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第4章患者救済に奔走した活動記録〈論文・研究発表〉FUKUSHIMA いのちの最前線513HASEGAWA A, et al.Table 1. Outstanding issue and solution for NPP accident1. Radiation Emergency Medicine for Plant workers◆Reconstruction of Radiation Emergency Medical network⇒Devastation of the local community medicine prevent the reconstruction of the Ra­diation Emergency Medical network◆Deficient of the information transport system about plant status⇒Web meeting, FAX, base on trust relationship with NPP company.2. Health care management for emergency responder◆Lack of the legal safeguard⇒Development of legal system both economically and medically◆Needs for long span follow up⇒Denying the chronic internal contamination using whole body counter3. Intervention for resident in Fukushima1)Emergency situation procedure◆No review for the thyroid protection yet◆When and how to take the stable iodine if disaster would relapse◆Lack of information transmission tool about nucleotide release, evacuation direction2)Decrease the chronic external exposure⇒Increase the dosimetory measurement points⇒Draw the local deposition map⇒Organize the way of decontamination in the soil3) Decrease the chronic internal exposure⇒Information provision about the food contamination to the community resident⇒Careful analysis and restriction for local food shipment (Example. Wild mushroom open-field vegetable)⇒Adjust the compartmentalized public administration (Example. Ministry of Health, Labor and Welfare: meat dosimetory. Ministry of Agriculture, Forestry and Fisheries : fodder risk management, meat shipment)⇒Decrease the anxiety about the low dose exposure and contamination4) Dose assessment and explanation⇒Unify the way of dose assessment and explanation⇒Prefectural People's Health Management Survey⇒External exposure; film badge for students⇒Internal dose management; how to apply the whole body counter5) Risk communication⇒Notably with public office workers, public health nurses and physicians⇒Public announcement with one voice as much as reasonably achievable⇒Awareness-raising to the specialist who does not know the impact of their comment to the resident⇒Put press reporting into resident's shoesRadiation Emergency Medical Service for NPP workers over the course of several decades. Secondly, we must continue to examine the total health for emergency responders in the long term. Third, we should continue dialogues with citizens about the risk they may and may not face. After all, we, too are citizens living in Fukushima. We wish to share the above with all the staff in Fukushima Medical University.References1. Report of Japanese Government to the IAEA Ministerial Conference on Nuclear Safety. Prime Minister of Japan and His Cabin. http://www. kantei.go.jp/foreign/kan/topics/201106/iaea_houkokusho_e. html. June 20112. Additional Report of the Japanese Government to the IAEA(Second Report)/METI Ministry of Economy, Trade and Industry. Nuclear Emer-gency Response Headquarters, Government of Ja-pan http://www.meti.go.jp/english/earthquake/nuclear/iaea/iaea_110911.html. September 20113. Newsmaker interview: SEIJI YASUMURA. Fuku-shima begins 30-year odyssey in radiation health. Science (2011)333:684-5

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