令和２年度 地域保健総合推進事業
令和元年度 地域保健総合推進事業「グローバルヘルスの保健所機能強化への「グローバルヘルスの保健所機能強化への活用方法確立および開発途上国に対する活用方法確立および開発途上国に対する日本の衛生行政経験の伝達可能性の模索」
日本の衛生行政経験の伝達可能性の模索」
報告書
報告書

令和 ２ 年 ３ 月
令和３年３月日本公衆衛生協会

日本公衆衛生協会
分担事業者 劔分担事業者
劔 陽子
陽子（熊本県人吉保健所 所長）（熊本県人吉保健所所長）

┠  ḟࡣࡌࡵ࡟ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3       ศᢸ஦ᴗ⪅࣭஦ᴗ༠ຊ⪅࣭ຓゝ⪅࣭࢜ࣈࢨ࣮ࣂ୍࣮ぴ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3஦ᴗሗ࿌
௒ᖺᗘࡢྲྀ⤌ࡳᴫせ࡜⤖ᯝ⥲ᣓ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3ಖ೺ᡤ࡛ࡢ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡟࠾ࡅࡿࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㛵㐃 ஦㇟࡟㛵ࡍࡿ࢔ࣥࢣ࣮ࢺㄪᰝ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3࢔ࣥࢣ࣮ࢺ⤖ᯝ࠿ࡽࡢάືෆᐜ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3඲యⓗ࡞⪃ᐹ࡜௒ᚋ࡟ࡘ࠸࡚ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㛵㐃ከゝㄒ㈨ᩱ㸦ⱥㄒࡢࡳᥖ㍕㸧$ ⾜ᨻᩥ᭩ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3 ձᑵᴗไ㝈 ղධ㝔່࿌᭩ ➨  ᮲   ճධ㝔່࿌᭩ ➨  ᮲   մධ㝔ᘏ㛗່࿌ ➨  ᮲   % ✚ᴟⓗ␿Ꮫㄪᰝ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3ձ✚ᴟⓗ␿Ꮫㄪᰝᩥ౛㞟ղᝈ⪅࣭␲ఝ⑕ᝈ⪅⮫ᗋ᝟ሗㄪᰝ⚊ճ⾜ື㸦ឤᰁ※㸧ㄪᰝ⚊մ⾜ື㸦᥋ゐ⪅᥈⣴㸧ㄪᰝ⚊յ᥋ゐ⪅ࣜࢫࢺն᥋ゐ⪅೺ᗣほᐹ⚊ &㸧ㄝ᫂ࢳࣛࢩ➼ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3 ձᐙᗞෆ࡛ࡢឤᰁண㜵㸶ࡘࡢ࣏࢖ࣥࢺ㸦ᩥ❶∧ࠊ࢖ࣛࢫࢺ∧㸧 ղឤᰁࡋࡓ᪉࡬ ճ⃰ཌ᥋ゐ⪅ࡢ᪉࡬
 ' ࡑࡢ௚཰㞟ࡋࡓ㈨ᩱ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3ࡣࡌࡵ࡟᫖ᖺᗘᮎ࡟ࡣࠊ௧࿴㸰ᖺᗘࡢᙜ◊✲⌜ࡢ஦ᴗ࡜ࡋ࡚ࠊ᮶᪥ࡍࡿእᅜே◊ಟࢆ⮬἞య࡛ཷࡅධࢀࡿ࡜ࡁ࡟౑࠺ࡓࡵࡢ⮬἞య⫋ဨྥࡅ㈨ᩱ㞟࡙ࡃࡾࡸࠊேᮦ⫱ᡂࡢどⅬ࠿ࡽᾏእฟྥ⤒㦂ࡢ࠶ࡿ⮬἞య⫋ဨ࡬ࡢ࢖ࣥࢱࣅ࣮ࣗㄪᰝ࡞࡝ࢆィ⏬ࡋ࡚࠸ࡲࡋࡓࠋࡋ࠿ࡋࠊࢥࣟࢼ⚝࡟࠾࠸࡚ࡣእᅜே◊ಟ⏕ࡀ᮶᪥ࡍࡿࡇ࡜ࡶྔࢃࡎࠊᅜෆ࡟࠾࠸࡚ࡶ࢖ࣥࢱࣅ࣮ࣗࡢࡓࡵࡢ ᮶ࡶ㞴ࡋ࠸஦ែ࡜࡞ࡾࡲࡋࡓࠋಖ೺ᡤࡢᴗົࡣ࡯ࡰࢥࣟࢼ୍Ⰽ࡜ゝࡗ࡚ࡶ㐣ゝ࡛ࡣ࡞ࡃࠊࠕࢲ࢖ࣖࣔࣥࢻ࣭ࣉࣜࣥࢭࢫྕࠖ௨ᚋࡶࠊ᪑⾜ᐈࡸᢏ⬟ᐇ⩦⏕࡞࡝ࡢᅾ␃እᅜே࡬ࡢឤᰁ஦౛ࡀㄆࡵࡽࢀࠊᙜ◊✲⌜࡟ࡶࠕఱ࠿እᅜㄒ࡟⩻ヂࡉࢀࡓᩥ᭩ࡢ⏝ពࡣ࡞࠸࠿ࠖ࡞࡝࡜ၥ࠸ྜࢃࡏࡀ᮶ࡲࡋࡓࠋࡇࡢࡓࡵࠊᙜ◊✲⌜ࡶ஦ᴗィ⏬ࢆ⦎ࡾ┤ࡋ࡚ࠊ௧࿴㸰ᖺᗘࡣࠊಖ೺ᡤࡢ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂࠊ≉࡟እᅜேᑐᛂ࡟ᙺ❧࡚࡚ࡶࡽ࠼ࡿάືࢆࡍࡿࡇ࡜࡜ࡋࡲࡋࡓࠋከゝㄒ㈨ᩱసᡂࡸࠊ᝟ሗ཰㞟࡜࠸ࡗࡓάື࡟⤊ጞࡋ࡚ࡋࡲ࠸ࡲࡋࡓࡀࠊᑡࡋ࡛ࡶಖ೺ᡤࡢ㈇ᢸࢆῶࡽࡍࡇ࡜࡟ᐤ୚ฟ᮶࡚࠸ࡓࡽᖾ࠸࡛ࡍࠋࡲࡔࡲࡔࢥࣟࢼ⚝ࡣ⤊ࢃࡾࡲࡏࢇࡀࠊᚎࠎ࡟࢜ࣥࣛ࢖ࣥࢆ฼⏝ࡍࡿ࡞࡝ࡋ࡚ேࡢ ᮶ࡀ᚟άࡋ࡚ࡁࡲࡋࡓࠋᵝࠎ࡞ேᮦ⫱ᡂࡢࡓࡵࡢ◊ಟࡸ࣑࣮ࢸ࢕ࣥࢢࠊእᅜே◊ಟࡶ࢜ࣥࣛ࢖࡛ࣥ⾜ࢃࢀ࡚࠸ࡲࡍࠋᙜ◊✲⌜ࡶࠊ௒ᚋࡣ࢜ࣥࣛ࢖ࣥࢆ࠺ࡲࡃά⏝ࡋ࡞ࡀࡽࠊ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㛵㐃௨እࡢάືࡶ⥅⥆ࡋ࡚࠸ࡁࡓ࠸࡜ᛮࡗ࡚࠸ࡲࡍࠋ᭱ᚋ࡟ࠊᮏ஦ᴗࡢᐇ᪋࡟࠶ࡓࡾࠊࡈ༠ຊ࠸ࡓࡔࡁࡲࡋࡓ඲ᅜᡤ㛗఍ࠊ㒔㐨ᗓ┴࣭ᕷ༊㛵ಀ㒊⨫ࡢⓙᵝ᪉࡟ᚰࡼࡾᚚ♩⏦ࡋୖࡆࡲࡍࠋ௧࿴  ᖺ  ᭶ ௧࿴㸰ᖺᗘᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗ ࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢಖ೺ᡤᶵ⬟ᙉ໬࡬ࡢά⏝᪉ἲ☜❧࠾ࡼࡧ㛤Ⓨ㏵ୖᅜ࡟ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ྍ⬟ᛶࡢᶍ⣴ ศᢸ஦ᴗ⪅ ⇃ᮏ┴ேྜྷಖ೺ᡤ ᡤ㛗 ຄ 㝧Ꮚ ศᢸ஦ᴗ⪅࣭஦ᴗ༠ຊ⪅࣭ຓゝ⪅࣭࢜ࣈࢨ࣮ࣂ୍࣮ぴ㸦ᩗ⛠␎㸧ᡤᒓᙺ⫋Ặ  ྡ   ᡤ   ᒓศᢸ஦ᴗ⪅ᡤ㛗ຄ㝧Ꮚ⇃ᮏ┴ேྜྷಖ೺ᡤ༠ຊ஦ᴗ⪅ᡤ㛗㜿㑓ᒣ࿴ᾈ㮵ඣᓥ┴ᚿᕸᚿಖ೺ᡤ ව 㮵ᒇಖ೺ᡤ ༠ຊ஦ᴗ⪅୺ᖿᕷᮧᗣ඾ᒸᒣ┴ಖ೺⚟♴㒊་⒪᥎㐍ㄢ༠ຊ஦ᴗ⪅๪ᢏᖿ኱ሯඃᏊ⚄ዉᕝ┴ཌᮌಖ೺⚟♴஦ົᡤ኱࿴ࢭࣥࢱ࣮ಖ೺ண㜵ㄢ༠ຊ஦ᴗ⪅་ᖌ኱ཎెኸ㔛ᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮ᅜ㝿་⒪༠ຊᒁ༠ຊ஦ᴗ⪅ᡤ㛗㡲⸨❶රᗜ┴ᮅ᮶೺ᗣ⚟♴஦ົᡤ༠ຊ஦ᴗ⪅ᑓ㛛ဨᖹ㔝㞞✜㇏ᶫᕷಖ೺ᡤ༠ຊ஦ᴗ⪅་⒪ཧ஦ῲୖྐ⇃ᮏᕷಖ೺ᡤ༠ຊ஦ᴗ⪅෸ᩍᤵᯇ஭୕᫂㛗ᓮ኱Ꮫ኱Ꮫ㝔⇕ᖏ་Ꮫ࣭ࢢ࣮ࣟࣂࣝ࣊ࣝࢫ◊✲⛉༠ຊ஦ᴗ⪅ᡤ㛗▮㔝ுభ┒ᒸᕷಖ೺ᡤ༠ຊ஦ᴗ⪅ಖ೺ᖌᒣᮏెᏊዉⰋ┴⚟♴་⒪㒊་⒪ᨻ⟇ᒁ೺ᗣ᥎㐍ㄢ༠ຊ஦ᴗ⪅ᡤ㛗ᅄ᪉ၨ⿱⚟஭┴⚟஭೺ᗣ⚟♴ࢭࣥࢱ࣮㸦⚟஭ಖ೺ᡤ㸧༠ຊ஦ᴗ⪅ᡤ㛗Ώ㑓ὒᏊඵ⋤Ꮚᕷಖ೺ᡤຓゝ⪅་⒪┘㛗㇂ᕝ㯞⾰Ꮚ 㛗ᓮ┴⚟♴ಖ೺㒊་⒪ᨻ⟇ㄢຓゝ⪅ㄢ㛗ᮧୖ㑥ோᏊᮾி㒔ụ⿄ಖ೺ᡤ೺ᗣ᥎㐍ㄢຓゝ⪅㝔㛗㜿㒊⿱ᅄ㇂ࡺ࠸ࢡࣜࢽࢵࢡຓゝ⪅⌮஦኱ᕝ᫛༤≉ᐃ㠀Ⴀ฼ἲே⛣ఫ⪅࡜㐃ᖏࡍࡿ඲ᅜࢿࢵࢺ࣮࣡ࢡຓゝ⪅๪௦⾲⌮஦ἑ⏣㈗ᚿ㠀Ⴀ฼≉ᐃἲேࢩ࢙࢔㸻ᅜ㝿ಖ೺༠ຊᕷẸࡢ఍ຓゝ⪅ୖᖍ୺௵◊✲ᐁ኱⃝⤮㔛ᅜ❧ಖ೺་⒪⛉Ꮫ㝔 ᅜ㝿༠ຊ◊✲㒊 ຓゝ⪅་ᖌ௰బಖ㠀Ⴀ฼≉ᐃἲேࢩ࢙࢔㸻ᅜ㝿ಖ೺༠ຊᕷẸࡢ఍ ຓゝ⪅ᩍᤵ୰ᮧᏳ⚽⏥༡ዪᏊ኱Ꮫ┳ㆤࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛ㒊ᩍᤵຓゝ⪅௻⏬ᐁ∾㔝཭ᙪෆ㛶ᗓཎᏊຊ㜵⅏ຓゝ⪅௦⾲⌮஦᳃⏣┤⨾඲ᅜ་⒪㏻ヂ⪅༠఍ຓゝ⪅ᅜ㝿༠ຊᑓ㛛ဨ㔝ᮧ┿฼㤶ᅜ㝿༠ຊᶵᵓ㸦-,&$㸧ே㛫㛤Ⓨ㒊୺௵㢳ၥ་ᖌ◊✲ᐁᏱ⏣ⱥ඾බ┈㈈ᅋἲேᆅᇦ་⒪᣺⯆༠఍ᆅᇦ་⒪◊✲ᡤ ஦ᴗሗ࿌ ௒ᖺᗘࡢྲྀࡾ⤌ࡳᴫせ࡜⤖ᯝ⥲ᣓせ᪨㸸௧࿴㸰ᖺ㸴㹼㸵᭶࡟඲ᅜࡢಖ೺ᡤࢆᑐ㇟࡜ࡋ࡚ࠊࠕಖ೺ᡤ࡛ࡢ᪂ᆺࢥࣟࢼឤᰁ⑕ᑐᛂ࡟࠾ࡅࡿࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㛵㐃஦㇟࡟㛵ࡍࡿ࢔ࣥࢣ࣮ࢺࠖࢆ࣓࣮ࣝ࡟࡚ᐇ᪋ࡋࡓࠋ ಖ೺ᡤ࠿ࡽᅇ⟅ࡀᚓࡽࢀࠊᅔ㞴ࡔࡗࡓ஦᯶࡜ࡋ࡚࠙ゝⴥ࡟㛵ࡍࡿࡇ࡜㸦≉࡟୰ᅜㄒ㸧ࠚ
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ෆᐜࡀఝ㏻ࡗࡓࡶࡢ࡟ࢢ࣮ࣝࣉศࡅࡋࠊࡉࡽ࡟ᅔ㞴ࡔࡗࡓ஦౛࠙ゝⴥ࡟㛵ࡍࡿࡇ࡜㸦≉࡟୰ᅜㄒ㸧ࠚ࠙㏻ヂ࡟㛵ࡍࡿࡇ࡜ࠚ࠙ᩥ໬࣭័⩦࡟㛵ࡍࡿࡇ࡜ࠚ࠙㝜ᛶド᫂㛵㐃ࠚࠊᅔ㞴ࡔࡗࡓሙ㠃࠙⩻ヂ࢔ࣉࣜࡀ౑࠼࡞࠸≧ἣ㸦㟁ヰᑐᛂ➼㸧ࠚ࠙ධ㝔ㄪᩚ᫬ࠚ࠙␿Ꮫㄪᰝࠚ᳨࠙␿ᑐᛂࠚ࡜ࢥ࣮ࢻศ㢮ࡋࡓࠋ  ᅔ㞴ࡔࡗࡓ஦౛࡜ࡋ࡚ࡣࠊ≉࡟ᑓ㛛⏝ㄒࡢㄝ᫂࡞࡝ࡢࠕゝⴥࡢၥ㢟ࠖࡀ᭱ከ࡛࠶ࡾࠊᅜ㝿ᢸᙜ㒊⨫ࡢ༠ຊࢆᚓ࡚ᑐᛂࡋ࡚࠸ࡿ࡜࠸࠺஦౛ࡀ࠸ࡃࡘ࠿ᣲࡆࡽࢀࡓࠋࡲࡓᑐᛂ࡟ᅔࡗࡓゝㄒ࡜ࡋ࡚ࡣࠕ୰ᅜㄒࠖࡀ᭱ከ࡛࠶ࡾࠊࡑࡢ௚ࠊࠕ࣋ࢺࢼ࣒ㄒࠖࠕࣔࣥࢦࣝㄒࠖ➼ࡀᣲࡆࡽࢀ
