Q:܂ł̏،ŁAEPA񍐏Ăɑ΂u_v͑O҂̉ȊwƂ
đ啔ے肳ꂱƁA܂AȊwI̒Ⴂ̘_ƂĎg
Ă邱Ƃ悭킩܂BƂŁAEPA̕񍐏u󓮋ǐċz
̌Ne:xKё̌ċz펾vFĐ\ꂽA
lXȘ_悤łAؐĺA̓_ɂĂmł?
A:͍b42؂ɏڂׂ̂Ă܂BEPÃX^bt̏_
ŁAEPA̐ƔF肳Ă܂B

b42	P1

    [TOBACCO	CONTROL	1994;3:263-267]					  
	  󓮋i͂ȂƂ̂ł錒Njq\ꂪ^ł	  
			SETTING THE RECORD STRAIGHT:			  
	       SECONDHAND SMOKE IS A PREVENTABLE HEALTH RISK		  
	       ROBERT AXELRAD,STEVEN P BAYARD,JENNIFER JINOT(EPAX^bt) 



b42	P1

  EPA񍐂͊^oRuAO[vK Group A carcinogenvƕ
ނ܂B̓qgɑ΂ăKNƂ͂ƏؖꂽK
ɂ閼OłBEPA܂łAO[vKƔF肵
̂͂قɃAXxXgAhAx[Ȃ15ނłBʂ
炵Ă̉xŃKƔF肳ꂽAO[vK
͊^oRȊOɂ͂܂BEPA͊^oR1NԂ3000l̃^
oRzȂAJs̖΂ĂƐ肵܂B


b41	P1

  EPA͂̉ȊwIłs͂񍐏̓eSʓIɎx܂B
̕񍐏̓e͈ʎsEPAƗȊw҂̏W܂łSci-
ence Advisory Board(Ȋwψ:SAB)ɂSʓIȃr[󂯂܂
B^oRYƂƂ̌pwҒB炾ꂽxKƎ󓮋i̊֘Aɂ
̂قƂǂׂĂ̔__SABɂČ܂Bψ͕񍐏̕
@_͐ƓӂŏI񍐏̌_SvŏF܂B


b41	P1

  ̕񍐏͕čیȂэK(National Cancer
Institute)AOqÄwÐ@ւFĂ܂B


Q:󓮋i܂A^oRIlɃKƂmǂA
󓮋i̍ŏdv̘__̂ЂƂłAEPA͂ǂĂ
ł傤?
A:͍b40؂łu؋̏d݁v͂ɂĖ炩ɂĂ܂B


b42	P2
^oR̓qgɑ΂锭KƂĊmł(AO[vK) (1)

  󓮋i^oRzȂlɔxKNƂm͑ʓIȏ؋
𑍍Ă݂тꂽ_ł(}1)Bނ̌т
ɂ咣ł͂܂B̏؋͈ȉɎ̏dvȎyƂ
Ă܂B

Ő}1掦


b42	P2
^oR̓qgɑ΂锭KƂĊmł(AO[vK) (2)

  1BiqgɔxKNƂ͒NےłȂłB
ȉ̋iʂȂxKNȂƂ臒l()͂܂B


b42	P2
^oR̓qgɑ΂锭KƂĊmł(AO[vK) (3)

  2B^oR͋i҂̂͂u嗬vƎ^oR邢͗t
̐悩炽̂ڂuv̂܂̂łẢwI͋i
Ҏgzރ^oR̉ƓŁAƂĂ̔Kӂł
B


b42	P2

^oR̓qgɑ΂锭KƂĊmł(AO[vK) (4)

  3B^oRzȂ҂̑Zx̊^oRɂ炳z
ӂĂ邱ƂؖĂ܂B


b42	P2
^oR̓qgɑ΂锭KƂĊmł(AO[vK) (5)

