Survey of Preventable Disaster Deaths at Medical Institutions in Areas Affected by the Great East Japan Earthquake: Retrospective Survey of Medical Institutions in Miyagi Prefecture

2017 ◽  
Vol 32 (5) ◽  
pp. 515-522 ◽  
Author(s):  
Satoshi Yamanouchi ◽  
Hiroyuki Sasaki ◽  
Hisayoshi Kondo ◽  
Tomohiko Mase ◽  
Yasuhiro Otomo ◽  
...  
Keyword(s):  
Organizational Support ◽  
Environmental Conditions ◽  
Preliminary Investigation ◽  
Medical Intervention ◽  
Great East Japan Earthquake ◽  
Medical Resources ◽  
Retrospective Survey ◽  
Emergency Shelters ◽  
Medical Institutions ◽  
Miyagi Prefecture

AbstractIntroductionIn 2015, the authors reported the results of a preliminary investigation of preventable disaster deaths (PDDs) at medical institutions in areas affected by the Great East Japan Earthquake (2011). This initial survey considered only disaster base hospitals (DBHs) and hospitals that had experienced at least 20 patient deaths in Miyagi Prefecture (Japan); therefore, hospitals that experienced fewer than 20 patient deaths were not investigated. This was an additional study to the previous survey to better reflect PDD at hospitals across the entire prefecture.MethodOf the 147 hospitals in Miyagi Prefecture, the 14 DBHs and 82 non-DBHs that agreed to participate were included in an on-site survey. A database was created based on the medical records of 1,243 patient deaths that occurred between March 11, 2011 and April 1, 2011, followed by determination of their status as PDDs.ResultsA total of 125 cases of PDD were identified among the patients surveyed. The rate of PDD was significantly higher at coastal hospitals than inland hospitals (17.3% versus 6.3%; P<.001). Preventable disaster deaths in non-DBHs were most numerous in facilities with few general beds, especially among patients hospitalized before the disaster in hospitals with fewer than 100 beds. Categorized by area, the most frequent causes of PDD were: insufficient medical resources, disrupted lifelines, delayed medical intervention, and deteriorated environmental conditions in homes and emergency shelters in coastal areas; and were delayed medical intervention and disrupted lifelines in inland areas. Categorized by hospital function, the most frequent causes were: delayed medical intervention, deteriorated environmental conditions in homes and emergency shelters, and insufficient medical resources at DBHs; while those at non-DBHs were disrupted lifelines, insufficient medical resources, delayed medical intervention, and lack of capacity for transport within the area.Conclusion:Preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake occurred mainly at coastal hospitals with insufficient medical resources, disrupted lifelines, delayed medical intervention, and deteriorated environmental conditions in homes and emergency shelters constituting the main contributing factors. Preventing PDD, in addition to strengthening organizational support and functional enhancement of DBHs, calls for the development of business continuity plans (BCPs) for medical facilities in directly affected areas, including non-DBHs.YamanouchiS, SasakiH, KondoH, MaseT, OtomoY, KoidoY, KushimotoS. Survey of preventable disaster deaths at medical institutions in areas affected by the Great East Japan Earthquake: retrospective survey of medical institutions in Miyagi Prefecture. Prehosp Disaster Med. 2017;32(5):515–522.

Survey of Preventable Disaster Death at Medical Institutions in Areas Affected by the Great East Japan Earthquake: A Retrospective Preliminary Investigation of Medical Institutions in Miyagi Prefecture

2015 ◽  
Vol 30 (2) ◽  
pp. 145-151 ◽  
Author(s):  
Satoshi Yamanouchi ◽  
Hiroyuki Sasaki ◽  
Miho Tsuruwa ◽  
Yuzuru Ueki ◽  
Yoshitaka Kohayagawa ◽  
...  
Keyword(s):  
Environmental Conditions ◽  
Health Care Professionals ◽  
Preliminary Investigation ◽  
Medical Intervention ◽  
Great East Japan Earthquake ◽  
Medical Resources ◽  
Emergency Shelters ◽  
Medical Institutions ◽  
Miyagi Prefecture ◽  
Common Causes

