インフルエンザの予防接種をするべきか！？（副院長より）

こんにちは。副院長です！　（　↓今回のは、ただの雑談です↓　）

普段は、当院の事務員がコメントしている報告欄ですが、今回この場所をお借りして今年のインフルエンザに関する話をさせて頂きたく思います。下記の内容は、私の個人的な意見であるため多少偏った内容となるかもしれませんが、興味のある方のみお付き合いください。

まず、「インフルエンザワクチンの効果がない」という情報や「少しだけ効く」など様々な情報があふれ、予防接種をうって良いのか辞めた方が良いのか・・・悩まれる方がたくさんいる事と思います。

そこで、個人的な見解ですが下記に判断材料となるような情報を並べさせて頂きます。

時間に余裕のある方やヒマな方（笑）のみご覧ください。

 

・インフル予防接種は効果があるのか！？

Ａ）ワクチンに含まれる種類と流行したインフルエンザの種類が合えば予防効果はあります。

当然、ワクチンに含まれない予想外の種類が流行した場合には効果がほとんど期待できません。

・最近、毎日新聞で「１歳未満や中学生では効果がない」という記事をみましたが・・・

Ａ）あの情報は、完全に間違いです。

正確には、慶応大学研究室の発表した内容を毎日新聞が間違って解釈してしまった結果です。

この論文を簡単に要約しますと　→　予防接種は、インフルエンザＡ型には良く効きます。しかし、インフルエンザＢ型に対しては少しだけしか効果がないみたいです。１歳未満の乳児と中学生に関しては、治験に参加した人の数が少なすぎて効果の有無が確認できませんでした。という事です。

ある意味では、（インフルエンザの流行する型が当たれば）予防接種で効果があることが証明されたと解釈する事ができます。

・結局、インフルエンザの予防接種はした方が良いの？しなくても良いの？？

Ａ）個人的な意見になりますが、無料ならば絶対にした方が良いです。

しかし、ほとんどの方が無料ではないというのが現状です・・・。

そして、タダ（無料）ではない以上、経済面（コスト）も判断材料とする必要があると考えます。

結局は、予防接種ワクチンに何円相当の価値があるのか！？という事になりそうです。

↓以下、検証してみたいと思います↓

もしも、国内で今年考えられる限りの最大流行（なんと2000万人感染！）になったと仮定します。日本人の６人に１人ですね。ただし、この尼崎市は少し都会の部類に入ります。電車も阪急・阪神・ＪＲと３種類が横断しています。このあたりも加味しまして、尼崎の流行危険度が全国平均の３倍もあると想定します。・・・このように、有り得ないレベルまで最悪を想定してみましたが、この条件で仮定しますと尼崎住民の１/２（半分）がひと冬に１回インフルエンザに感染してしまう事になります。

ところで、現在は医学の進歩によりインフルエンザ感染に対しての特効薬（タミフルなど）が存在します。発熱から４８時間以内にこの薬を内服したら、翌朝にはウソのように症状が軽快します。さて、その診察代・薬代はいくらでしょうか？・・・大人１人（３割負担）で想定しますと2500円～3000円程度になります。

（あくまで個人的な意見ですが）このあたりからインフルエンザワクチンの価値を判断したいと思います。

もしも私が患者様の立場であったら・・・

予防接種に3000円以上は払いたくないな（笑）と思います。

2500円なら・・・微妙だと思います。感染したとしても、その医療費と変わらないです。

もし、2000円だったら・・・予防接種してもいいかな～！？！？と悩みます。

 

実は、今年のインフルエンザ予防接種価格を決める当院の管理者会議でこの話をしました。

その結果、今年の価格が決まりました！

そして、これで本年度のインフルエンザワクチンの準備ができました。

大変お待たせ致しました。

また、改めまして本年度の価格公示が遅くなりました事をお詫び申し上げます。

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    để cây phát triển tốt nhất.

    Thổ nhưỡng: ngoài độ màu mỡ trong đất thì đất trồng cây đàn hương cần giàu Fe, P, K và độ pH dao động từ 5 đến 6.
    Quanh năm bà con nên bón phân hữu cơ cho đất
    để tăng độ tơi xốp cũng như hệ thống vi sinh vật
    phát triển sẽ giúp cho bộ rễ cây đàn hương tốt hơn.

    Nhiệt độ: Cây có thể phát triển tốt từ từ biên độ nhiệt 15
    đến 38 độ C

    Thu hoạch cây đàn hương từ ừ 4 đến 6 năm để có thể cho thu hoạch hoa quả.

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