FUKUSHIMA Lives on the Line

168Reflecting on the Great East Japan Earthquakeunfortunate that some information received by the organization was lost in the commotion.VI. Lessons for Posterity1. Preconditions for Maintaining Hospital OperationsI considered myself to be a lifeline of the hospital, but securing the hospital’s real “lifeline” needs to be reconsidered. The first case in point is water. In general, one ton of water is needed per day for each hospital bed. To meet this need, wells are a possible option. Next we need stocks of medicine, fuel (oil and gasoline), and food. Too much of focus on weak operational efficiency in the recent years affected our response system during the last crisis. Third, the conditions for outsourcing must be closely examined. Outsourced services, such as food and emergency helicopters, can be withdrawn at the whim of the provider; this fact must be taken into account with. Finally, there is electricity. Although FMU did not experience trouble, in light of a major disaster such as the nuclear power plant accident, secondary and tertiary backup electrical systems are necessary.Chart 4: Lessons from the Massive Earthquake and Nuclear Accident● Japan’s emergency preparedness (for catastrophic events) is inadequateAn over-compartmentalized bureaucracy; only short-term risk avoidance ⇨ A new Fukushima Model must be formulated and implemented● For a country that has atomic energy at the helm of its national energy policy, the education of citizens and health care workers with regard to radiation is inadequate⇨ Educational curricula must be re-examined (compulsory and secondary education)⇨ Science writers and science “translators” need to be educated⇨ Risk communicators should be trained● Engineers and academicians for atomic energy are an aging demographic⇨ We need to train young engineers and researchers● Confusion in the ranks of those issuing orders⇨ Exercising leadershipLeadership is the responsibility of administrators• A unanimously agreed-upon leader is necessary“No one told me” is a phrase that must be expungedKarl Marx’s words prove true: “The road to hell is paved with good intentions.”• Determining prioritiesWhat can be done at one time is limited when working hours and manpower are limited• Ad hoc measures are crucial• A multitude of issues suddenly arrive that require attention and decisions⇨ Do not let yourself be consumed by tiny details!Win the war, ignore the petty skirmishes● There is confusion regarding the difference between “safety” and “peace of mind”Peace of mind is a psychological matter and safety is a matter of costThere is no such thing as absolute peace of mind and completely assured safety● A “single point of contact” and “broadly-shared information”Information is a varied mix of valuable and worthless elements ⇨ people and places to sort information are needed ⇩Neglecting this leads to a confused disaster site and further collapse● Sharing/conveying information is criticalThis assuages the anxiety of staff members and the public● Infrastructure (environmental support) for evacuees─ At present, the consideration paid to maintaining mental and physical well-being is insufficientMost important is an understanding that people who feel caged and restricted (in evacuee shelters) will suffer health issues from lack of physical activity● Information from outside that is lost within the organizationCases exist when those in charge do not know how to treat certain information, so they simply archive or hide it internally.