AbstractProblemThe 2011, magnitude (M) 9, Great East Japan Earthquake and massive tsunami caused widespread devastation and left approximately 18,500 people dead or missing. The incidence of preventable disaster death (PDD) during the Great East Japan Earthquake remains to be clarified; the present study investigated PDD at medical institutions in areas affected by the Great East Japan Earthquake in order to improve disaster medical systems.MethodsA total of 25 hospitals in Miyagi Prefecture (Japan) that were disaster base hospitals (DBHs), or had at least 20 patient deaths between March 11, 2011 and April 1, 2011, were selected to participate based on the results of a previous study. A database was created using the medical records of all patient deaths (n=868), and PDD was determined from discussion with 10 disaster health care professionals.ResultsA total of 102 cases of PDD were identified at the participating hospitals. The rate of PDD was higher at coastal hospitals compared to inland hospitals (62/327, 19.0% vs 40/541, 7.4%; P<.01). No difference was observed in overall PDD rates between DBHs and general hospitals (GHs); however, when analysis was limited to cases with an in-hospital cause of PDD, the PDD rate was higher at GHs compared to DBHs (24/316, 7.6% vs 21/552, 3.8%; P<.05). The most common causes of PDD were: insufficient medical resources, delayed medical intervention, disrupted lifelines, deteriorated environmental conditions in homes and emergency shelters at coastal hospitals, and delayed medical intervention at inland hospitals. Meanwhile, investigation of PDD causes based on type of medical institution demonstrated that, while delayed medical intervention and deteriorated environmental conditions in homes and emergency shelters were the most common causes at DBHs, insufficient medical resources and disrupted lifelines were prevalent causes at GHs.ConclusionPreventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake occurred mainly at coastal hospitals. Insufficient resources (at GHs), environmental factors (at coastal hospitals), and delayed medical intervention (at all hospitals) constituted the major potential contributing factors. Further investigation of all medical institutions in Miyagi Prefecture, including those with fewer than 20 patient deaths, is required in order to obtain a complete picture of the details of PDD at medical institutions in the disaster area.YamanouchiS, SasakiH, TsuruwaM, UekiY, KohayagawaY, KondoH, OtomoY, KoidoY, KushimotoS. Survey of preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake: a retrospective preliminary investigation of medical institutions in Miyagi Prefecture. Prehosp Disaster Med. 2015;30(2):1-7.

scholarly journals Infection Control Campaign at Evacuation Centers in Miyagi Prefecture after the Great East Japan Earthquake

2011 ◽  
Vol 32 (8) ◽  
pp. 824-826 ◽  
Author(s):  
Hajime Kanamori ◽  
Hiroyuki Kunishima ◽  
Koichi Tokuda ◽  
Mitsuo Kaku
Keyword(s):  
Infection Control ◽  
Great East Japan Earthquake ◽  
Miyagi Prefecture ◽  
Control Campaign

Preliminary investigation of a late Wisconsinan fauna from K1 cave, Queen Charlotte Islands (Haida Gwaii), Canada

2004 ◽  
Vol 62 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Carolyn L. Ramsey ◽  
Paul A. Griffiths ◽  
Daryl W. Fedje ◽  
Rebecca J. Wigen ◽  
Quentin Mackie
Keyword(s):  
Late Pleistocene ◽  
Environmental Conditions ◽  
Preliminary Investigation ◽  
Skeletal Remains ◽  
Human Migration ◽  
Early Holocene ◽  
Haida Gwaii ◽  
Queen Charlotte Islands ◽  
Late Wisconsinan ◽  
Early Human

Recent investigations of a limestone solution cave on the Queen Charlotte Islands (Haida Gwaii) have yielded skeletal remains of fauna including late Pleistocene and early Holocene bears, one specimen of which dates to ca. 14,400 14C yr B.P. This new fossil evidence sheds light on early postglacial environmental conditions in this archipelago, with implications for the timing of early human migration into the Americas.

scholarly journals FORMING THE ACCOUNTING POLICY OF HEALTH CARE INSTITUTIONS IN THE NEW CONDITIONS OF THEIR REFORMS

2021 ◽  
Vol 5 (40) ◽  
pp. 167-177
Author(s):  
О. Lubenchenko ◽  
R. Kostyrko ◽  
S. Shulha ◽  
М. Valiliuk
Keyword(s):  
Health Care ◽  
Financial Reporting ◽  
Organizational Support ◽  
Indirect Method ◽  
Value Added ◽  
Value Added Tax ◽  
Accounting Data ◽  
Health Care Institutions ◽  
Medical Institutions ◽  
Accounting Policy

Abstract. Inconsistencies of the accounting policy in business enterprise health care institutions with the legal and regulatory requirements, and the imperatives for forming the accounting policy of medical institutions in the new conditions of their reforms are determined by exploring their accounting procedures. The specifics of payment of value added tax by medical institutions are analyzed. Scientific-medical recommendations on accounting policy improvements with respect to the accounting of liabilities, including value added tax, are substantiated. The essential characteristic of the definition «related party» is given in keeping with the standards of accounting and tax law, accounting of transactions with related parties, with providing recommendations on the accounting of related parties. Methodical provisions on the accounting policy of incomes, stocks and expenses, pertaining to the classification and evaluation of incomes from medical services are specified. The structure of management report compiled by business entities, including medical institutions, is specified, with demonstrating that the process involved in the compilation of report is conditional on the accounting data and judgement of the management personnel, realized through the accounting policy. Based on an analytical review of methods for the compilation of report on monetary flows generated by operational activities (direct and indirect method), it is proposed that medical institutions should use indirect method as more informative one for users of financial reporting. The necessity to form information about incomes, expenses, financial results, assets and liabilities of reporting segments and its disclosure in the financial reporting is demonstrated. Recommendations on organization of an effective system for internal control of health care institutions are developed, with outlining the main areas of its organizational support in view of preventing risky events. The procedure for forming information required for the compilation of reports on management, monetary flows, and reports by segments, which is supposed by comply with all the essential aspects of a selected conceptual framework of financial reporting is shown. Keywords: accounting policy, heath care institution, financial reporting, control. JEL Classіfіcatіon M41, M48, I18 Formulas: 0; fig.: 0; tabl.: 4; bibl.: 18.