࡚࠸ࡓࠋࠕ㏻ヂ࡟㛵ࡍࡿၥ㢟ࠖ࡜ࡋ࡚ࡣࠊឤᰁࣜࢫࢡࢆᜍࢀ࡚㏻ヂࢆ᩿ࡽࢀࡿ࡞࡝ࠊឤᰁ⑕
࡞ࡽ࡛ࡣࡢ㏻ヂ☜ಖࡢၥ㢟ࡸࠊᐙ᪘ࡸ཭ே࡞࡝ࠊ࠸ࢃࡺࡿ࢔ࢻ࣍ࢵࢡ㏻ヂࡋ࠿࠸࡞࠸ሙྜࡢពᛮఏ㐩ࡢᅔ㞴ࡉ࡞࡝ࡀ᭩࠿ࢀ࡚࠸ࡓࠋࠕᩥ໬࣭័⩦࡟㛵ࡍࡿࡇ࡜ࠖ࡜ࡋ࡚ࡣࠊయィࡢ౑࠸࠿ࡓࡀ᪥ᮏ࡜㐪࠺ࡢ࡛ㄝ᫂ࡀᚲせ࡜࠸ࡗࡓࡇ࡜ࡀᣲࡀࡗ࡚࠸ࡓࠋࠕ㝜ᛶド᫂ࠖࡢၥ㢟࡜ࡋ࡚ࠊΏ⯟᫬ࡢ㝜ᛶド᫂ࢆฟࡏࡿ་⒪ᶵ㛵ࡢ᝟ሗࡀ࡞࠸ࡇ࡜ࡀᣲࡆࡽࢀࡓࠋࡑࡢ௚ࠊእᅜே⮬㌟ࡸእᅜேᑐᛂࡍࡿ᪥ᮏே་ᖌࡢእᅜேᕪูⓗ࡞ែᗘࡢၥ㢟࡟ࡘ࠸࡚ࡶ᭩࠿ࢀ࡚࠸ࡓࠋᅔ㞴ࡔࡗࡓሙ㠃࡜ࡋ࡚ࡣࠊ㟁ヰᑐᛂ᫬ࡸࠊ㜵ㆤ᭹ࢆ╔࡚࠸࡚ゐࢀ࡞࠸࡞࡝ࠊ⩻ヂ࢔ࣉࣜࡀ౑࠼࡞ࡅࢀࡤ୍Ẽ࡟ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀ࡜ࢀ࡞ࡃ࡞ࡿ࡜࠸ࡗࡓࡇ࡜ࠊࠕධ㝔ㄪᩚࠖࡢሙ㠃࡛ࡣእᅜேࡣࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡀྲྀࡾ࡟ࡃ࠸࡜࠸࠺ࡇ࡜࡛ධ㝔ࢆ᩿ࢀࡽࢀࡿ஦౛࡬ࡢᑐᛂࡸࠊධ㝔່࿌ࡢㄝ᫂ࡢᅔ㞴ࡉࠊධ㝔᫬ࡢ㣗஦ࡢㄪᩚࡢᅔ㞴ࡉ࡞࡝ࡀᣲࡀࡗࡓࠋ␿Ꮫㄪᰝࡢሙ㠃࡛ࡣࠊከゝㄒ࡟ᑐᛂࡋࡓㄪᰝ⚊ࡸၥデ⚊ࡀ࡞࠸࡜⃰ཌ᥋ゐ⪅ࡢ㑅ᐃ࡞࡝㠀ᖖ࡟ᅔ㞴࡜࠸࠺ពぢࡀከ࠿ࡗࡓࠋ᳨␿ᑐᛂ࡟ࡘ࠸࡚ࠊከࡃࡀ㟁ヰᑐᛂ࡜࡞ࡿࡓࡵ㠀ᖖ࡟ᅔ㞴࡛࠶ࡿࡇ࡜࡜࡞࡝ࡀᣲࡀࡗ࡚࠸ࡓࠋ ᙜ◊✲⌜࡟ᮇᚅࡍࡿࡇ࡜࡜ࡋ࡚ࡣࠊ␿Ꮫㄪᰝࡸ೺ᗣほᐹࡢ㝿࡟౑࠼ࡿၥデ⚊ࡸㄝ᫂ᩥ᭩ࠊ
ධ່࿌➼⾜ᨻᩥ᭩ࠊᵝࠎሙ㠃࡛ࡢㄝ᫂ࢳࣛࢩࡸၨⓎࢳࣛࢩ࡞࡝ࡢከゝㄒ∧ࡢసᡂࡸࠊ㟁ヰᑐ
ᛂࠊ㏻ヂ☜ಖ࡟㛵ࡍࡿ࢔ࢻࣂ࢖ࢫࠊ㝜ᛶド᫂ᑐᛂྍ⬟࡞་⒪ᶵ㛵ࡸከゝㄒ᝟ሗᥖ㍕࢙࢘ࣈࢧ࢖ࢺ୍ぴࡢᥦ♧࡞࡝ࡀᣲࡆࡽࢀࡓࠋ㸦㸰㸧 ከゝㄒ㈨ᩱࡢసᡂࠊ᝟ሗࡢᥦ౪ ࢔ࣥࢣ࣮ࢺࡢ⤖ᯝࡼࡾࠊධ㝔່࿌➼⾜ᨻᩥ᭩ࡢከゝㄒ∧ࠊ␿Ꮫㄪᰝࡸ೺ᗣほᐹࡢ㝿࡟ࡘ࠿࠼ࡿၥデ⚊࡞࡝ከゝㄒᩥ౛ࠊ࠾ࡼࡧᵝࠎ࡞ሙ㠃࡛ࡢከゝㄒㄝ᫂ࢳࣛࢩࡸከゝㄒၨⓎࢳࣛࢩࡀᚲせ࡜⪃࠼ࡓࠋ ⾜ᨻᩥ᭩࡟㛵ࡋ࡚ࡣࠊ඲ᅜ་⒪㏻ヂ⪅༠఍࡟ጤクࡋ࡚ࠊධ㝔່࿌᭩ࠊධ㝔ᘏ㛗່࿌᭩ࠊᑵᴗไ㝈➼㏻▱᭩ࢆࠊࢽ࣮ࢬࡢ㧗࠿ࡗࡓⱥㄒࠊ୰ᅜㄒࠊ࣋ࢺࢼ࣒ㄒࠊࣔࣥࢦࣝㄒࠊ࣏ࣝࢺ࢞ࣝㄒࠊ࢖ࣥࢻࢿࢩ࢔ㄒࠊࣇࣛࣥࢫㄒࠊࢱ࢞ࣟࢢㄒࠊࢿࣃ࣮ࣝㄒ࡛సᡂࡋࡓࠋࡲࡓࠊࠕᐙᗞෆឤᰁண㜵㸶ࡘࡢ࣏࢖ࣥࢺ㸦ཌ⏕ປാ┬సᡂࢳࣛࢩ㸧ࠖࠕ✚ᴟⓗ␿Ꮫㄪᰝ⚊ࠖࠕ✚ᴟⓗ␿Ꮫㄪᰝ᫬࡟౑࠼ࡿ఍ヰᩥ౛ࠖ࡟ࡘ࠸࡚ࡶࠊ඲ᅜ་⒪㏻ヂ⪅༠఍࡟ጤクࡋ࡚ࠊྠୖ㸷࠿ᅜㄒ࡟⩻ヂࡋࡓࠋࡉࡽ࡟ࠊᖇி኱Ꮫබ⾗⾨⏕኱Ꮫ㝔ཬࡧබ⾗⾨⏕Ꮫ఍ឤᰁ⑕ᑐ⟇ጤဨ఍࡜ඹྠ࡛ࠊࠕᐙᗞෆឤᰁண㜵㸶ࡘࡢ࣏࢖ࣥࢺ㹼࢖ࣛࢫࢺࢳࣛࢩࠖࠕ⃰ཌ᥋ゐ⪅ࡢ᪉࡬ࠖࠕឤᰁࡉࢀࡓ᪉࡬ࠖࡢ㸱✀㢮ࡢㄝ᫂ࢳࣛࢩࢆⱥㄒࠊ࢖ࣥࢻࢿࢩ࢔ㄒࠊࣔࣥࢦࣝㄒࠊ࣏ࣝࢺ࢞ࣝㄒࠊࢫ࣌࢖ࣥㄒࠊ࣋ࣥ࢞ࣝㄒ࡛సᡂࡋࡓ㸦ࡉࡽ࡟ࠊ࣋ࢺࢼ࣒ㄒࠊ࣑࣐࣮ࣕࣥㄒࠊࣇࣛࣥࢫㄒࠊ୰ᅜㄒࠊࢱ࢞ࣟࢢㄒ࡞࡝࡛సᡂணᐃ㸧ࠋࡇࢀࡽࡢసᡂࡋࡓ㈨ᩱࡣࠊ඲ᅜᡤ㛗఍࢙࢘ࣈࢧ࢖ࢺ࡟ᥖ㍕ࡋࠊ඲ᅜࡢಖ೺ᡤࡀ⮬⏤࡟ࢲ࣮࢘ࣥࣟࢻࡋ࡚౑࠼ࡿࡼ࠺࡟ࡋࡓࠋ ࡲࡓ◊✲⌜ဨࡸ࣓࣮ࣜࣥࢢࣜࢫࢺࢆ㏻ࡋ࡚඲ᅜࡢಖ೺ᡤ࡟᝟ሗᥦ౪ࢆ౫㢗ࡋ࡚ࠊྛ⮬἞ య࡛సᡂࡋࡓከゝㄒ㈨ᩱࡸ㟁ヰ㏻ヂ࡟㛵ࡍࡿ᝟ሗࠊ㝜ᛶド᫂᭩సᡂ་⒪ᶵ㛵ࣜࢫࢺ࡟ࡘ࠸࡚ࡶ᝟ሗ཰㞟ࢆ⾜ࡗࡓࠋ㇏ᶫᕷ࡛సᡂࡋࡓࠕ⮬Ꮿ⒪㣴ࡢࢳࣛࢩࠖ㸦ⱥㄒࠊࢱ࢞ࣟࢢㄒࠊ࣏ࣝࢺ࢞ࣝㄒ㸧ࠊ⚄ዉᕝ┴࡛సᡂࡋࡓࠕ⮬Ꮿ࣭ᐟἩ⒪㣴ࡢࡋ࠾ࡾࠖ㸦ⱥㄒࠊࢫ࣌࢖ࣥㄒࠊ࣏ࣝࢺ࢞ࣝㄒࠊ୰ᅜㄒࠊ㡑ᅜㄒ㸧ࠊ㟁ヰ㏻ヂࡸΏ⯟᫬ࡢ㝜ᛶド᫂㛵㐃㈨ᩱࠊእᅜேྥࡅ᪂ᆺࢥࣟࢼឤ
ᰁ⑕࡟㛵ࡍࡿ࢙࢘ࣈࢧ࢖ࢺࣜࢫࢺ㸦ᅾ᪥እᅜேᨭ᥼άືࢆࡋ࡚࠸ࡿࢢ࣮ࣝࣉ࡜᝟ሗඹ᭷㸧࡞࡝ࠊ཰㞟ࡋࡓ㈨ᩱ࡟ࡘ࠸࡚ࡣ඲ᅜಖ೺ᡤ㛗఍࢙࢘ࣈࢧ࢖ࢺ࡛ඹ᭷࡛ࡁࡿࡼ࠺࡟ࡋࡓࠋຍ࠼࡚ࠊᩥ໬࣭័⩦ࡢ㐪࠸࡞࡝࡟ࡘ࠸࡚ࡣࠊᙜ◊✲⌜ࡀసᡂࡋࡓࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖࢆᘬࡁ⥆ࡁཧ↷㡬ࡃࡼ࠺ࠊᢡ࡟ࡘࡅ࿘▱ࢆ⾜ࡗࡓࠋ' ⪃ᐹ
᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ࡢὶ⾜࡟ࡼࡾࠊ඲ᅜࡢಖ೺ᡤ࡛ࡣᴗົ㔞ࡀⴭࡋࡃቑ኱ࡋࠊ⫋ဨࡢ⑂ᘢࡶၥ㢟࡟࡞ࡗ࡚࠸ࡿࠋ୍᪉࡛ࠊᅾ␃እᅜேࡀឤᰁࡍࡿ஦౛ࡶቑ࠼ࠊ᪥ᮏே௨ୖ࡟୎ᑀ
࡞ᑐᛂࡀᚲせ࡛࠶ࡿࡶࡢࡢࠊ༑ศ࡞ᑐᛂࡀ࡛ࡁ࡞࠸⌧ᐇࡀ࠶ࡿࠋಖ೺ᡤ⫋ဨࡢ㈇ᢸࢆῶࡽࡍ
ࡓࡵ࡟ࡶࠊᅾ␃እᅜேࡀࡼࡾⰋ࠸་⒪ࢆཷࡅࡽࢀࡿࡓࡵ࡟ࡶࠊᮏᖺᗘࡢᙜ◊✲⌜ࡢᡂᯝ≀ࢆྛᆅ࡛ᙺ❧࡚࡚࠸ࡓࡔࡁࡓ࠸ࠋ( ௒ᚋࡢィ⏬ ಖ೺ᡤࡢ᪂ᆺࢥࣟࢼᑐᛂࡣ௒ᚋࡶ⥆ࡃぢ㎸ࡳ࡛࠶ࡿࡢ࡛ࠊእᅜேᑐᛂ࡟ᙺ❧ࡘࢶ࣮࡙ࣝࡃࡾࡸ᝟ሗⓎಙࡣࠊ⥅⥆ࡋ࡚࠸ࡃணᐃ࡛࠶ࡿࠋࡲࡓࢥࣟࢼ⚝୍࡛᫬ࢫࢺࢵࣉࡋ࡚࠸ࡓྛ✀እᅜே◊ಟࡀ࢜ࣥࣛ࢖࡛ࣥ෌㛤ࡉࢀࡿືࡁࡀㄆࡵࡽࢀࡿࡓࡵࠊᮏ᮶௧࿴㸰ᖺᗘ࡟ᐇ᪋ணᐃ࡛࠶ࡗࡓࠕ⮬἞య⫋ဨࡀእᅜே◊ಟࢆཷࡅධࢀࡿ᫬࡟᭱ప㝈ᚰᚓ࡚࠾ࡃࡇ࡜ࠖࢆࡲ࡜ࡵࡓᨭ᥼ࢶ࣮ࣝࡢసᡂ࡟ࡶ╔ᡭࡋࡓ࠸ࠋ) Ꮫ఍Ⓨ⾲➼㸦➨  ᅇ᪥ᮏබ⾗⾨⏕Ꮫ఍⥲఍࢜ࣥࣛ࢖ࣥ㸧ຄ㝧Ꮚࠕᅜ㝿㈉⊩ࡢ୍ᡭἲ࡜ࡋ࡚⮬἞యࡀཷࡅධࢀࡿእᅜே◊ಟ࡟㛵ࡍࡿㄪᰝࠖ 㸰ಖ೺ᡤ࡛ࡢ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡟࠾ࡅࡿࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㛵㐃஦㇟࡟㛵ࡍࡿ࢔ࣥࢣ࣮ࢺㄪᰝ࠙ᑐ㇟ࠚ඲ᅜࡢಖ೺ᡤ㸲㸴㸷࠿ᡤ࠙ᐇ᪋᫬ᮇࠚ௧࿴㸰ᖺ㸴᭶㸰㸷᪥㹼㸵᭶㸲᪥࠙ᐇ᪋᪉ἲࠚ࣓࣮ࣝ࡟࡚㏦௜࠙ᅇ⟅ᩘࠚ㸷㸰ಖ೺ᡤ㸦ᅇ཰⋡㸯㸷㸬㸴㸣㸧zᆅᇦู໭ᾏ㐨㸰ࠊᮾ໭㸶ࠊ㛵ᮾ㸯㸴ࠊ୰㒊ᮾᾏ໭㝣㸯㸵ࠊ㛵す㸯㸷ࠊ୰ᅜ㸴ࠊᅄᅜ㸰ࠊ஑ᕞ㸰㸰zಖ೺ᡤ✀ู≉ู༊࣭ᨻ௧ᕷ࣭୰᰾ᕷᆺ㸯㸲ࠊ┴ᆺ㸵㸶࠙㉁ၥෆᐜࠚ
㸦ᅇ⟅ࡣ⮬⏤グ㏙㸧ࠕእᅜே࡬ࡢᑐᛂࡸእᅜㄒ࡛ࡢᑐᛂࠊእᅜ࡜ࡢࡸࡾ࡜ࡾ࡞࡝ࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫ࡟㛵ࡍࡿ஦㇟࡛ఱ࠿ᅔ㞴࡞ࡇ࡜ࡀ࠶ࡗࡓ࠿ࠋ࠶ࢀࡤࡑࡢලయⓗෆᐜࠖࠕ௒ᚋࡶ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡟㛵ࢃࡿ࡟࠶ࡓࡾࠊᙜ◊✲⌜࡟ᮇᚅࡍࡿࡇ࡜ࠖ࠙ศᯒ᪉ἲࠚz⮬⏤グ㏙ࡉࢀࡓෆᐜࢆࠊෆᐜࡀఝ㏻ࡗࡓࡶࡢ࡟ࢢ࣮ࣝࣉศࡅࡋࠊࢥ࣮ࢻ௜ࡅࢆ⾜ࡗࡓࠋzࡲࡓ࢔ࣥࢣ࣮ࢺ࡛ᚓࡽࢀࡓಖ೺ᡤࡀᢪ࠼࡚࠸ࡿㄢ㢟ࢆゎỴࡍࡿࡓࡵ࡟ࠊ◊✲⌜࡜ࡋ࡚࡝ࡢࡼ࠺࡞άືࡀᙺ❧ࡘ࠿ࢆ᳨ウࡋࡓࠋ 㸦㉁ၥ⣬㸧ࠕࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢಖ೺ᡤᶵ⬟ᙉ໬࡬ࡢά⏝᪉ἲ☜❧࠾ࡼࡧ
㛤Ⓨ㏵ୖᅜ࡟ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ྍ⬟ᛶࡢᶍ⣴ࠖ◊✲⌜ಖ೺ᡤ࡛ࡢ᪂ᆺࢥࣟࢼឤᰁ⑕ᑐᛂ࡟࠾ࡅࡿࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㛵㐃஦㇟࡟㛵ࡍࡿ࢔ࣥࢣ࣮ࢺ㸦⥾ษ  ᭶  ᪥㸧㸦㐺ᐅᅇ⟅ḍࢆᗈࡆ࡚ࠊࡈᅇ⟅ࡃࡔࡉ࠸ࠋᅇ⟅ඛ㸸WVXUXJL\#SUHINXPDPRWROJMS㸧㉁ၥ 㸬㈗ಖ೺ᡤ࡟࠾ࡅࡿ᪂ᆺࢥࣟࢼឤᰁ⑕ᑐᛂ࡛ࠊእᅜே࡬ࡢᑐᛂࡸእᅜㄒ࡛ࡢᑐᛂࠊእᅜ࡜ࡢࡸࡾ࡜ࡾ࡞࡝ࠊࢢ࣮ࣟࣂࣝ࣊ࣝࢫ࡟㛵ࡍࡿ஦㇟࡛ఱ࠿ᅔ㞴࡞ࡇ࡜ࡀ࠶ࡾࡲࡋࡓ࠿㸽㸯㸬࠶ࡾ Ѝ㉁ၥ ࠊ ࡬㸰㸬࡞ࡋ Ѝ㉁ၥ  ࡬
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 ࠙⤖ᯝࠚzࠕࡇࢀࡲ࡛ࡢ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡟࠶ࡓࡾࠊእᅜேᑐᛂࡸࢢ࣮ࣟࣂࣝ࣊ࣝࢫ࡟㛵ࡍࡿࡇ࡜࡛ᅔ㞴࡞ࡇ࡜ࡀ࠶ࡗࡓࠖ㸱㸶ಖ೺ᡤ㸦㸲㸯㸬㸱㸣㸧¾ᆅᇦู ໭ᾏ㐨㸰ಖ೺ᡤ㸦㸯㸮㸮㸣㸧ࠊᮾ໭㸰ಖ೺ᡤ㸦㸰㸳㸣㸧ࠊ㛵ᮾ㸯㸰ಖ೺ᡤ㸦㸵㸳㸣㸧ࠊ୰㒊໭㝣㸶ಖ೺ᡤ㸦㸲㸵㸣㸧ࠊ㛵す㸵ಖ೺ᡤ㸦㸱㸴㸬㸶㸣㸧ࠊ୰ᅜ㸱ಖ೺ᡤ㸦㸳㸮㸣㸧ࠊᅄᅜ㸮ಖ೺ᡤ㸦㸮㸣㸧ࠊ஑ᕞ㸲ಖ೺ᡤ㸦㸯㸶㸬㸰㸣㸧

