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MSM ࠾ࡼࡧࢤ࢖࣭ࣂ࢖ࢭࢡࢩࣗ࢔ࣝ⏨ᛶࡢ HIV ᳨ᰝཷ᳨⾜ື࡟

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(1)

ཌ⏕ປാ⛉Ꮫ◊✲㈝⿵ຓ㔠 ࢚࠙࢖ࢬᑐ⟇ᨻ⟇◊✲஦ᴗࠚ

HIV

᳨ᰝཷ᳨່ዡ࡟㛵ࡍࡿ◊✲

(

⥲ྜ

)

◊✲ሗ࿌᭩

MSM ࠾ࡼࡧࢤ࢖࣭ࣂ࢖ࢭࢡࢩࣗ࢔ࣝ⏨ᛶࡢ HIV ᳨ᰝཷ᳨⾜ື࡟

ࡘ࡞ࡀࡿᨭ᥼

◊✲ศᢸ⪅ ᮏ㛫㝯அ㸦ᒣ᲍┴❧኱Ꮫ┳ㆤᏛ㒊㸧

◊✲༠ຊ⪅ ᒾᶫᜏኴ㸦≉ᐃ㠀Ⴀ฼άືἲே akta 㸧

⏕ᓥ Ⴙ 㸦≉ᐃ㠀Ⴀ฼άືἲே࡫ࢀ࠸ࡍᮾி㸧

㈆༖೺ᚿ㸦ᮾி㒔೺ᗣᏳ඲◊✲ࢭࣥࢱ࣮㸧 㛗ᓥ┿⨾㸦ᮾி㒔೺ᗣᏳ඲◊✲ࢭࣥࢱ࣮㸧 Ύྂឡᘪ㸦ྎᮾಖ೺ᡤ㸧

ᑠ➉᱈Ꮚ㸦ྎᮾಖ೺ᡤ㸧 ᯇᮏຍ௦㸦ྎᮾಖ೺ᡤ㸧 ෆᾏ㞷Ꮚ㸦ྎᮾಖ೺ᡤ㸧 ᓟ⏣⿱Ꮚ㸦ྎᮾಖ೺ᡤ㸧

ᓅ୰⨾Ụ㸦≉ᐃ㠀Ⴀ฼άືἲேࣂࣝࣅ࣮㸧 ሀከᩔᏊ㸦ᮾி㒔⚟♴ಖ೺ᒁ㸧

⮻஭ஂ⨾Ꮚ㸦ᮾி㒔⚟♴ಖ೺ᒁ㸧

ᰩཎ༓⛅㸦ᮾி㒔⚟♴ಖ೺ᒁ㸧

ᕷᕝㄔ୍㸦ே㛫⎔ቃ኱Ꮫ኱Ꮫ㝔┳ㆤᏛ◊✲⛉㸧

◊✲せ᪨

ᮏ◊✲ࡣ⏨ᛶ࡜ᛶ⾜Ⅽࢆ⾜࠺⏨ᛶ0HQZKRKDYH6H[ZLWK0HQ㸦௨ୗ 060㸧ࡢ +,9 ᳨ᰝཷ᳨⾜ືᨭ

᥼ࡢࡓࡵ࡟ᚲせ࡞ㄢ㢟ࡢᩚ⌮࡜᳨ᰝ⎔ቃᩚഛ࡬ࡢᥦゝࢆ┠ⓗ࡜ࡋ࡚ᐇ᪋ࡋࡓࠋ

ᆅ⌮ⓗ࢔ࢡࢭࢫࡢⰋࡉࠊ+,9 ㎿㏿᳨ᰝࠊ௚ࡢᛶឤᰁ⑕ࡢ㎿㏿᳨ᰝࠊ060 ࡟ྥࡅࡓ᳨ᰝ࡜ࡋ࡚ᑓ㛛ࡢ┦

ㄯဨࡀ┦ㄯ࡟ᛂࡌࡿࠊಶேࡢ೺ᗣᨭ᥼ࢆ኱ษ࡟ࡋࡓᗈሗࡸ᝟ሗఏ㐩࡜࠸ࡗࡓྲྀࡾ⤌ࡳࡀࠊᙜヱᆅᇦࡢ +,9 ᳨ᰝ┦ㄯࢽ࣮ࢬࡢ㢧ᅾ໬࡬ࡘ࡞ࡀࡗࡓ࡜⪃࠼ࡿࠋ᳨ᰝ┦ㄯ఍ࡢせ⣲ࡢ࠺ࡕ࠸ࡃࡘ࠿࡛ࡶ᪤Ꮡࡢಖ

೺ᡤࡸ᳨ᰝᶵ఍ࡢ᳨ᰝ┦ㄯ࡟ྲྀࡾධࢀࡿࡇ࡜࡟ࡼࡗ࡚ࠊ᳨ᰝࢆ㐲ࡃឤࡌ࡚࠸ࡿឤᰁྍ⬟ᛶࡀ㧗࠸ 060 ࡀཷ᳨࡬ࡢ㞀ቨࢆᑡ࡞ࡃឤࡌ฼┈ᛶࢆ㧗ࡃឤࡌࡿࠕ㉁ࡢ㧗࠸᳨ࠖᰝ┦ㄯࡢᶵ఍࡜࡞ࡿ࡜⪃࠼ࡿࠋࡇࢀ

࡜ྠ᫬࡟ࠊᛶឤᰁ⑕࡟ᑐࡍࡿ೫ぢࠊ᳨ᰝ⤖ᯝ࡜ᑗ᮶ࡢ⏕άࡸ⤒῭㠃࡛ࡢ୙Ᏻࠊ+,9 ࠶ࡿ࠸ࡣࢭࢡࢩࣗ

࢔ࣜࢸ࢕࡟ᑐࡍࡿࢫࢸ࢕ࢢ࣐ࠊࣃ࣮ࢺࢼ࣮࡜ࡢ㛵ಀᛶࠊ᪥ᖖ⏕άୖࡢၥ㢟࡞࡝」ྜⓗ࡞ㄢ㢟࡟ࡘ࠸࡚

༑ศ࡟㓄៖ࡋࡓ᳨ᰝ࡜┦ㄯࢆక࠺೺ᗣᨭ᥼ࢆࠊᑓ㛛ᐙࡀ࣡ࣥࢫࢺࢵࣉ࡛ᥦ౪ࡍࡿ⾜࠺ࡇ࡜ࡀ࡛ࡁࡿಖ

೺ᡤ᳨ᰝ┦ㄯࡢሙ࡜ࡋ࡚ά⏝ࡋ࡚ࡃࡇ࡜ࡀ㔜せ࡛࠶ࡾࠊࡑࡢࡓࡵࡢ⌧ሙࡢㄢ㢟࡟༶ࡋࡓㄪᩚ࡜ᨭ᥼ࡀ ᚲせ࡜࡞ࡿࠋ

(2)

