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⾲7 ≟✀య᱁ูࡢᖹᆒᑑ࿨ࡢẚ㍑࠾ࡼࡧ୍⯡໬࢘࢖ࣝࢥࢡࢯ᳨ࣥᐃ⤖ᯝ

᭱ᑠ್ ᖺ㱋୰ኸ

್䠄ṓ䠅 ᭱኱್

㻿 㻣㻜㻜㻝 㻿㻹 㻜㻚㻜㻜㻢 㻖 㻜㻚㻤 㻝㻠㻚㻜 㻞㻠㻚㻜 㻹 㻞㻤㻟㻢 㻹㻸 㻨㻜㻚㻜㻜㻝 㻖 㻜㻚㻜 㻝㻠㻚㻜 㻞㻞㻚㻜 㻸 㻞㻣㻠㻢 㻿㻸 㻨㻜㻚㻜㻜㻝 㻖 㻝㻚㻜 㻝㻞㻚㻜 㻞㻜㻚㻜

Ṛ䚷ஸ䚷䚷᫬䚷䚷ᖺ䚷䚷㱋

య᱁ ㄪᰝ㢌ᩘ 㼃㼕㼘㼏㼛㼤㼚᳨ᐃ䠄㻼

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⥲ ⥲ᣓ

➨1❶࡛ࡣ, ᒱ㜧┴ෆࡢື≀⑓㝔࠿ࡽ⑓⌮Ꮫᩍᐊ࡟᳨ᰝ౫㢗ࡀ࠶ࡗࡓ8ᖺ㛫ࡢ≟⭘⒆⑕

౛ࢆᇶ࡟≟✀ู⭘⒆ࡢⓎ⏕≧ἣࢆゎᯒࡋ, ᖹᡂ23ᖺᗘࡢ࢖ࢾࡢ㣫⫱㢌ᩘㄪᰝࢆẕᩘ࡜ࡋ

࡚⢒⭘⒆Ⓨ⏕⋡ࢆᚋྥࡁ࡟ồࡵࡓࠋ≟✀ูࡢⰋᛶ࣭ᝏᛶ⭘⒆ẚ⋡ࡣ, ᑠᆺ≟࡛Ⰻᛶ⭘⒆ࡢ ẚ⋡ࡀ㧗࠸ഴྥࡀㄆࡵࡽࢀࡓࠋ⭘⒆Ⓨ⏕㒊఩࣭⣔⤫ศ㢮࡛ࡣ, ⓶⭵࠾ࡼࡧ࿘㎶⤌⧊ࡢ⭘⒆ ࡀ᭱ከ࡛ࢦ࣮ࣝࢹࣥࡀከࡃ, ࢲࢵࢡࢫ࡜࣮ࣚࢡࢩࣕࡣᑡ࡞࠿ࡗࡓࠋ⥆࠸࡚, ᾘ໬ჾ⣔⭘⒆, ங⭢⭘⒆ࡀከࡃ, ᑠᆺ≟࡛ࡣங⭢⭘⒆ࡢⓎ⏕⋡ࡀ㧗ࡃ, ୰ᆺ࣭኱ᆺ≟࡛Ⓨ⏕⋡ࡀప࠿ࡗࡓࠋ

≟㣫⫱㢌ᩘࡣ, 㞧✀, ࢲࢵࢡࢫ, ᰘ≟, ࣉ࣮ࢻࣝ࠾ࡼࡧࢳ࣡࣡ࡢࡼ࠺࡟ẚ㍑ⓗᑠᆺ≟✀

ࡢேẼࡀ㧗ࡃ, ࣛࣈࣛࢻ࣮ࣝ, ࢦ࣮ࣝࢹࣥ࡞࡝ࡢ኱ᆺ≟✀ࡣᑡ࡞࠸ẚ⋡࡜࡞ࡗࡓࠋ≟✀ẖ ࡢ⢒⭘⒆Ⓨ⏕⋡ࡣ, ᰘ≟, ࣉ࣮ࢻࣝ, ࢳ࣡࣡, ࣏࣓ࣛࢽ࢔ࣥ࠾ࡼࡧ㞧✀࡛ࡣపࡃ, ࣛ

ࣈࣛࢻ࣮ࣝ, ࢥ࣮ࢠ࣮, ࣅ࣮ࢢࣝ, ࢦ࣮ࣝࢹࣥ, ࢩ࢙ࣝࢸ࢕, ࣐ࣝࢳ࣮ࢬ࠾ࡼࡧࣂ࣮

ࢽ࣮ࢬ࡛ࡣ㧗࠿ࡗࡓࠋ⢒ᝏᛶ⭘⒆Ⓨ⏕⋡ࡣ, ᰘ≟, ࣉ࣮ࢻࣝ, ࢳ࣡࣡, 㞧✀࡛ࡣపࡃ,

ࣛࣈࣛࢻ࣮ࣝ, ࢥ࣮ࢠ࣮, ࣅ࣮ࢢࣝ, ࢦ࣮ࣝࢹࣥ, ࢩ࢙ࣝࢸ࢕࠾ࡼࡧࣂ࣮ࢽ࣮ࢬ࡛ࡣ㧗

࠿ࡗࡓࠋ

➨2❶࡛ࡣ, ᒱ㜧┴࡛ࡢ≟⭘⒆Ⓩ㘓ไᗘࢆ❧ࡕୖࡆ, ࢖ࢾࡢ⭘⒆Ⓨ⏕⋡ࢆྵࡵࡓ⭘⒆ ࡢⓎ⏕≧ἣࢆ๓ྥࡁ࡟ㄪᰝศᯒࡋࡓࠋᖹᡂ25ᖺᗘࡢ≟㣫⫱㢌ᩘ࡟㛵ࡍࡿヲ⣽᝟ሗࢆᚓࡿࡓ

ࡵ࡟, ┴ෆ42ᕷ⏫ᮧ࡟࢔ࣥࢣ࣮ࢺㄪᰝࢆ⾜࠸, ᒱ㜧┴⋇་ᖌ఍ᡤᒓࡢື≀⑓㝔࡟ᖹᡂ25 ᖺᗘࡢ⭘⒆Ⓨ⏕⑕౛ࡢᒆฟ⚊࡟ࡼࡿ᝟ሗᥦ౪ࢆ౫㢗ࡋࡓࠋᅇ཰ࡋࡓᒆฟ⚊ࡢグ㍕ෆᐜ࠿ࡽ

