Radiation and Thyroid Cancer Tutorial Session Overview of the Fukushima Health Management Survey Time and Date 14101455 February 21 2014 Venue Shinagawa Prince Hotel Tokyo ID: 628564
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The International Workshop onRadiation and Thyroid Cancer: Tutorial Session“Overview of the Fukushima Health Management Survey”Time and Date: 14:10-14:55, February 21, 2014Venue: Shinagawa Prince Hotel, Tokyo
Department
of Public Health, Fukushima Medical University School of Medicine,Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University,Seiji YASUMURA (yasumura@fmu.ac.jp)
1Slide2
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey4. Concluding Comments2Slide3
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey4. Concluding Comments3Slide4
Fukushima CityMinami-soma CityFukushima Dai-ichiNuclear Power Plant“Great East Japan Earthquake”
Triple Disasters in Fukushima
EarthquakeTsunamiNuclear Power Plant Accident1,603 died and 207 are still lost due to Earthquake and/or Tsunami.1,652 deaths were “disaster-related deaths”. No one died due to radiation due to
NPP
accident.
4Slide5
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey4. Concluding Comments5Slide6
Number of residents who were living in evacuation area: 210,000 (March 11, 2011)Number of evacuees(including Voluntary evacuees)・Inside Fukushima Prefecture:88,416・
Outside Fukushima Prefecture:48,364Total:
136,780(January, 16, 2014)6Slide7
Direct deaths/Disaster-related deaths7IwateMiyagiFukushima Direct deaths4,673
9,5371,607
Disaster-relateddeaths4348791,656(“Asahi Shinbun”, 20, Feb., 2014)Slide8
8Yasumura S, Goto A, Yamazaki S, Reich MR. Excess mortality among relocated institutionalized elderly after the Fukushima nuclear disaster. Public Health 127: 186-188, 2012.Excess mortalityExcess mortality among relocated institutionalized elderlyafter the Fukushima Daiichi NPP accident
Accident
Occurred.Slide9
Evacuees outside Fukushima Prefecture (Feb. 2, 2013)北海道1,802青森県550岩手県
538秋田県
925宮城県2,328Yamagata9,513Niigata5,724茨城県3,943栃木県2,948群馬県1,688千葉県3,313埼玉県3,820Tokyo7,449山梨県710
神奈川県
2,449
静岡
県
823
長野
県
1,003
福井
県
243
石川県
350
富山県
243
岐阜県
228
愛知
県
795
滋賀県
229
京都府
702
三重
県
213
奈良
県
106
和歌山
県
54
大阪府
734
兵庫県
604
岡山県
339
Hiroshima
322
鳥取県
133
島根県
107
山口
県
83
香川
県
45
徳島
県
40
高知
県
63
愛媛
県
106
大分
県
176
佐賀
県
134
熊本
県
98
宮崎
県
134
鹿児島
県
148
Okinawa
738
福岡
県
353
※
都道府県名に併記している数字は
各都道府県への避難者数。
(Radiation Medical Center for the Fukushima Health Management Survey, Fukushima Medical University)
Nagasaki
89
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北海道1,668青森県472岩手
県538秋田県
779宮城県2,514茨城県3,738栃木県2,922群馬県1,459千葉県3,333埼玉県2,797山梨県649神奈川県2,117
静岡
県
750
長野
県
921
福井
県
196
石川県
302
富山県
207
岐阜県
219
愛知
県
747
滋賀県
197
京都府
625
三重
県
220
奈良
県
97
和歌山
県
39
大阪府
613
兵庫県
538
岡山県
319
鳥取県
119
島根県
99
山口
県
86
香川
県
50
徳島
県
40
高知
県
49
愛媛
県
89
大分
県
127
佐賀
県
104
熊本
県
108
宮崎
県
136
鹿児島
県
125
福岡
県
329
※
都道府県名に併記している数字は
各都道府県への避難者数。
(Radiation Medical Center for the Fukushima Health Management Survey, Fukushima Medical University)
Evacuees outside Fukushima Prefecture
(
Jan
. 16, 2014)
Yamagata
5,708
Niigata
4,640
Tokyo
6,583
Okinawa
670
Hiroshima
241
Nagasaki
85
57,135 (Feb. 2, 2013)
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Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey4. Concluding Comments11Slide12
1. To monitor residents’ long-term health and to promote their future well-being.2. To confirm whether a long-term low-dose radiation exposure has an effect on health.Objectives of the Fukushima Health Management Survey12Slide13
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Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey: Basic survey4. Concluding Comments14Slide15
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16
Table
1 Estimated external radiation doses (preceding and full-scale survey) Slide17
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Outline and result of the Fukushima Health Management Survey: Thyroid ultrasound examination4. Concluding Comments
Please wait a little!Professor
Suzuki will present tommorow!!17Slide18
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey: Comprehensive health check4. Concluding Comments18Slide19