$◊✲┠ⓗ

ᮏ◊✲࡛ࡣ⏨ᛶ࡜ᛶ⾜Ⅽࢆ⾜࠺⏨ᛶ0HQZKR KDYHVH[ZLWKPHQ㸦௨ୗ 060㸧ࡢ +,9 ᳨ᰝཷ᳨⾜

ືᨭ᥼ࡢࡓࡵ࡟ᚲせ࡞ㄢ㢟ࡢᩚ⌮࡜᳨ᰝ⎔ቃᩚ

ഛ࡬ࡢᥦゝࢆ┠ⓗ࡜ࡋ࡚ᐇ᪋ࡋࡓࠋ

ᮾி㒔ࡢᮾᆅᇦࡣすഃᆅᇦ࡜ẚ࡭࡚ 060 ྥࡅ࠶

ࡿ࠸ࡣኪ㛫ࡸᅵ᪥࡟⾜࠺༶᪥᳨ᰝ࡜┦ㄯࡢᶵ఍

ࡀᑡ࡞࠸ࠋࡇࡢᆅᇦ࡟࠾࠸࡚ࠊ060 ࢆᑐ㇟࡜ࡋ࡚

+,9 ࡜ᱵẘࡢ༶᪥᳨ᰝ࡜┦ㄯࢆᥦ౪ࡍࡿ఍ࢆ㛤ദ ࡍࡿࡇ࡜࡛ࠊ᳨ᰝ࠾ࡼࡧ┦ㄯࡢࢽ࣮ࢬ࡟ࡘ࠸࡚ホ ౯ࡍࡿࡇ࡜࡜ࡋࡓࠋ

᳨ᰝ┦ㄯ఍ࡣ 060 ྥࡅ࡟ +,9 ண㜵ၨⓎάືࢆ⾜

࠺ 1*2 ࡜◊✲⌜࡛ࠊ௻⏬ࡸࢥࣥࢭࣉࢺࠊᡓ␎࡟ࡘ

࠸࡚ᙜヱᆅᇦࡢᐇ᝟ࡸᚿྥ࡟ࣇ࢕ࢵࢺࡋࡓ࢖࣋

ࣥࢺ࡜࡞ࡿࡼ࠺᳨ウࢆ⾜ࡗࡓࠋ

%◊✲᪉ἲ

%㸬᳨ᰝ┦ㄯ఍ࡢᐇ᪋

ᮾிᮾᆅᇦ࡛ࡶ≉࡟ 060 ྥࡅࡢၟᴗ᪋タࡀ㞟ࡲ

ࡿୖ㔝㥐࡟㞄᥋ࡍࡿྎᮾಖ೺ᡤࡢ༠ຊࢆᚓࡿ࡜

࡜ࡶ࡟ࠊ᳨ᰝᴗົࡣ᪂ᐟ༊ෆ࡟ఫᡤࢆ᭷ࡍࡿデ⒪

ᡤࡢ༠ຊࢆᚓ࡚ࠊᕠᅇデ⒪ᡤࡢ㛤タ⏦ㄳࢆ⾜࠺ࡇ

࡜࡟ࡼࡗ᳨࡚ᰝ┦ㄯ఍ࢆᐇ᪋ࡋࡓࠋึᖺᗘࡣྎᮾ ಖ೺ᡤࡀධࡿᘓ≀ࡢ㸱㝵࡜㸴㝵ࠊḟᖺᗘ௨㝆ࡣ೺

デ࡛౑⏝ࡍࡿࣇࣟ࢔ࢆࠊ᥇⾑⾜Ⅽ࡞࡝ࢆ⾜ࢃ࡞࠸

฼⏝࡛౑⏝ࡍࡿ᮲௳࡛ࠊ㸯㝵㸱㝵࠾ࡼࡧ㸲㝵ࢆ᳨

ᰝ┦ㄯ఍ࡢ఍ሙ࡜ࡋ࡚฼⏝ࡋࡓࠋཷ௜ࡸ᥇⾑࡜⤖

ᯝ㏉༷ࡣ㸱㝵࡜㸲㝵࡛⾜࠸ࠊ᳨ᰝ┦ㄯ฼⏝⪅ࡀ⛣

ືࡋࡸࡍ࠸ᑟ⥺ࢆ☜ಖࡋࡓࠋ

᳨ᰝ㡯┠ࡣ +,9 ࡢ ,& ἲ࡜ᱵẘ 73 ᢠయࡢ ,& ἲࠊ ᱵẘࡢ 535 ἲࡢ ࡘ࡜ࡋࡓࠋ᥇⾑ᚋࠊ᳨ᰝ⤖ᯝࡢ

ཷࡅྲྀࡾࡣཎ๎࡜ࡋ࡚᥇⾑࠿ࡽ ᫬㛫ᚋࠋᑓ㛛ࡢ

┦ㄯဨ࡟ࡼࡿ┦ㄯࡣཷ௜ࡢ㛤ጞ᫬㛫࠿ࡽ⤊஢᫬

㛫ࡲ࡛㝶᫬฼⏝ྍ⬟࡜ࡋࡓࠋ࡞࠾ࠊ᳨ᰝ⤖ᯝཷࡅ

ྲྀࡾᚋࡢ┦ㄯࡣᚲせ࡟ᛂࡌ࡚ࠊࡇࡢ᫬㛫௨㝆ࡶ

᫬ࡲ࡛࡟⤊஢ࡍࡿ᮲௳࡛฼⏝ྍ⬟࡜ࡋࡓࠋ

᳨ᰝ┦ㄯ఍ࡢཧຍ᮲௳㸦◊✲ཧຍ⪅ྲྀࡾ㎸ࡳᇶ‽㸧 ࡣࠊ᳨ᰝ┦ㄯ఍ሙ࡟᮶ሙࡋ࡚ㄝ᫂ࢆ⌮ゎࡍࡿࡇ࡜ࠊ

᭩㠃࡬ࡢࢧ࢖ࣥࢆࡶࡗ࡚◊✲ཧຍࡢពᛮࢆ♧ࡍ ࡇ࡜ࠊ⏨ᛶ࡜ᛶ⾜Ⅽࢆࡍࡿ⏨ᛶ㸦060㸧࡛࠶ࡿࡇ

࡜ࠊ ṓ௨ୖ࡛࠶ࡿࡇ࡜ࠊ ᪥ᮏㄒ࡟ࡼࡿࢥ࣑ࣗ

ࢽࢣ࣮ࢩࣙࣥࡀ࡜ࢀࡿࡇ࡜ࠊ,& ἲ࡟ࡼࡿ +,9 ᳨ᰝ

⤖ᯝࡀࠕ☜ㄆ᳨ᰝࡀᚲせࠖࡔࡗࡓሙྜ࡟☜ㄆ᳨ᰝ ࡢ⤖ᯝࢆ⩣㐌ࡢỴࡵࡽࢀࡓ᪥࡟ᮏேࡀཷࡅྲྀࡾ

࡟᮶ࡽࢀࡿࡇ࡜ࠊ௚ࡢཷ᳨⪅ࡸ◊✲ᐇ᪋⪅࠾ࡼࡧ

ྎᮾಖ೺ᡤ➼࡟㏞ᝨࢆ࠿ࡅ࡞࠸ࡇ࡜ࢆ᮲௳࡜ࡋࠊ

ཷ௜࡛ࡢᥖ♧࡜᳨ᰝ࢞࢖ࢲࣥࢫ࡟ࡼࡾ࿘▱ࡋࡓࠋ

%㸬఍ሙෆࡢཷ᳨⪅ࡢὶࢀ

ཷ᳨ᕼᮃ⪅ࡣྎᮾಖ೺ᡤࢆゼࢀࡿ࡜ࠊ᱌ෆ࡟ᚑ ࡗ࡚࢚࣮ࣞ࣋ࢱ࣮ࡲࡓࡣ㝵ẁ࡛ཷ௜ࡢ࠶ࡿ㝵࡬

⛣ືࡍࡿࠋཷ௜࡛ࠕᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝㥐ࠖ

ࡢ᳨ᰝ┦ㄯ఍࡬ࡢ᮶ሙ⪅࡛࠶ࡿࡇ࡜ࢆ☜ㄆࡋ࡚ࠊ ,' ␒ྕࡀ௜ࡉࢀࡓ㈨ᩱ୍ᘧࢆཷࡅྲྀࡾࠊ᱌ෆ࡟ᚑ ࡗ࡚࢞࢖ࢲࣥࢫ࡬⛣ືࡍࡿࠋ

ཷ௜࡛ཧຍ⪅࡟㓄௜ࡋࡓ㈨ᩱࡣࠊཷ᳨⚊࣮࢝ࢻࠊ

਴ਛڮڴফ২ ਴ਛڮڵফ২ ਴ਛگڬফ২ ৫ಈ঩ +ফ

া঩ଅ

+ফ

া঩া

+ফ

া঩স

ਭહৎ৑ ৎ ৎ ৎ

ৃਚ ઞ৷మك

઎ূ৳௏ਚ قమك

઎ূ৳௏ਚ قమك

઎ূ৳௏ਚ قమك

৒৩ ੡ ੡ ੡

ਊ঩भਫ਼ਪ

੥ટभନే

఼ഷऊै

ৎ৑৏

఼ഷऊै

ৎ৑৏

఼ഷऊै

ৎ৑৏

નੳਫ਼ਪ੥

ટभନే

โ঩෌্प઎ূ

৳௏ਚपथଢ଼஢

ྉऋନే

৺ౝ৑৏प઎

ূ ৳ ௏ ਚ भ ५ ॱॵইऋନే

৺ౝ৑৏प઎

ূ ৳ ௏ ਚ भ ५ ॱॵইऋନే

।ॖ਱ऐ 616ং

ॼش38ؚ௧

৷भ१ॖॺؚ

7ZLWWHU

।ॖ਱ऐ 616ং

ॼش38ؚ௧

৷भ१ॖॺ

।ॖ਱ऐ 616ং

ॼش38ؚ௧

৷भ१ॖॺ

঱৙भংشध ३ঙॵউऊैॳ ছ३॑ଦഘؚॖ

ছ५ॺঞشॱش भ616 132DNWDभ WZLWWHU616

132DNWDभ WZLWWHU616

132DNWDभ WZLWWHU616

ઁਾ؞ఢੴ

(3)

┦ㄯ࣮࢝ࢻࠊ࢞࢖ࢲࣥࢫࢩ࣮ࢺ㸦◊✲ᐇ᪋ㄝ᫂᭩

ව᳨ᰝෆᐜㄝ᫂᭩㸧ࠊ◊✲ཧຍྠព᭩㸦᥍࠼㸧ࠊၥ デ⚊ࠊ+,9 ᳨ᰝࡢ⤖ᯝ࡟㛵ࡍࡿㄝ᫂᭩⾲⿬࡟㝜ᛶ ࡢ᝟ሗ࡜㝧ᛶࡢ᝟ሗࢆグ㍕ࠊ◊✲ཧຍ⪅㉁ၥ⚊

㸦࢔ࣥࢣ࣮ࢺ㸧ࠊᮾி㒔ಖ೺ᡤ࣐ࢵࣉࠋ

࢞࢖ࢲࣥࢫᢸᙜ⪅ࡣࠊ◊✲ෆᐜ࡜᳨ᰝ఍࡟㛵ࡍ

ࡿὀព஦㡯➼ࢆࡲ࡜ࡵࡓᢞᙳࣉࣞࢮࣥࢸ࣮ࢩࣙ

ࣥ࡟ࡼࡗ࡚ㄝ᫂ࢆ⾜ࡗࡓࠋ࢞࢖ࢲࣥࢫࢆ⤊࠼ࠊ◊

✲ཧຍࡢពᛮࢆ♧ࡋࡓཧຍ⪅ࡣ◊✲ཧຍྠព᭩

࡟ࢧ࢖ࣥࢆࡋ࡚ࠊ᥇⾑ᚅྜᐊ࡛ᚅᶵࡍࡿࠋ᳨ᰝࢆ

ཷࡅ࡞࠸ሙྜࡣ┦ㄯࡔࡅࡢ฼⏝ࡶྍ⬟࡛࠶ࡿࡇ

࡜ࢆఏ࠼ࡓࠋ

᥇⾑ᢸᙜ⪅ࡣ ,' ␒ྕ࡛ཷ᳨⪅ࢆ࿧ࡧฟࡋࠊ◊✲

ཧຍྠព᭩࡬ࡢࢧ࢖ࣥグධ࡜ ,' ␒ྕࢆ☜ㄆࡋࡓ

ୖ࡛᥇⾑⟶࡟ ,' ␒ྕࢆグ㍕ࡋࠊཷ᳨⪅࡜࡜ࡶ࡟

㛫㐪࠸ࡀ࡞࠸ࡇ࡜ࢆ☜ㄆࡋࡓᚋࠊ᥇⾑ࡍࡿࠋ᥇⾑

⤊஢ᚋࠊ⤖ᯝཷࡅྲྀࡾࡢ᫬㛫ࡲ࡛⤖ᯝᚅྜᐊ࡛ᚅ ᶵࡍࡿࡼ࠺ఏ࠼ࡿࠋ᥇⾑ᚋࡢᚅྜ᫬㛫࡟ࡶᑓ㛛ࡢ

┦ㄯဨ࡟┦ㄯ࡛ࡁࡿࡇ࡜ࠊ⏦ࡋฟ࡟ࡼࡗ୍࡚᫬እ ฟྍ⬟࡞ࡇ࡜ࢆఏ࠼ࡿࠋእฟࢆᕼᮃࡍࡿሙྜࡣࠊ

ཷ௜࡟࠾࠸࡚࢞࢖ࢲࣥࢫ᫬࡟ㄝ᫂ࡋࡓ᭩㢮୍ᘧ

ࢆ㡸࠿ࡾࠊཷ᳨⚊࣮࢝ࢻࡢࡳࢆΏࡋࠊᡠࡗࡓࡽཷ

᳨⚊࣮࢝ࢻࢆ☜ㄆࡋ࡚᭩㢮ࢆ㏉༷ࡍࡿࠋ࢔ࣥࢣ࣮

ࢺࡣ⤖ᯝཷࡅྲྀࡾࡢ࿧ฟࡲ࡛ࡢᚅࡕ᫬㛫࡟グධ ࡋ࡚ࡶࡽ࠸ࠊᚅࡕྜ࠸࡟タ⨨ࡍࡿ࢔ࣥࢣ࣮ࢺᅇ཰

⟽࡟ᥦฟࡋ࡚ࡶࡽ࠺ࠋ

᳨ᰝ⤖ᯝㄝ᫂ᢸᙜ⪅ࡣࠊ᳨ᰝ⤖ᯝࡀグ㍕ࡉࢀࡓ ಶ⚊ࢆ᳨ᰝᢸᙜ⪅࠿ࡽཷࡅྲྀࡾࠊ⤖ᯝᚅྜᐊ࡟࠸

ࡿཷ᳨⪅ࢆ ,' ␒ྕ࡛࿧ࡧฟࡍࠋ࿧ࡧฟࡉࢀࡓཷ

᳨⪅ࡀᣢࡗ࡚࠸ࡿཷ᳨⚊࣮࢝ࢻ࡜⤖ᯝಶ⚊ࡢ ,'