⭘⒆⑕౛ࡢᖺ㱋ẚ㍑, ⭘⒆ࡢⰋᛶ࣭ᝏᛶẚ⋡, ⢒⭘⒆Ⓨ⏕⋡࠾ࡼࡧ⢒ᝏᛶ⭘⒆Ⓨ⏕⋡ࢆ⟬

ฟࡋࡓࠋ㣫⫱≟ࡢ≟✀ᵓᡂࡣ, 㞧✀, ࢲࢵࢡࢫ࠾ࡼࡧᰘ≟ࡢ3≟✀࡛㣫⫱≟✀ࡢ⣙༙ᩘࢆ

༨ࡵ, ࣉ࣮ࢻࣝ, ࢳ࣡࣡࡜⥆ࡁ, య᱁ู࡛ࡣ, 㞧✀ࢆ㝖ࡃᑠᆺ≟ࡀ⣙43%, ୰ᆺ≟ࡣ

⣙18%, ኱ᆺ≟ࡣ5%ᮍ‶࡜࡞ࡾ, ᑠᆺ≟ࡢẚ⋡ࡀ㧗࠿ࡗࡓࠋᖺ㱋ᵓᡂࡣ㞤㞝ඹ࡟8ṓࡀ

᭱ከ࡛9ṓ௨ୖ࡛ࡣῶᑡࡋ, 15ṓ௨ୖࡣ඲యࡢ8%࡛࠶ࡗࡓࠋᖹᡂ17ᖺࢆࣆ࣮ࢡ࡟࢖ࢾ

ࡢ㣫⫱㢌ᩘࡑࡢࡶࡢࡀᖺࠎῶᑡࡋ࡚࠸ࡿᐇែࡀ᫂ࡽ࠿࡟࡞ࡗࡓࠋ≟✀඲యࡢ⭘⒆Ⓨ⏕ᖹᆒ

52

ᖺ㱋ࡣ10.5ṓ, 㞝10.6ṓ, 㞤10.5ṓ࡜㞤㞝㛫ࡢ᭷ពᕪࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࠋ≟✀඲య ࡢⰋᛶ⭘⒆ࡢẚ⋡ࡣ47.7%, ࢥ࣮ࢠ࣮, ࣂ࣮ࢽ࣮ࢬ, ࢦ࣮ࣝࢹࣥ࠾ࡼࡧࣛࣈࣛࢻ࣮࡛ࣝ

ࡣ≟✀඲యࡢẚ⋡ࡼࡾ᭷ព㸦p<0.05㸧࡟ᝏᛶ⭘⒆ࡢẚ⋡ࡀ㧗࠿ࡗࡓࠋ᥎ᐃ⢒⭘⒆Ⓨ⏕⋡࠾

ࡼࡧ᥎ᐃ⢒ᝏᛶ⭘⒆Ⓨ⏕⋡ࡣ, ≟✀඲య࡛ࡣ1.5%࠾ࡼࡧ0.6%࡛࠶ࡗࡓࠋ

ཌ⏕ປാ┬බ⾲ࡢᒱ㜧┴RV㢌ᩘ㸦Ⓩ㘓㢌ᩘ㸧ࡣ, ᖹᡂ23ᖺᗘ110,434㢌㸦138,939 㢌㸧࡜ᖹᡂ25ᖺᗘ106,752㢌㸦134,783㢌㸧࡛⣙3%ࡢῶᑡࡀㄆࡵࡽࢀ࡚࠸ࡿࠋ➨1❶ࡢ ᖹᡂ23ᖺᗘࡢ㣫⫱㢌ᩘ㸦76,316㢌㸧࡜➨2❶ࡢᖹᡂ25ᖺᗘࡢ㣫⫱㢌ᩘ㸦83,204㢌㸧ࢆ

ẚ㍑ࡍࡿ࡜ᖹᡂ25ᖺᗘࡢ᪉ࡀ⣙9%ቑຍࡋ࡚࠸ࡿࡀ, ࡇࢀࡣ, ༠ຊࢆ౫㢗ࡋࡓᕷ⏫ᮧ࠿

ࡽࡢ࢔ࣥࢣ࣮ࢺᅇ཰⋡ࡀྥୖࡋࡓࡓࡵ࡛, 㣫⫱㢌ᩘࡀቑຍࡋࡓࡇ࡜࡛ࡣ࡞࠸࡜⪃࠼࡚࠸

ࡿࠋ୍᪉࡛, ≟✀ẖࡢ㣫⫱ẚ⋡ࡣㄪᰝᖺᗘ࡟ࡼࡿኚືᖜࡣ2%ᮍ‶࡛࠶ࡾ, 㣫⫱⋡ࡢ኱ࡁ

࡞ኚືࡣㄆࡵࡽࢀࡎ, ࢔ࣥࢣ࣮ࢺᅇ཰⋡ࡢᙳ㡪ࢆཷࡅ࡟ࡃ࠸࡜⪃࠼ࡿࠋ

⭘⒆デ᩿⥲ᩘࡣ, ᖹᡂ23ᖺᗘ࡜ᖹᡂ25ᖺᗘ࡟኱ࡁ࡞㐪࠸ࡣ࡞࠿ࡗࡓࡶࡢࡢ, ≟✀ู

ࡢデ᩿ᩘ࡛ࡣ኱ࡁ࡞ᕪࡀ⏕ࡌࡓࠋ⭘⒆⑕౛ࡢ㞟✚᪉ἲࡀ␗࡞ࡿࡓࡵ࡟ྠ୍ᇶ‽࡛ẚ㍑ࡣ࡛

ࡁ࡞࠸ࡀ, ேẼ≟✀ࡢ㣫⫱㢌ᩘࡢኚືࡶࡋࡃࡣᖺ㱋ศᕸ࡟ࡼࡿᙳ㡪ࡀ⪃࠼ࡽࢀࡿࠋJKCබ

⾲ࡢࢹ࣮ࢱ࡛ࡣ, ከࡃࡢ≟✀࡛Ⓩ㘓㢌ᩘࡀῶᑡࡋ࡚࠸ࡿ୰࡛ࢲࢵࢡࢫ, ࣉ࣮ࢻࣝ࠾ࡼࡧ ࢳ࣡࣡࡞࡝≉ᐃࡢ᫬ᮇ࡟ᛴቑࡋࡓ≟✀ࡀ࠶ࡿࡓࡵ㸪≉ᐃࡢ≟✀ࡢὶ⾜࡜ᖺ㱋ศᕸࡢ᥎⛣࡟

