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」
報告書

令和 ２ 年 ３ 月

日本公衆衛生協会
分担事業者

劔（熊本県人吉保健所

陽子所長）┠  ḟࡣࡌࡵ࡟                   ศᢸ஦ᴗ⪅࣭஦ᴗ༠ຊ⪅࣭ຓゝ⪅࣭࢜ࣈࢨ࣮ࣂ୍࣮ぴ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3

஦ᴗሗ࿌


௒ᖺᗘࡢྲྀ⤌ࡳᴫせ࡜⤖ᯝ⥲ᣓ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3ᙜ◊✲⌜άືࡢࢦ࣮ࣝ࡜ࡑࡢࡓࡵ࡟ᒎ㛤ࡍ࡭ࡁάື࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3ྛㄢ㢟࡟㛵ࡍࡿྲྀࡾ⤌ࡳ$ 㛤Ⓨ㏵ୖᅜ࡬ࡢ㈉⊩᪉ἲཬࡧ୧㡿ᇦேᮦࡢ┦஫㈉⊩ࡢ᪉ἲᶍ⣴࣮࣡࢟ࣥࢢࢢ࣮ࣝ
ࣉ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3% ♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼࡾಖ೺ᡤᴗົୖࡢ㉳ࡁ࡚࠸ࡿㄢ㢟࡟ᚲせ࡞ᑐᛂࡢ᳨ウ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3㸨ࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖ㸦➨  ∧㸧ࡣ඲ᅜಖ೺ᡤ㛗఍࣮࣒࣮࣍࣌ࢪ࡟ᥖ㍕㸬  ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡟㛵ࡍࡿ㈨ᩱ࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭࣭3 $   ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕✚ᴟⓗ␿Ꮫㄪᰝᩥ౛㸦᪥ᮏㄒࠊⱥㄒ㸧
 %   ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㸦␲ఝ⑕ᝈ⪅ࢆྵࡴ㸧ᇶᮏ᝟ሗ࣭⮫ᗋ᝟ሗㄪᰝ⚊ ⱥヂ௜ࡁࡣࡌࡵ࡟
᫖ᖺᗘࠊᙜ◊✲⌜࡛ࡣࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁ㸦➨  ∧㸧ࠖཬࡧࠕಖ
೺⾜ᨻࡢࡓࡵࡢከゝㄒ⾜ᨻᩥ᭩㞟ࠖࢆసᡂࡋࡲࡋࡓࠋ◊✲⌜࣓ࣥࣂ࣮࡟ࡣࠊ⮬ศࡢᡤᒓࡍ
ࡿ⮬἞యෆእࡢಖ೺ᡤ࠿ࡽ┦ㄯࡸၥ࠸ྜࢃࡏࡀ࠶ࡾࠊ≧ἣ࡟ᛂࡌࠕᡭᘬࡁࠖࡸࠕ⾜ᨻᩥ᭩㞟ࠖࢆ⤂௓ࡋࠊ㛵ಀᶵ㛵࡟⤖ࡧࡘࡅࡿ࡞࡝ࡢάືࡶ⾜࠸ࠊ◊✲⌜ࡢάືࡀಖ೺ᡤ⌧ሙ࡛ᙺ࡟❧ࡗ࡚࠸ࡿࡇ࡜ࢆᐇឤࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡋࡓࠋ
௧࿴ඖᖺᗘࡣࣛࢢࣅ࣮࣮࣡ࣝࢻ࢝ࢵࣉ࡛᪥ᮏ୰ࡀ┒ࡾୖࡀࡾࡲࡋࡓࠋヨྜࡣ᪥ᮏྛᆅ࡛
㛤ദࡉࢀࠊᛂ᥼ࡢࡓࡵ࡟ゼ᪥ࡋࡓከࡃࡢእᅜேࢆ┠࡟ࡍࡿࡇ࡜࡟࡞ࡾࡲࡋࡓࠋከࡃࡢ⮬἞
యࡀᵝࠎ࡞஦㇟࡟㛵ࡋ࡚እᅜேᑐᛂࡀᚲせ࡟࡞ࡿࡇ࡜ࢆ᝿ᐃࡋࠊ‽ഛ࡟ዑ㉮ࡋࡓࡇ࡜࡜ᛮ
࠸ࡲࡍࠋࣛࢢࣅ࣮࣮࣡ࣝࢻ࢝ࢵࣉࡀ↓஦࡟⤊஢ࡋࠊḟࡣᮾி  ࡟ྥࡅ࡚ࡢ‽ഛ࠿ࠊ࡜ᛮ
ࡗ࡚࠸ࡓ࡜ࡇࢁ࡛ࠊ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ &29,' ࡀ᪥ᮏ࡛ὶ⾜ࡍࡿ࡜࠸࠺஦ែࡀ
⏕ࡌࡲࡋࡓࠋ≉࡟㛵ᮾ㏆㎶ࡢ⮬἞య࡛ࡣࠊᶓ὾

Ἀ࡟೵Ἡࡋࡓࢡ࣮ࣝࢬ⯪࠿ࡽ㝆ࡾ࡚ࡃࡿឤᰁ⪅ࡢᑐᛂ࡟ᚑ஦ࡍࡿࡇ࡜࡟࡞ࡾࠊᚲ↛ⓗ࡟እᅜேᑐᛂࢆࡏࡊࡿࢆᚓ࡞ࡃ࡞ࡾࡲࡋࡓࠋ
⌧ሙ࡛እᅜㄒ࡛ࡢᑐᛂ࡟㞴῰ࡋ࡚࠸ࡿ࡜࠸࠺ࡇ࡜ࢆ⪺ࡁࠊ◊✲⌜࡛ࡣࠊᛴ㑉ࠕ᪂ᆺࢥࣟࢼ
࢘࢖ࣝࢫឤᰁ⑕✚ᴟⓗ␿Ꮫㄪᰝᩥ౛ࠖࡢⱥㄒ∧࡜ࠊ✚ᴟⓗ␿Ꮫㄪᰝ⚊ࡢⱥヂ௜ࡁࡢࡶࡢࢆ
సᡂ࠸ࡓࡋࡲࡋࡓࠋ◊✲⌜ࢆ  ᖺࡸࡗ࡚ࡁࡓ࠿ࡽࡇࡑࡢࢳ࣮࣒࣮࣡ࢡ࡛ࠊ✺↛⏕ࡌࡓ஦㇟࡟⮫ᶵᛂኚ࡟ᑐᛂࡍࡿࡇ࡜ࡀ࡛ࡁࡓ࡜ឤࡌ࡚࠸ࡲࡍࠋ
ᅜෆ࣭ᅜእࡢቃ⏺ࡀⷧࡃ࡞ࡗ࡚࠸ࡿࡇ࡜ࡀឤࡌࡽࢀࡓ  ᖺ࡛ࡋࡓࠋᅜෆእࢆศࡅࡿࡇ࡜
࡞ࡃ཮᪉ྥ࡟㈉⊩࡛ࡁࡿᆅᇦಖ೺άື࣭ேᮦ⫱ᡂࡀࡲࡍࡲࡍồࡵࡽࢀ࡚࠸ࡲࡍࠋ௒ᚋࡶ⌧ሙࡢ≧ἣ࡟༶ࡋࡓ◊✲άືࡀ⥆࠸࡚࠸ࡃࡼ࠺ດຊࡋ࡚࠸ࡁࡓ࠸࡛ࡍࠋ
᭱ᚋ࡟ࠊᮏ஦ᴗࡢᐇ᪋࡟࠶ࡓࡾࠊࡈ༠ຊ࠸ࡓࡔࡁࡲࡋࡓ඲ᅜᡤ㛗఍ࠊ㒔㐨ᗓ┴࣭ᕷ༊㛵ಀ㒊⨫ࡢⓙᵝ᪉࡟ᚰࡼࡾᚚ♩⏦ࡋୖࡆࡲࡍࠋ௧࿴  ᖺ  ᭶ ௧࿴ඖᖺᗘᆅᇦಖ೺⥲ྜ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
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ศᢸ஦ᴗ⪅ᡤ㛗ຄ㝧Ꮚ⇃ᮏ┴ேྜྷಖ೺ᡤ

༠ຊ஦ᴗ⪅

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ಖ೺ᖌ⚄ᴦᒸ ⃈㮵ඣᓥ┴すஅ⾲ಖ೺ᡤ ව ᒇஂᓥಖ೺ᡤ ᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮ᅜ㝿་⒪༠ຊᒁᮾி㒔᪂ᐟ༊ᙺᡤ⥲ົ㒊༠ຊ஦ᴗ⪅

ಖ೺ᖌ

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㛗ᓮ኱Ꮫ኱Ꮫ㝔⇕ᖏ་Ꮫ࣭ࢢ࣮ࣟࣂ
ࣝ࣊ࣝࢫ◊✲⛉ᮾி㒔ከᦶᗓ୰ಖ೺ᡤಖ೺ᑐ⟇ㄢ༠ຊ஦ᴗ⪅

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ዉⰋ┴⚟♴་⒪㒊་⒪ᨻ⟇ᒁ೺ᗣ᥎㐍ㄢ༠ຊ஦ᴗ⪅ᡤ㛗ᅄ᪉ၨ⿱⚟஭┴⚟஭ಖ೺ᡤ

༠ຊ஦ᴗ⪅ᡤ㛗Ώ㑓ὒᏊᮾி㒔ከᦶ❧ᕝಖ೺ᡤ

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≉ᐃ㠀Ⴀ฼ἲே⛣ఫ⪅࡜㐃ᖏࡍࡿ඲ᅜ
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ᅜ❧ಖ೺་⒪⛉Ꮫ㝔 ᅜ㝿༠ຊ◊✲
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㛗ᓮ┴⚟♴ಖ೺㒊་⒪ᨻ⟇ㄢවୖ஬ᓥಖ೺ᡤᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮ᅜ㝿་⒪༠
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ᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮

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⏥༡ዪᏊ኱Ꮫ┳ㆤࣜࣁࣅࣜࢸ࣮ࢩࣙ
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ᅜ㝿༠ຊᑓ㛛ဨ་ᖌ㔝ᮧ┿฼㤶

ᅜ㝿༠ຊᶵᵓ㸦-,&$㸧ே㛫㛤Ⓨ㒊Ᏹ⏣ⱥ඾බ┈㈈ᅋἲேᆅᇦ་⒪᣺⯆༠఍ᆅᇦ་⒪◊✲ᡤ

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஦ᴗሗ࿌ ௒ᖺᗘࡢྲྀࡾ⤌ࡳᴫせ࡜⤖ᯝ⥲ᣓせ᪨㸸◊✲⌜ࡢάື඲యࢆࡲ࡜ࡵࡓࢶ࣮ࣜᅗࢆసᡂࡋࡓࠋࢢ࣮ࣟࣂࣝ໬ㄢ㢟࡟ᑐᛂࡍࡿࡓࡵࡢಖ೺ᡤᶵ
⬟ࡢᙉ໬࡟㛵ࡋ࡚ࠊ᫖ᖺᗘసᡂࡋࡓࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖࡢᨵゞ࡟ྲྀࡾ⤌ࡳࠊ⢭⚄ಖ೺࡟㛵ࡍࡿ㡯┠ࢆᇳ➹ࡋࡓࠋࡉࡽ࡟ࠊ⤖᰾࡟㛵ࡍࡿ⾜ᨻᩥ᭩࡟ࡘ࠸࡚᪂ࡓ࡟  ゝㄒ࡟⩻ヂࡋࡓࠋ
㛤Ⓨ㏵ୖᅜ࡟ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ࡢᡭἲ㸦ேᮦ⫱ᡂྵࡴ㸧࡜ࡋ࡚ࠊ⮬἞య࡛ཷࡅධࢀࡿእ
ᅜே◊ಟࢆຠᯝⓗ࡟ࡍࡿࡓࡵࡢ◊ಟ㈨ᩱ࡙ࡃࡾࢆ⾜࠺ࡇ࡜ࢆ⪃࠼ࠊᇶ♏ㄪᰝ࡜ࡋ࡚እᅜே◊ಟࢆከࡃᐇ
᪋ࡋ࡚࠸ࡿ௦⾲ⓗ࡞  ◊✲ᶵ㛵࡟㏆ᖺࡢ◊ಟࡢෆᐜࡸࠊཷࡅධࢀ⮬἞యࡢヲ⣽ࡸ⮬἞య࡟ᮇᚅࡍࡿࡇ࡜
࡟ࡘ࠸࡚㉁ၥ⣬ㄪᰝࢆ⾜࠸ࠊ㈨ᩱࢆ཰㞟ࡋࡓࠋࡲࡓࠊ⮬἞య࡜ -,&$ ᆅ᪉ࢭࣥࢱ࣮࡟ᑐࡋ⮬἞య⫋ဨࡢ-,&$ ஦ᴗ➼ᾏእὴ㐵ཬࡧᾏእ◊ಟ⏕ࡢ⮬἞య࡛ࡢཷࡅධࢀ஦౛࡟ࡘ࠸࡚ࡢ㉁ၥ⣬ㄪᰝࢆᐇ᪋ࡋࡓࠋࡇࢀ
ࡽࡢ⤖ᯝࢆ㋃ࡲ࠼ࠊ⮬἞య⫋ဨྥࡅእᅜே◊ಟࢆཷࡅධࢀࡿ㝿ࡢㄝ᫂ࡢ࣏࢖ࣥࢺ࡜ࡋ࡚ࡢ㡯┠ࡢ᳨ウࠊㅖእᅜࡢ࣊ࣝࢫࢩࢫࢸ࣒ࡢ≉Ⰽࡢࡲ࡜ࡵࢆ⾜ࡗࡓࠋ
$ ┠ⓗձಖ೺ᡤࡀᢪ࠼࡚࠸ࡿࢢ࣮ࣟࣂࣝ໬ᑐᛂㄢ㢟࡬ࡢ⫋ဨࡢᑐᛂ⬟ຊࢆྥୖࡉࡏࡿࡓࡵ࡟᫖ᖺᗘసᡂࡋ
ࡓࢶ࣮ࣝࢆᣑ඘࣭᭦᪂ࡍࡿղ᪥ᮏࡢබ⾗⾨⏕⤒㦂࠿ࡽࢢ࣮ࣟࣂࣝ࣊ࣝࢫ *+ ศ㔝࡟㈉⊩ࡍࡿࡓࡵࡢ୍ᡭ
ἲ࡜ࡋ࡚ࠊ᫖ᖺᗘᐇ᪋ࡋࡓ 3&0 ウ㆟࡛❧᱌ࡉࢀࡓࠕࠗ㏵ୖᅜࡢࢽ࣮ࢬࢆᆅ᪉⮬἞య⫋ဨࡀ⌮ゎࡍࡿࡼ࠺࡟࡞ࡿ࠘ࠗ᪥ᮏࡢᆅᇦಖ೺⾨⏕⾜ᨻ⤒㦂ࢆఏ࠼ࡿࢶ࣮ࣝࢆసᡂࡍࡿ࠘ࢆ┠ⓗ࡜ࡋࡓࣉࣟࢪ࢙ࢡࢺࠖࢆཧ
⪃࡟ࡋ࡚⮬἞యࡢእᅜே◊ಟཷࡅධࢀ࡟╔┠ࡋࠊ◊ಟࢆຠᯝⓗ࡟ࡋࠊ◊ಟ࡟㛵ࢃࡿ⮬἞య⫋ဨࡢ㈨㉁ྥ
ୖ࡟ᙺ❧࡚ࡿࡓࡵ࡟ࡣ࡝࠺ࡋࡓࡽ࠸࠸࠿ࢆᶍ⣴ࡍࡿࠋࡉࡽ࡟ࢢ࣮ࣟࣂࣝ࡞どⅬࢆᣢࡗࡓேᮦ⫱ᡂ࡟㛵ࡋࠊ⮬἞య⫋ဨࡢᾏእฟྥ࡟ࡘ࠸࡚ࠊ࠾ࡼࡧ♫఍་Ꮫᑓ㛛་ࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿࠕᅜ㝿ࠖࡢ఩⨨࡙ࡅ࡟ࡘ࠸࡚ヲ⣽ࢆ᥈ࡿࠋ
% ᪉ἲ
௒ᖺᗘࡢᙜ◊✲⌜ࡢάື᪉㔪ࢆ❧࡚ࡿ࡟࠶ࡓࡾࠊࡲࡎ⌜ဨ࡛◊✲⌜඲యࡢάືࡢ᪉ྥᛶࡸࡑࡢࡓࡵ࡟
ࡍ࡭ࡁࡇ࡜࡞࡝ࢆ☜ㄆࡋࠊάື඲యࢆ♧ࡍࢶ࣮ࣜᅗࢆసᡂࡋࡓࠋࡑࡢࢶ࣮ࣜᅗࢆᇶ࡟ࠊ஧ࡘࡢ࣮࣡࢟ࣥ
ࢢࢢ࣮ࣝࣉ࡟ศ࠿ࢀ࡚άືࡋࡓࠋ
㸦㸯㸧ಖ೺ᡤࡀᢪ࠼࡚࠸ࡿእᅜேᑐᛂㄢ㢟ࢆゎỴࡍࡿࢶ࣮ࣝࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬ
ࡁࠖࡢᣑ඘࣭᭦᪂㸸ձ᫖ᖺᗘ࡟እᅜேᑐᛂࡢ⥲ㄽ࡜⤖᰾࡟ࡘ࠸࡚ᇳ➹ࡋࡓᡭᘬࡁ࡟ࠊ᪂ࡓ࡟⢭⚄ಖ೺ศ㔝ࢆຍ➹ࡍࡿࡓࡵࠊ⢭⚄ಖ೺ศ㔝ࡢຓゝ⪅ࢆ㏄࠼࡚࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ఍㆟ࢆ」ᩘᅇ㛤ദࡋࠊෆᐜࢆ㆟ㄽࡋࡓࠋ⥲ㄽ࣭⤖᰾࡟㛵ࡍࡿ㒊ศ࡟ࡘ࠸࡚ࡶࠊෆᐜࢆ᭦᪂ࠊຍ➹ࡋࡓࠋղእᅜேࡢ⤖᰾ࡢᑐ㇟⪅➼࡟Ώࡍබⓗᩥ᭩࡟ࡘ࠸࡚ࠊ᫖ᖺ⩻ヂࡋࡓ  ゝㄒ௨እ࡟㟂せࡀ㧗࠸ୖ఩  ゝㄒ࡟ࡘ࠸࡚ࠊ඲ᅜ་⒪㏻ヂ⪅༠఍࡟⩻ヂࢆ౫㢗ࡋࡓࠋձղ࡜ࡶ࡟ࠊ඲ᅜಖ೺ᡤ㛗఍➼ࡢ࢙࢘ࣈࢧ࢖ࢺ࡟࡚ඹ᭷ࡋࠊ඲ᅜࡢಖ೺ᡤࡀά⏝࡛ࡁࡿࡼ࠺࡟ࡍࡿࠋ
㸦㸰㸧᪥ᮏࡢබ⾗⾨⏕⤒㦂ࡀ *+ ศ㔝࡟࡝࠺㈉⊩࡛ࡁࡿ࠿㸦ேᮦ⫱ᡂྵࡴ㸧㸸እᅜே◊ಟࢆከࡃᐇ᪋ࡋ
࡚࠸ࡿᅜ❧ಖ೺་⒪⛉Ꮫ㝔ࠊ⤖᰾◊✲ᡤࠊᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮ᅜ㝿༠ຊᒁ࡟㏆ᖺࡢ◊ಟࡢෆᐜࠊ
ཷࡅධࢀ⮬἞యࡢヲ⣽ࡸ⮬἞య࡟ᮇᚅࡍࡿࡇ࡜࡟ࡘ࠸࡚㉁ၥ⣬ㄪᰝࢆ⾜࠸ࠊࡉࡽ࡟᪥ᮏࡢಖ೺ࢩࢫࢸ࣒
3 ࢆ⤂௓ࡍࡿࡓࡵࡢㅮ⩏㈨ᩱ➼ࢆ཰㞟ࡋࡓࠋࢢ࣮ࣟࣂࣝ࡞どⅬࢆᣢࡗࡓಖ೺⾨⏕ேᮦࡢ⫱ᡂ࡟㛵ࡋ࡚ࠊ⮬἞య  ࠿ᡤ࡟ᑐࡋ⫋ဨࡢᾏእὴ㐵஦౛࡟ࡘ࠸࡚ࠊ-,&$ ᆅ᪉ࢭࣥࢱ࣮ ࠿ᡤ࡟ᑐࡋ㐃ᦠ༠ᐃࡢ࠶ࡿ⮬἞య⫋ဨࡢ -,&$ ஦ᴗ࡬ࡢὴ㐵஦౛ཬࡧᾏእ◊ಟ⏕ࡢ⮬἞య࡛ࡢཷࡅධࢀ஦౛࡟ࡘ࠸࡚ࡢ㉁ၥ⣬ㄪᰝࢆᐇ᪋ࡋࡓࠋࡲࡓࠊ♫఍་Ꮫᑓ㛛་ࣉࣟࢢ࣒ࣛ࡟ࠕᅜ㝿ಖ೺ࠖ࡟㛵ࡍࡿ㡯┠ࢆྲྀࡾධࢀ࡚࠸ࡿ⚟ᓥ┴ࠊబ㈡┴࡟ࡑࡢ⤒⦋➼࡟ࡘ࠸࡚⪺ࡁྲྀࡾㄪᰝࢆ⾜ࡗࡓࠋ& ⤖ᯝ
㸦㸯㸧ಖ೺ᡤࡀᢪ࠼࡚࠸ࡿእᅜேᑐᛂㄢ㢟ࢆゎỴࡍࡿࢶ࣮ࣝࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬ
ࡁࠖࡢᣑ඘࣭᭦᪂㸸⥲ㄽ㒊ศ࡛࠶ࡿ➨ 㸪 ❶ࡢෆᐜࢆᣑ඘࣭᭦᪂ࡋࠊ⤖᰾࡟㛵ࡍࡿࡇ࡜ࡣ➨  ❶࡟⤫ྜࡋ࡚ࡲ࡜ࡵࡓࠋࡲࡓ➨  ❶࡜ࡋ࡚⢭⚄ಖ೺࡟ࡘ࠸࡚᪂ࡓ࡟ᇳ➹ࡋࡓࠋ⤖᰾ࡢ  ⾜ᨻᩥ᭩࡟㛵ࡋ࡚ࠊ᪂ࡓ࡟ࠊ୰ᅜㄒࠊࢱ࢞ࣟࢢㄒࠊ㡑ᅜㄒࠊࣅ࣐ࣝㄒࠊࢱ࢖ㄒࠊࣄࣥࢹ࢕࣮ㄒ⩻ヂ∧ࢆసᡂࡋࡓࠋ
㸦㸰㸧᪥ᮏࡢබ⾗⾨⏕⤒㦂ࡀ *+ ศ㔝࡟࡝࠺㈉⊩࡛ࡁࡿ࠿㸦ேᮦ⫱ᡂྵࡴ㸧㸸 ◊✲ᶵ㛵࡬ࡢㄪᰝ࡛ࡣࠊ
እᅜே◊ಟඛ࡜ࡋ࡚ࠕ㛵ಀ⪅ࡀ࠸ࡿࠖࠕࡇࢀࡲ࡛࡟ཷࡅධࢀᐇ⦼ࡀ࠶ࡿࠖ⮬἞యࡀ㑅ࡤࢀ࡚࠾ࡾࠊ᪂つ㛤ᣅࡣᅔ㞴࡜ᛮࢃࢀ࡚࠸ࡓࠋᐇ㝿࡟ᮾி㒔ࠊ኱㜰ᕷ࣭ᗓࠊ⁠㈡┴ࠊ㛗㔝┴ࠊᒾᡭ┴࡞࡝ࠊྠࡌ⮬἞యࡀཷࡅධࢀ࡚࠸ࡿࡇ࡜ࡀከ࠿ࡗࡓࠋ◊ಟ࡟┒ࡾ㎸ࢇ࡛ḧࡋ࠸ෆᐜ࡜ࡋ࡚ࡣࠊ⌧ᅾ࡟⮳ࡿࡲ࡛ࡢࣉࣟࢭࢫࡸ
⮬἞యࡢ≉Ⰽࠊ᪥ᮏ࡜㏵ୖᅜࡢ㐪࠸ࢆ㋃ࡲ࠼ࡓㄝ᫂࡞࡝ࡀᣲࡆࡽࢀࡓࠋ⮬἞య࡬ࡢㄪᰝ࡛ࡣࠊ ⮬἞య࠿ࡽ⫋ဨࡢᾏእὴ㐵ヱᙜ࠶ࡾ࡜࠸࠺ᅇ⟅ࡀᚓࡽࢀࠊ ┴ࡣ་ᖌࡢὴ㐵ࠊ ┴ࡣ -,&$ ⲡࡢ᰿ᢏ⾡༠ຊ࡛ࡢὴ㐵ࠊ ┴ࡣᾏእ㟷ᖺ༠ຊ㝲࡜ࡋ࡚ࡢὴ㐵ࢆ⾜ࡗ࡚࠸ࡓࠋ-,&$ ᆅ᪉ࢭࣥࢱ࣮࠿ࡽࡢᅇ⟅࡛ࡣ  ࢭࣥࢱ࣮࡛ⲡࡢ᰿ᢏ⾡༠ຊࡸᾏእ㟷ᖺ༠ຊ㝲࡜ࡋ࡚ࡢ⮬἞య⫋ဨࡢᾏእὴ㐵ࡢᐇ⦼ࡀ࠶ࡗࡓࠋࡲࡓ」ᩘ⮬἞య⤌⧊࡛ከᒱ࡟Ώࡗࡓ◊ಟཷࡅධࢀࡶ⾜ࢃࢀ࡚࠸ࡓࠋ♫఍་Ꮫᑓ㛛་ࣉࣟࢢ࣒ࣛ࡟ࡘ࠸࡚ࠊ⚟ᓥ┴࡛ࡣ┴❧་⛉኱Ꮫᡤᒓࡢᣦᑟ་࡜ࡢ᳨ウ࡛ᅜ㝿ಖ೺࡟㛵ࡍࡿ◊ಟ࣒࢝ࣜ࢟ࣗࣛ࡟ᰂ㌾࡟ᑐᛂ࡛ࡁࡿࡼ࠺࡟ࡋ
࡚࠸ࡿ࡜ࡢࡇ࡜࡛࠶ࡿࠋ⚟ᓥ࣭బ㈡୧┴࡜ࡶ࡟௒ࡢ࡜ࡇࢁලయⓗ࡞ྲྀࡾ⤌ࡳࡣ࡞࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ
ࡇࢀࡽࡢ⤖ᯝࢆ㋃ࡲ࠼ࠊ⮬἞య⫋ဨྥࡅእᅜே◊ಟࢆཷࡅධࢀࡿ㝿ࡢㄝ᫂ࡢ࣏࢖ࣥࢺࡢ᳨ウࠊ⮬἞య⫋ဨࡶ▱ࡗ࡚࠾ࡃ࡭ࡁㅖእᅜࡢ࣊ࣝࢫࢩࢫࢸ࣒ࡢ≉Ⰽࡢࡲ࡜ࡵࢆ⾜ࡗࡓࠋ' ⪃ᐹ
௒ᅇࠊࠕᡭᘬࡁࠖࢆ⤖᰾ศ㔝࡟ᘬࡁ⥆ࡁ⢭⚄ಖ೺ศ㔝࡟ᣑ඘ࡋࡓࡇ࡜࡟ࡼࡾࠊࡼࡾಖ೺ᡤᶵ⬟ᙉ໬࡟㈨ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡼ࠺࡟࡞ࡗࡓࠋࡲࡓ᪥ᮏࡢබ⾗⾨⏕⤒㦂ࢆዴఱ࡟㏵ୖᅜ࡟ᙺ❧࡚ࡿࡇ࡜ࡀ࡛ࡁࡿ࠿
࡟ࡘ࠸࡚ࡣࠊእᅜே◊ಟࢆཷࡅධࢀ࡚࠸ࡿ⮬἞యࡀᑡ࡞ࡃ࡞ࡃࠊ࠿ࡘࡑࡢ◊ಟࢆຠᯝⓗ࡟ᐇ᪋ࡍࡿࡇ࡜
࡛◊ಟ⏕ࡀᖐᅜᚋ⮬ᅜࡢಖ೺⾨⏕ࡢⓎᒎ࡟ᐤ୚ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࠊ࡝ࡢࡼ࠺࡞◊ಟࡀᮃࡲࢀ࡚࠸ࡿ࠿࡟ࡘ࠸࡚ㄪᰝࡋࡓࠋ㏵ୖᅜ࡜᪥ᮏࡢ㐪࠸࡞࡝ࢆ㋃ࡲ࠼ࡓㄝ᫂ࡀᮇᚅࡉࢀ࡚࠾ࡾࠊᛁࡋ
࠸⮬἞య⫋ဨ࡛ࡶ◊ಟཷࡅධࢀ᫬࡟▱ࡗ࡚࠾ࡁࡓ࠸㏵ୖᅜࡢ⌧≧࡟ࡘ࠸࡚ᥦ♧ࡍࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡽࢀࡓࠋᾏእ࡟⫋ဨࢆฟྥࡋ࡚࠸ࡿ⮬἞యࡢ஦౛ࡶ࠸ࡃࡘ࠿࠶ࡾࠊࡑࡢ࣓ࣜࢵࢺ࣭ࢹ࣓ࣜࢵࢺࢆࡲ࡜ࡵ
ࡿࡇ࡜࡛ࠊ⫋ဨࡀ *+ ศ㔝࡟ど㔝ࢆᗈࡆࡿࡇ࡜ࡀࠊ⫋ဨಶேࡔࡅ࡛࡞ࡃὴ㐵ඖ⮬἞య࡟ࡶ࣓ࣜࢵࢺࡀ࠶
ࡿࡇ࡜ࢆ♧ࡋ࡚࠸ࡁࡓ࠸࡜⪃࠼࡚࠸ࡿࠋ
( ௒ᚋࡢィ⏬ࠕᡭᘬࡁࠖࡢࣔࢽࢱࣜࣥࢢࡸᣑ඘ࢆ᳨ウࡍࡿࠋ⮬἞యࡀእᅜே◊ಟࢆཷࡅධࢀࡿ㝿࡟౑࠼ࡿእᅜேྥ
ࡅㅮ⩏ࡢ࣏࢖ࣥࢺ࡞࡝ࢆࡲ࡜ࡵࡓࡶࡢࢆసᡂࡍࡿࠋ
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࠙ࡑࡢ௚ࠚz▮㔝ுభࠊᮧୖ㑥ோᏊࠊΏ㑓ὒᏊࠊ⚄ᴦᒸ⃈㸬ࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖ࡜ࠕಖ
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ࡢ࠿ࠊࡑࡢࡓࡵ࡟ᚲせ࡞άືࡣఱ࠿࡟ࡘ࠸࡚ヰࡋྜࡗࡓࠋࡑࡢ⤖ᯝࢆࠊ௨ୗᅗ㸯ࡢࡼ࠺࡞ࢶ࣮ࣜᅗ࡟ࡲ࡜ࡵࡓࠋ
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ࡇࡢᅗࢆඖ࡟ࠊ௒ᖺᗘࡣୖ఩┠ᶆࠕࢢ࣮ࣟࣂࣝ࡞どⅬࢆᣢࡗࡓಖ೺⾨⏕⾜ᨻ⫋ဨࡀቑ࠼ࡿࠖ
ࢆ㐩ᡂࡍࡿࡓࡵࡢάື࡟ྲྀࡾ⤌ࡴ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࠕ㛤Ⓨ㏵ୖᅜ࡬ࡢ㈉⊩᪉ἲཬࡧ୧㡿ᇦேᮦࡢ┦஫㈉⊩ࡢ᪉ἲᶍ⣴࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࠖ
㸦㈉⊩㸩ேᮦ :*㸧࡜ࠊୖ఩┠ᶆࠕࢢ࣮ࣟ
ࣂࣝ໬ㄢ㢟࡬ࡢ⫋ဨࡢᑐᛂຊࡀྥୖࡍࡿࠖࢆ㐩ᡂࡍࡿࡓࡵࡢάື࡟ྲྀࡾ⤌ࡴ࣮࣡࢟ࣥࢢࢢ
࣮ࣝࣉࠕ♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼࡾಖ೺ᡤᴗົୖ㉳ࡁ࡚࠸ࡿㄢ㢟࡟ᚲせ࡞ᑐᛂࡢ᳨ウ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࠖ
㸦ಖ೺ᡤᶵ⬟ᙉ໬ :*㸧ࡢ஧ࡘࡢ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ࡟ศ࠿ࢀ࡚άືࡍࡿࡇ
࡜࡜ࡋࡓࠋ 㸬ྛㄢ㢟࡟㛵ࡍࡿྲྀࡾ⤌ࡳ$ 㛤Ⓨ㏵ୖᅜ࡬ࡢ㈉⊩᪉ἲཬࡧ୧㡿ᇦேᮦࡢ┦஫㈉⊩ࡢ᪉ἲᶍ⣴࣮࣡࢟ࣥࢢ
ࢢ࣮ࣝࣉ ㈉⊩࣭ேᮦ :* :* ࣓ࣥࣂ࣮㸸 ຄ࣭ᯇ஭㸦࣮ࣜࢲ࣮㸧ࠊΏ㑓ࠊᮧୖࠊ㛗㇂ᕝࠊᅄ᪉ࠊ㜿㑓ᒣࠊᑠᯘࠊῲୖ
ᒣᮏࠊ኱ཎࠊ⳥ᆅ:* ࡢୖ఩┠ᶆ㸸ࢢ࣮ࣟࣂࣝ࡞どⅬࢆᣢࡗࡓಖ೺⾜ᨻ⫋ဨࡀቑ࠼ࡿ
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᪥ᮏࡢබ⾗⾨⏕⤒㦂࠿ࡽࢢ࣮ࣟࣂࣝ࣊ࣝࢫ㸦*+㸧ศ㔝࡟࡝ࡢࡼ࠺࡟㈉⊩࡛ࡁࡿ࠿ࠊ࡜࠸
࠺ࡇ࡜ࢆ♧ࡍࡇ࡜ࢆ┠ᶆ࡟ࡋ࡚ࠊ᫖ᖺᗘࠊ㐣ཤ࡟ᆅᇦಖ೺᥎㐍஦ᴗ㸦ᅜ㝿༠ຊ஦ᴗ㸧ᾏእ
ಖ೺་⒪どᐹ஦ᴗㄪᰝ࡟ཧຍࡋࡓ⾜ᨻ་ᖌࡓࡕ࡟ࡼࡿࣉࣟࢪ࢙ࢡࢺࢧ࢖ࢡ࣐ࣝࢿࢪ࣓ࣥࢺ
㸦3&0㸧ᡭἲࢆ⏝࠸ࡓウ㆟ࢆᐇ᪋ࡋࡓࠋࡑࡇ࡛❧᱌ࡉࢀࡓࠕࠗ㏵ୖᅜࡢࢽ࣮ࢬࢆᆅ᪉⮬἞య⫋ဨࡀ⌮ゎࡍࡿࡼ࠺࡟࡞ࡿ࠘ࠗ᪥ᮏࡢᆅᇦಖ೺⾨⏕⾜ᨻ⤒㦂ࢆఏ࠼ࡿࢶ࣮ࣝࢆసᡂࡍࡿ࠘
ࢆ┠ⓗ࡜ࡋࡓࣉࣟࢪ࢙ࢡࢺࠖ㸦᫖ᖺᗘᙜ◊✲⌜ሗ࿌᭩ཧ↷㸧ࡼࡾࠊᅜෆ࡛ྛ⮬἞యࡀཷࡅ
ධࢀ࡚࠸ࡿእᅜே◊ಟ࡟╔┠ࡋࡓࠋ◊ಟ࡟㛵ࢃࡿ⮬἞య⫋ဨࡢ㈨㉁ࢆྥୖࡍࡿࡇ࡜࡛ࠊࡇ
ࢀࡽࡢ◊ಟࢆຠᯝⓗ࡟ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡢ࡛ࡣ࡞࠸࠿ࠊࡲࡓ◊ಟࢆຠᯝⓗ࡟ᐇ᪋ࡍࡿࡇ࡜
ࡀ *+ ศ㔝࡬ࡢ㈉⊩ࡢ୍ᡭẁ࡜࡞ࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡓࠋࡇࢀࡽࢆ⫼ᬒ࡜ࡋ࡚ࠊᮏᖺᗘ
ࡣࢢ࣮ࣟࣂࣝ࡞どⅬࢆᣢࡗࡓேᮦ⫱ᡂࢆ࡝ࡢࡼ࠺࡟⾜࠺࠿ࠊຠᯝⓗ࡞እᅜேᐇ⩦࡟㈨ࡍࡿ
᪉ἲࡣఱ࠿ࢆᶍ⣴ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚άືࢆᒎ㛤ࡋࡓࠋ,,㸧᪉ἲ        