␒ྕࡀ୍⮴ࡋ࡚࠸ࡿࡇ࡜ࢆࡑࡢሙ࡛☜ㄆࡋࡓᚋࠊ

ཷ᳨⪅࡜⤖ᯝㄝ᫂ᢸᙜ⪅ࡣ 㝵⤖ᯝㄝ᫂⏝ࡢಶᐊ

࡟⛣ືࡍࡿࠋᱵẘ࠾ࡼࡧ +,9 ࡢ᳨ᰝ⤖ᯝ࡟ࡘ࠸࡚

ㄝ᫂ࢆ⾜࠺ࠋᱵẘࡢ᳨ᰝ⤖ᯝ࡟㛵ࡋ࡚ࡣ⤖ᯝࡢゎ 㔘ࢆㄝ᫂ࡍࡿ࡜࡜ࡶ࡟᪤ ➼࡟ࡘ࠸࡚ၥデࢆ⾜

࠸ࠊᚲせ࡟ᛂࡌ࡚ཷデࢆ᥎ዡࡋࡓࠋ+,9 ࡢ⤖ᯝࡀ

ุᐃಖ␃㸦せ☜ㄆ᳨ᰝ㸧ࡢሙྜࡣࠊ⤖ᯝㄝ᫂ᢸᙜ

⪅ࡢ࿧ࡧฟࡋ࡟ᛂࡌ࡚ᚅᶵࡋ࡚࠸ࡓྎᮾಖ೺ᡤ

ࡢಖ೺ᖌࡀྠᖍࡋࠊ⩣㐌௨㝆ࡢ☜ㄆ᳨ᰝ⤖ᯝཷࡅ

ྲྀࡾࡢ᪥⛬ࢆㄪᩚࡍࡿࠋ☜ㄆ᳨ᰝ⤖ᯝཷࡅྲྀࡾࡲ

࡛ࡢ㛫ࡢ┦ㄯᨭ᥼➼ࡣ 1*2㸦࡫ࢀ࠸ࡍᮾி㸧࠾ࡼ

ࡧ◊✲⌜࡜ࡋ࡚㐃⤡ඛࢆᥦ♧ࡋ࡚ࢧ࣏࣮ࢺయไ

ࢆసࡗࡓࠋ☜ㄆ᳨ᰝࡢ⤖ᯝ㏉༷ࡣྎᮾಖ೺ᡤ་ᖌ

ࡀ⾜ࡗࡓࠋ⤖ᯝ㏉༷ࡢ㝿ࡢ᝟ሗ㈨ᮦࢆᨭ᥼ 1*2 ࡜

᳨ウࡋ࡚ᥦ౪ࡋࡓࠋ◊✲࡛ࡣ≉࡟☜ㄆ᳨ᰝ⤖ᯝࡢ

㏉༷࠿ࡽཷデ࡬ࢫ࣒࣮ࢬ࡟ࡘ࡞ࡀࡿࡼ࠺࡟ࠊ+,9 デ⒪ᣐⅬ⑓㝔ࡢᢸᙜ⪅࡜┤᥋㐃⤡ࡋ࡚᮶㝔᪥➼

ࢆㄪᩚࡍࡿࡇ࡜ࡀ࡛ࡁࡿࡼ࠺㐃ᦠࢆㄪᩚࡋࡓࠋ

ุᐃಖ␃㸦せ☜ㄆ᳨ᰝ㸧ࡢ᳨యࢆྵࡵࡓ඲᳨య

ࢆ◊✲༠ຊ⪅࡛࠶ࡿᮾி㒔೺ᗣᏳ඲◊✲ࢭࣥࢱ

࣮࡬ᘬࡁΏࡋ࡚ࠊ☜ㄆ᳨ᰝ࠾ࡼࡧᱵẘ 73/$ ࡢ᳨

ᰝࡢᐇ᪋ࢆ౫㢗ࡋࡓࠋ

%㸬౑⏝ࡋࡓ᳨ᰝ࢟ࢵࢺ

᳨ᰝ┦ㄯ఍఍ሙࡢ +,9 ཬࡧᱵẘࡢ᳨ᰝ

HIV:

ࢲ࢖ࢼࢫࢡ࣮࣭ࣜࣥ

HIV Combo

Abbott

࣭ᱵẘ

RPR

:RPR

ࢸࢫࢺ

୕ග

㸦࢚࣮ࢹ࢕࢔㸧

࣭ᱵẘ

IC

:

ࢲ࢖ࢼࢫࢡ࣮࣭ࣜࣥ

TP Ab

Abbott

㸧 +,9 ุᐃಖ␃ࡢሙྜࡢ㏣ຍ☜ㄆヨ㦂

࣭ࢪ࢙ࣥࢫࢡ࣮ࣜࣥ

HIV Ag-Ab ULT

㸦ࣂ࢖࣭࢜

ࣛࢵࢻ㸧ࠊࣂ࢖ࢲࢫ࢔ࢵࢭ࢖࢟ࢵࢺ

HIV DUO

ϩ 㸦ࢩࢫ࣓ࢵࢡࢫࣅ࣓࣮࢜ࣜࣗ㸧

࣭☜ㄆヨ㦂㸦

WB

ἲ࠾ࡼࡧ

NAT

ἲ㸧

:

ࣛࣈࣈࣟࢵ

1

࠾ࡼࡧࣛࣈࣈࣟࢵࢺ

2

㸦ࣂ࢖࣭࢜ࣛࢵࢻ㸧

%㸬᳨ᰝ┦ㄯ఍ࡢ௻⏬࡜ᗈሗ

ࡇࡢ᳨ᰝ┦ㄯ఍ࢆࠊ060 ࡢேࡓࡕ࡟ᑐࡋ࡚ࠊࢃ࠿

ࡾࡸࡍࡃఏ࠼ࡿ࡜࡜ࡶ࡟ࠊ✺↛⌧ࢀࡓ᳨ᰝ┦ㄯ఍

ࢆಙ㢗ࡢ࠾ࡅࡿࡶࡢ࡜ࡋ࡚฼⏝ࡋ࡚࠸ࡓࡔࡃࡓ

ࡵ࡟ࠊ060 ࡢ +,9 ண㜵ၨⓎάືࢆ⾜ࡗ࡚࠸ࡿ 132 ἲே DNWD ࡢ༠ຊࢆᚓ࡚ࠊ᳨ᰝ┦ㄯ఍ࡢࢥࣥࢭࣉ

ࢺࢆᐃࡵࡿ࡜࡜ࡶ࡟ࣈࣛࣥࢹ࢕ࣥࢢࢆ⾜࠸ࠊ࿘▱

ᗈሗࢆ⾜ࡗࡓࠋᮏ᳨ᰝ┦ㄯ఍ࡢ≉ᚩࡣࠊ+,9 ࡢ㎿

㏿᳨ᰝࠊྠ᫬࡟ᱵẘࡢ㎿㏿᳨ᰝࢆᐇ᪋ࠊࢭࢡࢩࣗ

࢔ࣜࢸ࢕ࡸ +,9 ࡟⌮ゎࡢ࠶ࡿᑓ㛛ࡢ┦ㄯဨࡀ࠸ࡿ

ࡇ࡜ࠊୖ㔝ࡢ 060 ྥࡅၟᴗ᪋タ࠿ࡽ㏆࠸ࡇ࡜ࠊ஺

㏻ࡢせ⾪࡛࠶ࡿୖ㔝㥐࠿ࡽ㏆࠸ࡇ࡜ࠊ㸯㸵᫬௨㝆

(4)

ࡢኪ㛫ࡢ᫬㛫ᖏ࡟ᐇ᪋ࡍࡿࡇ࡜ࠊ060 ࡢ +,9 ࡢ⌧

≧ࢆ⌮ゎࡋࡓ࠺࠼࡛ࡢデ⒪࡜ࡢ㐃ᦠࡸ᳨ᰝ┦ㄯ ࡢ㓄៖࡞࡝࡛࠶ࡾࠊࡇࢀࡽࢆ㋃ࡲ࠼࡚ࠊ㆟ㄽࢆ㔜 ࡡࠊ᪩࠸࡜࠸࠺ព࿡࡛ࠕᛌ㏿ࠖࠊᵝࠎ࡞㓄៖ࢆࡋ

࡚࠸ࡿព࿡࡛ࡢࠕ࠶ࢇࡋࢇࠖࠊၟᴗ᪋タࡸ㥐࠿ࡽ

ࡢ࢔ࢡࢭࢫࡀⰋዲ࡛࠶ࡿࡇ࡜࠿ࡽࠕୖ㔝㥐ࠖ࡜࠸

࠺࣮࣮࢟࣡ࢻࡀᣲࡀࡾࠊࠕᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝 㥐ࠖ࡜࠸࠺ࢿ࣮࣑ࣥࢢࡀỴࡲࡗࡓࠋࡇࢀࢆࡶ࡜࡟ࠊ

