Deterioration in regional health status after the acute phase of a great disaster: Respiratory physicians' experiences of the Great East Japan Earthquake

Ohkouchi, Shinya; Shibuya, Risa; Yanai, Masaru; Kikuchi, Yoshihiro; Ichinose, Masakazu; Nukiwa, Toshihiro

doi:10.1016/j.resinv.2012.12.003

Cited by 40 publications

(26 citation statements)

References 16 publications

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“…The ToMMo is performing three health studies of the residents of areas affected by the Great East Japan Earthquake: a threegeneration cohort study, a community resident cohort of participants aged 20 or older, and a child health study. Previous studies have reported health issues among survivors of the Great East Japan Earthquake with careful attention to vulnerable persons such as the elderly, disabled, and patients with respiratory illness (Kobayashi et al 2013;Ohkouchi et al 2013). However, there has been little research documenting children's health after this disaster.…”

Section: Introductionmentioning

confidence: 99%

Protocol and Research Perspectives of the ToMMo Child Health Study after the 2011 Great East Japan Earthquake

Kikuya

Miyashita

Yamanaka

et al. 2015

Tohoku J. Exp. Med.

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Residents of areas affected by the Great East Japan Earthquake may suffer from diseases or health problems. We are conducting a cross-sectional study from 2012 to 2015 to investigate and address the health needs of schoolchildren affected by this disaster. In this paper, we describe the protocol and research perspectives of our long-term child health study, and present the results obtained immediately after the disaster. The parent-administered questionnaire includes the International Study of Asthma and Allergies in Childhood questionnaire for asthma and eczema symptoms, the Strengths and Difficulties Questionnaire (SDQ), and a questionnaire on influenza infection and vaccination status. In 2012, we distributed the questionnaire to 3,505 (2 nd , 4 th , 6 th , and 8 th graders) in three municipalities located in southern coastal area among the 28 municipalities, and 1,277 (36.4%) returned the completed questionnaire. Mean age was 11.1 ± 2.2 years old. The number of children with symptoms of wheeze and eczema in the past 12 months was 146 (11.4%) and 199 (15.6%), respectively. The SDQ total difficulties score revealed 174 (13.6%) children with some form of difficulty in their daily lives. From May 2011 to April 2012, 195 (15.3%) and 649 (50.8%) children received the influenza vaccination once and twice, respectively, and 532 (41.7%) had suffered from influenza. The prevalence of eczema symptoms or some form of difficulty was higher than the Japanese average. However, careful interpretation was required because of potential self-selection bias from the low response rate. We will continue this study of schoolchildren to provide aggregate findings.

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Section: Introductionmentioning

confidence: 99%

Protocol and Research Perspectives of the ToMMo Child Health Study after the 2011 Great East Japan Earthquake

Kikuya

Miyashita

Yamanaka

et al. 2015

Tohoku J. Exp. Med.

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“…As of 2016, 1.7 million internally displaced persons were living in camps and collective centres, including shelters (2). Studies have shown that poor shelter or dwelling conditions (such as overcrowding, lack of basic resources, and poor sanitation) may lead to deteriorations in health (3)(4)(5)(6). For example, in the aftermath of the Great East Japan Earthquake and tsunami in 2011, the prevalence of asthma, exacerbations of chronic obstructive pulmonary disease (COPD), and community-acquired pneumonia were two to three times greater compared to the previous year, with half of the community-acquired pneumonia cases originating in evacuation shelters (6).…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that poor shelter or dwelling conditions (such as overcrowding, lack of basic resources, and poor sanitation) may lead to deteriorations in health (3)(4)(5)(6). For example, in the aftermath of the Great East Japan Earthquake and tsunami in 2011, the prevalence of asthma, exacerbations of chronic obstructive pulmonary disease (COPD), and community-acquired pneumonia were two to three times greater compared to the previous year, with half of the community-acquired pneumonia cases originating in evacuation shelters (6). Individuals with asthma may be more susceptible to compromised living conditions and stress leading to a higher risk of asthma exacerbations and other complications (3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…For example, in the aftermath of the Great East Japan Earthquake and tsunami in 2011, the prevalence of asthma, exacerbations of chronic obstructive pulmonary disease (COPD), and community-acquired pneumonia were two to three times greater compared to the previous year, with half of the community-acquired pneumonia cases originating in evacuation shelters (6). Individuals with asthma may be more susceptible to compromised living conditions and stress leading to a higher risk of asthma exacerbations and other complications (3)(4)(5)(6). It is important to identify uncontrolled asthmatics and those who are underdiagnosed or at-risk of developing asthma in order to target preventive strategies and asthma management to minimize the deterioration of asthma control.…”

