6. 世界の風疹報告数 2012年
CRS (報
告数)
風疹
(報告数)
Vietnam 92 China 40156
Zimbabwe 63 Romania 20812
Romania 55
Bangladesh
3245
Cambodia 32 Japan 2353
Tunisia 18
South
Africa
2298
Sri Lanka 12 Uganda 2027
Rwanda 5 Ukraine 1952
Japan 5 DR Congo 1860
7. 風疹報告数(OECD加盟34国内)2012年 (WHO 2013. 6. 4.) (加藤
茂孝)
CRS (報告
数) 風疹 (報告数)
Japan 5 Japan 2325
Australia 1 UK 70
Czech 1 Spain 64
Germany 1 Sweden 50
Portugal 1 Australia 35
South Korea 1 South Korea 27
Spain 1 Ireland 10
Canada 0 Syria 10
Chile 0 Hungary 7
Denmark 0 Czech 6
Estonia 0 New Zealand 4
Greece 0 Portugal 3
Hungary 0 Iceland 2
Iceland 0 Canada 2
Luxemburg 0 Luxemburg 1
Mexico 0 Netherland 1
Netherland 0 Norway 1
New Zealand 0 Chile 0
Norway 0 Estonia 0
Slovakia 0 Greece 0
Switzerland 0 Mexico 0
Syria 0 Slovakia 0
UK 0 USA 0
22. Rubella Epidemics in Japan and Poland
Japan and Poland are both experiencing epidemics of rubella, and the Centers for Disease Control and
Prevention has issued travel warnings suggesting that women who are pregnant or might be consult their
doctors before visiting either country.
The disease, also known as German measles, usually causes only mild fever and rash in adults and children, but
can be devastating to a fetus, causing stillbirth or a host of birth defects, including developmental
disabilities, deafness, heart problems and cataracts.
Rubella cases in Japan have shot up to over 10,000 and are still increasing. Because of peculiarities in Japan’s
vaccination history, nearly 75 percent of the cases are in men ages 20 to 40.
Poland has had more than 26,000 cases this year.
Japan normally gets more than twice as many American visitors as Poland — about 750,000 a year, compared
with 350,000. And Japan’s outbreak is concentrated in cities like Tokyo and Osaka that are frequented by
tourists and business executives, while Poland’s is not.
Japan began vaccinating schoolgirls — but not schoolboys — against rubella in 1976, then in 1989 switched to
vaccinating infants of both sexes against rubella, measles and mumpswith one shot. Then problems with the
mumps component caused a switch to individual shots, rendering coverage less uniform.
Most Japanese over age 50 had rubella in their youth and are immune, so the most vulnerable group is young
men, and many outbreaks are in workplaces.
Although at least five babies have been born with rubella-related birth defects, Japan’s Health Ministry has
resisted calls for a nationwide immunization campaign. Local governments have subsidized shots for those who
seek them from doctors.
Rubella vaccine is available to Americans only in the triple measles/mumps/rubella formula, which is not
recommended for pregnant women.
http://www.nytimes.com/2013/06/25/health/rubella-epidemics-in-japan-and-poland.html?_r=0
June 24, 2013
44. R ubella reported cases in C hile
0
1000
2000
3000
4000
5000
1998 2003 2008 2013
Year
Cases
(WHO 2013) (加藤茂
19-29歳男性へ
集団接種キャン
ペイン。接種
率:92.3%
若年層に風疹流
行。CRS 3例
45. R ubella reported cases in C osta R ica
0
500
1000
1500
1998 2003 2008 2013
Years
Cases
(WHO 2013) (加藤茂
15-39歳国民へ接種キャ
ンペイン。接種率: >
80%
15-39歳に風疹流行。
CRS30例
47. 重要:接種率の高い国は成功
The National Institute of Allergy and Infectious Diseases (NIAID)
病気の「予防」に
対する意識の向上
企業のリスクマネジ
メントとしてMRワ
クチン
国の費用助成
20歳以上の男性へ
のMRワクチン
妊娠する(つもり)
の女性へのMRワク
チン
子供の時のMRワク
チン2回接種
56. 重要:接種率の高い国は成功
The National Institute of Allergy and Infectious Diseases (NIAID)
病気の「予防」に
対する意識の向上
企業のリスクマネジ
メントとしてMRワ
クチン
国の費用助成
20歳以上の男性へ
のMRワクチン
妊娠する(つもり)
の女性へのMRワク
チン
子供の時のMRワク
チン2回接種