ࡼࡾ⭘⒆ዲⓎ≟✀ࡀኚ໬ࡋ, ⭘⒆Ⓨ⏕ᩘࡀከ࠸ࡓࡵ࡟Ᏻ᫆࡟ዲⓎ≟✀࡜᥎ ࡋ࡚ࡋࡲ࠺

༴㝤ᛶࡀ⪃࠼ࡽࢀࡿࠋ

⭘⒆デ᩿ࡢᙳ㡪࡛⭘⒆Ⓨ⏕⋡࡟ࡶഹ࠿࡞ኚືࡀㄆࡵࡽࢀࡓࠋከࡃࡢ≟✀࡛ࡣኚືᖜࡀ1%

ᮍ‶࡛࠶ࡾ, 㣫⫱㢌ᩘ࠾ࡼࡧ⭘⒆⑕౛ᩘࡢቑῶࡢᙳ㡪࡜⪃࠼ࡽࢀࡿࡀ, ࢲࢵࢡࢫ, ࢦ࣮

ࣝࢹࣥ࠾ࡼࡧࣃࢢࡢࡳኚືᖜࡀ1%௨ୖ࡜࡞ࡗࡓࠋࢦ࣮ࣝࢹ࡛ࣥࡣ㣫⫱⋡࡜⭘⒆⑕౛ᩘࡀඹ

࡟ῶᑡࡋ࡚࠸ࡿࡇ࡜࠿ࡽ⭘⒆ዲⓎᖺ㱋ࢆ㐣ࡂࡓࡓࡵ࡜⪃࠼ࡽࢀࡿࠋࢲࢵࢡࢫࡣ, Ⓨ⏕⋡ࡀ ప࠿ࡗࡓ࡟ࡶ㛵ࢃࡽࡎഹ࠿2ᖺ࡛㧗ࡃ࡞ࡗ࡚࠾ࡾ, ⭘⒆ዲⓎᖺ㱋ࡢ࢖ࢾࡀቑຍࡋࡓྍ⬟ᛶ ࡀ࠶ࡾ௒ᚋࡢືྥࢆほᐹࡍࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡿࠋࣃࢢ࡟ࡘ࠸࡚ࡣ, Ⓩ㘓ᩘ, 㣫⫱⋡࠾ࡼ

ࡧ⭘⒆⑕౛ᩘඹ࡟ኚ໬ࡀ࡞࠸࡟ࡶ㛵ࢃࡽࡎⓎ⏕⋡ࡀቑຍࡋࡓཎᅉࡣ୙࡛᫂࠶ࡾ, ⥅⥆ㄪ

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ᰝࢆࡍࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡿࠋ」ᩘᖺᗘࡢㄪᰝ࡟ࡼࡾ, ≉ᐃࡢ≟✀࡛⢒⭘⒆Ⓨ⏕⋡ࡢኚື

ࡀㄆࡵࡽࢀࡓࡇ࡜࡟ࡼࡾ, ⭘⒆ዲⓎᖺ㱋ࢆᖹᆒᑑ࿨࡜㛵㐃௜ࡅ࡚⪃࠼ࡿᚲせᛶࡀ᫂ࡽ࠿

࡜࡞ࡗࡓࠋ

➨1❶࠾ࡼࡧ➨2❶ࡢ⤖ᯝ࠿ࡽ, ≟✀ẖࡢᖺ㱋ศᕸ, ≟✀ẖࡢᖹᆒᑑ࿨➼ࡢ㐪࠸࡟ࡼࡿ

⭘⒆Ⓨ⏕ᖺ㱋ࡢ㐪࠸࡞࡝ࡀ᪂ࡓ࡞᳨ウㄢ㢟࡜࡞ࡗࡓࠋ➨3❶࡛ࡣ, ⊂⮬࡟ྡྂᒇᕷࡢᩪሙ ࡢ༠ຊࢆᚓ࡚㣫⫱≟ࡢ≟✀ẖࡢṚஸᖺ㱋ࢆㄪᰝࡋ, ≟✀ẖࡢ⏕Ꮡ᭤⥺࡜ᖹᆒᑑ࿨㸦ᖺ㱋୰

ኸ್㸧ࢆ⟬ฟࡍࡿࡇ࡜࡟ࡼࡾ, ≟✀ẖࡢ⭘⒆Ⓨ⏕ᖺ㱋࡜ࡢ㛵㐃ࢆศᯒࡋࡓࠋ᫛࿴64ᖺ࠿

ࡽᖹᡂ5ᖺࡢ5ᖺ㛫࡟ㄌ⏕ࡋࡓ࡜ᛮࢃࢀࡿ17,786㢌ศࡢࢹ࣮ࢱࢆ⏝࠸࡚⏕Ꮡ᭤⥺࡜ᖹᆒᑑ

࿨㸦ᖺ㱋୰ኸ್㸧ࢆ⟬ฟࡋࡓࠋ≟✀඲య࠾ࡼࡧ≟✀ẖࡢ⏕Ꮡศᯒࢆ⾜ࡗࡓ⤖ᯝ, ᰘ≟, ࢲ

ࢵࢡࢫ, ࣮ࣚࢡࢩࣕ, ࣉ࣮ࢻࣝ࠾ࡼࡧ㞧✀ࡢ5≟✀ࡣ᭷ព(p<0.05)࡟⏕Ꮡ᫬㛫ࡀ㛗࠸ഴྥ

ࢆ♧ࡋ, ࣅ࣮ࢢࣝ, ࢩࣗࢼ࢘ࢨ࣮, ⛅⏣≟, ࣃࢢ, ࢩ࢙ࣝࢸ࢕, ࢦ࣮ࣝࢹࣥ, ࢟ࣕࣂ

ࣜ࢔, ࢩ࣋ࣜ࢔࣭ࣥࣁࢫ࣮࢟, ࢪ࣮࣐࣭ࣕࣥࢩ࢙ࣃ࣮ࢻ, ࢢ࣮ࣞࢺ࣭ࣆࣞࢽ࣮ࢬ,࠾ࡼࡧ ࡑࡢ௚ࡢ11≟✀ࡣ᭷ព(p<0.05)࡟⏕Ꮡ᫬㛫ࡀ▷࠸ഴྥࢆ♧ࡋࡓࠋయ᱁ูࡢ⤖ᯝࡣ, ᑠᆺ≟

࡜୰ᆺ≟ࡣ࡜ࡶ࡟ᖺ㱋୰ኸ್ࡀྠࡌ࡛⏕Ꮡ᭤⥺ࡢ㌶㊧ࡀ㏆ఝ࡜࡞ࡗࡓࡀ, ኱ᆺ≟ࡢࡳᖺ 㱋୰ኸ್ࡶపࡃ, ᫂ࡽ࠿࡟ୗഃࡢ㌶㊧ࢆᥥࡁ᭷ព (p<0.05) ࡟Ṛஸ᫬ᖺ㱋ࡀప࠸ഴྥࢆ♧

ࡋࡓࠋ

≟✀ẖ࠾ࡼࡧయ᱁ูࡢ⏕Ꮡศᯒ⤖ᯝ࡟ࡼࡾ, ᑠᆺ≟࡜୰ᆺ≟ࡣ࡜ࡶ࡟ᖺ㱋୰ኸ್ࡀྠ

ࡌ࡛⏕Ꮡ᭤⥺ࡢ㌶㊧ࡀ㏆ఝ࡜࡞ࡗࡓࡀ, ኱ᆺ≟ࡢࡳᖺ㱋୰ኸ್ࡶపࡃ, ᫂ࡽ࠿࡟ୗഃࡢ

㌶㊧ࢆᥥࡁ᭷ព (p<0.05) ࡟Ṛஸ᫬ᖺ㱋ࡀప࠸ഴྥࢆ♧ࡋࡓࠋ௒ᅇࡢ⏕Ꮡศᯒ࡛ࡣ, Ṛஸ ཎᅉࡢศᯒࡣᐇ᪋ࡋ࡚࠸࡞࠸ࡀ, ⱥᅜ࡛ࡢㄪᰝ⤖ᯝ(2)࡟ࡼࡿ࡜, ≟✀඲యࡢṚஸཎᅉࡢ 27%㸦ᖹᆒ㸧ࡀᝏᛶ⭘⒆࡟ࡼࡿࡶࡢ࡛࠶ࡾ, ࢥ࣮ࢠ࣮ , ࣅ࣮ࢢࣝ, ࣇࣞࣥࢳ, ࢦ࣮ࣝࢹ