Section: Introductionmentioning

confidence: 99%

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Uncontrolled and under-diagnosed asthma in a Damascus shelter during the Syrian crisis

et al. 2017

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Background: Studies have shown that poor shelter or dwelling conditions may lead to deteriorations in health. Those with asthma may be more susceptible to compromised living conditions and stress leading to a higher risk of asthma exacerbations. To describe the asthma control and quality of life of individuals with diagnosed asthma living in a shelter in Damascus, Syria and estimate the prevalence of respiratory symptoms in shelter dwellers without diagnosed asthma. Methods:In this cross-sectional study, all individuals 5 years and older living in Al-Herjalleh shelter with diagnosed asthma were recruited to complete a questionnaire, which included items related to their respiratory symptoms, asthma exacerbations, exposure to asthma triggers, medication use, and health-related quality of life before and since entering the shelter. A representative sample of shelter dwellers without diagnosed asthma also completed a questionnaire to establish their demographics, respiratory symptoms, environment and chronic disease co-morbidities, in order to identify factors associated with under-diagnosed asthma. All participants underwent spirometry to measure their lung function. Descriptive statistics were calculated, and chi-square tests and Student's t-tests were used to compare individuals with asthma before and since entering the shelter, as well as to compare those with under-diagnosed asthma and individuals without asthma.Results: The prevalence of asthma at the Al-Herjalleh shelter in those aged 5 years and older was approximately 8.5%. Nearly 70% of the asthma group felt their asthma had worsened since entering the shelter, and there was a significant drop in the proportion of individuals using inhaled corticosteroids (ICS), with only 4.3% using daily ICS in the shelter (P<0.0001). The proportion of individuals experiencing a severe asthma attack did not change after entering the shelter (P=0.97), but almost all individuals with asthma (94.4%) reported worsening in their health-related quality of life. In the non-asthma group, 44.2% of participants reported episodes of wheezing, coughing and breathlessness at night, consistent with underdiagnosed asthma. A higher proportion of those with under-diagnosed asthma had allergic rhinitis (57.1%), symptoms of post-traumatic stress disorder (PTSD) (35.1%), and abnormal spirometry (60.0%), compared to those without asthma. Conclusions:The findings of our study highlight the need for asthma programs in Syrian shelters as significant gaps exist in both the screening and management of chronic respiratory diseases to minimize asthma deterioration in Syrian shelter dwellers.

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“…For many of these people, shelter or dwelling conditions often affect their physical and mental health (8,9). These situations could be particularly difficult for chronic conditions such as asthma.…”

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confidence: 99%

War-time asthma: lessons from Syria

Boulet

2017

J. Thorac. Dis.

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Deterioration in regional health status after the acute phase of a great disaster: Respiratory physicians' experiences of the Great East Japan Earthquake

Cited by 40 publications

References 16 publications

Protocol and Research Perspectives of the ToMMo Child Health Study after the 2011 Great East Japan Earthquake

Protocol and Research Perspectives of the ToMMo Child Health Study after the 2011 Great East Japan Earthquake

Uncontrolled and under-diagnosed asthma in a Damascus shelter during the Syrian crisis

War-time asthma: lessons from Syria

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