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The Immediate Physical and Mental Health Crisis in Residents Proximal to the Evacuation Zone After Japan's Nuclear Disaster: An Observational Pilot Study

  • Masaharu Tsubokura (a1), Kazuo Hara (a2), Tomoko Matsumura (a1), Amina Sugimoto (a3), Shuhei Nomura (a3), Masamitsu Hinata (a4), Kenji Shibuya (a3) and Masahiro Kami (a1)...
Abstract
Objective

The 2011 earthquake and Fukushima nuclear disaster in Japan have had devastating effects on residents near the damaged nuclear power plant, but quantifying its effect on their health has been difficult.

Methods

Among the 564 residents of Iitate Village and Soma City who enrolled in this study, we evaluated the changes of clinical parameters in 155 participants who underwent annual health evaluations in the previous year and after the earthquake. Psychological distress was also measured by using patient health questionnaire 9 (PHQ-9).

Results

Participants (median age, 64 years) showed significant post-disaster increases in body weight, body mass index, systolic and diastolic blood pressure, blood glucose levels, and triglyceride levels. PHQ-9 scores of 10 or greater were found in 12% of the subjects, indicating that a substantial number had major depression.

Conclusions

The findings in this study showed substantial deterioration in clinical parameters related to lifestyle diseases and the presence of general psychological distress among residents living near the damaged nuclear power plant after the Fukushima Daiichi disaster. In addition to controlling the levels of radiation exposure, aggressive management of immediate physical and mental health crisis for residents may be necessary in future nuclear accidents. (Disaster Med Public Health Preparedness. 2014;0:1–7)

Copyright
Corresponding author
Correspondence and reprint requests to Masaharu Tsubokura, MD, Division of Social Communication System for Advanced Clinical Research, Institute of Medical Science, University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo 108-8639, Japan e-mail tsubokura-tky@umin.ac.jp.
References
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1. Thielen, H. The Fukushima Daiichi nuclear accident--an overview. Health Phys. 2012;103(2):169-174.
2. Brumfiel, G, Cyranoski, D. Quake sparks nuclear crisis. Nature. 2011;471(7338):273-275.
3. Makinen, J. Japan steps up nuclear plant precautions: Kan apologizes. Los Angeles Times; March 25, 2011.
4. Bell, M. Fukushima nuclear fallout evacuation zone expanded. Washigton Post; April 22, 2011.
5. Tabuchi, H. Inquiry sees chaos in evacuations after Japan tsunami. New York Times; July 23, 2012.
6. Tsubokura, M, Gilmour, S, Takahashi, K, Oikawa, T, Kanazawa, Y. Internal radiation exposure after the Fukushima nuclear power plant disaster. JAMA. 2012;308(7):669-670.
7. Hayano, RS, Tsubokura, M, Miyazaki, M, etal. Internal radiocesium contamination of adults and children in Fukushima 7 to 20 months after the Fukushima NPP accident as measured by extensive whole-body-counter surveys. Proc Jpn Acad Ser B Phys Biol Sci. 2013;89(4):157-163.
8. Sugimoto, A, Krull, S, Nomura, S, Morita, T, Tsubokura, M. The voice of the most vulnerable: lessons from the nuclear crisis in Fukushima, Japan. Bull World Health Organ. 2012;90(8):629-630.
9. Tsubokura, M, Mori, J, Tanimoto, T, Oikawa, T. A dog bite injury after the Fukushima nuclear accident. Intern Med. 2012;51(17):2493.
10. Mori, J, Tsubokura, M, Sugimoto, A, etal. Increased incidence of dog-bite injuries after the Fukushima nuclear accident. Prev Med. 2013;57(4):363-365.
11. Harasawa, K, Tanimoto, T, Kami, M, Oikawa, T, Kanazawa, Y, Komatsu, H. Health problems in the temporary housing in Fukushima. Lancet. 2012;379(9833):2240-2241.
12. Shigemura, J, Tanigawa, T, Saito, I, Nomura, S. Psychological distress in workers at the Fukushima nuclear power plants. JAMA. 2012;308(7):667-669.
13. Ishii, T, Ito, K, Kato, S, etal. A report from Fukushima: an assessment of bone health in an area affected by the Fukushima nuclear plant incident. J Bone Miner Metab. 2013;31(6):613-617.
14. Tsubokura, M, Takita, M, Matsumura, T, etal. Changes in metabolic profiles after the Great East Japan Earthquake: a retrospective observational study. BMC Public Health. 2013;13:267.
15. Kuzuya, T, Nakagawa, S, Satoh, J, etal. Report of the Committee on the classification and diagnostic criteria of diabetes mellitus. Diabetes Res Clin Pract. 2002;55(1):65-85.
16. Kroenke, K, Spitzer, RL, Williams, JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613.
17. Sugimoto, A, Nomura, S, Tsubokura, M, etal. The relationship between media consumption and health-related anxieties after the Fukushima Daiichi nuclear disaster. PloS One. 2013;8(8):e65331.
18. Kario, K, Ohashi, T. Increased coronary heart disease mortality after the Hanshin-Awaji earthquake among the older community on Awaji Island. Tsuna Medical Association. J Am Geriatr Soc. 1997;45(5):610-613.
19. Minami, J, Kawano, Y, Ishimitsu, T, Yoshimi, H, Takishita, S. Effect of the Hanshin-Awaji earthquake on home blood pressure in patients with essential hypertension. Am J Hypertens. 1997;10(2):222-225.
20. Saito, K, Kim, JI, Maekawa, K, Ikeda, Y, Yokoyama, M. The great Hanshin-Awaji earthquake aggravates blood pressure control in treated hypertensive patients. Am J Hypertens. 1997;10(2):217-221.
21. Fonseca, VA, Smith, H, Kuhadiya, N, etal. Impact of a natural disaster on diabetes: exacerbation of disparities and long-term consequences. Diabetes Care. 2009;32(9):1632-1638.
22. Fuzik, M, Prysyazhnyuk, A, Shibata, Y, etal. Thyroid cancer incidence in Ukraine: trends with reference to the Chernobyl accident. Radiat Environ Biophys. 2011;50(1):47-55.
23. Saenko, V, Ivanov, V, Tsyb, A, etal. The Chernobyl accident and its consequences. Clin Oncol (R Coll Radiol). 2011;23(4):234-343.
24. Hatch, M, Ron, E, Bouville, A, Zablotska, L, Howe, G. The Chernobyl disaster: cancer following the accident at the Chernobyl nuclear power plant. Epidemiol Rev. 2005;27:56-66.
25. Embassy of the United States Japan. A Message to American Citizens from Ambassador John V. Roos; March 17, 2011. http://japan.usembassy.gov/e/p/tp-20110317-01.html. Accessed January 20, 2014.
26. Yasumura, S, Goto, A, Yamazaki, S, Reich, MR. Excess mortality among relocated institutionalized elderly after the Fukushima nuclear disaster. Public Health. 2012.
27. Nomura, S, Gilmour, S, Tsubokura, M, etal. Mortality risk amongst nursing home residentsevacuated after the Fukushima nuclear accident: a retrospective cohort study. PLoS One. 2013;8(3):e60192.
28. Onishi, N, Fackler, M. In nuclear crisis, crippling mistrust. New York Times; June 12, 2011.
29. Fackler, M. Radiation fears and distrust push thousands from homes. New York Times; March 17, 2011.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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