①表題：「Multiple Chemical Sensitivity and the Workplace: Current Position and Need for an Occupational Health Surveillance Protocol」
この文書は労働衛生を指向していて、ネット上での化学物質過敏症論争とは多少話題が違うのかもしれない。治療の話題は含まれないようだ。
②2.Case Definition項の「In February 1996, the invited experts forming a workshop organized by the International Program on Chemical Safety (IPCS) of the WHO, the United Nations Environment Program (UNEP), and the International Labor Organization (ILO) recommended a new name: idiopathic environmental intolerances (IEI) because the term MCS “makes an unsupported judgment on causation” (i.e., environmental chemicals). This concept was taken from Sparks (2000), who defined IEI as a chronic recurrent condition, caused by a person’s inability to tolerate an environmental chemical or a class of exogenous chemicals [23–26]. 」
「IEI, according to the proponents, is a complex gene-environment interaction, whose real cause is not known, for which it is possible—though not always—to identify a triggering event (e.g., sniffing a substance) and a response involving one or more organs or systems. Depending on its characteristics (i.e., the prevalence of somatic or psychological disorders) it can be confused with allergic reactions or psychiatric illness [27, 28]. 」
「However, multiple chemical sensitivities (MCS) is still the term most widely used to describe the complex syndrome; it presents as a chain of symptoms linked to a wide variety of environmental agents and components, at levels normally tolerated by most people [11].」
「The wide range of symptoms with which MCS manifests and the difficulties of differentiating them from other pathologies—immunologic, digestive, cardiac, respiratory, psychiatric, neurologic, endocrine, and so forth—make it hard to develop a diagnostic tool that specifically identifies patients with MCS. The 1999 Consensus Document suggests using the Environmental Exposure and Sensitivity Inventory (EESI) to investigate patients for MCS. The authors subsequently modified this for faster, more widespread use, as the Quick Environmental Exposure and Sensitivity Inventory (QEESI). Some investigators have used the questionnaire in its original form but modified or adapted to take account of geographical differences [3, 33–41].」
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＜＜脱線（その２）の補足説明終わり＞＞