ࣥ, ࣛࣈࣛࢻ࣮ࣝ࠾ࡼࡧࣂ࣮ࢽ࣮ࢬ࡞࡝ࡣᝏᛶ⭘⒆࡟ࡼࡿṚஸཎᅉࡀ28.4%㹼45.7%࡜ᝏ ᛶ⭘⒆ࡢࣁ࢖ࣜࢫࢡ≟✀࡛࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿࡜࡞ࡗ࡚࠸ࡿࠋྠᵝ࡟, ᮏ◊✲⤖ᯝ࠿ࡽࡶᑠ ᆺ࣭୰ᆺ≟࡟ẚ࡭኱ᆺ≟࡛ࡣᝏᛶ⭘⒆ẚ⋡ࡀ㧗࠸ഴྥࢆ♧ࡋ࡚࠾ࡾ, Ṛஸཎᅉ࡟⧅ࡀࡿ࡜

⪃࠼ࡽࢀࡿࠋᾏእࡢㄪᰝ⤖ᯝࡣ, ᮏ◊✲࡜ࡣ≟✀ࡀ␗࡞ࡾ኱ᆺ≟✀ࡀከࡃࡢẚ⋡ࢆ༨ࡵ࡚

54

࠸ࡿࡀ, ᑠᆺ≟✀࡛ࡣࢩ࣮ࢬ࣮ , ࢲࢵࢡࢫࡶྵࡲࢀ࡚࠾ࡾ, ࡇࡢ≟✀ࡢṚஸཎᅉ࡜ࡋ

࡚ࡢᝏᛶ⭘⒆ẚ⋡ࡣ14.5%㹼16.7%࡜௚ࡢ≟✀ࡼࡾ᫂ࡽ࠿࡟ప࠸ (2) ࠋᮏ◊✲⤖ᯝ࠿ࡽࡶ

⭘⒆Ⓨ⏕⋡ࡣᑠᆺ≟࡛పࡃ, ኱ᆺ≟࡛㧗࠸ഴྥࡀ࠶ࡿࡇ࡜ࢆ⿬௜ࡅ࡚࠾ࡾ≟✀ᵓᡂࢆ⪃

៖ࡋࡓ⭘⒆Ⓨ⏕⋡ࡢㄪᰝࡢ㔜せᛶࢆㄆ㆑ࡍࡿࡇ࡜ࡀ࡛ࡁࡓࠋ

௒ᅇ, ᫂ࡽ࠿࡟࡞ࡗࡓ⭘⒆Ⓨ⏕ᖹᆒᖺ㱋ࡣ, 10.4ṓ࠿ࡽ10.5ṓ࡛࠶ࡿࡀ, ≟✀ẖࡢ⭘

⒆Ⓨ⏕ᖺ㱋࡜ᖹᆒᑑ࿨ࡢ┦㛵ࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࠋ⫧‶⣽⬊⭘ࡢ᭱ከᖺ㱋ࡣ6.1ṓ࠿ࡽ8.0 ṓ (24) , ங⭢⭘⒆ࡢయ᱁ูᖺ㱋ศᕸࡣᑠᆺ≟9.53s2.98ṓ, ୰ᆺ≟9.39s2.98ṓ, ኱

ᆺ≟9.07s2.67ṓ࡞࡝ࡢሗ࿌ (44) ࡀ࠶ࡿࠋ୍᪉, 㦵⭘⒆࡟㛵ࡋ࡚ࡣ, Ⓨ⏕ᖺ㱋ࡢ୰ኸ

್ࡀ࢔࢖ࣜࢵࢩ࣭ࣗ࢘ࣝࣇࣁ࢘ࣥࢻ5.5ṓ, ࣮ࣞ࢜ࣥ࣋ࣝ࢞7.2ṓ, ࢽ࣮ࣗࣇ࢓ࣥࢻࣛࣥ

ࢻ8.8ṓ, ࣛࣈࣛࢻ࣮ࣝ11.6ṓ࡜≟✀࡟ᖺ㱋ᕪࢆㄆࡵࡿሗ࿌ (4) ࡶ࠶ࡿࠋᾏእࡢሗ࿌࡛

ࡣ, ⭘⒆Ⓨ⏕ᖺ㱋ࡔࡅ࡛࡞ࡃᖹᆒᑑ࿨㸦Ṛஸ᫬୰ኸ್㸧ࡶᮏ◊✲ࡢࢹ࣮ࢱ࡜ࡣ࠸ࡃࡘ࠿␗

࡞ࡗ࡚࠾ࡾ (2, 36) , ≟✀ࡸయ᱁ࡔࡅ࡛࡞ࡃ, Ⓨ⏕⭘⒆ࡢ✀㢮ࡸ㣫⫱⎔ቃ࡞࡝ࡢせᅉ࡞࡝

ࡶ⪃៖ࡋ᳨࡚ドࡍࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡿࠋ

⌧ᅾࡢ㣫⫱≟ࡢᖺ㱋ᵓᡂࡣ㞤㞝ඹ࡟8ṓ࠿ࡽ9ṓࡀࣆ࣮ࢡ࡛࠶ࡾ௒ᚋࡣ㧗㱋໬࡟క࠸

㣫⫱㢌ᩘࡢῶᑡࡀᠱᛕࡉࢀ࡚࠸ࡿࠋ⌧᫬Ⅼ࡛ࡣ15ṓ௨ୖࡢ㣫⫱≟ࡣ඲యࡢ8%࡛࠶ࡿࡀ

௒ᚋࡣὶ⾜ࡢ≟✀ࡢኚ໬ࡸ㣫⫱⎔ቃ་⒪࣭⑌ᝈண㜵ᢏ⾡ࡢ㐍Ṍ࡟ࡼࡾ࢖ࢾࡢᖹᆒᑑ࿨ࡸ

ᖺ㱋ᵓᡂࡀኚ໬ࡍࡿ࡜⪃࠼ࡽࢀࡿࠋ⢒⭘⒆Ⓨ⏕⋡ࡢㄪᰝ࠾ࡼࡧ㣫⫱≟ࡢṚஸᖺ㱋ㄪᰝࢆ⾜

ࡗࡓ⤖ᯝ, ୍⯡ⓗ࡟බ⾲ࡉࢀࡓࡾ, ⾜ᨻ➼࡟ಖ⟶ࡉࢀࡓࡾࡋ࡚࠸ࡿධᡭྍ⬟࡞ࢹ࣮ࢱࡔ ࡅ࡛ࡣṇ☜࡞⭘⒆Ⓨ⏕⋡ࡢ⟬ฟࡣᅔ㞴࡛࠶ࡿ࡜⪃࠼ࡿࠋ௒ᅇࡢࡼ࠺࡞ㄪᰝࡣ, ௒ᚋࡢ EBVM (Evidence Based Veterinary Medicine) ࡟ᚲࡎᚲせ࡜࡞ࡿ࡜⪃࠼ࡿࠋᾏእࢹ࣮ࢱࡔ ࡅ࡛ࡣ୙༑ศ࡛࠶ࡿࡓࡵ, ᡃᅜ⊂⮬ࡢࢹ࣮ࢱࡣ࢖ࢾࡀࢇᑐ⟇࡟㔜せ࡛࠶ࡿࠋ㣫⫱≟ࡢ㣫⫱

