FUKUSHIMA Lives on the Line

High-level Medical Emergency Support TeamSupport Team for the At-home Patients in the 20–30 km ZoneTargetEvacuation centers, etc. (the range of activity was expanded to include all of Fukushima Prefecture)Structure●Four support teams examined for high-risk cases of deep vein thrombosis, cardiovascular disease, mental health, and pediatrics and contagious disease.●The evacuation center’s health support team supported the work of community nurses in the evacuation centers.●The consultation team provided telephone consultations with specialists capable of responding to difficult cases of conditions such as brain disease, heart disease, respiratory disease, diabetes, and kidney disorders.●The expert advice team provided expert guidance from FMU about preventing contagious disease in the evacuation center, and about other topics.Activities●Local medical associations and the Japan Medical Association Team (JMAT) used health center information to provide care for high-risk conditions that could appear in long-term evacuation settings, refer patients to specialist hospitals, and assist in patient transfer. ●By the time the deep vein thrombosis medical team completed its activities on May 11, they had tested approximately 2,200 people, about 10% of whom showed blood clots.A medical team from the Kingdom of Jordan (two vascular surgeons and two nurse ultrasonographers) also joined from April 25.●Until they completed their activities on June 2, the pediatrics and contagious disease team had visited 31 evacuation centers across the prefecture, giving advice about managing infant health and other topics.Medical teams from the Kingdom of Thailand (two physicians and two nurses) also joined from May 9.●The cardiovascular disease team completed its activities on April 7.●The mental health team continued to operate through March 2012.TargetAt-home residentsStructureFukushima Medical University’s Department of Community and Family Medicine,Nagasaki University, the Nagasaki Medical Association, the Group of the Self-Defense Forces, nurses from Minami Soma Municipal Hospital, and othersActivitiesUntil the completion of activities at the end of June, approximately 150 patients in the refuge zone were visited and provided with medical care.50