ã°ããŒãã«ãªèªè åãã®äºé²çãã«ã¹ã±ã¢ã«é¢ããå¿ é ã¬ã€ããç©æ¥µçãªå¯Ÿçãšã©ã€ãã¹ã¿ã€ã«ã®èª¿æŽãéããŠãå¥åº·ãšãŠã§ã«ããŒã€ã³ã°ãæ¹åããããã®å®è·µçãªã¹ããããåŠã³ãŸãããã
äºé²çå¥åº·å¯ŸçïŒã°ããŒãã«ãªãŠã§ã«ãã¹ã¬ã€ã
仿¥ã®ããŒã¹ã®éãäžçã§ã¯ãå¥åº·ãåªå ããããšã¯åŸåãã«ãªããã¡ã§ããããããäºé²çå¥åº·å¯Ÿçã¯é·æçãªãŠã§ã«ããŒã€ã³ã°ã«ãšã£ãŠéåžžã«éèŠã§ãããã®ã¬ã€ãã¯ãããªãã®å Žæãæåçèæ¯ã«é¢ä¿ãªããããªãã®å¥åº·ãå®ããçæŽ»ã®è³ªãåäžãããããã«åãããšãã§ããç©æ¥µçãªã¹ãããã«é¢ããã°ããŒãã«ãªèŠç¹ãæäŸããŸãã
ãªãäºé²çå¥åº·ãéèŠãªã®ã
äºé²çãã«ã¹ã±ã¢ã¯ãç æ°ãå¥åº·äžã®åé¡ãçºçããåã«äºé²ããããšã«çŠç¹ãåœãŠãŠããŸããããã¯ãã©ã€ãã¹ã¿ã€ã«ã®éžæãããããŸããŸãªç¶æ ãçºçãããªã¹ã¯ã軜æžããè¡åãåãããšã§ããäºé²ã«æè³ããããšã§ã次ã®ããšãæåŸ ã§ããŸãã
- å»çè²»ã®åæžïŒç æ°ãäºé²ããããšã¯ãæ²»çãããããè²»çšãããããªãããšããããããŸãã
- çæŽ»ã®è³ªã®åäžïŒå¥åº·ã§ãšãã«ã®ãã·ã¥ã«æããããšã§ã人çãæå€§éã«æ¥œããããšãã§ããŸãã
- 寿åœã®å»¶é·ïŒäºé²æªçœ®ã¯ãããé·ããããå¥åº·çãªç掻ãéãã®ã«åœ¹ç«ã¡ãŸãã
- ç æ°ã®æ©æçºèŠïŒå®æçãªã¹ã¯ãªãŒãã³ã°ã«ãããæ²»çãæã广çãªåææ®µéã§å¥åº·äžã®åé¡ãç¹å®ã§ããŸãã
äºé²çå¥åº·ã®äž»èŠãªæ§æèŠçŽ
äºé²çå¥åº·ã¯ãã©ã€ãã¹ã¿ã€ã«ãšå»çã®ããŸããŸãªåŽé¢ãç¶²çŸ ããŠããŸããããã€ãã®éèŠãªæ§æèŠçŽ ãèŠãŠã¿ãŸãããã
1. ã¯ã¯ãã³æ¥çš®ãšäºé²æ¥çš®
ã¯ã¯ãã³æ¥çš®ã¯ãæã广çãªäºé²çå¥åº·å¯Ÿçã®1ã€ã§ããå ç«ã·ã¹ãã ãåºæ¿ããŠæäœãçæããããšã«ãããææçããããªããä¿è·ããŸããäžçä¿å¥æ©é¢ïŒWHOïŒã¯ãåäŸãšå€§äººã«å¯Ÿãã宿çãªã¯ã¯ãã³æ¥çš®ãåŒ·ãæšå¥šããŠããŸãã
äŸïŒ
- å°å ã¯ã¯ãã³æ¥çš®ïŒéº»ç¹ããããµã颚éªã颚ç¹ïŒMMRïŒãããªãªããžãããªã¢ãç Žå·é¢šãçŸæ¥å³ïŒDTaPïŒãããã³æ°ŽçïŒæ°ŽãŒãããïŒãå ·äœçãªã¹ã±ãžã¥ãŒã«ã¯ãåœã«ãã£ãŠè¥å¹²ç°ãªãå ŽåããããŸããäžéšã®å°åã§ã¯ãæ¥æ¬è³çã«å¯Ÿããã¯ã¯ãã³æ¥çš®ãäžå¯æ¬ ã§ãã
