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米国国務省 医療局のDr.ウィリアム・ウォーカーズ (William Walters)(*)らによると、
（coronavirus-positive but asymptomatic with no symptoms of diseaseという表現を使っている。（引用していない部分））
(*)Dr. William Walters, Executive Director and Managing Director for Operational Medicine for the Bureau of Medical Services at the U.S. Department of State;
(**)Robert Kadlec, Assistant Secretary of Health and Human Services (Preparedness and Response
When – the way this unfolded, we had – every one of the evacuees had been evaluated by a medical officer, or a nurse, or nurse practitioner from the U.S. Government prior to disembarking from the ship. There were no known coronavirus-positive personnel mixed into that evacuee population. So we had a group of people, in this case 338 , that had – that were – there was no reason to believe they had a positive lab test, and they had been evaluated, and they did not have any symptoms of disease.
We disembarked them from the ship. When they left that ship into the evacuation process that was being managed by the government, they were an evacuee. They were in the process. They were loaded onto buses, and those – roughly 15 buses, and those buses were moved as a package, escorted by Japanese security and police. And it was only once they were loaded onto the buses, and the buses were in motion that we were made aware that these positive results had come back from the Government of Japan.
But at the end of the day, when we received the results, these people were already on a bus, and they were already in the pipeline, and the next step was to move them to an isolation area. And frankly, once they were in the isolation area, it was safest to keep them in the isolation area and complete the evacuation.
(*1)Dr. Robert Kadlec, Assistant Secretary for Preparedness and Response at the U.S. Department of Health and Human Services;
Dr. William Walters, Executive Director and Managing Director for Operational Medicine for the Bureau of Medical Services at the U.S. Department of State; and
Carl Risch, Assistant Secretary for the Bureau of Consular Affairs at the Department of State.
When the bus – and it was a direct line. When the buses arrived at the aircraft, those people that were identified during that process as being coronavirus-positive but asymptomatic with no symptoms of disease were taken off the bus, were moved onto the aircraft into that dedicated isolation area, which was the safest place for them to get them away from the rest of the passengers and give us time to make some decisions.
I contacted Assistant Secretary Kadlec. We had a conversation, and the conversation was this: We have a protocol that we have used on all preceding flights for passengers that develop symptoms – or, in this case, new information – that put them at a higher risk. And that protocol is to move them to the isolation area for the remainder of the evacuation.
Then the question was simply this: Are these evacuees? And do we follow our protocol? And the answer to that was yes on both accounts. Yes, these are evacuees. We have taken – we have put them into the evacuation pipeline, we have a plan. Should we execute the plan? And the answer was yes.
And so they were put into the isolation area to give room for decision-making, and then they were kept in the isolation area because they fit the profile of the people that go into that isolation area, and in the isolation area they pose no additional risk to passengers or crew.
Dr. Kadlec, I don’t know if you have anything to add.
ASSISTANT SECRETARY KADLEC: Yeah, I just want to add one thing. Because of the extraordinary nature and the uncertainty associated with both the virus and this particular group, or cohort, particularly for their age and pre-existing medical diseases, ASPR supplemented the State medical team with two infectious disease doctors, one from the University of Nebraska, one from Mass General Hospital in Boston, who were very experienced in managing not only SARS virus cases during the 2003 outbreak, but also the Ebola cases that – there have been several since.
So we had additional expertise and experienced eyes on these people and monitoring through the flight, not only during the flight, but evaluated them on the boat, and then basically monitored them through the flight. So we felt like we had very experienced hands in evaluating and caring for these patients.