Features of causes of indirect certified disaster-related death in areas affected by the Fukushima Daiichi nuclear power plant accident: an observational study.

Autor:	Uchi Y; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan., Sawano T; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan toyoakisawano@gmail.com.; Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Japan.; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Japan., Kawashima M; Shirakawa Kosei General Hospital, Shirakawa, Japan., Nonaka S; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan.; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Japan.; Department of General Medicine, Taito Hospital, Japan Association for Development of Community Medicine, Tokyo, Japan., Yoshimura H; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan.; Hiroshima University, Higashihiroshima, Japan., Kitazawa K; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan., Sakakibara M; Reinstatement Support Center for Nurses, Fukushima, Japan., Sudo M; St Olive Nursing Home, Fukushima, Japan., Yagiuchi K; Nagomi Psychiatric Clinic, Fukushima, Japan., Otsuki M; Department of Nursing, Fukushima Medical University Hospital, Fukushima, Japan., Hori A; Department of Psychiatry, Hori Mental Clinic, Minamisoma, Japan., Ozaki A; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Japan.; Breast and Thyroid Center, Joban Hospital of Tokiwa Foundation, Iwaki, Japan., Yamamoto C; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan., Zhao T; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan., Oikawa T; Minamisoma Municipal General Hospital, Minamisoma, Japan., Niwa S; Department of Psychiatry, Fukushima Medical University Aizu Medical Center, Aizu, Japan., Tsubokura M; Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan.; Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Japan.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Nov 19; Vol. 14 (11), pp. e084009. Date of Electronic Publication: 2024 Nov 19.
DOI:	10.1136/bmjopen-2024-084009
Abstrakt:	Objectives: To investigate the details of disaster-related deaths due to the indirect health effects of the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident following the Great East-Japan Earthquake in 2011 and serve as a source of reference in the event of similar circumstances in the future. Design: A retrospective observational study. Setting: Minamisoma City, Fukushima Prefecture, Japan, which is located 13-38 km north of the FDNPP. Participants: 520 residents of Minamisoma City, Fukushima Prefecture, who were certified as having died from disaster-related causes between September 2011 and February 2021. Results: The most common cause of death was circulatory system diseases (27.7%), followed by respiratory system diseases (25.0%) and neoplasms (15.4%). The prevalence of circulatory and respiratory diseases is higher in older people, suggesting that they are more susceptible to indirect health effects due to the environmental changes related to evacuation. Malignant neoplasms accounted for the third and leading cause of death overall and for people in their 50s, respectively, implying the potential impact of evacuation on cancer diagnosis and treatment. Suicide is the leading cause of death among younger people and can occur even long after a disaster, which shows the psychological impact of environmental changes. Conclusion: To prevent indirect disaster-related deaths in the future, it is important to consider appropriate intervention methods by age group and period since disaster occurrence. It is especially important to improve the environment of evacuation shelters and establish a healthcare system for evacuees, create a system for cancer screening and treatment during evacuation and expand long-term suicide prevention measures. Competing Interests: Competing interests: AO received personal fees from Medical Network Systems, Kyowa Kirin Company and Taiho Pharmaceutical Company outside of the submitted work. Other authors declare that they have no competing interests. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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