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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
Brazil
10,000 per population
17,6
Southeast’s Brazil
26
Canada
20
USA
24
Japan
21
Europe
Source:ANAPH
More than 33
Brazilian Healthcare System :
SUS – Sistema Único de Saúde- since 1988
1
SUS - Universal Public
Healthcare System
Public
Service
( Hospitals 21%
8%
)
1%
2
Private Service
Hospital
Source:FBH/April /2014
Hospitals
%
2.336
30%
4.491
70%
municipal
state
federal
ANAPH
The National Private Hospitals Association
Hospitals of Excellence concept
Nº private hospitals associated
Nº beds
80
19.768
gross revenue in December/2016
22.7 Billion
*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
Perform transplants – 2013
353 kidney
368 liver
23 pancreas
17 heart
430 bone marrow
92 other transplants ( cornea,
bone, pancreas-kidney and lung)
90%
56%
Distribution of diagnostic equipment for Public
and Private Sector and type of service (2013)
PUBLIC SERVICE
PUBLIC SERVICE
Tomography
MRI
CT Mammography
Ultrasound
Endoscopy
Tomography
397
83
602
5.620
7.961
397
PRIVATE SERVICE
1.160
502
1.341
5.055
12.538
1.160
Source: prepared by ANAPH from the Ministry of Health
PRIVATE SERVICE
PRIVATE SERVICE
1.947
1.039
2.697
20.072
76.696
1.947
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
British
275
3.138
11
Lebanese
368
4.823
13
Portuguese
336
3.212
9,6
Samaritano
Sirio Libanes
Hospital
Portugues
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
INTERNATIONAL RANKING
County
Per capita
USA
8.414
GERMANY
4819
CANADA
4351
AUSTRALIA
3866
JAPAO
3173
Chile
1606
BRASIL
970
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
142
12.000.000
15
4.500.000
France
Chile
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.
Dr.Sentaro Takaoka
 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
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
Seigo Tsuzuki
Ministry Health
1989/1990
Yukio Moriguchi
Father of Geriatrics in Rio Grande do Sul
Counselor of Pope Paul VI/1966-1967
Kentaro Takaoka
Medical
anesthesiologist,
inventor of
controlled
artificial
ventilation.
JICA Activities in Health Area in Brazil
Keizo Asami
He organized the
laboratory in 1968, in the
State of Pernambuco
Yukio Moriguchi
Father of Geriatrics
in State of Rio
Grande do Sul
GASTROCENTRO
UNICAMP
State of São Paulo
Thank you