  4B^oRɃKNAKNJjYł邱
Ƃ̉Ȋw҂ɂĔF߂ĂDNA炷Ƃ͎IɊm
߂Ă܂B


b42	P2
^oR̓qgɑ΂锭KƂĊmł(AO[vK) (6)

  5BEPA͕񍐏̏iKŃ^oRzȂ̎󓮋iɂxK
XNɊւuwf[^8J30̌瓾邱Ƃł
BEPA͂̃f[^킵͂܂B

}2掦

Q:EPA񍐂ł́A󓮋iǂ̔xCǎx߂邱ƂmIƂȂ
ƂĂ܂A̓_ɂĂ͂ǂł傤?
A:b41؂łӂ܂A݂܂łɂǂɑ΂󓮋ǐNQ
񂷂EPA񍐂Ƀ^oRYƂ܂߁Aꂪ܂ĂƂ_͂Ȃ
悤łB͂炭_̂悤Ȃł傤B


b42	P3
ǂɑ΂󓮋i̊댯͒NłF߂
				      (1)

  󓮋iǂ̔xCǎxƂ͒NF߂Ă܂B̓_
΂٘_͂܂B^oRYƂłɔ΂Ly[
┽_LȂĂ܂B


b42	P3
ǂɑ΂󓮋i̊댯͒NłF߂
				      (2)

  EPÁAN15`30l18J̗c󓮋î߂ɔxC
xɂꂵłA@Ȃ΂ȂȂꍇႠƐ肵
Ă܂B18˖̂ǂ͎󓮋î߂ɊPbAx̓
ȂAZo܂BCǎxb̂ǂł͔̉񐔂d
A܂Vɚb𔭕a邱ǂ܂B

Q:EPA񍐌ɂ̉uw\ꂽłB́AEPA񍐂
e𕢂̂ł傤?
A:AႭEPA񍐂̐܂܂t̂ƂȂĂ܂B

b42	P4
EPA񍐔\̉uw(1)

  EPA񍐂҂́AEPAuE\̔\т
urvĂȂ΁AEPA󓮋ixKNƂ_o
Ƃ͂łȂ낤Ǝ咣Ă܂BɃuE\̒
͂߁A1993NEPA񍐂̂߂̃r[f[^Wߐ؂ƂɎ
iƔxKɊւuw4\܂Bׂ͂EPA
񍐂̌_ƍvĂ̂łB3͍Ks
K͂ȃAJłB


b42	P4
EPA񍐔\̉uw(2)

  XgbNEF炪t_B̏Ώۂɍs1992Nɔ\
΁A^oRzv̔xK̃XN60%ĂA
i̓x̂Ƃ傫O[ṽXN̑͗LӂłA܂
i̓xƃXN̑傫̊Ԃɂ͓vwIɗLӂȗʔ֌Wꂽ
̂łB


b42	P4
EPA񍐔\̉uw(3)

  uE\炪1992NɃ~Y[B̏Ώۂɍsł́A
iQŜƂȂQŜ̊Ԃɂ͗LӂȔxKXN̍͌܂
łAōxIQƂ̊Ԃɂ͗LӂȍALӂȗʔ֌Wώ@
܂B


b42	P4
EPA񍐔\̉uw(4)

  tHT炪1994NɃJtHjAS2sƃX[US3sōsP[
XRg[͂̎̒Ŏjő̋K͂ŁAEPA͌ݖ]݂
̌fUCƕ]Ă܂B̒ł́A󓮋iQŜƂȂ
QŜ̊ԂɂAIxł݂ʔ֌WɂĂAvwIɗLӂȊ
A݂ꂽ̂łB̒ɂAz҂̎󓮋iłȂAE
邢͎Љ̎󓮋iIɂĂALӂȔxKXN̑
ꂽƂؖ܂B


Q:831̑哇ؐlɑ΂锽ΐqŁAEPA񍐂ɂuw̓v
Ɋւ鎿₪܂BMԂ95%łȂA90%Ƃ͖̂肾Ƃ
|łA퍐㗝l̂̎wE͐̂ł傤?
A:AMԂ͂̏ꍇ90%őÓłB


b42	P4
MԂ90%łȂ95%łȂ΃_	(1)