- æäººã¯ã¯ãã³æ¥çš®ïŒã€ã³ãã«ãšã³ã¶ïŒã€ã³ãã«ãšã³ã¶ïŒãèºççèæ§èºçãç Žå·é¢šã»ãžãããªã¢ã»çŸæ¥å³ïŒTdapïŒããŒã¹ã¿ãŒã垯ç¶ç±ç¹ïŒãã«ãã¹ãŸã¹ã¿ãŒïŒãããã³COVID-19ãããªãã®å¹Žéœ¢ãå¥åº·ç¶æ ãããã³æ è¡èšç»ã«å¿ããŠãå»åž«ã¯AåèçãBåèçãè žããã¹ããŸãã¯é»ç±ç ã¯ã¯ãã³ãªã©ã®è¿œå ã®ã¯ã¯ãã³ãæšå¥šããå ŽåããããŸãã
å®è¡å¯èœãªæŽå¯ïŒå»çæäŸè ãŸãã¯å°å ã®ä¿å¥åœå±ã«çžè«ããŠãããªãã®å¹Žéœ¢å±€ãšå¥åº·ç¶æ ã«æšå¥šãããã¯ã¯ãã³æ¥çš®ã¹ã±ãžã¥ãŒã«ã確èªããŠãã ããããäœãŸãã®å°åã§ã®ã¯ã¯ãã³ã®å ¥æå¯èœæ§ãšå®å šã¬ã€ãã©ã€ã³ã«ã€ããŠåžžã«æ å ±ãå ¥æããŠãã ããã
2. 宿çãªå¥åº·èšºæ
å¥åº·èšºæã¯ãçç¶ãçŸããåã«ç æ°ãå±éºå åãæ€åºã§ããæ€æ»ã§ããæ©æçºèŠã«ãããã¿ã€ã ãªãŒãªä»å ¥ãšæ²»çãå¯èœã«ãªããããè¯ãçµæã«ã€ãªãããŸãã
äŸïŒ
- è¡å§ã¹ã¯ãªãŒãã³ã°ïŒé«è¡å§ïŒé«è¡å§ïŒã¯ãå¿èç ãè³åäžã®äž»èŠãªå±éºå åã§ãã宿çãªã¹ã¯ãªãŒãã³ã°ã¯ãé«è¡å§ãæ©æã«ç¹å®ããŠç®¡çããã®ã«åœ¹ç«ã¡ãŸããã¢ã¡ãªã«å¿èåäŒã欧å·å¿èç åŠäŒãªã©ã®åœéæ©é¢ããã®ã¬ã€ãã©ã€ã³ã¯ã宿çãªã¢ãã¿ãªã³ã°ãæšå¥šããŠããŸãã
- ã³ã¬ã¹ãããŒã«ã¹ã¯ãªãŒãã³ã°ïŒé«ã³ã¬ã¹ãããŒã«ã¬ãã«ã¯ãåèã«ãã©ãŒã¯ãèç©ããå¿èçºäœãè³åäžã®ãªã¹ã¯ãé«ããå¯èœæ§ããããŸããè質ããã«ã¯ãç¹ã«å±éºå åãæã€å人ã«å¯ŸããŠå®æçã«ãã§ãã¯ããå¿ èŠããããŸãã
- ç³å°¿ç ã¹ã¯ãªãŒãã³ã°ïŒè¡ç³å€ãæ€æ»ãããšãåç³å°¿ç ãšç³å°¿ç ãæ€åºã§ããŸããæ©æã®èšºæãšç®¡çã¯ãæ·±å»ãªå䜵çãé²ãããšãã§ããŸããHbA1cæ€æ»ã¯äžè¬çã«äœ¿çšãããŸãã
- ããæ€èšºïŒãããã«ã¯ãä¹³ããã®ãã³ã¢ã°ã©ãã£ãŒãåå®®é žããã®ããããã¹ããå€§è žããã®å€§è žå èŠé¡æ€æ»ãããã³åç«è ºããã®åç«è ºç¹ç°æåïŒPSAïŒæ€æ»ãå«ãŸããŸããã¹ã¯ãªãŒãã³ã°ã®æšå¥šäºé ã¯ãå¹Žéœ¢ãæ§å¥ãããã³å®¶ææŽã«ãã£ãŠç°ãªããŸããããšãã°ãæ¥æ¬ã§ã¯ãæç çãé«ããããèããæ€èšºãããäžè¬çã§ãã
