Truth telling to the cancer patients (TTCP) is a part of informed consent (IC). The name of IC was firstly used in a judgement of the Court of Appeal of California in 1957 and then in Helsinki Declare of the 18th Congress of World Medical Association. The core of IC is “self-determination” in every medical treatment including diagnosis and therapy. Self-determination should be respected to the utmost in TTCP. The rate of TTCP is more than 90% in USA and northern countries of Europe, but slightly higher than 20% in Japan. However, Dr. M. Sasago who is a surgeon of National Cancer Center Hospital in Tokyo has reported the high rater of TTCP (97.1%). In attitude of doctors, devices of manner in TTCP such as a stepwise truth telling are necessary in order to prevent or reduce shock of cancer patients following TTCP. In attitude of cancér patients, they are recommended to have usually their own views of life and thanatopsis or religions to be able to receive TTCP without perturbation. Patient's prepardness confronting to cancer and considerable support of doctor, nurse and family are necessary following TTCP. In conclusion, it is stressed that doctors have to endeavor to tell the truth to the cancer patients considering thinkings of patients and families as possible they can.
Chemical fertilizers, pesticides and large-size machinery characterize present-day intensive agricultural operations. Technological advances in the application of those chemicals and machinery have made a large contribution toward solving the food problem, to be sure, but with detriment to the earth's environment and endangering man's health. Such untoward consequences were also observable not in agriculture and the manufacturing industry alone but in medicine and many other branches of science as well. In 1972, I was diagnosed with pesticide poisoning. With this as a turning point, I washed my hands of modern agriculture, which had been in my line for many years, and decided to do research in microbiology in earnest with my sights set on establishing farming of the sort that is friendly to the natural environment and compatible with the laws of nature. So far, I have harvested well over 2, 000 varieties of microbes. At least two years would be required for the study of one variety thoroughly if conventional methods were employed. So, I gave up all the old ways and resorted to my own method of eliminating harmful bugs and unpleasant odors using pH values and activated water. As a result, a symbiotic group of colonies made up of more than 80 kinds of “effective microorganisms”(EMs) has been formed. Without reliance on chemical fertilizers and pesticides, it has become possible to produce more than twice as much crops of high quality only by dint of EMs. Not only that, those microscopic organisms have proved to be surprisingly helpful in the improvement as well as conservation of the environment. Agricultural, livestock and fishery products produced through the use of EMs are rated high as healthy foods today. Now that it has been made clear that the favorable effects of EMs are due to the antioxidizing substances synthesized by EMs, the scope of their application is being expanded from the above-mentioned sectors to medicine, manufacturing industry, environmental protection, energy resource development and so on. Thus, the EM technology is hailed as something that will bring about a new industrial revolution. The principle of the technology is very simple: Oxidation breaks down everything on earth, but is prevented by the work of antioxidizing substances formed in EMs. The application of this principle could not have been thought of no matter how much the knowledge of modern science as based on the law of entropy was extended. A good idea occurs when you get your thinking on a different track, see the natural phenomena as they are and study them multidimensionally.
Geographical distribution of standardized mortality ratio (SMR) for biliary tract cancer (BTC) showed a characteristic clustering pattern; high in the northeastern regions and low in the southwestern regions of Japan. Among the 47 prefectures (corresponding to counties in the U. S.) with high SMRs, Niigata Prefecture has been the highest in both sexes for the last two decades. It was found that the cities, towns and villages in Niigata where the mortalities from BTC were high were correspondent with rice producing areas. In addition, it was revealed that the sources of tap water in the cities with high SMRs in Niigata were commonly big rivers, whereas in those with low SMRs they were either reservoirs located in the mountains, underground water or small river originating from the mountains. Based on these findings, the contamination of tap water by agricultural chemicals form paddy fields was suspected as a cause of the high mortality from BTC. Among several chemicals examined, diphenylether herbicide, chlornitrofen (CNP) and its derivative (CNP-amino) were detected high in tap water in the cities with higher SMRs and they seem to be related to the occurrence of BTC, particularly of female gallbladder cancer.
Research work of the Special Research Group for Survey of Pesticide Poisoning (Chief: T. Matsushita) was presented and discussed. The main items are as follows: 1) Long term years of nation-wide survey for clinical cases of pesticide poisoning (disorders) in Japan from 1967 to 1989, which was carried out by the Research Group of the Pesticide Poisoning under the Japanese Association of Rural Medicine, was reconsidered. And, revised systems of this survey including new survey forms were proposed. 2) Results of methodological research work of our group for epidemiological study to clarify health disturbance from pesticides were indicated and a personal protocol was also presented.