I hardly moved by a tiny brook in a cities at all because flows without strong sound like a river. Also even though staying beach at midnight makes me calm beside fear for darkness. It caused sound of endless wave.
While across, I saw a scenery there is nothing to obstruct to the sky, driving on alley, into the tunnel. I heard the sound. Clean white splash is coming and going. Realized there is no wave looks like same before. Think over the offshore far away, one day I melt into the sand of shore.
I have a girlfriend who is living with me. Yesterday, I picked up some food on the way home from work. My girlfriend saw it and told me "PLEASE, NOT TO BUY SWEETS" . Because she has been working at home recently due to the COVID19, she feels guilty because she eats all the sweets in the house. It made me sad. I just wanted to give her a break while she was working at home.こんちくしょーが She too was tired from the end of the workday. I was also exhausted at the end of the work day. That's just the way it is. But that doesn't change the fact that I felt sad. I'm writing this because I wanted to look back on the situation at that time and put a stop to my feelings so that I could say "I'm home" with her when I get home today.
The Tokugawa Shogunate was established by Tokugawa Ieyasu after victory at the Battle of Sekigahara, ending the civil wars of the Sengoku period following the collapse of the Ashikaga Shogunate. Ieyasu became the Shōgun and the Tokugawa clan governed Japan from Edo Castle in the eastern city of Edo (Tokyo) along with the daimyō lords of the samurai class. The Tokugawa Shogunate organized Japanese society under the strict Tokugawa class system and banned most foreigners under the isolationist policies of Sakoku to promote political stability. The Tokugawa and daimyō de facto administered Japan through their system of han (feudal domains) alongside the de jure Imperial provinces. The Tokugawa Shogunate saw rapid economic growth and urbanization in Japan which led to the rise of the merchant class and Ukiyo culture. The Tokugawa Shogunate declined during the Bakumatsu ("Opening of Japan") period from 1853 and was overthrown by supporters of the Imperial Court in the Meiji Restoration in 1868. The Empire of Japan was established under the Meiji government and Tokugawa loyalists continued to fight in the Boshin War until the defeat of the Republic of Ezo at the Battle of Hakodate in June 1869.
関ヶ原の戦いに勝利した徳川家康によって徳川幕府が成立し、足利幕府の崩壊に伴う戦国時代の内乱は終結した。家康は将軍となり、徳川氏は武家の大名とともに江戸 (東京) 東部の江戸城から日本を治めた。徳川幕府は、政治の安定を図るため、厳格な徳川階級の下で日本社会を組織し、鎖国政策の下ではほとんどの外国人を禁止しました。徳川と事実上の大名は、日本を藩制(藩)で実質的に支配した。日本は徳川幕府による高度経済成長と都市化が進み、町人階級や浮世文化が興った。1853年からの幕末(「日本の開国」)の間に徳川幕府は衰退し、1868年の明治維新で勤皇志士たちによって倒され、明治政府のもとに大日本帝国が成立し、1869年6月の箱館戦争で蝦夷共和国が敗れるまで戊辰戦争を戦った。
質問: Do you think of the problem that you saw on the ship originated from was it because of the bad examples of a scientific decision making in terms of the crisis management that was happening on the ship?
答え: The simple answer is the lack of CDC as I said before. Why the situation inside that cruise ship had an inadequate infection prevention? I think (this) is because of the lack of principle. The infection prevention is a principle, and the principle will lead to the procedure not the other way around.
The principle will never be given by the bureaucrats, because they never had infection prevention training, they don't have an experience, and they don't have a system. CDC has should have all of these.
答え：For CDC, you need to have a concrete, separate, independent system among experts who can make a dicision in responding to these infectious disease epidemics. This has to be proffesional, they need to have an authority, they need to have an autonomy, and they need to have a clear independence. There should not be any cross-cutting from anybody from the backyard, because I've seen many things that are decided behind the scene.
何度か繰り返していますが治癒証明や退院基準に検査陰性２回のルールは今すぐ改め、退院後の自宅療養期間など時間を根拠にしたほうがいいです。検査はウイルスの非存在を証明しませんし検査キットや人員を枯渇させます。皆の納得安心ではなく論理、合理、科学、そしてサステイナビリティを根拠にすべき— 岩田健太郎 Kentaro Iwata (@georgebest1969) February 21, 2020
消毒スペースがきれいか汚いかの区別がついていないから、防護衣が意味があるのかないのかも分からない。レッドなら意味があり、レッドから防護衣着てグリーンに入ると防護衣が感染を広めてしまう。自衛隊の落ち度ではありません。こういうのはプロが教えてあげないと。 https://t.co/kcO0X7fYCj— 岩田健太郎 Kentaro Iwata (@georgebest1969) February 18, 2020
今日、厚労省のSBさんに言ったこと。「無症候者のPCRは検査の無駄遣いです。すぐに止めるべきです」SBさん「でも、周囲が納得しない」。周囲の納得を科学に優先させるから子宮頸がんも無視状態になったのです。そして誤ったPCR解釈を根拠にCOVID感染は更に広がる。誰も責任を取らない。— 岩田健太郎 Kentaro Iwata (@georgebest1969) February 18, 2020
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.
wanted to be useful in helping to
from entering into the shape then after
lack of the people who could help people
ship or the managing of people and the
there's no other way so I said finding
have to do it
I looked into the several places inside
and go welding a PPE of PPE crews were
just walking around and the officers of
walking around d-mat people are walking
players people were wearing PPE and off
chaotic and some crews had a fever they
went to the medical center while wearing
myself for Ebola SARS cholera because I
control should be SOT I could do the
myself and protect others but inside
protecting Deemer people and other
transmission to occur then after several
hours of talking to people and finding
type informed consent but resolutely
to insert a shape because I was inside
people who could
completely layman's work in the bio
principles and the risking people inside
the opportunity to
people inside the diamond princess
have to help people inside the ship
Pictures of roadblocks being built along the Henan-Hubei border, allegedly from same area today. There were viral posts earlier yesterday about Shanghai人 panicking when they saw Wuhan license plates.
Some photo are 24 hours ago pic.twitter.com/uVtPQI32z8— Mudassar Akram (@AkramMudassir) January 25, 2020
フレディ vs ジェイソン
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