Relationship between the flood disaster caused by the Reiwa first year east Japan typhoon and cardiovascular and cerebrovascular events in Nagano City: The SAVE trial

Sunohara, Daisuke; Miura, Takashi; Komatsu, Toshinori; Hashizume, Naoto; Momose, Tomoyasu; Kono, Tsunesuke; Motoki, Hirohiko; Mochidome, Tomoaki; Kasai, Toshio; Kuwahara, Koichiro; Ikeda, Uichi

doi:10.1016/j.jjcc.2021.06.003

Cited by 7 publications

(7 citation statements)

References 26 publications

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“…CVD reports increased in primary care and emergency departments at various locations in Hawaii after Hurricane Iniki in 1992 in comparison with prehurricane primary care visits [relative risk (RR) 2.73; 95% CI: 1.51, 4.94] prior to landfall. 57 After the Reiwa East Japan Typhoon, 69 MI-related hospitalizations significantly increased up to 2 months after landfall, and stroke hospitalizations increased 2 wk after landfall in comparison with stroke hospitalizations in prior years. After Hurricane Harvey, intensive care admissions related to worsened heart failure and CHD represented 15% of intensive care unit (ICU) cases related to hurricane flooding, although it was unclear whether this represented a deviation from prehurricane norms.…”

Section: Resultsmentioning

confidence: 98%

Impact of Hurricanes and Associated Extreme Weather Events on Cardiovascular Health: A Scoping Review

Ghosh

Demetres

Geisler

et al. 2022

Environ Health Perspect

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Background: The frequency and destructiveness of hurricanes and related extreme weather events (e.g., cyclones, severe storms) have been increasing due to climate change. A growing body of evidence suggests that victims of hurricanes have increased incidence of cardiovascular disease (CVD), likely due to increased stressors around time of the hurricane and in their aftermath. Objectives: The objective was to systematically examine the evidence of the association between hurricanes (and related extreme weather events) and adverse CVD outcomes with the goal of understanding the gaps in the literature. Methods: A comprehensive literature search of population-level and cohort studies focused on CVD outcomes (i.e., myocardial infarction, stroke, and heart failure) related to hurricanes, cyclones, and severe storms was performed in the following databases from inception to December 2021: Ovid MEDLINE, Ovid EMBASE, Web of Science, and The Cochrane Library. Studies retrieved were then screened for eligibility against predefined inclusion/exclusion criteria. Studies were then qualitatively synthesized based on the time frame of the CVD outcomes studied and special populations that were studied. Gaps in the literature were identified based on this synthesis. Results: Of the 1,103 citations identified, 48 met our overall inclusion criteria. We identified articles describing the relationship between CVD and extreme weather, primarily hurricanes, based on data from the United States (42), Taiwan (3), Japan (2), and France (1). Outcomes included CVD and myocardial infarction–related hospitalizations (30 studies) and CVVD-related mortality (7 studies). Most studies used a retrospective study design, including one case–control study, 39 cohort studies, and 4 time-series studies. Discussion: Although we identified a number of papers that reported evaluations of extreme weather events and short-term adverse CVD outcomes, there were important gaps in the literature. These gaps included a ) a lack of rigorous long-term evaluation of hurricane exposure, b ) lack of investigation of hurricane exposure on vulnerable populations regarding issues related to environmental justice, c ) absence of research on the exposure of multiple hurricanes on populations, and d ) absence of an exploration of mechanisms leading to worsened CVD outcomes. Future research should attempt to fill these gaps, thus providing an important evidence base for future disaster-related policy. https://doi.org/10.1289/EHP11252

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Section: Resultsmentioning

confidence: 98%

Impact of Hurricanes and Associated Extreme Weather Events on Cardiovascular Health: A Scoping Review

Ghosh

Demetres

Geisler

et al. 2022

Environ Health Perspect

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“…The results of a study in 2021 in Japan to explore the rate of DVT among flood victims between 2017 and 2019 showed that the DVT rate did not have an ascending trend; various factors including place of residence of the evacuees who had been away from the destructive regions as well as active DVT screening have been among the reasons of this non-ascending trend. 38 Also, the results of another study in the United States showed that tornado had no effect on increasing the rate of DVT. 39 Comparative examination of the studies shows that the results of the performed studies have not been line with the present study, and DVT trend has been ascending in earthquake, while not being increasing in other natural disasters.…”

Section: Discussionmentioning

confidence: 98%

Deep Vein Thrombosis After Earthquake: A Systematic Review and Meta-analysis

Sahebi

Nejati-Zarnaqi

Vasei

et al. 2023

Disaster med. public health prep.

