Skin disorders and the role of dermatologists after the tsunami in Japan

S, Murata; Hashiguchi, Norihiro; Shimizu, M.; Endo, Ayana; Omura, Noburo; Morita, Eishin

doi:10.1111/j.1468-3083.2011.04168.x

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…Chronology of the major health impacts. Days from the disaster Main healthcare issue Within 24 hours Few injuries4 2-10days Hypothermia4 , 5 Endogenous diseases4 Burning4 ‘Tsunami-lung’5 Psychiatric shock4 Cardio-pulmonary arrest (CPA)6 Coronary syndrome6 Cerebro-vascular diseases7 ‘drug-refugees’25 10-30days Respiratory diseases8 , 9 , 11 Gastritis8 , 9 Pressure ulcers39 Exacerbation of chronic conditions24 Allergic reactions to tsunami debris8 >30days Children with allergy13 Musculoskeletal disease2 , 17 , 38 Deep venous thrombosis (DVT) and pulmonary embolism15 , 16 Throughout Non-communicable diseases24 (hypertension, diabetes, chronic renal failure, cancer, etc. )Pregnancy hypertension4 , 8 Oxygen-dependent management11 , 42 Insomnia6 Skin-related disorders18 Suspected Mental health (depression, posttraumatic stress disorder (PTSD) , and cognitive disorder among the elderly)41 …”

Section: Resultsmentioning

confidence: 99%

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The Great East Japan Earthquake Disaster: a Compilation of Published Literature on Health Needs and Relief Activities, March 2011-September 2012

Ochi

Murray²,

Hodgson

2013

PLoS Curr

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Objective To provide an overview of the health needs following the Great East Japan Earthquake Disaster and the lessons identified. Methods The relevant of peer review and grey literature articles in English and Japanese, and books in Japanese, published from March 2011 to September 2012 were searched. Medline, Embase, PsycINFO, and HMIC were searched for journal articles in English, CiNii for those in Japanese, and Amazon.co.jp. for books. Descriptions of the health needs at the time of the disaster were identified using search terms and relevant articles were reviewed. Findings 85 English articles, 246 Japanese articles and 13 books were identified, the majority of which were experience/activity reports. Regarding health care needs, chronic conditions such as hypertension and diabetes were reported to be the greatest burden from the early stages of the disaster. Loss of medication and medical records appeared to worsen the situation. Many sub-acute symptoms were attributed to the contaminated sludge of the tsunamis and the poor living environment at the evacuation centres. Particularly vulnerable groups were identified as the elderly, those with mental health illnesses and the disabled. Although the response of the rescue activities was prompt, it sometimes failed to meet the on-site needs due to the lack of communication and coordination. Conclusion The lessons identified from this mega-disaster highlighted the specific health needs of the vulnerable populations, particularly the elderly and those with non-communicable diseases. Further research is needed so that the lessons identified can be incorporated into future contingency plans in Japan and elsewhere.

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Section: Resultsmentioning

confidence: 99%

“…For example, 15% of the patients who visited temporary clinics had skin problems 19. Others noted an increase in muscle pain, constipation,18 insomnia, headache,7 and vision problems 20. As these patients often refrained from seeing doctors due to the lack of transportation infrastructure, the numbers might be underestimated 20…”

Section: Resultsmentioning

confidence: 99%

The Great East Japan Earthquake Disaster: a Compilation of Published Literature on Health Needs and Relief Activities, March 2011-September 2012

Ochi

Murray²,

Hodgson

2013

PLoS Curr

View full text Add to dashboard Cite

show abstract

“…They can occur while people return to clean damaged homes, suffering skin injuries from treading on nails, getting fingers cut, or falling. 27 A previous study found the risk of injury was 2.9-times higher for people over 65 years old. 12 A diminished capacity to recover from harm or adopt preventative measures may be one factor.…”

Section: Discussionmentioning

confidence: 94%

“…One study suggests skin infections or traumatic skin disorder are linked to cleaning damaged homes. 27 Another study revealed that elderly patients with limited mobility had a higher incidence of skin diseases such as pressure ulcers because of a scarcity of resources, manpower, and access to utilities. 32 Skin diseases peaked twice on Day 5 and Day 11.…”

Section: Discussionmentioning

confidence: 99%

Emergency Medical Team Response during the Hokkaido Eastern Iburi Earthquake 2018: J-SPEED Data Analysis

Yumiya

Chimed‐Ochir

Kayano³

et al. 2023

Prehosp. Disaster med.

