512crew in the disaster site. They were not only crisis responders but also disaster-associated victims as they began to suffer from post-disaster stress-induced psycho-somatic illness. They had not only exhausted themselves but also felt uncertain feelings about their own radiation consequences during the crisis. We, therefore, introduced them to the mental health care psychologist, and also set up a consultation clinic by ourselves for treating them. Simultaneously, we calculated the internal and external exposure dose by the data from whole-body counter and personal dosimeter in turn. Using the dose date evaluated, we were able to counsel them to relieve their mental stress over radiation related anxieties and their future. Two hundred and seventy-five persons were examined by the 11th of September as an acute internal exposure cohort. After 9.11, we are planning to examine them again to either deny or estimate the chronic internal exposure which may be from food consumption. Based on our own experience just after the accident, the established support system from the network related with radiation emergency medicine in Japan worked relatively effectively and efficiently. However, still the general citizens residing in the contaminated area of Fukushima have more unexplained fears about low dose radiation exposure, such as food contamination and 20 mSv topics. These fears may be exaggerated by misinformation; unreliable comments and rumors about radiation and its effects on human health. The lack of coordination of specialist's comments does nothing to help the situation. All this creates a new wrinkle in risk management: the management of information. We need to cooperate with domestic and international experts in one platform, and speak about the situation with one voice as much as reasonably possible. To begin with, we have had dialogues with public office workers and public health nurses who are also risk communicators with residents. Also, the Prefectural People's Health Management Survey is now beginning from this September, primarily to address health care needs not only for medical research. It will continue for at least 30 years [3]. The recent outstanding issues are listed up as Table 1. In summary, we very much regret our insufficient preparation. We at the disaster site capital hospital recognize our three main responsibilies. First, we have to provide the Figure 2. Current Radiation Emergency Medicine Network in Fukushima Prefecture.Off-site center manages the patient information and controls the transport. Patients with radia-tion contamination cannot be accepted in the Primary Radiation Emergency Hospital at this point. Emergency medical helicopter can approach to 20 km radius to contact the non-contami-nated patients at this point. Doctors can enter into the 20 km radius at their own risk. 1F; Fukushi-ma Daiichi Nuclear Power Plant, FMU; Fukushima Medical University Hospital, NIRS; National Institute of Radiological Sciences.Fukushima NPP Accident Medical Response at FMU