
Q:܂ł̏،ŁA󓮋ixKAǂ̋CǎxAxACǎxbA
ASaƂ炩ɂꂽ킯łA󓮋iƂ̂悤
ȕaC֘AƂƂ́AwȄ펯A퍐㗝ľtĂ
΁Aw̑ƂȂĂ̂ł傤?
A:NEJMƂsAr[ҏWjƂA킩₷ΈwEōō
̌Ђ̂wGōłV^oRɊւ鑍1994Nɔ\
Ă܂B̑̓^oŘƑ΍Ɋւ{Iwj𐢊EɎ
Ăƌ܂BĂ̑wȆƌƂł܂B
^oR𐳂Kv̂X͂ЂƂǂꂽƎv܂
AȉɁA󓮋iɊւ镔Љ܂B

b53	P1

  [New England Journal of Medicine. 330:907-912 & 975-980,1994]     

		       ^oR̃q[}ERXg		      
		     The Human Costs of Tobacco Use		      

  C.E. BARTECCHI,M.D., T.D. MACKENZIE,M.D., AND R.W. SCHRIER,M.D.   
 Department of Medicine, University of Colorado School of Medicine  


b53	P2	(1)

  1992N̊ی(EPA)̕񍐂炩Ȃ悤ɁA󓮋ỉe
ɂă^oR̖_╾Ql邱Ƃ͂łȂȂ܂B^oR
́Ai҂̋zގ嗬ƃ^oR̐悩炽̂ڂ镛̂܂
̂łAقƂǂ͕łB΂̂^oR͋i҂ɋz܂
嗬̕Ƒo܂B嗬ɂɂ
̋C܂܂Ă܂B

b53	P2	(2)

  x̉ɂ͂肱łɂƂǂ܂₷܂ȗq͕̕ɂƂ
ӂ܂Ă܂B^oR͕̒̋C悲Ԃ̌
B^oRzȂl̂悤ɂă^oR̉z킳܂B^oR
ɂ́A܂łȂaCȂƂSʂ͂܂Bł^
oRzȂlɂ^oRzlƓaĈ邨ꂪ܂B
EPÁA^oR̉AlԂɔxKƂm߂ꂽKA
܂uEPAFAO[vKvƔF肵܂B

b53	P3	(1)

  ŋߎ󓮋iSaƂ͂肵܂BN53l̃A
Js󓮋iŎʂƐ肳Ă܂Â37l͐Sa
̂łBOcƃp[[10̉uw܂Ƃ߁A󓮋i
̓x͂ȂقǐSaӂ邱Ƃؖ܂B^oRz
lƂɂ炷i҂́AS؍[ǂȂǂ̋SŎʊ댯
30%ӂ\܂B

b53	P3	(2)

  Sǂ킸Ăll̃^oR̉z킳ƁA^\͂2
4܂BłقȂx́A嗬
z܂ꂽƂ̕傫Ȃ܂B܂_f͂Ԍt̂͂炫
܂_Yf́A^oRzĂƂDM̏łԂ
Ƃ̕o܂B

b53	P4	(1)

  ܂󓮋iɂN3疼xKŎł邱ƂEPǍŖ炩
ɂȂĂ܂B̌񍐂ł͎嗬╛AZgɂƂĔZk
̂lY~̔畆ɂƂʂƁAƂł̂Kł
ʂЉĂ܂B̌񍐂̓^oRzn߂N߂Ⴂ
قǔxKɂȂ₷A։ĔNĂ΂قǔxK̊댯ւ邽
߁A^oRɂ̓KoƂƂɃK̐is͂߂͂炫
f肵Ă܂B

b53	P4	(2)

  ɃtHTȂǑ̌̌ʂA̋z^oR
̉ɂĔxKŎʊ댯܂邱ƂmłƂׂ̂Ă܂Bŋ
x̕aCȊOŎ񂾊҂̔x𒲂ׂĂ݂ƁA^oRzvƌ^o
RzȂ̋CǎxɁuOKԂƍlωvƕ񍐂
܂B邷ꂽP[XERg[ł̓^oRzȂl̔xK
17%ǂ̂Ƃ̎󓮋iƍlƌ_ÂĂ܂B

b53	P4	(3)

