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Katsunori Yamaura
Faculty of Pharmacy Professor, University Community Pharmacy OfficerSpecialization / Social Pharmacy

Katsunori Yamaura
Faculty of Pharmacy Professor, University Community Pharmacy OfficerSpecialization / Social Pharmacy
In recent years, pharmacies and pharmacists have been required not only to focus on insurance dispensing but also to contribute to the maintenance and promotion of public health. "Health Support Pharmacy" is a system that only pharmacies meeting the standards set by the Minister of Health, Labour and Welfare can claim, and registration began in 2016. These pharmacies are expected to have pharmacists who have completed prescribed training on-site, collaborate with local medical institutions, and lead disease prevention and health maintenance for local residents. The ´ºÓêÖ±²¥app Faculty of Pharmacy University Community Pharmacy is also a Health Support Pharmacy.
In terms of pharmacists participating in health support for local residents, an area that has not been focused on much as it was previously considered outside their expertise is the prevention of oral diseases and the maintenance and promotion of oral health through oral care. In recent years, many studies have proven that periodontal disease, a representative oral disease, is an exacerbating factor for serious systemic diseases such as diabetes, myocardial infarction, cerebral infarction, and even dementia. Furthermore, periodontal disease is recognized by the Guinness World Records as the "world's most widespread disease," and the number of periodontal disease patients in Japan is second only to those with hypertension and continues to rise. If pharmacies and pharmacists, including Health Support Pharmacies, call on the public to practice oral care and focus on the prevention and early detection of periodontal disease¡ªplaying a role in connecting patients to dentists before conditions become severe¡ªit will contribute to the prevention of systemic diseases in the population. In our country, where the population aged 100 and over exceeds 80,000, national medical expenses continue to increase and are approaching 45 trillion yen; however, the promotion of oral care by pharmacists is thought to be able to contribute to the reduction of medical costs.
On the other hand, the results of an awareness survey we conducted showed that the percentage of pharmacists who recognize responding to oral care as a role of the community pharmacist is low. As a challenge in promoting the maintenance and improvement of oral health, approximately 80% of pharmacists cited a lack of oral-related education and training for pharmacists.
Since 2015, it has become possible to conduct oral environment checks using saliva at pharmacy counters, and the Faculty of Pharmacy University Community Pharmacy has also started this service. When we conducted an awareness survey regarding this service among dentists in Tokyo, it became clear that 85% of dentists welcomed it. Furthermore, the Japanese Society of Oral Care established a Pharmacist Division in 2021 and has begun supporting the acquisition of practical knowledge of oral care for pharmacists, such as embarking on the creation of a certification system for pharmacists. We look forward to a future where pharmacists collaborate with dentists to contribute to the maintenance and promotion of public health through oral care.
*Affiliations and titles are those at the time of publication.