Impacts of the 2011 Fukushima nuclear disaster on healthcare facilities: A systematic literature review

Ochi, Sae; Leppold, Claire; Kato, Shigeaki

doi:10.1016/j.ijdrr.2019.101350

Cited by 15 publications

(11 citation statements)

References 59 publications

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“…This situation resembles to that after the 2011 Fukushima nuclear accident. A systematic review on the impact of the disaster on healthcare facilities revealed that financial problems and staff burnout are major problems in the medium- to long-term phase of the disaster despite minor physical damage [ 2 ]. Although clear protection such as PPE is protective against burnout [ 37 ], they need to be designed so that they can be implemented without strain to prevent overwhelming of the staff.…”

Section: Discussionmentioning

confidence: 99%

“…This was because we learned from the previous nuclear disaster in Fukushima that scientific measurements have little effect on prevention of functional damage of healthcare facilities. After the 2011 nuclear accident, a majority of hospital staff left their workplace and sever staff shortage occurred, which lasted for longer than a year [2,38]. Such unwillingness to report for duty seems common in CBRNE disasters, including pandemics, that provoke fear of invisible hazards [39,40].…”

Section: Discussionmentioning

confidence: 99%

“…This viewpoint is especially important in CBRNE (chemical, biological, radiological, nuclear, and explosive) disasters, during which the fear of invisible pathogens can impact the functioning of health facilities. For example, in Japan, after the Fukushima Daiichi nuclear power plant accident, problems around logistics and human resources in healthcare facilities resulted in the most severe damage, while no literature has described direct impacts of radiation exposure or radiation screening on the functioning of healthcare facilities [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevention and Control of COVID-19 in Imperfect Condition: Practical Guidelines for Nursing Homes by Japan Environment and Health Safety Organization (JEHSO)

Ochi,

Murakami,

Hasegawa

et al. 2021

IJERPH

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Infection control at nursing homes is a top priority to address the COVID-19 pandemic because people who are the most vulnerable to the pathogen live in close contact. Currently, control measures specifically for nursing homes often ignore under-resourced condition of the facilities. To make guidelines assuming realistic conditions, an expert meeting with 16 members established the key challenges in nursing homes, the basics of infection control, and the major transmission routes. A list of existing guidance was compiled and each item in the list was peer-reviewed by eight experts considering three aspects: significance, scientific validity, and feasibility. Factors related to the nursing home environment, the nature of SARS-CoV-2 transmission, and patient characteristics were identified as the causes of difficulties in infection control at nursing homes. To develop realistic prevention measures in under-resourced condition such as nursing homes, we may need to accept there are no perfect control measures that can achieve zero risk. Instead, the guidelines are based on the concept of deep defense, and practical checklists with 75 items were established. The evaluation of nursing homes by independent organizations using the checklists would be helpful to achieve sustainable infection control.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevention and Control of COVID-19 in Imperfect Condition: Practical Guidelines for Nursing Homes by Japan Environment and Health Safety Organization (JEHSO)

Ochi,

Murakami,

Hasegawa

et al. 2021

IJERPH

Self Cite

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“…The world understood as one that exists as one common system or organism -a system that connects space and time. When we consider the world a system beyond space, we begin to understand that air pollution from North American power plants affects air quality in Europe and Africa, and that the 2011 Fukushima nuclear station disaster (Japan) continues affecting human health and may harm fish resources off the coast of Australia (Ochi, 2020). The Fukushima nuclear accident remains an ongoing problem for marine radioecology (Bataille 2015).…”

Section: Introductionmentioning

confidence: 99%

Environmental, social and economic factors in sustainable development with food, energy and eco-space aspect security

Borowski

Patuk

2021

Present Environment and Sustainable Development

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Sustainable development is now a key factor in the global economy. Sustainable development is a process that leads to the satisfaction of the current needs of people and at the same time goes towards further development without destroying and limiting the possibilities of meeting the needs of future generations. Therefore, joint efforts should be made as soon as possible to build a sustainable and safe future for all people and the planet as a whole. Therefore, it is important to promote and support sustainable development by managing natural resources and ecosystems and the entire environment including people. The presented research was done on-site in African and European countries (Egypt, Ethiopia, Guinea, Turkey, and Poland) to determine their level of sustainable development. The level of sustainable development was determined by selected indicators from the Human Development Index. The level of sustainable development was determined by selected indicators from the Human Development Index. In this study, the authors used basic methods of social and economic research as follows: (1) market observation, (2) primary research on-site and (3) secondary research and the use of statistical analysis (Pearson Correlation). These methods were used to define the social and scientific problems and identify factors that affected a country's sustainable development. The main scientific problem, addressed by the study was undertaken in order to help facilitate a outcome on the energy, food and agricultural sectors connected with climate change and environmental law. It was found that there is an extremely strong positive correlation (from 0.8 to 1.0), and a very strong negative correlation (from -0.8 to -1.0) between the levels of a country’s age share, CO2 emissions, renewable energy consumption, and natural resources depletion.

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“…Such ‘media hype’ engendered public stigma against Fukushima immediately after the disaster [ 4 ] and interrupted channels of supply over a wide area around the NPP [ 5 ]. As a result, even essential services, such as healthcare, became dysfunctional [ 6 ], which led to a collapse of the local community.…”

Section: Introductionmentioning

confidence: 99%

‘Life communication’ after the 2011 Fukushima nuclear disaster: what experts need to learn from residential non-scientific rationality

Ochi

2021

Journal of Radiation Research

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After chemical, biological, radiological, nuclear or explosive (CBRNE) disasters, trepidation and infodemics about invisible hazards may cause indirect casualties in the affected society. Effective communication regarding technical issues between disaster experts and the residents is key to averting such secondary impacts. However, misconceptions about scientific issues and mistrust in experts frequently occur even with intensive and sincere communications. This miscommunication is usually attributed to residents’ conflicts with illiteracy, emotion, value depositions and ideologies. However, considering that communication is an interactive process, there are likely to be additional factors attributable to experts. This article aims to summarize the gaps in rationality between experts and residents observed after the 2011 Fukushima nuclear disaster to describe how residents perceived experts. There were discrepancies in the perception of ‘facts’, the perception of probability, the interpretation of risk comparison, what were included as risk trade-offs, the view of the disaster, whose behavior would be changed by the communication and whether risk should be considered a science. These findings suggest that there was a non-scientific rationality among residents, which often exercised a potent influence on everyday decision-making. It might not be residents but experts who need to change their behavior. The discrepancies described in this article are likely to apply to communications following any CBRNE disasters that affect people’s lives, such as the current COVID-19 pandemic. Therefore, our experiences in Fukushima may provide clues to averting mutual mistrust between experts and achieving better public health outcomes during and after a crisis.

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Impacts of the 2011 Fukushima nuclear disaster on healthcare facilities: A systematic literature review

Cited by 15 publications

References 59 publications

Prevention and Control of COVID-19 in Imperfect Condition: Practical Guidelines for Nursing Homes by Japan Environment and Health Safety Organization (JEHSO)

Prevention and Control of COVID-19 in Imperfect Condition: Practical Guidelines for Nursing Homes by Japan Environment and Health Safety Organization (JEHSO)

Environmental, social and economic factors in sustainable development with food, energy and eco-space aspect security

‘Life communication’ after the 2011 Fukushima nuclear disaster: what experts need to learn from residential non-scientific rationality

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