ୖ㔝㥐 㕲㐨ࡢ࢖࣓࣮ࢪ࡜ୖ㔝ὸⲡࡢ 060 ࡢᆅᇦ ᛶࢆ㋃ࡲ࠼࡚ࠊࡇࡢ᳨ᰝ┦ㄯ఍ࡢࡓࡵ࡟ 060 ࡟ே

Ẽࡢ࠶ࡿ࢖ࣛࢫࢺ࣮ࣞࢱ࣮࡟࣓࢖ࣥ࢖ࣛࢫࢺࢆ

ᥥࡁ㉳ࡇࡋ࡚ࡶࡽࡗࡓ㸦ᅗ㸯㸧ࠋ

ࡇࢀࢆࡶ࡜࡟ $ ࢧ࢖ࢬࡢ⣬ࣇࣛ࢖࣮ࣖࢆసᡂࠊ ࢤ࢖ྥࡅฟ఍࠸⣔࡜ࡋ࡚฼⏝⪅ᩘࡢከ࠸࢔ࣉࣜ

࡟ࠊᖏࣂࢼ࣮࡜࢔ࣉࣜ㉳ື᫬࡟඲⏬㠃⾲♧ࡉࢀࡿ

࣏ࢵࣉ࢔ࢵࣉᗈ࿌ࢆసᡂࠊ᳨ᰝ┦ㄯ఍๓ࡢ㸯㐌㛫 ᥖ㍕ࢆ౫㢗ࡋࡓࠋ

ᗈሗࡣ᳨ᰝ┦ㄯ఍ࡢ㛤ദ᪥᫬ࡔࡅࢆఏ࠼ࡿࡢ࡛

ࡣ࡞ࡃࠊୖ㔝㥐࠾ࡼࡧ 060 ྥࡅၟᴗ᪋タ࡟㏆᥋ࡋ ࡓ฼౽ᛶࡢⰋ࠸ሙᡤ࡛ࡢ㛤ദ࡛࠶ࡿࡇ࡜ࠊ+,9 ࠾

ࡼࡧᱵẘࡀ༶᪥࡛ࢃ࠿ࡿࡇ࡜ࠊ↓ᩱࠊ༏ྡࠊண⣙

୙せࠊ060 ࡬ࡢ㓄៖ࡸᑓ㛛ࡢ┦ㄯဨ࡟ࡼࡿ┦ㄯయ ไࡀ࠶ࡿࡇ࡜ࠊ᳨ᰝࡢࡑࡢᚋ࡟ࡶ㓄៖ࡋ࡚࠸ࡿࡇ

࡜࡞࡝ࠊ060 ࡟࡜ࡗ࡚ࠕ࠶ࢇࡋࢇࠖ࡞᳨ᰝ࡛࠶ࡿ

࡜ࡢࢥࣥࢭࣉࢺ࡟ᇶ࡙࠸࡚ࠊࡑࢀࡽࡀఏࢃࡿࢹࢨ

࢖ࣥࡸᵓᡂࢆ 1*2 ࡜࡜ࡶ࡟ᕤኵࡋࡓࠋࡲࡓࠊ◊✲

࡜ࡋ࡚ᐇ᪋ࡍࡿ᳨ᰝ┦ㄯ఍࡛ࡣ࠶ࡿࡀࠊ+,9 ᳨ᰝ

ࢆཷ᳨ࡍࡿࡇ࡜ࡢಶேⓗ࣓ࣜࢵࢺࡸ᳨ᰝ⤖ᯝࡀ 㝧ᛶࡔࡗࡓሙྜࡢ⏕άࡸᨭ᥼࡟ࡘ࠸࡚ࢧ࢖ࢺࡢ ෆᐜࡸࣜࣥࢡඛࡢᕤኵ࡟ࡼࡗ࡚✚ᴟⓗ࡟ఏ࠼ࡿ

ࡇ࡜࡛ࠊ᳨ᰝ┦ㄯ⮬యࡣ᳨ᰝࢆཷࡅࡿಶேࡢ೺ᗣ ቑ㐍࡟ᐤ୚ࡍࡿࡶࡢ࡛࠶ࡿࡇ࡜ࢆᙉㄪࡋ࡚ఏ࠼

ࡿෆᐜ࡜ࡋࡓࠋࠕᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝㥐ࠖ࡜࠸

࠺ࢿ࣮࣑ࣥࢢࠊ᳨ᰝ┦ㄯ఍ᗈሗ፹యࡢ࢖ࣛࢫࢺࡸ

ࢹࢨ࢖ࣥࢆ⥅⥆౑⏝ࡋ࡚ࠊ୍㈏ᛶࢆᣢࡓࡏࡿ࡜࡜

ࡶ࡟ࠊࣈࣛࣥࢻ໬ࢆ┠ᣦࡋࡓࠋ

%㸬᳨ᰝ఍ᙜ᪥ࡢᐇ᪋యไ

ධཱྀ᱌ෆ ྡࠊཷ௜Ⓩ㘓 ྡࠊ᳨ᰝෆᐜ࢞࢖ࢲ

ࣥࢫ ྡࠊ఍ሙ⟶⌮ ྡࠊ఍ሙ᱌ෆ᥇⾑ㄏᑟ ྡࠊ

᳨ᰝ⟶⌮ ྡࠊ᥇⾑ ྡࠊ᳨ᰝ ྡࠊ┦ㄯ ࠿ࡽ

ྡࠊ⤖ᯝ㏉༷ ࠿ࡽ ྡࠊ☜ㄆ᳨ᰝண⣙ ྡࡢ వྡ࡛ᙜ᪥ࡢ㐠Ⴀࢆᐇ᪋ࡋࡓࠋ

%㸬᳨ᰝ┦ㄯ఍ཧຍ⪅࡟ᑐࡍࡿ㉁ၥ⚊ㄪᰝ

㉁ၥ㡯┠ࡣࠊᛶูࠊᖺ㱋ࠊᒃఫᆅࠊ⫋ᴗࠊࠕᛌ㏿

࠶ࢇࡋࢇ᳨ᰝୖ㔝㥐ࠖࢆ▱ࡗࡓ፹య࡜฼⏝ཬࡧཷ

᳨ࡢ⌮⏤ࠊ㐣ཤࡢ +,9 ᳨ᰝཷ᳨⤒㦂ࠊ+,9 ᳨ᰝཷ

᳨ࡀึᅇࡔࡗࡓேࡢࡇࢀࡲ࡛ᮍཷ᳨ࡔࡗࡓ⌮⏤ࠊ

」ᩘᅇཷ᳨⪅ࡢ㐣ཤࡢཷ᳨ሙᡤ࡜㢖ᗘࠊ⮬㌟ࡢឤ ᰁྍ⬟ᛶࡢㄆ▱ࠊᛶ⾜ື࡜ +,9 ண㜵⾜ືࠊ+,9 ࡜ ᱵẘ࡟㛵ࡍࡿ▱㆑ࠊ+,9 ཬࡧᛶឤᰁ⑕ࡢண㜵ၨⓎ

άືࡸᨭ᥼࡟㛵ࡍࡿㄆ▱࡜ࡋࡓࠋᚲせ࡟ᛂࡌ࡚㸱 ᖺ㛫࡛㡯┠ࢆኚ᭦ࡋࡓࠋ

%㸬ཧຍ⪅㉁ၥ⚊ࡢศᯒ

ྛ㡯┠ࡢグ㏙⤫ィࠊ㛵㐃㡯┠ࡢࢡࣟࢫ㞟ィࢆ⾜

ࡗࡓࠋ௒ᅇࡢ +,9 ᳨ᰝࡀึࡵ࡚ࡢ⩌࡜」ᩘᅇཷ᳨

⤒㦂ࡀ࠶ࡿ⩌࡜ࢆẚ㍑ࡋ࡚ࢡࣟࢫ㞟ィࢆ⾜ࡗࡓࠋ

%㸬೔⌮ⓗ㓄៖

ேࢆᑐ㇟࡜ࡍࡿ་Ꮫ◊✲࡟㛵ࡍࡿ೔⌮ᣦ㔪ࢆ㑂 Ᏺࡍࡿ࡜࡜ࡶ࡟ࠊ◊✲ᐇ᪋ᖺᗘࡈ࡜࡟సᡂࡋࡓ◊

✲ィ⏬᭩ࢆᒣ᲍┴❧኱Ꮫ┳ㆤᏛ㒊◊✲೔⌮ᑂᰝ ጤဨ఍࡬ᥦฟࡋࠊᢎㄆࢆཷࡅࡓᚋ࡟ᐇ᪋ࡋࡓࠋ

(5)

&◊✲⤖ᯝ

ཷ௜᫬㛫ෆ࡟ࡣྛᖺᗘࠊ ྡࠊ ྡࠊ ྡࡀ ᮶ሙࡋࠊ᳨ᰝ┦ㄯࢆ฼⏝ࡋࡓࠋ

ึᖺᗘࡣ᳨ᰝ┦ㄯࡢᕼᮃ⪅ࡀከᩘ᮶ሙࡋࠊ᳨ᰝ

┦ㄯ఍ࡢᐃဨᩘࢆࡣࡿ࠿࡟㉸࠼ࡓࡇ࡜ࠊࡲࡓࡑࢀ

ࢆ᝿ᐃࡋࡓ‽ഛࡀ୙㊊ࡋ࡚࠸ࡓࡇ࡜࡛ࠊࡏࡗ࠿ࡃ

᳨ᰝࡸ┦ㄯࢆ฼⏝ࡋࡼ࠺࡜࠸࠺Ẽ࡟࡞ࡗ࡚⾜ື

ࢆ㉳ࡇࡋ࡚࠸ࡓࡔ࠸ࡓேࡢࢣ࢔ࢆࡍࡿࡇ࡜ࡀ࡛

ࡁ࡞࠿ࡗࡓ࡜࠸࠺཯┬࠿ࡽࠊ ᖺ┠࠿ࡽࡣ᳨ᰝᐃ ဨᩘࢆ㐠Ⴀࡢ↓⌮ࡢ࡞࠸⠊ᅖ࡛ቑࡸࡍࡇ࡜ࠊࡲࡓࠊ

୍᫬ᮇ࡟ከࡃࡢேࡀ᮶ሙࡋࡓሙྜࡸࠊᐃဨᩘࢆ㉸

ࡍ᳨ᰝ┦ㄯᕼᮃ⪅ࡀ᮶ሙࡋࡓሙྜ࡟ഛ࠼࡚ࠊ㓄ᕸ

㈨ᮦࡸ௦᭰࡜࡞ࡿ᳨ᰝᶵ఍ࡢ᱌ෆ࡞࡝ࢆ‽ഛࡍ

ࡿࡇ࡜࡛ᑐᛂࡋࡓࠋ

&㸬᳨ᰝ┦ㄯ఍ࡢὶࢀ

᳨ᰝ┦ㄯ఍ᙜ᪥ࡣ ᫬࠿ࡽ఍ሙࡢ‽ഛࢆ㛤ጞࡋ

࡚ࠊཷ௜㛤ጞࡢ ᫬㛫๓࡟ࡣᢸᙜ⪅ࡀ㞟ྜࡋᙜ᪥

ࡢὶࢀࡸὀព஦㡯ࢆ☜ㄆࡍࡿ࡜࡜ࡶ࡟᝟ሗඹ᭷

ࢆ⾜ࡗࡓࠋཷ௜㛤ጞࡢ ศ๓࡟ࡣ‽ഛࢆ᏶஢࡛

ࡁࡿࡼ࠺࡟㐍ࡵࡓࠋཷ௜࠿ࡽ⤖ᯝ㏉༷ࡲ࡛ࡢ᫬㛫 ࡣ᭱⤊ᖺᗘࡢࡳ ᐃࡍࡿࡇ࡜ࡀ࡛ࡁࠊΰ㞧ලྜࡸ

᥇⾑᳨యࡢจᅛ᫬㛫➼࡟ࡼࡾኚືࡍࡿࡀࠊᖹᆒ ศࠊ᥇⾑࠿ࡽ⤖ᯝࡢ㏉༷ࡲ࡛ࡣᖹᆒ ศ࡛࠶ࡾ

㏻ᖖࡢ㎿㏿᳨ᰝ࡟ẚ࡭࡚ࡶࠊࢫ࣒࣮ࢬ࡟㐠ࢇ࡛࠸

ࡓࠋ

&㸬᮶ሙ⪅ࡢᒓᛶ

ཷ᳨⪅ࡢᖺ㱋ࡣ ṓ௦ࡀ ࡜᭱ࡶከࡃࠊ ṓ௨ୖࡣ ࡛࠶ࡗࡓࠋୖ㔝࡜࠸࠺ᆅᇦᛶࢆ⪃࠼

ࡿ࡜ࠊࡸࡸ ṓ௦௨ୖࡢᖺ㱋ᒙࡀᑡ࡞࠸ࠋ ᮾி㒔ෆᅾఫ⪅ࡣ ྡ࡛࠶ࡗࡓࠋᮾி

௨እ࡛ࡣࠊᇸ⋢┴ ྡࠊ⚄ዉᕝ┴ ྡ ࠊ༓ⴥ┴ ྡ࡜ࠊᮾிࢆ୰ᚰ࡜ࡋ ࡓ㛵ᮾᆅ᪉࠿ࡽࡢ᮶ሙ࡛࠶ࡗࡓࠋࡑࢀ௨እࡢᆅᇦ

࡛ࡣឡ▱┴ࠊ⁠㈡┴ࡢᒃఫ⪅ࡶぢࡽࢀࡓࠋ

&㸬+,9 ཬࡧᱵẘࡢ᳨ᰝ⤖ᯝ

ᱵẘࡢ 73/$ 㝧ᛶᩘࡣ ௳୰ ௳࡛ࠊ㝧ᛶ๭

ྜ 㸦&,㸧ࠋ

+,9 ࡢ㎿㏿᳨ᰝࡢ⤖ᯝࠊ☜ㄆ᳨ᰝࡀᚲせ࡛࠶ࡗࡓ

ᩘࡣ ௳࡛ࠊ☜ㄆ᳨ᰝࡢ⤖ᯝࡣ ௳ࡀ㝧ᛶࠊ

௳ࡣ ,& ἲഇ㝧ᛶ࡜ุᐃࡉࢀࡓࠋ+,9 ࡢ㝧ᛶ๭ྜࡣ 㸦&,㸧࡛࠶ࡗࡓࠋ+,9 㝜ᛶࡢ

ேࡢෆ 73/$ 㝧ᛶࡣ 㸦&,㸧

࡛࠶ࡗࡓࠋ

ᚋ᪥☜ㄆ᳨ᰝࡢ⤖ᯝ㝧ᛶࢆఏ࠼ࡓே࡟ࡘ࠸࡚ࡣࠊ

඲ဨࡀ་⒪ᶵ㛵ࢆཷデࡋࡓ᪨ࠊᙜヱ་⒪ᶵ㛵࠿ࡽ

ሗ࿌ࢆཷࡅ࡚☜ㄆࡋࡓࠋ

਴ਛڮڴফ ਴ਛڮڵফ ਴ਛگڬফ ৫ಈ঩ +ফ

া঩ଅ

+ফ

া঩া

+ফ

া঩স

૞ਸ঻ ੡

৒৩தૌ

৒৩৔

৒৩৔

੃৔૔ક ੡

ੂਭਫ਼঻ ੡

਴಑ফೡ ୃ ୃ ୃ

ৼ୥੯ਯ ੯ ੯ ੯

+,9 ੡

٫

٫ 73/$ ੡

۝ ۝ ٫

ྔਙ 73/$ ഻ਙ

+,9

ྔਙ ഻ਙ

(6)

&㸬࢔ࣥࢣ࣮ࢺ࡟ࡼࡿ᳨ᰝ┦ㄯ఍ࡢホ౯

᳨ᰝ┦ㄯ఍ࢆ▱ࡗࡓ፹యࡣ」ᩘᅇ⟅࡛ࠕฟ఍࠸

⣔࢔ࣉࣜࡢᗈ࿌ࠖࡀ ࡜᭱ࡶከࡃࠊḟ࠸࡛ 616

ࡸ 7ZLWWHUࠊ▱ே࠿ࡽࡢཱྀࢥ࣑ࡀ ࡛࠶ࡗ ࡓࠋ

ᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝㥐ࡢ฼⏝ࢆ㑅ࢇࡔ⌮⏤ࡣࠊ +,9 ࡢ⤖ᯝࡀ༶᪥࡛ࢃ࠿ࡿ࠿ࡽ㸦㸧ࠊᱵẘࡢ