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The comprehensive health check in Date City20Slide21
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ResultsThe proportion of abnormal test results (obesity, glucose metabolism, lipid metabolism and liver function) was higher in the study population compared with the reference populations; the trend was more pronounced in males. This may be due to possible lifestyle changes (such as less exercise and excessive alcohol consumption) caused by psychological distress and sleeping disorder after forced evacuation.22Slide23
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey: The mental health and lifestyle survey4. Concluding Comments23Slide24
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The mental health and lifestyle survey SubjectsAge criteriaMental health items
Method
AdultsBorn before April 1, 1995(include High school student on March 11, 2011)・K6 (Kessler, 2003)・PCL (PTSD Checklist Stressor Specific Version, Weathers, 1994）Self-administered
Children (3)
Born after April
2, 1995, and before April 1, 1998 (Junior high school student on March 11, 2011)
・
SDQ (Strengths and
Difficulties Questionnaire)
Partially self-administered
Children (2)
Born after April
2, 1998, and before April 1, 2004 (Primary school student on March 11, 2011)
・
SDQ (Strengths and
Difficulties Questionnaire)
Parents answer
Children
(1)
Born after April
2, 2004, and before March 11, 2011 (Before primary school student on March 11, 2011)
・
SDQ (Strengths and
Difficulties Questionnaire)
for children aged 4 years and older
Parents answer
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Figure Distribution of K6 (Press release, 11, Sep, 2012)K6 in total populationK6 by sexTotal scoreNumber
Number
Total scoreMaleFemaleTotalMaleFemale↑↑↑
↑
↑
↑
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Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey: Pregnancy and birth survey4. Concluding Comments28Slide29
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The pregnancy and birth survey
15,972
Subjects
Send a questionnaire
Research Office
Mid-wife, Doctors
Data company
Report of the result
Telephone consultation if needed
Confirm the answers
, especially items of depression, and decide whether telephone consultation is needed or not
E-mai
l /Telephone consultation
Transmit
the information
Order of data entry
Feedback
of the consultation
Check
questionnaire
Letter of thanks
30Slide31
Result of the 2011 survey1. Response RatesA total of 15,972 questionnaires were distributed in January 2012 and 9,298 (58.2%) were returned by 31 August 20122. Support after the SurveyInvalid answers and spontaneous abortions were excluded, and telephone counseling was provided by midwives and public health nurses
for respondents who were identified as
respondents requiring support on the basis of the survey. The proportion of miscarriage in Fukushima Prefecture was 0.79% and that of induced abortion was 0.09% in 2012, no different from the previous fiscal year. The proportion of premature delivery in 2012 was 5.86% which was higher than the previous fiscal year (4.75%).31Slide32
Today’s topic1. Overview of the Great East Japan Earthquake in Fukushima2. Situation of evacuation and evacuees3. Overview of the Fukushima Health Management Survey4. Concluding Comments32Slide33
Our greatest achievement:There are so many problems caused by the nuclear power plant accident now. Fukushima residents more concerned about their health than ever and feel anxiety of their own health. Under such circumstances, we implemented the presented multifaceted Fukushima Health Management Survey within one year after the Great East Japan Earthquake.In collaboration with:Hiroshima University, Nagasaki University, Radiation Effects Research Foundation, National Institute of Radiological Science, and Fukushima Medical Association.33Concluding CommentsSlide34
Our best efforts continues;1. To outreach as many residents as possible.2. To implement further detailed investigations.3. To disseminate obtained results. We hope continued concerns and collaboration by Hiroshima University and Nagasaki University.34