- çŒç§æ€æ»ïŒå®æçãªçŒç§æ€æ»ã¯ãç·å éãçœå éãããã³å€±æã«ã€ãªããå¯èœæ§ã®ããä»ã®çŒã®ç¶æ ãæ€åºã§ããŸãã
- æ¯ç§æ€èšºïŒå®æçãªæ¯ç§æ€èšºã¯ãè«æ¯ãæ¯åšç ãããã³ãã®ä»ã®å£è ã®å¥åº·åé¡ãé²ãããã«äžå¯æ¬ ã§ãã
å®è¡å¯èœãªæŽå¯ïŒå¹Žéœ¢ãæ§å¥ãå®¶ææŽãããã³ã©ã€ãã¹ã¿ã€ã«ã«åºã¥ããŠãã©ã®å¥åº·èšºæãããªãã«é©ããŠãããã«ã€ããŠå»åž«ãšè©±ãåã£ãŠãã ãããæšå¥šãããã¹ã¯ãªãŒãã³ã°ã¹ã±ãžã¥ãŒã«ãéµå®ããŠãã ããã
3. å¥åº·çãªé£ç¿æ £
ãã©ã³ã¹ã®åããé£äºã¯ãå¥åº·ãç¶æããæ ¢æ§çŸæ£ãäºé²ããããã«äžå¯æ¬ ã§ããããŸããŸãªæç©ãéèãå šç²ç©ç©ã赀身ã®ã¿ã³ãã¯è³ªãããã³å¥åº·çãªèèªãæåããããšã«çŠç¹ãåœãŠãŠãã ããã
äŸïŒ
- æç©ãšéèïŒ1æ¥ã«å°ãªããšã5人åãç®æããŠãã ãããããŸããŸãªæ é€çŽ ã確å®ã«æåã§ããããã«ãããŸããŸãªè²ãå«ããŠãã ãããå¯èœãªéããå£ç¯ã®å°å ç£ã®ãªãã·ã§ã³ãæ€èšããŠãã ãããããšãã°ãå€ã®ç±åž¯å°åã§ãã³ãŽãŒã®ãããªå£ç¯ã®æç©ãæ¶è²»ãããªã©ã§ãã
- å šç²ç©ç©ïŒç²Ÿè£œãããç©ç©ãããå šç²å°éºŠãã³ãçç±³ãããã¢ããªãŒã麊ãéžæããŠãã ããã
- 赀身ã®ã¿ã³ãã¯è³ªïŒéã家犜ãè±ãã¬ã³ãºè±ãè±è ãé£äºã«åãå ¥ããŠãã ããã赀身ã®èãšå å·¥èãå¶éããŠãã ãããã€ã³ãã®ã¬ã³ãºè±ãæ±ã¢ãžã¢ã®è±è ãªã©ãäžéšã®å°åã§äžè¬çãªäŒçµ±çãªæ€ç©ããŒã¹ã®ã¿ã³ãã¯è³ªæºãæ€èšããŠãã ããã
- å¥åº·çãªèèªïŒé£œåèèªãšãã©ã³ã¹èèªããããªãªãŒããªã€ã«ãã¢ãã«ããããããçš®åãéžæããŠãã ããã
- ç ç³ãšå å·¥é£åãå¶éããïŒãããã¯ãäœéå¢å ãççãããã³æ ¢æ§çŸæ£ã®åå ãšãªãå¯èœæ§ããããŸãã
- æ°Žåè£çµŠïŒäžæ¥ãéããŠããããã®æ°Žã飲ã¿ãŸãããã
