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177chap.IVPatient Relief Activity Records [Essays and Research Publications]FUKUSHIMA: Lives on the Linerelatively small because the study was done at a single center in the middle of the unexpected huge, complex disaster.However, the results of present investigation suggest that the stable supply system of antiasthmatic drugs (especially ICS) and the psychological support system for the patients are important to maintain asthma control during disaster conditions.Author disclosures are available with the text of this letter at www.atsjournals.org.Atsuro Fukuhara, M.D., Ph.D.Suguru Sato, M.D., Ph.D.Manabu Uematsu, M.D.Kenichi Misa, M.D.Takefumi Nikaido, M.D.Yayoi Inokoshi, M.D.Naoko Fukuhara, M.D.Xintao Wang, M.D., Ph.D.Kenya Kanazawa, M.D., Ph.D.Yoshinori Tanino, M.D., Ph.D.Takashi Ishida, M.D., Ph.D.Mitsuru Munakata, M.D., Ph.D.Fukushima Medical UniversityFukushima City, JapanReferencesFigure 1. Relationship between anxiety regarding the disaster and the state of asthma. Anxiety about the disaster was evaluated by the visual analog scale (VAS) (−10 cm to +10 cm, the most anxious to no anxiety, respectively). When the scale was between −10 and 0 cm, it was defined as anxiety (+); when it was between 0 and +10 cm, it was defined as anxiety (−). In the anxiety (+) group, scores for asthma symptoms, asthma control, and the anxiety about their asthma were significantly lower than those in the anxiety (−) group. Each bar represents the mean ± SD.1. Aitken RC. Measurement of feelings using visual ana-logue scales. Proc R Soc Med 1969;62:989–993.2. Tomita K, Hasegawa Y, Watanabe M, Sano H, Hitsuda Y, Shimizu E. The Totton-Ken Seibu earthquake and exacerbation of asthma in adults. J Med Invest 2005;52:80–84.3. Takakura R, Himeno S, Kanayama Y, Sonoda T, Kiri-yama K, Furubayashi T, Yabu M, Yoshida S, Naga-sawa Y, Inoue S, et al. Follow-up after the Hanshin-Awaji earthquake: diverse influences on pneumonia, bronchial asthma, peptic ulcer and diabetes mellitus. Intern Med 1997;36:87–91.4. Suzuki K, Hasegawa T, Iguchi S, Ota K, Sakagami T, Gejyo F, Suzuki E. The impact of the Chuetsu earth-quake on asthma control. Allergol Int 2007;56:179.5. Fagan J, Galea S, Ahern J, Bonner S, Vlahov D. Rela-tionship of self-reported asthma severity and urgent health care utilization to psychological sequelae of the September 11, 2001 terrorist attacks on the World Trade Center among New York City area residents. Psychosom Med 2003;65:993–996.6. Van Lieshout RJ, Macqueen G. Psychological factors in asthma. Allergy Asthma Clin Immunol 2008;4:12–28.Reprinted with permission of the American Thoracic Society. Copyright ©2013 American Thoracic Society.Cite: Fukuhara A, Sato S, Uematsu M, Misa K, Nikaido T, Inokoshi Y, Fukuhara N, Wang X, Kanazawa K, Tanino Y, Ishida T, Munakata M/ 2012/ Impacts of the 3/11 Disaster in Fukushima on Asthma Control/ American Journal of Respiratory and Critical Care Medicine/ 186(12)/1309-10Official journal of the American Thoracic Society.

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