  EPA񍐂ҒB́AEPA͎ɓŝ悢_߂ɐM
95%90%ɕςƎ咣Ă܂BȂ󓮋ilԂɖ炩
ɃKNƂ_́uMԁv90%95%ɂȂ݂т
Ă̂łBuwł͐MԂ͑΃XNl̂΂̓x
߂Ɏg܂BOɂׂ̂悤ɁA^oRAQK
K肵́Aʂɂ킽؋̏d𑍍ʂɂ܂B
̒vтƂ́A󓮋ii҂̔xK̃X
N߂邱Ƃ99.9%ȏ̊mxŏؖꂽƂӖ܂B


b42	P4
MԂ90%łȂ95%łȂ΃_	(2)

  vwIɗp邢uБLӐvł90%MԂ΂
΍̗pĂ܂A͂̏ł͕WIőÓȓvwI@
B́uБLӐv́A镨̍pl̂ɂɗLQɓ
͂̔΂ł邱Ƃ炩߂킩Ăꍇɗp܂B󓮋i
̏ꍇ́A\ixKNƂcȃf[^x[XAw
^oRɂxK̔EpA̓qg̔x
K̔𑝂₷ɓ͂Ƃl̍ƂȂĂ܂B


b42	P4
MԂ90%łȂ95%łȂ΃_	(3)

  EPA͍̎󓮋iXN]񍐂̌pĂłŏI񍐏łAxK
ɊւĕБLӐ̗pĂ܂BȂEPA͊^oRȊOɉ
`AR[NXFKXAhAjbPA_CILVȂǂ̔K
̕]ɂĂ90%MԂ̗pĂ܂B


Q:uw̎@҂́A󓮋iȊÖq͂炢āA
󓮋ixK𑝂₷ʂł\ƌĂ̂łǂ
̂ł傤?
A:́u𗍈qv̖łBEPA񍐏ł́A𗍈q̉eɊւ錟
ƍsŌ_oĂ̂łB

b42	P5
𗍈q̖(1)

  󓮋iɊւ񍐏ł́Ai҂̔xKXN𑝂₷󓮋iȊO
̌𗍈q̂Ȃ킵܂BƂ΃^oRYƂƂ̌
pw҂́A^oRzvƂ̔i̍Ȃ͂ƂɐH
Ă邽߂ɔxKɂȂ₷ȂǂƎ咣Ă̂łB

  AHKȂǂ̃CtX^CقȂ邳܂܂ȍɂ钲
vĂƂ́Â悤Ȍ𗍈q݂̉ے肷̂łBƂ
΁A^oRYƂ͎b̑H͔xK𑝂₷ƌ܂AE
Ƃbێʂ̏Ȃ̈ł{ɂ钲łA󓮋i
xƔxKXN̊Ԃɋ͂ȗʔ֌WĂ̂łB


b42	P5
𗍈q̖(2)

  EPA񍐂́AEƁAHAߋɔx̕aCƂ邩Ȃ6ڂ̏d
vȌ𗍈q킵ʁÄq̂xKXN
₷ɂȂ̂ł͂Ȃƌ_̂łB

  1994NɃtHT炪HȂǂ̌𗍈q𒲐čsł́u
̒т́Al̎󓮋iƔxKXN̊Ԃɋ͂Ȋ֘A݂
ĂA̔xKXN̑̌𗍈q̉eɂ̂Ƃ͍l
ȂƂĂvƂ̌_oĂ܂B


Q:^oR̉郌xȏz܂ȂΔxKɂȂȂƎ咣
܂A{ɂ̂悤臒l܂Sx^oR̉ɑ݂
ł傤?
A:́u^oRZʁvɊ֘A咣łB{Iɂ͎ɎƂ
łB


b42	P5
u臒l(Sx)v

  ^oR̉郌xȏz܂ȂΔxKɂȂȂƎ咣
܂A{ɂ̂悤臒l܂Sx݂Ƃ؋͉
܂B̏؋ȂꍇAEPA͂Ȃ锭KA̔I
ɉăKN댯Ƃ̗Ƃ܂B󓮋iƔxKɊւ
uwтlƁA󓮋iʂɔxKNȂSx
ƂĂA͂ƂĂႢxɈႢ܂B