å®è¡å¯èœãªæŽå¯ïŒããå¥åº·çãªéžæãããããã«ãé£äºãšè»œé£ãäºåã«èšç»ããŠãã ãããé£åã©ãã«ãæ³šææ·±ãèªã¿ãããŒã·ã§ã³ãµã€ãºã«æ³šæããŠãã ãããå¥åº·çãªèª¿çæ¹æ³ã«çŠç¹ãåœãŠãŠãããªãã®æåçèæ¯ãšå°å ã®é£åã®å ¥æå¯èœæ§ã«ããªãã®é£äºã®éžæãé©å¿ãããŠãã ããã
4. 宿çãªèº«äœæŽ»å
éåã¯ãå¥åº·çãªäœéãç¶æããã¹ãã¬ã¹ã軜æžããæ ¢æ§çŸæ£ãäºé²ããããã«éåžžã«éèŠã§ããé±ã«å°ãªããšã150åã®äžåŒ·åºŠã®æé žçŽ éåãŸãã¯75åã®é«åŒ·åºŠã®æé žçŽ éåãããã³é±ã«å°ãªããšã2æ¥éã®çåãã¬ãŒãã³ã°æŽ»åãç®æããŠãã ããã
äŸïŒ
- äžåŒ·åºŠã®æŽ»åïŒéæ©ããµã€ã¯ãªã³ã°ãæ°Žæ³³ããã³ã¹ãã¬ãŒããã³ã°ã
- é«åŒ·åºŠã®æŽ»åïŒã©ã³ãã³ã°ããã€ãã³ã°ããšã¢ããã¯ã¹ãããŒã ã¹ããŒãã
- çåãã¬ãŒãã³ã°æŽ»åïŒãŠã§ã€ããªããã£ã³ã°ãã¬ãžã¹ã¿ã³ã¹ãã³ããšã¯ãµãµã€ãºãèªéãšã¯ãµãµã€ãºïŒè ç«ãŠäŒããã¹ã¯ã¯ãããã©ã³ãžïŒã
å®è¡å¯èœãªæŽå¯ïŒããªããæ¥œããæŽ»åãèŠã€ããŠãããããããªãã®æ¯æ¥ã®ã«ãŒãã³ã«åãå ¥ããŠãã ããããã£ãããšå§ããŠãåŸã ã«éåã®åŒ·åºŠãšæç¶æéãå¢ãããŠãã ãããä»äºãžã®ãŠã©ãŒãã³ã°ããµã€ã¯ãªã³ã°ããšã¬ããŒã¿ãŒã®ä»£ããã«é段ã䜿ããã¹ããŒãããŒã ããã£ãããã¹ã¯ã©ã¹ã«åå ããããšãæ€èšããŠãã ãããäžæ¥ãéããŠçãæŽ»åã®ããŒã¹ããåãå ¥ããã ãã§ãéããçãããšãã§ããŸããæåçãªèæ¯ã®äžã§æŽ»åããæ©äŒãæ¢ããŠãã ãããããšãã°ãäŒçµ±çãªãã³ã¹ãæŠéã«åå ãããªã©ã§ãã
5. ã¹ãã¬ã¹ç®¡ç
æ ¢æ§çãªã¹ãã¬ã¹ã¯ãããªãã®èº«äœçããã³ç²Ÿç¥çãªå¥åº·ã«æªåœ±é¿ãäžããå¯èœæ§ããããŸããæ¬¡ã®ãããªã¹ãã¬ã¹ã管çããããã®å¥åº·çãªæ¹æ³ãèŠã€ããŠãã ããã
- ãã€ã³ããã«ãã¹ãšçæ³ïŒãã€ã³ããã«ãã¹ãšçæ³ãå®è·µãããšãçŸåšã®ç¬éã«éäžããã¹ãã¬ã¹ã軜æžããã®ã«åœ¹ç«ã¡ãŸããããªããå°ãããã®å€ãã®ã¢ããªãšãªã³ã©ã€ã³ãªãœãŒã¹ããããŸãã
- ãšã¬ãšå€ªæ¥µæ³ïŒãããã®å®è·µã¯ãèº«äœæŽ»åãšãªã©ã¯ãŒãŒã·ã§ã³ãã¯ããã¯ãçµã¿åããããã®ã§ãã
- èªç¶ã®äžã§éããïŒç ç©¶ã«ãããšãèªç¶ã®äžã§éãããšã¹ãã¬ã¹ã軜æžãããæ°åãæ¹åãããããšã瀺ãããŠããŸãã
