ハンセン病と医学II : 絶対隔離政策の進展と確立 Leprosy and Medicine II : Progress and its establishment of an absolute isolation policy

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著者

    • 森 修一 MORI Shuichi
    • 福島県立医科大学医学部微生物学講座 Department of Microbiology, School of Medicine, Fukushima Medical University
    • 石井 則久 ISHII Norihisa
    • 国立感染症研究所ハンセン病研究センター生体防御部 Department of Bioregulation, Leprosy Research Center, National Institute of Infectious Diseases

抄録

ハンセン病政策と医学の関わりに焦点を当て、特に隔離政策について、日本の隔離政策の独自性と世界の政策との共通性を考察した。世界のハンセン病史、欧州の隔離の歴史を考証し、近代医学が隔離を提唱する背景と日本の隔離に与えた影響を歴史的、医学史的に検討した。また、絶対隔離政策進展の経過とその背景、プロミン以降の世界の隔離、日本に於ける隔離継続の要因を考察した。

The leprosy policy of Japan began from when the government enacted "law No. 11 (The leprosy prevention act)" in 1907 (Meiji 40) and several leprosy sanatoriums were built to receive previously homeless patients. Then, with the rise of totalitarianism, the isolation policy of Japan gained national support under the slogan "Patient Relief", which would become a major factor behind the enactment of "Leprosy Prevention Law" in 1931 (Showa 6) by which the leprosy policy was changed to one of absolute isolation aimed at the internment of all leprosy patients.<br>From recent research on the leprosy policy of Japan, the internment of all leprosy patients, isolation for life, social defense, and neglect of patients' human-rights had tragic results in many cases. However, there is little research which can reply clearly to the question of whether the leprosy policy of Japan was really original and what factors led to the formation of the absolute isolation policy.<br>This paper focuses on the relation between leprosy policy and treatment, and from this, I make clear the similarities, or peculiarities, of the isolation policy between Japan and the rest of the world, while clarifying the factors associated with the progress of the absolute isolation policy.<br>The processes involved were historical and medical historical in that the relation between the formation of a national health system and the progress of the isolation policy of Meiji Era, the proposal of the isolation policy by Dr. Keizo Dohi, Dr. Shibasaburo Kitasato, and Dr. Masatsugu Yamane; the practical application of this policy by Dr. Kensuke Mitsuda, and the decision to enact this policy and its support by the Health and Medical Bureau and the Department of the Interior, as well as many other factors, all contributed to the final implementation of the absolute isolation policy.

収録刊行物

  • 日本ハンセン病学会雑誌 = Japanese journal of leprosy  

    日本ハンセン病学会雑誌 = Japanese journal of leprosy 76(1), 29-65, 2007-02-01 

    Japanese Leprosy Association

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各種コード

  • NII論文ID(NAID)
    10018506971
  • NII書誌ID(NCID)
    AN10559906
  • 本文言語コード
    JPN
  • 資料種別
    REV
  • ISSN
    13423681
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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