4.3 Article

Successful emergency evacuation from a hospital within a 5-km radius of Fukushima Daiichi Nuclear Power Plant: the importance of cooperation with an external body

Journal

JOURNAL OF RADIATION RESEARCH
Volume 62, Issue -, Pages I122-I128

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/jrr/rraa122

Keywords

nuclear power plants; Japan; Fukushima nuclear accident; disasters; emergency services hospitals

Funding

  1. Radiation Safety Research Promotion Fund on the risk-benefit of protective actions

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The Fukushima Daiichi Nuclear Power Plant accident in 2011 led to an emergency evacuation at the Futaba Kosei Hospital, resulting in the deaths of four patients. Despite early intervention by external organizations that aided in a successful evacuation, the incident highlighted the significant challenges faced by vulnerable populations during emergency evacuations.
Emergency evacuation during a disaster may have serious health implications in vulnerable populations. After the accident at the Fukushima Daiichi Nuclear Power Plant (FDNPP) in March 2011, the Japanese central government immediately issued an evacuation order for residents living near the plant. There is limited information on the process of evacuation from medical institutions within the evacuation zone and the challenges faced. This study collected and analyzed publicly available resources related to the Futaba Kosei Hospital, located 3.9 km northwest of the FDNPP, and reviewed the hospital's evacuation procedures. On the day of the accident at the FDNPP, 136 patients were admitted in the aforementioned hospital. The hospital's director received information about the situation at the FDNPP from the local disaster task force and requested the immediate evacuation of all patients. Consequently, four patients, including those with an end-stage condition, died during the evacuation. Early intervention by external organizations, such as the Japan Self-Defense Forces, helped the hospital to complete the evacuation without facing major issues. However, despite such an efficient evacuation, the death of four patients suggests that a significant burden is placed on vulnerable people during emergency hospital evacuations. Those with compromised health experience a heavy burden during a nuclear disaster. It is necessary for hospitals located close to a nuclear power plant to develop a more detailed evacuation plan by determining the methods of communication with external organizations that could provide support during evacuation to minimize the burden on vulnerable patients.

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