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Yamaoka-Tojo M, Tojo T. Prevention of Natural Disaster-Induced Cardiovascular Diseases. J Clin Med 2024; 13:1004. [PMID: 38398317 PMCID: PMC10889681 DOI: 10.3390/jcm13041004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Revised: 02/05/2024] [Accepted: 02/07/2024] [Indexed: 02/25/2024] Open
Abstract
Natural disasters, such as floods and landslides caused by heavy rainfall, earthquakes, and tsunamis, can induce stress, which may contribute to the onset and aggravation of various cardiovascular diseases. The circulatory system is most susceptible to the effects of stress, and stress-related cardiovascular diseases, such as Takotsubo cardiomyopathy, pulmonary thromboembolism, hypertension, stroke triggered by increased blood pressure, and acute myocardial infarction, can occur during natural disasters. The risk of developing angina pectoris, arrhythmia, sudden cardiac death, and heart failure increases rapidly and can persist for several months. Moreover, treating cardiovascular diseases is essential during the acute phase, and continuous disease management is necessary during the chronic phase. However, disaster medical care for the victims must be given priority during natural disasters, which may cause a delay in diagnosis or access to necessary treatment for pre-existing medical conditions that could worsen or may cause death in patients with cardiovascular diseases. In this review, we summarize the predisposing factors for cardiovascular diseases that have been obtained through disasters such as major earthquakes and provide potential insights to help medical staff prevent the onset and aggravation of cardiovascular diseases during disasters.
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Affiliation(s)
- Minako Yamaoka-Tojo
- Department of Rehabilitation, Kitasato University School of Allied Health Sciences, Sagamihara 252-0373, Japan
- Department of Cardiovascular Medicine, Kitasato University Graduate School of Medical Sciences, Sagamihara 252-0373, Japan
| | - Taiki Tojo
- Department of Cardiovascular Medicine, Kitasato University Graduate School of Medical Sciences, Sagamihara 252-0373, Japan
- Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara 252-0374, Japan
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Fujimaki T, Ohno Y, Tsutsui A, Inoue Y, Zha L, Fujii M, Tajima T, Hattori S, Sobue T. Major Causes of Death among Older Adults after the Great East Japan Earthquake: A Retrospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5058. [PMID: 36981965 PMCID: PMC10049726 DOI: 10.3390/ijerph20065058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 03/06/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
This retrospective study investigated the 3-year impact of the Great East Japan Earthquake (GEJE) of 2011 on deaths due to neoplasm, heart disease, stroke, pneumonia, and senility among older adults in the primarily affected prefectures compared with other prefectures, previous investigations having been more limited as regards mortality causes and geographic areas. Using death certificates issued between 2006 and 2015 (n = 7,383,253), mortality rates (MRs) and risk ratios (RRs) were calculated using a linear mixed model with the log-transformed MR as the response variable. The model included interactions between the area category and each year of death from 2010 to 2013. The RRs in the interaction significantly increased to 1.13, 1.17, and 1.28 for deaths due to stroke, pneumonia, and senility, respectively, in Miyagi Prefecture in 2011, but did not significantly increase for any of the other areas affected by the GEJE. Moreover, increased RRs were not reported for any of the other years. The risk of death increased in 2011; however, this was only significant for single-year impact. In 2013, decreased RRs of pneumonia in the Miyagi and Iwate prefectures and of senility in Fukushima Prefecture were observed. Overall, we did not find evidence of strong associations between the GEJE and mortality.