⤖ᯝࡀ༶᪥࡛ࢃ࠿ࡿ࠿ࡽ࡜࠸࠺᳨ᰝෆᐜࠊ ᮶ࡸࡍ࠸ሙᡤୖ㔝ࡔࡗࡓ࠿ࡽࠊண⣙ࢆ

ࡍࡿᚲせࡀ࡞࠸࠿ࡽ࡜࠸࠺฼౽ᛶࡢⰋࡉ

ࢆᣲࡆࡓேࡀከ࠿ࡗࡓࠋ

&㸬᳨ᰝཷ᳨⪅࡟ࡘ࠸࡚

+,9 ᳨ᰝࡢཷ᳨⤒㦂ࡣࠊ௒ᅇึࡵ࡚ +,9 ᳨ᰝࢆཷ

᳨ࡋࡓேࡀ ྡ࡛࠶ࡾࠊࡑࡢ࠺ࡕࡢ ࡣࡇࢀࡲ࡛࡟ +,9 ᳨ᰝࢆཷࡅࡓ࠸࡜ᛮࡗࡓࡇ࡜ࡀ

࠶ࡿ࡜⟅࠼࡚࠸ࡓࠋ㐣ཤ࡟ཷ᳨⤒㦂ࡀ࠶ࡿ ྡ ࡢ࠺ࡕ ྡࡀ㐣ཤ ᖺ௨ෆ࡟ࠊ ྡ ࡀ㐣ཤ ᖺ௨ෆ࡟᳨ᰝࢆཷࡅࡓࡇ࡜ࡀ࠶

ࡗࡓࠋ᳨ᰝࢆཷࡅࡓሙᡤ࡜ࡋ࡚ࡣಖ೺ᡤࡀ᭱ࡶከ ࡃࠊḟ࠸࡛༡᪂ᐟ᳨ᰝ┦ㄯᐊ࡛࠶ࡗࡓࠋ +,9 㝧ᛶ࡜࡞ࡗࡓ ྡࡢ࠺ࡕ ྡࡣ௒ᅇࡢ᳨ᰝ

┦ㄯ఍ࡀ +,9 ᳨ᰝࡢึཷ᳨࡛࠶ࡗࡓࠋึཷ᳨⪅ࡣ ྡ୰ ྡ࡛࠶ࡿࡢ࡛ࠊึཷ᳨⪅୰ࡢ㝧ᛶ๭ྜ

ࡣ 㸣&,࡛࠶ࡗࡓࠋ

ึཷ᳨࡛㝧ᛶࡀศ࠿ࡗࡓேQ ࡟ࡘ࠸࡚

ึཷ᳨࡛ +,9 㝧ᛶ࡛࠶ࡗࡓ ྡࡢ࠺ࡕࠊࡇࢀࡲ

᳨࡛ᰝࢆཷࡅࡽࢀ࡞࠿ࡗࡓ⌮⏤㸦」ᩘᅇ⟅㸧࡜ࡋ

࡚ࠊ ྡࡀࠕࡁࡗ࠿ࡅࡀ࡞࠿ࡗࡓ࠿ࡽࠖࠊ ྡࡀࠕ+,9

࡟ឤᰁࡋ࡚࠸ࡿࡇ࡜ࡀࢃ࠿ࡿࡇ࡜ࡀᛧ࠸࠿ࡽࠖࠊ

ྡࡀࠕ+,9 ឤᰁࡀศ࠿ࡗࡓᚋࡢ⏕άࡀ኱ኚࡑ࠺ࡔ

࠿ࡽࠖࠕ+,9 ࡟ឤᰁࡋ࡚࠸ࡿࡇ࡜ࡀࢃ࠿ࡿ࡜ࢤ࢖࡛

࠶ࡿࡇ࡜ࢆᐙ᪘➼࡟ㄝ᫂ࡋ࡞ࡅࢀࡤ࡞ࡽ࡞࠸࠿

ࡽࠖࢆᣲࡆ࡚࠸ࡓࠋࡇࡢࠕᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝 㥐ࠖ࡟ཧຍࡋࡓ⌮⏤ࡣࠊࠕ+,9 ࡢ⤖ᯝࡀࡍࡄࢃ࠿ࡿ

࠿ࡽࠖࢆ ྡࡀࠊࠕ᮶ࡸࡍ࠸ሙᡤୖ㔝࡛ࡸࡗ࡚

࠸ࡓ࠿ࡽࠖࢆ ྡࡀࠊ ྡࡀࠕண⣙ࢆࡍࡿᚲせࡀ

࡞࠿ࡗࡓ࠿ࡽࠖࢆᣲࡆ࡚࠸ࡓࠋ

&㸬▱㆑

ṇゎ๭ྜࡀప࠸ࡶࡢࡢ୰࡛ࡣࠊࠕᱵẘࡢึᮇ⑕≧

࡟ࡣᚲࡎ③ࡳࢆక࠺⑕≧ࡀฟࡿࠖṇゎ๭ྜ ࠊ ࠕᏛᰯࡸ⫋ሙࡢ೺ᗣデ᩿࡛ +,9 ࡟ឤᰁࡋ࡚࠸ࡿࡇ

࡜ࡀศ࠿ࡿࡇ࡜ࡶ࠶ࡿࠖṇゎ๭ྜ ࡛࠶ࡗࡓࠋ

࠸ࡎࢀࡢ㉁ၥ࡟࠾࠸࡚ࡶཷ᳨⤒㦂࠶ࡾࡢே࡟ẚ

࡭࡚ึᅇཷ᳨⪅࡛ࡢṇゎ๭ྜࡀప࠿ࡗࡓࠋ

'⪃ᐹ

ᑐ㇟ࢆᮾி㒔ᮾᆅᇦࡢ 060 ࡟ࣇ࢛࣮࢝ࢫࡋ࡚ࠊ

୎ᑀ࡞ +,9 ᳨ᰝ┦ㄯ࡟㛵ࡍࡿࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ

ࢆ⾜࠺ࡇ࡜࡛ࠊࡣࡌࡵ࡚ࡢཷ᳨ࡸᐃᮇⓗཷ᳨⪅ࢆ

ྵࡵࠊከࡃࡢ᳨ᰝ┦ㄯࢽ࣮ࢬࡀ࠶ࡿࡇ࡜ࡀ᫂ࡽ࠿

࡜࡞ࡗࡓࠋࡲࡓࡇࡢᑐ㇟࡟ࡣ༑ศ࡞ +,9 ࡸᛶឤᰁ

⑕࡟㛵ࡍࡿ▱㆑ࡸ᳨ᰝᨭ᥼࡞࡝ࡢ೺ᗣ᝟ሗࡀ⾜

ࡁᒆ࠸࡚࠸࡞࠸ྍ⬟ᛶࡶ♧၀ࡉࢀࡓࠋ᳨ᰝ┦ㄯࡢ ᶵ఍࡜ࡋ࡚ࡣึᖺᗘࡢᐃဨ㉸㐣ࡸ ᖺ㛫࡛ࡢ +,9 ཬࡧ 73 㝧ᛶ๭ྜࡢ㧗ࡉ࡞࡝࠿ࡽࠊከᩘࡢ᳨ᰝ┦

ㄯࢽ࣮ࢬ࡟ᑐࡋ࡚㉁ࡢ㧗࠸᳨ᰝ┦ㄯࢆ⥅⥆ⓗ࡟

ᥦ౪ࡋ࡚࠸ࡃࡇ࡜ࡀᚲせ࡛࠶ࡿ࡜⪃࠼ࡿࠋࡲࡓࠊ

ேཱྀࡢὶฟධࡀከ࠸㒔ᕷ㒊࡛ࡣࠊ᳨ᰝ┦ㄯࡢᶵ఍

ࢆ୰ᚰ࡜ࡋࡓ೺ᗣᨭ᥼࡟㛵ࡍࡿ᝟ሗࢆࠊ⥅⥆ⓗ࡟

060 ࢥ࣑ࣗࢽࢸ࢕ࡸ 1*2 ࡞࡝ࡢ &RPPXQLW\EDVHG RUJDQL]DWLRQ&%2 ࡜㐃ᦠࡋ࡚Ⓨಙࡋ⥆ࡅ࡚࠸ࡃ ᚲせࡀ࠶ࡿࠋ

௒ᅇࡢ᳨ᰝ┦ㄯ఍ࡢせ⣲࡛࠶ࡿኤ᪉ኪ㛫ࠊ⦾⳹

⾤࠿ࡽ㏆࠸ሙᡤࠊ+,9 ༶᪥᳨ᰝࠊᱵẘ༶᪥᳨ᰝࠊ

↓ᩱ༏ྡࠊᑓ㛛ࡢ┦ㄯဨࡀᑐᛂࠊࢤ࢖࡟⌮ゎࡀ࠶

ࡿ༳㇟ࢆ୚࠼ࡿࢥ࣑ࣗࢽࢸ࢕ࢆᇶ┙࡜ࡋࡓᗈሗ ࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࠊಶேࡢ೺ᗣᨭ᥼ࢆ኱ษ࡟ࡋ ࡓ᝟ሗఏ㐩࡞࡝ྛせ⣲ࡢຠᯝࢆศ㞳ࡋ࡚ᙳ㡪ࢆ

ホ౯ࡍࡿࡇ࡜ࡣᅔ㞴࡛࠶ࡿࡀࠊࡇࢀࡽࡢ࠺ࡕ࠸ࡃ ࡘ࠿࡛ࡶ᪤Ꮡࡢಖ೺ᡤࡸ᳨ᰝᶵ఍࡟ྲྀࡾධࢀࡿ

ࡇ࡜࡟ࡼࡗ࡚ࠊ᳨ᰝ┦ㄯࢆ㐲ࡃឤࡌ࡚࠸ࡿ 060 ࡟

࡜ࡗ࡚ཷ᳨࡬ࡢ㞀ቨࢆᑡ࡞ࡃឤࡌ฼┈ᛶࢆ㧗ࡃ ឤࡌࡿࠊ㉁ࡢ㧗࠸೺ᗣᨭ᥼ࡢᶵ఍࡜࡞ࡿ࡜⪃࠼ࡿࠋ

(7)