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࠙㏻ヂ࡟㛵ࡍࡿࡇ࡜ࠚz

་⒪㏻ヂ༠఍࡜ࡢ᝟ሗඹ᭷ࠕ༢⣧࡟㏻ヂࢆ☜ಖࡍࡿࡇ࡜ࡀᅔ㞴ࠖzࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢ

ࠕឤᰁࣜࢫࢡࢆᜍࢀ࡚㏻ヂ࡟༠ຊᣄྰࢆࡉࢀࡓࠖࠕᑓ㛛࡛ࡣ࡞࠸㏻ヂ⪅㸦ᐙ᪘ࠊ఍♫ࡢேࠊ་⒪㏻ヂ࡛ࡣ࡞࠸㏻ヂ㸧࡞࡝࡬ࡢㄝ᫂ࡀ㞴ࡋ ᡭᘬࡁ㸦௨ୗࠊࠕᡭᘬࡁࠖ㸧ࡢ⤂௓࠸ࠖ࠙ᩥ໬࣭័⩦ࡢ㐪࠸࡟㛵ࡍࡿࡇ࡜ࠚzᡭᘬࡁࡢ⤂௓ࠕࢃ࠿ࡗࡓ࡜ゝࡗ࡚࠸ࡿࡀṇࡋࡃఏࢃࡗ࡚z஦౛཰㞟࡜⤂௓zΏ⯟་Ꮫ఍➼ࡢ᝟ሗࢆᥦ౪z஦౛཰㞟z㟁ヰ࡛ࡢ௦⾲ⓗ࡞ࡸࡾྲྀࡾᩥ౛సᡂ

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ղᙜ◊✲⌜࡟ᮇᚅࡍࡿࡇ࡜࠙ከゝㄒ㈨ᩱࡢసᡂࠚ
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2020 ᖺ 2 ᭶ 9 ᪥௧࿴ඖᖺᗘ㸦ᖹᡂ 31 ᖺᗘ㸧ᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗ඲ᅜಖ೺ᡤ㛗఍ࢢ࣮ࣟࣂࣝ◊✲⌜ͤసᡂͤࠕࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢಖ೺ᡤᶵ⬟ᙉ໬࡬ࡢά⏝᪉ἲ☜❧࠾ࡼࡧ㛤Ⓨ㏵ୖᅜ࡟ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ྍ⬟ᛶࡢᶍ⣴ࠖ◊✲⌜௨ୗࡣࠊಖ೺ᡤࡀࠊ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕࡟㛵ࡍࡿ✚ᴟⓗ␿Ꮫㄪᰝࢆࠊእᅜ⡠ࡢᑐ㇟⪅࡟ᐇ᪋ࡍࡿሙྜ࡟ࠊཧ⪃࡟࡛ࡁࡿ౛ᩥ㞟࡛ࡍࠋᚲせ᫬ࠊ⮬⏤࡟ࡈά⏝ࡃࡔࡉ࠸ࠋ࡞࠾ࠊ⩻ヂࢶ࣮ࣝ࡞࡝ࢆ⏝࠸࡚ⱥㄒ௨እࡢྛ✀ゝㄒ࡟ኚ᥮ࡍࡿሙྜࡣࠊ᪥ᮏㄒᩥ࠿ࡽ࡛ࡣ࡞ࡃⱥㄒᩥ࠿ࡽྛ✀ゝㄒ࡟ኚ᥮ࡍࡿ࡜ࡼࡾ㐺ษ࡟⩻ヂࡉࢀࡿྍ⬟ᛶࡀ㧗࠸࡜ᛮࢃࢀࡲࡍࠋࡈὀពࡃࡔࡉ࠸ࠋࡲࡓࠊ㐺ᐅࠗಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁ࠘
㸦http://www.phcd.jp/02/t_gaikoku/㸧ࢆࡈཧ↷ࡃࡔࡉ࠸ࠋA) ⮬ᕫ⤂௓1.