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Affiliation(s)
- Takako Fujimaki
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Yuko Ohno
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Anna Tsutsui
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
- Department of Medical Innovation, Osaka University Hospital, Osaka 565-0871, Japan
| | - Yuta Inoue
- Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
- Department of Medical Treatment Recover Care Nursing, Graduate School of Biomedical Sciences, Tokushima University, Tokushima 770-8503, Japan
| | - Ling Zha
- Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Makoto Fujii
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Tetsuya Tajima
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Satoshi Hattori
- Department of Integrated Medicine, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Tomotaka Sobue
- Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
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Endo K, Miki T, Itoh T, Kubo H, Ito R, Ohno K, Hotta H, Kato N, Matsumoto T, Kitamura A, Tamayama M, Wataya T, Yamaya A, Ishikawa R, Ooiwa H. Impact of the COVID-19 Pandemic on Glycemic Control and Blood Pressure Control in Patients with Diabetes in Japan. Intern Med 2022; 61:37-48. [PMID: 34980759 PMCID: PMC8810256 DOI: 10.2169/internalmedicine.8041-21] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Objective In this study, we investigated whether and how the COVID-19 pandemic affected glycemic control and blood pressure (BP) control in patients with diabetes mellitus (DM). Methods DM patients whose HbA1c level was measured regularly before and after the declaration of a state of emergency were included in this study. Some patients were given questionnaires about changes in their lifestyle to determine the factors affecting glycemic control and BP control. Results The median HbA1c level of the 804 patients increased significantly from 6.8% before the state of emergency to 7.1% and 7.0% during and after the state of emergency, respectively. This was in contrast to the decrease one year earlier due to seasonal variations. In the 176 patients who responded to the questionnaire, the HbA1c level also increased significantly during and after the state of emergency. The worsening of glycemic control was more pronounced in the group that had achieved HbA1c of <7% before the state of emergency than in those with higher values. Unlike the rise in HbA1c, the BP did not rise during the state of emergency but did rise significantly afterwards. There was no marked decrease in HbA1c or BP after the state of emergency, even in patients who responded that they were much more careful with their diet, ate less, or exercised more. Conclusions The COVID-19 pandemic worsened glycemic control and BP control, even in patients who perceived no marked change in their diet or exercise, suggesting that more active lifestyle guidance is necessary for good treatment of DM patients.
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Affiliation(s)
- Keisuke Endo
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | - Takayuki Miki
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | - Takahito Itoh
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | - Hirofumi Kubo
- Medical Record Administration Center, Oji General Hospital, Japan
| | - Ryosuke Ito
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | - Kouhei Ohno
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | - Hiroyuki Hotta
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | - Nobuo Kato
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
| | | | - Aya Kitamura
- Internal Medicine Outpatient Clinic, Oji General Hospital, Japan
| | - Mai Tamayama
- Internal Medicine Outpatient Clinic, Oji General Hospital, Japan
| | - Takako Wataya
- Internal Medicine Outpatient Clinic, Oji General Hospital, Japan
| | - Ayaka Yamaya
- Internal Medicine Outpatient Clinic, Oji General Hospital, Japan
| | - Rei Ishikawa
- Medical Record Administration Center, Oji General Hospital, Japan
| | - Hitoshi Ooiwa
- Department of Cardiology and Diabetes, Oji General Hospital, Japan
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Eguchi E, Ohira T, Nakano H, Hayashi F, Okazaki K, Harigane M, Funakubo N, Takahashi A, Takase K, Maeda M, Yasumura S, Yabe H, Kamiya K. Association between Laughter and Lifestyle Diseases after the Great East Japan Earthquake: The Fukushima Health Management Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312699. [PMID: 34886425 PMCID: PMC8657190 DOI: 10.3390/ijerph182312699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 11/24/2021] [Accepted: 11/28/2021] [Indexed: 11/16/2022]
Abstract
We investigated the association between the frequency of laughter and lifestyle diseases after the Great East Japan Earthquake. We included 41,432 participants aged 30-89 years in the Fukushima Health Management Survey in fiscal year 2012 and 2013. Gender-specific, age-adjusted and multivariable odds ratios of lifestyle diseases were calculated using logistic regressions stratified by evacuation status. Those who laugh every day had significantly lower multivariable odds ratios for hypertension (HT), diabetes mellitus (DM) and heart disease (HD) for men, and HT and dyslipidemia (DL) for women compared to those who do not, especially in male evacuees. The multivariable odds ratios (95% confidence intervals) of HT, DM and HD (non-evacuees vs. evacuees) for men were 1.00 (0.89-1.11) vs. 0.85 (0.74-0.96), 0.90 (0.77-1.05) vs. 0.77 (0.64-0.91) and 0.92 (0.76-1.11) vs. 0.79 (0.63-0.99), and HT and DL for women were 0.90 (0.81-1.00) vs. 0.88 (0.78-0.99) and 0.80 (0.70-0.92) vs. 0.72 (0.62-0.83), respectively. The daily frequency of laughter was associated with a lower prevalence of lifestyle disease, especially in evacuees.
