ᖹᡂ㸰㸳ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠೺ᗣᏳ඲࣭༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗࠕ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇࡟㈨ࡍࡿ᝟ሗඹ᭷
ᇶ┙ࡢᩚഛ࡟㛵ࡍࡿ◊✲ࠖᖹᡂ㸰㸳ᖺᗘ
⥲ᣓ◊✲ሗ࿌᭩
㸦◊✲௦⾲⪅ ㏆⸨ ஂ⚞㸧ᖹᡂ   ᖺ  ᭶ཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠೺ᗣᏳ඲࣭༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗࠕ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇࡟㈨ࡍࡿ᝟ሗඹ᭷
ᇶ┙ࡢᩚഛ࡟㛵ࡍࡿ◊✲ࠖᖹᡂ  ᖺᗘ ⥲ᣓ◊✲ሗ࿌᭩◊✲௦⾲⪅㸹㏆⸨ ஂ⚞ᖹᡂ   ᖺ  ᭶




┠ḟ
Ϩ㸬୺௵◊✲ሗ࿌ࠕ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇࡟㈨ࡍࡿ᝟ሗඹ᭷ᇶ┙ࡢᩚഛ࡟㛵ࡍࡿ◊✲ࠖ㸦㏆⸨ ஂ⚞ ◊✲௦⾲⪅㸧 㹮ϩ㸬◊✲ሗ࿌
ࠕ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇ᶵ⬟ᙉ໬࡟㛵ࡍࡿ◊✲ࠖ19㸦᫂▼ ┿ゝ ◊✲ศᢸ⪅㸧    㹮ࠕ໬Ꮫࢸࣟ༴ᶵ⟶⌮࡟㛵ࡍࡿ◊✲ࠖ           㸦ᔱὠ ᓅኈ ◊✲ศᢸ⪅㸧   㹮ࠕ໬Ꮫ๣࡟㛵ࡍࡿ◊✲ࠖ     㸦すᒣ 㟹ᑗ ◊✲ศᢸ⪅㸧   㹮ࠕࣂ࢖࢜ࢸࣟᑐ⟇ࡢ᭱᪂ືྥ࡟㛵ࡍࡿ◊✲ࠖ㸦ᮌୗ Ꮫ  ◊✲ศᢸ⪅㸧㹮ࠕ⇿ᙎࢸࣟ࡟㛵ࡍࡿ◊✲ࠖ㸦ᚨ㔝 ៅ୍ ◊✲ศᢸ⪅㸧   㹮ࠕබ⾗⾨⏕ࢳ࣮࣒࡜ࡢ᝟ሗඹ᭷࡟㛵ࡍࡿ◊✲ࠖ            㸦㔠㇂ Ὀᏹ ◊✲ศᢸ⪅㸧   㹮ࠕ⅏ᐖ᫬ࡢ⢭⚄ಖ೺་⒪᝟ሗࡢඹ᭷ࡢᅾࡾ᪉࡟㛵ࡍࡿ◊✲ࠖ            㸦㔠 ྜྷᬕ  ◊✲ศᢸ⪅㸧  㹮ࠕ(0,6 ࡜ࡢ᝟ሗඹ᭷࡟㛵ࡍࡿ◊✲ࠖ            㸦୰ᒣ ఙ୍ ◊✲ศᢸ⪅㸧  㹮ࠕ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡟㛵ࡍࡿ◊✲ࠖ            㸦ᑠ᪩ᕝ ⩏㈗ ◊✲ศᢸ⪅㸧 㹮୺௵◊✲ሗ࿌㻌㻌㻌◊✲௦⾲⪅㻌 ㏆⸨㻌 ஂ⚞㻌䠄ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ᨻ⟇་⒪௻⏬◊✲ᐊ㛗䠅㻌ᖹᡂ㻞㻡ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌⥲ᣓ◊✲ሗ࿌᭩㻌㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌ㄢ㢟␒ྕ䠄㻴㻞㻡㻙೺༴㻙୍⯡㻙㻜㻝㻞䠅㻌㻌◊✲௦⾲⪅㻌 ㏆⸨ஂ⚞㻌ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌◊✲せ᪨
 ᵝࠎ࡞೺ᗣᶵჾࡢࣜࢫࢡࡢቑ኱ࡢ୰࡛ࠊཌ⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇ࡢᙉ໬ࡣႚ⥭ࡢㄢ㢟࡛࠶ࡿࠋࡑࡇ࡛ࠊᮏ◊✲࡟࠾࠸࡚ࡣࠊᅜෆእࡢࢿࢵࢺ࣮࣡ࢡࢆ☜❧ࡋࠊࡑࡢࢿࢵࢺ࣮࣡ࢡࢆ㏻ࡌ࡚ᅜෆእࡢ᭱᪂ࡢᣦ㔪࣭࢞࢖ࢻࣛ࢖ࣥࠊ㛵㐃ࡍࡿᢏ⾡ࡢ㛤
Ⓨࡢືྥ➼ࡢ▱ぢࢆ㞟⣙ࡋࠊཌ⏕ປാ┬࡟ᥦ♧ࡋࠊཌ⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇ࡢᙉ໬࡟㈨ࡍࡿࡇ࡜ࠊ⅏ᐖ᫬ࡢಖ೺་⒪㛵ಀάືࡢ᝟ሗࢩࢫࢸ࣒ࡢඹ᭷ࡢලయ
ⓗᡭἲࡢ㛤Ⓨࢆ⾜࠺ࡇ࡜ࠊ⅏ᐖ࣭೺ᗣ༴ᶵⓎ⏕᫬࡟࠾ࡅࡿಖ೺་⒪㛵㐃ศ㔝ࡢศ㔝ᶓ᩿ⓗࠊࣇ࢙࢖ࢬᶓ᩿ⓗ࡞ࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ࠶ࡾ᪉࡟ࡘ࠸࡚ࡑࡢࣔࢹࣝࢆᥦ♧ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ
ࡑࡢ⤖ᯝࠊ*+6$* ➼ࡢᾏእ࡟࠾࠸࡚⾜ࢃࢀࡿ఍ྜ࠿ࡽࡢ᝟ሗࢆᩚ⌮ࡋࠊཌ⏕ປാ┬࡟ᥦ♧ࡋࡓࡇ࡜ࠊᅜෆ࡟࠾ࡅࡿ 1%& ࢸࣟᑐ⟇ࡢᑓ㛛ᐙ࡟ࡼࡿࢿࢵࢺ࣮࣡ࢡࢆᵓ⠏ࡋࠊ఍ྜ࡟ࡼࡾࡑࡢᐇຠᛶࢆ㧗ࡵࡓࡇ࡜ࠊ೺ᗣ༴ᶵ⟶⌮᝟ሗࢩࢫࢸ࣒ࡢඹ᭷࡟㛵ࡍࡿᇶᮏᣦ㔪ࢆᥦ♧ࡋࠊ㑊㞴ᡤ࡟࠾ࡅࡿホ౯㡯┠ࢆᩚ⌮ࡋࡓࡇ࡜ࠊ⅏ᐖ࣭೺ᗣ༴ᶵ⟶⌮ࡢࢥ࣮ࢹ࢕ࢿ࣮
ࢺࡢ࠶ࡾ᪉࡟ࡘ࠸࡚ࡣࠊᇶᮏⓗ࡞⪃࠼᪉ࢆᩚ⌮ࡋࠊ◊ಟ࣒࢝ࣜ࢟ࣗࣛࢆ㛤Ⓨࡋࡓࡇ࡜ࡀ
ᡂᯝ࡛࠶ࡿࠋ㔠 ྜྷᬕ ᅜ❧⢭⚄⚄⤒་⒪◊✲ࢭࣥࢱ࣮⅏ᐖ᫬ࡇࡇࢁࡢ᝟ሗᨭ᥼ࢭࣥࢱ࣮ ࢭࣥࢱ࣮㛗୰ᒣఙ୍ රᗜ┴⅏ᐖ་⒪ࢭࣥࢱ࣮ ࢭࣥࢱ࣮㛗ᑠ᪩ᕝ⩏㈗ ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪ࢭࣥࢱ࣮ ་ᖌ◊✲༠ຊ⪅
ᐩỌ㝯Ꮚ ᨺᑕ⥺་Ꮫ⥲ྜ◊✲ᡤ❧ᓮⱥኵ ᨺᑕ⥺་Ꮫ⥲ྜ◊✲ᡤ⻏㇂ࡳࡉࢆ ᨺᑕ⥺་Ꮫ⥲ྜ◊✲ᡤ㯮ᮌ⏤⨾Ꮚ ᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ࣮᪋タ㛗㐲⸨ᐜᏊ ᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ࣮᪋タ㛗 Ἴከ㔝ᘺ⏕ ᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ࣮᪋タḟ㛗◊✲௦⾲⪅
㏆⸨ஂ⚞ ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪ࢭ
ࣥࢱ࣮ ᨻ⟇་⒪௻⏬ᑐ⟇ᐊ㛗◊✲ศᢸ⪅᫂ ▼ ┿ ゝ  ᨺ ᑕ ⥺ ་ Ꮫ ⥲ ྜ ◊ ✲ ᡤ⥭ᛴ⿕ࡤࡃ་⒪◊✲ࢭࣥࢱ࣮ ⌮஦ᔱὠᓅኈ ኱㜰኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉ ᩍᤵ
すᒣ㟹ᑗ 㜵⾨་⛉኱Ꮫᰯ 㜵⾨་Ꮫㅮᗙ ෸ᩍᤵᮌୗ Ꮫ 㜵⾨་⛉኱Ꮫᰯ ච␿ᚤ⏕≀Ꮫㅮᗙ ෸ᩍᤵᚨ㔝ៅ୍ 㜵⾨་⛉኱Ꮫᰯ 㜵⾨་Ꮫㅮᗙ ㅮᖌ
㔠㇂Ὀᏹ ᅜ❧ಖ೺་⒪⛉Ꮫ㝔 ೺ᗣ༴ᶵ⟶⌮◊✲㒊 㒊㛗−9−Ⲩᮌᾈஅ ᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ࣮ㄢ
㛗㧗㔝༤ᚨ ᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ࣮ㄢ㛗 㟝⏕ಙ᫂ ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪ࢭ
ࣥࢱ࣮ ་ဨ
Ⲩᕝு௓ ᅜ❧⢭⚄⚄⤒་⒪◊✲ࢭࣥࢱ࣮⢭⚄ಖ೺◊✲ᡤ ⅏ᐖࡇࡇࢁࡢ᝟ሗᨭ᥼ࢭࣥࢱ࣮ 㸿㸬◊✲┠ⓗࡢࡼ࠺࡞⅏ᐖ᫬ࡢಖ೺་⒪㛵ಀάືࡢ ᮾ᪥ᮏ኱㟈⅏௨㝆ࠊ༴ᶵ࡟࠾ࡅࡿᅜࡢ

೺ᗣ༴ᶵⓎ⏕᫬࡟࠾ࡅࡿಖ೺་⒪㛵㐃

ᙺ๭ࡢᙉ໬ࡀㄢ㢟࡜࡞ࡗ࡚࠸ࡿࠋ⌧ᅾࠊศ㔝ࡢศ㔝ᶓ᩿ⓗࠊࣇ࢙࢖ࢬᶓ᩿ⓗ࡞ࢥ᪥ᮏࡣࠊ༡ᾏࢺࣛࣇᆅ㟈ࡸ㤳㒔┤ୗᆅ㟈࣮ࢹ࢕ࢿ࣮ࢺࡢ࠶ࡾ᪉࡟ࡘ࠸࡚ࡑࡢࣔ

࡞࡝ࡢᕧ኱ᆅ㟈ࡢ⬣ጾࡀ࠶ࡾࠊࡲࡓࠊ

ࢹࣝࢆᥦ♧ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ

&%$51( ࢆ⏝࠸ࡓ⅏ᐖࠊࢸࣟࡢ⬣ጾࡶ࠶ࡿࠋࡇࡢࡼ࠺࡞ࣜࢫࢡࡢቑ኱ࡢ୰࡛ࠊཌ

㹀㸬◊✲᪉ἲ

⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ ཌ⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ

⟇ࡢᙉ໬ࡣႚ⥭ࡢㄢ㢟࡛࠶ࡿࠋࡑࡇ࡛ࠊ

࣒ᑐ⟇ᶵ⬟ᙉ໬࡟㛵ࡍࡿ◊✲࡟ࡘ࠸࡚ᮏ◊✲࡟࠾࠸࡚ࡣࠊᅜෆእࡢࢿࢵࢺ࣮࣡

ࡣࠊୡ⏺೺ᗣ༴ᶵ⾜ືࢢ࣮ࣝࣉ㸦*+6$*㸧

ࢡࢆ☜❧ࡋࠊࡑࡢࢿࢵࢺ࣮࣡ࢡࢆ㏻ࡌ࡚

ࡢ఍ྜ࡞࡝ඛ㐍ᅜ࡟࠾ࡅࡿ೺ᗣ༴ᶵ⟶ᅜෆእࡢ᭱᪂ࡢᣦ㔪࣭࢞࢖ࢻࣛ࢖ࣥࠊ㛵⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇ࡢ≧ἣࢆᢕᥱࡋࠊ᭱

㐃ࡍࡿᢏ⾡ࡢ㛤Ⓨࡢືྥ➼ࡢ▱ぢࢆ㞟᪂ࡢ▱ぢࢆࡲ࡜ࡵࠊཌ⏕ປാ┬࡟㈨ᩱ࡜

⣙ࡋࠊཌ⏕ປാ┬࡟ᥦ♧ࡋࠊཌ⏕ປാ┬ࡋ࡚ᥦ♧ࡍࡿࠋࡲࡓࠊᅜෆࡢ &%51( 㛵ಀࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇ࡢᙉ໬ࡢᑓ㛛ᐙࡢࢿࢵࢺ࣮࣡ࢡࢆᵓ⠏ࡋࠊᐃᮇ

࡟㈨ࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ

ⓗ࡟఍ྜࢆᐇ᪋ࡍࡿࠋᅜෆ࡟࠾ࡅࡿ᭱᪂

୍᪉ࠊᮾ᪥ᮏ኱㟈⅏௨㝆ࠊ⥭ᛴ་⒪ࡢࡳࡢ▱ぢࢆ཰㞟ࡍࡿ࡜࡜ࡶ࡟ࠊᮏ◊✲ࡢᡂ࡞ࡽࡎࠊබ⾗⾨⏕ࡸᚰࡢࢣ࢔➼་⒪㛵ಀᯝࡼࡾᚓࡽࢀࡓᾏእ࡞࡝ࡢ᭱᪂ࡢ▱ぢ

ࡢᵝࠎ࡞ศ㔝ࡢᨭ᥼యไࡀ☜❧ࡋ࡚ࡁࢆࡇࡢࢿࢵࢺ࣮࣡ࢡࢆ㏻ࡌ࡚ඹ᭷ࡍࡿࠋ

࡚࠸ࡿࠋࡋ࠿ࡋࠊᵝࠎ࡞ᨭ᥼యไࡀ☜❧ࡑࡋ࡚ࠊ*+6$* ໬Ꮫࢸࣟసᴗ㒊఍ࠊᨺᑕࡋ࡚ࡶࠊ┦஫ࡢ㐃ᦠయไࡀ࡞࠸ሙྜࠊ༷

⥺ࢸࣟసᴗ㒊఍࡟࠾ࡅࡿㄢ㢟࡟ࡘ࠸࡚ࠊ

ࡗ࡚⿕⅏ᆅ࡟㈇ᢸࢆᙉ࠸ࡿ⤖ᯝ࡟࡞ࡿ᪥ᮏ࡛ࡢ▱ぢࢆࡲ࡜ࡵࠊᅜ㝿ⓗ࡟Ⓨಙࡍྍ⬟ᛶࡀ࠶ࡿࠋຠᯝⓗ࠿ࡘຠ⋡ⓗ࡞㐃ᦠࡿࠋࡢࡓࡵ࡟ࡣࠊ᝟ሗඹ᭷ࡀ㔜せ࡞ㄢ㢟࡜࡞೺ᗣ༴ᶵ⟶⌮᝟ሗࢩࢫࢸ࣒ࡢඹ᭷࡟㛵ࡿࠋࡋ࠿ࡋࠊࡇࢀࡽࡢᨭ᥼యไࡈ࡜࡟⦪

ࡍࡿ◊✲࡟ࡘ࠸࡚ࡣࠊ⅏ᐖ་⒪ࠊබ⾗⾨๭ࡾࡢ᝟ሗࢩࢫࢸ࣒ࡀᵓ⠏ࡉࢀࡓሙྜࠊ

⏕ࠊᚰࡢࢣ࢔ࡢ᝟ሗࢩࢫࢸ࣒ࡢඹ᭷ࡢල

ࡇࡢࡼ࠺࡞㐃ᦠࡢጉࡆ࡟࡞ࡿࡤ࠿ࡾ࡛

యⓗᡭἲࡢ㛤Ⓨࢆ⾜࠺ࠋලయⓗ࡟ࡣࠊ⅏࡞ࡃࠊ⌧ሙࡢసᴗ㈇ᢸࡀቑ࠼ࠊΰ஘ࡢᇶ

ᐖ་⒪ศ㔝ࡢᗈᇦ⅏ᐖᩆᛴ་⒪᝟ሗࢩ

࡜࡞ࡿࠋࡑࡇ࡛ࠊᮏ◊✲࡟࠾࠸࡚ࡣࠊࡇ

ࢫࢸ࣒㸦(0,6㸧ࠊබ⾗⾨⏕ศ㔝ࡣ೺ᗣ༴᝟ሗࢩࢫࢸ࣒ࡢඹ᭷ࡢලయⓗᡭἲࡢ㛤Ⓨࢆ⾜࠺ࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ
ࡲࡓࠊᮾ᪥ᮏ኱㟈⅏࡟࠾࠸࡚ࡣࠊ⅏ᐖ᫬
ࡢಖ೺་⒪㛵㐃άື࡟࠾ࡅࡿࢥ࣮ࢹ࢕
ࢿ࣮ࢺࡀㄢ㢟࡜࡞ࡗࡓࠋຠᯝⓗ࡞⅏ᐖᨭ᥼άື࡟࠾࠸࡚ࡣࠊᣦ᥹ㄪᩚᶵ⬟ࡢ☜❧ࡀ᭱ࡶ㔜せ࡛࠶ࡿࠋࡑࡇ࡛ࠊ௒ᅇࠊ⅏ᐖ࣭

−10−ᶵ⟶⌮ᨭ᥼ࣛ࢖ࣈ࣮ࣛࣜࢩࢫࢸ࣒ +⬟࡞໬Ꮫ≀㉁࡟ࡘ࠸࡚᝟ሗ஺᥮ࡀ⾜ࢃ&ULVLVࠊᚰࡢࢣ࢔ࢳ࣮࣒ࡢ᝟ሗ཰㞟ࢩࢫࢀࡓࠋࡲࡓࠊࡑࡢ௚ࠊ࢔ࢪ࢔ኴᖹὒឤᰁ

ࢸ࣒ࡢ㐃ᦠ࡟ࡘ࠸᳨࡚ウࡍࡿࠋ⑕ࣂ࢖࢜ࢸࣟᑐ⟇఍㆟ࠊ,$($ ࡢ࢔ࢪ࢔⅏ᐖ࣭೺ᗣ༴ᶵ⟶⌮ࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ

ཎᏊຊᏳ඲ࢿࢵࢺ࣮࣡ࢡ࡬ཧຍࡋࠊ᝟ሗ

࠶ࡾ᪉࡟ࡘ࠸࡚ࡢ◊✲࡟ࡘ࠸࡚ࡣࠊ⅏ࢆ཰㞟ࡋࡓࠋ

ᐖ࣭೺ᗣ༴ᶵⓎ⏕ᚋࠊᛴᛶᮇ࠿ࡽளᛴᛶ

୍᪉ᅜෆ࡟㛵ࡋ࡚ࡣࠊ&%51( 㛵ಀࡢᑓᮇࠊ៏ᛶᮇ࡟࠸ࡓࡿࡲ࡛ࡢಖ೺་⒪⚟♴㛛ᐙࠊᩆᛴ⅏ᐖ་⒪ࠊᩆຓࡢᐇົ⪅ࠊ⾜㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ࠶ࡾ᪉ࢆ᳨ウᨻ㛵ಀ⪅࠿ࡽ࡞ࡿࢿࢵࢺ࣮࣡ࢡࢆᵓ⠏ࡋࠊᚲせ࡞ᢏ⬟ࢆᚓࡿࡓࡵࡢ◊ಟ࢝ࣜ࢟ࡋࡓࠋᅗ㸰㸸1%& ࢸࣟᑐ⟇ᑓ㛛ᐙ఍ྜ࢖࣓࣮

࣒ࣗࣛࢆ㛤Ⓨࠊヨ⾜ࡋࠊࡑࡢᐇຠᛶ࡟ࡘ

ࢪ࠸᳨࡚ドࡍࡿࠋ
ᅗ㸯㸸ᮏ◊✲ࡢࣔࢹࣝ㸦೔⌮㠃࡬ࡢ㓄៖㸧ᮏ◊✲࡟࠾࠸࡚ࡣ≉ᐃࡢಶேࠊᐇ㦂ື≀ࡇࡢࢿࢵࢺ࣮࣡ࢡࡢᐇຠᛶࢆ☜ಖࡋࠊ࡞࡝ࢆᑐ㇟࡜ࡋࡓ◊✲ࡣ⾜ࢃ࡞࠸ࡓࡵ

᝟ሗ஺᥮ࠊඹ᭷ࢆ┠ⓗ࡜ࡋࡓ఍ྜࢆ௨ୗ

೔⌮ⓗၥ㢟ࢆ⏕ࡌࡿࡇ࡜ࡣᑡ࡞࠸࡜⪃ࡢࡼ࠺࡟㛤ദࡋࡓࠋ

࠼ࡽࢀࡿࠋࡋ࠿ࡋࠊ◊✲ࡢ㐣⛬࠾࠸࡚ྛ➨୍ᅇ఍ྜ

ᶵ㛵ࠊࡑࢀ࡟ᡤᒓࡍࡿ⫋ဨ➼ࡢ㛵୚ࡀ⏕ࢸ࣮࣐㸸໬Ꮫࢸࣟ

ࡌࡿྍ⬟ᛶࡀ࠶ࡿࡓࡵேᶒ᧦ㆤୖ༑ศ

᪥᫬㸸㸶᭶㸰㸴᪥㓄៖ࡍࡿ࡜ඹ࡟ᚲせ࡛࠶ࢀࡤᑐ㇟⪅࡟ࣉࣟࢢ࣒ࣛ

ᑐࡍࡿㄝ᫂࡜⌮ゎࢆᚓࡿࡼ࠺ດࡵࡿࠋ࣭ ᅜẸಖㆤカ⦎࡟ࡘ࠸࡚

࣭ ໬Ꮫࢸࣟ➼೺ᗣ༴ᶵ஦ែ࡟࠾ࡅࡿ

㹁㸬◊✲⤖ᯝ

་⸆ရഛ⵳ཬࡧ㓄㏦࡟㛵ࡍࡿ᳨ウ ཌ⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ

࡟ࡘ࠸࡚࣒ᑐ⟇ᶵ⬟ᙉ໬࡟㛵ࡍࡿ◊✲࡟ࡘ࠸࡚࣭ &%51( ⅏ᐖ࡬ࡢᶆ‽ᑐᛂ࡟ࡘ࠸࡚ ࡣࠊ*+6$* ໬Ꮫࢸࣟసᴗ㒊఍㸦ࣇࣛࣥࢫ࣭

ཧຍ⪅㸸 ྡࣜ࢜ࣥ㸧࡟ཧຍࡋࡓࠋཧຍྛᅜ࡛ศᯒྍ

−11−㹂㸬⪃ᐹ

➨஧ᅇ఍ྜ

ཌ⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ

ࢸ࣮࣐㸸⏕≀๣ࠊ໬Ꮫ๣ࠊ᰾⅏ᐖ᪥᫬㸸㸱᭶㸵᪥࣒ᑐ⟇ᶵ⬟ᙉ໬࡟㛵ࡍࡿ◊✲࡟㛵ࡋ࡚ࣉࣟࢢ࣒ࣛ

ࡣࠊ*+6$* ➼ࡢᾏእ࡟࠾࠸࡚⾜ࢃࢀࡿ఍࣭ ᪥ᮏࡢ⏕≀ࢸࣟᑐ⟇࣭ឤᰁ⑕ᑐ⟇ ྜ࠿ࡽࡢ᝟ሗࢆᩚ⌮ࡋࠊཌ⏕ປാ┬࡟ᥦ࣭ ឤᰁ⑕ࡢ᳨ࣛ࣎ᰝయไ

♧ࡋࡓࡇ࡜ࠊᅜෆ࡟࠾ࡅࡿ 1%& ࢸࣟᑐ⟇࣭ ᮾி㟁ຊ⚟ᓥ➨୍ཎⓎ஦ᨾ࡟ᑐࡍ

ࡢᑓ㛛ᐙ࡟ࡼࡿࢿࢵࢺ࣮࣡ࢡࢆᵓ⠏ࡋࠊ఍ྜ࡟ࡼࡾࡑࡢᐇຠᛶࢆ㧗ࡵࡓࡇ࡜ࡀ

ࡿ་⒪ᑐᛂDIWHU

ᡂᯝ࡛࠶ࡿࠋ௒ᚋࡢㄢ㢟࡜ࡋ࡚ࡣࠊᘬࡁ

&KHPLFDO1HUYH$JHQWV([SRVXUH

⥆ࡁࠊ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇ㅖ:RUNVKRS ሗ࿌እᅜࡢᣦ㔪࣭࢞࢖ࢻࣛ࢖ࣥࠊ㛵㐃ࡍࡿᢏ࣭ 1HXURORJLFDO

(IIHFWVཧຍ⪅㸸 ྡ⾡ࡢ㛤Ⓨࡢືྥ➼ࡢ᝟ሗࢆྠᐃ࣭཰㞟࣭೺ᗣ༴ᶵ⟶⌮᝟ሗࢩࢫࢸ࣒ࡢඹ᭷࡟

ศᯒ࣭ᥦ౪ࡍࡿࠋ≉࡟ࠊḟᖺᗘ᪥ᮏ࡛㛤㛵ࡍࡿ◊✲࡟ࡘ࠸࡚ࡣࠊ་⒪ࠊබ⾗⾨⏕ࠊദࡉࢀࡿ *+6, 㛶൉఍ྜ࡟࠾ࡅࡿ᪥ᮏ࠿

ᚰࡢࢣ࢔ࡢศ㔝࡛ࠊࡲࡎඹ᭷ࡀᚲせ࡞ศ

ࡽⓎಙࡍ࡭ࡁㄢ㢟࡟ࡘ࠸࡚ᩚ⌮ࡍࡿࠋ㔝ࡣࠊ㑊㞴ᡤࡢ≧ἣࡢホ౯࡛࠶ࡿࡇ࡜ࢆ

೺ᗣ༴ᶵ⟶⌮᝟ሗࢩࢫࢸ࣒ࡢඹ᭷࡟

☜ㄆࡋࡓࠋࡑࡋ࡚ࠊ㑊㞴ᡤࡢホ౯࡟ࡘ࠸㛵ࡍࡿ◊✲࡟㛵ࡋ࡚ࡣࠊᇶᮏᣦ㔪ࢆᥦ♧࡚ࠊලయⓗ࡞㡯┠ࢆᣲࡆࠊ᭦࡟⥭ᛴ࡟ㄪࡋࠊ㑊㞴ᡤ࡟࠾ࡅࡿホ౯㡯┠ࢆᩚ⌮ࡋࡓᰝࡀᚲせ࡞㡯┠ࠊヲ⣽࡞ㄪᰝ࡜ࡋ࡚ᚲせࡇ࡜ࡀᡂᯝ࡛࠶ࡿࠋࡇࡢࡇ࡜ࡣࠊ௒ᚋࡢ

࡞㡯┠࡟ศࡅࡓࠋࡇࢀࡽࡢホ౯ᣦᶆࡣࠊ

ཌ⏕ປാ┬࡟࠾ࡅࡿᵝࠎ࡞ศ㔝࡛ࡢ᝟

་⒪ࠊබ⾗⾨⏕ࠊᚰࡢࢣ࢔ࡢほⅬ࡛ᚲせሗࢩࢫࢸ࣒㛤Ⓨࡢᇶ♏࡜࡞ࡿࡶࡢ࡜ᮇ

࡞㡯┠࡟ࡘ࠸᳨࡚ウࡋࡓࠋࡲࡓࠊ᝟ሗඹ

ᚅࡉࢀࡿࠋḟᖺᗘ௨㝆ࡣࠊࡇࢀࢆᇶ࡟ࠊ

᭷ࡢලయⓗ࡞᪉ἲ࡟ࡘ࠸࡚ࠊ཮᪉ࡢ᝟ሗ

᝟ሗඹ᭷ࡢࡓࡵࡢලయⓗ࡞ࣔࢹࣝࢆ㛤ࢩࢫࢸ࣒ࡢ᝟ሗ஺᥮࣭ඹ᭷࡟ࡘ࠸࡚ࡑࡢ

Ⓨࡋࠊࡑࢀࡒࢀࡢศ㔝ࡢカ⦎ࡸ◊ಟࠊࡲᡭἲࢆ᳨ウࡋࡓࠋ

ࡓ⥲ྜ㜵⅏カ⦎࡟࠾࠸࡚᝟ሗඹ᭷ࣔࢹ

⅏ᐖ࣭೺ᗣ༴ᶵ⟶⌮ࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺ

ࣝࢆヨ⾜ࡋࠊᐇຠᛶࢆ᳨ドࡍࡿࡇ࡜ࡀ௒

ࡢ࠶ࡾ᪉࡟ࡘ࠸࡚ࡢ◊✲࡟ࡘ࠸࡚ࡣࠊᮾ

ᚋࡢㄢ㢟࡛࠶ࡿࠋࡲࡓࠊᨭ᥼ࢳ࣮࣒ࡢ᝟

᪥ᮏ኱㟈⅏௨๓ࠊ௨㝆࡟⾜ࢃࢀ࡚࠸ࡿ⅏ሗ࡞࡝㑊㞴ᡤ௨እ࡟࠾ࡅࡿඹ㏻㡯┠ࡢᐖ་⒪㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺ࡟ಀࢃࡿ᳨ウࡶㄢ㢟࡛࠶ࡿࠋ

◊ಟࡢ᝟ሗࢆ཰㞟ࡋࡓࠋࡑࡢ࠺࠼࡛ࠊ⅏⅏ᐖ࣭೺ᗣ༴ᶵ⟶⌮ࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺ

ᐖ་⒪㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢලయⓗࡢ࠶ࡾ᪉࡟ࡘ࠸࡚ࡢ◊✲࡟㛵ࡋ࡚ࡣࠊᮏ

࡞ࣔࢹ࣭ࣝᡭἲࢆ㛤Ⓨࡋࠊࡇࢀࡽࢆ㋃ࡲ

ᖺᗘࡣࠊᇶᮏⓗ࡞⪃࠼᪉ࢆᩚ⌮ࡋࠊ࢝ࣜ࠼ࠊ⅏ᐖ་⒪㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ◊࣒࢟ࣗࣛࢆ㛤Ⓨࡋࡓࡇ࡜ࡀᡂᯝ࡛࠶ࡿࠋ

ಟ࣒࢝ࣜ࢟ࣗࣛࢆ㛤Ⓨࡋࡓࠋࡇࡢࡇ࡜ࡣࠊḟᖺᗘ௨㝆ࠊಖ೺་⒪⛉Ꮫ㝔࡞࡝࡛⾜ࢃࢀࡿ◊ಟ࡟┤᥋㈉⊩࡛ࡁࡿᡂᯝ࡛࠶ࡿࠋḟᖺᗘ௨㝆ࡣࠊ௒ᖺᗘ㛤−12−

Ⓨࡋࡓ࣒࢝ࣜ࢟ࣗࣛࢆᇶ࡟ࠊࡑࡢㅮ⩏㈨

the Medical Basis forᩱࢆసᡂࡋࠊಖ೺་⒪⛉Ꮫ㝔ࡢ೺ᗣ༴ᶵ

Radiation-Accident Preparedness and⟶⌮◊ಟ఍➼࡟࠾࠸࡚ᐇ᪋ࡋࠊࡑࡢᐇຠ

the Biodosimetry Workshop. Editorsᛶࢆ᳨ドࡋࠊࡑࡢ⤖ᯝ࡟ᇶ࡙ࡁ⅏ᐖ་⒪Christensen DM, Sugarman SL, and㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ࠶ࡾ᪉ࢆ෌ᥦ

O’Hara FM Jr Publisher Oak Ridge♧ࡍࡿ࡜࡜ࡶ࡟ࠊ◊ಟ࣒࢝ࣜ࢟ࣗࣛࢆ⢭Associate Universities, Oak Ridge TN,⦓໬ࡋࠊᶆ‽ⓗ࡞⅏ᐖ་⒪㛵ಀࡢࢥ࣮ࢹ

USA. p19-31, 2013࢕ࢿ࣮ࢺ◊ಟ࣒࢝ࣜ࢟ࣗࣛࢆᥦ♧ࡍࡿࠋ2) Nagataki S, Takamura N, Kamiya K,Akashi M. Measurements of individual㹃㸬⤖ㄽ

radiation doses in residents living ཌ⏕ປാ┬ࡢ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ

around the Fukushima Nuclear Power࣒ᑐ⟇ᶵ⬟ᙉ໬࡟㛵ࡍࡿ◊✲ࠊ೺ᗣ༴ᶵ

Plant. Radiat Res. 2013⟶⌮᝟ሗࢩࢫࢸ࣒ࡢඹ᭷࡟㛵ࡍࡿ◊✲ࠊ

Nov;180:439-47⅏ᐖ࣭೺ᗣ༴ᶵ⟶⌮ࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ

3) Hachiya M, Tominaga T, Tatsuzaki H,࠶ࡾ᪉࡟ࡘ࠸࡚ࡢ◊✲ࢆ⾜ࡗࡓࠊࡑࡢ⤖Akashi M. Medical Management of theᯝࠊ*+6$* ➼ࡢᾏእ࡟࠾࠸࡚⾜ࢃࢀࡿ఍Consequences of the Fukushimaྜ࠿ࡽࡢ᝟ሗࢆᩚ⌮ࡋࠊཌ⏕ປാ┬࡟ᥦ

Nuclear Power Plant Incident. Drug♧ࡋࡓࡇ࡜ࠊᅜෆ࡟࠾ࡅࡿ 1%& ࢸࣟᑐ⟇Dev. Res. 42:3-9, 2014ࡢᑓ㛛ᐙ࡟ࡼࡿࢿࢵࢺ࣮࣡ࢡࢆᵓ⠏ࡋࠊ4) Tominaga T, Hachiya M, Tatsuzaki H,఍ྜ࡟ࡼࡾࡑࡢᐇຠᛶࢆ㧗ࡵࡓࡇ࡜ࠊ೺

Akashi M. The accident at theᗣ༴ᶵ⟶⌮᝟ሗࢩࢫࢸ࣒ࡢඹ᭷࡟㛵ࡍ

Fukushima Daiichi Nuclear Powerࡿᇶᮏᣦ㔪ࢆᥦ♧ࡋࠊ㑊㞴ᡤ࡟࠾ࡅࡿホ

Plant in 2011. Health Physics Journal,౯㡯┠ࢆᩚ⌮ࡋࡓࡇ࡜ࠊ⅏ᐖ࣭೺ᗣ༴ᶵ

in press5) ᫂▼┿ゝ䚸⻏㇂䜏䛥䜢䚸ᮾி㟁ຊ⚟⟶⌮ࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ࠶ࡾ᪉࡟ࡘ࠸
࡚ࡣᇶᮏⓗ࡞⪃࠼᪉ࢆᩚ⌮ࡋࠊ◊ಟ࢝ࣜᓥ➨୍ཎᏊຊⓎ㟁ᡤ஦ᨾ䚸ཎᏊຊ⅏࣒࢟ࣗࣛࢆ㛤Ⓨࡋࡓࡇ࡜ࡀᡂᯝ࡛࠶ࡿࠋ

ᐖ䛾බ⾗⾨⏕㻌 ⚟ᓥ䛛䜙䛾Ⓨಙ䚸

p3-p11䚸༡ᒣᇽ䚸2014.1 ᭶㹅㸬◊✲Ⓨ⾲

6)

Y.Nishiyama. Countermeasures byㄽᩥⓎ⾲

LC16m8 immunization against

1) Akashi M, Tominaga T, Hachiya M.

smallpox bioterrorism. International

Medical Management of thereview of the armed forces medical

Consequences of the Fukushima

services. 2013 86(3): 20-23.
7)

Nuclear Power Plant Incident. The

Y.Nishiyama. Readiness and Response

Medical Basis for Radiation-Accident

for chemical terrorism. International

Prepareness: Proceedings of the Fifth

forum of medical corps. 2013 2:52-54.
8)

International REAC/TS Symposium on−13−

Y.Nishiyama. Book review; Sphere9)standard. J of National Defense

LC16m8 for smallpox bioterrorism. 11

Medical College. 2013 38(5)July, 2013, Korea. APMMC abstract,すᒣ㟹ᑗ䜋䛛䠊ୡ⏺䛾ᝈ⪅✵㍺䛾Ṕp97

ྐ䠖㌷஦⣮த䛸㛵㐃䠊㜵་኱ㄅ䠊2) 40th World International Committee of
Military

2013 38(2): 105-113.
10) すᒣ㟹ᑗ䠊⡿ᅜ㌷ಖ೺኱Ꮫ➼䜈䛾どMedicine.

Y.Nishiyama.

Reducing bioterrorism threat withᐹሗ࿌䠊㜵་኱ㄅ䠊2013

smallpox

38(2):170-173.

strategic national stockpile. 8 Dec,

11) すᒣ㟹ᑗ䜋䛛䠊௖⊂ඹྠ㏻ྐ㻌 ➨୍

vaccine

LC16m8asa

2013, Saudi Arabia. 40th ICMMḟୡ⏺኱ᡓ䠊㜵་኱ㄅ䠊 2013 38(4):abstract book,p285.
3)334-335.

International

military

medical12) すᒣ㟹ᑗ䜋䛛䠊㌷஦ྐ䛻Ꮫ䜆㍺⾑䛾

symposium on Cobra Gold 2014. Y.

㔜せᛶ䛸ேᕤ⾑ᾮ䜈䛾ᮇᚅ䠊㜵⾨⾨

Nishiyama et al. JSDF activities for⏕ㄅ䠊2014 61(3)health concern in the Tsunami disaster13) すᒣ㟹ᑗ䠊೺ᗣ༴ᶵ⟶⌮◊ಟཧຍሗand nuclear incident. 15 Feb, 2014,࿌䠊㜵་኱ㄅ䠊2013 38(5)Thailand.㸦Ⓨ⾲ㄅ⦅⧩୰㸧14) Ᏻ㓟ྐᏊ䜋䛛䠄すᒣ㟹ᑗ༠ຊ⦅㞟䠅4) INFLUENCE OF SHOCK WAVE TO㜵⾨┳ㆤᏛ㻌 ་Ꮫ᭩㝔䚸2014

LIVING BODY - Mechanism of the15) ᮌୗ㻌 Ꮫ䚸㻌 䜰䝆䜰ኴᖹὒឤᰁ⑕䝞䜲

Alveolus Wall Destruction in the䜸䝔䝻ᑐ⟇఍㆟䛻㛵䛩䜛ሗ࿌᭩䠄㜵

Primary Blast Injury-Tokuno S, Sato S,⾨┬䚸ཌປ┬㛵ಀᶵ㛵䛻㓄ᕸ䠅

Satoh Y, Saito D, Ohno T, Tsumatori16) 㔠㇂Ὀᏹ䠊ཎᏊຊ⅏ᐖ䛻క䛖බ⾗⾨

G;40th WCMM(World Congress in⏕ᑐᛂ䛻䛴䛔䛶䠊ಖ೺་⒪⛉Ꮫ䠊Military Medicine), Saudi Arabia,

2013䠗62䠄2䠅䠖125-131䠊

2013.1217) 㔠㇂Ὀᏹ䠈┾ᒇ᭸࿴䠈ᐩ⏣ዉ✑Ꮚ䠈5) ་⒪䝅䝇䝔䝮䛸䛧䛶䛾⇿യ䜈䛾ᑐᛂ㻚㻌ᕷᕝᏛ䠈ฟཱྀᘯ䠊♫఍䝅䝭䝳䝺䞊䝅䝵ᚨ㔝ៅ୍㻧㻌 ➨ 㻠 ᅇ⇿യ◊✲఍㻘㻌 ᮾி㻘㻌䞁䜢⏝䛔䛯ಖ೺་⒪䝃䞊䝡䝇䛾ホ౯䠊㻞㻜㻝㻠㻚㻞㻌

ィ䛸ไᚚ䠊2013䠗52䠄7䠅䠖622-628䠊6)▼ᓟᗣᾈ䠈Ỉᓥὒ㻘㻌 㔠㇂Ὀᏹ㻚㻌 ⅏ᐖ18) ዟᮧ㈗ྐ䠈㔠㇂Ὀᏹ䠊೺ᗣ༴ᶵ⟶⌮᫬་⒪᝟ሗඹ᭷䝅䝇䝔䝮䜈䛾⤫ྜ䛻䛸⮬↛ゝㄒฎ⌮䠊⮬↛ゝㄒฎ⌮䠊䜘䜛ⅆᒣ䝝䝄䞊䝗䝬䝑䝥䛾䜴䜵䝤໬䛾

2013䠗20䠄3䠅䠖513-524.

ヨ䜏䠊᪥ᮏᆅ⌫ᝨᫍ⛉Ꮫ㐃ྜ 㻞㻜㻝㻟ᖺ኱఍䠗㻞㻜㻝㻟 ᖺ 㻡 ᭶㻧༓ⴥ䠊᪥ᮏᆅ⌫Ꮫ఍Ⓨ⾲ᝨ ᫍ ⛉ Ꮫ 㐃 ྜ 㻞㻜㻝㻟 ᖺ ኱ ఍ ண ✏
rd

㻰㼂㻰䠊㻌

1) International symposium of 23 Asia
pacific military medical conference. Y.

7)㐲⸨㻌 ▖䠈Ụ⸨ள⣖Ꮚ䠈㧗ᶫ㑥ᙪ䠈኱

Nishiyama et al. New challenges ofᒣ༟᫛䠈㔠㇂Ὀᏹ䠈㐲⸨ᖾ⏨䠊ᑠᏛ

−14−ᰯ䞉୰Ꮫᰯ䛻䛚䛡䜛䜲䞁䝣䝹䜶䞁䝄᪋タูⓎ⏕≧ἣ䛸ᆅᇦ䛾ὶ⾜≧ἣ䛸䛾ẚ㍑䠊➨ 㻣㻞 ᅇ᪥ᮏබ⾗⾨⏕Ꮫ఍䠗㻞㻜㻝㻟 ᖺ 㻝㻜 ᭶䠗୕㔜䠊᪥ᮏබ⾗⾨⏕㞧ㄅ䠊㻞㻜㻝㻟䠗㻢㻜㻌㻔㻝㻜 ≉ู௜㘓㻕㻌8) 㔠㇂Ὀᏹ㻚㻌 ⅏ᐖಖ೺་⒪ᨭ᥼䛻ྥ䛡䛯◊ಟ䝅䝇䝔䝮㻚㻌 ➨ 㻝㻥 ᅇ᪥ᮏ㞟ᅋ⅏ᐖ་Ꮫ఍⥲఍㻧㻌㻞㻜㻝㻠 ᖺ 㻞 ᭶㻧㻌 ᮾி㻚㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ㻌㻝㻚 ≉チྲྀᚓ㻌 㻌 㻌 㻌 㻌 㻌䛺䛧㻌㻌 㻞㻚㻌 ᐇ⏝᪂᱌Ⓩ㘓㻌 㻌 㻌 㻌 㻌䛺䛧㻌㻞㻚 䛭䛾௚㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌 㻌
䛺䛧㻌


−15−

ศᢸ◊✲ሗ࿌㻌 㻌㻌㻌ศᢸ◊✲ሗ࿌
㻌㻌㻌㻌㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇ᶵ⬟ᙉ໬䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 ᫂▼㻌 ┿ゝ㻌䠄⊂❧⾜ᨻἲே㻌 ᨺᑕ⥺་Ꮫ⥲ྜ◊✲ᡤ㻌 㻌⥭ᛴ⿕䜀䛟་⒪◊✲䝉䞁䝍䞊㻌 ⌮஦䠅㻌㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇ᶵ⬟ᙉ໬䛻㛵䛩䜛◊✲䛃㻌◊✲ศᢸ⪅㻌 ᫂▼㻌 ┿ゝ㻌 㻌ᨺᑕ⥺་Ꮫ⥲ྜ◊✲ᡤ㻌 ⌮஦㻌◊✲せ᪨ᅜෆእ࡛㛤ദࡉࢀࡓᨺᑕ⥺⥭ᛴ஦ែ࠾ࡼࡧ⥭ᛴ⿕ࡤࡃ་⒪࡟㛵ࡍࡿᅜ㝿࣮࣡ࢡࢩࣙࢵࣉࠊ◊ಟࠊカ⦎࡟ཧຍࡋࠊ᝟ሗ஺᥮࡟ࡼࡾࠊᨺᑕ⥺⥭ᛴ஦ែࠊࢸࣟࣜࢬ࣒Ⓨ⏕᫬࡛ࡢᅜ㝿ⓗ࡞ᨭ᥼࡟ࡣࠊࢿࢵࢺ࣮࣡ࢡࠊ᝟ሗ஺᥮ࠊ◊ಟ➼ࡢ㔜せᛶࢆ෌ㄆ㆑ࡋࡓࠋ
䠝䠊◊✲┠ⓗ⒪ᨭ᥼➼䛾ศ㔝䛷ᅜෆ䛛䜙㛵ಀᅜ䛻ᑐ䛧䛶ຓゝ㻌 ᨺᑕ⥺⥭ᛴ஦ែ䜔ᨺᑕ⥺䛒䜛䛔䛿ᨺᑕᛶ≀㉁➼䜢㏻䛨䛯᥼ຓ䜢⾜䛖ᶵ㛵䛸䛧䛶䚸⊂❧⾜ᨻἲே᪥䛻䜘䜛䝔䝻䝸䝈䝮䜈䛾ᑐᛂయไ䛻䛴䛔䛶ㅖእᅜ䛾ᮏཎᏊຊ◊✲㛤Ⓨᶵᵓ䚸⊂❧⾜ᨻἲேᨺᑕ⥺་≧ἣ䜢᝟ሗ཰㞟䛧䚸ᡃ䛜ᅜ䛾ᨺᑕ⥺⥭ᛴ஦ែ䛺䜙Ꮫ⥲ྜ◊✲ᡤ䚸ᅜ❧኱Ꮫἲேᗈᓥ኱Ꮫ䛾 3 ᶵ㛵䜃䛻ᨺᑕ⥺䝔䝻䝸䝈䝮ᑐ⟇䛾ᙉ໬䛻㈨䛩䜛▱ぢ䜢䛜Ⓩ㘓䛥䜜䛶䛔䜛䚹ᖹᡂ 25 ᖺ 5 ᭶ 28 ᪥䛛䜙 31 ᪥㞟⣙䛩䜛䛣䛸䜢┠ⓗ䛸䛩䜛䚹䜎䛷䚸⚟ᓥ┴䛻䛚䛔䛶 18 䜹ᅜ䛛䜙 40 ྡ䛜ཧຍ䛧䚸⎔ቃㄪᰝ䚸ᨺᑕ⥺ᐃ䛻㛵䛧䛶䛾䝽䞊䜽䝅䝵䝑䝥䛜㛤ദ䛥䜜䛯䚹䛣䛾䝽䞊䜽䝅䝵䝑䝥䛷䛿䚸ྛᅜ䛛䜙ᨺᑕ䠞䠊◊✲᪉ἲ
ᖹᡂ 25 ᖺᗘ䛻ᅜෆእ䛷㛤ദ䛥䜜䛯ᨺᑕ⥺⥭ᛴ⥺ィჾ䜢ᣢ䛱㎸䜏䚸ᮾ㟁⚟ᓥ➨୍ཎⓎ䛛䜙 20஦ែ䛚䜘䜃⥭ᛴ⿕䜀䛟་⒪䛻㛵䛩䜛ᅜ㝿䝽䞊䜽䝅km ᅪෆ䛷䛾ᨺᑕ⥺䝵䝑䝥䚸◊ಟ䚸カ⦎䛻ཧຍ䛧䚸ᥦ♧䛥䜜䛯᝟ሗ䛾ྲྀ➼䛻䛴䛔䛶㆟ㄽ䛧䛯䚹ィᚓ䚸ཧຍ⪅䛸䛾᝟ሗ஺᥮䛻䜘䛳䛶䚸ᨺᑕ⥺䛚䜘䜃䝢䞁䜾䚸㧗ศゎ⬟䜺䞁䝬⥺䝇䝨䜽䝖䝹ศᯒ䚸✵㛫⥺ᨺᑕᛶ≀㉁䛻䜘䜛⥭ᛴ஦ែ䚸ᨺᑕ⥺䝔䝻䝸䝈䝮ᑐ㔞⋡ィ⟇䛾㛵㐃᝟ሗ䜢ྲྀᚓ䛧䛯䚹୍⮴䛧䛶䛔䛯䚹

➼䛾ᨺᑕ⥺ᐃ䜢ᐇ᪋䛧䚸⤖ᯝ䛾஫᥮ᛶჾ䛸 GPS 䜢฼⏝䛧䛯䝬䝑ᐃ䛾⤖ᯝ䛿䚸䛹䛾ᅜ䜒䜋䜌

ᖹᡂ 25 ᖺ 10 ᭶ 1 ᪥䛛䜙 4 ᪥䜎䛷ᨺ་◊䛷䚸
IAEA 䛾ᯟ⤌䜏䛷䛒䜛䜰䝆䜰ཎᏊຊᏳ඲䝛䝑䝖䝽䞊䠟䠊◊✲⤖ᯝ
Response and Assistance Network (RANET)䛿䚸

䜽(ANSN) 䛻䜘䜛 Sub-regional Workshop onᅜ㝿ཎᏊຊᶵ㛵(IAEA)䛻䜘䜛ཎᏊຊ஦ᨾ䜎䛯䛿

Medical Response to Radiological Emergencyᨺᑕ⥺⥭ᛴ஦ែⓎ⏕᫬䛾ᅜ㝿ⓗ䛺ᨭ᥼䛾ᯟ⤌䜏

Handling Complex Situation 䛜㛤ദ䛥䜜䚸䜰䝆䜰 9䛸䛧䛶ᵓ⠏䛥䜜䛯䜒䛾䛷䚸ཎᏊຊ᪋タ䛾ホ౯䛸䜰䝗䜹ᅜ䠄䝞䞁䜾䝷䝕䜱䝅䝳䚸䜲䞁䝗䝛䝅䜰䚸䜹䝄䝣䝇䝍䞁䚸䝞䜲䝇䚸ᨺᑕ⥺※ㄪᰝ䚸ᨺᑕ⥺ᐃ䚸⎔ቃㄪᰝ䚸㡑ᅜ䚸䝬䝺䞊䝅䜰䚸䝣䜱䝸䝢䞁䚸䝅䞁䜺䝫䞊䝹䚸䝍䜲䚸஦ᨾホ౯䚸㝖ᰁ䚸་⒪ᨭ᥼䚸⥺㔞ホ౯䛾ศ㔝䛜ᑐ䝧䝖䝘䝮䠅䛛䜙⿕䜀䛟་⒪䛻ᚑ஦䛧䛶䛔䜛 15 ྡ䛜ཧ㇟䛸䛺䛳䛶䛔䜛䚹2013 ᖺ 10 ᭶⌧ᅾ䚸23 䜹ᅜ䛜ཧຍຍ䛧䚸⚟ᓥ஦ᨾ䜢ྵ䜑䛶᭱᪂䛾᝟ሗ஺᥮䚸䜎䛯ྛ

Ⓩ㘓䛧䛶䛚䜚䚸᪥ᮏ䛷䛿䚸ᨺᑕ⥺䝺䝧䝹ㄪᰝ䜔་ᅜ䛚䜘䜃᪥ᮏ䛾⿕䜀䛟་⒪యไ䛸䛭䛾ᩍ⫱䚸カ⦎

−21−䛻䛴䛔䛶ሗ࿌䛜⾜䜟䜜䛯䚹ྛᅜ䛸䜒䚸⿕䜀䛟་⒪䛾

䜢㛤ദ䛧䛯䚹䛣䜜䛿䚸ᖹᡂ 19 ᖺ䛻ෆ㛶ᐁᡣ䛛䜙ฟᑓ㛛ᐙ䛜ᑡ䛺䛟䚸ᨺᑕ⥺஦ᨾ䞉⅏ᐖ䛾Ⓨ⏕䜒㠀ᖖ䛥䜜䛯䛂⌧ᆅㄪᩚᡤ䛾䛒䜚᪉䛃䜢ཷ䛡䛶䚸䛂⌧ᆅㄪᩚ䛻⛥䛷䛒䜛䛯䜑䚸஫䛔䛾⤒㦂䛛䜙Ꮫ䜆஦䜒㔜せ䛷ᡤ䛾䜔䜚䛛䛯䛃䛻↔Ⅼ䜢䛚䛝䚸㛵ಀᶵ㛵㛫䛾ㄪᩚ䚸䛒䜚䚸ᑓ㛛ᐙ㛫䛷䛾᝟ሗ஺᥮䛜䛷䛝䚸⥭ᛴ᫬䛷䜒䝁㐃ᦠ䜢₇⦎䛩䜛┠ⓗ䛷䚸໬Ꮫ๣䚸ᨺᑕ⥺䚸ᨺᑕᛶ䝭䝳䝙䜿䞊䝅䝵䞁䛜䛸䜜䜛䝛䝑䝖䝽䞊䜽䛾㔜せᛶ䛜♧≀㉁䚸⇿Ⓨ≀䜢౑⏝䛧䛯䝔䝻䜈䛾ᑐᛂ䛻䛴䛔䛶ㅮ၀䛥䜜䛯䚹⩏䚸ᐇ⩦䚸ᮘୖ₇⩦䜢ᐇ᪋䛧䛯䚹㆙ᐹ䚸ᾘ㜵䚸⮬⾨

ᖹᡂ 25 ᖺ 11 ᭶ 20 ᪥䛛䜙 2 ᪥㛫䚸IAEA 䛻䜘䜛㝲䚸⾜ᨻ䚸་⒪ᶵ㛵䛛䜙ྜィ 37 ྡ䛜ཷㅮ䛧䛯䚹the Convention on Early Notification of a Nuclear䠠䠊⪃ᐹAccident and the Convention on Assistance in theᨺᑕ⥺case of a Nuclear Accident or Radiologicalᐃ䜔⿕䜀䛟⥺㔞ホ౯䛿䚸ྛᅜ䛷౑⏝Emergency 䛻ᇶ䛵䛔䛶䚸ᐇാカ⦎(ConvEx-3)䛜䝰

䛩䜛ᶵჾ䜔ホ౯᪉ἲ䛜␗䛺䜛䛯䜑䚸ᨺᑕ⥺⥭ᛴ஦䝻䝑䝁䛷ᐇ᪋䛥䜜䚸ᨺ་◊䛿 WHO REMPANែ䛷䛾ᅜ㝿ⓗ䛺ᨭ᥼䛷䛿䚸஫᥮ᛶ䛾䛒䜛(Radiation Emergency Medical Preparedness and䜔ホ౯⤖ᯝ䛜ᚲせ䛸䛺䜛䚹䜎䛯䚸⿕䜀䛟་⒪䜢ᢸ䛖Assistance Network)䛾ຓゝ⤌⧊䛸䛧䛶ཧຍ䛧䛯䚹䛣ேᮦ䛾☜ಖ䛿䚸ୡ⏺ⓗ䛻䜒㞴䛧䛔ၥ㢟䛷䛒䜚䚸ᩍ⫱䚸䛾カ⦎䛾䝅䝘䝸䜸䛿䚸Cs-137 䛚䜘䜃 Se-75 䛜౑⏝䛥◊ಟ䚸カ⦎䜢┦஫䛻ᨭ᥼䛷䛝䜛䝛䝑䝖䝽䞊䜽䜔᝟ሗ䜜䛯 Dirty Bomb 䛷䛒䛳䛯䚹Se-75 䛿㥆ᰁ䜏䛾䛺䛔஺᥮䛾ሙ䜢ᵓ⠏䛩䜛䛣䛸䛜௒ᚋ䛾ㄢ㢟䛸⪃䛘䜙䜜ᨺᑕᛶ᰾✀䛷䛒䛳䛯䛯䜑䚸䛣䛾ᨺᑕᛶ᰾✀䛻㛵䛩

䜛䚹

ᐃ⤖ᯝ

䜎䛯䚸ᨺᑕ⥺䜎䛯䛿ᨺᑕᛶ≀㉁䛾䜏䛾஦ᨾ䚸⅏䜛≉ᛶ➼䛾᝟ሗ䜢཰㞟䛧䛯䚹ୡ⏺೺ᗣᏳ඲ಖ㞀䜲䝙䝅䜰䝔䜱䝤䠄Globalᐖᑐᛂ䛾䝉䝭䝘䞊䛷䛿䛺䛟䚸໬Ꮫ๣䚸⇿Ⓨ≀䜢ྵ䜑

Health Security Initiative ; GHSI䠅䛃䛾䝽䞊䜻䞁䜾䜾䛯஦ᨾ䚸⅏ᐖ䚸䝔䝻䛾ึືᑐᛂ䛾䝉䝭䝘䞊䛿䚸ᵝ䚻䝹䞊䝥䠄GHSAG䚸ୡ⏺೺ᗣᏳ඲ಖ㞀⾜ື䜾䝹䞊䛺஦㇟䛻ᑐᛂ䛩䜛⬟ຊ䛾ྥୖ䚸䛭䜜䛮䜜䛾஦㇟䛻䝥䠅䛾୍䛴䛷䛒䜛ᨺᑕ⥺䞉᰾䛾䝽䞊䜻䞁䜾䜾䝹䞊䝥ᑐ䛩䜛ྛ㛵ಀᶵ㛵䛾άື䛺䛹䛜㛵ಀᶵ㛵㛫䛷ඹ

䠄Rad/Nuc WG䠅䛷䛿䚸ୗグ䛾᪥⛬䛷㟁ヰ఍㆟䛜⾜᭷䛷䛝䚸᭷ព⩏䛺䝉䝭䝘䞊䛷䛒䛳䛯䚹䜟䜜䛯䚹• ᖹᡂ 25 ᖺ 9 ᭶ 26 ᪥㻌 ㆟㢟䠖WHO Ᏻᐃ䝶䜴⣲䠡䠊⤖ㄽᨺᑕ⥺⥭ᛴ஦ែ䛾Ⓨ⏕䛿⛥䛷䛒䜚䚸䛣䜜䜎䛷ᐇ๣䝺䝫䞊䝖༠ຊ䚸Decon WS in㻌 Tokyo䚸
bioassay survey㝿䛻ᨺᑕ⥺⥭ᛴ஦ែ䛾ᑐᛂ䜢⤒㦂䛧䛯ᅜ䛿ᑡ䛺• ᖹᡂ 25 ᖺ 11 ᭶ 15 ᪥㻌 ㆟㢟䠖lab䛔䚹䛭䛾䛯䜑䚸኱つᶍ䛺ᨺᑕ⥺⥭ᛴ஦ែ䛜Ⓨ⏕䛧inter-comparison; Early alerting reporting䛯ሙྜ䛿䚸೺ᗣ༴ᶵ䛻㛵䛩䜛ᅜ㝿ⓗ䛺ᨭ᥼䛜ᚲせproject; Core capabilities project䛸䛺䜛ྍ⬟ᛶ䛜⪃䛘䜙䜜䜛䛜䚸䛭䛾䛯䜑䛻䛿ᨺᑕ⥺• ᖹᡂ 26 ᖺ 2 ᭶ 10 ᪥ ㆟㢟䠖Core Capabilities⥭ᛴ஦ែᑐฎ䛾㛵ಀ⪅䛻䜘䜛䝛䝑䝖䝽䞊䜽䚸᝟ሗ஺

Project Update᥮䚸◊ಟ➼䛾㔜せᛶ䛜♧၀䛥䜜䛯䚹Ᏻᐃ䝶䜴⣲๣䚸ྛᅜ◊✲ᶵ㛵䛻䛚䛡䜛⥺㔞ホ䛥䜙䛻䚸ᨺᑕ⥺஦ᨾ䜔⅏ᐖ䛾䜏䛷䛺䛟䚸௚䛾⅏౯䞉᰾✀ศᯒ䛻㛵䛩䜛ẚ㍑䛺䛹䚸୓䛜୍䛾ᑐᛂ䛻ᐖ䚸໬Ꮫ䝔䝻䚸⇿ᙎ䝔䝻䛺䛹䛾஦ែ䛷䛾ྛ㛵ಀᶵ䛚䛔䛶䚸ྛᅜ䛾ᙺ๭➼䛾᝟ሗ䜢஺᥮䛧䛯䚹㛵㛫䛾άືෆᐜ䛾᝟ሗඹ᭷䜔㛵ಀᶵ㛵㛫䛷䛾㐃ᅜෆ䛾◊ಟ䛷䛿䚸ᖹᡂ 25 ᖺ 7 ᭶ 5 ᪥䛛䜙 2 ᪥ᦠ䛾ᙉ໬䛿䚸ከᵝᛶ䛾䛒䜛㐃ᦠయไ䛾☜❧䛻㔜せ㛫䚸බ┈㈈ᅋἲே୰ẘ᝟ሗ䝉䞁䝍䞊䛸ඹദ䛷ᨺ་䛷䛒䜛䛸⪃䛘䜙䜜䚸௒ᚋ䜒䛣䛾䜘䛖䛺䝉䝭䝘䞊䚸◊ಟ◊䛻䛚䛔䛶➨ 1 ᅇᅜẸಖㆤ CR 䝔䝻ึື䝉䝭䝘䞊䛾㛤ദ䛜⥅⥆䛥䜜䜛䛣䛸䜢ᮇᚅ䛩䜛䚹−22−ᙜヱ◊✲䛿䚸ᨺᑕ⥺་Ꮫ⥲ྜ◊✲ᡤ䛾ᐩỌ㝯ᏊF. ೺ᗣ༴㝤᝟ሗẶ䚸❧ᓮ㻌 ⱥኵẶ䚸⻏㇂䜏䛥䜢Ặ䛾༠ຊ䛻䜘䜚⾜䜟䛺䛧䜜䛯䚹G䠊◊✲Ⓨ⾲
1. ㄽᩥⓎ⾲㻌 㻌
1)Akashi M, Tominaga T, Hachiya M. Medical
Management of the Consequences of the
Fukushima Nuclear Power Plant Incident. The
Medical Basis for Radiation-Accident
Prepareness: Proceedings of the Fifth
International REAC/TS Symposium on the
Medical Basis for Radiation-Accident
Preparedness and the Biodosimetry Workshop.
Editors Christensen DM, Sugarman SL, andO’Hara FM Jr Publisher Oak Ridge Associate
Universities, Oak Ridge TN, USA. p19-31,
2013

2)

Nagataki S, Takamura N, Kamiya K, Akashi M.
Measurements of individual radiation doses inresidents living around the Fukushima Nuclear
Power Plant. Radiat Res. 2013 Nov;180:439-47

3)

Hachiya M, Tominaga T, Tatsuzaki H, Akashi
M. Medical Management of the Consequencesof the Fukushima Nuclear Power Plant Incident.
Drug Dev. Res. 42:3-9, 2014

4)

Tominaga T, Hachiya M, Tatsuzaki H, Akashi
M. The accident at the Fukushima Daiichi
Nuclear Power Plant in 2011. Health Physics
Journal, in press5)᫂▼┿ゝ䚸⻏㇂䜏䛥䜢䚸ᮾி㟁ຊ⚟ᓥ➨୍ཎᏊຊⓎ㟁ᡤ஦ᨾ䚸ཎᏊຊ⅏ᐖ䛾බ⾗⾨⏕㻌⚟ᓥ䛛䜙䛾Ⓨಙ䚸p3-p11䚸༡ᒣᇽ䚸2014.1 ᭶

2. Ꮫ఍Ⓨ⾲㻌 䛺䛧H䠊▱ⓗ㈈⏘ᶒ䛾ฟ㢪䞉Ⓩ㘓≧ἣ
1. ≉チྲྀᚓ㻌 䛺䛧
2. ᐇ⏝᪂᱌Ⓩ㘓㻌 䛺䛧
3. 䛭䛾௚㻌 ≉䛻䛺䛧

−23−

㻌

ศᢸ◊✲ሗ࿌
㻌㻌㻌㻌㻌䛂໬Ꮫ䝔䝻༴ᶵ⟶⌮䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 ᔱὠ㻌 ᓅኈ㻌䠄኱㜰኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉㻌 ᩍᤵ䠅㻌㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂໬Ꮫ䝔䝻༴ᶵ⟶⌮䛃㻌◊✲ศᢸ⪅㻌 ᔱὠᓅኈ㻌኱㜰኱Ꮫ኱Ꮫ㝔་Ꮫ⣔◊✲⛉㻌 ᩍᤵ㻌㻌◊✲༠ຊ⪅㻌 㯮ᮌ⏤⨾Ꮚ㻌 㻌 䠄බ㈈䠅᪥ᮏ୰ẘ᝟ሗ䝉䞁䝍䞊㻌 ᪋タ㛗㻌◊✲༠ຊ⪅㻌 㐲⸨ᐜᏊ㻌 㻌 䠄බ㈈䠅᪥ᮏ୰ẘ᝟ሗ䝉䞁䝍䞊㻌 ᪋タ㛗㻌◊✲༠ຊ⪅㻌 Ἴከ㔝ᘺ⏕㻌 䠄බ㈈䠅᪥ᮏ୰ẘ᝟ሗ䝉䞁䝍䞊㻌 ᪋タḟ㛗㻌◊✲༠ຊ⪅㻌 Ⲩᮌᾈஅ㻌 㻌 䠄බ㈈䠅᪥ᮏ୰ẘ᝟ሗ䝉䞁䝍䞊㻌 ㄢ㛗㻌◊✲༠ຊ⪅㻌 㧗㔝༤ᚨ㻌 㻌 䠄බ㈈䠅᪥ᮏ୰ẘ᝟ሗ䝉䞁䝍䞊㻌 ㄢ㛗㻌◊✲༠ຊ⪅㻌 㟝⏕ಙ᫂㻌 㻌 㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊་ဨ㻌◊✲せ᪨
 ໬Ꮫࢸࣟ༴ᶵ⟶⌮ࢆ᥎㐍ࡍࡿࡓࡵ࡟ࠊ ୡ⏺೺ᗣᏳ඲ಖ㞀࢖ࢽࢩ࢔ࢸ࢕ࣈ㸦*OREDO+HDOWK6HFXULW\,QLWLDWLYH*+6,㸧ࡢ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ㸦&KHPLFDO
(YHQWV:RUNLQJ*URXS㸸&(:*㸧ࡢάືࢆ㏻ࡌ࡚᝟ሗ཰㞟࡜Ⓨಙࢆ⾜࠺࡜࡜ࡶ࡟ࠊ ໬Ꮫࢸ࣭ࣟ⅏ᐖ࣐ࢿࢪ࣓ࣥࢺࢆࡼࡾᐈほⓗ࠿ࡘୡ⏺ඹ㏻ࡢ᪉ἲ࡟๎ࡗ࡚ᐇ᪋࡛ࡁࡿࡼ࠺࡟ࠊ
&(:* ࡢసᡂࡋࡓࠕ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ⾗⾨⏕ࣜࢫࢡ࡟㛵ࡍࡿඃඛ㡰఩௜ࡅࡢࡓࡵࡢࢫ
ࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࠖ
㸦3XEOLF+HDOWK㸧ࡢ⩻ヂࢆ⾜ࡗࡓࠋ &(:* ࡢ఍㆟ࡣᑐ㠃㸦IDFHWRIDFHPHHWLQJ㸧࡛ᖺ࡟  ᗘࠊࡲࡓࠊ㟁ヰ࡟ࡼࡿ఍㆟
㸦WHOHFRQIHUHQFH㸧࡜ࡋ࡚ᖺ࡟  ᅇ㛤ദࡉࢀࡿࠋࡇࢀࡽࡢ఍㆟ࡣ᝟ሗ஺᥮ࢆ⾜࠺ᶵ఍࡜ࡋ࡚㔜せ࡛࠶ࡿ࡜࡜ࡶ࡟ࠊ᪥ᮏ࠿ࡽࡢ✚ᴟⓗ࡞㈉⊩ࡀồࡵࡽࢀ࡚࠸ࡿࠋ ௒ᅇ⩻ヂࢆ⾜ࡗࡓࠕ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ⾗⾨⏕ࣜࢫࢡ࡟㛵ࡍࡿඃඛ㡰఩௜ࡅࡢࡓࡵࡢ
ࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࠖࡣࠊ໬Ꮫࢸ࣭ࣟ⅏ᐖ࡟ᑐࡋ࡚ࠊỗ⏝ᛶࡀ࠶ࡾ༙ᐃ㔞ⓗ࠿ࡘሙᡤ࣭
≧ἣ࣭ࢩࢼࣜ࢜࡟ᙳ㡪ࡉࢀࡎࠊ඲࡚ࡢ໬Ꮫⓗࣁࢨ࣮ࢻ㸦ẘᛶࠊྍ⇞ᛶࠊ཯ᛂᛶ㸧ࢆ⥙⨶ࡋ࡚࠾ࡾࠊࡉࡽ࡟ࡑࡢ㡿ᇦࡢᑓ㛛ᐙ࡛࡞ࡃ࡜ࡶ⮬⏤࡟฼⏝ྍ⬟࡞ಙ㢗࡛ࡁࡿ᝟ሗࢆ౑⏝ࡋࠊ⡆༢࠿ࡘ㎿㏿࡟ᢅ࠺ࡇ࡜ࡀ࡛ࡁࡿࠋࡇࡢࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࡣࠊබ⾗⾨⏕ᐇົ⪅ࡸィ⏬❧᱌⪅ࡀ໬Ꮫ⅏ᐖ࣐ࢿࢪ࣓ࣥࢺࢧ࢖ࢡࣝࡢ  ࡘࡢྛẁ㝵࡟࠾ࡅࡿάືᣦᶆࡢᨭ
᥼࡟౑⏝ࡍࡿࡇ࡜ࡀྍ⬟࡛࠶ࡾࠊࢃࡀᅜ࡛ࡶࡇࡢࢶ࣮ࣝ࡟㛵ࡍࡿㄆ㆑ࢆ㧗ࡵࠊ౑⏝࡛ࡁࡿࡼ࠺࡟ࡋ࡚࠾ࡃࡇ࡜ࡣࠊ໬Ꮫࢸ࣭ࣟ⅏ᐖ࡬ࡢഛ࠼ࡢ୍⎔࡜ࡋ࡚ᙺ❧ࡘ࡜ᮇᚅࡉࢀࡿࠋ
㸿㸬◊✲┠ⓗ ࢖ ࣋ ࣥࢺ ࣮࣡ ࢟ ࣥࢢ ࢢࣝ ࣮ ࣉ㸦 &KHPLFDO ໬Ꮫࢸࣟ༴ᶵ⟶⌮ࢆ᥎㐍ࡍࡿࡓࡵ࡟ࠊ

(YHQWV:RUNLQJ*URXS㸸&(:*㸧ࡢάືࢆ㏻ୡ⏺೺ᗣᏳ඲ಖ㞀࢖ࢽࢩ࢔ࢸ࢕ࣈ㸦*OREDO

ࡌ࡚᝟ሗ཰㞟࡜Ⓨಙࢆ⾜࠺࡜࡜ࡶ࡟ࠊ ໬+HDOWK6HFXULW\,QLWLDWLYH*+6,㸧ࡢ໬ᏛᏛࢸ࣭ࣟ⅏ᐖ࣐ࢿࢪ࣓ࣥࢺࢆࡼࡾᐈほⓗ࠿−27−ࡘୡ⏺ඹ㏻ࡢ᪉ἲ࡟๎ࡗ࡚ᐇ᪋࡛ࡁࡿࡼ࠺

ࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝ㸦3XEOLF+HDOWK

࡟ࠊ&(:* ࡢసᡂࡋࡓࠕ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ

㸧ࡢ⩻ヂ⾗⾨⏕ࣜࢫࢡ࡟㛵ࡍࡿඃඛ㡰఩௜ࡅࡢࡓࡵ ཎⴭⱥᩥㄽᩥࡢඹྠᇳ➹⪅ࡢ୍ே࡛࠶ࡿ

ࡢࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࠖ㸦3XEOLF+HDOWK㯮ᮌ⏤⨾Ꮚ࡟ຍ࠼࡚ࠊ᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ

㸧ࡢ⩻ヂࢆ⾜ࡗࡓࠋ࣮ࡢᑓ㛛ᐙ㸦 ྡ㸧ࢆ◊✲༠ຊ⪅࡜ࡋ࡚ୖグࡢㄽᩥࡢ⩻ヂࢆ⾜ࡗࡓࠋ㹀㸬◊✲᪉ἲ ୡ⏺೺ᗣᏳ඲ಖ㞀࢖ࢽࢩ࢔ࢸ࢕ࣈ

㹁㸬◊✲⤖ᯝ

㸦*+6,㸧ࡢ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥࢢࢢ࣮ࣝ  *+6, ࡢ &(:* ࡬ࡢཧຍ

ࣉ㸦&(:*㸧࡬ࡢཧຍ

ձ ᖺ  ᭶  ᪥࡟ࣜࣚࣥ㸦௖㸧࡛㛤 ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࡢ㆟㛗ദࡉࢀࡓ఍㆟࡟ࡣᔱὠࡀཧຍࡋࡓࠋࡇࡢ఍

ࢆົࡵ࡚ࡁࡓ㏆⸨ஂ⚞Ặ㸦୺௵◊✲⪅㸧࡟㆟ࡢ୺せ࡞㆟㢟ࢆ㈨ᩱ㸯࡟♧ࡍࠋ௦ࢃࡗ࡚ࠊ ᖺࡼࡾⱥᅜࡢ 'DYLG5XVVHOO

ղ ᖺ  ᭶  ᪥࡟࣡ࢩࣥࢺࣥ '& ࡛ᩍᤵ࡜࡜ࡶ࡟ᔱὠࡀᮏ :* ࡢඹྠ㆟㛗ࢆົࡵ㛤ദࡉࢀࡓ఍㆟ࡢ୺せ࡞㆟㢟ࢆ㈨ᩱ  ࡟♧ࡿࡇ࡜࡜࡞ࡗࡓࠋ᪥ᮏࡣ &(:* ࡢᙜึ࠿ࡽࡢ

ࡍࠋ࡞࠾ࠊࡇࡢ఍㆟࡟ࡣᅜෆࡢᏛ఍ࡢ᪥⛬୺せ࡞ᵓᡂᅜ࡛࠶ࡾࠊ㯮ᮌ⏤⨾Ꮚࠊ㟝⏕ಙࡢ㒔ྜ࡛ཧຍฟ᮶࡞࠿ࡗࡓࠋ

᫂ࠊ㛵㇂ᝆ௨ᅜ㝿೺ᗣ༴ᶵ⟶⌮ㄪᩚᐁ㸦ཌճ ᖺ  ᭶  ᪥࡟࣡ࢩࣥࢺࣥ '& ࡛⏕ປാ┬ࠊ࢚ࣜࢰࣥ㸧࡜࡜ࡶ࡟ࠊୡ⏺ྛᆅ㛤ദࡉࢀࡓ఍㆟ࡢ୺せ࡞㆟㢟ࢆ㈨ᩱ  ࡟♧࡛㛤ദࡉࢀࡿ &(:* ࡢ఍㆟ )DFHWRIDFH

ࡍࠋ࡞࠾ࠊࡇࡢ఍㆟࡟ࡣ㟝⏕ಙ᫂ࡀཧຍࡋ

PHHLQJ ࠊ㟁ヰ఍㆟ WHOHFRQIHUHQFH ➼ࢆ㏻

ࡓ㸦㈨ᩱ 㸧ࠋࡌ࡚᝟ሗ཰㞟࡜Ⓨಙࢆ⾜ࡗࡓࠋ  ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ⾗⾨⏕ࣜࢫࢡࡢࢫ

‫(& ۑ‬:* ఍㆟ࡢ㛤ദ᫬ᮇ࡜ሙᡤ

ࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝ㸦⩻ヂᩥࡣ㈨ᩱ  ࡜ 㸧 ᖺ  ᭶  ᪥ ࣜࣚࣥ㸦௖㸧 ௨ୗ࡟ᮏㄽᩥࡢㄽ⌮ᒎ㛤࡜ᴫせ࡟ࡘ࠸࡚ ᖺ  ᭶  ᪥ ࣡ࢩࣥࢺࣥ '&

グ㍕ࡍࡿࠋ

 ᖺ  ᭶  ᪥ ࣡ࢩࣥࢺࣥ '& ୡ⏺೺ᗣᏳ඲ಖ㞀࢖ࢽࢩ࢔ࢸ࢕ࣈ㸦*+6,㸧ࡢ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ㸦&(:*㸧‫ ۑ‬㟁ヰ఍㆟㸦WHOHFRQIHUHQFH㸧ࡢ᪥⛬ࡣࠊഅⓎⓗࡲࡓࡣពᅗⓗ࡟኱Ẽ୰࡟ᨺฟࡉ

 ᖺ  ᭶  ᪥ࢀࡓ㝿࡟ࣜࢫࢡࡀᏑᅾࡍࡿ໬Ꮫ≀㉁࡟ᑐࡍ

 ᖺ  ᭶  ᪥ࡿᰂ㌾ᛶࡢ࠶ࡿࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࢆ㛤 ᖺ  ᭶  ᪥Ⓨࡋࡓࠋࡑࡢࢶ࣮ࣝࡣࠊỗ⏝ᛶࡀ࠶ࡾ༙ᐃ

 ᖺ  ᭶  ᪥㸸≉ู఍㆟㸫ࢩࣜ࢔᝟ໃ࡟

㔞ⓗ࠿ࡘሙᡤ࣭≧ἣ࣭ࢩࢼࣜ࢜࡟ᙳ㡪ࡉࢀࡘ࠸࡚ࡎࠊ඲࡚ࡢ໬Ꮫⓗࣁࢨ࣮ࢻ㸦ẘᛶࠊྍ⇞ᛶࠊ ᖺ  ᭶  ᪥཯ᛂᛶ㸧ࢆ⥙⨶ࡋࠊࡉࡽ࡟ࡑࡢ㡿ᇦࡢᑓ㛛 ᖺ  ᭶  ᪥㸦ணᐃ㸧ᐙ࡛࡞ࡃ࡜ࡶ⮬⏤࡟฼⏝ྍ⬟࡞ಙ㢗࡛ࡁࡿ᝟ሗࢆ౑⏝ࡋࠊ⡆༢࠿ࡘ㎿㏿࡟ᢅ࠺ࡇ࡜ࡀ

 &(:* ࡢసᡂࡋࡓ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ⾗⾨

࡛ࡁࡿࠋබ⾗⾨⏕ᐇົ⪅ࡸィ⏬❧᱌⪅ࡣࠊ⏕ࣜࢫࢡ࡟㛵ࡍࡿඃඛ㡰఩௜ࡅࡢࡓࡵࡢࢫ

ࡇࡢࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࢆࠊ໬Ꮫ⅏ᐖ࣐−28−ࢿࢪ࣓ࣥࢺࢧ࢖ࢡࣝࡢ  ࡘࡢྛẁ㝵࡟࠾ࡅ᪑⾜࢝ࣂࣥࡸࣂࢵࢢࠊᑠࡉ࡞Ⲵ≀ࢆᣢࡗࡓࡿάືᣦᶆࡢᨭ᥼࡟౑⏝ྍ⬟࡛࠶ࡿࠋ

ከࡃࡢேࡀ฼⏝ࡍࡿࡇ࡜࠿ࡽࠊ୺࡞ᶆⓗ࡜ ࡇࡢᩥ᭩ࡣࠊ໬Ꮫ≀㉁ࡣከࡃࡢ฼┈ࢆ௜ࡉࢀ࡚ࡁࡓࠋ

୚ࡍࡿ୍᪉࡛ࠊഅⓎⓗࡲࡓࡣពᅗⓗᨺฟ࢖ ໬Ꮫ≀㉁ࡣᗈࡃ〇㐀ࠊ౑⏝ࠊ㈓ⶶࠊᗫᲠࠊ

࣋ࣥࢺ㸦஦᱌㸧࡟࠾࠸࡚ࠊ㢧ⴭ࡞ᛴᛶࡲࡓ

㍺㏦ࡉࢀ࡚࠾ࡾࠊᛴᛶ࡜៏ᛶ཮᪉࡛೺ᗣ࡟

ࡣ៏ᛶࡢබ⾗⾨⏕ࣜࢫࢡࢆࡶࡓࡽࡍྍ⬟ᛶᙳ㡪ࡋ࡚ࠊබ⾗࡟೺ᗣ༴ᐖࢆࡶࡓࡽࡍ₯ᅾࡀ࠶ࡿ࡜ࡢㄆ㆑ࢆ♧ࡋࡓࡶࡢ࡛࠶ࡿࠋࡇࡢ

ⓗ࡞༴㝤ᛶࡀ࠶ࡿࠋࡑࢀࡺ࠼ࠊྛᅜࡣ⥭ᛴࡼ࠺࡞࢖࣋ࣥࢺࡢබ⾗⾨⏕࡬ࡢ࢖ࣥࣃࢡࢺ

ᑐᛂィ⏬ࢆసᡂࡋ࡚ࠊᆅᇦࠊᆅ᪉ࠊᅜࠊᅜ

ࡣࠊ₯ᅾⓗ࡟ቯ⁛ⓗ࡞ࡶࡢ࡛࠶ࡿࠋࡑࡢࡓ

㝿ⓗ࡞࡛ࣞ࣋ࣝ໬Ꮫ⅏ᐖ࡟ഛ࠼ࡿ஦ࡀ୙ྍ

ࡵࠊ໬Ꮫ≀㉁ᨺฟࡢຠᯝⓗ࡞ᑐ⟇ࡸ⿕ᐖᢚḞ࡛࠶ࡿࠋ㈨※ࢆ᭷ຠά⏝ࡍࡿ࡟ࡣࠊࣜࢫ

ไ࡟ᆅᇦࠊᆅ᪉ࠊᅜࠊᅜ㝿ⓗ࡛ࣞ࣋ࣝࡢ⥭ࢡࡢඃඛ㡰఩௜ࡅࡀᚲ㡲 ୙ྍḞ ࡛࠶ࡿࠋᛴ஦ែᑐᛂィ⏬ࡢ㛤Ⓨࡀ୙ྍḞ࡛࠶ࡿࠋఱ

ࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࢆ≉ᐃࡋࠊࣜࢫࢡ

ⓒ୓ࡶࡢ␗࡞ࡿ໬Ꮫ≀㉁ࡀᏑᅾࡍࡿࡓࡵࠊ

ࢆඃඛ㡰఩௜ࡅࡋࠊࣜࢫࢡࢆῶࡽࡍᡓ␎ࢆ

඲࡚ࡢ໬Ꮫ≀㉁࡟ᑐࡋ࡚ィ⏬ࡋ‽ഛࡍࡿࡢ❧࡚࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࠋ

ࡣ⌧ᐇⓗ࡛ࡣ࡞࠸ࠋ᭱ࡶᠱᛕࡉࢀࡿ໬Ꮫ≀ ᮏㄽᩥࡢᇶᮏⓗ࡞๓ᥦ㉁࡟㛵ࡋ࡚෌Ⓨ㜵Ṇࠊ⥭ᛴィ⏬ࡸ‽ഛࠊ᳨ձ໬Ꮫ⅏ᐖࡣ  ࡘࡢᇶᮏⓗ࡞യᐖᶵᗎ㸦ࡍ▱࡜㆙࿌ࠊᑐᛂ࡜᚟ᪧάືࡢᇶ┙ࢆᥦ౪ࡍ࡞ࢃࡕࠊⅆ⅏ࠊ⇿Ⓨࠊ୰ẘࠊ⾪ᧁⓗ࡞஦௳ࡿࡼ࠺࡟ࠊࣜࢫࢡࡀඃඛ㡰఩௜ࡅࡽࢀ࡞ࡃ

ࡢ⤒㦂㸧࡟ࡼࡾയᐖࢆ㉳ࡇࡍ㸦:+2 ࡢኌྡ㸧ࠋ࡚ࡣ࡞ࡽ࡞࠸ࠋ

ղࣜࢫࢡࡣ༴ᐖࡢ㉳ࡇࡾ᫆ࡉ࡜ᐃ⩏ࡉࢀࡿࠋ ୡ⏺ಖ೺ᶵᵓ㸦㹕㹆㹍㸧ࡣࠊࠕ໬Ꮫ⅏ᐖ࡜ ࣜࢫࢡ㸻㸦ࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࡢ㔜ࡣࠊᕷẸࡢ೺ᗣࡸ⎔ቃ࡟ᑐࡍࡿ༴ᐖ㸦₯ᅾ኱ᛶ㸧㸦᭚㟢ࡢ⵹↛ᛶ㸧  ᘧ㸦㸧ⓗ࡞ࡶࡢࡶྵࡵ㸧ࢆᘬࡁ㉳ࡇࡍ໬Ꮫ≀㉁ࡢ

ճ໬Ꮫ≀㉁ࡢࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࡣࠊไᚚ୙⬟࡞ᨺฟࠖࠊ࡜఩⨨௜ࡅ࡚࠸ࡿࠋ୍᪉ࠊ

㏻ᖖ㸱ࡘࡢ࢝ࢸࢦ࣮ࣜࠊẘᛶࠊྍ⇞ᛶࠊ཯ࢸࣟࣜࢫࢺࡀே㢮ࡸື≀ࡢẅയࠊ㎰స≀ࡢᛂᛶ࡟ศ㢮ࡉࢀࠊࡇࢀࡽࡣ඲࡚ᐃ㔞ⓗ࡟⾲◚ቯࠊ⤒῭ࡸ⎔ቃ࡟῝้࡞ࢲ࣓࣮ࢪࢆ୚࠼

ࡍࡇ࡜ࡀ࡛ࡁࡿࠋࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࡿࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚໬Ꮫ≀㉁ࢆᨺฟࡍࡿ࡜ࠊ ࡢ㔜኱ᛶࡣࡑࡢ໬Ꮫ≀㉁࡟ࡼࡗ࡚ᘬࡁ㉳ࡇពᅗⓗ࡞໬Ꮫ⅏ᐖࡀ㉳ࡇࡿࠋࡍ࡞ࢃࡕࠊ
ࠕពࡉࢀࡿ᭱኱ࡢࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧࡜ᐃᅗⓗ࡞໬Ꮫ⅏ᐖ࡜ࡣࠊࢸࣟࣜࢫࢺ࡟ࡼࡿࣄ