(⤖ㄽ

ᮾிᮾᆅᇦࡢ 060 ྥࡅ࡟ࠊ1*2 ࡜㐃ᦠࡋࡓ᳨ᰝ┦

ㄯࡢᶵ఍ࢆタࡅࡿ࡜࡜ࡶ࡟ࡑࡢࢽ࣮ࢬホ౯ࢆ⾜

ࡗࡓࠋཷ᳨⪅࡟࠾ࡅࡿ +,9 ࡜ᱵẘࡢ㝧ᛶ๭ྜࡣ㧗 ࡃࠊ௒ᅇࡢࢱ࣮ࢤࢵࢺ㞟ᅋ࡟࠾ࡅࡿ +,9 ➼ࡢ᳨ᰝ

┦ㄯᶵ఍ࡢ㉁ཬࡧ㔞࡜ࡶ࡟ࠊࡉࡽ࡞ࡿ඘ᐇࡀᚲせ

࡛࠶ࡿࠋ+,9 ཷ᳨⾜ືࢆᨭ᥼ࡍࡿࡓࡵ࡟ࡣࠊ࢔ࢡ ࢭࢫࡢⰋ࠸ሙᡤ࡜᫬㛫ᖏࠊ+,9 ௨እࡢᛶឤᰁ⑕࡜

ࡢྠ᫬᳨ᰝ࠿ࡘ㎿㏿᳨ᰝ࡜ゝࡗࡓཷ᳨ᕼᮃ⪅ࡀ ឤࡌࡿ฼౽ᛶࢆᨵၿࡍࡿࡇ࡜࡟ຍ࠼࡚ࠊᛶឤᰁ⑕

࡟ᑐࡍࡿ᢬ᢠឤࠊ᳨ᰝ⤖ᯝ࡜ᑗ᮶ࡢ⏕ά࡟㛵ࡍࡿ

୙Ᏻࠊ+,9 ࠶ࡿ࠸ࡣࢭࢡࢩࣗ࢔ࣜࢸ࢕࡟ᑐࡍࡿࢫ ࢸ࢕ࢢ࣐ࠊࣃ࣮ࢺࢼ࣮࡜ࡢ㛵ಀᛶࠊ⤒῭ⓗၥ㢟ࠊ

᪥ᖖ⏕άୖࡢၥ㢟࡞࡝」ྜⓗ࡞ㄢ㢟࡟ࡘ࠸࡚༑

ศ࡟㓄៖ࡋࡓ᳨ᰝ࡜┦ㄯࢆక࠺೺ᗣᨭ᥼ࢆࠊᑓ㛛 ᐙࡀ࣡ࣥࢫࢺࢵࣉ࡛ᥦ౪ࡍࡿࡇ࡜ࡀ㔜せ࡛࠶ࡿࠋ ࡇࢀࢆᢸ࠺ࡇ࡜ࡀ࡛ࡁࡿಖ೺ᡤࡢ᳨ᰝ┦ㄯ⌧ሙ ࡢㄢ㢟ゎỴࢆᨭ᥼ࡋࠊά⏝ࢆಁࡋ࡚࠸ࡃࡇ࡜ࡀࡦ

࠸࡚ࡣ᳨ᰝ⾜ືࡢಁ㐍࡟ࡘ࡞ࡀࡿࠋ

)◊✲Ⓨ⾲

ㄽᩥⓎ⾲

࣭㔠Ꮚ඾௦

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ሷ㔝ᚨྐ

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,

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,

೺ᒣ ṇ⏨

,

ᕷᕝㄔ୍

.

ᆅ᪉㒔ᕷᅾఫࡢ

MSM

࡟࠾ࡅ

ࡿㄪᰝ᫬Ⅼࡲ࡛࡜㐣ཤ

1

ᖺࡢ

HIV

᳨ᰝ⤒㦂࡜㛵 㐃せᅉ

Ꮫ఍Ⓨ⾲

࣭ᮏ㛫㝯அ

,

ᒾᶫᜏኴ

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㈆༖೺ᚿ

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㛗ᓥ┿⨾

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᳨ᰝ┦ㄯ఍ࠕᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝㥐

2017

ࠖࡢ ᐇ᪋

.

32

ᅇ᪥ᮏ࢚࢖ࢬᏛ఍Ꮫ⾡㞟఍

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௒ᮧ㢧ྐࢥ࣑ࣗࢽ ࢸ࢕ࢭࣥࢱ࣮

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ࢆᇶⅬ࡜ࡍࡿ࢔࢘ࢺ࣮ࣜࢳά

ືࡢຠᯝホ౯

.

32

ᅇ᪥ᮏ࢚࢖ࢬᏛ఍Ꮫ⾡㞟

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᭶㸦኱㜰㸧

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.akta

᮶ሙ⪅࡟࠾ࡅࡿ᮶ሙ⤒㦂ูࡢ᮶ሙ┠ⓗࠊ

HIV

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㧗ஂ㐨Ꮚ

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ྥࡅࢡࣛࣈ࢖࣋ࣥࢺ᮶ሙ⪅࡟࠾ࡅࡿ

HIV

᳨ᰝᮍ

ཷ᳨⪅ࡢ≉ᛶ

.

32

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㔠Ꮚ඾௦

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㧗㔝᧯

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ᒸៅ୍

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ᗈࡀࡾࡘࡘ࠶ࡿ᳨ᰝࡢ㑅ᢥ⫥࡜ࠊಶู᪋⟇ᒙࡢ ᑐ⟇࡟࡝ࡢࡼ࠺࡟ᑐᛂࡍࡿ࠿

MSM

ࢆᑐ㇟࡜ࡍ

ࡿࠊ㒑㏦᳨ᰝᡭἲࢆ⏝࠸ࡓ᪂ࡓ࡞

HIV

᳨ᰝᶵ఍

࡜ࡋ࡚ࡢࠕ

HIVcheck.jp

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32

᪥ᮏ࢚࢖ࢬᏛ఍Ꮫ⾡㞟఍

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᭶㸦኱㜰㸧

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࡟ࡼࡿ࢔

࢘ࢺ࣮ࣜࢳάືࡢࣉࣟࢢ࣒ࣛホ౯ ࣟࢪࢵࢡࣔ

ࢹࣝࢆ⏝࠸ࡓࣉࣟࢭࢫホ౯

.

31

ᅇ᪥ᮏ࢚࢖ࢬ Ꮫ఍Ꮫ⾡㞟఍

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ࢥ࣑ࣗࢽࢸ࢕࣮࣋ࢫࢻㄪᰝ࡟ࡼࡿຠᯝホ౯

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,

ሀከᩔᏊ

,

ᅵᒇ⳯Ṍ

,

ᮏ㛫㝯அ

,

.

ᱵẘၨⓎࢆ฼⏝ࡋࡓ᪂ࡓ࡞

HIV

ཷ᳨່ዡἲ

࡟ࡘ࠸࡚ࡢ᳨ウ

.

31

ᅇ᪥ᮏ࢚࢖ࢬᏛ఍Ꮫ⾡㞟

.2017

11

᭶㸦ᮾி㸧

࣭ᮏ㛫㝯அ

,

ᒾᶫᜏኴ

,

ሀከᩔᏊ

,

㈆༖೺ᚿ

,

㛗ᓥ┿⨾

,

.

᳨ᰝ࣭┦ㄯయไ

HIV

᳨ᰝ┦ㄯ఍ࠕᛌ㏿࠶ࢇ

ࡋࢇ᳨ᰝୖ㔝㥐ࠖࡢᐇ᪋

.

31

ᅇ᪥ᮏ࢚࢖ࢬᏛ

఍Ꮫ⾡㞟఍

.2017

11

᭶㸦ᮾி㸧

࣭ᒾᶫᜏኴ

,

ᮏ㛫㝯அ

,

ሀከᩔᏊ

,

㈆༖೺ᚿ

,

㛗ᓥ┿⨾

,

.

᳨ᰝ࣭┦ㄯయไ ᮾிᮾ㒊ᆅᇦ࡟࠾ࡅࡿ

MSM

ྥࡅ

HIV

᳨ᰝ࣭┦ㄯ఍ࠕᛌ㏿࠶ࢇࡋࢇ᳨ᰝୖ㔝 㥐ࠖࡢၨⓎࡢᵓᡂ

.

31

ᅇ᪥ᮏ࢚࢖ࢬᏛ఍Ꮫ⾡

㞟఍

.2017

11

᭶㸦ᮾி㸧

(8)

*▱ⓗᡤ᭷ᶒࡢྲྀᚓ≧ἣ

࡞ࡋ

ᅗ⾲

(9)

ᅗ ᳨ᰝ┦ㄯ఍ࡢᗈሗࣇࣛ࢖࣮ࣖ㸦+㸰㸶㸪㸰㸷㸪㸱㸮ࠊ⿬㠃㸧

(10)

ᅗ :HE ࢧ࢖ࢺ࡟ᥖ㍕ࡢ㸦 ࢥ࣐ₔ⏬㸧

(11)

ᅗ ཷ᳨⚊࣮࢝ࢻ

࠾ࡶ࡚㠃 ࠺ࡽ㠃

ᅗ ┦ㄯ࣮࢝ࢻ

࠾ࡶ࡚㠃

࠺ࡽ㠃

(12)

ᅗ ࢞࢖ࢲࣥࢫࢩ࣮ࢺ㸦◊✲ᐇ᪋ㄝ᫂᭩ව᳨ᰝෆᐜㄝ᫂᭩㸧

(13)

࢞࢖ࢲࣥࢫࢩ࣮ࢺ⿬㠃㸦

A

㸲∧㸧

(14)

ᅗ ◊✲ཧຍྠព᭩㸦᥍࠼ࡶྠᵝ㸧

(15)

ᅗ +,9 ᳨ᰝࡢ⤖ᯝ࡟㛵ࡍࡿㄝ᫂᭩ $ $% ࡣ $ ⏝⣬࡟୧㠃༳ๅ࡛౑⏝㸧

(16)

ᅗ +,9 ᳨ᰝࡢ⤖ᯝ࡟㛵ࡍࡿㄝ᫂᭩㸦%㸧 $% ࡣ $ ⏝⣬࡟୧㠃༳ๅ࡛౑⏝㸧

(17)

⾲ ཷ᳨⪅ࡢᒓᛶ㸦ᖺᗘูࠊ ᖺᗘྜィ㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ਙશ

जभ౎

QD ফೡమ௻ফೡभा૚ফ২भਭਫ਼঻੕ਯ॑۝धघॊك

ୃ৻

ୃ৻

ୃ৻

ୃਰ঱

೜ક৉ય

ূ਎੃

ઋఱਆ਩

൮௣਩

૸୴਩

जभ౎

QD

৘ય঴੨ؚजभ౎भ৉ୠ

઎ূય ଌয়ય

⌨෪ય র৙ય ਨય

ৗ೛ય

௖ૺਆય

പధય

௖ূય ൽਆય

਼িદય

ႅিય

পিય ഝଶય

௹ਣય ಫ஝ય

෡દય

૸৻িય ષਆય ધ਎ય

⑞ଗ਩

௃ય

বী஁৘

রఙય ౡ਽਩

৯హય ఎੴ਩

ණ஝਩

ཱྀவ਩

ਧূ਎৘

঴ি৘

৹ഘ৘

ূ୲೏৪৘

ਿর৘

૙঵

৽੾؞ভ঺৩؞ਁਜ৩

ঽ੾঵؞ঽ૓঵

ঃشॺ؞॔ঝংॖॺ؞ইজشॱش

৾ে

जभ౎

QD ফ২

ফ২

Q Q Q ফ২

Q

ফ২়ੑ

(18)

⾲ ᳨ᰝ┦ㄯ఍ཷ᳨ࡢ⌮⏤㸦ᖺᗘูࠊ ᖺᗘྜィ㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ম঩भَ඿சँ॒ख॒ਫ਼ਪ঱৙കُ॑୦दੴॉऽखञऊ

