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NEW YORK — A doctor in New York City who recently returned from treating Ebola patients in Guinea tested positive for the Ebola virus Thursday, becoming the city’s first diagnosed case.纽约——一位曾在几内亚医治埃拉病人、近日才回国的纽约医生,周四化验得出埃拉病毒呈阳性,成为纽约市第一个临床诊断病例。The doctor, Craig Spencer, was rushed to Bellevue Hospital Center on Thursday and placed in isolation while health care workers sp out across the city to trace anyone he might have come into contact with in recent days. A further test will be conducted by the federal Centers for Disease Control and Prevention to confirm the initial test.这位名叫克雷格·斯潘瑟(Craig Spencer)的医生周四被紧急送往贝尔维尤医院中心(Bellevue Hospital Center)隔离,与此同时,医护人员在全城展开搜寻,追踪近日和他有接触的人。美国疾病控制与预防中心(Centers for Disease Control and Prevention)将做进一步的检验以确认这个初步化验结果。While officials have said they expected isolated cases of the disease to arrive in New York eventually, and had been preparing for this moment for months, the first case highlighted the challenges surrounding containment of the virus, especially in a crowded metropolis.官员此前曾预料最终会有个别病例出现在纽约,并已经为此事进行了数月的准备,但首个病例的出现仍然突显了病毒防控上的困难,尤其是在一个人口密集的大城市。Even as the authorities worked to confirm that Mr. Spencer was infected with Ebola, it emerged that he traveled from Manhattan to Brooklyn on the subway on Wednesday night, when he went to a bowling alley, and then took a taxi home.甚至就在当局确认斯潘瑟感染埃拉的时候,已知的情况是他在周三晚上曾乘地铁从曼哈顿前往布鲁克林,他去了那里的一家保龄球馆,而后坐出租车回家。The next morning, he reported having a temperature of 103 degrees, raising questions about his health while he was out in public.第二天上午,他报称自己的体温达到103华氏度(39摄氏度),这让人怀疑他出门在外时身体状况是否正常。People infected with Ebola cannot sp the disease until they begin to display symptoms, and it cannot be sp through the air. As people become sicker, the viral load in the body builds, and they become more and more contagious.感染埃拉病毒的人在出现症状前不具传染性,也不会通过空气传播病毒。随着病情恶化,病人体液内会充满病毒,传染性也就越来越强。Dr. Spencer’s travel history and the timing of the onset of his symptoms led health officials to dispatch disease detectives, who “immediately began to actively trace all of the patient’s contacts to identify anyone who may be at potential risk,” according to a statement released by the department.考虑到斯潘瑟的行程记录和症状出现的时间,卫生官员已经派出疾病侦查人员。据市卫生署的一份声明称,侦查人员“旋即开始积极追踪病人的所有联系人,以发现潜在威胁”。It was unclear if the city was trying to find people who might have come into contact with Dr. Spencer on the subway. The Metropolitan Transportation Authority directed all questions to the health department, which did not immediately respond to requests for comment on the issue.目前尚不清楚政府是否会寻找在地铁上和斯潘瑟有接触的人。大都会运输署(Metropolitan Transportation Authority)将所有问题转给了卫生署,后者没有立即对置评请求做出回应。At Dr. Spencer’s apartment in Harlem, his home was sealed off and workers distributed informational fliers about the disease. It was not clear if anyone was being quarantined.斯潘瑟位于哈林区的公寓已经被封锁,工作人员分发了有关该疾病的传单。目前尚不清楚是否有人被隔离。Health authorities declined to say how many people in total might have come into contact with Dr. Spencer while he was symptomatic.卫生部门拒绝透露斯潘瑟出现症状以后一共接触过多少人。Mayor Bill de Blasio, speaking at a news conference Thursday evening before the diagnosis, said Dr. Spencer has given health workers a detailed accounting of his activities over the last few days.周四晚间在做出诊断前,市长白思豪(Bill de Blasio)在一次新闻发布会上说,斯潘瑟已经向医护人员详细回忆了过去几天的活动。“Our understanding is that very few people were in direct contact with him,” Mr. de Blasio said.“据我们了解,和他有过直接接触的人非常少,”白思豪说。