- æãã人ãšã€ãªããïŒç€ŸäŒçãµããŒãã¯ã¹ãã¬ã¹ã管çããããã«äžå¯æ¬ ã§ãã
- è¶£å³ãšãªã©ã¯ãŒãŒã·ã§ã³æŽ»åïŒããªããæ¥œããæŽ»åã«åŸäºããããšã¯ãããªãããªã©ãã¯ã¹ããŠã¹ãã¬ã¹ãè§£æ¶ããã®ã«åœ¹ç«ã¡ãŸãã
- ååãªç¡ç ïŒæ¯æ©7ã9æéã®è³ªã®é«ãç¡ç ãåªå ããŠãã ããã
å®è¡å¯èœãªæŽå¯ïŒããªãã®ã¹ãã¬ããµãŒãç¹å®ããããªãã®ããã«åãã³ãŒãã³ã°ã¡ã«ããºã ãéçºããŠãã ãããèªå·±ã±ã¢æŽ»åãåªå ããæ¯æ¥ã®ã«ãŒãã³ã§ãªã©ã¯ãŒãŒã·ã§ã³ã®æéã確ä¿ããŠãã ãããæåçã«é¢é£ããã¹ãã¬ã¹è»œæžãã¯ããã¯ãæ€èšããŠãã ãããããšãã°ãæ±ã¢ãžã¢ã®äŒçµ±çãªè¶éããäžéšã®ã¢ããªã«æåã®å ±åäœã®éãŸãã¯ããªã©ã¯ãŒãŒã·ã§ã³ãšç€ŸäŒçãªã€ãªãããä¿é²ããããšãã§ããŸãã
6. ã¿ãã³ãšé床ã®ã¢ã«ã³ãŒã«æåã®åé¿
å«ç ã¯ããããå¿èç ãèºçŸæ£ãªã©ãå€ãã®ç æ°ã®äž»èŠãªå±éºå åã§ããå«ç ããããããã¿ãã³ãå®å šã«é¿ããããšã¯ãããªãã®å¥åº·ã®ããã«ã§ããæè¯ã®ããšã®1ã€ã§ããé床ã®ã¢ã«ã³ãŒã«æåã¯ãèèç ãå¿èç ãç¹å®ã®çš®é¡ã®ãããªã©ãå¥åº·äžã®åé¡ã«ã€ãªããå¯èœæ§ããããŸãã
å®è¡å¯èœãªæŽå¯ïŒå«ç ããå Žåã¯ãçŠç ã®æ¯æŽãæ±ããŠãã ããããã³ãã³ä»£æ¿çæ³ãã«ãŠã³ã»ãªã³ã°ããµããŒãã°ã«ãŒããªã©ãå€ãã®ãªãœãŒã¹ãå©çšå¯èœã§ããã¢ã«ã³ãŒã«ã飲ãå Žåã¯ãé©åºŠã«ïŒå¥³æ§ã®å Žåã¯1æ¥1æ¯ãŸã§ãç·æ§ã®å Žåã¯1æ¥2æ¯ãŸã§ïŒé£²ãã§ãã ãããã¢ã«ã³ãŒã«æ¶è²»ã«é¢ããå°åã®èŠå¶ãæåèŠç¯ãéµå®ããŠãã ããã
7. ã¡ã³ã¿ã«ãã«ã¹ã®èªèãšãµããŒã
ã¡ã³ã¿ã«ãã«ã¹ã¯ã身äœã®å¥åº·ãšåããããéèŠã§ããããªãã®ã¡ã³ã¿ã«ãŠã§ã«ããŒã€ã³ã°ã«æ³šæãæããèŠåŽããŠããå Žåã¯å©ããæ±ããŠãã ãããã¡ã³ã¿ã«ãã«ã¹ã®åé¡ã®çç¶ã«ã¯ãæç¶çãªæ²ãã¿ãäžå®ãéäžå°é£ãããã³ç¡ç ãŸãã¯é£æ¬²ã®å€åãå«ãŸããå¯èœæ§ããããŸãã
- å°éå®¶ã®å©ããæ±ããïŒã¡ã³ã¿ã«ãã«ã¹ã®åé¡ãæ±ããŠããå Žåã¯ãã¡ã³ã¿ã«ãã«ã¹ã®å°éå®¶ã«çžè«ããŠãã ããã
