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Medical Problems and Concerns with Temporary Evacuation Shelters after Great Earthquake Disasters in Japan: A Systematic Review

Published online by Cambridge University Press:  09 June 2021

Osamu Tokumaru Open the ORCID record for Osamu Tokumaru [Opens in a new window] ,
Masanori Fujita ,
Saeko Nagai ,
Yoko Minamikawa  and
Junnosuke Kumatani
Osamu Tokumaru
Affiliation:
Faculty of Welfare and Health Sciences, Oita University, Oita, Japan
Masanori Fujita*
Affiliation:
Division of Environmental Medicine, National Defense Medical College Research Institute, National Defense Medical College, Tokorozawa, Japan
Saeko Nagai
Affiliation:
Division of Environmental Medicine, National Defense Medical College Research Institute, National Defense Medical College, Tokorozawa, Japan School of Medicine, Oita University Faculty of Medicine, Yufu, Japan
Yoko Minamikawa
Affiliation:
Division of Environmental Medicine, National Defense Medical College Research Institute, National Defense Medical College, Tokorozawa, Japan School of Medicine, Oita University Faculty of Medicine, Yufu, Japan
Junnosuke Kumatani
Affiliation:
Division of Environmental Medicine, National Defense Medical College Research Institute, National Defense Medical College, Tokorozawa, Japan School of Medicine, Oita University Faculty of Medicine, Yufu, Japan
*
Corresponding author: Masanori Fujita, Emails: [email protected] or [email protected].
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Abstract

Japan has repeatedly suffered from natural disasters. A number of temporary evacuation shelters have been opened for the benefit of evacuees. Although the operation of such evacuation shelters has improved after the Great Hanshin-Awaji Earthquake (1995), a number of operational difficulties were encountered during the Great East Japan Earthquake in 2011 and the Kumamoto Earthquake in 2016. A systematic literature review was conducted to identify the medical concerns encountered in temporary evacuation shelters by focusing on unsanitary environment, food and nutrition, and shortage of medication. Actual sanitary conditions have been found to be below the standards stipulated by the Japanese government as per international guidelines. Food aid in evacuation shelters was neither nutritionally balanced, nor was the distribution to different shelters balanced. Furthermore, evacuees with chronic diseases feared that there may be a shortage of medication. Crowding in evacuation shelters increased the risk of outbreaks of infectious diseases (e.g., tuberculosis). Malnutrition and shortage of medication exacerbated the risk of deterioration of chronic diseases (e.g., diabetes mellitus, hypertension) among evacuees. Therefore, it is recommended that healthcare professionals should be promptly deployed to evacuation shelters, to promote sanitary control and education, as well as address limited space availability, and food and medication shortage.

Keywords

disastersearthquakesevacuationevacueeshelter
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 4 , August 2022 , pp. 1645 - 1652
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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References

Hyogo Prefecture. Casualties and damages of the Great Hanshin-Awaji Earthquake Disaster. https://web.pref.hyogo.lg.jp/kk42/pa20_000000015.html. (Japanese). Accessed June 23, 2019.Google Scholar
Japan Meteorological Agency. Report on the Hyogo-Ken-Nanbu Earthquake, 1995 (The 1995 Southern Hyogo Prefecture Earthquake). http://www.data.jma.go.jp/svd/eqev/data/1995_01_17_hyogonanbu/tech/119_00_index.pdf. (Japanese, abstract in English) Accessed June 23, 2019.Google Scholar
Japan Meteorological Agency. Past earthquake and tsunami disasters. http://www.data.jma.go.jp/svd/eqev/data/higai/higai-1995.html. (Japanese) Accessed June 23, 2019.Google Scholar