Dr. Spencer had been working with Doctors Without Borders in Guinea, treating Ebola patients, before returning to New York City on Oct. 14, according to a city official.据一位市政府官员称,斯潘瑟一直在几内亚与无国界医生组织(Doctors Without Borders)合作治疗埃拉病人,直到10月14日回到纽约。He told the authorities that he did not believe the protective gear he wore while working with Ebola patients had been breached but had been monitoring his own health.他对当局说,他不认为他在治疗埃拉病人期间穿戴的防护装备出现了问题,但是一直在监测自己的健康状况。Doctors Without Borders, in a statement, said it provides guidelines for its staff members on their return from Ebola assignments, but did not elaborate on those protocols.无国界医生组织在一份声明中说,该组织会向结束埃拉任务后返回的成员提供指导意见,但没有具体说明规程的细节。“The individual engaged in regular health monitoring and reported this development immediately,” the group said in a statement.“该成员进行了定期的健康监测,并在发现状况后立即上报,”该组织在声明中说。Bellevue doctors have prepared for an Ebola patient with numerous drills and tests using “test patients” as well as actual treatment of suspected cases that turned out to be false alarms.贝尔维尤的医生针对收治埃拉病人已经进行过多次演练,对“模拟病患”进行化验,同时还对疑似病例进行了实际的治疗,但后来明这些病例都是虚惊一场。A health care worker at the hospital said that Dr. Spencer seemed very sick, and it was unclear to the medical staff why he had not gone to the hospital earlier, since his fever was high.一位医院的医护人员说,斯潘瑟看上去病情很严重,医护人员不清楚他为什么没有更早入院,因为他烧得很厉害。Dr. Spencer is a fellow of international emergency medicine at NewYork-Presbyterian Hospital/Columbia University Medical Center, and an instructor in clinical medicine at Columbia University.斯潘瑟是纽约长老会医院(New York -Presbyterian Hospital)/哥伦比亚大学医疗中心(Columbia University Medical Center)的国际急救医疗研究员,并在哥伦比亚大学(Columbia University)任临床医学讲师。“He is a committed and responsible physician who always puts his patients first,” the hospital said in a statement. “He has not been to work at our hospital and has not seen any patients at our hospital since his return from overseas.”“他是一位专注而负责的医师,一贯把病人摆在第一位,”医院在一份声明中说。“从国外归来后,他未曾回到我院工作,也没有在我院为任何病人看过病。”Even before the diagnosis, the Centers for Disease Control dispatched a team of experts to assist in the case, before the test results were even known.在诊断作出前,疾控中心就已经派出一个专家组为该病例提供协助,当时还不知道化验结果。The authorities have been on high alert ever since Thomas Eric Duncan traveled to the ed States in September from Liberia, and was later given a diagnosis of Ebola.自九月托马斯·埃里克· 邓肯(Thomas Eric Duncan)从利比里亚来到美国,随后被诊断感染埃拉以来,当局一直保持高度警惕。Mr. Duncan died at a Dallas hospital this month.邓肯本月在达拉斯一家医院病逝。Several days after his death, a nurse who helped care for Mr. Duncan learned she had Ebola. Two nurses who treated Mr. Duncan fell ill but have since recovered.在他去世几天后,一位曾参与看护邓肯的护士得知她感染了埃拉。两名参与邓肯治疗的护士也染病,后得以康复。That single case led to hundreds of people being quarantined or being asked to remain isolated from the general public..那一个病例导致数百人被隔离,或被要求不要进入公共场所。The missteps by both local and federal authorities in handling the nation’s first Ebola case raised questions about the ability of health care workers to safely treat those with the disease.地方和联邦当局在全国第一宗埃拉病例的处理上出现的问题,让人们怀疑医护人员是否有能力在应对该疾病时确保自身安全。In the New York City region, hospitals and emergency workers have been preparing for the appearance of the virus for months.在纽约市地区,医院和急救人员已经为病毒的出现做了数月的准备。Dr. Irwin Redlener, the director of the National Center for Disaster Preparedness at Columbia University and a special adviser to Mayor de Blasio, said that the risk to the general public was minimal, but depended on a city moving swiftly.哥伦比亚大学国家疾病准备中心主任、白思豪的特别顾问埃尔文·瑞德雷纳(Irwin Redlener)说,目前对公众构成的威胁微乎其微,但这座城市需要迅速行动起来。