Must I Stay?

Akabayashi, Akira

doi:10.1017/s0963180112000126

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Such situation was exampled by a case in the other area of Fukushima in which a medical doctor was told by her supervisor: ‘If you abandon your patients and run away, you cannot return to this hospital forever. You’ll be ostracized.’ [11] Such stigmatization sometimes is still making it difficult for those who had evacuated to come back to their own workplaces in the affected areas.…”

Section: Discussionmentioning

confidence: 99%

Hospital Staff Shortage after the 2011 Triple Disaster in Fukushima, Japan-An Earthquake, Tsunamis, and Nuclear Power Plant Accident: A Case of the Soso District

et al. 2016

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IntroductionIn 2011, Fukushima was struck by a triple disaster: an earthquake, tsunamis, and a nuclear accident. In the aftermath, there was much fear among hospital staff members about radiation exposure and many staff members failed to report to work.ObjectivesOne objective is to measure this shortage in hospital staff and another is to compare the difference in recovery by hospital types and by categories of hospital staff.DesignThe monthly records of the number of staff members from May 2011 to September 2012 were extracted anonymously from the records of 7 local hospitals in the Soso district in Fukushima. Change in the number of staff was analyzed.ResultsStaff shortages at hospitals reached a maximum within one month after the disaster (47% reported to work). The shortage of clerks was the most severe (38% reported to work), followed by nurses (48% reported to work). The shortages remained even 18 months after the disaster.ConclusionAfter a disaster in which the damage to hospital functions surpasses the structural damage, massive support of human resources in the acute phase and a smaller volume of support in the mid-term phase appear to be required, particularly for non-medical staff.

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Section: Discussionmentioning

confidence: 99%

Hospital Staff Shortage after the 2011 Triple Disaster in Fukushima, Japan-An Earthquake, Tsunamis, and Nuclear Power Plant Accident: A Case of the Soso District

et al. 2016

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“…Crew members have the sole responsibility to provide general services to passengers and facilitate ship navigation, and are not trained medical professionals. Despite the difficulty of adopting medical professionalism, 47 they are required to act like voluntary medical personnel. 48 This is a matter related to the global social and economic structure.…”

Section: The Diamond Princess In Terms Of Public Health Preparedness:mentioning

confidence: 99%

Chronology of COVID-19 Cases on the Diamond Princess Cruise Ship and Ethical Considerations: A Report From Japan

Nakazawa

Ino

Akabayashi

2020

Disaster med. public health prep.

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The Diamond Princess cruise ship has been anchored at the Yokohama port in Japan since February 3, 2020. A total of 691 cases of the coronavirus disease 2019 (COVID-19) infection had been confirmed as of February 23. The government initially assumed that the infection was not spreading aboard and therefore indicated that any persons who either tested negative for the virus or were asymptomatic should immediately disembark. However, on February 5, the government set a 14-day health observation period because of the severity of the infection. Passengers confirmed to be free from infection began disembarking on Day 15 (February 19) of the quarantine. The effectiveness and validity of infection control, justification for the timing of inspections, and even the nature of COVID-19 itself now are all in question. The ethical considerations related to cruise ship infection control include the reasonable justification for isolation, the psychological fragility and quality of life of the isolated passengers and crew members, the procedural justice inherent in a forced quarantine, and the optimization of control measures. The international coordination framework and the global ramifications of such outbreaks should be reevaluated by the international community. Denying a ship's entry based on local politics is incompatible with global justice. Events such as these require an international response and global regulations that seek to reduce disparities.

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“…Até que ponto são os médicos obrigados a tratar os pacientes perante um potencial colapso de uma central nuclear (Akabayashi, 2012)? O princípio da beneficiência dita que os médicos devem trabalhar para alcançar a saúde dos seus pacientes.…”

Section: Análise éTicaunclassified

“…Se o hospital fica dentro do raio de 20 km, o abandono não teria consequências jurídicas pois seria considerada evacuação de emergência como ordenado. No entanto, em locais a mais de 20 km, a obrigação legal do médico de tratar os pacientes pode tornar-se um problema (Akabayashi, 2012).…”

Section: Análise éTicaunclassified