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Prolonged Living as a Refugee from the Area Around a Stricken Nuclear Power Plant Increases the Risk of Death

Published online by Cambridge University Press:  21 July 2015

Reiichiro Tanaka
Reiichiro Tanaka*
Affiliation:
Department of Emergency Medicine, Institute of Neuoscience and Orthopedics, Okayama Kyokuto Hospital, Okayama, Japan
*
Correspondence: Reiichiro Tanaka, MD Department of Emergency Medicine Institute of Neuoscience and Orthopedics Okayama Kyokuto Hospital567-1 Kurata Naka-ku, Okayama 703-8265, Okayama, Japan E-mail: [email protected]
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Abstract

Although it is well known that the Great East Japan Earthquake (March 11, 2011) resulted in a large number of disaster-related deaths, it is not common knowledge that the number of disaster-related deaths continues to increase, even four years after the earthquake, in Fukushima Prefecture, where the nuclear power plant accident occurred. There has been a lack of a minute and critical analysis for the causes for this continuous increase. In this report, the causes for the increase in disaster-related deaths in Fukushima Prefecture were analyzed by aggregating and comparing multiple data released by public organizations (the Reconstruction Agency, the National Police Agency, and Fukushima Prefecture), which may also have implications for developing response strategies to other disasters. The disaster-related death rate, the dead or missing rate, and the refugee rate (the number of disaster-related deaths, dead or missing persons, and refugees per 1,000 people) in each prefecture in stricken areas, and also each city, county, town, and village in Fukushima Prefecture, were calculated and compared with each other. The populations which were used for the calculation of each death rate in the area were based on the number of dead victims who had lived in the area when the earthquake occurred, regardless of where they were at the time of their death. The disaster-related death rate was higher than the dead or missing rate in the area around a stricken nuclear power plant in Fukushima Prefecture. These areas coincide exactly with the Areas under Evacuation Orders because of unsafe radiation levels. The external and internal radiation doses of most of the victims of the Great East Japan Earthquake have appeared not to be so high to harm their health, until now. The psychological stress associated with being displaced from one’s home for a long time with an uncertain future may be the cause for these disaster-related deaths. There is an urgent need to recognize refugees’ stressful situations, which could even cause death, and to provide them with high-quality medical treatment, including care for their long-term mental health.

Tanaka R. Prolonged Living as a Refugee from the Area Around a Stricken Nuclear Power Plant Increases the Risk of Death. Prehosp Disaster Med. 2015;30(4):1-6.

Keywords

disaster-related deathGreat East Japan Earthquakenuclear power plant accidentpsychological stresstsunami
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 4 , August 2015 , pp. 425 - 430
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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References

