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2006 Fiscal Year Final Research Report Summary

Situational analysis of immunization in developing countries such as Laos.

Research Project

Project/Area Number 16406018
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section海外学術
Research Field Hygiene
Research InstitutionThe University of Tokyo

Principal Investigator

KUROIWA Chushi  The University of Tokyo, Graduate School of Medicine, Associate Professor, 大学院・医学系研究科, 助教授 (30345037)

Co-Investigator(Kenkyū-buntansha) TAKAHASHI Kenzo  Juntendo University, School of Medicine, Research Associate, 医学部, 助手 (00365628)
ALI Moazzam  The University of Tokyo, Graduate School of Medicine, Research Associate, 大学院・医学系研究科, 助手 (60401030)
Project Period (FY) 2004 – 2006
KeywordsImmunization / Needle stick injury / Health care waste / International health policy / Laos, Mongolia, and China / Blood born pathogen / Needle removal machine
Research Abstract

(1) Immunization coverage in Laos and Mongolia
In Laos, "Situational analysis of stagnated vaccine coverage based on calculation of coverage in vaccine card", "Tetanus vaccination and child baring aged women", "risk factors affecting immunization status among under 5 children" were carried out and gave presentation at 21^<st> Japan Association for International Health at Nagasaki. In Mongolia, "Assessment of long-term persistence of seroprotection of hepatitis B vaccine among 5-10 years old children in Ulaanbaatar" was carried out, an presented at 9^<th> International Congress of the Asian Society of Clinical Pathology and Laboratory Medicine at Kobe. The paper has been submitted to an international academic journal.
(2) Used needle removal machine intervention study
The machine was demonstrated at WHO Western Pacific Regional Office, JICA headquarters. Final disposal sites of medical waste were observed at Saitama environmental center, HIBIKI at Kitakyoshu, Mongol, and Laos, and we found … More illegal damping and recognize the importance of segregation sharps or needle from syringes. 84% of the hospital staff at Mongolia have experienced needle stick injury, of them, the nurses are the leading victims.80% of a total injured did not report to administration at hospital after the incidents, and 75% of them did not take any medication, so high risk of potential infection with hepatitis B or C is considered. In Laos, needle stick injury was 53% of a total medical staff, and risk factors are younger age, fewer years of working experiences, suggesting the necessity of the training of safe injection. Both were presented at 21^<st> Japan Association for International Health.
(3) KAP of Chinese students on injection injury
The students were high knowledge of the risk of infection due to injury of needle contaminated with blood born pathogens. However, less intention to live with HIV positive students, and unsafe behavior were observed among students of potential high risk exposure such as dental students and 4^<th>/5^<th> medical students. More education on occupational safety is needed. This was presented at 21^<st> Japan Association for International Health, Nagasaki. Less

  • Research Products

    (15 results)

All 2006 2005 2004

All Journal Article (14 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] 国際協力における対等なパートナーシップのあり方 : ラオスにおけるポリオ根絶活動を中心としたJICAプロジェクトから2006

    • Author(s)
      黒岩宙司
    • Journal Title

      国際保健医療 21(2)

      Pages: 83-92

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Toward equal partnership and evaluation of the international organizations : Lessons learnt from JICA projects on polio eradication in Laos2006

    • Author(s)
      Kuroiwa C
    • Journal Title

      Japan Association for International Health 21(2)

      Pages: 83-92

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Health care waste management in Lao PDR : A case study2005

    • Author(s)
      Phengxay P, Okumura J, Miyoshi M, Sakisaka K, Phengxay M, Kuroiwa C
    • Journal Title

      Waste Management & Research 23

      Pages: 571-581

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 保健システムの自立発展に向けて~ラオスにおける垂直的アプローチと包括的アプローチ、ポリオ根絶活動を中心に~2005

    • Author(s)
      黒岩宙司
    • Journal Title

      小児感染症免疫 17(2)

      Pages: 125-133

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 国際保健医療協力、ラオスの現場から2005

    • Author(s)
      黒岩宙司
    • Journal Title

      小児科臨床・増刊号 58

      Pages: 1459-1461

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Non-polio enterovirus isolation among families in Ulaanbaatar and Tov province, Mongolia : prevalence, intrafamilial spread, and risk factors for infection.2005

    • Author(s)
      Kuramitsu M, Kuroiwa C, Yoshida H, Miyoshi M, Okurmura J, Shimizu H, Narantuya L, Bat-Ochir D
    • Journal Title

      Epidemiology and Infection 133

      Pages: 1131-1142

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Health-care waste management in Lao PDR : a case study2005

    • Author(s)
      Phengxay S, Okumura J, Miyoshi M, Sakisaka K, Kuroiwa C
    • Journal Title

      Waste Manag Res 23(6)

      Pages: 571-581

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Toward sustainability of health system in Laos : vertical approach versus comprehensive approach, lessons learned from polio eradication2005

    • Author(s)
      Kuroiwa C
    • Journal Title

      Shoni Kansensho Meneki 17(2)

      Pages: 125-133

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Report of aid activities from Laos2005

    • Author(s)
      Kuroiwa C
    • Journal Title

      Shonika Shinryo 58

      Pages: 1459-1461

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Non-polio enterovirus isolation among families in Ulaanbaatar and Toy province, Mongolia : prevalence, intrafamilial spread, and risk factors for infection2005

    • Author(s)
      Kuramitsu M, Kuroiwa C, Yoshida H, Miyoshi M, Okumura J, Shimizu H, Narantuya L, Bat-Ochir D
    • Journal Title

      Epidemiol Infect 133(6)

      Pages: 1131-1142

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Hidden reality on the introduction of auto-disable syringes in developing countries2004

    • Author(s)
      Kuroiwa C, Suzuki A, Yamaji Y, Miyoshi M
    • Journal Title

      South Asian J Trop Med Public Health 35(4)

      Pages: 1019-1023

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 国際社会における予防接種「我が国の援助活動」2004

    • Author(s)
      黒岩宙司
    • Journal Title

      小児科診療、特大号/ワクチンのすべて 11

      Pages: 2071-2078

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Hidden reality on the introduction of auto-disable syringes in developing countries2004

    • Author(s)
      Kuroiwa C, Suzuki A, Yamaji Y, Miyoshi M
    • Journal Title

      Southeast Asian J Trop Med Public Health 35(4)

      Pages: 1019-1023

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Immunization in the international society ; Japan's activities2004

    • Author(s)
      Kuroiwa C
    • Journal Title

      Shonika Shinryo 11

      Pages: 2071-2078

    • Description
      「研究成果報告書概要(欧文)」より
  • [Patent(Industrial Property Rights)] 注射針処理機2005

    • Inventor(s)
      黒岩宙司・ダイア(株)
    • Industrial Property Rights Holder
      東京大学・ダイア(株)
    • Industrial Property Number
      特願2005-350782
    • Filing Date
      2005-12-05
    • Description
      「研究成果報告書概要(和文)」より

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Published: 2008-05-27   Modified: 2021-04-07  

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