著者
崎原 盛造 西 貴世美 當山 冨士子 宇座 美代子 平良 一彦
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.60, no.2, pp.67-84, 1994-03-31 (Released:2010-06-28)
参考文献数
43
被引用文献数
6 6

This paper focused on malaria epidemic in Ryukyu Islands during World War II with special reference to Yaeyama Islands to prove whether malaria outbreak in Yaeyama in 1945 was unusual, by reanalyzing published data by various researchers and unpublished documents of the U.S. military Government that occupied Ryukyu Islands from 1945 to 1972. The following results were obtained: 1) Outbreak of malaria in the Ryukyu Islands in a period from 1945 to 1947 was caused by great alteration of biologic balances due to military operations by Japanese Army. 2) Compared with those in Miyako and Okinawa Islands, fatality from malaria in Yaeyama in 1945 was extraordinarily high. 3) Forced evacuation of the inhabitants to malaria endemic areas by the Japanese Army caused exceptionally high incidence, mortality and fatality in Yaeyama. 4) Of species of malaria parasites, malignant P, falciparum was predominant in Yeayama. P. vivax was preponderant both in Miyako and Okinawa Islands . 5) In Okinawa Islands, intensive mosquito control measures were initiated by the US Army when they landed the Island in April 1945. But in Miyako and Yaeyama Islands, only partial chemotherapy was administered, not full scale mosquito control activities . In conclusion, unusual outbreak of malaria epidemic in Yaeyama in 1945 was mostly attributed to the forced evacuation of the inhabitants to malaria endemic areas by the Japanese Army.
著者
照屋 寛善 宮城 重二 平良 一彦
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.48, no.3, pp.108-115, 1982 (Released:2011-02-25)
参考文献数
9

We have tried to classify the health/medical services administration in Okinawa after World War II into five periods and to describe the trends of major communicable diseases and causes of death for each period. First period (1945-49, the period under the administration of the U.S. Military Government (USMG)): In those days, the major activities of health/medical services for Okinawa Civilians were first, supplying food and second, controlling acute communicable diseases; especially, malaria which was very prevalent. USMG executed an aggressive sanitation program which included DDT spraying. Second period (1950-51, the period during which the USMG administration turned control over to a civil administration): Acute communicable diseases were eradicated by the aggressive sanitation control, but chronic communicable diseases - leprosy, tuberculosis, venereal disease and others became more prevalent. USMG issued many ordinances to affect "control of communicable diseases". USMG especially showed deep concern for controlling venereal disease and established district health centers and began free treatment for venereal disease in these centers. Third period (1952-64, the period of full-scale construction of U.S. Military bases): Markets, crowded houses, slums, so-called red-light districts and other similarly difficult living situations developed around U.S. Military bases with the full-scale construction of the bases, and chronic communicable diseases, especially, tuberculosis were very prevalent in the 1950's and 1960's. However in the 1960's the death rate due to tuberculosis decreased gradually as did the rates for gastroenteritis and pneumonia or bronchitis. On the other hand, the death rate due to adult diseases such as cerebrovascular disease, cancer, heart disease and others increased year by year. Fourth period (1965-71, the period of a great increase in financial and technological aid from the Government of Japan to Okinawa): The period started from the time when the late Prime Minister Mr. Sato made a speech on his visit to Okinawa in 1965 that a medical school should be established in University of the Ryukyus. From that time the financial and technological aid from the Government of Japan to Okinawa was substantial. A vaccination program to fight tuberculosis for health personnel, families of tuberculosis patients, students of the first and second year of junior high school was established in 1966, and consequently the morbidity rate due to tuberculosis decreased year after year. Fifth period (1972-, the period after Japanese laws were applied). After the application of Japanese laws, the condition of health/medical services in Okinawa improved considerably. The mortality and morbidity rates due to adult diseases increased significantly as the rates for communicable diseases declined.
著者
宇座 美代子 田場 真由美 儀間 繼子 當山 裕子 小笹 美子 古謝 安子 平良 一彦 宮城 瑛利奈
出版者
琉球大学
雑誌
基盤研究(C)
巻号頁・発行日
2008

本研究では、保健師マインド育成プログラムを検討するために保健師・看護師・住民に沖縄の伝統文化に関連した支援内容等を調査した。保健師マインドを育成するためには、保健師のアイデンティティが確立され始める保健師経験3年目に焦点を当て、沖縄の伝統文化に関連した知識や対応技術等の内容を中心に、自らの「経験」を語ることによって「自信」に繋がるプログラム構築の必要性が示唆された。
著者
平良 一彦 松崎 俊久 宮城 重二 佐藤 弘明 名嘉 幸一 崎原 盛造
出版者
琉球大学
雑誌
一般研究(B)
巻号頁・発行日
1987

本研究の最終年次の追求課題は、調査地域(大宜味村)の老人の精神心理的側面の特徴、各種指標と加齢との関連性、死亡構造の特徴、児童・生徒の健康像を明らかにすることであった。調査はおおむね順調にすすめられ、成績は以下のごとく要約される。1.調査地域の老人のモラ-ルに関する要因についての調査結果から(1)男性ではADL障害の有無、女性では健康度自己評価が、モラ-ルに大きな影響を及ぼす。(2)対人関係の依存パタ-ンの分析結果から、男性は子供・配偶者が重要であり、女性は友人関係であった。このことから特に女性老人の場合、家族以外の人と親密な関係をもつことがモラ-ルを高める大きな要因となることが示唆された。2.調査地域の過去10年の集検の成績より(1)身長は男女共に年齢とともに低下し、特に女性では顕著であった。(2)体重は男女共に加齢による減少は見られず、女性の40歳、50歳代では逆に増加していた。(3)血圧は収縮期血圧は加齢とともに上昇傾向を示し、拡張期血圧は40歳代では上昇し、逆に50歳以降は加齢とともに減少傾向を示した。3.調査地域住民の過去10年間の死亡の特徴は、男性が女性よりかなり高く、70歳代まで有意差が見られた。また死因の特徴は男性では40歳〜69歳、70歳以上の両群で悪性新生物が多く、女性では40歳〜69歳で多かった悪性新生物が、70歳以上では特に少なかった。4.小・中・高校生を対象とした検診成績から成人病予防の観点から何らかの指導・管理を要すると思われる者が15%程みられた。血液生化学値を肥満度別に検討した結果、性、年齢を問わず肥満群は非肥満群に比べ、高血圧、高脂血症などの成人病発生のリスクが高いことが示唆された。