≧ἣࡢࢹ࣮ࢱࡔࡅ࡛ࡣ࡞ࡃ, ᑗ᮶ⓗ࡟ࡣ⑌ᝈࡢࢹ࣮ࢱࡸ἞⒪᪉ἲ࡜⤒㐣࡞࡝ࡶࢹ࣮ࢱ࣋

࣮ࢫ໬ࡍࡿࡇ࡜࡛, ἞⒪ࡢ࢚ࣅࢹࣥࢫࢆ✚ࡳୖࡆࡿࡇ࡜ࡀ࡛ࡁ௒ᚋࡢ἞⒪᪉㔪ࢆ᳨ウࡍ

ࡿୖ࡛ࡢཧ⪃࡟࡞ࡿ࡜⪃࠼ࡿࠋ

55

ㅰ ㅰ㎡

ᮏ✏ࢆ⤊࠼ࡿ࡟࠶ࡓࡾ, ࡈᣦᑟ࡜ࡈ㠴᧡ࢆ㈷ࡾࡲࡋࡓᮏ◊✲⛉ࡢ୸ᑿᖾႹᩍᤵ, ᳃ᓫ ᩍᤵ࡟῝⏒ࡢㅰពࢆ⾲ࡋࡲࡍࠋㄽᩥࡢᰯ㜀࡜ࡈຓゝࢆ㈷ࡾࡲࡋࡓᮏ◊✲⛉⋇་⑓⌮Ꮫ◊✲

ᐊࡢᰗ஭ᚨ☻ᩍᤵ, 㓇஭ὒᶞ෸ᩍᤵ㸪ᮾி㎰ᕤ኱Ꮫ⋇་⮫ᗋ⑓⌮Ꮫ◊✲ᐊࡢ⏫⏣Ⓩᩍᤵ, ᖏᗈ␆⏘኱Ꮫ⮫ᗋ⋇་Ꮫ◊✲㒊㛛క౶ື≀⋇་⒪ศ㔝ࡢᐑཎ࿴㑻ᩍᤵ, ᒾᡭ኱Ꮫ⋇་እ

⛉Ꮫ◊✲ᐊࡢᏱሯ㞝ḟᩍᤵ࡟῝ㅰ࠸ࡓࡋࡲࡍࠋ

≟⭘⒆Ⓩ㘓ไᗘ࡟ࡈ༠ຊࢆ࠸ࡓࡔ࠸ࡓᒱ㜧┴⋇་ᖌ఍࠾ࡼࡧ㛤ᴗື≀⑓㝔ࡢඛ⏕᪉࡟῝

ㅰࡍࡿ࡜࡜ࡶ࡟, ḟᖺᗘ௨㝆ࡶࡼࡾ୍ᒙࡢࡈ༠ຊࢆ࠸ࡓࡔࡅࡿࡼ࠺㔜ࡡ࡚࠾㢪࠸⏦ࡋୖ

ࡆࡲࡍࠋ␿Ꮫⓗ࡞⤫ィ࣭ゎᯒᡭἲ࡟㛵ࡋ࡚, ࡈᣦᑟ࠸ࡓࡔ࠸ࡓᮾி㎰ᕤ኱Ꮫ⋇་බ⾗⾨⏕

Ꮫ◊✲ᐊࡢᯘ㇂⚽ᶞ෸ᩍᤵ࠾ࡼࡧື≀⾨⏕◊✲ᡤࡢᒣᮏ೺ஂ༤ኈ࡟῝ㅰ࠸ࡓࡋࡲࡍࠋ㣫⫱

≟ࡢ㣫⫱㢌ᩘ࢔ࣥࢣ࣮ࢺ࠾ࡼࡧ⭘⒆Ⓩ㘓ࢹ࣮ࢱࡢ㞟✚ࢆ࠾ᡭఏ࠸࠸ࡓࡔ࠸ࡓᒱ㜧኱Ꮫ⋇་

ศᏊ⑓ែᏛ◊✲ᐊࡢᆏ஭⏣᫂⨾ࡉࢇ࡟ឤㅰ࠸ࡓࡋࡲࡍࠋ

ࡲࡓ, ㈗㔜࡞⵳✚ࢹ࣮ࢱࢆᥦ౪࠸ࡓࡔ࠸ࡓ, ᐀ᩍἲே࣭㛗ᴦᑎື≀㟋ᅬࡢஂ႐Ύእఫ⫋

࠾ࡼࡧ㟋ᅬ㛵ಀ⪅ࡢⓙᵝ࡟῝ㅰ࠸ࡓࡋࡲࡍࠋ

56

せ せ᪨

㏆ᖺ, ⏕ά⎔ቃࡸឤᰁ⑕ண㜵ࡢ㐍Ṍ࡟ࡼࡾ㣫⫱≟ࡢᑑ࿨ࡀᘏࡧࡓࡇ࡜࡟క࠸, ⭘⒆ᛶ

⑌ᝈࡢⓎ⏕ࡶከࡃ࡞ࡗ࡚ࡁࡓࠋࣄࢺ࡛ࡣ, ᅜໃㄪᰝ࡞࡝ࡢᇶ♏ࢹ࣮ࢱࢆᇶ࡟ྛ✀⑌ᝈࡢ␿

Ꮫ◊✲࡞࡝ࡀ㐍ࢇ࡛࠾ࡾ, ࣄࢺࡢࡀࢇⓏ㘓ࡶࡀࢇண㜵ࢆࡍࡿୖ࡛㔜せ࡞ᙺ๭ࢆᢸࡗ࡚࠸

ࡿࡀ, ᡃᅜ࡟࠾ࡅࡿ࢖ࢾࡢࡀࢇⓎ⏕≧ἣ࡟㛵ࡋ࡚ࡣ, ≟✀ูࡢヲ⣽࡞ሗ࿌ࡣぢᙜࡓࡽࡎ,

≟✀ูࡢ⭘⒆Ⓨ⏕⋡ࡶ᫂ࡽ࠿࡛ࡣ࡞࠸ࠋࡑࡢ⌮⏤࡜ࡋ࡚ࡣ, ᪥ᮏᅜෆ࡛ࡣ࢖ࢾࡢఫẸ⚊ࡸ

ᡞ⡠ࡀᏑᅾࡋ࡞࠸ࡓࡵ, ṇ☜࡞㣫⫱㢌ᩘࡀࢃ࠿ࡗ࡚࠸࡞࠸Ⅼ࡟࠶ࡿࠋṇ☜࡞㣫⫱㢌ᩘࡀᢕ ᥱ࡛ࡁ࡞ࡅࢀࡤ, ṇ☜࡞␿Ꮫⓗㄪᰝࡢ⤖ᯝࢆᐈほⓗ࡟ホ౯ࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡾ, క౶