⩏ࡉࢀࡿࠋ

ࢺࡸື≀ࡢẅയࠊ㎰స≀ࡢቯ⁛ࠊ⤒῭ࡸ⎔ ࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࡢ㔜኱ᛶ 㸻㸦໬ቃ࡟⏒኱࡞ᦆᐖࢆ୚࠼ࡿࡓࡵ࡟ࠊ໬Ꮫ≀㉁Ꮫ≀㉁࡟ࡼࡗ࡚ᘬࡁ㉳ࡇࡉࢀࡿ᭱኱ࡢࣁࢨ

ࢆᨺฟࡍࡿࡇ࡜࡛࠶ࡿࠖࠋពᅗⓗ࡞ᨺฟࡣࠊ

࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧㸧 ᘧ㸦㸧〇㐀ࠊ౑⏝ࠊ㈓ⶶࠊᗫᲠࠊ㍺㏦࡜࠸࠺໬Ꮫ

մ㸦⿕ᐖࡀ᭱኱࡜࡞ࡿ㸧ᛴᛶ྾ධẘᛶࢆẘ≀㉁ࡢࢧ࢖ࢡࣝࡢ୰࡛㉳ࡇࡿࡔࡅ࡛࡞ࡃࠊ

ᛶࡢࣃ࣓࣮ࣛࢱ࣮࡜ࡋ࡚౑⏝ࡍࡿ㸦ཎᮏ඲ࡃ᝿ᐃࡋ࡚࠸࡞࠸ሙ㠃࡛㉳ࡇࡿࠋࢸࣟࣜ⾲ 㸧ࠋ฼⏝ྍ⬟࡞ሙྜ࡟ࡣࠊ⡿ᅜ⎔ቃಖㆤࢫࢺࡣࠊ཯ᛂᛶࡀ㧗ࡃ㸦⇿Ⓨᛶࡀ࠶ࡾ㸧ࠊྍᗇ㸦(3$㸸(QYLURQPHQWDO3URWHFWLRQ$JHQF\㸧⇞ᛶࡀ㧗ࡃࠊ᭷ẘ࡞໬Ꮫ≀㉁ࢆᨷᧁ࡛౑⏝ࡀ㛤Ⓨࡋࡓᛴᛶ᭚㟢࢞࢖ࢻࣛ࢖ࣥ㸦$$(*/

ࡋ࡚ࡁࡓࠋ஺㏻ᶵ㛵ࠊ≉࡟ᆅୗ㕲ࡸ㏻໅ิ

㹱㸸$FXWH([SRVXUH*XLGHOLQHV㸧ࢆᛴᛶẘ㌴ࡣࠊ࢔ࢡࢭࢫࡀᐜ࡛᫆ࠊ᭱ప㝈ࡢ㆙ഛࠊᛶࡢࣃ࣓࣮ࣛࢱ࣮࡜ࡋ࡚౑⏝ࡍࡿࠋ$(*/㹱−29−㸦ᛴᛶ᭚㟢࢞࢖ࢻࣛ࢖ࣥ㸧ࡣࠊ྾ධ᭚㟢ࡢࢆ❧࡚ࡿୖ࡛ࠊ௒ᅇ⩻ヂࢆ࠾ࡇ࡞ࡗࡓ &(:*

㝈⏺࡜࡞ࡿ㜈್㸦ࡇࡢ㜈್ᮍ‶࡛ࡣ೺ᗣࡀ

ࡢࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࡣ㠀ᖖ࡟᭷⏝࡛࠶☜ಖ࡛ࡁࡿࠊ೺ᗣ༴ᐖࡀ࠾ࡇࡽ࡞࠸㸧ࢆ⾲ࡿࠋᇶᮏⓗ࠿ࡘྜ⌮ⓗ࡞๓ᥦ㸦௬ᐃ㸧࡜᥎ࡋࠊࡇࢀࡣ  ศ㛫࠿ࡽ  ᫬㛫ࡢᛴᛶ᭚㟢ࡢㄽ࡟ᇶ࡙࠸࡚ࠊ ࡘࡢᘧ㸦ୖグᘧ  㹼  㸧᫬㛫࡟㐺⏝࡛ࡁࡿࠋ

࡟๎ࡗ࡚ࣜࢫࢡホ౯ࢆ⾜࠺࡜࠸࠺᪉ἲㄽࡣ

յ໬Ꮫ≀㉁࡟ࡼࡗ࡚ᘬࡁ㉳ࡇࡉࢀࡿ᭱኱ࡢᐈほⓗ࠿ࡘ⧚⏝ᛶࡀ࠶ࡿ࡜ྠ᫬࡟ࠊᆅᇦࡢ

ࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࡣࠊ ࡘࡢ࢝ࢸࢦࣜ

ᐇ᝟ࢆ཯ᫎࡋࡓホ౯ࢆྍ⬟࡜ࡍࡿࠋࢃࡀᅜ

࣮㸦྾ධẘᛶࠊྍ⇞ᛶࠊ཯ᛂᛶ㸧ࡢ୰ࡢ୍࡟࠾࠸࡚ࡶࡇࡢࣜࢫࢡホ౯ἲࡣ᭷⏝࡛࠶ࡾࠊ␒㧗࠸Ⅼᩘ࡟ᇶ࡙࠸࡚ᐃࡵࡿࠋࣁࢨ࣮ࢻ㸦༴ྛᆅᇦ࡟༶ࡋ᳨࡚ウࢆ⾜࠺ࡇ࡜ࡀᮃࡲࢀࡿࠋ

㝤᭷ᐖᛶ㸧ࡢ㔜኱ᛶࡢẁ㝵࡜ࢫࢥ࢔㸦Ⅼᩘ㸧ࡑࡢࡓࡵࠊᮏ⩻ヂ࡟ࡘ࠸࡚ࡣࠊసᡂ⪅ࡢチࡣ  ẁ㝵㸦ཎᮏ ⾲ 㸧࡛ホ౯ࡉࢀࡿࠋ

ྍࢆᚓࡓୖ࡛ࠊ᪥ᮏㄒࡢ⅏ᐖ་⒪࡟㛵ࡍࡿն᭚㟢ࡢ⵹↛ᛶࡣࠊࡑࡢ໬Ꮫ≀㉁ࡢᨺฟࡉ

Ꮫ⾡ㄅ࡟ᢞ✏ࡍࡿࡇ࡜ࢆ᳨ウ୰࡛࠶ࡿࠋ

ࢀࡸࡍࡉ㸦ࡋࡸࡍࡉ㸧࡜ධᡭࡢࡋࡸࡍࡉ࡛ ࡞࠾ࠊᮏࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝ࡟࠾࠸࡚

ぢ✚ࡶࡿࠋ

ࡣ 7R[LFLW\㸦ẘᛶ㸧ࡢホ౯㸦ཎᮏࡢ⾲ ࠊ㸧 ᭚㟢ࡢ⵹↛ᛶ 㸦໬Ꮫ≀㉁ࡢᨺฟࡉࢀࡸࡍ

࡟ࡣ /' ್㸦༙ᩘ⮴Ṛ㔞㸸≀㉁ࡢᛴᛶẘᛶࡉ㸦ࡋࡸࡍࡉ㸧㸧㸦ධᡭࡢࡋࡸࡍࡉ㸧 ᘧࡢᣦᶆ࡛ࠊ≀㉁ࢆᢞ୚ࡋࡓື≀ࡢ༙ᩘࡀṚ ஸࡍࡿ⏝㔞࡛⾲ࢃࡉࢀࡿ㸧ࡀ౑⏝ࡉࢀ࡚࠸շᨺฟࡉࢀࡸࡍࡉࡣࠕࡑࡢ≀㉁ࡢ⵨Ẽᅽࠖࡿࡀࠊཧຍ⪅ࡢ୍ே࠿ࡽࡣ /' ࡣࡶ࠺౑ࢃ

࡟ࡼࡾࢫࢥ࢔໬㸦ཎᮏ ⾲㸳㸧ࡋࠊධᡭࡢ

ࡎ࡟ࠊ0D[LPXP7ROHUDWHG'RVH 07'㸸᭱኱ࡋࡸࡍࡉࡣࠕ⏕⏘㔞ࠊᕷ㈍ࡢ᭷↓ࠊὶ㏻㔞ࠊ⪏⏝㔞 ࢆ⏝࠸ࡿ࡭ࡁࡔ࡜ࡢぢゎࡀ♧ࡉࢀつไࠊ〇㐀ࡢᅔ㞴ࡉࠖ࡞࡝࡟ࡼࡾࢫࢥ࢔໬

ࡓࠋㄽᩥసᡂࡢᙜึ࡟ /' ࡀ⏝࠸ࡽࢀࡓ⌮ࡉࢀࡓ㸦ཎᮏ ⾲㸴㸧ࠋ⏤ࡣࠊࡇࢀࡀẘᛶࡢᣦᶆ࡜ࡋ୍࡚⯡ⓗ࡟฼ո᭚㟢ࡢ⵹↛ᛶࡣ  ẁ㝵࡟ࢡࣛࢫศࡅࡉࢀࠊ

⏝ࡉࢀ࡚࠸ࡿࡇ࡜࡟ຍ࠼࡚ࠊࡇࡢࢭࢡࢩࣙ

ࢫࢥ࢔໬ࡉࢀࡿ㸦ཎᮏ ⾲ 㸧ࠋࣥࢆసᡂࡍࡿ㝿࡟⏝࠸ࡓ :+2 ࡢ 5DW ࡢ 'DWD

չୖグࡢẁ㝵ࢆ⤒࡚ࠊᐈほⓗ࠿ࡘ༙ᐃ㔞ⓗࡀ /' ࢆ⏝࠸࡚࠸ࡓࡓࡵ㸦'U6DUD-RDQ࡟ホ౯ࡉࢀࡓࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࡢ㔜$UPRXU ࡼࡾ㸧࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ௒ᚋࡣ

኱ᛶ࡜᭚㟢ࡢ⵹↛ᛶ࡟ᛂࡌ࡚ࠊ㸳㸳ࡢᑐ

7R[LFLW\ ࡢᣦᶆ࡜ࡋ࡚ 0D[LPXP7ROHUDWHG

⛠࣐ࢺࣜࢡࢫ㸦⾜ิ㸧ࡀసᡂࡉࢀࡓ㸦ཎᮏ'RVH 07' ࠊ࠶ࡿ࠸ࡣ௚ࡢࡼࡾ㐺ษ࡞ᣦᶆࢆ

ᅗ㸯㸧౑⏝ࡍࡿࡇ࡜ࢆ᳨ウࡍࡿᚲせࡀ࠶ࡿࠋࡓࡔ

 &(:* ࡢㄽᩥ࡛ࡣࠊୖグࡢ࣐ࢺࣜࢡࢫࢆ஦

ࡋࠊከࡃࡢ໬Ꮫ≀㉁࡟ࡘ࠸࡚ࡑࡢ್ࡀᐃࡵ

౛࡟ᙜ࡚ࡣࡵ᳨࡚ドࡍࡿ࡜࡜ࡶ࡟ࠊࢫࢡࣜ

ࡽࢀ࡚࠸ࡿᣦᶆ࡛࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࡢ࡛ࠊ

࣮ࢽࣥࢢࢶ࣮ࣝࡢ฼⏝᪉ἲ࡟㛵ࡍࡿࠕ฼⏝௦᭰࡜࡞ࡿᣦᶆࡢೃ⿵ࡢ㑅ᢥ⫥ࡣ࡯࡜ࢇ࡝

࢞࢖ࢻࠖࡶసᡂࡉࢀ࡚࠾ࡾࠊࡇࡢࠕ฼⏝࢞࡞࠸࡜⪃࠼ࡽࢀࡿࠋ

࢖ࢻࠖ㸦㈨ᩱ 㸧࡟ࡘ࠸࡚ࡶేࡏ࡚⩻ヂࢆ⾜ ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉ㸦&(:*㸧ࡗࡓࠋࡢάື࡟㛵ࡍࡿウㄽ࡛ࡣࠊ᪥ᮏࡢලయⓗ࡞㹂㸬⪃ᐹ ㈉⊩㸦࢖ࣥࢱ࣮ࢿࢵࢺୖ࡛ࡢ᝟ሗࢧ࣮࣋࢖ ࣁࢨ࣮ࢻ㸦༴㝤᭷ᐖᛶ㸧ࢆ≉ᐃࡋࠊࣜࢫ

ࣛࣥࢫ࡬ࡢேⓗ㈉⊩ࡸࠕ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿ

ࢡࢆඃඛ㡰఩௜ࡅࡋࠊࣜࢫࢡࢆῶࡽࡍᡓ␎

බ⾗⾨⏕ࣜࢫࢡࡢࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࠖ

−30−ࢆⓎᒎ㏵ୖᅜ࡟ᬑཬࡉࡏࡿࡓࡵࡢᏛ⩦ࣉࣟ㸺ሗ࿌᭩ᮏᩥ௨እࡢ㈨ᩱ㸼ࢢ࣒ࣛࡸ◊ಟࢥ࣮ࢫసᡂࡢࡓࡵࡢேⓗ࣭㈨㈨ᩱ㸯㸸 ᖺ  ᭶ &(:* ఍㆟ࡢ㆟㢟㔠ⓗ㈉⊩࡞࡝㸧ࢆồࡵࡽࢀࡿሙ㠃ࡀᑡ࡞࠿㈨ᩱ㸰㸸 ᖺ  ᭶ &(:* ఍㆟ࡢ㆟㢟ࡽࡎ࠶ࡾࠊࡇࢀࡽࡢせᮃ࡟࡝ࡢࡼ࠺࡟⟅࠼㈨ᩱ㸱㸸 ᖺ  ᭶ &(:* ఍㆟ࡢ㆟㢟࡚࠸ࡃ࠿ࡣ௒ᚋࡢㄢ㢟࡛࠶ࡿࠋ㈨ᩱ㸲㸸ྠୖཧຍሗ࿌᭩㈨ᩱ㸳㸸ࠕ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ⾗⾨⏕ࣜࢫࢡ㹃㸬⤖ㄽ࡟㛵ࡍࡿඃඛ㡰఩௜ࡅࡢࡓࡵࡢࢫࢡ࣮ࣜࢽ ࢃࡀᅜࡣ௒ᚋࡶୡ⏺೺ᗣᏳ඲ಖ㞀࢖ࢽࢩࣥ ࢢ ࢶ ࣮ ࣝ ࠖ㸦 3XEOLF +HDOWK ࢔ ࢸ ࢕ ࣈ 㸦 *OREDO +HDOWK 6HFXULW\㸧ࡢ⩻ヂ,QLWLDWLYH*+6,㸧ࡢ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥ㈨ᩱ㸴㸸ྠୖࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࢆ฼⏝ࢢ ࢢ ࣝ ࣮ ࣉ 㸦 &KHPLFDO (YHQWV :RUNLQJࡍࡿࡓࡵࡢ࢞࢖ࢻ㸦⩻ヂ㸧*URXS㸸&(:*㸧ࢆ㏻ࡌ࡚ࠊ໬Ꮫࢸࣟ➼ࡢ஦᱌࡟ᑐࡍࡿ᝟ሗ཰㞟ࠊ஺᥮ࠊⓎಙࢆ⾜࠸ࠊୡ⏺࡟ᑐࡍࡿ㈉⊩ࢆ⥅⥆ࡍࡿᚲせࡀ࠶ࡿࠋ ௒ᅇ⩻ヂࡋࡓࠕ໬Ꮫ⅏ᐖ࡟࠾ࡅࡿබ⾗⾨⏕ࣜࢫࢡࡢࢫࢡ࣮ࣜࢽࣥࢢࢶ࣮ࣝࠖࡣ &(:*
ࡢලయⓗ࡞ᡂᯝ࡛࠶ࡾࠊ௒ᚋࢃࡀᅜࡢ≧ἣ࡟ᛂࡌ࡚฼⏝࡛ࡁࡿయไࢆᩚഛࡍࡿࡇ࡜࡟
ࡼࡾࠊᵝࠎ࡞໬Ꮫࢸ࣭ࣟ⅏ᐖ஦᱌࡬ࡢᑐᛂ
ࡀಁ㐍ࡉࢀࡿ࡜ᮇᚅࡉࢀࡿࠋ
㹄㸬೺ᗣ༴㝤᝟ሗ ࡞ࡋ㹅㸬◊✲Ⓨ⾲ㄽᩥⓎ⾲ ࡞ࡋᏛ఍Ⓨ⾲  ࡞ࡋ㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ ≉チྲྀᚓ࡞ࡋ ᐇ⏝᪂᱌Ⓩ㘓 ࡞ࡋࡑࡢ௚   ≉グ஦㡯࡞ࡋ


−31−

資料１

Tentative Agenda
GHSAG Chemical Events WG meeting- April 24-25, 2013
Location:
Teleconference dial-in
instructions

WHO Lyon Office, 58 avenue Debourg, F-69007
Lyon, France
International: ++613-960-7516
Toll free (North America only): (877) 413-4792
Conference ID: 7644896

List of invitees
CanadaFranceItaly

MexicoUSA

Danny Sokolowski EC
Joan Armour*
Marc Lafontaine
Luke Graham*
Casey Tosh - GHSI Secretariat
Jean-Marc Philippe Germany

Loredana Vellucci Japan

Lino Enrique Sosa Rebolledo UK
Rafael Rivera Gutiérrez

Sue Cibulsky WHODavid Jett
Scott Deitchman
Teresa Abraham*
Jason McKight*
Catherine Chow*−32−

Paolo Guglielmetti
Espen Andresen

Regine Horré
Walter Biederbick
Takeshi Shimazu
Tetsu Okumura
Tomoya Saito
David RussellPeter Blain

Kersten Gutschmidt

April 24
Item
9:00

Description
Welcome and Introductions

9:10
9:15

Approval of Agenda - Tab 1
Review and Approval of ROD from previous meeting
Tab 2
Debrief from GHSAG WG Chair meeting, March 18-19,
Washington D.C. - Tab 3
Chemical Risk Screening Tool - Tab 4
1. Status of publication of manuscript (P-1)
2. Automated/Web based Chemical Risk Screening Tool
3. Options for training material
4. Promoting the use of the tool
BreakDecontamination – Tab 5
x Review & Adoption of GHSAG common principles formass patient decontamination of C & RN incidents
x Report from the Tokyo workshop Oct. 3-4, 2012x Publication of the abstracts from the workshop
presentations
Lunch
All hazard preparedness - Tab 6
To identify core GHSAG capabilities for chemical incidents
To conduct a gap analysis to guide priority setting for the next
3 year work cycle
Break
Early Alerting and Reporting - Tab 7
Considerations for duty analyst and risk assessment forchemical threatsx Broadening use of the EAR Portal as 2nd phase of pilot
for chemical threats
Next steps for the EAR platformx Workshop May 6-8 in Italy
x Direction from SO meeting June 13-14 in Ottawa
x Longer term goals
Debrief - Tab 8
Awareness raising and training Workshop capacity building in
the public health management of chemical incidents and the
IHR implementation, Belgrade, Serbia, 26-27 March 2013
End of day 1
Refreshments
Group Dinner (at your own expense)

9:30
10:00

11:00
11:15

12:30
13:30

15:30
15:45

17:00

17:30
18:00
19:00

* : Denotes a meeting participant joining remotely

−33−

Lead
Chair & Hostcountry
Chair
Chair
D. RussellDavid Russell
Luke Graham *D. Sokolowski
All

Sue Cibulsky
Tomoya Saito
Tomoya Saito

Teresa Abraham*(HHS/ASPR)

Jason McKnight*
Catherine Chow*(US CDC) &CEWG
Jason McKnight*
Catherine Chow*(US CDC) &CEWG
D. Russell &D. Sokolowski

Location tbd
Location tbd

April 25
Item
9:00

Description
Collaboration on GHSAG projects (cont.)- Tab 9
Medical Counter-Measures (P-4)
Crisis Communication (P-3)
H1N1 Lessons Learned for Chemical Incidents Planning (P-2)
TRA (P-1)
10:00 BreakLead
Sue Cibulsky?
?
?

10:15 CEWG Management - Tab 10
1. Status of co-Chairs – approval by SO Chair/Secretariat
2. Update of CEWG Terms of Reference Chair/Secretariat
3. Update of CEWG Work Plan & 3-Year GHSI Strategic Chair/Secretariat
Plan
4. Update of CEWG Contact List
5. Representation to GHSAG SO meeting June 13-14 inOttawa, Canada
6. Next CEWG telecon (late June & early Sept.) & f2f(Oct. or Nov.) meeting
11:45 Roundtable
11:55 Closing remarks
12:00 End of meeting(Note: WHO IHR seminar to begin at 13:00)* : Denotes a meeting participant joining remotely−34−

Secretariat
Chair
Chair
All
Chair & Host
Chair

資料２

Tentative Agenda
GHSAG Chemical Events WG meeting- October 15-16, 2013
Location:

Teleconference dial-in
instructions

ASPR Conference Center
Magnolia & Holley rooms
200 C Street SW, Lower Level
Washington, DC 20024
International: ++613-960-7516
Toll free (North America only): (877) 413-4792
Conference ID: 7644896

List of invitees
Danny Sokolowski
Marc Lafontaine*
Joan Armour*
Christine Gagnon*
Luke Graham*
Jean-Francois Dupéré*
Richard Lemay*
Olivier Dumetz*

Sue Cibulsky
David Jett
Scott Deitchman
Efrain Garcia
Bill Hall
Jason McKight*
Cathy Chow*
Alison Lafan

Jean-Marc PhilippeJean-Rene Jourdain

Regine Horré
Walter Biederbick

M. Pompa

Takeshi Shimazu

Rocio Alatorre
Matianna Ramirez
Ricardo Cortes

David RussellPeter Blain

Michael Sulzner
Paolo Guglielmetti
Germain Thinus

Kersten Gutschmidt−35−October 15
Item
9:00
9:05

Description
Identification of Chair for meeting
Welcome and Introductions

9:15
9:20

Approval of Agenda - Tab 1
Review and Approval of ROD from previous meeting
Tab 2
Syria - Tab 3

9:30

Update of CEWG position paper for public health threat fromchemical weapons
Briefing of Senior Officials
Exchange of information on training courses or other activities
for countries in the middle east region
10:45 Break
11:00 Support to WHO - Tab 4
Presentation to Senior Officials
Development of IHR guidance document to help National
Focal Points (NFPs) notification of chemical incidents

Lead
Co-Chairs
Chair & Hostcountry
Chair
Chair

Peter Blain andWalter BiederbickDavid Russell
Walter Biederbick
and all

Chair
Christine
Gagnon*
KerstenGutschmidt
Development of IHR Training material David Russell

12:30 Lunch
13:30 Early Alerting and Reporting - Tab 5
Direction of EAR
x Update on business case for sustainability of EAR
x Advise of duty analyst issues for CEWG
x Inform of workshop in Mexico City (mid-November)Considerations for CEWG
x Assess usefulness of EAR for CEWG
x Determine strategy to continue involvement (if any)
14:45 Break
15:00 Chemical Risk Screening Tool - Tab 6
Demo Prototype of Automated/Web based Chemical Risk
Screening Tool
Determine willingness to develop a full web based tool
Identify funding sources and plan including timetable tocomplete development of final product
What is next for the tool?
New – Ingestion hazard screening tool
17:00 End of day 1
18:30 Group Dinner (at your own expense)* : Denotes a meeting participant joining remotely−36−

Richard Lemay
Jason McKnight*
Cathy Chow*
Chair/all

Olivier Dumetz*
Chair
Chair
Chair
Joan Armour &Marc Lafontaine
Hank’s Oster Bar
633 Pennsylvania
Ave SE

October 16
Item
9:00

Description
Decontamination – Tab 7
Presentation to Senior Officials of Japan 2012 Workshop
Report & Mass Casualty Decontamination: Guiding
Principles and Research Needs
What’s next for the CEWG ?
x Research needs ?
x Areas for collaboration between CEWG members &others ?
10:00 GHSAG All-Hazards preparedness (version 2) - Tab 8
x Identify volunteer to help with All-Hazard Task Group
10:30 Break
10:45 Risk Comms - Tab 9
Development of risk comms products for chemical incidents
11:15 CEWG Management - Tab 10
1. Update of Terms of Reference
2. Update of CEWG Contact List
3. Representation to GHSAG SO meeting Oct. 17-18,
2013
4. Next CEWG meetingsx Telecon (December 19 & March 13.)x f2f ( potentially aligned with conference on
environmental hazards and the global burden of
disease at ITC in Cardiff May-June 2014)
11:50 Roundtable
11:55 Closing remarks
12:00 End of meeting

Lead
David Russell
Jean-Rene
Jourdain
Sue Cibulsky/all

Efrain Garcia &Jean-Francois
Dupéré
Bill Hall

Secretariat
Secretariat
Chair
Chair

All
Chair & Host
Chair

* : Denotes a meeting participant joining remotelyTime zone converter
WashingtonD.C.&
Ottawa,CanadaUTCͲ4

Brussels,ParisandGeneva

Suffield,Canada

UTC+2

UTCͲ6

−37−

資料３

Tentative Agenda
GHSAG Chemical Events WG meeting- December 17-18, 2013
Location:

Teleconference dial-in
instructions

Canadian Embassy
3rd floor boardroom
501 Pennsylvania Ave NW
Washington DC 20001
International: ++613-960-7516
Toll free (North America only): (877) 413-4792
Conference ID: 7644896

List of invitees
Danny Sokolowski
Marc Lafontaine*
Joan Armour*
Christine Gagnon*
Luke Graham*
Jean-Francois Dupéré*
Richard Lemay*
Olivier Dumetz*

Sue Cibulsky
David Jett
Scott Deitchman
Efrain Garcia
Bill Hall
Jason McKnight*
Cathy Chow*

Jean-Marc PhilippeJean-Rene Jourdain

Regine Horré
Walter Biederbick

M. Pompa

Takeshi Shimazu
Nobuaki Kiriu

Rocio Alatorre
Matianna Ramirez
Ricardo Cortes

David RussellPeter Blain

Michael Sulzner
Paolo Guglielmetti
Germain Thinus

Kersten Gutschmidt
Katie Smallwood−38−

December 17
Item
9:00
9:05

Description
Identification of Chair for meeting
Welcome and Introductions

9:15
9:20

Approval of Agenda - Tab 1
Review and Approval of ROD from previous meeting
Tab 1
Debrief from SO (Oct. 17-18) and Ministerial meetings(Dec. 10-11) – Tab 2
Syria - Tab 3

9:30
9:45

Update of CEWG position paper for public health threat fromchemical weapons
Briefing of Senior Officials
Initial clinical management of chemical weapon patients inresource limited settings
10:45 Break
11:00 Support to WHO - Tab 4
Presentation to Senior Officials
Development of IHR guidance document to help National
Focal Points (NFPs) notification of chemical incidents

Lead
Co-Chairs
Chair & Hostcountry
Chair
Chair
Chair

Peter Blain andWalter BiederbickDavid Russell
Katie Smallwood

Chair
Christine
Gagnon*
KerstenGutschmidt
Development of IHR Training material David Russell

12:30 Lunch
13:30 Early Alerting and Reporting - Tab 5
Direction of EAR
x Update on business case for sustainability of EAR
x Advise of duty analyst issues for CEWG
x Inform of workshop in Atlanta (mid-November)Considerations for CEWG
x Assess usefulness of EAR for CEWG
x Determine strategy to continue involvement (if any)
14:45 Break
15:00 Chemical Risk Screening Tool - Tab 6
Demo Prototype of Automated/Web based toolx Web link: https://join.me/demostation
Determine willingness to develop a full web based tool
Identify funding sources and plan including timetable tocomplete development of final product
What is next for the tool?
New – Ingestion hazard screening tool
17:00 End of day 1
18:30 Group Dinner (at your own expense)* : Denotes a meeting participant joining remotely−39−

Richard Lemay
Jason McKnight*
Cathy Chow*
Chair/all

Olivier Dumetz*
Chair
Chair
Chair
Joan Armour
Hank’s Oster Bar

December 18
Item
9:00

Description
Decontamination – Tab 7
Presentation to Senior Officials of Japan 2012 Workshop
Report & Mass Casualty Decontamination: Guiding
Principles and Research Needs
What’s next for the CEWG ?
x Research needs ?
x Areas for collaboration between CEWG members &others ?
10:00 GHSAG Core Capabilities project - Tab 8
x Identify suitable chemical scenario for project
11:00 Break
11:15 Risk Comms - Tab 9
Development of risk comms products for chemical incidents
12:00 CEWG Management - Tab 10
1. Update of Terms of Reference
2. Update of CEWG Contact List
3. Next CEWG meetingsx Telecon (February 13 & April 10)
x f2f ( potentially aligned with conference on
environmental hazards and the global burden of
disease at ITC in Cardiff May-June 2014)
12:50 Roundtable
12:55 Closing remarks
13:00 End of meeting

Lead
David Russell

Sue Cibulsky/all

Efrain Garcia &Jean-Francois
Dupéré
Bill Hall

Secretariat
Secretariat
Chair

All
Chair & Host
Chair

* : Denotes a meeting participant joining remotelyTime zone converter
WashingtonD.C.&
Ottawa,CanadaUTCͲ5

Brussels,Parisand
GenevaUTC+1

−40−

Suffield,Canada

Tokyo,Japan

UTCͲ7

UTC+9資料４

GHSAG Chemical Events Working Group Meeting  ཧຍሗ࿌᭩
December 17-18, 2013 ᪊㸸ᅾ⡿࢝ࢼࢲ኱౑㤋㸦࣡ࢩࣥࢺࣥ DC㸧  ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪ࢭࣥࢱ࣮ ᩆ࿨ᩆᛴࢭࣥࢱ࣮ 㟝⏕ ಙ᫂ึ᪥㸦12 ᭶ 17 ᪥㸧ࡲࡎ࣍ࢫࢺᅜࡢ࢝ࢼࢲࢆ௦⾲ࡋ࡚ࠊDanny ࠿ࡽḼ㏄ࡢ᪨ࠊ࠾ࡼࡧ௒ᅇࡢ఍㆟ࢆ attend
ࡋ࡚ୗࡉࡿ࢝ࢼࢲ኱౑㤋ࡢ Wilcox ኱ᑚࡢ⤂௓ࡀ࠶ࡗࡓࠋࡑࡢᚋ⮬ᕫ⤂௓ࡀ࠶ࡾࠊฟᖍ⪅ࡣ࢝ࢼࢲ࠿ࡽ Dannyࠊ࢔࣓ࣜ࢝ࡣ Sue ࡜ CDC ࠿ࡽ Scott Deichiman㸦ึ᪥ࡢࡳ㸧
ࠊDavidJett(NIH)ࠊUK ࠿ࡽࡣ David ࡜ Peterࠊࡑࡋ࡚᪥ᮏ࠿ࡽࡣ⚾ࠊ㟝⏕࡜࠸࠺ࠊ≧ἣ࡛ࡋࡓࠋ
ࡲࡎ㆟㛗ࢆ UK ࡢ David ࡜Ỵᐃࡋࠊ௒ᅇࡢ Agenda ࡢᢎㄆࡀ⾜ࢃࢀࡲࡋࡓࠋḟ ࡟ ๓ ᅇ ࡢ Teleconference 㸦 9/5 㸧 ࡢ ROD ࡢ ᢎ ㄆ ࡀ ⾜ ࢃ ࢀ ࡓ ᚋ ࠊ 10/17-18SO
meeting12/10-11 㛶൉⣭఍㆟ࡢ Debrief ࡀ࠶ࡾࠊDavid ࠿ࡽࠊBio-threat ࡟ᑐࡍࡿ Lab
Network ࡜ྠᵝࡢࢿࢵࢺ࣮࣡ࢡࢆ Chemical ࡟ᑐࡋ࡚ࡶᵓ⠏ࡍࡿᚲせᛶ࡟㛵ࡋ࡚ྲྀࡾୖࡆ
ࡽࢀࡓࡀࠊbio,≉࡟ Communicable disease ࡜ Chemical event ࡛ࡣ Time scale ࡀ␗࡞ࡿࡢ
࡛ࠊྠᵝ࡟ࡣฟ᮶࡞࠸࡜ᛮࢃࢀࡿࡀࠊ௒ᚋ᳨ウࡍࡿ࡜ࡢヰࡀ࠶ࡗࡓࠋ
ࡑࡢᚋ࡟௨ୗࡢྛ㆟㢟࡟ࡘ࠸࡚ discussion ࡀ⾜ࢃࢀࡓࠋSyria     David ࠿ࡽ SO meeting ࡢヰࡀ࠶ࡾࠊࢩࣜ࢔࡟࠾࠸࡚ࢧࣜࣥࢆ㍺㏦ࡍࡿ㝿ࡢ Public healthୖࡢ⬣ጾࡢၥ㢟㸦஦ᨾ࡞࡝࡟ࡼࡿ₃ฟࡸࢸࣟࣜࢫࢺ࡟ࡼࡿᙉዣ➼㸧ࠊࡲࡓࢩࣜ࢔࡟ᑐࡋ࡚GHSAG ࡀ training ࡸ Risk communication ࡢྥୖ࡞࡝ྵࡵࠊዴఱ࡟㈉⊩࡛ࡁࡿ࠿࡜࠸࠺
ᥦ㉳ࡀ࡞ࡉࢀࡓࠋ
Peter ࠿ࡽࠊG8 ྛᅜ࡟ᑐࡋ࡚ࡣࢧࣜࣥࢆࡣࡌࡵ࡜ࡋࡓ᭷ᶵࣜࣥ⣔ࡢ⸆๣࡟ᑐࡋ࡚ࡣ㆙࿌ࡀ
࡞ࡉࢀ࡚࠸ࡿࡀࠊࡑࢀ௨እࡢࡶࡢ࡟ᑐࡋ࡚ࡣఱࡽ㆙࿌ࡀ࡞ࡉࢀ࡚࠸࡞࠸ࡇ࡜ࡀᠱᛕࡉࢀࡿࠊ
࡜࠸࠺Ⓨゝࡀ࠶ࡗࡓࠋ
࡞ࡐࢃࡊࢃࡊࢧࣜࣥࢆ༴㝤ࢆෑࡋ࡚ࡲ࡛㝣㊰ࡣࡿࡤࡿ㍺㏦ࡋ࡚ࠊᾏୖࡢ࢔࣓ࣜ࢝ᾏ㌷ࡢⰄୖ࡛ฎ⌮ࢆ⾜ࢃࡡࡤ࡞ࡽ࡞࠿ࡗࡓࡢ࠿ࠊࡇࡢỴᐃࡢ㐣⛬࡟㛵ࡋ࡚ࡣࠊ࡞ࡐࡇࡢࡼ࠺࡞ࡶࡢ
࡟࡞ࡗࡓࡢ࠿ࠊ࡜࠸࠺ࡇ࡜ࡣᨻ἞ୖࡢỴᐃ࡛࠶ࡾࠊOPCW ࢆྵࡵࠊࡔࢀࡀุ᩿ࡋࡓ࠿ࡣศ
࠿ࡽ࡞࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋᑓ㛛ᐙࡢぢゎ࡜ࡋ࡚ࡣࠊࡸࡣࡾ㍺㏦࡟㛵ࡍࡿࣜࢫࢡࢆ⪃៖ࡍࡿ࡜ࠊࢧࣜࣥࢆ⏕ᡂࡋࡓ᪋タ࡛ࠊ⏕ᡂ≀ࡢฎ⌮࣭ᗫᲠ࡜࡜ࡶ࡟ࠊࡑࡢ᪋タࡑࡢࡶࡢࢆ◚ቯࡍ࡭ࡁ࡛࠶ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ⛣ືྍ⬟࡛ࠊ⌧ᆅ࡛ࢧࣜࣥࢆฎ⌮ࡍࡿࢩࢫࢸ࣒࡜ࡋ࡚ࠊ
Peter ࠿ࡽ௨ୗࡢ The Field Deployable Hydrolysis System ࡀ⤂௓ࡉࢀࡓࠋ
https://www.ecbc.army.mil/cbarr/newsletter/2013/CBARR_August2013.pdf
ࡲࡓࠊࢩࣜ࢔࡟ࡣ௚࡟⏕≀රჾ࡞࡝ࡣ࡞࠸ࡢ࠿ࠊ࡜࠸࠺ࡇ࡜ࡀᠱᛕࡉࢀࡿࡀࠊ⌧᫬Ⅼ࡛ࡣ☜ㄆࡉࢀ࡚࠸࡞࠸࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ
ḟ࡟ WHO ࡢ Katie Smallwood ࠿ࡽࠊࢩࣜ࢔⌧ᆅ࡟࠾ࡅࡿ WHO ࡢάື࡟㛵ࡋ࡚ࡢ⤒㐣ࠊሗ࿌ࡀ࠶ࡗࡓࠋ12/9-10 ࡟ WHO ࡛ Review andrevision of WHO interim guidance: Initialclinical management of chemically-contaminated patients ࡜࠸࠺఍ྜࡀ࠶ࡗࡓ࡜ࡢࡇ࡜
࡛ࠊࡑࢀࢆ㋃ࡲ࠼࡚ࡢෆᐜ࡛࠶ࡾࠊ⌧ᆅ࡛ WHO ࢆࢧ࣏࣮ࢺࡋ࡚ࡃࢀࡿ NGO ࡟ᑐࡋ࡚ά
⏝࡛ࡁࡿ Clinical Guidance ࢆసᡂ୰࡛࠶ࡾࠊ2 ᭶୰࡟᏶ᡂࡍࡿணᐃ࡜ࡋ࡚࠸ࡿࠋSue ࡀ⡿ᅜࡢ Decon Principles document ࢆᥦ౪ࡋࠊPeter ࡜ Sue ࡀ Review ࢆ⾜࠺࡜ࡢࡇ࡜ࠋ

−41−

Support to WHOࡲࡎࡣ David ࡼࡾ 10 ᭶࡟࠶ࡗࡓ SO meeting ࡛ࡢ IHR ࡟㛵ࡍࡿ Presentation ࡀ෌ᗘ⾜ࢃ
ࢀࡓࠋNFPs ࡢࠊChemical incidents ࡟ᑐࡍࡿ᳨▱࠾ࡼࡧࡑࡢ㏻࿌࡟㛵ࡋ࡚ࡢ࢞࢖ࢲࣥࢫࠊ
training system ࢆ㛤Ⓨ୰࡛࠶ࡿࠋe-learning ࡢᙧᘧ࡛ࠊmodule1,module2, case study ➼࠿ࡽ࡞ࡿࠋModule1 ࡣ 45 ศ⛬ᗘ࡛⾜࠼ࡿ▷࠸ධ㛛ⓗ࡞ࡶࡢ࡛ࠊModule2 ࡣ Professionalྥࡅࡢෆᐜ࡜࡞ࡗ࡚࠸ࡿࠋCase study ࡣẘ≀ࡢ₃ฟࡸ㣗≀ࡢởᰁ➼ࠊᵝࠎ࡞ࢩࢼࣜ࢜ࢆྵ
ࢇ࡛࠸ࡿࠋࡲࡓᵝࠎ࡞᝟ሗࢆᥦ౪ࠊඹ᭷ࡍࡿࡓࡵ࡟ IHR chemical portal ࢆసᡂࡍࡿࠋ
ࡑࡢᚋࠊHealth Canada ࡢ Christine ࠿ࡽ IHR guidance document ࡢ㛤Ⓨ࡟㛵ࡍࡿ
Presentation ࡀ࠶ࡗࡓࠋ⌧ᅾࡢ WHO guidance ࡢ Annex㸰ࢆ໬Ꮫ஦㇟࡟୺║ࢆ⨨ࡁࠊಟṇࡋ࡚࠸ࡃࡇࡢࡇ࡜࡛ࠊࡑࡢࢣ࣮ࢫࢩࢼࣜ࢜࡟㛵ࡋ࡚ࡣࠊᅜྡ࡞࡝ࡀ≉ᐃࡉࢀ࡞࠸ᙧࡢ༏ྡᛶࡀ㔜せ࡛࠶ࡿࡇ࡜ࡀᙉㄪࡉࢀࡓࠋ2014 ⛅ࡢ᏶ᡂࡲ࡛ࠊ3 ᅇࡢⲡ✏ࡀ࡞ࡉࢀࡿணᐃ࡛ࠊPeter,
Scott, David Jett ࡀࣞࣅ࣮ࣗࢆ⾜࠺ࡇ࡜࡜࡞ࡗࡓࠋࡲࡓ David ࡀࡍ࡛࡟ WHO collaborating
center ࡢ e-learning ⏝ࡢࢩࢼࣜ࢜ࢆᥦ౪ࡋ࡚ࡃࢀࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ
᫨ఇࡳ࡟ࡣࢡࣜࢫ࣐ࢫ࡟㝿ࡋ࡚ࠊ࢝ࢼࢲ኱౑㤋࡛≉タࡢච⛯ᗑࡀ㛤࠿ࢀ࡚࠸ࡿ࡜ࡢࡇ࡜࡛ࠊ
඲ဨ࡛ࠊࡑࡢぢᏛ࡟ฟྥ࠸ࡓࠋ
Early Alerting and Reportingࡲࡎࡣ Richard ࠿ࡽ EAR project ࡢ⌧≧࡜ࡇࢀ࠿ࡽࡢ᪉ྥ࡟ࡘ࠸࡚ࡢ Presentation ࡀ࠶ࡗࡓࠋḟ࡟ CDC ࡢ Jason McKnight ࡟ࡼࡿ EAR On-duty Analyst Issues ࡟㛵ࡍࡿPresentation ࡀ࠶ࡗࡓࠋProject ⥅⥆ࡢࡓࡵࡢண⟬ࡢၥ㢟ࠊWHO ࡜ࡢ Collaboration ࡢヰࡀ࡞ࡉࢀࡓࠋᮏ᮶ࡣ 24/7 ࡢ㆙ᡄయไࡀᮃࡲࢀࡿࡀࠊ⌧≧࡛ࡣ 1 ᪥ 2 ᫬㛫⛬ᗘࡋ࠿⾜ࢃࢀ࡚࠸࡞࠸ࠋAtlanta ࡢ఍㆟࡛ࡣ 1 㐌㛫࠶ࡓࡾ 6 ேࡢ Analyst ࡀᚲせ㸦Bio 1, Chem 1, All
Hazard(Public health issues ➼ࢆྵࡴ)㸸㸲㸧࡜ࡉࢀࡓࠋࡑࡢປാࡢ㈇ᢸࢆ㍍ῶࡍࡿࡓࡵ࡟ࠊ
UK,࢝ࢼࢲ࠿ࡽ࣎ࣛࣥࢸ࢕࢔ࡢ⏦ࡋධࢀࡀ࡞ࡉࢀࡓࠋOperational Model ࡛ࡣ US $3.9M ࡢࢥࢫࢺࡀぢ㎸ࡲࢀࡿࡀࠊᐇ㝿࡟ࡣ Technical ࡞ࡶࡢࡼࡾே௳㈝ࡀ࣓࢖ࣥࢥࢫࢺࡢࡼ࠺࡛࠶ࡿࠋ
Bio ࡢ Project ࡀ Base ࡟࡞ࡗ࡚࠸ࡿࡓࡵࠊChemical event ࡢࡼ࠺࡞ acute onset ࡛ࠊ࡝ࡢ⛬ᗘᶵ⬟ࡍࡿ࠿࡜࠸࠺ၥ㢟ࡣ࠶ࡿࡀࠊ2005 ᖺ୰ᅜ࡛ࡢࢽࢺࣟ࣋ࣥࢮࣥࡀὶฟࡋࠊࣟࢩ࢔ࡲ
࡛ࡑࡢởᰁࡀᗈࡀࡗࡓ౛㸦≉࡟ᅜቃࢆ㉺࠼࡚ࠊ௚ᅜࡲ࡛ᙳ㡪ࡀᗈࡲࡿሙྜ㸧ࡸࠊCovert ࡟ᙳ㡪ࡀᗈࡲࡗ࡚⾜ࡃ஦㇟࡞࡝࡛ࡣ᭷ຠ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡿࠋEpidemiology ࡢほⅬ࠿ࡽゝ࠼ࡤࠊSurveillance ࡜࠸࠺ព࿡࡛㔜せ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓࠋ
Chemical Risk Prioritization Tool
ࡲࡎ Oliver Dumetz ࡟ࡼࡾ⌧ᅾ㛤Ⓨ୰ࡢ Automated Web Based Tool ࡢ Prototype ࡢࢹࣔࣥࢫࢺ࣮ࣞࢩࣙࣥࡀ⾜ࢃࢀࡓࠋᴫࡡⰋዲ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓࡀࠊ᭱⤊ⓗ࡞ࡶࡢ࡟ࡍࡿࡓࡵ
࡟ࡣࡉࡽ࡟ࢸࢫࢺࡀᚲせ࡜⪃࠼ࡽࢀࠊCardiff ࡢ Poison Control Center ࡸ࢝ࢼࢲ࡛ࡶⰍࠎ
ヨࡋ࡚ࠊࢥ࣓ࣥࢺࢆᥦ౪ࡍࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ
ḟ࡟ Joan Armour ࡼࡾ Ingestion hazard screening tool ࡟㛵ࡍࡿࣉࣞࢮࣥࢸ࣮ࢩࣙࣥࡀ⾜ࢃࢀࡓࠋPeter ࡼࡾ Assessment ࡟⏝࠸ࡽࢀࡿ LD50 ್ࡣࠊ᭱᪩㏻ᖖࡣ⏝࠸ࡽࢀ࡚࠾ࡽࡎࠊMaximum Tolerated Dose ࢆ⏝࠸ࡓ᪉ࡀⰋ࠸࡜࠸࠺ᣦ᦬ࡀ࠶ࡗࡓࠋࡲࡓ㣗≀࠾ࡼࡧỈ࡟㛵

−42−ࡍࡿ஦㇟ࡣ⎔ቃ⾨⏕ࢆ୺࡜ࡋࡓᶵ㛵ࢆࡣࡌࡵࠊ௚ࡢᶵ㛵࡜㛵୚ࡍࡿࡇ࡜ࡀከ࠸ࡓࡵࠊCEWG
ࡢάືࡀ▩┪ࢆ᮶ࡋࡓࡾࠊጉࡆ࡜࡞ࡽ࡞࠸ࡼ࠺࡟ὀពࡀᚲせ࡛࠶ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋࡇ
ࡢ Tool ࢆࡉࡽ࡟᥎ࡋ㐍ࡵࡿࡓࡵ࡟ࡣࠊSO ࡢᣦ♧ࡀᚲせ࡛࠶ࡿࡇ࡜ࡀ♧၀ࡉࢀࡓࠋ
16 ᫬༙࡟ึ᪥ࡢ఍㆟ࡣ⤊஢࡜࡞ࡾࠊኪࡣࢢ࣮ࣝࣉ࡛ Oyster Bar ࡟ኤ㣗࡟ฟ࠿ࡅࡓࠋ
2 ᪥┠㸦12 ᭶ 18 ᪥㸧Decontamination
ࡲࡎ David ࡼࡾ 2013 ᖺ 10 ᭶ࡢ SO meeting ࡛ࡢ Presentation ࡀ࠶ࡗࡓࠋPeter ࠿ࡽ UK
ࡢ Newcastle University ࡀ US ࡼࡾ 8 ୓ࢻࣝࡢ◊✲㈨㔠ࢆᚓࡿࡇ࡜࡟࡞ࡾࠊ2014 ᖺ 4 ᭶࠿
ࡽ Decon ࡟㛵ࡍࡿ◊✲ࢆ㛤ጞࡍࡿࡇ࡜࡟࡞ࡗࡓ࡜ࡢヰࡀ࠶ࡾࠊGHSI Policy Paper ࡢ୰࡛㏙࡭ࡽࢀ࡚࠸ࡿ୺せ࡞ෆᐜࡢ୍ࡘ࡛࠶ࡿ Priority Research Needs ࡟ἢࡗ࡚ࠊOperational
studies, comparative studies, behavioral research ࡢ 3 ศ㔝࡟㛵ࡋ࡚ࡢ◊✲ࢆ⾜࠺࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋSue ࡼࡾࠊRob Chilcot ࡜ Richard Amlyot ࡀᾘ㜵㌴ࡢ࣮࣍ࢫࢆ౑ࡗࡓࠊ⑓㝔๓ࡢ Decon ࡢ◊✲ࡀ⌧ᅾ DHHS ࡛⾜ࢃࢀ࡚࠾ࡾࠊ ᗘࡸỈᅽ࡞࡝ࠊᵝࠎ࡞ࣃ࣓࣮ࣛࢱ࣮࡟
㛵ࡋ࡚ࡢ᳨ウࡀ⾜ࢃࢀ࡚࠸ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋ㸦2014㹼2015 ࡟᭱⤊ⓗ࡞࢞࢖ࢲࣥࢫࡀฟ
ࡿࡢ࡛ࡣ࡞࠸࠿࡜ࡢࡇ࡜㸧Peter ࡼࡾ WHO ࡛ࠊTetsu㸦ዟᮧᚭඛ⏕㸧ࡀ㛵୚ࡉࢀ࡚࠸ࡿWind box㸦ᐦ㛢ࡉࢀࡓᑠࡉ࡞㒊ᒇ࡛ᬮ࠿࠸㢼ᅽ࡟ࡼࡾ㝖ᰁࢆ⾜࠺㸧࡟ࡘ࠸࡚ࡢヰࡀ࠶ࡗࡓ࡜ࡢࡇ࡜࡛ࠊࡑࡢ᭷ຠᛶࢆྵࡵ࡚ࠊ⯆࿡ࡀ࠶ࡿ࡜ࡢࡇ࡜࡛࠶ࡗࡓࠋGHSAG Core Capabilities Projectࡲࡎ Ashley Towns ࡟ࡼࡿ Project ࡢ⌧≧࡟ࡘ࠸࡚ Presentation ࡀ࠶ࡗࡓࠋ⌧ᅾࡢ GHSAG
Core Capability ࡢホ౯ࢆ⾜࠺ࡓࡵ࡟ࡣࢩࢼࣜ࢜ࢆ⏝࠸ࡓ Gap analysis ࡀᚲせ࡜⪃࠼ࡽࢀࠊࡑࡢࢩࢼࣜ࢜ࢆ⌧ᅾసᡂ୰࡛࠶ࡿࠋBio, Chemical, RN, Pandemic flu ࡢ 4 ࡘࡢࢩࢼࣜ࢜ࢆ
సᡂ୰࡛࠶ࡾࠊCEWG ࡜ࡋ࡚ࡣ Acute ࡞ࡶࡢ࡜ Chronic ࡞ࡶࡢ࡟ᑐࡍࡿ 2 ㏻ࡾࡢࢩࢼࣜ࢜
ࢆసᡂࡋࡓ᪉ࡀ᭷⏝࡛࠶ࡿ࡜⪃࠼࡚࠸ࡿࠋSue ࡀ CEWG ࡢ௦⾲࡜ࡋ࡚ࠊࢩࢼࣜ࢜ࢆసᡂࡍ
ࡿணᐃ࡛ࠊ1 ᭶ 14,15 ᪥࡟࢜ࢱ࡛࣡⾜ࢃࢀࡿ Workshop ࡟ཧຍࡍࡿࡇ࡜࡜࡞ࡗ࡚࠾ࡾࠊ
Dannyࡀࡑࢀࢆࢧ࣏࣮ࢺࡍࡿணᐃ࡟࡞ࡗ࡚࠸ࡿࠋ
Risk Comms
Bill Hall ࡟ࡼࡿ Presentation ࡀ⾜ࢃࢀࡓࠋInfluence on the Acceptance of Risk ࡟㛵ࡋ࡚ࡢ୍⯡ㄽࡀ࠶ࡗࡓࠋSlow onset ࡢ Bio-event ࡞࡝࡛ࡣ᭷⏝࠿ࡶࡋࢀ࡞࠸ࡀࠊTime-scale ࡢ▷࠸ࡶࡢࡢከ࠸ CEWG ࡛ࡣࠊ≉࡟ Decon ࡟㝿ࡋ࡚ởᰁᝈ⪅ࡀዴఱ࡟㝖ᰁࢆཷࡅධࢀ࡚ࡶ
ࡽ࠼ࡿ࠿ࠊ࡜࠸࠺ human behavior ࡸ Communication skill ࢆྵࡵ࡚ࡢᡂᯝࢆᮇᚅࡋ࡚࠸
ࡿࡀࠊ⌧᫬Ⅼ࡛ࡣఱࡽ㐍ᒎࡀᚓࡽࢀ࡚࠸࡞࠸༳㇟࡛࠶ࡗࡓࠋ
CEWG Management
Terms of Reference, CEWG Contact List ࡢ Update ࠾ࡼࡧ௒ᚋࡢ Meeting ࡢணᐃ࡟ࡘ࠸
࡚ヰࡀ࡞ࡉࢀࡓࠋ
ࡑࡢᚋࠊཧຍ⪅඲ဨ࡛ࠊᜏ౛ࡢච⛯ᗑ࡛ࡢ㈙࠸≀࡟⾜ࡗࡓᚋࠊ13 ᫬࡟ゎᩓ࡜࡞ࡗࡓࠋ                                

−43−

௨ୖ

資料５

ᖹᡂ25ᖺᗘ ㏆⸨⌜ศᢸ◊✲          Public Health 2013,13:253-262
ศᢸ◊✲⪅㸸ᔱὠᓅኈ㸪 ◊✲༠ຊ⪅㸸Ⲩᮌᾈஅࠊ㧗㔝༤ᚨࠊ㐲⸨ᐜᏊࠊἼከ㔝ᘺ⏕ࠊ㯮ᮌ⏤⨾Ꮚ 㸦᪥ᮏ୰ẘ᝟ሗࢭࣥࢱ࣮㸧

A screening tool to prioritize public health risk associated with accidental or deliberate
release of chemicals into the atmosphere໬Ꮫ≀㉁䛜኱Ẽ୰䜈അⓎⓗ䜎䛯䛿ពᅗⓗ䛻ᨺฟ䛥䜜䛯ሙྜ䛾බ⾗⾨⏕䝸䝇䜽䛻㛵䛩䜛ඃඛ㡰఩௜䛡䛾䛯䜑䛾䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹㻌Chemical Events Working Group of the Global Health Security Initiativeୡ⏺೺ᗣᏳ඲ಖ㞀䜲䝙䝅䜰䝔䜱䝤㻌 ໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥㻌
Abstract
The Chemical Events Working Group of the Global Health Security Initiative hasdeveloped a flexible screening tool for chemicals that present a risk when accidentally ordeliberately released into the atmosphere. The tool is generic, semi-quantitative,
independent of site, situation and scenario, encompasses all chemical hazards (toxicity,
flammability and reactivity), and can be easily and quickly implemented by non-subject
matter experts using freely available, authoritative information. Public healthpractitioners and planners can use the screening tool to assist them in directing theiractivities in each of the five stages of the disaster management cycle.
せ⣙㻌ୡ⏺೺ᗣᏳ඲ಖ㞀䜲䝙䝅䜰䝔䜱䝤䛾໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䛿䚸അⓎⓗ䜎䛯䛿ពᅗⓗ䛻኱Ẽ୰䛻ᨺฟ䛥䜜䛯㝿䛻䝸䝇䜽䛜Ꮡᅾ䛩䜛໬Ꮫ≀㉁䛻ᑐ䛩䜛ᰂ㌾ᛶ䛾䛒䜛䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䜢
㛤Ⓨ䛧䛯䚹䛭䛾䝒䞊䝹䛿䚸ỗ⏝ᛶ䛜䛒䜚༙ᐃ㔞ⓗ䛛䛴ሙᡤ䞉≧ἣ䞉䝅䝘䝸䜸䛻ᙳ㡪䛥䜜䛪䚸඲䛶䛾໬Ꮫⓗ䝝䝄䞊䝗䠄ẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䠅䜢⥙⨶䛧䚸䛥䜙䛻䛭䛾㡿ᇦ䛾ᑓ㛛ᐙ䛷䛺䛟䛸䜒⮬⏤䛻฼⏝ྍ⬟䛺ಙ㢗䛷䛝䜛᝟ሗ䜢౑⏝䛧䚸⡆༢䛛䛴㎿㏿䛻ᢅ䛖䛣䛸䛜䛷䛝䜛䚹බ⾗⾨⏕ᐇົ⪅䜔ィ⏬❧᱌⪅䛿䚸䛣䛾䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䜢䚸໬Ꮫ⅏ᐖ䝬䝛䝆䝯䞁䝖䝃䜲䜽䝹䛾 㻡 䛴䛾ྛẁ㝵䛻䛚䛡䜛άືᣦᶆ䛾ᨭ᥼䛻౑⏝ྍ⬟䛷䛒䜛䚹㻌
1−44−

Keywords
Chemicals, Public health, Risk assessment, Atmospheric releases, Screening tool,
Disaster management cycle࣮࣮࢟࣡ࢻ໬Ꮫ≀㉁䚸බ⾗⾨⏕䚸䝸䝇䜽䜰䝉䝇䝯䞁䝖䚸኱Ẽ୰䜈䛾ᨺฟ䚸䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䚸⅏ᐖ䝬䝛䝆䝯䞁䝖䝃䜲䜽䝹㻌
Background
The Global Health Security Initiative (GHSI) is an informal network of countries thatcame together shortly after the September 11, 2001 attacks, to ensure exchange andcoordination of practices within the health sector in confronting new threats and risks
to global health posed by terrorism. Delegations of the GHSI include Canada, France,
Germany, Italy, Japan, Mexico, the United Kingdom, the United States and theEuropean Commission. The World Health Organization (WHO) serves as an observer.
The principal purpose of the GHSI is to strengthen global health preparedness andresponse to threats of biological, chemical and radio-nuclear terrorism and pandemic
influenza. This document, written by the Chemical Events Working Group (CEWG) of
the GHSI, recognizes that chemicals, despite conferring many benefits, may posesignificant acute and chronic health risks in the event of an accidental or deliberate
release. The public health impact of such an event is potentially catastrophic. Therefore,
it is vital that emergency planning be developed at local, regional, national andinternational levels to effectively manage and mitigate chemical releases. Because of
the millions of distinct chemicals, it is not realistic to plan and prepare for all chemicals.
Risk must be prioritized so that the chemicals of greatest concern provide the basis for
subsequent prevention, emergency planning and preparedness, detection and alert,
response and recovery activities.
⫼ᬒୡ⏺೺ᗣᏳ඲ಖ㞀䜲䝙䝅䜰䝔䜱䝤䠄䠣䠤䠯䠥䠅䛿䚸㻞㻜㻜㻝 ᖺ 㻥 ᭶ 㻝㻝 ᪥䛾ྠ᫬ከⓎ䝔䝻஦௳䜢ཷ䛡䚸䝔䝻䝸䝈䝮䛜ୡ⏺䛾ே䚻䛾೺ᗣ䛻✺䛝䛴䛡䜛᪂䛧䛔⬣ጾ䛸䝸䝇䜽䛻❧䛱ྥ䛛䛖䛣䛸䜢┠ⓗ䛸䛧䛶䚸ಖ೺䝉䜽䝍䞊䛾άື䛻㛵䛩䜛᝟ሗ஺᥮䛸ㄪᩚ䛾䛯䜑䛻Ⓨ㊊䛧䛯ྛᅜ㛫䛾㠀බᘧ䝛䝑䝖䝽䞊䜽䛷䛒䜛䚹㻳㻴㻿㻵 䜢ᵓᡂ䛧䛶䛔䜛䛾䛿䜹䝘䝎䚸䝣䝷䞁䝇䚸䝗䜲䝒䚸䜲䝍䝸䜰䚸᪥ᮏ䚸䝯䜻䝅䝁䚸䜲䜼䝸䝇䚸䜰䝯䝸䜹䛚䜘䜃Ḣᕞጤဨ఍䛷䛒䜛䚹䜎䛯䚸ୡ⏺ಖ೺ᶵ㛵䠄㼃㻴㻻䠅䛜䜸䝤䝄䞊䝞䞊䛸䛧䛶ཧຍ䛧䛶䛔䜛䚹㻳㻴㻿㻵 䛾୺䛺┠ⓗ䛿䚸⏕≀๣䚸໬Ꮫ๣䚸ᨺᑕᛶ≀㉁䞉᰾䛻䜘䜛䝔䝻䝸䝈䝮䛸䝟䞁䝕䝭䝑䜽䜲䞁䝣䝹䜶䞁䝄䛾⬣ጾ䛻ᑐ䛧䛶ᆅ⌫つᶍ䛷බ⾗⾨⏕ୖ䛾ഛ䛘䛸ᑐᛂ䜢ᙉ໬䛩䜛䛣䛸䛷䛒䜛䚹㻌䠣䠤䠯䠥䛾໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄䠟䠡䠳䠣䠅䛻䜘䜚䜎䛸䜑䜙䜜䛯䛣䛾ᩥ᭩䛿䚸໬Ꮫ≀㉁䛿ከ䛟䛾฼┈䜢௜୚䛩䜛୍᪉䛷䚸അⓎⓗ䜎䛯䛿ពᅗⓗᨺฟ䜲䝧䞁䝖䠄஦᱌䠅䛻䛚䛔䛶䚸㢧ⴭ䛺ᛴᛶ䜎䛯䛿៏ᛶ䛾බ⾗⾨⏕䝸䝇䜽䜢䜒䛯䜙䛩ྍ⬟ᛶ䛜䛒䜛䛸䛾ㄆ㆑䜢♧䛧䛯䜒䛾䛷䛒䜛䚹䛣䛾䜘䛖䛺䜲䝧䞁䝖䛾බ⾗⾨⏕䜈䛾䜲䞁䝟䜽䝖䛿䚸₯ᅾⓗ䛻ቯ⁛ⓗ䛺䜒䛾䛷䛒䜛䚹䛭䛾䛯䜑䚸໬Ꮫ≀㉁ᨺฟ䛾ຠᯝⓗ䛺2−45−ᑐ⟇䜔⿕ᐖᢚไ䛻ᆅᇦ䚸ᆅ᪉䚸ᅜ䚸ᅜ㝿ⓗ䝺䝧䝹䛷䛾⥭ᛴ஦ែᑐᛂィ⏬䛾㛤Ⓨ䛜୙ྍḞ䛷䛒䜛䚹
ఱⓒ୓䜒䛾␗䛺䜛໬Ꮫ≀㉁䛜Ꮡᅾ䛩䜛䛯䜑䚸඲䛶䛾໬Ꮫ≀㉁䛻ᑐ䛧䛶ィ⏬䛧‽ഛ䛩䜛䛾䛿⌧ᐇⓗ䛷䛿䛺䛔䚹᭱䜒ᠱᛕ䛥䜜䜛໬Ꮫ≀㉁䛻㛵䛧䛶෌Ⓨ㜵Ṇ䚸⥭ᛴィ⏬䜔‽ഛ䚸᳨▱䛸㆙࿌䚸ᑐᛂ䛸᚟ᪧάື䛾ᇶ┙䜢ᥦ౪䛩䜛䜘䛖䛻䚸䝸䝇䜽䛜ඃඛ㡰఩௜䛡䜙䜜䛺䛟䛶䛿䛺䜙䛺䛔䚹㻌The world of chemicals
The chemical industry is one of the world’s largest economic sectors, producing organicand inorganic chemicals, plastics, synthetic fibres, pharmaceuticals and medicines,
synthetic rubber, soaps, paints and coatings, pesticides, fertilizers and otheragricultural chemicals [1]. In 2010 worldwide chemical sales were valued at 2,353
billion euros. China was the largest chemical producer (͐575.3 billion㸧, followed by theUnited States (͐395.2 billion㸧, Japan(͐152.7 billion㸧 and Germany(͐141.6 billion㸧. In
the European Union, the chemical industry directly accounted for 1.1 percent of total
gross domestic production and employed 1,157,000 persons [2]. As of 1 May 2012, theAmerican Chemical Society (ACS) Chemical Abstracts Service (CAS) had assigned
Registry Numbers (RN) to 66,515,886 distinct organic and inorganic substances. The
CAS Online Chemical Catalogues File (CHEMCATS) contained listings of more than
19,000,000 commercially available chemicals and their worldwide suppliers [3]. These
commercially available chemicals are produced in quantities ranging from milligrams tomillions of metric tons. High production volume (HPV) chemicals, as defined by theOrganization of Economic Co-operation and Development (OECD), are those chemicals
produced or imported into OECD countries in excess of 1,000 metric tons per year. In
2007, 4637 chemicals were classified as HPV chemicals [4]. Examples of HPV chemicals
produced in excess of 5 million metric tons in 2010 are given in Table 1 [1].
ୡ⏺䛻䛚䛡䜛໬Ꮫ≀㉁㻌
໬Ꮫᕤᴗ䛿ୡ⏺䛷᭱䜒኱䛝䛺⤒῭ศ㔝䛾䜂䛸䛴䛷䛒䜚䚸᭷ᶵ໬ྜ≀䚸↓ᶵ໬ྜ≀䚸䝥䝷䝇䝏䝑䜽䚸ྜᡂ⧄⥔䚸་⸆ရ䚸ྜᡂ䝂䝮䚸▼䛡䜣䚸ሬᩱ䜔䝁䞊䝔䜱䞁䜾๣䚸ẅ⹸๣䚸⫧ᩱ䚸䛭䛾௚䛾㎰ᴗ⏝໬Ꮫ≀㉁䛺䛹䜢⏕⏘䛧䛶䛔䜛㼇㻝㼉䚹㻞㻜㻝㻜 ᖺ䛻䛚䛡䜛ୡ⏺ⓗ䛺໬Ꮫ≀㉁䛾኎䜚ୖ䛢䛿䚸㻞 ඙ 㻟㻘㻡㻟㻜 ൨䝴䞊䝻䛷䛒䜛䚹୰ᅜ䛜໬Ꮫ≀㉁⏕⏘ᅜ䛸䛧䛶᭱኱䛷䛒䜚䠄㻡㻘㻣㻡㻟 ൨䝴䞊䝻䠅䛷䚸⥆䛔䛶䜰䝯䝸䜹䠄㻟㻘㻥㻡㻞 ൨䝴䞊䝻䠅䚸᪥ᮏ䠄㻝㻘㻡㻞㻣 ൨䝴䞊䝻䠅䚸䝗䜲䝒䠄㻝㻘㻠㻝㻢 ൨䝴䞊䝻䠅䛸䛺䛳䛶䛔䜛䚹Ḣᕞ㐃ྜ䛷䛿䚸໬Ꮫᕤᴗ䛿 㻳㻰㻼 䛾 㻝㻚㻝䠂䜢༨䜑䚸㻝㻘㻝㻡㻣㻘㻜㻜㻜 ே䛜໬Ꮫᕤᴗ䛻ᚑ஦䛧䛶䛔䜛㼇㻞㼉䚹㻞㻜㻝㻞 ᖺ 㻡 ᭶ 㻝 ᪥⌧ᅾ䚸⡿ᅜ໬Ꮫ఍䠄㻭㻯㻿䠖㻌 㻭㼙㼑㼞㼕㼏㼍㼚㻌 㻯㼔㼑㼙㼕㼏㼍㼘㻌 㻿㼛㼏㼕㼑㼠㼥䠅䛾໬Ꮫ᝟ሗ᳨⣴䝃䞊䝡䝇䠄㻯㻭㻿䠖㻯㼔㼑㼙㼕㼏㼍㼘㻌 㻭㼎㼟㼠㼞㼍㼏㼠㼟㻌㻿㼑㼞㼢㼕㼏㼑䠅䛷䛿䚸㻢㻢㻘㻡㻝㻡㻘㻤㻤㻢 䛾␗䛺䜛᭷ᶵ໬ྜ≀䞉↓ᶵ໬ྜ≀䛻Ⓩ㘓␒ྕ䠄㻾㻺䠖㻾㼑㼓㼕㼟㼠㼞㼥㻌 㻺㼡㼙㼎㼑㼞㼟䠅䛜 ๭ 䜚 ௜ 䛡 䜙 䜜 䛶 䛔 䜛 䚹 㻯㻭㻿 䛾 䜸 䞁 䝷 䜲 䞁 ໬ Ꮫ 䜹 䝍 䝻 䜾 䝣 䜯 䜲 䝹 䠄 㻯㻴㻱㻹㻯㻭㼀㻿 䠖 㻯㻭㻿㻌 㻻㼚㼘㼕㼚㼑㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻯㼍㼠㼍㼘㼛㼓㼡㼑㼟㻌㻲㼕㼘㼑䠅䛻䛿 㻝㻥㻘㻜㻜㻜㻘㻜㻜㻜 ௨ୖ䛾ᕷ㈍䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛸䛭䛾ୡ⏺ⓗ౪⤥䝯䞊䜹䞊䛜୍ぴ䛷グ㍕䛥䜜䛶䛔䜛㼇㻟㼉䚹䛣䜜䜙䛾ᕷ㈍䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛿䝭䝸䜾䝷䝮䛛䜙ఱⓒ୓䝖䞁䛸䛔䛖 ༢ ఩ 䛷 ኱ 㔞 䛻 ⏕ ⏘ 䛥 䜜 䛶 䛔 䜛 䚹 ⤒ ῭ ༠ ຊ 㛤 Ⓨ ᶵ ᵓ 䠄 䠫 䠡 䠟 䠠 䠖 㻻㼞㼓㼍㼚㼕㼦㼍㼠㼕㼛㼚㻌 㼛㼒㻌 㻱㼏㼛㼚㼛㼙㼕㼏㻌㻯㼛㻙㼛㼜㼑㼞㼍㼠㼕㼛㼚㻌㼍㼚㼐㻌㻰㼑㼢㼑㼘㼛㼜㼙㼑㼚㼠䠅䛻䜘䜛ᐃ⩏䛷䛿䚸㧗⏕⏘㔞䠄䠤䠬䠲䠖㻴㼕㼓㼔㻌㼜㼞㼛㼐㼡㼏㼠㼕㼛㼚㻌㼢㼛㼘㼡㼙㼑䠅䛾໬
3−46−Ꮫ≀㉁䛸䛿ᖺ㛫 㻝㻘㻜㻜㻜 䝖䞁䜢㉸䛘䜛㔞䛜䠫䠡䠟䠠ຍ┕ᅜ䛷⏕⏘䜎䛯䛿㍺ධ䛥䜜䛶䛔䜛䜒䛾䛷䛒䜛䚹㻞㻜㻜㻣 ᖺ䛻䛿 㻠㻢㻟㻣 䛾໬Ꮫ≀㉁䛜䠤䠬䠲䛻ศ㢮䛥䜜䛯㼇㻠㼉䚹㻞㻜㻝㻜 ᖺ䛻 㻡 ⓒ୓䝖䞁௨ୖ⏕⏘䛥䜜䛯䠤䠬䠲໬Ꮫ≀㉁䛾౛䜢⾲䠍䛻♧䛩㼇㻝㼉䚹㻌

Table 1 Examples of HPV chemicals [1]⾲ 1 HPV ໬Ꮫ≀㉁ࡢ౛[1]The World Health Organization (WHO) describes a chemical incident as theuncontrolled release of a chemical, resulting in (potential) harm to public health and theenvironment. Chemical incidents can arise from human activities and from natural
sources (e.g., volcanic eruption, earthquake, forest fire) [5]. Chemical incidents,
resulting from human activity, can be accidental or deliberate. Accidental releases canoccur at any location in the production, use, storage, disposal or transportation cycle ofthe chemical. Examples of accidental chemical incidents that resulted in immediatesignificant deaths, injuries and property and/or environmental damage are listed inTable 2. These incidents, especially the 1976 release of dioxin at Seveso, greatly
influenced national and international regulations, with respect to the amounts ofchemicals that could be stored in a given location, land use provisions and transport
regulations [5-9].
ୡ⏺ಖ೺ᶵᵓ䠄䠳䠤䠫䠅䛿䚸໬Ꮫ⅏ᐖ䛸䛿䚸ᕷẸ䛾೺ᗣ䜔⎔ቃ䛻ᑐ䛩䜛༴ᐖ䠄₯ᅾⓗ䛺䜒䛾䜒ྵ䜑䠅䜢ᘬ䛝㉳䛣䛩໬Ꮫ≀㉁䛾ไᚚ୙⬟䛺ᨺฟ䚸䛸఩⨨௜䛡䛶䛔䜛䚹໬Ꮫ⅏ᐖ䛿ே㛫䛾άື䜔⮬↛⌧㇟䠄౛䠖ⅆᒣ䛾ᄇⅆ䚸ᆅ㟈䚸᳃ᯘⅆ⅏䠅䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛㼇㻝㼉䚹ே㛫䛾άື䛾⤖ᯝ⏕䛨䜛໬Ꮫ⅏ᐖ䛿䚸അⓎⓗ䜎䛯䛿ពᅗⓗ䛻䜘䜛䜒䛾䛷䛒䜛䚹അⓎⓗ䛺ᨺฟ䛿䚸໬Ꮫ≀㉁䛾⏕⏘䚸౑⏝䚸ಖ⟶䚸ᗫᲠ䚸㍺㏦䛸䛔䛖䝃䜲䜽䝹䛾䛔䛛䛺䜛ሙ㠃䛷䜒Ⓨ⏕䛧䛖䜛䚹༶᫬ⓗ䛷㻔ከ኱䛺㻕ከᩘ䛾Ṛ⪅䜔യᐖ䚸≀ᦆ䜔⎔ቃ⿕ᐖ䜢䜒䛯䜙䛧䛯അⓎⓗ䛺໬Ꮫ⅏ᐖ䛾౛䜢⾲ 㻞 䛻♧䛩䚹䛣䜜䜙䛾஦ᨾ䚸≉䛻 㻝㻥㻣㻢ᖺ䛾䝉䝧䝋䛷䛒䛳䛯䝎䜲䜸䜻䝅䞁䛾ᨺฟ䛿䚸≉ᐃ䛾୍⟠ᡤ䛻㈓ⶶ䛷䛝䜛໬Ꮫ≀㉁䛾㔞䚸ᅵᆅ฼⏝䛾つᐃ䚸㍺㏦䛾つไ䛻㛵䛧䛶䚸ᅜෆ䛚䜘䜃ᅜ㝿ⓗ䛺ἲつไ䛻኱䛝䛟ᙳ㡪䜢୚䛘䛯㼇㻡㻙㻥㼉䚹㻌

Table 2 Examples of chemical incidents resulting in regulatory actions
⾲䠎㻌 つไᥐ⨨䛻⮳䛳䛯໬Ꮫ⅏ᐖ䛾౛
In addition to their legitimate use in industry, agriculture and medicine, chemicals havebeen used in warfare, by insurgents and terrorists. The direct use of chemicals,
especially chlorine, phosgene and sulphur mustard, in World War 1 caused 91,198
deaths and 1,205,655 non-fatal injuries [10]. Since World War 1 additional chemical
warfare agents, including the organophosphorus G series (e.g., sarin, soman, tabun) andV series (e.g., VX) of nerve agents have been developed. Sulphur mustard was used in
the Iran-Iraq War of 1980–88, causing over 20,000 casualties [11]. The Chemical
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Weapons Convention (CWC), in effect since 1997, prohibits the use of chemical warfare
agents, restricts the quantity that signatories may hold for research purposes andrequires signatories to destroy existing stockpiles [12].
ᕤᴗ䜔㎰ᴗ䚸་⒪䛾ศ㔝䛷ྜἲⓗ䛻౑䜟䜜䜛୍᪉䚸໬Ꮫ≀㉁䛿ᭀᚐ䜔䝔䝻䝸䝇䝖䛻䜘䜚䚸Ṋຊ⾪✺䛻䛚䛔䛶౑⏝䛥䜜䛶䛝䛯䚹➨୍ḟୡ⏺኱ᡓ୰䚸໬Ꮫ≀㉁䚸≉䛻ሷ⣲䚸䝩䝇䝀䞁䚸◲㯤䝬䝇䝍䞊䝗䛭䛾䜒䛾䛾౑⏝䛿䚸Ṛ⪅ 㻥㻝㻘㻝㻥㻤 ே䚸㈇യ⪅ 㻝㻘㻞㻜㻡㻘㻢㻡㻡 ே䛾ཎᅉ䛸䛺䛳䛯㼇㻝㻜㼉䚹➨୍ḟୡ⏺኱ᡓ௨㝆䚸⚄⤒๣䛷䛒䜛᭷ᶵ䝸䞁໬ྜ≀䛾 㻳 ๣䠄䝃䝸䞁䚸䝋䝬䞁䚸䝍䝤䞁䛺䛹䠅䜔䠲๣䠄䠲䠴䛺䛹䠅䜢ྵ䜐䚸᪂䛯䛺໬Ꮫ๣䛾㛤Ⓨ䛜㐍䜣䛰䚹◲㯤䝬䝇䝍䞊䝗䛿 㻝㻥㻤㻜䡚㻤㻤 ᖺ䛾䜲䝷䞁㻙䜲䝷䜽ᡓத䛷౑⏝䛥䜜䚸㻞㻜㻘㻜㻜㻜 ྡ䛾≛≅⪅䜢䜒䛯䜙䛧䛯㼇㻝㻝㼉䚹㻌 㻝㻥㻥㻣 ᖺ䛛䜙᭷ຠ䛸䛺䛳䛯໬Ꮫරჾ⚗Ṇ᮲⣙䠄䠟䠳䠟䠖㻯㼔㼑㼙㼕㼏㼍㼘㻌㼃㼑㼍㼜㼛㼚㼟㻌㻯㼛㼚㼢㼑㼚㼠㼕㼛㼚䠅䛿䚸໬Ꮫ๣䛾౑⏝䜢⚗Ṇ䛧䚸ຍ┕ᅜ䛻ᑐ䛧䛶䚸◊✲┠ⓗ䛷ಖ᭷䛩䜛㔞䜢ไ㝈䛩䜛䛸䛸䜒䛻㈓ⶶ䠄ಖ᭷䚸ഛ⵳䠅䛩䜛໬Ꮫ๣䛾◚Რ䜢せồ䛧䛯㼇㻝㻞㼉䚹㻌
Deliberate chemical incidents occur when terrorists release a chemical in order to kill or
injure humans or animals, to destroy crops or to cause extreme economic or
environmental damage. Deliberate releases can occur at locations within the production,use, storage, disposal or transportation cycle of the chemical but also at totally
unexpected locations. Terrorists have used reactive (explosive), flammable and toxic
chemicals in their attacks. Transportation systems, especially subways and commuter
rail lines, have been the principal targets as these afford easy access, have minimal
security and are used by large numbers of people with luggage, bags and packages[13-15]. In 1994 Aum Shinrikyo became the first terrorist group to produce and use thenerve agent sarin when it released sarin outdoors in the city of Matsumoto, killing 7
individuals and injuring 262. In March 1995 Aum again released sarin, this time in theTokyo subway, killing 12 individuals and causing 5,498 to seek medical attention [16].
䝔䝻䝸䝇䝖䛜ே㢮䜔ື≀䛾ẅയ䚸㎰స≀䛾◚ቯ䚸⤒῭䜔⎔ቃ䛻῝้䛺䝎䝯䞊䝆䜢୚䛘䜛䛣䛸䜢┠ⓗ䛸䛧䛶໬Ꮫ≀㉁䜢ᨺฟ䛩䜛䛸䚸ពᅗⓗ䛺໬Ꮫ⅏ᐖ䛜㉳䛣䜛䠄䠙ពᅗⓗ䛺໬Ꮫ⅏ᐖ䛸䛿䚸䝔䝻䝸䝇䝖䛻䜘䜛䝠䝖䜔ື≀䛾ẅയ䚸㎰స≀䛾ቯ⁛䚸⤒῭䜔⎔ቃ䛻⏒኱䛺ᦆᐖ䜢୚䛘䜛䛯䜑䛻䚸໬Ꮫ≀㉁䜢ᨺฟ䛩䜛䛣䛸䛷䛒䜛䠅䚹ពᅗⓗ䛺ᨺฟ䛿䚸〇㐀䚸౑⏝䚸㈓ⶶ䚸ᗫᲠ䚸㍺㏦䛸䛔䛖໬Ꮫ≀㉁䛾䝃䜲䜽䝹䛾୰䛷㉳䛣䜛䛰䛡䛷䛺䛟䚸඲䛟᝿ᐃ䛧䛶䛔䛺䛔ሙ㠃䛷㉳䛣䜛䚹䝔䝻䝸䝇䝖䛿䚸཯ᛂᛶ䛜㧗䛟䠄⇿Ⓨᛶ䛜䛒䜚䠅䚸ྍ⇞ᛶ䛜㧗䛟䚸᭷ẘ䛺໬Ꮫ≀㉁䜢ᨷᧁ䛷౑⏝䛧䛶䛝䛯䚹஺㏻ᶵ㛵䚸≉䛻ᆅୗ㕲䜔㏻໅ิ㌴䛿䚸䜰䜽䝉䝇䛜ᐜ᫆䛷䚸᭱ప㝈䛾㆙ഛ䚸᪑⾜䜹䝞䞁䜔䝞䝑䜾䚸ᑠ䛥䛺Ⲵ≀䜢ᣢ䛳䛯ከ䛟䛾ே䛜฼⏝䛩䜛䛣䛸䛛䜙䚸୺䛺ᶆⓗ䛸䛥䜜䛶䛝䛯㼇㻝㻟㻙㻝㻡㼉䚹㻝㻥㻥㻠 ᖺ䛻䜸䜴䝮┿⌮ᩍ䛿䚸ᯇᮏᕷ䛾ᒇእ䛷䝃䝸䞁䜢ᨺฟ䛧 㻣 ே䛾Ṛ⪅䛸 㻞㻢㻞 ே䛾㈇യ⪅䜢䜒䛯䜙䛧䚸⚄⤒๣䛾䝃䝸䞁䜢〇㐀䛧౑⏝䛧䛯᭱ึ䛾䝔䝻䝸䝇䝖㞟ᅋ䛸䛺䛳䛯䚹㻝㻥㻥㻡 ᖺ 㻟 ᭶䚸䜸䜴䝮䛿ᮾி䛾ᆅୗ㕲䛷෌䜃䝃䝸䞁䜢ᩓᕸ䛧䚸㻝㻞 ே䛜Ṛஸ䛧 㻡㻘㻠㻥㻤 ே䛜་⒪ᶵ㛵䜢ཷデ䛧䛯㼇㻝㻢㼉䚹㻌㻌Chemicals that consumers can purchase for home use, such as acids and alkalis,cleaners and pesticides are of concern. Hydrogen sulphide, which is produced by mixing
5−48−

readily available household chemicals [17], and phosphine, which is released by theaction of water on phosphide fumigants and rodenticides (e.g., aluminium phosphide,zinc phosphide) [18,19], are widely used in suicides. The rodenticide, tetramethylene
disulphotetramine (TETS), has been implicated in several homicides [20]. The inclusionof toxic chemicals as ingredients in food, beverages and consumer products continues tocause deaths and serious injuries (e.g., contaminated cooking oil [21], diethylene glycol
in medications [5,22] and melamine in milk powder [23]).
㓟䚸䜰䝹䜹䝸䚸Ὑ๣䜔ẅ⹸๣䛾䜘䛖䛻䚸ᾘ㈝⪅䛜ᐙᗞ⏝䛻㉎ධ䛷䛝䜛໬Ꮫ≀㉁䛻䛿ᠱᛕ䛜䛒䜛䚹ᐜ᫆䛻ධᡭ䛷䛝䜛ᐙᗞ⏝䛾໬Ꮫ≀㉁䜢ΰྜ䛩䜛䛣䛸䛻䜘䜚Ⓨ⏕䛩䜛◲໬Ỉ⣲䜔㼇㻝㻣㼉䚸䝸䞁໬ྜ≀䛾⇺⵨๣䜔ẅ㰡๣䠄䝸䞁໬䜰䝹䝭䝙䜴䝮䚸䝸䞁໬ள㖄䛺䛹䠅䛸Ỉ䛸䛾཯ᛂ䛷Ⓨ⏕䛩䜛䝩䝇䝣䜱䞁䛿㼇㻝㻤㻘㻝㻥㼉䚸⮬ẅ䛻ᗈ䛟౑⏝䛥䜜䛶䛔䜛䚹ẅ㰡๣䛾䝔䝖䝷䝭䞁䠄㼀㻱㼀㻿䠅䛿䚸㐣ཤ䛻ᩘ௳䛾ẅே஦௳䛻౑⏝䛥䜜䛯䚹㣗ရ䜔㣧ᩱ䚸ᐙᗞ⏝ရ䛻ཎᩱ䛸䛧䛶ΰධ䛥䜜䛯᭷ẘ໬Ꮫ≀㉁䛜䚸Ṛஸ䜔㔜⠜䛺യᐖ䜢䜒䛯䜙䛩䛣䛸䜒⥆䛔䛶䛔䜛㼇㻞㻜㼉䠄౛䠖㣗⏝Ἔ䛾ởᰁ㼇㻞㻝㼉䚸་⸆ရ䜈䛾䝆䜶䝏䝺䞁䜾䝸䝁䞊䝹䛾ΰධ㼇㻡㻘㻞㻞㼉䚸⢊䝭䝹䜽䜈䛾䝯䝷䝭䞁䛾ΰධ㼇㻞㻟㼉䠅䚹㻌
Scoping the problem
As shown above, chemicals are produced, used, stored, disposed of and transported
widely and have the potential to harm the health of the public as a consequence of bothacute and chronic health effects. Therefore, it is essential that countries develop
emergency plans and prepare for chemical incidents at the local, regional, national andinternational level. Prioritization of risk is essential if resources are to be usedefficiently. Hazards must be identified, risks prioritized and risk reduction strategies
developed. Having a well-developed plan for risk prioritization and risk reduction canhelp adapt and focus preparedness efforts on chemicals of greatest concern for a given
jurisdiction and ultimately, reduce casualties and hasten recovery [5].
ၥ㢟䛾䝇䝁䞊䝢䞁䜾䠄⠊ᅖ䛾⤠㎸䜏䠅㻌ඛ䛻♧䛧䛯䜘䛖䛻䚸໬Ꮫ≀㉁䛿ᗈ䛟〇㐀䚸౑⏝䚸㈓ⶶ䚸ᗫᲠ䚸㍺㏦䛥䜜䛶䛚䜚䚸ᛴᛶ䛸៏ᛶ཮᪉䛷೺ᗣ䛻ᙳ㡪䛧䛶䚸බ⾗䛻೺ᗣ༴ᐖ䜢䜒䛯䜙䛩₯ᅾⓗ䛺༴㝤ᛶ䛜䛒䜛䚹䛭䜜䜖䛘䚸ྛᅜ䛿⥭ᛴᑐᛂィ⏬䜢సᡂ䛧䛶䚸ᆅᇦ䚸ᆅ᪉䚸ᅜ䚸ᅜ㝿ⓗ䛺䝺䝧䝹䛷໬Ꮫ⅏ᐖ䛻ഛ䛘䜛஦䛜୙ྍḞ䛷䛒䜛䚹㈨※䜢᭷ຠά⏝䛩䜛䛻䛿䚸䝸䝇䜽䛾ඃඛ㡰఩௜䛡䛜ᚲ㡲㻔୙ྍḞ㻕䛷䛒䜛䚹䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䜢≉ᐃ䛧䚸䝸䝇䜽䜢ඃඛ㡰఩௜䛡䛧䚸䝸䝇䜽䜢ῶ䜙䛩ᡓ␎䜢❧䛶䛺䛡䜜䜀䛺䜙䛺䛔䚹䝸䝇䜽䛾ඃඛ㡰఩௜䛡䛸䝸䝇䜽๐ῶ䛾䛯䜑䛾Ⰻ䛟㛤Ⓨ䛥䜜䛯䠄᳨ウ䛥䜜䛯䚸⦎䜙䜜䛯䠅ィ⏬䛜䛒䜜䜀䚸୚䛘䜙䜜䛯⟶㎄䛷᭱䜒኱䛝䛺ᠱᛕ䛾䛒䜛໬Ꮫ≀㉁䛻ᑐ䛩䜛㐺ᛂ䛸‽ഛດຊ䛻↔Ⅼ䜢⤠䜛ຓ䛡䛸䛺䜚䚸᭱⤊ⓗ䛻䛿⿕⅏⪅䜢ῶ䜙䛧䛶᚟⯆䜢᪩䜑䜛䛣䛸䜈䛸⧅䛜䜛㼇㻡㼉䚹㻌Development of a screening tool
The CEWG developed the following screening tool to prioritize the risk posed by theaccidental or deliberate release of chemicals into the atmosphere. This tool is consistent6−49−

with the following WHO statements that:
1. A release of a gas or aerosol into the atmosphere, resulting in an inhalational
exposure, is likely to cause the maximum number of casualties [5]2. Chemical incidents can cause injury through four basic injury mechanisms (fire,
explosion, toxicity and the experience of traumatic events) [5]䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛾㛤Ⓨ㻌໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄䠟䠡䠳䠣䠅䛿അⓎⓗ䜎䛯䛿ពᅗⓗ䛺኱Ẽ୰䜈䛾໬Ꮫ≀㉁䛾ᨺฟ䛻䜘䜚Ⓨ⏕䛩䜛䝸䝇䜽䛾㡰఩௜䛡䜢䛚䛣䛺䛖䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䜢㛤Ⓨ䛧䛯䚹䛣䛾䝒䞊䝹䛿䚸ḟ䛻♧䛧䛯 㼃㻴㻻 䛾ኌ᫂䛻๎䛳䛯䜒䛾䛷䛒䜛䚹㻌䠍䠊Ẽయ䜔䜶䜰䝻䝌䝹䛾኱Ẽ୰䜈䛾ᨺฟ䛿䚸⤖ᯝ䛸䛧䛶྾ධ᭚㟢䛸䛺䜚䚸᭱኱ከᩘ䛾⿕⅏⪅㻔Ṛയ⪅㻕䜢Ⓨ⏕䛥䛫䜛ᜍ䜜䛜䛒䜛䚹㼇㻡㼉㻌䠎䠊໬Ꮫ⅏ᐖ䛿 㻠 䛴䛾ᇶᮏⓗ䛺യᐖᶵᗎ䠄ⅆ⅏䚸⇿Ⓨ䚸୰ẘ䚸⾪ᧁⓗ䛺஦௳䛾⤒㦂䠅䛻䜘䜚യᐖ䜢㉳䛣䛩㼇㻡㼉䚹㻌
The tool is semi-quantitative, independent of site, situation and scenario andencompasses all chemical hazards (toxicity, flammability and reactivity). CEWG
considered it essential that the tool be easily and quickly implemented by non-subject
matter experts using freely available, authoritative information. Chemical warfare
agents and industrial chemicals (HPV, specialty, pharmaceuticals and pesticides) havebeen considered but toxins, even if they could be synthesized, have not.
䛭䛾䝒䞊䝹䛿䚸༙ᐃ㔞ⓗ䛷䛒䜚䚸ሙᡤ䞉≧ἣ䞉䝆䝘䝸䜸䛻౫Ꮡ䛫䛪䚸඲䛶䛾໬Ꮫⓗ䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䠄ẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䠅䜢⥙⨶䛩䜛䚹໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄䠟䠡䠳䠣䠅䛿䚸⮬⏤䛻ධᡭྍ⬟䛷ಙ㢗䛷䛝䜛᝟ሗ䜢฼⏝䛩䜛䛣䛸䛻䜘䜚䚸䛭䛾㡿ᇦ䛾ᑓ㛛ᐙ䛷䛺䛟䛸䜒䚸䛭䛾䝒䞊䝹䜢ᐜ᫆䛛䛴㎿㏿䛻ᢅ䛖䛣䛸䛜䛷䛝䜛䛸䛔䛖Ⅼ䛜㔜せ䛷䛒䜛䛸⪃䛘䛯䚹໬Ꮫ๣䜔ᕤᴗⓗ䛺໬Ꮫ≀㉁䠄⏕⏘㔞䛾㧗䛔䜒䛾䚸ᑓ㛛ᛶ䛾㧗䛔䜒䛾䚸་⸆ရ䚸㎰⸆䠅䛿⪃៖䛥䜜䛯䛜䚸䝖䜻䝅䞁䠄ὀ䠖⮬↛ẘ䠅䛻䛴䛔䛶䛿䚸䜒䛧ྜᡂ䛷䛝䜛䜒䛾䛷䛒䛳䛯䛸䛧䛶䜒䚸⪃៖䛥䜜䛺䛛䛳䛯䚹㻌㻌

