, but you can join in improving your community and helping out at the donation (捐赠) center. Youths aged 16 or older may take part in this program, and must have turned 16 by the first day of the project.

American Red Cross

The American Red Cross is always looking for youth volunteers. Its Red Cross youth programs offer students and young adults meaningful chances of leadership training and community service. The chances are given to all junior and senior high school students.

1. What is special about the National Park Service?

A．It allows its volunteers to camp.	B．It offers chances to see wild animals.
C．It offers job-related training to volunteers.	D．It allows volunteers to explore new interests.

2. What can high school students do at Habitat for Humanity?

A．Clean up houses.	B．Enjoy some fun games.
C．Make money to help people in need.	D．Make their community better.

3. Which program can you choose if you are 14 years old?

A．UN Volunteer Program.	B．National Park Service.
C．Habitat for Humanity.	D．American Red Cross.

8 . The Day of the Dead celebrations are a great time to honour the dead. Here’s where to stay to experience them.

Mexico City, Mexico

On November 4, a parade starts with thousands of dancers. “The best place to watch the parade is from a terrace on the Paseo de Reforma, where you can see the dancers and colours from above,” says Karla Gonzalez, director of the Mexico City tourism board.

Oaxaca, Mexico

This southern Mexico city is known for candlelit cemeteries on the Day of the Dead, and parades with dancers in the Jalatlaco neighborhood. “The city doesn’t sleep for three days,” says local tour guide Gabriel Sánchez. He takes guests to the cemetery in Santa Maria Atzompa, a village three miles from Oaxaca City, where the families go all out with candles and flowers.

San Diego, California

The first European settlement (定居点) in Southern California, Old Town San Diego is a seven-block state park with shopfronts dating back to the 18th century. It’s also the site of a long-running Day of the Dead celebration, with a crafts market and a candlelit parade to the El Campo Santo Cemetery on November 2, which dates to 1849.

San Antonio, Texas

This south Texas city was once a part of Mexico, known for its exciting Day of the Dead celebrations. In downtown’s Hemisphere Park, the festival brings a parade of boats lit with bright lights on the River Walk on the evening of October 27. You can also see a famous tourist draw on the south bank of the San Antonio River.

1. When does the parade take place in Mexico City?

A．On October 10.

B．On October 27.

C．On November 2.

D．On November 4.

2. What can you do in Old Town San Diego on the festival?

A．Swim in the River Walk.	B．Join the candlelight parade.
C．Admire Hemisphere Park.	D．Explore the unique rainforest.

3. Where can you enjoy a parade of boats at night to experience the festival?

A．In San Antonio.

B．In Mexico City.

C．In San Diego.

D．In Oaxaca.

9 . When it comes to travel, sometimes wandering is one of the most exciting things you can do. In a time when travellers are both more adventurous and eco-conscious than ever, it’s no surprise that there’s a wealth of new vocabulary to describe how we travel, when we travel and how the experience makes us feel. Here are eight of our favourite travel words that you may not have heard before.

We’ve kicked off a blog with the staycation, “a holiday in one’s own country”. The term first became popular in the mid-2000s, when the global financial crisis meant people had less income to spend on flash holidays and instead searched for cheaper local choices. Since 2020, the staycation is experiencing a revival (复兴). Benefits of staycations include cheaper travel costs, no spending hours in the airport and, of course, no need to worry about whether your passport expired (过期) last year.

Once upon a time, if you wanted to meet new people on your travels, you could stay at a hostel or with a host on Airbnb. Now, you can couch surf. And not just in “the staying at various friends’ houses until you find a new place to rent” sense: couch surfing is quickly becoming a hot new travel trend. Travellers can now choose to couch surf all across the world via a website which treats travel as a cultural exchange, allowing people to connect with willing hosts and crash on their sofas.

Given that single-use and climate strike were selected as the Collins 2018 and 2019 Words of the Year respectively, it’s clear that the climate crisis is very much on everybody’s mind. This desire to make more sustainable choices is also affecting the way we spend our vacation days. Ecotourism is another popular travel trend, defined as tourism that is designed to contribute to the protection of the environment. Examples of ecotourism include ditching short-haul flights, staying at eco-friendly resorts, or booking a staycation.

1. When did the staycation become popular firstly?

A．About in 2018.

B．About in 2019.

C．About in 2005.

D．About in 2010.

2. How many new travel words are mentioned in the text?

A．Two.

B．Three.

C．Four.

D．Six.

3. What does the text mainly focus on?

A．The eco-friendly travel ways.	B．The cheap ways to get around.
C．The changing words of travel.	D．The spread of history and culture.

4. What is probably continued with the text?

A．The other new travel words.	B．Ways to protect environment.
C．Other examples of ecotourism.	D．Experiences of reaching culture.

10 . The problem with a catchy name is that sometimes it catches on too well. Take the hygiene hypothesis (卫生说) outlined in 1989 by David Strachan of St George’s, a hospital and medical school in London. It suggests that the rise of allergenic (致敏的) sensitivity observed in rich countries over the course of the 20th century may have been caused by a shift from rural to urban living, so that children are no longer routinely exposed to farm animals.

Dr Strachan’s work still has much to recommend it. What the catchy label has encouraged, however, is a false belief that cleanliness is not necessarily a health benefit. In reality, says Thomas Marrs, an allergist at King’s College, London, hygiene is usually about bacteria (细菌) causing infection—and the bacteria that may be beneficial are different from those which do that. But it is plain to see why alternative descriptions, such as “the high turnover and diversity hypothesis” or the “the microbial deprivation hypothesis (微生物剥夺假说)”, have not caught on, more accurate though they may be.

In an attempt to collect further data on the matter, Hisao Okabe of Fukushima Medical University and his team have looked through the Japan Environment and Children’s Study, which tracked over 100,000 births between 2019 and 2022.

Pursuing the animal connection, they looked for correlations between household pet ownership before and immediately after a child’s birth, and any food allergies found in that child’s first three years.

Of the 66,000 or so children they chose to look at, 22% had been born into households with pets. Children in households with dogs, the researchers found, had lower rates than average of allergies to eggs, milk and nuts. Those cohabiting with cats seemed more tolerant of eggs, wheat and beans. However, children whose parents kept turtles (龟) appeared unaffected. And, curiously, those exposed to hamsters (仓鼠) appeared more likely than average to be allergic to nuts.

Confirming or denying this will need more study. Nevertheless, Dr Okabe’s contribution is an interesting addition to the debate about Dr Strachan’s brainchild.

1. What does the hygiene hypothesis suggest?

A．Children in rich countries are more likely to have allergies.

B．Urban living leads to less exposure to allergens.

C．Allergies are linked to bacteria that cause infection.

D．Farm animals reduce childhood allergies.

2. What is the author’s attitude to the microbial deprivation hypothesis?

A．Doubtful

B．Favorable

C．Critical

D．indifferent

3. Okabe’s research aimed to find out the relationship between ________.

A．pet ownership and uncomfortable childbirth	B．pet ownership and child food allergies
C．environments and animals	D．food and allergies

4. Which animals help fight allergies?

A．Dogs and cats

B．Dogs and turtles

C．Cats and hamsters

D．Turtles and hamsters.