Support System of Maternal and Child Care on Great East Japan Earthquake

Author(s):  
Honami Yoshida
2014 ◽  
Vol 29 (6) ◽  
pp. 614-622 ◽  
Author(s):  
Satoshi Yamanouchi ◽  
Tadashi Ishii ◽  
Kazuma Morino ◽  
Hajime Furukawa ◽  
Atsushi Hozawa ◽  
...  

AbstractIntroductionWhen disasters that affect a wide area occur, external medical relief teams play a critical role in the affected areas by helping to alleviate the burden caused by surging numbers of individuals requiring health care. Despite this, no system has been established for managing deployed medical relief teams during the subacute phase following a disaster.After the Great East Japan Earthquake and tsunami, the Ishinomaki Medical Zone was the most severely-affected area. Approximately 6,000 people died or were missing, and the immediate evacuation of approximately 120,000 people to roughly 320 shelters was required. As many as 59 medical teams came to participate in relief activities. Daily coordination of activities and deployment locations became a significant burden to headquarters. The Area-based/Line-linking Support System (Area-Line System) was thus devised to resolve these issues for medical relief and coordinating activities.MethodsA retrospective analysis was performed to examine the effectiveness of the medical relief provided to evacuees using the Area-Line System with regards to the activities of the medical relief teams and the coordinating headquarters. The following were compared before and after establishment of the Area-Line System: (1) time required at the coordinating headquarters to collect and tabulate medical records from shelters visited; (2) time required at headquarters to determine deployment locations and activities of all medical relief teams; and (3) inter-area variation in number of patients per team.ResultsThe time required to collect and tabulate medical records was reduced from approximately 300 to 70 minutes/day. The number of teams at headquarters required to sort through data was reduced from 60 to 14. The time required to determine deployment locations and activities of the medical relief teams was reduced from approximately 150 hours/month to approximately 40 hours/month. Immediately prior to establishment of the Area-Line System, the variation of the number of patients per team was highest. Variation among regions did not increase after establishment of the system.ConclusionThis descriptive analysis indicated that implementation of the Area-Line System, a systematic approach for long-term disaster medical relief across a wide area, can increase the efficiency of relief provision to disaster-stricken areas.YamanouchiS,IshiiT,MorinoK,FurukawaH,HozawaA,OchiS,KushimotoS.Streamlining of medical relief to areas affected by the Great East Japan Earthquake with the “Area-based/Line-linking Support System.”Prehosp Disaster Med.2014;29(6):1-9.


2021 ◽  
Vol 16 (6) ◽  
pp. 967-971
Author(s):  
Shohei Beniya ◽  

After a large-scale disaster, affected local governments face challenges such as a shortage of skilled staff in disaster response operations. Human resource support from external organizations is essential. This paper summarizes the major achievements of the human support system in Japan for affected local governments from the perspective of both local and national government support in the aftermath of the Great East Japan Earthquake (GEJE). However, several issues still need to be considered. In terms of mutual support among local governments, this paper proposes the following three points for future wide-area mega-disasters: First, each local government should enhance its own disaster response capacity. Second, the entire country should use skilled human resources effectively. Third, national and local governments should prepare to receive assistance from overseas. This paper also proposes the following three points for the support of the national government’s onsite organizations. First, the national government should define a detailed plan for dispatching personnel to affected areas. Second, the national government should dispatch support teams directly to each affected prefecture, instead of setting up onsite organizations that cover multiple prefectures. Third, local governments should prepare to receive these onsite organizations.


2005 ◽  
Vol 17 (Supplement) ◽  
pp. 107-107
Author(s):  
Yoshiyuki Matsubara ◽  
Makoto Suzuki ◽  
Sachiyo Kataoka

2006 ◽  
Vol 18 (Supplement) ◽  
pp. 161-161
Author(s):  
Yoshiyuki Matsubara ◽  
Makoto Suzuki ◽  
Sachiyo Kataoka

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