“New York has mobilized not only a world-class health department, but has full engagement of many other agencies that need to be on the response team,” he said.“纽约不只是动员了一个世界级的卫生署,反应团队中的很多其他部门也是全力投入的,”他说。 /201410/338309A rare riot here, staged by hundreds of workers from South Asia, is reviving public concern about the socioeconomic impact and sustainability of Singapore#39;s heavy reliance on overseas labor.来自南亚的数百名劳工在新加坡掀起一场罕见的骚乱,再度引发了公众对新加坡过度依赖外籍劳动所带来的社会经济影响及其可持续性的关注。Sunday#39;s incident in Singapore#39;s Little India district-a popular weekend hangout for South Asian expatriates and migrant workers-ended a riot-free period extending more than four decades and has blotted the city-state#39;s image as one of Asia#39;s safest countries. Analysts and labor activists say the unrest points to a growing challenge for policy makers trying to maintain social cohesion and curb antiforeigner sentiment amid festering tensions among its large migrant workforce.周日发生在新加坡“小印度”区的这起事件不仅终结了新加坡40余年无骚乱的历史,也给这座城市国家作为亚洲最安全国家之一的形象抹了黑。“小印度”是新加坡南亚侨民和外籍劳工周末的聚集地。分析人士和劳工维权人士说,新加坡有大量外籍劳工,不同民族之间的紧张情绪不断加剧,这场骚乱凸现出新加坡决策者在试图维护社会凝聚力和抑制排外情绪方面所面临的日益严峻的挑战。Police and eyewitnesses say the riot started at about 9:30 p.m. after a bus hit and killed a 33-year-old Indian man. South Asian workers at the scene reacted by attacking the bus with sticks, stones and garbage bins, and later assaulted arriving police officers and paramedics, TV footage showed.警方和目击人说,骚乱始于周日晚上9点30分左右,当时,一辆巴士撞死一名33岁的印度男子。电视画面显示,南亚外籍劳工在事故现场用棍棒、石块和垃圾桶袭击那辆巴士,随后又攻击了闻讯赶来的警察和医务人员。The violence was quelled by 11 p.m. by about 300 police officers-but not before injuries were inflicted on at least 39 law-enforcement and emergency-services personnel, as well as the driver and conductor aboard the bus in the accident. Dozens of police, emergency-services and privately owned vehicles were damaged, including five vehicles that were burned.在大约300名警察的帮助下,骚乱于当晚11点前平息,但至少有39名执法人员和紧急务人员以及肇事巴士的司机和售票员受了伤。警方、紧急务机构和私人拥有的几十辆车受损,其中五辆车被烧毁。Public violence is virtually unheard of in Singapore, where public assembly is strictly regulated. But #39;incidents like this were, in a sense, waiting to happen,#39; especially given the dense weekend crowds in Little India numbering in the thousands, said Hui Weng Tat, an economic professor at the Lee Kuan Yew School of Public Policy. Some migrants#39; resentment against perceived discrimination and poor working conditions could have contributed to the outburst, Mr. Hui said, adding that policy makers may need to consider improving migrant pay and treatment.公开暴力行为在新加坡几乎可说是闻所未闻,民众集会在新加坡受到严格控制。但新加坡国立大学李光耀公共政策学院(Lee Kuan Yew School of Public Policy)经济学教授Hui Weng Tat说,从某种程度上讲,像这样的事件是一定会发生的,特别是考虑到“小印度”周末会有成千上万的人聚在那里。他说,一些外籍劳工对所谓的歧视和恶劣工作条件不满,可能是导致这场骚乱的原因之一。他还说,决策者或许应该考虑提高外籍劳工的薪资和待遇。#39;The workers who have been arrested in connection with the rioting incident are employed by different employers and housed in different locations. There is no basis to link their unlawful behavior to workplace issues,#39; Singapore#39;s Manpower Ministry said in response to queries. #39;In any case, whatever the cause, no one is above the law.#39;新加坡人力部(Manpower Ministry)在回应外界询问时说,被逮捕的与骚乱事件有关的外籍劳工受雇于不同雇主,他们被关押在不同地点;没有据表明他们的不法行为与工作场所的问题有关;无论如何,没有人可以凌驾于法律之上。Police said they arrested 27 people-24 Indian nationals, two Bangladeshis and one Singapore permanent resident, ages 23 to 45-who haven#39;t been named. It wasn#39;t clear if and when the 27 may be charged, or whether they had received legal counsel. Authorities classified the violence as #39;rioting with dangerous weapons,#39; an offense that carries penalties including up to 10 years#39; jail, as well as caning. More arrests could follow, police said.