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    㸦◊✲⌜┠ᶆ㸯㸧௚ᅜࡢ◊ಟဨࡢཷࡅධࢀࢆ㏻ࡋ࡚ಖ೺⾜ᨻ⤒㦂ࡀᅜෆࡢಖ೺ᡤ⫋ဨ࡟ࡶඹ᭷ࡉࢀࠊウ㆟ࡉࢀࡿάື 㸬௚ᅜ࠿ࡽࡢ◊ಟࢆཷࡅධࢀࡓ஦౛ࡢ᳨ウάື 㸬᪥ᮏࡢᆅᇦಖ೺⤒㦂ࢆ௚ᅜ࡟♧ࡍࡇ࡜ࡀ࡛ࡁࡿ◊ಟ㈨ᩱࡢసᡂ࣭ᩚ⌮ձ ᅜ㝿◊ಟࢆከࡃᐇ᪋ࡋ࡚࠸ࡿ◊✲ᶵ㛵ࢆᑐ㇟࡜ࡋࡓㄪᰝ㸦㉁ၥ⣬ࡣ㈨ᩱ 㸧እᅜேࢆཷࡅධࢀ࡚ᅜ㝿◊ಟࢆከࡃᐇ᪋ࡋ࡚࠸ࡿᅜ❧ಖ೺་⒪⛉Ꮫ㝔㸦1,3+㸧ࠊ⤖᰾◊✲ᡤ㸦5,7㸧ࠊᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮㸦1&*0㸧ᅜ㝿༠ຊᒁ࡟ᑐࡋࠊ㉁ၥ⣬ㄪᰝࢆᐇ᪋ࡋ
ࡓࠋ㉁ၥ⣬ࡣࠊࠕᅜ㝿◊ಟᢸᙜ⪅ࠖ࡟࣓࣮ࣝ࡟࡚㏦௜ࡋࠊ౫㢗ࡋࡓࠋ㉁ၥෆᐜࡣࠊࠕ㹼 ᖺᗘࡢ  ᖺ㛫࡟⮬἞య࡟౫㢗ࡋࡓ◊ಟࡢヲ⣽࡟ࡘ࠸࡚ࠖࠕᅜෆࡢ⮬἞య࡟◊ಟࢆ౫㢗ࡍࡿ㝿ࡢⱞປࠖࠕ౫㢗ඛ⮬἞యࢆ㑅ࡪ࠺࠼࡛㔜どࡋ࡚࠸ࡿࡇ࡜ࠖࠕᅜෆࡢ⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟┒ࡾ㎸ࢇ࡛ḧࡋ࠸ෆᐜࠖࠕ⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟Ẽࢆࡘࡅ࡚ḧࡋ࠸ࡇ࡜ࠖࠕࡑࡢ௚࡛ࠖ࠶ࡿࠋࡲࡓࠊබ㛤ྍ⬟࡞ࡶࡢ࡟ࡘ࠸࡚ࠊ
ᐇ㝿࡟◊ಟ࡟౑⏝ࡋࡓࣃ࣮࣏࣡࢖ࣥࢺ㈨ᩱࢆ཰㞟ࡋࡓࠋ
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ղ -,&$ ᆅ᪉ࢭࣥࢱ࣮ࢆᑐ㇟࡜ࡋࡓㄪᰝ㸦㉁ၥ⣬ࡣ㈨ᩱ 㸧-,&$ ᆅ᪉ࢭࣥࢱ࣮ ࠿ᡤࡢ⮬἞య㐃ᦠᢸᙜ㒊⨫࡟ᑐࡋ㒑㏦࡟࡚㉁ၥ⣬ㄪᰝࢆᐇ᪋ࡋࠊ
 ᖺᗘ࠿ࡽ௧࿴ඖᖺᗘࡲ࡛ࡢ㛫࡟ࠊࡑࡢ -,&$ ᆅ᪉ࢭࣥࢱ࣮ࡀ㐃ᦠ➼ࡢ༠ᐃࢆ⤖ࢇ࡛࠸ࡿ⮬἞య࡛ࠊ-,&$ ࡀᐇ᪋ࡍࡿಖ೺࣭⾨⏕࣭་⒪ศ㔝ࡢ◊ಟࢆཷࡅධࢀࡓᐇ⦼ࡢ᭷↓ࠊ࠶ࡿሙྜ࡟ࡣ◊ಟෆᐜ࡜◊ಟᐇ᪋㸭ཷクᶵ㛵࡟ࡘ࠸࡚グ㍕ࢆ౫㢗ࡋࡓࠋάື 㸬௚ᅜࡢಖ೺ࢩࢫࢸ࣒ࢆᏛ࡭ࡿ㈨ᩱࡢసᡂ࣭ᩚ⌮⮬἞య࡛እᅜே◊ಟࢆཷࡅධࢀࡿ࡟㝿ࡋࠊཷࡅධࢀഃ⮬἞యࡢ⫋ဨ࡟࠶ࡽ࠿ࡌࡵ⌮ゎࡋ࡚࠾࠸࡚࡯ࡋ࠸ㅖእᅜࡢಖ೺ࢩࢫࢸ࣒࡟ࡘ࠸࡚ࠊ࢖ࣥࢱ࣮ࢿࢵࢺୖ࡛฼⏝ྍ⬟࡞᝟ሗࢆ཰
㞟ࡋࠊࡑࡢࡸࡾ᪉ࢆࣔࢹࣝ࡜ࡋ࡚ᥦ♧ࡋࡓࠋ࠶ࢃࡏ࡚ࠊ௦⾲ⓗ࡞ಖ೺ࢩࢫࢸ࣒ࡢ౛ࢆᩚ⌮ࡋࡓࠋ㸦◊✲⌜┠ᶆ 㸧ᅜ㝿ಖ೺ࡢ⌧ሙ⤒㦂ࢆ✚ࢇࡔ⫋ဨࡀ☜ಖࡉࢀࡿάື 㸬௚ᅜ࡟࠾࠸࡚ᅜ㝿ಖ೺ࡢ⤒㦂ࢆ✚ࢇࡔ஦౛ࡢ᳨ウձ ⮬἞యࢆᑐ㇟࡜ࡋࡓㄪᰝ㸦㉁ၥ⣬ࡣ㈨ᩱ 㸧㒔㐨ᗓ┴㸦㸧ࠊᣦᐃ㒔ᕷ㸦㸧ࠊᮾி㒔≉ู༊㸦㸧㸸ィ  ⮬἞యࡢ⾨⏕୺⟶㒊㸦ᒁ㸧࡟ᑐࡋࠊ㉁ၥ⣬ࢆ㒑㏦ࡋᅇ⟅ࢆ )$; ࡲࡓࡣ࣓࣮࡛ࣝ౫㢗ࡋࡓࠋ㉁ၥ⣬࡛ࡣࠕ ᖺᗘ࠿ࡽ௧࿴ඖᖺᗘࡲ࡛ࡢ㛫࡟ྛ⮬἞య⾨⏕୺⟶㒊㸦ᒁ㸧ࠊಖ೺ᡤࡢ⫋ဨࡀ᪥ᮏᅜእ࡛໅ົ➼ࢆ⾜ࡗࡓᐇ⦼ࡢ᭷↓ࠖࠊ࠶ࡿሙྜ࡟ࡣࠕࡑࢀࡒࢀࡢ౛࡟ࡘ࠸࡚⫋✀ࠊᮇ㛫ࠊᅜእ⁫ᅾ᫬ࡢ㌟ศࠊ
ᅜእ⁫ᅾࡢ┠ⓗࠖࠊࠕ⮬἞యࡲࡓࡣ㒊⨫࡜ࡋ࡚ࡢ࣓ࣜࢵࢺ࡜ࢹ࣓ࣜࢵࢺࠖ࡟ࡘ࠸࡚グ㍕ࢆ౫
㢗ࡋࡓࠋࡉࡽ࡟ࠊ⫋ဨࡀ᪥ᮏᅜእ࡛໅ົ➼ࢆ⾜ࡗࡓᐇ⦼ࡀ࠶ࡿ⮬἞యࡢ⫋ဨ㸦⩌㤿┴་ᖌࠊዉⰋ┴ಖ೺ᖌ㸧࡟ᑐࡋ࡚ࡢ⪺ࡁྲྀࡾㄪᰝࢆ௧࿴  ᖺ  ᭶࡟ᐇ᪋ணᐃ࡛࠶ࡗࡓࡀࠊ᪂ᆺࢥࣟ
ࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡛ྛ⮬἞యࡀከᛁ࡟࡞ࡗࡓࡓࡵࠊᘏᮇ࡜ࡋࡓࠋ
ղ -,&$ ᆅ᪉ࢭࣥࢱ࣮ࢆᑐ㇟࡜ࡋࡓㄪᰝ㸦άື ࠊ ࡢㄪᰝղ࡜ྠࡌ㉁ၥ⣬ㄪᰝ࡟࡚ᐇ
᪋㸧-,&$ ࡢᆅ᪉ࢭࣥࢱ࣮ ࠿ᡤࡢ⮬἞య㐃ᦠᢸᙜ㒊⨫࡟ᑐࡋࠊ㉁ၥ⣬ࢆ㒑㏦ࡋ࡚ㄪᰝࢆ౫
㢗ࡋࡓࠋ㉁ၥ⣬࡛ࡣࠕ ᖺᗘ࠿ࡽ௧࿴ඖᖺᗘࡲ࡛ࡢ㛫࡟ࠊࡑࡢ -,&$ ᆅ᪉ࢭࣥࢱ࣮࡜㐃ᦠ➼ࡢ༠ᐃࢆ⤖ࢇ࡛࠸ࡿ⮬἞య࡟໅ົࡋ࡚࠸ࡿ⫋ဨࡀࠊ-,&$ ࡀ᪥ᮏᅜእ࡛ᐇ᪋ࡍࡿ஦ᴗ➼ࡢࡓࡵ࡟᪥ᮏᅜእ࡛໅ົ➼ࢆ⾜ࡗࡓᐇ⦼ࡢ᭷↓ࠖࠊ࠶ࡿሙྜ࡟ࡣࠊࠕ⫋✀ࠊᮇ㛫ࠊ஦ᴗෆᐜࠖ
࡟ࡘ࠸࡚ࠊグ㍕ࢆ౫㢗ࡋࡓࠋ㸦◊✲⌜┠ᶆ 㸧ᅜෆࡢබ⾗⾨⏕་ᖌ⫱ᡂࣉࣟࢢ࣒ࣛ࡟ᅜ㝿ಖ೺ࡀ⤌ࡳ㎸ࡲࢀࡿάື 㸬ᅜ㝿ಖ೺ࢆྲྀࡾධࢀ࡚࠸ࡿ♫఍་Ꮫ⣔ᑓ㛛་ࣉࣟࢢ࣒ࣛࡢ᳨ウ ௧࿴ඖᖺ  ᭶  ᪥᫬Ⅼ࡛  ࠶ࡿ♫఍་Ꮫ⣔ᑓ㛛་ࣉࣟࢢ࣒ࣛࡢ࠺ࡕࠊᅜ㝿ಖ೺ࠊࢢࣟ
࣮ࣂࣝ࣊ࣝࢫࢆ᫂♧ࡋ࡚࠸ࡿ⚟ᓥ┴ࠊబ㈡┴ࡢ஧ࡘࡢࣉࣟࢢ࣒ࣛ࡟ࡘ࠸࡚ࠊᢸᙜ⪅࡟ࠊ㟁8 ヰࠊ࣓࣮ࣝ➼࡛ᅜ㝿ಖ೺ࠊᅜ㝿༠ຊ࡟ࡘ࠸࡚ᐇ᪋ࡋ࡚࠸ࡿ㡯┠ࠊෆᐜࠊᐇ⦼ࡢ↷఍ࢆ⾜ࡗࡓࠋࡲࡓࡑࡢࣉࣟࢢ࣒ࣛ࡟࠾ࡅࡿព⩏࡟ࡘ࠸࡚☜ㄆࡋࡓࠋάື 㸬බ⾗⾨⏕኱Ꮫ㝔࡜♫఍་Ꮫ⣔ᑓ㛛་ࣉࣟࢢ࣒ࣛࡢ㐃ᦠࡢヨ⾜ ᫖ᖺᗘࡲ࡛࡟ᐇ᪋ࡋࡓࠕᅜ㝿ಖ೺ࠖ࡟⯆࿡ࢆᣢࡘ་Ꮫ⏕࣭་ᖌࢆᑐ㇟࡟⾜ࡗࡓ♫఍་Ꮫ⣔ᑓ㛛་ࣉࣟࢢ࣒࣭ࣛබ⾗⾨⏕኱Ꮫ㝔࡬ࡢ㛵ᚰࢆ☜ㄆࡍࡿㄪᰝࡢ㝿࡟ࠊ⾜ᨻ་ᖌ࡜ࡋ࡚໅
ົࡋ࡞ࡀࡽබ⾗⾨⏕኱Ꮫ㝔♫఍ேࢥ࣮ࢫࢆᒚಟࡍࡿࡇ࡜࡛ࠊබ⾗⾨⏕ࡢᐇົ࡜⌮ㄽࢆಟࡵ࠿ࡘᅜ㝿ಖ೺ศ㔝ࡢᑓ㛛ᛶࢆ⋓ᚓࡍࡿࡇ࡜ࢆពᅗࡋࡓࣉࣟࢢ࣒ࣛ᱌ࢆ⟇ᐃࡋࡓࠋࡇࡢࣉࣟ
ࢢ࣒ࣛᐇ⌧ࡢྍ⬟ᛶࢆ᳨ウࡍࡿ┠ⓗ࡛㛗ᓮ┴ಖ೺⚟♴㒊࡜ࡢ༠㆟➼ࢆ௧࿴  ᖺ࡟ᐇ᪋ணᐃ
࡛࠶ࡗࡓࡀࠊ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡛ᙜヱ⮬἞యࡀከᛁ࡟࡞ࡗࡓࡓࡵࠊᘏᮇ࡜ࡋ
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άື 㸬௚ᅜ࠿ࡽࡢ◊ಟࢆཷࡅධࢀࡓ஦౛ࡢ᳨ウάື 㸬᪥ᮏࡢᆅᇦಖ೺⤒㦂ࢆ௚ᅜ࡟♧ࡍࡇ࡜ࡀ࡛ࡁࡿ◊ಟ㈨ᩱࡢసᡂ࣭ᩚ⌮ձ ᅜ㝿◊ಟࢆከࡃᐇ᪋ࡋ࡚࠸ࡿ◊✲ᶵ㛵ࢆᑐ㇟࡜ࡋࡓㄪᰝ⤖ᯝ㹼 ᖺᗘࡢ  ᖺ㛫࡟⮬἞య࡟౫㢗ࡋࡓ◊ಟࡢヲ⣽࡟ࡘ࠸࡚ࠊ ࡘࡢ◊✲ᶵ㛵࠿ࡽࡢᅇ⟅ࢆࡲ࡜ࡵࡓࡶࡢࢆ⾲  ࡟♧ࡍࠋࡲࡓࠕᅜෆࡢ⮬἞య࡟◊ಟࢆ౫㢗ࡍࡿ㝿ࡢⱞປࠖࠕ౫㢗ඛ⮬἞యࢆ㑅ࡪ࠺࠼࡛㔜どࡋ࡚࠸ࡿࡇ࡜ࠖࠕᅜෆࡢ⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟┒ࡾ㎸ࢇ࡛ḧࡋ࠸ෆᐜࠖࠕ⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟Ẽࢆࡘࡅ࡚ḧࡋ࠸ࡇ࡜ࠖ
ࠕࡑࡢ௚ࠖࡢ㉁ၥ࡟ᑐࡍࡿᅇ⟅ࢆ⾲  ࡟♧ࡍࠋᐇ㝿࡟ཷࡅධࢀ࡚࠸ࡿ⮬἞యࡣỴࡲࡗࡓ⮬἞యࡢࡇ࡜ࡀከࡃࠊᮾி㒔ࠊ኱㜰ᕷ࣭ᗓࠊ⁠㈡┴ࠊ㛗㔝┴ࠊᒾᡭ┴࡞࡝ࡀཷࡅධࢀࡿࡇ࡜ࡢከ࠸⮬἞య࡛࠶ࡗࡓࠋ㸦◊ಟ౫㢗ඛ⮬἞య➼ࡲ࡜ࡵ㸸ᮾி㒔  ௳ࠊ኱㜰ᕷෆྵࡴ኱㜰ᗓෆ  ௳ࠊ⁠㈡┴  ௳ࠊ㛗㔝┴  ௳ࠊᒾᡭ┴  ௳ࠊ᪂₲┴  ௳ࠊᶓ὾ᕷྵࡴ⚄ዉᕝ┴  ௳ࠊᮾᯇᓥᕷྵࡴᐑᇛ┴  ௳ࠊᓥ᰿┴ ௳ࠊᇸ⋢┴  ௳ࠊᒸᒣ┴  ௳ࠊዉⰋ┴  ௳ࠋࡑࡢ௚ࠊཌປ┬ࠊ1,3+ࠊ5,7ࠊឤᰁ⑕
◊✲ᡤࠊ೺ᗣಖ㝤㐃ྜࠊ┳ㆤ༠఍➼㸧ࠋ◊ಟࡢෆᐜࡣࠊࣘࢽࣂ࣮ࢧࣝ࣊ࣝࢫ࢝ࣂࣞࢵࢪࠊᣢ⥆ྍ⬟࡞㛤Ⓨ┠ᶆ㸦6'*㹱㸧࡞࡝ࡀከࡃࠊࡑࡢ௚ẕᏊಖ೺㛵㐃ࠊ་⒪ࢧ࣮ࣅࢫᙉ໬ࠊ་⒪ᚑ஦⪅ࡢ༞ᚋ◊ಟࠊ⤖᰾࡞࡝ࡶྲྀࡾ
ᢅࢃࢀ࡚࠸ࡓࠋ⮬἞య࠿ࡽࡣᢸᙜㄢ࠿ࡽࡢࢸ࣮࣐ࡈ࡜ࡢㅮ⩏ࡸࠊ೺デ࡞࡝ࡢぢᏛ࡜࠸ࡗࡓ
ᙧᘧ࡛◊ಟࡀᥦ౪ࡉࢀ࡚࠸ࡿࡼ࠺࡛࠶ࡗࡓࠋ
◊✲ᶵ㛵࠿ࡽ◊ಟࢆ౫㢗ࡋ࡚࠸ࡿ⮬἞యࡣࠊࡑࡢ◊✲ᶵ㛵࡜㛵ಀࡢ࠶ࡿேᮦࡀ࠸ࡿ⮬἞యࠊ㐣ཤࡢཷࡅධࢀᐇ⦼ࡀ࠶ࡿ⮬἞య࡜࠸࠺ࡇ࡜࡛㑅ᐃࡉࢀ࡚࠸ࡿࡇ࡜ࡀከࡃࠊ᪂つ㛤ᣅࡣᅔ㞴࡜ᛮࢃࢀ࡚࠸ࡓࠋ⮬἞య࠿ࡽࡣ㆟఍ᑐᛂ࡜㔜࡞ࡿ࡜ཷࡅධࢀ࡚ࡶࡽ࠼࡞࠸ࡇ࡜ࡀከ
ࡃࠊ᪥⛬ㄪᩚ࡟ⱞປࢆࡋ࡚࠸ࡿᵝᏊ࡛࠶ࡗࡓࠋ౫㢗ᐇ⦼ࡢ࠶ࡿ⮬἞య࡬ࡢ౫㢗࡟ࡣ≉࡟ᅔ㞴ࡀకࢃ࡞࠸ࡼ࠺࡛࠶ࡿࡀࠊᖖ࡟ᘬࡁཷࡅ࡚ࡶࡽࡗ࡚࠸ࡿ⮬἞య࡟ࡣ㈇ᢸࡀ࠿࠿ࡿ࡜࠸࠺
ࡇ࡜ࡀ༴᝹ࡉࢀ࡚࠸ࡓࠋ⮬἞యࢆ㑅ࡪ㝿࡟ࡣࠊࢸ࣮࣐ࡸෆᐜࠊ◊ಟ┠ⓗ࡟ྜ⮴ࡋࡓ◊ಟࡀ9 ࡛ࡁࡿ࠿࡝࠺࠿ࠊࡑࡢᆅᇦࡢṔྐⓗ࡞άືࣉࣟࢭࢫࡀཧ⪃࡟࡞ࡿ࠿࡝࠺࠿࡜࠸ࡗࡓෆᐜ࡟
㛵ࡍࡿࡇ࡜ࡢ࡯࠿ࠊࠕཷࡅ࡚ࡶࡽ࠼ࡿ࠿࡝࠺࠿ࠖࠕ஺㏻㈝➼ࡢண⟬ࠖࡀ㔜どࡉࢀ࡚࠸ࡓࠋ◊ಟ࡟┒ࡾ㎸ࢇ࡛ḧࡋ࠸ෆᐜ࡜ࡋ࡚ࡣࠕኻᩋ౛ࡶྵࡵࡓ⌧ᅾ࡟⮳ࡿࡲ࡛ࡢࣉࣟࢭࢫࠖࡸࠕࡑ
ࡢ⮬἞యࡢ≉Ⰽࠖ࡞࡝࡛࠶ࡾࠊࠗ᪥ᮏࡢಖ೺ᡤ࡜㏵ୖᅜࡢ࣊ࣝࢫࢭࣥࢱ࣮࡜ࡢ㐪࠸ࢆ㋃ࡲ
࠼ࡓ࠘ࠊ࡛ࡁࢀࡤࠗⱥㄒ࠘ࡢࠊ࣏ࠗ࢖ࣥࢺࢆ⤠ࡗࡓ࠘ࠊࠗ┠࡛ぢࡿࡇ࡜ࡢ࡛ࡁࡿ࠘◊ಟࡀồࡵࡽࢀ࡚࠸ࡓࠋࡲࡓࠊእᅜேࡣ✚ᴟⓗ࡟㉁ၥࢆࡍࡿࡢ࡛ࠊ㉁ၥ࡟⟅࠼ࡿ᫬㛫ࡸウ㆟ࡢ᫬㛫࡞࡝ࡶ┒ࡾ㎸ࢇ࡛ḧࡋ࠸࡜࠸࠺ᕼᮃࡶ࠶ࡗࡓࠋ
ࡑࢀࡒࢀࡢ◊✲ᶵ㛵࡛ࠊ᪥ᮏࡢಖ೺ࢩࢫࢸ࣒ᴫ␎࡟㛵ࡍࡿⱥㄒࡢࣃ࣮࣏࣡࢖ࣥࢺࡣసᡂ
ࡉࢀ࡚࠾ࡾࠊ⮬἞య࡛ࡢ◊ಟᐇ᪋๓࡟ࡑࢀࡽࢆ౑⏝ࡋ࡚ࡢㅮ⩏ࡀᐇ᪋ࡉࢀ࡚࠸ࡓࠋ
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10
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⾲  ᅜ㝿◊ಟࢆከࡃᐇ᪋ࡋ࡚࠸ࡿ◊✲ᶵ㛵ࢆᑐ㇟࡜ࡋࡓ㉁ၥ⣬ㄪᰝᅇ⟅ࡲ࡜ࡵ࠙ᅜෆࡢ⮬἞య࡟◊ಟࢆ౫㢗ࡍࡿ㝿ࡢⱞປࠚ
㸦1&*0㸧⦕ᨾࡀ࡞࠸ࠊ⤌⧊ⓗ࡞㛵ಀࡀ࡞࠸⮬἞య࡬ࡢ౫㢗࡟ࡘ࠸࡚ࡣࠊ࡝ࡢ⮬἞యࡶ᪥ᖖᴗົ࡛ከᛁ࡛࠶ࡾࠊ㆟఍ᑐᛂ࡜㔜࡞ࡿ࡞࡝ࠊ᪂つࡢ◊ಟඛ㛤ᣅ࡟ࡣ᫬㛫ࡀᚲせ࡜࡞ࡿࡇ࡜ࠋ௨๓ࡼࡾཷࡅ࡚ࡶࡽ
ࡗ࡚࠸ࡿ⮬἞య࡟ᘬࡁ⥆ࡁ౫㢗ࡍࡿࡇ࡜ࡀከࡃ࡞ࡾࠊࡑࡢ⮬἞య࡟
࠿ࡅࡿ㈇ᢸࡀᖺࠎቑࡋ࡚౫㢗ࢆ㌋㌉ࡍࡿࡇ࡜ࡶ࠶ࡿࠋ