䛿䛨䜑䜎䛧䛶䚹䜟䛯䛧䛾ྡ๓䛿᪥ᮏኴ㑻䛷䛩䚹
Nice to meet you. My name is Taro Nippon.

2.

䜟䛯䛧䛿䚸䚽䚽ಖ೺ᡤ䛾ಖ೺ᖌ䛷䛩䚹I am a public health nurse working for 䚽䚽 Public Health Center.

3.

䜟䛯䛧䛿䚸䚽䚽ಖ೺ᡤ䛾බ⾗⾨⏕་ᖌ䛷䛩䚹I am a public health doctor working for 䚽䚽Public Health Center.

4.

䜟䛯䛧䛿䚸䚽䚽ಖ೺ᡤ䛾⾜ᨻᐁ䛷䛩䚹I am an officer working for żż Public Health Center.

B) ᪥ᮏ䛾ಖ೺ᡤ䛾ㄝ᫂5.

᪥ᮏ䛾ಖ೺ᡤ䛾ᙺ๭䛿䚸䛒䛺䛯䛾ᅜ䛸䛿␗䛺䜛䛛䜒䛧䜜䜎䛫䜣䚹The role of public health centers in Japan may be different from ones in your country.

 6.

᪥ᮏ䛾ಖ೺ᡤ䛿䚸ᆅᇦ䛾ⓙ䛥䜣䛾೺ᗣ䜢Ᏺ䜛㔜せ䛺ᙺ๭䜢ᢸ䛳䛶䛔䜎䛩䚹㣗ရ⾨⏕䜔䚸⢭⚄ಖ೺䚸⤖᰾䜔ឤᰁ⑕䛾ᑐ⟇䛺䛹䚸බ⾗⾨⏕ᴗົ䜢⾜䛳䛶䛔䜎䛩䚹
Public health centers in Japan play important roles in protecting the health of localcommunities. We provide public health services in areas such as food hygiene, mental health,and measures against tuberculosis and other infectious diseases.

7.

䛯䛰䛧䚸᪥ᮏ䛾ಖ೺ᡤ䛿䚸䛒䛺䛯䜈䛾┤᥋἞⒪䜔⸆䛾ฎ᪉䛺䛹䛾་⒪䝃䞊䝡䝇䛿ᥦ౪䛧䜎䛫䜣䚹
However, public health centers in Japan do not provide any medical services, such as treatment
or prescriptions.

8.

ಖ೺ᖌ䛸䛿䚸ಖ೺ᡤ䛺䛹䛾⾜ᨻᶵ㛵䛷ാ䛔䛶䛔䜛┳ㆤ⫋䛷䛩䚹⚾䛯䛱䛿䚸ᆅᇦ䛾ⓙ䛥䜣䛜೺ᗣ䛷⏕ά䛷䛝䜛䛯䜑䛻䚸ᚲせ䛺ᨭ᥼䜢⾜䛳䛶䛔䜎䛩䚹
A public health nurse is a nursing professional who works for public health centers orgovernment agencies. We provide necessary support for local residents to lead a healthy life.

9.

බ⾗⾨⏕་ᖌ䛸䛿䚸ಖ೺ᡤ䛺䛹䛾⾜ᨻᶵ㛵䛷ാ䛔䛶䛔䜛་ᖌ䛷䚸ឤᰁ⑕ᑐ⟇䛻ᦠ䜟䛳䛶䛔䜎䛩䚹ឤᰁ⑕䛾␿Ꮫⓗ≧ἣ䜢ホ౯䛧䚸⑓Ẽ䛾䛥䜙䛺䜛ᣑᩓ䜢㜵䛠䛯䜑䛾ᡭẁ䛻䛴䛔䛶䜰䝗䝞䜲䝇䜢ᥦ౪䛧䜎䛩䚹
A public health doctor is a medical doctor who works at public health centers or government
agencies and who works for infectious disease control. Our task is to assess the epidemiologicsituation of infectious diseases and to provide advice on measures to prevent the further spreadof diseases.

C) ᳨ᰝ䛻㛵䛩䜛ㄝ᫂10. 䠄⑕≧䛛䜙䞉᥋ゐṔ䛒䜚䞉⾜ືṔ䛒䜚䞉⃰ཌ᥋ゐ⪅䛷䛒䜛䠅䛣䛸䜘䜚䚸䛒䛺䛯䛿 COVID-19 䛾᳨ᰝ䜢ཷ䛡䜛ᚲせ䛜䛒䜚䜎䛩䚹
䠄According to 䠷your symptoms / your contact history / your behavioral history / the fact thatyou hadclose contact with a carrier䠅, you need to take a COVID-19 test.

11. ᳨ᰝ䛿䠄ၻ⑱᥇ྲྀ䞉ၚᾮ᥇ྲྀ䞉㰯ဗ㢌䝇䝽䝤᥇ྲྀ䞉㰯⭍⮬ᕫ᥇ྲྀ䞉䛭䛾௚㻌 㻌 㻌 㻌 㻌 㻌 㻌 䠅䛻䜘䜚ᐇ᪋䛧䜎䛩䚹The test will be conducted by [collecting sputum / collecting saliva / a nasal swab / a selfcollection of a sample from your nose / others] 12. ᳨ᰝ⤖ᯝ䛿䠄㻌 㻌 㻌 䠅᫬㛫/᪥䜋䛹䛷ฟ䜎䛩䚹⤖ᯝ䛜ฟ䜛䜎䛷䛿䚸⮬Ꮿ䛺䛹䛷ᚅᶵ䛧䛶䚸䛺䜛䜉䛟ே䛻ྜ䜟䛺䛔䜘䛖䛻Ẽ䜢䛴䛡䛶䛟䛰䛥䛔䚹The test result will be ready in () hours/days. Until you get the result, please stay at homeand avoid contact with others.

13. ᳨ᰝ⤖ᯝ䛜ฟ䜛䜎䛷䚸⑓㝔䛷ᚅᶵ䛧䛶䜒䜙䛔䜎䛩䚹
Well will ask you to stay at a hospital until the test result is available.

14. 㝧ᛶ䛷䛒䜜䜀ධ㝔䛸䛺䜚䜎䛩䚹
If the result is positive, you need to be admitted to the hospital.

15. 㝜ᛶ䛷䛒䛳䛶䜒䚸2 㐌㛫䜋䛹䛿೺ᗣ≧ែ䛻Ẽ䜢䛴䛡䛶䛟䛰䛥䛔䚹యㄪ୙Ⰻ䛸䛺䜛ሙྜ䛿䚸ಖ೺ᡤ䜎䛷㐃⤡䛟䛰䛥䛔䚹
Even if the test result is negative, please take good care of your health for two weeks. If youfeel unwell, please contact a public health center.
D) ✚ᴟⓗ␿Ꮫㄪᰝ䛻㛵䛩䜛ㄝ᫂16. 䛔䜟䜖䜛䛂✚ᴟⓗ␿Ꮫㄪᰝ䛃䛸䛿䚸୺䛻ឤᰁ⑕䛜Ⓨ⏕䛧䛯ᆅᇦ䛾ᢸᙜಖ೺ᡤ䛜ᐇ᪋䛩䜛ㄪᰝ䛷䛩䚹 䛣䛾ㄪᰝ䛿䚸᪥ᮏ䛾ឤᰁ⑕ண㜵ἲ䛻ᇶ䛵䛔䛶⾜䜟䜜䜎䛩䚹ᆅᇦ䛷䛾ឤᰁᣑ኱䜢㜵䛠䛯䜑䛻䚸䜰䜴䝖䝤䝺䜲䜽䛾඲యⓗ䛺≧ἣ䚸ឤᰁ䛾᥎ᐃཎᅉ䚸⑌ᝈ䛾⤒㐣䛺䛹䜢ㄪ䜉䜎䛩䚹
What we call an “active epidemiological survey” is an investigation conducted mainly by local
public health centers in charge of the areas where infectious diseases have occurred. This isconducted based on the Japanese Infectious Disease Prevention Act. We will examine theoverall situation of the outbreak, the estimated source of the infection, and the course of thedisease, in order to prevent its spread in communities.