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Affiliation(s)
- Eri Eguchi
- Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan; (T.O.); (H.N.); (F.H.); (N.F.)
- Correspondence: ; Tel.: +81-(24)-5471343
| | - Tetsuya Ohira
- Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan; (T.O.); (H.N.); (F.H.); (N.F.)
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
| | - Hironori Nakano
- Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan; (T.O.); (H.N.); (F.H.); (N.F.)
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
| | - Fumikazu Hayashi
- Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan; (T.O.); (H.N.); (F.H.); (N.F.)
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
| | - Kanako Okazaki
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Physical Therapy, Fukushima Medical University School of Health Sciences, Fukushima 960-8516, Japan
| | - Mayumi Harigane
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
| | - Narumi Funakubo
- Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan; (T.O.); (H.N.); (F.H.); (N.F.)
| | - Atsushi Takahashi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
| | - Kanae Takase
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Community Health and Public Health Nursing, Fukushima Medical University School of Nursing, Fukushima 960-1295, Japan
| | - Masaharu Maeda
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
| | - Seiji Yasumura
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
| | - Hirooki Yabe
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
| | - Kenji Kamiya
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan; (K.O.); (M.H.); (A.T.); (K.T.); (M.M.); (S.Y.); (H.Y.); (K.K.)
- Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima 734-8553, Japan
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Narita K, Hoshide S, Kario K. Time course of disaster-related cardiovascular disease and blood pressure elevation. Hypertens Res 2021; 44:1534-1539. [PMID: 34381195 DOI: 10.1038/s41440-021-00698-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/08/2021] [Accepted: 06/08/2021] [Indexed: 11/09/2022]
Affiliation(s)
- Keisuke Narita
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
| | - Satoshi Hoshide
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
| | - Kazuomi Kario
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
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Celik M, Yilmaz Y, Karagoz A, Kahyaoglu M, Cakmak EO, Kup A, Celik FB, Karaduman A, Kulahcioglu S, Izci S, Gecmen C, Caliskan M. Anxiety Disorder Associated with the COVID-19 Pandemic Causes Deterioration of Blood Pressure Control in Primary Hypertensive Patients. Medeni Med J 2021; 36:83-90. [PMID: 34239759 PMCID: PMC8226403 DOI: 10.5222/mmj.2021.08364] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 05/08/2021] [Indexed: 11/13/2022] Open
Abstract
Objective The new coronavirus disease (COVID-19) has spread rapidly all over the world and caused anxiety disorders. Recent studies have also shown that the prevalence of depression and anxiety increased during the COVID-19 outbreak. We aimed to evaluate the anxiety and depression levels during the pandemic and identify the effect of pandemic-related stress on blood pressure (BP) control in primary hypertensive patients. Method A total of 142 patients with primary hypertension (HT) who continued to use the same antihypertensive drugs before and during the pandemic were included in the study. Twenty-four -hour Ambulatory Blood Pressure Monitoring (ABPM) and the Hospital Anxiety and Depression Scale (HADS) questionnaire were applied to patients. We retrospectively reviewed 24-h ABPM records of the same patients for the year before the pandemic. Results Daytime, nighttime and 24 -hour-systolic blood pressure (SBP) levels as well as daytime, nighttime, and 24- hour-diastolic blood pressure (DBP) levels , were significantly elevated during the COVID-19 outbreak compared to the pre-pandemic period (p<0.001). Higher HADS-A scores (HADS-A ≥7) were significantly associated with much greater increase in BP compared to the patients with lower HADS-A scores. Conclusion Psychological stress due to the COVID-19 outbreak led to worsening of the regulation of BP in controlled hypertensive patients whose antihypertensive treatments did not change.
