4.Agriculture of Iwate as Seen from a Hygienic Viewpoint
Journal of the Japanese Association of Rural Medicine 2011;59(6):660-666
I started to study health problems in dairy farming in the Kitakami mountain district during the latter half of the1970's. Fields were located mostly in steep slopes and pastures were limited in area. In this district a survey of dairy farmers, time budget was carried out by the direct time-study method. And the energy consumption of farmers for their dairy farming activities was measured using the Douglas bag method. Working hours were prolonged because grass grew thick from early May to late October (the busy farming season). In this season, many farmers worked 13-14 hours per day. Grass harvesting that was done on the steep slope consumed a lot of energy. There was a close correlation between gradient and energy consumption for mowing. Various other kinds of agriculture were researched in Iwate Prefecture. And we pointed out some problems in each study. In recent years, the most serious problem in farm work is a high rate of accident occurence. About 400 farmers died in accidents every year for the past 40 years, and there is not a sign to decrease at all. This is the big problem that the Japanese Association of Rural Medicine should wrestle with.
6.Mental Health Care of Medical Workers
Masanobu TATSUMI ; Shosuke SUZUKI
Journal of the Japanese Association of Rural Medicine 2010;58(6):674-678
Recently, workplace stress has increasingly become a major health problem in hospitals, because of a whirlwind of technologial innovation, longer working hours stemming from a manpower shortage, lawsuit jitters over compensation for medical accidents, etc. Thus, the number of medical workers with stress-related diseases has increased greatly. Four panelists reported the mental health care activities tried in their hospitals. The activities included counseling and/or support for psychosomatically disordered workers, to return to work. Medical institutions in Japan are far behind from other industries in mental health care of hospital employees. Such being the situation, the government as well as hospital owners are called upon to introduce stress-management measures to help medical workers including burned-out employed doctors and nurses to cope with workplace stress.