Open Access Open Access  Restricted Access Subscription or Fee Access

Japan DMAT operations in the Diamond Princess cruise ship: COVID-19 medical operation

Hisayoshi Kondo, MD, PhD, Yuichi Koido, MD, PhD, Yoshitaka Kohayagawa, MD, Hideaki Anan, MD, PhD

Abstract


Objective: The aim of this study was to identify positive effects from the Japan Disaster Medical Assistant Team (DMAT) medical operation in the Diamond Princess cruise ship (DP).

Methods: Japan DMAT dispatched and managed the medical operation for DP passengers and crew members. The records of communication logs for the DMAT were evaluated.

Results: Four hundred seventy two DMAT members responded. DMAT took 3 to 4 days to manage patients due to the lack of medical supplies in the early phase of the operation. Prescription distribution was delayed, including for passengers who would be in critical health conditions without them. DMAT conducted a strategic operation and developed categorization for medical care and patient transport. Eventually, DMAT constructed flow to provide rapid medical care and prescription distribution for passengers and crew members.

Conclusion: DMAT has been required to respond to unforeseen disasters in this framework since the Fukushima Nuclear Plant accident in 2011. All the past several types of disaster responses contributed to managing medical operations at the DP. These operations are thought to have reduced preventable deaths from COVID-19.


Keywords


COVID-19, disaster medicine, emergency responders, emergency medicine

Full Text:

PDF

References


Ministry of Health, Labor and Welfare: Trends in the number of new coronavirus infection cases and fever reports on cruise ships. Ministry of Health, Labor, and Welfare website. Available at https://www.mhlw.go.jp/content/10900000/000599265.pdf. Accessed April 5, 2020.

National Institute of Infectious Diseases: Field briefing: Diamond Princess COVID-19 Cases. National Institute of Infectious Diseases website. Available at https://www.niid.go.jp/niid/en/2019-ncov-e/9407-covid-dp-fe-01.html. Accessed April 5, 2020.

Ministry of Health, Labor and Welfare: A new type of coronavirus infection confirmed on a cruise ship calling at Yokohama Port. Ministry of Health, Labor, and Welfare website. Available at https://www.mhlw.go.jp/stf/houdou/houdou_list_202002.html. Accessed April 5, 2020.

Kuwagata Y, Oda J, Tanaka H, et al.: Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake. J Trauma. 1997; 43(3): 427-432.

Yamanouchi S, Sasaki H, Kondo H, et al.: Survey of preventable disaster deaths at medical institutions in areas affected by the Great East Japan earthquake: Retrospective Survey of Medical Institutions in Miyagi Prefecture. Prehosp Disaster Med. 2017; 32(5): 515-522.

Yamanouchi S, Sasaki H, Tsuruwa M, et al.: Survey of preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake: A retrospective preliminary investigation of medical institutions in Miyagi Prefecture. Prehosp Disaster Med. 2015; 30(2): 145-151.

Takeuchi I: COVID-19 first stage in Japan—How we treat “Diamond Princess Cruise Ship”’ with 3700 passengers? Acute Med Surg. 2020; 7(1): e506.

Kondo H, Koido Y, Morino K, et al.: Establishing disaster medical assistance teams in Japan. Prehosp Disaster Med. 2009; 24(6): 556-564.

Kondo H, Koido Y, Kawashima Y, et al.: Consideration of Medical and Public Health Coordination—Experience from the 2016 Kumamoto, Japan Earthquake. Prehosp Disaster Med. 2019; 34(2): 149-154.

Anan H, Kondo H, Akasaka O, et al.: Investigation of Japan Disaster Medical Assistance Team response guidelines assuming catastrophic damage from a Nankai Trough earthquake. Acute Med Surg. 2017; 4(3): 300-305.

Anan H, Akasaka O, Kondo H, et al.: Experience from the Great East Japan Earthquake response as the basis for revising the Japanese Disaster Medical Assistance Team (DMAT) training program. Disaster Med Public Health Prep. 2014; 8(6): 477-484.

Shimada J: Outcome of patients evacuated from hospitals after the Fukushima Daiichi nuclear power plant accident during the Great East Japan Earthquake. J Regional Emergency Disaster Med Res. 2016; 15: 13-16.

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(5): 391-393.

Epp DA, Tanno Y, Brown A, et al.: Pharmacists’ reactions to natural disasters: From Japan to Canada. Can Pharm J (Ott). 2016; 149(4): 204-215.




DOI: https://doi.org/10.5055/ajdm.2020.0369

Refbacks

  • There are currently no refbacks.