Definition of risk
Risk is defined as the likelihood of harm occurring. CEWG used the definition of risk
given in the Global Harmonized System of the Classification and Labelling of Chemicals[24]. This definition is general, not dependent on a particular scenario or situation andencompasses all chemical hazards.
Risk = (severity of hazard ) × ( probability of exposure) (1)䝸䝇䜽䛾ᐃ⩏㻌䝸䝇䜽䛿༴ᐖ䛾㉳䛣䜚᫆䛥䛸ᐃ⩏䛥䜜䜛䚹໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄䠟䠡䠳䠣䠅䛿䚸໬Ꮫ≀㉁䛾
ศ㢮䛚䜘䜃⾲♧䛻㛵䛩䜛ୡ⏺ㄪ࿴䝅䝇䝔䝮䛷♧䛥䜜䛯䝸䝇䜽䛾ᐃ⩏䜢౑⏝䛧䛯㼇㻞㻠㼉䚹䛣䛾ᐃ⩏䛿୍⯡ⓗ䛷䛒䜚䚸≉ᐃ䛾≧ἣ䜔䝅䝘䝸䜸䛻౫Ꮡ䛫䛪䚸඲䛶䛾໬Ꮫ≀㉁䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䜢⥙⨶䛩䜛䜒䛾䛷䛒䜛䚹㻌
7−50−

䝸䝇䜽䠙䠄䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䠅㽢䠄᭚㟢䛾⵹↛ᛶ䠅㻌 㻌 䠄㻝䠅㻌

Determining severity of hazard
Hazard by definition refers to an inherent property of an object, place or situation thatmakes it potentially dangerous. In the context of chemicals, it is the degree of achemical’s capacity to harm by interfering with normal biological processes and its
capacity to burn, explode, corrode, produce toxicological effects, etc. Hazard is an
intrinsic property of the chemical that cannot be modified. Chemical hazards areusually divided into three categories: toxicity, flammability and reactivity, all of which
can be quantified [25]. Some chemicals can present more than one hazard, e.g. hydrogensulphide is both toxic and flammable [24].
The severity of hazard is defined as the maximum hazard posed by the chemical.
Severity of hazard = (maximum hazard posed by the chemical ) (2)䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ุᐃ㻌䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛿ᐃ⩏ୖ䚸₯ᅾⓗ䛺༴㝤ᛶ䜢ᣢ䛴䚸≀య㻔≀㉁㻕䚸ሙᡤ䚸≧ἣ䛸䛔䛳䛯ᅛ᭷䛾≉ᛶ䛸䛥䜜䜛䚹໬Ꮫ≀㉁䛻㛵䛧䛶䛿䚸ṇᖖ䛺⏕యෆస⏝䠄⏕≀Ꮫⓗ䝥䝻䝉䝇䚸ฎ⌮䠅䜢ጉ䛢䛶യᐖ䛩䜛⬟ຊ䛾䛣䛸䛷䚸⇞↝䚸⇿Ⓨ䚸⭉⼃䚸ẘᛶⓗ䛺స⏝䜢స䜚䛰䛩䛺䛹䛾⬟ຊ䛾⛬ᗘ䛾䛣䛸䛷䛒䜛䚹䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛿䛭䛾໬Ꮫ≀㉁䛜ᮏ᮶ᣢ䛳䛶䛔䜛≉ᛶ䛷䛒䜚䚸ኚ䛘䜛䛣䛸䛿䛷䛝䛺䛔䚹໬Ꮫ≀㉁䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛿䚸㏻ᖖ䠏䛴䛾䜹䝔䝂䝸䞊䚸ẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䛻ศ㢮䛥䜜䚸䛣䜜䜙䛿඲䛶ᐃ㔞ⓗ䛻⾲䛩䛣䛸䛜䛷䛝䜛㼇㻞㻡㼉䚹໬Ꮫ≀㉁䛻䜘䛳䛶䛿」ᩘ䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䜢᭷䛩䜛≀䛜䛒䜚䚸౛䛘䜀◲໬Ỉ⣲䛿ẘᛶ䛸ྍ⇞ᛶ䛾୧᪉䜢᭷䛩䜛㼇㻞㻠㼉䚹㻌䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛿䛭䛾໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛᭱኱䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛸ᐃ⩏䛥䜜䜛䚹㻌㻌 䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ㻌 䠙䠄໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛᭱኱䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䠅㻌 䠄㻞䠅㻌For toxic chemicals, airborne releases can result in both inhalational and dermal
exposures. Since inhalational exposures would most likely cause the maximum numberof casualties [5], acute inhalation toxicity can be used as the toxicity parameter. Whenavailable, Acute Exposure Guidelines (AEGLs), developed by the United States
Environmental Protection Agency (EPA), were used as the acute toxicity parameter.
AEGLs represent threshold airborne exposure limits that are protective of public healthand are applicable to emergency exposure periods ranging from 10 minutes to 8 hours.
The AEGL-3, which is defined as the airborne concentration of a substance above which
it is predicted that the general population, including susceptible individuals, could
experience life-threatening health effects or death, was selected as the measure of the
toxicity hazard [26]. When an AEGL-3 value was not available a Protective Action
Criteria (PAC) value, developed by the United States Department of Energy, was used
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[27]. Several different toxicity scoring schemes [24,28,29] were considered before the
one given in Table 3 was agreed upon. CEWG used the United States National Fire
Protection Association (NFPA) criteria and scoring for flammability and reactivity
hazards [30].
᭷ẘ໬Ꮫ≀㉁䛷䛿䚸኱Ẽ୰䜈䛾ᨺฟ䛿䚸྾ධ䛸⤒⓶䛾୧᪉䛾᭚㟢䜢䜒䛯䜙䛩ྍ⬟ᛶ䛜䛒䜛䚹྾ධ᭚㟢䛿᭱኱ከᩘ䛾⿕⅏⪅䠄Ṛയ⪅䠅䛾ཎᅉ䛸䛺䜛ྍ⬟ᛶ䛜᭱䜒㧗䛔䛾䛷㼇㻡㼉䚸ᛴᛶ྾ධẘᛶ䛿ẘᛶ䝟䝷䝯䞊䝍䞊䛸䛧䛶౑䛖䛣䛸䛜䛷䛝䜛䚹⡿ᅜ⎔ቃಖㆤᗇ䠄㻱㻼㻭䠖㻱㼚㼢㼕㼞㼛㼚㼙㼑㼚㼠㼍㼘㻌 㻼㼞㼛㼠㼑㼏㼠㼕㼛㼚㻌 㻭㼓㼑㼚㼏㼥䠅
䛜㛤Ⓨ䛧䛯ᛴᛶ᭚㟢䜺䜲䝗䝷䜲䞁䠄㻭㻱㻳㻸䡏䠖㻭㼏㼡㼠㼑㻌㻱㼤㼜㼛㼟㼡㼞㼑㻌㻳㼡㼕㼐㼑㼘㼕㼚㼑㼟䠅䛜฼⏝ྍ⬟䛺ሙྜ䛿䚸䛣䜜䜢ᛴᛶẘᛶ䛾䝟䝷䝯䞊䝍䞊䛸䛧䛶౑⏝䛧䛯䚹㻭㻱㻳㻸䡏䠄ᛴᛶ᭚㟢䜺䜲䝗䝷䜲䞁䠅䛿䚸྾ධ᭚㟢䛾㝈⏺䛸䛺䜛㜈್䠄䛣䛾㜈್ᮍ‶䛷䛿೺ᗣ䛜☜ಖ䛷䛝䜛䚸೺ᗣ༴ᐖ䛜䛚䛣䜙䛺䛔䠅䜢⾲䛧䚸䛣䜜䛿 㻝㻜 ศ㛫䛛䜙 㻤 ᫬㛫䛾ᛴᛶ᭚㟢䛾᫬㛫䛻㐺⏝䛷䛝䜛䜒䛾䛷䛒䜛䚹㻭㻱㻳㻸㻙㻟 䛿䚸ឤཷᛶ䛜㧗䛔ே䜢ྵ䜑䛯୍⯡ఫẸ䛾⏕࿨䜢⬣䛛䛩೺ᗣ⿕ᐖ䜔Ṛ䜢ᘬ䛝㉳䛣䛩䛣䛸䛜ண᝿䛥䜜䜛Ẽ୰⃰ᗘ䛸ᐃ⩏䛥䜜䚸ẘᛶ䝝䝄䞊䝗䠄䛻㛵䛩䜛༴㝤᭷ᐖᛶ䠅䛾ᣦᶆ䛸䛧䛶᥇⏝䛥䜜䛯㼇㻞㻢㼉䚹㻭㻱㻳㻸㻙㻟 ್䛜౑⏝䛷䛝䛺䛔䛸䛝䛿䚸⡿ᅜ䛾䜶䝛䝹䜼䞊┬䛜సᡂ䛧䛯ಖㆤ⾜ືᇶ‽䠄㻼㻭㻯䠖㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌 㻭㼏㼠㼕㼛㼚㻌 㻯㼞㼕㼠㼑㼞㼕㼍䠅䛾್䛜౑⏝䛥䜜䛯㼇㻞㻣㼉䚹⾲ 㻟 䛻♧䛩䜒䛾䛜ྜព䛥䜜䜛௨๓䛻䚸䛔䛟䛴䛛䛾␗䛺䜛ẘᛶホ౯ᡭ㡰䛜᳨ウ䛥䜜䛯㻌㼇㻞㻠㻘㻞㻤㻘㻞㻥㼉䚹໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄㻯㻱㼃㻳䠅䛿ྍ⇞ᛶ䛸཯ᛂᛶ䛻㛵䛩䜛䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛻䛴䛔䛶䛿䚸⡿ᅜ㜵ⅆ༠఍䠄㻺㻲㻼㻭䠅䛾ᇶ‽䜢⏝䛔䛯㼇㻟㻜㼉䚹㻌

Table 3 Severity of hazard criteria and scoring of chemicals
⾲ 㻟㻌 ໬Ꮫ≀㉁䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ᇶ‽䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅
The maximum hazard posed by a chemical is based on the highest score it received in
one of the three hazard categories (inhalational toxicity, flammability and reactivity).
The severity of hazard classes and scoring are given in Table 4.
໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛᭱኱䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛿䚸㻟 䛴䛾䜹䝔䝂䝸䞊䠄྾ධẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䠅䛾୰䛾୍␒㧗䛔Ⅼᩘ䛻ᇶ䛵䛔䛯䚹䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ẁ㝵䛸䝇䝁
䜰䠄Ⅼᩘ䠅䜢⾲ 㻠 䛻♧䛩䚹㻌

Table 4 Severity of hazard classes and scoring⾲䠐㻌 䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅
This approach to determining severity of hazard is very informative as all hazards
posed by a given chemical are clearly indicated. It is also flexible in that users can focus
on a specific hazard category (e.g., inhalational toxicity) if they so desire.
༴㝤᭷ᐖᛶ䛾㔜኱ᛶ䜢ุᐃ䛩䜛䛣䛾ྲྀ䜚⤌䜏䛿䚸䛒䜛໬Ꮫ≀㉁䛻䜘䛳䛶䜒䛯䜙䛥䜜䜛඲䛶䛾༴㝤᭷ᐖᛶ䜢᫂░䛻♧䛩䛾䛻䚸㠀ᖖ䛻᭷⏝䛷䛒䜛䚹䝴䞊䝄䞊䛜ᮃ䜑䜀䚸౛䛘䜀྾ධẘᛶ䛸䛔䛳䛯≉ᐃ䛾༴㝤᭷ᐖᛶ䛾䜹䝔䝂䝸䞊䛻↔Ⅼ䜢ᙜ䛶䜛䛣䛸䛜䛷䛝䚸ᰂ㌾ᛶ䜒䛒䜛䚹㻌

9

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Determining probability of exposure
The ease of release, either accidentally or deliberately, and the availability of thechemical can be used to estimate the probability of exposure [28,29].
Probability of exposure = (ease of release)(availability) (3)
Airborne releases have the potential to cause massive casualties as once the chemical isreleased it has the potential to spread over a large area with little or no warning.
Furthermore, unlike contaminated manufactured food or consumer products, airborne
releases have zero possibility of recall. The Bhopal incident is an extreme example ofcasualties caused by a large airborne release of a toxic chemical [5,31,32]. The release ofa highly flammable vapour cloud resulted in the explosions and fires in the Flixborough[6,33] and Pasadena Phillips66 incidents [6,34]. Since the ease of creating an airborne
release is directly related to the vapour pressure of the chemical, vapour pressure canbe used as an indicator of ease of release. Criteria and scoring for determining the easeof airborne release of a chemical, which are similar to those used in ITF-25 [28], aregiven in Table 5.
᭚㟢䛾⵹↛ᛶ䛾ุᐃ㻌അⓎⓗ䛷䛒䜜ពᅗⓗ䛷䛒䜜䚸䛭䛾໬Ꮫ≀㉁䛾ᨺฟ䛥䜜䜔䛩䛥䠄䛧䜔䛩䛥䠅䛸ධᡭ䛾䛧䜔䛩䛥䛷䚸᭚㟢䛾⵹↛ᛶ䜢ぢ✚䜒䜛䛣䛸䛜䛷䛝䜛㼇㻞㻤㻘㻞㻥㼉䚹㻌㻌 㻌 ᭚㟢䛾⵹↛ᛶ㻩䠄໬Ꮫ≀㉁䛾ᨺฟ䛥䜜䜔䛩䛥䠄䛧䜔䛩䛥䠅䠅㽢䠄ධᡭ䛾䛧䜔䛩䛥䠅㻌 㻔㻟㻕㻌䛔䛳䛯䜣໬Ꮫ≀㉁䛜ᨺฟ䛥䜜䜛䛸䚸๓඙䛜䛒䜛䛛䛺䛔䛛䛾䛖䛱䛻ᗈ኱䛺ᆅᇦ䛻ᣑᩓ䛩䜛ྍ⬟ᛶ䛜䛒䜛䛾䛷䚸✵Ẽ୰䜈䛾ᨺฟ䛿኱つᶍ䛺⿕⅏⪅㻔Ṛയ⪅㻕䛾ཎᅉ䛸䛺䜛ᜍ䜜䛜䛒䜛䚹䛭䛾ୖ䚸ຍᕤ㣗ရ䜔ᐙᗞ⏝ရ䜈䛾ΰධ䛸䛿␗䛺䜚䚸✵Ẽ୰䜈䛾ᨺฟ䛿ᅇ཰୙⬟䛷䛒䜛䚹䝪䝟䞊䝹஦ᨾ䛿᭷ẘ䛺໬Ꮫ≀㉁䛜኱Ẽ୰䛻኱㔞䛻ᨺฟ䛥䜜䛶ᘬ䛝㉳䛣䛥䜜䛯኱᝺஦㻔ከ䛟䛾Ṛയ⪅䛜ฟ䛯㻕䛾ᴟ➃䛺౛䛷䛒䜛㼇㻡㻘㻟㻝㻘㻟㻞㼉䚹㻌 䝣䝸䝑䜽䝇䝪䝻㼇㻢㻘㻟㻟㼉䜔䝟䝃䝕䝘䛾䝣䜱䝸䝑䝥䝇 㻢㻢 ♫㼇㻢㻘㻟㻠㼉䛾஦ᨾ䛷䛿䚸ྍ⇞ᛶ䛾㧗䛔⵨Ẽ㞼䛜ᨺฟ䛥䜜䛯⤖ᯝ䚸⇿Ⓨ䛸ⅆ⅏䛜㉳䛣䛳䛯䚹኱Ẽ䜈䛾ᨺฟ䛥䜜䜔䛩䛥䛿䚸໬Ꮫ≀㉁䛾
⵨Ẽᅽ䛸┤᥋㛵㐃䛧䛶䛔䜛䛾䛷䚸⵨Ẽᅽ䛿ᨺฟ䛥䜜䜔䛩䛥䛾ᣦᶆ䛸䛧䛶౑䛖䛣䛸䛜䛷䛝䜛䚹໬Ꮫ≀㉁䛾኱Ẽ୰䜈䛾ᨺฟ䛥䜜䜔䛩䛥䜢≉ᐃ䛩䜛䛯䜑䛾䜽䝷䜲䝔䝸䜰䠄ᇶ‽䠅䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅䛿䚸㻵㼀㻲㻙㻞㻡㼇㻞㻤㼉䛷౑⏝䛥䜜䛶䛔䜛䜒䛾䛻㢮ఝ䛧䛶䛚䜚䚸⾲䠑䛻♧䛩䚹㻌

Table 5 Vapour pressure scoring⾲䠑㻌 ⵨Ẽᅽ䛾䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅
As a general rule, the greater the availability of the chemical, the more likely it will be
involved in a chemical release event [35]. Consequently, chemicals that are widely
produced, used, stored or transported are more likely to be involved in releases thanthose that have limited or specialized use. HPV chemicals are most readily available inlarge quantities. Many other commercially available chemicals have wide use but inmuch more limited quantities.
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୍⯡䛻䚸໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䛜ୖ䛜䜛䜋䛹䚸໬Ꮫ≀㉁䛾ᨺฟ஦ᨾ䛜㉳䛝䜔䛩䛟䛺䜛㼇㻟㻡㼉䚹䛭䛾⤖ᯝ䚸ᗈ䛟〇㐀䚸౑⏝䚸㈓ⶶ䚸㍺㏦䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛿䚸ไ㝈䛥䜜䛯䜚≉ู䛺౑䛔᪉䜢䛧䛯䜚䛩䜛≀㉁䜘䜚䜒䚸ᨺฟ䜢ᘬ䛝㉳䛣䛩ྍ⬟ᛶ䛜㧗䛔䚹㧗⏕⏘㔞䠄䠤䠬䠲䠅䛾໬Ꮫ≀㉁䛿䚸኱㔞䛻᭱䜒ᐜ᫆䛻฼⏝㻔ධᡭ㻕䛥䜜䜔䛩䛔䚹௚䛾ከ䛟䛾ᕷ㈍䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛿䚸ᗈ䛟฼⏝䛥䜜䛶䛿䛔䜛䛜䚸౑⏝㔞䛿䜒䛳䛸㝈ᐃⓗ䛷䛒䜛䚹㻌For many potential deliberate release scenarios using toxic chemicals, the quantity ofchemical required to successfully execute the scenario is modest, ranging from grams to
100 kilograms, especially if the release is in a confined space. Terrorists most likely will
choose to use readily available toxic, flammable or explosive chemicals or those that canbe easily produced from readily available chemicals [36]. However, terrorists may
choose to use synthesized or imported chemical warfare agents [16].
᭷ẘ䛺໬Ꮫ≀㉁䜢⏝䛔䛯ከ䛟䛾ពᅗⓗ䛺ᨺฟ䝅䝘䝸䜸䛷䛿䚸≉䛻㛢㙐✵㛫䛷ᨺฟ䛥䛫䛯ሙྜ䚸䝅䝘䝸䜸䜢㐙⾜䛩䜛䛾䛻ᚲせ䛺໬Ꮫ≀㉁䛾㔞䛿ᩘ䡃䡚㻝㻜㻜䡇䡃䛸䜟䛪䛛䛷䛒䜛䚹䝔䝻䝸䝇䝖䛿ከ䛟䛾ሙྜ䚸ධᡭ䛧䜔䛩䛔䛛䚸ᐜ᫆䛻ධᡭྍ⬟䛺໬Ꮫ≀㉁䛛䜙⡆༢䛻〇㐀䛷䛝䜛䚸᭷ẘ䜒䛧䛟䛿ྍ⇞ᛶ䜔⇿Ⓨᛶ䛾䛒䜛໬Ꮫ≀㉁䜢㑅ᢥ䛩䜛䛷䛒䜝䛖㼇㻟㻢㼉䚹䜎䛯୍᪉䛷䚸䝔䝻䝸䝇䝖䛿ྜᡂ䛧䛯䜚㍺ධ䛧䛯䜚䛧䛯໬Ꮫ๣䛾౑⏝䜢㑅ᢥ䛩䜛䛛䜒䛧䜜䛺䛔㼇㻝㻢㼉䚹㻌
Criteria for determining the availability of chemicals are given in Table 6. The criteria
are situationally independent as the general availability of the chemical rather than its
availability in a specific location is considered. CEWG suggests that public healthauthorities undertake a detailed determination of all chemicals produced, used, stored,
disposed of or transported through their area of responsibility so that the actual
local/regional availability of the chemicals can be known. This survey would also notethe location of each chemical, the quantity at that location, the state and security of thelocation, the adjacent population density and location of vulnerable facilities such as
schools and hospitals.
໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䜢ุᐃ䛩䜛ᇶ‽䜢⾲䠒䛻♧䛩䚹ᇶ‽䛿䚸䛒䜛≉ᐃ䛾ሙᡤ䛷䛾ධᡭ䛧䜔䛩䛥䛸䛔䛖䜘䜚䚸䛭䛾໬Ꮫ≀㉁䛾୍⯡ⓗ䛺ධᡭ䛧䜔䛩䛥䛸䜏䛺䛥䜜䚸≧ἣⓗ䛻䛿⊂❧䛧䛯䜒䛾䛷䛒䜛䚹໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄䠟䠡䠳䠣䠅䛿䚸ᐇ㝿䛾ᆅᇦ䜔ᆅ᪉䛷䛾໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䜢ᢕᥱ䛷䛝䜛䜘䛖䛻䚸බ⾗⾨⏕ᙜᒁ䛜䚸⟶㎄䛩䜛ᆅᇦ䛷〇㐀䚸౑⏝䚸㈓ⶶ䚸ᗫᲠ䚸㍺㏦䛥䜜䛶䛔䜛඲䛶䛾໬Ꮫ≀㉁䛾ヲ⣽䛻䜟䛯䜛Ỵᐃ䜢ㄳ䛡㈇䛖䜘䛖ᥦၐ䛧䛶䛔䜛䚹䛣䛾ㄪᰝ䛿䚸ྛ໬Ꮫ≀㉁䛾ሙᡤ䚸䛭䛾ሙᡤ䛻䛒䜛㔞䚸䛭䛾ሙᡤ䛾≧ែ䜔἞Ᏻ䚸㞄᥋ᆅᇦ䜒ྵ䜑䛯ேཱྀᐦᗘ䚸Ꮫᰯ䜔⑓㝔䛾䜘䛖䛺⬤ᙅ䛺᪋タ䛾❧ᆅ䠄ᡤᅾᆅ䠅䛻䜒ὀ┠䛩䜛䛣䛸䛜䛒䜚䛖䜛䚹㻌

Table 6 Criteria for determining the availability of chemicals and scoring⾲ 㻢㻌 ໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䛾ุᐃᇶ‽䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅㻌

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The probability of exposure is determined according to equation 3. The probability of
exposure classes and scoring are given in Table 7.
᭚㟢䛾⵹↛ᛶ䛿䚸᪉⛬ᘧ䠏䛻䜘䛳䛶ุᐃ䛥䜜䜛䚹᭚㟢䛾⵹↛ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅䜢⾲㻣 䛻♧䛩䚹㻌

Table 7 Probability of exposure classes and scoring⾲ 㻣㻌 ᭚㟢䛾⵹↛ᛶ䛾䜽䝷䝇ẁ㝵䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅㻌㻌㸦Ќ⾲ 7 ࡬ࡢࣜࣥࢡ㸧

Determination of risk
Several risk matrices were considered [29] before the five by five symmetrical matrix
illustrated in Figure 1 was chosen. This matrix which gave the required degree of
granularity was used to determine risk.
ࣜࢫࢡࡢุᐃ
ᅗ䠍䛻♧䛧䛯䠑㽢䠑䛾ᑐ⛠䝬䝖䝸䜽䝇䠄⾜ิ䠅䛜᥇ᢥ䛥䜜䜛௨๓䛻䚸䛔䛟䛴䛛䛾䝸䝇䜽䝬䝖䝸䜽䝇䠄⾜ิ䠅䛜᳨ウ䛥䜜䛯㼇㻞㻥㼉䚹せồ䛥䜜䜛⛬ᗘ䛾⣽䛛䛥䛻ᛂ䛘䜛䚸䛣䛾䠑㽢䠑䛾ᑐ⛠䝬䝖䝸䜽䝇䠄⾜ิ䠅䛿䚸䝸䝇䜽䛾ุᐃ䛻⏝䛔䜙䜜䛯䚹㻌
Figure 1 Risk matrix.
ᅗ 1 ࣜࢫࢡ࣐ࢺࣜࢡࢫ㸦⾜ิ㸧

Validation of the screening toolChemicals used to test the tool were from Tables 1 and 2, the EU: List of Chemicals andThresholds Seveso II Directive [7,8], the United States: List of Chemicals andThresholds Risk Management Plan (RMP) Program (Sec. 68.130) [9] and the US
Department of Homeland Security list [37]. The results of the testing are given in
Figure 2.
䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛾᳨ド㻌ᮏ䝒䞊䝹䜢䝔䝇䝖䛩䜛䛯䜑䛻䚸⾲䠍䛸⾲䠎䛻ᣲ䛢䛯໬Ꮫ≀㉁䜢⏝䛔䛯䚹㻱㼁䠖䝉䝧䝋ᣦ௧䊡䛷ᐃ䜑䜙䜜䛯໬Ꮫ≀㉁䛸㜈್䛾䝸䝇䝖䠄㻸㼕㼟㼠㻌㼛㼒㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼍㼚㼐㻌㼀㼔㼞㼑㼟㼔㼛㼘㼐㼟㻌Seveso II Directive㸧㼇㻣㻘㻤㼉㻘㻌 ⡿ᅜ䠖䝸䝇䜽⟶⌮ィ⏬䠄㻾㻹㻼䠅䝥䝻䜾䝷䝮䠄㻿㼑㼏㻚㻢㻤㻚㻝㻟㻜䠅䛷ᐃ䜑䜙䜜䛯໬Ꮫ≀㉁䛸㜈್䛾䝸䝇䝖䠄㻸㼕㼟㼠㻌 㼛㼒㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼍㼚㼐㻌㼀㼔㼞㼑㼟㼔㼛㼘㼐㼟㻌㻾㼕㼟㼗㻌㻹㼍㼚㼍㼓㼑㼙㼑㼚㼠㻌㻼㼘㼍㼚㻌㻔㻾㻹㻼㻕㻌㻼㼞㼛㼓㼞㼍㼙㻌㻔㻿㼑㼏㻚㻌㻢㻤㻚㻝㻟㻜㻕㻌㼇㻥㼉㻌 䚸⡿ᅜᅜᅵᏳ඲ಖ㞀┬䛾䝸䝇䝖䠄㼠㼔㼑㻌㼁㻿㻌㻰㼑㼜㼍㼞㼠㼙㼑㼚㼠㻌㼛㼒㻌㻴㼛㼙㼑㼘㼍㼚㼐㻌㻿㼑㼏㼡㼞㼕㼠㼥㻌㼘㼕㼟㼠䠅㻌 㼇㻟㻣㼉㻚㻌䝔䝇䝖䛾⤖ᯝ䜢ᅗ䠎䛻♧䛩䚹㻌
Figure 2 Example showing determination of risk for chemicals released into theatmosphere.
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ᅗ䠎㻌 ኱Ẽ୰䛻ᨺฟ䛥䜜䛯໬Ꮫ≀㉁䛻䜘䜛䝸䝇䜽䛾ุᐃ౛㻌As expected HPV gases and high vapor pressure liquids, that are highly toxic,
flammable or reactive, are ranked extreme risk (e.g., chlorine, hydrogen cyanide,methane, fluorine). Highly toxic solids, that primarily constitute an ingestion hazard,
are ranked low to very low risk (e.g., sodium azide, potassium cyanide). Chemical
warfare agents, although extremely toxic, are ranked moderate or low because of their
low vapor pressure and difficulty in synthesis (e.g., sarin). In addition to the chemicals
shown in Figure 2, the tool has been used to rank several hundred chemicals ofpotential concern. The rankings are consistent with those observed in previous studies[28,29,38].
Detailed instructions on using the tool are given in Additional File 1: Guide to using
CEWG tool to determine risk.
ண᝿䛥䜜䛯䛸䛚䜚䚸ẘᛶ䞉ྍ⇞ᛶ䞉཯ᛂᛶ䛾㧗䛔䠤䠬䠲䜺䝇䜔⵨Ẽᅽ䛾㧗䛔ᾮయ䛿㻌 䇾䝸䝇䜽䛜ᴟ䜑䛶㧗䛔䇿䛻ศ㢮䛥䜜䜛䠄౛䠖ሷ⣲䚸䝅䜰䞁໬Ỉ⣲䚸䝯䝍䞁䚸䝣䝑⣲䠅䚹ẘᛶ䛾㧗䛔ᅛయ䛿䚸୺䛸䛧䛶⤒ཱྀᦤྲྀ䛷༴ᐖ䛜⏕䛨䚸㻌 䇾䝸䝇䜽䛜ప䛔䇿䜎䛯䛿䇾䝸䝇䜽䛜ᴟ䜑䛶ప䛔䇿䛻ศ㢮䛥䜜䜛䠄౛䠖䜰䝆໬䝘䝖䝸䜴䝮䚸䝅䜰䞁໬䜹䝸䜴䝮䠅䚹໬Ꮫරჾ䛿ᴟ䜑䛶ẘᛶ䛜㧗䛔䛜䚸⵨Ẽᅽ䛜ప䛟䚸ྜᡂ䛩䜛䛾䛜㞴䛧䛔䛾䛷䚸䇾䝸䝇䜽䛜୰⛬ᗘ䇿䜎䛯䛿䇾䝸䝇䜽䛜ప䛔䇿䛻ศ㢮䛥䜜䜛䠄౛䠖䝃䝸䞁䠅䚹ᅗ䠎䛻♧䛧䛯໬Ꮫ≀㉁䛻ຍ䛘䚸஦ᨾ䛜ᠱᛕ䛥䜜䜛ᩘⓒ䛾໬Ꮫ≀㉁䜢䝷䞁䜽௜䛡䛩䜛䛾䛻䚸ᮏ䝒䞊䝹䜢㐺⏝䛧䛯䚹䛭䛾䝷䞁䜽௜䛡⤖ᯝ䛿䚸ᚑ᮶䛾◊✲䛸ᩚྜᛶ䛜ྲྀ䜜䛶䛔䜛㼇㻞㻤㻘㻞㻥㻘㻟㻤㼉䚹㻌ᮏ䝒䞊䝹䛾ヲ䛧䛔౑⏝ㄝ᫂䜢䚸ῧ௜䛾䝣䜯䜲䝹䠍䠖䠄䝸䝇䜽䜢ุᐃ䛩䜛䠟䠡䠳䠣䝒䞊䝹䛾౑⏝䜺䜲䝗䠅䛻♧䛩䚹㻌The role of the public health community in the chemical disaster management cycle
The chemical risk prioritization tool presented in the previous sections allows for rapid
screening of chemicals of greatest public health concern. However, ultimately, impacts
and residual risk are situationally dependent. When planning for accidental releases,
several measures such as conducting a survey of chemicals produced, used, stored,
disposed of and transported through the area of concern combined with population data,
allow public health practitioners to estimate the quantity of chemical that could be
released and the number of individuals that could potentially be exposed and theirduration of exposure. When planning for deliberate releases, additional measures suchas ease of importing or producing an extremely hazardous chemical and identification oflocations where release of the chemical could cause maximum harm must be considered.
Ideally, all factors collectively designed to reduce the likelihood of a chemical releaseand to manage the release and impacts, should be considered to determine residual
risks and assess vulnerabilities.
໬Ꮫ⅏ᐖ䝬䝛䝆䝯䞁䝖䝃䜲䜽䝹䛻䛚䛡䜛බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛾ᙺ๭㻌
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๓㡯䛻グ䛧䛯䚸໬Ꮫ≀㉁䛾䝸䝇䜽ඃඛ㡰఩௜䛡䛾䛯䜑䛾䝒䞊䝹䜢౑䛘䜀䚸බ⾗⾨⏕ୖ䛾᭱䜒ᠱᛕ䛾䛒䜛໬Ꮫ≀㉁䛾㎿㏿䛺䝇䜽䝸䞊䝙䞁䜾䜢⾜䛺䛖䛣䛸䛜䛷䛝䜛䚹䛧䛛䛧䛺䛜䜙䚸䜲䞁䝟䜽䝖䠄ᙳ㡪ຊ䠅䜔ṧ␃䝸䝇䜽䛿䚸᭱⤊ⓗ䛻䛿≧ἣ䛻౫Ꮡ䛩䜛䚹໬Ꮫ≀㉁䛾അⓎⓗ䛺ᨺฟ䛻ᑐ䛧䛶ィ⏬䛩䜛᫬䛻䛿䚸ᠱᛕ䛥䜜䜛ᆅᇦ䛻䛚䛡䜛ேཱྀ䝕䞊䝍䛻ຍ䛘䚸໬Ꮫ≀㉁䛾〇㐀䚸౑⏝䚸㈓ⶶ䚸ᗫᲠ䚸㍺㏦䛻䛴䛔䛶䛾ㄪᰝᐇ᪋䛸䛔䛳䛯䚸ᵝ䚻䛺䝕䞊䝍䛻䜘䛳䛶䚸බ⾗⾨⏕䛾ᐇົ⪅䛿ᨺฟ䛥䜜䜛ᜍ䜜䛜䛒䜛໬Ꮫ≀㉁䛾㔞䚸᭚㟢䛩䜛ᜍ䜜䛾䛒䜛ேᩘ䚸᭚㟢᫬㛫䜢ぢ✚䜒䜛䛣䛸䛜䛷䛝䜛䜘䛖䛻䛺䜛䚹໬Ꮫ≀㉁䛾ពᅗⓗ䛺ᨺฟ䛻ᑐ䛧䛶ィ⏬䛩䜛᫬䛻䛿䚸ᴟ䜑䛶᭷ᐖ䛺໬Ꮫ≀㉁䛾㍺ධ䜔〇㐀䛾䛧䜔䛩䛥䛾⛬ᗘ䛸໬Ꮫ≀㉁䛾ᨺฟ䛻䜘䜚᭱኱㝈䛾༴ᐖ䜢䛚䛣䛧䛖䜛ሙᡤ䜢≉ᐃ䛩䜛䛸䛔䛳䛯䛣䛸䜢㏣ຍ䛧䛶᳨ウ䛧䛺䛡䜜䜀䛺䜙䛺䛔䚹⌮᝿ⓗ䛻䛿䚸໬Ꮫ≀㉁䛾ᨺฟ䛾ྍ⬟ᛶ䜢ῶ䜙䛩䛯䜑䚸䜎䛯໬Ꮫ≀㉁䛾ᨺฟ䛸䛭䛾䜲䞁䝟䜽䝖䠄ᙳ㡪䠅䜢⟶⌮䛩䜛䛯䜑䛻⥲ྜⓗ䛻⟇ᐃ䛥䜜䛯඲䛶䛾せᅉ䛿䚸ṧ䜛䝸䝇䜽䜢ホ౯䛧䚸⬤ᙅᛶ䜢ぢ✚䜒䜛䛯䜑䛻⪃៖䛥䜜䜛䜉䛝䛷䛒䜛䚹㻌
CEWG, in considering the role the public health community could play in preventing
chemical incidents and minimizing the negative impacts of incidents on the exposed
population and the environment, concluded that the public health community has avital role within each of the five stages of the disaster management cycle (prevention,
emergency planning and preparedness, detection and alert, response and recovery). The
exact role will depend on the jurisdiction (local, regional, national, international) andthe roles and capabilities of the other partners (industry, labour, government,international organizations) [5,6,39,40].
໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥䠄㻯㻱㼃㻳䠅䛿䚸໬Ꮫ⅏ᐖ䛾ண㜵䜔⿕⅏⪅䠄᭚㟢䛧䛯ே䠅䜔⎔ቃ䜈
䛾㈇䛾ᙳ㡪䜢᭱ᑠ㝈䛻ᢚ䛘䜛䛣䛸䛻ᑐ䛧䛶䚸බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸⅏ᐖ⟶⌮䝃䜲䜽䝹䛾 㻡 䛴䛾ẁ㝵䠄㜵Ṇ䚸⥭ᛴ᫬䛾ィ⏬䛸‽ഛ䚸᳨▱䛸㆙࿌䚸ᑐᛂ䚸᚟ᪧ䠅䛾䛭䜜䛮䜜䛻䛚䛔䛶䚸ᴟ䜑䛶㔜せ䛺ᙺ๭䜢ᣢ䛴䠄ᯝ䛯䛩㻕䛸⤖ㄽ䛧䛯䚹ᐇ㝿䛾ᙺ๭䛿䚸⟶㎄䠄ᆅᇦ䚸ᆅ᪉䚸ᅜ䚸ᅜ㝿ⓗ䛺䝺䝧䝹䠅䜔௚䛾༠ຊ⪅䠄⏘ᴗ䚸ປാ⪅䚸⾜ᨻ䚸ᅜ㝿⤌⧊䠅䛾ᙺ๭䛸⬟ຊ䛻౫Ꮡ䛩䜛䛷䛒䜝䛖㼇㻡㻘㻢㻘㻟㻥㻘㻠㻜㼉䚹㻌The first stage, prevention, focuses on reducing the likelihood of a chemical incident
occurring and using all possible means (both organizational and technical) to reduce theseverity of the incident if it does occur and to minimize its impact [5]. The public healthcommunity, as a critical component of an integrated emergency management structure,is essential in identifying hazardous chemicals, determining all possible release
scenarios for these chemicals and assessing the health impact, both immediate and longterm, from these scenarios. This includes determining the adequacy of data required for
health impact assessments [26] and proposing research to fill critical data gaps. With
respect to land use planning regulations governing the location of chemical production,use, storage and disposal sites and transportation infrastructure (ports, roads, rail lines,
pipelines), the public health community can support legislation to ensure that thesesites and corridors are located and built so as to minimize the risks to human health,
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the environment and property if a release occurs and can ensure that schools, hospitals
and other major health facilities are located outside of potential hazard zones. The
public health community can encourage industry to improve plant and equipment
design and to replace hazardous chemicals and processes with less hazardous, butequally effective ones. Educating the public to demand and use less hazardous
chemicals and ensuring that commonly used hazardous chemicals (e.g., pesticides andcleaners) and their containers are clearly and appropriately marked indicating healthhazards so that they are not misused [5,41] are vital public health functions.
➨୍ẁ㝵䛷䛒䜛䛂㜵Ṇ䛃䛿䚸໬Ꮫ⅏ᐖ䛾Ⓨ⏕䛾ྍ⬟ᛶ䜢ῶ䜙䛩䛣䛸䛸䚸໬Ꮫ⅏ᐖ䛜Ⓨ⏕䛧䛯᫬䛻䛭䛾῝้䛥䜢ῶᙅ䛥䛫䚸䛭䛾ᙳ㡪䜢᭱ᑠ㝈䛻ᢚ䛘䜛䛯䜑䛻䚸⤌⧊䛚䜘䜃ᢏ⾡䛾୧㠃䛷䛒䜙䜖䜛ᡭẁ䜢౑䛖䛣䛸䛻㔜Ⅼ䜢⨨䛔䛶䛔䜛㼇㻡㼉䚹᭷ᐖ䛺໬Ꮫ≀㉁䜢≉ᐃ䛧䚸䛣䜜䜙䛾໬Ꮫ≀㉁䛾䛒䜙䜖䜛ᨺฟ䝅䝘䝸䜸䜢᳨ウ䛧䚸䛣䜜䜙䛾䝅䝘䝸䜸䛛䜙▷ᮇⓗ䛚䜘䜃㛗ᮇⓗ䛺೺ᗣ䜈䛾䜲䞁䝟䜽䝖䠄ᙳ㡪䠅䜢ホ౯䛩䜛Ⅼ䛷䚸⤫ྜ䛥䜜䛯༴ᶵ⟶⌮యไ䛾㔜せ䛺せ⣲䛸䛧䛶䛾බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿ᚲせ୙ྍḞ䛷䛒䜛䚹䛣䜜䛻䛿䚸೺ᗣ䜈䛾䜲䞁䝟䜽䝖䠄ᙳ㡪䠅䛾ホ౯䛻ᚲせ䛺䝕䞊䝍䛾ጇᙜᛶ䜢ุ᩿䛩䜛䛣䛸㼇㻞㻢㼉䚸༴ᶵⓗ䛺䝕䞊䝍䛾᱁ᕪ䜢ᇙ䜑䜛䛯䜑䛾ㄪᰝ䜢ᥦ᱌䛩䜛䛣䛸䚸䛜ྵ䜎䜜䜛䚹໬Ꮫ≀㉁䛾〇㐀ሙᡤ䚸౑⏝ሙᡤ䚸㈓ⶶሙᡤ䚸ᗫᲠሙᡤ䛚䜘䜃䚸㍺㏦䜲䞁䝣䝷䠄䚸㐨㊰䚸㕲㐨䚸㍺㏦⏝䝟䜲䝥䝷䜲䞁䠅䛾タ⨨䜢⤫἞䛩䜛ᅵᆅ฼⏝ィ⏬つไ䛻㛵䛧䛶䛿䚸໬Ꮫ≀㉁䛾ᨺฟ䛜㉳䛣䛳䛯ሙྜ䛻ே㛫䛾೺ᗣ䜔⎔ቃ䚸≀䛻ᑐ䛩䜛䝸䝇䜽䜢᭱ᑠ㝈䛻䛩䜛䛯䜑䛻䚸බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸䛣䜜䜙䛾ሙᡤ䜔࿘㎶ᆅᇦ䛾㓄⨨䛻㛵䛧䛶Ᏻ඲䜢☜ಖ䛩䜛つไ䛾ไᐃ䜢ᨭ᥼䛷䛝䜛䛧䚸༴㝤䛜ᠱᛕ䛥䜜䜛ᆅᇦእ䛻Ꮫᰯ䚸⑓㝔䚸௚䛾୺䛺ಖ೺᪋タ䛜㓄⨨䛥䜜䜛䛣䛸䛷Ᏻ඲䜢☜ಖ䛩䜛䛣䛸䛜䛷䛝䜛䚹බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸⏘ᴗ⏺
䛻ᑐ䛧䛶䚸䝥䝷䞁䝖䜔ᶵჾ䛾タィ䛾ᨵၿ䜔䚸ຠᯝ䛿ྠ➼䛾䜎䜎䚸᭷ᐖ༴㝤ᛶ䛾䛒䜛໬Ꮫ≀㉁䜔ᕤ⛬䜢䜘䜚༴㝤ᛶ䛾ᑡ䛺䛔䜒䛾䜈௦᭰䛩䜛䜘䛖ಁ䛩䛣䛸䛜䛷䛝䜛䚹䜘䜚༴㝤ᛶ䛾ప䛔໬Ꮫ≀㉁䜢せᮃ䛧౑⏝䛩䜛䜘䛖ᕷẸ䜢ᩍ⫱䛩䜛䛣䛸䚸ᗈ䛟౑⏝䛥䜜䜛᭷ᐖ໬Ꮫ≀㉁䠄౛䠖ẅ⹸๣䚸Ὑ๣䠅䛜ㄗ౑⏝䛥䜜䛺䛔䜘䛖䛻䚸䛭䛾໬Ꮫ≀㉁䛸ᐜჾ䠄䝁䞁䝔䝘䠅䛻䚸೺ᗣ䛻㛵䛩䜛䝝䝄䞊䝗䛜ศ䛛䜛䜘䛖䛻᫂☜䛻䛛䛴㐺ษ䛻⾲♧䛩䜛䜘䛖ಁ䛩䛣䛸䛿䚸ᴟ䜑䛶㔜せ䛺බ⾗⾨⏕ᶵ⬟䛷䛒䜛䚹㻌The second phase, emergency planning and preparedness, ensures that the negative
outcomes of a chemical incident are minimized by responding to the emergency in atimely, appropriate and integrated way. The public health community can contribute to
the design, set-up and maintenance of effective emergency response infrastructureswith clearly defined roles and responsibilities for each participating group and to thedevelopment of chemical emergency plans covering detection, alert, command andcontrol, training and exercises, public crisis communication and health sector
communication. It has the major responsibility in developing public health incident
response plans and ensuring that these are integrated with the overall chemical
emergency plans. The public health community can also be influential in thedevelopment and maintenance of databases, essential for immediate response,
including those for national hazardous sites, chemical information and health sector
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capabilities. At the local level, the public health community can be responsible for
conducting community impact assessments for the hazardous sites located in thecommunity or region, based on scenario studies of possible releases, as identified in thenational hazardous sites database. Furthermore, the public health community isessential in assessing the adequacy of existing medical countermeasures for high risk
chemicals, in recommending research and development of new countermeasures whererequired and in ensuring that existing countermeasures are available for immediate use.
The preparation of information on chemical hazards and countermeasures that can betaken in the event of a release and the communication of this information to the public
is a necessary public health function. The public health community can contribute to
the establishment of and participate in routine training programs and exercises thatare indispensible components of preparedness and response to chemical incidents.
➨஧ẁ㝵䛷䛒䜛䛂⥭ᛴ᫬ᑐᛂィ⏬䛸‽ഛ䛃䛿䚸䝍䜲䝮䝸䞊䛻䛛䛴㐺ษ䛷⤫ྜⓗ䛺᪉ἲ䛷⥭ᛴ஦ែ䛻ᑐᛂ䛩䜛䛣䛸䛷䚸໬Ꮫ⅏ᐖ䛾㈇䛾⤖ᯝ䜢᭱ᑠ㝈䛻䛩䜛䚹බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸䛭䜜䛮䜜䛾㛵ಀ㒊⨫䛻ᑐ䛩䜛ᙺ๭䛸㈐௵䜢᫂☜䛻䛩䜛䛣䛸䛷ຠᯝⓗ䛺⥭ᛴᑐᛂ䛾䜲䞁䝣䝷䛾タィ䚸タ⨨䚸ಖ඲䛻ᑐ䛧䛶䚸䜎䛯᳨▱䚸㆙࿌䚸ᣦ᥹䞉࿨௧䚸ᩍ⫱䞉カ⦎䚸༴ᶵⓗ≧ἣ᫬䛾ᕷẸ䜈䛾᝟ሗఏ㐩䛸⾨⏕ศ㔝䛾᝟ሗఏ㐩䜢⥙⨶䛩䜛䚸໬Ꮫ⅏ᐖ䜈䛾⥭ᛴᑐᛂィ⏬䛾㛤Ⓨ䛻ᑐ䛧䛶䚸ᐤ୚䛩䜛䛣䛸䛜䛷䛝䜛䚹䠄බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛾䠅୺せ䛺㈐ົ䛿䚸බ⾗⾨⏕༴ᶵ஦᱌䜈䛾ᑐᛂィ⏬䜢సᡂ䛩䜛䛣䛸䜔䚸䛣䜜䜙䛾ᑐᛂィ⏬䜢඲యⓗ䛺໬Ꮫ≀㉁䛻ᑐ䛩䜛⥭ᛴᑐ⟇䛸䛧䛶⤫ྜ䛧䛶䛔䛟䛣䛸䛻䛒䜛䚹䜎䛯䚸බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸ᅜෆ䛾༴㝤䛺ሙᡤ䜔໬Ꮫ≀㉁䛾᝟ሗ䚸་⒪ศ㔝䛾ᑐᛂ⬟ຊ䛻㛵䛩䜛䝕䞊䝍䝧䞊䝇䛸䛔䛳䛯䚸㎿㏿䛺ᑐᛂ䛻୙ྍḞ䛺䝕䞊䝍䝧䞊䝇䛾㛤Ⓨ䛸⥔ᣢ䛻䜒㛵୚䛩䜛䛣䛸䛜䛷䛝䜛䚹ᆅ᪉䝺䝧䝹䛷䛿䚸බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸඲ᅜ䛾༴㝤⟠ᡤ䝕䞊䝍䝧䞊䝇䛻䛚䛔䛶༴㝤ᆅᇦ䛸≉ᐃ䛥䜜䛯䚸䛭䛾ᆅᇦ䜔ᆅ᪉䛻䛒䜛༴㝤⟠ᡤ䛻ᑐ䛧䛶䚸㉳䛣䜚䛖䜛ᨺฟ䝅䝘䝸䜸䛾◊✲䛻ᇶ䛵䛔䛶䚸ᆅᇦ䛾ᙳ㡪䜰䝉䝇䝯䞁䝖䜢ᐇ᪋䛩䜛㈐ົ䛜䛒䜛䛸䛔䛘䜛䚹䛥䜙䛻䚸බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸䝸䝇䜽䛾㧗䛔໬Ꮫ≀㉁䛻ᑐ䛧䛶᪤Ꮡ䛾་⒪ᑐ⟇䛾ጇᙜᛶ䜢ホ౯䛧䛯䜚䚸䛭䛣䛷ᚲせ䛸䛥䜜䜛᪂䛧䛔ᑐ⟇䛾◊✲㛤Ⓨ䜢᥎ዡ䛧䛯䜚䚸᪤Ꮡ䛾ᑐ⟇䛜༶᫬䛻฼⏝ྍ⬟䛛䛹䛖䛛䜢☜ㄆ䛧䛯䜚䛩䜛䛣䛸䛻䜒୙ྍḞ䛷䛒䜛䚹໬Ꮫ≀㉁䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛸ᨺฟ஦ᨾ䛾㝿䛻ྲྀ䜚䛖䜛ᑐ⟇䛻㛵䛩䜛᝟ሗ䛾‽ഛ䚸ᕷẸ䛻䛣䛾᝟ሗ䜢ఏ㐩䛩䜛䛣䛸䛿䚸බ⾗⾨⏕䛾ᚲ㡲䛾ᶵ⬟䛷䛒䜛䚹බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸໬Ꮫ⅏ᐖ䛻ᑐ䛩䜛‽ഛ䜔ᑐᛂ䛻ᚲ㡲䛷䛒䜛䚸ᡤᐃ䛾ᩍ⫱䝥䝻䜾䝷䝮䛸カ⦎䛻䛚䛔䛶䚸సᡂ䛸ཧ⏬䛻㈉⊩䛷䛝䜛䚹㻌The third phase, incident detection and alert, is an ongoing activity to determine that achemical incident has occurred and ensure the rapid alert required for a timely andappropriate response. The public health community can support the installation of
detection and alarming systems at hazardous sites and can take the lead in developing
and implementing methods that can assist in the detection of less obvious chemical
incidents. These include training in the recognition of chemical incidents for publichealth officials, medical professionals, first responders and members of the community;
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the provision of a well publicized phone number and/or Internet connection to reportincidents to the appropriate authorities; the establishment and maintenance of aroutine population health surveillance program and environmental monitoring systemand the implementation of an alert channel to rapidly mobilize required personnel.
➨୕ẁ㝵䛷䛒䜛䛂஦ᨾ䛾᳨▱䛸㆙࿌䛃䛿䚸໬Ꮫ⅏ᐖ䛜Ⓨ⏕䛧䛯䛸ุ᩿䛧䚸䝍䜲䝮䝸䞊䛛䛴㐺ษ䛻ᑐᛂ䛩䜛䛯䜑䛻ᚲせ䛺༶᫬䛾㆙࿌䜢☜ᐇ䛻⾜䛖䛸䛔䛳䛯⥅⥆䛧䛶⾜䛖άື䛷䛒䜛䚹බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸༴㝤⟠ᡤ䛻᳨▱䞉㆙࿌䝅䝇䝔䝮䜢タ⨨㻔ᑟධ㻕䛩䜛䛣䛸䜢ᨭ᥼䛧䛯䜚䚸໬Ꮫ⅏ᐖ䛷䛒䜛䛣䛸䛜䜎䛰᫂☜䛷䛿䛺䛔≧ែ䛷䜒᳨▱䛻ᙺ❧䛴䜘䛖䛺᪉ἲ䛾㛤Ⓨ䛸ᐇ㐠⏝䜢ඛᑟ䛩䜛䛣䛸䛜䛷䛝䜛䚹䛣䜜䜙䛻䛿䚸බ⾗⾨⏕ᢸᙜᐁ䚸་⒪ᚑ஦⪅䚸䝣䜯䞊䝇䝖䞉䝺䝇䝫䞁䝎䞊䠄㆙ᐹᐁ㸪ᾘ㜵ኈ㸪ᩆᛴ㝲ဨ࡞࡝㸪஦ᨾ࡞࡝ࡢ⌧ሙ࡟᭱ึ࡟฿╔ࡍࡿ⥭ᛴᑐᛂせဨ㸧࡜䝁䝭䝳䝙䝔䜱ᢸᙜ⪅䛜໬Ꮫ⅏ᐖ䜢ㄆ㆑䛩䜛䛯䜑䛾ᩍ⫱䚸㛵ಀᙜᒁ䜈஦ᨾ䜢ሗ࿌䛩䜛䛯䜑䛻බ▱䛾㟁ヰ␒ྕ䜔䜲䞁䝍䞊䝛䝑䝖᥋⥆䛾ᥦ౪䚸ᐃᮇⓗ䛺ఫẸ䛾೺ᗣ䝃䞊䝧䜲䝷䞁䝇䝥䝻䜾䝷䝮䠄␿Ꮫⓗ䛺೺ᗣㄪᰝ䝥䝻䜾䝷䝮䠅䛸⎔ቃ䝰䝙䝍䝸䞁䜾䝅䝇䝔䝮䚸㎿㏿䛻ᚲせ䛺ேဨ䜢ືဨ䛩䜛䛯䜑䛾⥭ᛴఏ㐩⤒㊰䛾☜❧䛸⥔ᣢ䛜ྵ䜎䜜䜛䚹
The first step in the fourth phase, response, is termination of the release followed bypreventing the spread of contamination and reducing exposure. Although the publichealth community is not normally involved in the termination of atmospheric releases,
it has an important role in reducing the spread of contamination including the rapid
assessment of incident control options, assessing the need for decontamination of
exposed persons, ensuring that contaminated persons do not leave the hazard zone prior
to decontamination and advising on personal protection equipment and measures. The
public health community also functions in assessing possible immediate and long term
health effects so that appropriate responses can be determined. In the case of large
airborne releases the public health assessment is a critical factor in deciding between
the options of sheltering-in-place and evacuation. During the incident, the public healthcommunity acts to disseminate essential information and advice to responders, thepublic, and the media. This information must be consistent, tailored to the needs of theparticular group and be simple, timely, accurate, relevant and credible (STARC).
Conducting investigations that assess effects on health or on the environment during an
incident so as to offer the best possible advice on treatment and protection throughout
the incident, registering potentially affected individuals as soon as possible following achemical release and conducting epidemiological investigations are other important
public health functions.
➨ᅄẁ㝵䛾᭱ึ䛾䝇䝔䝑䝥䛷䛒䜛䛂ᑐᛂ䛃䛿䚸ᨺฟ䜢཰᮰䛥䛫䚸ởᰁ䛾ᣑ኱䜢㜵Ṇ䛧䛶᭚㟢䜢๐ῶ䛩䜛䛣䛸䛷䛒䜛䚹බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸໬Ꮫ≀㉁䛾኱Ẽ䜈䛾ᨺฟ䜢཰᮰䛥䛫䜛䛣䛸䛻䛿㏻ᖖ䛿㛵୚䛧䛺䛔䛜䚸ởᰁ䛾ᣑ኱䜢ῶ䛨䜛䛣䛸䛻䛚䛔䛶㔜せ䛺ᙺ๭䜢ᢸ䛳䛶䛚䜚䚸䛣䛾ᙺ๭䛻䛿䚸᭚㟢䛧䛯ே䠄⿕᭚⪅䠅䛾㝖ᰁ䛾ᚲせᛶ䛾ホ౯䚸㝖ᰁ๓䛻ởᰁᝈ⪅䛜༴㝤㻔ởᰁ䠅༊ᇦእ䛻ฟ䛺䛔䜘䛖䛻ཝ㔜䛻⟶⌮䚸ಶே㜵ㆤ䛾⿦ഛ䜔᪉ἲ䛾ຓゝ䛸䛔䛳䛯䚸஦ᨾ䜢ไᚚ䛩䜛䜸䝥䝅䝵䞁䛾㎿㏿䛺ホ౯䛜ྵ䜎
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䜜䜛䚹බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䜎䛯䚸㐺ษ䛺ᑐᛂ䜢Ỵᐃ䛷䛝䜛䜘䛖䛻▷ᮇⓗ䜎䛯䛿㛗ᮇⓗ䛺೺ᗣ䜈䛾ᙳ㡪䜢ホ౯䛩䜛Ⅼ䛷䜒ᶵ⬟䛩䜛䚹኱㔞䛾✵୰ᾋ㐟≀䛜ᨺฟ䛥䜜䛯ሙྜ䚸බ⾗⾨⏕䜰䝉䝇䝯䞁䝖䛿䛭䛾ሙ䛷䛾ᒇෆ㏥㑊䛛㑊㞴䛛䜢Ỵᐃ䛩䜛㔜せ䛺せ⣲䛷䛒䜛䚹஦ᨾ㻔䛜཰᮰䛩䜛䜎䛷㻕䛾㛫䚸බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛿䚸ᴟ䜑䛶㔜せ䛺᝟ሗ䜔ຓゝ䜢ᑐᛂ⪅䚸୍⯡ᕷẸ䚸䝯䝕䜱䜰䛻ᗈ䜑䜛ᙺ๭䜢ᯝ䛯䛩䚹䛣䛾᝟ሗ䛿䚸䛒䜛≉ᐃ䛾䜾䝹䞊䝥䛾ᚲせᛶ䛻㐺ྜ䛧䚸▩┪䛾䛺䛔䜒䛾䛷䛒䜛ᚲせ䛜䛒䜚䚸䝅䞁䝥䝹䚸䝍䜲䝮䝸䞊䚸ṇ☜䚸㐺ษ䚸䛛䛴ಙ⏝䛷䛝䜛䜒䛾䛷䛺䛟䛶䛿䛺䜙䛺䛔䠄㻿㼀㻭㻾㻯䠖simple, timely,
accurate, relevant and credible䠅䚹஦ᨾ඲య䛻Ώ䛳䛶἞⒪䛸㜵ㆤ䛻㛵䛩䜛᭱ၿ䛾ຓゝ䜢ᥦ౪䛷䛝䜛䜘䛖䛻䚸஦ᨾ㻔䛜཰᮰䛩䜛䜎䛷㻕䛾㛫䛻೺ᗣ䜔⎔ቃ䜈䛾ᙳ㡪䜢ホ౯䛩䜛ㄪᰝ䜢ᐇ᪋䛩䜛䛣䛸䚸໬Ꮫ≀㉁䛾ᨺฟᚋ䛩䜏䜔䛛䛻䚸ᙳ㡪䜢ཷ䛡䛯ྍ⬟ᛶ䛾䛒䜛ಶே䜢Ⓩ㘓䛩䜛䛣䛸䚸␿Ꮫⓗㄪᰝ䜢ᐇ᪋䛩䜛䛣䛸䛿䚸බ⾗⾨⏕䛾䜒䛖䜂䛸䛴䛾㔜せ䛺ᙺ๭䛷䛒䜛䚹㻌The fifth and final stage, recovery, includes clean-up, health monitoring, evaluation andother activities that are aimed at restoring the community or site to an acceptablecondition and contributing to prevention of a recurrence. The public health community
has a vital role in organizing health care, including mental health care, to treat victims
and support them in regaining control of their lives. Depending on the incident, careand support may be required for many years. Conducting risk and health outcome
assessments, including exposure, environmental and human health assessments,
implementing

remediation

andrestoration

actions,

collecting

andcompiling

epidemiological data and tabulating and disseminating lessons learned are otherimportant functions the public health community can undertake in the recovery stage.
Table 8 summarizes the role public health can play in the disaster management cycle.
➨஬䛾᭱⤊ẁ㝵䛷䛒䜛䛂᚟ᪧ䛃䛿䚸ᆅᇦ䜔⌧ሙ䜢チᐜ䛷䛝䜛≧ែ䛻᚟ᪧ䛩䜛䛣䛸䚸䛚䜘䜃෌Ⓨ㜵Ṇ䛻㈉⊩䛩䜛䛣䛸䜢┠ⓗ䛸䛧䛯ởᰁ㝖ཤ䚸೺ᗣ≧ែ䛾┘ど䚸ホ౯䚸䛭䛾௚䛾άື䜢ྵ䜐䚹බ⾗⾨⏕
䝁䝭䝳䝙䝔䜱䛿䚸⿕⅏⪅䛜ᚑ᮶䛾⏕ά䜢ྲྀ䜚ᡠ䛫䜛䜘䛖䚸䝯䞁䝍䝹䜿䜰䜢ྵ䜑䚸἞⒪䛧䛯䜚ᨭ᥼䛧䛯䜚䛩䜛䛯䜑䛾೺ᗣ⟶⌮䜢⤌⧊໬䛩䜛Ⅼ䛻䛚䛔䛶䚸㔜せ䛺ᙺ๭䜢ᢸ䛳䛶䛔䜛䚹஦ᨾ䛻䜘䛳䛶䛿䚸䜿䜰䜔ᨭ᥼䛜ఱᖺ䜒䛻䜟䛯䜚ᚲせ䛸䛺䜛䛣䛸䛜䛒䜚䛖䜛䚹᚟ᪧẁ㝵䛷බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛜⾜䛖䛣䛸䛾䛷䛝䜛䜒䛖୍᪉䛾㔜せ䛺ᶵ⬟䛻䛿䚸᭚㟢䞉⎔ቃ䞉䝠䝖䛾೺ᗣ䛻㛵䛩䜛ホ౯䜢ྵ䜐䚸䝸䝇䜽䛸೺ᗣ㌿ᖐ䛾ホ౯䛾ᐇ᪋䚸ಟ᚟䞉᚟ᪧάື䛾㐙⾜㻔䜔䜚㐙䛢䜛䛣䛸㻕䚸␿Ꮫ䝕䞊䝍䛾཰㞟䛸⵳✚䚸ᅗ⾲໬䚸ᚓ䛯ᩍカ䛾Ⓨಙ䛜䛒䜛䚹㻌⾲䠔䛻䚸⅏ᐖ⟶⌮䝃䜲䜽䝹䛾୰䛷䛾බ⾗⾨⏕䛾ᯝ䛯䛩䜉䛝ᙺ๭䜢䜎䛸䜑䜛䚹㻌

Table 8 The role the public health community can play in the chemical disastermanagement cycle
Conclusions
A flexible screening tool for chemicals that present a risk when released into theatmosphere has been developed. Risk, determined using this screening tool, is general,
independent of site, situation and scenario, applicable to accidental and deliberate
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releases into the atmosphere and takes all chemical hazards (toxicity, flammability,
reactivity) into consideration. The tool is semi-quantitative and can be easily andquickly implemented by non-subject matter experts using freely available authoritative
information. The role that the public health community can play in the chemicaldisaster management cycle is described.
⤖ㄽ㻌኱Ẽ୰䛻ᨺฟ䛥䜜䛯㝿䛻䝸䝇䜽䛜Ꮡᅾ䛩䜛໬Ꮫ≀㉁䛻ᑐ䛩䜛ᰂ㌾ᛶ䛾䛒䜛䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛜
㛤Ⓨ䛥䜜䛯䚹䛣䛾䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䜢౑⏝䛧䛶ุᐃ䛥䜜䛯䝸䝇䜽䛿䚸ỗ⏝ᛶ䛜䛒䜚䚸ሙᡤ䞉≧ἣ䞉䝅䝘䝸䜸䛻ᙳ㡪䛥䜜䛪䚸അⓎⓗ䜔ពᅗⓗ䛻኱Ẽ୰䛻ᨺฟ䛥䜜䛯ሙྜ䛻㐺⏝ྍ⬟䛷䛒䜚䚸඲䛶䛾໬Ꮫⓗ䝝䝄䞊䝗䠄ẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䠅䜢⪃៖䛧䛯䜒䛾䛷䛒䜛䚹䝒䞊䝹䛿䚸༙ᐃ㔞ⓗ䛷䛒䜚䚸䛭䛾㡿ᇦ䛾ᑓ㛛ᐙ䛷䛺䛟䛸䜒⮬⏤䛻฼⏝ྍ⬟䛺ಙ㢗䛷䛝䜛᝟ሗ䜢౑⏝䛧䚸⡆༢䛛䛴㎿㏿䛻ᢅ䛖䛣䛸䛜䛷䛝䜛䚹㻌බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛜䚸໬Ꮫ⅏ᐖ䝬䝛䝆䝯䞁䝖䝃䜲䜽䝹䛻䛚䛔䛶ᯝ䛫䜛ᙺ๭䛜♧䛥䜜䛯䚹㻌Abbreviations
ACS, American Chemical Society; AEGL, Acute exposure guideline level; BP, Boilingpoint; CAS, Chemical Abstracts Service; CEWG, Chemical Events Working Group;
CHEMCATS, CAS online chemical catalogues file; CWC, Chemical Weapons
Convention; EPA, United States Environmental Protection Agency; FP, Flash point;
GHSI, Global Health Security Initiative; HPV, High production volume; IPD,
Instantaneous power density; ITF, International Task Force; NFPA, United States
National Fire Protection Association; OECD, Organization of Economic Co-operation
and Development; PAC, Protective action criteria; PE, Probability of exposure; RN, CASregistry numbers; SH, Severity of hazard; TETS, Tetramethylene disulphotetramine;
VP, Vapour pressure; WHO, World Health Organization␎⛠㻌㻭㻯㻿㻘㻌㻭㼙㼑㼞㼕㼏㼍㼚㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻿㼛㼏㼕㼑㼠㼥㻧㻌 㻌 ⡿ᅜ໬Ꮫ఍㻌㻭㻱㻳㻸㻘㻌㻭㼏㼡㼠㼑㻌㼑㼤㼜㼛㼟㼡㼞㼑㻌㼓㼡㼕㼐㼑㼘㼕㼚㼑㻌㼘㼑㼢㼑㼘㻧㻌 㻌 ᛴᛶ᭚㟢䜺䜲䝗䝷䜲䞁䝺䝧䝹㻌㻮㻼㻘㻌㻮㼛㼕㼘㼕㼚㼓㻌㼜㼛㼕㼚㼠㻧㻌 㻌 ἛⅬ㻌㻯㻭㻿㻘㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻭㼎㼟㼠㼞㼍㼏㼠㼟㻌㻿㼑㼞㼢㼕㼏㼑㻧㻌 䜿䝭䜹䝹䜰䝤䝇䝖䝷䜽䝖䝃䞊䝡䝇㻌㻯㻱㼃㻳㻘㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻱㼢㼑㼚㼠㼟㻌㼃㼛㼞㼗㼕㼚㼓㻌㻳㼞㼛㼡㼜㻧㻌 ໬Ꮫ䜲䝧䞁䝖䝽䞊䜻䞁䜾䜾䝹䞊䝥㻌㻯㻴㻱㻹㻯㻭㼀㻿㻘㻌㻯㻭㻿㻌㼛㼚㼘㼕㼚㼑㻌㼏㼔㼑㼙㼕㼏㼍㼘㻌㼏㼍㼠㼍㼘㼛㼓㼡㼑㼟㻌㼒㼕㼘㼑㻧㻌 ໬Ꮫရ䜹䝍䝻䜾䜸䞁䝷䜲䞁㻌㻯㼃㻯㻘㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㼃㼑㼍㼜㼛㼚㼟㻌㻯㼛㼚㼢㼑㼚㼠㼕㼛㼚㻧㻌 ໬Ꮫරჾ⚗Ṇ᮲⣙㻌㻱㻼㻭㻘㻌㼁㼚㼕㼠㼑㼐㻌㻿㼠㼍㼠㼑㼟㻌㻱㼚㼢㼕㼞㼛㼚㼙㼑㼚㼠㼍㼘㻌㻼㼞㼛㼠㼑㼏㼠㼕㼛㼚㻌㻭㼓㼑㼚㼏㼥㻧㻌 㻌 ⡿ᅜ⎔ቃಖㆤᗇ㻌㻲㻼㻘㻌㻲㼘㼍㼟㼔㻌㼜㼛㼕㼚㼠㻧㻌 㻌 ᘬⅆⅬ㻌㻳㻴㻿㻵㻘㻌㻳㼘㼛㼎㼍㼘㻌㻴㼑㼍㼘㼠㼔㻌㻿㼑㼏㼡㼞㼕㼠㼥㻌㻵㼚㼕㼠㼕㼍㼠㼕㼢㼑㻧㻌 㻌 㻌 ୡ⏺೺ᗣᏳ඲ಖ㞀䜲䝙䝅䜰䝔䜱䝤㻌㻴㻼㼂㻘㻌㻴㼕㼓㼔㻌㼜㼞㼛㼐㼡㼏㼠㼕㼛㼚㻌㼢㼛㼘㼡㼙㼑㻧㻌 㧗⏕⏘㔞㻌㻵㻼㻰㻘㻌㻵㼚㼟㼠㼍㼚㼠㼍㼚㼑㼛㼡㼟㻌㼜㼛㼣㼑㼞㻌㼐㼑㼚㼟㼕㼠㼥㻧㻌 ▐᫬㟁ຊᐦᗘ㻌
19

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㻵㼀㻲㻘㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㼀㼍㼟㼗㻌㻲㼛㼞㼏㼑㻧㻌 ᅜ㝿䝍䝇䜽䝣䜷䞊䝇㻌㻺㻲㻼㻭㻘㻌㼁㼚㼕㼠㼑㼐㻌㻿㼠㼍㼠㼑㼟㻌㻺㼍㼠㼕㼛㼚㼍㼘㻌㻲㼕㼞㼑㻌㻼㼞㼛㼠㼑㼏㼠㼕㼛㼚㻌㻭㼟㼟㼛㼏㼕㼍㼠㼕㼛㼚㻧㻌 ඲⡿㜵ⅆ༠఍㻌㻻㻱㻯㻰㻘㻻㼞㼓㼍㼚㼕㼦㼍㼠㼕㼛㼚㻌㼛㼒㻌㻱㼏㼛㼚㼛㼙㼕㼏㻌㻯㼛㻙㼛㼜㼑㼞㼍㼠㼕㼛㼚㻌㼍㼚㼐㻌㻰㼑㼢㼑㼘㼛㼜㼙㼑㼚㼠㻧㻌 ⤒῭༠ຊ㛤Ⓨᶵᵓ㻌㻼㻭㻯㻘㻌㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㼍㼏㼠㼕㼛㼚㻌㼏㼞㼕㼠㼑㼞㼕㼍㻧㻌 ಖㆤస⏝ᇶ‽㻌㻼㻱㻘㻌㻼㼞㼛㼎㼍㼎㼕㼘㼕㼠㼥㻌㼛㼒㻌㼑㼤㼜㼛㼟㼡㼞㼑㻧㻌 㻌 ᭚㟢䛾⵹↛ᛶ㻌㻾㻺㻘㻌㻯㻭㻿㻌㼞㼑㼓㼕㼟㼠㼞㼥㻌㼚㼡㼙㼎㼑㼞㼟㻧㻌 㻌 㻯㻭㻿Ⓩ㘓␒ྕ㻌㻿㻴㻘㻌㻿㼑㼢㼑㼞㼕㼠㼥㻌㼛㼒㻌㼔㼍㼦㼍㼞㼐㻧㻌 㻌 䝝䝄䞊䝗䛾㔜኱ᛶ㻌㼀㻱㼀㻿㻘㼀㼑㼠㼞㼍㼙㼑㼠㼔㼥㼘㼑㼚㼑㻌㼐㼕㼟㼡㼘㼜㼔㼛㼠㼑㼠㼞㼍㼙㼕㼚㼑㻧㻌 䝔䝖䝷䝭䞁䠄䝔䝖䝷䝯䝏䝺䞁䝆䝇䝹䝣䜷䝔䝖䝷䝭䞁䠅㻌㼂㻼㻘㻌㼂㼍㼜㼛㼡㼞㻌㼜㼞㼑㼟㼟㼡㼞㼑㻧㻌 㻌 ⵨Ẽᅽ㻌㼃㻴㻻㻘㻌㼃㼛㼞㼘㼐㻌㻴㼑㼍㼘㼠㼔㻌㻻㼞㼓㼍㼚㼕㼦㼍㼠㼕㼛㼚㻌 ୡ⏺ಖ೺ᶵ㛵㻌
Competing interests

The authors declare that they have no competing interests.
฼┈┦཯ᇳ➹⪅ࡀ฼┈┦཯ࢆᣢࡓ࡞࠸ࡇ࡜ࢆᐉゝࡋࡲࡍࠋ
Authors’ contributions

All authors have contributed to the first draft and commented on the final draft. The
paper was assembled by Health Canada. All authors read and approved the final
manuscript.
䛩䜉䛶䛾ⴭ⪅䛿䚸᭱ึ䛾䝗䝷䝣䝖䛻㈉⊩䛧䚸᭱⤊᱌䛻䛴䛔䛶䝁䝯䞁䝖䛧䛯䚹ㄽᩥ䛿䜹䝘䝎ಖ೺┬䛻䜘䛳䛶⤌䜏❧䛶䜙䜜䚸䛩䜉䛶䛾ⴭ⪅䛜ᰝㄞ䛧䚸᭱⤊ཎ✏䜢ᢎㄆ䛧䛯䚹㻌
Authors’ information

The authors form part of the Chemical Events Working Group of the Global Health
Security Action Group and collectively have expertise in the fields of laboratory
medicine, general medicine, toxicology, emergency planning, environmental toxicology
and science and policy making. This has provided the basis for the unique tool
described in this manuscript.
ᇳ➹⪅᝟ሗᇳ➹⪅ࡣࠊୡ⏺೺ᗣᏳ඲ಖ㞀⾜ືࢢ࣮ࣝࣉࡢ໬Ꮫ䜲䝧䞁䝖࣮࣡࢟ࣥࢢࢢ࣮ࣝࣉࡢ୍㒊ࡢ࣓ࣥࣂ࣮࡛࠶ࡾࠊ⮫ᗋศᯒ࣭་Ꮫ࣭ẘᛶᏛ࣭༴ᶵ⟶⌮࣭⎔ቃẘᛶᏛ࣭⎔ቃ⛉Ꮫ࣭ᨻ⟇Ỵᐃࡢศ㔝࡟࠾ࡅࡿᑓ㛛▱㆑ࢆ㞟ྜⓗ࡟᭷ࡋ࡚࠸ࡿࠋࡇࢀࡣᮏཎ✏࡟ᥖ㍕ࡉࢀ࡚࠸ࡿ⊂≉࡞ࢶ࣮ࣝࡢᇶ♏࡜࡞ࡗ࡚࠸ࡿࠋ
Acknowledgements

The authors would like to thank Dr. Kersten Gutschmidt from the World HealthOrganization (WHO), which serves as an observer to the Global Health Security
Initiative and to Luke Graham (Canada) for their contribution.
Special thanks to Dr. Sara Joan Armour (Canada) for her outstanding contributions in
the development of the guide. The Chemical Events Working Group would like to
20

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recognise her relentless efforts to develop the methodology, gather the data, compile theresults, while patiently collaborating with contributing authors throughout the iterative
development of this tool.
ㅰ㎡
WHOࡢDr. Kersten Gutschmidt࡟ឤㅰࡢពࢆ⾲ࡋࡲࡍࠋᙼࡣࠊୡ⏺೺ᗣᏳ඲ಖ㞀࢖ࢽࢩ࢔ࢸ࢕
ࣈ࡜࢝ࢼࢲࡢLuke Grahamࡢ࢜ࣈࢨ࣮ࣂ࣮࡜ࡋ࡚㈉⊩ࡉࢀࡲࡋࡓࠋ
࢞࢖ࢻࡢ㛤Ⓨࡢࡍࡤࡽࡋ࠸㈉⊩࡟ᑐࡋࠊ࢝ࢼࢲࡢ Dr. Sara Joan Armour ࡟ឤㅰࡢពࢆ⾲ࡋࡲࡍࠋ໬Ꮫ࢖࣋ࣥࢺ࣮࣡࢟ࣥࢢࡣࠊ᪉ἲㄽࡢ㛤Ⓨࡸࢹ࣮ࢱࡢ㞟✚ࠊ⤖ᯝࡢ⵳✚࡟⤯࠼㛫ࡠດຊࢆࡋ࡚㡬࠸ࡓࡇ࡜ࠊࡲࡓࠊࡇࡢࢶ࣮ࣝࡢ⧞ࡾ㏉࡞ࡀࡽࡢ㛤Ⓨ࡟࠶ࡓࡾࠊ⤊ጞࠊ㎞ᢪᙉࡃ➹⪅ࡽ࡟༠ຊࡋ࡚㡬࠸ࡓࡇ࡜࡟ㅰពࢆ♧ࡋࡲࡍࠋཧ⪃ᩥ⊩
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24

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⾲䠍䚷䚷㻴㻼㼂䠄㧗⏕⏘㔞䠅໬Ꮫ≀㉁䛾౛㼇㻝㼉

᭷ᶵ໬ྜ≀
䝧䞁䝊䞁
䜶䝏䝺䞁
䝯䝍䝜䞊䝹
䝥䝻䝢䝺䞁

↓ᶵ໬ྜ≀
ሷ⣲
Ⅳ㓟䝘䝖䝸䜴䝮Ỉ㓟໬䝘䝖䝸䜴䝮◲㓟䝥䝷䝇䝏䝑䜽䝫
䝸䜶䝏䝺䞁䝫䝸
䝥䝻䝢䝺䞁䝫䝸
䝇䝏䝺䞁䝫䝸ሷ
໬䝡䝙䝹

−68−

໬Ꮫ⫧ᩱ
䜰䞁䝰䝙䜰
◪㓟䜰䞁䝰䝙䜴䝮
䝸䞁㖔▼䝸䞁㓟⾲䠎䚷䚷つไᥐ⨨䛻⮳䛳䛯໬Ꮫ⅏ᐖ䛾౛
஦ᨾ⌧ሙ

⾜ື

ཧ⪃ᩥ⊩

䝉䝧䝋䊠䛾ෆᐜ䛻ᙳ㡪䜢୚䛘䛯㼁㻷㻌㻴㼑㼍㼘㼠㼔㻒㻌㻿㼍㼒㼑㼠㼥㻌㼍㼠㻌㼃㼛㼞㼗㻌㻭㼏㼠㻒㻌㼑㼟㼠㼍㼎㼘㼕㼟㼔㼙㼑㼚㼠㻌㼛㼒㼁㻷㻌㻴㼑㼍㼘㼠㼔㻌㻒㻌㻿㼍㼒㼑㼠㼥㻱㼤㼑㼏㼡㼠㼕㼢䛻䛴䛺䛜䛳䛯㼇㻢䠈㻣㼉㻴㼛㼒㼒㼙㼍㼚㼚㻌㻸㼍㻾㼛㼏㼔㼑㻘㻿㼑㼢㼑㼟㼛㻘㻌㻵㼠㼍㼘㼥䜲䝍䝸䜰䚷䝉䝧䝋

Ⓨ⇕䛻䜘䜛ᭀ㉮཯ᛂ䠉ẘᛶ䛸⭉㣗ᛶ䛾䛒䜛 㻡㻘㻣㻜㻜ྡ䜢㉸䛘䜛ఫẸ䛜㑊㞴㻌䠗㻞㻞୓໬Ꮫ≀㉁䛾㞼䜢ᙧ ྡ䛜་⒪ㄪᰝ䜢ཷ䛡䛯㻌䠗㻠㻠㻣ྡ䛻⓶⭵ᦆയ䛛ሷ⣲᣸๰䠄䜽䝻 䝉䝧䝋㻵ᣦ௧䛻䛴䛺䛜䛳ᡂ䝣䜵䝜䞊䝹䛸Ỉ㓟໬ 䝹䜰䜽䝛䠅䛜䜏䜙䜜䛯㻌䠗㻌㻟㻘㻜㻜㻜༉௨ 䛯㻝㻥㻣㻢ᖺ㻣᭶㻝㻜᪥䝘䝖䝸䜴䝮䛸᭱኱㻞㼗㼓 ୖ䛾ື≀䛜Ṛ䜣䛰㻌䠗㻌㻤㻜㻘㻜㻜㻜༉䛾ື䛾㻞㻘㻟㻘㻣㻘㻤㻙䝔䝖䝷䜽䝻 ≀䛜ฎศ䛥䜜䛯㻌䠗㻌㻝㻤䡇䡉㻞䛾䜶䝸䜰䝻䝆䝧䞁䝌㻙㼜㻙䝆䜸 䛻ᙳ㡪䛜䛒䛳䛯㻌䠗㻌㻞㻜㻜൨䝸䝷䛾⿵ൾ䜻䝅䞁䠄㼀㻯㻰㻰䚷䝎䜲 䠄䜢ᨭᡶ䛳䛯䠅䛜ᨭᡶ䜟䜜䛯䜸䜻䝅䞁㢮䠅䛜ྵ䜎
䜜䛶䛔䛯

㼇㻡㻙㻣㼉

㼁㼚㼕㼛㼚㻌㻯㼍㼞㼎㼕㼐㼑㻌㻵㼚㼐㼕㼍㻸㼠㼐㻘㻌㻮㼔㼛㼜㼍㼘㻘㻌㻵㼚㼐㼕㼍䜲䞁䝗䚷䝪䝟䞊䝹

ᭀ㉮཯ᛂ㻌䠉
㻞㻘㻡㻜㻜䡚㻢㻘㻜㻜㻜ྡ䛜Ṛஸ㻌䠗㻟㻜䡚㻠㻜䝖䞁䛾䜲䝋䝅㻞㻜㻜㻘㻜㻜㻜ྡ௨ୖ䛾㈇യ㻌䠗䜰䞁㓟䝯䝏䝹䛜ᨺฟ㻡㻜㻘㻜㻜㻜ྡ௨ୖ䛾⏕Ꮡ⪅䛻䚸⫵⥺⥔䛥䜜䚸࿘㎶䛾ປാ⪅㻝㻥㻤㻠ᖺ㻝㻞᭶㻟᪥⑕䚸Ẽ⟶ᨭႍᜥ䚸៏ᛶ㛢ሰᛶ⫵⑌㝵⣭䛾ேཱྀᐦ㞟ᆅᝈ䚸⫵Ẽ⭘䚸཯᚟ᛶ⫵ឤᰁ⑕䚸ゅᇦ䛻ὶ䜜䛯㻌䠗㻌ᕤሙ⭷⑕䚸ゅ⭷ΰ⃮䛺䛹䛾៏ᛶ⑌ᝈ䛜࿘㎶ᆅᇦఫẸ䜈䛾Ⓨ⑕䛧䛯㆙࿌䛺䛧䝉䝧䝋䊠ᣦ௧䛻䛚䛔䛶䚸㜈್䛸࿘㎶ᒃఫᆅᇦ䜎䛷䛾㊥㞳䚸㛵㐃䛩䜛ᅵᆅ฼⏝䛾ィ⏬䛾つᐃ䛾ᨵṇ䛻䛴䛺䛜䛳䛯
㼁㻿㻭䚷㻱㼙㼑㼞㼓㼑㼚㼏㼥㻼㼘㼍㼚㼚㼕㼚㼓㻌㻒㻌㻯㼛㼙㼙㼡㼚㼕㼠㼥㻾㼕㼓㼔㼠㻌㼠㼛㻌㻷㼚㼛㼣㻌㻭㼏㼠㻌㻒㻯㻹㻭㻌㻯㻭㻱㻾㻌㻼㼞㼛㼓㼞㼍㼙䛻
䛴䛺䛜䛳䛯