।ॖংشृ।ॖ३ঙॵউपँढञॳছ३

ঁॵॸথৃपँढञॳছ३ )DFHERRNृWZLWWHU

॔উজઁઔق02167(56ك

DNWDभZHE१ॖॺقDNWDMSDQVKLQك +,9ਫ਼ਪৼ୥ঐॵউ

ੴযऊैभઠ॥঑

ୢ௜ਃঢ়ृਗ਼ਵৼ୥भງஂ

जभ౎

ম঩भَ඿சँ॒ख॒ਫ਼ਪ঱৙കُ॑৭॒ट৶૓मऩ॒दघऊ +,9भ੥ટऋ໌঩दॎऊॊऊै

ਟृघःৃਚ঱৙टढञऊै

෭෼भ੥ટऋ໌঩दॎऊॊऊै

੒৺॑घॊ૑ਏऋऩःऊै

ఽऽदृढथःॊऊै

௵যੴযऋ൭ीथःञऊै

DNWDऋઁਾ॑खथःॊਫ਼ਪटऊै

ৼ୥ऋदऌॊऊै

जभ౎

+,9ँॊःम෭෼ਫ਼ਪ॑ਭਫ਼खेअधઓढञऌढऊऐम୦दघऊ +,9प૎ഉखथःॊ૭ચਙऋँॊऊै

෭෼प૎ഉखथःॊ૭ચਙऋँॊऊै

৬৹प૗৲ऋँॉ+,9૎ഉभਂ਍॑૎गञऊै

৬৹प૗৲ऋँॉ෭෼૎ഉभਂ਍॑૎गञऊै

+,9भੲਾपඡोथঽীभऒधुੱଦपऩढञऊै

෭෼भੲਾपඡोथঽীभऒधुੱଦपऩढञऊै

ঃشॺॼشभ+,9૎ഉऋॎऊढञऊै

ঃشॺॼشभ෭෼૎ഉऋॎऊढञऊै

ঽীऋ+,9෭෼ਰਗभਙ૎ഉඪपऊऊढञऊै

୰੹ृ൧௜ਚद+,9ਫ਼ਪ॑ਭऐपऎःऊै

৒਋৓प+,9ਫ਼ਪ॑ਭऐथःॊऊै

+,9प૎ഉखथु஘رऩ੍ର॑ਭऐैोॊधੴढञऊै

௵যੴযपघघीैोञऊै

ৗखःঃشॺॼشऋदऌञऊै

ঃشॺॼشध঳คपਭऐॊऒधपखञऊै

ञट౐पੴॉञःऊै

ङढधਭऐञःधઓढथःञऊै

जभ౎

঳ಹ਱ऐभਫ਼ਪपૻसथؚ।ॖ؞ংॖ७ॡ३গ॔ঝ੬ਙ଒৒भਫ਼ਪभऺअऋਭऐृघःधઓःऽघऊ जअઓअ

नठैधु੉इऩः

जअઓॎऩः

QD

০৚॑௾ःथؚऒोऽदप+,9ਫ਼ਪ॑ਭऐञःधઓढञऒधऋँॉऽघऊ

ँॊ

ऩः

QD

ফ২ ফ২ ফ২ ফ২়ੑ

Q Q Q Q

(19)

⾲ +,9 ᳨ᰝཷ᳨ࡢ⤒㦂࡜ࡇࢀࡲ࡛ᮍཷ᳨ࡢ⌮⏤ࠊ㐣ཤࡢཷ᳨ሙᡤ㸦ᖺᗘูࠊ ᖺᗘྜィ㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ +,9ਫ਼ਪ॑ਭऐञभम০৚द୦৚৯दघऊ

ੂीथ

৚৯ f৚৯

৚ਰ঱

ളਯ৚

QD

ःऽऽद+,9ਫ਼ਪ॑ਭऐऩऊढञभमऩछदघऊقਫ਼ਪੂਭਫ਼঻पৌखथك ऌढऊऐऋऩऊढञऊै

ਫ਼ਪदऌॊৃਚ॑ੴैऩऊढञऊै

+,9प૎ഉखथःॊ૭ચਙऋऩःऊै

उসऋऊऊॊऊै

ఢॉभযुਫ਼ਪ॑ਭऐथःऩःऊै

+,9प૎ഉखथःॊभदमध౎भযऊैઑॎोॊऊै

ँःऽःऩऽऽपखथउऌञःऊै

૎ഉऋॎऊढञ৏भেણऋপ૗जअटऊै

।ॖदँॊऒध॑ਫ਼ਪदਵऔऩऐोयऩैऩःऊै

+,9प૎ഉखथःॊऒधऋॎऊॊऒधऋཋःऊै

+,9टध।ॖदँॊऒध॑ੇఔಉषହ৥ऋ૑ਏटऊै

जभ౎

৐৚भਫ਼ਪৎ਋قਭਫ਼৽ୡँॉपৌखथك ফਰ৔

ऊैফ ফेॉ৐

QD

ૌுपਫ਼ਪ॑अऐञऒधभँॊৃਚقਭਫ਼৽ୡँॉपৌखथك

ূ਎੃વৗ೛ਫ਼ਪ؞ৼ୥஼

ূ਎੃੗༂৉ୠਫ਼ਪ؞ৼ୥஼

઎ূ৳௏ਚ

઎ূ৳௏ਚਰਗभ৳௏ਚ

ऒोऽदभ඿சँ॒ख॒ਫ਼ਪ঱৙ക

ॖঋথॺਫ਼ਪ

୰੹؞൧௜ਚ

+,9&KHFN

ഖଛਫ਼ਪ

जभ౎

Q Q Q Q

ফ২ ফ২ ফ২ ফ২়ੑ

(20)

⾲ ឤᰁࣜࢫࢡࡢㄆ▱࡜ᛶ⾜ື+,9 ண㜵⾜ື㸦ᖺᗘูࠊ ᖺᗘྜィ㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ +,9प૎ഉखथःॊ૭ચਙमनभங২ँॊधઓःऽघऊ

ऊऩॉँॊ

ँॊங২ँॊ

ऺध॒न૮ः

ऽढञऎऩः

घदप+,9഻ਙ॑નੳखथःॊ

QD

૎ഉभੱਊञॉधऩॊষನम୦दघऊ ੬ਙधभ७ॵॡ५

੓ਙधभ७ॵॡ५

ೊઐ

ঁॵॸথৃदभ७ॵॡ५

ఇ੟॑ઞ৷खञ७ॵॡ५

ିೝଉऩनभુ৷

जभ౎

जभষನऋँढथऊैभ਋৑मनोऎैःदघऊ

঩౞௥

঩ਰ঱঩౞௥

঩ਰ঱ফ౞௥

ফਰ঱

QD

০ऽदप੬ਙध॔ॼঝ७ॵॡ५॑खञऒधऋँॉऽघऊ

ऩः

ૌுধাभ৑पँॊ

ૌுধাऊैফभ৑पँॊ

ফਰ঱৐पँॊ

ँॊऐनःणऊमಁइथःऩः

QD

৐৚॔ॼঝ७ॵॡ५॑खञৎؚ॥থॻش঒॑ઞःऽखञऊ ઞढञ

ઞॎऩऊढञ

ಁइथःऩः

QD

ૌுনা৑भ॔ॼঝ७ॵॡ५दؚनभங২॥থॻش঒॑ઞःऽखञऊ

൐৚૑ङઞ৷ ઞ৷ऋ੗ऊढञ

૜ী૜ী

ਂઞ৷ऋ੗ऊढञ

৸ऎਂઞ৷

QD

+,9॑அिਙ૎ഉඪभ੒ଆभञीप॥থॻش঒॑ઞःञःधઓढथःऽखञऊ मः

ःःइ

ৼুઃਸ਼

અइथःऩः

॥থॻش঒ਰਗभ੒ଆ১

जभ౎

QD

Q Q Q Q

ফ২ ফ২ ফ২ ফ২়ੑ

(21)

⾲ +,9 ண㜵ࡸᨭ᥼࡟㛵ࡍࡿ㈨※ࡢㄆ▱㸦ᖺᗘูࠊ ᖺᗘྜィ㸧

⾲ +,9 ࠾ࡼࡧᛶឤᰁ⑕࡟㛵ࡍࡿ▱㆑㸦ᖺᗘูࠊ ᖺᗘྜィ㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫

ઃभ॥঑গॽॸॕ७থॱش॑ੴढथःऽघऊ

=(/ق૝ଗ਩෽઎৘ك DNWDقূ਎੃ৗ೛યك

6+,3قઋఱਆ਩૯ଘ৘ك

ULVHقఎੴ਩੡ଽો৘ك GLVWDقপଚਿপଚ৘ك KDFRقૣળ਩ૣળ৘ك PDEXLقబಐ਩ຏೱ৘ك

ःङोुੴैऩः

ऒोऽदपु੃৔द।ॖ؞ংॖ७ॡ३গ॔ঝ਱ऐभ਱ऐभ+,9ਫ਼ਪভऋँढञऒध॑ੴढथःऽखञऊ ੴढथःञ

ੴैऩऊढञ

QD

+,9੒ଆपঢ়৴घॊઃभZHE१ॖॺृਫ਼ਪৼ୥ಉभ੍ର॑ੴढथःऽघऊ +,9ਫ਼ਪৼ୥ঐॵউقZHE१ॖॺك

+,9ঐॵউقZHE१ॖॺك

ূ਎੃+,9ਫ਼ਪੲਾZHEقZHE१ॖॺك

ূ਎੃વৗ೛ਫ਼ਪ؞ৼ୥஼قZHE१ॖॺك

ূ਎੃੗༂৉ୠਫ਼ਪ؞ৼ୥஼

ਗ਼ਵৼ୥

Q Q Q Q ফ২ ফ২ ফ২ ফ২়ੑ

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫

>ੴ௙@+,9प૎ഉखथुؚిજऩ੘௜॑ਭऐोयؚ৬৔भक़ॖঝ५୤॑उऔइॊऒधऋदऌॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@੬ਙ৊ਙ৑भ७ॵॡ५॑ষढथःॊযमؚফप৚ؚ৒਋৓प+,9ਫ਼ਪ॑ਭऐञऺअऋଐः؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@৳௏ਚदम੡৐॑੉ॎङप૮મद+,9ਫ਼ਪ॑ਭऐॊऒधऋदऌॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@৾ૅृ૙ৃभ௏೨൧૵द+,9प૎ഉखथःॊऒधऋীऊॊযुःॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@௯ဪभेअऩඪ૾द୰੹॑ਭ൧खञधऌप୦ु੉ॎोऩऐोयؚ+,9प૎ഉखथःऩः؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@෭෼भੂ਋ඪ૾पम૑ङ൱ा॑धुऩअඪ૾ऋলॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

Q Q Q Q

ফ২ ফ২ ফ২ ফ২়ੑ

(22)

⾲ ཷ᳨⪅ࡢᒓᛶ㸦ᖺᗘู࣭ཷ᳨⤒㦂ู㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ਙશ

जभ౎

QD ফೡమ௻ফೡभा૚ফ২भਭਫ਼঻੕ਯ॑۝धघॊك

ୃ৻

ୃ৻

ୃ৻

ୃਰ঱

೜ક৉ય

ূ਎੃

ઋఱਆ਩

൮௣਩

૸୴਩

जभ౎

QD

৘ય঴੨ؚजभ౎भ৉ୠ

઎ূય ଌয়ય

⌨෪ય র৙ય ਨય

ৗ೛ય

௖ૺਆય

പధય

௖ূય ൽਆય

਼িદય

ႅিય

পিય ഝଶય

௹ਣય ಫ஝ય

෡દય

૸৻িય ષਆય ધ਎ય

⑞ଗ਩

௃ય

বী஁৘

রఙય ౡ਽਩

৯హય ఎੴ਩

ණ஝਩

ཱྀவ਩

ਧূ਎৘

঴ি৘

৹ഘ৘

ূ୲೏৪৘

ਿর৘

૙঵

৽੾؞ভ঺৩؞ਁਜ৩

ঽ੾঵؞ঽ૓঵

ঃشॺ؞॔ঝংॖॺ؞ইজشॱش

৾ে

जभ౎

QD Q Q Q Q Q Q Q Q

ੂ৚ जोਰਗ ੂ৚ जोਰਗ ੂ৚ जोਰਗ

ੂ৚ जोਰਗ

ফ২ ফ২ ফ২ ়ੑ

+,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ

(23)

