トンガ王国における生活習慣改善への取り組み— MaliMali Program — O竹内麗理',遠藤眞美²,田口千恵子³,松本京子4,小林清吾5,野本たかと²,平塚浩一1 ¹生化学・分子生物学講座，²障害者歯科学講座，³公衆予防歯科学講座, 4付属病院歯科衛生士，5日本大学客員教授Location of TONGA inトンガ王国の国土720 km² (東京23区621 km²)人口10万５千人(14歳以下の子供38%)病院 4施設歯科医師９名デンタルセラピスト20名Tonga Islands約170の島々トンガタプ本島259 km² 人口7万人Which is the state of your guns? fix tream is . Guns are pak celus, hans have reddend. Guns are swollers Guns has xs have to see a la bleeds of the Gues Byobyo it. e of of honitook and events.
Event   0505
TONGA GOVERNMENT PORTAL
Messiv of Information is Communicational 000 Search MC ABOUT HIC NEWS TODAY DEORMATION COMMUNICATIONS CONTACT US Home THE PUBLIC SERVICE ALL CAYEGORIES Malimali program continues to improve school-based oral health in Home Tonga ELECTION Sonday, 21 August 2011 00:00 NEWS TODAY - Community-based GENERAL I GOVERNMENT INTERNATIONAL RELATIONS 19 August 2011 In coinciding with th launch and hand-over of five hundred cupies of five Bustrated chafren's books on oral health care and nutricion, a team of dental experts and hypienbits are currently in Tonga to conduct school visits under the 'Malmall Program', to promote the importance of oral heath care. AID PROGRANS APPOINTMENTS WHO'S WHO MIC AROSIVES PHOTO GALLISON Click to view LATEST ALBAN For over 13 years now, the program has achirved significant improvement of oral In November 2009, the Minator of Heath together with the Minatoy of Education, Women Affairs and Cubure and as collegention with SPRT under IICA  Partnership Program signed the Mautes of Maiting to contribut the screngthening the school based onl heath in the Knedom of Torda HAVE VOLTI 5.6 V Topic Tahi Co 'skaki Tahi'! Maxe us at smudi Sumber 5 This year, on 4 August, WHO Director and University Professor Musey Thompson and De Seyun Rowanunx, De Seepo Kobayas (Professor of public and dental meath in Nihon University); Dr Ren Takeuch(Dentst Phamacology); Dr Rem Ender; Dr Nobelo Nihel and a Medical Dr Kannen Uchine arrived in Tonga to hold a working at Vaola Hospital in well as maked inderganten and printary scrool visits. ow More Testimanie ADI A-Teg mori The Malmot team abo visited the Alonga Center, heath centers in Hilapo and printery schools in "Acata. The program also involved much-reeded parents and trachers' consultations, who both plays a major role in encouraging young chidren to brush teeth regularly, reduce sweets food and effit intake and the stuching of proper bessing habes and dental bisatments. Heath and Education are main proces areas in lapan's Offical Development Assistance procrams in .Toogl, The Government in Japan, through IICA, approand to continuit acessed in promoting One Heath Activity programs for school children and lower age groups around foot idents croups. The Halmal Program is to promote oral houlth care throughout kindergardens and promary schools in Tongitalis, Vaniv, Harapai and 'Eua until Maich 2012', We han 370 quests online Founder of Mainut, Dr. Hes Conservati ENOS Issued by the: Hratry of Information and Communications. Nuku alon, 2011. *Akosi 18 e Timi Ngaue Fakafaito ki she Pasifiki Tonga mei Siapani, hili ia ha'anau 'a'ahi mai ki Tonga ni talu mei *Akosi 6. Kole Timi ni, na’e Taki mai ai 'a Toketã Kawamura pea mo Palofesa Kobayashi pea mo ha kau Toketã Nifo iti ke fakahoko atu 'emau ta'efiemalie ki he polokalama 'a e 'Ofisi Palemia he efiafi
fakakakato 'a 'enau poloka- lama 'a'ahi fakata'u mai ki Tongá ni.. Nate lava mai foki e timi ni ia, mo ha ngaahi po- losi fulunifo, kilimi fulunifo, ngaahi fololaite ki he nifo pea more ingaahi naunau nifo kehekehe pë, 'a ia na'e Ko e ta’u hokohoko’aki eni 'e 6 e kamata 'a e Poloka- lama ni, ka ko e ta 'u' aki pē 'e fale toki kau atu ‘a Tonga ni ki ai, 'o makatu'unga mei ai ’a e folau hokohoko mai ko eni e Timi ni ke fengaue’aki pea mole Va'a nifo 'a e Po- tungaue Mo'ui. Wha's Colling (The Media) Program movement was first Interes by the Pr. and Hrs. Ken attitude 1598. In 2006, this propam thin became Jinows as the Makinal Programs. Leit Updated ( Monday, 19 Asgust 2011 23:51 ) 12歳児の検診結果MaliMali Program実施小学校数の推移Years Years Sex 2001 2011
2.08 Girls 5.81 2.38口健診の対象者口内科健診項目•政府機関、銀行、TV放送局などの勤務者•身長•体重● BMI (Height) (Weight) (W/H²)健康維持に関心ありと推定される地域住民● •腹囲•血圧•脈拍収縮期、拡張期結
男性24 175.0 108.9 36.6 85. 2 58. 3 50 163.6 95. 7 36. 4女性77. 1 36. 0トンガ成人の約80%がBMI30以上の「肥満」であった。トンガ人の基準に、BMI≥30は適切か？
•太っていることが美しい条件だと考えられている。 •トンガでは高血圧が多いのではないかと推定。 •トンガの死亡原因の約半数以上は心血管疾患と糖尿病である。 •糖尿病は歯周病と密接に関連がある。 •脳卒中の原因の一つとして歯周病の細菌が脳血管の障害を起こしているとの説がある。 •血圧、血糖を測定する機会がほとんどない。 •生活習慣病に対する啓発活動はおこなわれていない。