The 2011 Great East Japan Earthquake precipitated a triple disaster of earthquake, tsunami and nuclear radiation disaster. To quantify the prevalence of burnout and psychiatric distress in local healthcare providers (caregivers) more than 2 years after the disaster, this study surveyed caregivers from affected areas through interviews about topics of concerns and two questionnaires: Maslach Burnout Inventory and General Health Questionnaire. Concerns listed by respondents were primarily radiation related: additional stress, concern for children, concern for local food, and sleep difficulties. We found significant number of caregivers to have signs of emotional exhaustion, low personal accomplishment, and psychological distress. Our findings suggest that local caregivers are experiencing substantial mental health burdens, which have unfortunately remained static from the year prior, even 2 years after the fact. Therefore, long term psychological support and improvement in caregiver work conditions are essential to maintain sustainable care in rebuilding disaster stricken areas.

This document is part of the Fuels Planning: Science Synthesis and Integration Project, a pilot project initiated by the USDA Forest Service to respond to the need for tools and information useful for planning site-specific fuel (vegetation) treatment projects. The information addresses fuel and forest conditions of the dry inland forests of the Western United States: those dominated by ponderosa pine, Douglas-fir, dry grand fir/white fir, and dry lodgepole pine potential vegetation types. Information was developed primarily for application at the stand level and is intended to be useful within this forest type regardless of ownership. Portions of the information also will be directly applicable to the pinyon pine/juniper potential vegetation types. Many of the concepts and tools developed by the project may be useful for planning fuel projects in other forest types. In particular, many of the social science findings would have direct applicability to fuel planning activities for forests throughout the United States. As is the case in the use of all models and information developed for specific purposes, our tools should be used with a full understanding of their limitations and applicability. The science team, although organized functionally, worked hard at integrating the approaches, analyses, and tools. It is the collective effort of the team members that provides the depth and understanding of the work. The science team leadership included Deputy Science Team Leader Sarah McCaffrey

Sandia National Laboratories' Safe Operating Procedures are written for activities that involve the use of explosives, dangerous chemicals, radioactive materials, hazardous systems, and for certain types of operational facilities which present hazards. This guideline presents a suggested Safe Operating Procedures format.

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