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Affiliation(s)
- Mehmet Celik
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Yusuf Yilmaz
- Istanbul Medeniyet University, Department of Cardiology, Istanbul, Turkey
| | - Ali Karagoz
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Muzaffer Kahyaoglu
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Ender Ozgun Cakmak
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Ayhan Kup
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Fatma Betül Celik
- Istanbul Medeniyet University, Department of Cardiology, Istanbul, Turkey
| | - Ahmet Karaduman
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Seyhmus Kulahcioglu
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Servet Izci
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Cetin Gecmen
- Kartal Kosuyolu Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
| | - Mustafa Caliskan
- Istanbul Medeniyet University, Department of Cardiology, Istanbul, Turkey
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Babaie J, Pashaei Asl Y, Naghipour B, Faridaalaee G. Cardiovascular Diseases in Natural Disasters; a Systematic Review. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE 2021; 9:e36. [PMID: 34027431 PMCID: PMC8126350 DOI: 10.22037/aaem.v9i1.1208] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Introduction: As a result of destruction and lack of access to vital infrastructures and mental stress, disasters intensify cardiovascular diseases (CVDs) and hence management of CVDs becomes more challenging. The aim of this study is investigating incidence and prevalence of CVDs, morbidity and mortality of CVDs, treatment and management of CVDs at the time of natural disasters. Methods: In the present systematic review, the articles published in English language until 28. 11. 2020, which studied CVDs in natural disasters were included. The inclusion criteria were CVDs such as myocardial infarction (MI), acute coronary syndrome (ACS), hypertension (HTN), pulmonary edema, and heart failure (HF) in natural disasters such as earthquake, flood, storm, hurricane, cyclone, typhoon, and tornado. Result: The search led to accessing 4426 non-duplicate records. Finally, the data of 104 articles were included in quality appraisal. We managed to find 4, 21 and 79 full text articles, which considered cardiovascular diseases at the time of flood, storm, and earthquake, respectively. Conclusion: Prevalence of CVD increases after disasters. Lack of access to medication or lack of medication adjustment, losing home blood pressure monitor as a result of destruction and physical and mental stress after disasters are of the most significant challenges of controlling and managing CVDs. By means of quick establishment of health clinics, quick access to appropriate diagnosis and treatment, providing and access to medication, self-management, and self-care incentives along with appropriate medication and non-medication measures to control stress, we can better manage and control cardiovascular diseases, particularly hypertension.
