FUKUSHIMA Lives on the Line

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183chap.IVPatient Relief Activity Records [Essays and Research Publications]FUKUSHIMA: Lives on the LineThe clinical status on admission was determined from the 14 statuses and syndromes, defined in Teruo Okuma’s book titled Modern Clinical Psychiatry7. 3. ResultsOf the 30 facilities that were mailed questionnaires, 26 responded. We summarize the statistics of 610 patients newly admitted. We excluded cases in which questionnaire information was missing, such as admission diagnoses, and transfer cases from damaged psychiatric and medical wards or facilities. The results of the survey statistics are provided below (results in percentage are rounded up to the nearest decimal point).1) Following are the survey results for 610 patients newly admitted after the disaster.The age distribution of newly admitted patients was as follows: 17 (2.8%) were aged 10–19, 67 (11.0%) were 20–29, 106 (17.4%) were 30–39, 84 (13.8%) were 40–49, 90 (14.8%) were 50–59, 110 (18.0%) were 60–69, 56 (9.2%) were 70–79, 67 (11.0%) were 80–89, and 13 (2.1%) were over 90 years. The gender breakdown was 299 males (49.0%) and 311 females (51.0%). The housing condition was as follows: 71 patients (11.6%) had damaged houses, 536 patients’ (87.9%) houses suffered no damages, and three (0.5%) were unknown. The living condition prior to admission was as follows: 488 patients (80.0%) lived in their own houses, 81 (13.3%) lived in evacuation centers, 39 (6.4%) lived in other places such as their relative’s houses, and two (0.3%) were unknown. Psychiatric diagnoses prior to the earthquake by ICD-10 classification were as follows: 80 (13.1%) were in F0 (organic including symptomatic and mental disorders), 33 (5.4%) in F1 (mental and behavioral disorders due to psychoactive substance use), 187 (30.7%) in F2 (schizophrenia and schizotypal and delusional disorders), 137 (22.5%) in F3 (mood [affective] disorders), 45 (7.4%) in F4 (neurotic, stress-related, and somatoform disorders), two (0.3%) in F5 (behavioral syndromes associated with physiological disturbances and physical factors), 11 (1.8%) in F6 (adult personality and behavioral disorders), 20 (3.3%) in F7 (mental retardation), nine (1.5%) in F8 (psychological development disorders), 12 (2.0%) in “others including epilepsy”, and 74 (12.1%) had no history of psychiatric diagnosis.Diagnoses on admission by ICD-10 classification were as follows: 114 (18.7 %) were in F0 (organic including symptomatic and mental disorders), 39 (6.4%) in F1 (mental and behavioral disorders due to psychoactive substance use), 202 (33.1%) in F2 (schizophrenia, schizotypal, and delusional disorders), 145 (23.8%) in F3 (mood [affective] disorders), 53 (8.7%) in F4 (neurotic, stress-related, and somatoform disorders), four (0.7%) in F5 (behavioral syndromes associated with physiological disturbances and physical factors), 15 (2.5%) in F6 (adult personality and behavioral disorders), 20 (3.3%) in F7 (mental retardation), nine (1.5%) in F8 (disorders of psychological development), and nine (1.5%) in others including epilepsy.The types of admission were as follows: 341 (56.0%) were voluntary, 253 (41.5%) for medical protection, four (0.7%) emergency, 10 (1.6%) involuntary, and two (0.3%) unknown. Figure 2 shows the period from the earthquake to the date of new patient admissions. The number of patients whose admissions Figure 1. Conditions of New Patients on AdmissionFigure 2. Period from the earthquake to the date of new patientFigure 3. Number of Patients Whose Admissions are Associated with Radiation ExposureOthersDementiaStuporousDeliriousCatatonicNervous breakdownDepressedManicConfusedHallucinating or DelusionsUnit : Person1461281344281371577139Number of patients admittedUnit : DayUnit : PersonUnknownNot associatedSomewhat associatedAssociatedUnit : Person74475457

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