- èªå·±ã±ã¢ãå®è·µããïŒãã€ã³ããã«ãã¹ãéåãæããäººãšæéãéãããªã©ãããªãã®ã¡ã³ã¿ã«ãŠã§ã«ããŒã€ã³ã°ãä¿é²ããæŽ»åã«åŸäºããŠãã ããã
- ãµããŒãã·ã¹ãã ãæ§ç¯ããïŒå人ãå®¶æããŸãã¯ãµããŒãã°ã«ãŒããšã€ãªãããŸãããã
- ã¹ãã£ã°ããæžããïŒã¡ã³ã¿ã«ãã«ã¹ã«ã€ããŠãªãŒãã³ã«è©±ãåããåŠå®çãªåºå®èŠ³å¿µã«ææŠããŠãã ããã
å®è¡å¯èœãªæŽå¯ïŒããªãã®ã¡ã³ã¿ã«ãã«ã¹ãåªå ããå¿ èŠãªãšãã«å©ããæ±ããŠãã ãããããªãã®ã³ãã¥ããã£ã«ãããã¡ã³ã¿ã«ãã«ã¹ã«å¯Ÿããæåçãªæ 床ãèªèããæèãšãµããŒãã®åäžãæå±ããŠãã ãããå€ãã®åœã§ã¯ãã¡ã³ã¿ã«ãã«ã¹ã±ã¢ãžã®ã¢ã¯ã»ã¹ãšèªèã®ã¬ãã«ãç°ãªããã³ãã¥ããã£ããã³ãµããŒãã·ã¹ãã å ã§ã¡ã³ã¿ã«ãã«ã¹ãªãœãŒã¹ãæå±ããããšãéåžžã«éèŠã«ãªã£ãŠããŸãã
8. å®å šãªã»ãã¯ã¹ã®å®è·µ
å®å šãªã»ãã¯ã¹ãå®è·µããããšã¯ãæ§ææçïŒSTIïŒããã³æå³ããªãåŠåš ãé²ãããã«äžå¯æ¬ ã§ããæ§è¡çºäžã¯ãã³ã³ããŒã ãäžè²«ããŠæ£ãã䜿çšããŠãã ãããSTIã®æ€æ»ã宿çã«åããŠãã ãããç¹ã«è€æ°ã®ããŒãããŒãããå Žåã¯ãããŒãããŒãšã®æ§çãªå¥åº·ã«ã€ããŠãªãŒãã³ã«è©±ãåãããšãéåžžã«éèŠã§ãã
å®è¡å¯èœãªæŽå¯ïŒSTIãšå®å šãªã»ãã¯ã¹ã®å®è·µã«ã€ããŠèªåèªèº«ãæè²ããŠãã ãããã³ã³ããŒã ãæ£ããäžè²«ããŠäœ¿çšããŠãã ããã宿çã«æ€æ»ãåããŠãã ãããããŒãããŒã®å¢çãšå¥œã¿ãå°éããŠãã ãããæ å ±ã«åºã¥ããæææ±ºå®ãè¡ãã«ã¯ãæ§çãªå¥åº·ãåãå·»ãå°åã®æ³åŸãšç¿æ £ãçè§£ããããšãéèŠã§ãã
äºé²çãã«ã¹ã±ã¢ãžã®éå£ã®å æ
äºé²çå¥åº·ã®å©ç¹ã¯æããã§ãããå€ãã®äººã ãäºé²ã±ã¢ãžã®ã¢ã¯ã»ã¹ã«éå£ã«çŽé¢ããŠããŸãããããã®éå£ã«ã¯æ¬¡ã®ãã®ãå«ãŸããŸãã
- ãã«ã¹ã±ã¢ãžã®ã¢ã¯ã»ã¹ã®æ¬ åŠïŒäžçã®å€ãã®å°åã§ã¯ãå°ççãªå Žæãçµæžçãªå¶çŽããŸãã¯ä¿éºã®æ¬ åŠã«ããããã«ã¹ã±ã¢ãžã®ã¢ã¯ã»ã¹ãå¶éãããŠããŸãã
- èªèã®æ¬ åŠïŒå€ãã®äººã ã¯ãäºé²çå¥åº·ã®éèŠæ§ãå©çšå¯èœãªãªãœãŒã¹ãèªèããŠããŸããã