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Affiliation(s)
- Javad Babaie
- Department of Health Policy& Management, Tabriz University of Medical Sciences, Tabriz, Iran.,Tabriz Health Services Management Research Center,Tabriz University of Medical Sciences, Tabriz, Iran.,Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Yousef Pashaei Asl
- Department of Health Policy& Management, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Health Services Management, School of Health Management and information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Bahman Naghipour
- Department of Anaesthesiology and Intensive Care, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Gholamreza Faridaalaee
- Emergency Medicine Research Team, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Emergency Medicine, Maragheh University of Medical Sciences, Maragheh, Iran.,Disaster Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
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Fath AR, Aglan A, Platt J, Yaron JR, Varkoly KS, Beladi RN, Gorgas D, Jean JT, Dasni P, Eldaly AS, Juby M, Lucas AR. Chronological Impact of Earthquakes on Blood Pressure: A Literature Review and Retrospective Study of Hypertension in Haiti Before and After the 2010 Earthquake. Front Public Health 2021; 8:600157. [PMID: 33520917 PMCID: PMC7844318 DOI: 10.3389/fpubh.2020.600157] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 12/08/2020] [Indexed: 11/13/2022] Open
Abstract
Objective: We review prior studies on the incidence of hypertension (HTN) after earthquakes and present a retrospective analysis of HTN after the 2010 earthquake in Haiti. Methods: Prior reports on HTN incidence were reviewed and a retrospective chart review for diagnosis of HTN in 4,308 patient charts was performed over a 7 year period (five clinics). A retrospective cohort study (RCS) was then performed on 11 patients with linear follow-up. Results: The Literature review revealed a significant increase in acute and subacute HTN following earthquakes. However, the chronic effects of earthquakes varied. Our chart review uncovered no significant difference in diagnosed HTN in a Fort-Liberté clinic 128 kilometers (km) distant and 4 weeks post-event. A secondary linear RCS for 11 individuals, prior to and after the earthquake, also did not detect a significant change in HTN prevalence. Conclusion: Prior studies demonstrate acute and subacute, increases in HTN after earthquakes, but late changes have varied. Retrospective studies in the Fort-Liberté clinic, 128 km distant and 4 weeks post-event, revealed no significant change in HTN, confirming prior findings that changes in HTN after earthquakes are early and local events. Further work examining HTN after earthquakes is needed to improve early health care after natural disasters.
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Affiliation(s)
- Ayman R Fath
- Internal Medicine Department, Creighton University, Phoenix, AZ, United States
| | - Amro Aglan
- Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States
| | - Jeri Platt
- Glen Echo Presbyterian Church, Columbus, OH, United States
| | - Jordan R Yaron
- Center for Personalized Diagnostics, Biodesign Institute, Arizona State University, Tempe, AZ, United States
| | - Kyle S Varkoly
- Kansas City University, Joplin, Kansas City, MO, United States
| | - Roxana N Beladi
- Kansas City University, Joplin, Kansas City, MO, United States
| | - Diane Gorgas
- Department of Emergency Medicine and Office of Global Health, Ohio State University's Wexner Medical Center, Columbus, OH, United States
| | - Jean Tom Jean
- Jerusalem Baptist Church, Fort-Liberté, Haiti.,Santiago Medical School, Santiago, Dominican Republic
| | | | - Abdullah S Eldaly
- Plastic and Reconstructive Surgery Department, Tanta University Hospitals, Tanta, Egypt
| | - Michael Juby
- Midwestern University Medical School, Phoenix, AZ, United States
| | - Alexandra R Lucas
- Center for Personalized Diagnostics, Biodesign Institute, Arizona State University, Tempe, AZ, United States.,Internal Medicine Department, Creighton University Arizona Health Education Alliance, Phoenix, AZ, United States
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9
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Zacher M, Raker EJ, Arcaya MC, Lowe SR, Rhodes J, Waters MC. Physical Health Symptoms and Hurricane Katrina: Individual Trajectories of Development and Recovery More Than a Decade After the Storm. Am J Public Health 2020; 111:127-135. [PMID: 33211584 DOI: 10.2105/ajph.2020.305955] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives. To examine how physical health symptoms developed and resolved in response to Hurricane Katrina.Methods. We used data from a 2003 to 2018 study of young, low-income mothers who were living in New Orleans, Louisiana, when Hurricane Katrina struck in 2005 (n = 276). We fit logistic regressions to model the odds of first reporting or "developing" headaches or migraines, back problems, and digestive problems, and of experiencing remission or "recovery" from previously reported symptoms, across surveys.Results. The prevalence of each symptom increased after Hurricane Katrina, but the odds of developing symptoms shortly before versus after the storm were comparable. The number of traumatic experiences endured during Hurricane Katrina increased the odds of developing back and digestive problems just after the hurricane. Headaches or migraines and back problems that developed shortly after Hurricane Katrina were more likely to resolve than those that developed just before the storm.Conclusions. While traumatic experiences endured in disasters such as Hurricane Katrina appear to prompt the development of new physical symptoms, disaster-induced symptoms may be less likely to persist or become chronic than those emerging for other reasons.
