Vigorous Domestic Ebola Policy Needed in Japan as Well

Published in Nihon Keizai Shinbun
(Japan) on 15 October 2014
by (link to originallink to original)
Translated from by Thomas S. Evans. Edited by Helaine Schweitzer.
New reports have revealed that nurses overseeing Ebola patients in both the U.S. and Spain have become infected. This is a sign that the risk of contagion is becoming a reality even outside afflicted West African countries.

There is little risk to Japan, which has few travelers to West African countries in comparison to the U.S. and Europe. However, Japan also has a limited number of doctors with experience in treating the disease. It is vital that we provide health care workers with the knowledge and training they need to combat a possible outbreak.

In afflicted countries like Liberia and Guinea, Ebola hemorrhagic fever is spreading with no signs of slowing down, and the death toll has passed 4,000. This is primarily due to inadequate policy and a shortage of supplies and medical personnel.

The U.N. is once again urging signatory nations to lend their support, and has issued a warning stating that at this rate the contagion will spread beyond West Africa, and the world “will have to live with the Ebola virus forever.”

Through the World Health Organization (WHO), Japan has been dispatching doctors to work on the ground, in addition to providing monetary support. As things stand, it’s still not enough.

Ebola is spread via the bodily fluids of afflicted individuals. Compared to airborne diseases like influenza, it is rather difficult to transmit the virus via sneeze or cough. However, for health care providers in contact with patients, the risk of transmission is high.

In the U.S., a man who had flown in from Liberia began showing symptoms in Dallas, Texas, before dying in a hospital. Despite precautionary measures — like wearing suitable protective garments — one of the nurses became infected.

Institutions including the U.S. Centers for Disease Control (CDC) are eager to prevent any further spread, and are currently investigating as to whether or not there may have been some oversight in protocol. Quarantine efforts at major airports are also in the process of reinforcement.

The Japanese government is also ramping up security, requiring all travelers from afflicted nations to go into airport quarantines — but this doesn’t necessarily mean it will be possible to hold Ebola back at the borders.

We must consider the possibility of discovering an afflicted individual in a hospital inside the country, and ensure we are prepared to conduct rapid virus identification tests so that doctors are able to make accurate judgments. It would also be wise to pre-emptively begin a discussion on conditions for the use of untested treatments.


エボラ対策 国内もしっかりと

米国とスペインの国内で、エボラ出血熱の患者の治療にあたっていた看護師の感染が判明した。西アフリカの流行国以外でもエボラ出血熱の感染リスクが顕在化し始めた兆しと受け取れる。

 西アフリカの国々への渡航者が少ない日本は欧米に比べリスクは小さい。しかし治療経験のある医師は限られる。医療従事者を対象に必要な知識を伝え訓練するなど国内の備えが欠かせない。

 エボラ出血熱はギニアやリベリアなどで流行の拡大に歯止めがかからず、死者は4千人を超えた。1カ月で倍増する勢いだ。医療スタッフや資材が足りず十分な対策が打てていないからだ。

 このままだと、西アフリカの外へ感染が広がり「世界はエボラウイルスと永遠に共生しなくてはならなくなる」と国連は警告、加盟国に重ねて支援を要請している。

 日本は世界保健機関(WHO)を通じて医師を現地に派遣し、資金も提供してきた。さらなる支援が必要な情勢だ。

 エボラ出血熱は患者の体液を介して感染する。飛沫感染のインフルエンザなどと比べてうつりにくい病気といえる。ただ患者に接する医療従事者のリスクは大きい。

 米国ではリベリアからの入国者がテキサス州ダラスで発症し病院で亡くなった。病院では防護衣の着用など対策を講じていたにもかかわらず看護師1人が感染した。

 米疾病対策センター(CDC)などは対策に見落としがなかったかを点検しており、感染の広がりを防ぐのに懸命だ。主要空港の検疫も強化している。

 日本政府も流行国を訪れた人に対し空港の検疫所に必ず申し出るよう求め、検疫態勢を強めているが、水際で食い止められるとは限らない。

 国内の病院で感染者が見つかる事態も想定し、医師らが的確に判断ができるよう、迅速なウイルス検査の態勢なども整えておく必要がある。未承認の薬の使用条件なども事前に議論を進めておくのが望ましい。
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