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

6例非血友病性艾滋病患者在未使用抗病毒药物的情况下来我院就诊。所有患者均在家族企业工作或从小型企业退休。近年来，抗逆转录病毒药物被证明是预防艾滋病的有效药物。在日本，HIV感染者主要是20-40岁的男性，因此，在工作场所预防HIV感染、早期发现和治疗HIV感染的活动非常重要。对705名职业医师和体检医师进行了艾滋病防治策略问卷调查。有效率为46.5%。大多数情况下，没有从体检医生那里得到答复，因为他们通常不管理工作场所的疾病，尽管他们是小型企业健康控制的兼职医生。来自制造业的答复为62.5%。从业人员在1,000人以上的占61.8%。在这些大公司中，医生、护士和/或公共卫生护士的职业卫生活动有效地开展。咨询师的数量约占医生和护士的四分之一，尽管咨询师在管理HIV感染者/AIDS员工中的作用非常重要。在我们的经验中，6名非血友病艾滋病患者中有5名最有可能在国外感染HIV。在日本，艾滋病毒感染/艾滋病患者的人数预计会增加。然而，在工作场所预防艾滋病毒感染/艾滋病的活动并没有广泛开展，特别是在较小的企业中，数据表明，只有39家公司和26家公司分别有艾滋病战略手册和委员会。此外，只有4名医生看过该名感染艾滋病毒/艾滋病的雇员。

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.