17. 䛒䛺䛯䛾ಶே᝟ሗ䛿䚸᪥ᮏ䛾ಶே᝟ሗಖㆤἲ䛻ᇶ䛵䛔䛶ཝ㔜䛻⟶⌮䛥䜜䚸䛒䛺䛯䛾䝥䝷䜲䝞䝅䞊䛿☜ᐇ䛻ಖㆤ䛥䜜䜎䛩䛾䛷Ᏻᚰ䛧䛶䛟䛰䛥䛔䚹
Please be assured that your personal information will be strictly managed in accordance withthe Japanese Personal Information Protection Law. Your privacy is securely protected.

 18. ⓙᵝ䛛䜙ᚓ䛯㈗㔜䛺᝟ሗ䛻ᇶ䛵䛔䛶䚸᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛾₯అᮇ㛫䚸ឤᰁ⤒㊰䚸䛚䜘䜃ឤᰁ※䛾᥎ᐃ䛺䛹䜢⾜䛔䜎䛩䚹䛣䛾ㄪᰝ⤖ᯝ䛿䚸᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛻ᑐ䛩䜛䜘䜚Ⰻ䛔ᑐ⟇䛻኱䛝䛟㈉⊩䛧䜎䛩䚹䛒䛺䛯䛾䛤༠ຊ䛻ᚰ䜘䜚ឤㅰ䛔䛯䛧䜎䛩䚹
Based on valuable information obtained from you, we will estimate the incubation period, theroute and the source of the novel coronavirus infection. The result of this investigation will
truly contribute to the better control of this disease. Your cooperation is greatly appreciated.
E) ᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛾✚ᴟⓗ␿Ꮫㄪᰝ䠄᭱ึ䛾ㄝ᫂䠅␲ఝ⑕ᝈ⪅䛷䛂⵹↛ᛶ䛜㧗䛔䛃ሙྜ19. 䛒䛺䛯䛿䚸Ώ⯟Ṕ䚸᥋ゐṔ䚸⑕≧䛺䛹䛛䜙᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛜ᙉ䛟␲䜟䜜䛶䛔䜎䛩䚹⌧ᅾ䛒䛺䛯䛾᳨య୰䛻䜴䜲䝹䝇䛜䛔䜛䛛䛹䛖䛛䜢☜䛛䜑䜛᳨ᰝ䛜ᐇ᪋䛥䜜䛶䛔䜎䛩䚹⤖ᯝ䛿䜎䛰ฟ䛶䛔䜎䛫䜣䛜䚸ᛕ䛾䛯䜑䚸䛒䛺䛯䛾᭱㏆䛾ᵝᏊ䛺䛹䜢䛚⪺䛛䛫䛟䛰䛥䛔䚹You are strongly suspected of being infected with the novel coronavirus based on your travel
history, contact history, and symptoms. A laboratory is currently testing your samples to see
whether the virus is in them or not. We do not have the results yet, but just in case, would youtell us about your recent health status?

ᝈ⪅☜ᐃ౛䛷᭷⑕≧䛾ሙྜ
20. 䛒䛺䛯䛿䚸Ⓨ⇕䜔࿧྾⑕≧䛜䛒䜚䚸䛒䛺䛯䛛䜙᥇ྲྀ䛧䛯᳨య䛾᳨ᰝ䛷᪂ᆺ䝁䝻䝘䜴䜲䝹䝇䛜᳨ฟ䛥䜜䜎䛧䛯䚹䛒䛺䛯䛿᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛾☜ᐃᝈ⪅䛸デ᩿䛥䜜䛶䛔䜎䛩䚹䛣䛾⑓Ẽ䛻㛵䛧䛶䛿䚸䜎䛰ศ䛛䜙䛺䛔䛣䛸䛜ከ䛟䚸䛒䛺䛯䛜䛹䛾䜘䛖䛻ឤᰁ䛧䛯䛾䛛䜢⪃䛘䜛ᚲせ䛜䛒䜚䜎䛩䚹䜎䛯䚸䛒䛺䛯䛛䜙௚䛾ே䛻䛖䛴䛧䛶䛔䛺䛔䛛䜢㏣㊧䛩䜛䛣䛸䜒㔜せ䛷䛩䚹䛣䛾ㄪᰝ䛻䛤༠ຊ䛟䛰䛥䛔䚹You have a fever and respiratory symptoms and the novel coronavirus was found in yoursample. You are now diagnosed with a confirmed case of novel coronavirus infection. We do
not know much about this disease yet, so we need to assess how you got infected. It is also
important to track your contacts to see if you transmitted the disease to others. We ask you tocooperate with this investigation.

 ᝈ⪅☜ᐃ౛䚸↓⑕≧⑓ཎయಖ᭷⪅䛾ሙྜ
21. 䛒䛺䛯䛿䚸⾑ᾮ୰䛻᪂ᆺ䝁䝻䝘䜴䜲䝹䝇䛜᳨ฟ䛥䜜䜎䛧䛯䛜䚸䜎䛰ఱ䛾⑕≧䜒ㄆ䜑䜎䛫䜣䚹䛒䛺䛯䛿᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ䛾☜ᐃ⑕౛䛸デ᩿䛥䜜䜛䛸ྠ᫬䛻䚸䛂↓⑕ೃᛶ᪂つ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕౛䛃䛸デ᩿䛥䜜䜎䛩䚹↓⑕ೃ౛䛜䛣䛾⑓Ẽ䜢௚䛾ே䛻ឤᰁ䛥䛫䜛䛛䛹䛖䛛䛿䜎䛰᫂䜙䛛䛷䛿䛒䜚䜎䛫䜣䚹䜎䛯䚸䛒䛺䛯䛜䛹䛾䜘䛖䛻ឤᰁ䛧䛯䛾䛛䜒䜟䛯䛧䛯䛱䛿᳨ウ䛩䜛
ᚲせ䛜䛒䜚䜎䛩䚹 䛣䛾ㄪᰝ䛻䛤༠ຊ䛟䛰䛥䛔䚹The novel coronavirus was detected in your blood; however, you do not have any symptoms
yet. You are diagnosed with a confirmed case of novel coronavirus infection, and at the sametime, "an asymptomatic novel coronavirus infection case”. It is not yet clear whether
asymptomatic cases will transmit this disease to others or not. We also need to consider how
you caught the infection. We ask you to cooperate with this investigation.

⃰ཌ᥋ゐ⪅22. 䛒䛺䛯䛿䚸᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛸デ᩿䛥䜜䛯᪉䛸䚸⃰ཌ䛻᥋ゐ䛧䛯䛸⚾䛯䛱䛿⪃䛘䜎䛩䚹
We suspect that you have had close contacts with those diagnosed with the novel coronavirus
infection.

23. 䛒䛺䛯䛿䚸᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛜␲䜟䜜䜛᪉䛸䚸⃰ཌ䛻᥋ゐ䛧䛯䛸⚾䛯䛱䛿⪃䛘䜎䛩䚹
We suspect that you have had close contacts with those who may have been infected with thenovel coronavirus.

24. ᭱ᚋ䛻⃰ཌ᥋ゐ䜢䛧䛯᪥䛛䜙 14 ᪥㛫䛿䚸䛒䛺䛯䛾೺ᗣ≧ែ䛻ὀព䜢䛧䛶䛟䛰䛥䛔䚹䜒䛧䛒䛺䛯䛻Ⓨ⇕䜔࿧྾ჾ⑕≧䛜⌧䜜䛯ሙྜ䛻䛿䚸䛒䛺䛯䛜་⒪ᶵ㛵䜢ཷデ䛩䜛๓䛻䚸ᚲ䛪䛂ᖐᅜ⪅䞉᥋ゐ⪅┦ㄯ䝉䞁䝍䞊䛃䛻㟁ヰ㐃⤡䜢ධ䜜䛶䛟䛰䛥䛔䚹ከゝㄒᑐᛂ䛾㟁ヰ␒ྕ䛿 XX 䛷䛩䚹
Please be observant of your health for 14 days from the date of your last close contacts with any
infected person. If you develop a fever above 37.5 degrees or any respiratory symptoms, pleasebe sure to call the "Returnee and Contacted Person Consultation Center" before consulting alocal healthcare provider. The multilingual phone number is XX.