The Impact of the COVID-19 Pandemic on Suicide Rate Trends in the Tsunami-Disaster-Affected Area Following the Great East Japan Earthquake

Crisis ◽  
2021 ◽  
Author(s):  
Masatsugu Orui ◽  
Suzuka Saeki ◽  
Yuki Kozakai ◽  
Shuichiro Harada ◽  
Mizuho Hayashi
Keyword(s):  
Mental Health ◽  
Suicide Rate ◽  
Great East Japan Earthquake ◽  
Short Time Scale ◽  
Psychological Burden ◽  
Affected Area ◽  
Tsunami Disaster ◽  
Suicide Rates ◽  
Miyagi Prefecture ◽  
The Impact

Abstract. Background: People who experienced the Great East Japan Earthquake (GEJE) were expected to have additional levels of psychological burden resulting from the stressful conditions imposed during the coronavirus disease 2019 (COVID-19) pandemic; consequently, suicide rates may increase. Aim: We aimed to carry out continuous monitoring of suicide rates in the affected area following the GEJE under COVID-19 pandemic conditions. Method: This descriptive study monitored the suicide rates of the coastal area of Miyagi Prefecture, where disaster-related mental health activities have been continuing following severe damage caused by the tsunami disaster. An exponential smoothing time-series analysis that converted suicide rates into a smooth trend was conducted. Results: Although the suicide rate in the affected area was higher than the national average in February 2020, it showed a declining trend during the COVID-19 pandemic, while showing an increase trend in the national and non-affected areas. Limitations: Uncertainty about the direct reasons for suicide and the short time-scale observation are the limitations of this study. Conclusion: Although the national suicide rate increased, this was not the case for the affected area. Our findings may provide important lessons for suicide prevention during the COVID-19 pandemic, which needs careful regional monitoring of the state of suicide and of high-risk approaches such as disaster-related mental health activities.

scholarly journals Onsite Medical Rounds and Fact-finding Activities Conducted by Nippon Medical School in Miyagi Prefecture after the Great East Japan Earthquake 2011

2011 ◽  
Vol 78 (6) ◽  
pp. 401-404 ◽  
Author(s):  
Akira Fuse ◽  
Yutaka Igarashi ◽  
Toshihiko Tanaka ◽  
Shiei Kim ◽  
Atsuko Tsujii ◽  
...  
Keyword(s):  
Medical School ◽  
Great East Japan Earthquake ◽  
Nippon Medical School ◽  
Miyagi Prefecture ◽  
Fact Finding

Regional Birth Outcomes after the 2011 Great East Japan Earthquake and Tsunami in Miyagi Prefecture

2018 ◽  
Vol 33 (2) ◽  
pp. 215-219 ◽  
Author(s):  
Junichi Sugawara ◽  
Noriyuki Iwama ◽  
Tetsuro Hoshiai ◽  
Hideki Tokunaga ◽  
Hidekazu Nishigori ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Risk Analysis ◽  
Birth Outcomes ◽  
Birth Rate ◽  
Great East Japan Earthquake ◽  
Miyagi Prefecture ◽  
Preterm Birth Rate ◽  
Regional Risk Analysis

AbstractObjectivesThis study was aimed to analyze post-disaster birth outcomes in coastal and inland regions of Miyagi Prefecture, Japan.MethodsPrimary data sets were compiled from birth records of obstetric facilities and 12,808 patients were analyzed for baseline birth outcomes by region. Regional risk analysis of the low-birth-weight rate and premature birth rate were conducted using multi-level logistic regression analysis.ResultsFrom overall baseline birth outcomes, a preterm birth rate was 4.6% and low-birth-weight rate was 8.8%. Regional analysis revealed that a preterm birth rate was 3.2% (coastal) and 5.0% (inland), respectively, and the rate of low birth weight was 6.5% in the coastal and 8.5% in the inland region. In the risk analysis of low-birth-weight rate and preterm birth rate, the risk in the coastal region could not be considered any higher than in the inland region (adjusted odds ratio 0.91 [0.73-1.14] and 0.85 [0.46-1.59], respectively).ConclusionsThe incidence of preterm birth and low birth weight were not adversely affected by the disaster. Early transfer and intensive medical intervention may have led to those findings. Further survey will be necessary to determine the long-term effects in both mothers and children.SugawaraJ, IwamaN, HoshiaiT, TokunagaH, NishigoriH, MetokiH, OkamuraK, YaegashiN. Regional birth outcomes after the 2011 Great East Japan Earthquake and tsunami in Miyagi Prefecture. Prehosp Disaster Med. 2018;33(2):215–219.

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