ື≀࡛࠶ࡿ࢖ࢾࡢຠᯝⓗ࡞ࡀࢇᑐ⟇ࢆᐇ᪋ࡍࡿୖ࡛ࡢ኱ࡁ࡞㞀ᐖ࡜࡞ࡿࠋ

ࡑࡇ࡛, ➨1❶࡛ࡣ, ᒱ㜧኱Ꮫ⋇་⑓⌮Ꮫᩍᐊ࡟デ᳨᩿ᰝ౫㢗ࡢ࠶ࡗࡓ8ᖺ㛫ࡢ≟⭘⒆

⑕౛ࢆᇶ࡟≟✀ẖࡢ⭘⒆ูⓎ⏕≧ἣࢆᚋྥࡁ࡟ㄪᰝศᯒࡋ, ᒱ㜧┴ୗ࡟࠾ࡅࡿᖹᡂ23ᖺ ᗘࡢ࢖ࢾࡢ㣫⫱≧ἣㄪᰝ࠿ࡽ≟✀ูࡢ⢒⭘⒆Ⓨ⏕⋡ࢆồࡵࡓࠋ⭘⒆Ⓨ⏕ᖺ㱋ࢆゎᯒࡋࡓ࡜

ࡇࢁ, 㞝࡛ࡣ10.4±2.98ṓ, 㞤࡛ࡣ10.4±2.83ṓ࡜࡞ࡾ㞤㞝࡛ࡢ᭷ពᕪࡣ࡞࠿ࡗࡓࠋ≟✀඲

యࡢᝏᛶ⭘⒆ࡢẚ⋡ࡣ57.5%࡜࡞ࡾ, ≟✀ู࡟Ⰻᛶ࣭ᝏᛶ⭘⒆ࡢẚ⋡ࢆศᯒࡍࡿ࡜, ᑠᆺ

≟࡛Ⰻᛶ⭘⒆ࡢẚ⋡ࡀ㧗࠸ഴྥࡀㄆࡵࡽࢀࡓࠋ⭘⒆Ⓨ⏕㒊఩ࡣከ࠸㡰࡟⓶⭵⣔24.4%, ᾘ

໬ჾ⣔18.1%, ங⭢⭘⒆17.8%࡜࡞ࡾ, ≉࡟ᑠᆺ≟࡛ࡣங⭢⭘⒆ࡢⓎ⏕⋡ࡀ㧗࠸ഴྥࡀ

ぢࡽࢀࡓࠋࡲࡓ, ≟✀ẖࡢ⢒⭘⒆Ⓨ⏕⋡ࢆồࡵࡓ⤖ᯝ, ࢲࢵࢡࢫ:0.7%, ᰘ≟:0.5%, ࣉ

࣮ࢻࣝ:0.2%, ࢳ࣡࣡:0.3%, ࣏࣓ࣛࢽ࢔ࣥ:0.1%࠾ࡼࡧ㞧✀:0.6%ࡣపࡃ㸦p<0.05㸧, ࣛ

ࣈࣛࢻ࣮ࣝ:2.6%, ࢩ࣮ࢬ࣮:1.5%, ࢥ࣮ࢠ࣮:3.0%, ࣃࣆࣚࣥ:1.3%, ࣅ࣮ࢢࣝ:2.3%,

࣮ࣚࢡࢩࣕ:1.5%, ࢦ࣮ࣝࢹࣥ:4.3%, ࢩࣗࢼ࢘ࢨ࣮:1.5%, ࢩ࢙ࣝࢸ࢕:2.5%, ࣐ࣝࢳ࣮

ࢬ:2.0%, ࣃࢢ:2.1%࠾ࡼࡧࣂ࣮ࢽ࣮ࢬ:7.9%ࡣ㧗࠸⤖ᯝ࡜࡞ࡗࡓ㸦p<0.05㸧ࠋྠᵝ࡟⢒ᝏ ᛶ⭘⒆Ⓨ⏕⋡ࡣ, ᰘ≟: 0.3%, ࣉ࣮ࢻࣝ: 0.0%, ࢳ࣡࣡: 0.2%, ࣏࣓ࣛࢽ࢔ࣥ: 0.1%࠾ࡼ

ࡧ㞧✀: 0.4%ࡣపࡃ㸦p<0.05㸧, ࣛࣈࣛࢻ࣮ࣝ: 1.9%, ࢥ࣮ࢠ࣮: 2.1%, ࣅ࣮ࢢࣝ: 1.8%,

57

ࢦ࣮ࣝࢹࣥ: 2.8%, ࢩ࢙ࣝࢸ࢕: 1.7%, ࠾ࡼࡧࣂ࣮ࢽ࣮ࢬ: 6.4%ࡣ㧗࠸⤖ᯝ࡜࡞ࡗࡓ 㸦p<0.05㸧ࠋ

➨2❶࡛ࡣ, 㣫⫱≟ࡢ⭘⒆␿Ꮫ◊✲ࡢ➨୍Ṍ࡜ࡋ࡚, ᒱ㜧┴࡛ࡢ≟⭘⒆Ⓩ㘓ไᗘࢆ❧

ࡕୖࡆ, ࢖ࢾࡢ⢒⭘⒆Ⓨ⏕⋡ࢆྵࡵࡓ⭘⒆ࡢⓎ⏕≧ἣࢆ๓ྥࡁ࡟ㄪᰝศᯒࡋࡓࠋᒱ㜧┴ෆ ࡢື≀⑓㝔ࡢ33.6%࠿ࡽ⭘⒆ࡢᒆฟࡀ࠶ࡾ, ☜ᐃデ᩿ࡋࡓ670㢌࡛ゎᯒࢆ⾜ࡗࡓࠋ┴ෆࡢ 㣫⫱㢌ᩘ࡜⭘⒆⑕౛ᩘࢆ⿵ṇࡋ, ≟✀ẖࡢ⢒㸦ᝏᛶ㸧⭘⒆Ⓨ⏕⋡ࢆ⟬ฟࡋࡓࠋ㣫⫱≟ࡢ≟

✀ᵓᡂࡣ, 㞧✀㸸22.6%, ࢲࢵࢡࢫ㸸13.5%࠾ࡼࡧᰘ≟㸸12.2%ࡢ3≟✀࡛㣫⫱≟✀ࡢ⣙༙

ᩘࢆ༨ࡵ, ᖺ㱋ᵓᡂࡣ㞤㞝ඹ࡟8ṓࢆࣆ࣮ࢡ࡜ࡋ, 9ṓࢆ㐣ࡂࡿ㡭࠿ࡽῶᑡࡋጞࡵ, 15 ṓ௨ୖࡢ㣫⫱≟ࡣ඲యࡢ8%࡛࠶ࡾ, 㣫⫱≟ࡢᖹᆒᖺ㱋ࡣ8.39ṓ࡛㞤㞝ඹ࡟ྠࡌ࡛࠶ࡗࡓࠋ