1. Reconstruction Agency. Information for supporting the victims of Great East Japan Earthquake. The total of disaster-related death in the whole country in Japan [in Japanese]. http://www.reconstruction.go.jp/topics/main-cat2/sub-cat2-1/20141226_kanrenshi.pdf. Reported on December 26, 2014. Accessed March 2, 2015.Google Scholar
2. Fukushima Prefecture. Jishin-sokuhou (Prompt Reports after the Earthquake) No 1209: an overview of damage caused by the Great East Japan Earthquake in Fukushima Prefecture [in Japanese]. http://www.pref.fukushima.lg.jp/sec/16025b/shinsai-higaijokyo.html. Reported on January 7, 2015. Accessed January 7, 2015.Google Scholar
3. Reconstruction Agency. Information for supporting the victims of Great East Japan Earthquake. The total of refugees in the whole country in Japan [in Japanese]. http://www.reconstruction.go.jp/topics/main-cat2/sub-cat2-1/20141226_hinansha.pdf. Reported on December 26, 2014. Accessed March 2, 2015.Google Scholar
4. National Police Agency. A list of information of Great East Japan Earthquake. The situation of damage [in Japanese]. http://www.npa.go.jp/archive/keibi/biki/higaijokyo.pdf. Reported on December 10, 2014. Accessed December 28, 2014.Google Scholar
5. Kondo, H, Koido, Y, Morino, K, et al. Establishing Disaster Medical Assistance Teams in Japan. Prehosp Disaster Med. 2009;24(6):556-564.CrossRefGoogle ScholarPubMed
6. Hyogo Prefecture. Hyogo Prefecture City-Planning/Prevention of Disaster [in Japanese]. http://web.pref.hyogo.lg.jp/pa20/pa20_000000016.html. Reported on December 22, 2007. Accessed March 2, 2015.Google Scholar
7. Koido, Y, Kondo, H, Ichihara, M, Kohayagawa, Y, Henmi, H. Research on the DMAT response to the 2011 East Japan Earthquake. Journal of the National Institute of Public Health 2011. 60(6):495-501.Google Scholar
8. Ministry of Health, Labour, and Welfare. The total of direct deaths caused by Great East Japan Earthquake based on Vital Statistics. MHLW Web site. http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/kakutei11/dl/14_x34.pdf. Accessed March 2, 2015.Google Scholar
9. Statistics Japan. National census on October 1, 2010 [in Japanese]. Population of senior citizens aged > 65 years. http://www.stat.go.jp/data/kokusei/2010/kihon1/pdf/gaiyou2.pdf. Accessed March 2, 2015.+65+years.+http://www.stat.go.jp/data/kokusei/2010/kihon1/pdf/gaiyou2.pdf.+Accessed+March+2,+2015.>Google Scholar
10. Statistics Japan. National census on October 1, 2010 [in Japanese]. http://www.stat.go.jp/data/kokusei/2010/kihon1/pdf/gaiyou.pdf. Accessed March 2, 2015.Google Scholar
11. Support Team for Residents Affected by Nuclear Incidents in Cabinet Office, Government of Japan. Rearranged the restricted areas and areas to which evacuation orders have been issued [in Japanese]. A map of the restricted area in Fukushima Prefecture: “restricted residence area,” “difficult-to-return zone,” “zone in preparation for the lifting of the evacuation order.” http://www.meti.go.jp/earthquake/nuclear/pdf/141001/20141001kawauchi_gainenzu.pdf. Reported on October 1, 2014. Accessed March 2, 2015.Google Scholar
12. Saito, K, Kim, JI, Maekawa, K, Ikeda, Y, Yokoyama, M. The Great Hanshin-Awaji Earthquake aggravates blood pressure control in treated hypertensive patients. Am J Hypertens. 1997;10(2):217-221.CrossRefGoogle ScholarPubMed
13. Minami, J, Kawano, Y, Ishimitsu, T, Yoshimi, H, Takishita, S. Effect of the Hanshin-Awaji Earthquake on home blood pressure in patients with essential hypertension. Am J Hypertens. 1997;10(2):222-225.Google Scholar
14. Chen, Y, Li, J, Xian, H, et al. Acute cardiovascular effects of the Wenchuan Earthquake: ambulatory blood pressure monitoring of hypertensive patients. Hypertens Res. 2009;32(9):797-800.Google Scholar
15. Satoh, M, Kikuya, M, Ohkubo, T, Imai, Y. Acute and subacute effects of the Great East Japan Earthquake on home blood pressure values. Hypertension. 2011;58(6):e193-e194.CrossRefGoogle ScholarPubMed
16. Murakami, H, Akashi, H, Noda, S, et al. A cross-sectional survey of blood pressure of a coastal city’s resident victims of the 2011 Tohoku tsunami. Am J Hypertens. 2013;26(6):799-807.Google Scholar
17. Kordysh, EA, Goldsmith, JR, Quastel, MR, et al. Health effects in a casual sample of immigrants to Israel from areas contaminated by the Chernobyl explosion. Environ Health Perspect. 1995;103(10):936-941.Google Scholar
18. Schwartz, BG, French, WJ, Mayeda, GS, et al. Emotional stressors trigger cardiovascular events. Int J Clin Pract. 2012;66(7):631-639.Google Scholar
19. Reconstruction Agency. Information for supporting the victims of Great East Japan Earthquake. Reports on disaster-related deaths in the Great east Japan Earthquake [in Japanese]. http://www.reconstruction.go.jp/topics/20120821_shinsaikanrenshihoukoku.pdf. Reported on August 21, 2012. Accessed March 2, 2015.Google Scholar
20. Japan Federation of Bar Associations. A report on a questionnaire survey of judgment for the certification of disaster-related death and condolence money [in Japanese]. http://www.nichibenren.or.jp/library/ja/special_theme/data/condolence_money_questionnaire_2.pdf. Reported on September 13, 2013. Accessed January 23, 2015.Google Scholar
21. Yabe, H, Suzuki, Y, Mashiko, H, et al. Psychological distress after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant accident: results of a mental health and lifestyle survey through the Fukushima Health Management Survey in FY2011 and FY2012. Fukushima J Med Sci. 2014;60(1):57-67.CrossRefGoogle Scholar
22. Brodie, M, Weltzien, E, Altman, D, Blendon, RJ, Benson, JM. Experiences of Hurricane Katrina evacuees in Houston shelters: implications for future planning. Am J Public Health. 2006;96(5):1402-1408.Google Scholar
23. Gheytanchi, A, Joseph, L, Gierlach, E, et al. The dirty dozen: twelve failures of the Hurricane Katrina response and how psychology can help. Am Psychol. 2007;62(2):118-130.Google Scholar
24. Broz, D, Levin, EC, Mucha, AP, et al. Lessons learned from Chicago’s emergency response to mass evacuation caused by Hurricane Katrina. Am J Public Health. 2009;99(8):1496-1504.Google Scholar
25. Powell, T, Hanfling, D, Gostin, LO. Emergency preparedness and public health: the lessons of Hurricane Sandy. JAMA. 2012;308(24):2569-2570.CrossRefGoogle Scholar
26. Laditka, SB, Laditka, JM, Xirasagar, S, Cornman, CB, Davis, CB. Richter JVE. Providing shelter to nursing home evacuees in disasters: lessons from Hurricane Katrina. Am J Public Health. 2008;98(7):1288-1293.CrossRefGoogle ScholarPubMed