わが国の結核医療の現状と問題点  平成12年厚生労働省「結核緊急実態調査」の分析

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タイトル別名
  • The Current State of Tuberculosis Treatment in Japan and Attendant Problems. An Analysis of the "Survey on the Tuberculosis State of Emergency" Conducted by the Ministry of Health, Labor and Welfare in 2000.
  • An Analysis of the “Survey on the Tuberculosis State of Emergency” Conducted by the Ministry of Health, Labor and Welfare in 2000
  • 平成12年厚生労働省「結核緊急実態調査」の分析

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Problems involving tuberculosis in Japan, primarily in its actual treatment, have been brought to light through the results of the “Survey on the Tuberculosis State of Emergency” in 2000 by the Ministry of Health, Labor and Welfare of Japan. Measures that Japan is taking against tuberculosis include issuing notification as required by the Tuberculosis Prevention Law, the registration of patients by the government, the implementation of patient management including the setting of treatment standards, and the set up of a system to ensure proper medical treatment. The survey showed a discrepancy in the number of tuberculosis deaths according to vital statistics and the number of deaths according to notification made as required by the Tuberculosis Prevention Law. Upon close examination of diseases listed by registered patients, it was found that disorders other than tuberculosis make up about 10% of the total. This suggests a problem with the accuracy of notifications and the overall evaluation of tuberculosis in Japan. In treatment provided, certain cases suggest that diagnoses for the option of short-term chemical treatment or sensitivity to drugs that fight the bacteria responsible for tuberculosis are not conducted properly. This presents problems in the promotion of reducing treatment period or preventing drug-resistant bacterium. The survey results also suggested that nonmedical issues greatly influenced the contraction of tuberculosis, including social and economic factors. In particular, when providing medical treatment to the elderly and to those with underlying disease or those with no fixed address, full consideration must be given to early detection and improvement of the completion of treatment.

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