著者
木村 真三 三浦 善憲 クマール サフー・サラタ 遠藤 暁
出版者
獨協医科大学
雑誌
基盤研究(B)
巻号頁・発行日
2010 (Released:2010-08-23)

本研究では、経済的・政治的理由からチェルノブイリ汚染地域に取り残された住民の健康影響を調査するため環境放射能調査、食事調査、罹患率調査を行った。その結果、事故当時、土壌汚染レベルから空間線量率は350μSv/h~5μSv/hと推定された。内部被ばくの汚染ルートは、牛乳、キノコ、ベリー類であり、僅かではあるがパンも汚染源のひとつであった。また、これらの地域では汚染度の違いにより、汚染が高いほど妊婦の貧血が有意に上昇していることが確認された。
著者
岡田 勇 楯 博 三浦 善憲 下村 義夫 永田 捷一 松井 邦義 海川 猛司 TAKAKU Tomoharu
出版者
The Japanese Society of Health and Human Ecology
雑誌
民族衛生 (ISSN:03689395)
巻号頁・発行日
vol.41, no.3, pp.146-156, 1975

From the results of the investigation of 80 serious patients, mentally and physically handicapped, in our national sanatorium in Kofu City, Yamanashi Prefecture and 2, 716 patients abstracted from all the other national sanatoria in Japan, the following conclusions were drawn. 1) By ages, of the 80 patients in our sanatorium those of 1014 years stand first in number (45.00%) and those of 1519 years stand second (22.50%), while of the 2, 716 patients from all the other national sanatoria those of 5-9 years stand first (39.7%) and those of 1014 years stand second (29.3%). Nevertheless, the investigation of our patients was made in the 50th year of Showa and that of the latter patients was made in the 45th year of Showa. Accordingly, the age-composition of the two groups of patients is the same in reality. 2) By causes, in our sanatorium, cerebral palsy stands first in number (65.00%), the after-effects of encephalitis and cerebrospinal meingitis stand second (13.75%), and follow the after-effct of nucleojaundice (8.75%) and microcephaly (7.50%). In the other sanatoria, cerebral palsy stands first (64.9%), the after-effects of encephalitis and cerebrospinal meningitis stand second (13.0%), and follow the after-effect of nucleojaundice (7.9%) and microcephaly (5.9%). Namely, the order of causes is about the same in both cases. 3) As to evacuation, 95.0% of our patients and 96.5% of the others need to be tended.Namely, , both rates are almost the same. 4) As to communication, 17.5% of our patients and 17.3% of the others can speak a little. Namely, both rates are almost the same. 5) As to eatiny, 86.25% of our patients and 81.4% of the others need to be tended. Namely, both rates are about the same. 6) As to bodily movement, 47.50% of our patients and 32.9% of the others keep their beds. This shows that our patients are more severely handicapped than the others. 7) As to complications, pneumonia, chronic bronchitis, fever in summer, skin disease and symtoms of digestive organs rank high both in our sanatorium and in the other sanatoria. As mentioned above, the age-composition and the conditions of our patients are almost the same as those of the other patients, except that the grade of physical handicap of the former is higher than that of the latter. Generally speaking, more time is spent in their living guidance than in their medical treatment. Consequently, nurses are occupied in work of tendance rather than in their proper work of nusying. On the 1st of August, 1973, we made researches on the time of living of 10 nurses working in the ward of the physically and mentally handicapped of our sanatorium, of 10 nurses in the medical ward of the national hospital, and of 10 nurses in the medical ward of the pref ectural hospital in the same city, with the following results. The total time of nursing, housekeeping, and cooking spent by our nurses, by those of the national hospital, and by those of the prefectural hospital is 12 hours and 3 minutes, 10 hours and 53 minutes, and 10 hours and 33 minutes respectively. Namely, the working time of our nurses is the longest and that of those of the pref ectural hospital is the shortest. Moreover, the nurses of our sanatorium are older and those of the other are younger. The time of nursing is comparatively short and that of housekeeping is long in the former, while the time of nursing is long and that of housekeeping is short in the latter. Namely, they are antipodal. This fact is worthy of note, considering the problem of lumbago. By substance of the working time in hospital, the time of medical care, is I hour and 9 minutes, that is, the shortest, in our sanatorium, 3 hours and 38 minutes in the national hospital, and 3 hours and 48 minutes, that is, the longest, in the pref ectural hospital. The time of tendance in eating and excretion is 2 hours and 34 minutes, that is, the longest, in our sanatorium, 28 minutes in the
著者
木村 真三 三浦 善憲
出版者
獨協医科大学
巻号頁・発行日
2013-04-01 (Released:2013-05-15)

ウクライナ国ジトーミル州ナロージチ地区において実施している住民の罹患率調査は、11家族33名について医療カルテ収集が終了。うち9家族について、分類のための個人票作成、診断・罹患状況および検診・被ばく検査の実施状況等の翻訳が順調に終了した。残る2家族についても間もなく終了する予定である。診断・罹患状況はICD-10コードで分類し、量的解析に向けた準備を行っている段階である。また、同地区住民に対しホールボディーカウンターによる内部被ばく検査、放射性核種の摂取状況を調べるための食事調査(陰膳法)も継続的に実施しており、チェルノブイリ原発事故発生から29年が経過した段階でも、ウクライナ国内での基準値を超える内部被ばくがあることを確認している。高い数値が見られた住民には、本人に通知し個別指導を行った。食生活に関する聞き取りや食品ごとの放射能調査から、森林で採取した茸や果実等だけでなく、微量ではあるが小麦など主食からも放射性物質が確認されており、住民報告会、学会等での報告を行っている。一方、チェルノブイリ原発事故後の定住者と強制移住者の精神的ストレスについての調査については、30kmゾーンにおける定住高齢者の訪問と個別インタビューによる聞き取りを行った。今後は日本国内での福島第一原発事故被災地域における状況との比較ができるよう、対象者数を増やす予定である。