Following the Great East Japan Earthquake, vertical evacuation shelters (VES) were constructed to reduce tsunami risk. Childcare centers (CCs) in the inundation area are required to evacuate to the nearest VES in the event of a tsunami. The study aim was to identify CCs and VES predicted to be inundated by a Nankai Trough earthquake-generated tsunami, and to clarify CC inundation risk. We identified 52 (45.6%) CCs in the tsunami inundation area and found that 14 (25.9%) would evacuate toward the tsunami. If the walking speed was 2.24 km/h and a 0.3 m tsunami arrived in 10 min, nine (17.3%) CCs would be late to safe evacuation. If the tsunami arrival time was 20 min, four (7.7%) CCs would have late evacuation. At a walking speed of 1.00 km/h, 38 (73.1%) and 20 (38.5%) CCs would have late evacuation, with tsunami arrival times of 10 min and 20 min, respectively. Evacuation direction is important in avoiding tsunami damage. An evacuation strategy is needed that evacuates people away from the tsunami, and takes into account children’s age, walking speed, and evacuation method. The evaluation of tsunami risk in this study may support the development of tsunami countermeasures in other coastal areas with latent tsunami risks.

Recent super-typhoons and torrential rains triggered by global warming have had disproportionately large effects on medically vulnerable people in Japan. This study aimed to identify factors associated with intention to evacuate to the nearest public shelter among family caregivers of pediatric patients receiving home medical care. The study included family caregivers of these patients from the Department of Pediatrics, Fukuoka University Hospital, Japan, including family caregivers of young adults with special healthcare needs. An original questionnaire was prepared drawing on previous studies and used for an interview survey. Overall, 57 individuals provided valid data and were included in the analysis. Factors associated with evacuation intention were non-use of a home ventilator (odds ratio [OR] 3.99, 95% confidence interval [CI]: 1.13–14.03) and not having made arrangements to use a non-public shelter (OR 7.29 95% CI: 1.62–32.88). This means that those who use mechanical ventilation or have secured alternative places to go if they need to evacuate their homes may not use the nearest public shelter in a disaster. We recommend that policy makers consider the use of mechanical ventilation and the availability of non-public shelters as predictors of evacuation behavior when considering disaster preparedness for these patients.