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ワクチン開発、為替変動、医療廃棄物処理:グローバルヘルスケアの複雑性」の英語長文問題

以下の英文を読み、設問に答えなさい。

The development and distribution of vaccines, the fluctuation of exchange rates, and the regulations surrounding medical waste incineration are intricately interwoven aspects of global healthcare. Consider the case of a hypothetical nation, 'Atheria,' heavily reliant on importing vaccines from another country, 'Borea.' Atheria's currency recently depreciated sharply against Borea's, making vaccine imports significantly more expensive. This price increase strains Atheria's public health budget, forcing difficult choices between procuring vaccines and funding other essential services like education and infrastructure. The situation is further complicated by stringent international regulations regarding the safe incineration of medical waste, including used vaccine vials. Atheria's existing waste management infrastructure is outdated and struggles to meet these standards. Upgrading this infrastructure requires substantial investment, further impacting the budget. Meanwhile, Borea, possessing advanced incineration technology, might offer assistance, but this could involve complex contractual negotiations involving intellectual property rights and potentially unfavorable terms for Atheria due to the exchange rate imbalance. Moreover, the effectiveness of the vaccine itself is a critical factor. If the vaccine's efficacy proves lower than initially anticipated, or if new variants of the targeted disease emerge, the economic and public health consequences would be severe. Not only would Atheria face the challenge of securing more effective vaccines, potentially at an even higher cost due to currency fluctuations, but also the potential for increased healthcare demands and economic disruption. The interplay of these factors underscores the multifaceted challenges in ensuring global health security. Effective solutions require international cooperation, careful economic planning, and a proactive approach to addressing both immediate and long-term implications of healthcare crises. The economic costs of vaccine procurement must be considered alongside the public health benefits and the environmental implications of waste management. A sustainable solution needs to be strategically crafted to navigate the intricacies of global finance, stringent regulations, and the ever-evolving dynamics of infectious diseases.

1. According to the passage, what is the primary challenge Atheria faces regarding vaccine procurement?

2. What complicates Atheria's efforts to upgrade its waste management infrastructure?

3. Which factor is NOT explicitly mentioned as contributing to Atheria's difficulties?

4. What does the passage suggest as a key element for resolving Atheria's healthcare challenges?