㸦1,3+㸧㛗ᖺ౫㢗ᐇ⦼ࡢ࠶ࡿ⮬἞య࡜ࡣ❆ཱྀࡢࡸࡾ࡜ࡾࡣၥ㢟࡞࠸ࠋ㆟఍㛤ദ࡜㔜࡞ࡿ࡜ཷࡅ࡚ࡶࡽ࠼࡞࠸⮬἞యࡀከ࠸ࡢ࡛ࠊ◊ಟ᫬ᮇࡀ㆟఍࡜㔜࡞ࡿ࡜ⱞປࡋ࡚࠸ࡿࠋ᪂つࡢ◊ಟࡢ㝿ࡣࠊࡑࡢ◊ಟࡢࢺࣆࢵࢡ࡛ཷࡅධࢀ࡚ࡶࡽ࠼ࡑ࠺࡞⮬἞యࢆ◊ಟᢸᙜࡢࢿࢵࢺ࣡
࣮ࢡࢆά⏝ࡋ࡚࡝࠺࡟࠿᥈ࡍ࡜࠸࠺≧ἣ࡛ࠊ⥘Ώࡾ࡜ឤࡌࡿࡇ࡜ࡶ
᭷ࡿࠋ㸦5,7㸧᪥⛬ࡀ࠺ࡲࡃྜࢃ࡞࠸ࡇ࡜ࡀ࠶ࡿࠋ
࠙౫㢗ඛ⮬἞యࢆ㑅ࡪୖ࡛㔜どࡋ࡚࠸ࡿࡇ࡜ࠚ
㸦1&*0㸧ྛ⮬἞యᆅᇦᛶ࡟ᛂࡌࡓᆅᇦಖ೺άືࢆࡋ࡚࠸ࡿࡢ࡛ࠊ◊ಟෆᐜ࠾ࡼࡧᑐ㇟ᅜ࡛ࡢ◊ಟ┠ᶆ࡟ἢࡗ࡚Ṕྐⓗ࡞άືࣉࣟࢭࢫࡀ
᭱ࡶཧ⪃࡟࡞ࡿ⮬἞యࢆ㑅ᐃࡋ࡚࠸ࡿࠋࡋ࠿ࡋࠊࡲࡎࡣཷࡅ࡚ࡶࡽ
࠼ࡿྍ⬟ᛶࡀ㧗࠸࡜ࡇࢁࡀඃඛ࡜࡞ࡿࡢࡀ⌧ᐇࠋ
㸦1,3+㸧୍␒ࡣ◊ಟ┠ⓗࢆ⌮ゎࡋ࡚ࡶࡽ࠼ࡿ࠿ࠋࡑࡢ௚ࠊ⛣ື㊥㞳࡞࡝ࡀ◊ಟண⟬ࢆ㉸࠼࡞࠸࡜ࡇࢁ࠿࡝࠺࠿ࠋ

㸦5,7㸧⤖᰾ࡢ࣍ࢵࢺࢫ࣏ࢵࢺࢆ⤂௓ࡋࡓ࠸࡞࡝ࠊࢸ࣮࣐࡟ྜ⮴ࡋ࡚࠸ࡿ࠿࡝࠺࠿ࢆ㔜ど࠙ᅜෆࡢ⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟┒ࡾ㎸ࢇ࡛ḧࡋ࠸ෆᐜࠚ
㸦1&*0㸧⌧ᅾࡢࢩࢫࢸ࣒࡟⮳ࡿࡲ࡛ࡢ᫬௦᫬௦ࡢࣉࣟࢭࢫࠋᨻ⟇࡟࠾࠸࡚ࡢᡂຌ౛ࡶࡶࡕࢁࢇࡔࡀࠊኻᩋ౛㸦ᨻ⟇࡜ࡋ࡚ពᅗࡋࡓ࡜࠾
ࡾࡢ⤖ᯝ࡟⮳ࡽ࡞࠿ࡗࡓ౛㸧ࡶࡇࢀ࠿ࡽᨻ⟇ࢆసࡾୖࡆࡿẁ㝵࡟ࡣ኱ኚཧ⪃࡜࡞ࡿࠋ
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㸦1,3+㸧ᐇ㝿࡟ఱࢆࡋ࡚࠸ࡿ࠿࡜࠸࠺Ⅼ௨ୖ࡟ࠊ࡞ࡐࡑࡢ஦ᴗࢆᐇ
᪋ࡍࡿࡇ࡜࡟࡞ࡗࡓࡢ࠿ࠊࡑࡢ௙⤌ࡳࢆసࡾୖࡆࡿ㝿࡟࡝ࡢࡼ࠺࡟
㛵ಀᶵ㛵࡟ㄝ᫂ࢆࡋ࡚ࠊࡑࡢᆅᇦࡢ஦ᴗ࡜ࡋ࡚సࡾୖࡆ࡚࠸ࡗࡓࡢ
࠿࡞࡝ࡢࣉࣟࢭࢫࢆ┒ࡾ㎸ࢇ࡛ḧࡋ࠸ࠋ᭱⤊ⓗ࡟ࠊ⿕┈⪅࡟࡝ࡢࡼ࠺࡞ᜠᜨࢆᮇᚅࡋ࡚࠸ࡿࡢ࠿ࠊࡑࡢᜠᜨࡣᐇ㝿࡟࠶ࡗࡓࡢ࠿ࠊ┠ⓗࡸホ౯ࢆ┒ࡾ㎸ࢇ࡛ḧࡋ࠸ࠋࡇࢀࡽࡢ኱ࡁ࡞ᯟࢆ⌮ゎࡋ࡚࠿ࡽࠊ஦
ᴗࡢ⣽࠿࠸ᐇ᪋᪉ἲࢆᏛࡪ࡜࠸࠺ὶࢀ࡟ࡋ࡚ࡶࡽ࠼ࡿ࡜ࠊእᅜே◊ಟ⏕ࡣ࡞ࡐ᪥ᮏࡀࡑࡢࡸࡾ᪉ࢆࡋ࡚࠸ࡿࡢ࠿ࢆࠊ㡰␒࡛⌮ゎ࡛ࡁࡿࠋ㸦⮬἞య◊ಟ࡟⾜ࡃ๓࡟ࠊ᪥ᮏࡢබ⾗⾨⏕ࢩࢫࢸ࣒ࠊ་⒪ࢩࢫ
ࢸ࣒ࡢ඲యീࢆㅮ⩏ࡢ୰࡟ධࢀ࡚࠸ࡿࠋ⮬἞యゼၥࡢ㝿࡟ࡣࠊ஦๓
ㅮ⩏࡛ㄝ᫂ࡢ࠶ࡗࡓࡇࡢ㒊ศࢆぢ࡚࠸ࡲࡍ࡜࠸࠺ㄝ᫂ࢆ◊ಟᢸᙜࡀ
11
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᪥⛬㸦㆟఍࡜
㔜࡞ࡿ࡜㞴ࡋ࠸㸧᪂つ㛤ᣅࡢᅔ
㞴ࡉ

ࢸ࣮࣐࣭ෆ
ᐜࠊ◊ಟ┠
ⓗ࣭┠ᶆ࡟ྜ
⮴ࡋ࡚࠸ࡿ࠿࡝࠺࠿Ṕྐⓗ࡞άື
ࣉࣟࢭࢫࡀཧ
⪃࡟࡞ࡿ࠿
ཷࡅ࡚ࡶࡽ࠼
ࡿ࠿࡝࠺࠿
ண⟬⌧ᅾ࡟⮳ࡿࡲ
࡛ࡢࣉࣟࢭࢫ
ኻᩋ౛኱ࡁ࡞ᯟࢆ♧
ࡋ࡚࠿ࡽࠊ⣽
࠿࠸ᐇ᪋᪉ἲ
ࢆ⮬἞యࡢ≉Ⰽ