Japan Meteorological Agency. Information on the 2011 Great East Japan Earthquake. http://www.jma.go.jp/jma/en/2011_Earthquake/Information_on_2011_Earthquake.html. Accessed June 23, 2019.Google Scholar
Japan Meteorological Agency. Report on the 2011 off the Pacific coast of Tohoku Earthquake. Technical Report of the Japan Meteorological Agency No. 133. http://www.jma.go.jp/jma/kishou/books/gizyutu/133/ABSTE.pdf. Accessed June 23, 2019.Google Scholar
Japan Meteorological Agency. The 2016 Kumamoto Earthquake -Portal-. http://www.jma.go.jp/jma/en/2016_Kumamoto_Earthquake/2016_Kumamoto_Earthquake.html. Accessed May 18, 2021.Google Scholar
Nakamura, H. Overview of the Hanshin-Awaji earthquake disaster. Acta Paediatr Jpn. 1995;37(6):713-716.CrossRefGoogle ScholarPubMed
Ministry of Foreign Affairs of Japan. The Great East Japan Earthquake - two years on. https://www.mofa.go.jp/j_info/visit/incidents/two_years.html. Accessed June 23, 2019.Google Scholar
Fuse, A, Igarashi, Y, Tanaka, T, et al. Onsite medical rounds and fact-finding activities conducted by Nippon Medical School in Miyagi prefecture after the Great East Japan Earthquake 2011. J Nippon Med Sch. 2011;78(6):401-404.CrossRefGoogle ScholarPubMed
Cabinet Office, Japan. On improvement of foods in evacuation shelters. Published May 20, 2016. http://www.bousai.go.jp/updates/h280414jishin/h28kumamoto/pdf/h280520_2kanren.pdf. (Japanese) Accessed May 18, 2021.Google Scholar
Egawa, S, Suda, T, Jones-Konneh, TEC, Murakami, A, Sasaki, H. Nation-Wide Implementation of disaster medical coordinators in Japan. Tohoku J Exp Med. 2017;243(1):1-9.CrossRefGoogle ScholarPubMed
Tokuda, K, Kunishima, H, Gu, Y, et al. A survey conducted immediately after the 2011 Great East Japan Earthquake: Evaluation of infectious risks associated with sanitary conditions in evacuation centers. J Infect Chemother. 2014;20(8):498-501.Google ScholarPubMed
Tanno, Y. Yakugaku Zasshi. 2014;134(1):19-23.Google Scholar
Kanamori, H, Aso, N, Tadano, S, et al. Tuberculosis exposure among evacuees at a shelter after earthquake, Japan, 2011. Emerg Infect Dis. 2013;19(5):799-801.CrossRefGoogle Scholar
Kanamori, H, Kunishima, H, Tokuda, K, Kaku, M. Infection control campaign at evacuation centers in Miyagi prefecture after the Great East Japan Earthquake. Infect Control Hosp Epidemiol. 2011;32(8):824-826.CrossRefGoogle ScholarPubMed
Yanai, M. Infection control in natural disaster. J Nihon Univ Med Ass. 2011;71:27-30.Google Scholar
Tsuboyama-Kasaoka, N, Hoshi, Y, Onodera, K, Mizuno, S, Sako, K. What factors were important for dietary improvement in emergency shelters after the Great East Japan Earthquake?. Asia Pac J Clin Nutr. 2014;23(1):159-166.Google ScholarPubMed
Hyogo Prefecture. Restoration of life lines after the Hanshin-Awaji Earthquake Disaster. https://web.pref.hyogo.lg.jp/kk41/pa17_000000002.html. Accessed June 23, 2019.Google Scholar
Amagai, T, Ichimaru, S, Tai, M, Ejiri, Y, Muto, A. Nutrition in the Great East Japan Earthquake Disaster. Nutr Clin Pract. 2014;29(5):585-594.CrossRefGoogle ScholarPubMed
Cabinet Office, Japan. The guideline for operation of evacuation shelters; March, 2016. http://www.bousai.go.jp/taisaku/hinanjo/pdf/1604hinanjo_guideline.pdf. (Japanese) Accessed June 23, 2019.Google Scholar
United Nations High Commissioner for Refugees, Handbook for emergencies third edition, 2007. http://reliefweb.int/report/world/handbook-emergencies-third-edition. Accessed June 23, 2019.Google Scholar
The Sphere Project. The Sphere Handbook: Humanitarian charter and minimum standards in humanitarian response; 2011 ed. Available from http://www.sphereproject.org/handbook/. Accessed June 23, 2019.Google Scholar
Izumikawa, K. Infection control after and during natural disaster. Acute Med Surg. 2018;6(1):5-11.CrossRefGoogle ScholarPubMed
