Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-28T00:01:14.796Z Has data issue: false hasContentIssue false
  • English
  • Français

Disaster Vulnerability of Hospitals: A Nationwide Surveillance in Japan

Published online by Cambridge University Press:  02 September 2015

Sae Ochi ,
Shigeaki Kato ,
Kenichi Kobayashi  and
Yasuhiro Kanatani
Sae Ochi*
Affiliation:
Department of Crisis Management, National Institute of Public Health, Saitama, Japan Department of Internal Medicine, Soma Central Hospital, Fukushima, Japan, and MRC-HPA Centre for Environment and Health, Imperial College London, London, United Kingdom
Shigeaki Kato
Affiliation:
Department of Radiation Protection, Soma Central Hospital, Fukushima, Japan
Kenichi Kobayashi
Affiliation:
Department of Environmental Health National Institute of Public Health, Saitama, Japan
Yasuhiro Kanatani
Affiliation:
Department of Crisis Management, National Institute of Public Health, Saitama, Japan
*
Correspondence and reprint requests to Sae Ochi, MD, MPH, PhD, Soma Central Hospital, Okinouchi 3-5-18, Soma City, Fukushima 976-0016 Japan (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Hospital preparedness against disasters is key to achieving disaster mitigation for health. To gain a holistic view of hospitals in Japan, one of the most disaster-prone countries, a nationwide surveillance of hospital preparedness was conducted.

Methods

A cross-sectional, paper-based interview was conducted that targeted all of the 8701 registered hospitals in Japan. Preparedness was assessed with regard to local hazards, compliance to building code, and preparation of resources such as electricity, water, communication tools, and transportation tools.

Results

Answers were obtained from 6122 hospitals (response rate: 70.3%), among which 20.5% were public (national or city-run) hospitals and others were private. Eight percent were the hospitals assigned as disaster-base hospitals and the others were non-disaster-base hospitals. Overall compliance to building code, power generators, water tanks, emergency communication tools, and helicopter platforms was 90%, 84%, 95%, 43%, and 22%, respectively.

Conclusion

Major vulnerabilities in logistics in mega-cities and stockpiles required for chronic care emerged from the results of this nationwide surveillance of hospitals in Japan. To conduct further intensive surveillance to meet community health needs, appropriate sampling methods should be established on the basis of this preliminary study. Holistic vulnerability analysis of community hospitals will lead to more robust disaster mitigation at the local level. (Disaster Med Public Health Preparedness. 2015;9:614–618)

Keywords

disaster preparednesshospitalnationwide surveillancevulnerability analysis
Type
Brief Reports
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Supplement 6 , December 2015 , pp. 614 - 618
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Redlener, I, Reilly, MJ. Lessons from Sandy--preparing health systems for future disasters. N Engl J Med. 2012;367(24):2269-2271. http://dx.doi.org/10.1056/NEJMp1213486.Google Scholar
2. Schultz, CH, Koenig, KL, Lewis, RJ. Implications of hospital evacuation after the Northridge, California, earthquake. N Engl J Med. 2003;348(14):1349-1355. http://dx.doi.org/10.1056/NEJMsa021807.Google Scholar
3. Roggen, I, van Berlaer, G, Gijs, G, et al. Clinical characteristics of the inhabitants of an internally displaced persons camp in Brazzaville, Republic of Congo after the Arms Dump Blast on March 4, 2012. Prehosp Disaster Med. 2014;29(5):516-520. doi: 10.1017/S1049023X14000892.CrossRefGoogle Scholar
4. Wold Health Organization. Hospital Safety Index: Guide for Evaluators. http://www.who.int/hac/techguidance/hospital_safety_index_evaluators.pdf. Published 2015. Accessed July 28, 2015.Google Scholar
5. Tanaka, H, Iwai, A, Oda, J, et al. Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med. 1998;16(3):439-444. http://dx.doi.org/10.1016/S0736-4679(98)00014-6.Google Scholar
6. Ukai, T. The Great Hanshin-Awaji Earthquake and the problems with emergency medical care. Ren Fail. 1997;19(5):633-645. http://dx.doi.org/10.3109/08860229709109029.Google Scholar
7. Nagata, T, Rosborough, SN, VanRooyen, MJ, et al. Express railway disaster in Amagasaki: a review of urban disaster response capacity in Japan. Prehosp Disaster Med. 2006;21:345-352.Google Scholar
8. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(S1)(suppl):S74-S82. http://dx.doi.org/10.1097/DMP.0b013e31819f754c.CrossRefGoogle Scholar
9. 12 patients died at Sen-en Hospital, Tagajo City. Electricity and water disruption hamper patient transfer [in Japanese]. Kahoku Shinpo. 21 March 2011;Sect. 1.Google Scholar
10. Mulyasari, F, Inoue, S, Prashar, S, et al. Disaster preparedness: looking through the lens of hospitals in Japan. Int J Disaster Risk Sci. 2013;4(2):89-100. http://dx.doi.org/10.1007/s13753-013-0010-1.Google Scholar
Supplementary material: File

Ochi supplementary material

Supplement 1

Download Ochi supplementary material(File)
File 15.6 KB
Supplementary material: File

Ochi supplementary material

Supplement 2

Download Ochi supplementary material(File)
File 141.7 KB
Supplementary material: File

Ochi supplementary material

Supplement 3

Download Ochi supplementary material(File)
File 15.9 KB