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The Immediate Physical and Mental Health Crisis in Residents Proximal to the Evacuation Zone After Japan's Nuclear Disaster: An Observational Pilot Study

Published online by Cambridge University Press:  13 February 2014

Masaharu Tsubokura ,
Kazuo Hara ,
Tomoko Matsumura ,
Amina Sugimoto ,
Shuhei Nomura ,
Masamitsu Hinata ,
Kenji Shibuya  and
Masahiro Kami
Masaharu Tsubokura*
Affiliation:
Division of Social Communication System for Advanced Clinical Research, the Institute of Medical Science, University of Tokyo, Tokyo, Japan
Kazuo Hara
Affiliation:
Department of Metabolic Disease, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Tomoko Matsumura
Affiliation:
Division of Social Communication System for Advanced Clinical Research, the Institute of Medical Science, University of Tokyo, Tokyo, Japan
Amina Sugimoto
Affiliation:
Global Health Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Shuhei Nomura
Affiliation:
Global Health Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Masamitsu Hinata
Affiliation:
Department of Psychiatry, Ichiyokai Hospital, Fukushima; Japan
Kenji Shibuya
Affiliation:
Global Health Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Masahiro Kami
Affiliation:
Division of Social Communication System for Advanced Clinical Research, the Institute of Medical Science, University of Tokyo, Tokyo, Japan
*
Correspondence and reprint requests to Masaharu Tsubokura, MD, Division of Social Communication System for Advanced Clinical Research, Institute of Medical Science, University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo 108-8639, Japan e-mail tsubokura-tky@umin.ac.jp.
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Abstract

Objective

The 2011 earthquake and Fukushima nuclear disaster in Japan have had devastating effects on residents near the damaged nuclear power plant, but quantifying its effect on their health has been difficult.

Methods

Among the 564 residents of Iitate Village and Soma City who enrolled in this study, we evaluated the changes of clinical parameters in 155 participants who underwent annual health evaluations in the previous year and after the earthquake. Psychological distress was also measured by using patient health questionnaire 9 (PHQ-9).

Results

Participants (median age, 64 years) showed significant post-disaster increases in body weight, body mass index, systolic and diastolic blood pressure, blood glucose levels, and triglyceride levels. PHQ-9 scores of 10 or greater were found in 12% of the subjects, indicating that a substantial number had major depression.

Conclusions

The findings in this study showed substantial deterioration in clinical parameters related to lifestyle diseases and the presence of general psychological distress among residents living near the damaged nuclear power plant after the Fukushima Daiichi disaster. In addition to controlling the levels of radiation exposure, aggressive management of immediate physical and mental health crisis for residents may be necessary in future nuclear accidents. (Disaster Med Public Health Preparedness. 2014;0:1–7)

Keywords

Fukushima Daiichi nuclear power plantchronic diseasedeterioration
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 8 , Issue 1 , February 2014 , pp. 30 - 36
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

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