≟✀඲యࡢ⢒㸦ᝏᛶ㸧⭘⒆Ⓨ⏕⋡ࡣ2.6%㸦1.0%㸧࡜࡞ࡗࡓࠋ⢒㸦ᝏᛶ㸧⭘⒆Ⓨ⏕⋡ࡀ᭷ព 㸦p<0.05㸧࡟㧗࠸≟✀ࡣ, ࢩ࣮ࢬ࣮㸸4.2%, ࢲࢵࢡࢫ㸸4.3%㸦2.2%㸧, ࣃࢢ㸸7.9%㸦3.5%㸧, ࢥ࣮ࢠ࣮㸸5.6%㸦3.7%㸧, ࣇࣞࣥࢳ㸸5.5%, ࣅ࣮ࢢࣝ㸸3.8%㸦2.4%㸧, ࣂ࣮ࢽ࣮ࢬ㸸13.1%

㸦11.5%㸧, ࢦ࣮ࣝࢹࣥ㸸5.1%㸦4.0%㸧࠾ࡼࡧࣛࣈࣛࢻ࣮ࣝ㸸5.7%㸦4.1%㸧࡛࠶ࡗࡓࠋⓎ

⏕⋡ࡀప࠸≟✀ࡣࢳ࣡࣡㸸0.9%㸦0.5%㸧࡜ࣉ࣮ࢻࣝ㸸1.9%࠾ࡼࡧᰘ≟㸸1.1%㸦0.4%㸧࡛࠶

ࡾ, ኱ᆺ≟࡛ࡣ⢒㸦ᝏᛶ㸧⭘⒆Ⓨ⏕⋡ࡀ㧗࠸ഴྥࡀࡳࡽࢀࡓࠋ

➨3❶࡛ࡣ, ␿Ꮫ◊✲ࡸ⭘⒆ண㜵◊✲ࡢ㊊᥃࠿ࡾ࡜ࡋ࡚ྡྂᒇᕷࡢᩪሙࡢ༠ຊࢆᚓ࡚㣫

⫱≟ࡢ≟✀ẖࡢṚஸᖺ㱋࠿ࡽ, ≟✀ẖ࠾ࡼࡧయ᱁ูࡢᖹᆒᑑ࿨㸦ᖺ㱋୰ኸ್㸧ࢆ⟬ฟࡋࡓࠋ

᫛࿴60ᖺ࠿ࡽᖹᡂ25ᖺࡢ㣫⫱≟ࡢⅆⴿグ㘓81,065㢌࠿ࡽ≟✀࠾ࡼࡧṚஸ᫬ᖺ㱋࡜Ṛஸ᪥

ࡀ᫂ࡽ࠿࡞ࡶࡢࡢࡳࢆᢳฟࡋ, ᫛࿴64ᖺ࠿ࡽᖹᡂ5ᖺࡢ5ᖺ㛫࡟ㄌ⏕ࡋࡓ17,786㢌ศࡢ ࢹ࣮ࢱࢆ⏝࠸࡚ゎᯒࢆ⾜࠸, ᪥ᖖࡢ⮫ᗋ⌧ሙ࡛ゝࢃࢀ࡚࠸ࡿࠕᑠᆺ≟ࡣᑑ࿨ࡀ㛗ࡃ, ኱ᆺ

≟ࡣᑑ࿨ࡀ▷࠸ࠋࠖࡇ࡜ࡢ᰿ᣐ࡜࡞ࡿࡼ࠺࡞㣫⫱≟ࡢᖹᆒᑑ࿨ࡢᣦᶆࢆㄪᰝࡋࡓࠋ≟✀඲

య࠾ࡼࡧ≟✀ẖࡢ⏕Ꮡศᯒࢆ⾜ࡗࡓ⤖ᯝ, ≟✀඲యࡢᖺ㱋୰ኸ್ࡣ13.0ṓ࡜࡞ࡾ, ᰘ

≟㸸15.0ṓ, ࢲࢵࢡࢫ㸸15.0ṓ, ࣮ࣚࢡࢩࣕ㸸14.0ṓ, ࣉ࣮ࢻࣝ㸸14.0ṓ࠾ࡼࡧ㞧✀㸸 14.0ṓࡢ5≟✀ࡣ᭷ព(p<0.05)࡟Ṛஸ᫬ᖺ㱋ࡀ㧗࠸ഴྥࢆ♧ࡋ, ࣅ࣮ࢢࣝ㸸13.0ṓ, ࢩࣗ

ࢼ࢘ࢨ࣮㸸12.3ṓ, ⛅⏣≟㸸13.0ṓ, ࣃࢢ㸸13.0ṓ, ࢩ࢙ࣝࢸ࢕㸸12.0ṓ, ࢦ࣮ࣝࢹࣥ㸸

58

12.0ṓ, ࢟ࣕࣂࣜ࢔㸸12.0ṓ, ࢩ࣋ࣜ࢔࣭ࣥࣁࢫ࣮࢟㸸12.0ṓ, ࢪ࣮࣐࣭ࣕࣥࢩ࢙ࣃ࣮

ࢻ㸸11.0ṓ, ࢢ࣮ࣞࢺ࣭ࣆࣞࢽ࣮ࢬ㸸11.0ṓ࠾ࡼࡧࡑࡢ௚㸸12.0ṓࡢ11≟✀ࡣ᭷ព(p<0.05)

࡟Ṛஸ᫬ᖺ㱋ࡀప࠸ഴྥࢆ♧ࡋࡓࠋయ᱁ูࡢ⤖ᯝࡣ, ᑠᆺ≟࡜୰ᆺ≟ࡣ࡜ࡶ࡟ᖺ㱋୰ኸ್

ࡀྠࡌ࡛⏕Ꮡ᭤⥺ࡢ㌶㊧ࡀ㏆ఝ࡜࡞ࡗࡓࡀ, ኱ᆺ≟ࡢࡳᖺ㱋୰ኸ್ࡶపࡃ, ᫂ࡽ࠿࡟ୗ

ഃࡢ㌶㊧ࢆᥥࡁ᭷ព(p<0.05)࡟Ṛஸ᫬ᖺ㱋ࡀప࠸ഴྥࢆ♧ࡋࡓࠋ⭘⒆Ⓨ⏕ᖹᆒᖺ㱋ࡣ, 10.4 ṓ࠿ࡽ10.5ṓ࡛࠶ࡿࡀ, ≟✀ẖࡢ⭘⒆Ⓨ⏕ᖺ㱋࠾ࡼࡧᖹᆒᑑ࿨ࡢ┦㛵ࡣㄆࡵࡽࢀ࡞࠿ࡗ ࡓࡓࡵ, ≟✀ࡸయ᱁ࡔࡅ࡛࡞ࡃ, Ⓨ⏕⭘⒆ࡢ✀㢮ࡸ㣫⫱⎔ቃ࡞࡝ࡢせᅉ࡞࡝ࡶ⪃៖ࡋ࡚

