FUKUSHIMA Lives on the Line

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142Fukushima Medical University’s Emergency Medical Care for Radiation VictimsHeadquarters TeamPublic health and welfare general affairs (general affairs planning group); health and hygiene (medical nursing group and business affairs group); prefectural hospitals (prefectural hospitals group); Soso public health and welfare office; Fukushima Medical Association; and the Fukushima Branch of the Japan Red CrossRadiation Emergency Medical Care Dispatch TeamNational Institute of Radiological SciencesGeneral Medical Team[primary-/first-stage radiation exposure treatment facilities (medical institutions)]Nearby medical institutions designated as emergency facilities, among othersPrimary-/First-Stage Radiation Treatment Institutions[primary-/first-stage medical care (medical institutions)]Fukushima Prefectural Oono Hospital, Futaba Kosei Hospital, Imamura Hospital, Fukushima Rosai Hospital, and Minamisoma City General HospitalSecondary Radiation Treatment Facilities[secondary radiation treatment (medical institutions)]FMU HospitalNational Institute of Radiological SciencesRegional Tertiary Radiation Treatment Medical Institutions GroupRadiation Emergency Medicine Network Council[tertiary radiation treatment (e.g., medical institutions)]Fukushima Prefecture Nuclear Disaster Management Center’s Medical UnitPrefectural Disaster Response HeadquartersPrefectural On-Site Disaster Response Headquarters’ Medical UnitScreening Team[primary-/first-stage medical care (e.g., first-aid stations)]Prefectural public health and welfare office, health clinics in core cities, prefectural hospitals, physicians associations, disaster medical centers, regional public medical institutions, Fukushima Association of Radiological Technologists, and Tokyo Electric Power CompanyIodine Distribution Team[primary-/first-stage medical care (e.g., first-aid stations)]Health and hygiene (Business Affairs Group), Soso Public Health and Welfare Office, Fukushima Pharmacists Association, Hirono, Naraha, Tomioka, Okuma, Futaba , and NamieSecondary Examination/Decontamination Team[secondary radiation treatment (medical institutions)]Health and hygiene (Medical Nursing Group), Soso Public Health and Welfare Office, Research Institute of Environmental Medicine, Fukushima Prefectural Oono Hospital, Fukushima Association of Radiological Technologists, and Tokyo Electric Power CompanyPrimary Examination/Decontamination Team[primary-/first-stage medical care (e.g., first-aid stations)]FMU Hospital, Fukushima Prefectural Oono Hospital, Iwaki Kyoritsu General Hospital, Fukushima Rosai Hospital, Minamisoma City General Hospital, Futaba Kosei Hospital, Tokyo Electric Power Company, and Japan Ground Self-Defense Forces Northeastern ArmyFirst-Aid Team[primary-/first-stage medical care (e.g., first-aid stations)]The Fukushima Branch of the Japan Red Cross, prefectural hospitals, physicians associations, disaster medical centers, regional public medical institutions, and Fukushima Nursing AssociationUnit Chief: the supervisory councilor (for health and hygiene) or the medical nursing group councilorVice Chief: Director of the Soso Public Health and Welfare OfficeFigure 1: Radiation Emergency Medical Response Frameworkprimary treatment facilities for radiation exposure, while FMU Hospital is a secondary treatment facility. In the eastern Japan area, the National Institute of Radiological Sciences (NIRS) is a tertiary treatment facility, and Hiroshima University fulfills the same role in western Japan.*4Fukushima Medical University’s Emergency Medical Care for Radiation VictimsOn March 12, the day after the massive earthquake, the emergency radiation treatment ward was prepared to receive patients. Standard protocol is to proceed after receiving information from the medical unit of the Joint Council for Nuclear Emergency Response, organized under the Fukushima Nuclear Disaster Management

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