Q:ȌؐlqŔ퍐㗝lA󓮋i̓xނ̔̕Z
xʂő\ȂΉȊwIłȂƌ悤Ȏ|̎Ă܂B
ƍlƁA̕AƂ΃jR`xcsȂǂŎ
i̓xA^oR{̎󓮋iƕ\qϓIɎv
ƍllƎv܂AǂȂ̂ł傤?
A:󓮋iƕaC̊֘AlƂA̎^oRZʂƂTO
p邱Ƃ͐܂BȂȂ火

b42	P5u^oRZʁv(1)

  ^oRYƂ͋i҂Ɣi҂̃^oRւ̔IxA^oR̈
̔̕IʂɒuĂ킷u^oRZʁvƂwWp
āAi҂̎󓮋iʂ͖ɂȂȂقǏȂ悤ɈۂÂ悤Ƃ
Ă܂Bu^oRZʁvƂ@ɂ͉ȊwIȂ̂
BEPA񍐂r[SAB͂̎@pĂ܂B

b42	P5
u^oRZʁv(2)

  ̎@ɂ̖͑_܂Ał̐SȂƂ́A嗬
^oR4000̋ʂ̎ނ̕ӂł܂A̔Zx͓ł
Ȃ{ႤƂ̂łBāAނ̐ŔxK
Np̋\Ă킷Ƃ͕s\Ȃ̂łBRJCmYЂ
VLł̎@gĘ_w𒣂Ăɂ炸ÂȂŁA
u^oRZʁvƂ@󓮋ỉe͂œK؂Ȏ
@ł͂ȂȂƎF߂ĂقǂłB

A:܂Ɏ܂A^oRzȂl̓^oRz҂{^o
R̗̉̒LQɈe󂯂₷ƂؖĂ܂B




  \i͔xK  󓮋i\iʂ̐ł̄
NEK̂Ȃ 40ނ̔K ^oRIŔxK
  Siʂ͂Ȃ	   z    Lӂɑ 

    	   	  
    	    ^oRƔxK      E`Ő
    	       ɂ30    	    ŏؖς  
    	       uw         
    	        	      	  
    	                   	          	      	 ^
    	             ^
    ʌ̈́̕^AiVX   	           ^
    	         ^
    	      	       _	  	     ^  ^
    	       _	  	   ^  ^
     _  _	  	 ^  ^
			     _  _  _	     ^  ^
			       _        ^
				       
				
				
				
				   ^PP_   
				 ^	     _ 
					      
				   ^     
				 _^	     ^ 
				   _QQ^   
				


	  }1	^oRqgɔxKNȔK
		   (AO[vK)ƋK肵؋̏d





		   ꂼ̌̕ 		    ^AiVX


  3024     󓮋i   ʔ֌W𒲂ׂɒф
󓮋iQ̄xʃXN   14ׂĂ       Z    
 xKXN    ׂ17     ̃gh  
   ȂQ       ׂĂ         ݂ꂽ     	      
   傫     ōIQ  	      
  XN  	  		      
		    	  	      
			    			  	      65ń
			    			  	       XN̑ 
			    			  	      
			    			  	      	      

   9	  	 9       10	      4 
 vwIɗL  vwIɗL   vwIɗL  vwIɗLӄ


     1番1	         1疜1	      101	          1番1

			  Rɏ̌ʂłm





	     }2  ^oRƔxKɊւ30̉uw