Yanagihara, H, Hatakeyama, Y, Iwasaki, T. Coordination by registered dieticians for nutritional and dietary support in disaster in Japan. Western Pac Surveill Response J. 2012;3(2):46-51.Google ScholarPubMed
Hirai, K, Okuda, T, Masuda, T, et al. Food intake and diet considerations among victims living in evacuation centers after the Great Hanshin-Awaji Earthquake. Journal for the integrated study of dietary habits. 1998;9:28-35. (Japanese). Accessed May 18, 2021.Google Scholar
http://bylines.news.yahoo.co.jp/horijun/20160421-00056849/ by courtesy of Mr. Jun Hori (8bitNews, Tokyo, Japan) with permission. Accessed May 18, 2021.Google Scholar
Miyagi Prefecture. Food Letter of Miyagino. 2011;1:1-2. http://www.pref.miyagi.jp/uploaded/attachment/117132.pdf. (Japanese) Accessed June 23, 2019.Google Scholar
Zhang, W, Ohira, T, Abe, M, et al. Evacuation after the Great East Japan Earthquake was associated with poor dietary intake: The Fukushima health management survey. J Epidemiol. 2017;27(1):14-23.Google ScholarPubMed
Disaster Medical Assistance Teams. List of standard medical equipment and materials for DMAT. Available from http://square.umin.ac.jp/jadm/iinkai/saigaiji.html. (Japanese) Accessed June 23, 2019.Google Scholar
Ministry of Health, Labor and Welfare. Manual of disaster relief activity for pharmacists. http://www.nichiyaku.or.jp/saigai2016/files/sr20160415.pdf. (Japanese) Accessed June 23, 2019.Google Scholar
National Center for Global Health and Medicine. Manual for medical assistant activity in natural disasters. http://kyokuhp.ncgm.go.jp/library/other_doc/sien_manual.pdf. (Japanese) Accessed June 23, 2019.Google Scholar
Yamaguchi, S. Medical activities in hospitals after the third day of the disaster. J-Stage. 2010;99:1970-1972. https://www.jstage.jst.go.jp/article/naika/99/8/99_1970/_pdf. (Japanese) Accessed June 23, 2019.Google Scholar
Ooe, Y; JMAT Osaka Team No. 25. Report on support activity for the East Japan Great Earthquake (May 27-29, 2011). Jpn Hosp. 2012;(31):63-69.Google Scholar
Handa, T, Kuroiwa, R, Ishii, A, et al. Essential drug information assessed by an inventory record of a relief medicine database at a disaster area in Japan. Showa Univ J Pharm Sci. 2011; 2:159-168. https://showa.repo.nii.ac.jp/?action=repository_uri&item_id=1154&file_id=22&file_no=1. (Japanese) Accessed May 18, 2021.Google Scholar
Mitani, S, Kako, M, Mayner, L. Medical relief for the 2011 Japan earthquake: A nursing account. Nurs Health Sci. 2014;16(1):26-30.CrossRefGoogle ScholarPubMed
Japan Pharmaceutical Association. Natural disaster manual for pharmacists. http://www.nichiyaku.or.jp/saigai2016/files/sr20160415.pdf. (Japanese) Accessed June 23, 2019.Google Scholar
Japan Pharmaceutical Association. The Great East Japan Earthquake: Relief activities by Pharmaceutical Associations [third report] (news release). http://www.nichiyaku.or.jp/e/data/20110614newsrelease_earthquake.pdf. Accessed June 23, 2019.Google Scholar
Tsuzuki, M. “Drug Notebook” (Okusuri-Techo) as a tool for information sharing. J Jpn Soc Hosp Pharm. 2016;52:273-276. (Japanese).Google Scholar
World Health Organization (WHO). Glossary of humanitarian terms. http://www.who.int/hac/about/reliefweb-aug2008.pdf?ua=1. Accessed June 23, 2019.Google Scholar
Wang, X, Gao, L, Zhang, H, Zhao, C, Shen, Y, Shinfuku, N. Post-earthquake quality of life and psychological well-being: Longitudinal evaluation in a rural community sample in northern China. Psychiatry Clin Neurosci. 2000;54(4):427-433.Google Scholar
Watson, JT, Gayer, M, Connolly, MA. Epidemics after natural disasters. Emerg Infect Dis. 2007;13(1):1-5.CrossRefGoogle ScholarPubMed
Kawano, T, Hasegawa, K, Watase, H, Morita, H, Yamamura, O. Infectious disease frequency among evacuees at shelters after the great eastern Japan earthquake and tsunami: A retrospective study. Disaster Med Public Health Prep. 2014;8(1):58-64.Google ScholarPubMed