 F)㻌 ᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛾✚ᴟⓗ␿Ꮫㄪᰝ䠄ලయⓗ䛺ㄪᰝ㡯┠䠅
25. 䛣䜜䛛䜙䛒䛺䛯䛻䛔䛟䛴䛛㉁ၥ䜢䛧䜎䛩䚹㉁ၥ䛿䚸1)䛒䛺䛯䛻㛵䛩䜛᝟ሗ䛸 2)䛒䛺䛯䛾⾜ື䛻㛵䛩䜛᝟ሗ䛾஧䛴䛾✀㢮䛻ศ䛛䜜䜎䛩䚹䜒䛧䜟䛛䜙䛺䛔䛣䛸䛜䛒䜜䜀䚸䛔䛴䛷䜒ᑜ䛽䛶䛟䛰䛥䛔䚹Now, we will ask you several questions. They fall into two categories: information about you,and about where you went and what you did. Please feel free to ask if you have any questions.

26. 䛩䛷䛻௚䛾་⒪ᚑ஦⪅䛜䛒䛺䛯䛻ᑜ䛽䛯㉁ၥ䛸ఝ䛯㉁ၥ䜢䜟䛯䛧䛯䛱䛜ᑜ䛽䜛䛛䜒䛧䜜䜎䛫䜣䛜䚸䛹䛖䛮䛤ᐜ㉧䛟䛰䛥䛔䚹It would be appreciated if you could understand that we may ask similar questions that othermedical personnel may have already asked.

䠍䠅䛒䛺䛯䛻㛵䛩䜛᝟ሗᖺ㱋
27. 䛒䛺䛯䛾ᖺ㱋䜢䛚⪺䛝䛷䛝䜎䛩䛛䠛May we ask your age?

ᒃఫᆅ28. 䛒䛺䛯䛾ఫᡤ䜢䛚⪺䛝䛷䛝䜎䛩䛛䠛May we have your address?

⑕≧䞉⤒㐣
29. 䛒䛺䛯䛿䚸䛹䜣䛺⑕≧䛜䛒䜚䜎䛩䛛䠛
What symptoms do you have?

30. 䛒䛺䛯䛾⇕䛜ฟ䛯䛾䛿䛔䛴䛛䜙䛷䛩䛛䠛
When did your fever start?

31. 䛒䛺䛯䛾တ䛜ฟ䛯䛾䛿䛔䛴䛛䜙䛷䛩䛛䠛
When did your cough start?

32. 䛒䛺䛯䛾ᜥⱞ䛧䛥䛜ฟ䛯䛾䛿䛔䛴䛛䜙䛷䛩䛛䠛
When did your breathlessness start?

 33. 䛒䛺䛯䛾䛭䛾⑕≧䛿䚸䛹䛾䛟䜙䛔䛾㛫䚸⥆䛔䛶䛔䜎䛩䛛䠛How long have your symptoms lasted?

䠎䠅䛒䛺䛯䛾⾜ື䛻㛵䛩䜛᝟ሗΏ⯟Ṕ䞉⁫ᅾṔ
34. 䛒䛺䛯䛿䚸㐣ཤ 2 㐌㛫௨ෆ䛻 COVID-19 䛾ὶ⾜ᆅᇦ䛻⾜䛝䜎䛧䛯䛛䠛Have you been to a place where COVID-19 is prevalent, in the past two weeks?
Have you been to any COVID-19 endemic [infected] areas?

35.㸦⾜ࡗ࡚࠸ࡓሙྜ㸧ࡑࢀࡣ࡝ࡇ࡛ࡍ࠿㸽(If yes) Where did you go?

35. 䛒䛺䛯䛿䛔䛴ὶ⾜ᆅᇦ䛻⁫ᅾ䛧䜎䛧䛯䛛䠛
When did you stay at the prevalent area(s)?

᥋ゐṔ36. 䛒䛺䛯䛿䚸㐣ཤ 2 㐌㛫௨ෆ䛻 COVID-19 䛾ᝈ⪅䜎䛯䛿ឤᰁ䛜␲䜟䜜䜛ே䛸᥋䛩䜛ᶵ఍䛜䛒䜚䜎䛧䛯䛛䠛Have you had any contact with a patient with COVID-19 or person suspected of having thevirus, within the past two weeks?

ཧ⪃㈨ᩱ
z᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕ᝈ⪅䛻ᑐ䛩䜛✚ᴟⓗ␿Ꮫㄪᰝᐇ᪋せ㡿䠄ᬻᐃ∧䠅㼔㼠㼠㼜㼟㻦㻛㻛㼣㼣㼣㻚㼚㼕㼕㼐㻚㼓㼛㻚㼖㼜㻛㼚㼕㼕㼐㻛㼕㼙㼍㼓㼑㼟㻛㼑㼜㼕㻛㼏㼛㼞㼛㼚㼍㻛㻞㻜㻝㻥㼚㻯㼛㼂㻙㻜㻞㻙㻞㻜㻜㻞㻜㻢㻚㼜㼐㼒z㜿ᙪᛅஅ䜋䛛䚸䜰䜴䝖䝤䝺䜲䜽䛾೺ᗣ༴ᶵ⟶⌮䚸་Ꮫ᭩㝔P150-153z඲ᅜಖ೺ᡤ㛗఍䜾䝻䞊䝞䝹◊✲⌜䚸ಖ೺⾜ᨻ❆ཱྀ䛾䛯䜑䛾እᅜேᑐᛂ䛾ᡭᘬ䛝䚸➨䠎∧䠄ᮍᐃ✏䠅 ճᝈ⪅࣭␲ఝ⑕ᝈ⪅⮫ᗋ᝟ሗㄪᰝ⚊   մ⾜ື㸦ឤᰁ※㸧ㄪᰝ⚊մ⾜ື㸦᥋ゐ⪅᥈⣴㸧ㄪᰝ⚊ ᶉ᥋ゐ⪅ࣜࢫࢺᶊ᥋ゐ⪅೺ᗣほᐹ⚊ &㸧ㄝ᫂ࢳࣛࢩ➼ ձᐙᗞෆ࡛ࡢឤᰁண㜵㸶ࡘࡢ࣏࢖ࣥࢺ㸦ᩥ❶∧ࠊ࢖ࣛࢫࢺ∧㸧   ղ ឤᰁࡋࡓ᪉࡬  ᶇ ⃰ཌ᥋ゐ⪅ࡢ᪉࡬ 'ࡑࡢ௚཰㞟ࡋࡓ㈨ᩱ㸦඲ᅜᡤ㛗఍࣮࣒࣮࣍࣌ࢪ KWWSZZZSKFGMSWBFRYLG࡟ᥖ㍕㸧  ઎๺㧞ᐕᐲ‫ޓ‬࿾ၞ଻ஜ✚วផㅴ੐ᬺ‫଻ߩࠬ࡞ࡋ࡞ࡃ࡯ࡠࠣޟ‬ஜᚲᯏ⢻ᒝൻ߳ߩᵴ↪ᣇᴺ⏕┙߅ࠃ߮㐿⊒ㅜ਄࿖ߦኻߔࠆᣣᧄߩⴡ↢ⴕ᡽⚻㛎ߩવ㆐น⢻ᕈߩᮨ⚝‫ޠ‬ႎ๔ᦠ⊒‫ޓⴕޓ‬ᣣ઎๺㧟ᐕ㧟᦬✬㓸࡮⊒ⴕᣣᧄ౏ⴐⴡ↢දળಽᜂ੐ᬺ⠪‫ޓޓ‬ഖ‫ޓ‬㓁ሶ㧔ᾢᧄ⋵ੱศ଻ஜᚲ㧕‫ޓޥ‬ᾢᧄ⋵ੱศᏒ⷏㑆ਅ↸㧤㧢㧙㧝
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