ࡋ࡚࠸ࡿ㸧㸦5,7㸧᪥ᮏ඲యࡢヰࡣࡋ࡚࠶ࡿࡢ࡛ࠊ⮬἞యࡢ≉Ⰽࢆ᪥ᮏ඲య࡜
ẚ㍑ࡍࡿᙧ࡛┒ࡾ㎸ࢇ࡛ḧࡋ࠸ࠋ࠙⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟Ẽࢆ௜ࡅ࡚࡯ࡋ࠸
ࡇ࡜ࠚ
1&*0 ヲ⣽࡞᝟ሗࡼࡾࡶࠊࡑࢀࡒࢀࡢ᪋⟇ࡢᵓ㐀ࠊ┠ⓗࠊ᪉ἲࠊఫ
Ẹ࡜ࡢ㛵ಀࢆ♧ࡍ᝟ሗࡢ᪉ࡀ◊ಟဨ࡟⌮ゎࡋࡸࡍ࠸ࠋ㈨ᩱࡣヲ⣽࡞ࢹ࣮ࢱࡸᩥ❶ࡼࡾࡶࠊ࣏࢖ࣥࢺࢆ⤠ࡗࡓ᭱ᑠ㝈ࡢᩥᏐ࡜࣏ࣥࢳ⏬ࡀᮃࡲࡋ࠸ࠋ
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㸦1,3+㸧㉁ၥࡀࡓࡃࡉࢇฟࡿࡢ࡛ࠊ᫬㛫ⓗవ⿱ࡀᚲせࠋ◊ಟ⏕ࡢᅜࡢ≧ἣ࡞࡝ࡶ㏫࡟㉁ၥࡋ࡚ࠊ◊ಟ⏕ࡓࡕࡀ᪥ᮏ࡜ẚ㍑ࡋ࡞ࡀࡽ⪃࠼ࡿ᫬㛫ࡶධࢀ࡚࡯ࡋ࠸ࠋ
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㸦5,7㸧ཷࡅධࢀ࡚ࡃࢀࡿࡔࡅ࡛࠶ࡾࡀࡓ࠸ࠋ◊ಟ⏕࠿ࡽࡣᗙᏛࡣ
ᑡ࡞ࡃࡋ࡚࡯ࡋ࠸ࠊᫎ෗ࡍࡿࢫࣛ࢖ࢻ࣭337 ࡣⱥㄒ࡟ࡋ࡚࡯ࡋ࠸࡜࠸࠺せᮃࡀ࠶ࡿࠋ᪥ᮏࡢಖ೺ᡤࡣ㏵ୖᅜࡢ࣊ࣝࢫࢭࣥࢱ࣮ࡣ㐪࠺㸦デ᩿἞⒪ࡣ⑓㝔࡛ࠊಖ೺ᡤࡣබ⾗⾨⏕ⓗ࡞ᴗົ࡛ᣦᑟ┘╩ࡀᴗົࡢ୰ᚰ࡜࠸ࡗࡓࡇ࡜㸧࡜࠸࠺ࡇ࡜ࢆ᭱ึ࡟ㄝ᫂ࡋ࡚ࡶࡽ࠺࡜ࠊࡑࡢ
ᚋࡢ⌮ゎࡀࢫ࣒࣮ࢬ࡟࡞ࡿࠋ
࠙ࡑࡢ௚ࠚ
1&*0 ⮬἞య࡛ࡢ◊ಟࡢ኱ࡁ࡞┠ⓗࡣࠊఫẸ࡜ࡢ㛵ࢃࡾࢆ᪋⟇ࡢ୰࡛࠸࠿࡟⾜ࢃࢀ࡚࠸ࡿࡢ࠿࡟ᑾࡁࡿࠋྛ⮬἞యࡢ≉ᚩ㸦ᆅ⌮ⓗࠊᩥ໬ⓗࠊṔྐⓗ㸧ࢆ⫼ᬒ࡜ࡋࡓࠊ⌧ᅾࡲ࡛ࡢࣉࣟࢭࢫࢆᥦ౪ࡋ࡚ࡶࡽ
࠼ࢀࡤ◊ಟᡂᯝ࡟኱ࡁ࡞㐪࠸ࡀ⌧ࢀࡿࠋᐇ㝿ࠊᆅ᪉࡜ゝࡗ࡚ࡶ⯒⿦㐨㊰ࡸ㟁Ẽࡀᘬ࠿ࢀ࡚࠸ࡿ≧ἣ࡛ࠊ◊ಟဨ࡟࡜ࡗ࡚࠸ࢃࡺࡿᆅ᪉ࡢឤぬࢆ࠶ࡲࡾឤࡌ࡚ࡶࡽ࠼࡞࠸ࡢࡀᐇ᝟ࠋ⌧ᅾࡢάືࡢࡳ࠿ࡽ࡛
ࡣࠊᆅ᪉࡛ࡢᕤኵࡀぢ࠼࡟ࡃ࠸㠃ࡶ࠶ࡿࡢ࡛ࠊ௒࡟⮳ࡿࣉࣟࢭࢫࡀ
࠶ࡗ࡚ࠊ௒ࡇࡢ≧ἣ࡟⮳ࡿ࡜࠸࠺ὶࢀࢆ↷఍ࡋ࡚ࡶࡽ࠼ࡿ࡜ࠊ◊ಟဨࡢ⌮ゎಁ㐍࡟ࡘ࡞ࡀࡿࠋ
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㸦1,3+㸧ఱ࠿ලయⓗ࡟┠࡛ぢࡿࡇ࡜ࡀ࡛ࡁࡿ஦᯶ࡀ࠶ࡿ࡜ࡼ࠸ࠋ◊ಟ඲యࡢὶࢀࡀ࠶ࡿࡢ࡛ࠊ⮬἞య࡛ࡢヰࡢෆᐜ࡟ࡘ࠸࡚ࡣ◊ಟ୺௵࡜ࡓࡃࡉࢇ᝟ሗ஺᥮ࢆࡋ࡚࡯ࡋ࠸ࠋ
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㸦5,7㸧ⱥㄒ࡛ㅮ⩏ࢆࡋ࡚࡯ࡋ࠸ࠋ㏻ヂࢆ௓ࡍࡿ࡜ࠊㅮ⩏᫬㛫ࡀ༙ศ࡟࡞ࡗ࡚ࡋࡲ࠺ࠋ
1&*0㸸ᅜ❧ᅜ㝿་⒪◊✲ࢭࣥࢱ࣮ᅜ㝿༠ຊᒁ
1,3+㸸ᅜ❧ಖ೺་⒪⛉Ꮫ㝔5,7㸸⤖᰾◊✲ᡤ
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ࡾࠊ࣏࢖ࣥࢺ
ࢆ⤠ࡗࡓ᝟ሗ㈨ᩱࡣࠊ᭱ప
㝈ࡢᩥᏐࠊ࣏
ࣥࢳ⏬ࠊⱥㄒ㉁ၥ࡟ᑐᛂ
◊ಟ⏕࡟ࡶ㉁ၥࡍࡿ᪥ᮏࡢಖ೺ᡤ
࡜㏵ୖᅜࡢ࣊
ࣝࢫࢭࣥࢱ࣮
࡜ࡢ㐪࠸ࢆ㋃
ࡲ࠼ࡿྛ⮬἞యࡢ≉
ᚩࢆ⫼ᬒ࡜ࡋ
ࡓࣉࣟࢭࢫࢆ
♧ࡍ┠࡛ぢࡿࡇ࡜
ࡀ࡛ࡁࡿ◊ಟ
◊ಟ඲యࡢὶ
ࢀࢆ㋃ࡲ࠼ࡓࡶࡢⱥㄒ࡛ղ -,&$ ᆅ᪉ࢭࣥࢱ࣮ࢆᑐ㇟࡜ࡋࡓㄪᰝ
௧࿴ඖᖺ  ᭶  ᪥᫬Ⅼ࡛  ࢭࣥࢱ࣮࠿ࡽᅇ⟅ࡀ࠶ࡾ㸦ᅇ཰⋡ 㸣㸧ࠊࢭࣥࢱ࣮ࡢఫᡤ
ᆅࡀ࠶ࡿ⮬἞య࡜ࡢ㐃ᦠ༠ᐃࡀ࠶ࡿ࡜ᅇ⟅ࡋࡓࡢࡣᮾ໭ࠊ୰ᅜࠊ஑ᕞࠊἈ⦖ࡢ  ࢭࣥࢱ࣮࡛࠶ࡗࡓࠋ」ᩘ⮬἞య࡛◊ಟࡀཷࡅධࢀࡽࢀ࡚࠾ࡾࠊࠕࣘࢽࣂ࣮ࢧࣝ࣊ࣝࢫ࢝ࣂࣞࢵࢪᨭ
᥼ࣉࣟࢢ࣒ࣛࠖࠕබ⾗⾨⏕άື࡟ࡼࡿẕᏊಖ೺ᙉ໬ࠖࠕᆅᇦಖ೺ࢩࢫࢸ࣒ᙉ໬࡟ࡼࡿឤᰁ⑕
ᑐ⟇ࠖࠕ࢚ࣅࢹࣥࢫ࡟ᇶ࡙ࡃබ⾗⾨⏕ィ⏬❧᱌ࠖࠕࣉࣛ࢖࣐ࣜ࣊ࣝࢫࢣ࢔ࡢࡓࡵࡢẕᏊಖ೺࣭ಖ೺⾜ᨻᙉ໬ࠖ➼ෆᐜࡣከᒱ࡟Ώࡗ࡚࠸ࡓࠋࡲࡓ◊ಟࡣࠊάື  ࡟ᚋ㏙ࡍࡿࠕⲡࡢ
᰿ᢏ⾡༠ຊࠖࡢࢫ࣮࣒࢟ࢆά⏝ࡋ࡚⾜ࢃࢀ࡚࠸ࡿ஦౛ࡀ࠶ࡗࡓࠋάື 㸬௚ᅜࡢಖ೺ࢩࢫࢸ࣒ࢆᏛ࡭ࡿ㈨ᩱࡢసᡂ࣭ᩚ⌮㸦ヲ⣽ࡣ㈨ᩱ 㸧࢖ࣥࢱ࣮ࢿࢵࢺࡢ᳨⣴ࢧ࢖ࢺ࡛ࠊ᳨⣴࣮࣮࢟࣡ࢻ࡟᪥ᮏㄒ࡛ࠕᅜྡ ಖ೺་⒪ࠖ࡜ධຊࡍࢀࡤࠊ㠀ᖖ࡟ከࡃࡢ᝟ሗࡀᚓࡽࢀࡿࠋࡓࡔࡋࠊ㜀ぴᅇᩘୖ఩࡟୪ࡪࡢࡣࠊ᪥ᮏேࡀᙜヱᅜ࡛་⒪ࢧ࣮ࣅࢫࢆ฼⏝ࡍࡿࡓࡵࡢ᝟ሗࢧ࢖ࢺ࡛࠶ࡿࡇ࡜ࡀከ࠸ࠋ⮬἞య࡛እᅜே◊ಟࢆཷࡅධࢀࡿ⫋ဨࡀ⌮ゎࡋ࡚࠾ࡃ࡭ࡁ࡞ࡢࡣࠊ◊ಟဨࡀᮏᅜᨻᗓ࡛࡝ࡢࡼ࠺࡞㒊⨫࡟ᡤᒓࡋ࡚ࠊ࡝ࡢࡼ࠺࡞ᴗົ࡟ᚑ஦ࡋ࡚࠸ࡿ࠿࡛࠶ࡿࠋࡇࡢ┠ⓗ࡟ࡣࠊ-,&$ ࡢಖ೺ࢭࢡࢱ࣮᝟ሗ཰
㞟࣭☜ㄆㄪᰝࡸࣉࣟࢪ࢙ࢡࢺࡢሗ࿌᭩ࢆ᥈ࡋ࡚ࠊヱᙜࡍࡿ❶ࢆ୍ㄞࡋ࡚ࡳࡿࡢࡀ᭱ࡶຠ⋡ⓗ࡛࠶ࡗࡓࠋࡑࢀࡽࡢሗ࿌᭩࡟ࡣసᡂᖺࡀྂ࠸ࡶࡢࡶྵࡲࢀࠊ⌧ᅾࡢᨻᗓ⤌⧊ࢆグ㏙ࡋ࡚࠸࡞࠸ྍ⬟ᛶࡶ࠶ࡿࠋࡑࡇ࡛ࠊ᳨⣴࣮࣮࢟࣡ࢻࢆⱥㄒ࡟ษࡾ᭰࠼࡚ࠕᅜྡ 0LQLVWU\RI+HDOWKࠖ࡜ධຊࡍࡿ࡜ࠊࡓ࡜࠼ṇᘧྡ⛠ࡀ 0LQLVWU\RI+HDOWK ࡛࡞࠿ࡗࡓ࡜ࡋ࡚ࡶࠊྛ
ᅜ࡛ಖ೺ࢆᢸᙜࡍࡿᐁᗇࡢබᘧ࣮࣒࣮࣍࣌ࢪࡀ᭱ୖ఩࡟⾲♧ࡉࢀࠊ᭱᪂ࡢ 2UJDQRJUDP㸦⤌⧊ᅗ㸧ࢆ☜ㄆࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋ ௚ᅜࡢಖ೺ࢩࢫࢸ࣒ࢆᏛࡪ㝿࡟␃ពࡍ࡭ࡁⅬࡣࠊ+HDOWKFHQWHU ࡜グ㍕ࡉࢀࡿ᪋タࡀ་⒪᪋タ࡛࠶ࡗ࡚ࠊ᪥ᮏࡢಖ೺ᡤ㸦3XEOLFKHDOWKFHQWHU ࡜ⱥヂࡉࢀࡿࡇ࡜ࡀከ࠸㸧࡜ࡣ␗࡞ࡿࡇ࡜࡛࠶ࡿࠋ౛࡜ࡋ࡚ࣃ࢟ࢫࢱࣥࡢಖ೺ࢩࢫࢸ࣒ࢆᣲࡆࡓࡀࠊಖ೺ᡤ࡟ヱᙜࡍࡿ⾜ᨻᶵ㛵ࡣᏑᅾࡏࡎࠊ་⒪᪋タࡀデ⒪άືࡢ࠿ࡓࢃࡽ⤖᰾ᑐ⟇ࡸ +,9 ┦ㄯ᳨࣭ᰝ࡞࡝ࡢබ⾗⾨⏕άືࢆ⾜࠺ࡇ࡜࡟࡞ࡗ࡚࠸ࡿࠋ୍᪉ࠊ࢘ࢬ࣋࢟ࢫࢱࣥࡢಖ೺ࢩࢫࢸ࣒࡟࠾࠸࡚ࡣࠊ་⒪ᶵ㛵ࡢ⣔⤫࡜ࡣู࡟ࠊ⾨⏕␿Ꮫࢭࣥࢱ࣮࡜࿧ࡤࢀࡿಖ೺ᶵ㛵ࡀタࡅࡽࢀ࡚࠾ࡾබ⾗⾨⏕άືࢆᢸࡗ࡚࠸ࡿࠋከࡃࡢᅜ࡛་⒪ᚑ஦⪅ᩘࡀ୙㊊ࡋ࡚࠾ࡾࠊᆅᇦ೫ᅾࡶ㢧ⴭ࡛࠶ࡿࡇ࡜࠿
ࡽࠊ㎰ᮧ㒊ࡢ୍ḟ་⒪ᶵ㛵࡟ࡣ་ᖌࡀ໅ົࡋ࡚࠸࡞࠸ሙྜࡶከ࠸ࠋࡇࡢⅬ࡛ࡶࠊデ⒪ᡤ࡟ࡣ⟶⌮⪅࡜ࡋ࡚ᚲࡎ་ᖌࡀ㓄⨨ࡉࢀ࡚࠸ࡿ᪥ᮏ࡜ࡣ஦᝟ࡀ኱ࡁࡃ␗࡞ࡗ࡚࠸ࡿࠋάື 㸬௚ᅜ࡟࠾࠸࡚ᅜ㝿ಖ೺ࡢ⤒㦂ࢆ✚ࢇࡔ஦౛ࡢ᳨ウձ ⮬἞యࢆᑐ㇟࡜ࡋࡓㄪᰝ
௧࿴ඖᖺ  ᭶  ᪥᫬Ⅼ࡛  ⮬἞య࠿ࡽᅇ⟅ࢆᚓࡓ㸦ᅇ཰⋡ 㸣㸧ࠋ⫋ဨ࡟᪥ᮏᅜእ࡛
ࡢ໅ົᐇ⦼ࡀ࠶ࡗࡓ⮬἞యࡣᒾᡭ┴ࠊ⩌㤿┴ࠊዉⰋ┴ࠊᓥ᰿┴ࠊ㤶ᕝ┴ࠊ௝ྎᕷࡢ  ⮬἞య࡛࠶ࡗࡓࠋᒾᡭ┴ࡣ᭷⤥ఇ⫋࡛་ᖌࡀࠊ⩌㤿┴࡛ࡣฟᙇ࡜ࡋ࡚་ᖌࡀࠊࡑࢀࡒࢀᅜእ࡛
13
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໅ົࡋ࡚࠸ࡓࠋ㤶ᕝ┴࡛ࡣࠊ-,&$ ⲡࡢ᰿ᢏ⾡༠ຊ࡛ࡢὴ㐵㸦ฟᙇᢅ࠸㸧࡛ࠊዉⰋ┴㸦ὴ㐵ἲ㐺⏝㸧ࠊᓥ᰿┴࠾ࡼࡧ௝ྎᕷ㸦࡜ࡶ࡟↓⤥ࡢ⮬ᕫၨⓎఇᴗ㸧ࡣ㟷ᖺᾏእ༠ຊ㝲࡬ࡢཧຍࡢᐇ⦼ࡀ࠶ࡗࡓࠋ
ղ -,&$ ᆅ᪉ࢭࣥࢱ࣮ࢆᑐ㇟࡜ࡋࡓㄪᰝ
-,&$ ᮾ໭ࢭࣥࢱ࣮࡜ᐑᇛ┴ᮾᯇᓥᕷࠊ-,&$ ᅄᅜࢭࣥࢱ࣮࡜㤶ᕝ┴ࠊ-,&$ ஑ᕞࢭࣥࢱ࣮
࡜⚟ᒸ┴໭஑ᕞᕷࡣࠊࡑࢀࡒࢀࠕⲡࡢ᰿ᢏ⾡༠ຊࠖࢆᐇ᪋ࡋ࡚࠾ࡾࠊ-,&$ ୰ᅜࢭࣥࢱ࣮
㸦㫽ྲྀ┴㸧࡜ -,&$ Ἀ⦖ࢭࣥࢱ࣮㸦Ἀ⦖┴㸧ࡣࠊࡑࢀࡒࢀ⮬἞య࡜ࡢ㐃ᦠ࡛㟷ᖺᾏእ༠ຊ
㝲࡬ࡢὴ㐵ࢆᐇ᪋ࡋ࡚࠸ࡓࠋάື 㸬ᅜ㝿ಖ೺ࢆྲྀࡾධࢀ࡚࠸ࡿ♫఍་Ꮫ⣔ᑓ㛛་ࣉࣟࢢ࣒ࣛࡢ᳨ウձ ⚟ᓥ┴
◊ಟィ⏬࣒࢝ࣜ࢟ࣗࣛෆ࡟ࠕᅜ㝿ಖ೺༠ຊ࡟㛵ࢃࡿேᮦ⫱ᡂ࡜ࡋ࡚ࡢᚲせ࡞ᢏ⾡࡜▱㆑ࡢྲྀᚓ୪ࡧ࡟ᾏእࣇ࢕࣮ࣝࢻ࡛ࡢಖ೺άືࡢᐇ㊶ࠖ࡜࠸࠺㡯┠ࡀタᐃࡉࢀ࡚࠸ࡿࠋ⚟ᓥ┴࡛ᑓᨷ་ࢆᕼᮃࡍࡿ⪅ࡀࠊࡇࡢ࣒࢝ࣜ࢟ࣗࣛࢆᕼᮃࡋࡓ᫬࡟ࡣࠊ┴❧་⛉኱Ꮫᡤᒓࡢᣦᑟ
་࡜ࡢ᳨ウ࡛ᰂ㌾࡟ᑐᛂࡍࡿィ⏬࡛࠶ࡿࡀࠊලయⓗ࡞ྲྀࡾ⤌ࡳࡣ⌧ᅾࡲ࡛⾜ࢃࢀ࡚࠸࡞࠸ࠋղ బ㈡┴
◊ಟࣉࣟࢢ࣒ࣛ⟶⌮ጤဨ࡟ᅜ㝿ಖ೺ࢆᑓ㛛࡜ࡍࡿ᪉ࡀ࠸ࡓࡓࡵ࡟グ㍕ࡉࢀࡓࡀࠊලయⓗ࡞ྲྀࡾ⤌ࡳࡣ⌧ᅾࡲ࡛⾜ࢃࢀ࡚࠸࡞࠸ࠋάື 㸬බ⾗⾨⏕኱Ꮫ㝔࡜♫఍་Ꮫ⣔ᑓ㛛་ࣉࣟࢢ࣒ࣛࡢ㐃ᦠࡢヨ⾜๓㏙ࡢ㏻ࡾࠊㄪᰝࢆணᐃࡋ࡚࠸ࡓ⮬἞యࡀࠊ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕ᑐᛂ࡛ᙜヱ⮬἞యࡀከᛁ࡟࡞ࡗࡓࡓࡵࠊᘏᮇ࡜ࡋࡓࠋ
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೺⾨⏕⾜ᨻࢆᏛࡧ࡟ࡸࡗ࡚ࡃࡿእᅜேࠖᑐ㇟ࡢ◊ಟ࡟ఱ࠿ᐤ୚࡛ࡁࡿࡇ࡜ࡣ࡞࠸ࡔࢁ࠺࠿
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ࡓࠋ᪥ᮏᅜෆ࡟࠾ࡅࡿබ⾗⾨⏕㛵㐃ࡢእᅜே◊ಟࡢከࡃࢆཷクࡋ࡚࠸ࡿ௦⾲ⓗ࡞  ࡘࡢ◊
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ᮏࡢಖ೺་⒪ࢩࢫࢸ࣒ᴫ␎࡞࡝⥲ㄽⓗ࡞ࡇ࡜ࡣࠊྛᶵ㛵࡛ㅮ⩏ࡉࢀ࡚࠿ࡽ⮬἞య࡟⾜ࡗ࡚࠸ࡿࡼ࠺࡛࠶ࡿࠋ◊ಟཷࡅධࢀ࡟࠶ࡓࡾ⮬἞యഃ࡬せᮃࡍࡿࡇ࡜ࡶ࠸ࡃࡘ࠿ᣲࡆࡽࢀ࡚࠸
ࡓࠋࡋ࠿ࡋ⮬἞యࡢ⌧ሙ࡛ࡣࠊ༑ศ࡞‽ഛࢆࡋ࡚◊ಟ࡟⮫ࡴࡇ࡜ࡣ᫬㛫ⓗ࡟࡞࠿࡞࠿㞴ࡋࡃࠊࡲࡓ㛤Ⓨ㏵ୖᅜࡢ஦᝟ࡸ᪥ᮏ࡜௚ᅜࡢ㐪࠸࡞࡝ࢆᇶ♏▱㆑࡜ࡋ࡚㋃ࡲ࠼࡚࠾࠿࡞ࡅࢀ
ࡤࠊእᅜேഃࡶ⌮ゎࡍࡿࡇ࡜ࡀ㞴ࡋ࠸࡜ᛮࢃࢀࡿࠋ࡝ࡢ⮬἞యࡀ◊ಟࢆཷクࡍࡿ࡜ࡋ࡚ࡶࠊ
ᢸᙜࡀㄡ࡛࠶ࡿ࡜ࡋ࡚ࡶࠊ◊ಟࢆຠᯝⓗ࡞ࡶࡢ࡟ࡍࡿࡓࡵ࡟᭱ప㝈▱ࡗ࡚࠾ࡁࡓ࠸ඹ㏻஦
㡯ࡀ࠶ࡿ࡜࠸࠺ࡇ࡜ࡀࠊ௒ᅇࡢㄪᰝ࡛᫂☜࡜࡞ࡗࡓࠋ༙㠃ࠊࡑࡢᆅᇦ⊂≉ࡢṔྐࡸ᪋⟇࡞࡝ࡶᥦ౪ࡋ࡚ࡶࡽ࠸ࡓ࠸◊ಟෆᐜ࡛࠶ࡾࠊྛᆅᇦㅮ⩏㈨ᩱࢆ⏝ពࡋ࡚࠾ࡁࡓ࠸࡜ࡇࢁ࡛࠶
ࡿࠋ ࡇࢀࡽࡢෆᐜࢆ㋃ࡲ࠼࡚ࠊᙜ◊✲⌜࡛ࡣࠊḟࡢࡼ࠺࡞ෆᐜࡢࠕእᅜே◊ಟࢆཷࡅධࢀࡿ
⮬἞య⫋ဨࡢࡓࡵࡢ࣏࢖ࣥࢺ㞟ࠖࡀ࠶ࢀࡤࠊ⮬἞య࡟࠾ࡅࡿ◊ಟࡀࡼࡾຠᯝⓗ࡟࡞ࡾࠊࡦ
࠸࡚ࡣ㛤Ⓨ㏵ୖᅜ࡟㈉⊩࡛ࡁࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼࡚࠸ࡿࠋḟᖺᗘ࡟ࡣࠊእᅜே◊ಟཷࡅධࢀࡢ㝿࡟౑࠼ࡿࠊ⡆༢࡞ㄞࡳ≀࡜ࡋ࡚ࡢ࣏࢖ࣥࢺ㞟ࢆసᡂࡍࡿணᐃ࡛࠶ࡿࠋ
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ࡁࡓࡀࠊእᅜ࡟ᐇ㝿࡟⾜ࡃࡇ࡜࡛Ꮫ࡭ࡿࡇ࡜ࡶከࡃࠊࡲࡓᅜእ࡛ᚓࡓ⤒㦂ࡸ▱㆑ࢆᖐᅜᚋ
࡟⾜ᨻ࡛ࡢάື࡟ά࠿ࡏࡿ࡜࠸࠺࣓ࣜࢵࢺࡶከ࠸ࡢ࡛ࡣ࡞࠸ࡔࢁ࠺࠿ࠋࡑࡢ௬ㄝࡢࡶ࡜࡟ࠊ
⮬἞య࠿ࡽ᪥ᮏᅜእ࡬ࡢ⫋ဨࡢὴ㐵➼஦౛࡟㛵ࡍࡿㄪᰝࡶᐇ᪋ࡋࡓࠋ᪥ᮏேࡀప୰ᡤᚓᅜ
ࡢᐇ≧ࢆ▱ࡾࠊࡲࡓᵝࠎ࡞άືࢆヨࡳࡿࡇ࡜ࡀ࡛ࡁࡿ㟷ᖺᾏእ༠ຊ㝲࡬ࡢཧຍ஦౛ࢆ☜ㄆࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋ⮬἞య࡟ᡤᒓࡋࡘࡘཧຍࡍࡿሙྜࠊࡑࡢᙧែࡢከࡃࡣ↓⤥࡛࠶ࡗࡓࠋ
≉グࡍ࡭ࡁࡣࠊ⮬἞యࡀ୺࡟་ᖌࡢὴ㐵ࢆᾏእ࡟⾜ࡗ࡚࠸ࡿ஦౛ࠊࡲࡓࠕⲡࡢ᰿ᢏ⾡༠ຊࠖ
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஦ᴗࢆ -,&$ ࡜ࡢ㐃ᦠࡢࡶ࡜࡛⾜ࡗ࡚࠸ࡿ஦౛ࢆ☜ㄆ࡛ࡁࡓࡇ࡜࡛࠶ࡗࡓࠋࡇࢀࡽࡢ஦౛
࡟ࡘ࠸࡚ࠊྛ⮬἞య࡟࡜ࡗ࡚ࡢព⩏ࢆ☜ㄆࡋ㞟⣙ࡍࡿࡇ࡜࡟ࡼࡗ࡚ࠊᾏእ࡛ࡢ⤒㦂ࡀ࡝ࡢࡼ࠺࡟ᅜෆ࡟㑏ඖࡉࡏࡿࡇ࡜ࡀ࡛ࡁࡿࡢ࠿ࢆⓎಙࡍࡿࡇ࡜ࡀ㔜せ࡜⪃࠼ࡓࠋ
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࠙ࠚ௒ᖺᗘᐇ᪋ࡋࡓㄪᰝ⤖ᯝࢆཧ⪃࡟ࡋ࡚ࠊ⮬἞యࡀእᅜே◊ಟࢆཷࡅධࢀࡿ㝿࡟౑࠼ࡿእᅜேྥࡅㅮ⩏ࡢ࣏࢖ࣥࢺ㞟ࢆసᡂࡍࡿࠋࡲࡓ௚ࡢ◊✲⌜㸦ࠕࢺࣚࢱ㈈ᅋᅜ㝿◊✲ຓᡂࠕᡓᚋ᪥ᮏࡢ೺ᗣㄢ㢟ᨵၿࡢ㐨➽࡟ࡘ࠸࡚ୡ௦࣭ᅜቃࢆ㉺࠼࡚ఏᢎࡍࡿேᮦ⫱ᡂࢶ࣮ࣝࡢ
㛤Ⓨࠖ୺௵◊✲⪅ 㔝ᮧ┿฼㤶ࠖ࡟༠ຊࡋ࡚ࠊ᪥ᮏࡢಖ೺ࢩࢫࢸ࣒ࢆໟᣓⓗ࡟⤂௓ࡍࡿࣃ࣮࣏࣡࢖ࣥࢺ㞟ࡢసᡂ࡟㈉⊩ࡍࡿࠋ࠙ࠚ⮬἞యࡀ⫋ဨࢆᾏእ࡟ὴ㐵ࡋ࡚࠸ࡿ஦౛ࠊⲡࡢ᰿ᢏ⾡༠ຊࢆᐇ᪋ࡋ࡚࠸ࡿ஦౛➼࠿ࡽࠊᾏእ⤒㦂ࢆᅜෆ࡟㑏ඖࡉࡏࡿ᪉ἲࠊࡲࡓࡑࡢ฼Ⅼ࡟ࡘ࠸࡚㞟⣙ࡋⓎಙࡍࡿࡇ࡜ࢆ⾜࠺ࠋࡲࡓ㟷ᖺᾏእ༠ຊ㝲࡬ࡢཧຍࡢ㝿࡟ࠊ⾜ᨻ⤌⧊࡟ᅾ⡠ࡋ࡚࠸ࡿ࠿㞳⫋ࡋࡓ࠿ࠊࡑࢀࡒࢀࡢ
ሙྜ࡛⾜ᨻࡢഃ࡟࡝ࡢࡼ࠺࡞ㄢ㢟ࡀ࠶ࡿ࠿ࢆグ㏙ࡍࡿࡇ࡜࡛ࠊᅜෆእ཮᪉ྥᛶࢆࡶࡗࡓே
ᮦ⫱ᡂࡢ᪉ἲ➼࡟ࡘ࠸᳨࡚ウࢆࡍࡿࠋ
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⾲  ◊✲ᶵ㛵࠿ࡽࡢእᅜே◊ಟὴ㐵ඛヲ⣽㸬 ◊✲ᶵ㛵࠶࡚㉁ၥ⣬㸬 -,&$ ᆅ᪉ࢭࣥࢱ࣮࠶࡚㉁ၥ⣬㸬 ⮬἞య࠶࡚㉁ၥ⣬㸬 άື ௚ᅜࡢಖ೺ࢩࢫࢸ࣒ࢆᏛ࡭ࡿ㈨ᩱࡢసᡂ࣭ᩚ⌮ヲ⣽㈨ᩱࠕ௚ᅜࡢಖ೺ࢩࢫࢸ
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⾲㸯◊✲ᶵ㛵࠿ࡽࡢእᅜே◊ಟὴ㐵ඛヲ⣽
◊ಟྡ

◊ಟ඲య
ࡢᮇ㛫

JICAࠕಖ೺⾨⏕

2019 ᖺ 5

⟶⌮◊ಟࠖ

㹼6 ᭶

◊ಟ౫㢗ඛ
⁠㈡┴

⮬἞య◊ಟᶵ㛵ྡࡑࡢ⮬἞యࢆ㑅ᐃࡋࡓ⌮⏤ࠊ⮬἞య◊ಟෆᐜ

ࡑࡢ௚┴ಖ೺ᡤㅮ⩏ཬࡧ᪋タぢᏛz㐣ཤ 5㹼6 ᖺཷࡅධࢀᐇ⦼ࡀ࠶ࡗࡓ

ᕷ⏫ᮧಖ೺ࢭࣥࢱ࣮

࣭ஙᗂඣ೺デzẖᖺ⁠㈡┴࡟ཷࡅධࢀ࡚ࡶࡽࡗ࡚

ᆅ᪉⾨⏕◊✲ᡤ࣭ぶᏊࢧࣟࣥ

࠸ࡿࡀࠊࡑࡢ㒔ᗘሙᡤࢆኚ࠼࡚ゼၥᕷ❧⑓㝔࣭ࣇࣞ࢖ࣝண㜵ᩍᐊࡋ࡚࠸ࡿࠋࣉࣟࢢ࣒ࣛࡶẖᖺྠࡌ࡜ᆅᇦໟᣓࢭࣥࢱ࣮

࣭⑓㝔ෆ་⒪Ᏻ඲ࡸឤᰁ⟶⌮ࠊᆅᇦ㐃ᦠ࠸࠺ࢃࡅ࡛ࡣ࡞࠸ࠋ

࣭་⒪ࢣ࢔ඣࡢࢣ࢔
(࣭⁠㈡┴⾨⏕⛉Ꮫࢭࣥࢱ࣮

࣭ಖ೺ᡤ࡟࠾ࡅࡿ㞴⑓ᨭ᥼ࠊṑ⛉ಖ೺ᑐ࣭኱ὠᕷ࿴∞೺ࡸ࠿ࢭࣥࢱ࣮

⟇࣭ᙪ᰿ᕷࡃࡍࡢࡁࢭࣥࢱ࣮
࣭ᙪ᰿ᕷ❧⑓㝔࣭ከ㈡⏫ಖ೺ࢭࣥࢱ࣮
࣭ᆅᇦໟᣓࢫࢸ࣮ࢩࣙࣥ
࣭ᙪ᰿ಖ೺ᡤ)࢝ࣥ࣎ࢪ࢔ᅜู

2014 ᖺ 4㒔ಖ೺⚟♴ᒁ་⒪ᨻ⟇㒊㒔ࡢ࿘⏘ᮇ་⒪యไ

࢔ࢡࢭࢫ࿘⏘ᮇ་⒪ࢩࢫ

᭶ 15㹼25ᮾிᾘ㜵ᗇ⥲ົㄢ஺㝿ᴗົಀ⅏ᐖᩆᛴ᝟ሗࢭࣥࢱ࣮࣭ᩆᛴ┦ㄯࢭࣥࢱ

㒔ࡼࡾ⤂௓

ࢸ࣒◊ಟ

᪥

∵㎸ಖ೺ࢭࣥࢱ࣮

࣮࡟ࡘ࠸࡚
どᐹ

㒔ࡼࡾ⤂௓

ᡓ␎ⓗ࣐ࢿࢪ࣓

5 ᭶ 7㹼

┴⚟♴ಖ೺㒊

┴ಖ೺⾜ᨻ࡟ࡘ࠸࡚

㛵ಀ⪅࠿ࡽࡢ⤂௓ࣥࢺ㸦ࢥࣥࢦẸ

27 ᪥ぢ㝃ᕷ೺ᗣ⚟♴ㄢᕷಖ೺⾜ᨻ࡟ࡘ࠸࡚

┴࠿ࡽࡢ⤂௓

㛗ᒸಖ೺ᡤಖ೺ᡤ࡟ࡘ࠸࡚

┴࠿ࡽࡢ⤂௓

ᮾி㒔༡᪂ᐟ᳨ᰝ࣭┦ㄯᐊどᐹ㛵ಀ⪅࠿ࡽࡢ⤂௓㛗㔝┴బஂᕷ೺ᗣ࡙ࡃࡾ᥎㐍ㄢᕷಖ೺⾜ᨻ࡟࠾ࡅࡿᆅᇦ་⒪㐃ᦠ㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾ

ᮾி㒔

᪂₲┴

ಖ೺┬ḟᐁ㢳ၥCP ◊ಟ㸧
ᅜู◊ಟ㸦ࢨࣥ

4 ᭶ 13㹼

ࣅ࢔㸧ࠕHIV/࢚19 ᪥࢖ࢬࢣ࢔ࢧ࣮ࣅ
ࢫࠖ࣋ࢺࢼ࣒ࠕ໭す6 ᭶ 16㹼㒊┬་⒪ࢧ࣮ࣅ

28 ᪥どᐹࢫᙉ໬ࣉࣟࢪ࢙

ᕝୖᮧデ⒪ᡤ

ࢡࢺࠖCP ◊ಟᕝୖᮧಖ೺⚟♴ㄢࣛ࢜ࢫᅜูࠕᅜ

5/11~5/1ཌ⏕ປാ┬ᐙヨ㦂චチไᗘ

5⚄ዉᕝ┴బஂᕷࡼࡾ⤂௓་ᨻᒁ┳ㆤㄢ

┳ㆤᖌᅜᐙヨ㦂චチไᗘ㛵ಀ⪅࠿ࡽࡢ⤂௓ཬࡧ┳ㆤᩍ⫱ࡢ┴ಖ೺⚟♴ᒁಖ೺་⒪㒊ಖ೺ே┳ㆤᩍ⫱ࡢ㉁ࢆಖドࡍࡿࡓࡵࡢไᗘ

㛵ಀ⪅࠿ࡽࡢ⤂௓㉁ಖドࠖᮦ໬་ᨻᒁᆅᇦ་⒪ィ⏬ㄢ୺ᰝ᪥ᮏࡢᆅᇦ་⒪ィ⏬

ཌປ┬ᅜ㝿ㄢ࠿ࡽࡢ⤂௓

ᆅᇦ་⒪ᨭ᥼➨୍ࢢ࣮ࣝࣉ

┴ಖ೺⾜ᨻ࡟࠾ࡅࡿᆅᇦ་⒪㐃ᦠ㛵ಀ⪅࠿ࡽࡢ⤂௓ᅜẸ೺ᗣಖ㝤ࡢ㐠⏝㸸ᐇ㝿ࠊㄢ㢟ࠊᑐ⟇ᮾᯇᓥᕷ࡜༠ᐃ᭷ࡾ

࣋ࢺࢼ࣒ᅜู

10/5~10/ཌ⏕ປാ┬ࠕ໭す㒊┬་⒪16ᓥ᰿┴ࢧ࣮ࣅࢫᙉ໬ࣉ
ࣟࢪ࢙ࢡࢺࠖ

㞼༡ᕷ೺ᗣ⚟♴㒊ࢣ ࢽ ࢔ ᅜ ู

1/18~1/2

ᐑᇛ┴ᮾᯇ

ࠕUHCࠖ

2

ᓥᕷ

ᕷẸ⏕ά㒊ᕷẸㄢᕷ⏫ᮧ࡟࠾ࡅࡿಖ೺ィ⏬࡜ண⟬ࡢ⟇ᐃಖ೺⚟♴㒊೺ᗣ᥎㐍ㄢࡢᐇ㝿ఫẸ࡬ࡢಖ೺ࢧ࣮ࣅࢫᥦ౪࡟࠾ࡅࡿᕷ

ࢥࣥࢦẸᅜู◊1/25~2/1ᒾᡭ┴ಟࠕᡓ␎ⓗ࣐ࢿ

ಖ೺⚟♴㒊Ꮚ⫱࡚ᨭ᥼ㄢ⏫ᮧࡢᙺ๭⎔ቃಖ೺◊✲ࢭࣥࢱ࣮どᐹ㛵ಀ⪅࠿ࡽࡢ⤂௓኱⯪Ώಖ೺ࢭࣥࢱ࣮

ಖ೺ᡤ࡟࠾ࡅࡿࢧ࣮࣋࢖ࣛࣥࢫ

ཌປ┬ᅜ㝿ㄢ࠿ࡽࡢ⤂௓ࢪ࣓ࣥࢺࠖཌປ⾜ᨻ࡟࠾ࡅࡿᡓ␎ⓗ࣐ࢿࢪ࣓ࣥࢺ
ཌ⏕ປാ┬

ປാᇶ‽ᒁ

༡㨶἟ಖ೺ᡤㄝ࣭᫂ぢᏛ㛵ಀ⪅࠿ࡽࡢ⤂௓་ᨻᒁᆅᇦ་⒪ㄢ

᪥ᮏࡢᆅᇦ་⒪ィ⏬

ཌປ┬ᅜ㝿ㄢ࠿ࡽ⤂௓┴ᆅᇦ་⒪ᨭ᥼ㄢ

┴ಖ೺⾜ᨻ࡟࠾ࡅࡿᆅᇦ་⒪㐃ᦠ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

᪂₲┴༡㨶἟ᆅᇦ᣺⯆ᒁ࣋ࢺࢼ࣒ࠕ໭す㒊┬་⒪ࢧ࣮ࣅ
ࢫᙉ໬ࣉࣟࢪ࢙

6/13~24

ཌ⏕ປാ┬
ᓥ᰿┴

ࢡࢺ◊ಟࠖ

ᆅᇦ་⒪⾜ᨻࡢᙺ๭࡜ᐇ᪋
㞼༡ᕷ೺ᗣ⚟♴㒊೺ᗣ᥎㐍ㄢ
17

 

ࢨ ࣥ ࣅ ࢔ ᅜ

6/13~24

UHC 㐩ᡂ࡟࠾

NIPH

ᆅᇦಖ೺ேᮦࡢ⫱ᡂ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

RIT⤖᰾ᑐ⟇ࡢᆅᇦ㐃ᦠࠊᢏ⾡ᨭ᥼஦ᴗ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ࡅࡿ᪥ᮏࡢ⤒㦂኱㒔ᕷ࡟࠾ࡅࡿᆅ᪉⾨⏕◊✲ᡤ࡜ࡋ࡚ᮾி㒔೺ᗣᏳ඲◊✲ࢭࣥࢱ࣮ࡢᙺ๭࣭ᶵ⬟

㛵ಀ⪅࠿ࡽࡢ⤂௓㒔ᕷ㒊࡟࠾ࡅࡿಖ೺ࢭࣥࢱ࣮஦ᴗ㸦ẕᏊ᪂ᐟ༊∵㎸ಖ೺ࢭࣥࢱ࣮

ಖ೺୰ᚰ㸧㛵ಀ⪅࠿ࡽࡢ⤂௓ࢧ࣮࣋࢖ࣛࣥࢫయไࠊ㞟ᅋὶ⾜࡬ࡢᑐᛂࢥࣥࢦᅜูࠕᡓ

9/12~16ឤᰁ⑕◊✲㈋ᅔᆅᇦࡢ⚟♴άືᡤ೺ᗣ࡙ࡃࡾ㸦㧗⾑ᅽண㜵㸧ࠊࡀࢇ᳨デ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ኱㜰ᕷ㧗ᵳᕷ⚟♴ᒁ⮬❧ᨭ᥼ㄢ᪥ᮏࡢබ⾗⾨⏕࡜⁠㈡┴ࡢṑ⛉ಖ೺ࠊ⇃㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ᕷ೺ᗣ⚟♴㒊ಖ೺ᡤ

ᮏᆅ㟈᫬ࡢࡅࡿබ⾗⾨⏕ᨭ᥼㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

⁠㈡┴೺ᗣ་⒪⚟♴㒊᪂₲┴┴೺ᗣ⚟♴㒊

␎ⓗ࣐ࢿࢪ࣓ࣥ

㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ឤᰁ⑕Ⓨ⏕ືྥㄪᰝᴫせ㸦┴㸧㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ឤᰁ⑕Ⓨ⏕ືྥㄪᰝᴫせ㸦ಖ೺ᡤ㸧ࢺࠖ୕᮲ᆅᇦ᣺⯆ᒁ

ឤᰁ⑕Ⓨ⏕ືྥㄪᰝᴫせ㸦⑓ཎయࢧ࣮࣋
࢖ࣛࣥࢫ㸧┴ಖ೺⎔ቃ⛉Ꮫ◊✲ᡤࣔࣥࢦࣝᅜู

10/25~11ࠕ་⒪ᚑ஦⪅ࡢ/1ᒾᡭ┴┴ᗇಖ೺⚟♴㒊᪥ᮏࡢᑓ㛛་ไᗘ

㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ཌ⏕ປാ┬㞀ᐖ࣭᥼ㆤᒁ

᪥ᮏࡢ㞀ࡀ࠸⪅࡞࡝࡬ࡢ⚟♴ไᗘ࡟ࡘཌປ┬ᅜ㝿ㄢ࠿ࡽࡢ⤂௓༞ᚋ◊ಟࠖࢭࢿ࢞ࣝᅜู

10/24~28

UHC ᨭ᥼ࣉࣟ

೺ᗣಖ㝤⤌

࠸࡚

ࢢ࣒ࣛ◊ಟ

ྜ㐃ྜ఍

᪥ᮏࡢᅜẸⓙಖ㝤ไᗘࡀ࠸࠿࡟Ẹ㛫་ᮾᯇᓥᕷ⒪ࢧ࣮ࣅࢫᥦ౪⪅ࢆྲྀࡾ㎸ࢇ࡛ࡁࡓࡢ

㛵ಀ⪅࠿ࡽࡢ⤂௓࠿೺ᗣ᥎㐍ㄢఫẸ࡬ࡢಖ೺ࢧ࣮ࣅࢫᥦ౪⪅࡟࠾ࡅࡿ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ᕷ⏫ᮧࡢᙺ๭
ᕷẸㄢಖ೺ᖺ㔠⌜ᕷ⏫ᮧ࡟࠾ࡅࡿಖ೺ィ⏬࡜ண⟬ࡢ⟇ᐃ⏕άಖㆤไᗘᴫせᐑᇛ┴ᅜẸ⚟♴ㄢ⏕άಖㆤ⌜ᅜಖࡢ㐠⏝࡟࠾ࡅࡿㄢ㢟࡜ᑐ⟇

೺ᗣಖ㝤ᅋ

཰⣡ᑐ⟇ㄢ

ᑂᰝᨭᡶᴗົ࡟ࡘ࠸࡚

་ᨻᒁ┳ㆤ⛉

᪥ᮏࡢ┳ㆤ⾜ᨻ࡜┳ㆤேᮦ⫱ᡂ/ ᪥ᮏࡢయ㐃ྜ఍㛵ಀ⪅࠿ࡽ⤂௓࣋ࢺࢼ࣒ࠕ᪂༞

10/31~11┳ㆤᖌࡢࡓࡵࡢ

/11

ཌ⏕ປാ┬

㛵ಀ⪅࠿ࡽࡢ⤂௓᪂ே┳ㆤ⫋ဨ◊ಟไᗘࡢᴫせ࡜㐠⏝⮫ᗋ◊ಟ࢝ࣜ࢟

⚄ዉᕝ┴┳┳ㆤ༠఍ࡢᐇ᪋ࡍࡿ᪂ே┳ㆤ⫋ဨ◊࣒ࣗࣛ㛤Ⓨࠖ

ㆤ༠఍ಟ࣭᪂ே┳ㆤ⫋ဨ◊ಟ࡟࠾ࡅࡿ◊ಟ㈐௵

㛵ಀ⪅࠿ࡽࡢ⤂௓⪅࣭ᩍ⫱ᢸᙜ⪅◊ಟࢭࢿ࢞ࣝᅜูẕ

11/21~12

Ꮚಖ೺ᨵၿ

/4

ࣃ࢟ࢫࢱࣥࠕẕ

12/12~22ཌ⏕ປാ┬་ᨻᒁ⥲ົㄢ

᪥ᮏࡢಖ೺⾜ᨻ⥲ㄽ㛵ಀ⪅࠿ࡽࡢ⤂௓ᒾᡭ┴⎔ቃಖ೺◊✲ࢭࣥࢱ࣮⎔ቃಖ೺◊✲ࢭࣥࢱ࣮ࡢᙺ๭࣭άື

㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

Ꮚಖ೺࡟࠾ࡅࡿ

ಖ೺ᡤᶵ⬟࡟ࡘ࠸࡚

ᐃᮇண㜵᥋✀ࠖ┴ኸಖ೺ᡤẕᏊಖ೺άື

ఫ⏣⏫ᆅᇦໟᣓᨭ᥼ࢭࣥࢱ࣮

࢝ࣥ࣎ࢪ࢔᪂⏕11/28~12ඣࢣ࢔࡜⑓㝔⟶/9㛗㔝┴኱⯪Ώಖ೺ᡤ

ಖ೺ᡤࡢ⤂௓ࠊ⅏ᐖ᫬ࡢಖ೺ᡤάື

┴ᗇ೺ᗣ⚟♴㒊㛗㔝┴࡟࠾ࡅࡿẕᏊಖ೺ࢧ࣮ࣅࢫᴫせ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

୍ṓඣ೺デぢᏛ⌮ᯇᮏᕷ༡㒊ಖ೺ࢭࣥࢱ࣮

4 ࠿᭶೺デぢᏛᏳ᭎㔝ᕷ೺ᗣ᥎㐍ㄢ
ࢣࢽ࢔ UHC ◊ಟ

12/12~16೺ᗣಖ㝤㐃᪥ᮏࡢ་⒪ಖ㞀࡟࠾ࡅࡿྜពᙧᡂࡢ௙ྜ఍⤌ࡳ㛵ಀ⪅࠿ࡽࡢ⤂௓ᇸ⋢┴ᕝཱྀᕷᅜẸ೺ᗣಖ㝤ㄢᅜಖࡢ㐠⏝࡟࠾ࡅࡿㄢ㢟࡜ᑐ⟇ᆅᇦ࡟࠾ࡅࡿ་⒪ᥦ౪యไࡢᩚഛ

┴ᗇಖ೺་⒪㒊ᑂᰝ࣭ᨭᡶᶵ㛵ࡢᐇົᅜẸ೺ᗣಖ㝤ᅋయ㐃ྜ఍
18

 

㛵ಀ⪅࠿ࡽࡢ⤂௓࢔ࣇࣜ࢝௖ㄒᅪ

7/14~8/5ᮾி㒔኱⏣ᇦዷ⏘፬ࡢ೺ᗣ

༊ዷ⏘፬ࡢ೺ᗣᨵ

⁠㈡┴኱⏣༊ಖ೺ᡤ

ᆅᇦಖ೺⾜ᨻ

㛵ಀ⪅࠿ࡽࡢ⤂௓೺ᗣ་⒪⚟♴㒊⁠㈡┴ࡢẕᏊಖ೺࠾ࡼࡧ࿘⏘ᮇ་⒪㛵ಀ⪅࠿ࡽࡢ⤂௓ၿ⾜ᨻᐁᑐ㇟

ᕷࡢẕᏊಖ೺ࢩࢫࢸ࣒

AࠊB

㧗ᓥᕷᙺᡤ೺ᗣ⚟♴㒊ᮙᮌデ⒪ᡤ࡟࠾ࡅࡿẕᏊಖ೺㧗ᓥᕷᅜẸ೺ᗣಖ㝤ᮙᮌデ⒪ᡤ

ᆅᇦໟᣓᨭ᥼ࢭࣥࢱ࣮ࡢᙺ๭

㧗ᓥᕷᙺᡤᆅᇦໟᣓᨭ᥼ࢭࣥࢱஙඣ೺デぢᏛ

┴࠿ࡽࡢ⤂௓

࣮㧗ᓥᕷ௒ὠಖ೺ࢭࣥࢱ࣮ࢨ ࣥ ࣅ ࢔ ᅜ

5/15~26ᒸᒣ┴ಖ೺⚟♴㒊་⒪᥎㐍ㄢ࡬ࡁᆅࡢ་⒪ᥦ౪యไࡢᩚഛ࡟ྥࡅ࡚ࠊ 㛵ಀ⪅࠿ࡽࡢ⤂௓

UHC 㐩ᡂ࡟࠾

ᒸᒣ┴ࡢ೺ᗣ࡙ࡃࡾᑐ⟇࡟ࡘ࠸࡚ࡅࡿ᪥ᮏࡢ⤒㦂་⒪ᶵ㛵❧ධ࡟ࡘ࠸࡚
ഛ໭ಖ೺ᡤࡀࢇ᳨デࡢྲྀࡾ⤌ࡳ࡟ࡘ࠸࡚ࠊಖ೺ࢭࣥ

㧗ᱱᕷ೺ᗣ⚟♴㒊ࢱ࣮ஙᗂඣ೺デぢᏛ⏕άಖㆤ࡟ࡘ࠸࡚
࣮࣒࣍ࣞࢫᑐ⟇࡟ࡘ࠸࡚

኱㜰ᕷ

すᡂ༊ᙺᡤ

ᆅᇦ་⒪ᵓ᝿ࠊᅾᏯ་⒪᪋⟇ࠊίỈሙ㛵ಀ⪅࠿ࡽࡢ⤂௓ᡃࡀᅜࡢ་⒪ᥦ౪యไ࡜་ᖌ☜ಖᑐ⟇㛵ಀ⪅࠿ࡽࡢ⤂௓⚟♴ᒁ⮬❧ᨭ᥼ㄢ

ࢥࣥࢦẸࠕಖ೺

8/21~9/1኱㜰ᗓ೺ᗣ་⒪㒊ಖ೺་⒪ᐊཌປ┬་ᨻᒁ⥲ົㄢ

ேᮦ㛤Ⓨ⟶⌮ࠖ࡟ࡘ࠸࡚་ᨻᒁ┳ㆤ⛉┳ㆤ⫋ဨࡢேᮦ☜ಖᐃ╔ࡢࡓࡵࡢᑐ⟇デ⒪ᡤぢᏛ࣋ࢺࢼ࣒ࠕ᪂༞

5/15~26㛗㔝┴໭┦ᮌᮧデ⒪ᡤཌປ┬་ᨻᒁ┳ㆤㄢ

㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾ
᪥ᮏࡢ┳ㆤᨻ⟇࣭┳ㆤேᮦ㛤Ⓨࡢ᪉ྥᛶ┳ㆤᖌࡢࡓࡵࡢ
⮫ᗋ◊ಟ࢝ࣜ࢟

᪂ே┳ㆤ⫋ဨ◊ಟ஦ᴗ࣒ࣗࣛ㛤Ⓨࠖ

ࣔࣥࢦࣝᅜู

་ᨻᒁ┳ㆤㄢ┳ㆤࢧ࣮ࣅࢫ᥎㐍

9/7~15༞ᚋ◊ಟࠖ
1/15~26㛵ಀ⪅࠿ࡽࡢ⤂௓ᐊ᪂ே┳ㆤ⫋ဨ◊ಟ࡟࠾ࡅࡿࢫ࣮ࣃ࣮ࣅ

ᮾி㒔ࢼ࣮ࢫࣉࣛࢨ

ࢪࣙࣥࡢᐇ㝿

㛵ಀ⪅࠿ࡽࡢ⤂௓ཌປ┬་ᨻᒁ་஦ㄢ་ᖌ⮫ᗋ◊ಟ᥎㐍᪥ᮏࡢ་ᖌ⫱ᡂไᗘࡢኚ㑄࣭⌧≧࣭ㄢ㢟ཌປ┬ᅜ㝿ㄢ࠿ࡽࡢ⤂௓ᐊ┴ࡢ་⒪஦᝟࡜ึᮇ⮫ᗋ◊ಟไᗘ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ᆅ᪉ẕᏊಖ೺ࢧ࣮ࣅࢫࡢᴫせ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ࠕ་⒪ᚑ஦⪅ࡢ࢝ࣥ࣎ࢪ࢔᪂⏕㛵ಀ⪅࠿ࡽࡢ⤂௓࡜┳ㆤㄢࡢᙺ๭

ᒾᡭ┴་ᖌᨭ᥼᥎㐍ᐊ

㛗㔝┴

೺ᗣ⚟♴㒊

ඣࢣ࢔࡜⑓㝔⟶ஙᗂඣ೺デぢᏛ⌮ᯇᮏᕷ໭㒊ಖ೺ࢭࣥࢱ࣮

ᕷࡢẕᏊಖ೺ࠊ⫱ඣᩍᐊぢᏛᏳ᭎㔝ᕷᇼ㔠ಖ೺ࢭࣥࢱ࣮
࢔ࣇࣜ࢝௖ㄒᅪ

ᮾி㒔኱⏣

ಖ೺ᡤ

ᆅᇦಖ೺⾜ᨻ

ᇦዷ⏘፬ࡢ೺ᗣ

༊⩚⏣ᆅᇦ೺ᗣㄢ

୧ぶᏛ⣭ぢᏛ

ዷ⏘፬ࡢ೺ᗣᨵ

⁠㈡┴೺ᗣ⚟♴㒊೺ᗣᑑ࿨᥎㐍ㄢ┴ࡢẕᏊಖ೺࣭࿘⏘ᮇ་⒪ᮾ㏆Ụᕷ❧†ᮾಖ೺ࢭࣥࢱ࣮࠶

デ⒪ᡤ࡟࠾ࡅࡿẕᏊಖ೺

7/13~8/4

ၿ⾜ᨻᐁᑐ㇟ A

㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ
㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

࠸࡜࠺デ⒪ᡤ
ᮾ㏆Ụᕷ೺ᗣ᥎㐍ㄢඵ᪥ᕷಖ೺

ஙᗂඣ೺デぢᏛࢭࣥࢱ࣮࢔ࣇࣜ࢝௖ㄒᅪ

ᮾி㒔኱⏣኱᳃ᆅᇦ೺ᗣㄢ

ஙᗂඣ೺デ➼どᐹᇦዷ⏘፬ࡢ೺ᗣ༊ಖ೺ᡤᆅᇦಖ೺⾜ᨻ

ዷ⏘፬ࡢ೺ᗣᨵ

⁠㈡┴೺ᗣ་⒪⚟♴㒊೺ᗣᑑ࿨᥎㐍ㄢ┴ࡢẕᏊಖ೺࣭࿘⏘ᮇ་⒪10/5~27

ၿ⾜ᨻᐁᑐ㇟ B㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ
㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

㏆Ụඵᖭᕷ⚟♴ࡇ࡝ࡶ㒊೺ᗣ᥎㐍ㄢᕷࡢẕᏊಖ೺᪋⟇ᴫせ㏆Ụඵᖭಖ೺ࢭࣥࢱ࣮
ஙᗂඣ೺デࢨࣥࣅ࢔ BHC

2018 ᖺ 5

for UHC ࣉࣟࢪ᭶ 7 ᪥㹼

࢙ࢡࢺᅜู◊ಟ18 ᪥኱㜰ᕷすᡂ༊ಖ೺⚟♴ㄢ⏕άಖㆤไᗘ

⚟♴ᒁ⮬❧ᨭ᥼ㄢ

♫఍་⒪ࢭࣥࢱ࣮࡟࠾ࡅࡿ↓ᩱᐃ㢠デ㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼ࡀ࠶ࡾ

⒪➼஦ᴗ

ᑽᓮᕷ

すᡂ༊⤖᰾ᑐ⟇≉ู㢳ၥ኱㜰ᕷࡢ⤖᰾ᑐ⟇⌧ἣᑽᓮᕷᙺᡤ᳨デ஦ᴗࡢᐇ㝿ࠊ⏕ά⩦័⑓ᑐ⟇࡟࠾ࡅ
ࡿ೺ᗣᩍ⫱

19

 

㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ᒸᒣ┴ಖ೺⚟♴㒊೺ᗣ᥎㐍ㄢ೺ᗣ࡙ࡃࡾ᪋⟇ࠊ࡬ࡁᆅ་⒪ᥦ౪యไࡢ

㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ᩚഛ࡟ྥࡅ࡚
┴ഛ໭ಖ೺ᡤ

་⒪ᶵ㛵❧ධ᳨ᰝ࡟ࡘ࠸࡚

㧗ᱱᕷ೺ᗣ⚟♴㒊೺ᗣデᰝ㸦NCD ᑐ⟇㸧ࠊ೺ᗣ࡙ࡃࡾ࣎ࣛ
ࣥࢸ࢕࢔࡜㐃ᦠࡋࡓ࣏ࣆ࣮ࣗࣞࢩࣙࣥ
࢔ࣉ࣮ࣟࢳ
ᩆᛴᦙ㏦ࢩࢫࢸ࣒࡟ࡘ࠸࡚

㸦ᕷ࠿ࡽ⤂௓㸧⥲ົ┬⮬἞㈈ᨻᒁ

බ❧⑓㝔ࡢ⤒Ⴀ⟶⌮㛵ಀ⪅࠿ࡽࡢ⤂௓೺ᗣಖ㝤⤌ྜ㐃ྜ఍་⒪ಖ㞀ไᗘ

♫఍ಖ㝤デ⒪ሗ㓘ᨭᡶᇶ㔠㞀ᐖಖ೺⚟♴ไᗘ᪂ᗙᕷᙺᡤᅜẸ೺ᗣಖ㝤ㄢᅜಖࡢ㐠Ⴀࡢᐇ㝿┴ಖ೺་⒪㒊ಖ೺་⒪ᨻ⟇ㄢᆅᇦ࡟࠾ࡅࡿ་⒪ᥦ౪యไᩚഛࠊಖ೺⪅㞀ᐖ࣭᥼ㆤᒁ

᪥ᮏࡢ㞀ᐖಖ೺⚟♴ไᗘ♫఍ಖ㝤デ⒪ሗ㓘ᨭᡶᇶ㔠ᑂᰝᨭᡶᶵ㛵ࡢᴗົಖ೺⚟♴㒊ᅜಖ་⒪ㄢᅜಖᨵ㠉࡟㛵ࡍࡿࡇ࡜ᮾᯇᓥᕷఫẸ࡬ࡢಖ೺་⒪ࢧ࣮ࣅࢫᥦ౪࡟࠾ࡅ

㧗ᱱᕷᾘ㜵⨫
ࢣࢽ࢔ UHC ◊2018ಟ

6/15~29

ᖺ

⥲ົ┬௚

ᇸ⋢┴
㛵ಀ⪅࠿ࡽࡢ⤂௓࡜ࡋ࡚ࡢᆅ᪉⮬἞యࢭࢿ࢞ࣝ UHC

2018ᨭ᥼ࣉࣟࢢ࣒ࣛ

6/25~29

ᖺ

◊ಟ

ཌປ┬௚

ཌປ┬➼࠿ࡽ⤂௓ᐑᇛ┴㐣ཤ࡟ࡶཷࡅධࢀᐇ⦼࠶ࡾ

ࡿᕷ⏫ᮧࡢᙺ๭ࠊ⏕άಖㆤไᗘࠊᅜಖ㐠⏝ࠊᅜಖ⛯ᚩ཰ᴗົ
ࣔࣥࢦࣝ་⒪ᚑ

2018஦⪅༞ᚋ◊ಟዷ

5/28~6/8

ᖺ⏘፬ࡢ೺ᗣᨵၿ

ዉⰋ┴┴ᗇ་⒪ᨻ⟇㒊་⒪ேᮦ☜ಖᨻ⟇࡟ࡘ࠸࡚㛵ಀ⪅࠿ࡽࡢ⤂௓⁠㈡┴೺ᗣ་⒪⚟♴㒊┴ࡢẕᏊಖ೺࣭࿘⏘ᮇ་⒪㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾ㸦ᕷࡣ┴࠿ࡽࡢᙪ᰿ᕷ೺ᗣ᥎㐍ㄢᕷࡢẕᏊಖ೺ᴫせ 4 ࠿᭶೺デ⤂௓㸧᪋タᴫせㄝ᫂ ᑠඣࣜࣁࣅࣜࢸ࣮ࢩࣙ
⡿ཎᕷᆅᇦໟᣓ
JICA ࠕ MDGs