Kawano, T, Tsugawa, Y, Nishiyama, K, Morita, H, Yamamura, O, Hasegawa, K. Shelter crowding and increased incidence of acute respiratory infection in evacuees following the Great Eastern Japan Earthquake and tsunami. Epidemiol Infect. 2016;144(4):787-795.CrossRefGoogle ScholarPubMed
Ohkouchi, S, Shibuya, R, Yanai, M, Kikuchi, Y, Ichinose, M, Nukiwa, T. Deterioration in regional health status after the acute phase of a great disaster: Respiratory physicians’ experiences of the Great East Japan Earthquake. Respir Investig. 2013;51:50-55.Google ScholarPubMed
Ministry of Health, Labor and Welfare, Japan. Infection control manual in evacuation shelters. http://www.bousai.go.jp/kaigirep/houkokusho/hukkousesaku/saigaitaiou/output_html_1/pdf/kansentaisaku_20110324.pdf. (Japanese). Accessed June 23, 2019.Google Scholar
Japanese Society for Infection Prevention and Control. Guideline for infection control in evacuation shelters following massive natural disasters. http://www.kankyokansen.org/other/hisaiti_kansenseigyo.pdf. (Japanese). Accessed June 23, 2019.Google Scholar
Centers for Disease Control and Prevention. Infection Control Guidance for Community Evacuation Centers Following Disasters. http://www.cdc.gov/disasters/commshelters.html. Accessed June 23, 2019.Google Scholar
Ministry of Health, Labor and Welfare. Overview of the system and the basic statistics: Health and medical services. http://www.mhlw.go.jp/english/wp/wp-hw10/dl/02e.pdf. Accessed June 23, 2019.Google Scholar
Sakurai, M, Takahashi, T, Ohuchi, M, Terui, Y, Kiryu, K, Shikano, K. Increasing incidence of tuberculosis infection in the coastal region of northern Miyagi after the great east japan earthquake. Tohoku J Exp Med. 2016;238(3):187-195.CrossRefGoogle ScholarPubMed
Kanamori, H. Lessons learned from a tuberculosis contact investigation associated with a disaster volunteer after the 2011 Great East Japan Earthquake. Am J Respir Crit Care Med. 2013;187(11):1278-1279.Google ScholarPubMed
Bailey, WC, Gerald, LB, Kimerling, ME, Redden, D, Brook, N, Bruce, F, Tang, S, Duncan, S, Brooks, CM, Dunlap, NE. Predictive model to identify positive tuberculosis skin test results during contact investigations. JAMA. 2002;287(8):996-1002.CrossRefGoogle ScholarPubMed
Wiersinga, WJ, Rhodes, A, Cheng, AC, Peacock, SJ, Prescott, HC. Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): A review. JAMA. 2020;324(8):782-793.Google ScholarPubMed
National Institute of Infectious Diseases. The first confirmed case of SARS-CoV-2 infection in Japan. https://www.niid.go.jp/niid/ja/diseases/ka/corona-virus/2019-ncov/2488-idsc/iasr-news/9729-485p04.html?tmpl=component&print=1&layout=default. (Japanese). Accessed January 6, 2021.Google Scholar
Japan Meteorological Agency. The Heavy Rain Event of July 2020 -Portal-. http://www.jma.go.jp/jma/en/202007_Heavyrain/2020_Heavyrain.html. Accessed January 6, 2021.Google Scholar
Japan Meteorological Agency. The Heavy Rain Event by Typhoon Haishen in September 2020 -Portal-. https://www.data.jma.go.jp/obd/stats/data/bosai/report/2020/20200910/20200910.html. (Japanese) Accessed January 6, 2021.Google Scholar
Statistics Bureau of Japan. Population Estimates 2011. https://www.stat.go.jp/data/nihon/back13/02.html. Accessed June 23, 2019.Google Scholar
Jhung, MA, Shehab, N, Rohr-Allegrini, C, et al. Chronic disease and disasters medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33(3):207-210.Google ScholarPubMed
Kishimoto, M, Noda, M. Diabetes care: After the Great East Japan Earthquake. J Diabetes Investig. 2013;4(1):97-102.CrossRefGoogle ScholarPubMed
Kirizuka, K, Nishizaki, H, Kohriyama, K, et al. Influences of The Great Hanshin-Awaji Earthquake on glycemic control in diabetic patients. Diabetes Res Clin Pract. 1997;36(3):193-196.CrossRefGoogle ScholarPubMed
