沖縄の離島医療に関する研究--沖縄県渡名喜島をその一例として

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This paper is devoted to analyse the present condition of community health, as a case study, at Tonaki village, one of isolated islands belong to Okinawa prefecture. The population has been decreased since 1946 and is only 702 including many of the aged. Though the records to know the history of Tonaki island has been rarely found, it was presumed that the inhabitants had been led their lives by fishing. The way of life in Tonaki was differented from Okinawa mainlands. After the World War II, medical care for people has been carried out mainly by medical assistant (so called IKAIHO) and or public health nurse. As the other medical personnel, midwife, homehelper and school nurse lived and worked there each several years. Since 1974 a medical doctor has been there and has carried out medical activities. In this papers, at first, the health conditions of peoples were reported from the various aspects. Secondly, it was observed that how did they perceive about their health condition and acted when they broke their health. They had been disadvantage on medicine, because they had no medical doctor so often beside men had been abroad for many years for fishing in their history. Thirdly, the history of medical care at Tonaki island was observed through the life history of the old man from the view point of relation between the individual and the community.
日本民族衛生学会の論文