僻地における耳鼻咽喉科疾患の実態について

THE MORBIDITY IN OTOLARYNGOLOGICAL DISEASE IN OUTLYING COUNTRY DISTRICTS

　Ⅰ．緒言

　社会環境構成の激変は最近とくに著しい。いわゆる過疎・過密は現段階では政治的配慮にもかかわらず，避けられない情況にある。北陸のごとく長い間一次産業を主体とした地域環境では一層この感を深くし，私どもの医療面においてもこの変化が何らかの形で現われてき，国民平等に社会福祉の恩恵をという，社会補償政策も，やはり過疎・過密現象の波にゆさぶられているという感が深い。とくに医療面においては，専門分科が細分化するにしたがい，さらにその不均衡の増大は否めない現状である。

　私どもは，今回僻地農山漁村の耳鼻咽喉科領域における検診の機会を得て，社会情勢の変遷を物語る実態を体験し，これら地域における専門領域の医療の在り方について考えさせられるところがあつたので報告する。

　A morbidity survey in otolaryngology was conducted covering 15 different outlying districts, where no medical facilities existed, in Ishikawa Prefecture in October and November,1968.

　The population of these areas are reported to he 130,000. Eight hundred and twenty four people were regeistered at the clinic, which was free of any charge; this number was slightly less than what was expected.

　By age-group, children and those in old age made up the majority while, those in the so-called productive age group were only a few in number, a condition reflecting the state of population with seasonal difference.

　Eighty percent of the people were found suffering from some sort of otolaryngological troubles, yet none had sought any medical aid due to the lack in the means of transportation.