Nutrition in the Great East Japan Earthquake Disaster

Amagai, Teruyoshi; Ichimaru, Satomi; Tai, Mayumi; Ejiri, Yutaka; Muto, Atsushi

doi:10.1177/0884533614543833

Cited by 21 publications

(22 citation statements)

References 6 publications

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“…At that time, the rations in the Tohoku area (northeast Japan) were already low from typhoons, flooding’s, and eruptions of active volcanoes that occurred before the earthquake. Furthermore, damage of the main supplement provider exacerbated the nutrition crisis at the time [ 10 ]. These results confirm the vulnerability of the area during times of low self-sufficiency and potentially increased resilience during times of higher self-sufficiency.…”

Section: Discussionmentioning

confidence: 99%

“…In some areas, disasters prior to the earthquake already had diminished rations, exacerbating the dearth of nutrients. To make matters worse, the earthquake damaged the main industrial nutrition supplement provider [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Vitamin C is known to prevent cardiovascular diseases [ 12 ]. However, vitamin C was deficient at the time in previously healthy people [ 10 ]. The lack of proper nutrition over prolonged periods can thus result in various health issues [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Post-Disaster Food and Nutrition from Urban Agriculture: A Self-Sufficiency Analysis of Nerima Ward, Tokyo

Sioen

Sekiyama

Terada

et al. 2017

IJERPH

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Background: Post-earthquake studies from around the world have reported that survivors relying on emergency food for prolonged periods of time experienced several dietary related health problems. The present study aimed to quantify the potential nutrient production of urban agricultural vegetables and the resulting nutritional self-sufficiency throughout the year for mitigating post-disaster situations. Methods: We estimated the vegetable production of urban agriculture throughout the year. Two methods were developed to capture the production from professional and hobby farms: Method I utilized secondary governmental data on agricultural production from professional farms, and Method II was based on a supplementary spatial analysis to estimate the production from hobby farms. Next, the weight of produced vegetables [t] was converted into nutrients [kg]. Furthermore, the self-sufficiency by nutrient and time of year was estimated by incorporating the reference consumption of vegetables [kg], recommended dietary allowance of nutrients per capita [mg], and population statistics. The research was conducted in Nerima, the second most populous ward of Tokyo’s 23 special wards. Self-sufficiency rates were calculated with the registered residents. Results: The estimated total vegetable production of 5660 tons was equivalent to a weight-based self-sufficiency rate of 6.18%. The average nutritional self-sufficiencies of Methods I and II were 2.48% and 0.38%, respectively, resulting in an aggregated average of 2.86%. Fluctuations throughout the year were observed according to the harvest seasons of the available crops. Vitamin K (6.15%) had the highest self-sufficiency of selected nutrients, while calcium had the lowest (0.96%). Conclusions: This study suggests that depending on the time of year, urban agriculture has the potential to contribute nutrients to diets during post-disaster situations as disaster preparedness food. Emergency responses should be targeted according to the time of year the disaster takes place to meet nutrient requirements in periods of low self-sufficiency and prevent gastrointestinal symptoms and cardiovascular diseases among survivors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Post-Disaster Food and Nutrition from Urban Agriculture: A Self-Sufficiency Analysis of Nerima Ward, Tokyo

Sioen

Sekiyama

Terada

et al. 2017

IJERPH

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“…The SGA and the malnutrition guidelines do not include a rating scale or physical examination for micronutrient assessment; however, micronutrient deficiencies can contribute to and become apparent during acute disease–related malnutrition, chronic disease–related malnutrition, and starvation‐related malnutrition 12 , 13 . A list of common diseases and conditions associated with micronutrient deficiencies is outlined in Table 1 12 – 21…”

Section: Diseases and Conditions Associated With Possible Micronutriementioning

confidence: 99%

“…The etiology of micronutrient deficiencies can be multifactorial (eg, inadequate intake, malabsorption, increased nutrient requirement, drug interaction or shortage, disease process, or famine/natural disasters) 13 – 17 . The scope of this article is to discuss physical findings associated with these deficiencies.…”

Section: Diseases and Conditions Associated With Possible Micronutriementioning

confidence: 99%

Utilization of Nutrition‐Focused Physical Assessment in Identifying Micronutrient Deficiencies

Esper

2015

Nut in Clin Prac

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Heightened interest in and utilization of parts of the nutrition-focused physical assessment (NFPA) have increased with recent guidelines in defining malnutrition and the call to awareness among healthcare practitioners to recognize, document, and intervene in malnourished patients. Furthermore, an increased prevalence of nutrient deficiencies has been reported in surgical weight loss patients, those with various acute and chronic diseases, and the elderly requiring physical assessment and examination skills to identify these deficiencies. The registered dietitian nutritionist (RDN) can use the NFPA to note physical findings to use along with the other domains in the nutrition assessment to determine the nutrition-related diagnosis, while other nutrition professionals can use the NFPA findings to determine a differential diagnosis. This article outlines the NFPA and how to determine physical findings related to micronutrient deficiencies, which can have a profound impact on overall nutrition status.

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Ethical Framework for Nutrition Support Resource Allocation During Shortages: Lessons From COVID‐19

et al. 2020

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The coronavirus disease 2019 (COVID‐19) pandemic has impacted all aspects of our population. The “Troubling Trichotomy” of what can be done technologically, what should be done ethically, and what must be done legally is a reality during these unusual circumstances. Recent ethical considerations regarding allocation of scarce resources, such as mechanical ventilators, have been proposed. These can apply to other disciplines such as nutrition support, although decisions regarding nutrition support have a diminished potential for devastating outcomes. The principal values and goals leading to an ethical framework for a uniform, fair, and objective approach are reviewed in this article, with a focus on nutrition support. Some historical aspects of shortages in nutrition supplies and products during normal circumstances, as well as others during national crises, are outlined. The development and implementation of protocols using a scoring system seems best addressed by multidisciplinary ethics and triage committees with synergistic but disparate functions. Triage committees should alleviate the burdens of unilateral decisions by the healthcare team caring for patients. The treating team should make every attempt to have patients and the public at large update or execute/develop advance directives. Legal considerations, as the third component of the Troubling Trichotomy, are of some concern when rationing care. The likelihood that criminal or civil charges could be brought against individual healthcare professionals or institutions can be minimized, if fair protocols are uniformly applied and deliberations well documented.

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Nutrition in the Great East Japan Earthquake Disaster

Cited by 21 publications

References 6 publications

Post-Disaster Food and Nutrition from Urban Agriculture: A Self-Sufficiency Analysis of Nerima Ward, Tokyo

Post-Disaster Food and Nutrition from Urban Agriculture: A Self-Sufficiency Analysis of Nerima Ward, Tokyo

Utilization of Nutrition‐Focused Physical Assessment in Identifying Micronutrient Deficiencies

Ethical Framework for Nutrition Support Resource Allocation During Shortages: Lessons From COVID‐19

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