1. 1. 1.1.1. 1.1.2. 1.1.3. 1.1.4. 1.1.5. 1. 2. 1. 3. 1. 4. 1-1 1-2 1-3 2. 1. 2. 2. 2. 3. 2. 4. 2.4.1. 2.4.2. 2-1 2. 5. 2. 6. 2.6.1. 2.6.2. 2.6.3. 2.6.4. 2.6.5. 2. 7. 2.7.1.
2.7.2. 2.7.3. 2.7.4. 2. 8. 2. 9. 2-2 3. 1. 3-1 3.1.1. 3-1 3.1.2. 3.1.3. 3. 2. 3.2.1. 3.2.2. 3.2.3. 3.2.4. 3.2.5. 3. 3. 3.3.1. 3.3.2. 3.3.3. 3.3.4. 3.3.5. 3. 4. 3. 5. 3. 6. 3-2 3. 7. 3-3 3-4
4. 1. 4.1.1. 4.1.2. 4.1.3. 4.1.4. 4.1.5. 4.1.6. 4.1.7. 4. 2. 4.2.1. 4.2.2. 4.2.3. 4. 3. 4. 4. 4. 5. 4.5.1. 4.5.2. 4.5.3. 4.5.4. 4. 6. 4.6.1. 4.6.2. 4.6.3. 4.6.4. 4. 7. 4. 8. 4. 9. 4-1 5. 1. 5-1 5-2
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6. 5. 6. 6. 6. 7. 6. 8. 6. 9. SARS 7. 1. SARS 7. 2. SARS 7. 3. SARS 7. 4. SARS 7. 5. SARS 7.5.1. 7.5.2. 7.5.3.SARS 7.5.4.SARS 8. 1. 8. 2. 8. 3. 8.3.1. BCG 8.3.2. 8.3.3.DPT 8.3.4. 8.3.5. 8.3.6. 8.3.7. 8.3.8. 8.3.9. Hib 8. 4. 8.4.1. 8.4.2. BCG 8.4.3. 8.4.4.
8.4.5. 8.4.6. 8.4.7. 8.4.8. 8.4.9. 8.4.10. 8. 5. 8.5.1. 8.5.2. 8.5.3. 8.5.4. 8.5.5. 8.5.6. 8.5.7. 8.5.8. 8.5.9. 8.5.10. 8. 6. 8-1 8-2 8-3 8-4 8-5 9. 1. 9. 2. 9. 3. Emerging/Re-emerging Infectious Diseases 9. 4. 9. 5. 9. 6. 9.6.1. 9.6.2. 9.6.3. 9. 7.
9.7.1. 9.7.2. 9.7.3. 9.7.4. 9. 8. 9. 9. 9. 10. 9-1 1973 9-2 20 9-3 10. 1. 10.1.1 10-1 10.1.2. 10.1.3. 10. 2. 10-1 10.2.1. 10.2.2. 10.2.3. 10-2 10. 3. 10.3.1. 10-3 10.3.2. 10. 4. 10.4.1. 10.4.2. 10-4 10.4.3. (1)
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5
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9 Hib 2. 3. (2)
10 2. 4. 2.4.1.
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12 2. 6. 2.6.1.
13 2.6.2. 2.6.3.
14 2.6.4. 2.6.5.
15 2. 7. 2.7.1. 200 300 2.7.2. 2.7.3.
2.7.4. 2. 8. 2. 9. 16
17
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20 3.1.1.3. 3.1.1.4. 3.1.2. 3.1.3.
21 3. 2. 3.2.1. 3.2.2. General Practitioner Family Medicine Internal Medicine Pediatrics 3.2.3.
22 3.2.4. 3.2.5. 3. 3. 3.3.1. 3.3.2.
23 3.3.3. 3.3.4. 3.3.5. 3. 4.
24 3. 5. 3. 6.
25 3. 7.
26
27 PTSD 4. 1. 4.1.1. 4.1.2.
28 4.1.3. 4.1.4. 4.1.5. 4.1.6. 4.1.7. 4. 2. 4.2.1.
4.2.2. 4.2.3. 4. 3. 1981 WHO 1981 1983 29
1984-5 4. 4. 1985 1995 683 683 197 486 2,47 244 198 144 100 66 23 18 613 108 90 30
31 4. 5. 4.5.1. 4.5.2. 4.5.3. 4.5.4. HIV/AIDS
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34 4. 8. 4. 9. SARS PTSD
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36 SARS 5. 1.
