Investigation of acturl conditions on the strategy agaist AIDS in occupational health

6例非血友病艾滋病患者在未服用抗逆转录病毒药物的情况下就诊。所有患者要么在家族企业工作，要么从规模较小的企业退休。近年来，抗逆转录病毒药物被证明是预防艾滋病发展的有效药物。在日本，20-40岁的男性多为HIV感染者。因此，在工作场所预防HIV感染、早期发现和治疗的活动是非常重要的。对705名职业医生和体检医生进行了有关艾滋病防治策略的问卷调查。有效率为46.5%。大多数情况下，体检医生没有回复，因为他们通常不在工作场所管理疾病，尽管他们是小企业健康控制的兼职医生。制造业的回复率为62.5%。员工1000人以上的公司占61.8%。在这些大公司中，医生、护士和/或公共卫生护士的职业健康活动有效地运作。咨询师的数量约占医生和护士的1/4，但咨询师在HIV感染者/艾滋病员工管理中的作用非常重要。有海外日本员工(65.4%)和外籍员工(42.3%)。在我们的经验中，6例非血友病艾滋病患者中有5例最有可能在国外感染HIV。预计日本艾滋病毒感染/艾滋病患者的数量将会增加。然而，数据显示，在工作场所开展的艾滋病防治活动并没有广泛开展，特别是在规模较小的企业，即只有39家公司和26家公司分别制定了艾滋病战略手册和委员会。此外，只有4名医生看过这名感染艾滋病毒/艾滋病的员工。

Six non-hemophilic patients with AIDS visited our hospital without presious antiretroviral drugs. All patients worked in family-oprated business or had retired from smaller enterprises. Recently, it is proved that antiretroviral drugs are effective for prevention to develop AIDS.In Japan, 20-40 year-old men were mostly infected with HIV.So that, the activites of the prevention of HIV infection, early detection and treatmetn are very important in workplace. Questionnaire investigation about strategy against AIDS to 705 occupational physicians and doctors of medical checkup was performed. Response rate was 46.5%. Mostly, replies were not obtained from doctors of medical checkup because they usually don't managed diseases in workplace, although they were part-time doctors for health control in smaller enterprises. Replies from manifacturing industries were 62.5%. The companies with emplyee over 1,000 occupied 61.8%. In these big companies, the activities of occupatioal health by physician, nurse and/or public health nurse effectively operate. The number of counselor was about one fourth of physicians and nurses, although the role of counselor in management of employee with HIV infection/AIDS is very important. Oversea Japanese employee (65.4%) and worker from foreign country (42.3%) were found. In our experiences, five of six non-hemophilic patients with AIDS were most likely infected with HIV in foreign country. The number of patients with HIV infection/AIDS are excpected to increase in Japan. However, the activities against HIV infection/AIDS in workplace is not wide spread, especially in smaller enterprises, as suggested by data, that is, only 39 and 26 companies had manual and committee respectively for AIDS strategy. In addition, only 4 physicians has seen the employee with HIV infection/AIDS.