- æåçä¿¡å¿µïŒæåç信念ã¯ããã«ã¹ã±ã¢ããã³äºé²æªçœ®ã«å¯Ÿããæ åºŠã«åœ±é¿ãäžããå¯èœæ§ããããŸãã
- èšèªã®å£ïŒèšèªã®å£ã¯ãå»çæäŸè ãšã®ã³ãã¥ãã±ãŒã·ã§ã³ãå¥åº·æ å ±ã®çè§£ãå°é£ã«ããå¯èœæ§ããããŸãã
- ææãšäžä¿¡ïŒäžéšã®äººã ã¯ãå»çæäŸè ãŸãã¯å»çä»å ¥ãæããŠããããä¿¡é ŒããŠããªãå¯èœæ§ããããŸãã
å®è¡å¯èœãªæŽå¯ïŒãã¹ãŠã®äººã®ãã«ã¹ã±ã¢ãžã®ã¢ã¯ã»ã¹ãæ¹åããããªã·ãŒãæå±ããŠãã ãããå°åããŒã¹ã®å¥åº·æè²ããã°ã©ã ããµããŒãããŠãã ãããæåçã«ææãªã³ãã¥ãã±ãŒã·ã§ã³ãéããŠããã«ã¹ã±ã¢ã«é¢ããæåç信念ãšèª€è§£ã«å¯ŸåŠããŠãã ããã翻蚳ãµãŒãã¹ãšæåçã«é©åãªå¥åº·æ å ±ãæäŸããŠãã ãããå»çæäŸè ãšã³ãã¥ããã£éã®ä¿¡é Œãæ§ç¯ããŠãã ããããã¯ãããžãŒãšé éå»çãæŽ»çšããŠãæµãŸããªã人ã ã«æãå·®ã䌞ã¹ãããšãæ€èšããŠãã ãããåœé£ãšWHOãæ¯æŽãããããªã°ããŒãã«ãªå¥åº·ã€ãã·ã¢ããã¯ããªãœãŒã¹ãéãããç°å¢ã§ãªãœãŒã¹ãæè²ãããã³ã€ã³ãã©ã¹ãã©ã¯ãã£ã®éçºãæäŸããããšã«ããããããã®éå£ãå æããäžã§éèŠãªåœ¹å²ãæãããŠããŸãã
çµè«
äºé²çå¥åº·ã¯ããªãã®æªæ¥ãžã®æè³ã§ããããªãã®å¥åº·ãå®ãããã®ç©æ¥µçãªã¹ããããèžãããšã§ãæ ¢æ§çŸæ£ãçºçãããªã¹ã¯ã軜æžããçæŽ»ã®è³ªãåäžãããããé·ããããå¥åº·çãªç掻ãéãããšãã§ããŸããäºé²çå¥åº·ã¯ãç®çå°ã§ã¯ãªãç¶ç¶çãªæ ã§ããããšãå¿ããªãã§ãã ãããããªãã®ã©ã€ãã¹ã¿ã€ã«ã«å°ãããŠæç¶å¯èœãªå€åãå ããææ°ã®å¥åº·ã«é¢ããæšå¥šäºé ã«ã€ããŠåžžã«æ å ±ãå ¥æããŠãã ãããããªããäžçã®ã©ãã«ããŠããããªãã®å¥åº·ã管çããããšã§ãããå å®ããæŽ»æ°ã«æºã¡ãçæŽ»ãéãããšãã§ããŸããåã ã®ããŒãºãšç¶æ³ãæºããããŒãœãã©ã€ãºãããäºé²çå¥åº·èšç»ãäœæããããã«ãå»çæäŸè ã«çžè«ããŠãã ããã
å 責äºé ïŒãã®ããã°æçš¿ã¯ãäºé²çå¥åº·ã«é¢ããäžè¬çãªæ å ±ãæäŸããŠãããå»åŠçã¢ããã€ã¹ãšèŠãªãããã¹ãã§ã¯ãããŸãããããŒãœãã©ã€ãºãããæšå¥šäºé ã«ã€ããŠã¯ãå»çæäŸè ã«çžè«ããŠãã ããã