2014 ᖺ 5㐩ᡂཬࡧ⤖᰾ᚁ

᭶㹼8 ᭶

኱㜰ᕷ

ࣥ
࠶࠸ࡾࢇ࡛ࡢ DOTSࠊእᅜே࡜㧗㱋⪅ࡢ㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾࠋ⤖᰾ࡢ࣍ࢵࢺ

⤖᰾ࢫ࣏ࢵࢺ⤂௓

┴ᗇᒾᡭ┴ࡢ⤖᰾

⤖᰾ண㜵఍ᒾᡭᨭ㒊ࡢㄪᩚᐑྂᕷఫẸ೺デぢᏛ

ᒣ⏣⏫೺ᗣ⚟♴ㄢ⏫ࡢಖ೺⾜ᨻࠊ⿕⅏ᴫせㄝ᫂኱㜰ᕷಖ೺ᡤ

ᅽ࡟ྥࡅࡓ⤖᰾ᑐ⟇ᙉ໬◊ಟࠖ

ᒾᡭ┴పࡲࢇᘏᆅᇦࡢಖ೺ᡤྛㄢ஦ᴗ࡟ࡘ࠸

JICA ୰ᅜᅜู

2015 ᖺ 1◊ಟࠕ⤖᰾ᑐ⟇᭶኱㜰ᕷ┒ᒸᕷಖ೺ᡤ࡚すᡂ༊ᙺᡤすᡂ≉༊ᵓ᝿࡟࠾ࡅࡿ⤖᰾ᑐ⟇㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾࠋ⤖᰾ࡢ࣍ࢵࢺ
ࢫ࣏ࢵࢺ⤂௓

⾜ᨻࢥ࣮ࢫࠖ
JICA ࠕ MDGs

2015 ᖺ 5㐩ᡂཬࡧ⤖᰾ᚁ

㹼7 ᭶኱㜰ᕷ኱㜰ᕷಖ೺ᡤ

኱㜰ᕷࡢ⤖᰾

㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾࠋ⤖᰾ࡢ࣍ࢵࢺ

すᡂ༊ᙺᡤ࣮࣒࣍ࣞࢫ⤖᰾ᑐ⟇ࢫ࣏ࢵࢺ⤂௓

┴ᗇ᪂₲┴ࡢ⌧≧࡜බ⾗⾨⏕ୖࡢၥ㢟ண㜵఍᪂₲ᨭ㒊ࡢㄪᩚᅽ࡟ྥࡅࡓ⤖᰾ᑐ⟇ᙉ໬◊ಟࠖ᪂₲┴ఫẸ೺デぢᏛ
୕᮲ᕷᕷࡢ⤖᰾㸦పࡲࢇᘏᆅᇦ㸧᪂₲ᕷಖ೺ᡤ
JICAࠕUHC ᫬

2016௦࡟࠾ࡅࡿ⤖᰾

5~7 ᭶

ᖺ

኱㜰ᕷ

ไᅽ◊ಟ

すᡂ༊ᙺᡤ

すᡂ≉༊ᵓ᝿࡟࠾ࡅࡿ⤖᰾ᑐ⟇㐣ཤ࡟ཷࡅධࢀᐇ⦼࠶ࡾࠋ⤖᰾ࡢ࣍ࢵࢺ

ᕷࡢ⤖᰾ࢫ࣏ࢵࢺ⤂௓

ᕷಖ೺ᡤ

JICAࠕUHC ᫬2017 ᖺ 5௦࡟࠾ࡅࡿ⤖᰾

㹼7 ᭶

ᶓ὾ᕷ

ᕷಖ೺ᡤ

ᕷࡢ⤖᰾ᑐ⟇⤖᰾ࡢ࣍ࢵࢺࢫ࣏ࢵࢺ⤂௓

㛗㔝┴

┴ᗇ

┴ࡢ⤖᰾ࡢ⌧≧࡜ㄢ㢟ண㜵఍㛗㔝┴ᨭ㒊ࡢㄪᩚ㛗㔝ಖ೺ᡤ⟶ෆࡢ⤖᰾ࡢ⌧≧ࠊᑐ⟇㸦పࡲࢇᘏᆅ㸧ᕷಖ೺ᡤᕷࡢ⤖᰾ᑐ⟇

ไᅽ◊ಟ

JICAࠕUHC ᫬2018 ᖺ 5௦࡟࠾ࡅࡿ⤖᰾

㹼7 ᭶

ᶓ὾ᕷ

ไᅽ◊ಟ

20

 

⤖᰾ࡢ࣍ࢵࢺࢫ࣏ࢵࢺ⤂௓ 

࣭࣭࣭

1

ᖺ8᭶

㹼 10

᭶

ࡓឤᰁ⑕ᑐ⟇

◊ಟࠖ

‫┴ۑۑ‬

㢗ඛ

㛫

2014

◊ಟ౫

⮬἞య

యࡢᮇ

㐩ᡂࢆ┠ᣦࡋ

㸦౛㸧 JICAࠕMDGs

◊ಟྡ

◊ಟ඲

ಖ೺ᡤ

‫┴ۑۑ‬

ᶵ㛵ྡ

⮬἞య◊ಟ

12

2014/9/

㛫

◊ಟᮇ

⮬἞య

21

ᙺ๭ࠊ࡞࡝

≧ࠊ2,‫ۑۑ‬ಖ೺ᡤࡢ௳ࡢᆅᇦಖ೺ࡢ⌧ㅮ⩏㡯┠ࡣࠊ1.‫ۑۑ‬ㅮ⩏ཬࡧᡤෆぢᏛ⮬἞య◊ಟෆᐜ

ᇙࡵ࡚ࡃࡔࡉ࠸㸦ヱᙜ◊ಟࡀከ࠸ሙྜ࡟ࡣู⣬ῧ௜࡟࡚ࡈᅇ⟅ࡃࡔࡉ࠸㸧ࠋ

‫ڹ‬ᡤ㛗

೺ᡤ‫ڹ‬

ಖ

ࢀࡤ㸧

࠼࡞ࡅ

㸦ᕪᨭ

ᙜ⪅

ཱྀ࣭ᢸ

㛵ࡢ❆

◊ಟᶵ

⮬἞య

⦼࠶ࡾ

㐣ཤ࡟ࡶཷࡅධࢀᐇ

ࡓ⌮⏤ࡑࡢ⮬἞యࢆ㑅ᐃࡋࡑࡢ௚㸯㸬◊ಟࢫࢣࢪ࣮ࣗࣝࡢ୰࡛ࠊᅜෆࡢ⮬἞య㸦ಖ೺ᡤ࡞࡝㸧࡬◊ಟ㸦ㅮ⩏࣭ᐇ⩦࣭どᐹ➼㸧ࢆ౫㢗ࡋࡓࡶࡢ࡟ࡘ࠸࡚ࠊ௨ୗࡢ⾲ࢆྍ⬟࡞㝈ࡾ㔝࡟㛵ࡍࡿእᅜே◊ಟ㸦JICA ➼ࡼࡾጤクࢆཷࡅࡓࡶࡢࡶྵࡴ㸧࡟ࡘ࠸࡚ࠊ௨ୗࡢ㉁ၥ࡟࠾⟅࠼ࡃࡔࡉ࠸ࠋ

ࡇࡢᗘࡣࠊ⚾ඹࡢㄪᰝ࡟ࡈ༠ຊࢆ㈷ࡾ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡍࠋ2014㹼2018 ᖺᗘࡢ 5 ᖺ㛫࡟ࠊ㈗᪋タ࡛ᐇ᪋ࡉࢀࡓබ⾗⾨⏕ศ㔝ࠊಖ೺་⒪ศ◊ಟᢸᙜ⪅ᵝ㸦㈨ᩱ㸯㸧◊✲ᶵ㛵ᑐ㇟㉁ၥ⣬      ῧ௜᭷ࡾ    ῧ௜࡞ࡋ22

஫㈉⊩ࡢ᪉ἲᶍ⣴࣮ࠖ࣡࢟ࣥࢢࢢ࣮ࣝࣉ            ୍ྠࠕ᪥ᮏࡢᆅᇦಖ೺ࡢ⤒㦂࠿ࡽࢢ࣮ࣟࣂࣝ࣊ࣝࢫ࡬ࡢ㈉⊩ཬࡧ୧㡿ᇦேᮦࡢ┦ᑐࡍࡿ᪥ᮏࡢ⾨⏕⾜ᨻ⤒㦂ࡢఏ㐩ྍ⬟ᛶࡢᶍ⣴ࠖ◊✲⌜ࠕࢢ࣮ࣟࣂࣝ࣊ࣝࢫࡢಖ೺ᡤᶵ⬟ᙉ໬࡬ࡢά⏝᪉ἲ☜❧࠾ࡼࡧ㛤Ⓨ㏵ୖᅜ࡟

௧࿴ඖᖺᗘ ᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗ ඲ᅜಖ೺ᡤ㛗఍༠ຊ஦ᴗ   ᪥ᮏබ⾗⾨⏕༠఍ ඲ᅜಖ೺ᡤ㛗఍࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡋࡓ

㸵㸬⮬἞య࡛ࡢᐇ⩦➼࡛౑⏝ࡉࢀࡓ PPT ➼㈨ᩱࡢ࡞࠿࡛ࠊබ㛤ྍ⬟࡞㈨ᩱࡀ࠶ࡾࡲࡋࡓࡽࠊῧ௜㡬ࡅࡓࡽᖾ࠸࡛ࡍࠋ

㸴㸬ࡑࡢ௚ࠊᅜෆࡢ⮬἞య࡟ᑐࡋ࡚ࠊ◊ಟࡢཷධࢀࡢ㝿࡟㝿࡟ᮇᚅࡍࡿࡇ࡜࡞࡝ࠊࡈ⮬⏤࡟࠾᭩ࡁࡃࡔࡉ࠸ࠋ

㸳㸬⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟ࠊẼࢆ௜ࡅ࡚࡯ࡋ࠸ࡇ࡜ࡀ࠶ࢀࡤᩍ࠼࡚ࡃࡔࡉ࠸ࠋ

㸲㸬ᅜෆࡢ⮬἞యࡀእᅜே◊ಟ⏕࡟ㅮ⩏ࡸㄝ᫂ࢆࡍࡿ㝿࡟ࠊ┒ࡾ㎸ࢇ࡛࡯ࡋ࠸ෆᐜ➼࡟ࡘ࠸࡚ᩍ࠼࡚ࡃࡔࡉ࠸ࠋ

㸱㸬ᅜෆࡢ⮬἞య࡟◊ಟࢆ౫㢗ࡍࡿሙྜࠊ౫㢗ඛ⮬἞యࢆ㑅ࡪୖ࡛㔜どࡋ࡚࠸ࡿࡇ࡜➼࠶ࢀࡤᩍ࠼࡚ࡃࡔࡉ࠸ࠋ

㸰㸬ᅜෆࡢ⮬἞య࡟◊ಟࢆ౫㢗ࡍࡿሙྜࠊⱞປࡉࢀࡓࡇ࡜ࡀ࠶ࢀࡤᩍ࠼࡚ࡃࡔࡉ࠸ࠋ

㸦㈨ᩱ 2㸧
JICA ᅜෆࢭࣥࢱ࣮࡬ࡢ㉁ၥ⣬‫ࡈ ۑۑۑۑۑ‬ᢸᙜ⪅ᵝ㉁ၥ㸯㸬㈗ࢭࣥࢱ࣮࡛ࠊ㏆㞄⮬἞య࡜ࡢ㐃ᦠ➼ࡢ༠ᐃࢆ⤖ࢇ࡛࠸ࡲࡍ࠿㸽ࡈᅇ⟅‫ࠋࢇࡏࡲࡾ࠶ࠊ࠼࠸࠸ ڧ‬
㸦㉁ၥࡣ௨ୖ࡛ࡍࠋࡈ༠ຊ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡍࠋ㸧‫ࠋࡍࡲࡾ࠶ࠊ࠸ࡣ ڧ‬㸦㉁ၥ㸰࡜㸱࡬ࡢࡈᅇ⟅ࢆ࠾㢪࠸࠸ࡓࡋࡲࡍࠋ㸧㉁ၥ㸰㸬㐃ᦠ➼ࡢ༠ᐃࢆ⤖ࢇ࡛࠸ࡿ⮬἞యྡࢆࡈᅇ⟅ࡃࡔࡉ࠸ࠋ㉁ၥ㸱㸬ᖹᡂ㸰㸴ᖺᗘ㸦㸰㸮㸯㸲ᖺᗘ㸧࠿ࡽ⌧ᅾࡲ࡛ࡢ㛫࡟ࠊ㐃ᦠ➼ࡢ༠ᐃࢆ⤖ࢇ࡛࠸ࡿ⮬἞య࡟໅ົࡋ࡚࠸ࡿ⫋ဨࡀࠊJICA ࡀ᪥ᮏᅜእ࡛ᐇ᪋ࡍࡿ஦ᴗ➼ࡢࡓࡵ࡟᪥ᮏᅜእ࡛໅ົ➼ࢆ⾜ࡗࡓࡇ࡜ࡀ࠶ࡾࡲࡍ࠿㸽࡞࠾ࠊࡑࡢศ㔝ࡣၥ࠸ࡲࡏࢇࠋ
ࡈᅇ⟅‫ࠋࢇࡏࡲࡾ࠶ࠊ࠼࠸࠸ ڧ‬㸦㉁ၥ㸳࡬ࡢࡈᅇ⟅ࢆ࠾㢪࠸࠸ࡓࡋࡲࡍ㸧‫ࠋࡍࡲࡾ࠶ࠊ࠸ࡣ ڧ‬㸦⥆ࡅ࡚㉁ၥ㸲௨㝆࡬ࡢࡈᅇ⟅ࢆ࠾㢪࠸࠸ࡓࡋࡲࡍࠋ㸧㉁ၥ㸲㸬ୖグࡢᐇ⦼ࡀ࠶ࡿሙྜࠊ⫋✀ࠊᮇ㛫ࠊ஦ᴗෆᐜࢆྍ⬟࡞⠊ᅖ࡛ᩍ࠼࡚ࡃࡔࡉ
࠸ࠋ
⫋✀
ᮇ㛫
஦ᴗෆᐜ

23
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㉁ၥ㸳㸬
ᖹᡂ㸰㸴ᖺᗘ㸦㸰㸮㸯㸲ᖺᗘ㸧࠿ࡽ⌧ᅾࡲ࡛ࡢ㛫࡟ࠊ㐃ᦠ➼ࡢ༠ᐃࢆ⤖ࢇ࡛࠸ࡿ⮬἞యࡀࠊJICA ࡀᐇ᪋ࡍࡿ◊ಟ㸦ㅮ⩏࣭どᐹ࣭ぢᏛ࣭ᐇ⩦➼㸧ࢆཷࡅධࢀࡓᐇ⦼ࡀ࠶ࡾࡲࡍ࠿㸽ࡈᅇ⟅‫ࠋࢇࡏࡲࡾ࠶ࠊ࠼࠸࠸ ڧ‬
㸦㉁ၥࡣ௨ୖ࡛ࡍࠋࡈ༠ຊ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡍࠋ㸧‫ࠋࡍࡲࡾ࠶ࠊ࠸ࡣ ڧ‬㸦⥆ࡅ࡚㉁ၥ㸴࡬ࡢࡈᅇ⟅ࢆ࠾㢪࠸࠸ࡓࡋࡲࡍࠋ㸧㉁ၥ㸴㸬ୖグࡢ◊ಟཷࡅධࢀ➼ࡢᐇ⦼ࡀ࠶ࡿሙྜࠊྍ⬟࡞⠊ᅖ࡛ࠊ௨ୗࡢ஦㡯࡟ࡘ࠸࡚ᩍ࠼࡚ୗࡉ࠸ࠋ
◊ಟྡ
ᮇ㛫
ཷධ⮬἞య
୺࡞◊ಟෆᐜ
ࡑࡢ௚㉁ၥࡣ௨ୖ࡛ࡍࠋࡈ༠ຊ࠶ࡾࡀ࡜࠺ࡈࡊ࠸ࡲࡍࠋ

24
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㸦㈨ᩱ 3㸧ᆅ᪉⮬἞య࡬ࡢ㉁ၥ⣬‫ࡈ ۑۑۑۑۑ‬ᢸᙜ⪅ᵝ㉁ၥ㸯㸬ᖹᡂ㸰㸴ᖺᗘ㸦㸰㸮㸯㸲ᖺᗘ㸧࠿ࡽ⌧ᅾࡲ࡛ࡢ㛫࡟ࠊ㈗㒊⨫ࡲࡓࡣಖ೺ᡤ࡟
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ᖹᡂ 25 ᖺ 10 ᭶ࠥಖ೺ᖌᖹᡂ 27 ᖺ 9 ᭶⫋ච㟷ᖺᾏእ༠ຊ㝲࡬ࡢཧຍ≉࡟࡞ࡋ௦᭰⫋ဨ☜ಖࡀᚲせ࡛࠶ࡗࡓ㉁ၥ㸱㸬ࡈᅇ⟅࠸ࡓࡔ࠸ࡓ஦㡯࡟ࡘ࠸࡚ࠊࡉࡽ࡟㟁ヰ➼࡛㏣ຍࡢ☜ㄆࢆࡉࡏ࡚࠸ࡓࡔ
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̓ʥ۪‫ܙ‬๐ࢢɼԮీ࠾ࢢʁϗφψϞͶ͕͜ΖऀճรԿͳฯ݊ҫྏʗ ؅‫ޤ‬͹‫ݳ‬য়ͳࠕ‫ޛ‬͹՟ୌʗ
OLEODLFXK\RJRDFMSqODLFqNL\R
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B) ♫఍ࡢࢢ࣮ࣟࣂࣝ໬࡟ࡼࡾಖ೺ᡤᴗົୖ㉳ࡁ࡚࠸ࡿㄢ㢟࡟ᚲせ࡞ᑐᛂࡢ᳨ウ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ㸦ಖ೺ᡤᶵ⬟ᙉ໬ WG㸧
WG ࣓ࣥࣂ࣮㸸▮㔝㸦࣮ࣜࢲ࣮㸧ࠊΏ㑔ࠊᮧୖࠊ⚄ᴦᒸࠊᖹ㔝
WG ࡢୖ఩┠ᶆ㸸ࢢ࣮ࣟࣂࣝ໬ㄢ㢟࡬ࡢ⫋ဨࡢᑐᛂ⬟ຊࡀྥୖࡍࡿ
I㸧⫼ᬒ࣭┠ⓗ ᖹᡂ 28 ᖺᗘ࡟ᐇ᪋ࡋࡓᙜ◊✲⌜࢔ࣥࢣ࣮ࢺࠕಖ೺ᡤ࡟࠾ࡅࡿᆅᇦಖ೺ᴗົ࡬ࡢᅜ㝿໬ᙳ㡪ㄪᰝࠖ㸦௨ୗࠊᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ㸧ࡢ⤖ᯝࡼࡾࠊࢢ࣮ࣟࣂࣝ໬࡟ࡼࡿಖ೺ண㜵ࠊ⏕ά⾨⏕ࠊ೺ᗣ࡙ࡃࡾ➼ࡢಖ೺ᡤ᪥ᖖᴗົ࡬ࡢᙳ㡪ࡸㄢ㢟ࢆ⤒㦂ࡋࡓಖ೺ᡤࡣᅇ⟅୰ 6 ๭ᙉ࡛࠶ࡾࠊศ㔝࡜ࡋ࡚ࡣࠕ⤖᰾ࠖࡀ᭱ከࠊㄢ㢟࡜࡞ࡗࡓせᅉࡣࠕゝㄒࠖࡀ᭱ከ࡛ࠊࢥ࣑ࣗ
ࢽࢣ࣮ࢩࣙࣥ᪉ἲࡸ᪥ᮏࡢἲࡸไᗘࡢ⌮ゎࢆᚓࡿࡇ࡜࡟ⱞປࡋ࡚࠸ࡿࡇ࡜ࡀ᫂ࡽ࠿࡟࡞ࡗ
ࡓࠋᖹᡂ 29 ᖺᗘࡣࠊᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺࡢグ㏙ᅇ⟅㒊ศ࡟ࡘ࠸࡚ᩚ⌮ࡋࠊಖ೺ᡤࡢᢪ࠼
ࡿㄢ㢟ࡢヲ⣽ศᯒࢆࡋࡓୖ࡛ࠊᐇົ࡟ᙺ❧ࡘ᪤Ꮡࡢ᝟ሗࡸࢶ࣮ࣝ➼ࡢᢕᥱࠊࡲࡓ᪂ࡓ࡞ࢶ
࣮ࣝ➼ࡢ㛤Ⓨࡸ㏣ຍㄪᰝࡢ᳨ウࢆ⾜ࡗࡓࠋࡑࡢ⤖ᯝࠊᖹᡂ 30 ᖺᗘ௨㝆࡟ᙜ⌜࡜ࡋ࡚ྲྀࡾ
⤌ࡴ࡭ࡁࡇ࡜࡜ࡋ࡚ࠊձಖ೺ᡤࡀᑐ㇟ఫẸࡸࡑࡢᐙ᪘➼ᐄ࡟Ⓨ⾜ࡍࡿ⾜ᨻᩥ᭩ࡢከゝㄒ∧ࡢᩚഛࠊղእᅜே࡛࠶ࡿࡀᨾࡢᑐᛂࡢᚰᚓࡸὀពࡍ࡭ࡁ࣏࢖ࣥࢺࠊࡲࡓά⏝ྍ⬟࡞᪤Ꮡ㈨※ࡸලయⓗ࡞ᑐᛂ౛➼࡟ࡘ࠸࡚ࡲ࡜ࡵࡓᡭᘬࡁࡢసᡂࠊճእᅜฟ⏕⤖᰾ࡢࡼࡾヲ⣽࡞ᐇែᢕᥱࠊմᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡟࠾࠸࡚ࠕ⤖᰾ࠖ࡟ḟ࠸࡛ከࡃୖࡆࡽࢀ࡚࠸ࡓࠕ⢭⚄ಖ೺ࠖ࡟࠾ࡅࡿᐇែᢕᥱ࡜ࡲ࡜ࡵࡓࠋ
ᖹᡂ 30 ᖺᗘࡣࠊࡑࢀ࡟ᇶ࡙ࡁࠊձࠕಖ೺⾜ᨻࡢࡓࡵࡢከゝㄒ⾜ᨻᩥ᭩㞟ࠖ㸦௨ୗࠊᩥ᭩
㞟㸧ࡢసᡂࠊղࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖ㸦௨ୗࠊᡭᘬࡁ㸧ࡢసᡂࠊճ᪂⯆࣭෌⯆ឤᰁ⑕࡟ᑐࡍࡿ㠉᪂ⓗ་⸆ရ➼㛤Ⓨ᥎㐍◊✲஦ᴗ㸦◊✲㛤Ⓨㄢ㢟ྡ㸸⤖᰾ప⶝ᘏ໬࡟ྥࡅࡓᅜෆࡢ⤖᰾ᑐ⟇࡟㈨ࡍࡿ◊✲ ศᢸ◊✲㸸ᝈ⪅୰ᚰࡢண㜵࡜ᨭ᥼࡟㛵ࡍࡿ◊✲㸧㸦௨ୗࠊAMED ◊✲⌜㸧࡬ࡢ༠ຊࢆ⾜ࡗࡓࠋ௧࿴ඖᖺᗘࡣࠊձ⤖᰾ࡢ 11 ⾜ᨻᩥ᭩࡟㛵ࡋ࡚ࠊ᪂ࡓ࡟㟂せࡀ㧗࠸ゝㄒࡢ⩻ヂࢆ㏣ຍࡋࠊ
ղᡭᘬࡁ࡟ࡘ࠸࡚ࡶࠊ⤖᰾࡟ḟ࠸࡛ከ࠿ࡗࡓ⢭⚄ಖ೺࡟㛵ࡍࡿ❶ࢆຍ➹ࡍࡿࡇ࡜࡜ࡋࡓࠋ
ୖグࡢձղ࡟ࡘ࠸࡚ࡣࠊ඲ᅜಖ೺ᡤ㛗఍➼ࡢ࢙࢘ࣈࢧ࢖ࢺ࡟࡚ඹ᭷ࡋࠊ඲ᅜࡢಖ೺ᡤࡀά
⏝࡛ࡁࡿࡼ࠺࡟ࡍࡿ࡜ඹ࡟ࠊᖹᡂ 30 ᖺᗘ࡟సᡂࡋࡓᩥ᭩㞟ࡸᡭᘬࡁ࡟ࡘ࠸࡚ࡶࠊከࡃࡢ
㛵ಀ⪅࡟ㄆ▱ࡉࢀࠊά⏝ࡉࢀࡿࡇ࡜ࢆ┠ⓗ࡟ࠊᏛ⾡㞟఍ࡸ఍㆟➼ࢆ㏻ࡌ࡚ࡢᗈሗάືࢆ✚ᴟⓗ࡟⾜࠺ࡇ࡜࡜ࡋࡓࠋ