37 O-157 (3) 5. 2.
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5. 3. Oral Rehydration Therapy 5.3.1. 1940 WHO UNICEF 1975 Oral Rehydration Salts/Solution, ORS ORS ORS OS-1 40
ORS ORS Na (mmol/l) K (mmol/l) (g/l) ORS (WHO) 60-90 20 20 OS-1 50 20 25 21 5 58-66 2 0.1 50-150 5.3.2. 5.3.3. 5.3.4. ORS 41
42 5.3.5. 5.3.6. 5.3.7. 5. 4. ARI Acute Respiratory Infection, ARI
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44 5.5.3. 5.5.4. 2002 7 1955 5. 6.
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1. No.4027, p1-7. 2001 2. Travel Health Onlinehttp://www.tripprep.com 3. CDC: http://www.cdc.gov/travel/ 4. http:www.forth.go.jp/ 5. http://idsc.nih.go.jp/index-j.html 6. 1999 3 31 7. 1998 3 25 8. Modern Physician 14 11 1994 11 15 9. Red Book 2003, 26 th ed.american Academy of Pediatrics 10. 2003 2 28 49
50 6 HIV/AIDS 6. 1. WHO
1993 6. 2. (Plasmodium falciparum) (P. vivax) (P. malariae) (P. ovale) 48 72 51
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SARS 2002 2003 SARS Knowledge dispels fear 7. 1. SARS SARS Severe Acute Respiratory Syndrome 2002 11 SARS 7. 2. SARS SARS SARS SARS SARS SARS 60
SARS SARS 2004 SARS SARS SARS Basic Reproductive rate; R 1218 7. 3. SARS 210 5 70 80 20 ARDS 10 050 SARS 12 SARS 7. 4. SARS 61
CT SARS APTT LDH SARS PCR SARS SARS 7. 5. SARS Isolation Contact Tracing Quarantine SARS 2002 62
2003 7.5.1. SARS WHO SARS WHO WHO Global Epidemic Surveillance SARS WHO WHO SARS http://www.who.int/csr/sars/en/index.html http://www.who.int/csr/don/en/ WHO http://idsc.nih.go.jp/index-j.html http://www.mhlw.go.jp/ (3) 7.5.2. SARS SARS SARS Respiratory etiquette SARS 63
7.5.3.SARS SARS SARS SARS 10 10 SARS 10 7.5.4.SARS SARS 7080 SARS SARS Personal Protective EquipmentPPE 64
65 8. 1. 1990 WHO UNICEF EPIExpanded Programme on Immunization BCG DPT
80 1996 8. 2. 8. 3. 8.3.1. BCG 200 800 700 BCG 66
BCG BCG BCG BCG 8.3.2. WHO UNICEF 1,919 2002 WHO 2003 1991 1997 DPT 67
8.3.3.DPT 1990 DPT Hib DPT DT DPT 1970 DPT 1981 DPT DPT 8.3.4. 68
MMR MMR MMR Jeryl-Lynn MMR 1975 MMR MMR MMR 1989 AIK-C TO336 Am9 933 1993 4 MMR MMR MMR 8.3.5. 40 69
WHO 1995 8.3.6. 1995 16 8.3.7. WHO International Health Regulation 70
WHO 2003 15 WHO2003 10 10 8.3.8. 10 1989 8.3.9. Hib 71
Hib 1990 8. 4. 8.4.1. WHO 8.4.2. BCG BCG BCG 8.4.3. 72
73 8.4.4. 10 8.4.5. MMR 8.4.6. 8.4.7. 8.4.8. 2050 1995 8.4.9. MMR
8.4.10. MMR 8. 5. 8.5.1. WHO 8.5.2. DPT DT 1968 DPT 12 DT 10 10 8.5.3. 60 74
8.5.4. Ty21a V 80 8.5.5. 8.5.6. 8.5.7. 8.5.8. 8.5.9. 75
76 8.5.10. 8. 6. FORTH http://www.forth.go.jp/ 2,000 http://jpa.umin.jp/index.htm/ (3) WHO 1994 2004
BCG DPT B Hib * **Hib HibDPTHibDPT HibDPT 77
12-18 6-12 6-12 10 12-18 12-18 6-12 1-2 1-4 12 2 12-18 7 28 2-3 18 6 3-6 6-12 Hib 6-12 3-5 International Travel and Health (WHO,Geneva,1999) 1997 Red Book, American Academy of Pediatrics p5 Hib HibDPTHibDPT HibDPT 78
(*) (*) 79
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9. 1. 100 1999 15 2003 9. 2. communicable disease infectious disease 81
9. 3. Emerging/Re-emerging Infectious Diseases 1995 WHO emerging and re-emerging infectious diseases emerging infectious disease re-emerging infectious diseases 9. 4. 100 82
83 9.5. 9.5. 1 9. 5. (1999 )
(2001 ) (2003 ) WHO Global Alert (SARS: Severe Acute Respiratory Syndrome) 2003 11 9. 6. SARS 9.6.1. SARS 9.6.2. 84
85 9.6.3. 9. 7. SARS 9.7.1. 9.7.2.