㼇㻡㻙㻣㼉

㻿㼍㼚㼐㼛㼦㻘㻌㻮㼍㼟㼑㼘㻘㻿㼣㼕㼠㼦㼑㼞㼘㼍㼚㼐䝇䜲䝇䚷䝞䞊䝊䝹

಴ᗜ䛾ⅆ⅏㻌䠉
㻟㻜䝖䞁䛾໬Ꮫ≀㉁䛜
✵Ẽ୰䜔Ỉ䛻ᨺฟ䛥 䝷䜲䞁ᕝ䛾᭱኱䛾ởᰁ㻌䠗㻝㻥㻤㻢ᖺ㻝㻝᭶㻝᪥ 䜜䛯䠄䝆䝙䝖䝻㻙䜸䝹 㻡㻜㻜㻘㻜㻜㻜༉䛾㨶䛜Ṛ䜣䛰㻌䠗䝖㻙䜽䝺䝌䞊䝹䚸᭷ᶵ 㻡㻜㻜㼗䡉䜢㉸䛘䜛ởᰁ䛸䛺䛳䛯ሷ⣲䚸᭷ᶵ䝸䞁䚸᭱኱㻝㻡㻜㼗㼓䛾Ỉ㖟䠅䝉䝋䊠ᣦ௧䛾㐺ᛂ䛜䝉䝧䝋䊠ᣦ௧䛾㐺ᛂ䛜㈓ⶶ஦ᴗ䛻䜎䛷ᣑ኱䛥
䜜䛯

㼇㻢䠈㻣㼉

⇿Ⓨ䛸ⅆ⅏㻌䠉
㧗ᐦᗘ䝫䝸䜶䝏䝺䞁䛾〇㐀㻌䠉㻤㻡㻘㻜㻜㻜䝫䞁䝗䜢㉸䛘 㻞㻟ྡ䛜Ṛஸ㻌䠗㻝㻥㻤㻥ᖺ㻝㻜᭶㻞㻟᪥ 䜛䚸〇㐀㐣⛬䛷䠄⏘ 㻝㻟㻜ྡ௨ୖ䛜㈇യ㻌䠗⏕䛥䜜䜛䠅Ⓨ⏕䛩䜛 㻝㻜൨䝗䝹௨ୖ䛾ᦆኻ䛜䛒䛳䛯㧗ྍ⇞ᛶ䜺䝇䛜ᨺฟ䛥䜜䛯㻝㻥㻥㻜㻌㼁㻿㻭㻌㻯㼘㼑㼍㼚㻌㻭㼕㼞㻭㼏㼠㻌㻒㻌㻾㼕㼟㼗㻌㻹㼍㼚㼍㼓㼑㼙㼑㼚㼠㻼㼞㼛㼓㼞㼍㼙㻌㻔㻾㻹㻼㻕㻌㻒㻼㼞㼛㼏㼑㼟㼟㻌㻿㼍㼒㼑㼠㼥㻹㼍㼚㼍㼓㼑㼙㼑㼚㼠㻌㻔㻼㻿㻹㻕㼜㼞㼛㼏㼑㼟㼟㻌㼟㼠㼍㼚㼐㼍㼞㼐㼟䚷䛾䛝䛳䛛䛡䛸䛺䛳䛯

㼇㻢㼉⇿Ⓨ䛸ⅆ⅏㻌䠉
㻞㻜㻜㻜ᖺ㻡᭶㻝㻟᪥ 㻝㻣㻣䝖䞁䛾ⰼⅆ䛜⇿Ⓨ䛧䛯䝉䝧䝋䊡ᣦ௧䛾⇿Ⓨ≀䛾ᐃ⩏䛾ኚ᭦䛻䛴䛺
䛜䛳䛯

㼇㻡㻙㻣㼉

㻺㼥㼜㼞㼛㻌㼁㻷㻌㻸㼠㼐㻘㻲㼘㼕㼤㼎㼛㼞㼛㼡㼓㼔㻘㻌㼁㻷ⱥᅜ䚷䝣䝸䝑䜽䝇䝪䝻㻼㼔㼕㼘㼘㼕㼜㼟㻌㻢㻢㻌㻯㼛㻘㻼㼍㼟㼍㼐㼑㼚㼍㻘㻌㼀㼑㼤㼍㼟㻘㻌㼁㻿㻭⡿ᅜ㻌䝔䜻䝃䝇ᕞ㻌䝟䝃䝕䝘㻿㻱㻌㻲㼕㼞㼑㼣㼛㼞㼗㼟㻘㻱㼚㼟㼏㼔㼑㼐㼑㻘㻌㼀㼔㼑㻺㼑㼠㼔㼑㼞㼘㼍㼚㼐㼟䜸䝷䞁䝎䚷䜶䞁䝇䜿䝕㻭㼡㼞㼡㼘㻌㻿㻚㻭㻚㻘㻌㻮㼍㼕㼍㻹㼍㼞㼍㻘㻌㻾㼛㼙㼍㼚㼕㼍䝹䞊䝬䝙䜰䚷䝞䜲䜰䝬䞊䝺㻳㼞㼍㼚㼐㼑㻌㻼㼍㼞㼛㼕㼟㼟㼑㻘㼀㼛㼡㼘㼛㼡㼟㼑㻘㻌㻲㼞㼍㼚㼏㼑䝣䝷䞁䝇䚷㻌䝖䜳䞊䝹䞊䝈

᪥᫬

஦ᨾ䛾✀㢮

⤖ᯝ

⇿Ⓨ䛸ⅆ⅏䠉
㻟㻜䝖䞁䛾䝅䜽䝻䝦䜻㻞㻤ྡ䛜Ṛஸ㻌䠗䝃䞁䛜ᨺฟ䛥䜜䚸ᙧ㻝㻥㻣㻠ᖺ㻢᭶㻝᪥㻤㻥ྡ䛜㈇യ㻌䠗ᡂ䛥䜜䛯⵨Ẽ㞼䛜⇿ᩘ䜻䝻䛻䜟䛯䜛⿕ᐖ䛜䛒䛳䛯Ⓨ䛧䛯㻞㻞ྡ䛜Ṛஸ
㻥㻠㻣ྡ䛜㈇യ
㻞㻘㻜㻜㻜Ჷ䛾ᐙᒇ䛜◚ቯ䛥䜜䛯ᑿ㖔䝎䝮䠄䝔䞊䝸䞁䜾䝎䝮䠅䛾Ỵቯ㻌䠉㻞㻠䠄⟠ᡤ䠅䛾ᆅᇦ䛾ୖỈ㐨䛜ởᰁ䛥㻝㻜㻜㻘㻜㻜㻜㼙 㻟䛾䝅䜰䞁 䜜䚸㻞㻘㻡㻜㻜㻘㻜㻜㻜ྡ䛻ᙳ㡪䜢ཬ䜌䛧䛯㻌䠗䝉䝧䝋䊡ᣦ௧䛾㐺ᛂ䛜㻞㻜㻜㻜ᖺ㻝᭶㻟㻜᪥ ໬≀䜢ྵ䜐ᑿ㖔䠄䝅 ኱㔞䛾㨶䛜Ṛ䜣䛰㻌䠗ᣑ኱䛥䜜䛯䜰䞁໬≀䛸㖡䜢ྵ䜐 Ỉ⏕ື≀䛜ቯ⁛≧ែ㻌䠗㔜㔠ᒓ䠅䛜䝗䝘䜴ᕝ ᭱኱㻞㻜㻜㼗㼙䛾ὶᇦ䛜ởᰁ䛥䜜䛯䛸㯮ᾏ䛾ᨭὶἙᕝ䛻ὶฟ䛧䛯㻟㻜ྡ䛜Ṛஸ㻌䠗㻞㻘㻞㻠㻞ྡ䛜㈇യ䠄䛖䛱㻞㻜ྡ䛜㔜⑕䠅⇿Ⓨ䛸ⅆ⅏㻌䠉
㻡㻘㻜㻣㻥ྡ䛜䝇䝖䝺䝇䛻䜘䜛἞⒪䜢ཷ◪㓟䜰䞁䝰䝙䜴䝮䛻䛴㻟㻜㻜䡚㻠㻜㻜䝖䞁䛾㻔ప 䛡䛯㻌䠗㻞㻜㻜㻝ᖺ㻥᭶㻞㻝᪥䛔䛶䝉䝧䝋ᣦ௧䊡䛾㐺⣭㻕⣧ᗘ䛾ప䛔◪㓟 㻞㻡㻘㻜㻜㻜䛾ᐙᒇ䛜⿕ᐖ䜢ཷ䛡䛯㻌䠗ᛂ䛜ኚ᭦䛥䜜䛯
䜰䞁䝰䝙䜴䝮
㻡䛴䛾Ꮫᰯ䛜◚ቯ䛥䜜䛯㻌䠗㻝㻘㻜㻜㻜䛾ᕤሙ䛜⿕ᐖ䜢ཷ䛡䛯᭷ẘ໬Ꮫ≀㉁䛜ᕝ䛻ὶฟ䛧䛯䝔䞊䝸䞁䜾䝎䝮䠖㑅㖔䛻䜘䜛᭷⏝㖔≀ᅇ཰䛾ṧ䜚⁦䛷䛒䜛䝔䞊䝸䞁䜾䠄ᑿ㖔䚸ᗫ⁦䠅䝔䞊䝸䞁䜾䜢㈓䜑䜛䛯䜑䛾䝎䝮䚹㢮ఝ஦ᨾ౛䛾䝸䝇䝖㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼚㼕㼔㼟㻚㼓㼛㻚㼖㼜㻛㼔㼟㼑㻛㼏㻙㼔㼍㼦㼍㼞㼐㻛㼖㼕㼞㼑㼕㻛㼖㼕㼞㼑㼕㻚㼜㼐㼒

−69−

㼇㻢䠈㻣㼉

㼇㻡㻙㻣㼉

−70−

⾲䠏䚷໬Ꮫ≀㉁䛾䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ᇶ‽䛸䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅྾ධẘᛶ㻭㻱㻳㻸㻙㻟㻌䜎䛯䛿㻌㻼㻭㻯㻙㻟㻌㻟㻔㼙㼓㻛㼙 㻕
䍺㻝

ྍ⇞ᛶ

཯ᛂᛶ

ẘᛶ

䠪䠢䠬䠝

㻖
䠪䠢䠬䠝䚷ྍ⇞ᛶᇶ‽䝇䝁䜰㻌㻠ྍ⇞ᛶ䜺䝇䜎䛯䛿ᴟప≀㉁ᘬⅆⅬ䛜㻞㻞㻚㻤䉝ᮍ‶䛛䛴ἛⅬ䛜㻟㻣䠄㻟㻣㻚㻤䛷䛿䠛䠅䉝ᮍ‶䛾ᾮయ

䠪䠢䠬䠝
㻖
䝇䝁䜰
䝇䝁䜰㻌 䠪䠢䠬䠝䚷཯ᛂᛶᇶ‽㻞㻡㻜䉝䛾▐᫬ฟຊᐦᗘ䠄㻵㻼㻰䠅㻠㻠䛜㻝㻜㻜㻜䠳㻛㼙㻸䜎䛯䛿䛭䜜௨ୖ䛾≀㉁㻌 䠗㻌 ᖖ ᖖᅽ䛷ᒁᡤ䛾⇕⾪ᧁ䞉≀⌮⾪ᧁ䛻䜘䜚཯ᛂ䛩䜛✵Ẽ䛻ゐ䜜䜛䛸⮬↛Ⓨⅆ䛩䜛≀㉁䠚㻝䠈䍺㻝㻜

㻟䠚㻝㻜䠈䍺㻝㻜㻜

㻞䠚㻝㻜㻜䠈䍺㻝㻜㻜㻜

㻝

䠚㻝㻜㻜㻜

㻜

ᘬⅆⅬ䛜㻞㻞㻚㻤䉝ᮍ‶䛛䛴ἛⅬ䛜㻟㻣㻚㻤䉝௨ୖ䛾ᾮయ㻌䠗㻌䜎䛯䛿ᘬⅆⅬ䛜㻞㻞㻚㻤䉝௨ୖ䛛䛴ἛⅬ䛜㻟㻣㻚㻤䉝ᮍ‶䛾ᾮయᘬⅆⅬ㻟㻣㻚㻤䉝௨ୖ䛷㻥㻟㻚㻠䉝ᮍ‶䛾ᾮయᘬⅆⅬ䛜㻥㻟㻚㻠䉝௨ୖ䛾ᾮయ䚸ᅛయ䚸༙ᅛయ䠪䠢䠬䠝䛷䠌䛻๭䜚ᙜ䛶䜙䜜䛶䛔䜛ሙྜ䠆ᇶ‽䛾᏶඲䛺䝸䝇䝖䛻㛵䛧䛶䛿㻺㻲㻼㻭㻌㻣㻜㻠䚷䜢ཧ↷㻌㼇㻟㻜㼉
䚷

−71−

㻟

㻞
㻝
㻜

㻞㻡㻜䉝䛾㻵㻼㻰䛜㻝㻜㻜㼃㻛㼙㻸௨ୖ䛷㻝㻜㻜㻜㼃㻛㼙㻸ᮍ‶㻌䠗㻌㧗 䞉㧗ᅽୗ䛷⇕⾪ᧁ䞉≀⌮⾪ᧁ䛻䜘䜚཯ᛂ䛩䜛㻟㻞㻡㻜䉝䛾㻵㻼㻰䛜㻝㻜㼃㻛㼙௨ୖ䛷㻝㻜㻜㼃㻛㼙㻸ᮍ‶㻞㻡㻜䉝䛾㻵㻼㻰䛜㻜㻚㻜㻝㼃㻛㼙௨ୖ䛷㻝㻜㼃㻛㼙㻸ᮍ‶㻞㻞㻡㻜䉝䛾㻵㻼㻰䛜㻜㻚㻜㻝㼃㻛㼙㻸ᮍ‶㻜㻝⾲䠐䚷䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅䝝䝄䞊䝗䛾㔜኱ᛶ䛾ẁ㝵ᴟᗘ㻱㼤㼠㼞㼑㼙㼑

῝้
㻹㼍㼖㼛㼞

㢧ⴭ
㻿㼕㼓㼚㼕㼒㼕㼏㼍㼚㼠୰⛬ᗘ㻹㼛㼐㼑㼞㼍㼠㼑

㍍ᗘ
㻹㼕㼚㼛㼞䝝䝄䞊䝗䛾㔜኱ᛶ䛾Ⅼᩘ

㻠

㻟

㻞

㻝

㻜

䠄྾ධẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䛾㻟䛴䛾䝝䝄䞊䝗ศ㢮䛾䛖䛱୍␒㧗䛔Ⅼᩘ䜢䛸䜛䠅⾲䠑䚷⵨Ẽᅽ䛾䝇䝁䜰䝸䞁䜾䠄Ⅼᩘ໬䠅⵨Ẽᅽ䠄㼗㻼㼍䚷㻞㻜䉝䠅⵨Ẽᅽ䠄㼙㼙㻴㼓䚷㻞㻜䉝䠅Ẽయ䞉ᅽ⦰ᾮయ
ᾮయ䠈⵨Ẽᅽ䍻㻡㻜ᾮయ䠈⵨Ẽᅽ䍻㻝㻜䠈䠘㻡㻜ᾮయ㻛ᅛయ䠈⵨Ẽᅽ䍻㻝䠈䠘㻝㻜ᾮయ㻛ᅛయ䠈⵨Ẽᅽ䍻㻜㻚㻝䠈䠘㻝ᾮయ㻛ᅛయ䠈⵨Ẽᅽ䠘㻜㻚㻝Ẽయ䞉ᅽ⦰ᾮయ
ᾮయ䠈⵨Ẽᅽ䍻㻟㻣㻢ᾮయ䠈⵨Ẽᅽ䍻㻣㻡㻚㻞䠈䠘㻟㻣㻢ᾮయ䠈⵨Ẽᅽ䍻㻣㻚㻡㻞䠈䠘㻣㻡㻚㻞ᾮయ㻛ᅛయ䠈⵨Ẽᅽ䍻㻜㻚㻣㻡㻞䠈䠘㻣㻚㻡㻞ᾮయ㻛ᅛయ䠈⵨Ẽᅽ䠘㻜㻚㻣㻡㻞−72−

䝇䝁䜰䠄Ⅼᩘ䠅
㻢
㻡
㻠
㻟
㻞
㻝

⾲䠒䚷໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䛾ุᐃᇶ‽䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅ධᡭ䛧䜔䛩䛥䛾
䝇䝁䜰㻔Ⅼᩘ䠅ධᡭ䛧䜔䛩䛧䛥䛾ᇶ‽㧗⏕⏘㔞໬Ꮫ≀㉁䚸㉎ධつไ䛜ᑡ䛺䛔䚸ᗈ⠊ᅖ䛻䜟䛯䛳䛶౑⏝䛥䜜㍺㏦䛥䜜䛶䛔䜛䚸㻴㻼㼂䠅᭱ప㝈䛾㆙ഛ䠄㻴
ᕷ㈍䛥䜜䛶䛔䜛䚸㉎ධつไ䛜↓䛔䠄䜎䛯䛿ᑡ䛺䛔䠅䚸ᗈ⠊ᅖ䛻䜟䛯䛳䛶౑⏝䛥䜜䛶䛔㻯㻭㻺䠅䜛䚸᭱ప㝈䛾㆙ഛ䠄㻯ᕷ㈍䛥䜜䛶䛔䜛䚸㉎ධつไ䛜ከ䛔䚸㝈ᐃⓗ䛺౑⏝䚸ཝ㔜䛺㆙ഛ䠄㻯㻯㻭㻾䠅
ᕷ㈍䛥䜜䛶䛔䛺䛔䚸໬Ꮫྜᡂ䛜ᐜ᫆䚸๓㥑≀㉁䛜ᚓ䜙䜜䜛䚸ᶆ‽ⓗ䛺タഛ䛷ྜᡂྍ⬟㻯㻿䠅䠄㻯
ᕷ㈍䛥䜜䛶䛔䛺䛔䚸໬Ꮫྜᡂ䛜㞴䛧䛔䠄」㞧䛺ከᕤ⛬䛜ᚲせ䠅䚸ྜᡂ䛻≉Ṧ䛺タഛ䛜
㻯㻿㻰䠅
ᚲせ䠄㻯

㻡
㻠
㻟
㻞
㻝

⾲䠓䚷᭚㟢䛾⵹↛ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅᭚㟢䛾⵹↛ᛶ䛾ẁ㝵㢖Ⓨ㻲㼞㼑㼝㼡㼑㼚㼠

䛧䜀䛧䜀Ⓨ⏕ ᫬䚻Ⓨ⏕㻻㼏㼏㼍㼟㼕㼛㼚㼍㼘㻸㼕㼗㼑㼘㼥

䜑䛳䛯䛻䛺䛔 ㉳䛣䜚䛭䛖䛻䛺䛔㻿㼑㼘㼐㼛㼙
㼁㼚㼘㼕㼗㼑㼘㼥

᭚㟢䛾⵹↛ᛶ䛾Ⅼᩘ

㻟㻜㻙㻞㻡

㻞㻠㻙㻝㻥

㻝㻞㻙㻣

−73−

㻝㻤㻙㻝㻟

㻢㻙㻝

⾲䠔䚷໬Ꮫ⅏ᐖ⟶⌮䝃䜲䜽䝹䛾୰䛷䛾බ⾗⾨⏕䝁䝭䝳䝙䝔䜱䛾ᙺ๭㜵Ṇ໬Ꮫⓗ䝝䝄䞊䝗䛾ྠᐃ⥭ᛴ᫬䛾ᑐᛂィ⏬䛸‽ഛ஦ᨾ䛾᳨▱䛸㆙࿌

ᑐᛂ

᚟ᪧ

䛾ጞື

ᅇ᚟ᮇ䜢㏻䛨䛶䚸⿕⅏⪅䜢἞⒪䛧ᨭ᥼䛩䜛䛯䜑䚸䝯䞁䝍䝹䜿䜰䜒ྵ䜑䛯೺ᗣ⟶⌮䝃䞊䝡䝇䛾⤌⧊໬ຠᯝⓗ䛺⥭ᛴ᫬ᑐᛂ䜲䞁䝣䝷໬Ꮫ≀㉁䛾᳨▱䞉㆙ሗ䝅䝇䝔஦ᨾ䝬䝛䞊䝆䝯䞁䝖䝅䝇䝔䝮䛻䛾タィ䚸タ⨨䚸ಖ඲䜈䛾㈉⊩䝮䛾ᑟධ䛾ᨭ᥼

䛚䛡䜛බ⾗⾨⏕䛻㛵䛩䜛ഃ㠃䝸䝇䜽ホ౯䛾ᐇ᪋໬Ꮫ≀㉁⥭ᛴィ⏬䛾⤫ྜ䜢㐍 ⾲㠃໬䛧䛻䛟䛔໬Ꮫ⅏ᐖ䜢Ⓨ䜑䜛䛣䛸䜈䛾㈉⊩ぢ䞉ሗ࿌䛩䜛᪉ἲ䛾☜❧஦ᨾ䛾ไᚚ䜸䝥䝅䝵䞁䛾㎿㏿䛺ホ౯䛾ᐇ᪋

䝸䝇䜽䛸೺ᗣ㠃䛾㌿ᖐ䛾ホ౯䛾ᐇ᪋඲䛶䛾₯ᅾⓗ䛺ᨺฟ䝅䝘䝸䜸䛾೺ᗣ⿕ᐖ䛾Ỵᐃබ⾗⾨⏕䛻䛚䛡䜛໬Ꮫ⅏ᐖᑐᛂィ⏬䛾᥎㐍

໬Ꮫ⅏ᐖㄆ㆑䝖䝺䞊䝙䞁䜾䛾㛤Ⓨ೺ᗣ⟶⌮䝃䞊䝡䝇䜈䛾ຓゝ䜔ὀពႏ㉳᚟ᪧάື䜔ಟ᚟άື䛾ᐇ⾜୍⯡ᕷẸ䜈䛾໬Ꮫⓗ䝝䝄䞊䝗䛻㛵䛩䜛䝕䞊䝍䛾㐃⤡㛵㐃䝕䞊䝍䝧䞊䝇䛾㛤Ⓨᨭ᥼໬Ꮫ≀㉁᭚㟢䛻ᑐ䛩䜛デ᩿ᢏ⾡䛾㛤Ⓨබ⾗⾨⏕ⓗ䛺ᑐᛂ䛾ㄪᩚ䛸⤫ྜ䛾☜ಖ␿Ꮫ䝕䞊䝍䛾཰㞟䛸⵳✚ᅵᆅ฼⏝ィ⏬䛾つไᨭ᥼໬Ꮫ䝝䝄䞊䝗䜔ᑐ⟇䛻㛵䛩䜛᝟ሗ䛾‽ഛ䚸ᕷẸ䜈䛾᝟ሗ䛾㐃⤡஦ᨾሗ࿌䛾䛯䜑䛾㟁ヰ䜔䜲䞁䝍䞊䝛䝑䝖᥋⥆䛾‽ഛ▷ᮇⓗ䚸㛗ᮇⓗ䛺άື䛻䛚䛔䛶ఱ䛜᭱ၿ䛛䜢ᰝᐃ䛩䜛⥭ᛴᑐᛂ䛾ホ౯໬Ꮫ≀㉁䛾㈓ⶶ㔞䛾๐ῶ䛾ᨭ᥼᪤Ꮡ䛾་⒪ⓗᑐ⟇䛾୍ぴ䛾⥔ᣢ᭦᪂ఫẸ䛾೺ᗣ䛸⎔ቃ䜢ㄪᰝ䛩䜛䝅䝇䝔䝮䛾㛤Ⓨᑐᛂ⪅䜔ᕷẸ䚸䝯䝕䜱䜰䛻ᑐ䛩䜛᝟ሗ䜔ຓゝ䛾Ⓨಙ୍ぴ䛾సᡂ䛸ᚓ䛯ᩍカ䛾Ⓨಙ〇ရ䛾⨨䛝᥮䛘ᨭ᥼་⒪ᑐ⟇䛾ᨵၿ䛾᥎㐍⅏ᐖ㆙ሗ䝅䝇䝔䝮䛾㛤Ⓨ඲䛶䛾᭚㟢䛧䛯ே㻔⿕⅏⪅䠅䛾
Ⓩ㘓䛸᭚㟢㔞䜢᥎ᐃ䛩䜛䛯䜑䛾䝃䞁䝥䝹཰㞟䝥䝷䞁䝖䜔ᶵჾ䛾タィᨵၿ䛾ᨭ᥼䝖䝺䞊䝙䞁䜾䝥䝻䜾䝷䝮䛾㛤Ⓨ໬Ꮫ≀㉁䛾㍺㏦䜔㈓ⶶ᪋タ䛾Ᏻ඲ᛶᙉ໬䛾ᨭ᥼໬Ꮫ⅏ᐖカ⦎䛾ィ⏬䛸カ⦎ཧຍ␿Ꮫㄪᰝ䛾ᐇ᪋

ἲ䛾᪋⾜䜔▱㆑䠄ᩍ⫱䞉ၨⓎ䠅
䛾ᨭ᥼

−74−

−75−

ᅗ䠍䚷䝸䝇䜽䝬䝖䝸䜽䝇᭚㟢䛾⵹↛ᛶ㻔㻼㻱䠅䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䠄㻿㻴㻕

㢖Ⓨ㻲㼞㼑㼝㼡㼑㼚㼠
㻌㻔㻟㻜㻙㻞㻡㻕

䛧䜀䛧䜀Ⓨ⏕
㻸㼕㼗㼑㼘㼥
䠄㻞㻠㻙㻝㻥䠅

᫬䚻Ⓨ⏕㻻㼏㼏㼍㼟㼕㼛㼚㼍㼘䠄㻝㻤㻙㻝㻟䠅

䜑䛳䛯䛻䛺䛔
㻿㼑㼘㼐㼛㼙
䠄㻝㻞㻙㻣䠅

㉳䛣䜚䛭䛖䛻䛺䛔
㼁㼚㼘㼕㼗㼑㼘㼥
䠄㻢㻙㻝䠅䚷ᴟᗘ㻌㻱㼤㼠㼞㼑㼙㼑㻌㻔㻠㻕䚷

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

㧗䛔

୰

῝้㻌㻹㼍㼖㼛㼞㻌㻔㻟㻕

ᴟ䜑䛶㧗䛔

㧗䛔

㧗䛔

୰

ప䛔

㢧ⴭ㻌㻿㼕㼓㼚㼕㼒㼕㼏㼍㼚㼠㻌㻔㻞㻕䚷㻌

ᴟ䜑䛶㧗䛔

㧗䛔

୰

ప䛔

ᴟ䜑䛶ప䛔

୰⛬ᗘ㻌㻹㼛㼐㼑㼞㼍㼠㼑㻌㻔㻝㻕

㧗䛔

୰

ప䛔

ప䛔

ᴟ䜑䛶ప䛔

㍍ᗘ㻌㻹㼕㼚㼛㼞㻌㻔㻜㻕

୰

ప䛔

ᴟ䜑䛶ప䛔

ᴟ䜑䛶ప䛔

ᴟ䜑䛶ప䛔

㻲㼕㼓㼡㼞㼑㻌㻝㻌㻾㼕㼟㼗㻌㼙㼍㼠㼞㼕㼤㻚

−76−

−77−

㻝

㻝

㻟㻢㻜

㻟㻤㻜

㻡㻚㻝

㻣㻝

㻥㻠㻜㻜

㻣㻢㻥

䝩䝇䝣䜱䞁

◲໬Ỉ⣲

䝯䝍䝜䞊䝹

䜰䞁䝰䝙䜰

㻝

㻟

㻠

㻠

㻠

㻠

㻠

㻠

㻜

㻜

㻞

㻜

㻜

㻝

㻝

㻝

㻝

㻜

㻟

㻜

㻜

㻜

㻜

㻞

㻜

㻟

㻞

㻜

㻟

㻟㻌㻻㼤

㻟

㻠

㻜

㻜

㻜

㻝

㻞㻌㼃

㻜㻌㻻㼤

ྍ⇞ᛶ ཯ᛂᛶ

䠪䠢䠬䠝
䝇䝁䜰

㼀

㻲

ྍ⇞ᛶ䠄㻲㻕

཯ᛂᛶ䠄㻾㻕

ẘᛶ䠄㼀㻕

㻝

㻟

㻠

㻠

㻠

㻠

㻠

㻠

㻟

㻟

㻟

㻠

㻝

㻞

㻟

㻟

㻟

㻠

㻠

㻟

㻠

㻞

㍍ᗘ

῝้

ᴟᗘ

ᴟᗘ

ᴟᗘ

ᴟᗘ

ᴟᗘ

ᴟᗘ

῝้

῝้

῝้

ᴟᗘ

㍍ᗘ

㢧ⴭ

῝้

῝้

῝้

ᴟᗘ

ᴟᗘ

῝้

ᴟᗘ

㢧ⴭ

Ẽయ

ᾮయ

Ẽయ

Ẽయ

Ẽయ

Ẽయ

ᾮయ

Ẽయ

ᅛయ

ᅛయ

ᾮయ

Ẽయ

ᅛయ

ᅛయ

ᾮయ

ᾮయ

ᅛయ

ᾮయ

ᾮయ

Ẽయ

ᾮయ

Ẽయ

㻝㻞㻚㻟

㻤㻞㻚㻢

㻜㻚㻜㻞㻣

㻜㻚㻜㻜㻥㻢

㻜㻚㻜㻜㻜㻜㻜㻡

㻜㻚㻜㻜㻜㻜㻜㻞

㻜㻚㻜㻜㻜㻜㻥

㻜㻚㻞㻣

㻡㻠

㻢

㻠

㻢

㻢

㻢

㻢

㻡

㻢

㻝

㻝

㻝

㻢

㻝

㻝

㻝

㻝

㻝

㻝

㻞

㻢

㻡

㻢

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻯㻭㻺

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻯㻭㻺

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻯㻿

㻴㻼㼂

㻴㻼㼂

㻯㻿㻰

㻯㻿㻰

㻴㻼㼂

㻴㻼㼂

㻴㻼㼂

㻡

㻡

㻡

㻠

㻡

㻡

㻡

㻡

㻠

㻡

㻡

㻡

㻡

㻡

㻞

㻡

㻡

㻝

㻝

㻡

㻡

㻡

㻟㻜 㢖Ⓨ

㻞㻜 䛧䜀䛧䜀Ⓨ⏕㻟㻜 㢖Ⓨ㻞㻠 䛧䜀䛧䜀Ⓨ⏕

㻟㻜 㢖Ⓨ

㻟㻜 㢖Ⓨ

㻞㻡 㢖Ⓨ

㻟㻜 㢖Ⓨ

㻠 ㉳䛣䜚䛭䛖䛻䛺䛔㻡 ㉳䛣䜚䛭䛖䛻䛺䛔㻡 ㉳䛣䜚䛭䛖䛻䛺䛔㻟㻜 㢖Ⓨ㻡 ㉳䛣䜚䛭䛖䛻䛺䛔

㧗䛔

㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ప䛔

ప䛔

ప䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶ప䛔

ᴟ䜑䛶ప䛔

ప䛔

㻡 ㉳䛣䜚䛭䛖䛻䛺䛔ప䛔㻞 ㉳䛣䜚䛭䛖䛻䛺䛔

ప䛔

୰

୰

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

ᴟ䜑䛶㧗䛔

䝸䝇䜽㻗

㻡 ㉳䛣䜚䛭䛖䛻䛺䛔㻡 ㉳䛣䜚䛭䛖䛻䛺䛔㻝 ㉳䛣䜚䛭䛖䛻䛺䛔㻞 ㉳䛣䜚䛭䛖䛻䛺䛔

㻟㻜 㢖Ⓨ

㻞㻡 㢖Ⓨ

㻟㻜 㢖Ⓨ

᭚㟢䛾
฼⏝䛧
㻿㻴
㻿㻴
୺䛯䜛
⵹↛ᛶ ᭚㟢䛾⵹↛ᛶ⵨Ẽᅽ䝝䝄䞊䝗 䠄䝝䝄䞊䝗 䠄䝝䝄䞊䝗 ≀⌮ⓗᙧ 䠄㼗㻼㼍䚸 ⵨Ẽᅽ ฼⏝䛧 䜔䛩䛥 䠄☜⋡䠅 䠄☜⋡䠅䛾ẁ㻖㻖䜔䛩䛥 䛾䝇䝁 䛾䝇䝁䠄᭱኱್䜢䛸 䛾㔜኱ᛶ㻕 䛾㔜኱ᛶ㻕 ≧䠄㻞㻜䉝䠅㻏㻏㻞㻜䉝䠅 䝇䝁䜰
㝵㻖㻖㻖䜛䝝䝄䞊䝗䠅 䝇䝁䜰
ẁ㝵㻏㻏
䜰䠺
䠺䠺
䜰

㧗䛔
䝨䞁䝍䜹䝹䝪䝙䝹㕲
㻝㻚㻠
㻟
㻟
㻝
㼀
㻲
㻟
῝้
ᾮయ
㻠㻚㻣㻔㻞㻡䉝㻕㻟㻴㻼㼂㻡㻝㻡 ᫬䚻Ⓨ⏕䝖䝸䜽䝻䝻䝙䝖䝻䝯䝍䞁
୰
㻥㻚㻠
㻟
㻜
㻟
㼀
㻾
㻟
῝้
ᾮయ
㻞㻚㻣
㻟
㻯㻭㻺
㻠
㻝㻞 䜑䛳䛯䛻䛺䛔䠄䜽䝻䝻䝢䜽䝸䞁䠅䝝䝄䞊䝗䛾㔜኱ᛶ䛿ᘧ㻞䛸⾲㻟䚸⾲㻠䛛䜙ุᐃ䛩䜛䠗㻌᭚㟢䛾⵹↛ᛶ䛿ᘧ㻟䛸⾲㻡䚸⾲㻢䚸⾲㻣䛛䜙ุᐃ䛩䜛䠗䝸䝇䜽䛿ᅗ㻝䛛䜙ุᐃ䛩䜛䠗㻌㻖㻼㻭㻯㻙㻟್䠗㻌㻖㻖グ㍕䛜䛺䛔㝈䜚㻞㻜䉝䛷䛾್䠗㻌㼃䠙Ỉ䠗㻌㻻㼤䠙㓟໬๣䠗㻴㻼㼂㻩㧗⏕⏘㔞䠗㻯㻭㻺㻩ᕷ㈍䛥䜜䛶䛔䜛䚸㉎ධつไ䛜䛺䛔䠗㻯㻿㻩໬Ꮫྜᡂ䛜ᐜ᫆䠗㻯㻿㻰㻩໬Ꮫྜᡂ䛜㞴䛧䛔䠗㻌㻏⾲㻟䜢ཧ↷䠗㻌㻏㻏ᘧ㻞䜘䜚䠗㻌㻏㻏㻏⾲㻠ཧ↷ 㼊⾲㻡ཧ↷ 㼊㼊⾲㻢ཧ↷ 㼊㼊㼊ᘧ䠏䜘䜚 㼊㼊㼊㼊⾲㻣ཧ↷ 㻗ᅗ䠍ཧ↷ ᩳయ ໬Ꮫ๣↷䠗㻌㼊⾲㻡ཧ↷䠗㼊㼊⾲㻢ཧ↷䠗㻌㼊㼊㼊ᘧ䠏䜘䜚䠗㼊㼊㼊㼊⾲㻣ཧ↷䠗㻗ᅗ䠍ཧ↷䠗ᩳయ䠙໬Ꮫ๣

㻝

㻜

㻞

㻟

㻜

㻞

䝯䝍䞁

㻝㻣

㻞

㻖

䝅䜰䞁໬Ỉ⣲
䜶䝏䝺䞁䜸䜻䝅䝗
䠄㓟໬䜶䝏䝺䞁䠅
୍㓟໬Ⅳ⣲

㻝

㻠㻠㻜㻖

㻟㻞
㻝㻝㻜㻜㻜

㻞

㻢㻞㻚㻠㻖

䜰䝆໬䝘䝖䝸䜴䝮

䝣䝑⣲⣲䝔䝖䝷䜶䝏䝹㖄
䠄ᅄ䜶䝏䝹㖄䠅
◪㓟䜰䞁䝰䝙䜴䝮

㻞

㻝

㻣㻤㻜
㻞㻜

㻖

Ⅳ㓟䝘䝖䝸䜴䝮

㻞㻠㻜䝅䜰䞁໬䜹䝸䜴䝮

㻟

㻟

㻞㻚㻝

㻞

䝟䝷䝏䜸䞁

㻟

◲㯤䝬䝇䝍䞊䝗

㻤㻚㻝

㻠

㻜㻚㻜㻝

䝯䝍䝭䝗䝩䝇

㻠

㻜㻚㻝㻟

䝃䝸䞁
㼂㼄

㻟

㻟㻚㻝

㻠

㻞

䝩䝇䝀䞁

㻡㻤

Ⅼᩘ

㻜㻚㻠㻣

್

䜲䝋䝅䜰䞁㓟䝯䝏䝹

ሷ⣲

໬Ꮫ≀㉁

྾ධẘᛶ
㻭㻱㻳㻸㻙㻟㻌䜎䛯䛿㻼㻭㻯㻙㻟㻔㼙㼓㻛㼙㻟㻕㻏
㻢㻜ศ㛫䛾᭚㟢ᅗ䠎㻌໬Ꮫ≀㉁䛜኱Ẽ୰䜈ᨺฟ䛥䜜䛯ሙྜ䛾䝸䝇䜽ุᐃ䛾౛

−78−

Guide to using the CEWG chemical risk screening tool㻯㻱㼃㻳 ໬Ꮫ≀㉁䛾䝸䝇䜽䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛾౑⏝䜹䜲䝗㻌The tool is used to determine the risk from chemicals that could be released,
accidentally or deliberately, to present an inhalation hazard. The tool has beendeveloped for generic risk assessment and considers all chemical hazards (flammability,
toxicity, reactivity).
䛣䛾䝒䞊䝹䛿䚸྾ධ䛻䜘䜛䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䜢᫂䜙䛛䛻䛩䜛䛯䜑䛻䚸അⓎⓗ䜎䛯䛿ពᅗⓗ䛻ᨺฟ䛥䜜䜛ྍ⬟ᛶ䛾䛒䜛໬Ꮫ≀㉁䛾䝸䝇䜽ุᐃ䛻⏝䛔䜙䜜䜛䚹䛣䛾䝒䞊䝹䛿ỗ⏝ᛶ䛾䛒䜛䝸䝇䜽䜰䝉䝇䝯䞁䝖䛾䛯䜑䛻㛤Ⓨ䛥䜜䚸඲䛶䛾໬Ꮫⓗ䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠖ྍ⇞ᛶ䚸ẘᛶ䚸཯ᛂᛶ䠅䜢⪃៖䛧䛶䛔䜛䚹㻌

The example, given in Table 6, is generic, not site specific. It contains chemicals fromthe EU: List of Chemicals and Thresholds Seveso II Directive [1], the United States:
List of Chemicals and Thresholds Risk Management Plan (RMP) Program (Sec. 68.130)[2] and the US Department of Homeland Security list [3].
⾲ 㻢 䛷♧䛧䛯䠄໬Ꮫ≀㉁䛾䠅౛䛿䚸ሙᡤ䛻≉໬䛧䛯䜒䛾䛷䛿䛺䛟䚸ỗ⏝ᛶ䛾㧗䛔䜒䛾䛷䛒䜛䚹㻱㼁 䛾䝉䝧䝋ᣦ௧䊡䛷ᐃ䜑䜙䜜䛯໬Ꮫ≀㉁䛸㜈್䛾䝸䝇䝖㼇㻝㼉䚸䜰䝯䝸䜹䛾䝸䝇䜽⟶⌮ィ⏬䠄㻾㻹㻼䠅䝥䝻䜾䝷䝮䠄㻿㼑㼏㻚㻢㻤㻚㻝㻟㻜䠅䛷ᐃ䜑䜙䜜䛯໬Ꮫ≀㉁䛸㜈್䛾䝸䝇䝖㼇㻞㼉䚸⡿ᅜᅜᅵᏳ඲ಖ㞀┬䛾䝸䝇䝖㼇㻟㼉䛻ᣲ䛢䜙䜜䛯໬Ꮫ≀㉁䜢ྵ䜣䛷䛔䜛䚹㻌The principal data sources required to use the tool are:䛣䛾䝒䞊䝹䜢౑䛖䛯䜑䛻ᚲせ䛺䚸୺䛺䝕䞊䝍䝋䞊䝇䠄᝟ሗ※䠅䛿௨ୗ䛾䛸䛚䜚䛷䛒䜛䚹㻌䞉㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻿㼍㼒㼑㼠㼥㻌㻯㼍㼞㼐㼟㻌㻔㻵㻯㻿㻯㻕㻌㼇㻠㼉㻌࣭ᅜ㝿໬Ꮫ≀㉁Ᏻ඲ᛶ࣮࢝ࢻ㸦ICSC㸧[4]䞉㻌㻴㼍㼦㼍㼞㼐㼛㼡㼟㻌㻿㼡㼎㼟㼠㼍㼚㼏㼑㼟㻌㻰㼍㼠㼍㻌㻮㼍㼚㼗㻌㻔㻴㻿㻰㻮㻕㻌㼇㻡㼉㻌࣭༴㝤≀㉁ࢹ࣮ࢱࣂࣥࢡ㸦HSDB㸧[5]䞉㻌㻯㼍㼙㼑㼛㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼇㻢㼉㻌
࣭CAMEO Chemicals ࢹ࣮ࢱ࣮࣋ࢫ[6]䞉㻌㻭㼏㼡㼠㼑㻌㻱㼤㼜㼛㼟㼡㼞㼑㻌㻳㼡㼕㼐㼑㼘㼕㼚㼑㻌㻸㼑㼢㼑㼘㼟㻌㻔㻭㻱㻳㻸㼟㻕㻌㼇㻣㼉㻌࣭ᛴᛶᭀ㟢࢞࢖ࢻࣛ࢖ࣥࣞ࣋ࣝ㸦AEGLs) [7]䞉㻌㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㻭㼏㼠㼕㼛㼚㻌㻯㼞㼕㼠㼑㼞㼕㼍㻌㻔㻼㻭㻯㻕㻌㼇㻤㼉㻌࣭ಖㆤ⾜ືᇶ‽㸦PAC㸧[8]䞉㻌㻻㻱㻯㻰㻌㻞㻜㻜㻣㻌㻸㼕㼟㼠㻌㼛㼒㻌㻴㼕㼓㼔㻌㻼㼞㼛㼐㼡㼏㼠㼕㼛㼚㻌㼂㼛㼘㼡㼙㼑㻌㻔㻴㻼㼂㻕㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼇㻥㼉㻌࣭⤒῭༠ຊ㛤Ⓨᶵᵓ㸦OECD㸧 2007 ᖺ㧗⏕⏘㔞㸦HPV㸧໬Ꮫ≀㉁୍ぴ[9]䞉㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㼃㼑㼍㼜㼛㼚㼟㻌㻯㼛㼚㼢㼑㼚㼠㼕㼛㼚㻌㻿㼏㼔㼑㼐㼡㼘㼑㼟㻌㼇㻝㻜㼉㻌࣭໬Ꮫරჾ⚗Ṇ᮲⣙ࢫࢣࢪ࣮ࣗࣝ[10]䞉㻌㻺㻵㻻㻿㻴㻌㻼㼛㼏㼗㼑㼠㻌㻳㼡㼕㼐㼑㻌㼠㼛㻌㻴㼍㼦㼍㼞㼐㼛㼡㼟㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㻔㻼㻳㻴㻯㻕㻌㼇㻝㻝㼉㻌࣭⡿ᅜᅜ❧ປാᏳ඲⾨⏕◊✲ᡤ(NIOSH) ༴㝤໬Ꮫ≀㉁࣏ࢣࢵࢺ࢞࢖ࢻ(PGHC) [11]䞉㻌㻞㻜㻜㻤㻌㻱㼙㼑㼞㼓㼑㼚㼏㼥㻌㻾㼑㼟㼜㼛㼚㼟㼑㻌㻳㼡㼕㼐㼑㼎㼛㼛㼗㻌㼇㻝㻞㼉㻌−79−

࣭2008 ᖺ⥭ᛴᑐᛂ࢞࢖ࢻࣈࢵࢡ[12]䞉㻌㼃㻵㻿㻱㻾㻌㼇㻝㻟㼉㻌࣭࣡࢖ࢨ࣮[13]䞉㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㼁㼚㼕㼒㼛㼞㼙㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌㻰㼍㼠㼍㼎㼍㼟㼑㻌㻔㻵㼁㻯㻸㻵㻰㻕㻌㼇㻝㻠㼉㻌࣭ᅜ㝿⤫୍໬Ꮫ᝟ሗࢹ࣮ࢱ࣮࣋ࢫ(IUCLID) [14]䞉㻌㻺㻵㻻㻿㻴㻌㻱㼙㼑㼞㼓㼑㼚㼏㼥㻌㻾㼑㼟㼜㼛㼚㼟㼑㻌㻿㼍㼒㼑㼠㼥㻌㼍㼚㼐㻌㻴㼑㼍㼘㼠㼔㻌㻰㼍㼠㼍㼎㼍㼟㼑㻌㻔㻱㻾㻿㻴㻰㻕㻌㼇㻝㻡㼉㻌࣭⡿ᅜᅜ❧ປാᏳ඲⾨⏕◊✲ᡤ(NIOSH) ⥭ᛴᑐᛂ Ᏻ඲࣭ಖ೺ࢹ࣮ࢱ࣮࣋ࢫ(ERSHD)[15]䞉㻌㻾㼛㼥㼍㼘㻌㻿㼛㼏㼕㼑㼠㼥㻌㼛㼒㻌㻯㼔㼑㼙㼕㼟㼠㼞㼥㻌㻯㼔㼑㼙㼟㼜㼕㼐㼑㼞㻌㻔㻯㼔㼑㼙㼟㼜㼕㼐㼑㼞㻕㻌㼇㻝㻢㼉㻌࣭ⱥᅜ⋤❧໬Ꮫ఍ Chemspider(Chemspider)[16]䞉㻌㻰㼞㼡㼓㻮㼍㼚㼗㻌㼇㻝㻣㼉㻌࣭DrugBank[17]All data sources are freely available on the Internet at the URLs given in the references.
඲䛶䛾䝕䞊䝍䝋䞊䝇䠄᝟ሗ※䠅䛿䚸ཧ⪃ᩥ⊩䛾㡯䛻グ㍕䛧䛶䛔䜛 㼁㻾㻸 䛷䚸䜲䞁䝍䞊䝛䝑䝖ୖ䛷↓ൾ䛷ධᡭྍ⬟䛷䛒䜛䚹㻌A single chemical can have a variety of names; for example, methanol has several
synonyms including methyl alcohol, carbinol and wood alcohol. However, every
chemical has a unique universal identifier, the CAS Registry Number (CAS RN) [18].
Chemicals, which are widely produced and transported, also have a four digit UN
Identification Number (UN ID) [12]. The CAS RN is used throughout the process toensure that the chemical is consistently identified at each step.
༢୍䛾໬Ꮫ≀㉁䛷䛒䛳䛶䜒䚸」ᩘ䛾ྡ⛠䜢䜒䛳䛶䛔䜛䛣䛸䛜䛒䜛䚹౛䛘䜀䚸䝯䝍䝜䞊䝹䠄㼙㼑㼠㼔㼍㼚㼛㼘䠅䛿䚸䝯䝏䝹䜰䝹䝁䞊䝹䚸䜹䝹䝡䝜䞊䝹䚸ᮌ⢭䛺䛹」ᩘ䛾ྠ⩏ㄒ䛜䛒䜛䚹୍᪉䚸඲䛶䛾໬Ꮫ≀㉁䛿
ᅛ᭷䛾ୡ⏺ඹ㏻䛾㆑ูᏊ䛷䛒䜛 㻯㻭㻿 Ⓩ㘓␒ྕ䠄㻯㻭㻿㻌 㻾㻺䠅䜢ᣢ䛴㻌 㼇㻝㻤㼉䚹ᗈ䛟〇㐀䞉㍺㏦䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛷䛒䜜䜀䚸㻠 ᱆䛾ᅜ㐃␒ྕ䠄㼁㻺㻌㻵㻰䠅䜒䠄㻯㻭㻿 䛻ຍ䛘䛶䠅ᣢ䛳䛶䛔䜛䚹㼇㻝㻞㼉㻌㻯㻭㻿 Ⓩ㘓␒ྕ䛿䚸ྛ䝇䝔䝑䝥䛷໬Ꮫ≀㉁䜢☜ᐇ䛻ྠᐃ䛩䜛䛯䜑䛻䚸䠄䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䜢౑⏝䛩䜛䠅㐣⛬䜢
㏻䛧䛶౑⏝䛥䜜䜛䠄䠙䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛾ྛ䝇䝔䝑䝥䛷໬Ꮫ≀㉁䜢☜ᐃ䛩䜛䛻䛿䚸㻯㻭㻿 Ⓩ㘓␒ྕ䜢⏝䛔䜛䠅䚹㻌

The guide was written assuming that the user was simply given a list of chemicals,
identified by a commonly used name, for assessment1.
䛣䛾䜺䜲䝗䛿䚸䝸䝇䜽䜰䝉䝇䝯䞁䝖䛾䛯䜑䛻䚸୍⯡ⓗ䛻౑䜟䜜䛶䛔䜛ྡ⛠䛷㆑ู䛥䜜䛯໬Ꮫ≀㉁䛾䝸
䝇䝖䜢䚸฼⏝⪅䛜ᐜ᫆䛻ᚓ䜙䜜䜛䛣䛸䜢๓ᥦ䛻䚸సᡂ䛥䜜䛯䜒䛾䛷䛒䜛䚹䠆䠍㻌
1 If the list was developed as the result of a survey of chemicals produced, used, stored, disposed of ortransported through the area of responsibility, the user may have obtained the CAS RN or UN ID plus
considerable data from the labeling/packaging of the chemical and from the Material Safety Data Sheet(MSDS) included with the chemical. The user may also have data on the quantity of chemicals and theirlocation in his area of responsibility.

−80−䠆䠍㻌 ໬Ꮫ≀㉁䛾〇㐀䚸౑⏝䚸㈓ⶶ䚸ᗫᲠ䚸⟶㎄ᆅᇦෆ䛾㍺㏦䛻㛵䛩䜛ㄪᰝ䛾⤖ᯝ䛸䛧䛶䝸䝇䝖䛜సᡂ䛥䜜䛶䛔䜜䜀䚸฼⏝⪅䛿 㻯㻭㻿 Ⓩ㘓␒ྕ䜔ᅜ㐃␒ྕ䛻ຍ䛘䚸໬Ꮫ≀㉁䛾䝷䝧䝹䜔ໟ⿦䚸໬Ꮫ≀㉁䛻ྠໟ䛥䜜䛶䛔䜛〇ရᏳ඲䝕䞊䝍䝅䞊䝖䠄㻹㻿㻰㻿䠅䛛䜙㛵㐃䛩䜛䝕䞊䝍䜢ᚓ䜙䜜䜛䛣䛸䛜䛒䜛䚹฼⏝⪅䛿䚸⟶㎄ᆅᇦෆ䛾໬Ꮫ≀㉁䛾㈓ⶶ㔞䜔㈓ⶶሙᡤ䛾䝕䞊䝍䜢ᢕᥱ䛧䛶䛔䜛ྍ⬟ᛶ䜒䛒䜛䚹㻌A schematic showing the steps is given in Figure 1.
䝇䝔䝑䝥䜢ὶ䜜ᅗ䛻䛧䛯䜒䛾䜢ᅗ䠍䛻♧䛩䚹㻌

Figure 1: Schematic showing determination of riskᅗ䠍㻌 䝸䝇䜽䛾ඃඛ㡰఩௜䛡䛾ὶ䜜ᅗ䝕䞊䝍䛾㞟✚㻌䝇䝔䝑䝥䠍㻌 ໬Ꮫ≀㉁䛾㻯㻭㻿Ⓩ㘓␒ྕ䜢☜ㄆ䛩䜛㻌䝇䝔䝑䝥䠎㻌 㻺㻲㻼㻭㻌 ྍ⇞ᛶ䞉཯ᛂᛶ䝇䝁䜰䚸≀ᛶ䛸⵨Ẽᅽ䛾䝕䞊䝍䜢☜ㄆ䛩䜛㻌䝇䝔䝑䝥䠏㻌 ẘᛶ䝕䞊䝍䜢☜ㄆ䛩䜛㻌䝇䝔䝑䝥䠐㻌 ධᡭ䛧䜔䛩䛥䛾䝕䞊䝍䜢☜ㄆ䛩䜛㻌ホ౯㻌䝇䝔䝑䝥䠑㻌 ẘᛶ䝇䝁䜰䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠒㻌 䝝䝄䞊䝗䛾㔜኱ᛶ䛾ẁ㝵䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠓㻌 ᨺฟ䛥䜜䜔䛩䛥䛾Ⅼᩘ䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠔㻌 ධᡭ䛧䜔䛩䛥䛾Ⅼᩘ䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠕㻌 ᭚㟢䛾⵹↛ᛶ䛾ẁ㝵䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠍䠌㻌 䝸䝇䜽䜢ุᐃ䛩䜛

−81−

Step 1: Positively identify the chemical by obtaining the CAS RN. Start by using the
ICSC [4], which can be searched by name, including synonyms, and several otheridentifiers2. If an ICSC is not available for the chemical, use the Protective Action
Criterion Table 1: Chemicals of Concern and Associated Chemical Information PACs
Rev 27, February 2012 (PAC Table1) [8], HSDB [5], Cameo [6], PGHC [11], ERSHD[15], ChemSpider [16] or by an Internet search3 to obtain the CAS RN. Use the CAS
RN, obtained in this step, to continue the assessment.
䝇䝔䝑䝥䠍䠖㻯㻭㻿Ⓩ㘓␒ྕ䜢ᢕᥱ䛧䛶䚸☜ᐇ䛻໬Ꮫ≀㉁䜢ྠᐃ䛩䜛䚹䜎䛪ጞ䜑䛻䚸ྠពㄒ䜔௚䛾䛔䛟䛴䛛䛾㆑ูᏊ䜢ྵ䜑䚸ྡ⛠䛷᳨⣴䛩䜛䛣䛸䛜䛷䛝䜛㻵㻯㻿㻯㼇㻠㼉䜢฼⏝䛩䜛䠆䠎䚹䜒䛧䚸㻵㻯㻿㻯䛜฼⏝䛷䛝䛺䛔໬Ꮫ≀㉁䛾ሙྜ䛿䚸㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼛㼒㻌㻯㼛㼚㼏㼑㼞㼚㻌㼍㼚㼐㻌㻭㼟㼟㼛㼏㼕㼍㼠㼑㼐㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌㻼㻭㻯㼟㻌㻾㼑㼢㻌㻞㻣㻘㻌㻲㼑㼎㼞㼡㼍㼞㼥㻌㻞㻜㻝㻞䛾㼀㼔㼑㻌㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㻭㼏㼠㼕㼛㼚㻌㻯㼞㼕㼠㼑㼞㼕㼛㼚㻌 㼀㼍㼎㼘㼑㻌㻝㻌㻔㻼㻭㻯㻌㼀㼍㼎㼘㼑㻝㻕㻌㼇㻤㼉㻘㻌㻴㻿㻰㻮㻌㼇㻡㼉㻘㻌㻯㼍㼙㼑㼛㻌㼇㻢㼉㻘㻌㻼㻳㻴㻯㻌㼇㻝㻝㼉㻘㻌㻱㻾㻿㻴㻰㻌㼇㻝㻡㼉㻘㻌㻯㼔㼑㼙㻿㼜㼕㼐㼑㼞㻌㼇㻝㻢㼉䜔䜲䞁䝍䞊䝛䝑䝖᳨⣴䠆㻟䜢౑䛳䛶䚸㻯㻭㻿Ⓩ㘓␒ྕ䜢ᚓ䜛䚹䛣䛾䝇䝔䝑䝥䛷ᚓ䜙䜜䛯㻯㻭㻿Ⓩ㘓␒ྕ䜢䚸䝸䝇䜽䜰䝉䝇䝯䞁䝖䜢㏻䛧䛶౑⏝䛩䜛䚹㻌
2 There are several URLs for ICSCs: The INCHEM entry [http:www.inchem.org] provides access to the

ICSCs plus other reports on chemicals in the International Program for Chemical Safety database. The
NIOSH entry [http://www.cdc.gov/niosh/ipcs/icstart.html] allows searching by UN Number and has
multilingual options.
䠆㻞㻌 㻵㻯㻿㻯 䛻䛿䛔䛟䛴䛛䛾 㼁㻾㻸 䛜Ꮡᅾ䛩䜛䠖㼀㼔㼑㻌㻵㻺㻯㻴㻱㻹㻌㼑㼚㼠㼞㼥㻌㼇㼔㼠㼠㼜㻦㼣㼣㼣㻚㼕㼚㼏㼔㼑㼙㻚㼛㼞㼓㼉䛷䛿䚸㻵㻯㻿㻯 䛻䜰䜽䝉䝇䛷䛝䜛䛰䛡䛷䛺䛟䚸㼀㼔㼑㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻼㼞㼛㼓㼞㼍㼙㻌㼒㼛㼞㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻿㼍㼒㼑㼠㼥㻌㼐㼍㼠㼍㼎㼍㼟㼑 䛻䛒䜛໬Ꮫ≀㉁䛻㛵䛩䜛௚䛾᝟ሗ䛻䜰䜽䝉䝇䛩䜛䛣䛸䛜䛷䛝䜛䚹㼀㼔㼑㻌㻺㻵㻻㻿㻴㻌㼑㼚㼠㼞㼥㻌㼇㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼏㼐㼏㻚㼓㼛㼢㻛㼚㼕㼛㼟㼔㻛㼕㼜㼏㼟㻛㼕㼏㼟㼠㼍㼞㼠㻚㼔㼠㼙㼘㼉䛿䚸㼁㻺 ␒ྕ䛷᳨⣴䛩䜛䛣䛸䛜䛷䛝䚸ከゝㄒ䛻ᑐᛂ䛧䛶䛔䜛䚹㻌
3 The Merck Index [19], which is not available free of charge on the Internet, can also be used.

䠆䠏㻌 㼀㼔㼑㻌㻹㼑㼞㼏㼗㻌㻵㼚㼐㼑㼤㻌㼇㻝㻥㼉䜒฼⏝䛷䛝䜛䛜䚸䜲䞁䝍䞊䝛䝑䝖ୖ䛷䛿᭷ൾ䛸䛺䜛䚹㻌

Step 2: Obtain data on the physical state, the vapour pressure and the NFPA rankings
for flammability4 and reactivity5 from the ICSC [4], HSDB [5], Cameo [6], ERSHD [15],AEGL Technical Support Documentation [7] or other sources used in Step 1.
䝇 䝔 䝑 䝥 䠎 䠖 㻵㻯㻿㻯㻌 㼇㻠㼉㻘㻌 㻴㻿㻰㻮㻌 㼇㻡㼉㻘㻌 㻯㼍㼙㼑㼛㻌 㼇㻢㼉㻘㻌 㻱㻾㻿㻴㻰㻌 㼇㻝㻡㼉㻘㻌 㻭㻱㻳㻸㻌 㼀㼑㼏㼔㼚㼕㼏㼍㼘㻌 㻿㼡㼜㼜㼛㼞㼠㻌㻰㼛㼏㼡㼙㼑㼚㼠㼍㼠㼕㼛㼚㻌 㼇㻣㼉㻌 䜔䝇䝔䝑䝥䠍䛷౑䛳䛯௚䛾᝟ሗ※䛛䜙䚸≀ᛶ䚸⵨Ẽᅽ䚸ྍ⇞ᛶ䠆㻠䚸཯ᛂᛶ䠆㻡䛻㛵䛩䜛 㻺㻲㻼㻭 䝷䞁䜻䞁䜾䛾䝕䞊䝍䜢ධᡭ䛩䜛䚹㻌
4 If the NFPA flammability score is not available, it can be calculated from data on boiling point and flash

point according to the criteria given in Table 1, column 3. This should be done if the ICSC indicates thatthe chemical is flammable.
䠆䠐㻌 ⡿ᅜᅜ❧㜵ⅆ༠఍䠄㻺㻲㻼㻭䠅䛾ྍ⇞ᛶ䝇䝁䜰䛜฼⏝䛷䛝䛺䛔ሙྜ䛿䚸⾲䠍䛾䜹䝷䝮䠏䛻グ㍕䛾ᇶ‽䛻ᚑ䛔Ἓ
Ⅼ䛸ᘬⅆⅬ䛾್䛛䜙ィ⟬䛩䜛䛣䛸䛜䛷䛝䜛䚹㻵㻯㻿㻯 䛷ྍ⇞≀䛻ศ㢮䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛿䚸䛣䛾ィ⟬䜢⾜䛖䜉䛝䛷䛒䜛䚹㻌
5 If the NFPA reactivity score is not available and if the ICSC indicates that the chemical is highly

reactive, a default value of 2 can be assigned.
䠆䠑㻌 ⡿ᅜᅜ❧㜵ⅆ༠఍䠄㻺㻲㻼㻭䠅䛾཯ᛂᛶ䝇䝁䜰䛜฼⏝䛷䛝䛪䚸㻵㻯㻿㻯 䛷཯ᛂᛶ䛜㧗䛔䛸ศ㢮䛥䜜䛶䛔䜛໬Ꮫ≀−82−

㉁䛷䛿䚸᪤ᐃ್䛾 㻞 䜢๭䜚ᙜ䛶䜛䛣䛸䛜䛷䛝䜛䚹㻌

Step 3: Use the 60 minute AEGL-3 value as a measure of inhalational toxicity [7]. The
value in mg/m3 is given in the Technical Support Document provided for each chemical.
If an AEGL value is not available, use the 60 minute PAC-3 given in Table 4:
Protective Action Criteria (PAC) Rev 27 based on applicable 60-minute AEGLs,
ERPGs, or TEELs [8] as the toxicity estimate6.
䝇䝔䝑䝥䠏䠖྾ධẘᛶ䛾ᣦᶆ䛸䛧䛶䚸㻢㻜 ศ㛫㻌 㻭㻱㻳㻸㻙㻟 䛾್䜢౑⏝䛩䜛㼇㻣㼉䚹㻌 㼙㼓㻛㼙㻟 䛾್䛿䚸ྛ໬Ꮫ≀㉁䛻㛵䛩䜛 㼀㼑㼏㼔㼚㼕㼏㼍㼘㻌 㻿㼡㼜㼜㼛㼞㼠㻌 㻰㼛㼏㼡㼙㼑㼚㼠 䛷୚䛘䜙䜜䛶䛔䜛䚹䜒䛧䚸㻭㻱㻳㻸 䛾್䛜฼⏝䛷䛝䛺䛔ሙྜ䛿䚸ẘᛶ䛾ぢ✚䜒䜚䛸䛧䛶䚸㻭㻱㻳㻸㼟 䜔㻌 ⥭ᛴᛂ⟅ィ⏬࢞࢖ࢻࣛ࢖ࣥ㸦㻱㻾㻼㻳㼟䠅䚸ᬻᐃ⥭ᛴ᭚㟢㝈ᗘ㸦㼀㻱㻱㻸㼟䠅䛻ᇶ䛵䛟 㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㻭㼏㼠㼕㼛㼚㻌㻯㼞㼕㼠㼑㼞㼕㼍㻌 㻔㻼㻭㻯㻕㻌㻾㼑㼢㻌㻞㻣 䛾 㼀㼍㼎㼘㼑㻌㻠㻌 䛻䛒䜛 㻢㻜 ศ㛫㻌㻼㻭㻯㻙㻟 䛾್㼇㻤㼉䜢౑⏝䛩䜛䚹䠆㻢㻌
6 If an AEGL-3 or PAC-3 is not available but other information indicates that the chemical is toxic, thechemical can be compared with similar chemicals that have an AEGL-3 or PAC-3 (e.g., pesticides can becompared with other pesticides). Additional sources of toxicity data include HSDB [12], ERSHD [15],
INCHEM – International Program on Chemical Safety, Poisons Information Monographs [20], IUCLID[14], WISER [13]. Alternatively a default toxicity score of 2 can be assigned.
䠆䠒㻌 㻭㻱㻳㻸㻙㻟 䜔 㻼㻭㻯㻙㻟 䛜฼⏝䛷䛝䛺䛔䛜䚸௚䛾᝟ሗ䛷ẘᛶ䛜䛒䜛䛸グ㍕䛜䛒䜛໬Ꮫ≀㉁䛿䚸㻭㻱㻳㻸㻙㻟 䜔 㻼㻭㻯㻙㻟䛻グ㍕䛾䛒䜛㢮ఝ໬Ꮫ≀㉁䛸ẚ㍑䛩䜛䛣䛸䛜ྍ⬟䛷䛒䜛䠄౛䠖㎰⸆䛿௚䛾㎰⸆䛸ẚ㍑䛷䛝䜛䠅䚹ẘᛶ䝕䞊䝍䛾㏣ຍ
᝟ሗ※䛸䛧䛶䚸㻴㻿㻰㻮㻌 㼇㻝㻞㼉㻘㻌 㻱㻾㻿㻴㻰㻌 㼇㻝㻡㼉㻘㻌 㻵㻺㻯㻴㻱㻹㻌 䇵㻌 㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌 㻼㼞㼛㼓㼞㼍㼙㻌 㼛㼚㻌 㻯㼔㼑㼙㼕㼏㼍㼘㻌 㻿㼍㼒㼑㼠㼥㻘㻌 㻼㼛㼕㼟㼛㼚㼟㻌㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌㻹㼛㼚㼛㼓㼞㼍㼜㼔㼟㻌㼇㻞㻜㼉㻘㻌㻵㼁㻯㻸㻵㻰㻌㼇㻝㻠㼉㻘㻌㼃㻵㻿㻱㻾㻌㼇㻝㻟㼉䛜䛒䜛䚹௦᭰䛸䛧䛶䚸ẘᛶ䛾᪤ᐃ್䛷䛒䜛䠎䜢๭䜚䛒䛶䜛䛣䛸䜒䛷䛝䜛䚹㻌

Step 4: : Determine the availability of the chemical, first by determining if it is on theOECD 2007 List of High Production Volume (HPV) Chemicals [9]7. If the chemical is
not HPV, determine if it is commercially available by searching the Internet using the
CAS Registry Number and asking for suppliers 8 . Drugs 9 , some pesticides 10 and
explosives 11 , although commercially available, may be subject to purchase
restrictions12. Chemical warfare agents (CWAs) are given in the Schedule 1 of the
Chemical Weapons Convention [10]. CWAs are difficult to synthesis, requiring great
technical expertise and good facilities, especially if kilogram or greater quantities are
required13.
䝇䝔䝑䝥䠐䠖໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䜢ุ᩿䛩䜛䚹䜎䛪䚸㼠㼔㼑㻌㻻㻱㻯㻰㻌㻞㻜㻜㻣㻌㻸㼕㼟㼠㻌㼛㼒㻌㻴㼕㼓㼔㻌㻼㼞㼛㼐㼡㼏㼠㼕㼛㼚㻌㼂㼛㼘㼡㼙㼑㻌㻔㻴㻼㼂㻕㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼇㻥㼉㻌 䠆㻣 䛾䝸䝇䝖䛻䛒䜛䛛䛹䛖䛛䜢☜ㄆ䛩䜛䚹䜒䛧䚸䛭䛾໬Ꮫ≀㉁䛜 㻴㻼㼂 䛷䛺䛡䜜䜀䚸㻯㻭㻿 Ⓩ㘓␒ྕ䜢౑䛳䛶䜲䞁䝍䞊䝛䝑䝖䛷᳨⣴䛧䛯䜚䚸౪⤥ඖ䠆㻤 䛻ၥ䛔ྜ䜟䛫䛯䜚䛧䛶䚸
ᕷ㈍䛥䜜䛶䛔䜛䛛䛹䛖䛛䜢☜ㄆ䛩䜛䚹་⸆ရ䠆㻥 䜔୍㒊䛾㎰⸆䠆㻝㻜䚸⇿Ⓨ≀䠆㻝㻝 䛿䚸ᕷ㈍䛥䜜䛶䛔䜛䜒䛾䛷䛒䛳䛶䜒䚸㉎ධไ㝈䠆㻝㻞 䛾ᑐ㇟䛸䛺䛳䛶䛔䜛ྍ⬟ᛶ䛜䛒䜛䚹໬Ꮫරჾ䠄㻯㼃㻭䡏䠅䛿໬Ꮫරჾ⚗Ṇ᮲⣙ Schedule 1㻌 㼇㻝㻜㼉䛻♧䛥䜜䛶䛔䜛䚹㻯㼃㻭䡏䛿ྜᡂ䛩䜛䛾䛜ᅔ㞴䛷䚸≉䛻 㼗㼓 ༢఩䜔䛭䜜௨

−83−ୖ䛾㔞䛜ᚲせ䛺ሙྜ䛿䚸༟㉺䛧䛯ᢏ⾡ⓗᑓ㛛▱㆑䜔ᩚ䛳䛯᪋タ䛜ᚲせ䛷䛒䜛䚹䠆㻝㻟㻌
7 The OECD list of HPV chemicals includes those chemical produced or imported into the OECD

countries in excess of 1,000 tonnes per year. Production of a given chemical by the large chemicalindustries of China, India and Brazil is only considered if those countries export that chemical in HPVquantities to an OECD country.
䠆䠓㻌 㻻㻱㻯㻰䛾㻴㻼㼂໬Ꮫ≀㉁䝸䝇䝖䛻ᥖ㍕䛥䜜䛶䛔䜛䛾䛿䚸ᖺ㛫㻝㻜㻜㻜䝖䞁௨ୖ䜢㻻㻱㻯㻰ෆ䛷⏕⏘䜎䛯䛿㻻㻱㻯㻰䛻㍺
ධ䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛷䛒䜛䚹୰ᅜ䚸䜲䞁䝗䚸䝤䝷䝆䝹䛛䜙㻻㻱㻯㻰䛾ᅜ䛻㻴㻼㼂㔞䛾໬Ꮫ≀㉁䛜㍺ฟ䛥䜜䛶䛔䜛ሙྜ䚸䛭䜜䜙䛾ᅜ䛾኱つᶍ໬Ꮫᕤሙ䛻䜘䛳䛶⏕⏘䛥䜜䛯໬Ꮫ≀㉁䛾䜏⪃៖䛧䛶䛔䜛䚹
8 CAS Online Chemical Catalogs File (CHEMCATS) [18] contains data on over 19,000,000

commercially available chemicals and their worldwide suppliers. However, this catalogue is not free.
䠆䠔㻌 㻯㻭㻿㻌㻻㼚㼘㼕㼚㼑㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻯㼍㼠㼍㼘㼛㼓㼟㻌㻲㼕㼘㼑㻌㻔㻯㻴㻱㻹㻯㻭㼀㻿㻌 㻯㻭㻿 䜸䞁䝷䜲䞁䜹䝍䝻䜾㻕㻌㼇㻝㻤㼉䛻䛿䚸㻝㻥㻜㻜 ୓௳䜢㉸䛘䜛ᕷ㈍䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛸ୡ⏺ⓗ䛺౪⤥ඖ䛾䝕䞊䝍䛜཰㍕䛥䜜䛶䛔䜛䚹䛧䛛䛧↓ൾ䛷䛿䛺䛔䚹㻌
9 Data on over 6,000 drugs is given in DrugBank [17].

䠆䠕㻌 㻰㼞㼡㼓㻮㼍㼚㼗㻌㼇㻝㻣㼉䛻䛿䚸㻢㻜㻜㻜 ௨ୖ䛾་⸆ရ䛾䝕䞊䝍䛜཰㍕䛥䜜䛶䛔䜛䚹㻌
10 WHO Recommended Classification of Pesticides and Guidelines to Hazard 2009 provides data on

widely used pesticides [http:www.int/ipcs/publications/pesticides_hazard/en/]䠆䠍䠌㻌 㼃㻴㻻㻌㻾㼑㼏㼛㼙㼙㼑㼚㼐㼑㼐㻌㻯㼘㼍㼟㼟㼕㼒㼕㼏㼍㼠㼕㼛㼚㻌㼛㼒㻌㻼㼑㼟㼠㼕㼏㼕㼐㼑㼟㻌㼍㼚㼐㻌㻳㼡㼕㼐㼑㼘㼕㼚㼑㼟㻌㼠㼛㻌㻴㼍㼦㼍㼞㼐㻌㻞㻜㻜㻥 䛻䛿䚸ᗈ䛟౑䜟䜜䛶䛔䜛㎰⸆䛾䝕䞊䝍䛜཰㍕䛥䜜䛶䛔䜛䚹㻌
11 Lists of explosives are found in national export control documents (e.g., A Guide to Canada’s Export

Controls[http://www.international.gc.ca/controls-controles/assets/pdfs/documents/expoertcontrols2007-en.pdf] and in national regulations (e.g., Commerce in Explosives, List of Explosive Materials 2011R-18T,
United States Department of Justice,[http://www.gpo.gov/fdsys/pkg/FR-2011-10-19/pdf/2011-26963.pdf])䠆 䠍 䠍 㻌 ⇿ Ⓨ ≀ 䛾 䝸 䝇 䝖 䛿 䚸 ྛ ᅜ 䛾 ㍺ ฟ ⟶ ⌮ ᩥ ᭩ 䠄 ౛ 䠖 㻭㻌 㻳㼡㼕㼐㼑㻌 㼠㼛㻌 㻯㼍㼚㼍㼐㼍䇻㼟㻌 㻱㼤㼜㼛㼞㼠㻌 㻯㼛㼚㼠㼞㼛㼘㼟㻌㼇㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼕㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻚㼓㼏㻚㼏㼍㻛㼏㼛㼚㼠㼞㼛㼘㼟㻙㼏㼛㼚㼠㼞㼛㼘㼑㼟㻛㼍㼟㼟㼑㼠㼟㻛㼜㼐㼒㼟㻛㼐㼛㼏㼡㼙㼑㼚㼠㼟㻛㼑㼤㼜㼛㼑㼞㼠㼏㼛㼚㼠㼞㼛㼘㼟㻞㻜㻜㻣㻙㼑㼚㻚㼜㼐㼒㼉 㻌 䜔 ᅜෆつไ㻌 㻔౛䠖㻌 㻯㼛㼙㼙㼑㼞㼏㼑㻌 㼕㼚㻌 㻱㼤㼜㼘㼛㼟㼕㼢㼑㼟㻘㻌 㻸㼕㼟㼠㻌 㼛㼒㻌 㻱㼤㼜㼘㼛㼟㼕㼢㼑㻌 㻹㼍㼠㼑㼞㼕㼍㼘㼟㻌 㻞㻜㻝㻝㻾㻙㻝㻤㼀㻘㻌 㼁㼚㼕㼠㼑㼐㻌 㻿㼠㼍㼠㼑㼟㻰㼑㼜㼍㼞㼠㼙㼑㼚㼠㻌 㼛㼒㻌㻶㼡㼟㼠㼕㼏㼑㻘㻌㼇㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼓㼜㼛㻚㼓㼛㼢㻛㼒㼐㼟㼥㼟㻛㼜㼗㼓㻛㻲㻾㻙㻞㻜㻝㻝㻙㻝㻜㻙㻝㻥㻛㼜㼐㼒㻛㻞㻜㻝㻝㻙㻞㻢㻥㻢㻟㻚㼜㼐㼒䠅㻌 䛻ᥖ㍕䛥䜜䛶䛔䜛䚹㻌
12 Purchase restrictions are governed by national policy.

䠆䠍䠎㻌 ㉎ධไ㝈䛿䚸ྛᅜ䛾ᨻ⟇䛻䜘䜚⟶⌮䛥䜜䛶䛔䜛䠄䠙㉎ධไ㝈䛿ྛᅜ䛤䛸䛻つไ䛥䜜䛶䛔䜛䠅䚹㻌
13 CWAs would be scored as 1. The exception is sulphur mustard (CAS RN 505-60-2) which would bescored as 2.
䠆䠍䠏㻌 ໬Ꮫරჾ䛾䝇䝁䜰䛿䠍䛸䛩䜛䚹౛እ䛿◲㯤䝬䝇䝍䞊䝗䠄㻯㻭㻿 ⟶⌮␒ྕ 㻡㻜㻡㻙㻢㻜㻙㻞䠅䛷䝇䝁䜰䠎䛸䛩䜛䚹㻌−84−

Step 5: Score toxicity according to Table 1.
䝇䝔䝑䝥䠑䠖⾲䠍䛻ᚑ䛔Ⅼᩘ໬䛩䜛㻌−85−

Step 6: Calculate the Severity of Hazard according to equation 2. The maximum hazard
posed by a chemical is based on the highest score it received in any of the three hazard
categories (inhalational toxicity, flammability and reactivity).
Severity of hazard = (maximum hazard posed by the chemical) (eqn 2)
Determine the severity of hazard class according to Table 2.
䝇䝔䝑䝥䠒䠖ᘧ䠎䛻ᚑ䛳䛶䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䜢ィ⟬䛩䜛䚹໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾᭱኱್䛿䚸䠏䛴䛾䝝䝄䞊䝗䜹䝔䝂䝸䞊䠄྾ධẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䠅䛾䛖䛱䛔䛪䜜䛛䛷ᚓ䜙䜜䜛᭱䜒㧗䛔䝇䝁䜰䛻ᇶ䛵䛟䚹㻌㻌 䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ㻌 䠙㻌 䠄໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛䝝䝄䞊䝗䛾᭱኱್䠅㻌⾲䠎䛻ᚑ䛳䛶䚸䝝䝄䞊䝗䜽䝷䝇䛾㔜኱ᛶ䜢ุ᩿䛩䜛䚹⾲䠎㻌 䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅㻌䝝䝄䞊䝗䛾㔜኱ᛶ䛾ẁ㝵㻌

ᴟᗘ㻌

῝้㻌

㢧ⴭ㻌

୰⛬ᗘ㻌

㍍ᗘ㻌

㻱㼤㼠㼞㼑㼙㼑

㻹㼍㼖㼛㼞㻌

㻿㼕㼓㼚㼕㼒㼕㼏㼍㼚㼠㻌㻹㼛㼐㼑㼞㼍㼠㼑㻌㻹㼕㼚㼛㼞㻌

㻠㻌

㻟㻌

㻞㻌

㻝㻌

㻜㻌

䝝䝄䞊䝗䛾㔜኱ᛶ䛾Ⅼᩘ㻌䠄྾ධẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䛾 㻟 䛴䛾䝝䝄䞊䝗ศ㢮䛾䛖䛱୍␒㧗䛔Ⅼᩘ䜢䛸䜛䠅㻌㻌

Step 7: Vapour pressure is used as an indicator of ease of release. Use the vapour
pressure data14 obtained in Step 2, to obtain the ease of release score according to Table3.
䝇䝔䝑䝥䠓䠖⵨Ẽᅽ䛿䚸ᨺฟ䛥䜜䜔䛩䛥䛾ᣦᶆ䛸䛧䛶౑䜟䜜䜛䚹䝇䝔䝑䝥 㻞 䛷ᚓ䜙䜜䛯⵨Ẽᅽ䛾䝕䞊䝍䜢౑䛔䚸⾲䠏䛻ᚑ䛳䛶ᨺฟ䛥䜜䜔䛩䛥䛾Ⅼᩘ䜢ᚓ䜛䚹䠆㻝㻠−86−

14 If vapour pressure data is not found in step 2, a default values of 1 can be assigned to solids and liquids,

unless other information indicates that the liquid has a noticeable vapour pressure (e.g., odour) when 2
can be assigned.
䠆䠍䠐㻌 䝇䝔䝑䝥䠎䛷⵨Ẽᅽ䛾䝕䞊䝍䛜䜟䛛䜙䛺䛛䛳䛯ሙྜ䚸ᅛయ䞉ᾮయ䛻䛿᪤ᐃ್䛾 㻝 䜢๭䜚ᙜ䛶䜛䚹䛯䛰䛧䚸௚䛾᝟ሗ䛷䚸⮯Ẽ䛜䛒䜛䛺䛹䚸ᾮయ䛜㢧ⴭ䛺⵨Ẽᅽ䜢䜒䛴䛣䛸䛜♧䛥䜜䜛ሙྜ䛿 㻞 䜢๭䜚ᙜ䛶䜛䚹㻌

Step 8: Score availability according to Table 4.
䝇䝔䝑䝥䠔䠖⾲䠐䛻ᚑ䛳䛶ධᡭ䛾䛧䜔䛩䛥䛾Ⅼᩘ䜢䛴䛡䜛䚹㻌

Step 9: Determine the probability of exposure class using equation 3 and Table 5−87−

Probability of exposure = (availability) X (ease of release) (eqn 3)䝇䝔䝑䝥䠕䠖ᘧ䠏䛸⾲䠑䜢౑䛳䛶䚸᭚㟢䛾⵹↛ᛶ䛾䜽䝷䝇䠄ẁ㝵䚸ศ㢮䠅䜢Ỵ䜑䜛䚹㻌᭚㟢䛾⵹↛ᛶ䠄☜⋡䠅㻩䠄ධᡭ䛾䛧䜔䛩䛥䠅㽢䠄ᨺฟ䛥䜜䜔䛩䛥䠅㻌 㻔㻟㻕㻌⾲䠑㻌 ᭚㟢䛾⵹↛ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅㻌᭚㟢䛾⵹↛ᛶ䛾ẁ㝵㻌᭚㟢䛾⵹↛ᛶ䛾Ⅼᩘ㻌㢖Ⓨ㻌䛧䜀䛧䜀Ⓨ⏕

᫬䚻Ⓨ⏕㻌䜑䛳䛯䛻䛺䛔㻌

㉳䛣䜚䛭䛖䛻䛺䛔㻌㻲㼞㼑㼝㼡㼑㼚㼠㻌㻸㼕㼗㼑㼘㼥㻌

㻻㼏㼏㼍㼟㼕㼛㼚㼍㼘㻌㻿㼑㼘㼐㼛㼙㻌

㼁㼚㼘㼕㼗㼑㼘㼥㻌㻟㻜㻙㻞㻡㻌

㻞㻠㻙㻝㻥㻌

㻝㻤㻙㻝㻟㻌

㻝㻞㻙㻣㻌

㻢㻙㻝㻌

㸦ཧ⪃㸸㢖ⓎࡍࡿࠊࡋࡤࡋࡤⓎ⏕ࡍࡿࠊ᫬ࠎⓎ⏕ࡍࡿࠊ㉳ࡇࡾࡑ࠺࡟࡞࠸ࠊࡲࡎ㉳ࡇࡾ࠼࡞࠸㸧

Step 10: Determination of risk
Determine the risk from the risk matrix given in Figure 2.
䝇䝔䝑䝥䠍䠌䠖䝸䝇䜽䛾ุᐃ㻌ᅗ䠎䛾䝸䝇䜽䝬䝖䝸䜽䝇䛛䜙䝸䝇䜽䜢ุᐃ䛩䜛䚹㻌ᅗ䠎㻌 䝸䝇䜽䝬䝖䝸䜽䝇㻌䝝䝄䞊䝗㻌᭚㟢䛾⵹↛ᛶ㻔㻼㻱䠅㻌
㢖Ⓨ㻌䛧䜀䛧䜀Ⓨ⏕㻌᫬䚻Ⓨ⏕㻌䜑䛳䛯䛻䛺䛔㻌

㉳䛣䜚䛭䛖䛻䛺䛔㻌㻲㼞㼑㼝㼡㼑㼚㼠㻌㻸㼕㼗㼑㼘㼥㻌

㻻㼏㼏㼍㼟㼕㼛㼚㼍㼘㻌㻿㼑㼘㼐㼛㼙㻌

㼁㼚㼘㼕㼗㼑㼘㼥㻌㻌 㻔㻟㻜㻙㻞㻡㻕㻌䠄㻞㻠㻙㻝㻥䠅㻌

䠄㻝㻤㻙㻝㻟䠅㻌

䠄㻝㻞㻙㻣䠅㻌

䠄㻢㻙㻝䠅㻌ᴟᗘ㻌 㻱㼤㼠㼞㼑㼙㼑㻌㻔㻠㻕㻌ᴟ䜑䛶㧗䛔㻌

ᴟ䜑䛶㧗䛔㻌

ᴟ䜑䛶㧗䛔㻌㧗䛔㻌୰㻌῝้㻌 㻹㼍㼖㼛㼞㻌㻔㻟㻕㻌ᴟ䜑䛶㧗䛔㻌

㧗䛔㻌

㧗䛔㻌

୰㻌

ప䛔㻌

㢧ⴭ㻌 㻿㼕㼓㼚㼕㼒㼕㼏㼍㼚㼠㻌㻔㻞㻕㻌ᴟ䜑䛶㧗䛔㻌

㧗䛔㻌

୰㻌

ప䛔㻌

ᴟ䜑䛶ప䛔㻌

୰⛬ᗘ㻌 㻹㼛㼐㼑㼞㼍㼠㼑㻌㻔㻝㻕㻌

㧗䛔㻌

୰㻌

ప䛔㻌

ప䛔㻌

ᴟ䜑䛶ప䛔㻌

㍍ᗘ㻌 㻹㼕㼚㼛㼞㻌㻔㻜㻕㻌

୰㻌

ప䛔㻌

ᴟ䜑䛶ప䛔㻌

ᴟ䜑䛶ప䛔㻌

ᴟ䜑䛶ప䛔㻌

䠄༴㝤᭷ᐖᛶ䠅䛾㻌㔜኱ᛶ䠄㻿㻴㻕㻌

−88−

An example is given in Table 6.
䠄ᐇ㝿䛻䝸䝇䜽ุᐃ䜢⾜䛺䛳䛯䠅౛䜢䝔䞊䝤䝹 㻢 䛻♧䛩䚹㻌

Table 6: Example showing determination of risk for chemicals released into theatmosphere໬Ꮫ≀㉁䛜኱Ẽ୰䜈ᨺฟ䛥䜜䛯ሙྜ䛾䝸䝇䜽ุᐃ䛾౛

References
1. European Commission Environment: Chemical Accidents (Seveso II) - Prevention, Preparedness
and Response. [http://ec.europa.eu/environment/seveso/index.htm]
Council Directive 96/82/EC of 9 December 1996 on the control of major-accident hazards
involving dangerous substances
2. United States Environmental Protection Agency: Accidental Release Prevention Requirements:
Risk Management Programs Under the Clean Air Act, Section 112(r)(7); List of Regulated
Substances and Thresholds for Accidental Release Prevention, Stay of Effectiveness; andAccidental Release Prevention Requirements: Risk Management Programs Under Section
112(r)(7) of the Clean Air Act as Amended, Guidelines; Final Rules and Notice. 61 FR 31667(June 20, 1996): [http://www.epa.gov/fedrgstr/EPA-AIR/1996/June/Day-20/pr-23439.pdf]
3. Cox JA, Roszell LE, Whitmire M, Chemical Terrorism Risk Assessment: A Biennial
Assessment of Risk to the Nation, United States Department of Homeland Security, Chemical
Security Analysis Center, May 2010.
4. International Chemical Safety Cards (ICSC) INCHEM entry [http://www.inchem.org/]; NIOSH
entry [http://www.cdc.gov/niosh/ipcs/icstart.html]
5. United States National Library of Medicine, Hazardous Substances Data Bank (HSDB)[http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?HSDB]
6. United States Department of Commerce, National Oceanic and Atmospheric Administration:
Cameo Chemicals-Database of Hazardous Materials [http://cameochemicals.noaa.gov]−89−

7. United States Environmental Protection Agency: Acute Exposure Guidelines[http://epa.gov/opptintr/aegl]
8. United States Department of Energy, Office of Health, Safety and Security: Protective Action
Criteria (PAC) with AEGLs, ERPGs, & TEELs: Rev. 27 for Chemicals of Concern (02/2012)[http://www.hss.energy.gov/healthsafety/wshp/chem._safety/teel.html]
Table 1: Chemicals of Concern and Associated Chemical Information PACs Rev 27, February
2012[http://www.atlintl.com?DOE/teels/teel/Table1.pdf]
Table 4: Protective Action Criteria (PACs) Rev 27 based on applicable 60 min AEGLs, ERPGs or
TEELS [http://www.atlintl.com/DOE/teels/teel/Table4.pdf]
9. Organisation for Economic Co-operation and Development: Environment Directorate, Series on
testing and assessment, Number 112: The 2007 OECD list of high production volume chemicals.
2009. Paris.
[http://www.oecd.org/officialdocuments/displaydocumentpdf/?cote=env/jm/mono(2009)40&docl
anguage=en]
10. Convention on the Prohibition of the Development, Production, Stockpiling and Use of Chemical
Weapons and on their Destruction (Chemical Weapons Convention)[http://www.opcw.org/chemical-weapons-convention]
11. Department of Health and Human Services, Centers for Disease Control and Prevention,
National Institute for Occupational Safety and Health, NIOSH Pocket Guide to Chemical Hazards
September 2007 [http://www.cdc.gov/niosh/doc)]
12. Transport Canada (TC), the U.S. Department of Transportation (DOT), the Secretariat ofTransport and Communications of Mexico (SCT) 2008 Emergency Response Guidebook[http://www.tc.gc.ca/eng/canutec/guide-ergo-221.htm]
13. WISER (Wireless Information System for Emergency Responders) [http://wiser.mlm.nih.gov]
14. International Uniform Chemical Information Database (IUCLID)[http://iuclid.eu.index.php?fuseaction=home.project]
15. United States National Institute for Occupational Health and Safety (NIOSH): The Emergency
Response Safety and Health Database [http://www.cdc.gov/NIOSH/ershdb]
16. Royal Society of Chemistry (RSC) ChemSpider [http//www.chemspider.com]
17. DrugBank [http://www.drugbank.ca]
18. Chemical Abstracts Service [http://cas.org]
19. Merck Index: Encyclopedia of Chemicals, Drugs and Biological Series Fourteenth Edition,(ISBN-13:9780911910001) John Wiley& Sons, Inc., 2006
20. INCHEM – International Program on Chemical Safety, Poisons Information Monograph[http://www.inchem.org/]
21. Colonna GR (Ed): Fire Protection Guide to Hazardous Materials, 2010 Edition. Quincy,

Massachusetts: National Fire Protection Association; 2010.
All URLs were assessed on 18 July 2012.

