ブラジルの医療現状 日系医師のプレゼンス、貢献

Current status of medical treatment in Brazil Presence and Contribution of Nikkeis Physicians

Dr Yuji Ikuta 2017/January/23th

I- General Information

Brazil’s Population: 207.000.000 millions in 2016 According to IBGE- Instituto Brasileiro de Demografia e Geografia

(Brazilian Institute of Geography and Statistics)

Physician in activity in Brazil: 430.000

Brazilian Nikkei physician in 2009: 14.500 (Census at Centenary of Japanese Immigration in Brazil)

Nowadays : approximately 18.000

About 30% of Brazil population are assisted by private heathcare service (According to IBGE- Instituto Brasileiro de Demografia e Geografia)

Brazil’s physician in 10,000 per population and comparison between another countries,according WHO-World Healthcare

Country 10,000 per population

Brazil 17,6

Southeast’s Brazil 26

Canada 20

USA 24

Japan 21

Europe More than 33

Source:ANAPH

Brazilian Healthcare System : SUS – Sistema Único de Saúde- since 1988

Hospitals

%

1

Public

Service

( Hospitals

)

SUS - Universal Public

Healthcare System

21% municipal

8% state

1% federal

2.336

30%

2

Private Service

Hospital

4.491

70%

Source:FBH/April /2014

ANAPH The National Private Hospitals Association

Nº private hospitals associated 80

Nº beds 19.768

gross revenue in December/2016

22.7 Billion

Hospitals of Excellence concept

*All associated hospitals are recognized and have the Certificate Accreditation Source:ANAPH

PRODUCTION

All hospitals are level 4

classification defined by

Ordinance nº 2224 of the

Brazilian Ministry of Health

90%

Perform transplants – 2013

353 kidney

368 liver

23 pancreas

17 heart

430 bone marrow

92 other transplants ( cornea,

bone, pancreas-kidney and lung)

56%

Distribution of diagnostic equipment for Public and Private Sector and type of service (2013)

PUBLIC SERVICE PRIVATE SERVICE

PUBLIC SERVICE PRIVATE SERVICE PRIVATE SERVICE

Tomography 397 1.160 1.947

MRI 83 502 1.039

CT Mammography 602 1.341 2.697

Ultrasound 5.620 5.055 20.072

Endoscopy 7.961 12.538 76.696

Tomography 397 1.160 1.947

Source: prepared by ANAPH from the Ministry of Health

Performance Beds x Employees Hospital Nationality Nº employees Nº Beds %

Nipo Brasileira

de S.P

Japanese 268 1.568 5,8

Oswaldo Cruz German 327 2.158 6,6

Albert Einstein Jews 652 10.631 16

Samaritano British 275 3.138 11

Sirio Libanes Lebanese 368 4.823 13

Hospital

Portugues

Portuguese 336 3.212 9,6

Rate of operational occupancy (%) 79,3%

Average length of stay ( in days) 4,2 days

IMPORT HOSPITAL EQUIPAMENTS

January- September 2015

1 USA 999.349.734

2 Germany 419.962.747

3 China 336.811.234

4 Japan 153.217.667

5 Malasya 148.033.418

Per capita expediture in Health - 2014

R$3,89 /day , according CFM- Conselho Federal de Medicina

County Per capita

USA 8.414

GERMANY 4819

CANADA 4351

AUSTRALIA 3866

JAPAO 3173

Chile 1606

BRASIL 970

INTERNATIONAL RANKING

WHO definition of Health: Health is a state of complete physical, mental and social well-being and not merely the absence of

disease or infirmity. Healthcare Provider

ANS- Agencia Nacional de Saúde( National Health Agency) was created by the Law : 9656/98

Country Private Health Care Users/Million

Brazil 1.701 54.000.000

USA 1.300 200.000.000

France 142 12.000.000

Chile 15 4.500.000

Private Healthcare: 54 millions users in Brazil

II- Nikkei Presence

Hospital Santa Cruz In 1931, the consul of Japan in Sao Paulo, Consul Iwataro Uchiyama, established the

Japanese Medical Association, wich originated to the Pro-Construction Association of the Japanese Hospital. The collection campaign was promptly attended by the immigrants, who made their donations even if they themselves were in precarious economic conditions.

In 1934, the construction campaign gained new momentum, with the donation of 50,000 yen from the Emperor Hiroito, symbolically on the day of his birthday, April 29. Before this gesture of the imperial house, the Japanese government decides to donate 900 thousand yen, amount divided in three annual installments.

Basic building materials such as bricks and cement were shipped by Japan.

Hospital Santa Cruz April 29, 1939, the Santa Cruz

Hospital was inaugurated. It was a bold modern building, with five floors and a basement, with almost 10 thousand square meters of built area, with 76 rooms and 200 beds.

The first X-ray mobile device in the city was installed in Santa Cruz - the Hospital das Clínicas had not yet existed - and the free service was provided without racial or nationality discrimination, as a sign of gratitude to the country that welcomed immigrants so well Japanese.

Dr.Shizuo Hosoe

Dr.Sentaro Takaoka

Hospital Nova Atibaia In 1967 physicians Wilson Rodrigues de

Freitas, Shuhatiro Wada and Yoshinori Nagaoka (in memory) opened a clinic called Clínica São Camilo in Atibaia.

In June 1971, the realization of the dream came true: the inauguration of the Hospital Novo Atibaia, with the support of Armando Nieto, Prof. Flávio Pires de Camargo, Kunihiro Miyamoto, Natel Award, Murillo Macedo and Shuichiro Wada, his benefactors. The company, made up of former college colleagues and administrator Tetsuo Wada (in memory), who was part of the Society that year, achieved a rare success, always renewing itself with the admission of new professionals.

Hospital Sugisawa

Dr. Saburo Sugisawa, founder of the Hospital, was born in the province of Miyagi Ken and came to Brazil as a child with his family. Here, he graduated in medicine from the Federal University of Paraná and was presented with a scholarship from the Japanese government for studies at the Tokyo Cancer Institute.

He founded the Sugisawa Clinic in 1987.

Hospital Nipo Brasileira

Enkyo: in its initial phase was focused on 2 sectors: Social Service Sector and Medical Assistance, Hygiene and Health Sector. The Medical Service headed by Dr Hosoe, Yoshinobu Takeda and Cho Kihara, after II World War

Inaugurated in 1988 and considered today as one of the reference hospitals throughout the State of São Paulo, the Hospital Nipo-Brasileiro (HNB) has a modern service structure composed of 243 beds divided into apartments and infirmary, two General ICUs, Neonatal ICU And ICU Coronary, Surgical Center with six rooms, Maternity, Pediatrics and Nursery.

Dr.Shizuo Hosoe

Hospital Amazônia

Dr.Sumio Ito Since 1966

Dr Mikihiko Ikeda Since 1967

Dr.Henrique T.Oti First Nikkei Physician in

the State of Pará

Great Contribution

Massaki Udihara 1ª Nikkei

Physician/1939

Shizuo Hosoe 1ª Japanese

Physician/1940

Kentaro Takaoka Medical

anesthesiologist, inventor of controlled artificial

ventilation.

Seigo Tsuzuki Ministry Health

1989/1990

Yukio Moriguchi Father of Geriatrics in Rio Grande do Sul Counselor of Pope Paul VI/1966-1967

JICA Activities in Health Area in Brazil

Yukio Moriguchi Father of Geriatrics

in State of Rio Grande do Sul

Keizo Asami He organized the

laboratory in 1968, in the State of Pernambuco

GASTROCENTRO UNICAMP

State of São Paulo

Thank you