12 / 24
Volume 7, Issue 5 (Suppl)
J Psychol Psychother, an open access journal
ISSN: 2161-0487
Psychosomatic Medicine & Forensic Congress 2017
October 12-14, 2017
Page 34
conference
series
.com
JOINT EVENT
24
th
International Conference on
PSYCHIATRY & PSYCHOSOMATIC MEDICINE
2
nd
International Congress on
FORENSIC SCIENCE AND PSYCHOLOGY
&
October 12-14, 2017 London, UK
Toshiko Sawaguchi, J Psychol Psychother 2017, 7:5(Suppl)
DOI: 10.4172/2161-0487-C1-017
Latent forensic pitfall associated with substantial toxicological problem in the maternal & child
health in Japan
AIM:
In recent health-medical policy, comprehensive approach has been applied not only health for elderly people but also
maternal & child-health. Using the plural keywords such as care, rehabilitation, health care, medical care, prevention, home
care, linkage with medical treatment and self-reliance support, spatial regional comprehensive care system has been being
structured. Also as for maternal and child health, spatiotemporal comprehensive system since pregnancy till child care period
has been being prepared. In this process, latent pitfall associated with substantial toxicological problem in the maternal &
child health could be suggested. During foetus and new-born period, without consent of child oneself, maternal and new-born
intake of pharmacies and drugs could be happened and the public statistical recognition would be difficult in some cases. Here,
the process has been reported to recognize this latent pitfall will report.
METHOD
:1) To recognize the background of administration of pharmacies during perinatal period and pregnancy, real status
and index of hazard and toxicity and the policy reaction of those were investigated using Japanese and International references
and the administrative direction were investigated. 2) The definite opinion that the socialization of problems are dominant to
pick up as administrative subjects. Here, not via media to formalize health policy issues, via academic societies the existence
of latent pitfall was discussed through the three symposiums such as the Japanese Society of Public Health, Japanese Society of
Clinical Toxicology and Japanese Association of Criminology. The titles of three symposiums are the followings: Administrative
reaction to substantial problems in regional comprehensive care, hidden toxicological problems in maternal and child health
and Correctional facilities and regional sustained community life support centres.
RESULTS
: 1) As for the recognition of hazard and toxicity, Japan has accepted more strict view than other international
countries and also has accepted pregnancy contraindicated drug administration. Totally if some risk does have existed some
progress could be considered if some goodness will be expected. Stimulant products and stimulant similar products are
secreted in maternal milk and seemed to be breastfeeding contraindicated. Administration of stimulants to pregnant mothers
who are the neurodevelopmental Disorders such as ADHD, LD and ASD etc. should be considered in near future. As for the
index, it should be considerate if the developmental indexes such as Denver’s Developmental Scale could be used or not as the
index of hazard and toxicity of pregnancy. 2) Contraindicated drug administration. Just teratogenicity could be considered as
before. 3) In Japanese regional comprehensive care system, the regional transition support associated with maternal and infant
toxicology and the outcome persons from correctional facilities and Regional Sustained Community Life Support Centres.
4) The latent pitfall and ignore of new-born and foetus toxicological situation has come from the non-existence of statistic
score of living persons and also dead persons in Japan. 5) On the other sides, the outcomes between European and American
Substantial Epidemiology and Japanese Substantial Epidemiology was different and Japan has the dominant role to possible
evidence in this field to the international colleagues in this area
Biography
Toshiko Sawaguchi,M.D.,Ph.D.,L.B.A Research Managing Director, National Institute of Public Health,Ministry of Health Labour & Welfare,Saitama,Japan since April
2017(Life Health Promotion,Maternal & Child Health)Visiting Professor, Showa University School of Medicine,Tokyo,Japan Forensic and PediatricForensic Pathology and
Clinical Forensic Medicine for more than 25 years,child health and pediatrics for 10years.
sawaguchi.t.aa@niph.go.jpToshiko Sawaguchi
National Institute of Public Helath, Japan