−90−

資料６

Guide to using the CEWG chemical risk screening tool㻯㻱㼃㻳 ໬Ꮫ≀㉁䛾䝸䝇䜽䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛾౑⏝䜹䜲䝗㻌㻌The tool is used to determine the risk from chemicals that could be released,
accidentally or deliberately, to present an inhalation hazard. The tool has beendeveloped for generic risk assessment and considers all chemical hazards (flammability,
toxicity, reactivity).
䛣䛾䝒䞊䝹䛿䚸྾ධ䛻䜘䜛䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䜢᫂䜙䛛䛻䛩䜛䛯䜑䛻䚸അⓎⓗ䜎䛯䛿ពᅗⓗ䛻ᨺฟ䛥䜜䜛ྍ⬟ᛶ䛾䛒䜛໬Ꮫ≀㉁䛾䝸䝇䜽ุᐃ䛻⏝䛔䜙䜜䜛䚹䛣䛾䝒䞊䝹䛿ỗ⏝ᛶ䛾䛒䜛䝸䝇䜽䜰䝉䝇䝯䞁䝖䛾䛯䜑䛻㛤Ⓨ䛥䜜䚸඲䛶䛾໬Ꮫⓗ䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠖ྍ⇞ᛶ䚸ẘᛶ䚸཯ᛂᛶ䠅䜢⪃៖䛧䛶䛔䜛䚹㻌

The example, given in Table 6, is generic, not site specific. It contains chemicals fromthe EU: List of Chemicals and Thresholds Seveso II Directive [1], the United States:
List of Chemicals and Thresholds Risk Management Plan (RMP) Program (Sec. 68.130)[2] and the US Department of Homeland Security list [3].
⾲ 㻢 䛷♧䛧䛯䠄໬Ꮫ≀㉁䛾䠅౛䛿䚸ሙᡤ䛻≉໬䛧䛯䜒䛾䛷䛿䛺䛟䚸ỗ⏝ᛶ䛾㧗䛔䜒䛾䛷䛒䜛䚹㻱㼁 䛾䝉䝧䝋ᣦ௧䊡䛷ᐃ䜑䜙䜜䛯໬Ꮫ≀㉁䛸㜈್䛾䝸䝇䝖㼇㻝㼉䚸䜰䝯䝸䜹䛾䝸䝇䜽⟶⌮ィ⏬䠄㻾㻹㻼䠅䝥䝻䜾䝷䝮䠄㻿㼑㼏㻚㻢㻤㻚㻝㻟㻜䠅䛷ᐃ䜑䜙䜜䛯໬Ꮫ≀㉁䛸㜈್䛾䝸䝇䝖㼇㻞㼉䚸⡿ᅜᅜᅵᏳ඲ಖ㞀┬䛾䝸䝇䝖㼇㻟㼉䛻ᣲ䛢䜙䜜䛯໬Ꮫ≀㉁䜢ྵ䜣䛷䛔䜛䚹㻌㻌

The principal data sources required to use the tool are:㻌䛣䛾䝒䞊䝹䜢౑䛖䛯䜑䛻ᚲせ䛺䚸୺䛺䝕䞊䝍䝋䞊䝇䠄᝟ሗ※䠅䛿௨ୗ䛾䛸䛚䜚䛷䛒䜛䚹㻌䞉㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻿㼍㼒㼑㼠㼥㻌㻯㼍㼞㼐㼟㻌㻔㻵㻯㻿㻯㻕㻌㼇㻠㼉㻌࣭ᅜ㝿໬Ꮫ≀㉁Ᏻ඲ᛶ࣮࢝ࢻ㸦ICSC㸧[4]䞉㻌㻴㼍㼦㼍㼞㼐㼛㼡㼟㻌㻿㼡㼎㼟㼠㼍㼚㼏㼑㼟㻌㻰㼍㼠㼍㻌㻮㼍㼚㼗㻌㻔㻴㻿㻰㻮㻕㻌㼇㻡㼉㻌࣭༴㝤≀㉁ࢹ࣮ࢱࣂࣥࢡ㸦HSDB㸧[5]䞉㻌㻯㼍㼙㼑㼛㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼇㻢㼉㻌
࣭CAMEO Chemicals ࢹ࣮ࢱ࣮࣋ࢫ[6]䞉㻌㻭㼏㼡㼠㼑㻌㻱㼤㼜㼛㼟㼡㼞㼑㻌㻳㼡㼕㼐㼑㼘㼕㼚㼑㻌㻸㼑㼢㼑㼘㼟㻌㻔㻭㻱㻳㻸㼟㻕㻌㼇㻣㼉㻌࣭ᛴᛶᭀ㟢࢞࢖ࢻࣛ࢖ࣥࣞ࣋ࣝ㸦AEGLs) [7]䞉㻌㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㻭㼏㼠㼕㼛㼚㻌㻯㼞㼕㼠㼑㼞㼕㼍㻌㻔㻼㻭㻯㻕㻌㼇㻤㼉㻌࣭ಖㆤ⾜ືᇶ‽㸦PAC㸧[8]䞉㻌㻻㻱㻯㻰㻌㻞㻜㻜㻣㻌㻸㼕㼟㼠㻌㼛㼒㻌㻴㼕㼓㼔㻌㻼㼞㼛㼐㼡㼏㼠㼕㼛㼚㻌㼂㼛㼘㼡㼙㼑㻌㻔㻴㻼㼂㻕㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼇㻥㼉㻌࣭⤒῭༠ຊ㛤Ⓨᶵᵓ㸦OECD㸧 2007 ᖺ㧗⏕⏘㔞㸦HPV㸧໬Ꮫ≀㉁୍ぴ[9]䞉㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㼃㼑㼍㼜㼛㼚㼟㻌㻯㼛㼚㼢㼑㼚㼠㼕㼛㼚㻌㻿㼏㼔㼑㼐㼡㼘㼑㼟㻌㼇㻝㻜㼉㻌࣭໬Ꮫරჾ⚗Ṇ᮲⣙ࢫࢣࢪ࣮ࣗࣝ[10]䞉㻌㻺㻵㻻㻿㻴㻌㻼㼛㼏㼗㼑㼠㻌㻳㼡㼕㼐㼑㻌㼠㼛㻌㻴㼍㼦㼍㼞㼐㼛㼡㼟㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㻔㻼㻳㻴㻯㻕㻌㼇㻝㻝㼉㻌࣭⡿ᅜᅜ❧ປാᏳ඲⾨⏕◊✲ᡤ(NIOSH) ༴㝤໬Ꮫ≀㉁࣏ࢣࢵࢺ࢞࢖ࢻ(PGHC) [11]䞉㻌㻞㻜㻜㻤㻌㻱㼙㼑㼞㼓㼑㼚㼏㼥㻌㻾㼑㼟㼜㼛㼚㼟㼑㻌㻳㼡㼕㼐㼑㼎㼛㼛㼗㻌㼇㻝㻞㼉㻌−91−

࣭2008 ᖺ⥭ᛴᑐᛂ࢞࢖ࢻࣈࢵࢡ[12]䞉㻌㼃㻵㻿㻱㻾㻌㼇㻝㻟㼉㻌࣭࣡࢖ࢨ࣮[13]䞉㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㼁㼚㼕㼒㼛㼞㼙㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌㻰㼍㼠㼍㼎㼍㼟㼑㻌㻔㻵㼁㻯㻸㻵㻰㻕㻌㼇㻝㻠㼉㻌࣭ᅜ㝿⤫୍໬Ꮫ᝟ሗࢹ࣮ࢱ࣮࣋ࢫ(IUCLID) [14]䞉㻌㻺㻵㻻㻿㻴㻌㻱㼙㼑㼞㼓㼑㼚㼏㼥㻌㻾㼑㼟㼜㼛㼚㼟㼑㻌㻿㼍㼒㼑㼠㼥㻌㼍㼚㼐㻌㻴㼑㼍㼘㼠㼔㻌㻰㼍㼠㼍㼎㼍㼟㼑㻌㻔㻱㻾㻿㻴㻰㻕㻌㼇㻝㻡㼉㻌࣭⡿ᅜᅜ❧ປാᏳ඲⾨⏕◊✲ᡤ(NIOSH) ⥭ᛴᑐᛂ Ᏻ඲࣭ಖ೺ࢹ࣮ࢱ࣮࣋ࢫ(ERSHD)[15]䞉㻌㻾㼛㼥㼍㼘㻌㻿㼛㼏㼕㼑㼠㼥㻌㼛㼒㻌㻯㼔㼑㼙㼕㼟㼠㼞㼥㻌㻯㼔㼑㼙㼟㼜㼕㼐㼑㼞㻌㻔㻯㼔㼑㼙㼟㼜㼕㼐㼑㼞㻕㻌㼇㻝㻢㼉㻌࣭ⱥᅜ⋤❧໬Ꮫ఍ Chemspider(Chemspider)[16]䞉㻌㻰㼞㼡㼓㻮㼍㼚㼗㻌㼇㻝㻣㼉㻌࣭DrugBank[17]㻌All data sources are freely available on the Internet at the URLs given in the references.
඲䛶䛾䝕䞊䝍䝋䞊䝇䠄᝟ሗ※䠅䛿䚸ཧ⪃ᩥ⊩䛾㡯䛻グ㍕䛧䛶䛔䜛 㼁㻾㻸 䛷䚸䜲䞁䝍䞊䝛䝑䝖ୖ䛷↓ൾ䛷ධᡭྍ⬟䛷䛒䜛䚹㻌A single chemical can have a variety of names; for example, methanol has several
synonyms including methyl alcohol, carbinol and wood alcohol. However, every
chemical has a unique universal identifier, the CAS Registry Number (CAS RN) [18].
Chemicals, which are widely produced and transported, also have a four digit UN
Identification Number (UN ID) [12]. The CAS RN is used throughout the process toensure that the chemical is consistently identified at each step.
༢୍䛾໬Ꮫ≀㉁䛷䛒䛳䛶䜒䚸」ᩘ䛾ྡ⛠䜢䜒䛳䛶䛔䜛䛣䛸䛜䛒䜛䚹౛䛘䜀䚸䝯䝍䝜䞊䝹䠄㼙㼑㼠㼔㼍㼚㼛㼘䠅䛿䚸䝯䝏䝹䜰䝹䝁䞊䝹䚸䜹䝹䝡䝜䞊䝹䚸ᮌ⢭䛺䛹」ᩘ䛾ྠ⩏ㄒ䛜䛒䜛䚹୍᪉䚸඲䛶䛾໬Ꮫ≀㉁䛿
ᅛ᭷䛾ୡ⏺ඹ㏻䛾㆑ูᏊ䛷䛒䜛 㻯㻭㻿 Ⓩ㘓␒ྕ䠄㻯㻭㻿㻌 㻾㻺䠅䜢ᣢ䛴㻌 㼇㻝㻤㼉䚹ᗈ䛟〇㐀䞉㍺㏦䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛷䛒䜜䜀䚸㻠 ᱆䛾ᅜ㐃␒ྕ䠄㼁㻺㻌㻵㻰䠅䜒䠄㻯㻭㻿 䛻ຍ䛘䛶䠅ᣢ䛳䛶䛔䜛䚹㼇㻝㻞㼉㻌㻯㻭㻿 Ⓩ㘓␒ྕ䛿䚸ྛ䝇䝔䝑䝥䛷໬Ꮫ≀㉁䜢☜ᐇ䛻ྠᐃ䛩䜛䛯䜑䛻䚸䠄䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䜢౑⏝䛩䜛䠅㐣⛬䜢
㏻䛧䛶౑⏝䛥䜜䜛䠄䠙䝇䜽䝸䞊䝙䞁䜾䝒䞊䝹䛾ྛ䝇䝔䝑䝥䛷໬Ꮫ≀㉁䜢☜ᐃ䛩䜛䛻䛿䚸㻯㻭㻿 Ⓩ㘓␒ྕ䜢⏝䛔䜛䠅䚹㻌
㻌The guide was written assuming that the user was simply given a list of chemicals,
identified by a commonly used name, for assessment1.
䛣䛾䜺䜲䝗䛿䚸䝸䝇䜽䜰䝉䝇䝯䞁䝖䛾䛯䜑䛻䚸୍⯡ⓗ䛻౑䜟䜜䛶䛔䜛ྡ⛠䛷㆑ู䛥䜜䛯໬Ꮫ≀㉁䛾䝸
䝇䝖䜢䚸฼⏝⪅䛜ᐜ᫆䛻ᚓ䜙䜜䜛䛣䛸䜢๓ᥦ䛻䚸సᡂ䛥䜜䛯䜒䛾䛷䛒䜛䚹䠆䠍㻌
1 If the list was developed as the result of a survey of chemicals produced, used, stored, disposed of ortransported through the area of responsibility, the user may have obtained the CAS RN or UN ID plus
considerable data from the labeling/packaging of the chemical and from the Material Safety Data Sheet(MSDS) included with the chemical. The user may also have data on the quantity of chemicals and theirlocation in his area of responsibility.

−92−䠆䠍㻌 ໬Ꮫ≀㉁䛾〇㐀䚸౑⏝䚸㈓ⶶ䚸ᗫᲠ䚸⟶㎄ᆅᇦෆ䛾㍺㏦䛻㛵䛩䜛ㄪᰝ䛾⤖ᯝ䛸䛧䛶䝸䝇䝖䛜సᡂ䛥䜜䛶䛔䜜䜀䚸฼⏝⪅䛿 㻯㻭㻿 Ⓩ㘓␒ྕ䜔ᅜ㐃␒ྕ䛻ຍ䛘䚸໬Ꮫ≀㉁䛾䝷䝧䝹䜔ໟ⿦䚸໬Ꮫ≀㉁䛻ྠໟ䛥䜜䛶䛔䜛〇ရᏳ඲䝕䞊䝍䝅䞊䝖䠄㻹㻿㻰㻿䠅䛛䜙㛵㐃䛩䜛䝕䞊䝍䜢ᚓ䜙䜜䜛䛣䛸䛜䛒䜛䚹฼⏝⪅䛿䚸⟶㎄ᆅᇦෆ䛾໬Ꮫ≀㉁䛾㈓ⶶ㔞䜔㈓ⶶሙᡤ䛾䝕䞊䝍䜢ᢕᥱ䛧䛶䛔䜛ྍ⬟ᛶ䜒䛒䜛䚹㻌㻌

A schematic showing the steps is given in Figure 1.㻌
䝇䝔䝑䝥䜢ὶ䜜ᅗ䛻䛧䛯䜒䛾䜢ᅗ䠍䛻♧䛩䚹㻌㻌

Figure 1: Schematic showing determination of riskᅗ䠍㻌 䝸䝇䜽䛾ඃඛ㡰఩௜䛡䛾ὶ䜜ᅗ䝕䞊䝍䛾㞟✚㻌 㻌䝇䝔䝑䝥䠍㻌 ໬Ꮫ≀㉁䛾㻯㻭㻿Ⓩ㘓␒ྕ䜢☜ㄆ䛩䜛㻌䝇䝔䝑䝥䠎㻌 㻺㻲㻼㻭㻌 ྍ⇞ᛶ䞉཯ᛂᛶ䝇䝁䜰䚸≀ᛶ䛸⵨Ẽᅽ䛾䝕䞊䝍䜢☜ㄆ䛩䜛㻌䝇䝔䝑䝥䠏㻌 ẘᛶ䝕䞊䝍䜢☜ㄆ䛩䜛㻌䝇䝔䝑䝥䠐㻌 ධᡭ䛧䜔䛩䛥䛾䝕䞊䝍䜢☜ㄆ䛩䜛㻌ホ౯㻌㻌䝇䝔䝑䝥䠑㻌 ẘᛶ䝇䝁䜰䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠒㻌 䝝䝄䞊䝗䛾㔜኱ᛶ䛾ẁ㝵䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠓㻌 ᨺฟ䛥䜜䜔䛩䛥䛾Ⅼᩘ䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠔㻌 ධᡭ䛧䜔䛩䛥䛾Ⅼᩘ䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠕㻌 ᭚㟢䛾⵹↛ᛶ䛾ẁ㝵䜢ุᐃ䛩䜛㻌䝇䝔䝑䝥䠍䠌㻌 䝸䝇䜽䜢ุᐃ䛩䜛

−93−

Step 1: Positively identify the chemical by obtaining the CAS RN. Start by using the
ICSC [4], which can be searched by name, including synonyms, and several otheridentifiers2. If an ICSC is not available for the chemical, use the Protective Action
Criterion Table 1: Chemicals of Concern and Associated Chemical Information PACs
Rev 27, February 2012 (PAC Table1) [8], HSDB [5], Cameo [6], PGHC [11], ERSHD[15], ChemSpider [16] or by an Internet search3 to obtain the CAS RN. Use the CAS
RN, obtained in this step, to continue the assessment.
䝇䝔䝑䝥䠍䠖㻯㻭㻿Ⓩ㘓␒ྕ䜢ᢕᥱ䛧䛶䚸☜ᐇ䛻໬Ꮫ≀㉁䜢ྠᐃ䛩䜛䚹䜎䛪ጞ䜑䛻䚸ྠពㄒ䜔௚䛾䛔䛟䛴䛛䛾㆑ูᏊ䜢ྵ䜑䚸ྡ⛠䛷᳨⣴䛩䜛䛣䛸䛜䛷䛝䜛㻵㻯㻿㻯㼇㻠㼉䜢฼⏝䛩䜛䠆䠎䚹䜒䛧䚸㻵㻯㻿㻯䛜฼⏝䛷䛝䛺䛔໬Ꮫ≀㉁䛾ሙྜ䛿䚸㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼛㼒㻌㻯㼛㼚㼏㼑㼞㼚㻌㼍㼚㼐㻌㻭㼟㼟㼛㼏㼕㼍㼠㼑㼐㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌㻼㻭㻯㼟㻌㻾㼑㼢㻌㻞㻣㻘㻌㻲㼑㼎㼞㼡㼍㼞㼥㻌㻞㻜㻝㻞䛾㼀㼔㼑㻌㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㻭㼏㼠㼕㼛㼚㻌㻯㼞㼕㼠㼑㼞㼕㼛㼚㻌 㼀㼍㼎㼘㼑㻌㻝㻌㻔㻼㻭㻯㻌㼀㼍㼎㼘㼑㻝㻕㻌㼇㻤㼉㻘㻌㻴㻿㻰㻮㻌㼇㻡㼉㻘㻌㻯㼍㼙㼑㼛㻌㼇㻢㼉㻘㻌㻼㻳㻴㻯㻌㼇㻝㻝㼉㻘㻌㻱㻾㻿㻴㻰㻌㼇㻝㻡㼉㻘㻌㻯㼔㼑㼙㻿㼜㼕㼐㼑㼞㻌㼇㻝㻢㼉䜔䜲䞁䝍䞊䝛䝑䝖᳨⣴䠆㻟䜢౑䛳䛶䚸㻯㻭㻿Ⓩ㘓␒ྕ䜢ᚓ䜛䚹䛣䛾䝇䝔䝑䝥䛷ᚓ䜙䜜䛯㻯㻭㻿Ⓩ㘓␒ྕ䜢䚸䝸䝇䜽䜰䝉䝇䝯䞁䝖䜢㏻䛧䛶౑⏝䛩䜛䚹㻌
2 There are several URLs for ICSCs: The INCHEM entry [http:www.inchem.org] provides access to the

ICSCs plus other reports on chemicals in the International Program for Chemical Safety database. The
NIOSH entry [http://www.cdc.gov/niosh/ipcs/icstart.html] allows searching by UN Number and has
multilingual options.
䠆㻞㻌 㻵㻯㻿㻯 䛻䛿䛔䛟䛴䛛䛾 㼁㻾㻸 䛜Ꮡᅾ䛩䜛䠖㼀㼔㼑㻌㻵㻺㻯㻴㻱㻹㻌㼑㼚㼠㼞㼥㻌㼇㼔㼠㼠㼜㻦㼣㼣㼣㻚㼕㼚㼏㼔㼑㼙㻚㼛㼞㼓㼉䛷䛿䚸㻵㻯㻿㻯 䛻䜰䜽䝉䝇䛷䛝䜛䛰䛡䛷䛺䛟䚸㼀㼔㼑㻌㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌㻼㼞㼛㼓㼞㼍㼙㻌㼒㼛㼞㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻿㼍㼒㼑㼠㼥㻌㼐㼍㼠㼍㼎㼍㼟㼑 䛻䛒䜛໬Ꮫ≀㉁䛻㛵䛩䜛௚䛾᝟ሗ䛻䜰䜽䝉䝇䛩䜛䛣䛸䛜䛷䛝䜛䚹㼀㼔㼑㻌㻺㻵㻻㻿㻴㻌㼑㼚㼠㼞㼥㻌㼇㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼏㼐㼏㻚㼓㼛㼢㻛㼚㼕㼛㼟㼔㻛㼕㼜㼏㼟㻛㼕㼏㼟㼠㼍㼞㼠㻚㼔㼠㼙㼘㼉䛿䚸㼁㻺 ␒ྕ䛷᳨⣴䛩䜛䛣䛸䛜䛷䛝䚸ከゝㄒ䛻ᑐᛂ䛧䛶䛔䜛䚹㻌㻌

3 The Merck Index [19], which is not available free of charge on the Internet, can also be used.

䠆䠏㻌 㼀㼔㼑㻌㻹㼑㼞㼏㼗㻌㻵㼚㼐㼑㼤㻌㼇㻝㻥㼉䜒฼⏝䛷䛝䜛䛜䚸䜲䞁䝍䞊䝛䝑䝖ୖ䛷䛿᭷ൾ䛸䛺䜛䚹㻌㻌㻌

Step 2: Obtain data on the physical state, the vapour pressure and the NFPA rankings
for flammability4 and reactivity5 from the ICSC [4], HSDB [5], Cameo [6], ERSHD [15],AEGL Technical Support Documentation [7] or other sources used in Step 1.
䝇 䝔 䝑 䝥 䠎 䠖 㻵㻯㻿㻯㻌 㼇㻠㼉㻘㻌 㻴㻿㻰㻮㻌 㼇㻡㼉㻘㻌 㻯㼍㼙㼑㼛㻌 㼇㻢㼉㻘㻌 㻱㻾㻿㻴㻰㻌 㼇㻝㻡㼉㻘㻌 㻭㻱㻳㻸㻌 㼀㼑㼏㼔㼚㼕㼏㼍㼘㻌 㻿㼡㼜㼜㼛㼞㼠㻌㻰㼛㼏㼡㼙㼑㼚㼠㼍㼠㼕㼛㼚㻌 㼇㻣㼉㻌 䜔䝇䝔䝑䝥䠍䛷౑䛳䛯௚䛾᝟ሗ※䛛䜙䚸≀ᛶ䚸⵨Ẽᅽ䚸ྍ⇞ᛶ䠆㻠䚸཯ᛂᛶ䠆㻡䛻㛵䛩䜛 㻺㻲㻼㻭 䝷䞁䜻䞁䜾䛾䝕䞊䝍䜢ධᡭ䛩䜛䚹㻌
4 If the NFPA flammability score is not available, it can be calculated from data on boiling point and flash

point according to the criteria given in Table 1, column 3. This should be done if the ICSC indicates thatthe chemical is flammable.
䠆䠐㻌 ⡿ᅜᅜ❧㜵ⅆ༠఍䠄㻺㻲㻼㻭䠅䛾ྍ⇞ᛶ䝇䝁䜰䛜฼⏝䛷䛝䛺䛔ሙྜ䛿䚸⾲䠍䛾䜹䝷䝮䠏䛻グ㍕䛾ᇶ‽䛻ᚑ䛔Ἓ
Ⅼ䛸ᘬⅆⅬ䛾್䛛䜙ィ⟬䛩䜛䛣䛸䛜䛷䛝䜛䚹㻵㻯㻿㻯 䛷ྍ⇞≀䛻ศ㢮䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛿䚸䛣䛾ィ⟬䜢⾜䛖䜉䛝䛷䛒䜛䚹㻌
5 If the NFPA reactivity score is not available and if the ICSC indicates that the chemical is highly

reactive, a default value of 2 can be assigned.
䠆䠑㻌 ⡿ᅜᅜ❧㜵ⅆ༠఍䠄㻺㻲㻼㻭䠅䛾཯ᛂᛶ䝇䝁䜰䛜฼⏝䛷䛝䛪䚸㻵㻯㻿㻯 䛷཯ᛂᛶ䛜㧗䛔䛸ศ㢮䛥䜜䛶䛔䜛໬Ꮫ≀−94−

㉁䛷䛿䚸᪤ᐃ್䛾 㻞 䜢๭䜚ᙜ䛶䜛䛣䛸䛜䛷䛝䜛䚹㻌㻌㻌

Step 3: Use the 60 minute AEGL-3 value as a measure of inhalational toxicity [7]. The
value in mg/m3 is given in the Technical Support Document provided for each chemical.
If an AEGL value is not available, use the 60 minute PAC-3 given in Table 4:
Protective Action Criteria (PAC) Rev 27 based on applicable 60-minute AEGLs,
ERPGs, or TEELs [8] as the toxicity estimate6.
䝇䝔䝑䝥䠏䠖྾ධẘᛶ䛾ᣦᶆ䛸䛧䛶䚸㻢㻜 ศ㛫㻌 㻭㻱㻳㻸㻙㻟 䛾್䜢౑⏝䛩䜛㼇㻣㼉䚹㻌 㼙㼓㻛㼙㻟 䛾್䛿䚸ྛ໬Ꮫ≀㉁䛻㛵䛩䜛 㼀㼑㼏㼔㼚㼕㼏㼍㼘㻌 㻿㼡㼜㼜㼛㼞㼠㻌 㻰㼛㼏㼡㼙㼑㼚㼠 䛷୚䛘䜙䜜䛶䛔䜛䚹䜒䛧䚸㻭㻱㻳㻸 䛾್䛜฼⏝䛷䛝䛺䛔ሙྜ䛿䚸ẘᛶ䛾ぢ✚䜒䜚䛸䛧䛶䚸㻭㻱㻳㻸㼟 䜔㻌 ⥭ᛴᛂ⟅ィ⏬࢞࢖ࢻࣛ࢖ࣥ㸦㻱㻾㻼㻳㼟䠅䚸ᬻᐃ⥭ᛴ᭚㟢㝈ᗘ㸦㼀㻱㻱㻸㼟䠅䛻ᇶ䛵䛟 㻼㼞㼛㼠㼑㼏㼠㼕㼢㼑㻌㻭㼏㼠㼕㼛㼚㻌㻯㼞㼕㼠㼑㼞㼕㼍㻌 㻔㻼㻭㻯㻕㻌㻾㼑㼢㻌㻞㻣 䛾 㼀㼍㼎㼘㼑㻌㻠㻌 䛻䛒䜛 㻢㻜 ศ㛫㻌㻼㻭㻯㻙㻟 䛾್㼇㻤㼉䜢౑⏝䛩䜛䚹䠆㻢㻌
6 If an AEGL-3 or PAC-3 is not available but other information indicates that the chemical is toxic, thechemical can be compared with similar chemicals that have an AEGL-3 or PAC-3 (e.g., pesticides can becompared with other pesticides). Additional sources of toxicity data include HSDB [12], ERSHD [15],
INCHEM – International Program on Chemical Safety, Poisons Information Monographs [20], IUCLID[14], WISER [13]. Alternatively a default toxicity score of 2 can be assigned.
䠆䠒㻌 㻭㻱㻳㻸㻙㻟 䜔 㻼㻭㻯㻙㻟 䛜฼⏝䛷䛝䛺䛔䛜䚸௚䛾᝟ሗ䛷ẘᛶ䛜䛒䜛䛸グ㍕䛜䛒䜛໬Ꮫ≀㉁䛿䚸㻭㻱㻳㻸㻙㻟 䜔 㻼㻭㻯㻙㻟䛻グ㍕䛾䛒䜛㢮ఝ໬Ꮫ≀㉁䛸ẚ㍑䛩䜛䛣䛸䛜ྍ⬟䛷䛒䜛䠄౛䠖㎰⸆䛿௚䛾㎰⸆䛸ẚ㍑䛷䛝䜛䠅䚹ẘᛶ䝕䞊䝍䛾㏣ຍ
᝟ሗ※䛸䛧䛶䚸㻴㻿㻰㻮㻌 㼇㻝㻞㼉㻘㻌 㻱㻾㻿㻴㻰㻌 㼇㻝㻡㼉㻘㻌 㻵㻺㻯㻴㻱㻹㻌 䇵㻌 㻵㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻌 㻼㼞㼛㼓㼞㼍㼙㻌 㼛㼚㻌 㻯㼔㼑㼙㼕㼏㼍㼘㻌 㻿㼍㼒㼑㼠㼥㻘㻌 㻼㼛㼕㼟㼛㼚㼟㻌㻵㼚㼒㼛㼞㼙㼍㼠㼕㼛㼚㻌㻹㼛㼚㼛㼓㼞㼍㼜㼔㼟㻌㼇㻞㻜㼉㻘㻌㻵㼁㻯㻸㻵㻰㻌㼇㻝㻠㼉㻘㻌㼃㻵㻿㻱㻾㻌㼇㻝㻟㼉䛜䛒䜛䚹௦᭰䛸䛧䛶䚸ẘᛶ䛾᪤ᐃ್䛷䛒䜛䠎䜢๭䜚䛒䛶䜛䛣䛸䜒䛷䛝䜛䚹㻌

㻌㻌

Step 4: : Determine the availability of the chemical, first by determining if it is on theOECD 2007 List of High Production Volume (HPV) Chemicals [9]7. If the chemical is
not HPV, determine if it is commercially available by searching the Internet using the
CAS Registry Number and asking for suppliers 8 . Drugs 9 , some pesticides 10 and
explosives 11 , although commercially available, may be subject to purchase
restrictions12. Chemical warfare agents (CWAs) are given in the Schedule 1 of the
Chemical Weapons Convention [10]. CWAs are difficult to synthesis, requiring great
technical expertise and good facilities, especially if kilogram or greater quantities are
required13.
䝇䝔䝑䝥䠐䠖໬Ꮫ≀㉁䛾ධᡭ䛧䜔䛩䛥䜢ุ᩿䛩䜛䚹䜎䛪䚸㼠㼔㼑㻌㻻㻱㻯㻰㻌㻞㻜㻜㻣㻌㻸㼕㼟㼠㻌㼛㼒㻌㻴㼕㼓㼔㻌㻼㼞㼛㼐㼡㼏㼠㼕㼛㼚㻌㼂㼛㼘㼡㼙㼑㻌㻔㻴㻼㼂㻕㻌㻯㼔㼑㼙㼕㼏㼍㼘㼟㻌㼇㻥㼉㻌 䠆㻣 䛾䝸䝇䝖䛻䛒䜛䛛䛹䛖䛛䜢☜ㄆ䛩䜛䚹䜒䛧䚸䛭䛾໬Ꮫ≀㉁䛜 㻴㻼㼂 䛷䛺䛡䜜䜀䚸㻯㻭㻿 Ⓩ㘓␒ྕ䜢౑䛳䛶䜲䞁䝍䞊䝛䝑䝖䛷᳨⣴䛧䛯䜚䚸౪⤥ඖ䠆㻤 䛻ၥ䛔ྜ䜟䛫䛯䜚䛧䛶䚸
ᕷ㈍䛥䜜䛶䛔䜛䛛䛹䛖䛛䜢☜ㄆ䛩䜛䚹་⸆ရ䠆㻥 䜔୍㒊䛾㎰⸆䠆㻝㻜䚸⇿Ⓨ≀䠆㻝㻝 䛿䚸ᕷ㈍䛥䜜䛶䛔䜛䜒䛾䛷䛒䛳䛶䜒䚸㉎ධไ㝈䠆㻝㻞 䛾ᑐ㇟䛸䛺䛳䛶䛔䜛ྍ⬟ᛶ䛜䛒䜛䚹໬Ꮫරჾ䠄㻯㼃㻭䡏䠅䛿໬Ꮫරჾ⚗Ṇ᮲⣙ Schedule 1㻌 㼇㻝㻜㼉䛻♧䛥䜜䛶䛔䜛䚹㻯㼃㻭䡏䛿ྜᡂ䛩䜛䛾䛜ᅔ㞴䛷䚸≉䛻 㼗㼓 ༢఩䜔䛭䜜௨

−95−ୖ䛾㔞䛜ᚲせ䛺ሙྜ䛿䚸༟㉺䛧䛯ᢏ⾡ⓗᑓ㛛▱㆑䜔ᩚ䛳䛯᪋タ䛜ᚲせ䛷䛒䜛䚹䠆㻝㻟㻌
7 The OECD list of HPV chemicals includes those chemical produced or imported into the OECD

countries in excess of 1,000 tonnes per year. Production of a given chemical by the large chemicalindustries of China, India and Brazil is only considered if those countries export that chemical in HPVquantities to an OECD country.
䠆䠓㻌 㻻㻱㻯㻰䛾㻴㻼㼂໬Ꮫ≀㉁䝸䝇䝖䛻ᥖ㍕䛥䜜䛶䛔䜛䛾䛿䚸ᖺ㛫㻝㻜㻜㻜䝖䞁௨ୖ䜢㻻㻱㻯㻰ෆ䛷⏕⏘䜎䛯䛿㻻㻱㻯㻰䛻㍺
ධ䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛷䛒䜛䚹୰ᅜ䚸䜲䞁䝗䚸䝤䝷䝆䝹䛛䜙㻻㻱㻯㻰䛾ᅜ䛻㻴㻼㼂㔞䛾໬Ꮫ≀㉁䛜㍺ฟ䛥䜜䛶䛔䜛ሙྜ䚸䛭䜜䜙䛾ᅜ䛾኱つᶍ໬Ꮫᕤሙ䛻䜘䛳䛶⏕⏘䛥䜜䛯໬Ꮫ≀㉁䛾䜏⪃៖䛧䛶䛔䜛䚹
8 CAS Online Chemical Catalogs File (CHEMCATS) [18] contains data on over 19,000,000

commercially available chemicals and their worldwide suppliers. However, this catalogue is not free.
䠆䠔㻌 㻯㻭㻿㻌㻻㼚㼘㼕㼚㼑㻌㻯㼔㼑㼙㼕㼏㼍㼘㻌㻯㼍㼠㼍㼘㼛㼓㼟㻌㻲㼕㼘㼑㻌㻔㻯㻴㻱㻹㻯㻭㼀㻿㻌 㻯㻭㻿 䜸䞁䝷䜲䞁䜹䝍䝻䜾㻕㻌㼇㻝㻤㼉䛻䛿䚸㻝㻥㻜㻜 ୓௳䜢㉸䛘䜛ᕷ㈍䛥䜜䛶䛔䜛໬Ꮫ≀㉁䛸ୡ⏺ⓗ䛺౪⤥ඖ䛾䝕䞊䝍䛜཰㍕䛥䜜䛶䛔䜛䚹䛧䛛䛧↓ൾ䛷䛿䛺䛔䚹㻌㻌

9 Data on over 6,000 drugs is given in DrugBank [17].

䠆䠕㻌 㻰㼞㼡㼓㻮㼍㼚㼗㻌㼇㻝㻣㼉䛻䛿䚸㻢㻜㻜㻜 ௨ୖ䛾་⸆ရ䛾䝕䞊䝍䛜཰㍕䛥䜜䛶䛔䜛䚹㻌
10 WHO Recommended Classification of Pesticides and Guidelines to Hazard 2009 provides data on

widely used pesticides [http:www.int/ipcs/publications/pesticides_hazard/en/]䠆䠍䠌㻌 㼃㻴㻻㻌㻾㼑㼏㼛㼙㼙㼑㼚㼐㼑㼐㻌㻯㼘㼍㼟㼟㼕㼒㼕㼏㼍㼠㼕㼛㼚㻌㼛㼒㻌㻼㼑㼟㼠㼕㼏㼕㼐㼑㼟㻌㼍㼚㼐㻌㻳㼡㼕㼐㼑㼘㼕㼚㼑㼟㻌㼠㼛㻌㻴㼍㼦㼍㼞㼐㻌㻞㻜㻜㻥 䛻䛿䚸ᗈ䛟౑䜟䜜䛶䛔䜛㎰⸆䛾䝕䞊䝍䛜཰㍕䛥䜜䛶䛔䜛䚹㻌
11 Lists of explosives are found in national export control documents (e.g., A Guide to Canada’s Export

Controls[http://www.international.gc.ca/controls-controles/assets/pdfs/documents/expoertcontrols2007-en.pdf] and in national regulations (e.g., Commerce in Explosives, List of Explosive Materials 2011R-18T,
United States Department of Justice,[http://www.gpo.gov/fdsys/pkg/FR-2011-10-19/pdf/2011-26963.pdf])䠆 䠍 䠍 㻌 ⇿ Ⓨ ≀ 䛾 䝸 䝇 䝖 䛿 䚸 ྛ ᅜ 䛾 ㍺ ฟ ⟶ ⌮ ᩥ ᭩ 䠄 ౛ 䠖 㻭㻌 㻳㼡㼕㼐㼑㻌 㼠㼛㻌 㻯㼍㼚㼍㼐㼍䇻㼟㻌 㻱㼤㼜㼛㼞㼠㻌 㻯㼛㼚㼠㼞㼛㼘㼟㻌㼇㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼕㼚㼠㼑㼞㼚㼍㼠㼕㼛㼚㼍㼘㻚㼓㼏㻚㼏㼍㻛㼏㼛㼚㼠㼞㼛㼘㼟㻙㼏㼛㼚㼠㼞㼛㼘㼑㼟㻛㼍㼟㼟㼑㼠㼟㻛㼜㼐㼒㼟㻛㼐㼛㼏㼡㼙㼑㼚㼠㼟㻛㼑㼤㼜㼛㼑㼞㼠㼏㼛㼚㼠㼞㼛㼘㼟㻞㻜㻜㻣㻙㼑㼚㻚㼜㼐㼒㼉 㻌 䜔 ᅜෆつไ㻌 㻔౛䠖㻌 㻯㼛㼙㼙㼑㼞㼏㼑㻌 㼕㼚㻌 㻱㼤㼜㼘㼛㼟㼕㼢㼑㼟㻘㻌 㻸㼕㼟㼠㻌 㼛㼒㻌 㻱㼤㼜㼘㼛㼟㼕㼢㼑㻌 㻹㼍㼠㼑㼞㼕㼍㼘㼟㻌 㻞㻜㻝㻝㻾㻙㻝㻤㼀㻘㻌 㼁㼚㼕㼠㼑㼐㻌 㻿㼠㼍㼠㼑㼟㻰㼑㼜㼍㼞㼠㼙㼑㼚㼠㻌 㼛㼒㻌㻶㼡㼟㼠㼕㼏㼑㻘㻌㼇㼔㼠㼠㼜㻦㻛㻛㼣㼣㼣㻚㼓㼜㼛㻚㼓㼛㼢㻛㼒㼐㼟㼥㼟㻛㼜㼗㼓㻛㻲㻾㻙㻞㻜㻝㻝㻙㻝㻜㻙㻝㻥㻛㼜㼐㼒㻛㻞㻜㻝㻝㻙㻞㻢㻥㻢㻟㻚㼜㼐㼒䠅㻌 䛻ᥖ㍕䛥䜜䛶䛔䜛䚹㻌㻌

12 Purchase restrictions are governed by national policy.

䠆䠍䠎㻌 ㉎ධไ㝈䛿䚸ྛᅜ䛾ᨻ⟇䛻䜘䜚⟶⌮䛥䜜䛶䛔䜛䠄䠙㉎ධไ㝈䛿ྛᅜ䛤䛸䛻つไ䛥䜜䛶䛔䜛䠅䚹㻌
13 CWAs would be scored as 1. The exception is sulphur mustard (CAS RN 505-60-2) which would bescored as 2.㻌䠆䠍䠏㻌 ໬Ꮫරჾ䛾䝇䝁䜰䛿䠍䛸䛩䜛䚹౛እ䛿◲㯤䝬䝇䝍䞊䝗䠄㻯㻭㻿 ⟶⌮␒ྕ 㻡㻜㻡㻙㻢㻜㻙㻞䠅䛷䝇䝁䜰䠎䛸䛩䜛䚹㻌−96−

Step 5: Score toxicity according to Table 1.㻌
䝇䝔䝑䝥䠑䠖⾲䠍䛻ᚑ䛔Ⅼᩘ໬䛩䜛㻌

㻌

−97−

Step 6: Calculate the Severity of Hazard according to equation 2. The maximum hazard
posed by a chemical is based on the highest score it received in any of the three hazard
categories (inhalational toxicity, flammability and reactivity).
Severity of hazard = (maximum hazard posed by the chemical) (eqn 2)
Determine the severity of hazard class according to Table 2.㻌
䝇䝔䝑䝥䠒䠖ᘧ䠎䛻ᚑ䛳䛶䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䜢ィ⟬䛩䜛䚹໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾᭱኱್䛿䚸䠏䛴䛾䝝䝄䞊䝗䜹䝔䝂䝸䞊䠄྾ධẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䠅䛾䛖䛱䛔䛪䜜䛛䛷ᚓ䜙䜜䜛᭱䜒㧗䛔䝇䝁䜰䛻ᇶ䛵䛟䚹㻌㻌 䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ㻌 䠙㻌 䠄໬Ꮫ≀㉁䛻䜘䛳䛶ᘬ䛝㉳䛣䛥䜜䜛䝝䝄䞊䝗䛾᭱኱್䠅㻌⾲䠎䛻ᚑ䛳䛶䚸䝝䝄䞊䝗䜽䝷䝇䛾㔜኱ᛶ䜢ุ᩿䛩䜛䚹⾲䠎㻌 䝝䝄䞊䝗䠄༴㝤᭷ᐖᛶ䠅䛾㔜኱ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅㻌䝝䝄䞊䝗䛾㔜኱ᛶ䛾ẁ㝵㻌

ᴟᗘ㻌

῝้㻌

㢧ⴭ㻌

୰⛬ᗘ㻌

㍍ᗘ㻌

㻱㼤㼠㼞㼑㼙㼑

㻹㼍㼖㼛㼞㻌

㻿㼕㼓㼚㼕㼒㼕㼏㼍㼚㼠㻌㻹㼛㼐㼑㼞㼍㼠㼑㻌㻹㼕㼚㼛㼞㻌

㻠㻌

㻟㻌

㻞㻌

㻝㻌

㻜㻌

䝝䝄䞊䝗䛾㔜኱ᛶ䛾Ⅼᩘ㻌䠄྾ධẘᛶ䚸ྍ⇞ᛶ䚸཯ᛂᛶ䛾 㻟 䛴䛾䝝䝄䞊䝗ศ㢮䛾䛖䛱୍␒㧗䛔Ⅼᩘ䜢䛸䜛䠅㻌㻌

Step 7: Vapour pressure is used as an indicator of ease of release. Use the vapour
pressure data14 obtained in Step 2, to obtain the ease of release score according to Table3.
䝇䝔䝑䝥䠓䠖⵨Ẽᅽ䛿䚸ᨺฟ䛥䜜䜔䛩䛥䛾ᣦᶆ䛸䛧䛶౑䜟䜜䜛䚹䝇䝔䝑䝥 㻞 䛷ᚓ䜙䜜䛯⵨Ẽᅽ䛾䝕䞊䝍䜢౑䛔䚸⾲䠏䛻ᚑ䛳䛶ᨺฟ䛥䜜䜔䛩䛥䛾Ⅼᩘ䜢ᚓ䜛䚹䠆㻝㻠−98−

14 If vapour pressure data is not found in step 2, a default values of 1 can be assigned to solids and liquids,

unless other information indicates that the liquid has a noticeable vapour pressure (e.g., odour) when 2
can be assigned.
䠆䠍䠐㻌 䝇䝔䝑䝥䠎䛷⵨Ẽᅽ䛾䝕䞊䝍䛜䜟䛛䜙䛺䛛䛳䛯ሙྜ䚸ᅛయ䞉ᾮయ䛻䛿᪤ᐃ್䛾 㻝 䜢๭䜚ᙜ䛶䜛䚹䛯䛰䛧䚸௚䛾᝟ሗ䛷䚸⮯Ẽ䛜䛒䜛䛺䛹䚸ᾮయ䛜㢧ⴭ䛺⵨Ẽᅽ䜢䜒䛴䛣䛸䛜♧䛥䜜䜛ሙྜ䛿 㻞 䜢๭䜚ᙜ䛶䜛䚹㻌㻌㻌

Step 8: Score availability according to Table 4.
䝇䝔䝑䝥䠔䠖⾲䠐䛻ᚑ䛳䛶ධᡭ䛾䛧䜔䛩䛥䛾Ⅼᩘ䜢䛴䛡䜛䚹㻌

Step 9: Determine the probability of exposure class using equation 3 and Table 5−99−

Probability of exposure = (availability) X (ease of release) (eqn 3)㻌
䝇䝔䝑䝥䠕䠖ᘧ䠏䛸⾲䠑䜢౑䛳䛶䚸᭚㟢䛾⵹↛ᛶ䛾䜽䝷䝇䠄ẁ㝵䚸ศ㢮䠅䜢Ỵ䜑䜛䚹㻌㻌 㻌 ᭚㟢䛾⵹↛ᛶ䠄☜⋡䠅㻩䠄ධᡭ䛾䛧䜔䛩䛥䠅㽢䠄ᨺฟ䛥䜜䜔䛩䛥䠅㻌 㻔㻟㻕㻌⾲䠑㻌 ᭚㟢䛾⵹↛ᛶ䛾ẁ㝵䛸䝇䝁䜰䝸䞁䜾㻔Ⅼᩘ໬䠅㻌㻌᭚㟢䛾⵹↛ᛶ䛾ẁ㝵㻌 㻌᭚㟢䛾⵹↛ᛶ䛾Ⅼᩘ㻌

㻌

㻌

㻌

㻌

㻌

㢖Ⓨ㻌

䛧䜀䛧䜀Ⓨ⏕

᫬䚻Ⓨ⏕㻌䜑䛳䛯䛻䛺䛔㻌

㉳䛣䜚䛭䛖䛻䛺䛔㻌㻲㼞㼑㼝㼡㼑㼚㼠㻌 㻌㻸㼕㼗㼑㼘㼥㻌

㻻㼏㼏㼍㼟㼕㼛㼚㼍㼘㻌㻿㼑㼘㼐㼛㼙㻌

㼁㼚㼘㼕㼗㼑㼘㼥㻌㻟㻜㻙㻞㻡㻌

㻞㻠㻙㻝㻥㻌

㻝㻤㻙㻝㻟㻌

㻝㻞㻙㻣㻌

㻢㻙㻝㻌

㸦ཧ⪃㸸㢖ⓎࡍࡿࠊࡋࡤࡋࡤⓎ⏕ࡍࡿࠊ᫬ࠎⓎ⏕ࡍࡿࠊ㉳ࡇࡾࡑ࠺࡟࡞࠸ࠊࡲࡎ㉳ࡇࡾ࠼࡞࠸㸧

Step 10: Determination of risk
Determine the risk from the risk matrix given in Figure 2.㻌
䝇䝔䝑䝥䠍䠌䠖䝸䝇䜽䛾ุᐃ㻌ᅗ䠎䛾䝸䝇䜽䝬䝖䝸䜽䝇䛛䜙䝸䝇䜽䜢ุᐃ䛩䜛䚹㻌ᅗ䠎㻌 䝸䝇䜽䝬䝖䝸䜽䝇㻌䝝䝄䞊䝗㻌᭚㟢䛾⵹↛ᛶ㻔㻼㻱䠅㻌
㢖Ⓨ㻌䛧䜀䛧䜀Ⓨ⏕㻌᫬䚻Ⓨ⏕㻌䜑䛳䛯䛻䛺䛔㻌

㉳䛣䜚䛭䛖䛻䛺䛔㻌㻲㼞㼑㼝㼡㼑㼚㼠㻌㻸㼕㼗㼑㼘㼥㻌

㻻㼏㼏㼍㼟㼕㼛㼚㼍㼘㻌㻿㼑㼘㼐㼛㼙㻌

㼁㼚㼘㼕㼗㼑㼘㼥㻌㻌 㻔㻟㻜㻙㻞㻡㻕㻌䠄㻞㻠㻙㻝㻥䠅㻌

䠄㻝㻤㻙㻝㻟䠅㻌

䠄㻝㻞㻙㻣䠅㻌

䠄㻢㻙㻝䠅㻌ᴟᗘ㻌 㻱㼤㼠㼞㼑㼙㼑㻌㻔㻠㻕㻌 㻌ᴟ䜑䛶㧗䛔㻌

ᴟ䜑䛶㧗䛔㻌

ᴟ䜑䛶㧗䛔㻌㧗䛔㻌୰㻌῝้㻌 㻹㼍㼖㼛㼞㻌㻔㻟㻕㻌ᴟ䜑䛶㧗䛔㻌

㧗䛔㻌

㧗䛔㻌

୰㻌

ప䛔㻌

㢧ⴭ㻌 㻿㼕㼓㼚㼕㼒㼕㼏㼍㼚㼠㻌㻔㻞㻕㻌 㻌 㻌ᴟ䜑䛶㧗䛔㻌

㧗䛔㻌

୰㻌

ప䛔㻌

ᴟ䜑䛶ప䛔㻌

୰⛬ᗘ㻌 㻹㼛㼐㼑㼞㼍㼠㼑㻌㻔㻝㻕㻌

㧗䛔㻌

୰㻌

ప䛔㻌

ప䛔㻌

ᴟ䜑䛶ప䛔㻌

㍍ᗘ㻌 㻹㼕㼚㼛㼞㻌㻔㻜㻕㻌

୰㻌

ప䛔㻌

ᴟ䜑䛶ప䛔㻌

ᴟ䜑䛶ప䛔㻌

ᴟ䜑䛶ప䛔㻌

䠄༴㝤᭷ᐖᛶ䠅䛾㻌㔜኱ᛶ䠄㻿㻴㻕㻌

−100−

An example is given in Table 6.㻌
䠄ᐇ㝿䛻䝸䝇䜽ุᐃ䜢⾜䛺䛳䛯䠅౛䜢䝔䞊䝤䝹 㻢 䛻♧䛩䚹㻌

Table 6: Example showing determination of risk for chemicals released into theatmosphere໬Ꮫ≀㉁䛜኱Ẽ୰䜈ᨺฟ䛥䜜䛯ሙྜ䛾䝸䝇䜽ุᐃ䛾౛

References
1. European Commission Environment: Chemical Accidents (Seveso II) - Prevention, Preparedness
and Response. [http://ec.europa.eu/environment/seveso/index.htm]
Council Directive 96/82/EC of 9 December 1996 on the control of major-accident hazards
involving dangerous substances
2. United States Environmental Protection Agency: Accidental Release Prevention Requirements:
Risk Management Programs Under the Clean Air Act, Section 112(r)(7); List of Regulated
Substances and Thresholds for Accidental Release Prevention, Stay of Effectiveness; andAccidental Release Prevention Requirements: Risk Management Programs Under Section
112(r)(7) of the Clean Air Act as Amended, Guidelines; Final Rules and Notice. 61 FR 31667(June 20, 1996): [http://www.epa.gov/fedrgstr/EPA-AIR/1996/June/Day-20/pr-23439.pdf]
3. Cox JA, Roszell LE, Whitmire M, Chemical Terrorism Risk Assessment: A Biennial
Assessment of Risk to the Nation, United States Department of Homeland Security, Chemical
Security Analysis Center, May 2010.
4. International Chemical Safety Cards (ICSC) INCHEM entry [http://www.inchem.org/]; NIOSH
entry [http://www.cdc.gov/niosh/ipcs/icstart.html]
5. United States National Library of Medicine, Hazardous Substances Data Bank (HSDB)[http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?HSDB]
6. United States Department of Commerce, National Oceanic and Atmospheric Administration:
Cameo Chemicals-Database of Hazardous Materials [http://cameochemicals.noaa.gov]−101−

7. United States Environmental Protection Agency: Acute Exposure Guidelines[http://epa.gov/opptintr/aegl]
8. United States Department of Energy, Office of Health, Safety and Security: Protective Action
Criteria (PAC) with AEGLs, ERPGs, & TEELs: Rev. 27 for Chemicals of Concern (02/2012)[http://www.hss.energy.gov/healthsafety/wshp/chem._safety/teel.html]
Table 1: Chemicals of Concern and Associated Chemical Information PACs Rev 27, February
2012[http://www.atlintl.com?DOE/teels/teel/Table1.pdf]
Table 4: Protective Action Criteria (PACs) Rev 27 based on applicable 60 min AEGLs, ERPGs or
TEELS [http://www.atlintl.com/DOE/teels/teel/Table4.pdf]
9. Organisation for Economic Co-operation and Development: Environment Directorate, Series on
testing and assessment, Number 112: The 2007 OECD list of high production volume chemicals.
2009. Paris.
[http://www.oecd.org/officialdocuments/displaydocumentpdf/?cote=env/jm/mono(2009)40&docl
anguage=en]
10. Convention on the Prohibition of the Development, Production, Stockpiling and Use of Chemical
Weapons and on their Destruction (Chemical Weapons Convention)[http://www.opcw.org/chemical-weapons-convention]
11. Department of Health and Human Services, Centers for Disease Control and Prevention,
National Institute for Occupational Safety and Health, NIOSH Pocket Guide to Chemical Hazards
September 2007 [http://www.cdc.gov/niosh/doc)]
12. Transport Canada (TC), the U.S. Department of Transportation (DOT), the Secretariat ofTransport and Communications of Mexico (SCT) 2008 Emergency Response Guidebook[http://www.tc.gc.ca/eng/canutec/guide-ergo-221.htm]
13. WISER (Wireless Information System for Emergency Responders) [http://wiser.mlm.nih.gov]
14. International Uniform Chemical Information Database (IUCLID)[http://iuclid.eu.index.php?fuseaction=home.project]
15. United States National Institute for Occupational Health and Safety (NIOSH): The Emergency
Response Safety and Health Database [http://www.cdc.gov/NIOSH/ershdb]
16. Royal Society of Chemistry (RSC) ChemSpider [http//www.chemspider.com]
17. DrugBank [http://www.drugbank.ca]
18. Chemical Abstracts Service [http://cas.org]
19. Merck Index: Encyclopedia of Chemicals, Drugs and Biological Series Fourteenth Edition,(ISBN-13:9780911910001) John Wiley& Sons, Inc., 2006
20. INCHEM – International Program on Chemical Safety, Poisons Information Monograph[http://www.inchem.org/]
21. Colonna GR (Ed): Fire Protection Guide to Hazardous Materials, 2010 Edition. Quincy,

Massachusetts: National Fire Protection Association; 2010.
All URLs were assessed on 18 July 2012.㻌

−102−

㻌

ศᢸ◊✲ሗ࿌
㻌
㻌
㻌
㻌
㻌

㻌

䛂໬Ꮫ๣䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 すᒣ㻌 㟹ᑗ㻌䠄㜵⾨་⛉኱Ꮫᰯ㻌 㜵⾨་Ꮫㅮᗙ㻌 ෸ᩍᤵ䠅㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌
㻌

ᖹᡂᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠㸦೺ᗣᏳ඲࣭༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ㸧ࠕ೺ᗣ༴ᶵ⟶⌮࣭ࢸࣟࣜࢬ࣒ᑐ⟇࡟㈨ࡍࡿ᝟ሗඹ᭷ᇶ┙ࡢᩚഛ࡟㛵ࡍࡿ◊✲ࠖศᢸ◊✲ሗ࿌᭩
ࠕ໬Ꮫ๣࡟㛵ࡍࡿ◊✲ࠖ◊✲ศᢸ⪅ すᒣ㟹ᑗ㜵⾨་⛉኱Ꮫᰯ㜵⾨་Ꮫㅮᗙ ෸ᩍᤵ


◊✲せ᪨
ᅜ㝿ⓗ࡞ࢿࢵࢺ࣮࣡ࢡࡢᵓ⠏ࡣࠊ೺ᗣ༴ᶵ⟶⌮ࡸࢸࣟࣜࢬ࣒ᑐ⟇ࡢᙉ໬࡟୙
ྍḞ࡛࠶ࡿࠋ㜵⾨་Ꮫ࡜࠸࠺ぢᆅ࠿ࡽࠊㅖእᅜࡢ㌷஦㒊㛛ࡸ༴ᶵ⟶⌮ᶵ㛵ࡢᑓ㛛ᐙ࡜ࡢᏛ⾡஺ὶࢆ⾜࠸ࠊ௒ᚋࡢࢃࡀᅜࡢ೺ᗣᏳ඲࡟㈨ࡍࡿ㈗㔜࡞▱ぢࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡓࡢ࡛ሗ࿌ࡍࡿࠋ
䠝䠊◊✲┠ⓗ䜜䛯 Asia Pacific Military Medicalᮏ◊✲䛾┠ⓗ䛿䚸㜵⾨་Ꮫ䠄ᅜ㝿ⓗ䛻䛿䛂㌷஦་

Conference(APMMC)䛻ฟᖍ䛧䛯䚹ᮏ఍㆟䛿䜰䝯䝸䜹Ꮫ䛃䛸䛔䛖⏝ㄒ䛜ᗈ䛟౑⏝䠅䛾どⅬ䛛䜙䚸௒ᚋ䛾䜟䛜ኴᖹὒ㌷་ົ⥲┘䛜⟶㎄ୗ䛻䛒䜛䜰䝆䜰䞉ኴᖹὒㅖᅜ䛾೺ᗣ༴ᶵ⟶⌮䜔䝔䝻䝸䝈䝮ᑐ⟇䛻᭷⏝䛺ᅜ㝿ⓗᅜ䛾㌷஦⾨⏕㒊㛛䛸䛾㐃ᦠ䜢┠ⓗ䛻ẖᖺ⾜䜟䜜䛶▱ぢ䜢᫂䜙䛛䛻䛧䛶䚸᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㈉⊩䛩䛔䜛䚹ᑠ⫋䛿䚸⏕≀๣䛾ೃ⿵䛸䛧䛶ᠱᛕ䛥䜜䠟䠠䠟䜹䜛䛣䛸䛷䛒䜛䚹

䝔䝂䝸䠝䛻ᣦᐃ䛥䜜䛶䛔䜛ኳ↛①䛻ᑐ䛩䜛䜟䛜ᅜ䛾ྲྀ䜚⤌䜏䚸≉䛻㜵ᚚᡭẁ䛷䛒䜛䝽䜽䝏䞁䛾㛤Ⓨ䜔ഛ䠞䠊◊✲᪉ἲ

⵳䚸᭦䛻䛿ᅜ඲య䛾䝔䝻ᑐ⟇䛾௙⤌䜏䛻䛴䛔䛶Ⓨ⾲ᮏ◊✲䜢ᐇ᪋䛩䜛䛻䛒䛯䛳䛶䛿䚸䜟䛜ᅜ䛾೺ᗣ༴䜢⾜䛳䛯䚹୺ദᅜ䛾㡑ᅜ㌷䛾⾨⏕㒊㛛䛸䛾ពぢ஺᥮ᶵ⟶⌮䜔䝔䝻䝸䝈䝮ᑐ⟇䜢㜵⾨་Ꮫⓗഃ㠃䛛䜙䝞䝑䛷䛿䚸኱㔞◚ቯරჾ䛾㛤Ⓨ䛜ᠱᛕ䛥䜜䜛໭ᮅ㩭䛾㌷䜽䜰䝑䝥䛩䜛䛣䛸䛷䚸ཌ⏕ປാ⾜ᨻ䛾෇⁥䛺᥎㐍䛻㈨஦ⓗືྥ䛻䛿ὀど䛜ᚲせ䛷䛒䜚䚸䜟䛜ᅜ䛾䝔䝻ᑐ⟇䛩䜛䛣䛸䜢ᛕ㢌䛻䛧䛶䚸ㅖእᅜ䛾ᅜ㜵⤌⧊䜔බⓗ༴ᢏ⾡䛻ᾏእ䛜ὀ┠䛧䛶䛔䜛䛣䛸䛜䜟䛛䛳䛯䚹䜎䛯䚸ᮏᶵ⟶⌮㒊㛛䛸䛾㐃ᦠ䛻䜘䜛ពぢ஺᥮䜢㏻䛨䛶᝟ሗ཰Ꮫ఍䛻䜸䝤䝄䞊䝞䞊ཧຍ䛧䛶䛔䛯䝗䜲䝒ᅜ㜵┬㛵ಀ㞟䜢⾜䛳䛯䚹ලయⓗ䛻䛿䚸䜟䛜ᅜ䛾Ᏻ඲ಖ㞀ᨻ⟇䛻⪅䛛䜙䚸Ḣᕞ䛷䜒䜟䛜ᅜ䛾䝔䝻஦᱌䛻㧗䛔㛵ᚰ䜢ᐤ䛸䛳䛶᭱㔜せ䝟䞊䝖䝘䞊䛷䛒䜛䜰䝯䝸䜹㌷䛜୺ദ䛩䜛䛫䜙䜜䛶䛔䜛䛣䛸䜢⪺䛔䛯䚹ᆅୗ㕲䝃䝸䞁஦௳䜢㋃䜎

ᅜ㝿఍㆟䜔䚸ୡ⏺ྛᅜ䛾㌷஦⾨⏕㒊㛛䛾௦⾲⪅䛜䛘䛯໬Ꮫ๣䜲䞁䝅䝕䞁䝖䛾ᑐᛂ䜢䜎䛸䜑䚸Ḣᕞᶵᵓ㛵୍ྠ䛻఍䛩䜛ᅜ㝿㌷஦་Ꮫ఍㆟ୡ⏺኱఍䚸䛭䛾௚䚸ಀ䛾㌷஦་Ꮫㄅ䛻ㄽᩥ䜢ᥦฟ䛧䛯䚹೺ᗣ༴ᶵ⟶⌮䛻㈨䛩䜛ᑓ㛛ᐙ䛸䛾఍ྜ➼䜢ά⏝䛧䐠⡿ᅜእ⛉Ꮫ఍⅏ᐖ་⒪⟶⌮ㄢ⛬䛯䚹ᖹᡂ䠎䠐ᖺ䠍䠌᭶䠎䠓᪥䚸⌰⌫኱Ꮫ་Ꮫ㒊䛻䛶⾜䜟䜜䛯 Disaster Medical Emergency Preparedness (DMEP)㸦೔⌮㠃࡬ࡢ㓄៖㸧䛻ཧຍ䛧䛯䚹DMEP 䛿⡿ᅜ䛾⅏ᐖ་⒪⟶⌮䚸≉グ஦㡯࡞ࡋࠋ

Incident Command System (ICS)䛾㐠⏝䜢₇⦎䛩䜛ᩍ⫱䛷䛒䜛䚹䜲䞁䝇䝖䝷䜽䝍䞊䛾䝣䝻䝸䝎ᕞ་ົ⥲┘䛸ព㹁㸬◊✲⤖ᯝ

ぢ஺᥮䜢⾜䛳䛯䚹㐣ཤ䛻⡿ᅜෆ䛷䛿⏘ᴗ໬Ꮫ≀㉁ྛ㡯┠࡟ࡘ࠸࡚㏙࡭ࡿࠋ䜔㎰⸆➼䛾ᕤᴗ䝥䝷䞁䝖䛾኱஦ᨾ䛜┦ḟ䛔䛰䛯䜑䚸ձ࢔ࢪ࢔ኴᖹὒ㌷஦་Ꮫ఍㆟ᶆ‽䝥䝻䝖䝁䞊䝹䛻䜘䜛ᾘ㜵䜢୰ᚰ䛸䛩䜛㎿㏿䛺⅏ᐖᖹᡂ䠎䠐ᖺ䠓᭶䠕䡚䠍䠌᪥䚸኱㡑Ẹᅜ䝋䜴䝹ᕷ䛷㛤ദ䛥ᑐ⟇ᮏ㒊䛾❧䛱ୖ䛢䜢㔜ど䛧䛶䛔䜛䛸䛾䛣䛸䛷䛒䜛䚹−105−䜟䛜ᅜ䛷䜒䚸㏆ᖺ䚸໬Ꮫ䝁䞁䝡䝘䞊䝖ⅆ⅏䜔༴㝤≀㉁௒ᅇ䛾◊ಟ䛾↔Ⅼ䛷䜒䛒䛳䛯䚹እയᩆᛴ་⒪䛷㢖⏝ᦙ㏦୰䛾஦ᨾ➼䛻䜘䜛㏆㞄ఫẸ䛾㑊㞴䜔೺ᗣᙳ㡪䛥䜜䜛 preventable death 䛿ඖ᮶♫఍་Ꮫ㡿ᇦ䛷౑䜟䛜ᠱᛕ䛥䜜䛯஦౛䛜䛒䜚䚸໬Ꮫ≀㉁䛜⤡䜣䛰㔜኱䜲䜜䛰䛧䛯⏝ㄒ䛷䛒䜚䚸බ⾗⾨⏕䝃䞊䝡䝇䛾ᐇ㊶䛸䛿䜎䞁䝅䝕䞁䝖䜒໬Ꮫ䝔䝻䛸ྠᵝ䛻஦๓䛾‽ഛ䜔ᩍ⫱カ䛥䛻༴ᶵ⟶⌮䛭䛾䜒䛾䛷䛒䜝䛖䚹䝠䝳䞊䝬䞁䝅䝇䝔䝮䛾⦎䛜ồ䜑䜙䜜䜛䚹

◚⥢䛻䜘䜛ேⅭⓗ䛺஦᱌䜒ྵ䜑䛶䚸⅏ᐖᑐฎ䛿 ICS䐡ᅜ㝿㌷஦་Ꮫ఍㆟

䛾㎿㏿䛺☜❧䛸෇⁥䛺㐠⏝䛷䛒䜚䚸ᆒ⾮䛸⤫ไ䛾䛸䜜ᖹᡂ䠎䠐ᖺ䠍䠎᭶䠒᪥䡚䠍䠎᪥䚸䝃䜴䝆䜰䝷䝡䜰⋤ᅜ䝆䜵䛯බ⾗⾨⏕άື䛜䛷䛝䜛ேᮦ⫱ᡂ䛾㛤Ⓨ䛿䚸䜟䛜ᅜ䝑䝎ᕷ䛷㛤ദ䛥䜜䛯 International Congress of䛾༴ᶵ⟶⌮䛻㈉⊩䛷䛝䜛䛸ᛮ䜟䜜䜛䚹

Military Medicine(ICMM)ୡ⏺኱఍䛻ฟᖍ䛧䛯䚹
ICMM 䛿➨୍ḟୡ⏺኱ᡓᚋ䛾ୡ⏺༠ㄪ䛾ᶵ㐠ୗ䛻䠠䠊⪃ᐹ䝧䝹䜼䞊䛸䜰䝯䝸䜹䛜ᇶ㍈䛸䛺䛳䛶ୡ⏺ྛᅜ䛻࿧䜃䛛㻌 ᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛾䛯䜑䛾௒ᖺᗘ䛾άື䛿኱䛡䛶⤖ᡂ䛥䜜䛯㌷⾨⏕㒊㛛䛾ᅜ㝿ⓗᯟ⤌䜏䛷䚸ୡ䛝䛟䠎䛴䛛䜙ᡂ䜚䛯䛴䚹ඛ䛪䚸ᅜෆእ䛾༴ᶵ⟶⌮ᚑ஦⏺ಖ೺ᶵᵓ(WHO)䛛䜙䜒ᖖ௵ጤဨ䛸䛧䛶ཧ⏬䛧䛶䛔⪅䛸䛾Ꮫ⾡άື䜢㏻䛨䛯஺ὶ䛸᝟ሗ஺᥮䛷䛒䜚䚸ᚋ䜛䚹ᑠ⫋䛿䚸᪂⯆෌⯆ឤᰁ⑕䛚䜘䜃䝔䝻ᑐฎ䛾ᅜ㝿⪅䛿ᅜ❧ಖ೺་⒪⛉Ꮫ㝔䛷⾜䜟䜜䛶䛔䜛೺ᗣ༴ᶵ䝅䞁䝫䝆䜴䝮䛻ཧຍ䛧䚸䜟䛜ᅜ䛾䝁䝬䞁䝗䝅䝇䝔䝮䜔⟶⌮◊ಟ䜢⮬䜙ᒚಟ䛧䛶䚸⌧⾜䛾ேᮦ⫱ᡂ䝥䝻䜾䝷➨୍ᑐᛂ⪅䛾㜵ㆤຊ䛾ᙉ໬䚸ᚲせ䛺་⸆ရ➼䛾ഛ䝮䜢⌮ゎ䛩䜛䛣䛸䛷䛒䜛䚹㌷஦་Ꮫ䛿䜟䜜䜟䜜⮬⾨

⵳䛻䛴䛔䛶Ⓨ⾲䛧䛯䚹᪥ᮏ䛸␗䛺䜚䚸ᾏእ䛷䛿㌷㝲䛜㝲་ᐁ䛾❧ሙ䛺䜙䛷䛿䛾㡿ᇦ䛷䛒䜚䚸䛣䛾Ꮫ⾡ศ㔝༢⊂䛷㐠⏝䛥䜜䜛ሙྜ䛜୍⯡ⓗ䛷䛒䜛䜒䛾䛾䚸᪥ᮏ䜢ඹ㏻㡯䛻䛧䛶ㅖእᅜ䛸஺ὶ䜢䛧䛴䛴䚸䜟䛜ᅜ䛾೺䛾䜘䛖䛺⮬⾨㝲䛸ᾘ㜵䞉㆙ᐹ䞉⮬἞య䛺䛹䛾බⓗᶵ㛵ᗣ༴ᶵ⟶⌮ᚑ஦⪅䛾ேᮦ⫱ᡂ䛻཯ᫎ䛥䛫䜛䛣䛸䛜䚸䛜㌷Ẹ㐃ᦠ䛧䛶༴ᶵ⟶⌮ᑐᛂ䜢⾜䛖௙⤌䜏䛿᩾᪂䛸䜟䛜ᅜ඲య䛾༴ᶵ䛻ᑐ䛩䜛䝺䝆䝸䜰䞁䝇䜢᭦䛻㧗䜑ཷ䛡Ṇ䜑䜙䜜䛯䚹⏕≀䞉໬Ꮫ䝔䝻䛻ᑐ䛩䜛ഛ䛘䛿䚸ከ䜛䛣䛸䛺䜛䛸ᮇᚅ䛷䛝䜛䚹᫖ᖺ䚸ᆅୗ㕲䝃䝸䞁஦௳䜢ᐇ䛟䛾ᅜ䚻䛜ᚲせ䛸ឤ䛨䛴䛴䜒✀䚻䛾ไ⣙䛷ᡭ௜䛛䛪⾜䛧䛯䜸䜴䝮┿⌮ᩍ䛾䝯䞁䝞䞊䛜㐊ᤕ䛥䜜䚸᪂䛯䛺⿢䛾䜎䜎䛷䛒䜛䜿䞊䝇䛜ከ䛔䛣䛸䛜ุ᫂䛧䛯䚹⿦ഛ䜢ಖุ䛜ጞ䜎䛳䛯䛣䛸䛿グ᠈䛻᪂䛧䛔䚹䛣䜜䜎䛷୙᫂䛷䛒᭷䞉ᩚഛ䛩䜛䜎䛷䛻⮳䜙䛺䛟䛸䜒䚸⡆᫆㜵ㆤ䜔⌧᭷㈨䛳䛯㒊ศ䛜᫂䜙䛛䛻䛺䜛䜿䞊䝇䜒᝿㉳䛥䜜䜛䚹䛭䛣䛷䚸ჾᮦ䛷ྍ⬟䛺㝖ᰁ䛺䛹䚸⌧≧䛷ฟ᮶ᚓ䜛ᑐᛂ䜢⪃䛘ḟᖺᗘ䛿䚸኱㔞◚ቯරჾ䛜౑⏝䛥䜜䛯ୡ⏺኱ᡓᮇ䜛䛣䛸䛿༴ᶵ⟶⌮䛾ཎ๎䛷䜒䛒䜛䚹໬Ꮫරჾ䛜ึ䜑䜢᣺䜚㏉䜚䚸ᮍⓎ㐩䛾་⒪䜲䞁䝣䝷ୗ䛷ฟ᮶ᚓ䛯ᩍカ䛶౑⏝䛥䜜䛯䛾䛿➨୍ḟୡ⏺኱ᡓ䛷䛒䜛䛜䚸䛭䛾㡭䜢ㄪᰝ䛧䛶Ꮫ⾡ᡂᯝ䜢ฟ䛧䛯䛔䚹䛿⿕ᐖ⪅䛻ᑐ䛧䛶䛹䛾䜘䛖䛺་⒪ᑐᛂ䜢ᐇ㊶䛧䛶䛔䛯䛾䛛䚸ᙜ᫬䛾㈨ᩱ䜢㐳䜛ᚲせᛶ䜒ឤ䛨䛯䚹䠡䠊⤖ㄽ䐢೺ᗣ༴ᶵ⟶⌮◊ಟ㻌 䠍ᖺ┠䛿㌷஦་Ꮫ䛾㡿ᇦ䛷䝔䝻䝸䝈䝮䜔೺ᗣ༴ᶵᮏ◊ಟ䛿䚸ಖ೺ᡤ䜔⮬἞య⫋ဨ䛾೺ᗣ༴ᶵ⟶⌮ᑐ⟶⌮䛾᥎㐍䛻ᚲせ䛺᝟ሗ䝸䝋䞊䝇䛾☜ಖ䚸୍᪉䚸䛣䜜ᛂ⬟ຊ䛾ྥୖ䜢┠ⓗ䛻ᅜ❧ಖ೺་⒪⛉Ꮫ㝔䛷ẖᖺ䛛䜙䛾೺ᗣ༴ᶵ⟶⌮ᚑ஦⪅䛻⫱ᡂ䛻᭷⏝䛺ேᮦ㛤㛤ദ䛥䜜䛶䛔䜛䚹୺䛻ಖ೺ᖌ䜢ᑐ㇟䛸䛩䜛ᐇົ⦅䛸䚸Ⓨ䛻䛴䛔䛶⪃ᐹ䛧䛯䚹ḟᖺᗘ䛿䚸ᅜ㝿㌷஦་Ꮫ఍䛸ಖ೺ᡤ㛗䜢ᑐ㇟䛸䛩䜛㧗ᗘᢏ⾡⦅䛛䜙ᵓᡂ䛥䜜䚸୧㐃ᦠ䛧䛴䛴䚸㐣ཤ䛾஦౛䜢෌ᗘ᳨ド䛧䚸䛣䜜䛛䜙䛾䝔᪉䛻ཧຍ䛧䛯䚹ᮾ᪥ᮏ኱㟈⅏䛿኱ὠἼ⅏ᐖ䛸ཎⓎ஦䝻䝸䝈䝮ᑐᛂ䛾ᩍカ䛸䛺䜛ඛ౛䜢ㄽ㏙䛧䛯䛔䚹ᨾ䛜⤡䜣䛰ᕧ኱䛺」ྜ⅏ᐖ䛷䛒䜚䚸ከ䛟䛾⮬἞య䛜⅏ᐖ䛾኱ᡴᧁ䜢ཷ䛡䜛䛸䛸䜒䛻㛗ᮇ䛾㑊㞴⏕ά䛾ᙳ䠢䠊೺ᗣ༴㝤᝟ሗ㡪䛻䜘䜛⅏ᐖ㛵㐃Ṛ䛾ቑຍ䛜኱䛝䛺ၥ㢟䛷䛸䛺䛳䛶䛺䛧䛔䜛䚹䛣䛾⅏ᐖ䛷䛿䚸ቯ⁛ⓗ䝎䝯䞊䝆䜢ཷ䛡䛯⮬἞య䜈䛾බ⾗⾨⏕䝃䞊䝡䝇䛾⿵ሸ䛜௒ᚋ䛾ㄢ㢟䛷䛒䜚䚸−106−䠣䠊◊✲Ⓨ⾲1.

䠤䠊▱ⓗ㈈⏘ᶒ䛾ฟ㢪䞉Ⓩ㘓≧ἣ
㻌㻌

ㄽᩥⓎ⾲

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immunization against smallpox bioterrorism.

㻌 ≉䛻䛺䛧䚹

International review of the armed forces medical

2. ᐇ⏝᪂᱌Ⓩ㘓

services. 2013 86(3): 20-23.

㻌 ≉䛻䛺䛧䚹

Y.Nishiyama. Readiness and Response for chemical

3.䛭䛾௚

terrorism. International forum of medical corps. 2013

㻌 ≉䛻䛺䛧䚹

2:52-54.
Y.Nishiyama. Book review; Sphere standard. J of
National Defense Medical College. 2013 38(5) 䠏᭶ᥖ㍕ணᐃすᒣ㟹ᑗ䜋䛛䠊ୡ⏺䛾ᝈ⪅✵㍺䛾Ṕྐ䠖㌷஦⣮த䛸㛵㐃䠊㜵་኱ㄅ䠊 2013 38(2): 105-113.
すᒣ㟹ᑗ䠊⡿ᅜ㌷ಖ೺኱Ꮫ➼䜈䛾どᐹሗ࿌䠊㜵་኱ㄅ䠊2013 38(2):170-173.
すᒣ㟹ᑗ䜋䛛䠊௖⊂ඹྠ㏻ྐ㻌 ➨୍ḟୡ⏺኱ᡓ䠊㜵་኱ㄅ䠊 2013 38(4): 334-335.
すᒣ㟹ᑗ䜋䛛䠊㌷஦ྐ䛻Ꮫ䜆㍺⾑䛾㔜せᛶ䛸ேᕤ⾑ᾮ䜈䛾ᮇᚅ䠊㜵⾨⾨⏕ㄅ䠊2014 61(3) 䠏᭶ᥖ㍕ணᐃすᒣ㟹ᑗ䠊೺ᗣ༴ᶵ⟶⌮◊ಟཧຍሗ࿌䠊㜵་኱ㄅ䠊
2013 38(5) 㻌 䠏᭶ᥖ㍕ணᐃᏳ㓟ྐᏊ䜋䛛䠄すᒣ㟹ᑗ༠ຊ⦅㞟䠅㜵⾨┳ㆤᏛ㻌 ་Ꮫ᭩㝔䚸2014㻌

2.

