Japan’s early confusion patterns and lessons learned from the Great East Japan Earthquake: Mitigating disaster plan for earthquakes happens in Metropolitan Cities

2018 ◽  
Vol 26 ◽  
pp. 155-183
Author(s):  
Hoeju Chung
2019 ◽  
Vol 34 (s1) ◽  
pp. s56-s56
Author(s):  
Ashis Shrestha ◽  
Michael Khouli ◽  
Sumana Bajracharya ◽  
Rose House ◽  
Joshua Mugele

Introduction:Patan Hospital, located in Kathmandu Valley, Nepal is a 400-bed hospital that has a long history of responding to natural disasters. Hospital personnel have worked with the Ministry of Health (MOH) and the World Health Organization (WHO) to develop standardized disaster response plans that were implemented in multiple hospital systems after the earthquake of 2015. These plans focused primarily on traumatic events but did not account for epidemics despite the prevalence of infectious diseases in Nepal.Aim:To develop and test a robust epidemic/pandemic response plan at Patan Hospital in Kathmandu that would be generalizable to other hospitals nationwide.Methods:Using the existing disaster plan in conjunction with public health and disaster medicine experts,we developed an epidemic response plan focusing on communication and coordination (between the hospital and MOH, among hospital administration and staff), logistics and supplies including personal protective equipment (PPE), and personnel and hospital incident command (IC) training. After development, we tested the plan using a high-fidelity, real-time simulation across the entire hospital and the hospital IC using actors and in conjunction with the MOH and WHO. We adjusted the plan based on lessons learned from this exercise.Results:Lessons learned from the high-fidelity simulation included the following: uncovering patient flow issues to avoid contamination/infection; layout issues with the isolation area, specifically accounting for donning/doffing of PPE; more sustained duration of response compared to a natural disaster with implications for staffing and supplies; communication difficulties unique to epidemics; need for national and regional surveillance and inter-facility planning and communication. We adjusted our plan accordingly and created a generalizable plan that can be deployed at an inter-facility and national level.Discussion:We learned that this process is feasible in resource-poor hospital systems. Challenges discovered in this process can lead to better national and system-wide preparedness.


2012 ◽  
Vol 7 (sp) ◽  
pp. 421-421 ◽  
Author(s):  
Suminao Murakami

Concerned experts and others from a wide range of fields are required to take part in studies on “social” disaster phenomena such as earthquakes and typhoons causing drastic human and property damage and leaving subsequent social and economic destruction. In 2006, the Journal of Disaster Research (JDR) decided to be published as an academic journal in English for global society to help expand research beyond a domestic scope. The March 11, 2011, Great East Japan Earthquake Disaster – in the 6th year of the journal’s publication, has made an impact both domestically and globally due to the unprecedented earthquake and tsunami and resulting radiation leakage at the Fukushima Daiichi Nuclear Power Plant. JDR will annually publish special issues on the Great East Japan Earthquake Disaster beginning in this issue of 2012, for five years, for the purpose of informing, recording and utilizing lessons learned from the disaster. Page charges are in principle free and widespread contributions are welcomed. I have studied disasters from the viewpoint of a planner. Nobody who is active and living in society is irrelevant to wide-scale events related to such disasters, and I still feel that it is important for people from a variety of fields to visit devastated sites, hear from the people experiencing such disasters and make their own standpoints. In American society, for example, disaster measures against earthquakes and other disasters have been studied involving a wide range of experts and others. After the 1995 Great Hanshin Earthquake in Kobe, research groups consisting of wide range of experts came to be formed in Japan and environments developed to produce a multidisciplinary journal such as the JDR. The ultimate goal of planned research is human research. A society is needed in which “human power” can be manifested in all aspects such as reviving reconstruction and rehabilitation. This is because contributions by researchers from widespread fields are anticipated in the future.


2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Alzamani M. Idrose ◽  
Fikri M. Abu-Zidan ◽  
Nurul Liana Roslan ◽  
Khairul Izwan M. Hashim ◽  
Saiyidi Mohd Azizi Mohd Adibi ◽  
...  

