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during the past 15 years, on islands existing in the Pacific Ocean under jurisdiction of Tokyo from which the residents were forced to evacuate. Fortunately, there were <50 injuries related to these explosions. However, it still is important to construct an aero-transportation and a telemedical support system for the residents. Methods: 1) 93 injured patients were aerotransported from the islands to our hospital between January 2000 to September 2001. The relationship of the injury severity, time of aerotransportaion, and prognosis were analyzed; 2) 654 tele-communicated injured patients from these islands were analyzed. Results: The AIS grading and the ISS were examined against the transportation times, and little difference was noticed, even though the heliport located on top of the hospital was used for the severely injured. The frequency of the use of telecommunication for injured patients increased after improvements in the infrastructure. Consultation based upon CT scans also increased in number. Conclusion: The time lag to flight must be shortened for the severely injured cases. Infrastructure improvement is important to build a well-used telemedical network. Advocation in the application of the telemedical control to the helicopter attending doctors and paramedics is required.

Result: There were 2,347 deaths and 11,305 persons were injured in this disaster. Based on the summary of deaths in the stricken areas, Taichung had highest number of deaths (1,777) followed by Nantou (824) and Taipei (132). The epicenter was located, within Nantou county whereas Taichung had the highest number of death. Total economic loss from this