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International symposium of 23rd Asia pacific military
medical conference. Y. Nishiyama et al. New
challenges of LC16m8 for smallpox bioterrorism. 11
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incident. 15 Feb, 2014, Thailand.䠄Ⓨ⾲ㄅ⦅⧩୰䠅

−107−

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ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂䝞䜲䜸䝔䝻ᑐ⟇䛾᭱᪂ືྥ䛻㛵䛩䜛ሗ࿌䛃㻌◊✲ศᢸ⪅㻌 ᮌୗᏛ㻌 㻌㜵⾨་⛉኱Ꮫᰯච␿ᚤ⏕≀㻌 ෸ᩍᤵ㻌◊✲せ᪨2013 ᖺ 9 ᭶ 23 ᪥࠿ࡽ 27 ᪥ࡲ࡛ࡢ 5 ᪥㛫࡟ࢃࡓࡾࠊ⡿ᅜࣁ࣡࢖ᕞ࣍ࣀࣝ ࣝ ࡢ ࢔ ࢪ ࢔ ኴ ᖹ ὒ Ᏻ ඲ ಖ 㞀 ◊ ✲ ࢭ ࣥ ࢱ ࣮ Asia-Pacific Center for
Security Studies (APCSS)࡟࠾࠸࡚ࠊ⡿ᅜᅜ㜵༴ᶵ๐ῶᗇ Defense Threat
Reduction Agency (DTRA) ࡜ ⡿ ᅜ ኴ ᖹ ὒ ㌷ United States PacificCommand (USPACOM)ࡀ୺ദࡍࡿ࢔ࢪ࢔ኴᖹὒឤᰁ⑕ࣂ࢖࢜ࢸࣟᑐ⟇఍㆟ Workshop on Bio-preparedness in the Asia-Pacific ࡀ㛤ദࡉࢀࡓࠋཧ
ຍᅜࡣ ASEAN ㅖᅜ㸦࢝ࣥ࣎ࢪ࢔ࠊ࢖ࣥࢻࢿࢩ࢔ࠊࣛ࢜ࢫࠊ࣐࣮ࣞࢩ࢔ࠊ
ࣇ࢕ࣜࣆࣥࠊࢱ࢖ࠊ࣋ࢺࢼ࣒㸧࡜ࣃࣉ࢔ࢽ࣮ࣗࢠࢽ࢔ࠊᮾࢳ࣮ࣔࣝࠊࡑࡋ
࡚㡑ᅜࠊ᪥ᮏࠊ࢔࣓ࣜ࢝ྜ⾗ᅜ࡛࠶ࡗࡓࠋ఍㆟ࡢ┠ⓗࡣࠊASEAN ᆅᇦ࡛Ⓨ⏕ࡍࡿྍ⬟ᛶࡢ࠶ࡿ Pandemic diseases ࡸࣂ࢖࢜ࢸࣟ࡞࡝ࡢࣂ࢖࢜࡟㛵ࡍࡿ⬣ጾ࡟ᑐࡋࠊ㛵ಀㅖᅜࡀዴఱ࡟㎿㏿࡟ᑐฎฟ᮶ࡿ࠿ࢆヰࡋྜ࠺ࡶࡢ
࡛ࠊ᪥ᮏࡣ ASEAN ᆅᇦ࡟㞄᥋ࡍࡿ㔜せᅜ࡛࠶ࡿࡓࡵཧຍࢆせㄳࡉࢀࡓࠋ
఍㆟࡛ࡣࠊ⡿ᅜࡢ Pandemic diseases ࡸࣂ࢖࢜ࢸࣟ࡬ࡢᑐฎࢩࢫࢸ࣒ࢆ⤂௓ࡋࠊ஦㇟Ⓨ⏕᫬࠿ࡽࡢࣂ࢖࢜ࢧ࣮࣋࢖ࣛࣥࢫࡢ㔜せᛶ࡜ࠊࡇࢀࢆዴఱ࡟
ຠᯝⓗ࡟㐙⾜ࡍࡿ࠿ࡀヰࡋྜࢃࢀࡓࠋ᪂⯆ឤᰁ⑕ࡸࣂ࢖࢜ࢸࣟࡢ඙ೃ࡞࡝
࡟㛵ࡍࡿ᝟ሗඹ᭷ࡢ㔜せᛶࢆྛᅜ࡛෌☜ㄆࡋࠊ᪤Ꮡࡢ WHO ࡸ CDC ࡞࡝ࢆྵࡵࡓ᝟ሗඹ᭷యไࡢᯟ⤌ࡳࡢ☜❧࡜ࡑࡢ᭷⏝࡞㐠⏝ࢆウㄽࡋࡓࠋලయ
ⓗ࡟ࡣࠊ୙⾨⏕࡞㒔ᕷ✵㛫㸦ࢫ࣒ࣛᆅ༊࡞࡝㸧࠿ࡽⓎ⏕ࡍࡿ☜⋡ࡢ㧗࠸ࠊ୰ᮾ࿧྾ჾ⑕ೃ⩌ MERS ࡸ H7N9ࠊH5N1 ࡞࡝ࡢࢺࣜ࢖ࣥࣇ࢚ࣝࣥࢨ࡟
㛵ࡍࡿࣂ࢖࢜ࢧ࣮࣋࢖ࣛࣥࢫࡢ㔜せᛶ࡜ࠊࡇࢀࡽࡢ᝟ሗࢆ ASEAN ྛᅜࡀዴఱ࡟ຠ⋡ࡼࡃඹ᭷ࡋࠊⓎ⏕ึᮇẁ㝵࡛ᑐฎࡍࡿ࠿ࢆࠊᅗୖ₇⩦࡞࡝ࡶྵࡵ࡚ 1 㐌㛫ࠊᮅ࠿ࡽኤ᪉ࡲ࡛ᚭᗏⓗ࡟ཧຍ⪅㛫࡛ウㄽࡋࠊ஫࠸ࡢಙ㢗㛵ಀࢆ῝ࡵྜࡗࡓࠋ

−111−

A. ◊✲┠ⓗࣜࣆࣥࠊࢱ࢖ࠊᮾࢳ࣮ࣔࣝࠊࡑࡋ࡚࣋ࢺࢼ

೺ᗣ༴ᶵ⟶⌮ࡸࣂ࢖࢜ࢸࣟᑐ⟇࡟㈨ࡍࡿ

࣒࠿ࡽྛࠎ3 ྡࡎࡘࠊࣃࣉ࢔ࢽ࣮ࣗࢠࢽ࢔

᝟ሗඹ᭷ᇶ┙ࡢᩚഛࢆຠᯝⓗ࡟㐍ࡵࡿࡓࡵࡀ 2 ྡࠊ㡑ᅜࠊ㤶

ࡀ 1 ྡࠊ᪥ᮏࡀ 1 ྡࠊ࡟ࠊ⡿ᅜࡸ ASEAN ㅖᅜ࡞࡝ࡢබ⾗⾨⏕ࡸࡑࡋ࡚࢔࣓ࣜ࢝࠿ࡽ 11 ྡ࡛࠶ࡗࡓࠋ࣮࢜ࢫ

ࣂ࢖࢜ࢸࣟ࡟㛵ࡍࡿᑓ㛛ᐙࡀཧຍࡍࡿᅜ㝿ࢺࣛࣜ࢔ࡣཧຍࢆせㄳࡉࢀ࡚࠸ࡓࡀ୙ཧຍ

఍㆟࡟ฟᖍࡋࠊࣂ࢖࢜ࢸࣟᑐ⟇࡟㛵ࡍࡿཧ࡛࠶ࡗࡓࠋPandemic ᑐ⟇࡞࡝ Publicຍྛᅜࡢ᭱᪂ࡢືྥࡸ᝟ሗඹ᭷ᇶ┙ࡢᩚഛ

health ࡀ㆟ㄽࡢ࠿࡞ࡾࡢ㒊ศࢆ༨ࡵࠊᅜ㜵࡟㛵ࡍࡿ⪃࠼ࢆඹ᭷ࡋࡓࠋ

⥲┬ࡀ୺ദࡋ࡚࠸ࡿ࡟ࡶ࠿࠿ࢃࡽࡎࠊ࠾ࡼ
ࡑ༙ศࡀබ⾗⾨⏕㒊㛛࠿ࡽࡢཧຍ࡛࠶ࡗࡓࠋ

B. ◊✲᪉ἲ

⡿ᅜ࠿ࡽࡣ CDC ࡸ FBI ࡶཧຍࡋ࡚࠸ࡓࠋ ᖹᡂ 25 ᖺᗘ࡟㛤ദࡉࢀࡓ࢔࣓ࣜ࢝ྜ⾗఍㆟ࡣ㸴ࡘࡢㅮ₇࡜ࡑࢀࡽࡢࢸ࣮࣐࡟㛵ࡍᅜኴᖹὒ㌷࠾ࡼࡧᅜ㜵⥲┬ᅜ㜵༴ᶵ๐ῶᗇ

ࡿ 10 ᩘே⛬ᗘࡢᑠࢢ࣮ࣝࣉ࡛ࡢウㄽࠊᅗୖࡀ୺ദࡍࡿ࢔ࢪ࢔ኴᖹὒᏳ඲ಖ㞀◊✲ࢭࣥ

₇⩦࡞࡝࡛ᵓᡂࡉࢀ࡚࠸ࡓࠋ௨ୗ࡟఍㆟࡛ࢱ࣮࡛ࡢ࢔ࢪ࢔ኴᖹὒឤᰁ⑕ࣂ࢖࢜ࢸࣟᑐ

ࡢෆᐜࢆ⤂௓ࡍࡿࠋ

⟇఍㆟࡟ཧຍࡋࠊᥦ♧ࡉࢀࡓ᝟ሗࡢྲྀᚓࡸ

 ➨ 1 ᪥┠ཧຍ⪅࡜ࡢ᝟ሗ஺᥮࡟ࡼࡗ࡚ࠊࣂ࢖࢜ࢸࣟ ࠸ࡃࡘ࠿ࡢࢢ࣮ࣝࣉ࡟ศ࠿ࢀ࡚ APCSSࡸ᪂⯆ឤᰁ⑕࡬ࡢᑐ⟇➼ࡢ೺ᗣ༴ᶵ⟶⌮࡟ࡢ⋞㛵ࢆࡃࡄࡿࠋཷ௜ࢆ῭ࡲࡋࡓᚋࠊID ࢆ㛵ࡍࡿ᭱᪂ࡢືྥ࡜᝟ሗඹ᭷ᇶ┙ࡢᩚഛࢆࡘࡅ࡚෗┿ࢆ᧜ࡿࠋ఍㆟ሙࡣᗈࡃࠊ50 ே⛬⾜ࡗࡓࠋᗘࡀධࡗࡓࠋ⡿ᅜ௨እࡀ 35 ேࠊDTRAࠊAPCSS 㛵ಀ⪅ࡀ 25 ே⛬ᗘ࡛࠶ࡗࡓࠋ6 ே

C, D. ◊✲⤖ᯝ࡜⪃ᐹ㸦఍㆟ෆᐜࡢ⤂௓㸧

ࡎࡘࡢ 7 ࡘࡢࢸ࣮ࣈࣝ࡜ᚋ᪉࡟࣍ࢫࢺࡢ

࢔ࢪ࢔ኴᖹὒឤᰁ⑕ࣂ࢖࢜ࢸࣟᑐ⟇఍㆟

APCSSࠊDTRA ࣓ࣥࣂ࣮ࡀ 15 ே⛬ᗙࡿ㛗ࡣ⡿ᅜᨻᗓࡢ࢔ࢪ࢔ኴᖹὒᆅᇦ࡬ࡢ㛵ᚰࡢ࠸ࢸ࣮ࣈࣝࡀ࠶ࡗࡓࠋ⚾ࡢࢸ࣮ࣈࣝࡣ㞄࡟㧗ࡲࡾ࠿ࡽ௒ᖺࡢ 3 ᭶࡟୍ᗘ㛤ദࡀணᐃࡉ

ࣇ࢕ࣜࣆࣥࡢඖ ASEAN ௦⾲ࡢ Mercado ኱ࢀ࡚࠸ࡓࡀᘏᮇ࡜࡞ࡾࠊ௒ᅇ༙ᖺ㐜ࢀ࡛㛤౑ࡀ╔ᖍࡋࡓࠋࡲࡎࠊ࣍ࢫࢺ࡛࠶ࡿ APCSSദࡉࢀࡓࠋᅜ㜵༴ᶵ๐ῶᗇ DTRA ࡜࢔࣓ࣜࡢ Dr. Wieninger ࡀᣵᣜࡋࠊ⥆࠸࡚ APCSS࢝ྜ⾗ᅜኴᖹὒ㌷ USPACOM ࡀ୺ദࡋࠊࣁ

ᖹ஭๪ᡤ㛗㸦᪥⣔ 2 ୡ࡛㝣㌷㏥ᙺ኱బ㸧ࡀ࣡࢖ᕞ࣍ࣀࣝࣝࡢ࢔ࢪ࢔ኴᖹὒᏳ඲ಖ㞀◊

workshop ࡢ㸱ࡘࡢ࣮ࣝࣝ㸦༠ㄪ inclusionࠊ✲ࢭࣥࢱ࣮APCSS ࡛⾜ࢃࢀࡓࠋASEAN ᆅ஫࠸ࡢ❧ሙࡢᑛ㔜 neutral respectࠊ⭡ࢆ๭ᇦ࡛ࡢ᪂⯆ឤᰁ⑕ࡸ⏕≀ࢸࣟ࡟ᑐࡍࡿᑐฎࡗ ࡚ ᮏ 㡢 ࡛ ヰ ࡍ ࡜ ࠸ ࠺ ㏱ ᫂ ᛶ‽ഛࢆヰࡋྜ࠺࣮࣡ࢡࢩࣙࢵࣉ࡛ࠊࡇࢀࡽ

transparency㸧࡜㸯ࡘࡢ࣏ࣜࢩ࣮㸦ㄡࡢⓎ࡟㛵ࡍࡿ᝟ሗඹ᭷ࡢ㔜せᛶࢆཧຍྛᅜ࡛ㄆ

ゝ࠿ࢆ≉ᐃࡋ࡞࠸ non attribution policy㸧㆑ࡍࡿࡇ࡜࡛ࠊ᮶ࡿ࡭ࡁ༴ᶵ࡬ࡢᑐฎࢆࡼ

ࢆㄝ᫂ࡋࡓࠋḟ࡟ DTRA ࡢ Ms. Brownࡾ෇⁥࡟⾜࠺ࡇ࡜ࢆ఍㆟ࡢ┠ⓗ࡜ࡋ࡚࠸ࡿࠋ

㸦Building Partnership 㒊㛛㛗ࠊᙼዪࡣ᪥

ཧຍᅜ࡜ேᩘࡣ ASEAN ࡜ࡋ࡚࢝ࣥ࣎ࢪ࢔ࠊ

ᮏ࠿ࡽࡢཧຍࢆᚰᚅࡕ࡟ࡋ࡚࠸ࡓࠋ
㸧ࡀᣵᣜࠋ࢖ࣥࢻࢿࢩ࢔ࠊࣛ࢜ࢫࠊ࣐࣮ࣞࢩ࢔ࠊࣇ࢕

⡿ᅜࡣ࢔ࢪ࢔ኴᖹὒᆅᇦࢆ㔜せどࡋ࡚࠸ࡿ−112−

࡜Ⓨゝࠋ᭱ᚋࡣ USPACOM ࡢ Dr. Shinn㸦SARS, ࢚࣎ࣛ࡞࡝㸧ࠋ⸆๣⪏ᛶࡢឤᰁ⑕

ࡀᣵᣜࠋྛᅜࡢ༠ຊࡀࡼࡾ኱ࡁ࡞ຠᯝࢆ࿧ࡶ῝้࡞ၥ㢟ࡔ࡜ᙉㄪࡋ࡚࠸ࡓࠋᅜ㝿໬ࡧࠊࡇࡢࡼ࠺࡞఍㆟࡛㢦࡜㢦ࢆྜࢃࡏ࡚▱globalization ࡶ ஦ ែ ࢆ ῝ ้ ໬ ࡉ ࡏ ࡿ ࠋࡾྜ࠸࡟࡞ࡿࡇ࡜ࡀ㔜せࡔ࡜Ⓨゝࠋࣁ࣡࢖

SARS ࡶ㤶࡛▱ࡾྜࡗࡓࡇ࡜ࡀࠊఱ࠿୙㊊ࡢ஦ែࡀ㉳࢔࣓ࣜ࢝࡬࡜ᗈࡀࡗࡓࠋ㣗≀ࡢ౪⤥⥙ࡶୡࡇࡗࡓ᫬࡟࠺ࡲࡃ༠ຊฟ᮶ࡿ㘽࡟࡞ࡿ࡜ࠋ

⏺୰࡟ᗈࡀࡗ࡚࠾ࡾࠊEID ࡢᣑᩓ࡟ᙳ㡪ࡀ࢔ࢪ࢔ኴᖹὒᆅᇦࡣ࢖ࣥࣇ࢚ࣝࣥࢨ࡛ࡶᖖ

ฟࡿࡇ࡜ࡀᠱᛕࡉࢀࡿࠋࢻ࢖ࢶ࡛ࡢ኱⭠⳦࡟࢔࢘ࢺࣈࣞ࢖ࢡࡢⓎಙᆅ࡛࠶ࡗࡓࠋ㤶ឤ ᰁ ࡢ ࢔ ࢘ ࢺ ࣈ ࣞ ࢖ ࢡ ࡞ ࡝ Food borne㢼㑧ࠊࢯ㐃㢼㑧ࠊࢺࣜ࢖ࣥࣇ࢚ࣝࣥࢨ࡞࡝ࠋ

illness ࡜࠸ࡗࡓ㣗≀ࡀ፹௓ࡍࡿ⑌ᝈࡶ㔜せ᝟ሗඹ᭷࡜ࢧ࣮࣋࢖ࣛࣥࢫࡀᴟࡵ࡚኱ษ࡛ࠊ

࡞ၥ㢟ࡔࠋ␗ᖖẼ㇟࡞࡝ࡢẼೃኚ໬ࡶ㔜せࠋ

Hajj㸦࢖ࢫ࣒ࣛࡢᕠ♩㸧࡛᪂ࡋ࠸ flu (MERS኱つᶍ⮬↛⅏ᐖࡸ኱Ẽởᰁ࡞࡝࡛ࠊ

ࡢࡇ࡜࠿㸽)ࡀᗈࡀࡿ࠿ࡶ▱ࢀ࡞࠸࡜ࡶゝࡸ㞵Ꮨ஝Ꮨࡢࢧ࢖ࢡࣝኚ໬ࡀᙳ㡪ࢆ୚࠼࡚ࡗ࡚࠸ࡓࠋ࠸ࡿࠋୡ⏺ⓗつᶍ࡛ࡢ㒔ᕷ໬ࡶᙳ㡪ࢆ୚࠼

ㅮ₇㸯㸸Bio-threat ࡟ᑐࡍࡿ‽ഛ࡟ࡘ࠸࡚

ࡿࠋ⌧ᅾࡣேཱྀࡢ༙ᩘࡀ㒔ᕷ㒊࡟ఫࢇ࡛࠸

㸫ࡇࢀࢆྲྀࡾᕳࡃ⎔ቃࡢኚ໬ࢆ୰ᚰ࡟㸫ࡿࠋ⏣⯋࡟࠶ࡗࡓ⑓ཎయࡀ㒔ᕷ㒊࡛ኚ໬ࡋ

Dr. Egan ࡀㅮ₇㸦NY ᕞಖ೺㒊㛛㸧࡚ࠊ෌ࡧ⏣⯋࡛ᗈࡀࡗ࡚ࡋࡲ࠺࡞࡝ࡢ஦㇟

㸦ᐇࡣ୰ᅜࡔࡀ㸧࠿ࡽࡍࡄ࡟

ᬮ໬ୡ⏺ⓗ࡞ឤᰁ⑕ࡸࣂ࢖࢜ࢸࣟ࡞࡝ࡢ⬣ጾࡀ⏕ࡌࡿࠋ㯤⇕⑓ࡣす࢔ࣇࣜ࢝࠿ࡽ༡⡿࡬࡟ࡘ࠸࡚ṇࡋࡃ⌮ゎࡍࡿࡇ࡜ࡀ኱ษࡔ࡜ᙉ

࡜ᗈࡀࡗࡓࠋΏࡾ㫽ࡸ⺅࡟ࡶὀពࡍࡿࠋ࢔

ㄪࠋࡇࡢࡼ࠺࡞⬣ጾࡣ ᮶ࡀ⃭ࡋࡃ࡞ࡗࡓ

ࢪ࢔ኴᖹὒᆅᇦ࡛ࡣ㭜ࢆࡼࡃ㣗࡭ࡿࡢ࡛ࠊ

⌧ᅾ࡛ࡣቑࡋ࡚࠾ࡾࠊឤᰁ⑕ࡢᣑᩓ࡟ࡘ࠸

H5N1 ࡟ὀពࡍࡿࠋࡇࢀࡽឤᰁ⑕࡟ᑐࡋ࡚

࡚ࡶ࠺୍ᗘ review ࡍࡿࡇ࡜ࡀ㔜せࡔ࡜ㄒ᳨▱ྠᐃᢏ⾡ࡢ㐍Ṍࡀ኱ษࡔࠋỈࡢᏳ඲ࡶࡗ࡚࠸ࡓࠋࡇࢀࡽࡢ⬣ጾ࡟ᑐࡍࡿഛ࠼࡛ࡣ㔜せࠋࣂ࢖࢜ࢸࣟ࡟㛵ࡋ࡚ࡣࠊ࡜ࡃ࡟◊✲㘽࡜࡞ࡿᅉᏊࢆぢࡘࡅྠᐃࡍࡿࡇ࡜ࡀ࣏࢖

ᐊ࡛ࣞ࣋ࣝࡢ஦ᨾ࡟ὀពࡍࡿࠋDual-use ࡢࣥࢺࡔ࡜ࡶࠋFlu ࡟㛵ࡋ࡚ࡣࠊ1918-1919ၥ㢟ࡶ㔜せࠋ⑌ᝈࡢᗈࡀࡾ࡬ࡢᑐฎ࡟㛵ࡍᖺࡢࢫ࣌࢖ࣥ㢼㑧ࠊୡ⏺୰ࡢ 40%ࡀ⨯ᝈࡋࡿᣮᡓࡀᚲせࠋࢻ࢖ࢶ࡛ࡣ኱⭠⳦஦௳࡛᪂

5 ༓୓ேࡀṚஸࡋࡓࠋ1957 ᖺࡢ H2N2 ࢔ࢪࡋ࠸ྠᐃᢏ⾡ࢆ㛤ⓎࡋゎỴ࡬࡜ᑟ࠸ࡓࠋ

࢔㢼㑧ࠊ୰ᅜ࡛ぢࡘ࠿ࡾ 200 ୓ேࡀṚࢇࡔࠋ

1979 ᖺࣟࢩ࢔ Sverdlovsk ࡛ࡢⅣ⑋⳦஦ᨾࠊ

1968-9 ᖺࡢ㤶㢼㑧ࠊ1976 ᖺࡢ killer fluࠊ

2001 ᖺⅣ⑋⳦ᡭ⣬ࠊ2006 ᖺ NY ࡛ࡢഅⓎࡢࡕ࡟ swine flu ࡜࿧ࡤࢀࡿࠊ1997-99 ᖺࡢⓗⅣ⑋⳦஦ᨾ࡞࡝ࢆ㏻ࡌ᳨࡚▱ᢏ⾡ࡀ㐍Ṍࢺࣜ࢖ࣥࣇ࢚ࣝࣥࢨࠊ2003 ᖺࡢ SARS ࡜ὶࡋࡓ࡜ࡶゝࡗ࡚࠸ࡓࠋ᪩ࡃ᳨▱ࡋࠊࡇࢀࢆ

⾜ࡀ࠶ࡗࡓࠋ㹙SARS ࡜௚ࡢ࢖ࣥࣇ࢚ࣝࣥࢨ

▱ࡿࠊㄆ㆑ࡍࡿࡇ࡜ࡀ bio-threat ࡛ࡣ㔜せࠋࡢὶ⾜࡛ࡣ⨯ᝈ⪅ࡢつᶍࡀ㐪࠺࡜㉁ၥࡀ࠶

ࡑࡢᚋࡢᑐᛂࡶ㔜せࡔࡀࠋண▱ࠊⓎ⑕ࠊྠࡗࡓࠋ㹛᪂⯆ឤᰁ⑕㸦Emerging Infectiousᐃࠊᑐฎࡢὶࢀࡀ࠸ࡘࡶ㔜せ࡛࠶ࡿࠋㅮ₇

Disease, EID㸧࡟ࡣ hot spot ࡀᚲࡎ࠶ࡿࠋ

࡬ࡢ㉁ၥ࡛ࡣ࢖ࣥࢻࢿࢩ࢔ࡸࣇ࢕ࣜࣆࣥ࠿

1940-2004 ᖺࡢ㛫࡟ 335 ✀㢮ࡢ EID ࡀ࠶ࡗࡽື≀ࡢ⟶⌮ࡀ㔜せࡔ࡜ࡢࢥ࣓ࣥࢺࡀ࠶ࡗ

ࡓࠋ60%௨ୖࡢ EID ࡛ື≀ࡀ፹௓ࡋ࡚࠸ࡓ

ࡓࠋ

−113−

ᑠࢢ࣮ࣝࣉウㄽ㸯㸸Bio-threat ࢆྲྀࡾᕳࡃ

࡞࠿ࡗࡓࡇ࡜ࠋ

⎔ቃࡢኚ໬࡟ࡘ࠸࡚

‫ە‬Ꮫᰯ㛢㙐ࢆࡋࡓࡾࠊ㐨࡞࡝ࢆ㝖ᰁࡋࡓࡇࣇ࢕ࣜࣆ࡛ࣥࡣᅜẸ࡟࡝࠺ࡸࡗ࡚

࡜ࠋ

bio-threat ࡢ᝟ሗࢆఏ࠼ࡿ࠿ࡀ㔜せ࡛࠿ࡘ‫ࢆࣥࣙࢩ࣮ࢣࢽ࣑ࣗࢥࡢ࡜࣑ࢥࢫ࣐ە‬㔜どᅔ㞴ࡔ࡜ゝࡗ࡚࠸ࡓࠋࣛ࢜ࢫ࡛ࡶ㟁Ẽࡸࣛࡋ⩌⾗ࢆࢥࣥࢺ࣮ࣟࣝࡋࡓࡇ࡜ࠋ

ࢪ࢜ࡀ࡞࠸ᒣᓅᆅᖏࡀ࠶ࡾࠊࡑࡇ࡛ࡣゝⴥ‫ࠊࣝࢢ࣮ࢦࠊࡸࢡࢫ࣐ࣝ࢝ࢪ࣮ࢧە‬ᡭ⿄ࡀ

ࡶ㏻ࡌ࡞࠸ࡽࡋ࠸ࠋ࢖ࣥࢻࢿࢩ࢔࡛ࡣື≀ࡓࡃࡉࢇ⏝ពฟ᮶ࡓࡇ࡜㸦ᶍ㐀ရࡀࡓࡃࡉ

ࡢ⟶⌮ࡀၥ㢟ࡔ࡜ゝࡗ࡚࠸ࡓࠋ᝟ሗඹ᭷ࠊ

ࢇ࠶ࡗࡓ㸧ࠋ

࡜ࡃ࡟ṇ☜࡞᝟ሗඹ᭷ࡀ㔜せࡔࠋᨻᗓࡢಙ

‫ە‬IT support ࡀ㔜せ࡛ࠊࢥࣥࣆ࣮ࣗࢱ࣮࡛

㢗ᗘࡶ᝟ሗࡢṇ☜ࡉ࡟ࡣᚲせࡔࠋMERS ࡣேࡢ⛣ືࢆ┘どࠊ᥋ゐ⪅ࡢືࡁࢆ㏣㊧ฟ᮶୰ᮾ࡛ാࡃฟ✌ࡂࡢከ࠸ࣇ࢕ࣜࣆ࡛ࣥࡣ῝ࡓࠋ࢔ࣔ࢖࣮࢞ࢹࣥ㸦࢔ࣃ࣮ࢺ㸧࡟㞟ᅋⓎ้࡞ၥ㢟࡛ṇ☜࡞᝟ሗࡀᚲせࠋඛ㐍ᅜ࡛ࡣ⏕ࢆぢࡘࡅࠊධᒃ⪅඲ဨࢆ⑓㝔࡬࡜㝸㞳ࠋ

Social media ࡢᑐฎࡀၥ㢟࡜࡞ࡗ࡚࠸ࡿ࡜

Ꮚ౪ࢆ࢟ࣕࣥࣉ࡟ฟࡉࡏࡓࠋ௒ᚋࠊ࢔࢘ࢺ

ᣦ᦬ࡋࡓࡀࠊ௚ᅜ࡛ࡣࡑࢀ௨๓࡟ᨻᗓࡢಙ

ࣈࣞ࢖ࢡࡀ᝿ᐃࡉࢀࡿࢺࣜ࢖ࣥࣇ࢚ࣝࣥࢨ

㢗ᗘ࡟᰿ᮏⓗ࡞ၥ㢟ࡀ࠶ࡿࡽࡋࡃࠊSocial࡛ࡶ࿘฿࡞‽ഛࡀ኱ษ࡜⪃࠼ࡿࠋ኱㝣ഃࡢ

media ࡣᨻᗓࡢბࢆᭀࡁ┿ᐇࢆ࿌Ⓨࡍࡿ࡜ࣔࢽࢱ࣮ࡶ㔜せࡔࠋ㤶ࡢⓎゝࡀ࠶ࡗࡓࠋ⡿ᅜ࠿ࡽ Social media ࡣࡣ pandemic ࢆᘬࡁ㉳ࡇࡍ༴㝤ࡀ࠿࡞ࡾ㧗᫬࡟ᡪືࢆ㉳ࡇࡍ༴㝤ᛶࡀ࠶ࡿࡢ࡛᝟ሗࢆ

ࡃ࡞ࡿࠋ୍᪉ࠊ࣐ࢫࢡࢆࡍࡿ࡜㜵≢࣓࢝ࣛ㑅ᢥࡋ࡚ Social media ࡬Ⓨಙࡍࡿࠕࣂࣛࣥ

࡟㢦ࡀᫎࡽ࡞࠸ࡢู࡛ࡢၥ㢟ࡀ⏕ࡌ࡚ࡃࡿࠋࢫࠖࡀ㔜せ࡜ㄆ㆑ࡋ࡚࠸ࡿ࡜ࡢⓎゝࡀ࠶ࡗ㸦CDC ࠿ࡽࡢฟᖍ⪅ࡀ N95 ࣐ࢫࢡࡣព࿡

ࡓࠋࡀ࠶ࡿࡀࠊࢧ࣮ࢪ࣐࢝ࣝࢫࢡࡣຠᯝࡀ࡞࠸

ࡢࡼ࠺࡞ேཱྀᐦ㞟࡛ࡢ SARS ᑐฎ࡟ࡘ࠸࡚ࠊ㤶࡜᩿ゝࡋ࡚࠸ࡓࠋ㸧▱ࡽ࡞࠸ࡇ࡜ࡣ༴㝤࡛࠶㆙ᐹࡢ Morgan ࡀࣉࣞࢮࣥ㸦㏉㑏๓࠿ࡽࡿࠋ᪩ࡃ≧ἣࢆ▱ࡾࠊࡇࢀࢆኚ࠼ࡿࠋࡇࡇ

ㅮ₇㸰㸸㤶ᒃఫࡋ࡚࠸ࡓⱥᅜே㸧ࡀ⫢ᚰࡔ࡜ࠋ≉ู࡞ࣉࣟࢺࢥ࣮ࣝ࡜⿦ഛࠊ

࡝ࡢࡼ࠺࡟ SARS ࡢ࢔࢘ࢺࣈࣞ࢖ࢡ࡟㤶࣓ࢹ࢕࢔ᑐ⟇࡜኱⾗ࡢ୙Ᏻࢆྲྀࡾ㝖ࡃࡇ࡜㆙ᐹࡀᑐฎࡋࡓ࠿ࢆࣞࣅ࣮ࣗࠋ㤶ࡣ㠀ࡀ࣏࢖ࣥࢺࡔ࡜ࡋ࡚࠸ࡓࠋSARS ༴ᶵ௨ᚋࠊ

ᖖ࡟ᐦ㞟ࡋ࡚ேࠎࡀᬽࡽࡋ࡚࠸ࡿࠋ࣓ࢺࣟ

㡑ᅜே 2 ேࢆ SARS Ⓨ⑕⪅࡜ࡋ࡚ࠊ࣍ࢸࣝ

࣏ࣜࢱࣥ࣍ࢸ࡛ࣝࡢឤᰁࠊ⑓㝔㛢㙐ࠊᏛᰯࢆ㝸㞳ࡋࠊᐟἩᐈࢆ㊊Ṇࡵࡋ࡚ࡋࡲࡗࡓࡀࠊ

㛢㙐ࠊ12 ேࡢṚஸ࡜⥆ࡃ࢚ࣆࢯ࣮ࢻࢆ⤂௓ࡇࢀࡣㄗሗ࡛࠶ࡗࡓࠋࡇࡢࡼ࠺࡞㐣๫཯ᛂࡋࡓࠋࡶ㉳ࡇࡗ࡚ࡋࡲ࠺༴㝤ࡀ࠶ࡿࠋ㔜せ࡞஦㡯࡜ࡋ࡚ࠊ௨ୗࡢⅬࢆᣲࡆ࡚࠸ࡓࠋ

ᑠࢢ࣮ࣝࣉウㄽ㸰㸸㤶㤶‫ە‬ᝈ⪅ࡸ࢔ࣔ࢖࣮࢞ࢹࣥఫேࡢ㝸㞳ࡀฟ᮶࡟ࡘ࠸࡚ࡓࡇ࡜㸦㝸㞳⑓㝔ࢆᣦᐃฟ᮶ࡓ㸧ࠋ‫ە‬኱㝣࠿ࡽࡢฟධࡾࢆయ

㆙ᐹࡢ SARS ᑐฎᮾி࡛ࡇࡢࡼ࠺࡞஦ែⓎ⏕᫬ࡢࢩ࣑ࣗࣞ

ࣔࢽࢱ࣮࡞࡝ࢆ

࣮ࢩࣙࣥࢆࡋࡓࡇ࡜࠶ࡿ࠿㸽࡜㉁ၥ࠶ࡾࠋ

౑࠸ไ㝈ฟ᮶ࡓࡇ࡜ࠋ

ᮾி࡛ࡣ㤶‫⮬ە‬Ꮿᚅᶵࢆᙉไࡋ 10 ᪥㛫ࠊேࢆ⛣ືࡉࡏ೵Ṇ࡛ࡁ࡞࠸ࠋ㒔ᕷࡀᕧ኱㐣ࡂࡿࠋ࡜࠸ࡗ

−114−

ࡢࡼ࠺࡟බඹᶵ㛵ࢆ᏶඲࡟ࡣࡓពぢ࡟཯ㄽࡣ࡞࠿ࡗࡓࠋ୍᪉ࠊᮾࢳ࣮ࣔ

⣔⤫ࡔࡗࡓࡶࡢ࡜ࠊࡑ࠺࡛࡞࠸ࡶࡢࡀᏑᅾ

࡛ࣝࡣࢩ࣑࣮ࣗࣞࢩࣙࣥࡣᐜ᫆ࡔ࡜ࡢពぢࡍࡿࠋ⣔⤫ࡔࡗ࡚࠸࡞࠸ࡶࡢ࡜ࡋ࡚ࡣࣈࣟ

ࡀฟࡿࠋࣛ࢜ࢫ࡛ࡣᒣᓅᆅᖏࡲ࡛᝟ሗࡀఏ

ࢢࡸࢶ࢕ࢵࢱ̿ࠊࣇ࢙࢖ࢫࣈࢵࢡ࡞࡝࠿ࡽ

࠼ࡽࢀ࡞࠸ࠋࣇ࢕ࣜࣆ࡛ࣥࡣᨻᗓࡢᶒຊࡀ

ᚓࡽࢀࡿ᝟ሗࡀ࠶ࡾࠊ᪥ᖖⓗ࡟ධᡭ࡛ࡁࡿ

㝮ࠎࡲ࡛ࡣཬࡤ࡞࠸ࠊఫẸࡀ⪺࠿࡞࠸࡜ࡢ

ࡀ࠺ࡲࡃᡭࡀຍ࠼ࡽࢀ࡚࠸࡞࠸ഃ㠃ࡀ࠶ࡿࠋពぢ࠶ࡾࠋ࣋ࢺࢼ࣒࠿ࡽࡣ SARS ࡢ᫬ࡢ᪥୍᪉ࠊࡇࡢࡼ࠺࡞㎿㏿࡟ᚓࡽࢀࡿ᝟ሗ࡜ࡣ

ᮏ࡬ࡢ༠ຊ࡟࠾♩ࡀ㏙࡭ࡽࢀࡓࠋ

ᑐ↷ⓗ࡟㐜࠸ࡀ☜ᐇ࡞ࡢࡀ WHO ࡞࡝ࡢሗ➨ 2 ᪥┠

࿌ࡔࠋ㎿㏿࡞ࢹ࣮ࢱ࣮ࡣ┿ᐇ࡛࡞࠸࡜␲ࡗ

ㅮ₇㸱㸸Bio-threat ࡬ࡢᑐ⟇‽ഛࡢ」㞧ᛶ࡚࠿࠿ࡿᚲせࡀ࠶ࡿ࡜ゝࡗ࡚࠸ࡓࠋ༴ᶵ⟶

Dr. Chitale ࡀㅮ₇⌮࡛ࡣ Social media ᑐ⟇ࡀ㔜せࡔ࡜Ⓨゝࡋ㐣ཤࡢ Bio-threat ࡟㛵ࡍࡿࢧ࣮࣋࢖ࡀ㔜

ࡓࡀࠊG7 ࡞࡝ࡢඛ㐍ᅜࡢᑓ㛛ᐙࡢ㛫࡛ࡣ࠿せࡔࠋྂࡃࡣ㯮Ṛ⑓࠿ࡽጞࡲࡾࠊỈ①ࡸࢥ࡞ࡾࡇࡢࡼ࠺࡞ㄆ㆑ࡀ࠶ࡿࡼ࠺ࡔࡗࡓࠋᑐ

ࣞࣛࠊ࣌ࢫࢺࠊ㯤⇕⑓࡞࡝ࡀ࠶ࡿࡀᅜ㝿ⓗ↷ⓗ࡟ ASEAN ࡛ࡣࡇࡢࡼ࠺࡞ㄆ㆑ࡀ࠶ࡲ

࡞ࢧ࣮࣋࢖ࡀᚲせ࡛࠶ࡗࡓࠋ᭱㏆࡛ࡣ AIDS

ࡾ࡞࠿ࡗࡓࠋࢹ࣮ࢱ࣮࡟ࡣࠊ◊✲ᐊ࠿ࡽᚓࡢ pandemic ࡶࡑ࠺࡛ࠊᅜ㝿ⓗ࡞ࢧ࣮࣋࢖

ࡽࢀࡿࡶࡢ㸦⳦ྠᐃ࡞࡝㸧ࠊ⮫ᗋ㸦⑕≧ࠊデ࡟ࡣ WHO ࡀά㌍ࡋ࡚࠸ࡿࠋ࢚࣎ࣛࡸ≬∵᩿࡞࡝㸧࠿ࡽᚓࡽࢀࡿࡶࡢࠊ␿Ꮫࠊࡘࡲࡾ

⑓ࠊ࢔ࣇࣜ࢝ࡢ᪂ᆺ㧊⭷⅖ࠊࢽࣃ࢘࢖ࣝࢫࠊ

⨯ᝈ⋡ࡸ⮴Ṛ⋡࡞࡝࠿ࡽᚓࡽࢀࡿࡶࡢ࡞࡝

SARSࠊH5N1 ࡞࡝ࡶྠᵝࡔࠋᴟ᭱㏆࡛ࡣࡀ࠶ࡿࠋ࠸ࡎࢀ࡟ࡏࡼࠊ᪩ᮇࡢ㆙࿌ࠊྠᐃࠊ

H7N9 ࡀ୰ᅜἢᓊ࡛Ⓨ⏕ࡋࡓࡀࠊࢧ࣮࣋࢖

᝟ሗ཰㞟ࡀ㔜せࡔࠋண㜵ࠊ᳨▱ྠᐃࠊᑐฎࠊ

࡟ࡼࡾ୰ᅜἢᓊ㒊࠿ࡽᝈ⪅ࡀ࡝ࡇ࡟⛣ືࡋ⟶⌮ࡢẁ㝵ࡀ࠶ࡿࡀࠊண㜵ࢆྵࡵࡓ඲࡚ࡢ

ࡓ࠿࡛⑌ᝈࡢᗈࡀࡾࡀศ࠿ࡗࡓࠋ⤖ᯝⓗ࡟ẁ㝵࡛᝟ሗ཰㞟ࡀ㔜せ࡛࠶ࡿࠋࡇࢀࡽࢆ⤫ࡣᝈ⪅ࡀᮾ༡࢔ࢪ࢔࡬⛣ືࡋࡓࡢ࡛ࠊᮾ༡

ྜࡋ࡚⌮ゎࡍࡿࡇ࡜ࡀ኱ษࠋᅜ㜵┬࡛ࡣ࢔ࢪ࢔࡛ᗈࡀࡗ࡚࠸ࡓࠋ᭱⤊ⓗ࡟ WHO ࡢ

AFRIMSࢧ࣮࣋࢖࡛ 135 ேࡀ⨯ᝈࡋ 44 ேࡀṚஸࡋ

Institute of Medical Sciences) ࡢ ࡯ ࠿ ࡟ࡓࠋࡇࡢࡼ࠺࡞ࢧ࣮࣋࢖ࡣ CDC ࡶࡸࡗ࡚࠸

NAMRU-2

ࡿࠋCDC ࡣ WHO ࡜㐪ࡗ࡚⡿ᅜⰍࡀᙉࡃࠊ

Unit-2)ࡢ◊✲ᡤࡀࢩ࣏࣮ࣥ࢞ࣝࠊ࢝ࣥ࣎ࢪ

ࣈࢱ࢖ࣥࣇ࢚ࣝࣥࢨ࡛ࡣ࣓࢟ࢩࢥࡣ⡿ᅜ୺࢔ࠊࣛ࢜ࢫࠊࣁ࣡࢖࡟࠶ࡿࠋ᪩ᮇࡢẁ㝵࠿ᑟࢆ᎘࠸ࠊCDC ࡛ࡣ࡞ࡃ WHO ࡟ࡶࡗࡥࡽ

ࡽ᝟ሗ཰㞟ࢆ⾜࠺᪋タ࡛࠶ࡿࠋᅜ㜵┬࡛ࡣ᝟ሗࢆὶࡋ࡚࠸ࡓ࡜ࡢࡇ࡜ࠋࡋ࠿ࡋᐇ㝿ࡣୡ⏺ⓗ࡞つᶍ࡛᪂⯆ឤᰁ⑕ࡢࢧ࣮࣋࢖ࢆ⾜

CDC ࡜ WHO ࡜ࡣࡶࡢࡍࡈࡃ⥭ᐦ࡟㐃⤡ࢆࡗ࡚࠸ࡿࠋGEIS ィ⏬(Global Emerging

࡜ࡗ࡚ࡸࡗ࡚࠸ࡿࠋ

Infections Surveillance and Response(Armed(NavalForcesMedicalResearchResearch᝟ሗࡣᖖ࡟ቑ࠼⥆ࡅࠊࡋ࠿ࡶ⡆༢࡟ࢥࣥ

Program)ࡸ FY12 ィ⏬࡞࡝ࠋ௚࡟ࡶ⑌ᝈࢧ

ࣆ࣮ࣗࢱ࣮࠿ࡽᚓࡿࡇ࡜ࡀฟ᮶ࡿࡼ࠺࡟࡞

࣮࣋࢖ࣛࣥࢫ࡟ࡣࠊMekong Basin Disease

ࡾࠊBig data ࡜࠸࠺ࡶࡢࡀฟ⌧ࡋࡓࠋࡇࢀ

Surveillanceࢆ࡝ࡢࡼ࠺࡟౑࠼ࡤ᭷┈࡟࡞ࡿ࠿ࡣ౫↛࡜

Emerging Infections Network (AP-EInet),ࡋ࡚᫂☜࡛ࡣ࡞࠸ࠋBig data ࡟ࡣࡁࡕࢇ࡜⡿ ᅜ ࡢ CDC Global Disease Detection−115−(MBDS) ࡸAsia

Pacific

(GDD) ィ ⏬ ࡞ ࡝ ࡀ ࠶ ࡿ ࠋ Biosurveillanceᐃࠋࠖ⯆࿡῝࠸ࡢࡣఱேࡶࡢ㔜⑕ឤᰁ⪅ࡀฟ

Indications

Analytic࡚ࡶࠊ࠶ࡲࡾ኱ࡋࡓ஦௳࡛ࡣ࡞࠸࡜ホ౯ࡋ

Community (BIWAC)ࡶ࠶ࡿࡀࠊ㐣๫࡞ࡶ࡚࠸ࡿࡇ࡜㸦Ṛ⪅ࡀฟ࡚࠸࡞࠸ࡓࡵ࠿㸧ࠊࣃ

ࡢࡣ㏫࡟ᮏ㉁ࢆᤊ࠼ࡿୖ࡛Ⰻࡃ࡞࠸࡜࠸ࡗ

࢖ࢼࢵࣉࣝ఍♫ࡸ⏘ᴗ࡬ࡢᙳ㡪ࢆࡍࡄ࡟ᚰ࡚ ࠸ ࡓ ࠋ Early Altering and Reporting㓄ࡍࡿࡇ࡜ࠊ᳨ᰝࡣ఍♫ࡀࡸࡿ࡭ࡁࡔ࡜࠸

Project (EAR)ࡣ GHSI (G7+mexico)ࡀࡸࡗ

ࡗ࡚࠸ࡿࡇ࡜㸦ࡍࡄ࡟ࡇࢀࡔࡅࡣཧຍ⪅࠿࡚࠸ࡿࠋࡇࢀࡽࡣಙ㢗࡛ࡁࡿࢿࢵࢺ࣮࣡ࢡ

ࡽྰᐃࡉࢀࡓ㸧࡞࡝ࡢពぢࡀฟࡓࡇ࡜ࡔࠋ

ࡔ࡜ࡢࡇ࡜ࠋBig data ࠿ࡽୖࡀࡗ࡚ࡁࡓ᝟

ᨻᗓ࠿ࡽ᝟ሗࡀබ㛤ࡉࢀࡿ㐣⛬࡛ᮾࢳ࣮ࣔ

ሗࢆᨻᗓ㧗ᐁ࡬ఏ࠼ࡿ᫬ࡣࠊ10 ⾜⛬ᗘࠊ㸯ࣝ࡞࡝࡛ࡣᨻᗓࢆಙ㢗ࡋ࡚࠸࡞࠸ࡇ࡜࡞࡝

࣮࣌ࢪ࡟จ㞟ࡉࢀࡓ⡆₩࡞ࡶࡢ࡛࡞ࡅࢀࡤ

ศ࠿ࡗࡓࠋࣃࣉ࢔ࢽ࣮ࣗࢠࢽ࢔ࡸᮾࢳ࣮ࣔ

࠸ࡅ࡞࠸ࠋH3N2 ࡸ MERSࠊH7N9 ࡢ᫬ࡢ࡛ࣝࡣࡇࡢࡼ࠺࡞஦௳ࡣ㌷ࡀ㛵୚ࡍࡿࡀࠊ

ࢧࣥࣉࣝࡀ⤂௓ࡉࢀࡓࠋ⡆₩ࡔࡀ୙☜ᐇ࡞௚ࡢᅜ࡛ࡣ㌷࡛ࡣ࡞ࡃಖ೺┬ࡀ㛵୚ࡍࡿ஦࠺ࢃࡉ࡞࡝ࡣ᤼㝖ࡋ࡚࠶ࡿࡼ࠺ࡔࠋ᝟ሗඹ

௳࡜ࡢㄆ㆑ࡀ࠶ࡗࡓࠋఫẸ⿕ᐖ࡬ࡢᚰ㓄ࡼ᭷ࡶ࠸࠸ࡀṇ☜࡞ศᯒࡶ㔜せࡔࠋ

ࡾࡣࠊ㈠᫆ࡸ⏘ᴗ࡬ࡢᚰ㓄ࡀ ASEAN ࡛ࡣᑠࢢ࣮ࣝࣉウㄽ㸱㸸Big data ࡟ࡘ࠸࡚ẚ㔜ࡀ኱ࡁ࠸ࡢ࡟ᑡࠎᡞᝨࡗࡓࠋ

andWarning

Big data ࡢ᭷⏝ᛶ࡜ᚲせᛶࢆㄆࡵࡘࡘࡶࠊ

ㅮ₇㸲㸸ASEAN ࡟࠾ࡅࡿ᝟ሗඹ᭷࡟ࡘ࠸

Big data ࠿ࡽࡢ᝟ሗࡢ┐㞴ࠊᨵ㐀࡞࡝ࣁࢵ࡚ Dr. Mercado ඖࣇ࢕ࣜࣆࣥ ASEAN

࣮࢝ࡢ༴㝤ࡀᣦ᦬ࡉࢀࡓࠋࡇࡢࡼ࠺࡞ Big

኱౑࠿ࡽࠋdata ࢆ ASEAN ࡛ඹ᭷ࡋ࡚స〇࡛ࡁࡿ࠿ࢆ

࢖ࣥࢻࢿࢩ࢔ࡢࢺࣜ࢖ࣥࣇ࢚ࣝࣥࢨ㸦192⡿ᅜ࠿ࡽ㉁ၥࡀ࠶ࡗࡓࠋᙼࡽ㸦࡜ࡃ࡟࣋ࢺ

ྡ⨯ᝈࡋ 160 ྡṚஸ㸧࡛ࡣࠊ࣮࢜ࢫࢺࣛࣜ

ࢼ࣒࡞࡝㸧ࡣᑡࡋ⟅࠼࡟ᅔࡗࡓᵝᏊ࡟ぢ࠼࢔ࡢ〇⸆఍♫ࡀ࣡ࢡࢳࣥࢆ㐀ࡗࡓࡀࠊ࢖ࣥ

ࡓࠋG7 ࡢྛᅜ࡛ࡶᅜ┈ࡀ᭱ᚋࡣ㑧㨱ࡋ࡚ฟࢻࢿࢩ࢔ࡣ㈙࠺ࡢࢆ᩿ࡗࡓࠋWHO ࡶࡑࢀ᮶࡞࠸ࡢࡔ࠿ࡽࠊASEAN ࡣᚰ㓄ࡍࡿࡇ࡜ࡒࢀࡢᨻᗓᶵ㛵ࢆ㏻ࡋ࡚ᐇ㝿࡟ࡣᑐฎࢆ⾜ࡣ࡞࠸࡜ࡢពぢࡶ࠶ࡗࡓࠋ⡿࠿ࡽࠊBig data࠺ࡢ࡛ࡇ࠺࠸࠺ࡇ࡜ࡀࡼࡃ࠶ࡿࡼ࠺ࡔࠋ

ࡀࡼࡾ᭷┈࡞᝟ሗ࡜࡞ࡿ࡜ศ࠿ࡿ࡜ᅜෆ࠿

Global Outbreak Alert and Responseࡽࡶ࠸ࢁ࠸ࢁ࡞㒊⨫ࡀཧຍࡋ࡚ࡁ࡚ࠊࡼࡾ

Network (GOARN) ࡜ ࠸ ࠺ ࡢ ࡀ ࠶ ࡾ኱ࡁ࡞᝟ሗ࡜࡞ࡿ༙㠃ࠊಙ㢗ᛶ࡜⛎༏ᛶࡀ

ASEAN ࡛ࡶ୍ᛂࡣ᝟ሗඹ᭷ࢆࡍࡿヨࡳࡣ࡞ࡃ࡞ࡗ࡚ࡋࡲ࠺ࡢࡀࢪ࣐ࣞࣥࡔ࡜ࡢᣦ᦬

࠶ࡿࠋ௚࡟ࡶ࠸ࢁ࠸ࢁ࡞ᯟ⤌ࡳࡣᏑᅾࡍࡿࠋ

ࡀ࠶ࡗࡓࠋNBC ࡢ◊✲㛤Ⓨࡸ⏕≀๣⬣ጾ࡬ࡢᑐ⟇ࠊ⑌ࢩࢼࣜ࢜ࢆ᝿ᐃࡋࡓศᯒ◊✲㸦pre ᅗୖ₇ᝈࢧ࣮࣋࢖࡞࡝ࡸࡗ࡚ࡣ࠸ࡿࡀࠊࡑࡢ᭷ຠ

⩦㸧ᛶࡣ␲ࢃࡋ࠸࡜ゝࡗ࡚࠸ࡓࠋASEAN ఍㆟๓᪥㓄ᕸࡉࢀࡓ኱⭠⳦ࡢឤᰁ஦௳࡟ࡘ࠸

࡛ࡣ㞟ࡲࡗ࡚࠸ࢁ࠸ࢁ෗┿ࡔࡅࡣ᧜ࡿࡀࠊ

࡚ࡢࢩࢼࣜ࢜ࢆᇶ࡟࡝࠺⾜ືࡍࢀࡤࡼ࠸࠿

ᮏᙜࡢᆅᇦ஺ὶࡣࡲࡔࡲࡔ࡜ゝࡗ࡚࠸ࡓࠋࢆウㄽࡋࡓࠋ
ࠕ㡑ᅜ࡛ O 104 ࡢ኱⭠⳦ឤᰁࡀ⤒῭ࡣ㛵⛯ᗫṆ࡜࠿࡛⤫ྜࡀ࠶ࡿ⛬ᗘ㐍ࢇⓎ⏕ࡋࡓࠋࣁ࣡࢖⏘ࡢࣃ࢖ࢼࢵࣉࣝࡀ␲ࢃ

࡛࠸ࡿࡀࠊᨻ἞ⓗ࡟ࡣࡑ࠺࡛࡞࠸ࡽࡋ࠸ࠋ

ࢀࡓࡀࠊᐇ㝿ࡣ࡝࠺ࡸࡽ㐪ࡗࡓ࡜࠸࠺᝿

㸯࢝ᅜ࡛ࡶ཯ᑐࡍࡿ࡜ ASEAN ࡛ࡣỴ㆟ࡀ

−116−ฟ᮶࡞࠸ࡇ࡜࡟࡞ࡗ࡚࠸࡚࠺ࡲࡃᶵ⬟ࡋ࡞ࡗ࡚ࡶ⮬ᅜ࡛ࡣఱࡶฟ᮶ࡎࡦࡓࡍࡽ WHO࠸࡜ࠋ୰ᅜࡣ຾ᡭ࡟࡝ࢇ࡝ࢇ༡Ἃㅖᓥ࡟ᘓ

࡟ຓࡅࢆồࡵࡿࡋ࠿࡞࠸ࡼ࠺ࡔࠋࡘࡲࡾ⮬≀ࢆ❧࡚࡚ࡃࡿࡀࠊ࡝ࡇ࠿㸯࢝ᅜ࡛ࡶ୰ᅜ

ᅜ࡛⮬ᅜࢆ⟶㎄ࢥࣥࢺ࣮ࣟࣝฟ᮶࡞࠸ࠋࣃ

࡟ゝࢃࢀ࡚཯ᑐࡍࡿ࡜ ASEAN ࡜ࡋ࡚ᢠ㆟ࣉ࢔ࢽ࣮ࣗࢠࢽ࢔ࡶྠࡌࡼ࠺࡞≧ἣࡔࡑ࠺ࡶฟ᮶࡞࠸ࡼ࠺ࡔࠋEU ࡢࡼ࠺࡞⤫ྜࡣᮃࡔࠋࢇ࡛࠸࡞࠸࡜ࡢࡇ࡜ࠋ㏻㈌ࡣ࡝ࢀࡶᙅ࠸ࡋࠋ

➨㸱᪥┠ḟᅇࡣ࣑࣐࣮ࣕࣥࡀ㆟㛗ࢆࡸࡿࡼ࠺ࡔࡀࠊ

ㅮ₇㸲㸸ࣁ࣡࢖ᕞ❧◊✲ᡤ࡟ࡘ࠸࡚ ᡤ㛗ࡇࢀࡶᣢࡕᅇࡾࡔࠋASEAN ࡢᯟ⤌ࡳ࡛ࡣࡢ Dr. Whelen ࠿ࡽ
Dr. Whelen ࡣ㝣㌷㌷་࡛ࠊⅣ⑋⳦஦௳ࡢ

࡞ࡃࠊ⡿ᅜ୺ᑟࡢᯟ⤌ࡳࡶ࠶ࡿࡢ࡛ࡣ࡞࠸
࠿࡜ゝࡗ࡚࠸ࡓࠋ

㡭ࠊ࣌ࣥࢱࢦࣥ࡟࠸ࡓࠋ2009 ᖺࡢ㈈ᨻ༴ᶵ

ᑠࢢ࣮ࣝࣉウㄽ㸲 ASEAN ᆅᇦ࡛ࡢ᝟ሗ

࡛ࡣ 15 㒊㛛ࡀ㛢㙐ࡉࢀ኱ኚࡔࡗࡓ࡜࠸࠺ࠋ

ඹ᭷࡟ࡘ࠸࡚

኱Ẽ᳨ᰝࠊỈ㉁᳨ᰝࠊ㣗ရ᳨ᰝࠊ⎔ቃࡢ⣽

AHA㸦ASEAN humanization assistance⳦᳨ᰝ࡞࡝ࢆ⾜ࡗ࡚࠸ࡿࠋ⣽⳦ࡢ௚࡟ࡶ࢘

coordinating㸧࡜ゝ࠺⤌⧊ࡀ࠶ࡿࡽࡋ࠸ࠋ

࢖ࣝࢫࡢ᳨▱ྠᐃࡶࡸࡗ࡚࠸ࡿࠋ࢝࢘࢔࢖

࢖ࣥࢻࢿࢩ࢔ࡢὠἼࡢᚋ࡟ฟ᮶ࡓ᝟ሗ஺᥮

ᓥ࡛ࡣࣞࣉࢺࢫࣆࣛࡢ◊✲ᡤࡶ࠶ࡿࠋすࢼᶵ㛵࡛ࠊࡇࢀࢆ Bio-threat ࡬ࡶᗈࡆࡓ࠸࡜

࢖ࣝࠊࢹࣥࢢࠊMERSࠊࣀࣟࡢ᳨ᰝࡶࡸࡗ

ゝࡗ࡚࠸ࡓࠋ⡿ᅜࡢཧຍ⪅࠿ࡽࠊ࡝ࢇ࡞஦

࡚࠸ࡿࠋBuddy system㸦㸰ேែໃ㸧࡛ࡸࡗែࡀ㉳ࡁ࡚ࡶࢩࢫࢸ࣒࡜ࡋ࡚㠀ᖖ᫬࡟ᢸᙜ

࡚࠸ࡿࡑ࠺ࡔࠋࡶࡋ㸯ேࡀಽࢀࡓࡾࡋࡓࡽ

ࡍࡿ㒊⨫ࡣྠࡌ࡛ࠊࡑࡢᑐฎ࡟ࡶࢩࢫࢸ࣒

ᚋࡢ㸯ேࡀẼ࡙ࡃࡼ࠺࡟ࠋ㸰ே࡛ྠࡌ᳨ᰝ

ⓗ࡞ཎ๎ࠊண▱ࠊᑐฎࠊࡑࡢᚋࡢ⟶⌮࡜࠸ࢆࡸࡿ࡜࠸࠺ࡇ࡜࡛ࡣ࡞ࡃ㸦ࡑࢀࡣ⌮᝿ⓗ㸧ࠊࡗࡓࡶࡢࡀ㔜せࡔ࡜Ⓨゝࡀ࠶ࡗࡓࠋࡇࢀࡣ

㸯ࡘࡢ㒊ᒇ࡟ᖖ࡟」ᩘࡀ࠸࡚௙஦ࢆࡍࡿࡼ

⅏ᐖ࡛ࡶ CBRN ᑐฎ࡛ࡶྠࡌࡔ࡜ࠋࡇࢀࡀ

࠺࡟ࡋ࡚࠸ࡿ࡜ࡢࡇ࡜ࠋෆ㒊࠿ࡽࡢᩛᑐศ

ASEAN ࡛ฟ᮶ࡿ࠿࡜ࠋࡇࡇ࡛ᆅᇦ᝟ሗඹ

Ꮚ࡟ࡼࡿ≢⾜ࢆᮍ↛࡟㜵ࡄࡢ࡟ࡶ᭷ຠࡔࠋ

᭷ࣔࢹࣝ࡜ࡋ࡚࡝ࢇ࡞ࡢࡀ࠶ࡿ࠿ウㄽࡋࡓಖ೺ᡤࡢ⥲ྜⓗ࡞ᴗົ⤂௓࡛࠶ࡗࡓࡀࠊ

ࡀࠊ⤖ᒁࡣ pandemic disease ࢆᛕ㢌࡟ࡋࡓ

ASEAN ㅖᅜ࠿ࡽࡣ㉁ၥࡀࡓࡃࡉࢇ࠶ࡗࡓࠋ

ࡶࡢ࡜࡞ࡾࠊWHO ࡀ୺య࡜࡞ࡿࣔࢹࣝࡀ

௚ࡢẸ㛫ࢆྵࡵࡓ᪋タ࡜ࡶ࠸ࢁ࠸ࢁ༠ຊࡋ

Ⰻ࠸ࡢ࡛ࡣ࠸࠺ࡇ࡜࡟࡞ࡗࡓࠋ࢔ࢪ࢔ᨭ㒊࡚࠸ࡿ࡜ࡢࡇ࡜㸦࡜ࡃ࡟⑓ཎయ᳨ᰝ࡟࠾࠸ࡳ ࡓ ࠸ ࡞ ࡶ ࡢ ࡀ ࠶ ࡗ ࡚ WPRO (WHO࡚㸧ࠋࢹࣥࢢ⇕ࡀ 10 ᖺࡪࡾ࡟ฟࡓࡀࠊ௚᪋

Western Pacific Region)࡜࠿ゝ࠺ࡼ࠺ࡔࠋタ࡜ࡢ༠ຊࢩࢫࢸ࣒࡛ຓ࠿ࡗࡓ࡜ࡢࡇ࡜ࠋ

WHO➨ 4 ᪥┠ࠊDr. Fischer ࡢᐁẸ༠ຊࡢヰ࡟ࡶࡢ ௚ ࡟ ࡶ

FAO

(Food

and

Agriculture Organization ᅜ㐃㐃ྜ㣗ᩱ㎰㏻ࡌࡿࠋᴗᶵ㛵)ࡸ OIE (World Organization forᑠࢢ࣮ࣝࣉウㄽ㸳 ඛ࡯࡝ࡢ Dr. Whelen

Animal Health ᅜ㝿⋇␿஦ົᒁ)࡞࡝ࡶ࠶

ࡢㅮ₇࡟㛵ࡋ࡚ࡿ ࠋ ࡇࢀ ࡽࢆ ྜ ࢃࡏ࡚ GLEWS (Globalࣂ࢖࢜ࢸࣟࡶ࡝ࡁࡢࡼ࠺࡞஦௳ࡀⓎ⏕ࡋ

Early Warning System)࡜࠸࠺ࡽࡋ࠸ࠋᮾ

ࡓࡽࠊࡲࡎࡣ⮬↛⏺࡟࠶ࡿ⣽⳦ࡸ࢘࢖ࣝࢫ

ࢳ࣮ࣔࣝ࡞࡝ࡣࠊ⤖ᒁࡣ pandemic ࡀ㉳ࡇࢆ⪃࠼ࡓ᪉ࡀࡼ࠸ࠋ⏕≀๣ࡣ㐀ࡿࡢࡀ㞴ࡋ−117−ࡃࠊࡴࡋࢁ┐㞴࡞࡝ࡢ᪉ࡀၥ㢟ࡔࠋࢹࣥࢢ

࡝ࢇ㓄ࡽࢀࡿࠋෆᐜࡣឤᰁࡀ࡝ࢇ࡝ࢇᗈࡀ

⇕ࡣ࣋ࢺࢼ࣒༡㒊ࡢ࣮࣍ࢳ࣑ࣥࡸ࣐࣮ࣞࢩ

ࡗ࡚࠸ࡁ࢝ࣛࢳ SARS ࡜࿧ࡤࢀࡿࡼ࠺࡟࡞

࢔ࠊ࢖ࣥࢻࢿࢩ࢔࡛ࡣ⤖ᵓ࠶ࡿࡽࡋ࠸ࠋᮾ

ࡿࠋᑠࢢ࣮ࣝࣉࢆ㸱ࡘ࡟ࡉࡽ࡟ศࡅࠊᑐฎ

ࢳ࣮࡛ࣔࣝࡣ᭱ࡶ῝้࡞ࡼ࠺ࡔࠋඛ㐍ᅜ࡛ࢆウㄽࡉࡏࡿࠋASEAN ࡢ୰࡛≉ຠ⸆ࡢ㓄ࡣ፹యࡢࢩ࣐⺅ࡀ⾨⏕ୖࡢΎ₩ࡉ࠿ࡽࡶከ

ศ࡟࣒ࣛࡀ࠶ࡿ࡜࠸࠺タᐃࡔࡀࠊࡇࢀࡣࡍ

ࡃࡣ࡞ࡃࠊ῝้࡞ၥ㢟࡜࡞ࡗ࡚࠸࡞࠸ࠋර

ࡄ࡟┤ࡍ࡭ࡁࡔ࡜⡆༢࡟ゝࡗ࡚࠸ࡓࡀᐇ㝿ኈ࡟ࡣ⺅ᑐ⟇ࢆฎ⨨ࡋ࡚࠸ࡿࡢ࡛ࠊࡑࢀ⛬࡟ࡣ࠿࡞ࡾࡢᅔ㞴ࡀక࠺࡜⪃࠼ࡽࢀࡿࠋ᭱

῝้࡛ࡣ࡞࠸ࠋᮾࢳ࣮ࣔࣝࡣࡇࢀࡽࡢၥ㢟ᚋ࡟ࠊᅗୖ₇⩦࠿ࡽᚓࡽࢀࡓࡇ࡜ࢆྛࢢࣝ

࡟ᑐࡋ࣮࢜ࢫࢺࣛࣜ࢔ࡀ᥼ຓࡋ࡚࠸ࡿࡽࡋ

࣮ࣉࡢ௦⾲ࡀཧຍ⪅඲ဨࡢ๓࡛Ⓨ⾲ࡋࡓࠋ➨ 4 ᪥┠

࠸ࠋ

ㅮ₇㸳㸸ᐁẸ༠ຊ࡟ࡘ࠸࡚ Dr. Fischer ࡀᅗୖ₇⩦ 1 ᪥┠ㅮ₇‫ ە‬2015 ᖺ ࡟ ᪂ ᆺ ࢥ ࣟ ࢼ ࢘ ࢖ ࣝ ࢫ ࡢఱ ࠿ ஦ ㇟ ࡀ ㉳ ࡇ ࢀ ࡤ ࠊpandemic ࡀ㉳ࡁࡓ࡜࠸࠺タᐃࠋ࡝ࢇ࡝ࢇࣈPrevent—detection—response—recover࣮ࣜࣇ࣏࣮ࣞࢺࡀᡭΏࡉࢀࡿࠋࡲࡎࠊⱥ࡛ࡢ 㡰 ࡟ ᑐ ฎ ࡋ ࠊ Prevent ࡟ ࡣ pathogen

1 ேࡀṚࢇ࡛ࠊ௚ࡢᅜ࡟ࡶ࿧྾ჾࡢᝈ⪅ࡀsecurity ࡸ labo-biosecurity ࡶධࡿࠋR & D࠸ࡿࡼ࠺ࡔࠊ࡜ࡢ➨ 1 ሗࠋ⥆࠸࡚➨ 2 ሗ࡛ࠊ࡟ࡣ㧗ᗘࡢᑓ㛛ⓗ▱㆑ࢆ᭷ࡍࡿேࠊᐇ⾜ࡍWHO ࡀࢥࣟࢼ࢘࢖ࣝࢫ࡜Ⓨ⾲ࠋୡ⏺࡛Ⓨࡿேࠊ⬟ຊࢆసࡿேࠊ࠺ࡲࡃ⤫ᣓࡍࡿேࡢ

⑕౛ࡀฟࡿࠋ➨ 3 ሗ࡛ࠊࡉࡽ࡟ヲࡋ࠸ㄝ᫂༠ຊࡀᚲせࡔࠋ⡿ᅜ࡟ࡣබⓗᶵ㛵࡜Ẹ㛫άࡀ WHO ࠿ࡽධࡿࠋ᭱ึࡣཧຍ⪅࠿ࡽࡤࡽຊࢆ⤫ྜࡍࡿᅜᐙࡢィ⏬ࢩࢫࢸ࣒ࡀ࠶ࡾࠊࡤࡽ࡞ពぢࡀฟ࡚ࡲ࡜ࡲࡾࡀ࡞࠿ࡗࡓࡀࠊ

ᅜᐙⓗ࡞ᑐฎ┠ᶆࡸᅜᐙⓗ࡞஦ᨾ⟶⌮ࢩࢫḟ➨࡟ᑐᛂ࡞࡝ࡀࡲ࡜ࡲࡗ࡚࠸ࡗࡓࠋᅗୖ

ࢸ࣒ࡀࡇࢀ࡟ධࡿࠋPrivate sector ࡜ࡣࣃ࣮₇⩦࡛ࡣ Pandemic Ⓨ⏕࡟㝿ࡋࠊࡲࡎ⤒῭ࢺࢼ࣮ࢩࢵࣉࢆ㏻ࡋ࡚ࠊ೺ᗣ⟶⌮㒊㛛ࢆᩚⓗ࡞ᡴᧁࢆㄒࡿேࡀ࠸ࡓࠋWHO ࡀࢥࣟࢼ⌮ࡋࡓࡾࠊ኱⅏ᐖࡢ㝿࡟ࡣᕷẸࢆಖㆤࡍࡿ

࢘࢖ࣝࢫ࡜ゝࡗ࡚࠸ࡿࡢ࡟ࡑࢀࢆ␲࠺࡜࠿

ィ⏬ࢆᩚ⌮ࡋࡓࡾࡍࡿࠋᕷẸ࡛ࣞ࣋ࣝࡶබ

ࡶࠋ࣋ࢺࢼ࣒࡜࠿ࡣ㝸㞳ᑓ㛛ࡢ⾜ᨻᐁࡀࣁⓗ࡜⚾ⓗ࡞ᶵ㛵ࡢࣃ࣮ࢺࢼ࣮ࢩࢵࣉࡀ㔜せࣀ࢖ࡢ✵࡞࡝࡟࠸ࡿࡽࡋ࠸ࠋ᝟ሗࡢࢥࣥ

࡛࠶ࡿࠋ◊✲ᡤࡢࢿࢵࢺ࣮࣡ࢡ࡛ࡣ CDC,ࢺ࣮࡛ࣟࣝࡣ࣋ࢺࢼ࣒ࡢᡭἲ࡟㛵ᚰࡀ࠶ࡗFBIࠊAPHL (Association Public Healthࡓࡀࠊࡁࡕࢇ࡜እᅜࣉࣞࢫࡶධࢀ࡚Ⓨ⾲ࡋLabo)ࡀ࠶ࡾࠊ࢔࣓࡛ࣜ࢝ࡣබ࡜⚾ⓗᶵ㛵ࡀ࡚࠸ࡿ࡜࠸࠺ࠋࡋ࠿ࡋࢸࣞࣅ࡞࡝ࡣࡍ࡭࡚

༠ຊࡋ࡚ࢸࣟᑐฎ࡟࠶ࡓࡿࠋ◊✲ᡤࡢࢿࢵᨻᗓࡢࢥࣥࢺ࣮ࣟࣝୗ࡟࠶ࡿࡽࡋ࠸ࠋ⮬⏤ࢺ࣮࣡ࢡ࡛ࡣ⑓㝔ࡢ᳨ᰝᐊࡸ᳨ᰝᴗົࢆࡸ

୺⩏ㅖᅜ࡛ᙜ↛⾜ࢃࢀ࡚࠸ࡿࡇ࡜ࢆࠊࢃࡊ

ࡿ௻ᴗࡶ༠ຊࡍࡿࠋ⏕≀๣ࡢ⬣ጾ࡟ᑐࡋ࡚

ࢃࡊᙉㄪࡋ࡞࠸࡜࠸ࡅ࡞࠸㎶ࡾࠊ⁁ࡣ౫↛ᐁẸࡣ᳨▱࡟༠ຊࡍࡿࠋẸ㛫᳨ᰝᐊࡣ࠶ࡿࡼ࠺ࡔࠋ

25,000ࠊ኱つᶍ࡞୰ኸ᳨ᰝᐊ࡛ࡶ 4,200 ࠶

ᅗୖ₇⩦ 2 ᪥┠㸦➨ 4 ᪥┠㸧ࡿࠋࡇࢀࡽࢆࡲ࡜ࡵࠊࡉࡽ࡟࢖ࢠࣜࢫࡸ᪥

≧ἣࡀࡉࡽ࡟㏣ຍ࡜࡞ࡿࠋA㸲ࡢ⣬ࡀ࡝ࢇᮏࠊ࣮࢜ࢫࢺࣛࣜ࢔࡜ࡶ༠ຊࡍࡿయไࢆ࡜

−118−

ࡿࠋᐁẸ࡛᪂ࡋ࠸᳨▱ᢏ⾡ࡶ㛤Ⓨࡍࡿࠋ㐃ࢬ࣒ࡀ⃭ࡋࡃࠊNSC(ᅜᐙᏳ඲ಖ㞀఍㆟)ࡣ

㑥ᨻᗓࡢᙺ๭ࡀ་⒪ᑐฎ࡛ࡶ኱ࡁࡃ࡞ࡗ࡚

࠶ࡿࡀୖᡭࡃᶵ⬟ࡋࡎࡽ࠸ࡼ࠺ࡔࠋ࣐࣮ࣞ

᮶࡚࠸ࡿࠋ2002 ᖺࡣࢩࢫࢸ࣒ࡢ❧ࡕୖࡆࠊࢩ࢔ࡶྠᵝࡔࠋ࢖ࣥࢻࢿࢩ࢔ࡣ NSC ࡢࡼ࠺

2004 ᖺࡣ bio-shield ࡢ㛤Ⓨࠊ2006 ᖺࡣࣃ࡞⤫ྜ఍㆟ࡀ࠶ࡿࡀ 50 ேࡶࡢ࣓ࣥࣂ࣮ࡀ

ࣥࢹ࣑ࢵࢡࡸ඲࡚ࡢ⅏ᐖ஦ᨾ࡬ࡢᑐฎࡀ㐍࠸ࡿ࡜ࡢࡇ࡜ࠋࣂ࢖࢜ࢸࣟࡢඃඛ㡰఩ࡀ

ࢇࡔࠋ2011-16 ᖺࡣṚࡢ㇂࡜࿧ࡤࢀࠊᡓຊ

ಶࠎࡢᨻ἞≧ἣ࡟ࡼࡗ࡚ࡍࡄ࡟ୗࡀࡗࡓࡾ

ⓗ࡞ᢞ㈨ࡀ࡞࠿ࡗࡓࠋࡲࡓ 1989 ᖺ࡟⏕≀රࡍࡿ࡜ࡢࡇ࡜ࠋ࣋ࢺࢼ࣒࡛ࡣពᛮỴᐃࡀ᪩ჾࢸࣟᑐ⟇ࡀጞࡲࡗࡓࠋ1995 ᖺ࣌ࢫࢺ⳦ࢆ

ࡃࠊ┬ᗇ㛫ࡢ㐃ᦠࡶ࠸࠸ࡼ࠺ࡔࠋࡓࡔࡋ

⚾ⓗᶵ㛵ࡀ ATCC ࠿ࡽ㈙࠺஦௳ࡀ࠶ࡗࡓࠋ

pandemic ࡞࡝ࡢ᪂ࡋ࠸ၥ㢟ࡀฟ࡚ࡃࡿ࡜

CDC ࡞࡝ࡀࡇࢀࢆぢࡘࡅᑐฎࠋྲྀࡾ⥾ࡲࡾ࡝ࡢ┬࡟ᢸᙜࡉࡏࡿ࠿࡛࠺ࡲࡃ࠸࠿࡞࠸ࡇ

ᙉ໬ࡢἲ᱌ࡀᡂ❧ࡋࡓࠋ2001 ᖺⅣ⑋⳦ᡭ⣬࡜ࡶ࠶ࡿࡼ࠺ࡔࠋ♫఍୺⩏ᅜ࡛௚ࡢ஦௳ࢆཷࡅᏳ඲࡜ᑐฎ࡟㛵ࡍࡿἲᚊࡀฟ᮶

ASEAN ࡜ࡣ㐪ࡗࡓ஦᝟ࡀ࠶ࡿࡼ࠺ࡔࠋ⡿ࡓࠋື≀ࡸேࡢ health agency ࡸᏛ⾡ⓗ◊ᅜࡢ Public health side ࠿ࡽࠊ࠸ࡘࡶᅜ㜵✲ᡤࢆᛕ㢌࡟ࡋࡓ㐃㑥ἲࡀฟ᮶ࡓࠋ2011 ᖺ┬ࡀ༠ຊࡋ࡞࠸࡜࠸࠺ហ⑵࠶ࡾࠋ㡑ᅜࡢࣅ

bio-security ࡟㛵ࡍࡿጤဨ఍ࡶฟ᮶࡚࠸ࡿࠋ

ࢹ࡛࢜ࡣ⡿ᅜࡀ୍ᯛᒾ࡛ࡸࡗ࡚࠸ࡿࡼ࠺ࡔ

ㅮ₇㸴㸸⡿㡑ࡢᡓ␎ⓗ஺ὶ 㡑ᅜࡢ Cheonࡀࠊࡑࢇ࡞ࡇ࡜ࡣ࡞࠸ࠋ୍㒊ࡢ⤌⧊ࡀ㡑ᅜࡀⓎ⾲࡜ࡢඹྠカ⦎࡟ཧຍࡋ࡚࠸ࡿ࡟㐣ࡂࡎࠊ㡑ẖᖺ⾜ࢃࢀ࡚࠸ࡿ⡿㡑ྜྠカ⦎ࢆࣅࢹ࢜

ᅜࡀࠕ⡿ᅜࡢࡼ࠺࡟࠺ࡲࡃ┬ᗇ㛫ࡀ༠ຊࡋ࡛⤂௓ࡋࡓࠋࢧࣜࣥࢸࣟࡸཎⓎ஦ᨾࡢᩍカ࡚ࡸࡗ࡚࠸ࡿࠖ࡜࠸࠺ࡢࡣᅵྎ⮬యࡀ㐪ࡗࢆ⡿ᅜ࠿ࡽᚓ࡚༠ྠ࡛カ⦎ࡍࡿ࡜࠸ࡗࡓෆ

࡚࠸ࡿ࡜ゝࡗ࡚࠸ࡓࠋ

ᐜࠋ࡜࡟࠿ࡃ⡿ᅜ࡜୍⥴࡟ࡸࡗ࡚࠸ࡿࡇ࡜

➨㸳᪥┠㸦᭱⤊᪥㸧ࢆᙉㄪࡋࡓෆᐜࠋᮤ᫂༤๓኱⤫㡿ࡀ㣁∝࡜ᑠࢢ࣮ࣝࣉウㄽ㸵 Bio-threat ࡜ PublicⓏሙࡋ࡚࠸ࡓࡀࠊ࢔࣓ࣜ࢝ࡢ࡝ࡢᶵ㛵࡜࡝affairs ࡟ࡘ࠸࡚࠺࠸࠺༠ຊࢆࡋ࡚࠸ࡿ࠿ࡶ୙᫂░࡛ࠊᅜẸ

Bio-thread ࡟ࡘ࠸࡚㸱ࡘࡢࢢ࣮ࣝࣉ࠿ࡽ

࡟ྥࡅ࡚⡿㡑ࡢ༠ຊ㛵ಀࢆᙉㄪࡍࡿࡶࡢ࡛

ࡲ࡜ࡵࡓෆᐜࢆ௦⾲⪅ࡀཧຍ⪅඲ဨࡢ๓࡛

࠶ࡗࡓࠋ㉁ၥࡀ࠶ࡾࠊ⡿㌷ࡔࡅ࡛࡞ࡃ WHOⓎ⾲ࡍࡿࠋୡ⏺ⓗ࡞࡛ࣞ࣋ࣝࡢ᝟ሗඹ᭷ࠊ

࡞࡝࡜ࡶࠊࡶࡗ࡜ global ࡟ࡸࡿ࡭ࡁࡔ࡜⡿ᆅ ᇦ ࡛ࡢ ᝟ሗ ඹ ᭷ඹ ࡟኱ ษ ࡔࠋ CDC ࡣᅜ⮬㌟࠿ࡽᣦ᦬ࡉࢀ࡚࠸ࡓࠋ࢔ࢪ࢔ᆅᇦ࡛

H1N1 pandemic ࡜࠿࡛ࢩࢼࣜ࢜◊✲ࡸࡗࡢ᝟ሗඹ᭷ࢆಁ㐍ࡍࡿどⅬࡀḞࡅ࡚࠾ࡾࠊ

࡚࠸ࡿࠋఱࡀศ࠿ࡗ࡚࠸࡚ࠊఱࡀศ࠿ࡗ࡚

ࢧࣜࣥࡸཎⓎ஦ᨾ࡞࡝ࡢ᪥ᮏࡢ஦௳ࡣ⡿ᅜ࠸࡞࠸࠿ࢆ▱ࡿࡇ࡜ࡀ㔜せࡔࠋ࠿ࡽ࡛ࡣ࡞ࡃࠊࡶࡗ࡜᪥ᮏ࠿ࡽᏛࡪ࡭ࡁ࡛ࠊ

‫ࡎࡲە‬㛵୚ࡍࡿࣜࢫࢺࠋᢸᙜᅜࠊWHOࠊ㏆

᝟ሗඹ᭷ࡣ㞄ᅜࡢ᪥ᮏ࡜ࡸࡿ࡭ࡁࡔ࡜ࡢⓎ

㞄ㅖᅜࠊAPCSS ࡸ CDCࠊಖ೺┬࡞࡝ࠋゝࢆࡋࡓࠋ‫ە‬ᅜෆࡢ᝟ሗ஺᥮ࠊᅜ㝿ⓗ࡞᝟ሗ஺᥮ࠊᑐ

ᑠࢢ࣮ࣝࣉウㄽ㸴 ᡓ␎ⓗ࡞᝟ሗ஺᥮࡟ࡘ

ฎ࡟㛵ࡍࡿ᝟ሗ஺᥮ࠋ

࠸࡚‫ە‬ලయⓗ࡟ࡣࠊ⸆๣⪏ᛶឤᰁ⑕ࡶྵࡴ᪂⯆ࣇ࢕ࣜࣆࣥ࡞࡝ࡶ⡿ྠᵝ࡟ࢭࢡࢩࣙࢼࣜ

ឤᰁ⑕ࠊMERS ࡸ H7N9ࠊ࣐ࣛࣜ࢔ࠊࢹࣥ

−119−ࢢ⇕ࠊ≬≟⑓ࠊ࣌ࢫࢺࠊࣞࣉࢺࢫࣆࣛࠊࢽAPCSS ࡢࢥ࣮ࢫಟ஢⪅࡟ࡣ ID ࣮࢝ࢻࡀࣂ࢘࢖ࣝࢫ࡞࡝ࠋᮾࢳ࣮ࣔࣝࡸࣃࣉ࢔ࢽࣗ

ᨭ⤥ࡉࢀࠊ⡿ᅜ㜵⾨኱Ꮫࡢᅗ᭩㤋࡟࢔ࢡࢭ࣮ࢠࢽ࢔࡛ࡣ⸆๣⪏ᛶࡢ⤖᰾ࡀከ࠸ࡽࡋ࠸ࠋ

ࢫฟ᮶ࡿࡼ࠺࡟࡞ࡿࠋ௒ᚋࡶ APCSS ࡟Ⓩᮾࢳ࣮࡛ࣔࣝࡣ⣽⳦᳨ᰝࡣ࣮࢜ࢫࢺࣛࣜ࢔

㘓ࡉࢀࠊ࠸ࢁ࠸ࢁ࡞᝟ሗࡀ㏦ࡽࢀࡿࡋࠊ㉁࡟ฟࡋ࡚࠸ࡿࡀࠊ⤖ᯝࡀฟࡿࡲ࡛࡟ 3 ࢝᭶ၥࡍࡿࡇ࡜ࡀฟ᮶ࡿࠋྠ❆࡟ࡣ኱⤫㡿ࡸ㤳࠿࠿ࡾࠊฟࡓࡇࢁ࡟ࡣᝈ⪅ࡣṚࢇ࡛࠸ࡿࠋ

┦ࡣࡌࡵ VIP ࡀከࡃ࠸ࡿࡽࡋ࠸ࠋ

⏕≀රჾࡶ⬣ጾࡔࠋ⥲ྜ࢝ࣥࣇ࢓

‫ە‬Community ࡢḞⴠࠋᅜෆ࡛ࡣᣦᑟ⪅ࡸᕷDTRA ࡢ ᇳ ⾜ ᢸ ᙜ ࠊ APCSS ᡤ 㛗 ࠊẸࡢྛ࡛ࣞ࣋ࣝࡢ᝟ሗ஺᥮ࡀ኱ษࡔࠋᅜ㝿

USPACOM ࡢ་⒪㈐௵⪅ࡀ๓࡟ฟ࡚ࠊᮏ࣡

ⓗ࡟ࡣ community link ࡢᙉ໬㸦DoD ࡸ࣮ࢡࢩࣙࢵࣉࡢࡲ࡜ࡵࡢウㄽࢆࡋࡓࠋᅜᐙ

APAN: Asia-Pacific Advanced Network㸧㛫ࡢ஺ὶ࡟㛵ࡋ࡚ࡣࠊࣇ࢕ࣜࢵࣆࣥ࡜࣋ࢺ

ࢆ⾜࠺ࠋ᝟ሗඹ᭷ࡢᙉ໬ࡀ㔜せࡔࠋࡲࡉ࡟

ࢼ࣒࡟ࡣᯟ⤌ࡳࡀ࠶ࡾࠊHIV ࡞࡝ࡢឤᰁ⑕APCSS ࡢྠ❆ࡢᙉ໬ࡀ㔜せ࡞ࡢ࡛࠶ࡿ࡜

࡟㛵ࡋ࡚ࡣᶵ⬟ࡋ࡚࠸ࡿࡼ࠺ࡔࠋࢺࣜ࢖ࣥࡋ ࡓ ࠋ ᇶ 㔠 ࢆ ࡝ ࠺ ࡍ ࡿ ࠿ ࠋ APECࣇ࢚ࣝࣥࢨ࡞࡝ࡣ ASEAN ࡀ୺య࡜࡞ࡾ࢖

(Asia-Pacific Economic Cooperation ࢔ࢪࢽࢩࣕࢳ࢕ࣈࢆ࡜ࡾࡓ࠸࡜࢖ࣥࢻࢿࢩ࢔ࡀ

࢔ኴᖹὒ⤒῭༠ຊ)࡞࡝ࡀᇶ㔠ᥦ౪ࡍࡿࠋ

ゝࡗ࡚࠸ࡓࠋWHO ࡣ pandemic ࡞࡝࡛ࡣ‫ە‬ୡ⏺ⓗ࡞᝟ሗඹ᭷࡟ࡘ࠸࡚ࠋࡲࡎᆅᇦෆ

⑌ᝈศᕸࡔࡅ࡛࡞ࡃࠊ⮴Ṛ⋡ࡸ⸆๣⪏ᛶࡢࡢࢫࢱࣥࢲ࣮ࢻࢆసࡿࠋTraining, Assey,⛬ᗘ࡞࡝ࡶࡗ࡜࠸ࢁ࠸ࢁ㛵୚ࡍ࡭ࡁࡔ࡜࠸

Sample sharing ࡞࡝ࠋWHO ࡀ㔜せ࡞ᙺ๭࠺ពぢࡶฟࡓࠋBio-preparedness ࡟㛵ࡋ࡚ࢆᯝࡓࡍ࡛࠶ࢁ࠺ࠋInternational healthࡣᇶ㔠ࢆ࡝࠺ࡍࡿ࠿ࡀၥ㢟ࡔࠋࣅࢪࢿࢫࡀ

regulation (IHR)ࡢࢩࢫࢸ࣒ࡀᚲせࡔࠋࢱ࢖⤡ࢇ࡛ࡃࡿࠋィ⏬ࡣ࠶ࡿࡀࠊ࡝࠺ᐇ⾜ࡍࡿ࠿ࡽ WHO ࡜ CDC ࡢࢺࣜ࢖ࣥࣇ࢚ࣝࣥࢨ

࠿ࡀၥ㢟ࡔࠋ㡑ᅜࡣ⡿㡑ඹྠ࡛ẖᖺࠊ࡟㛵ࡍࡿ phase ່࿌ࡀ㐪ࡗ࡚࠸ࡿࡀࠊ࡝࠺

Bio-preparedness ࢆྵࡵ࡚カ⦎ࢆࡸࡗ࡚࠸

ࡋ࡚࠿㸽࡜ࡢ㉁ၥࡀ࠶ࡗࡓࠋྠࡌ≧ἣࢆぢࡿࠋ⡿ࡢ㛵ᚰࡣ☜࠿࡟࢔ࢪ࢔࡬⛣ࡗ࡚࠸ࡿࠊ࡚ࡶぢࡿ❧ሙࡀ㐪ࡗ࡚࠸ࡿࡢࡀཎᅉ࡛ࡣ࡞

ࡇࡢᆅᇦ࡟㈨㔠ࡶ⛣ࡿࡔࢁ࠺࡜ゝࡗ࡚࠸ࡓࠋ

࠸࠿࡜ࡢ⟅࠼ࠋWHO ࡣ່࿌ࡔࡅ࡛ఱࡶࡋ

ᮾࢩࢼᾏࡸ༡ࢩࢼᾏࡢၥ㢟ࡀࠊᮾ࢔ࢪ࢔ࡸ

࡚ࡃࢀ࡞࠸࡜ࡢពぢࡶࠋ᝟ሗඹ᭷࡜࠸࠺Ⅼ

ASEAN ᆅᇦ࡟ࡣᏑᅾࡋ࡚࠸ࡿࠋ

࡛ࡣࠊASEAN ࡛ࡣ 19 ኱Ꮫࡢ་Ꮫ㒊ࡀ᝟ሗඹ᭷ࢆࡋ࡚༠ຊࡋ࡚࠸ࡿ࡜ࡢࢥ࣓ࣥࢺࡀE. ⤖ㄽ

DTRA ࠿ࡽ࠶ࡗࡓࠋ᝟ሗ࡟㛵ࡋ࡚࣓ࢹ࢕࢔ ᮾ༡࢔ࢪ࢔ᆅᇦ࡟࠾ࡅࡿ pandemic ᑐ⟇ࡣ᪂⪺ࡸ㞧ㄅࡀ኎ࢀࢀࡤࡼ࠸࡜࠸࠺❧ሙࠊ࡜ࣂ࢖࢜ࢸࣟᑐ⟇࡟㛵ࡍࡿ᝟ሗඹ᭷࡜┦஫࡛ࡶ┿ᐇࢆᥥࡃࡇ࡜ࡶ࠶ࡿࠋ㏫࡟ᨻ἞ᐙࡀ

ࡢពᛮ␯㏻ࡀ ASEAN ྛᅜࡸ⡿ᅜ࡜ᅗࡿࡇ

࠺ࡑࢆゝ࠺ࡇ࡜ࡶ࠶ࡿ࡜ࡢࢥ࣓ࣥࢺࡶ࠶ࡗ

࡜ࡀ࡛ࡁࡓࠋ௒ᚋࡣࠊࡇࡇ࡛ᚓࡽࢀࡓ᝟ሗ

ࡓࠋࢿࢵࢺ࣮࣡ࢡࢆά࠿ࡋࠊࡼࡾ᭷ຠ࡞೺ᗣ༴

Mr. Gasner ࠿ࡽ APCSS ࡢྠ❆ࣉࣟࢢ࣒ࣛ

ᶵ⟶⌮ᑐ⟇ࡸࣂ࢖࢜ࢸࣟࣜࢬ࣒ᑐ⟇࡟㈨ࡍ

㸦Alumni program㸧ࡢㄝ᫂ࡿ᝟ሗඹ᭷ᇶ┙ࡢᩚഛࡀᮇᚅࡉࢀࡿࠋ

−120−

F. ೺ᗣ༴㝤᝟ሗ ࡞ࡋࠋG. ◊✲Ⓨ⾲㸯㸬ሗ࿌᭩࢔ࢪ࢔ኴᖹὒឤᰁ⑕ࣂ࢖࢜ࢸࣟᑐ⟇఍㆟࡟㛵ࡍࡿሗ࿌᭩㸦㜵⾨┬ࠊཌປ┬㛵ಀᶵ㛵࡟㓄ᕸ㸧ࠋ㸰㸬Ꮫ఍Ⓨ⾲ ࡞ࡋࠋ
H. ▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ
1. ≉チྲྀᚓ ࡞ࡋࠋ
2. ᐇ⏝᪂᱌Ⓩ㘓 ࡞ࡋࠋ
3. ࡑࡢ௚ ࡜ࡃ࡟࡞ࡋࠋ

