FUKUSHIMA Lives on the Line

139chap.IIIStruggle Against RadioactivityFUKUSHIMA: Lives on the Lineoutpatient care. Soma City also established psychiatric outpatient care facilities. With help from across the country, a psychiatric outreach clinic was established, and one hospital has planned to resume inpatient psychiatric care. Meanwhile, analyzing each locale, the population in Minamisoma has dropped from over 70,000 to 10,000 because of the radiation scare; however, now that it is no longer an emergency evacuation preparation zone and elementary, middle, and high schools have reopened, the population has recovered to 40,000. Table 4 shows the current state of four hospitals in the old Haramachi Ward of Minamisoma, the core area for medical facilities in the city. Securing nurses and other health professionals, in addition to physicians, is proving to be difficult, and the recovery of medical care is nowhere in sight. Nevertheless, as long as there are people in the community, we should strive to provide a bare minimum level of medical care, but the path ahead of us is difficult.Kashima Kosei HospitalIitate ClinicSoma Central HospitalMinamisoma MunicipalGeneral HospitalWatanabe HospitalOmachi HospitalOnoda HospitalOdaka Akasaka HospitalEvacuation ZoneHibarigaoka HospitalEmergency evacuation preparation zonePlannedevacuation areaEmergency evacuation preparation zoneMinamisoma MunicipalOdaka HospitalNishi HospitalFutaba Kosei HospitalFukushima PrefecturalOno HospitalFutaba HospitalImamura HospitalTakano HospitalExistingPsychiatric Department Beds30 kilometersfrom the Daiichi plant 20 kilometersfrom the Daiichi plant(As of July 1, 2011) Namie TownNational Health InsuranceTsushima ClinicTamura MunicipalMiyakoji ClinicKawauchi NationalHealth Insurance ClinicIitate KusanoNational HealthInsurance ClinicPublic Soma General HospitalImage 3: Medical Facilities in the Soso AreaAs of the end of December 2011, of the 16 hospitals in the Soso area, eight hospitals have completely stopped functioning and five have only partially resumed inpatient and outpatient care. The only hospitals that have stayed fully functional are three hospitals, which are more than 30 kilometers from the Fukushima Daiichi nuclear power plant. The emergency evacuation preparation zone was lifted on September 30, 2011.Table 4: Medical Facilities in the Haramachi Ward of Minamisoma City (effective October 25, 2011)The actual number of inpatients is only 23.5% of the number of authorized beds, the number of physicians is 61.9% of that before the disaster, and the number of nurses is 50.8% of that before the disaster.Hospital AHospital BHospital CHospital DInpatientsActual number of inpatients10033530Authorized beds230199188175Number of employeesNumber of physicians (before the disaster)7(12)7(8)8(12)4(10)Number of nurses (before the disaster)113(151)30(79)approx. 28(95)35(83)Future Developments and IssuesAs we pass from the critical to the chronic stage, we must continue to think about long-term care within the narrow fields of medicine and welfare. Long-term care is difficult to accomplish only with individual efforts, especially in widespread disasters. Thus, it is effective to build systems through which we can help each other in times of need, with support agreements not only within Fukushima but also at the hospital, prefectural, and municipal levels. Regular disaster medicine education, including fostering public awareness, is also important.As medical professionals, our top priority now is to address, however diminutively, the health concerns that prefectural residents voice. In particular, the health management survey administered throughout the prefecture and the reconstruction of medical and welfare facilities in the Iwaki and Soso area are some of the steps we are taking to allay these concerns. As those survivors of the disaster and radiation issues, it is our duty to share Contribution of Fukushima Medical University and its Orthopedics Department, and the Current State of Fukushima Prefecture