福島原発事故と県民健康管理調査 ―地球規模の放射能汚染と情報災害―

Shunichi Yamashita

Abstract: The Great East Japan Earthquake on March 11, 2011, besides further studying the appropriateness of the initial response and post-countermeasures against the severe Fukushima nuclear accident, has now increased
the importance of the epidemiological study in comprehensive health risk management and radiation protection; lessons learnt from the Chernobyl accident should be also implemented. Therefore, since May 2011, Fukushima
Prefecture has started the “Fukushima Health Management Survey Project” for the purpose of long-term health care administration and early diagnosis/treatment for the prefectural residents. Basic survey is under investigation
on a retrospective estimation of external exposure of the first four months. As one of the four detailed surveys, the thyroid ultrasound examination has clarified the increased detection rate of childhood thyroid cancers as a
screening effect in the past three years and so thyroid cancer occurrence by Fukushima nuclear power plant accident, especially due to radioactive iodine will be discussed despite of difficult challenge of accurate estimation
of low dose and low-dose rate radiation exposures. Through the on-site valuable experience and a difficult challenge for recovery, we should learn the lessons from this severe and large-scale nuclear accident, especially
how to countermeasure against public health emergency at the standpoint of health risk and also social risk management.

はじめに
高村先生,ご紹介ありがとうございました。この熱帯医学学会では異質なテーマである放射線,それも原発事故の話をするという貴重な機会を頂き,会長の平山先生,また会員の皆様方に心から感謝申し上げます。既に郡山先生からお話がありましたけれども,地球規模の危機管理という中で,今日の話のキーワードは「リスク」です。放射線リスクをどう考えて,どう対応するかということで,ある意味,地球規模の放射能汚染と同時に,我々がまさにその渦中にある情報氾濫の中での情報汚染問題を克服したいと思います。放射能汚染そのものは,感染症の「染」とは必ずしも同じではありませんが,汚染というと「汚れた」というイメージを内包し,もうそれだけでバイアスがかかり社会問題になることが容易に想像されます。本講演では,福島原発事故という複合災害に遭遇して,医療人が何をどのように対処したかを共考し,福島での経験がみなさんの参考になればと思います。

https://www.jstage.jst.go.jp/article/tmh/42/2SUPPLEMENT/42_2014-S14/_article/-char/ja/