−121−

㻌

ศᢸ◊✲ሗ࿌
㻌
㻌
㻌
㻌
㻌

㻌

䛂⇿ᙎ䝔䝻䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 ᚨ㔝㻌 ៅ୍㻌䠄㜵⾨་⛉኱Ꮫᰯ㻌 㜵⾨་Ꮫㅮᗙ㻌 ㅮᖌ䠅㻌㻌㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂⇿ᙎ䝔䝻䛻㛵䛩䜛◊✲䛃㻌◊✲ศᢸ⪅㻌 ᚨ㔝ៅ୍㻌㜵⾨་⛉኱Ꮫᰯ㻌 㜵⾨་Ꮫㅮᗙ㻌 ㅮᖌ㻌◊✲せ᪨⇿ᙎࢸࣟ࠶ࡿ࠸ࡣ⇿Ⓨ஦ᨾᑐฎ࡟࠾ࡅࡿᇶ♏◊✲ࠊ㐣ཤ࣭᭱㏆ࡢ஦౛࡟ࡘ࠸࡚ㄪᰝࡋࡑࡢᩍカࡸㄢ㢟࠶ࡿ࠸ࡣᥦゝࢆࡲ࡜ࡵࠊᮏ㑥࡟࠾ࡅࡿ⇿ᙎࢸࣟᑐᛂ࡬ࡢᛂ⏝ࢆ᳨ウࡋࡓࠋ⇿ᙎࢸ࣭ࣟ⇿Ⓨ஦ᨾᑐᛂ࡟࠾࠸࡚௨ୗࡢࡼ࠺࡞ඹ㏻ࡢㄢ㢟ࡀㄆࡵࡽࢀࡓࠋ
㸯㸧ᑐᛂึᮇࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ☜❧ࠊ㸰㸧ᣦ᥹࣭⤫ไࡀ☜❧ࡍࡿࡲ࡛ࡢᑐᛂ
᪉ἲࠊ㸱㸧Ᏻ඲ࡢ☜ಖࡢ᫬ᮇࠊ㸲㸧࣮࢜ࣂ࣮ࢺࣜ࢔࣮ࢪࢆ࡝ࡇࡲ࡛チᐜࡍࡿ࠿㸽 㸳㸧ྛᶵ㛵ࡢ᝟ሗࡢඹ᭷ࠋ
㸿㸬◊✲┠ⓗ 2013 ᖺࡣࠊ4 ᭶࡟࣎ࢫࢺ࣭࣐ࣥࣛࢯࣥ⇿Ⓨ஦௳ࡀࠊ8 ᭶࡟⚟▱ᒣⰼⅆ኱఍㟢ᗑ⇿Ⓨ஦ᨾࡀⓎ⏕ࡋࠊከࡃࡢᕷẸࡀ㈇യࡋࡓࡾஸ
ࡃ࡞ࡗࡓࡾࡋࡓࠋ௚࡟ࡶᅜෆࡔࡅ࡛ 11 ᭶࡟ᶓ὾ࢧ࢖ࣟ⇿Ⓨࠊ༓ⴥ┴㔝⏣ᕷᕤሙ⇿Ⓨࡀ┦ḟࡂࠊ2014 ᖺ 1 ᭶࡟ࡣ୕㔜┴ᅄ᪥ᕷᕤሙ
⇿Ⓨࡀ㉳ࡇࡗࡓࠋୡ⏺ⓗ࡟ぢࢀࡤ 2013 ᖺ
12 ᭶࡟ࣟࢩ࢔ࡢࣦ࢛ࣝࢦࢢ࣮ࣛࢻࡢ㥐࠾ࡼࡧࣂࢫࡢ㐃⥆⇿◚ࢸࣟࠊࢱ࢖ྛᆅࡢ཯ᨻ
ᗓ⇿◚ࢸࣟ࡞࡝ࡀ┦ḟ࠸࡛㉳ࡇࡗ࡚࠸ࡿࠋ
⇿Ⓨ࡛ࡣ࡞࠸ࡀࠊ2013 ᖺ 2 ᭶ࡢࢳ࢙ࣜࣕࣅ
ࣥࢫࢡᕞࡢ㝹▼ⴠୗ࡛ࡣ㝹▼ࡀ኱Ẽᅪࢆ㉸㡢㏿࡛㏻㐣ࡋࡓ㝿ࡸศ⿣ࡋࡓ㝿࡟Ⓨ⏕ࡋࡓ⾪ᧁἼ࡟ࡼࡾࠊ1500 ே㏆ࡃࡢ㈇യ⪅ࡀฟ࡚ࠊ⾪ᧁἼ࡜࠸࠺ゝⴥࡀࢽ࣮ࣗࢫ࡟㢖⦾࡟Ⓩሙ
ࡋࡓࠋ2020 ᖺ࡟ࡣᮾி࢜ࣜࣥࣆࢵࢡࡀ㛤ദࡉࢀࠊᏳ඲࡞ᅜࠕ᪥ᮏࠖࢆᐇ⌧ࡍࡿࡓࡵ࡟ࡣࠊ
୓ࡀ୍ࡢ᫬࡟ഛ࠼࡚ᑐᛂ࡛ࡁࡿయไࢆᩚ࠼
࡚࠾࠿࡞ࡅࢀࡤ࡞ࡽ࡞࠸ࠋࡑࡢࡓࡵ࡟ࡣࠊ
⇿യࡢ࣓࢝ࢽࢬ࣒ࢆゎ᫂ࡋࠊ἞⒪ἲࢆ☜❧ࡍࡿ࡜࡜ࡶ࡟ࠊࡑࢀࢆᗈࡃᬑཬࡋࠊ་⒪඲
యࡀࢩࢫࢸ࣒࡜ࡋ࡚ᑐᛂ࡛ࡁࡿయไ࡙ࡃࡾ
ࡀ୙ྍḞ࡛࠶ࡿࠋ
ᮏ◊✲࡛ࡣࠊ⇿യࡢᇶ♏ⓗ◊✲ࡢ⌧≧ࢆㄪᰝࡋ᪂ࡋ࠸἞⒪ἲࡢྍ⬟ᛶࢆ᥈ࡿ࡜࡜ࡶ
࡟ࠊ㐣ཤࡢ⇿ᙎࢸࣟࡢ஦౛࠿ࡽᩍカࡸㄢ㢟ࠊ࠶ࡿ࠸ࡣᥦゝࢆࡲ࡜ࡵࠊ⇿ᙎࢸࣟᑐᛂ࡟࠾
ࡅࡿ᝟ሗඹ᭷ࡢ࠶ࡾ᪉ࢆ᳨ウࡍࡿࠋࡲࡓࠊ
ᚓࡽࢀࡓ▱ぢࢆᏛ఍Ⓨ⾲ࡸㄽᩥ➼࡛ᗈࡃᬑཬࡍࡿࡇ࡜ࢆ┠ⓗ࡜ࡍࡿࠋ㹀㸬◊✲᪉ἲ 㜵⾨┬➼࡛ᐇ᪋ࡉࢀ࡚࠸ࡿ⇿യ࡟㛵ࡍࡿᇶ♏ⓗ◊✲ࢆㄪᰝࡋࠊ἞⒪ἲ࡟ࡘ࡞ࡀࡿ᪂ࡓ࡞▱ぢࢆᩚ⌮ࡍࡿࠋ Ḣ⡿ࢆ୰ᚰ࡟⇿ᙎࢸࣟࡸ⇿Ⓨ஦ᨾ࡬ࡢᑐ
ᛂ࡟ࡘ࠸࡚ㄪᰝࡋࠊࡑࡢᩍカࡸㄢ㢟࠶ࡿ࠸ࡣᥦゝࢆࡲ࡜ࡵࠊᮏ㑥࡟࠾ࡅࡿ⇿ᙎࢸࣟ࡬ࡢᛂ⏝ࢆ᳨ウࡍࡿࠋࡑࡢ㝿ࠊᅜෆࡢ⇿ᙎࢸࣟࡢ஦౛࡜ࡋ࡚ 1974 ᖺ࡟㉳ࡇࡗࡓ୕⳻㔜ᕤࣅࣝ⇿◚஦௳ࢆྲྀࡾୖࡆࡿࠋ ࡇࢀࡽࡢ▱ぢࢆᗈࡃᬑཬࡍࡿሙࠊ࠾ࡼࡧ
᝟ሗ཰㞟ࡢሙ࡜ࡋ࡚◊✲఍ࢆ㛤ദࡍࡿࠋ㸦೔⌮㠃࡬ࡢ㓄៖㸧 ಶேⓗ࡞ࢹ࣮ࢱࡣ౑⏝ࡋ࡞࠸ࡢ࡛ࠊᨵࡵ
࡚೔⌮㠃࡬ࡢ㓄៖ࡣ⾜ࢃ࡞࠸ࡀࠊㄪᰝࡢㄢ
⛬࡛ᚓࡽࢀࡓಶே᝟ሗ➼ࡣ௒ᅇࡢ◊✲࡛ࡣ౑⏝ࡋ࡞࠸ࡼ࠺␃ពࡍࡿࠋ
㹁㸬◊✲⤖ᯝ
㸯㸬ᇶ♏ⓗ◊✲ࡢ⌧≧ 㜵⾨་⛉኱Ꮫᰯࢆ୰ᚰ࡟ከࡃࡢ⇿യ࡟㛵ࡍࡿ◊✲ࡀᐇ᪋ࡉࢀ࡚࠾ࡾࠊ᪂ࡓ࡞▱ぢࡀᚓࡽࢀ࡚࠸ࡿࠋศᢸ◊✲⪅㸦ᚨ㔝㸧⮬㌟ࡶ

−125−

⾪ᧁἼࡀேయ࡟ཬࡰࡍᙳ㡪࡟ࡘ࠸࡚≀⌮Ꮫⓗഃ㠃࠿ࡽࡢ◊✲ࢆ㐍ࡵ࡚࠾ࡾୡ⏺㌷་Ꮫ఍࠾ࡼࡧ⇿യ◊✲఍࡟࠾࠸࡚Ⓨ⾲ࡋࡓࠋ ⌧ᅾࡢᇶ♏ⓗ◊✲⪅ࡢ㛵ᚰࡣ⇿Ⓨ⾪ᧁἼ࡟ࡼࡿእയᛶ⬻ᦆയ࡟ྥ࠸࡚࠾ࡾࡑࡢ࣓࢝
ࢽࢬ࣒ࡢゎ᫂ࡀ㐍ࢇ࡛࠸ࡿࠋ ୍౛࡜ࡋ࡚ࡣ⾪ᧁἼ࡟ࡼࡗ࡚⬻ෆࡢ⬺ᩥᒁࡀ࠾ࡇࡾࠊࡑࡢࡓࡵ⹫⾑ࡸప㓟⣲ࡀⓎ⏕ࡍࡿࡇ࡜ࡸࠊ⬚㒊࡟⾪ᧁἼࢆཷࡅࡓࡇ࡜࡟
ࡼࡾࠊ㢌㒊࡟⾪ᧁἼࢆཷࡅ࡞ࡃ࡚ࡶ⾜ື␗ᖖ➼ࡀ㉳ࡇࡿ࡜ゝ࠺ࡼ࠺࡞▱ぢࡀᚓࡽࢀ࡚
࠸ࡿࠋࡲࡓࠊ἞⒪࡟┤⤖ࡍࡿ◊✲࡜ࡋ࡚ࡣேᕤ⾑ᑠᯈࢆண㜵ᢞ୚ࡍࡿࡇ࡜࡛⬚㒊⇿യࡢ⮴Ṛ⋡ࢆపୗࡉࡏࡿࡇ࡜ࡀ࡛ࡁࡓ࡜ࡢሗ
࿌ࡀ࠶ࡿࠋࡲࡓࠊศᢸ◊✲⪅㸦ᚨ㔝㸧ࡣ⾪ᧁἼ࡟ࡼࡿ⫵⬊ᔂቯࡢ≀⌮ⓗ࣓࢝ࢽࢬ࣒ࡢ
ゎ᫂ࡸ⾪ᧁἼࡢ㢌⵹ෆఏ᧛ࢆࢥࣥࣆ࣮ࣗࢱ
࣮ୖ࡛ࢩ࣑࣮ࣗࣞࢺࡍࡿ◊✲ࢆᐇ᪋ࡋ࡚࠸
ࡿࠋ㸰㸬㐣ཤࡢ஦౛᳨ウ࢔㸬࢜ࢡ࣐ࣛ࣍ࢩࢸ࢕㐃㑥ᨻᗓࣅࣝ⇿◚஦௳After Action Report: Alfred P. Murrah
Federal Building Bombing ࡛ࡣࠊࠕከᩘࡢ
ᆅ᪉ࠊᕞ࠾ࡼࡧ㐃㑥ᨻᗓᶵ㛵ࡀ༶ᗙ࡟ᑐᛂ
ࡋࠊᙜึᩘ᫬㛫ࡣ␗࡞ࡿ 3 ࠿ᡤࡢ࢖ࣥࢩࢹ
ࣥࢺࢥ࣐ࣥࢻ࣏ࢫࢺ㸦ICP㸧ࠊྛᶵ㛵ࢆ௦⾲ࡍࡿከࡃࡢࣔࣂ࢖ࣝࢥ࣐ࣥࢻ࣏ࢫࢺ
㸦MCP㸧ࡀᒎ㛤ࡋ ࠊ⥲ྜ༴ᶵ⟶⌮ࢩࢫࢸ࣒㸦IEMS㸧࠾ࡼࡧ࢖ࣥࢩࢹࣥࢺࢥ࣐ࣥࢻࢩ
ࢫࢸ࣒㸦ICS㸧ࡀᛴᛶᮇ࡟ࡣᙅయ໬ࡋࡓࠋࠖ
࡜グࡉࢀ࡚࠸ࡿࠋ
་⒪ࢧ࢖ࢻࡀࡲ࡜ࡵࡓሗ࿌࡛ࡣ௨ୗࡢ㸷Ⅼࡀㄢ㢟࡜ࡋ࡚ᣲࡆࡽࢀ࡚࠸ࡿࠋ
1. ࢧ࢖ࢺ࡜ࡢ㏻ಙ㏵⤯
2. ⌧ሙ࡛ࡢ་⒪ᨭ᥼ࡢㄪᩚࡢḞⴠ
3. ᝈ⪅ࡢつไ࡟ࡣ᫂☜࡟ᐃ⩏ࡉࢀࡓᆅⅬࡸሙᡤࡀ࡞࠿ࡗࡓ
4. ⌧ሙ࡟」ᩘࡢᩆㆤᡤࡀ␗࡞ࡿࢢ࣮ࣝࣉ
࡟ࡼࡗ࡚タ❧ࡉࢀࡓࡀࠊࡑࢀࡽࡢ㛫࡟᝟ሗඹ᭷ࡸ༠ㄪࡣ࡞࠿ࡗࡓࠋ
5. ከࡃࡢ࣎ࣛࣥࢸ࢕࢔࡜࣎ࣛࣥࢸ࢕࢔ࡢ
ࢢ࣮ࣝࣉࡀ࿧ࡤࢀࡓࡀࠊᚲせ࡞ᩘࡸάື
ᆅᇦࡣ୙᫂ࡔࡗࡓࠋ
6. ୍㒊ࡢ࣎ࣛࣥࢸ࢕࢔ࡣ㐲᪉࠿ࡽ᮶ࡓ࡟
ࡶ࠿࠿ࢃࡽࡎࠊᙼࡽࡢࢧ࣮ࣅࢫࡣᚲせ࡜ࡉࢀ࡞࠿ࡗࡓࠋ

7. 㠀ᖖ࡟ከࡃࡢࢢ࣮ࣝࣉࡀಖ⟶ࡸὶ㏻ࡀ
ၥ㢟࡜࡞ࡿࡼ࠺࡞㣗஦ࢆᥦ౪ࡋࡓࠋ
8. ⇿Ⓨᚋ┤ࡕ࡟ࢹ࣮ࢱ཰㞟ࢆ㛤ጞࡋࡓࡀࠊ
஦௳࡟㛵㐃ࡍࡿࡍ࡭࡚ࡢᝈ⪅ࢆྠᐃࡍࡿࡇ࡜ࡀ࠸ࡃࡘ࠿ࡢ⑓㝔࡛ࡣᅔ㞴࡛࠶ࡗࡓࠋ
9. ᾘ⪖ရ࡜ࡋ࡚᪤࡟Ⓩ㘓ࡉࢀ࡚࠸ࡿࡶࡢࢆせồࡋࡓࡾࡋ࡞࠸ࡼ࠺࡟ࠊせồࡉࢀࡓ࢔࢖ࢸ࣒ࢆᚓࡿࡇ࡜ࡀ࡛ࡁࡿ୰ኸࡢሙ
ᡤࡀ࠶ࡿ࡭ࡁ࡛࠶ࡿࠋ
࢖㸬⡿ᅜྠ᫬ከⓎࢸࣟ 㠀ᖖ࡟ከࡃࡢ࣏࣮ࣞࢺࡀᏑᅾࡋࠊ඲࡚ࢆ
ໟᣓࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡿࡀࠊ௦⾲ⓗ࡞ࡶࡢ࡜ࡋ࡚ࠊThe 9/11 Commission Report ࡣࠊࠕࢽ࣮࣮ࣗࣚࢡᕷ࡜ࣂ࣮ࢪࢽ࢔ᕞ໭㒊ࡢ␗࡞ࡿ≧ἣࢆ⪃࠼ࡿ࡜ࠊ୧᪉ࡢࢧ࢖ࢺ࡛Ⓨ⏕ࡋࡓᣦ᥹࣭⤫ไࠊ࠾ࡼࡧ㏻ಙ࡛㉳ࡇࡗࡓၥ㢟ࡣࠊ࠾ࡑࡽࡃྠࡌࡼ࠺࡞つᶍࡢ௵ពࡢ⥭ᛴ஦ែ࡟෌Ⓨࡍࡿ࡜⪃࠼ࡽࢀࡿࠋ➨୍ᑐᛂ⪅ࡀ ྍ⬟࡞㝈ࡾ≧ἣࢆᢕᥱࡋࠊ༠ㄪࡋ࡚ᑐ
ᛂ࡛ࡁࡿࡼ࠺࡟ࡍࡿࡇ࡜࡛࠶ࡿ͐඲ᅜࡢ⥭ᛴᑐᛂᶵ㛵ࡣࠊ࢖ࣥࢩࢹࣥࢺࢥ࣐ࣥࢻࢩࢫࢸ࣒㸦ICS㸧ࢆ᥇⏝ࡍ࡭ࡁ࡛࠶ࡿࠋ 」ᩘࡢ
ᶵ㛵ཪࡣ」ᩘࡢ⟶㎄༊ᇦࡀ㛵୚ࡍࡿሙྜࠊ
ࡑࢀࡽࡣࠊ⤫୍ࡉࢀࡓࢥ࣐ࣥࢻࢆ᥇⏝ࡍ࡭ࡁ࡛࠶ࡿࠋ ࡝ࡕࡽࡶࠊ⥭ᛴᑐᛂࡢࡓࡵࡢᐇ
ド῭ࡳࡢࣇ࣮࣒࣮ࣞ࣡ࢡ࡛࠶ࡿࠋࠖ࡜⤖ㄽ௜ࡅ࡚࠸ࡿࠋ࢘㸬࣐ࢻ࣮ࣜࢻิ㌴⇿◚ࢸࣟ ஦௳ᚋࠊ᪩ᮇࡢሗ࿌࡛ࡣࠊ௨ୗࡢࡼ࠺࡟ホ౯ࡋ࡚࠸ࡿࠋ
z ㎿㏿࡞ EMS ࡢᑐᛂ࡜ᦙ㏦ࡀ࠶ࡗࡓࡀࠊ
࣮࢜ࣂ࣮ࢺࣜ࢔࣮ࢪࠊᦙ㏦ࡢ೫ᅾࠊࢥ࣑
ࣗࢽࢣ࣮ࢩࣙࣥࡢᅔ㞴ࡉࡀ࠶ࡗࡓࠋz ึᮇࡢ᫬㛫ᖏ࡛ࡣࠊ᭱ᐤࡾࡢ⑓㝔ࡢࢧ࢖ࢬ࡜ࣜࢯ࣮ࢫࡀࠊ඲యⓗ࡞ᛂ⟅ࡢጇᙜᛶࢆỴᐃࡋࡓࠋ
de Ceballos, J. Peral Gutierrez, et al. Casualties
treated at the closest hospital in the Madrid, March 11,
terrorist bombings. Critical care medicine 33.1 (2005):
S107-S112.

࢚㸬ࣟࣥࢻࣥᆅୗ㕲⇿◚ࢸࣟ
Aylwin, Christopher J ࡽࡣ௨ୗࡢࡼ࠺࡟
ሗ࿌ࡋ࡚࠸ࡿࠋ
ᛴᛶᮇࡢṚஸ⋡ࡣ㎿㏿࡛㧗ᗘ࡞኱஦ᨾ⅏ᐖ

−126−ᑐᛂ࡟ࡼࡗ࡚ῶᑡࡋࠊ࣮࢜ࣂ࣮ࢺࣜ࢔࣮ࢪ
࡜ࡣ↓㛵ಀࡢࡼ࠺࡛࠶ࡗࡓࠋ
⑓㝔ࡢእ⛉ᑐᛂ⬟ຊࡣࠊ⧞ࡾ㏉ࡋ᭷ຠ࡞ࢺ
ࣜ࢔࣮ࢪࢆ⾜࠸ࠊ⑓㝔඲యࡀࢲ࣓࣮ࢪࢥࣥ
ࢺ࣮ࣟࣝࡢ⪃࠼᪉ࢆᣢࡕࠊ᳨ᰝࢆ᭱ᑠ㝈࡟⥔ᣢࡋࠊ㎿㏿࡟ᝈ⪅ࢆ᰿ᮏ἞⒪࡬࡜⛣ࡍࡇ࡜࡟ࡼࡗ࡚⥔ᣢࡍࡿࡇ࡜ࡀ࡛ࡁࡿ ࠋ
Aylwin, Christopher J., et al. "Reduction in criticalmortality in urban mass casualty incidents: analysis oftriage, surge, and resource use after the London
bombings on July 7, 2005." The Lancet 368.9554(2007): 2219-2225.

࢜㸬୕⳻㔜ᕤ⇿◚஦௳ ᮾிᾘ㜵ᗇࡢ㈨ᩱ࡟ࡼࡿ࡜ࠊᙜ᫬ࡢᩆᛴ
㝲ࡣ௨ୗࡢࡼ࠺࡟άືࡋࡓ࡜ࡉࢀࡿࠋ
z ㊰ୖࡢ㈇യ⪅࡟ࡘ࠸࡚ࡣࠊ୺࡟ඛ╔ᩆᛴ㝲࠾ࡼࡧ㆙どᗇࡢ㌴୧࡟ࡼࡾ་⒪ᶵ㛵࡟ᦙ㏦ࡉࢀࡓࠋz ᘓ≀ෆࡢ㈇യ⪅࡟ࡘ࠸࡚ࡣࠊ≉ูᩆຓ㝲࠾ࡼࡧ➨㸯ࠊ➨㸰ฟሙࡢᾘ㜵㝲࡟ࡼࡾᩆᛴ㌴࡬ᦙฟᩆㆤࡉࢀࡓࠋz ᘓ≀ෆࡢ㈇യ⪅࡟ࡣࠊᘓ≀ෆࡢデ⒪ᡤ࡛
ึ⒪ᚋࠊ⑕≧࡟ࡼࡾᩆᛴ㌴࡛㌿㝔ᦙ㏦ࡉࢀࡓࡶࡢࡶ࠸ࡓࠋz ⌧ሙᩆㆤᡤࢆ㸰࠿ᡤ࡟タ⨨ࡋࠊ≉ูᩆຓ㝲➼࡟ࡼࡾᩆฟᩆㆤࡉࢀࡓࡶࡢࡢึ⒪࠾ࡼࡧ⑕≧࡟ࡼࡿ༊ศᚋࠊᩆᛴ㌴ᦙ㏦ࡋࡓࠋ㸦ࢺࣜ࢔࣮ࢪ㸧ࡑࡢ⤖ᯝࠊ30 㝲ࡢᩆᛴ㝲࡟ࡼࡾ 106 ྡࡀ㏆㞄 29 ⑓㝔࡟ᦙ㏦ࡉࢀࡓࠋࡑࡢ㝿ࠊ㠀ᖖ࡟ຠ⋡ⓗ࡟㔜യ⪅ࢆศᩓᦙ㏦ࡋ࡚࠾ࡾࠊᩆ࿨⋡ࡢྥୖ࡟ᐤ୚ࡋࡓ࡜⪃࠼ࡽࢀࡿࠋ
࢝㸬⚟▱ᒣⰼⅆ኱఍㟢ᗑ⇿Ⓨ஦ᨾ ஦ᨾ⌧ሙࡢ㏆㞄࡟ࡣᩆᛴࢭࣥࢱ࣮ࡣ 1 ⟠ᡤࡋ࠿࡞ࡃࠊ඲࡚ࡢയ⑓⪅ࡣࡑࡇ࡟ᦙ㏦ࡉ
ࢀࡓࠋ఍ሙ࡟ࡣࠊᕷᾘ㜵ᮏ㒊࡜ᆅඖᾘ㜵ᅋࡢィ 128 ேࡀ࠾ࡾࠊせဨ࡜ࡋ࡚ࡣ༑ศࡔࡗ
ࡓࡓࡵࠊᙜึࠊከᩘയ⪅࡬ࡢᑐᛂࡢཎ๎࡟
ᚑ࠸୍㒊㈇യ⪅࡟ࢺࣜ࢔࣮ࢪࢆጞࡵࡓࠋࡋ
࠿ࡋ࡞ࡀࡽࠊ኱ΰ஘࡟ຍ࠼Ἑᕝᩜ࡟༑ศ࡞
✵㛫ࡀ࡞࠸ࡇ࡜࠿ࡽࠊ⌧ሙ࡛ࡢࢺࣜ࢔࣮ࢪ
ࡣᅔ㞴࡜ุ᩿ࡋࠊ⌧ሙ࡛ࢺࣜ࢔࣮ࢪࡍࡿࡇ
࡜࡞ࡃࠊඛࡎ⑓㝔࡟ᦙ㏦ࡋࠊᦙ㏦ඛࡢ⑓㝔࡛ࢺࣜ࢔࣮ࢪࢆᐇ᪋ࡍࡿࡇ࡜࡟ࡋࡓࠋ஦ᨾ
ᚋ⣙ 70 ศ࡛ 2 ྎࡢᩆᛴ㌴࡜ 1 ྎࡢ኱ᆺࣂࢫ
࡛ 45 ྡࡢയ⪅ࢆᦙ㏦ࡋࡓࠋ୍᪦཰ᐜࡋࡓ⑓
㝔࡟࠾࠸࡚ࢺࣜ࢔࣮ࢪࢆᐇ᪋ࡋࠊᛂᛴฎ⨨ᚋࠊ㔜യ⪅ࡣ┴እࢆྵࡴᩆᛴࢭࣥࢱ࣮㸦3
ᗓ┴ࡢ 8 ⑓㝔㸧࡬ศᩓᦙ㏦ࢆᐇ᪋ࡋࡓࠋ඲
࡚ࡢ㔜⑕ᝈ⪅ࡢࡑࢀࡒࢀࡢ⑓㝔࡬ࡢᦙ㏦ࡀ
⤊஢ࡋࡓࡢࡣ஦ᨾⓎ⏕ᚋ 5 ᫬㛫ᚋ࡛࠶ࡗࡓࠋ ┴እ࡬ࡢศᩓᦙ㏦ࡢ௙⤌ࡳࡣࠊ஦๓࡟ࢩ
ࢫࢸ࣒࡜ࡋ࡚ᵓ⠏ࡉࢀࡓࡶࡢ࡛ࡣ࡞ࡃࠊDMAT ࢆ୰ᚰ࡟රᗜ┴⅏ᐖ་⒪ࢭࣥࢱ࣮ࡀ
ㄪᩚࡋᐇ᪋ࡋࡓࠋ
࢟㸬࣎ࢫࢺ࣭࣐ࣥࣛࢯࣥ⇿Ⓨ஦௳ ⌧ᅾࠊྛ᪉㠃࠿ࡽከࡃࡢ࣏࣮ࣞࢺࡀሗ࿌
ࡉࢀࡘࡘ࠶ࡿࠋ
 250 ྡࢆ㉸࠼ࡿയ⑓⪅ࡀ෇⁥࡟ࡋ࡞࠸ 6ࣨᡤࡢࢺ࣐ࣛ࢘ࢭࣥࢱ࣮࡟ᦙ㏦ࡉࢀࠊ⑓㝔࡛ࡶ㐺ษ࡞ᑐᛂࡀ࡞ࡉࢀࡓࡇ࡜ࡣ㈹㈶࡟್
ࡍࡿࠋ ᮏ࣐ࣛࢯࣥࡣṔྐⓗ࡞࢖࣋ࣥࢺ࡛࣎ࢫࢺ
࡛ࣥࡣ༑ศ࡞ィ⏬ࡢୗࠊカ⦎ࢆ㔜ࡡ࡚ࡁࡓࠋ
ࡲࡉ࡟ࠊ⇿ᙎࢸࣟࡶカ⦎ࡢࢩࢼࣜ࢜࡟ྵࡲ
ࢀ࡚࠾ࡾࠊᑐᛂࡣィ⏬㏻ࡾ࡟㐍ࡵࡽࢀࡓ࡜
ゝ࠼ࡿࠋࡲࡓࠊ࢖࣋ࣥࢺࡢࡓࡵ࡟‽ഛࡉࢀ
ࡓ་⒪㈨※ࡶ⭾኱࡞ࡶࡢ࡛࠶ࡾࠊ་⒪㈨※ࡀᑐᛂ࡟୙㊊ࡍࡿࡇ࡜ࡣ࡞࠿ࡗࡓࠋ ࡲࡓࠊ࣎ࢫࢺ࡛ࣥࡣ⅏ᐖᑐᛂࡢࡓࡵࡢ᪋タࡢ඘ᐇ໬ࡀᅗࡽࢀ࡚࠾ࡾࠊ࢖ࣥࣇ࢛࣓࣮
ࢩࣙࣥࢭࣥࢱ࣮➼ࡢᩚഛࡀ⾜ࢃࢀ࡚࠸ࡿࠋ
ࡑࡢ୍᪉࡛࠸ࡃࡘ࠿ࡢᖾ㐠ࡀ㔜࡞ࡗࡓࡇ࡜ࡶ஦ᐇ࡛࠶ࡿࠋ౛࠼ࡤࠊz ஦௳ࡀ኱ᆺࡢ་⒪ࢸࣥࢺ࡜ከᩘࡢᩆᛴ
㌴ࡀ㓄ഛࡉࢀࡓࢦ࣮ࣝ㏆ࡃ࡛㉳ࡇࡗࡓࡇ࡜ࠋz Ⓨ⏕᫬้ࡀ༗ᚋ 3 ᫬๓࡛࠶ࡾࠊྛ⑓㝔ࡣ໅ົ஺௦ࡢࡓࡵࢫࢱࢵࣇࡢᩘ࡟ᜨࡲࢀࡓࡇ࡜ࠋz ⇿ᙎࡀᆅ㠃࡟タ⨨ࡉࢀ࡚࠾ࡾࠊ㈇യ⪅ࡢከࡃࡀୗ⫥ࡢ㈇യ࡛࠶ࡗࡓࡇ࡜࡟ࡃࢃ
࠼ࠊ་⒪ᑐᛂ⪅ࡢ࡞࠿࡟࢖ࣛࢡࡸ࢔ࣇ࢞
ࢽࢫࢱ࡛ࣥࡢᚑ㌷⤒㦂ࡢ࠶ࡿࡶࡢࡀྵ
ࡲࢀ࡚࠾ࡾࠊࢱ࣮ࢽࢣࢵࢺ࡟ࡼࡿ୍ḟṆ⾑ࢆ࿘ᅖ࡟ᣦᑟࡋࡓࠋ
࡞࡝࡛࠶ࡿࠋ ⡿ᅜ࡜᪥ᮏ࡜࡛ࡣ་⒪ࢩࢫࢸ࣒ࡀ␗࡞ࡾࠊ
୍ᴫ࡟ྠᵝࡢ᪉ἲࢆᣢࡕ㎸ࡴࡇ࡜ࡣᅔ㞴࡛࠶ࡿࠋ౛࠼ࡤࠊᩆᛴࢭࣥࢱ࣮ࡣ඲࡚ࡢᝈ⪅ࢆཷࡅධࢀ࡞ࡅࢀࡤ࡞ࡽ࡞࠸࡜ἲᚊ࡛ᐃࡵ
ࡽࢀ࡚࠾ࡾࠊࡑࡢ⤖ᯝࠊྛ⑓㝔࡛ࡣ࣮࢜ࣂ
࣮ࣇ࣮ࣟࡋࡓ㝿ࡢᝈ⪅ᑐᛂࡢࡓࡵࢧ࣮ࢪ࢝
ࣝ࢟ࣕࣃࢩࢸ࢕࣮࢚ࣜ࢔ࢆࡶࡘ࡞࡝ࡢᑐᛂ

−127−

ࢆ᪥ᖖⓗ࡟⾜ࡗ࡚࠸ࡿࠋ ௒ᅇࠊ⅏ᐖ࣮ࣔࢻ࡟ධࡗࡓ㝿࡟ᩆᛴ࡛ࡢ
ཷධࡀࢫ࣒࣮ࢫ࡛࠶ࡗࡓࡢࡣࡇ࠺ࡋࡓ⤒㦂࡟ࡼࡿ࡜ࡇࢁࡀ኱ࡁ࠸ࠋ ᮏ௳࡟ࡘ࠸࡚ࡣᘬࡁ⥆ࡁㄪᰝࢆᐇ᪋୰࡛
࠶ࡿࠋ㸱㸬◊✲఍ࡢ㛤ദ
 2014 ᖺ 2 ᭶ 23 ᪥࡟➨ 4 ᅇ⇿യ◊✲఍ࢆᐇ᪋ࡋࡓࠋ ᇶ♏ศ㔝࠿ࡽࡢ₇㢟㸳㢟࡟ຍ࠼ࠊරᗜ┴⅏ᐖ་⒪ࢭࣥࢱ࣮ࡢᕝ℩ඛ⏕࡟ࠕ⚟▱ᒣⰼⅆ኱఍㟢ᗑ⇿Ⓨ஦ᨾࠖࠊ៞᠕⩏ሿ኱Ꮫࡢ᭷஭
ඛ⏕࡟ࠕ࣎ࢫࢺ࣭࣐ࣥࣛࢯࣥ⇿Ⓨ஦௳ࠖࡢ
་⒪ᑐᛂ࡟ࡘ࠸࡚ࡑࢀࡒࢀ⥲ᣓࡋ࡚࠸ࡓࡔ
ࡃ࡜࡜ࡶ࡟ࠊᶓ὾ᕷ❧኱Ꮫࡢ᳃ᮧඛ⏕࡟ࠕ࣐ࢫࢠࣕࢨࣜࣥࠖ࡟ࡘ࠸࡚ᩍ⫱ㅮ₇ࢆᐇ᪋ࡋ
࡚࠸ࡓࡔ࠸ࡓࠋ ࡲࡓࠊᮏ◊✲ࡢ୍㒊ࢆ఍㛗ㅮ₇࡜ࡋ࡚ᚨ㔝ࡀⓎ⾲ࡋࡓࠋ㹂㸬⪃ᐹ㸯㸬ᇶ♏ⓗ◊✲ࡢ⌧≧ ᇶ♏ⓗ◊✲ࡀ㜵⾨┬ࢆ୰ᚰ࡟⾜ࢃࢀ࡚࠾ࡾࠊ୍⯡ⓗ࡞ᩆᛴ་⒪ศ㔝ࡢ◊✲࡟ཬࢇ࡛࠸࡞࠸ࡇ࡜ࡣၥ㢟࡛࠶ࡿࠋ ࡋ࠿ࡋ࡞ࡀࡽࠊᑡ࡞࠸◊✲⪅ࡢᡂᯝ࡞ࡀ
ࡽ᪂ࡋ࠸▱ぢࡀᩓぢࡉࢀࠊᘬࡁ⥆ࡁ᝟ሗࢆ཰㞟ࡍࡿᚲせࡀ࠶ࡿࠋ ◊✲ࡣ࣓࢝ࢽࢬ࣒ࡢゎ᫂࡟␃ࡲࡗ࡚࠾ࡾࠊ
᪂ࡋ࠸἞⒪ἲࡢ㛤Ⓨ࡟ࡲ࡛ࡣ⮳ࡗ࡚࠸࡞࠸ࠋ
㸰㸬㐣ཤࡢ஦౛᳨ウ⡿ᅜ࡛ࡢሗ࿌ࢆぢࡿ㝈ࡾࠊࢸࣟᑐᛂ࡬ࡢ㈨㔠ࡢᢞୗࡣⳘ኱࡛࠶ࡿࠋࡲࡓࠊ࢖࣋ࣥࢺࢆ⾜࠺㝿ࡢ஦๓ࡢィ⏬ࡸ‽ഛ࡟㈝ࡸࡍ㈨※ࡶ᪥ᮏ࡜ࡣẚ࡭≀࡟࡞ࡽ࡞࠸㔞ࡀᢞධࡉࢀ
࡚࠸ࡿࠋࡑࡢ୍᪉࡛ࠊ࠸ࡃࡘ࠿ࡢㄢ㢟ࡶ♧ࡉࢀ࡚࠾ࡾࠊࡑࡇ࡟ࡣ࠶ࡿ⛬ᗘඹ㏻ࡢㄢ㢟ࡀぢ࠼࡚ࡃࡿࠋࡍ࡞ࢃࡕࠊz ᑐᛂึᮇࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ☜❧z ᣦ᥹࣭⤫ไࡀ☜❧ࡍࡿࡲ࡛ࡢᑐᛂ᪉ἲz Ᏻ඲ࡢ☜ಖࡢ᫬ᮇz ࣮࢜ࣂ࣮ࢺࣜ࢔࣮ࢪࢆ࡝ࡇࡲ࡛チᐜࡍࡿ࠿㸽z ྛᶵ㛵ࡢ᝟ሗࡢඹ᭷
࡞࡝࡛࠶ࡿࠋ ࡲࡓࠊ᪥ᮏࡢᑐᛂࡀ 1974 ᖺࡢᩆᛴ་⒪ࡢ㯪᫂ᮇ࡟࠾࠸࡚ࢺࣜ࢔࣮ࢪࡸศᩓᦙ㏦ࡀ᪤
࡟ᐇ᪋ࡉࢀ࡚࠾ࡾࠊ௒ࡼࡾࡶ᫂ࡽ࠿࡟㏻ಙ
タഛ➼ࡀຎࡿ୰ࠊ⌧௦࡟ᘬࡅࢆ࡜ࡽ࡞࠸ᑐ
ᛂࡀ࡞ࡉࢀ࡚࠸ࡿࡇ࡜ࡣ≉➹ࡍ࡭ࡁ࡛࠶ࡿࠋ ຍ࠼࡚ࠊ⚟▱ᒣⰼⅆ኱఍㟢ᗑ⇿Ⓨ஦ᨾ࡟࠾ࡅࡿᑐᛂࡣࠊ་⒪ࢯ࣮ࢫࡀ㝈ࡽࢀࡓᆅᇦ
࡛ࡢᑐᛂ᪉ἲ࡟୍▼ࢆᢞࡌࡿࡶࡢ࡛࠶ࡾࠊ
㔜⑕⇕യᝈ⪅ࢆᆅᇦ඲య࡛ᑐᛂࡍࡿ᪉ἲࡣ
඲ᅜ࡛ࢩࢫࢸ࣒໬ࡋ࡚࠾ࡃᚲせࡀ࠶ࢁ࠺ࠋ ࣎ࢫࢺ࣭࣐ࣥࣛࢯ࡛ࣥࡣ஦๓࡟ࡼࡃカ⦎ࡉࢀࡓᶵ⬟ⓗ࡞ࢩࢫࢸ࣒ࡀᏑᅾࡋࡓࡀࠊࡑ
ࡢࢩࢫࢸ࣒ࢆ෇⁥࡟㐠Ⴀ࡛ࡁࡓࡢࡣ஦๓ࡢカ⦎࡟ࡼࡿ㢦ࡢぢ࠼ࡿ㛵ಀࡔࡗࡓ࡜ࡢሗ࿌
ࡶ࠶ࡿࠋ
㹃㸬⤖ㄽ
⇿ᙎࢸ࣭ࣟ⇿Ⓨ஦ᨾᑐᛂ࡟࠾࠸࡚௨ୗࡢ
ࡼ࠺࡞ඹ㏻ࡢㄢ㢟ࡀㄆࡵࡽࢀࡓࠋz ᑐᛂึᮇࡢࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢ☜❧z ᣦ᥹࣭⤫ไࡀ☜❧ࡍࡿࡲ࡛ࡢᑐᛂ᪉ἲz Ᏻ඲ࡢ☜ಖࡢ᫬ᮇz ࣮࢜ࣂ࣮ࢺࣜ࢔࣮ࢪࢆ࡝ࡇࡲ࡛チᐜࡍࡿ࠿㸽z ྛᶵ㛵ࡢ᝟ሗࡢඹ᭷
㹄㸬೺ᗣ༴㝤᝟ሗ࡞ࡋ㹅㸬◊✲Ⓨ⾲
1. ㄽᩥⓎ⾲࡞ࡋ
2. Ꮫ఍Ⓨ⾲
1. INFLUENCE OF SHOCK WAVE TO
LIVING BODY - Mechanism of theAlveolus Wall Destruction in thePrimary Blast Injury. Tokuo S, Sato S,
Satoh Y, Saito D, Ohno T, Tsumatori
G; 40th WCMM(World Congress in
Military Medicine), Saudi Arabia,
2013.12
2. ་⒪ࢩࢫࢸ࣒࡜ࡋ࡚ࡢ⇿യ࡬ࡢᑐᛂ. ᚨ㔝ៅ୍; ➨ 4 ᅇ⇿യ◊✲఍, ᮾி,2014.2㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ
࡞ࡋ

−128−

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ศᢸ◊✲ሗ࿌
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䛂බ⾗⾨⏕䝏䞊䝮䛸䛾᝟ሗඹ᭷䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 㔠㇂㻌 Ὀᏹ㻌䠄ᅜ❧ಖ೺་⒪⛉Ꮫ㝔㻌 ೺ᗣ༴ᶵ⟶⌮◊✲㒊㻌 㒊㛗䠅㻌㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂බ⾗⾨⏕䝏䞊䝮䛸䛾᝟ሗඹ᭷䛃㻌◊✲ศᢸ⪅㻌 㔠㇂Ὀᏹ㻌ᅜ❧ಖ೺་⒪⛉Ꮫ㝔㻌 ೺ᗣ༴ᶵ⟶⌮◊✲㒊㻌
◊✲せ᪨ බ⾗⾨⏕ୖࡢ⥭ᛴ஦ែ࡟ᑐᛂࡍࡿࡓࡵ࡟ࡣࠊⓎ⅏┤ᚋ࠿ࡽࡢබ⾗⾨⏕᝟ሗࡢ཰㞟࡜ホ౯ࡀᚲせ࡜࡞ࡿࠋ୍᪉࡛ࠊࡇࢀࡲ࡛ಖ೺㒊㛛࡜་⒪㒊㛛㛫࡛ࡢ᝟ሗࡢඹ᭷ࡣ⾜ࢃࢀ࡚࠾ࡽࡎࠊ
ᢕᥱࡍ࡭ࡁබ⾗⾨⏕᝟ሗࡢ⠊ᅖࠊ཰㞟ࡉࢀࡓ᝟ሗࢆホ౯࡟཯ᫎࡉࡏࡿࡓࡵ࡟ࡣࠊ࠸࠿࡞ࡿ
ࢹ࣮ࢱ࣮࣋ࢫᵓ㐀ࡀᚲせ࡜࡞ࡿ࠿࡟ࡘ࠸࡚ࠊ㒊㛛ᶓ᩿ⓗ࡟᳨ドࢆ⾜࠺ᚲせࡀ࠶ࡿࠋᮏ◊✲࡟࠾࠸࡚ࡣࠊ඲ᅜ㒔㐨ᗓ┴ࡢಖ೺㒊㛛࡟࠾࠸࡚౑⏝ࡀ᳨ウࡉࢀ࡚࠸ࡿࠕ኱つᶍ⅏ᐖ࡟࠾ࡅࡿಖ೺ᖌࡢάື࣐ࢽࣗ࢔ࣝࠖࡢㄪᰝሗ࿌ᵝᘧࡼࡾㄪᰝ㡯┠ࢆᢳฟࡋࠊ኱ศ㢮ࠊ୰ศ㢮㸦ㄪᰝ㡯┠㸧࡟ᚑ࠸ᩚ⌮ࡋࠊࡑࡢୖ࡛ᑠศ㢮㸦ᅇ⟅㡯┠㸧ࡢグ㍕ෆᐜ࡟ࡘ࠸࡚ጇᙜᛶ࡟ࡘ࠸࡚
᳨ドࢆ⾜ࡗࡓࠋᖹᡂ  ᖺᗘ࡟࠾࠸࡚ࡣࠊ(0,6㸦(PHUJHQF\0HGLFDO,QIRUPDWLRQ6\VWHP㸧࡜ࡢࣇ࢓࢖ࣝ஺᥮ࢆᛕ㢌࡟ࠊࠕ኱つᶍ⅏ᐖ࡟࠾ࡅࡿಖ೺ᖌࡢάື࣐ࢽࣗ࢔ࣝࠖ࡟ᥖࡆࡿㄪᰝ
㡯┠ࡢࢹ࣮ࢱ࣮࣋ࢫ໬࡟ྥࡅࡓせ௳ᐃ⩏ࢆ⾜ࡗࡓࠋ




㸿㸬┠ⓗ

㹀㸬◊✲᪉ἲ ᮾ᪥ᮏ኱㟈⅏ࡣࠊ㜰⚄ῐ㊰኱㟈⅏ࢆ᝿ᐃ ᖹᡂᖺᗘᆅᇦಖ೺⥲ྜ᥎㐍஦ᴗࠕᮾ

ࡋ࡚ᵓ⠏ࡉࢀ࡚ࡁࡓࢃࡀᅜࡢ⅏ᐖᑐ⟇ࢆ᰿᪥ᮏ኱㟈⅏࡟࠾ࡅࡿಖ೺ᖌάືࡢᐇែ࡜ࡑ

ᖿ࠿ࡽᦂࡿࡀࡍࡇ࡜࡜࡞ࡗࡓࠋ≉࡟ࠊᆅᇦࡢㄢ㢟ࠖࢆ㋃ࡲ࠼సᡂࡉࢀࡓࠕ኱つᶍ⅏ᐖఫẸࢆ⅏ᐖ࠿ࡽಖㆤࡍࡿᙺ๭ࢆᢸ࠺ᕷ⏫ᮧ࡟࠾ࡅࡿಖ೺ᖌࡢάື࣐ࢽࣗ࢔ࣝࠖ࡟࠾ࡅ

㸦ᇶ♏⮬἞య㸧ࡀࡑࡢᶵ⬟ࢆኻ࠺ࡇ࡜ࡣࠊ

ࡿ⿕⅏⪅ࢆᑐ㇟࡜ࡋࡓᖒ⚊ཬࡧ㑊㞴ᡤࢆᑐ⅏ᐖᑐ⟇ᇶᮏἲࡢ୰࡛ࡶ᝿ᐃࡉࢀ࡚࠾ࡽࡎࠊ

㇟࡜ࡋࡓᖒ⚊࡟༊ศࡋࠊࡑࢀࡒࢀࡢㄪᰝ㡯⤖ᯝ࡜ࡋ࡚ᨭ᥼ࢆᚲせ࡜ࡍࡿᆅᇦ࡟㐺ษ࡞┠ࢆ௨ୗࡢぢฟࡋ࡟ἢࡗ࡚ศ㢮ࢆ⾜ࡗࡓࠋᨭ᥼ࡀධࡽࡎࠊ᝟ሗࡀ㞟୰ࡍࡿᆅᇦ࡟ᨭ᥼

ࡲࡓࠊㄪᰝ㡯┠࡟ࡘ࠸࡚ࡣࠊ௚ࡢಖ೺་⒪ࡀ㞟୰ࡍࡿ࡜࠸࠺ᨭ᥼ࡢ࣑ࢫ࣐ࢵࢳࡀ⏕ࡌศ㔝࡟࠾ࡅࡿⓏ㘓ࢩࢫࢸ࣒㛫࡛ࡢࢹ࣮ࢱ㐃ࡿࡇ࡜࡜࡞ࡗࡓࠋࡇࡢࡼ࠺࡞஦ែ࡟ᑐᛂࡋ

ᦠࢆྍ⬟࡜࡞ࡿࡼ࠺せ௳ᐃ⩏ࢆ⾜ࡗࡓࠋ࡚࠸ࡃୖ࡛ࠊ⅏ᐖⓎ⏕┤ᚋࡼࡾຠ⋡ⓗ࡟බ㸦⿕⅏⪅ࢆᑐ㇟㸸ࠕ೺ᗣ┦ㄯ⚊ࠖ㸧⾗⾨⏕᝟ሗࢆ཰㞟ࡋࠊ㞟ࡵࡽࢀࡓ᝟ሗࢆⓗձඹ㏻

☜࠿ࡘ㎿㏿࡟ホ౯ࡍࡿࡇ࡜࡛ࠊ㐺ษ࡞ேⓗࠊ  ᪉ἲࠊ ᑐ㇟⪅ࠊ ᢸᙜ⪅㸦⮬἞య

≀ⓗ㈨※ࢆ㓄ศࡍࡿࡇ࡜ࡀࠊ⥭ᛴ᫬ࡢබ⾗ྡ㸧ࠊ ┦ㄯ᪥࣭᫬㛫࣭ሙᡤ⾨⏕ᑐ⟇࡟ồࡵࡽࢀ࡚࠸ࡿࠋᮏ◊✲࡟࠾࠸ղᇶᮏⓗ࡞≧ἣ࡚ࡣࠊࢡࣛ࢘ࢻࢥࣥࣆ࣮ࣗࢸ࢕ࣥࢢᢏ⾡ࢆ  Ặྡࠊ ᛶูࠊ ⏕ᖺ᭶᪥ࠊ ᖺ㱋ࠊ⏝࠸ࡓ⿕⅏ᆅᇦ࡟࠾ࡅࡿබ⾗⾨⏕᝟ሗࡢ཰⿕⅏๓ఫᡤ࣭㐃⤡ඛࠊ 㑊㞴ሙᡤࠊձ⌧㞟࡜ホ౯ᡭἲ࡟ࡘ࠸᳨࡚ウࢆ⾜࠺ࠋఫᡤ࣭㐃⤡ඛࠊղ᪂ఫᡤ࣭㐃⤡ඛࠊ ᐙ−131−᪘≧ἣࠊ ᝟ሗ※ࠊ ᢕᥱࡢዎᶵ┦ㄯ ྥ⢭⚄⸆㸧⪅ࡀ࠸ࡿሙྜ ᮏே࡜ࡢ㛵ಀ࣭㐃⤡ඛ ࠊն᭷⑕≧⪅ᩘ

 ⿕⅏ࡢ≧ἣࠊᐙ࡟ᖐࢀ࡞࠸⌮⏤  ឤᰁ⑕⑕≧㸦ୗ⑩ࠊ჎ྤࠊⓎ⇕ࠊတ㸧ࠊճ㌟యⓗ࣭⢭⚄ⓗ࡞≧ἣ ࡑࡢ௚㸦౽⛎ࠊ㣗ḧ୙᣺ࠊ⭡③ࠊ୙╀ࠊ  ᪤ Ṕࠊ ⌧ᅾ἞⒪୰ࡢ⑓ᮇࠊ ෆ᭹⸆ࠊ ୙Ᏻ㸧

་⒪ჾᮦ࣭ჾලࠊ ་⒪ᶵჾྡࠊ 㣗஦ไշ㜵␿ⓗഃ㠃㝈ࠊ ⾑ᅽ ᐃ್ࠊ ⌧ᅾࡢ≧ែ ⮬ぬ⑕  㣗୰ẘ⑕≧㸦ୗ⑩ࠊ჎ྤ࡞࡝㸧ࠊ 㢼㑧≧ࡈ࡜࡟Ⓨ⑕᫬ᮇ࣭ᣢ⥆࣭㌿ᖐࢆグ㍕ ࠊ ᵝ⑕≧㸦တ࣭Ⓨ⇕࡞࡝㸧ࠊ ឤᰁ⑕⑕≧ࠊ ලయⓗ⮬ぬ⑕≧ ཧ⪃   ࡑࡢ௚

մ᪥ᖖ⏕άࡢ≧ἣոࡲ࡜ࡵ  㣗஦ࠊ ಖΎࠊ ⾰㢮ࡢ╔⬺ࠊ ᤼ἥࠊ  ඲యࡢ೺ᗣ≧ែࠊ άືෆᐜࠊ ࢔ࢭࢫ⛣ືࠊ ពᛮ␯㏻ࠊ ุ᩿ຊ࣭グ᠈ࠊ ࡑ ࣓ࣥࢺࠊ ㄢ㢟⏦ࡋ㏦ࡾࡢ௚㸦೔⌮㠃࡬ࡢ㓄៖㸧յಶู┦ㄯάື ᮏ◊✲࡟࠾࠸࡚ࡣࠊேࢆᑐ㇟࡜ࡋࡓ◊✲  ┦ㄯෆᐜࠊ ᨭ᥼ෆᐜࠊ ௒ᚋࡢᨭ᥼᪉

ィ⏬ࡢணᐃࡣ࡞࠸ࡓࡵࠊヱᙜࡏࡎࠋ

㔪



㸦㑊㞴ᡤࢆᑐ㇟㸸ࠕ㑊㞴ᡤ᝟ሗࠖ㸧㹁㸬◊✲⤖ᯝ

ձ㑊㞴ᡤࡢᴫἣ  ௒ᖺᗘࡢ◊✲࡟࠾࠸࡚ࡣࠊ㑊㞴ᡤ᝟ሗ࡟  㑊㞴ᡤྡࠊ ᡤᅾᆅ㸦㒔㐨ᗓ┴ྡࠊᕷ⏫㛵ࡍࡿձࠥոࡢศ㔝࡟ᒓࡍࡿㄪᰝ㡯┠࡟ࡘ ᮧྡ㸧ࠊ 㑊㞴⪅ᩘࠊ 㟁ヰࠊ)$;ࠊ ᪋タ࠸᳨࡚ドࢆ⾜ࡗࡓࠋ ࡢᗈࡉࠊ ࢫ࣮࣌ࢫᐦᗘࠊ ஺㏻ᶵ㛵㸦㑊ࠕձ㑊㞴ᡤࡢᴫἣࠖ 㞴ᡤ࡜እ࡜ࡢ஺㏻ᡭẁ㸧ࠊ ᪋タࡢᴫせᅗ 㑊㞴ᡤྡࡣࠊ࠶ࡽ࠿ࡌࡵࢥ࣮ࢻ໬ࡍࡿࡇ

ղ⤌⧊ࡸάື

࡜ࡀᮃࡲࡋࡃࠊ 㑊㞴⪅ᩘ࡟ࡘ࠸࡚ࡣࠊ⏨  ⟶⌮⤫ᣓ࣭௦⾲⪅ࡢ᝟ሗࠊ 㐃⤡యไዪู࡛ࡢᩘࡢᢕᥱࡀᚲせ࡜⪃࠼ࡽࢀࡓࠋ ᣦ᥹࿨௧⣔⤫ࠊ ⮬୺⤌⧊ࠊ ᨭ᥼ࠊ ࣎

஺㏻ᶵ㛵࡟ࡘ࠸࡚ࡣࠊᏙ❧ࠊ㌴୧ࠊබඹ㍺

 ࣛࣥࢸ࢕࢔ࠊ ་⒪ࡢᥦ౪≧ἣࠊ 㑊㞴⪅㏦ᶵ㛵ࡢ᭷↓ࡀᚲせ࡛࠶ࡿࠋ ᪋タࡢᴫせ ࡬ࡢ᝟ሗఏ㐩ᡭẁᅗ࡟ࡘ࠸࡚ࡣࠊ෗┿ࡢῧ௜ࠊ㐣ᐦࡢ≧ἣ࡜ճ⎔ቃⓗഃ㠃ࡋ࡚ࠊ ␚ᮍ‶࠿㸰␚௨ୖ࠿ࢆ☜ㄆࡍ࡭ࡁ  ࣛ࢖ࣇࣛ࢖ࣥࠊ タഛ≧ἣ࡜⾨⏕㠃ࠊ࡛࠶ࡿ࡜⪃࠼ࡽࢀࡓࠋ

⏕ά⎔ቃࡢ⾨⏕㠃ࠊ 㣗஦ࡢ౪⤥ࠕղ⤌⧊ࡸάືࠖ

մ㓄៖ࢆせࡍࡿேࠥ ࡣࠊⓎ⅏┤ᚋࡢẁ㝵࡛ࡣ୙せ࡜ࡋࡓࠋ 㧗㱋⪅ࠊ ዷ፬ࠊ ⏘፬ࠊ ஙඣ࣭ඣ❺ࠊ ་⒪ࡢᥦ౪࡟ࡘ࠸࡚ࡣࠊᆅᇦࡢ་ᖌ࡜ࡢ 㞀ᐖ⪅ࠊ 㞴⑓ᝈ⪅ࠊ ᅾᏯ㓟⣲⒪㣴⪅ࠊ㐃ᦠ࡟㛵ࡋ࡚ࠕ᭷ࠖࡢሙྜࡢ⮬⏤グ㍕ࡀᚲ ேཱྀ㏱ᯒ⪅ࠊ ࢔ࣞࣝࢠ࣮⑕ᝈඣ࣭⪅せ࡜⪃࠼ࡽࢀࡓࠋ

յ᭹⸆⪅ᩘ

ࠕճ⎔ቃⓗഃ㠃ࠖ ᭹⸆⪅㸦㧗⾑ᅽ἞⒪⸆ࠊ⢾ᒀ⑓἞⒪⸆ࠊ ࣛ࢖ࣇࣛ࢖ࣥࡢ୰࡛ࠊỈ㐨ࡣࠊ
ࠕ୙㏻࣭㛤

−132−

㏻࣭ணᐃ࡛ࠖࡣ࡞ࡃࠊ
ࠕྍ㸦㣧⏝ ྍࠊ୙ྍ㸧࣭

ࢫࢸ࣒࡟Ⓩ㘓࡛ࡁࡿ࠿࡜࠸࠺Ⅼ࡟ࡘ࠷࡚ᅜ

୙ྍ࣭ணᐃ࡛ࠖ⪺ࡃ࡭ࡁ࡜ࡉࢀࡓࠋ㣧ᩱỈ❧ಖ೺་⒪⛉Ꮫ㝔࡟࠾ࡅࡿ೺ᗣ༴ᶵ⟶⌮◊ࡣࠊ
ࠕ୙㏻࣭㛤㏻࣭ணᐃ࡛ࠖࡣ࡞ࡃࠊ
ࠕ༑ศ࣭ಟ㸦ᐇົ⦅㸧ࡢ୰࡛ホ౯ࢆ㐍ࡵ࡚ࡁࡓࠋ

୙㊊࣭ணᐃࠖ࠿ࡽ㑅ᢥࡍࡿࡇ࡜࡜ࡋࡓࠋ ࡜ࡾࢃࡅࠊ⅏ᐖࡢつᶍࡀᗈᇦ࡟ཬࡪࡼ࠺タഛ≧ἣ࡜⾨⏕㠃࡛ࡣࠊࢺ࢖ࣞࡣࠊ
ࠕ౑⏝୙࡞⮬↛⅏ᐖ࡟࠾࠸࡚ࡣࠊಖ೺ᖌࢆ୰ᚰ࡜ࡋ

ྍ࣭౑⏝ྍ࡛ࠖࡣ࡞ࡃࠊ
ࠕ౑⏝ྍ࣭୙ྍ㸦௬ࡓែໃࡢࡳ࡛ࡣࠊ▷ᮇ㛫࡛ࡢᢕᥱࡣᅔ㞴࡛タࠊ༑ศࠊ୙㊊㸧ࠖ࠿ࡽ㑅ᢥࡍࡿࡇ࡜࡜ࡋࡓࠋ

࠶ࡿࠋࡑࡇ࡛ࠊ(0,6 ୖ࡟㑊㞴ᡤㄪᰝ࡟㛵ࡍ ⏕ά⎔ቃࡢ⾨⏕㠃ࡢ୰࡛ࠊࠕᒚࡁ᭰࠼ࠖࡣࠊ

ࡿⓏ㘓⏬㠃ࢆタࡅࡿࡇ࡜࡛ࠊ'0$7 ࠿ࡽࡢ᝟ࠕᅵ㊊ཝ⚗㸦᭷ࠊ↓㸧ࠖ࡟ኚ᭦ࠋ 㣗஦ࡢ౪ሗᥦ౪ࢆྍ⬟࡜ࡍࡿࡇ࡜ࡀ᳨ウࡉࢀ࡚࠸ࡿࠋ

⤥ࡢࠕ㸯᪥ࡢ㣗஦ᅇᩘࠖࡣࠊᅇᩘࡢ㑅ᢥ࡛ࡇࡢ㝿࡟ࠊ཮᪉ࡢ᭷ࡍࡿࢩࢫࢸ࣒㛫࡛ࡢ᝟ࡣ࡞ࡃࠊࠕ㓄⤥㸦༑ศࠊ୙㊊ࠊ↓ࡋ㸧ࠖ࡜ࡋሗ஺᥮ࢆ⾜࠺ᚲせࡀ࠶ࡿࡀࠊࡇࡢሙྜࠊ(0,6ࡓࠋ࡜⅏ᐖ᫬ಖ೺་⒪ࢡࣛ࢘ࢻࢩࢫࢸ࣒㛫࡛ࡢࠕմ㓄៖ࢆせࡍࡿேࠖ

ㄪᰝ㡯┠ࡢᒓᛶࡢඹ㏻໬ࡀ୙ྍḞ࡛࠶ࡿ㧗㱋⪅࡟ࡘ࠸࡚ࠊࠕ࠺ࡕ  ṓ௨ୖࠖࡣࠊ
ࠕ࠺㸦⾲㸧ࠋࡑࡇ࡛ࠊᮏ◊✲࡟࠾࠸࡚ࡣࠊㄪᰝ㡯ࡕ  ṓ௨ୖࠖ࡟ኚ᭦ࡋࠊ⏘፬ࡣࠊ⏘፬㸦┠ࡢᒓᛶࢆᩚ⌮ࡋࡓ࡜ࡇࢁ࡛࠶ࡿࠋࡋ࠿ࡋ

㐌ᮍ‶㸧࡜ࡍࡿࠋ

࡞ࡀࡽࠊㄪᰝࡢ┠ⓗࡣࠊ⿕⅏ᆅᇦࡢබ⾗⾨

ࠕն᭷⑕≧⪅ᩘࠖ⏕≧ែࢆホ౯ࡍࡿࡶࡢ࡛࠶ࡿࡇ࡜࠿ࡽࠊྛ

୙╀ࡣࠊ୙╀࣭୙Ᏻ࡜ࡍࡿࠋ

㡯┠࡟ࡘ࠸࡚ࡣࠊᐈほⓗ࡟Ⅼᩘホ౯࡛ࡁࡿࠕշ㜵␿ⓗഃ㠃ࠖᵓ㐀ࡀồࡵࡽࢀࡿࠋࡑࡢព࿡࡛ࠊ⌧ẁ㝵࡟㣗୰ẘᵝ⑕≧ࡣࠊ⫶⭠⅖⑕≧࡟ኚ᭦ࠋࡲࡓࠊ

࠾࠸࡚ࡣࠊಖ೺⾜ᨻ࡜ '0$7 ࡀ᭷ࡍࡿࢩࢫࢸ

ᅇ⟅ᙧᘧࡣࠊ࠸ࡎࢀࡢၥ࡟ᑐࡋ࡚ࡶࠊ
ࠕ࠶ࡾࠊ࣒㛫࡛ࡢㄪᰝ㡯┠ࡢ⤫୍࡜஫᥮ᛶࢆ☜ㄆࡋ࡞ࡋࠖ࠿ࡽࡢ㑅ᢥ࡜ࡍࡿࠋ

ࡓẁ㝵࡛࠶ࡾࠊḟࡢẁ㝵࡜ࡋ࡚ࠊㄪᰝ⤖ᯝ࡟ᇶ࡙ࡁࠊᆅᇦ࢔ࢭࢫ࣓ࣥࢺ࡟㛵ࡍࡿ࢔ࣝ㹂㸬⪃ᐹࢦࣜࢬ࣒ࡢ㛤Ⓨ࡜ࡇࢀࢆ⏝࠸ࡓ◊ಟࢩࢫࢸ ኱つᶍ⅏ᐖⓎ⏕ᚋࠊࡍࡳࡸ࠿࡟⿕⅏ᆅᇦ࣒ࡢ㛤Ⓨࡀồࡵࡽࢀࡿࠋ

ࡢಖ೺་⒪ࢽ࣮ࢬࢆᢕᥱࡍࡿࡇ࡜ࡣࠊ᪩ᮇ

ಖ೺་⒪᝟ሗ䛾┦஫ඹ᭷䛻ྥ䛡䛯䝅䝇䝔䝮㛤Ⓨ࡟බ⾗⾨⏕ᑐ⟇ࢆྲྀࡿ࠺࠼࡛㔜せ࡜࡞ࡿࠋ䠄⊂䠅⅏ᐖ་⒪䝉䞁䝍䞊ࡑࡇ࡛ࠊ㎿㏿࡟⿕⅏ᆅᇦ࡟࠾ࡅࡿබ⾗⾨⏕

ᗈᇦ⅏ᐖ་⒪᝟ሗ䝅䝇䝔䝮
䠄㻱㻹㻵㻿㻕

᝟ሗࢆᢕᥱࡍࡿࡓࡵࡢࢶ࣮ࣝ࡜ࡋ࡚ࠊཌ⏕䐟㑊㞴ᡤᇶ♏᝟ሗ䚷䚷䚷䚷䚷䈜ᖹ᫬䛷䛾㐃ᦠ
㻌㻙㻌ྡ⛠
㻌㻙㻌ఫᡤ
㻌㻙㻌఩⨨᝟ሗ
䚷䚷䚷䚷䚷䚷䚷䚷䚷䚷䞉䞉䞉䞉䞉➼ᅜ❧ಖ೺་⒪⛉Ꮫ㝔⅏ᐖ᫬ಖ೺་⒪䜽䝷䜴䝗䝅䝇䝔䝮

∦᪉ྥ䛾䜏䛾᝟ሗ㐃ᦠ!! !

ປാ┬ࡣࠊᖹᡂ  ᖺᗘ࡟⅏ᐖ᫬ಖ೺་⒪ࢡ䝅䝇䝔䝮㛫䛾㡯┠䈄 ⏝ㄒ䛾⤫୍䝣䜯䜲䝹஺᥮䝅䝇䝔䝮䛾㛤Ⓨᆅ⌮᝟ሗ䝅䝇䝔䝮䜈䛾⾲♧ࣛ࢘ࢻࢩࢫࢸ࣒ࢆᵓ⠏ࡋࠊᮏࢩࢫࢸ࣒ࢆά

཮᪉ྥ䛾᝟ሗ㐃ᦠ⏝ࡍࡿࡇ࡜࡛ࠊ⿕⅏⪅༢఩ࠊ㑊㞴ᡤ༢఩࡛㻰㻹㻭㼀䛜ᛴᛶᮇ
䛾ᩆㆤάື䛻
ྜ䜟䛫䛶ධຊ

ࡢබ⾗⾨⏕᝟ሗࡢᢕᥱࢆྍ⬟࡜ࡋࡓࠋࡋ࠿
ࡋ࡞ࡀࡽࠊᐇ㝿ࡢ⅏ᐖࢆ᝿ᐃࡋࡓᅗୖ₇⩦䐠㑊㞴ᡤ≧ἣ
䚷䚷䚷䈜⅏ᐖ᫬䛷䛾㐃ᦠ- タႠ᪥᫬- ་⒪䛾ᥦ౪≧ἣ- 䝷䜲䝣䝷䜲䞁- タഛ≧ἣ䞉⾨⏕㠃䚷䚷䚷䚷䚷䚷䚷䚷䚷䞉䞉䞉䞉䞉➼ಖ೺ᡤ⫋ဨ➼䛜ᖹ᫬䜘䜚ᇶ♏᝟ሗ䜢ධຊ

ࢆᐇ᪋ࡋࠊࡇࢀࡽࡢ᝟ሗࢆㄡࡀ཰㞟ࡋࠊ࠸⾲㸸ಖ೺་⒪᝟ሗࡢ┦஫ඹ᭷࡟ྥࡅࡓ࠿࡟ホ౯ࡍࡿ࠿ࠊࡲࡓࠊຠ⋡ⓗ࡟᝟ሗࢆࢩ  ࢩࢫࢸ࣒㛤Ⓨ

−133−



⾗⾨⏕Ꮫ఍㸹 ᖺ  ᭶㸹୕㔜㸬᪥ᮏබ㹃㸬⤖ㄽ⾗⾨⏕㞧ㄅ㸬㸹  ≉ู௜㘓 㸬 ᖹᡂ  ᖺᗘ࡟࠾࠸࡚ࡣࠊ⅏ᐖ᫬࡟࠾ࡅࡿ 㔠㇂Ὀᏹ⅏ᐖಖ೺་⒪ᨭ᥼࡟ྥࡅࡓ

ಖ೺ᖌ࡟ࡼࡿ⿕⅏ᆅᇦࡢබ⾗⾨⏕ㄪᰝ㡯┠◊ಟࢩࢫࢸ࣒➨  ᅇ᪥ᮏ㞟ᅋ⅏ᐖ་Ꮫࡢ㟁Ꮚ໬࡟ྥࡅࡓ᳨ウࢆ⾜࠸ࠊ'0$7 ࡜ࡢ㐃఍⥲఍ ᖺ  ᭶ᮾி

ᦠࢆྍ⬟࡜ࡍࡿࡓࡵ (0,6 ࡜ࡢ᝟ሗඹ᭷࡟

ྥࡅࡓ㡯┠ࡢᩚ⌮ࢆ⾜ࡗࡓࠋᖹᡂ  ᖺᗘ࡟㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ࠾࠸࡚ࡣࠊᚓࡽࢀࡓ᝟ሗ࡟ᇶ࡙ࡁࠊ⮬ືⓗ≉チྲྀᚓ࡟⿕⅏ᆅࡢබ⾗⾨⏕≧ែࢆホ౯࡛ࡁࡿ࢔ࣝ ࡞ࡋࢦࣜࢬ࣒ࡢタィࢆ⾜࠺ࠋᐇ⏝᪂᱌Ⓩ㘓



 ࡞ࡋ

㹅㸬◊✲Ⓨ⾲ࡑࡢ௚

ㄽᩥⓎ⾲ ࡞ࡋ 㔠㇂Ὀᏹ㸬ཎᏊຊ⅏ᐖ࡟క࠺බ⾗⾨⏕

ᑐᛂ࡟ࡘ࠸࡚㸬ಖ೺་⒪⛉Ꮫ㸬㸹㸦㸧㸸㸬 㔠㇂Ὀᏹ㸪┾ᒇ᭸࿴㸪ᐩ⏣ዉ✑Ꮚ㸪ᕷᕝᏛ㸪ฟཱྀᘯ㸬♫఍ࢩ࣑࣮ࣗࣞࢩࣙࣥࢆ⏝࠸ࡓಖ೺་⒪ࢧ࣮ࣅࢫࡢホ౯㸬ィ



࡜ไᚚ㸬

㸹㸦㸧㸸㸬 ዟᮧ㈗ྐ㸪㔠㇂Ὀᏹ㸬೺ᗣ༴ᶵ⟶⌮࡜⮬↛ゝㄒฎ⌮㸬⮬↛ゝㄒฎ⌮㸬㸹㸦㸧㸸







Ꮫ఍Ⓨ⾲ ▼ᓟᗣᾈ㸪Ỉᓥὒ㔠㇂Ὀᏹ⅏ᐖ᫬་⒪᝟ሗඹ᭷ࢩࢫࢸ࣒࡬ࡢ⤫ྜ࡟ࡼࡿⅆᒣࣁࢨ࣮ࢻ࣐ࢵࣉࡢ࢙࢘ࣈ໬ࡢヨࡳ㸬᪥ᮏᆅ⌫ᝨᫍ⛉Ꮫ㐃ྜ  ᖺ኱఍㸹 ᖺ  ᭶༓ⴥ㸬᪥ᮏᆅ⌫ᝨᫍ⛉Ꮫ㐃ྜ  ᖺ኱఍ண✏



'9'㸬



 㐲⸨▖㸪Ụ⸨ள⣖Ꮚ㸪㧗ᶫ㑥ᙪ㸪኱ᒣ༟᫛㸪㔠㇂Ὀᏹ㸪㐲⸨ᖾ⏨㸬ᑠᏛᰯ࣭୰Ꮫ

ᰯ࡟࠾ࡅࡿ࢖ࣥࣇ࢚ࣝࣥࢨ᪋タูⓎ⏕≧ἣ࡜ᆅᇦࡢὶ⾜≧ἣ࡜ࡢẚ㍑㸬➨  ᅇ᪥ᮏබ




−134−

㻌

ศᢸ◊✲ሗ࿌㻌㻌㻌㻌㻌㻌 䛂⅏ᐖ᫬䛾⢭⚄ಖ೺་⒪᝟ሗ䛾ඹ᭷䛾ᅾ䜚᪉䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 㔠㻌 ྜྷᬕ㻌䠄ᅜ❧⢭⚄⚄⤒་⒪◊✲䝉䞁䝍䞊㻌 ⢭⚄ಖ೺◊✲ᡤ㻌⅏ᐖ᫬䛣䛣䜝䛾᝟ሗᨭ᥼䝉䞁䝍䞊㻌 䝉䞁䝍䞊㛗䠅㻌㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂⅏ᐖ᫬䛾⢭⚄ಖ೺་⒪᝟ሗ䛾ඹ᭷䛾ᅾ䜚᪉䛻㛵䛩䜛◊✲䛃㻌◊✲ศᢸ⪅㻌 㔠ྜྷᬕ㻌ᅜ❧⢭⚄⚄⤒་⒪◊✲䝉䞁䝍䞊㻌 ⢭⚄ಖ೺◊✲ᡤ㻌⅏ᐖ᫬䛣䛣䜝䛾᝟ሗᨭ᥼䝉䞁䝍䞊㻌 䝉䞁䝍䞊㛗䠋ᡂே⢭⚄ಖ೺◊✲㒊㻌 㒊㛗㻌◊✲せ᪨㸸ᮾ᪥ᮏ኱㟈⅏࡛ࡢࠕᚰࡢࢣ࢔ࢳ࣮࣒ࠖάື࡛ࡣࠊὴ㐵ㄪᩚࡸάືグ㘓ࡢ㞟⣙➼ࡢ᝟ሗ࡟㛵ࡍࡿㄢ㢟ࡀᣲࡆࡽࢀ࡚࠸ࡓࠋࡇࡢㄢ㢟ࢆゎỴࡍࡿࡓࡵ࡟ࠊ⅏ᐖὴ㐵⢭⚄་⒪ࢳ࣮࣒㸦DPAT㸧ࢆࡣࡌࡵ࡜ࡍࡿᵝࠎ࡞ᨭ᥼ࢳ࣮࣒࡟ࡼࡿ⢭⚄ಖ೺་⒪άື࡟㛵ࡋ࡚ࡢ᝟ሗࢆ⥲ྜⓗ࡟ᢅ࠺ࠊ⅏ᐖ⢭⚄ಖ೺་⒪᝟ሗᨭ᥼ࢩࢫࢸ࣒㸦DMHISS㸧ࡀ㛤Ⓨࡉࢀࡓࠋᗈᇦ⅏ᐖᩆᛴ་⒪᝟ሗࢩࢫࢸ࣒㸦EMIS㸧ࡣࠊ⅏ᐖ᫬ࡢ་⒪ᶵ㛵᝟ሗࠊDMAT ࡢ㐠⏝⟶⌮ࠊᗈᇦ་⒪ᦙ㏦ᝈ⪅᝟ሗ➼࡟㛵ࡍࡿࢩࢫࢸ࣒࡛࠶ࡾࠊ㑊㞴ᡤ᝟ሗࡸಖ೺ᖌࢳ࣮࣒
ࡢάືグ㘓➼ࡀ㞟⣙ࡉࢀࡿ⅏ᐖ᫬࡟࠾ࡅࡿಖ೺࠾ࡼࡧබ⾗⾨⏕࡟㛵ࡍࡿ᝟ሗࢩࢫࢸ࣒
ࡶ㛤Ⓨࡀࡍࡍࡵࡽࢀ࡚࠸ࡿࠋࡇࢀࡽࢆ┦஫ཧ↷ࠊࡲࡓࡣࢹ࣮ࢱࡢඹ᭷໬ࢆ⾜࠸ࠊໟᣓⓗ࡞⅏ᐖ᫬ಖ೺་⒪᝟ሗ࡜ࡍࡿࡇ࡜࡛ࠊࡼࡾ㐺ษ࡞ᨭ᥼άືࢆ⾜࠺஦ࡀฟ᮶ࡿࡼ࠺࡟࡞ࡿ
࡜⪃࠼ࡽࢀࡿࠋ
◊✲༠ຊ⪅ Ⲩᕝு௓ ࡢ᝟ሗᨭ᥼ࢭࣥࢱ࣮࡛ࡣཌ⏕ປാ┬ࡢጤクᅜ❧⢭⚄࣭⚄⤒་⒪◊✲ࢭࣥࢱ࣮

஦ᴗࢆཷࡅࠊ⅏ᐖ⢭⚄ಖ೺་⒪᝟ሗᨭ᥼ࢩ

⢭⚄ಖ೺◊✲ᡤ ᡂே⢭⚄ಖ೺◊✲㒊 ࢫ ࢸ ࣒ 㸦 Disasterᐊ㛗

Information Support System: DMHISS㸧 ࡢ㛤Ⓨࢆ⾜ࡗࡓࠋ

㸿㸬◊✲┠ⓗ ᮾ᪥ᮏ኱㟈⅏࡛ࡣࠊ⿕⅏ᆅ࡛ࡢ⢭⚄ಖ೺

MentalHealth㹀㸬◊✲᪉ἲ

་⒪ࡢᥦ౪ࢆ┠ⓗ࡜ࡋ࡚ࠊ⢭⚄⛉་ࠊ┳ㆤ⅏ᐖ⢭⚄ಖ೺་⒪᝟ሗᨭ᥼ࢩࢫࢸ࣒

ᖌࠊ⢭⚄ಖ೺⚟♴ኈࠊ஦ົဨ➼࡛ᵓᡂࡉࢀ㸦 Disaster Mental Health Informationࡿࠕᚰࡢࢣ࢔ࢳ࣮࣒ࠖࡀࠊ඲ᅜࡢ㒔㐨ᗓ┴ࠊSupport System: DMHISS㸧࡜ࡣࠊ⅏ᐖ᫬ᨻ௧ᣦᐃ㒔ᕷࠊᅜ❧⑓㝔ᶵᵓ➼࡛⤌⧊ࡉࢀࠊ࡟ཌ⏕ປാ┬࠾ࡼࡧ㒔㐨ᗓ┴➼ࡀ⾜࠺⅏ᐖ⿕⅏ᆅ࡛ࡢᚰࡢࢣ࢔άື࡟ᚑ஦ࡋࡓࠋࡑࡢ

ὴ㐵⢭⚄་⒪ࢳ࣮࣒㸦Disaster Psychiatricάື࡟ࡘ࠸࡚ࡣࡇࢀࡲ࡛࡟࡞࠸኱つᶍ࡞άAssistance Team: DPAT㸧ࢆࡣࡌࡵ࡜ࡍࡿ

ື࡛࠶ࡗࡓࡇ࡜࠿ࡽࡶࠊᵝࠎ࡞ㄢ㢟ࡶᣦ᦬ᵝࠎ࡞ᨭ᥼ࢳ࣮࣒࡟ࡼࡿ⢭⚄ಖ೺་⒪άືࡉࢀ࡚࠸ࡓࠋࡑࡢ୍ࡘ࡟ࠊὴ㐵ㄪᩚࡸάື

࡟㛵ࡋ࡚ࠊ࢖ࣥࢱ࣮ࢿࢵࢺࢆ௓ࡋ࡚㐠⏝ࡉグ㘓ࡢ㞟⣙➼ࢆྵࡵࡓࠊ᝟ሗ࡟㛵ࡍࡿㄢ㢟ࢀࡿ᝟ሗࢩࢫࢸ࣒࡛࠶ࡿࠋලయⓗ࡟ࡣࠊᖹࡀᣲࡆࡽࢀࡿࠋ

ᖖ᫬㸦ᨭ᥼ࢳ࣮࣒ࡢ஦๓Ⓩ㘓㸧
ࠊึື᫬㸦ᨭ

ࡇࡢㄢ㢟ࢆゎỴࡍࡿࡓࡵ࡟ࠊ⅏ᐖ᫬ࡇࡇࢁ

᥼ࢳ࣮࣒ࡢὴ㐵ㄪᩚ㸧ࠊάື᫬㸦άືグ㘓ࡢ−137−཰㞟㸧ࠊάືᚋ㸦άືグ㘓ࡢ㞟ィࡸศᯒ㸧ࡢ⏝࡜ಶࠎࡢ┦ㄯᑐᛂࡢࣞ࣋ࣝࡲ࡛ࡢάືグ

4 ࡘ࡟ศࡅ࡚ࠊࡑࢀࡒࢀࡢࣇ࢙࣮ࢬ࡟ᚲせ࡞㘓ࢆ㞟⣙ࡍࡿᶵ⬟ࢆ᭷ࡍࡿࡀࠊ་⒪ᶵ㛵ࡢᶵ⬟ࢆᐇ⿦ࡋࠊ⅏ᐖ᫬࡟ᨭ᥼ࢳ࣮࣒ࡀ⾜࠺᝟ሗࠊ㑊㞴ᡤࡢ᝟ሗ࡟ࡘ࠸࡚ࡣᢅࡗ࡚࠸࡞

⢭⚄ಖ೺་⒪࡟㛵ࡋ࡚ࡢ᝟ሗࢆ⥲ྜⓗ࡟ᢅ࠸ࠋࡇࢀࡽࡣࠊDPAT ➼ࡢᨭ᥼ࢳ࣮࣒ࡢά

࠺ࢩࢫࢸ࣒࡛࠶ࡿࠋ

ື࡟㝿ࡋ࡚ࡣᚲせ୙ྍḞ࡞᝟ሗ࡛࠶ࡿࠋ

ᖹᡂ 25 ᖺ 2 ᭶࡟ࡣ඲ᅜࡢ㒔㐨ᗓ┴࣭ᨻ௧ᣦᐃ㒔ᕷࡢᢸᙜ⫋ဨࠊ⢭⚄ಖ೺⚟♴ࢭࣥࢱ㹂㸬⪃ᐹ ࣮㛗ࠊྛᆅᇦࡢ⅏ᐖ⢭⚄་⒪ࡢ࣮ࣜࢲ࣮࡜DPAT㸪DMATࠊಖ೺་⒪࡞࡝ࡢάືศ㔝࡞ࡿ་ᖌࢆᑐ㇟࡟ࠊ༡ᾏ࣭ᮾ༡ᾏᆅ㟈ࢆ᝿࡟≉໬ࡋࡓࢩࢫࢸ࣒࡛ᢅࢃࢀ࡚࠸ࡿ᝟ሗࡣ

ᐃࡋࡓᶍᨃ⅏ᐖ₇⩦ࢆ⾜ࡗࡓࠋࡇࡢ₇⩦࡛␗࡞ࡗ࡚࠾ࡾࠊࡇࢀࡽࢆ┦஫ཧ↷ࡍࡿ࡜࡜

ࡣࠊDMHISS ࢆᐇ㝿࡟᧯సࡍࡿ࡜࡜ࡶ࡟ࠊ

ࡶ࡟ࠊࢹ࣮ࢱࡢඹ᭷໬ࢆ⾜࠸ࠊໟᣓⓗ࡞⅏⅏ᐖ᫬࡟⾜࠺࡭ࡁ⢭⚄ಖ೺་⒪ᑐ⟇ࡸྛ⮬ᐖ᫬ಖ೺་⒪᝟ሗ࡜ࡍࡿࡇ࡜࡛ࠊࡼࡾ㐺ษ἞యࡢᨭ᥼యไࡢ⌧≧ࡸㄢ㢟࡟㛵ࡍࡿពぢ࡞ᨭ᥼άືࢆ⾜࠺஦ࡀฟ᮶ࡿࡼ࠺࡟࡞ࡿ࡜

஺᥮ࡶ⾜ࡗࡓࠋ

⪃࠼ࡽࢀࡿࠋ

ࡲࡓࠊᖹᡂ 26 ᖺ 1 ᭶࡟ࡣ๓ᖺᗘ࡜ྠᵝࡢᑐ㇟⪅࡟ᑐࡋࠊDPAT ◊ಟࢆ⾜ࡗࡓࠋࡇࡢ

㹃㸬⤖ㄽ◊ಟ࡛ࡣࠊDPAT άື࣐ࢽࣗ࢔ࣝࡢ⤂௓ࠊ௒ᚋࡢ DPAT άື࡟࠾࠸࡚ࡣ⅏ᐖ᝟ሗࠊDMAT ஦ົᒁ࡟ࡼࡿ᝟ሗ࡟㛵ࡍࡿෆᐜࢆ୰

άືෆᐜࢆࣔࢽࢱࣜࣥࢢࡍࡿࡓࡵࡢ᝟ሗࢩ

ᚰ࡜ࡋࡓࣟࢪࢫࢸ࢕ࢵࢡࢫࡢㅮ⩏࣭₇⩦ࠊࢫࢸ࣒ࡢά⏝ࡀᚲせ࡛࠶ࡾࠊDMHISS ࢆ㛤

DMHISS ᧯స₇⩦ࠊ኱つᶍ⅏ᐖ᫬ࡢ DPATⓎࡋࡓࡀࠊຠᯝⓗ࡞άືࡢࡓࡵ࡟ࡣࠊDMATࠊὴ㐵ࠊDPAT ཷࡅධࢀ࡟㛵ࡍࡿ₇⩦ࢆ⾜࠸ࠊಖ೺་⒪⛉Ꮫ㝔࡛㛤Ⓨࡉࢀ࡚࠸ࡿ᝟ሗࢩࢫ

