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333044
Usefulness of Regional Victim Estimation for large-scale Disaster Preparedness in Japan


Sunday, November 1, 2015

Katsumi Nakase, MD, PhD, Epidemiology, Okayama University Medical School, Okayama, Japan
Toyoshi Tagami, MD, PhD, Chuouhigashi Wealfearai Health Center, Kami City, Japan
Shigeyuki Okada, D.Eng, Faculty of Engineering,, Hokkaido University, Sapporo City, Japan
Toshiyuki Ojima, MD, PhD, Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan
Noboru Sakamoto, MD, PhD, Kawasaki City Health and Wealfear Beuro, Kawasaki City, Japan
Kimio Inuzuka, MD, PhD, Toyohashi Public Health Center, Toyohashi, Japan
Yukio Endo, MD, PhD, Fukushima Prefecture Kenpoku Public Health Center, Fukushima,Fukushima, Japan
Tomo Sugawara, MD, PhD, Iwate Prefecture Central Health Center, Morioka City, Japan
Hideo Maeda, MD, PhD, Tokyo metropolitan government, Shinjyuku-ku, Japan
Yasuhiro Kanatani, MD, PhD, National Institute of Public Health, Wako, Saitama, Japan
Hisayosi Kondou, MD, PhD, National Disaster Medical Center, Tachikawa City, Japan
Misako Miyazaki, PHN, RN, PhD, Graduate School of Nursing, Chiba University, Chiba-shi, Chiba, Japan
Objectives

To estimate the gap between victims and resources regionally for large-scale Disasters and to derive a suitable management system

Methods

The number of victims by severity was estimate based on the assumptions about seismic intensity and building resistance, and to compare their needs to the necessary medical resources in Nangoku City population of 48,000.

Also the management methods at regional units were discussed in consultation with stakeholders as a reference to the Japanese version of

ICS / IAP / AC.

 Result and Discussion

Human Resources: For 1,090 severely injured people, only 348 doctors and 1,722 beds were available.

Drugs: Injection Drugs- only 1.7 days of Extracellular Fluid Replenisher and 0.5 days of local anesthetic were available.

Oral medicine- 14 days of diabetic agents and hyperlipidemia drugs and 11 days of anti-anxiety drugs were available. However, these drug stocks were centralized. Immediately after the disaster, pharmacist and drug dispatched to the resource shortage areas.

Management areas are planned for 10000 people because people can move and communicate effectively. In 2013 there was a joint desk-top training between the city in charge of the regional rescue and the prefecture in charge of the medical management. In 2014 local officials and prospective dispatched public health personnel, effectively performed drills on the basis of the Japanese ICS / IAP version.

Conclusion

Regional Victim Estimation was useful for implementation of the mechanism for adjusting medical needs and resources in each region.

Learning Areas:

Other professions or practice related to public health
Provision of health care to the public
Public health administration or related administration
Public health or related research

Learning Objectives:
Evaluate the usefulness of regional victim estimation for large-scale disaster preparedness

Keyword(s): Disasters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was engaged in the work and disaster response in Kobe City Health Center at the time of the Great Hanshin-Awaji Earthquake. Then I have worked in Public Health Centers that is responsible for health crisis management in Japan. Also, I have been engaged in a large number of health crisis management studies in public health administration and education.
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.

Back to: 2035.1: Late Breaker Disaster Preparedness