Open Access Open Access  Restricted Access Subscription or Fee Access

Lessons learned from the total evacuation of a hospital after the 2016 Kumamoto Earthquake

Youichi Yanagawa, MD, PhD, Hisayoshi Kondo, MD, PhD, Takashi Okawa, MD, PhD, Fumio Ochi, MD, PhD

Abstract


Background: The 2016 Kumamoto Earthquakes were a series of earthquakes that included a foreshock earthquake (magnitude 6.2) on April 14 and a main shock (magnitude 7.0) on April 16, 2016. A number of hospitals in Kumamoto were severely damaged by the two major earthquakes and required total evacuation.

Methods: The authors retrospectively analyzed the activity data of the Disaster Medical Assistance Teams using the Emergency Medical Information System records to investigate the cases in which the total evacuation of a hospital was attempted following the 2016 Kumamoto Earthquake.

Results: Total evacuation was attempted at 17 hospitals. The evacuation of one of these hospitals was canceled. Most of the hospital buildings were more than 20 years old. The danger of collapse was the most frequent reason for evacuation. Various transportation methods were employed, some of which involved the Japan Ground Self-Defense Force; no preventable deaths occurred during transportation.

Conclusions: The hospitals must now be renovated to improve their earthquake resistance. The coordinated and combined use of military and civilian resources is beneficial and can significantly reduce human suffering in large-scale disasters.


Keywords


civilian-military cooperation, Kumamoto, earthquake

Full Text:

PDF

References


Yanagawa Y, Nakamori T, Ishikura K, et al.: Disaster drill for a huge Nankai Trough earthquake and the construction of a medical staging care unit on a navy destroyer in Japan. EMS World. Available at http://www.emsworld.com/article/11251609/japandisaster-drill-simulates-earthquake-medical-staging. Accessed November 27, 2013.

Fuse A, Yokota H: An analysis of Japan disaster medical assistance team (J-DMAT) deployments in comparison with those of J-DMAT's counterpart in the United States (US-DMAT). J Nippon Med Sch. 2010; 77: 318-324.

Kondo H, Koido Y, Morino K, et al.: Establishing disaster medical assistance teams in Japan. Prehosp Disaster Med. 2009; 24: 556-564.

Homma M: Development of the Japanese national disaster medical system and experiences during the Great East Japan Earthquake. Yonago Acta Med. 2015; 58: 53-61.

Kato A, Nakamura K, Hiyama Y: The 2016 Kumamoto earthquake sequence. Proc Jpn Acad Ser B Phys Biol Sci. 2016; 92: 358-371.

Tsuji T, Ishibashi J, Ishitsuka K, et al.: Horizontal sliding of kilometre-scale hot spring area during the 2016 Kumamoto Earthquake. Sci Rep. 2017; 7: 42947.

Petley D: Landslides from the Kumamoto earthquake in Japan. The Landslide blog. April 18, 2016. Available at http://blogs.agu.org/landslideblog/2016/04/18/kumamoto-earthquake-1/. Accessed March 1, 2017.

Nagata T, Himeno S, Himeno A, et al.: Successful hospital evacuation after the Kumamoto earthquakes, Japan, 2016. Disaster Med Public Health Prep. 2017; Feb 22: 1-5.

Yanagawa Y, Omori K, Obinata M, et al.: Shizuoka prefecture disaster drill involving the Japanese and US military. Disaster Med Public Health Prep. 2015; 9: 476-477.

Yanagawa Y, Miyawaki H, Shimada J, et al.: Medical evacuation of patients to other hospitals due to the Fukushima I nuclear accidents. Prehosp Disaster Med. 2011; 26: 391-393.

McCartney SF: Combined Support Force 536: Operation unified assistance. Mil Med. 2006; 171(Suppl 1): 24-26.




DOI: http://dx.doi.org/10.5055/jem.2017.0334

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Journal of Emergency Management