  1993NɃAJł13500l̎q{zK30%̓^oRłƍl
܂Bq{zK͎嗬łł邱Ƃ킩Ă܂B
^oRz̐l̎q{z̔St^oR̉ɂӂ܂锭K
ǂ񌩂Ă܂B

b53	P4	  (4)

  10̋i҂600lA13˖̂ǂ̂10l̓^oRz
Ƃ݂܂B^oR̉́Aǂ͌܂łȂَɂ܂ő傫ȔQ
܂B܂xnŐrɂَc̓^oR̉̓ł
ƂĂキÂƂɎ󂯂LY͑lɂȂĂƂĂ傫Ȃ킴킢
炵܂Bŋ߂̒ł̓^oRze̗Y͂ƂĂA
܂ꂽƂĂ^oRzȂêǂ̏d200OyȂ
܂B

b53	P4	  (5)

  eDŵ΂Ń^oRzĂ̏d̑ȂԂ񂪐܂܂B
Ƀ^oRzêǂ̓^oRzȂêǂ莀YV
S33%Ȃ܂B΂łȂDP^oRzĂe
琶܂ꂽǂ́AĂ炾̔mI\͂̔B
邱Ƃ͂肵Ă܂B

b53	P5	(1)

  1992NEPA񍐂ł́Ǎr[ʁA18J
܂ł̓ĉN15`30l^oRɂ炳ꂽ߂ɋCǎx
xȂǂ̉C(CǎxxE܂ŁBC͌@̂)̊ǂɂ
Ăƌ_o܂BɊ^oRɂ炳Ă邱ǂ͐Zo
(݂݂̂܂Ȃɂ)A@̂ǂ̎hǏ
Ax̂͂炫x͌y炩ɈȂĂƂׂ̂Ă܂B

b53	P5	(2)

  ܂^oRɂ炳ƋCǎxb̔̉񐔂Əd܂Ƃ
炩ɂȂ܂BEPA񍐂́ANAJ̋Cǎxb̂20`
100l^oRɂ炳ꂽ߂ɕa󂪏dȂċꂵł邱ƁA
Ɋ^oRɂ炳ꂽƂɂVɋCǎxb𔭕a邱ǂ
ƌ؂Ă܂BAJł110{ȏ^oRze
ǂ̂1NԂ2600l炽ɋCǎxbɂȂƂ݂Ă
B

b53	P5	(3)

  EPA񍐂ł̓^oRze琶܂ꂽǂ́A܂Ă1Nȓ
cˑRǌQŖSȂ댯傫Ƃׂ̂񍐂̃r[s
Ă܂B

A:ȏオ󓮋ǐNeɊւ镔łB󓮋iɊւ錒Neɂ
Ă̘_ső厖ȂƂ́AȊwIɎ̍肵sAr[
_bɐ邩ǂłƍl܂B
  퍐4ʂuii҂̌NɋyڂeɂĂ̔
f́A_ɂĂAȂuwIAawIȌɑ҂𓾂Ȃ
AvI@ɂĎꂴ𓾂ȂƂA󓮋iA
ۓIȌNQ̉\A^oR̉炷ߐ̎hALCɑ΂
sEȂǂ𒴂āA^oR̉ɔIꂽpxAԁA̔Zx
̏ɉāAi҂̐AĝȂNɑ΂āA̓Iɂ
Q^邩ɂẮAɂ킩ɒfȂ̂vƂ咣́A
󓮋ǐNeɊւw݂̌̓B_܂Ȃ咣ƌ
킴𓾂܂B
  N͈xȂΎԂ܂B󓮋ïeɊւ邱
܂ł̒m𐶂đ}ɁAiҕی̎iƂ邱ƂlԂ̉pm
ł悭̂ƍl܂B