86 9.7.3. 9.7.4. 9. 8. SARS SARS A VRSA
RS 2004 9. 9. SARS SARS WHO 87
9. 10. 3,000 600 900 3000 2000 5,000 500 (CD-ROM ) (http://idsc.nih.go.jp/index-j.html) (Infectious Disease Weekly Report: IDWR) SARS IDWR (http://idsc.nih.go.jp/index-j.html) IDWR PDF 88
HTML CD-ROM 89
90
91
92
2003 11 SARS E A Q B E A AIDS/HIV RS A 93
94
95 10. 1. 10.1.1.
96 10.1.2. 10.1.3. 10.1.3.1. 10.1.3.2. 10.1.3.3. 10. 2.
97
98 10.2.1. 15 10.2.2.
10.2.3. 1 1 A A B C 1-2 3-5 7-14 99
100 10 14 1 10. 3. 10.3.1. 10.3.1.1. 10.3.1.2.
101 N95 dust-mist:dm dust-fume-mist:dfm 10.3.1.3. 0.050.1 0.050.2 70 5ml
102 0.020.05 30 10.3.2. 10. 4.
10.4.1. 10.4.2. 103
10.4.3. 104
(1) 5 320 ISBN4-87402-496-32,940 398 ISBN4-8185-2315-12,730 2004 3 105
4 410 ISBN4-7890-0793-61,835 479 ISBN4-478-03415-X1,840 243 ISBN4-87402-080-12,400 2002 30 123 210 ISBN4-83270-209-21,785 30 250-350 2,447 NIS 23 106
230 1,600 43 (2) 135 ISBN4-8795-4072-21,529 909 ISBN4-2632-3422-7 2,100 2003 1269 ISBN4-3911-2922-96,090 2003 107
1,672 ISBN4-8327-0360-94,095 2000 321 ISBN4-7890-07272,039 257 ISBN4-7890-067191,835 108
320 3,150 2 2 ( A5 52 787 2 (3) (JICA) http://www.jica.go.jp/ninkoku/index.html 20 ODA 1997 2003 109
110 http://www.anzen.mofa.go.jp/index.html http://www.mofa.go.jp/mofaj/toko/medi/index.html 83 (JOHAC) http://www3.johac.rofuku.go.jp/ FAX (JOMF) http://www.jomf.or.jp/ SARS JOMF- http://www.forth.go.jp/
http://idsc.nih.go.jp/vaccine/vaccine-j.html http://malaria.himeji-du.ac.jp/ipublic/malaria-net-j/home.html WHO International Travel and Health 2001 Travel Health Online https://www.tripprep.com/ Shoreland, Inc. 1996 CDC Travelers Health http://www.cdc.gov/travel/ CDC Diseases 111
Traveling with children WHO International travel and health http://www.who.int/ith/ WHO 2004 4 http://www.mcfh.co.jp/ FAX http://www.j-poison-ic.or.jp/homepage.nsf 75 http://www.crn.or.jp/index.html 112
http://mmh.banyu.co.jp/ http://www.iiha-jda.com/guide/index.html 130 http://www.health-net.or.jp/index.html (4) JOHAC http://www.johac.rofuku.go.jp/ 113
114 FAX http://www.johac.rofuku.go.jp/inquiry/faxformat.pdf JOHAC +81-45-474-6098 JOHAC http://www.johac.rofuku.go.jp/ 2004 7 5
http://www.forth.go.jp/ T-PORT +81-3-5223-3527 1-5-1 +81-476-34-2310 1-1 +81-45-474-6001 3211 JOHAC JCB +81-3-5352-8286 JCB 24 115
JCB JCB 1 24 JCB 16 JCB 24 +1-800-596-7641 +81-3-5352-8286 116
SARS