ྛ⮬἞య࡛ࡢ DPAT ࡢయไᩚഛ≧ἣࡸ㏻ᖖ

ࢸ࣒࡜ࡢ┦஫ࣜࣥࢡࡀᚲせ࡛࠶ࡿࠋ㸦࡞࠾᫬࠾ࡼࡧ⅏ᐖ᫬࡟࠾ࡅࡿ⢭⚄ಖ೺་⒪ࡢㄢ

DMHISS ࡢ㡯┠୍ぴࢆ㈨ᩱ㸯࡜ࡋ࡚ῧ௜ࡋ

㢟࡟㛵ࡍࡿ᝟ሗඹ᭷ࠊពぢ஺᥮ࢆ⾜ࡗࡓࠋ

ࡓ㸧
ࠋ





㹁㸬◊✲⤖ᯝ

㹄㸬೺ᗣ༴㝤᝟ሗ⅏ᐖ᫬ࡢ་⒪࡟㛵ࡍࡿ᝟ሗࢩࢫࢸ࣒࡟ࡣᗈ ᇦ ⅏ ᐖ ᩆ ᛴ ་ ⒪ ᝟ ሗ ࢩ ࢫ ࢸ ࣒Medical

Information

㹅㸬◊✲Ⓨ⾲

System: EMIS㸧ࡀᣲࡆࡽࢀࡿࡀࠊࡇࡕࡽࡣ

ㄽᩥⓎ⾲⅏ᐖ᫬ࡢ་⒪ᶵ㛵᝟ሗࠊDMAT ࡢ㐠⏝⟶⌮ࠊ ヱᙜ࡞ࡋ

ᗈᇦ་⒪ᦙ㏦ᝈ⪅᝟ሗ➼࡟㛵ࡍࡿࢩࢫࢸ࣒

Ꮫ఍Ⓨ⾲ ࡛࠶ࡿࠋࡲࡓࠊᅜ❧ಖ೺་⒪⛉Ꮫ㝔࡟࠾࠸

ヱᙜ࡞ࡋ

㸦

Emergency ࡞ࡋ࡚ࠊ⅏ᐖ᫬࡟࠾ࡅࡿಖ೺࠾ࡼࡧබ⾗⾨⏕࡟㛵ࡍࡿ᝟ሗࢩࢫࢸ࣒ࡶ㛤Ⓨࡀࡍࡍࡵࡽࢀ࡚

㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ࠾ࡾࠊ㑊㞴ᡤ᝟ሗࡸಖ೺ᖌࢳ࣮࣒ࡢάືグ ≉チྲྀᚓ ࡞ࡋ㘓➼ࡀ㞟⣙ࡉࢀࡿணᐃ࡛࠶ࡿࠋ୍᪉ࠊ ᐇ⏝᪂᱌Ⓩ㘓 ࡞ࡋ

DMHISS ࡛ࡣ๓㏙ࡢࡼ࠺࡟ᨭ᥼ࢳ࣮࣒ࡢ㐠ࡑࡢ௚ ࡞ࡋ

−138−

資料１
໎ܹችᅕ̬ͤҔၲऴ‫ૅإ‬ੲǷǹȆȠᲵ&KUCUVGT/GPVCN*GCNVJ+PHQTOCVKQP5WRRQTV5[UVGO &/*+55ஊʙƴͳƑƨʙЭแͳ᳞ ᨟଺ ෇ѣɶȷࢸ ෇ѣᚡ᥵ሁƷјௐႎƳ෇ဇ᳛ ࠯ࠝ଺ȷᣃᢊࡅჄሁਃ࢘ᆸӝȷᲾ᳊᲻᳎˳СᲾ᳊᲻᳎˳С ሁƷʙЭႇ᥵෇ѣᚡ᥵ऴ‫إ‬ਫ਼ᅆெ

ȷҽဃі΁Ⴞ
ȷ໎ܹ଺ƜƜǖƷऴ‫إ‬ૅੲǻȳǿȸ
ȷᣃᢊࡅჄሁ

ȷҽဃі΁Ⴞ
ȷ໎ܹ଺ƜƜǖƷऴ‫إ‬ૅੲǻȳǿȸ
ȷᣃᢊࡅჄሁᨼᚘƴǑǔž‫إ‬ԓ୿ሁƷ˺঺ૅੲ‫׎‬ᇌችᅕȷᅕኺҔၲᄂᆮǻȳǿȸ‫ۀ‬ᚠऴ‫ૅإ‬ੲǷǹȆȠ๫፼Ტ᳂ᲬᲯ࠰ᲬஉᲣ
Ჵ໎ܹ଺ƜƜǖƷऴ‫ૅإ‬ੲǻȳǿȸ㈨ᩱ1

Ჶ‫ݣ‬ᝋᎍᲸችᅕ̬ͤᅦᅍǻȳǿȸᧈŴችᅕᅹҔŴਃ࢘ᛢᎰՃ
ᲶӋьᐯ඙˳ᲸᲯᲰᣃᢊࡅჄ ૎ˋࠊᲢμᲰᲱƔ৑ɶᲣᚘᲫᲯᲯʴ
ᲶӋьᐯ඙˳ᲸᲯᲰᣃᢊࡅჄȷ૎ˋࠊᲢμᲰᲱƔ৑ɶᲣᚘᲫᲯᲯʴ

ͼӼЎௌƴǑǔ
଀ሊᇌకሁƷૅੲᲾ᳇᳂᳃᳍᳍

᳝໎ܹႆဃ଺ ɼƴ෇ѣɶ෇ѣᚡ᥵ƷᔛᆢƱȕǣȸȉȐȃǯ෇ѣᚡ᥵ƷᔛᆢƱȕǣ
ȉȐȃǯ
Ჾ᳊᲻᳎

ᚮ‫ݑ‬

᳜

ᘮ໎‫ע‬ǁƷᲾ᳊᲻᳎෉ᢔ

໎ܹႆဃ଺෉ᢔΨᣃᢊࡅჄ
ɼƴИѣ

ҽဃі΁Ⴞ
໎ܹ଺ͤࡍૅੲǷǹȆȠᲢ‫׎‬ᇌ̬ͤҔၲᅹ‫ܖ‬ᨈᲣᲾ᳊᲻᳎෇ѣᚡ᥵Ʒᔛᆢ

ᘮ໎ᎍᲾ᳊᲻᳎μ‫׎‬ወɟƷႻᛩȷᚮၲᚡ᥵

Ჾ᳇᳂᳃᳍᳍

ҽဃі΁Ⴞ
ᘮ໎ᐯ඙˳

෉ᢔᙲᛪ

෉ᢔ૴ଆ

ૅੲᐯ඙˳
ऴ‫إ‬ਫ਼ᅆெ

෉ᢔဎλǕ

Ჾ᳊᲻᳎

̬ͤࠖȁȸȠŴ
̬ͤࠖȁȠᲾ᳇᲻᳎ƱƷᡲઃᲿ᳇᳃᳍ᲢᲾ᳇᲻᳎Უ

̬ͤࠖ໎ܹ଺ͤࡍૅੲǷǹȆȠ

෉ᢔᚘဒᇌక
෇ѣ‫؏ע‬л࢘ᘮ໎‫ע‬ऴ‫إ‬ሁƷऴ‫إ‬੩̓

Ჾ᳇᲻᳎Ჿ᳇᳃᳍̬ͤࠖȁȸȠŴᲾ᳇᲻᳎ሁ
ƱƷऴ‫إ‬ᡲઃ%ჄȁȸȠ儛儝優兄ᴫせ凚඲య儛儝優兄凛⅏ᐖ⢭⚄ಖ೺་⒪᝟ሗᨭ᥼儛儝優兄
凚凶凿出击刅刅凛

䛆ཌ⏕ປാ┬䛇

䛆ᨭ᥼┴䛇

䛆⿕⅏┴䛇

伪⅏ᐖ᝟ሗⓏ㘓伪ὴ㐵せㄳ伪ὴ㐵ඛ๭ᙜ

伪ὴ㐵ᅇ⟅伪儝儕儜光兠兏సᡂ伪᪥ሗ᭶ሗሗ࿌

伪άືᆅᇦ๭ᙜ
伪άືᐇ⦼సᡂ
伪儤儊兗兑兠儭

儈兗儣兠儱儧儬 凚SSL㏻ಙ凛䜲䞁䝍䞊䝛䝑䝖䜢௓䛧䛶䚸ὴ㐵せㄳ䞉ᅇ⟅䚸䝇䜿䝆䝳䞊䝹సᡂ䚸άືᐇ⦼Ⓩ㘓➼䛾ᴗ䝇䜿䝆䝳䝹సᡂ䚸άືᐇ⦼Ⓩ㘓➼䛾ᴗົ䜢ᐇ᪋傜儫兠儣償兗儣兠傝凚ᮾி凛䝕䞊䝍䜔䜰䝥䝸䜿䞊䝅䝵䞁䛿䝕䝍䜔䜰䝥䝸䜿 䝅 䞁䛿䜽䝷䜴䝗ୖ䛻ᵓ⠏䣙䣧䣤儆儻兎儕兠儛克兗䢱䣆䣄儙兠儴儹儅儈儆儊儍兠兏
兏兠儣䣎䢴儝儈儧儥

傜儫兠儣償兗儣兠傝凚ᮐᖠ凛䣅䣒䣗凬䣋䣰䣶䣧䣮䢢䣅䣱䣴䣧䢢䢴䢢䣆䣷䣱䢢䣇䢸䢶䢲䢷
充兆兎凬䢶䢰䢲䣉䣄儫儇儝儓凬䢳䢸䢲䣉䣄䢬䢴䢢䢪元免兠兎兗儔凛㟁※凬෕㛗㟁※䣗䣒䣕⿦⨨㐠⏝┘ど⏝➃ᮎ඲䛶䛾ᶵჾ䜢஧㔜໬

−139−儴儧儓儆儧儻⏝እ㒊グ᠈⿦⨨
凚優兠儻➼凛⅏ᐖᇶᮏ᝟ሗ

᪥ሗධຊ

−140−

ಶ⚊ධຊ

−141−

㻌

ศᢸ◊✲ሗ࿌
㻌
㻌
㻌
㻌
㻌

㻌

䛂㻱㻹㻵㻿 䛸䛾᝟ሗඹ᭷䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 ୰ᒣ㻌 ఙ୍㻌䠄රᗜ┴⅏ᐖ་⒪䝉䞁䝍䞊㻌 䝉䞁䝍䞊㛗䠅㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌䛂㻱㻹㻵㻿 䛸䛾᝟ሗඹ᭷䛃㻌◊✲ศᢸ⪅㻌 ୰ᒣ㻌 ఙ୍㻌 㻌රᗜ┴⅏ᐖ་⒪䝉䞁䝍䞊㻌 䝉䞁䝍䞊㛗㻌◊✲せ᪨㸦┠ᶆ㸧೺ᗣ༴ᶵ⟶⌮ࡢࡓࡵࡢ⅏ᐖ་⒪ࠊබ⾗⾨⏕ࠊᚰࡢࢣ࢔ࡢ᝟ሗࢩࢫࢸ࣒ࡢඹ᭷ࡢලయⓗᡭἲࡢ㛤Ⓨࢆ⾜࠺ࡇ࡜ࢆ┠ⓗ࡜ࡋ࡚ࠊ⅏ᐖ་⒪ศ㔝ࡢᗈᇦ⅏ᐖᩆᛴ་⒪᝟ሗࢩࢫࢸ࣒㸦(0,6㸧࡜බ⾗⾨⏕ศ㔝ࡣ೺ᗣ༴ᶵ⟶⌮ᨭ᥼ࣛ࢖ࣈ࣮ࣛࣜࢩࢫࢸ࣒ +&ULVLVࠊ࠸ࢃࡺࡿ⅏ᐖ᫬ࡢ '0+,66
㸦'0+,66㸧ࡢ㐃ᦠ࡟ࡘ࠸᳨࡚ウࡍࡿࠋᮏᖺᗘࡢᮏศᢸ◊✲࡛ࡣࠊᛴᛶᮇࡢ⅏ᐖᑐᛂ࡟࠾࠸࡚ඹ᭷
ࢆᅗࡗ࡚ࡁࡓ (0,6 ࡟ᦚ㍕῭ࡳࡢᶵ⬟ࢆࡶ࡜࡟ࠊ௚ศ㔝࡟࠾࠸࡚ࡶඹ᭷ࡀᚲせ࡞஦㡯ࢆᢳฟࡋࠊ
ࡑࡢⓎᒎ࡬ࡢ᪉ྥᛶࢆ᳨ウࡍࡿࠋ㸦⤖ᯝ㸧+&ULVLV ࡞ࡽࡧ࡟ '0+,66 ࡜ (0,6 ࡟⧅ࡆࡿ࡭ࡁ᝟ሗ࡜ࡋ࡚ࠊ᪂ࡓ࡟ (0,6 ୖ࡛ඹ᭷ྍ⬟࡜ࡍࡿ࡭ࡁ㡯┠࡜ࡋ࡚ࠊデ⒪ᡤࡸ᪋タࡢ⿕⅏≧ἣࠊྛ✀ᩆㆤᡤࡢ≧ἣࠊᩆㆤ⌜ࡢάື≧ἣ࡞࡝ࡀೃ⿵࡜࡞ࡿࡀࠊ≉࡟㑊㞴ᡤࡢᇶ♏᝟ሗࠊ≧ἣࡢᢕᥱ㸦㑊㞴ᡤ࢔ࢭࢫ࣓ࣥࢺ㸧࡞ࡽࡧ࡟㑊㞴ᡤᩆㆤᡤࡢデ⒪≧ἣ࡞࡝ࠊ㑊㞴ᡤ࡟㛵ࡍࡿ᝟ሗඹ᭷ࢆ᭱ඃඛ࡛ᐇ⌧ࡍ࡭ࡁ࡛࠶ࡿࠋ
㸦⤖ㄽ㸧᝟ሗࡢඹ㏻໬࠶ࡿ࠸ࡣ㐃ᦠࠊ࠸ࢃࡤ┦஫஌ධࢀࡢ᪉ྥᛶࢆ᥈ࡿ㸱ࡘࡢ᝟ሗࢩࢫࢸ࣒ࡢ࠺
ࡕࠊ⅏ᐖⓎ⏕┤ᚋ࠿ࡽ✌ືࡋࠊ'0$7 ࢆ୰ᚰ࡜ࡍࡿ་⒪ࢳ࣮࣒࡜⾜ᨻࠊᾘ㜵࡞࡝࡜ᗈࡃ᝟ሗඹ᭷
ࡀྍ⬟࡞ࢩࢫࢸ࣒ࡣ (0,6 ࡛࠶ࡿࡇ࡜࠿ࡽࠊ௚ࡢ㸰ࡘࡢ᝟ሗࢩࢫࢸ࣒ෆ࡛ඹ᭷ࡍࡿ㡯┠ࡢ࠺ࡕࠊ'0$7 ࡸ௚ࡢᩆㆤ⌜࡛ࡶ࠶ࡿ⛬ᗘ᝟ሗධຊ࣭Ⓨಙࡀྍ⬟࡞㡯┠ࢆ (0,6 ୖ࡟ࡶ⤌ࡳධࢀࡿࡇ࡜࡟ࡼ
ࡾࠊࡑࢀ࡟⥆ࡃᑓ㛛ᐙ་⒪ࢳ࣮࣒ࡢ㏣ຍ࠶ࡿ࠸ࡣ᭦᪂ධຊࢆྍ⬟࡜ࡍࡿ (0,6 ࡢᶵ⬟ᣑᙇࢆᅗࡿ
࡭ࡁ࡛࠶ࡿࠋ࡞࠿࡛ࡶ㑊㞴ᡤࡢⓏ㘓ࡸ࢔ࢭࢫ࣓ࣥࢺ᝟ሗࡢඹ㏻໬ࢆ᭱ඃඛ࡛㐍ࡵࡿ࡭ࡁ࡜⪃࠼ࡽࢀࡿࡀࠊලయⓗ࡞㡯┠ࡣ᮶ᖺᗘ࡟᳨ウࡍࡿࠋ㸿㸬◊✲┠ⓗ࣮࣒ࣞࢫ࡞άືࡀ࡛ࡁ࡞࠿ࡗࡓࡇ࡜ࡀᣦ᦬

⅏ᐖⓎ⏕┤ᚋ࠿ࡽᛴᛶᮇ࡟࠾࠸࡚ࠊ་⒪ᑐ

ࡉࢀ࡚࠸ࡿࠋ

ᛂࡢどⅬ࠿ࡽ཰㞟ࡍࡿ࡭ࡁ᝟ሗࡣࠊࡇࢀࡲ

ᛴᛶᮇ࡟ᘬࡁ⥆࠸࡚ᒎ㛤ࡉࢀࡿ࡭ࡁಖ೺࣭

࡛ᗈᇦ⅏ᐖᩆᛴ་⒪᝟ሗࢩࢫࢸ࣒㸦EMIS㸧་⒪ศ㔝࡟࠾ࡅࡿ⅏ᐖ᫬ࡢ᝟ሗࢩࢫࢸ࣒࡜

ࢆ୰ᚰ࡟ᩚ⌮ࡉࢀࠊᐇ⅏ᐖ࡛ࡶά⏝ࡉࢀ࡚ࡋ࡚ࠊබ⾗⾨⏕ศ㔝ࡢ೺ᗣ༴ᶵ⟶⌮ᨭ᥼ࣛࡁࡓࠋࡇࡢᛴᛶᮇࡢ⅏ᐖ་⒪ᑐᛂࢆ୺║࡜࢖ࣈ࣮ࣛࣜࢩࢫࢸ࣒ H-Crisis ࡜⅏ᐖ⢭⚄ಖࡋࡓ EMIS ࡣ 2011 ᖺࡢᮾ᪥ᮏ኱㟈⅏࡛ࡶ೺་⒪᝟ሗᨭ᥼ࢩࢫࢸ࣒㸦DMHISS㸧ࡀ࠶୍ᐃࡢά⏝ࡀ࡛ࡁࡓࡀࠊDMAT ࡟ᘬࡁ⥆ࡃࡾࠊᮏ◊✲࡛ࡣ୧ࢩࢫࢸ࣒࡜ EMIS ࡜ࡢ㐃ྛ✀་⒪ᩆㆤࢳ࣮࣒࡜᝟ሗඹ᭷ࡣᅔ㞴࡛ࢩᦠ࡟ࡘ࠸᳨࡚ウࡍࡿࠋ≉࡟ᮏᖺᗘࡣࠊᛴᛶ

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ᮇࡢ⅏ᐖᑐᛂ࡟࠾ࡅࡿ᝟ሗඹ᭷ࢶ࣮ࣝ࡜ࡋ

D㸬⪃ᐹ࡚ EMIS ࡟ᦚ㍕῭ࡳࠊ࠶ࡿ࠸ࡣᦚ㍕ࡀィ⏬

 ⅏ᐖⓎ⏕┤ᚋ࠿ࡽᛴᛶᮇ࡟࠾࠸࡚ࠊ་⒪ࡉࢀ࡚࠸ࡿᶵ⬟ࢆࡶ࡜࡟ࠊ୧ศ㔝࡟࠾࠸࡚ᑐᛂࡢどⅬ࠿ࡽ཰㞟ࡍࡿ࡭ࡁ᝟ሗࡣࠊ1995

ࡶඹ᭷ࡀ㔜せ࡜⪃࠼ࡽࢀࡿ஦㡯ࢆᢳฟࡋࠊ

ᖺࡢ㜰⚄࣭ῐ㊰኱㟈⅏ࡢᩍカࢆࡶ࡜࡟ࠊࡇ

ࡑࡢⓎᒎ࡬ࡢ᪉ྥᛶࢆ᳨ウࡍࡿࠋࢀࡲ࡛ཌ⏕ປാ┬ࡢᗈᇦ⅏ᐖᩆᛴ་⒪᝟ሗࢩࢫࢸ࣒㸦EMIS㸧ࢆ⏝࠸࡚⑓㝔ࡢ⿕⅏≧ἣ

B㸬◊✲᪉ἲ

ࢆ୰ᚰ࡟඲ᅜ࡛ࡢⓎಙ࣭ඹ᭷ࢆྍ⬟࡜ࡋࠊ ⌧ᅾᦚ㍕῭ࡳࠊ࠶ࡿ࠸ࡣ㏆ࠎᦚ㍕ࡀィ⏬

ᐇ⅏ᐖ࡛ࡶά⏝ࡉࢀ࡚ࡁࡓࠋ2005 ᖺࠊ᪥ᮏࡉࢀ࡚࠸ࡿ EMIS ୖ࡛ඹ᭷ྍ⬟࡞᝟ሗ㡯┠DMAT ࡢㄌ⏕ࢆዎᶵ࡜ࡋ࡚ࠊ⏒኱࡞ᆅ㟈⅏ࡢ ศ ᯒ ࡜ ࠊ ࡑ ࢀ ࡟ ᇶ ࡙ ࡃ H-Crisis ࠊᐖⓎ⏕᫬࡞࡝ࠊDMAT ࡀⓎ⅏┤ᚋ࠿ࡽ඲ᅜDMHISS ࡜ࡢ㐃ᦠ࡟ࡘ࠸࡚⪃ᐹࡍࡿࠋつᶍ࡛ὴ㐵ࡉࢀࠊ㐃ᦠࡋ࡚άືࡍࡿࡇ࡜ࡀ㔜せ࡜࡞ࡿᗈᇦ་⒪ᦙ㏦ࢆࡣࡌࡵ࡜ࡍࡿ

C㸬◊✲⤖ᯝDMAT άືࡢຠᯝⓗᒎ㛤ࢆᐇ⌧ࡉࡏࡿࡇ࡜

1㸧⌧ᅾ EMIS ࡟ᦚ㍕῭ࡳࡢ୺࡞᝟ሗ㡯┠ࢆ┠ⓗ࡜ࡋ࡚ࠊDMAT άື≧ἣࠊᗈᇦ་⒪i) ⑓㝔ࡢ⿕⅏≧ἣⓎಙ㸦⥭ᛴ᝟ሗ㸦ᅗ㸯㸧ࠊ

ᦙ㏦≧ἣࡢ᝟ሗࢆ EMIS ୖ࡟㏣ຍࡍࡿ㸦ᅗヲ⣽᝟ሗ㸦ᅗ㸰㸧㸧࡜ࣔࢽࢱ࣮࡛ࡢඹ᭷㸦ᅗ12㸧࡞࡝ࡢ EMIS ࣂ࣮ࢪࣙࣥ࢔ࢵࣉࡀᥦゝࠊ㸱㸧ᐇ⌧໬ࡉࢀ㸦ཌ⏕ປാ┬⛉Ꮫᢏ⾡◊✲⤖ᯝii) DMAT άື≧ἣධຊ㸦ᅗ 4㸧࡜ DMATࢆ཯ᫎ㸧ࠊ2011 ᖺࡢᮾ᪥ᮏ኱㟈⅏࡛ࡣ୍ᐃ⟶⌮ᶵ⬟࡟ࡼࡿඹ᭷㸦ฟື࠿ࡽ᧔཰ࡲ࡛㸧ࡢᡂᯝࡀ☜ㄆ࡛ࡁࡓ࡜ࡇࢁ࡛࠶ࡿ㸦ᅗ㸦ᅗ 5㸧

13-15㸧ࠋiii) ᗈᇦ་⒪ᦙ㏦ᝈ⪅⟶⌮ᶵ⬟㸦ᅗ 6㸧 ྠ㟈⅏࡛ࡣࠊ඲ᅜ࠿ࡽ DMAT ࡟ຍ࠼ࠊ᪥

2㸧㏆ࠎ᪂ࡓ࡟㏣ຍᦚ㍕ࡀィ⏬ࡉࢀ࡚࠸ࡿ

ᮏ㉥༑Ꮠ♫ࠊ⅏ᐖᣐⅬ⑓㝔ࠊJMAT ࢆࡣࡌ

EMIS ୖ࡛ඹ᭷ྍ⬟࡞᝟ሗ㡯┠㸦ᅗ 7,8㸧ࡵ࡜ࡍࡿࡉࡲࡊࡲ࡞་⒪ᩆㆤ⌜ࡸᚰࡢࢣ࢔

i) デ⒪ᡤ㸦᭷ᗋ࣭↓ᗋ㸧ࡢ⿕⅏≧ἣࢳ࣮࣒ࡀ㛗ᮇ࡟ࢃࡓࡗ࡚άືࡋࡓࡀࠊࡑࢀ

ii) ᪋タࡢ⿕⅏≧ἣࡽࡢࡉࡲࡊࡲ࡞་⒪࣭ಖ೺ࢳ࣮࣒ࡀ┦஫࡟iii) ࡉࡲࡊࡲ࡞ᩆㆤᡤࡢ≧ἣ㸦⌧ሙࠊ㑊㞴᝟ሗඹ᭷ࡍࡿࢩࢫࢸ࣒ࡣᮍ☜❧࡛࠶ࡾࠊ᫬

ᡤࠊ⑓㝔๓࡞࡝㸧㸦ᅗ 9㸧㛫ⓗ࣭✵㛫ⓗ࡟ࢩ࣮࣒ࣞࢫ࡞άືࡀᅔ㞴࡛iv) ᩆㆤ⌜ࡢάື≧ἣ㸦ᅗ 10,11㸧࠶ࡗࡓࡇ࡜ࡀᣦ᦬ࡉࢀ࡚࠸ࡿࠋࡶࡋࠊࡇࢀv) 㑊㞴ᡤࡢᇶ♏᝟ሗ࡜≧ἣⓎಙࡲ࡛ᛴᛶᮇ࡟㝈ࡽࢀ࡚࠸ࡓ EMIS ࢆ᫬㛫ⓗ3㸧H-Crisis ࡞ࡽࡧ࡟ DMHISS ࡜ EMIS ࡜࡟ᣑᙇࠊࡍ࡞ࢃࡕளᛴᛶᮇࡦ࠸࡚ࡣ៏ᛶᮇ

ࡀ㐃ᦠࡍ࡭ࡁ᝟ሗ࡜ࡋ࡚ࠊୖグ࡟ࣜࢫࢺ࢔

ᑐᛂ࡬࡜⧚ࡂࠊຍ࠼࡚✵㛫ⓗ࡟ࡶᣑ኱ࡍࡿ

ࢵࣉࡉࢀࡓ㡯┠ࡍ࡭࡚ࡀ㔜せ࡛࠶ࡿࡀࠊ≉ࡇ࡜ࡀ࡛ࡁࠊ࠿ࡘࡑࡢ㛫࡛᝟ሗࡢ᭦᪂ࡀᘬ

࡟㑊㞴ᡤ࡟㛵ࡍࡿ᝟ሗඹ᭷ࡣᐇ⌧ྍ⬟࡛࠶ࡁ⥆࠸࡚⾜࠼ࢀࡤࠊ⅏ᐖ᫬ࡢ་⒪࣭ಖ೺ᑐࡾ࠿ࡘ᭱㔜せ࡛࠶ࢁ࠺ࠋ

ᛂࢆࡣࡿ࠿࡟ຠ⋡ⓗ࡟ᒎ㛤࡛ࡁࡓ࡟㐪࠸࡞
࠸ࠋ


−146−

ࡑࡢሙྜࠊࡑࢀࡒࢀࡢ᪤Ꮡࡢ᝟ሗࢩࢫࢸDMAT ࡔࡅ࡛࡞ࡃಖ೺ᖌࡸ⢭⚄⚄⤒⛉་ࢆ࣒㸦ࡇࡇ࡛ࡣ H-Crisis ࡞ࡽࡧ࡟ DMHISSྵࡴࡍ࡭࡚ࡢ⅏ᐖ་⒪ࢳ࣮࣒࡬ࡢ◊ಟࡀ୙

࡜ EMIS㸧ࢆ┦ຍⓗ࡟ྜయࡉࡏࢀࡤⰋ࠸࡜

ྍḞ࡜࡞ࡿࡇ࡜ࢆᣦ᦬ࡋ࡚࠾ࡁࡓ࠸ࠋ

࠸࠺࡯࡝ࠊࡑࢀࡒࢀࡢࢩࢫࢸ࣒ࡀ༢⣧࡞ࢃࡅ࡛ࡣ࡞ࡃࠊࡲࡓࠊ฼⏝⪅ഃࡢΰ஘ࢆ㑊ࡅ

E㸬⤖ㄽࡿࡓࡵ࡟ࡶࠊࡲࡎᡭጞࡵ࡜ࡋ࡚ࠊ࠸ࡎࢀࡢ ௒ᅇࠊ᝟ሗࡢඹ㏻໬࠶ࡿ࠸ࡣ㐃ᦠࠊ࠸ࢃ་⒪ࢳ࣮࣒ࡶ࠿࠿ࢃࡿྍ⬟ᛶࡀ᭱ࡶ㧗࠸ࡤ ┦ ஫ ஌ ධ ࢀ ࡢ ᪉ ྥ ᛶ ࢆ ᥈ ࡿ EMIS ࠊࠕ㑊㞴ᡤࠖࡢ≧ἣඹ᭷ࢆᅗࡿࡇ࡜ࢆ᭱ඃඛ

H-CrisisࠊDMHISS ࡢ㸱ࡘࡢ᝟ሗࢩࢫࢸ࣒

ࡋ࡚ᥦ᱌ࡋࡓ࠸ࠋࡍ࡞ࢃࡕࠊ㑊㞴ᡤࡢ㛤タࡢ࠺ࡕࠊ⅏ᐖⓎ⏕┤ᚋ࠿ࡽ✌ືࡋࠊDMAT≧ἣ࡟ࡘ࠸࡚ࡣ࠶ࡽ࠿ࡌࡵ EMIS ୖ࡟Ⓩ㘓ࢆ୰ᚰ࡜ࡍࡿ་⒪ࢳ࣮࣒࡜⾜ᨻࠊᾘ㜵࡞࡝ࡋ࡚࠾ࡁࠊ 㑊㞴ᡤ࡟ࡶ㛤タࡉࢀࡿ㑊㞴ᡤᩆ࡜ᗈࡃ᝟ሗඹ᭷ࡀྍ⬟࡞ࢩࢫࢸ࣒ࡣ EMIS

ㆤᡤ࡛ࡢデ⒪≧ἣࡸ㑊㞴ᡤ඲యࡢ኱ࡲ࠿࡞

࡛࠶ࡿࡇ࡜࠿ࡽࠊDMAT ࡸ௚ࡢᩆㆤ⌜࡛ࡶ

ಖ೺⾨⏕≧ែࡢ࢔ࢭࢫ࣓ࣥࢺࢆࠊࡑࡇ࡟ὴ

࠶ࡿ⛬ᗘ᝟ሗධຊ࣭Ⓨಙࡀྍ⬟࡞㡯┠ࢆ㐵ࡉࢀࡓ་⒪ࢳ࣮࣒㸦࠾ࡑࡽࡃ᭱ึࡣ

EMIS ୖ࡟ࡶ⤌ࡳධࢀࡿࡇ࡜ࠊ㑊㞴ᡤࡢⓏDMAT ࡸಖ೺ᖌࠊ⥆࠸࡚ᩆㆤࢳ࣮࣒࡞࡝㸧㘓ࡸ㑊㞴ᡤࡢ࢔ࢭࢫ࣓ࣥࢺ᝟ሗࢆ᭱ప㝈ඹ

ࢆⓎಙࡉࡏࠊඹ᭷ࡍࡿ௙⤌ࡳసࡾࡔ㸦ᅗ 16㸧ࠋ᭷ྍ⬟࡞ࡋࡃࡳࢆᑟධࡋࠊDMAT ࡟⥆ࡃᑓ 㑊㞴ᡤࡢ≧ἣ࡜ࡋ࡚ඹ᭷ࡍ࡭ࡁ᝟ሗࡣࠊ

㛛ᐙ་⒪ࢳ࣮࣒ࡢ㏣ຍ࠶ࡿ࠸ࡣ᭦᪂ධຊࢆ

ᒎ㛤ࡍࡿ་⒪࠶ࡿ࠸ࡣಖ೺ࡢどⅬ࡟ࡼࡗ࡚ࠊ

ྍ⬟࡜ࡍࡿ࡞࡝ࡢ EMIS ࡢᶵ⬟ᣑᙇࢆᅗࡿ

ࡲࡓ᫬㛫ⓗࣇ࢙࣮ࢬ࡟ࡼࡗ࡚ᚤጁ࡟␗࡞ࡿࠋ

࡭ࡁ࡛࠶ࡿࠋලయⓗ࡞㡯┠ࡣࠊ௒ᖺᗘࡢ௚

౛࠼ࡤࠊྠࡌᩆㆤᡤ࡛ࡶ⌧ሙᩆㆤᡤ࡞ࡽࡤ

ࡢ㸰ࡘࡢ᝟ሗࢩࢫࢸ࣒ഃ࠿ࡽࡢ᳨ウ⤖ᯝࢆ☜࠿࡟እയᝈ⪅ࢆᑐ㇟࡜ࡋࡓࡶࡢ㸦ᅗ 9㸧┦஫࡟✺ࡁྜࢃࡏࠊ᮶ᖺᗘ࡟᳨ウࡍࡿࠋ࡛ࡼ࠸ࡀࠊ㑊㞴ᡤᩆㆤᡤ࡜࡞ࡿ࡜ࠊࡸࡣࡾ
⑌⑓ࡸឤᰁ⑕ࡢⓎ⏕≧ἣࡦ࠸࡚ࡣ⾨⏕≧ែF㸬೺ᗣ༴㝤᝟ሗ≉࡟࡞ࡋࢆྵࡴ࢔ࢭࢫ࣓ࣥࢺࡀ㔜せ࡜࡞ࡾࠊ඲ᅜಖ
೺ᡤ㛗఍ࡀᥦ♧ࡋࡓ㑊㞴ᡤࢳ࢙ࢵࢡࣜࢫࢺ

G㸬◊✲Ⓨ⾲

㸦⾲ 1㸧ࡶከ࠸࡟ཧ⪃࡜ࡍ࡭ࡁ࡛࠶ࢁ࠺ࠋ

1. ㄽᩥⓎ⾲  ≉࡟࡞ࡋ᭱⤊ⓗ࡟ EMIS ࡢධຊ㡯┠࡟ఱࢆ┒ࡾ㎸ࡳࠊ

2. Ꮫ఍Ⓨ⾲  ≉࡟࡞ࡋఱࢆ┬ࡃ࠿ࡣࠊ௚ࡢศᢸ◊✲ࢆཧ⪃࡜ࡋ࡚᮶ᖺᗘ௨㝆࡟ㄪᩚࢆᅗࡿࠋḧࢆゝ࠼ࡤࠊデH㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣᐹᝈ⪅ࡢデ⒪グ㘓ࡶ᭱ึ࠿ࡽ EMIS ୖ࡛ඹ

1. ≉チྲྀᚓ    ヱᙜ࡞ࡋ᭷࡛ࡁࢀࡤ⌮᝿ⓗ࡛ࡣ࠶ࡿࡀ㸪ಶே᝟ሗ➼2. ᐇ⏝᪂᱌Ⓩ㘓  ヱᙜ࡞ࡋ࡬ࡢ㓄៖ࡶᚲせ࡛࠶ࡿࡢ࡛ࠊៅ㔜࡟㐍ࡵࡿ

3. ࡑࡢ௚     ヱᙜ࡞ࡋ࡭ࡁ࡛࠶ࢁ࠺ࠋ  ᭱ᚋ࡟ࠊ௒ᅇᥦ᱌ࡋࡓ EMIS ᶵ⬟㏣ຍࡀᐇ⌧ࡍࢀࡤࠊᚲ↛ⓗ࡟ EMIS ࡣ⫧኱໬ࡍࡿࡇ࡜࡟࡞ࡾࠊࡑࡢຠᯝⓗ㐠⏝ࡢࡓࡵ࡟ࡣࠊ

−147−

⥭ᛴ᫬ධຊ䠄Ⓨ⅏┤ᚋ᝟ሗ䠅Ⓨ⅏┤ᚋ䛾་⒪ᶵ㛵᝟ሗ䠄་⒪ᶵ㛵䛸䛧䛶ᶵ⬟䛧䛶䛔䜛䛛䚸ᝈ⪅䛾ཷ䛡ධ䜜䛜ྍ⬟䛛䠅䛾ධຊ䜢⾜䛖䚹䐟ᘓ≀䞉་⒪᪋タ䛾ಽቯ (Damages of thebuilding)
་⒪ᶵ㛵䛾ಽቯཪ䛿䚸ಽቯ䛾ᜍ䜜䛜䛒䜛䛣䛸䛷ᝈ⪅䛾ཷ䛡ධ䜜䛜ᅔ㞴䛺ሙྜ䛻䝏䜵䝑䜽䜢⾜䛖䚹䐠ཷධேᩘ䛾㝈⏺ (Excess Capacity)䜻䝱䝟䝅䝔䜱䛾䜸䞊䝞䞊䛻䜘䛳䛶䛣䜜௨ୖᝈ⪅䛾ཷ䛡ධ䜜䛜ᅔ㞴䛺ሙྜ䛻䝏䜵䝑䜽䜢⾜䛖䚹䐡䝷䜲䝣䝷䜲䞁䛜౑⏝୙ྍ⬟ (Lifeline Damage)ͤ䝏䜵䝑䜽䛜䠍䛴䜒↓䛔ሙྜ䛂ᝈ⪅䛾ཷ䛡ධ䜜䛜ྍ⬟䛃ͤ䝏䜵䝑䜽䛜䠍䛴௨ୖ䛒䜛ሙྜ䛂ᝈ⪅䛾ཷ䛡ධ䜜䛜ᅔ㞴䛃䝷䜲䝣䝷䜲䞁䠄㟁Ẽ䞉Ỉ䞉་⒪䜺䝇䠅䛜౑⏝୙ྍ⬟䛺Ⅽ䚸་⒪⾜Ⅽ䛜⾜䛘䛺䛔ሙྜ䛻䝏䜵䝑䜽䜢⾜䛖䚹䐢䛭䛾௚ (Others)(O h )
䐟䡚䐡௨እ䛾⌮⏤䛷ᝈ⪅䛾ཷ䛡ධ䜜䛜ᅔ㞴䛺ሙྜ䛻䝏䜵䝑䜽䜢⾜䛖䚹䝏䜵䝑䜽䜢⾜䛖䛸䛭䛾௚ḍ䛻䝣䝸䞊䛷⌮⏤䛾ධຊ䛜⾜䛘䜛䚹䝏䜵䝑䜽䛜↓䛔ሙྜ⥭ᛴ஦ែ䛸䛺䛳䛶䛔䜛≧ἣ䜢㏻ሗ䛷䛝䜛㻍䐟䡚䐢㡯┠䛷䝏䜵䝑䜽䛜↓䛔་⒪ᶵ㛵䛿ᝈ⪅䛾ཷ䛡ධ䜜䛜ྍ⬟䛺་⒪ᶵ㛵䛸䛺䜛䚹ᅗ䠍㻚 ⥭ᛴ᫬ධຊ᝟ሗ㡯┠ヲ⣽ධຊ䠄་⒪ᶵ㛵᝟ሗ䠅་⒪ᶵ㛵䛾᝟ሗ䛜䛒䜛⛬ᗘᢕᥱ䛷䛝䛯㡭䛻ධຊ䜢⾜䛖䚹
་⒪ᶵ㛵䛾≧ἣ䚸⅏ᐖ་⒪䛾ᐇ⦼䜢ධຊ䛩䜛䚹䐟་⒪ᶵ㛵䛾ᶵ⬟(Medical Functions)་⒪ᶵ㛵䛷ཷ䛡ධ䜜䛜ᅔ㞴䛺ᝈ⪅䛾⑕≧䛜䛒䜛ሙྜ䛻ධຊ䛩䜛䚹
䐠ཷ䛡ධ䜜䛶䛔䜛ᝈ⪅ᩘ(Number of Patients)⌧ᅾཷධ䜜䛶䛔䜛㔜⑕䞉୰➼⑕ᝈ⪅ᩘ䜢ධຊ䛩䜛䚹䠄⣼ィ䛷䛿䛺䛔䠅
䐡ᝈ⪅㌿㏦᝟ሗ(Tranport required)㌿㏦䛜ᚲせ䛺ᝈ⪅ᩘ䜢ධຊ䛩䜛䚹䜎䛯䚸䛭䛾୰䛷ᗈ
ᇦᦙ㏦䛜ᚲせ䛺ᝈ⪅ᩘ䜢ධຊ䛩䜛䚹䐢䝷䜲䝣䝷䜲䞁≧ἣ (Lifeline Damage)⌧ᅾ䛾䝷䜲䝣䝷䜲䞁䛾≧ἣ䜢ಶู䛻ධຊ䛩䜛䚹䐣䛭䛾௚⥭ᛴ஦ែ䛸䛺䛳䛶䛔䜛≧ἣ䜢㏲ḟ㏻ሗ䛷䛝䜛㻍ᅗ㻞㻚 ヲ⣽᝟ሗධຊ㡯┠−148−

䛭䛾௚䚸䐟䡚䐢௨እ䛾≉グ䛩䜛஦㡯䠄་⸆ရ䛾୙䛭䛾௚䐟 䐢௨እ䛾≉グ䛩䜛஦㡯䠄་⸆ရ䛾୙㊊䚸⮬་⒪ᶵ㛵࿘㎶䛾䜰䜽䝉䝇≧ἣ➼䠅䜢䝣䝸䞊ධຊ䛩䜛䚹ᅗ㻟㻚㻌⅏ᐖ་⒪᝟ሗ䛾་⒪ᶵ㛵≧ἣ䝰䝙䝍䞊䕺ᴫせDMAT䝏 䝮䠄ᣦᐃ་⒪ᶵ㛵䠅䛜
DMAT䝏䞊䝮䠄ᣦᐃ་⒪ᶵ㛵䠅䛜άື≧ἣ䛾ධຊ䜢⾜䛖䚹䕺฼⏝⪅䠄ධຊ⪅䠅
DMAT䝏䞊䝮䠄ᣦᐃ་⒪ᶵ㛵䠅Web∧ ධຊ⏬㠃4

ᅗ4. DMATάື≧ἣධຊ−149−

Ṳᵢᵫᵟᵲάື≧ἣ᝟ሗ䛸୺䛺ᶵ⬟
⅏ᐖⓎ⏕

只ཌ
叏⏕
ὴປ
㐵ാ
せ┬
ㄳ呍
㒔
㐨
ᗓ
┴
➼
厭

DMATάື䛻䛚䛡䜛䝇䝔䞊䝍䝇
ฟ
ື
᫬

⌧
ሙ
฿
╔
᫬

⛣
ື
᫬

咕
咞
咒
咥
ά
ື
⤊
஢

᧔
཰
᫬

ά
ື
᫬

䠘⅏ᐖ᫬䠚
䖃᝟ሗ཰㞟䠖ὴ㐵せㄳ䜢ཷ䛡䛯DMAT䝏䞊䝮䛾ືែ≧ἣ䜢཰㞟䠄άື≧ἣධຊᶵ⬟䠅䖃≧ἣᢕᥱ䠖཰㞟䛧䛯᝟ሗ䛛䜙άືෆᐜ䚸ሙᡤ➼䛾≧ἣ䜢ᢕᥱ䠄άື≧ἣ⾲♧䞉㞟ィᶵ⬟䠅䖃᝟ሗඹ᭷䠖⿕⅏ᆅ䛚䜘䜃ὴ㐵ඛ DMATὴ㐵ඖ་⒪ᶵ㛵䛺䛹 㛵ಀ⪅ෆ䛷┦஫䛻᝟ሗ䜢ඹ᭷䖃᝟ሗඹ᭷䠖⿕⅏ᆅ䛚䜘䜃ὴ㐵ඛ䚸DMATὴ㐵ඖ་⒪ᶵ㛵䛺䛹䚸㛵ಀ⪅ෆ䛷┦஫䛻᝟ሗ䜢ඹ᭷䠄⥭ᛴ᝟ሗ⾲♧䚸ᥖ♧ᯈᶵ⬟䠅䠘ᖹ᫬䠚
䖃DMAT㝲ဨ᝟ሗ⟶⌮䠖DMAT㈨᱁䜢᭷䛧䛯㝲ဨ᝟ሗ䛾⟶⌮䜢ᐇ᪋䖃◊ಟ⟶⌮䠖DMAT㝲ဨ㣴ᡂ◊ಟ䛻䛚䛡䜛カ⦎ᶵ⬟䜔◊ಟཷㅮ⏦㎸➼䛾⟶⌮䜢⟶⌮ᅗ㻡㻚㻌䠠䠩䠝䠰⟶⌮ᶵ⬟ ᴫせᗈᇦ་⒪ᦙ䛻䛚䛡䜛ᝈ⪅ᦙ㏦䜲䝯䞊䝆ᝈ⪅⅏ᐖᣐⅬ⑓㝔 ᝈ⪅⅏ᐖᣐⅬ⑓㝔

⿕⅏ᆅእᦙ㏦ᣐⅬ䠄⿕⅏ᆅእSCU䠅ᝈ⪅⿕⅏ᆅෆᦙ㏦ᣐⅬ䠄⿕⅏ᆅෆSCU䠅⅏ᐖᣐⅬ⑓㝔

ᝈ⪅ᝈ⪅⅏ᐖᣐⅬ⑓㝔
ᝈ⪅

䛭䛾௚
⿕⅏ᆅෆ

⿕⅏ᆅእᦙ㏦ᣐⅬ䠄⿕⅏ᆅእSCU䠅ᝈ⪅ᝈ⪅⅏ᐖᣐⅬ⑓㝔

⅏ᐖᣐⅬ⑓㝔䛻䛚䛡䜛ᗈᇦ་⒪ᦙ㏦ᝈ⪅䛾᝟ሗධຊᶵ⬟䞉ᵱᵡᵳ䛻䛚䛡䜛ᝈ⪅᝟ሗ䛾⿵᏶䚸᭦᪂䞉ᵱᵡᵳ䛻䛚䛡䜛ᦚ஌ᝈ⪅䛾㑅ᐃ䚸୍ぴసᡂᶵ⬟䞉⯟✵ᶵ䛾᝟ሗ䛾⟶⌮ᶵ⬟⿕⅏ᆅእ䛻䛚䛡䜛ᝈ⪅᝟ሗ䛾᭦᪂ᶵ⬟ᗈᇦ་⒪ᦙ㏦ᝈ⪅䛾㏣㊧䞉⟶⌮䚸ᦙ㏦ඛ䛾⿕⅏ᆅእ་⒪ᶵ㛵䛸䛾᝟ሗඹ᭷䜢ᐇ᪋

ᅗ6. ᗈᇦ་⒪ᦙ㏦ᝈ⪅⟶⌮ᶵ⬟ ᴫせ

−150−

⫼ᬒ

㏣ຍ䚸ኚ᭦䛩䜛䝕䞊䝍✀ู䠄᱌䠅ά⏝᪉ἲ䠄᱌䠅䞉⅏ᐖ᫬䛻᥼ㆤ䛜ᚲせ䛸䛺䜛ᙅ⪅䛜ከ䛟ᒃ䜛᪋タ䛾ሙᡤ䚸≧ἣ䛜୙᫂᪋タ᝟ሗ䠄⅏ᐖᙅ⪅᪋タ䛾఩⨨䚸≧ἣධຊ䛆䠠䠩䠝ᵲ௦⾜䛇䠅䞉௓ㆤಖ㝤᪋タ➼䛾⅏ᐖᙅ⪅䛾ᒃ䜛᪋タ䛾ሙᡤ䜢ᆅᅗୖ䛻⾲♧䚹ే䛫䛶䚸ᙜヱ᪋タ䛾≧ἣ䜢䠠䠩䠝䠰䛻௦⾜ධຊ䛥䛫䜛䞉ᨭ᥼䛜≉ᐃ䛾ᆅᇦ䛻㞟ᨭ᥼䛜≉ᐃ䛾ᆅᇦ䛻㞟୰䛩䜛䛣䛸䛜䛒䜛

ᨭ᥼≧ἣ᝟ሗ

䞉་⒪ᶵ㛵䜔᪋タ䛻ᑐ䛩䜛ᵢᵫᵟᵲ➼䛾ᨭ᥼≧ἣ䜢⾲♧䛩䜛䞉㒔㐨ᗓ┴ᢸᙜ⪅䛜䚸⅏
ᐖⓎ⏕᫬䛻デ⒪ᡤ䛾≧ἣᢕᥱ䛩䜛䛣䛸䛜ᅔ㞴⅏ᐖ᫬デ⒪ᡤ᝟ሗ

䞉⿕⅏ᆅᇦ䛾デ⒪ᡤ䛾デ⒪≧ἣ䜢⟶⌮䛩䜛䠄୺䛸䛧䛶་ᖌ఍䚸⾜ᨻ➼䛻䜘䜛௦⾜ධຊ䜢᝿ᐃ䠅

ᅗᵕᵌᴾ䠡䠩䠥䠯䛷ྲྀ䜚ᢅ䛖᝟ሗ䛾ぢ┤䛧䞉㏣ຍѸ䠍⫼ᬒ

㏣ຍ䚸ኚ᭦䛩䜛䝕䞊䝍✀ู䠄᱌䠅ά⏝᪉ἲ䠄᱌䠅

䞉Ⓨ⅏⌧ሙ䛾఩⨨䚸ヲ⣽≧ἣ䛾☜ㄆᡭẁ䛜↓䛔䘢䀥ℭ⭡娛䳘ね⟙炷䀥⭛䧖⇍ˣ䘢䀥㖍
㗪ˣ䘢䀥䉞㱩ˣ⅁䛇ね⟙炸䞉⌧ሙ䛻฿╔䛧䛯㛵ಀ⪅䠄ᵢᵫᵟᵲ䚸ᾘ㜵㛵ಀ⪅䚸⮬἞య⫋ဨ➼䠅䛜䚸⌧ሙ≧ἣ䜢ධຊ䛧䚸㛵ಀ⪅䛷ඹ᭷䞉᭱ึ䛻ᕠᅇ䛩䜛䠠䠩䠝ᵲ䛜䚸㑊㞴ᡤ➼䛾≧ἣ䜢⟶⌮䚸ఏ㐩䛩䜛⾡䛜↓䛔㑊㞴ᡤ䚸ᩆㆤᡤ䚸ᩆຓ⌧ሙ᝟ሗ䞉㑊㞴ᡤᕠᅇ䜢䛩䜛ᵢᵫᵟᵲ䛛䜙䚸㑊㞴ᡤ䚸ᩆㆤᡤ➼䛾཰ᐜ≧ἣ䜢཰㞟䛧䚸௨㝆䛾ᩆㆤ⌜άື䛻ά⏝䚹䞉ᩆㆤ⌜䛾ὴ㐵≧ἣ䛜
ศ䜙䛺䛔
ศ
䛺

ᩆㆤ⌜

䞉⌧ᆅ䛻ὴ㐵䛥䜜䜛ᩆㆤ⌜䛾䝯䞁䝞䞊䛸άື≧ἣ䜢⟶⌮䛩䜛άື≧ἣ䜢⟶ 䛩ᅗᵖᵌᴾ䠡䠩䠥䠯䛷ྲྀ䜚ᢅ䛖᝟ሗ䛾ぢ┤䛧䞉㏣ຍѸᵐ−151−

ᅗ9. ⌧ሙᩆㆤᡤ≧ἣ䛾Ⓨಙ䛾᪂つᑟධ䠄᱌䠅ĸᩆㆤ⌜Ⓩ㘓Ļ ᩆㆤ⌜άື≧ἣධຊ

ᅗ10. ᩆㆤ⌜䛾Ⓩ㘓䛸άື≧ἣධຊ㏣ຍ䠄᱌䠅

−152−

9

10

ᅗ11. DMAT/ᩆㆤ⌜άື≧ἣ䝰䝙䝍䞊䠄᱌䠅11䜜
⅏ᐖⓎ⏕᫬䚸ᵝ䚻䛺㛵ಀ⪅䛜䠡䠩䠥䠯䛻⅏ᐖ་⒪άື䛻ᚲせ䛺᝟ሗ䜢ධຊ䛧䚸ඹ᭷䛧䜎䛩䚹䠠䠩䠝䠰άື䛾ὶ䜜
⅏ᐖ
Ⓨ⏕

咕
咞
咒
咥

⮬
἞
య
咁
⑓⅏་
㝔ᐖ⒪
➼ᣐᶵ
咂Ⅼ㛵

ᣐⅬཧ㞟

⌧ᆅάື

᧔཰

⅏ᐖ䛾≧ἣ䛻ᛂ䛨䛶䚸䠠䠩ᵟᵲ䛻ᚅᶵ䚸ὴ㐵せㄳ䛜⾜䜟䜜䜛䛜⾜䜟䜜䜛䚹

ὴ㐵ྍ⬟䛺䠠䠩䠝䠰䛿ᣦᐃ䛥䜜䛯ཧ㞟ᣐⅬ䛻ྥ䛡䛶⛣ື䛩䜛䛶⛣ື䛩䜛䚹

⌧ᆅ䛾⤫ᣓᵢᵫᵟᵲ䛾ᣦ♧䛻ᚑ䛔䚸⅏ᐖ་⒪άື䜢
ᐇ᪋䛩䜛
ᐇ᪋䛩䜛䚹

୰㛗ᮇ䛾་⒪ᨭ᥼䜢⾜䛖㒊㝲䛻ᘬ䛝⥅䛞䜢⾜䛔䚸
᧔཰䛩䜛

䐠ᚅᶵ
せㄳ
䠄୍ᩧ
㏻ሗ䠅

஦咕
ົ咞
咒
ᒁ咥
⅏
ᐖ
᫬
་
⒪
㛵
ಀ
⪅

ᚅᶵ䞉ὴ㐵せㄳ

䐡䠠䠩
䠝䠰䝏䞊
䠝䠰䝏
䝮Ⓩ㘓

䐢ὴ㐵
せㄳ
䠄୍ᩧ
㏻ሗ䠅
䐣άື≧ἣධຊ
䐣 䠍
䐣䠉䠍
ᚅᶵ䞉ὴ
㐵せㄳ᫬

䐣
䐣䠉䠎
⛣ື᫬

䐣 䠏
䐣䠉䠏
ᣐⅬ
฿╔᫬

䐣䠉䠐
䐣
䠐
άືሙᡤ
⛣ື᫬

䐣
䐣䠉䠑
άື᫬

䐟⅏ᐖ
䝰䞊䝗
ษ᭰

䐤་⒪ᶵ㛵᝟ሗධຊ
䠄⥭ᛴ᫬᝟ሗ䚸ヲ⣽᝟ሗᅗ㻝㻞㻚㻌་⒪ᶵ㛵≧ἣ䝰䝙䝍䞊䠄ᮾ᪥ᮏ኱㟈⅏䚸㻞㻜㻝㻝㻚㻟㻚㻝㻞 㻭㻹㻡㻦㻜㻞 ᒾᡭ┴䠅

−153−

䐣
䐣䠉䠒
᧔཰᫬

ᅗ㻝㻟㻚㻌་⒪ᶵ㛵≧ἣ䝰䝙䝍䞊䠄ᮾ᪥ᮏ኱㟈⅏䚸㻞㻜㻝㻝㻚㻟㻚㻝㻞 㻭㻹㻡㻦㻜㻞 ᒾᡭ┴䠅

ᅗ14. DMATάື≧ἣ䝰䝙䝍䞊䠄ᮾ᪥ᮏ኱㟈⅏䚸2011.3.12 AM1:52 ⌧ᅾ䠅

−154−ᗈᇦᦙ㏦㐺ᛂᇶ‽䠝䠖䠓ྡ䠄㻡㻑䠅㻘㻌䠞㻦㻢㻝ྡ㻔㻠㻟㻚㻢㻑㻕

ᅗ15. EMIS䛾ᗈᇦ་⒪ᦙ㏦ᝈ⪅᝟ሗ⟶⌮䝅䝇䝔䝮䛾ά⏝䠄ᮾ᪥ᮏ኱㟈⅏䠅

⾲䠍. 㑊㞴ᡤ䛾⥭ᛴධຊ㡯┠䛾౛䠄඲ᅜಖ೺ᖌ㛗఍䛜ᥦ♧䛧䛯㑊㞴ᡤ䝏䜵䝑䜽䝸䝇䝖䛛䜙ᢤ⢋䠅•㑊㞴ᡤ䛾ᴫἣ– 㑊㞴ᡤྡ䚸ᡤᅾᆅ㑊㞴ᡤྡ䚸ᡤᅾ– 㑊㞴⪅ᩘ
– 䝇䝨䞊䝇ᐦᗘ– ⤌⧊䜔άື– ⟶⌮⤫ᣓ䞉௦⾲⪅᝟ሗ– ་⒪䛾ᥦ౪≧ἣ䠖ᩆㆤᡤ䚸ᕠᅇデ⒪䚸ᆅᇦ䛾་ᖌ䛸䛾㐃ᦠ䚸ಖ೺ኈ䛾άື

•

⎔ቃⓗഃ㠃
– 䝷䜲䝣䝷䜲䞁䠖㟁Ẽ䚸䜺䝇䚸Ỉ㐨䚸㟁ヰ– タഛ≧ἣ䛸⾨⏕㠃䠖෭ᬮᡣ䚸↷᫂䚸ㄪ⌮タഛ䚸䝖䜲䝺– ⏕ά⎔ቃ䛾⾨⏕㠃䠖ᒇෆᅵ㊊⚗Ṇ䚸ᐷල䚸䝨䝑䝖ᑐ⟇

•

㣗஦䛾౪⤥
– 㣗஦㓄⤥䚸㣧ᩱỈ•㓄៖䜢せ䛩䜛ே– 㧗㱋⪅䚸ዷ፬䚸⏘፬䚸ஙඣ䚸ᗂඣ䞉ඣ❺– 㞀ᐖ⪅䚸㞴⑓ᝈ⪅䚸ᅾᏯ㓟⣲⒪㣴⪅䚸ேཱྀ㏱ᯒ⪅䚸䜰䝺䝹䜼䞊⑕ᝈඣ䞉⪅

•

㜵␿ⓗഃ㠃
– ⫶⭠⅖ᵝ⑕≧䠄ୗ⑩䚸჎ྤ䛺䛹䠅䚸㢼㑧ᵝ⑕≧䠄တ䞉Ⓨ⇕䛺䛹䠅䚸䛭䛾௚䠄㯞⑈䛺䛹䠅

−155−

㑊㞴ᡤ
᝟ሗ
ᩆㆤ⌜
᝟ሗ
DMAT
᝟ሗ

⑓㝔
᝟ሗ

デ⒪ᡤ
᝟ሗ

EMIS

ᩆㆤᡤ
᝟ሗ

DPAT᝟
ሗ

䠠䠩䠤䠥䠯䠯

ᦙ㏦ᝈ
⪅᝟ሗ

デᐹᝈ
⪅᝟ሗ
ᨭ᥼
᝟ሗ

㑊㞴ᡤ
᝟ሗ
ᩆㆤ⌜
᝟ሗ

㑊㞴ᡤ
᝟ሗ

䛭䛾௚
㜵⅏᝟ሗ
䛺䛹

H-Crisis

ಖ೺ᖌ
᝟ሗ

㑊㞴ᡤ
᝟ሗ
㐨㊰
᝟ሗ
⿕ᐖ
᝟ሗ

ඹ㏻䛾䝕䞊䝍䞊ᙧᘧ䠄᫬✵㛫GIS᝟ሗ䠅

ᅗ16.EMIS䜢ྵ䜐⅏ᐖ᫬་⒪᝟ሗ䝅䝇䝔䝮䛾㐃ᦠ䜲䝯䞊䝆

−156−

㻌

ศᢸ◊✲ሗ࿌
㻌
㻌
㻌
㻌
㻌

㻌

䛂⅏ᐖ་⒪䝁䞊䝕䜱䝛䞊䝍䞊䛻㛵䛩䜛◊✲䛃㻌㻌◊✲ศᢸ⪅㻌 ᑠ᪩ᕝ㻌 ⩏㈗㻌
䠄ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ⮫ᗋ᳨ᰝ⛉㻌 ་ᖌ䠅㻌㻌㻌ᖹᡂ 㻞㻡 ᖺᗘཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠䠄೺ᗣᏳ඲䞉༴ᶵ⟶⌮ᑐ⟇⥲ྜ◊✲஦ᴗ䠅㻌䛂೺ᗣ༴ᶵ⟶⌮䞉䝔䝻䝸䝈䝮ᑐ⟇䛻㈨䛩䜛᝟ሗඹ᭷ᇶ┙䛾ᩚഛ䛻㛵䛩䜛◊✲䛃㻌㻌 ◊✲⪅௦⾲㻌 ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌 ㏆⸨ஂ⚞㻌㻌䛂⅏ᐖ་⒪䝁䞊䝕䜱䝛䞊䝍䞊䛃㻌◊✲ศᢸ⪅㻌 ᑠ᪩ᕝ⩏㈗㻌
ᅜ❧⑓㝔ᶵᵓ⅏ᐖ་⒪䝉䞁䝍䞊㻌◊✲せ᪨⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡟ᚲせ࡞㡯┠ࢆᩚ⌮ࡋࠊࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛࡢ୍౛ࢆ♧ࡋࡓࠋ㹂㹋㸿㹒ࠊ㹈㹋㸿㹒࡞࡝ࡢ་⒪ᩆㆤ⌜ࠊಖ೺ᡤࡣࡑࢀࡒࢀ⤌⧊࣭ᶵ㛵ࡢ≉ᛶࡀ࠶ࡿࡀࠊ
ᑓ㛛ᛶ࡟ࡼࡽࡎ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺᶵ⬟ࢆ⥔ᣢࡍࡿࡓࡵࡢ PLQLPXPUHTXLUHPHQW
ࡀࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛ࡜࡞ࡿ࡭ࡁࡶࡢ࡛࠶ࡿࠋ
㸿㸬◊✲┠ⓗ ᡂ㸰㸳ᖺᗘ೺ᗣ༴ᶵ⟶⌮◊ಟ㧗ᗘᢏ⾡⦅࢝ ᮾ᪥ᮏ኱㟈⅏௨๓ࡲࡓࡣࡑࢀ௨㝆࡟⾜࣒ࣜ࢟ࣗࣛタィࠖࡢ୍㒊ࢆ⾜࡞ࡗࡓࠋࡇࡢ

ࢃࢀ࡚࠸ࡿ⅏ᐖ་⒪㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮

◊ಟࡢᑐ㇟ࡣಖ೺ᡤ㛗➼࡛࠶ࡾࠊᴫࡡᆅᇦ

ࢺ࡟ಀࢃࡿ◊ಟ࣭ᩍ⫱ࡢ᝟ሗࢆ཰㞟ࡋࠊࡢ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡜ࡋ࡚άື࡛

⅏ᐖ་⒪㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢලయⓗࡁࡿࡇ࡜ࡀồࡵࡽࢀࡓࠋ

࡞ࣔࢹ࣭ࣝᡭἲࢆ㛤Ⓨࡍࡿࡇ࡜࡛⅏ᐖ་ ୍⯡┠ᶆ㸦*,2㸧࡜ࡋ࡚ࠕ⅏ᐖⓎ⏕᫬࡟⿕⒪㛵ಀࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡢ◊ಟ࢝ࣜ࢟ࣗ

⅏ᆅࡢ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡜ࡋ࡚㜵࣒ࣛࢆ㛤Ⓨࡍࡿࠋ

ࡂ࠼ࡿ⏕άᶵ⬟పୗࡸ⅏ᐖṚࢆᢚไࡍࡿࡓ

ࡵ࡟ࠊ㛵ಀᶵ㛵ࡸ⤌⧊࡜ࡢ㐃ᦠࡢ୰࡛ࠊ⅏㹀㸬◊✲᪉ἲ

ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡟ᚲせ࡞ࢫ࢟ࣝࢆ ࡍ࡛࡟⾜࡞ࢃࢀࡓ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮

㐺ษ࡟౑࠸࡞ࡀࡽࠊ෇⁥࡟ᮏ㒊㐠Ⴀࢆ⾜࠸ࠊࢱ࣮࡟㛵ࡍࡿㄪᰝ➼ࢆཧ↷ࡋࠊᐇ㝿ࡢ⅏ᐖ⿕⅏ᆅ࡟ᚲせ࡞⅏ᐖᨭ᥼άືࢆᐇ᪋ࡍࡿࠋ
ࠖ

་⒪ᑐᛂࡢ⤒㦂࠿ࡽ࣒࢝ࣜ࢟ࣗࣛࢆ㛤Ⓨࡍ࡜ࡋࡓࠋࡲࡓ⾜ື┠ᶆ 6%2V ࡣ௨ୗ࡜ࡋࡓࠋ

ࡿࠋ•⩏ࢆ㏙࡭ࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

㹁㸬◊✲⤖ᯝ Ụᕝࡽ࡟ࡼࡿㄪᰝ

⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࡢᙺ๭࡜ព

•㸯㸧࡭ࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

࡛ࡣ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡟ㄢࡏࡽࢀࡓᙺ๭࡜ࡋ࡚ࠊᅗ㸯•⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺ࡟ᚲせ࡞཰㞟ࡍ࡭ࡁ᝟ሗࢆิᣲࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

ࡢࡼ࠺࡞ෆᐜࢆ♧ࡋ࡚࠸ࡿࠋࡲࡓᆅᇦ⅏ᐖ
་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮࡜ࡋ࡚▼ᕳᆅᇦ࡛ࡢ

ᆅᇦ⅏ᐖ་⒪ᑐ⟇఍㆟ࡢ఩⨨࡙ࡅࢆ㏙•

ᚲせ࡞᝟ሗࢆ཰㞟ࡍࡿࡓࡵࡢ࢔ࢡࢭࢫ
ඛࡸ࢔ࢡࢭࢫ᪉ἲࢆิᣲ࡛ࡁࡿࠋ

⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺ࡛ࡶྠᵝࡢࢽ࣮ࢬࡀ࠶ࡗࡓ㸰㸧ࠋ•ᮏ㒊ࡢ❧ࡕୖࡆࢆ⾜࡞࠺ࡇ࡜ࡀ࡛ࡁࡿࠋ ᡃࠎࡣ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮⫱ᡂࡢ•ᮏ㒊ෆ࡛෇⁥࡞ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࢆ

ࡓࡵࠊᅜ❧ಖ೺་⒪⛉Ꮫ㝔ࡀ୺ദࡍࡿࠕᖹ

−159−

ᐇ᪋ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

ୖ఩ᮏ㒊ࡸ㛵ಀᶵ㛵࡜ࡢࢥ࣑ࣗࢽࢣ࣮

ࡋࡓࡶࡢࡣ୺࡜ࡋ࡚ᆅᇦࣞ࣋ࣝࡢࡶࡢ࡛࠶

ࢩࣙࣥࢆ㐺ษ࡟⾜࡞࠺ࡇ࡜ࡀ࡛ࡁࡿࠋ

ࡿࠋࡓࡔࡋ㒔㐨ᗓ┴ࣞ࣋ࣝࡢࢥ࣮ࢹ࢕ࢿ࣮

•㏻ಙᡭẁࢆ☜ಖࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

ࢺࢆ⾜࡞࠺ୖ࡛ࡶᆅᇦࢥ࣮ࢹ࢕ࢿ࣮ࢩࣙࣥ

•⅏ᐖ᫬࡟࠾ࡅࡿ (0,6 ࡢᙺ๭ࢆ㏙࡭ࡿࡇ

ࢆᐇ᪋࡛ࡁࡿࡇ࡜ࡣ༑ศ᮲௳࡛࠶ࡾࠊྠᵝ࡜ࡀ࡛ࡁࡿࠋ

ࡢ㡯┠ࡣ㒔㐨ᗓ┴ࣞ࣋ࣝࡢᩍ⫱ෆᐜ࡜ࡋ࡚

•(0,6 ࢆ㐺ษ࡟౑⏝ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋࡶᚲせ࡜ᛮࢃࢀࡿࠋ

•཰㞟ࡋࡓ᝟ሗ࠿ࡽᚲせ࡞௓ධ᪉ἲ࣭ᡭẁ 㒔㐨ᗓ┴ࣞ࣋ࣝࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺࡣᆅᇦ

ࢆ᝿㉳ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

ࡢࢥ࣮ࢹ࢕ࢿ࣮ࢺ࡜ẚࡋ࡚ᆅᇦ≉ᛶࡢ୚࠼࣑࣮ࢸ࢕ࣥࢢ࡟࠾࠸࡚ከᶵ㛵ࡢពぢࢆࡿᙳ㡪ࡀᑠࡉࡃ࡞ࡾࠊࡼࡾ㛵ಀ⤌⧊࣭㒊㛛ࡲ࡜ࡵࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

࡜ࡢㄪᩚ࣭㐃ᦠࡀከࡃ࡞ࡿࡇ࡜ࡀண᝿ࡉࢀ

఍㆟࡟ᒓࡍࡿ㝲ဨࡸせဨࡢᏳ඲࡟㓄៖ࡿࡓࡵࠊࡼࡾ῝࠸㛵ಀ⤌⧊࣭㒊㛛ࡢ▱㆑ࡸࡍࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

㐃ᦠ₇⩦ࡀồࡵࡽࢀࡿࠋ

ࢳ࣮࣒ෆ࡟㐺ษ࡞᝟ሗᥦ౪ࢆ⾜࡞࠺ࡇ ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮◊ಟ࡟ࡘ࠸࡚

࡜ࡀ࡛ࡁࡿࠋ

ࡣࠊᮾ᪥ᮏ኱㟈⅏ࡢ㝿࡟▼ᕳ࡛⾜࡞ࢃࢀࡓ་⒪⌜ࢆ㐺ษ࡟ᆅᇦ࡟㓄⨨ࡍࡿࡇ࡜ࡀ

⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺࢆᇶᮏ࡟ࡋ࡚ࠊ㹌࡛ࡁࡿࠋ㹎㹍ἲே⅏ᐖ་⒪㸿㹁㹒◊✲ᡤࡀᖹᡂ㸰㸲ࡇࢀࡲ࡛ࡢ⅏ᐖ࡟࠾࠸࡚㑊㞴ᡤ࡛ၥ㢟ᖺᗘᮎ࠿ࡽᐇ᪋ࡋ࡚࠸ࡿࠋᖹᡂ㸰㸲ᖺᗘࡣ࡜࡞ࡗࡓ஦㡯ࢆิᣲ࡛ࡁࡿࠋ

▼ᕳ㉥༑Ꮠ⑓㝔࡟࠾࠸࡚ࠊࡲࡓᖹᡂ㸰㸳ᖺ㟈⅏㛵㐃Ṛ࡟ࡘ࠸࡚㏙࡭ࡿࡇ࡜ࡀ࡛ࡁ

ᗘࡣ㒔㐨ᗓ┴࠿ࡽጤクࢆㄳࡅ඲ᅜྛᆅ࡟ฟ

ࡿࠋᙇࡋࠊࡑࡢᆅᇦ≉ᛶ࡟ᇶ࡙࠸ࡓ⅏ᐖ་⒪ࢥ

⏕ά୙άⓎ⑓࡟ࡘ࠸࡚㏙࡭ࡿࡇ࡜ࡀ࡛

࣮ࢹ࢕ࢿ࣮ࢺ◊ಟࢆᐇ᪋ࡋ࡚࠸ࡿࠋᮾ᪥ᮏ

ࡁࡿࠋ኱㟈⅏๓࡟ࡶරᗜ┴ࡸ᪂₲┴࡟࠾࠸࡚ࠊ⅏⅏ᐖ᫬⸆๣౪⤥ࡢయไ࡟ࡘ࠸࡚㏙࡭ࡿ

ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ไᗘࡣᏑᅾࡋ࡚࠸

ࡇ࡜ࡀ࡛ࡁࡿࠋ

ࡓࡀࠊ⣔⤫ࡔࡗࡓᩍ⫱࣭◊ಟయไࡣ࡞࠿ࡗ

⅏ᐖ᫬⢭⚄ಖ೺་⒪ࡢయไ࡟ࡘ࠸࡚㏙ࡓࠋ⅏ᐖ་⒪㸿㹁㹒◊✲ᡤࡢ⅏ᐖ་⒪ࢥ࣮

࡭ࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

ࢹ࢕ࢿ࣮ࢺᩍ⫱ࡢྲྀࡾ⤌ࡳࡣࠊ⅏ᐖ་⒪ࢥ

་⒪⌜ࡢ᧔཰࡟ࡘ࠸࡚ᚲせ࡞㡯┠ࢆ㏙࣮ࢹ࢕ࢿ࣮ࢱ࣮ไᗘࡢᬑཬ࡟㝿ࡋ࡚ከ࠸࡟

࡭ࡿࡇ࡜ࡀ࡛ࡁࡿࠋ

ཧ⪃࡜࡞ࡿࡶࡢ࡛࠶ࡿࠋ

•

•
•
•
•
•
•
•
•
•
•


⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࡣ⅏ᐖࡢ᫬ᮇ௨ୖࡢ *,2 ࠾ࡼࡧ 6%2V ⋓ᚓࡢࡓࡵタィࡋࡓ࡟ࡼࡾࠊ୺࡜࡞ࡿㄪᩚෆᐜࡀኚࢃࡗ࡚ࡃࡿࠋ

㡯┠ࢆᅗ㸰࡟♧ࡍࠋ౛࠼ࡤ㉸ᛴᛶᮇ࡟ࡣ⅏ᐖᣐⅬ⑓㝔ࡢᣐⅬ໬ࡸ⑓㝔㑊㞴ࠊᆅᇦ་⒪ᦙ㏦ࡢㄪᩚ➼ࡀ୺࡜㹂㸬⪃ᐹ ࡞ࡾࠊࡇࡢάືࡣ㹂㹋㸿㹒άືࡑࡢࡶࡢ࡛ ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ᩍ⫱࡟ᚲせ࡞࠶ࡿࠋ୍᪉࡛㹈㹋㸿㹒㸦᪥ᮏ་ᖌ఍⅏ᐖ་㡯┠ࢆᩚ⌮ࡋࠊ࣒࢝ࣜ࢟ࣗࣛ౛ࢆᥦ♧ࡋࡓࠋ⒪ࢳ࣮࣒㸧ࡸ᪥㉥ᩆㆤ⌜➼ࡢ་⒪ᩆㆤ⌜ࡣࠊ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮ࡢ㝵ᒙࡣ୺࡟㒔㹂㹋㸿㹒࡜ẚࡋ࡚⿕⅏ᆅ࡟ධࡿࡢࡣⱝᖸ㐜㐨ᗓ┴ࣞ࣋ࣝ࡜஧ḟ་⒪ᅪࡶࡋࡃࡣᕷ⏫ᮧࡃ࡞ࡿࡀࠊ㑊㞴ᡤࡸᩆㆤᡤ࡛ࡢளᛴᛶᮇ௨

ࣞ࣋ࣝ㸦ᆅᇦ㸧࡟ࢃࡅࡽࢀࡿࡀࠊ௒ᅇᥦ♧㝆ࡢ་⒪ࢆᢸ࠺ࡇ࡜࡟࡞ࡿࡔࢁ࠺ࠋ࠸ࡎࢀ

−160−

ࡢ⤌⧊ࡶࠊᚲせࡀ࠶ࢀࡤ⪁ே⚟♴᪋タ➼ࠊࢹ࢕ࢿ࣮ࢱ࣮タ⨨࡟㛵ࢃࡿ㒔㐨ᗓ┴࢔ࣥࢣ⚟♴ศ㔝ࡢ་⒪ᑐᛂࡲ࡛⾜࡞࠺ྍ⬟ᛶࡣ࠶࣮ࢺㄪᰝ⤖ᯝሗ࿌ࠖ㸰㸮㸯㸱ᖺ㸲᭶㸯᪥㸬ࡿࠋࡲࡓಖ೺ᡤࡣ་⒪ࠊಖ೺ࠊ⚟♴ࡢྛศ

KWWSZZZLULGHVLFGPPHGWRKRNXDFM㔝࡟Ώࡾࠊࡼࡾᖹ᫬࡜ྠᵝࠊᆅᇦ࡟᰿ࡊࡋSSGISGI࡚㛗ᮇⓗ࡟ࢥ࣮ࢹ࢕ࢿ࣮ࢺࡍࡿᚲせࡀ࠶ࡿ㸰㸧▼஭ṇ㸬
ࠕᮾ᪥ᮏ኱㟈⅏ ▼ᕳ⅏ᐖ་⒪ࡔࢁ࠺ࠋࡇࡢࡼ࠺࡟ࡑࢀࡒࢀࡢ⤌⧊࣭ᶵ㛵ࡢ඲グ㘓ࠖㅮㄯ♫㸬㸰㸮㸯㸰ᖺ࡟ࡣ⅏ᐖࡢ᫬┦࠾ࡼࡧศ㔝࡟㛵ࡋ࡚≉ᛶࡀ࣭ Ụᕝ᪂୍ࠊబࠎᮌᏹஅࠕ⅏ᐖ་⒪ࢥ࣮ࢹ࠶ࡾ㸦ᅗ㸱㸧
ࠊࡑࡢᑓ㛛ᛶࢆⓎ᥹ࡍࡿ๓ᥦ࡜

࢕ࢿ࣮ࢱ࣮タ⨨࡟㛵ࢃࡿ㒔㐨ᗓ┴࢔ࣥ

ࡋ࡚ࠊඹ㏻ࡢ PLQLPXPUHTXLUHPHQW ࡀࠊ⅏ࢣ࣮ࢺㄪᰝ⤖ᯝሗ࿌ࠖ ᖺ㸲᭶㸯᪥㸬ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺ◊ಟࡢࢥ࢔࣭࢝ࣜ࢟

KWWSZZZLULGHVLFGPPHGWRKRNXD࣒ࣗࣛ࡜ࡋ࡚ồࡵࡽࢀࡿ㒊ศ࡛࠶ࡿࠋࡑࢀ

FMSSGISGIࡺ࠼⅏ᐖࡢࡑࢀࡒࢀࡢ᫬ᮇ࡟ᛂࡌࠊඹ㏻ࡢ࣭ ⅏ᐖ་⒪㸿㹁㹒◊✲ᡤࢥ࣮ࢹ࢕ࢿ࣮ࢺ⬟ຊࢆᇶ♏࡟ࢥ࣮ࢹ࢕ࢿ࣮

KWWSZZZGPDFWMSࢱ࣮ࡢᑓ㛛ᛶࡀ࠸࠿ࡉࢀࡿࡼ࠺ࠊ౛࠼ࡤ㉸ᛴᛶᮇ࡛࠶ࢀࡤ㹂㹋㸿㹒ࡀ୺ࡓࡿࢥ࣮ࢹ࢕

㹄㸬೺ᗣ༴㝤᝟ሗࢿ࣮ࢱ࣮࡜ࡋ࡚άືࡍࡿࡇ࡜ࠊࡲࡓ៏ᛶᮇ ࡞ࡋ࡟࠶ࡗ࡚ࡣಖ೺ᡤ➼ࡀ୺ࡓࡿࢥ࣮ࢹ࢕ࢿ࣮

ࢱ࣮࡟࡞ࡿࡇ࡜࡛෇⁥࡞ࢥ࣮ࢹ࢕ࢿ࣮ࢺᶵ

㹅㸬◊✲Ⓨ⾲࡞ࡋ⬟ࡀⓎ᥹ࡉࢀࡿࡇ࡜࡟࡞ࡿࠋ

ㄽᩥⓎ⾲࡞ࡋ ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢱ࣮◊ಟࡢㄢ㢟࡜Ꮫ఍Ⓨ⾲ ࡞ࡋࡋ࡚ࠊ⅏ᐖᣐⅬ⑓㝔ࡢ㛗ࡸಖ೺ᡤ㛗ࠊ་ᖌ㹆㸬▱ⓗ㈈⏘ᶒࡢฟ㢪࣭Ⓩ㘓≧ἣ఍་ᖌ➼ཷㅮ⏕ࡢᇶ♏ⓗ⬟ຊࡢᕪ␗ࠊ◊ಟ ≉チྲྀᚓ  ࡞ࡋ࡬ࡢᆅᇦ≉ᛶࡢⴠ࡜ࡋ㎸ࡳࠊ◊ಟ᫬㛫ࡢ☜ ᐇ⏝᪂᱌Ⓩ㘓 ࡞ࡋಖࠊᢏ⬟⥔ᣢ➼ࡀ࠶ࡆࡽࢀࡿࠋࡲࡓ⅏ᐖ་ࡑࡢ௚ ࡞ࡋ⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺ࡜࠸࠺ྡ⛠ࡀ౑ࢃࢀ࡚࠸



ࡿࡀࠊ་⒪ࡔࡅ࡛ࡣ࡞ࡃಖ೺ศ㔝࠾ࡼࡧ⚟♴ศ㔝ࡲ࡛⢭㏻ࡍࡿࡇ࡜࡛ࡣࡌࡵ࡚ᆅᇦ඲
యࡢ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺᶵ⬟ࢆⓎ᥹ࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡓࡵࠊಖ೺࣭⚟♴ศ㔝࡜ࡢ㐃ᦠࡶ௒ᚋࡢㄢ㢟࡛࠶ࡿ㸦ᅗ㸳㸧
ࠋ

㹃㸬⤖ㄽ
 ⅏ᐖ་⒪ࢥ࣮ࢹ࢕ࢿ࣮ࢺ࡟ᚲせ࡞㡯┠ࢆᩚ⌮ࡋࠊࢥ࢔࣭࣒࢝ࣜ࢟ࣗࣛෆᐜࢆᥦ♧ࡋࡓࠋཧ⪃ᩥ⊩㸸
㸯㸧Ụᕝ᪂୍ࠊబࠎᮌᏹஅࠕ⅏ᐖ་⒪ࢥ࣮

−161−



ᅗ䠍䠊⅏ᐖ་⒪䝁䞊䝕䜱䝛䞊䝍䞊䛻ㄢ䛫䜙䜜䛯ᙺ๭• ┴ෆ་⒪ᶵ㛵䛾᝟ሗᢕᥱ• ⅏ᐖᑐ⟇ᮏ㒊䜈䛾᝟ሗఏ㐩• ㈨ᩱᦆ⅏ᐖ་⒪䝁䞊䝕䜱䝛䞊䝍䞊䛸䛾㐃ᦠ• ᨭ᥼䛥䜜䛯་⸆ရ䞉་㈨ᶵᮦศ䛾㓄ศ• ་⸆ရ䞉་⒪㈨ᶵᮦ䛾㈓ⶶ᪋タ䛾㐠⏝• ᕷ⏫ᮧ䛾་⒪ᢸᙜ⪅䛸䛾㐃ᦠ• ┳ㆤᖌ䞉⸆๣ᖌ䞉䝻䝆䝇䝔䜱䜽䛺䛹䛸䛾㐃ᦠ
• ᗈᇦ་⒪ᦙ㏦䛾ᣦ♧• ་⒪ᩆㆤᡤ䛾タ⨨䞉㐠Ⴀᣦ♧㑊㞴ᡤ䛾䜰䝉䝇䝯䞁䝖䞉ᕠᅇデᕠᅇデ• 㑊㞴ᡤ䛾䜰䝉䝇䝯䞁䝖⒪ᣦ♧• 㑇య཰ᐜᡤ䛾㐠⏝• ᛴᛶᮇ௨ᚋ䛾៏ᛶ⑌ᝈ䞉බ⾗
⾨⏕⟶⌮
• ⫋ဨ
⫋ဨ䛾䝯䞁䝍䝹䝦䝹䝇⟶⌮⟶• ᖹ᫬䛻䛚䛡䜛ᩍ⫱䛸◊ಟᐇ᪋• 㛵ಀᶵ㛵䛸䛾㐃ᦠ– 㻰㻹㻭㼀䞉᪥㉥་⒪ᩆㆤ⌜䞉་ᖌ఍䞉⮬⾨㝲䞉ᩆᛴ㝲䞉኱Ꮫ⑓㝔䞉⅏ᐖᣐⅬ⑓㝔䞉ᾏእ䛛䜙䛾་⒪ᨭ᥼⮬἞య

• 㻱㻹㻵㻿䛾ά⏝• ሗ㐨䜈䛾ᑐᛂ䚸➼䛂⅏ᐖ་⒪䝁䞊䝕䜱䝛䞊䝍䞊タ⨨䛻㛵䜟䜛㒔㐨ᗓ┴䜰䞁䜿䞊䝖ㄪᰝ⤖ᯝሗ࿌䛃Ụᕝ᪂୍䚸బ䚻ᮌᏹஅ 䠄䠎䠌䠍䠏䠅ᅗ䠎⅏ᐖ་⒪䝁䞊䝕䜱䝛䞊䝍䞊◊ಟ䛾䝁䜰䞉䜹䝸䜻䝳䝷䝮• ㅮ⩏ 䠄䠐䠌ศ䠅– ⅏ᐖಖ೺་⒪⚟♴䝁䞊䝕䜱䝛䞊䝍䞊䛾ព⩏⅏ᐖಖ೺་⒪⚟♴䝁 䝕䜱䝛 䝍 䛾ព⩏– ⅏ᐖ་⒪䛾ᇶᮏ– ⅏ᐖ䝁䞊䝕䜱䝛䞊䝖䛾᪉ἲ⅏ᐖ䝁 䝕䜱䝛 䝖䛾᪉ἲ• ᐇᢏカ⦎䠄䠍䠌䠌ศ䠅– ᮏ㒊㐠⏝䛾ᢏ⾡䠄䠐䠌ศ䠅– 㻱㻹㻵㻿➼䛾᝟ሗ䝅䝇䝔䝮䛾㐠⏝䠄䠒䠌ศ䠅• ᮘୖ₇⩦䠄䠍䠒䠌ศ䠅– ᮏ㒊䛾㐠Ⴀ– ྛ䝙䞊䝈䛻ᑐ䛩䜛ㄪᩚ䠖• ་⒪⌜䛾๭䜚᣺䜚䚸㑊㞴ᡤ䛻䛚䛡䜛බ⾗⾨⏕ᑐ⟇䚸ឤᰁ⑕ᑐ⟇䚸⸆๣䛾་⒪⌜䛾๭䜚᣺䜚 㑊㞴ᡤ䛻䛚䛡䜛බ⾗⾨⏕ᑐ⟇ ឤᰁ⑕ᑐ⟇ ⸆๣䛾౪⤥䚸⏕ά୙άⓎ⑓ᑐ⟇䚸ᚰ䛾䜿䜰– ᧔཰• ⥲ྜ₇⩦䠄䠍䠐䠌ศ䠅−162−

ᅗ䠏 ྛ⤌⧊䛾άື᫬ᮇ䛸ศ㔝ᅗ䠏䠊ྛ⤌⧊䛾άື᫬ᮇ䛸ศ㔝៏ᛶᮇ䞉ᖹ᫬

ಖ೺ᡤ
JMAT䞉
᪥㉥ᩆㆤ⌜

DMAT
Ⓨ⅏
་⒪

ಖ೺

⚟♴

ᅗ䠐 ⅏ᐖ་⒪㛵ಀᨭ᥼䛾䝁䞊䝕䜱䝛䞊䝖⅏ᐖಖ೺་⒪⚟♴䝁䞊䝕䜱䝛䞊䝖䝏䞊䝮䠄 DMAT/⅏ᐖᣐⅬ⑓㝔䚸་ᖌ఍䚸ಖ೺ᡤ䛺䛹䠅/⅏ᐖᣐⅬ⑓㝔 ་ᖌ఍ ಖ೺ᡤ䛺䛹䠅

DMAT

ᩆㆤ⌜
䠄JMAT䚸
᪥㉥䛺
䛹䠅

බ⾗⾨⏕
ඛ㐵㝲

ಖ೺ᡤ䛛
䜙䛾ᨭ᥼
䠄ಖ೺ᖌ
䛺䛹䠅

−163−

䝸䝝10
ᅋయ

DPAT

ᚰ䛾䜿
䜰䝏䞊
䜰䝏
䝮

䝪䝷䞁
䝔䜱䜰➼