Abstract Background Two city trains collided in an underground tunnel on 24 May 2021 at the height of COVID-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia, immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide. Methods Information regarding incident site and hospital management response were analysed. Data on demography, triaging, injuries and hospital management of patients were collected according to a designed protocol. Challenges, difficulties and their solutions were reported. Results The train's emergency response team (ERT) has shut down train movements towards the incident site. Red zone (in the tunnel), yellow zone (the station platform) and green zone (outside the station entrance) were established. The fire and rescue team arrived and assisted the ERT in the red zone. Incident command system was established at the site. Medical base station was established at the yellow zone. Two hundred and fourteen passengers were in the trains. Sixty-four of them were injured. They had a median (range) ISS of 2 (1–43), and all were sent to Hospital Kuala Lumpur (HKL). Six (9.4%) patients were clinically triaged as red (critical), 19 (29.7%) as yellow (semi-critical) and 39 (60.9%) as green (non-critical). HKL's disaster plan was activated. All patients underwent temperature and epidemiology link assessment. Seven (10.9%) patients were admitted to the hospital (3 to the ICU, 3 to the ward and 1 to a private hospital as requested by the patient), while the rest 56 (87.5%) were discharged home. Six (9.4%) needed surgery. The COVID-19 tests were conducted on seven patients (10.9%) and were negative. There were no deaths. Conclusions The mass casualty incident was handled properly because of a clear standard operating procedure, smooth coordination between multi-agencies and the hospitals, presence of a 'binary' system for 'COVID-risk' and 'non-COVID-risk' areas, and the modifications of the existing disaster plan. Preparedness for MCIs is essential during pandemics.


Author(s):  
Ashley Jones

Through the presentation of a case study, this chapter will address the lessons learned from a small scale, anthropogenic water disaster that occurred in the stacks area of Miami University's Wertz Art and Architecture Library. The purpose of this chapter is to assess the shortcomings and the successes of the incident response, and to show how even small-scale disasters can highlight both the strengths and weaknesses of a disaster plan. Key lessons learned include the importance of an updated and usable disaster plan; the importance of clear communication before, during, and after an event; and the importance of developing a good relationship with outside responders. Recommendations and solutions taken by MU Libraries are also discussed.


2018 ◽  
Vol 13 (7) ◽  
pp. 1247-1256
Author(s):  
Hiroaki Maruya ◽  
Yasunari Watanabe ◽  
◽  

Six and a half years after the 2011 Great East Japan Earthquake (GEJE), recovery and reconstruction have been steadily progressing in terms of infrastructure and town development. However, it is a fact that there are still many problems to be tackled in some areas. In addition, communicating the lessons learned from the GEJE is important and should be promoted to improve disaster management in Japan and overseas. The Tohoku Regional Development Bureau (TRDB) held a symposium, “Efforts for Recovery and Reconstruction from the GEJE,” at the World Bosai Forum (WBF) on November 27, 2017. Mayors from the disaster areas, Rikuzentakata city in Iwate prefecture, Ishinomaki city in Miyagi prefecture, and Shinchi town in Fukushima prefecture, and a director of the TRDB presented their projects aiming to “build back better,” and they discussed how they had made efforts toward recovery and reconstruction, mainly in terms of infrastructure and town development. It was confirmed in the discussion that for the reconstruction, steadily advancing safe and secure town development, including multiple defense, was necessary. In addition, software measures, such as disaster education and evacuation drills, are important, as are hardware improvements through reconstruction. Both hardware and software countermeasures should be like a two wheels. It was also asserted that passing down the memories and the lessons of the disaster, not allowing their memories to fade away with time, was important. The speakers showed a variety of approaches to transmitting their memories to future generations in their areas or projects. Then, they emphasized that if people prepared for disaster based on these lessons in advance, there would surely be less damage. Finally, speakers shared the recognition that to realize the above, many actors in the Tohoku district should mutually cooperate to transmit the situation of reconstruction and the lessons of the GEJE.


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