267729 Infection surveillance system for evacuation centers

Sunday, October 28, 2012

Yukio Endo, MD, PhD , Fukushima Prefecture Kenpoku Public Health Center, Fukushima,Fukushima, Japan
Yoshimi Furuya, MD, PhD, MPH , Chuhoku Public Health Center, Kofu, Yamanashi, Japan
Ryuichiro Sasaki, MD , Iida Public Health Center, Iida,Ngano, Japan
Yasushi Ohkusa, PhD , Infectiou Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan
Yoshinori Yasui, MD , Infectious Disease Surveillance Center, National Institute of Infectious Disease, Shinjuku-ku, Japan
Kozo Tatara, MD, FRCP , Japan Public Health Association, Tokyo, Japan
Background: The Tohoku Earthquake on March 11, 2011 increased the risk of infectious diseases due to adverse changes such as closer human contact, crowding, displacement of disaster victims, disruption of water supply and sanitation services in evacuation centers. Outbreaks of gastroenteritis and acute respiratory infections were frequently reported during the post-disaster period, and they were closely related to the factors mentioned above. In the post-disaster period, routine disease surveillance systems were not operated for the task because it was disrupted due to the earthquake disaster. Purpose: To utilize a reliable disease reporting system in order to identify outbreaks and to promptly initiate control measures. Methods: Infectious Disease Surveillance Center (IDSC), National Institute of Infectious Diseases (NIID), developed infection surveillance system for evacuation centers for Fukushima Prefecture Kennan Public Health Center to take infection control measures in the evacuation centers of the south-district in Fukushima Prefecture for the first time in Japan after the disaster. Results: Evacuation center infection surveillance provided a more flexible and prompt reporting system on the website in IDSC's system than that used in normal conditions. NIID conducted risk assessment of infectious diseases at affected areas using surveillance data provided by local government and fed back the results on the web site and by e-mail periodically. The surveillance system successfully prevented and controlled infectious disease outbreaks for evacuation centers during the post-disaster period. Conclusion: Prompt and adequate prevention, control measures and appropriate case management using surveillance systems were essential for minimizing infectious disease burdens during the post-disaster period.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control
Public health administration or related administration
Public health or related nursing
Public health or related organizational policy, standards, or other guidelines
Social and behavioral sciences

Learning Objectives:
1.Define the infection surveillance system for evacuation centers developed by National Institute of infectious diseases(NIID). 2.Describe infection surveillance using the infection surveillance system for evacuation centers and control measures taken in Fukushima Prefecture.

Keywords: Infectious Diseases, Disasters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to give this presentation because I have collected the information of the facts about earthquake, tsunami, Fukushima atomic power plant accident and infection surveillance data for evacuation centers utilized by ourselves as the Chairman of the Directors of Public Health Centers in Fukushima Prefecture and Tohoku Region, and We have been supported by National Institute of Infectious Diseases.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.