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The Great East Japan Earthquake: Analyses of Disaster Impacts on Health Care Clinics

Published online by Cambridge University Press:  29 August 2017

Sae Ochi ,
Shigeaki Kato ,
Ken-ichi Kobayashi  and
Yasuhiro Kanatani
Sae Ochi*
Affiliation:
Soma Central Hospital, Department of Internal Medicine, Soma, Japan
Shigeaki Kato
Affiliation:
Iwaki Meisei Daigaku, Center for Regional Cooperation, Iwaki, Fukushima, Japan
Ken-ichi Kobayashi
Affiliation:
National Institute of Public Health, Environmental Health, Wako, Saitama, Japan
Yasuhiro Kanatani
Affiliation:
National Institute of Public Health, Department of Health Crisis Management Wako, Saitama, Japan
*
Correspondence and reprint requests to Sae Ochi, Soma Central Hospital, Department of Internal Medicine, Soma, 9760016, Japan (e-mail: [email protected]).
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Abstract

Objective

Local health facilities play a critical role in mitigating the deterioration of health after catastrophic disasters. However, limited information is available on clinic damage. Therefore, the National Institute of Public Health conducted surveillance on clinic damage after the 2011 Great East Japan Earthquake (GEJE) to identify risk factors.

Methods

A cross-sectional study using a paper-based questionnaire was conducted that targeted 728 clinics located in coastal areas in the 3 prefectures most affected by the GEJE.

Results

The risk of building damage was inversely correlated with distance from the coast, whereas the risk of ceasing operations was significantly correlated with building damage and some specialties of clinics, namely, internal medicine and pediatrics.

Discussion

In mountainous countries like Japan, clinics often need to be built in coastal areas, where the majority of residents live. This surveillance revealed that clinics built in readily accessible locations and that provide care with high needs are more likely to get damaged by tsunamis. As clinics are often the frontline health facilities in disaster settings, local disaster plans need to include plans to reinforce disaster preparedness among clinics. For effective planning and resource allocation, nationwide hazard vulnerability analysis using a global standard will be helpful. (Disaster Med Public Health Preparedness. 2018; 12: 291–295)

Keywords

disastershealth servicesearthquakestsunamis
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 3 , June 2018 , pp. 291 - 295
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Christian, MD, Devereaux, AV, Dichter, JR, et al. Introduction and executive summary: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest. 2014;146(4 suppl):8S-34S.Google Scholar
2. Ochi, S, Hodgson, S, Landeg, O, et al. Disaster-driven evacuation and medication loss: a systematic literature review [published online July 18, 2014]. PLoS Curr. doi: 10.1371/currents.dis.fa417630b566a0c7dfdbf945910edd96.Google Scholar
3. Miller, AC, Arquilla, B. Chronic diseases and natural hazards: impact of disasters on diabetic, renal, and cardiac patients. Prehosp Disaster Med. 2008;23:185-194.Google Scholar
4. Cabinet Office, Government of Japan. White Paper on Disaster Management 2011: Executive Summary. Cabinet Office, Government of Japan; 2011:20.Google Scholar
5. Japan Meteorological Agency. Distribution of seismic intensity in each area at the time of 2011 Tohoku district Taiheiyo-oki Earthquake [ 23 (2011 ) ]. http://www.data.jma.go.jp/svd/eqev/data/2011_03_11_tohoku/0311_shindo.pdf. Accessed Aug 11, 2012.Google Scholar
6. The Geospatial Information Authority of Japan. Digital Japan []. http://portal.cyberjapan.jp/site/mapuse/index.html. Accessed Aug 11, 2017.Google Scholar
7. Sawada and Takeuchi Laboratory. Reaction project for the 2011 off the pacific coast of Tohoku earthquake. http://stlab.iis.u-tokyo.ac.jp/eq_data/index_e.html. Accessed November 2, 2012.Google Scholar
8. Schultz, CH, Koenig, KL, Lewis, RJ. Implications of hospital evacuation after the Northridge, California, earthquake. N Engl J Med. 2003;348:1349-1355.10.1056/NEJMsa021807Google Scholar
9. Ochi, S, Nakagawa, A, Lewis, J, et al. The Great East Japan Earthquake disaster: distribution of hospital damage in Miyagi Prefecture. Prehosp Disaster Med. 2014;29(3):245-253.Google Scholar
10. McIntosh, C, Mitrani-Reiser, J, Kirsch, TD, et al. The impact of the 22nd February 2011 earthquake on Christchurch Hospital. 2012 NZSEE Annual Technical Conference. Canterbury, New Zealand; 2012. https://ir.canterbury.ac.nz/bitstream/handle/10092/7284/12641198_McIntosh%20et%20al.%202012%20NZSEE%20-paper%20124-FINAL%20%281%29.pdf?sequence=1&isAllowed=y. Accessed December 17, 2016.Google Scholar
11 World Health Organization. Pakistan: the health impact of the floods. http://www.who.int/hac/crises/pak/highlights/september2010/en/. Published September 2010. Accessed December 17, 2016.Google Scholar
12. Statistics Japan. ■ . http://www.stat.go.jp/info/shinsai/. 2011. Accessed December 17, 2016.Google Scholar
13. Disaster Management Bureau in Bangladesh. Ministry of Food and Disaster Management (MOFDM) in Bangladesh. Bangladesh: National disaster management plan 2008-2015 draft (2008). http://preventionweb.net/go/9472. Published 2008. Accessed December 17, 2016.Google Scholar
14. Ochi, S, Murray, V, Hodgson, S. The great East Japan earthquake disaster: a compilation of published literature on health needs and relief activities, March 2011-September 2012 [published May 13, 2013]. PLoS Curr. doi: 10.1371/currents.dis.771beae7d8f41c31cd91e765678c005d.Google Scholar
15. Rodriguez, SR, Tocco, JS, Mallonee, S, et al. Rapid needs assessment of Hurricane Katrina evacuees-Oklahoma, September 2005. Prehosp Disaster Med. 2006;21(6):390-395.Google Scholar
16. California Hospital Association. Hazard Vulnerability Assessment Tool. http://www.calhospitalprepare.org/hazard-vulnerability-analysis. Published 2011. Accessed December 17, 2016.Google Scholar
17. Centers for Disease Control and Prevention. Hospital All-Hazards Self-Assessment. https://www.cdc.gov/phpr/healthcare/documents/hah_508_compliant_final.pdf. Accessed November 28, 2016.Google Scholar
18. Pan American Health Organization. Hospital Safety Index: Medium and Small Hospitals Safety Index. Washington, DC: Pan American Health Organization; 2015.Google Scholar
19. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3:S74-S82.Google Scholar