31
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II㸧᪉ἲ 㸦◊✲⌜┠ᶆ 㸧ಖ೺ᡤᴗົୖᑐᛂࡀᚲせ࡞ࢢ࣮ࣟࣂࣝ໬ㄢ㢟࡟᭷⏝࡞᝟ሗࡀᩚ⌮ࡉࢀࡿάື 㸬ࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖࡢసᡂ
ᡭᘬࡁࡣࠊእᅜேࡢᑐᛂ࡟័ࢀ࡚࠸࡞࠸ಖ೺ᡤࢆྵࡴಖ೺⾜ᨻ❆ཱྀࡢᢸᙜ⫋ဨࡀࠊእᅜ
ேࡸẕㄒࢆ᪥ᮏㄒ࡜ࡋ࡞࠸ఫẸ➼࡜ᴗົୖ᥋ࡍࡿ㝿࡟ཧ⪃࡜ࡋࠊ⌧ሙ࡛ࡍࡄ࡟ά࠿ࡍࡇ࡜
ࡀ࡛ࡁࡿࡼ࠺࡞ෆᐜ࡜࡞ࡿࡼ࠺ព㆑ࡋ࡚సᡂࡋࡓࠋ
௧࿴ඖᖺᗘࡣຍ➹࣭ಟṇ࡟ᙜࡓࡾࠊᖹᡂ 30 ᖺᗘ࡟ᣍ⪸ࡋࡓᅾ᪥እᅜே࡟ᑐࡍࡿಖ೺་⒪ࡸ⏕άᨭ᥼࡞࡝࡟᪥㡭࠿ࡽᦠࢃࡗ࡚࠸ࡿ᭷㆑⪅࡟ຍ࠼ࠊእᅜேࡢ⢭⚄⛉་⒪࡟ヲࡋ࠸ᅄ㇂ࡺ࠸ࢡࣜࢽࢵࢡࡢ㜿㒊⿱Ặࢆຓゝ⪅࡜ࡋ࡚㏄࠼ࠊ⢭⚄ಖ೺ࡢ❶ࡢ㦵᱁ࡢ᳨ウࡸෆᐜ࡬ࡢពぢ࡟࠾࠸࡚ከࡃࡢຓゝࢆ㡬࠸ࡓࠋᖹᡂ 30 ᖺᗘ࡟సᡂࡋࡓ➨ 1 ∧࡛ࡣࠊ➨ 1㹼2 ❶࡛⥲ㄽ࡜ࡋ࡚እᅜேᑐᛂ࡟࠾࠸࡚ᚰᚓ࡚
࠾ࡃ࡭ࡁࡇ࡜ࢆࡲ࡜ࡵࠊ➨ 3㹼4 ❶࡛ࡣእᅜேࡢ⤖᰾ᑐᛂ࡟ࡘ࠸࡚ࡲ࡜ࡵࡓࠋ௒ᅇࡢᨵゞ࡛ࡣࠊ⥲ㄽ࡜ࡋ࡚➨ 1㹼2 ❶ࡢᵓᡂࡣࡑࡢࡲࡲ࡟ෆᐜࢆ᭦᪂ࡋࠊ⤖᰾ࢆ➨ 3 ❶࡟෌⦅ࡋࠊ
ᖹᡂ 28 ᖺᗘㄪᰝ࡟࠾࠸࡚ࠕ⤖᰾ࠖࡢḟ࡟ከ࠸ศ㔝࡛࠶ࡗࡓࠕ⢭⚄ಖ೺ࠖ࡟ࡘ࠸࡚➨ 4 ❶࡟᪂ࡓ࡟グ㏙ࡋࡓࠋ2019 ᖺ 6 ᭶࡟㦵᱁ࢆỴࡵ࡚࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ࣓ࣥࣂ࣮࡛సᴗࢆጞࡵࠊ
8 ᭶࡟ึ✏ࢆ᏶ᡂࡉࡏࠊ9 ᭶࡜ 11 ᭶࡟ຓゝ⪅ࡶᣍ⪸ࡋࡓ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ఍㆟࡟࡚ฟࡓពぢࢆ㋃ࡲ࠼࡚ຍ➹ಟṇࢆ㔜ࡡࠊ2020 ᖺ 2 ᭶࡟᏶ᡂࡋࡓࠋάື 㸬ࠕಖ೺⾜ᨻࡢࡓࡵࡢከゝㄒ⾜ᨻᩥ᭩㞟ࠖࡢసᡂ ᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺ࡛ࡣࠊ31 ゝㄒࡢ⑕౛⤒㦂ࢆᢕᥱࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋᅇ⟅࡛᭱ࡶከ࠿ࡗࡓࡢࡣ୰ᅜㄒ࡛࠶ࡾࠊ௨ୗࢱ࢞ࣟࢢㄒࠊⱥㄒࠊ࣋ࢺࢼ࣒ㄒࠊ࣏ࣝࢺ࢞ࣝㄒࠊࢿࣃ࣮
ࣝㄒࠊ㡑ᅜㄒࠊ࢖ࣥࢻࢿࢩ࢔ㄒࠊࢫ࣌࢖ࣥㄒࠊࢱ࢖ㄒࠊࣄࣥࢹ࢕࣮ㄒࠊࣅ࣐ࣝㄒࠊࢡ࣓࣮
ࣝㄒࠊࣟࢩ࢔ㄒ࡜⥆࠸ࡓࠋ ឡ▱┴ࡀ㐠Ⴀࡍࡿ࢙࢘ࣈࢧ࢖ࢺࠗ་⒪ᶵ㛵➼እᅜேᑐᛂ࣐ࢽࣗ࢔ࣝ࠘࡟ࡣࠊẚ㍑ⓗᖹ᫆࡞᪥ᮏㄒࡢ⾜ᨻᩥ᭩࡜ࡑࢀࢆඖ࡟ⱥㄒ࣭୰ᅜㄒ࣭࣏ࣝࢺ࢞ࣝㄒ࣭ࢫ࣌࢖ࣥㄒ࣭ࢱ࢞ࣟࢢ
ㄒ࣭㡑ᅜㄒ࡟⩻ヂࡋࡓከゝㄒ⾜ᨻᩥ᭩ࡀබ㛤ࡉࢀ࡚࠸ࡿࠋᙜ⌜࡛ࡣࠊឡ▱┴ࡢᢎㅙࢆ㡬ࡁࠊ
ᖹᡂ 30 ᖺᗘ࡟ࡣࠊឡ▱┴ࡢ᪥ᮏㄒ⾜ᨻᩥ᭩ࢆඖ࡟௚⮬἞య࡛ࡶ౑࠼ࡿࡼ࠺࡞ỗ⏝ᛶࡢ࠶ࡿグ㍕࡟ㄪᩚࡋࠊࡑࢀࢆඖ࡟ࡲࡔ⩻ヂࡉࢀ࡚࠾ࡽࡎ࠿ࡘ㟂せࡀ㧗࠸࣋ࢺࢼ࣒ㄒ࣭ࢿࣃ࣮ࣝ
ㄒ࣭࢖ࣥࢻࢿࢩ࢔ㄒ࡟ࡘ࠸࡚ࠊ⤖᰾࡟࠾ࡅࡿ౑⏝㢖ᗘࡀ㧗࠸⾜ᨻᩥ᭩࡟ࡘ࠸࡚⩻ヂࡋࡓࠋ⩻ヂసᴗࡣ୍⯡♫ᅋἲே඲ᅜ་⒪㏻ヂ⪅༠఍࡟ጤクࡋࡓࠋ࣋ࢺࢼ࣒ㄒ࡜ࢿࣃ࣮ࣝㄒ࡟ࡘ࠸
࡚ࡣࠊឡ▱┴ࡢ᪥ᮏㄒᩥ᭩ࢆඖ࡟ࠕእᅜே࡟ᑐࡍࡿ HIV ᳨ᰝ࡜་⒪ࢧ࣮ࣅࢫ࡬ࡢ࢔ࢡࢭࢫ
ྥୖ࡟㛵ࡍࡿ◊✲⌜ࠖ㸦໭ᓥຮ⌜㸧ࡀ⩻ヂࡋ࡚࠸ࡓࡓࡵࠊᙜヱ⌜࡟ᢎㅙࢆ㡬ࡁࠊࡑࢀࢆඖ
࡟⩻ヂࢆㄪᩚࡋᙜ⌜࡛෌సᡂࡋࡓࠋ
௧࿴ඖᖺᗘࡣࠊྠ⤖᰾ᩥ᭩࡟ࡘ࠸࡚ᘬࡁ⥆ࡁከゝㄒ໬ࢆ㐍ࡵࠊࢱ࢖ㄒࠊࣅ࣐ࣝㄒࠊ㡑ᅜㄒࠊ୰ᅜㄒࠊࢱ࢞ࣟࢢㄒࠊࣄࣥࢹ࢕࣮ㄒ࡟ࡘ࠸࡚ࡑࢀࡒࢀ᏶ᡂࡋࠊ඲ᅜಖ೺ᡤ㛗఍ࡢ࣮࣒࣮࣍࣌ࢪ࡟ᥖ㍕ࡋࡓࠋ
32
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ࡲࡓࠊ௧࿴ 2 ᖺ 1 ᭶࡟Ⓨ⏕ࡋࡓࠊ᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㸦COVID-19㸧ࡢᅜෆᑐᛂ
࡟࠶ࡓࡾࠊ୰ᅜ⡠ࡢᝈ⪅ࢆࡣࡌࡵ࡜ࡋ࡚ࠊࢡ࣮ࣝࢬ⯪㸦ࢲ࢖࢔ࣔࣥࢻ࣭ࣉࣜࣥࢭࢫྕ㸧ࡢእᅜ⡠஌ᐈ࡟ᑐࡋ࡚ࠊ㠃᥋ࡸㄪᰝࢆࡍࡿᚲせࡀ㉳ࡁࡓࠋࡑࡇ࡛ᙜ⌜࣓ࣥࣂ࣮ࡀึᑐ㠃ࡢሙ㠃࡟࠾࠸࡚ά⏝࡛ࡁࡿࡼ࠺ⱥㄒ∧ࡢ✚ᴟⓗ␿Ꮫㄪᰝ᫬ࡢㄝ᫂౛ᩥ㞟࡜ㄪᰝ⚊ࢆసᡂࡋࡓࠋ
ࡑࡢ௚ࡢάື㸸᪂⯆࣭෌⯆ឤᰁ⑕࡟ᑐࡍࡿ㠉᪂ⓗ་⸆ရ➼㛤Ⓨ᥎㐍◊✲஦ᴗ㸦◊✲㛤Ⓨㄢ㢟ྡ㸸⤖᰾ప⶝ᘏ໬࡟ྥࡅࡓᅜෆࡢ⤖᰾ᑐ⟇࡟㈨ࡍࡿ◊✲ ศᢸ◊✲㸸ᝈ⪅୰ᚰࡢண㜵࡜ᨭ᥼࡟㛵ࡍࡿ◊✲㸧࡬ࡢ༠ຊ⥅⥆ ௒ᖺᗘࠊAMED ◊✲⌜ࡣ◊✲᭱⤊ᖺᗘ࡛࠶ࡾࠊ
ࠕᢏ⬟ᐇ⩦⏕ࡢ⤖᰾ᑐᛂ࡟㛵ࡍࡿ࢔ࣥࢣ
࣮ࢺㄪᰝࠖࢆᐇ᪋ࠊศᯒࡋࡓࠋᮏㄪᰝࡣࠊእᅜฟ⏕⤖᰾ࡢ୰࡛ࡶ㏆ᖺቑຍഴྥ࡛ࠊ㌿ฟࡸ୰᩿࡞࡝ᵝࠎ࡞ㄢ㢟ࡀ᝿ᐃࡉࢀࡿᢏ⬟ᐇ⩦⏕ࡢ⤖᰾࡟㛵ࡍࡿᐇែㄪᰝ࡛࠶ࡾࠊྛ㒔㐨ᗓ┴ࡸྛಖ೺ᡤࡀࠊᡤ㎄⟶ෆࡢ┘⌮ᅋయ࡟ᑐࡋ࡚೺ᗣࡸ⤖᰾࡟㛵ࡍࡿ◊ಟࡸ᝟ሗᥦ౪ࢆ⾜ࡗ࡚࠸ࡿ࠿࡝࠺࠿ࠊࡲࡓᢏ⬟ᐇ⩦⏕࡬ࡢᑐᛂࡢ୰࡛ࠊ་⒪㏻ヂࡀ࡝ࡢࡼ࠺࡟ά⏝ࡉࢀ࡚࠸ࡿ࠿ࠊ
࡞࡝ࢆᑜࡡ࡚࠸ࡿࠋࢢ࣮ࣟࣂࣝ࣊ࣝࢫ◊✲⌜࡜ࡋ࡚ࡣࠊ㉁ၥ⚊ࡢෆᐜ࡟ᑐࡋ࡚ຓゝࢆ⾜ࡗࡓࠋϪ㸧⤖ᯝάື 㸬ࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖࡢసᡂάື 㸬ࠕಖ೺⾜ᨻࡢࡓࡵࡢከゝㄒ⾜ᨻᩥ᭩㞟ࠖࡢసᡂࠕᡭᘬࡁࠖ࡞ࡽࡧ࡟ࠕᩥ᭩ࠖࡣࠊ඲ᅜಖ೺ᡤ㛗఍࢙࢘ࣈࢧ࢖ࢺ
㸦http://www.phcd.jp/02/t_gaikoku/㸧࡟࢔ࢵࣉ࣮ࣟࢻࡋࡓከゝㄒ⾜ᨻᩥ᭩࡜ࠗಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁ࠘㸦➨ 2 ∧㸧ࢆཧ↷ࡉࢀࡓ࠸ࠋࡲࡓࠊ඲ᅜಖ೺ᡤ㛗఍࣓࣮ࣜࣥࢢࣜࢫࢺ➼ࢆ㏻ࡌ࡚࿘▱ࢆ⾜ࡗࡓࠋࡉࡽ࡟ࠊಖ೺ᡤ࠿ࡽ⟶ෆᕷ⏫ᮧ࡬ࡢ࿘▱࣭ၨⓎࢆᅗࡿࡼ࠺ಖ೺ᡤ㛗࡬ࡢ౫㢗ᩥࢆⓎฟࡋࡓࠋࡲࡓ௒ᖺᗘࡣࠊࠕᡭᘬࡁࠖ࡟㛵ࡋ࡚ࡣಖ೺⾜ᨻ❆ཱྀ࡛᭱ࡶእᅜே࡜ࡢ᥋Ⅼࡀ࠶ࡿಖ೺ᖌ
࡬ࡢ࿘▱ࡢ┠ⓗ࡛ࠊ7 ᭶࡟඲ᅜಖ೺ᖌ㛗఍ࢆ㏻ࡋ࡚ྠ఍࢙࢘ࣈࢧ࢖ࢺ࡬ࡢᥖ㍕࡞ࡽࡧ࡟ࠊ
ᨭ㒊఍➼࡛ࡢ఍ဨ࡬ࡢ࿘▱ࢆ౫㢗ࡋࡓࠋ௚࡟ࡶࠊ௨ୗࡢࡼ࠺࡞Ꮫ఍ࡸࣇ࢛࣮࣒ࣛ➼ࡢ఍ሙ
࡟ၨⓎࢳࣛࢩࢆタ⨨ࡋࠊྍ⬟࡞ሙྜࡣ఍ሙෆ࡛࢔ࢼ࢘ࣥࢫࡶ⾜ࡗࡓࠋබ⾗⾨⏕┳ㆤᏛ఍
᪥ᮏᅜ㝿ᑠඣಖ೺Ꮫ఍㸦8 ᭶㸧᪥ᮏබ⾗⾨⏕Ꮫ఍㸦10 ᭶㸧᪥ᮏᅜ㝿ಖ೺་⒪Ꮫ఍㸦12 ᭶㸧᪥ᮏ་Ꮫ఍㐃ྜຍ┕Ꮫ఍㐃ᦠࣇ࢛࣮࣒ࣛࠕಖ೺་⒪యไࡢෆ࡞ࡿᅜ㝿໬࡟ࡴࡅ࡚ࠖ㸦5᭶㸧࠿࡞ࡀࢃᅜ㝿஺ὶ㈈ᅋ୺ദࠕእᅜேᏊ⫱࡚ᨭ᥼ࣇ࢛࣮࣒ࣛࠖ㸦8 ᭶㸧ࡑࡢ௚ࠊࠗࠕಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁࠖ࡜ࠕಖ೺⾜ᨻࡢࡓࡵࡢከゝㄒ⾜ᨻᩥ᭩㞟ࠖࡢసᡂ࠘࡜㢟ࡋ࡚᪥ᮏබ⾗⾨⏕Ꮫ఍⥲఍࡟࠾࠸୍࡚⯡₇㢟㸦♧ㄝ㸧Ⓨ⾲ࡋࠊࠗಖ೺ᖌ࣭┳ㆤᖌࡢ⤖᰾ᒎᮃ࠘㸦2019 ᖺ๓ᮇྕ Vol.57㸧࡟ᐤ✏ࡋࡓࠋ
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᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㸦COVID-19㸧ࡢᅜෆᑐᛂ࡟࠶ࡓࡾࠊᛴ㑉సᡂࡋࡓⱥㄒ∧ࡢ✚ᴟⓗ␿Ꮫㄪᰝ᫬ࡢㄝ᫂౛ᩥ㞟࡜ㄪᰝ⚊ࡣࠊ඲ᅜಖ೺ᡤ㛗఍࣓࣮ࣜࣥࢢࣜࢫࢺ࡛ඹ᭷ࡋࠊ
࢙࢘ࣈࢧ࢖ࢺ࡟࢔ࢵࣉ࣮ࣟࢻࡋࡓࠋㄝ᫂౛ᩥࡣᡭᘬࡁ࡟グ㍕ࡋࡓࠊ⮬ᕫ⤂௓ࡸಖ೺ᡤࡢㄝ
᫂ᩥ౛ࢆᘬ⏝ࡋ࡚ⱥヂࡋࡓࡶࡢ࡛࠶ࡾࠊ㠀ᖖ࡟ࢱ࢖࣒࣮ࣜ࡟⌧ሙ࡛ࡍࡄ࡟ά⏝࡛ࡁࡿࡶࡢ
ࡀࠊ⣲᪩ࡃ᏶ᡂࡋࡓࠋ࡞࠾୰ᅜㄒ∧࡟㛵ࡋ࡚ࡣࠊⲈᮌ┴⥴᪉๛ᡤ㛗ࡀ༶ᛂࡋ࡚ࡃࡔࡉࡾࠊ
ࡇࡕࡽࡶಖ೺ᡤ㛗఍࢙࢘ࣈࢧ࢖ࢺ࡟࢔ࢵࣉ࣮ࣟࢻࡉࢀࡓࠋ
IV㸧⪃ᐹ௒᪥࡯࡝እᅜேᑐᛂࡀồࡵࡽࢀ࡚࠸ࡿ᫬௦ࡣ࠿ࡘ࡚࡞࠿ࡗࡓ࡛࠶ࢁ࠺ࠋᖺ㛫ࡢゼ᪥እᅜ
ேᩘࡣ 3,119 ୓ே㸦2018 ᖺ㸧ࠊᅾ␃እᅜேᩘࡣ 273 ୓ே㸦2018 ᖺᮎ㸧࡜ࠊඹ࡟ቑຍࡢ୍㏵
ࢆࡓ࡝ࡗ࡚࠸ࡿࠋእᅜேᢏ⬟ᐇ⩦ไᗘࡀ 2017 ᖺ࡟௓ㆤศ㔝࡟ࡶᒎ㛤ࡉࢀࡓࡇ࡜ࡸࠊ2019ᖺ 4 ᭶࡟ᨵṇࡉࢀࡓฟධᅜ⟶⌮ཬࡧ㞴Ẹㄆᐃἲ㸦ධ⟶ἲ㸧➼࡟ࡼࡾᑟධࡉࢀࡓ᪂ࡋ࠸ᅾ␃㈨᱁࡞࡝ࡶࠊࢃࡀᅜࡢ௒ᚋࡢேཱྀືែ࡟ᙳ㡪ࢆ୚࠼ࡿྍ⬟ᛶࡀ࠶ࡿࠋࢢ࣮ࣟࣂࣝ໬ࡀ㐍ࡴ୰࡛ࠊእᅜேᑐᛂࡣỴࡋ࡚ேཱྀࡢ㞟୰ࡋࡓ㒔ᕷ㒊ࡔࡅ࡛ࡢၥ㢟࡛ࡣ࡞ࡃ࡞ࡗ࡚ࡁ࡚࠾ࡾࠊ
⾜ᨻ࡜ࡋ࡚ࡶ᪥ᮏ඲య࡛ᑐᛂࢆ᳨ウࡋ࡚࠸ࡃᚲせࡀ࠶ࡿࠋձಖ೺⾜ᨻࡢࡓࡵࡢከゝㄒ⾜ᨻᩥ᭩㞟㸦➨ 1 ∧㸧㸦ศ㔝㸸⤖᰾㸧ࡢᩚഛእᅜேᑐ㇟⪅ࡀ᪥ᮏᅜෆ࡟⁫ᅾࡋ࡚࠸ࡿᮇ㛫ࡣࠊ᪥ᮏࡢἲᚊ࡟ᇶ࡙ࡃᑐᛂࢆồࡵࡿࡇ࡜࡟࡞ࡿࡀࠊእᅜேᑐ㇟⪅ྥࡅࡢἲ࡟ᇶ࡙ࡃ⾜ᨻ᭩㢮ࡢከゝㄒ∧ࡣබᘧ࡟ࡣᩚഛࡉࢀ࡚࠸࡞
࠸ࠋ㐣ཤࡢᩥ⊩࡛ࡣࠊ୰㔛ࡽ 1)ࡀឤᰁ⑕ᑐᛂ඲⯡࡜ࡋ࡚ሗ࿌᭩࡟ࡲ࡜ࡵ࡚࠸ࡿࡀ㒊ศⓗ࡛࠶ࡾࠊሗ࿌᭩ෆ㒊࡟㈨ᩱࡀྵࡲࢀ࡚࠸ࡿࡇ࡜ࡀ࠶ࡲࡾᗈࡃ▱ࡽࢀ࡚࠸࡞࠸ࠋබ┈㈈ᅋἲே
⤖᰾ண㜵఍⤖᰾◊✲ᡤࡢ࣮࣒࣮࣍࣌ࢪୖ࡛ࡣ⤖᰾ᑐᛂ࡟㛵ࡍࡿཧ↷㈨ᩱࡀ୍㒊ࡲ࡜ࡵࡽࢀ
࡚࠸ࡿࡀࠊ୍⯡໬ࡉࢀࡓࡶࡢ࡛ࡣ࡞࠸ࠋᮾி㒔ࡀᩚഛࡋ࡚࠸ࡿ⊂⮬ࡢከゝㄒ㈨ᩱࡣ௚㐨ᗓ┴࡟ࡣබ㛤ࡉࢀ࡚࠸࡞࠸ࠋࡇࢀࡽࡢ≧ἣࡼࡾࠊᆅᇦ࡟㛵ࢃࡽࡎ᪥ᮏᅜෆ࡛ᗈࡃ฼ά⏝࡛ࡁࡿࠊ୍⯡໬ࡉࢀࡓ⾜ᨻ᭩㢮ࡢᩚഛࡀᚲせ࡜ࡉࢀ࡚࠸ࡿࡇ࡜ࡀ᥎ᐹࡉࢀࡓࠋ
ᡭἲ࡜ࡋ࡚ࡣࠊឡ▱┴సᡂࡢ᭩ᘧࢆᇶ࡟᪥ᮏㄒ∧ࢆᩚഛࡋࡓ࠺࠼࡛ࠊᖹᡂ 30 ᖺᗘ࡟⩻ヂࡋࡓ࣋ࢺࢼ࣒ㄒࠊࢿࣃ࣮ࣝㄒࠊ࢖ࣥࢻࢿࢩ࢔ㄒ࡟⥆ࡁࠊࢱ࢖ㄒࠊࣅ࣐ࣝㄒࠊ㡑ᅜㄒࠊ୰ᅜㄒࠊࢱ࢞ࣟࢢㄒࠊࣄࣥࢹ࢕࣮ㄒ࡬ࡢ⩻ヂࢆ⾜ࡗࡓࠋ⾜ᨻ⏝ㄒࡣ᪥ᮏㄒ࡛ࡶ㞴ࡋ࠸ࡶࡢ࡛
࠶ࡾࠊࡑࢀࡽࡀ㐺ษ࡞እᅜㄒヂ࡜࡞ࡿࡓࡵ࡟ࠊࢃ࠿ࡾࡸࡍ࠸᪥ᮏㄒ࡟࡞ࡗ࡚࠸ࡿࡇ࡜ࢆ☜ㄆࡍࡿࡇ࡜ࡀ᭱ࡶ㔜せࡔࡗࡓࠋղಖ೺⾜ᨻ❆ཱྀࡢࡓࡵࡢእᅜேᑐᛂࡢᡭᘬࡁ㸦➨ 2 ∧㸧㸦ศ㔝㸸⥲ㄽ࣭⤖᰾࣭⢭⚄ಖ೺㸧ࡢసᡂእᅜேᑐ㇟⪅࡬ࡢᑐᛂ࣐ࢽࣗ࢔ࣝ࡜ࡋ࡚ࠊ་⒪ᶵ㛵࡟࠾ࡅࡿእᅜேᝈ⪅࡬ࡢデ⒪࢞࢖ࢻࡸᑐᛂ࣐ࢽࣗ࢔ࣝࡣすᮧ 2)ࡸᑠᯘ 3)ࠊἑ⏣ 4)ࡽ࡟ࡼࡾ㐣ཤ࡟ฟࡉࢀ࡚࠸ࡿࠋ୍᪉࡛⾜ᨻᶵ㛵ྥࡅ࡟≉໬ࡋࡓ࣐ࢽࣗ࢔ࣝࡸᡭᘬࡁ࡞࡝ࡣࡇࢀࡲ࡛Ⓨ⾜ࡉࢀ࡚࠸࡞࠿ࡗࡓࠋ
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ᮏᡭᘬࡁࡢᙉࡳࡣࠊಖ೺ᡤ⫋ဨ࡟࡜ࡗ࡚እᅜேᑐ㇟⪅࡬ࡢᑐᛂ࡛ᐇ㝿࡟ࡣఱࡀᅔࡗ࡚࠸
ࡿࡇ࡜࡞ࡢ࠿ࢆᩚ⌮ࡍࡿࡓࡵ࡟ࠊᖹᡂ 28 ᖺᗘ࢔ࣥࢣ࣮ࢺㄪᰝ⤖ᯝࡢ஦౛グ㏙㒊ศࢆ෌ᗘぢ┤ࡋ࡚ཧ⪃࡟ࡋࡓⅬ࡛࠶ࡿࠋ඲ᅜࡢಖ೺ᡤࡀ⤒㦂ࡋࡓලయⓗ࡞ᅔ㞴஦౛ࢆ☜ㄆࡋ࡞ࡀࡽ
⌧ሙࡢኌࢆᣠࡗ࡚ࡺࡃ୰࡛ࠊᴗົࢆ⾜࠺๓ᥦ࡜ࡋ࡚ࠕ┦ᡭ㸦እᅜேᑐ㇟⪅㸧ࢆྲྀࡾᕳࡃ⎔ቃࢆ⌮ゎࡋ࡚࠸ࢀࡤၥ㢟ࡀ㉳ࡁ࡞࠿ࡗࡓ࠿ࡶࡋࢀ࡞࠸஦౛ࠖࠊ㏫࡟ࠕ┦ᡭࡀ᪥ᮏࡢ≧ἣࢆࡼࡾ⌮ゎࡋ࡚࠸ࢀࡤၥ㢟ࡀ㍍ῶࡉࢀࡓ࠿ࡶࡋࢀ࡞࠸஦౛ࠖ࡞࡝ࡀ♧ࡉࢀࠊᡭᘬࡁ࡟グ㍕ࡍ࡭ࡁ㡯┠ࡀᢳฟࡉࢀࡓࠋ
๓⪅ࡢ⫼ᬒ࡟ࡣࠊࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ㞴ࡋࡉࢆ㍍ῶࡍࡿ་⒪㏻ヂ⪅ࡢά⏝ࡀ࠸ࡲࡔᾐ
㏱ࡋ࡚࠸࡞࠸࡜࠸࠺ㄢ㢟ࡸࠊᙼࡽࡢẕᅜ࡟࠾ࡅࡿ᐀ᩍ࣭ᩥ໬࣭⩦័࡞࡝࡬ࡢ୙༑ศ࡞⌮ゎࠊᨵࡵ࡚࠶ࡲࡾᏛࡪᶵ఍ࡢ࡞࠸ᅾ␃㈨᱁ࡢ✀ู࡬ࡢ▱㆑ࡢᑡ࡞ࡉ࡞࡝ࡶྵࡲࢀࡿ࡜⪃࠼ࡓࠋᚋ⪅ࡢ᳨ウࢆ㏻ࡌ࡚ࡣࠊ᪥ᮏࡢಖ೺⾜ᨻ࡟࠾࠸࡚ࡣᙜࡓࡾ๓࡛ࠊ᪥ᮏேᑐ㇟⪅࡟ࡣㄝ᫂ࡋ
࡞࠸ࡼ࠺࡞ࠊࡇࢇ࡞ࡇ࡜ࡀ㔜せ࡞ࡢ࠿ࠊ࡜࠸࠺ෆᐜ࡟࠶࠼࡚Ẽ࡙࠸࡚ࡶࡽ࠺ᚲせᛶࡀ♧ࡉࢀࡓࠋ౛࠼ࡤಖ೺ᖌ࡜ࡣఱ࠿ࠊ᪥ᮏࡢಖ೺ᡤ࡜ࡣఱ࠿ࠊ᪥ᮏ࡛ࡣ࡞ࡐ⤖᰾ࡣ່࿌ධ㝔࡟࡞ࡿࡢ࠿ࠊ㯞ࡋࢇ࡛኱㦁ࡂࡍࡿࡢࡣ࡞ࡐ࠿ࠊ࡞࡝࡛࠶ࡿࠋᮏ◊✲⌜࡛ࡣᅜ㝿ಖ೺ࡢࣂࢵࢡࢢ
ࣛࣥࢻࡢ᭷ࡿ࣓ࣥࣂ࣮ࡀከࡃࠊࡇࡢ᪥ᮏ࡜ᾏእ࡜ࡢ㐪࠸࡟㛵ࡍࡿ㒊ศࡣࡑࢀࡒࢀࡢ㐣ཤࡢ⤒㦂࠿ࡽࡢᏛࡧࢆ཯ᫎࡍࡿࡇ࡜ࡀ࡛ࡁࡓ࡜ឤࡌࡿࠋ
ྛ❶ࡢᇳ➹ᢸᙜࡀసᡂࡋࡓࡓࡓࡁྎࡢᩥ❶ࢆࡶ࡜࡟ࠊ࣓ࣥࣂ࣮㛫࡛㆟ㄽࢆ㔜ࡡࡓࡀࠊᇳ
➹ᢸᙜ⪅ࡢ୺ほ࡟㢗ࡾࡍࡂ࡞࠸ࡼ࠺ࠊከࡃࡢᩥ⊩ࢆཧ↷ࡋࠊྛศ㔝࡟᫂ࡿ࠸ຓゝ⪅࠿ࡽࡢ
どⅬࢆ㐺ᐅ┒ࡾ㎸ࡳ࡞ࡀࡽసᴗࢆ㐍ࡵࡿࡼ࠺࡟ᚰࡀࡅࡓࠋࡲࡓࠊእᅜேᑐᛂࡢ⤒㦂ࡀከ࠸ᢸᙜ⪅ࡀࠊࡇࢀࡲ࡛ࡢ⤒㦂࠿ࡽࠊᐇ㝿ࡢ఍ヰ࡛࡝ࡢࡼ࠺࡞㡯┠ࢆලయⓗ࡟☜ㄆࡋ࡚࠸ࡅࡤ
ࡼ࠸ࡢ࠿࡜࠸ࡗࡓᡭ㡰ࢆ♧ࡋࠊຠᯝⓗ࡞㠃᥋ࢆ⾜࠺࣏࢖ࣥࢺࠊ἞⒪୰᩿࡟࡞ࡽ࡞࠸ࡓࡵࡢ
᭹⸆ᨭ᥼࣏࢖ࣥࢺ࡞࡝ࡶ᭩ࡁຍ࠼ࡓࡇ࡜ࡣព⩏῝ࡃࠊࡼࡾ⌧ሙ࡛ά⏝ࡋࡸࡍ࠸ෆᐜ࡜࡞ࡗ
ࡓ࡜⪃࠼ࡿࠋ
➨ 2 ∧࡛ࡣࠊ⢭⚄ಖ೺ศ㔝ࡢຍ➹ࡔࡅ࡛ࡣ࡞ࡃࠊ➨ 1 ❶࡟ࡣᛴ㏿࡟ቑ࠼࡚࠸ࡿ㟁ヰ㏻ヂ
ࡸ㐲㝸㏻ヂ࡟ࡘ࠸࡚ຍ➹ࡋࠊ➨ 2 ❶࡟ࡣᅾ␃㈨᱁➼࡟ࡘ࠸࡚᭦᪂࡛ࡁࡿ᭱᪂ࡢ᝟ሗࢆグ㍕
ࡋࠊ♫఍ࡢኚ໬࡟ᛂࡌ࡚ಟṇࡋࡓࠋࡲࡓࠊ≉࡟ὀពࡋ࡚࡯ࡋ࠸Ⅼࡸỗ⏝ᛶࡢ࠶ࡿෆᐜࡣ
ࠕࣄࣥࢺࠖ࡟ࡲ࡜ࡵࠊㄞࡳࡸࡍࡃࡋࡓࡇ࡜ࡶᚰ᥃ࡅࡓⅬ࡛࠶ࡿࠋ
▱ࡽ࡞࠸ࡇ࡜ࠊ័ࢀ࡞࠸ࡇ࡜࡬ࡢ୙Ᏻࡣᙉ࠸ࠋ᪥ᮏேࡣࠊእᅜேᑐᛂ࡜࠸࠺ࡔࡅ࡛⥭ᙇࡋࠊᬑẁࡢ⮬ᕫ⤂௓ࡍࡽ࡛ࡁ࡞ࡃ࡞ࡿࡼ࠺࡞ሙ㠃ࡶ࠶ࡿࠋࡇࡢᡭᘬࡁࢆࡶ࡜࡟ࠊ┦ᡭࡢ⫼ᬒࢆᑡࡋ࡛ࡶ⌮ゎࡍࡿࡇ࡜ࡀ࡛ࡁࢀࡤࠊ୙Ᏻࡣ㍍ῶࡉࢀࠊ᪥ᮏே࡟ᑐࡍࡿࡢ࡜ྠᵝ࡟ࠊእᅜே࡟ࡶⴠࡕ╔࠸ࡓᑐᛂࡀྲྀࢀࡿࡢ࡛ࡣ࡞࠸࠿࡜⪃࠼ࡿࠋ᪥ᮏㄒ࡛ࡶㄝ᫂ࡀ㞴ࡋ࠸ἲⓗ࡞ᩥ᭩࡟㛵ࡋ࡚ࡣࠊ᫝㠀ㄝ᫂ࡢሙ㠃࡛ከゝㄒ∧ࢆࡈά⏝࠸ࡓࡔࡁࡓ࠸ࠋ
୍᪉࡛ࠊ⚾ࡓࡕ௨ୖ࡟୙Ᏻ࡞ࡢࡣእᅜேᑐ㇟⪅ࡢ᪉࡛࠶ࡿࡇ࡜ࢆᛀࢀ࡚ࡣ࠸ࡅ࡞࠸ࠋ᪥
ᮏ♫఍ࡢ୰࡛Ꮩ❧ࡋࡀࡕ࡞እᅜேᑐ㇟⪅ࡀࠊࡓ࡜࠼ࡤ⤖᰾່࡛࿌ධ㝔ࢆᙉ࠸ࡽࢀࡿሙྜ࡟
࡝ࡢࡼ࠺࡞᝿࠸࡛࠶ࡿ࠿ࠊࡑࡢࡇ࡜࡟ᚰࢆᐤࡏࠊᑡࡋ࡛ࡶẼᣢࡕࡀ⦆࿴ࡉࢀࡿࡼ࠺࡞ᑐᛂ
࡟ࡘ࡞ࡀࡿࡼ࠺ࠊ⚾ඹࡢᡂᯝࢆά⏝࠸ࡓࡔࡅࢀࡤᎰࡋࡃᛮ࠺ࠋ
35
 