警方说,他们已逮捕了27人,其中24人为印度籍,两人为孟加拉籍,一人是新加坡永久居民,年龄在23岁到45岁之间。这些人的名字尚未公开。不清楚这27人是否以及何时会被起诉,也不知他们是否得到了法律帮助。新加坡当局将这起事件定性为“持危险武器参与骚乱”,一旦被定罪,将面临最高10年监禁和鞭刑等惩罚。警方说,可能会有更多人被逮捕。Police arrested the bus driver in the accident-an unnamed 55-year-old Singaporean-and plan to charge the person with causing #39;death by a negligent act,#39; an offense punishable by up to two years#39; jail and fines. The driver couldn#39;t be reached for comment.肇事司机为55岁新加坡人,姓名不详,警方已将其逮捕,并准备以疏忽致死罪对其进行起诉,这项罪名最高可判两年监禁和罚款。记者未能立即联系到该巴士司机发表。In a statement Monday, Singapore Prime Minister Lee Hsien Loong said he ordered an inquiry into #39;an isolated incident caused by an unruly mob.#39; The probe will review factors behind the riot, including management of the incident by officials and how authorities oversee areas where foreign workers congregate, he said.新加坡总理李显龙周一在公告中称,他已下令调查这起由不法暴徒引起的孤立事件,并表示将彻查骚乱的起因,包括官员对这起事件的应对,以及政府部门对外籍劳工聚集区的管理方式。The riot has sparked concerns of further unrest amid the large foreign workforce, numbering about 1.3 million as of June, in this island state of 5.4 million people. Researchers say South Indians number in the hundreds of thousands here.截至6月底,新加坡外籍劳工已达到130万人左右,而新加坡总人口只有540万。骚乱事件发生后,人们担心庞大的外来劳工还可能引发更多动荡。研究人员称,新加坡有大量南印度劳工。Singapore has used liberal immigration policies in the past decade to fuel economic growth, boosting its population by 27% in the past decade. Amid concern that such a growth model wasn#39;t sustainable, the government has curbed inflows of foreigners over the past three to four years, hoping to assuage voters disgruntled by stagnant low-end wages, rising living costs and infrastructural strains, which many citizens blamed on high immigration.为了推动经济增长,新加坡过去10年实行了自由移民政策,使其人口增加了27%。由于担心这种增长模式难以为继,过去三、四年里新加坡政府限制了外来人口的流入,希望安抚选民的不满情绪。许多新加坡市民将低工资、高物价和基础设施紧张归咎于大量移民。Foreign workers have also increasingly bristled under the system. Some-particularly low-wage laborers in construction-have in recent years resorted to protests against alleged exploitation by employers, including an illegal strike last year by about 170 public-bus drivers hired from China, which ended a 26-year strike-free record for Singapore.而外籍劳工的怨气也在这一制度下不断加深。近年来,一些工资特别低的建筑工人已经组织抗议活动反对所谓的雇主压榨。去年,170名华裔公交司机举行非法罢工,结束了新加坡26年无罢工的历史。Prime Minister Lee sought to allay worries about the unrest. #39;The vast majority of foreign workers here obey our laws,#39; he said in his statement. #39;We must not let this bad incident tarnish our views of foreigner workers here.#39;李显龙试图缓解骚乱事件引发的忧虑。他在公告中称,大多数的外籍劳工是遵守新加坡法律的,绝不能让这起不好的事件抹黑新加坡人对外籍劳工的看法。Police have avoided drawing conclusions on the cause of the riot. Transport Minister Lui Tuck Yew suggested that alcohol might have been a factor, but labor activists countered that most low-wage foreigners can#39;t afford much alcohol.警方不愿给这起骚乱的原因下结论。新加坡交通部长吕德耀说,酒精可能是引发骚乱的一个因素。但劳工维权人士反驳说,多数低薪外籍劳工买不起太多酒。Police officials said they would #39;pay extra attention#39; to Little India, foreign-worker dormitories and other places of congregation.警方表示,他们将格外关注小印度、外籍劳工宿舍和其他聚集地。Singapore last experienced a major riot in 1969, when racially charged violence broke out between the city-state#39;s majority ethnic Chinese and minority Malay residents, leaving at least four dead and 80 injured.新加坡上一次骚乱发生在1969年,当时,占人口多数的华人和占人口少数的马来人之间爆发了一场种族暴力冲突,造成至少四人死亡,80人受伤。 /201312/268646

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