⾲ ᳨ᰝ┦ㄯ఍ཷ᳨ࡢ⌮⏤㸦ᖺᗘู࣭ཷ᳨⤒㦂ู㸧

Q Q Q Q Q Q

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ +,9प૎ഉखथःॊ૭ચਙमनभங২ँॊधઓःऽघऊ

ऊऩॉँॊ

ँॊங২ँॊ

ऺध॒न૮ः

ऽढञऎऩः

घदप+,9഻ਙ॑નੳखथःॊ

QD

૎ഉभੱਊञॉधऩॊষನम୦दघऊ

੬ਙधभ७ॵॡ५

੓ਙधभ७ॵॡ५

ೊઐ

ঁॵॸথৃदभ७ॵॡ५ ఇ੟॑ઞ৷खञ७ॵॡ५

ିೝଉऩनभુ৷ जभ౎

जभষನऋँढथऊैभ਋৑मनोऎैःदघऊ

঩౞௥

঩ਰ঱঩౞௥

঩ਰ঱ফ౞௥

ফਰ঱

QD ০ऽदप੬ਙध॔ॼঝ७ॵॡ५॑खञऒधऋँॉऽघऊ

ऩः

ૌுধাभ৑पँॊ

ૌுধাऊैফभ৑पँॊ

ফਰ঱৐पँॊ

ँॊऐनःणऊमಁइथःऩः

QD

৐৚॔ॼঝ७ॵॡ५॑खञৎؚ॥থॻش঒॑ઞःऽखञऊ

ઞढञ

ઞॎऩऊढञ

ಁइथःऩः

QD

ૌுনা৑भ॔ॼঝ७ॵॡ५दؚनभங২॥থॻش঒॑ઞःऽखञऊ

൐৚૑ङઞ৷

ઞ৷ऋ੗ऊढञ

૜ী૜ী

ਂઞ৷ऋ੗ऊढञ

৸ऎਂઞ৷

QD

+,9॑அिਙ૎ഉඪभ੒ଆभञीप॥থॻش঒॑ઞःञःधઓढथःऽखञऊ

मः

ःःइ

ৼুઃਸ਼

અइथःऩः

॥থॻش঒ਰਗभ੒ଆ১ जभ౎

QD ফ২ ফ২ ফ২ ়ੑ

+,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ Q Q

जोਰਗ ੂ৚ जोਰਗ

ੂ৚ ੂ৚ जोਰਗ ੂ৚ जोਰਗ

(24)

⾲ +,9 ᳨ᰝཷ᳨ࡢ⤒㦂࡜ࡇࢀࡲ࡛ࡢᮍཷ᳨⌮⏤㐣ཤࡢཷ᳨ሙᡤ㸦ᖺᗘู࣭ཷ᳨⤒㦂ู㸧

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ +,9ਫ਼ਪ॑ਭऐञभम০৚द୦৚৯दघऊ

ੂीथ

৚৯

f৚৯

৚ਰ঱

ളਯ৚

QD

ःऽऽद+,9ਫ਼ਪ॑ਭऐऩऊढञभमऩछदघऊقਫ਼ਪ৅ਭਫ਼঻पৌखथك

ऌढऊऐऋऩऊढञऊै

ਫ਼ਪदऌॊৃਚ॑ੴैऩऊढञऊै

+,9प૎ഉखथःॊ૭ચਙऋऩःऊै

उসऋऊऊॊऊै

ఢॉभযुਫ਼ਪ॑ਭऐथःऩःऊै

+,9प૎ഉखथःॊभदमऩःऊध౎

भযऊैઑॎोॊऊै

ँःऽःऩऽऽपखथउऌञःऊै

૎ഉऋॎऊढञ৏भেણऋপ૗जअट ऊै

।ॖदँॊऒध॑ਫ਼ਪदਵऔऩऐोय ऩैऩःऊै

+,9प૎ഉखथःॊऒधऋॎऊॊऒध ऋཋःऊै

+,9ऋॎऊॊध।ॖदँॊऒध॑ੇఔ ಉपହ৥खऩऐोयऩैऩःऊै

जभ౎

৐৚भਫ਼ਪৎ਋قਭਫ਼৽ୡँॉपৌखथك

ফਰ৔

ऊैফ

ফेॉ৐

QD

ૌுपਫ਼ਪ॑अऐञऒधभँॊৃਚقਭਫ਼৽ୡँॉपৌखथك

ূ਎੃વৗ೛ਫ਼ਪ؞ৼ୥஼

ূ਎੃੗༂৉ୠਫ਼ਪ؞ৼ୥஼

઎ূ৳௏ਚ

઎ূ৳௏ਚਰਗभ৳௏ਚ

ऒोऽदभ඿சँ॒ख॒ਫ਼ਪ঱৙ക

ॖঋথॺਫ਼ਪ

୰੹؞൧௜ਚ

+,9&KHFN

ഖଛਫ਼ਪ

जभ౎

ਭਫ਼खेअधઓढञऌढऊऐम୦दघऊ

+,9प૎ഉखथःॊ૭ચਙऋँॊऊै

෭෼प૎ഉखथःॊ૭ચਙऋँॊऊै

৬৹प૗৲ऋँॉ+,9૎ഉभਂ਍॑૎

৬৹प૗৲ऋँॉ෭෼૎ഉभਂ਍॑૎

+,9भੲਾपඡोथঽীभऒधुੱଦ

෭෼भੲਾपඡोथঽীभऒधुੱଦ

ঃشॺॼشभ+,9૎ഉऋॎऊढञऊै

ঃشॺॼشभ෭෼૎ഉऋॎऊढञऊै

ঽীऋ+,9෭෼ਰਗभਙ૎ഉඪपऊ

୰੹ृ൧௜ਚद+,9ਫ਼ਪ॑ਭऐपऎः

৒਋৓प+,9ਫ਼ਪ॑ਭऐथःॊऊै

+,9प૎ഉखथु஘رऩ੍ର॑ਭऐै

௵যੴযपघघीैोञऊै

ৗखःঃشॺॼشऋदऌञऊै

ঃشॺॼشध঳คपਭऐॊऒधपखञ

ञट౐पੴॉञःऊै

ङढधਭऐञःधઓढथःञऊै

जभ౎

Q Q Q Q Q Q Q Q

ੂ৚ जोਰਗ ੂ৚ जोਰਗ ੂ৚ जोਰਗ

ੂ৚ जोਰਗ

ফ২ ফ২ ফ২ ়ੑ

+,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ

(25)

⾲ឤᰁࣜࢫࢡࡢㄆ▱࡜ᛶ⾜ື+,9 ண㜵⾜ື㸦ᖺᗘู࣭ཷ᳨⤒㦂ู㸧

Q Q Q Q Q Q

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ +,9प૎ഉखथःॊ૭ચਙमनभங২ँॊधઓःऽघऊ

ऊऩॉँॊ

ँॊங২ँॊ

ऺध॒न૮ः

ऽढञऎऩः

घदप+,9഻ਙ॑નੳखथःॊ

QD

૎ഉभੱਊञॉधऩॊষನम୦दघऊ

੬ਙधभ७ॵॡ५

੓ਙधभ७ॵॡ५

ೊઐ

ঁॵॸথৃदभ७ॵॡ५ ఇ੟॑ઞ৷खञ७ॵॡ५

ିೝଉऩनभુ৷ जभ౎

जभষನऋँढथऊैभ਋৑मनोऎैःदघऊ

঩౞௥

঩ਰ঱঩౞௥

঩ਰ঱ফ౞௥

ফਰ঱

QD ০ऽदप੬ਙध॔ॼঝ७ॵॡ५॑खञऒधऋँॉऽघऊ

ऩः

ૌுধাभ৑पँॊ

ૌுধাऊैফभ৑पँॊ

ফਰ঱৐पँॊ

ँॊऐनःणऊमಁइथःऩः

QD

৐৚॔ॼঝ७ॵॡ५॑खञৎؚ॥থॻش঒॑ઞःऽखञऊ

ઞढञ

ઞॎऩऊढञ

ಁइथःऩः

QD

ૌுনা৑भ॔ॼঝ७ॵॡ५दؚनभங২॥থॻش঒॑ઞःऽखञऊ

൐৚૑ङઞ৷

ઞ৷ऋ੗ऊढञ

૜ী૜ী

ਂઞ৷ऋ੗ऊढञ

৸ऎਂઞ৷

QD

+,9॑அिਙ૎ഉඪभ੒ଆभञीप॥থॻش঒॑ઞःञःधઓढथःऽखञऊ

मः

ःःइ

ৼুઃਸ਼

અइथःऩः

॥থॻش঒ਰਗभ੒ଆ১ जभ౎

QD ফ২ ফ২ ফ২ ়ੑ

+,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ Q Q

जोਰਗ ੂ৚ जोਰਗ

ੂ৚ ੂ৚ जोਰਗ ੂ৚ जोਰਗ

(26)

⾲+,9 ண㜵ࡸᨭ᥼࡟㛵ࡍࡿ㈨※ࡢㄆ▱㸦ᖺᗘูࠊཷ᳨⤒㦂ู㸧

⾲+,9 ࠾ࡼࡧᛶឤᰁ⑕࡟㛵ࡍࡿ▱㆑㸦ᖺᗘูࠊཷ᳨⤒㦂ู㸧

Q Q Q Q Q Q

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫

ઃभ॥঑গॽॸॕ७থॱش॑ੴढथःऽघऊ

=(/ق૝ଗ਩෽઎৘ك

DNWDقূ਎੃ৗ೛યك

6+,3قઋఱਆ਩૯ଘ৘ك ULVHقఎੴ਩੡ଽો৘ك GLVWDقপଚਿপଚ৘ك KDFRقૣળ਩ૣળ৘ك PDEXLقబಐ਩ຏೱ৘ك

ःङोुੴैऩः

ऒोऽदपु੃৔द।ॖ؞ংॖ७ॡ३গ॔ঝ਱ऐभ਱ऐभ+,9ਫ਼ਪভऋँढञऒध॑ੴढथःऽखञऊ

ੴढथःञ

ੴैऩऊढञ

QD +,9੒ଆपঢ়৴घॊઃभZHE१ॖॺृਫ਼ਪৼ୥ಉभ੍ର॑ੴढथःऽघऊ

+,9ਫ਼ਪৼ୥ঐॵউقZHE१ॖॺك +,9ঐॵউقZHE१ॖॺك

ূ਎੃+,9ਫ਼ਪੲਾZHEقZHE१ॖॺك

ূ਎੃વৗ೛ਫ਼ਪ؞ৼ୥஼قZHE१ॖॺك

ূ਎੃੗༂৉ୠਫ਼ਪ؞ৼ୥஼

ਗ਼ਵৼ୥

ফ২ ফ২ ফ২ ়ੑ

+,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ Q ੂ৚ जोਰਗQ ੂ৚ जोਰਗ ੂ৚ जोਰਗ ੂ৚ जोਰਗ

۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫ ۝ ٫

>ੴ௙@+,9प૎ഉखथुؚిજऩ੘௜॑ਭऐोयؚ৬৔भक़ॖঝ५୤॑उऔइॊऒधऋदऌॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@੬ਙ৊ਙ৑भ७ॵॡ५॑ষढथःॊযमؚফप৚ؚ৒਋৓प+,9ਫ਼ਪ॑ਭऐञऺअऋଐः؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@৳௏ਚदम੡৐॑੉ॎङप૮મद+,9ਫ਼ਪ॑ਭऐॊऒधऋदऌॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@৾ૅृ૙ৃभ௏೨൧૵द+,9प૎ഉखथःॊऒधऋীऊॊযुःॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@௯ဪभेअऩඪ૾द୰੹॑ਭ൧खञधऌप୦ु੉ॎोऩऐोयؚ+,9प૎ഉखथःऩः؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

>ੴ௙@෭෼भੂ਋ඪ૾पम૑ङ൱ा॑धुऩअඪ૾ऋলॊ؛

ਫखः

৑ୀढथःॊ

ॎऊैऩः

QD

Q Q Q Q Q Q Q Q

ੂ৚ जोਰਗ ੂ৚ जोਰਗ ੂ৚ जोਰਗ

ੂ৚ जोਰਗ

ফ২ ফ২ ফ২ ়ੑ

+,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ +,9ਫ਼ਪभਭਫ਼৽ୡ

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