Communicating With Residents About Risks Following the Fukushima Nuclear Accident

Asia Pacific Journal of Public Health, Journal Year: 2017, Volume and Issue: 29(2_suppl), P. 74S - 89S

Published: March 1, 2017

The Fukushima nuclear accident in March 2011 posed major threats to public health. In response, medical professionals have tried communicate the risks residents. To investigate forms of risk communication and share lessons learned, we reviewed professionals’ activities Prefecture from prefectural level individual level: through Health Management Surveys, a Yorozu (“general”) health consultation project, communications radiological conditions promotion Iitate Kawauchi villages, dialogues based on whole-body counter, science online media. generally started with radiation risks, mainly group-based discussions, but gradually shifted face-to-face address comprehensive individuals well-being. were intended support residents’ decisions promote participatory manner. This article highlights need for systematic evaluation ongoing practices, wider application successful approaches recovery better preparedness future disasters.

Language: Английский

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Breast cancer patient delay in Fukushima, Japan following the 2011 triple disaster: a long-term retrospective study

BMC Cancer, Journal Year: 2017, Volume and Issue: 17(1)

Published: June 19, 2017

Little information is available concerning how patient delay may be affected by mass disasters. The main objectives of the present study are to identify whether there was a post-disaster increase in risk experiencing among breast cancer patients an area 2011 triple disaster Fukushima, Japan, and elucidate factors associated with delay. Sociodemographic (age, employment status, cohabitant status evacuation status), health characteristics, access- disaster-related were specifically considered.Records symptomatic diagnosed from 2005 2016 retrospectively reviewed calculate ratios (RRs) for every year compared pre-disaster baseline. Total excessive delays respectively defined as three months or more twelve symptom recognition first medical consultation. Logistic regression analysis conducted pre- order reveal any potentially delay, changes after disaster.Two hundred nineteen (122 97 post-disaster) included. After adjustments age, significant increases RRs both total (RR: 1.66, 95% Confidence Interval (CI): 1.02-2.70, p < 0.05) 4.49, CI: 1.73-11.65, 0.01) observed. peaked fourth post-disaster, observed second, fourth, fifth years than five times pre-disaster. A family history only factor significantly (odds ratio: 0.38, 0.15-0.95, 0.05), while no variables pre-disaster.The Fukushima appears have led increased patients, this trend has continued following disaster.

Language: Английский

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Resilient design in nuclear energy: Critical lessons from a cross-disciplinary analysis of the Fukushima Dai-ichi nuclear accident

iScience, Journal Year: 2024, Volume and Issue: 27(4), P. 109485 - 109485

Published: March 11, 2024

This paper presents a multidisciplinary analysis of the Fukushima Dai-ichi Nuclear Power Plant accident. Along with latest observations and simulation studies, we synthesize time-series event progressions during accident across multiple disciplines, including in-plant physics engineering systems, operators' actions, emergency responses, meteorology, radionuclide release transport, land contamination, health impacts. We identify three key factors that exacerbated consequences accident: (1) failure Unit 2 containment venting, (2) insufficient integration radiation measurements meteorology data in evacuation strategy, (3) limited risk assessment preparedness. conclude new research development directions to improve resilience nuclear energy systems communities, meteorology-informed proactive machine learning-enabled adaptive zones, comprehensive risk-informed planning while leveraging experience from responses other disasters.

Language: Английский

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Excess mortality due to indirect health effects of the 2011 triple disaster in Fukushima, Japan: a retrospective observational study

Journal of Epidemiology & Community Health, Journal Year: 2017, Volume and Issue: 71(10), P. 974 - 980

Published: Aug. 22, 2017

Evidence on the indirect health impacts of disasters is limited. We assessed excess mortality risk associated with 2011 triple disaster (earthquake, tsunami and nuclear disaster) in Fukushima, Japan.The rates Soma Minamisoma cities Fukushima from 2006 to 2015 were calculated using vital statistics resident registrations. investigated risk, defined as increased between postdisaster predisaster after excluding direct deaths attributed physical force disaster. Multivariate Poisson regression models used estimate relative (RR) adjusting for city, age year.There 6163 6125 deaths, respectively. The was significantly higher first month following (March 2011) than same during period 2006-2010). RRs among men women 2.64 (95% CI 2.16 3.24) 2.46 1.99 3.03), respectively, demonstrating due effects Age-specific subgroup analyses revealed a aged ≥85 years third compared baseline, an RR CI) 1.73 (1.23 2.44).Indirect are most severe Early public support, especially elderly, can be important factor reducing

Language: Английский

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Changes in long-term life expectancy and years of life lost following the Great East Japan Earthquake in Fukushima Prefecture

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Feb. 14, 2025

Abstract Prolonged evacuation after disasters increases the risks of diseases and challenges in healthcare access. This study aimed to analyze changes life expectancy (LE) years lost (YLL) Fukushima Prefecture Great East Japan Earthquake. LE YLL were calculated based on a dataset 276,314 deaths from January 2006 December 2018 aggregated compared three time periods: 2006–2010, 2012–2015, 2016–2018. obtained using table method, focusing four major causes death: heart diseases, cerebrovascular pneumonia, cancers. The overall for both males females prefecture showed an increasing trend all periods. Notably, increase due cancer was greater areas with zones those without zones. In contrast, 2016–2018, notable decrease observed without. continued rise despite significant long-term impact disaster population. Post-disaster differed between zones, suggesting that implementation effective measures policies region contributed successful recovery. may be crucial evaluating future health conditions Prefecture.

