Since 1966 a movement for protecting health has been pushed forward in Akanma District, Higashi-Uwa-Gun, Ehime Prefecture, under the community program of health protection. As a result of the medical examination, which was carried out in August, 1968, it became clear that out of the farmers who annually went cities to work 62.7 per cent were diseased and 68.9 per cent were latently diseased. Compared with the other inhabitants of the district, of whom 68.5 per cent were diseased and 62.6 per cent were latently diseased, they were lower in the rate of the diseased and higher in the rate of the latently diseased. At the same time we investigated the living and labor conditions of these farmers. To reach the real solution of the problem in future it will be necessary that the community program of health protection should be carried out based on the subjecthood of the people in the district. In order to protect the health of the people in Akanma District we shall need the movement fitting with the actual conditions of the district and pushed under the leadership of the people themselves. The solution of the problem on health of the farmers going to cities will also become possible in this movement. At the same time we would demand the active encouragement by the administrative organs.
Concerning the farmers in Akanma District, who annually went to cities to work, we investigated what to see economic classes they belonged to. We found that some of them were from the higher economic classes, while the others were from the lower economic classes.Considering their age, the composition of their families and the extent of the land owned by them, we reached the conclusion that most people in Akanma District could not live solely on agriculture. And yet there were no places for them to work in the neighbourhood, so they were compelled to go to cities.To earn the living in this way, which was essentially due to the high economic growth policy of the Japanese capitalism, was already a commonplace matter in Akanma District. In order to push forward the community program of health protection in Akanma District hereafter, we shall need the class consolidation of the unions of farmers working in cities as well as the activities covering all the inhabitants.
Pesticides contributed much toward the increase of the agricultural production.However, they also destroyed the ecological balance of the nature.We should rather say that their evil influence was even greater than their benefit. Above all we have to watch keenly their acute and chronic influences on the human body. Case: A farmer 60 years old Main Complaints: Ache in the back of the head, general weariness and somnolence Course: The patient sterilized persimmon trees for about one hour on July 10th, 1969 by endrin solution (10cc endrin solved in 18e water) with incomplete clothing. About 22 hours later, he consulted a doctor on the main complaints. He was suspected of endrin poisoning and hospitalized. After the hospitalization, he had somnolence, muscular fibrillation, irritation, nausea and vomi tting and arrhythmia. These symptoms were intense for about a week, and then gradually cured.He was completely recovered and left the hospital after 45 sick days. This case was different from most of the past cases in the following point s: 1) Delayed appearance of simptoms (22 hours) 2) No clonic and tonic spasm 3) The hastened precipitation of blood (14 sick days) 4) Miosis 5) Instability of patellar reflection and pathological reflection in the hamstring 6) Disorder in the liver funct ion (G. P. T. 85 units, 14 sick days)