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Introduction: In the last ten years, Japan has experienced several large-scale earthquakes with devastating social and health impacts. Earthquakes directly and indirectly cause a variety of health problems. Further investigation is required to increase preparedness and preventive efforts. In response to the Hokkaido Eastern Iburi Earthquake on September 6, 2018, 32 Emergency Medical Teams (EMTs) employed the Japanese version of Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED) as a national standard daily reporting template, gathering data on the number and type of health problems treated. Study Objective: The purpose of the study is to conduct a descriptive epidemiology study using the J-SPEED data to better understand the health problems during the earthquake disaster. Methods: Reported items in J-SPEED (Ver 1.0) form were analyzed by age, gender, and time to better understand the health issues that have arisen from the earthquake. Results: Most consultations (721; 97.6%) occurred between Day 1 and Day 13 of the 32-day EMT response. During the response period, disaster stress-related symptoms were the most common health event (15.2%), followed by wounds (14.5%) and skin diseases (7.0%). Conclusion: The most often reported health event during the response period was stress-associated illnesses related to disasters, followed by wounds and skin conditions. The health consequences of natural disasters depend on diverse local environment and population. As a result, this initial study was hard to generalize; however, it is expected that data accumulated using the J-SPEED system in the future will strengthen and extend the conclusions.

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“…Among adults, wounds and minor trauma emerged as the prevailing health events and occurred predominantly during the acute phase rather than immediately following the disaster. This may reflect that adults were often injured while cleaning and repairing their homes in the wake of the disaster [34].…”

Section: Discussionmentioning

confidence: 99%

Medical needs during the Kumamoto heavy rain 2020: analysis from emergency medical teams’ responses

Taji,

Yumiya,

Chimed-Ochir

et al. 2024

BMC Emerg Med

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Background Rainfall-induced floods represented 70% of the disasters in Japan from 1985 to 2018 and caused various health problems. To improve preparedness and preventive measures, more information is needed on the health problems caused by heavy rain. However, it has proven challenging to collect health data surrounding disasters due to various inhibiting factors such as environmental hazards and logistical constraints. In response to the Kumamoto Heavy Rain 2020, Emergency Medical Teams (EMTs) used J-SPEED (Japan-Surveillance in Post Extreme Emergencies and Disasters) as a daily reporting tool, collecting patient data and sending it to an EMTCC (EMT Coordination Cell) during the response. We performed a descriptive epidemiological analysis using J-SPEED data to better understand the health problems arising from the Kumamoto Heavy Rain 2020 in Japan. Methods During the Kumamoto Heavy Rain 2020 from July 5 to July 31, 2020, 79 EMTs used the J-SPEED form to submit daily reports to the EMTCC on the number and types of health problems they treated. We analyzed the 207 daily reports, categorizing the data by age, gender, and time period. Results Among the 816 reported consultations, women accounted for 51% and men accounted for 49%. The majority of patients were elderly (62.1%), followed by adults (32.8%), and children (5%). The most common health issues included treatment interruption (12.4%), hypertension (12.0%), wounds (10.8%), minor trauma (9.6%), and disaster-related stress symptoms (7.4%). Consultations followed six phases during the disaster response, with the highest occurrence during the hyperacute and acute phases. Directly disaster-related events comprised 13.9% of consultations, indirectly related events comprised 52.0%, and unrelated events comprised 34.0%. As the response phases progressed, the proportions of directly and indirectly related events decreased while that of unrelated events increased. Conclusion By harnessing data captured by J-SPEED, this research demonstrates the feasibility of collecting, quantifying, and analyzing data using a uniform format. Comparison of the present findings with those of two previous analyses of J-SPEED data from other disaster scenarios that varied in time, location, and/or disaster type showcases the potential to use analysis of past experiences to advancing knowledge on disaster medicine and disaster public health.

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Skin disorders and the role of dermatologists after the tsunami in Japan

Cited by 3 publications

References 5 publications

The Great East Japan Earthquake Disaster: a Compilation of Published Literature on Health Needs and Relief Activities, March 2011-September 2012

The Great East Japan Earthquake Disaster: a Compilation of Published Literature on Health Needs and Relief Activities, March 2011-September 2012

Emergency Medical Team Response during the Hokkaido Eastern Iburi Earthquake 2018: J-SPEED Data Analysis

Medical needs during the Kumamoto heavy rain 2020: analysis from emergency medical teams’ responses

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