Tanaka, M, Imai, J, Satoh, M, et al. Glycemic control in diabetic patients with impaired endogenous insulin secretory capacity is vulnerable after a natural disaster: Study of Great East Japan Earthquake. Diabetes Care. 2014;37(10):e212-e213.Google ScholarPubMed
Nishizawa, M, Hoshide, S, Shimpo, M, Kario, K. Disaster hypertension: experience from the great East Japan earthquake of 2011. Curr Hypertens Rep. 2012;14(5):375-381.Google ScholarPubMed
Kario, K. Disaster hypertension - its characteristics, mechanism, and management -. Circ J. 2012;76(3):553-562.Google ScholarPubMed
Nara, M, Ueda, S, Aoki, M, Tamada, T, Yamaguchi, T, Hongo, M. The clinical utility of makeshift beds in disaster shelters. Disaster Med Public Health Prep. 2013;7(6):573-577.CrossRefGoogle ScholarPubMed
Hirose, Y. Nihon Naika Gakkai Zasshi. J-Stage. 2008;97:2534-2537. https://www.jstage.jst.go.jp/article/naika/97/10/97_2534/_pdf. (Japanese) Accessed June 23, 2019.Google Scholar
Shibata, M, Chiba, H, Sasaki, K, Ueda, S, Yamamura, O, Hanzawa, K. The utility of on-site ultrasound screening in population at high risk for deep venous thrombosis in temporary housing after the great East Japan Earthquake. J Clin Ultrasound. 2017;45(9):566-574.CrossRefGoogle ScholarPubMed
Shibata, M, Hanzawa, K, Ueda, S, Yambe, T. Deep venous thrombosis among disaster shelter inhabitants following the March 2011 earthquake and tsunami in Japan: A descriptive study. Phlebology. 2014;29(4):257-266.CrossRefGoogle ScholarPubMed
Ueda, S, Hanzawa, K, Shibata, M, Suzuki, S. High prevalence of deep vein thrombosis in tsunami-flooded shelters established after the great East-Japan earthquake. Tohoku J Exp Med. 2012;227(3):199-202.CrossRefGoogle ScholarPubMed
Sato, K, Sakamoto, K, Hashimoto, Y, Hanzawa, K. Risk Factors and Prevalence of Deep Vein Thrombosis After the 2016 Kumamoto Earthquakes. Circ J. 2019;83(6):1342-1348.Google ScholarPubMed
Simpson, K. Shelter deaths from pulmonary embolism. Lancet. 1940; 236(6120):744.Google Scholar
Ueda, S, Hanzawa, K, Shibata, M. One-year overview of deep vein thrombosis prevalence in the ishinomaki area since the great East Japan earthquake. Ann Vasc Dis. 2014;7(4):365-368.CrossRefGoogle ScholarPubMed
Hanzawa, K. Disaster and pulmonary embolism (vein thromboembolism). Heart. 2014;46:569-573.   https://www.jstage.jst.go.jp/article/shinzo/46/5/46_569/_pdf/-char/ja. (Japanese).Google Scholar
Kanno, T, Iijima, K, Koike, T, et al. Accommodation in a refugee shelter as a risk factor for peptic ulcer bleeding after the Great East Japan Earthquake: A case-control study of 329 patients. J Gastroenterol. 2015;50(1):31-40.CrossRefGoogle Scholar
Kobayashi, S, Hanagama, M, Yamanda, S, et al. Impact of a large-scale natural disaster on patients with chronic obstructive pulmonary disease: The aftermath of the 2011 Great East Japan Earthquake. Respir Investig. 2013;51(1):17-23.Google ScholarPubMed
Tomata, Y, Kakizaki, M, Suzuki, Y, Hashimoto, S, Kawado, M, Tsuji, I. Impact of the 2011 Great East Japan Earthquake and Tsunami on functional disability among older people: A longitudinal comparison of disability prevalence among Japanese municipalities. J Epidemiol Community Health. 2014;68(6):530-533.CrossRefGoogle ScholarPubMed
Kawano, T, Nishiyama, K, Morita, H, Yamamura, O, Hiraide, A, Hasegawa, K. Association between shelter crowding and incidence of sleep disturbance among disaster evacuees: A retrospective medical chart review study. BMJ Open. 2016;6(1):e009711.Google ScholarPubMed
Ishiki, A, Okinaga, S, Tomita, N, et al. Changes in cognitive functions in the elderly living in temporary housing after the Great East Japan Earthquake. PLoS One. 2016;11(1):e0147025.CrossRefGoogle ScholarPubMed
Morimoto, S. Detection and management of illnesses in elderly evacuees by medical teams. J Japan Diab Soc. 2011;54:715-718. https://www.jstage.jst.go.jp/article/tonyobyo/54/9/54_9_715/_pdf. (Japanese, abstract in English) Accessed June 23, 2019.Google Scholar