Chronology of COVID-19 Cases on the Diamond Princess Cruise Ship and Ethical Considerations: A Report From Japan
Chronology of COVID-19 Cases on the Diamond Princess Cruise Ship and Ethical Considerations: A Report From Japan
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DOI：
10.1017/dmp.2020.50
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发表时间：
2020-08-01
影响因子：
2.7
通讯作者：
Akabayashi, Akira
中科院分区：
文献类型：
--
作者：
Nakazawa, Eisuke;Ino, Hiroyasu;Akabayashi, Akira
钻石公主号邮轮自2020年2月3日起停泊在日本横滨港。截至2月23日，共确诊冠状病毒病2019(新冠肺炎)感染病例691例。政府最初认为感染不会在国外传播，因此表示，任何病毒检测呈阴性或没有症状的人都应该立即下机。然而，2月5日，由于感染的严重性，政府设定了14天的健康观察期。被证实未受感染的乘客在隔离的第十五天(二月十九日)开始下机。感染控制的有效性和有效性，检查时机的合理性，甚至现在新冠肺炎本身的性质都受到了质疑。与邮轮感染控制相关的伦理考虑包括隔离的合理理由、被隔离乘客和船员的心理脆弱性和生活质量、强制隔离所固有的程序正义以及控制措施的优化。国际社会应重新评估此类疫情爆发的国际协调框架和全球影响。以当地政治为由拒绝船只入境是不符合全球正义的。诸如此类的事件需要国际社会的回应和全球监管，以求缩小差距。
The Diamond Princess cruise ship has been anchored at the Yokohama port in Japan since February 3, 2020. A total of 691 cases of the coronavirus disease 2019 (COVID-19) infection had been confirmed as of February 23. The government initially assumed that the infection was not spreading aboard and therefore indicated that any persons who either tested negative for the virus or were asymptomatic should immediately disembark. However, on February 5, the government set a 14-day health observation period because of the severity of the infection. Passengers confirmed to be free from infection began disembarking on Day 15 (February 19) of the quarantine. The effectiveness and validity of infection control, justification for the timing of inspections, and even the nature of COVID-19 itself now are all in question. The ethical considerations related to cruise ship infection control include the reasonable justification for isolation, the psychological fragility and quality of life of the isolated passengers and crew members, the procedural justice inherent in a forced quarantine, and the optimization of control measures.The international coordination framework and the global ramifications of such outbreaks should be reevaluated by the international community. Denying a ship's entry based on local politics is incompatible with global justice. Events such as these require an international response and global regulations that seek to reduce disparities.