権威主義のリスク:日本におけるフィブリノゲン媒介のC型肝炎
1Department of Planning, Information and Management, University of Tokyo Hospital, Tokyo, Japan. yasunagah-jyo@h.u-tokyo.ac.jp
Lancet (London, England)
|December 18, 2007
まとめ
日本におけるフィブリノゲン濃縮剤の使用は,政策変更が遅れたため,10,000件のC型肝炎感染を引き起こした. これは,科学者や政策立案者が,進化する科学的証拠に基づいた慣行を継続的に更新する必要性を強調しています.
科学分野:
- 医学 医学 医学 医学 医学
- 公衆衛生は公衆衛生である.
- 医学史 医学史 医学史
背景:
- ファイブリノゲン濃縮は,1977年に米国で認可が取り消されたにもかかわらず,1988年まで日本で産婦人出血のために広く使用されていました.
- 日本の学術産婦人科の教科書は,1997年にもフィブリノゲン濃縮剤を推奨し続けました.
研究 の 目的:
- 日本におけるフィブリノゲン濃縮物の使用に関する政策変更の遅延の影響を分析する.
- 効果的な公衆衛生政策の調整を阻害する権威主義の役割を検証する.
主な方法:
- 日本と米国におけるフィブリノゲン濃縮物の使用とライセンスに関する歴史的レビュー.
- 肝炎の伝播に関する科学的証拠に対する公衆衛生政策の反応の分析.
主要な成果:
- 日本では推定1万例のC型肝炎感染が,フィブリノゲン濃縮剤の使用と関連している.
- 医学界内の権威主義的な構造は,政策改革を時宜に阻害した.
結論:
- 日本でのフィブリノゲン濃縮の継続的な使用は,C型肝炎の伝染を大幅に引き起こした.
- 公共衛生政策を科学の進歩に合わせて継続的に調整することが不可欠である.
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