FUKUSHIMA Lives on the Line

184Lessons from Fukushima: Psychiatric Care after Radiation ExposureFigure 4. Ratio of Patients whose Admission was Associated with the Fear of Radiation Exposure to All Patients Admitted by Each Area.(Number of patients in each area whose admission was associated with the fear of radiation exposure/the number of patients admitted in the area)were associated with radiation exposure was as follows: 74 (12.1%) had an association and 75 (12.3%) a possible association, which accounted for 24.4% of total admissions (Figure 3). Regarding admissions in each region, the ratio of patients in each region whose admissions were associated with radiation exposure was as follows: 5.8% in northern Fukushima (Kenpoku) including Fukushima City; 7.6% in central Fukushima (Kenchu) including Koriyama; 9.4% in southern Fukushima (Kennan); 27.3% in Soso including Futaba, where the Fukushima Daiichi and Daiini nuclear power plants are located; 23.3% in Iwaki; 4.8% in Minamiaizu, Aizu; and 0% from other prefectures (Figure 4).2) Of the patients who were admitted during the study period, following are the survey results of 74 patients whose admissions were associated with radiation exposure. The age distribution of the patients were as follows: six (8.1%) were aged 10–19, 12 (16.2%) aged 20–29, nine (12.2%) aged 30–39, 16 (21.6%) aged 40–49, 18 (24.3%) aged 50–59, six (8.1%) aged 60–69, four (5.4%) aged 70–79, two (2.7%) aged 80–89, and one (1.4%) aged over 90 years. The gender breakdown was 31 males (41.9%) and 43 females (58.1%).The housing condition was as follows: 16 patients (21.6%) had damaged houses and 58 patients’ (78.4%) houses suffered no damage. The living conditions prior to admission were as follows: 43 patients (58.1%) lived in their own houses, 25 (33.8%) in evacuation centers, and six (8.1%) in other places such as their relative’s houses. Psychiatric diagnoses prior to the earthquake by ICD-10 classification were as follows: six (8.1%) were in F0 (organic including symptomatic and mental disorders), one (1.4%) in F1 (mental and behavioral disorders due to psychoactive substance use), 32 (43.2%) in F2 (schizophrenia and schizotypal and delusional disorders), 16 (21.6%) in F3 (mood [affective] disorders), seven (9.5%) in F4 (neurotic, stress-related, and somatoform disorders), three (4.1%) in others, and nine Map of hospitals registered under the Association of Psychiatric Hospitals of Fukushima and the evacuation zonesKenpoku (Northern Fukushima) 5.8%Aizu/Minamiaizu 4.8%Others 0%Iwaki 23.3%Created by the Association of Psychiatric Hospitals, FukushimaKenchu (Central Fukushima)7.6%Kennan (Southern Fukushima)9.4%Soso 27.3%Fukushima Daiichi (No. 1) Nuclear Power PlantFukushima Daini (No. 2) Nuclear Power PlantEmergency evacuation preparation zoneEmergency evacuation preparation zone20-kilometerEvacuation ZonePlanned evacuation area