新型コロナウィルス感染症（COVID-19）に対するクルーズ船内DMAT災害支援協力の実践報告

A Study of the DMAT Disaster Support Cooperation on a Cruise Ship in the Case of New Coronavirus Infection (COVID-19)

抄録

目的：本邦におけるCOVID-19の発生初期段階に社会的に注目されたクルーズ船内での医療救援活動を振り返り，DMAT隊員としての課題と今後の役割を明らかにする．

方法：筆者を含む医師1名，看護師1名，業務調整員1名より，活動中のDMAT隊員の体験や想いをまとめた．

結果：本救援活動は短い期間での準備と入船前後でのオリエンテーションを徹底した．クルーズ船内での救援活動は自然災害を想定したDMAT訓練とは異なり，幾つかの課題に遭遇しながらもDMATとしての役割を遂行できた．

結論：今後は，COVID-19のような未知の感染症にも対応していけるようガイドラインの設定や訓練を重ねていく必要がある．

Objective: The aim of this study is to review the medical relief activities employed on board a cruise ship that attracted social attention in the early stages of COVID-19 in Japan. By reviewing this case, this study seeks to clarify the challenges and future roles of DMAT personnel.

Methods: The experiences and thoughts of the DMAT team members (a doctor, a nurse, and an operation coordinator-including the author), while performing their activities during the event, are summarized.

Results: This rescue operation was thoroughly prepared for within a short period of time, and orientation took place both before and after arrival on the ship. The onboard DMAT training was different from the DMAT training for natural disasters, and we could fulfill our role as DMAT, even though we encountered some challenges.

Conclusion: It is necessary to set up guidelines and conduct further training to be able to respond to unknown infectious diseases such as COVID-19.