英語版 文字起こし (自動生成）のコピペを、英語として読める文章にした。いくつか聞き取れていないところがあるので、わかる人がいたらトラバで教えてほしい。聞き取れていないところは「(inaudible01)」みたいに番号をふって記載してあるので、
I was very concerned of the number of the people who got infected with the COVID-19 disease infections. Then I was wondering why this is[sic](was)*2 happening. I wanted to enter into the cruise ship and wanted to be useful in helping to containing infection there.
I spoke with several people and finally one officer at working for Ministry of Health and Labor called me yesterday, saying that well you can come and enter into a cruise ship and do the infection control works.
On the way to go to Yokohama I got another call from the same officer, saying, "Somebody didn't like me. So you can't get into the cruise ship." He was not able to say who, and he was not able to say why, but certainly some power over him affected his decision and I was blocked from entering into the ship.
Then after several discussions he found another way that if you could come as a DMAT member, you can come into the the cruise ship. DMAT is the disaster management medical team in Japan and usually deals with a disaster not infectious diseases, but because of the lack of the people who could help people inside a cruise ship to get out of the ship, or the managing of people, and so on, DMAT was requested to enter into the cruise ship.
Additionally, I got another call that some people didn't like me getting into the cruise ship present even as a DMAT member. So another discussion happened then the I waited about one hour in Shin Yokohama Station, and finally the officer find a way. [He said] that "If you work for DMAT not as an infection prevention specialist but as an ordinary routine DMAT officer working under (inaudible01) DMAT doctor doing a routine job, then you could come into the cruise ship."
I entered the ship. Then I found the chief officer of the DMAT and spoke with him. I said, "Well I was assigned to the DMAT members (inaudible02) out whatever you want to say." Then he said, "Well, you don't have to work DMAT work because that's not your specialty. You are an infection prevention specialist, so why don't you do the infection control." Then I said, "Fine, I spoke with the superior of him who is[sic](was) in charge of the all the DMAT operations, and he also said, "You are an infection control person, so you should do infection control." I said, "Fine." But he said, "Well, you shouldn't be here as a DMAT member. You should come as (inaudible03) infection control specialist." He was not very happy about that while I was inside the DMAT. But because that was not my decision, there was no other way. So I said, "Well I have to do it."
So the people could come and go, (inaudible04) a PPE, off PPE. Crews were just walking around, the officers of the Ministry Health and Labor were walking around, DMAT people were walking around, psychiatrists were walking around.
Anyways I (have) dealt with a lots of infections (for) more than twenty years. I was in Africa dealing with the Ebola outbreak. I was in another country dealing with the cholera outbreak. I was in China in 2003 to deal with the SARS, and I saw many febrile patients there. I never had fear of getting infection myself for Ebola, SARS, (and) cholera, because I know[sic](knew) how to protect myself and how to protect others, and how the infection control should be. So I could do the adequate infection control; protect myself, and protect others.
But inside (the) Princess Diamond, I was so scared. I was so scared of getting COVID-19 because there was no way to tell where the virus is. No Green Zone, no Red Zone. Everywhere could have the virus and everybody was not careful about it.
I spoke with the head officer of the Ministry of Health and Labor and he was very unhappy with my suggestion of protecting DMAT people and other staffs so that no other secondary transmission would occur.
Then after several hours of talking to people and finding problems, I found a lot of issues there. For example, informed consent of getting a PCR from the people in the ship whereas(? inaudible05) on a paper, and that paper was going back and forth, back and forth with the room of the infection from the paper, by touching there[sic](it). So I suggested that maybe it's better to abandon the paper-type informed consent but rather getting the informed consent verbally would be more protective, and so on and so on.
I think I was reasonable. I never yell at anybody, I never criticize anybody personally, but I was trying to be constructive that we try to seek the constructive but immediate improvement to protect everybody inside the ship.
Then about five o'clock, the person from the quarantine office came in and approaced. (He) said, "Well you have to be out because you'll not be allowed inside the ship." Because I was inside the ship as a temporary officer of the quarantine. Apparently my bank(? inaudible06) was removed by somebody, and nobody said who, and then I was out.
The officer who offered me the job of infection control said he was sorry. Then I asked him, "So what do you wanna do? Do you want to infect everybody in the ship? It will be thousands of people who could potentially get COVID-19.
I don't criticize DMAT people. They were infection control specialists. Society of Infection Prevention entered, a lot of specialists came in, but they spent only a few days and they left. And they said they were fearful of getting infections themwelves.
I'll be out of my medical services at Kobe University Hospital for maybe next two weeks to avoid further infections to occur. That is very likely to occur if you keep zero infection control inside the ship, the Diamond Princess, like this.
You might know that there is no CDC*3 in Japan, but I thought there must be some specialists called on and was[sic](were) in charge of infection control in ship. It's not expecting[sic](expected) (that) nobody was a professional infection control specialist, and (that) only the bureaucrats were doing the jobs, completely layman's work, violatiing all the infection control principles and risking people inside (of*4) further infections, so I'm not very surprised to see many new positive PCR to be broadcasted every day.
Hundreds of people got infected and a lot of people from outside Japan decided to take the people away from the ship and bring them to their home countries by airplane and offered them another 14 days of quarantine. I hope this will be an opportunity to raise a question (about) what is happening inside the ship.
I wish all the international bodies to request Japan to change. I wish everybody to call for the protection of people inside the Diamond Princess. Otherwise there'll be far more infections for passengers, for crews, for DMAT members, for psychiatrists, for officer(s) of the Ministry of Health and Labor. DMAT members consist of nurses and doctors and that they will go back to the hospital they work routinely and they might infect their patients further to spread the disease. I can't bear with it. I can't bear with it.
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