Language: Английский

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Essential health risk communication for recovery after lifting evacuation orders following the Fukushima Daiichi nuclear power plant accident

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: April 1, 2025

Language: Английский

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Lifestyle-related diseases following the evacuation after the Fukushima Daiichi nuclear power plant accident: a retrospective study of Kawauchi Village with long-term follow-up

BMJ Open, Journal Year: 2016, Volume and Issue: 6(7), P. e011641 - e011641

Published: July 1, 2016

Objectives Kawauchi Village lies 20 km west of the Fukushima Daiichi nuclear power plant. On 16 March 2011, evacuation was ordered due to threat radiological exposure, and lifted in April 2012. In this study, we aimed evaluate predisaster postdisaster health status Villagers, measured by routine yearly physical examinations. Methods We analysed annual examination data residents from 2008 2013, as available Japanese National Health Insurance system. Data 2011 were not disaster. Since included same participants repeatedly year year, sample non-independent generalised estimated equation modelling used. A time period (2008–2010) categorised for comparison with 2012 2013. The outcome examined prevalence metabolic disease, adjusted confounding factors. Results 20.6%–25.9% total period. syndrome (from 17.0% 25.2%, p<0.001), diabetes 11.3% 17.0%, dyslipidaemia 43.2% 56.7%, p<0.0001), hyperuricaemia 5.2% 8.4%, p=0.006) chronic kidney disease 16.1% 26.7%, p<0.001) found be elevated significantly compared years, while that obesity or hypertension did change. Conclusions present follow-up study revealed an increase lifestyle-related following disaster subsequent evacuation, trend still continues 2 years later.

Language: Английский

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Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation

International Journal of Environmental Research and Public Health, Journal Year: 2020, Volume and Issue: 17(5), P. 1779 - 1779

Published: March 9, 2020

Medical facilities, while providing both essential and demanding health care to society’s most vulnerable populations, also belong the category of risk human life if when a crisis event occurs within its walls. The development safe evacuation plan for these facilities is extremely complicated, as medical much more complex than other critical infrastructure. In this category, evacuated patients constitute specific group requiring specialized care. Hospitalized persons may be dependent on life-saving measures, are unconscious or immobile, significantly restricted in movement mentally unbalanced, being continued assistance trained third parties. Additionally, transport becomes difficult due limited capacity ambulances available them to, which increasingly their overcrowded census. study aimed analyze requirements placed hospitals Poland ensure safety case an evacuation. research method used paper was retrospective analysis evaluation media literature. We have found, that Polish law imposes obligation administrator facility employees. regulations cover issues technical conditions met by buildings location, prevention, fire protection requirements, determination staff responsible However, documents fail describe what hospital process itself should entail under emergency Taking into account complexity process, well-developed action must implemented at least once year form facility-wide training. Evacuation drills not avoided. Only procedures offer possibility later identify eliminate errors provide opportunity acquire skill sets habits promote behaviors expected real-life emergencies.

Language: Английский

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A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings

BMJ Global Health, Journal Year: 2020, Volume and Issue: 5(11), P. e002440 - e002440

Published: Nov. 1, 2020

Globally, a record number of people are affected by humanitarian crises caused conflict and natural disasters. Many such populations live in settings where epidemiological transition is underway. Following the United Nations high level meeting on non-communicable diseases, global commitment to Universal Health Coverage needs expressed agencies, there increasing effort develop guidelines for management hypertension settings. The objective was investigate prevalence incidence directly crises; cascade care these patient knowledge attitude hypertension.A literature search carried out five databases. Grey searched. population interest adult, non-pregnant, civilians living any country who were exposed crisis since 1999. Eligibility assessment, data extraction quality appraisal duplicate.Sixty-one studies included narrative synthesis. They reported range including wars Syria Iraq, Great East Japan Earthquake, Hurricane Katrina Palestinian refugees. There few from Africa or Asia (excluding Japan). predominantly assessed hypertension. This varied with geography age population. Access care, understanding views poorly examined. Most had risk bias due methods used diagnosis selection study populations.Hypertension seen burden can be considerable. Further needed accurately estimate crisis-affected throughout world. An appreciation as well would invaluable informing service provision.

Language: Английский

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Trends in Lifestyle-related Diseases and Their Risk Factors After the Fukushima Daiichi Nuclear Power Plant Accident: Results of the Comprehensive Health Check in the Fukushima Health Management Survey

Journal of Epidemiology, Journal Year: 2022, Volume and Issue: 32(Supplement_XII), P. S36 - S46

Published: Dec. 4, 2022

Residents were forced to evacuate owing the radiation released after Fukushima Nuclear Power Plant (NPP) accident following Great East Japan Earthquake on 11/03/2021; thus, their lifestyles drastically changed. The Comprehensive Health Check (CHC) of Management Survey (FHMS) was performed evaluate health statuses and prevent lifestyle-related diseases in evacuation area residents. first part CHC survey is a retrospective analysis pre- post-disaster data check-ups second cross-sectional, prospective (fiscal year (FY) 2011-2017) check-ups. Subjects men women living 13 municipalities areas surrounding NPP Prefecture. Post-disaster (FY 2011-2012) overweight, hypertension, dyslipidemia, diabetes mellitus, metabolic syndrome, liver dysfunction, hyperuricemia, polycythemia atrial fibrillation cases increased from pre-disaster 2008-2010) levels. This tendency strongest among residents who evacuate. Proportion overweight people remained unchanged, prevalence dysfunction decreased proportion with treated hypertension dyslipidemia during FY 2011-2017. Meanwhile, mellitus mean levels HbA1c increased. Furthermore, Evacuees showed higher risks chronic kidney than non-evacuees. Therefore, area, especially evacuees, are at high risk developing diseases, cardiovascular diseases; therefore, it necessary observe implement measures diseases.

Language: Английский

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