V㸧௒ᚋࡢᒎ㛤࠙1ࠚᡭᘬࡁ㸦➨ 2 ∧㸧ࡢᗈሗࡢ඘ᐇࢆࡣ࠿ࡿࠋ
ಖ೺ᡤ㛗఍ࡢࡳ࡞ࡽࡎࠊྛ⮬἞యࡸࡉࡲࡊࡲ࡞⫋⬟ᅋయ➼࡬ࡢᗈሗࡢ඘ᐇࢆᅗࡾࠊᗈࡃ
ࡇࡢᡭᘬࡁࡢ࿘▱ࢆᅗࡾࠊά⏝࡟ࡘ࡞ࡆࡿࠋࡑࢀࢆ㋃ࡲ࠼࡚௧࿴㸱ᖺᗘ࡟ࡣࠊά⏝ࡢᐇែㄪᰝࢆᐇ᪋ࡋࠊホ౯ࢆ⾜࠺ࡇ࡜ࢆど㔝࡟ධࢀ࡚࠸ࡿࠋ
࠙2ࠚᩥ᭩㞟ࢆᣑ඘ࡍࡿࠋ
ᩥ᭩㞟࡛ࡣࠊ⤖᰾࡟ಀࢃࡿ 11 ✀ࡢ⾜ᨻᩥ᭩ࡢⱥㄒ∧࡞ࡽࡧ࡟እᅜฟ⏕⤖᰾ᝈ⪅ᩘࡢከ࠸ᅜ㡰ࡢゝㄒࡢᩚഛࢆࡉࡽ࡟㐍ࡵࡿࠋࡲࡓࠊᡭᘬࡁ➨ 2 ∧࡛ྲྀࡾୖࡆࡓ⢭⚄ಖ೺་⒪࡟㛵ࡍࡿ⾜ᨻᩥ᭩࡛ࡣࠕᥐ⨨ධ㝔ࡢ࠾▱ࡽࡏࠖࡢ᪥ᮏㄒཎᮏࢆᐃࡵࠊⱥㄒࡸࠊᅾ᪥࣭ゼ᪥እᅜேᩘࡢከ࠸ᅜ㡰➼ࢆཧ⪃࡟㑅ࢇࡔゝㄒ࡟⩻ヂࡋࠊᩚഛࢆࡣ࠿ࡿࠋ
࠙3ࠚእᅜேࡢᥐ⨨ධ㝔➼࡟࠾ࡅࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ᪉ἲࡢㄪᰝࢆᐇ᪋ࡍࡿࠋ
ᡭᘬࡁ➨ 2 ∧ࢆసᡂࡋ࡚࠸ࡿ㐣⛬࡛ࠊእᅜேࡀ⢭⚄ಖ೺⚟♴ἲࡢ㏻ሗ࡜࡞ࡗࡓ㝿ࡢࠊᥐ⨨ධ㝔ࡢㄝ᫂ࡀ┦ᡭ࡟⌮ゎ࡛ࡁࡿゝㄒ࡛⾜ࢃࢀ࡚࠸ࡿࡢ࠿࡝࠺࠿ࡢᐇែࡸࠊධ㝔ࡢせྰ࡟㛵ࢃࡽࡎࡑࡢᚋࡢᑐᛂࡢᐇែ➼࡟ࡘ࠸࡚᫂ࡽ࠿࡟ࡍࡿᚲせࡀ࠶ࡿࡇ࡜ࡀࠊຓゝ⪅ࡸ࣓ࣥࣂ࣮ࡼࡾᣲࡆࡽࢀࡓࠋࡑࡢࡓࡵࠊ඲ᅜࡢಖ೺ᡤ㸦࠶ࡿ࠸ࡣ㒔㐨ᗓ┴㸧࡬ࡢㄪᰝࢆ⾜࠸ࠊ(A)እ
ᅜேᥐ⨨ධ㝔ࡢᴫᩘࢆᢕᥱࡍࡿࠊ(B)ᥐ⨨ධ㝔ࡢㄞࡳୖࡆࡀẕㄒ࡛⾜ࢃࢀ࡚࠸ࡿ࠿࡝࠺࠿ࠊ(C)እᅜேᥐ⨨ධ㝔᫬࡟⾜ࢃࢀ࡚࠸ࡿᕤኵ౛࡟ࡘ࠸࡚ࠊ➼ࡢᐇែࢆ᫂ࡽ࠿࡟ࡍࡿࠋࡑࡢ⤖ᯝ࡟ࡼࡾࡑࡢᚋࡢ◊✲⌜ࡢάື࡬ࡘ࡞ࡆࠊࡲࡓබⓗ࡞་⒪㏻ヂయไ➼ࡢᩚഛࢆಁ㐍ࡍࡿࡓࡵࡢᇶ♏㈨ᩱ࡜ࡋࡓ࠸ࠋ

36
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᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕✚ᴟⓗ␿Ꮫㄪᰝᩥ౛㸦᪥ᮏㄒࠊⱥㄒ㸧ver.1
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࠸ࠋ
ࡲࡓࠊ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żżಖ೺ᡤ䛾ಖ೺ᖌ䛷䛩䚹I am a public health nurse working for żż Public Health Center.

3.

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

4.

䜟䛯䛧䛿䚸żżಖ೺ᡤ䛾⾜ᨻᐁ䛷䛩䚹I am an officer working for żżPublic Health Center.

B) ᪥ᮏ䛾ಖ೺ᡤ䛾ㄝ᫂
5.

᪥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 the 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 health of local communities. We
provide public health services in areas such as food hygiene, mental health, and measures against
tuberculosis and 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 orprescriptions.
 

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 professionals who works for public health centers or government
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 works for infectious disease control. Our task is to assess the epidemiologic situation of infectious
diseases and provide advices on measures to prevent further spread of the diseases.

C) ✚ᴟⓗ␿Ꮫㄪᰝ䛻㛵䛩䜛ㄝ᫂10. 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 publichealth centers in charge of the areas where infectious diseases have occurred. This is conducted basedon the Japanese Infectious Disease Prevention Act. We will examine the overall situation of theoutbreak, the estimated source of the infection, and the course of the disease, in order to prevent its
spread in communities.

11. 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 with theJapanese Personal Information Protection Law. Your privacy is securely protected.

12. ⓙ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, the routeand the source of the novel coronavirus infection. The result of this investigation will truly contributeto the better control of this disease. Your cooperation is greatly appreciated.

 D) 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ሙྜ
13. 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 novel coronavirus infection based on your travel history, contact history,
and symptoms. The laboratory is currently testing your samples to see whether the virus is in it or not.
We do not have the results yet, but just in case, would you tell us about your recent health status?

ᝈ⪅☜ᐃ౛䛷᭷⑕≧䛾ሙྜ
14. 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 fever and respiratory symptoms and a novel coronavirus is found in your sample. You are
now diagnosed with a confirmed case of novel coronavirus infection. We do not know much of thisdisease yet, so we need to assess how you got infected. It is also important to track your contacts tosee if you transmitted the disease to others. We ask you to cooperate with this investigation.

ᝈ⪅☜ᐃ౛䚸↓⑕≧⑓ཎయಖ᭷⪅䛾ሙྜ
15. 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
A 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 same time, "anasymptomatic novel coronavirus infection case”. It is not yet clear whether asymptomatic case willtransmit 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⪅16. 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.

17. 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 a novel
coronavirus.
 

18. ᭱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 theinfected person. If you develop fever above 37.5 degree or any respiratory symptoms, please be sure tocall the "Returnee and Contacted Person Consultation Center" before consulting a local healthcare
provider. The multilingual phone number is XX.
E) ᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䛾✚ᴟⓗ␿Ꮫㄪᰝ䠄ලయⓗ䛺ㄪᰝ㡯┠䠅
19. 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 andabout where you went and what you did. Please feel free to ask if you have any questions.

20. 䛩䛷䛻⯪䛾୰䛷᳨␿ᐁ䜔௚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 would understand that we may ask similar questions that quarantine
officers or other medical personnel may have already asked.

䠍䠅䛒䛺䛯䛻㛵䛩䜛᝟ሗᖺ㱋
21. 䛒䛺䛯䛾ᖺ㱋䜢䛚⪺䛝䛷䛝䜎䛩䛛䠛May we ask your age?
ᒃఫᆅ
22. 䛒䛺䛯䛾ఫᡤ䜢䛚⪺䛝䛷䛝䜎䛩䛛䠛May we have your address?
⑕≧䞉⤒㐣
23. 䛒䛺䛯䛿䚸䛹䜣䛺⑕≧䛜䛒䜚䜎䛩䛛䠛
What symptoms do you have?
24. 䛒䛺䛯䛾⇕䛜ฟ䛯䛾䛿䛔䛴䛛䜙䛷䛩䛛䠛
When did your fever start?
25. 䛒䛺䛯䛾တ䛜ฟ䛯䛾䛿䛔䛴䛛䜙䛷䛩䛛䠛
When did your cough start?
26. 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?
27. 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⁫ᅾṔ28. 䛒䛺䛯䛿Ṋ₎ᕷ䛻ఫ䜣䛷䛔䜎䛩䛛䠛Are you living in Wuhan City?
29. 䛒䛺䛯䛿†໭┬䛻ఫ䜣䛷䛔䜎䛩䛛䠛Are you living in Hubei Province?
30. 䛒䛺䛯䛿䛔䛴Ṋ₎ᕷ䛻⁫ᅾ䛧䜎䛧䛯䛛䠛
When did you stay in Wuhan?
31. 䛒䛺䛯䛿䛔䛴†໭┬䛻⁫ᅾ䛧䜎䛧䛯䛛䠛
When did you stay in Hubei?
32. 䛒䛺䛯䛿䛔䛴Ṋ₎ᕷ䛻⾜䛝䜎䛧䛯䛛䠛
When did you go to Wuhan?
33. 䛒䛺䛯䛿䛔䛴†໭┬䛻⾜䛝䜎䛧䛯䛛䠛
When did you go to Hubei?
34. 䛒䛺䛯䛿䛔䛴䛹䛣䛛䜙䜽䝹䞊䝈⯪䛻஌䜚䜎䛧䛯䛛䠛
When and where did you get on the cruise ship?
35. 䛒䛺䛯䛜䜽䝹䞊䝈⯪䛾୰䛷㛗䛟᫬㛫䜢㐣䛤䛧䛯ሙᡤ䛿䚸⮬ᐊ௨እ䛷䛿䛹䛣䛷䛩䛛䠛Where else did you spend a long time on your cruise ship, except in your room?
᥋ゐṔ
36. 䛒䛺䛯䛜䜽䝹䞊䝈⯟ᾏ䛾ᮇ㛫୰䛻䚸㛗䛔᫬㛫୍⥴䛻䛔䛯ே䜢ᩍ䛘䛶䛔䛯䛰䛡䜎䛩䛛䠛
Could you tell us who was with you for a long time during the cruise trip?
37. 䛒䛺䛯䛜䜽䝹䞊䝈⯟ᾏ䛾ᮇ㛫୰䛻䚸䜘䛟఍䛳䛶䛔䛯ே䜢ᩍ䛘䛶䛔䛯䛰䛡䜎䛩䛛䠛
Could you tell us who you met frequently during the cruise trip?
38. 䛒䛺䛯䛜䜽䝹䞊䝈⯟ᾏ䛾௰㛫䜔䝇䝍䝑䝣௨እ䛷᭱㏆䠎㐌㛫௨ෆ䛻఍䛳䛯ே䛿䛔䜎䛩䛛䠛Did you meet anyone other than your fellow passengers or staff within the last 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

 

 ῧ௜

᪂ᆺ䝁䝻䝘䜴䜲䝹䝇ឤᰁ⑕䠄␲ఝ⑕ᝈ⪅䜢ྵ䜐䠅䚷ᇶᮏ᝟ሗ䞉⮫ᗋ᝟ሗㄪᰝ⚊ᇶᮏ᝟ሗ䈜ㄪᰝᢸᙜಖ೺ᡤྡ㸸㻵㻰䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷ㄪᰝ⪅Ặྡ㸸

ㄪᰝ᪥᫬ࠉ㸸ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥ࠉࠉࠉ᫬
ㄪᰝ᪉ἲࠉ㸸‫ڧ‬㠃᥋ࠉ‫ڧ‬㟁ヰࠉ‫ࡢࡑڧ‬௚ ࠉࠉࠉࠉ

ㄪᰝᅇ⟅⪅㸸‫ڧ‬ᮏேࠉ‫ڧ‬ᮏே௨እЍẶྡ㸦ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸧ᮏே࡜ࡢ㛵ಀ㸦ࠉࠉࠉࠉࠉࠉ㸧ㄪᰝᅇ⟅⪅㐃⤡ඛ㸸⮬Ꮿ㟁ヰ㸸ࠉࠉࠉ㸫ࠉࠉࠉ㸫ᦠᖏ㟁ヰ㸸ࠉࠉࠉ㸫ࠉࠉࠉ㸫デ᩿ศ㢮㸸᪂ᆺࢥࣟࢼ࢘࢖ࣝࢫឤᰁ⑕㸦ᝈ⪅㸦☜ᐃ౛㸧࣭↓⑕≧⑓ཎయಖ᭷⪅ࠉ࣭ࠉ␲ఝ⑕ᝈ⪅㸧

1(6,'Ⓩ㘓,'㸸ᝈ⪅ᒃఫᆅಖ೺ᡤ㸸ᒆฟ་⒪ᶵ㛵ྡ㸸ᒆฟ་⒪ᶵ㛵୺἞་ྡ㸸ᒆฟ་⒪ᶵ㛵ᡤᅾᆅ㸸ᒆฟ་⒪ᶵ㛵㟁ヰ␒ྕ㸸ࠉࠉࠉ㸫ࠉࠉ㸫ᒆฟཷ⌮᪥᫬㸸ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥

ᒆฟཷ⌮⮬἞య㸸ᒆฟཷ⌮ಖ೺ᡤ㸸ᒆฟཷ⌮ᢸᙜ⪅㸸ึデᖺ᭶᪥㸸ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥

デ᩿ᖺ᭶᪥㸸ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥

ឤᰁ᥎ᐃ᪥㸸ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥



Ⓨ⑓ᖺ᭶᪥㸸ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥

ͤ㹼ࡣⓎ⏕ᒆฟ⚊➼ࡼࡾ㌿グ㸦ࡣ1(6,'࡬ࡢⓏ㘓ᚋ࡟グධ㸧







ᛶู㸸⏨࣭ዪ

ᝈ⪅Ặྡ㸸
1DPH

 6H[0DOH࣭ᅜ⡠㸸
1DWLRQDOLW\)HPDOH⏕ᖺ᭶᪥㸸ࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥㸦ࠉࠉṓࠉࣨ᭶㸧'DWHRIELUWK GP\  DJH\Rᝈ⪅ఫᡤ㸸
DGGUHVVᝈ⪅㟁ヰ␒ྕ㸸⮬Ꮿࠉࠉࠉࠉ㸫ࠉࠉࠉࠉࠉ㸫ࠉࠉࠉࠉࠉᦠᖏࠉࠉࠉࠉ㸫ࠉࠉࠉࠉࠉ㸫
3KRQHQXPEHUKRPHPRELOHᝈ⪅(PDLO㸸ࠉࠉࠉࠉࠉࠉࠉࠉࠉ㸾

ㄪᰝ᫬Ⅼࡢᝈ⪅ࡢ୺ࡓࡿᡤᅾ㸸‫ڧ‬་⒪ᶵ㛵ࠉ‫⮬ڧ‬Ꮿࠉ‫ڧ‬໅ົඛ࣭Ꮫᰯࠉ‫ࡢࡑڧ‬௚㸦ࠉࠉࠉࠉࠉ㸧‫ڧ‬୙᫂
SUHVHQWSODFHZKHUHWKHSDWLHQWPDLQO\VWD\‫ڧ‬KRVSLWDO‫ڧ‬KRPH‫ڧ‬SODFHRIZRUNVFKRRO‫ڧ‬RWKHUV‫ڧ‬XQNQRZQ㐃⤡ඛఫᡤ㸸ࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉ㟁ヰ␒ྕ㸸ࠉࠉࠉࠉࠉ㸫ࠉࠉࠉ㸫
FRQWDFWDGGUHVVSKRQHQXPEHU⫋ᴗ࣭ᴗ✀࣭Ꮫᰯ㸦ᗂ⛶ᅬ࣭ಖ⫱ᅬ➼ࢆྵࡴ㸧➼㸸
RFFXSDWLRQ࣭W\SHRIEXVVLQHVV࣭VFKRRO LQFOXGLQJQXUVHU\NLQGHUJDUGHQ ᭱⤊໅ົ࣭ฟᖍ㸦໅㸧᪥㸦ࠉࠉࠉᖺࠉࠉ᭶ࠉࠉ᪥㸧㸦ඣ❺࣭⏕ᚐࡢሙྜࠊᡤᒓࢡࣛࢫ࣭ࢡࣛࣈ➼ヲ⣽࡟グධࡍࡿࡇ࡜㸧'DWHRIODVWDWWHQGDQFH GP\  LQFDVHRIVWXGHQWGHVFULEHDERXWFODVVFOXEDFWLYLWLHVHWF໅ົඛ㸭Ꮫᰯྡ㸸
1DPHRIRIILFHVFKRRO໅ົඛ㸭Ꮫᰯᡤᅾᆅ㸸$GGUHVVRIRIILFHVKRRO໅ົඛ㸭Ꮫᰯ㟁ヰ␒ྕ㸸ࠉࠉࠉࠉࠉ㸫ࠉࠉࠉ㸫
3KRQHQXPEHURIRIILFHVFKRROᮏே௨እ㸦ಖㆤ⪅➼㸧ࡢ㐃⤡ඛ
RWKHUFRQWDFWDGGUHVVࠉẶྡ㸸ᮏே࡜ࡢ㛵ಀ㸸
ࠉ1DPHࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉࠉUHODWLRQVKLS



ࠉఫᡤ㸸
DGGUHVVࠉ㟁ヰ␒ྕࠉ⮬Ꮿ㸸ࠉࠉࠉࠉ㸫ࠉࠉࠉ㸫ዷፎ SUHJQDQF\

ࠉᦠᖏ㸸ࠉࠉࠉࠉ㸫ࠉࠉࠉ㸫↓ࠉ࣭ࠉ᭷ 㸦ዷፎࠉࠉࠉࠉࠉ㐌㸧JHVWDWLRQDOZHHNZႚ↮ VPRNLQJ↓ࠉ࣭ࠉ᭷ 㸦ࠉࠉṓ࠿ࡽࠉࠉࠉᮏ᪥㸧IURP\RGD\

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