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Objective: Among natural disasters, earthquake is associated with heavy fatalities and financial damages, causing considerable mortality. The complications resulting from getting trapped in rubble, secondary traumas, obligation to reside in temporary shelters, along with other factors such as limited mobility, stress, and dehydration, predispose earthquake survivors to Deep Vein Thrombosis (DVT). The aim of the present study is to investigate the rate of DVT after an earthquake using a systematic review and meta-analysis. Methods: To perform the present study, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was used. The protocol of this review study has been registered in the International Perspective Register of Systematic Review (PROSPERO) with the code of CRD42021290375. Credible data resources including PubMed, Scopus, Web of Science, Science Direct, Google Scholar, Magiran, SID, and Embase were used for extracting relevant studies. Random effect model was used to perform the meta-analysis. I2 was ritualized to investigate heterogeneity across the studies. Publication bias of studies was evaluated using the Begg test. Results: In this study, 267 primary studies were identified and extracted. After removing the duplicate ones and the screening, eventually 12 final studies were chosen for the meta-analysis. Based on the meta-analysis results, the total rate of DVT was 9.07% (95% confidence interval [CI]: 7.32-10.81; I2 = 97.9%; P = 0<0.001). Analysis of DVT in the subgroups of the general population and patient survivors were 11.43% (95% CI: 9.06-13.79; I2 = 98%; P = 0<0.001) and 2.51% (95% CI: 0.04-4.63; I2 = 77.7%; P = 0.001). Also, based on the Begg test, the publication bias in the chosen studies was not considerable. Conclusions: DVT rate in earthquake survivors is higher compared with other disasters, and over time it finds a growing trend. After earthquake, the focus of rescue and health-care teams is on individuals with observable injuries and damages. Because DVT is first asymptomatic but has fatal consequences, including pulmonary embolism and sudden death, it should be incorporated in health’s status assessment of earthquake-stricken people as well as screening and diagnostic programs of health-care providers.

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“… 35 , 36 , 37 , 38 Natural disasters and extreme weather events Flooding events are associated with an increase in prescription medication access, cardiovascular and cerebrovascular cases, and cognitive decline in older adults. Potential cascading events and complex disasters with exacerbating impacts of climate change High degree of uncertainty regarding these exogenous shocks 39 , 40 , 41 Unprecedented global health crises The COVID-19 pandemic has impacted temperature-related health outcomes in Japan, potentially due to precautionary measures that have altered human behavior. N/A 42 , 43 , 44 Legend Significance Urgency Confidence Recognized as having particularly significant impacts High High Recognized as having impacts Medium Medium — N/A c Low Low — N/A c — N/A c a The impact assessments regarding significance, urgency, and confidence for the first five categories—heat-related illness, cold-related deaths, water-borne and food-borne diseases, vector-borne diseases, and complex impacts of air pollution (O 3 ) and warming—were adapted from the government's Assessment Report on Climate Change impacts in Japan based on the evaluations by government experts.

…”

Section: Climate Change and Impact On Healthmentioning

confidence: 99%

Enhancing health resilience in Japan in a changing climate

Kim,

Oka,

Kawazu

et al. 2023

The Lancet Regional Health - Western Pacific

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Relationship between the flood disaster caused by the Reiwa first year east Japan typhoon and cardiovascular and cerebrovascular events in Nagano City: The SAVE trial

Cited by 7 publications

References 26 publications

Impact of Hurricanes and Associated Extreme Weather Events on Cardiovascular Health: A Scoping Review

Impact of Hurricanes and Associated Extreme Weather Events on Cardiovascular Health: A Scoping Review

Deep Vein Thrombosis After Earthquake: A Systematic Review and Meta-analysis

Enhancing health resilience in Japan in a changing climate

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