᳨ドࡍࡿᚲせࡀ࠶ࡿ࡜⪃࠼ࡿࠋ

௒ᅇ⾜ࡗࡓㄪᰝ◊✲ࡣ, ௒ᚋࡢEBVM (Evidence Based Veterinary Medicine) ࡟᭷⏝

࡜࡞ࡿ࡜⪃࠼ࡿࠋᾏእࢹ࣮ࢱࡔࡅ࡛ࡣ୙༑ศ࡛࠶ࡾ, ᡃࡀᅜ⊂⮬ࡢࢹ࣮ࢱࡣ࢖ࢾࡀࢇᑐ⟇

࡟㔜せ࡛࠶ࡿࠋ㣫⫱≟ࡢ㣫⫱≧ἣࡢࢹ࣮ࢱࡔࡅ࡛ࡣ࡞ࡃ, ᑗ᮶ⓗ࡟ࡣ⑌ᝈࡢࢹ࣮ࢱࡸ἞⒪

᪉ἲ࡜⤒㐣࡞࡝ࡶࢹ࣮ࢱ࣮࣋ࢫ໬ࡍࡿࡇ࡜࡛, ἞⒪ࡢ࢚ࣅࢹࣥࢫࢆ✚ࡳୖࡆࡿࡇ࡜ࡀ࡛

ࡁ௒ᚋࡢ἞⒪᪉㔪ࢆ᳨ウࡍࡿୖ࡛ࡢཧ⪃࡟࡞ࡿ࡜⪃࠼ࡿࠋ

59

ⱥ ⱥᩥせ᪨

In recent years, the development of various diseases in companion animals has risen as their life expectancy has been extended. Among these diseases, cancer in dogs is particularly intractable. Because there are no accurate data on the number of domestic dogs in Japan, there have been no detailed reports on the current state of cancer in dogs in Japan; thus, the incidence of tumors is unknown. Without population data or epidemiological studies, effective management of cancer in dogs in Japan, which are companion animals, is challenging.

We aimed to investigate the status of tumor development in dogs by breed based on 8 years of tumor cases (2005–2012) for which the Department of Veterinary Pathology of the Gifu University received a request for diagnostic examination. We also calculated the crude incidence rate of tumors in dogs by breed based on the results of the survey in 2011 in Gifu prefecture. An age analysis of all samples revealed that the mean age (±

S.D.) at which a tumor developed was 10.4 ± 2.98 years in male dogs and 10.4 ± 2.83 years in female dogs, with no significant difference between males and females. The percentage of malignant tumors in all dogs was 57.5%. Analysis of the ratio of benign to malignant tumors by breed revealed that smaller dogs tended to have a higher ratio of benign tumors. The most common (24.4%) site of tumor development in all dogs was the skin and surrounding tissues. Gastrointestinal tumors were the second most common (18.1%), followed closely by breast tumors (17.8%). There was a tendency for a higher incidence of breast tumors among the smaller dog breeds than in the

medium-to-large dog breeds. We then identified the crude incidence of all tumors (malignant tumors) by breed. Significantly lower rates (p <0.05) were found in the following breeds: Dachshund (DAX) at 0.7%, Shiba (SIB) at 0.5% (0.3%), poodle (PD) at

60

0.2% (0.0%), Chihuahua (CW) at 0.3% (0.2%), Pomeranian (POM) at 0.1% (0.1%), and mixed breeds (MIX) at 0.6% (0.4%). The incidence was significantly higher (p < 0.05) in Labrador retriever (LR) at 2.6% (1.9%), Shih Tzu (SZ) at 1.5%, Welsh corgi (CG) at 3.0% (2.1%), Papillion (PAP) at 1.3%, Beagle (BG) at 2.3% (1.8%), Yorkshire terrier (YT) at 1.5%, Golden retriever (GR) at 4.3% (2.8%), Schnauzer (SCH) at 1.5%, Shetland sheepdog (SSD) at 2.5% (1.7%), Maltese dog (MAR) at 2.0%, pug (PG) at 2.1% and Bernese mountain dog (BMD) at 7.9% (6.4%).

Data from a survey of tumor reports from 33.6% of the animal hospitals in Gifu Prefecture, obtained between April 2013 and March 2014, were analyzed for

epidemiologic features, histologically diagnosed tumors, and crude incidence of tumors in domestic dogs (731 diagnostic cases). We adjusted the number of domestic dogs and tumor cases by the response rate to the questionnaire. Among this population, three breeds comprised about half of all family dogs: MIX (22.6%), DAX (13.5%), and SIB (12.2%). The average age of domestic dogs was 8.39 years, which began to decline from age 9 onwards, with dogs aged 15 years or older comprising only 8% of the whole population. The crude incidence of all tumors (malignant tumors) across all breeds was 1.5% (0.6%). In the following breeds, the crude incidence of all tumors (malignant tumors) was significantly higher (p <0.05): DAX, 2.6% (1.3%); SZ, 2.4%; SCH, 2.5%

(1.4%); PG, 3.8% (1.9%); CG, 3.3% (2.2%); BG, 2.2% (1.4%); FB, 3.2% (1.3%); SSD, 3.2%;

LR, 3.2% (2.5%); GR, 2.7% (2.2%); and BMD, 8.2% (7.1%). In other breeds, the crude incidence of all tumors (malignant tumors) was significantly lower (p <0.05): PD, 1.1%

(0.3%); CW, 0.5% (0.3%); POM, 0.9%; SIB, 0.7% (0.3%); and MIX, 1.0% (0.6%).

In order to gain information that could guide future epidemiologic and cancer

prevention studies, we collected data on the deaths of every domestic dog interred at a pet cemetery in Nagoya City. Date of death, age at death, and breed type were

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extracted from the cremation records of 81,065 dogs, and used to calculate a survival curve and longevity for each breed for the period 1985 through 2013. We then analyzed the data for 17,786 dogs born in the 5-year period from 1989 through 1993. The median age at death of all dog breeds was 13.0 years. The five breeds that lived longest were SIB and DAX at 15.0 years, and YT, PD, and MIX at 14.0 years. Both small breeds and medium breeds had a tendency toward long life (14.0 years). By contrast, the following breeds had a shorter-lived tendency: BG, Akita and PG (13.0 years); SCH (12.3 years);

SSD, GR, CK, and Siberian husky (12.0 years); German shepherd and Great Pyrenees (11.0 years); and all other breeds and large breeds 12.0 (years). The mean age at which a tumor developed in all breeds was 10.4–10.5 years, with no correlation between this age and median age of longevity. It is likely that the breeding environment, breed physique, and tumor type all factor into a dog’s life expectancy.

We revealed insufficient only by overseas data, and our country's original data are important to dog cancer measures. We consider that useful, it serve as a reference by compiling data and disease data of the breeding situation of the domestic dog,

treatment strategy or course into a database. Finally, the results of our investigation will aid in the future expansion and practice of Evidence Based Veterinary Medicine (EBVM) in Japan.

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ཧ ཧ⪃ᩥ⊩

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