Infection surveillance after a natural disaster: lessons learnt from the Great East Japan Earthquake of 2011

Iwata, Osuke; Oki, Tomoharu; Ishiki, Aiko; Shimanuki, Masaaki; Fuchimukai, Toru; Chosa, Toru; Chida, Shoichi; Nakamura, Yasuhide; Shima, Hiroji; Kanno, Michihiro; Matsuishi, Toyojiro; Ishiki, Mikihito; Urabe, Daisaku

doi:10.2471/blt.13.117945

Cited by 15 publications

(17 citation statements)

References 11 publications

(9 reference statements)

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“…Disease surveillance through SPEED can assist health leaders in making informed decisions in the response, preparedness, and recovery phases of disasters ( 18 – 20 ). There is a need for further validation of current concepts in post-disaster disease patterns by actual field data, which the SPEED database of HEMB can provide.…”

Section: Introductionmentioning

confidence: 99%

Post-disaster health impact of natural hazards in the Philippines in 2013

Salazar

Pesigan²,

Law

et al. 2016

Global Health Action

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BackgroundIn 2011, the Health Emergency Management Bureau (HEMB) created the Surveillance for Post Extreme Emergencies and Disasters (SPEED), a real-time syndromic surveillance system that allows the early detection and monitoring of post-disaster disease trends. SPEED can assist health leaders in making informed decisions on health systems affected by disasters. There is a need for further validation of current concepts in post-disaster disease patterns in respect to actual field data. This study aims to evaluate the temporal post-disaster patterns of selected diseases after a flood, an earthquake, and a typhoon in the Philippines in 2013.MethodologyWe analyzed the 21 syndromes provided by SPEED both separately and grouped into injuries, communicable diseases, and non-communicable diseases (NCDs) by calculating daily post-disaster consultation rates for up to 150 days post-disaster. These were compared over time and juxtaposed according to the type of disaster.ResultsCommunicable diseases were found to be the predominant syndrome group in all three disaster types. The top six syndromes found were: acute respiratory infections, open wounds, bruises and burns, high blood pressure, skin disease, fever, and acute watery diarrhea.DiscussionOverall, the results aligned with the country's morbidity profile. Within 2 months, the clear gradation of increasing syndrome rates reflected the severity (flood

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Section: Introductionmentioning

confidence: 99%

Post-disaster health impact of natural hazards in the Philippines in 2013

Salazar

Pesigan²,

Law

et al. 2016

Global Health Action

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“…Lessons from the 2011 Japanese tsunami/earthquake found that the modern health system relies heavily on the advanced technology. 9 This is an interesting finding as catastrophic events often result in loss of power and therefore technology. Are we equipped for such a loss of resource?…”

Section: Discussionmentioning

confidence: 98%

Natural disasters and healthcare

Francescutti

Sauve

Prasad

2016

Healthc Manage Forum

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Natural disasters are on the increase. How healthcare systems respond to their communities' need for medical attention after such events will be very challenging. The situation is even more complicated when such facilities are forced to unexpectedly close and evacuate because they are in harm's way. There are important lessons to be learned from these events, yet people are slow to share what they experienced.

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“…Indeed, during period 2, St. Mary's Hospital performed 100 video call-based assessments, which account for only 0-4 cases per birth centre. During another project, our team aimed to establish an infection surveillance system within a region damaged after the Great East Japan Earthquake and Tsunami Disaster 26 , and we reported the importance of being able to use locally active communication tools to maintain a high response rate of participating clinics. Although that situation was different from that involving consultations for ill newborns, the development of communication tools for emergencies may benefit from the use of pre-existing tools that involve ordinal operations.…”

Section: Discussionmentioning

confidence: 99%

Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones

Okada

Hisano

et al. 2020

Sci Rep

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Neonates often develop transition problems after low-risk birth, precise assessment of which is difficult at primary birth centres. the aim of this study was to assess whether a video triage system can be established without a specially designed communication system between local birth centres and a tertiary neonatal intensive care unit in a region with a population of 700,000. 761 neonates who were referred to a tertiary neonatal intensive care unit were examined. During period 1 (April 2011-August 2015), only a voice call was available for consultations, whereas, during period 2 (September 2015-December 2017), a video call was additionally available. The respiratory condition was assessed based on an established visual assessment tool. A video consultation system was established by connecting personal smartphones at local birth centres with a host computer at a tertiary neonatal intensive care centre. During period 2, video-based triage was performed for 42.4% of 236 consultations at 30 birth centres. Sensitivity and specificity for predicting newborns with critical respiratory dysfunction changed from 0.758 to 0.898 and 0.684 to 0.661, respectively. A video consultation system for ill neonates was established without major instalment costs. our strategy might improve the transportation system in both high-and low-resource settings. Approximately 10% of newborns require some form of special care before spontaneous breathing is established 1. To improve the outcomes of high-risk foetuses, antenatal diagnoses and maternal transportation to higher-level birth centres have been encouraged 2. However, for newborns born near term and at term, who require advanced care because of transition failure, abnormal clinical signs are often unnoticed until much later after birth 3. Dissemination of an evidence-based program of neonatal cardiopulmonary resuscitation (NCPR) led to improved support for ill newborns worldwide 4,5. However, newborns who cannot establish spontaneous breathing need to be transferred to neonatal intensive care units (NICUs) for advanced care support. Indeed, a large-scale survey in Japan conducted in 2012 showed that 20.5% of 55,331 newborns admitted to NICUs were transferred from primary/secondary birth centres after birth 6. Although careful assessments are essential for precise triage decisions, currently, there is no established system for evaluating the conditions of newborns before transportation, potentially leading to diagnostic discordance between the reason for transport and final diagnosis, as reported in paediatric transport 7. Our group has previously developed a visual assessment scale that can objectively predict which ill newborns have low respiratory compliance 8. Implementing such a scale with a video

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Infection surveillance after a natural disaster: lessons learnt from the Great East Japan Earthquake of 2011

Cited by 15 publications

References 11 publications

Post-disaster health impact of natural hazards in the Philippines in 2013

Post-disaster health impact of natural hazards in the Philippines in 2013

Natural disasters and healthcare

Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones

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