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Affiliation(s)
- Meghan Zacher
- Meghan Zacher is with the Population Studies and Training Center and the Data Science Initiative, Brown University, Providence, RI. Ethan J. Raker and Mary C. Waters are with the Department of Sociology, Harvard University, Cambridge, MA. Mariana C. Arcaya is with the Department of Urban Studies, Massachusetts Institute of Technology, Cambridge. Sarah R. Lowe is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Jean Rhodes is with the Department of Psychology, University of Massachusetts, Boston
| | - Ethan J Raker
- Meghan Zacher is with the Population Studies and Training Center and the Data Science Initiative, Brown University, Providence, RI. Ethan J. Raker and Mary C. Waters are with the Department of Sociology, Harvard University, Cambridge, MA. Mariana C. Arcaya is with the Department of Urban Studies, Massachusetts Institute of Technology, Cambridge. Sarah R. Lowe is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Jean Rhodes is with the Department of Psychology, University of Massachusetts, Boston
| | - Mariana C Arcaya
- Meghan Zacher is with the Population Studies and Training Center and the Data Science Initiative, Brown University, Providence, RI. Ethan J. Raker and Mary C. Waters are with the Department of Sociology, Harvard University, Cambridge, MA. Mariana C. Arcaya is with the Department of Urban Studies, Massachusetts Institute of Technology, Cambridge. Sarah R. Lowe is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Jean Rhodes is with the Department of Psychology, University of Massachusetts, Boston
| | - Sarah R Lowe
- Meghan Zacher is with the Population Studies and Training Center and the Data Science Initiative, Brown University, Providence, RI. Ethan J. Raker and Mary C. Waters are with the Department of Sociology, Harvard University, Cambridge, MA. Mariana C. Arcaya is with the Department of Urban Studies, Massachusetts Institute of Technology, Cambridge. Sarah R. Lowe is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Jean Rhodes is with the Department of Psychology, University of Massachusetts, Boston
| | - Jean Rhodes
- Meghan Zacher is with the Population Studies and Training Center and the Data Science Initiative, Brown University, Providence, RI. Ethan J. Raker and Mary C. Waters are with the Department of Sociology, Harvard University, Cambridge, MA. Mariana C. Arcaya is with the Department of Urban Studies, Massachusetts Institute of Technology, Cambridge. Sarah R. Lowe is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Jean Rhodes is with the Department of Psychology, University of Massachusetts, Boston
| | - Mary C Waters
- Meghan Zacher is with the Population Studies and Training Center and the Data Science Initiative, Brown University, Providence, RI. Ethan J. Raker and Mary C. Waters are with the Department of Sociology, Harvard University, Cambridge, MA. Mariana C. Arcaya is with the Department of Urban Studies, Massachusetts Institute of Technology, Cambridge. Sarah R. Lowe is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Jean Rhodes is with the Department of Psychology, University of Massachusetts, Boston
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10
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Takiguchi M, Ohira T, Nakano H, Yumiya Y, Yamaki T, Yoshihisa A, Nakazato K, Suzuki H, Ishikawa T, Yasumura S, Kamiya K, Takeishi Y. Trends in the Incidence of Sudden Deaths and Heart Diseases in Fukushima After the Great East Japan Earthquake. Int Heart J 2019; 60:1253-1258. [PMID: 31666454 DOI: 10.1536/ihj.19-110] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
On March 11, 2011, a great earthquake, known as the Great East Japan Earthquake, hit northeastern Japan, resulting in a tsunami that caused a nuclear disaster, the Fukushima Daiichi Nuclear Power Plant accident, forcing about 160,000 people to evacuate. We, therefore, sought to examine the effects of this evacuation on the onset of cardiovascular diseases and sudden death (SD) in Fukushima Prefecture, three years after the earthquake. We divided the evacuation zone into two areas, whole evacuation zone (Area 1) and partial evacuation zone (Area 2), and we defined the north district of the prefecture as the control area (Area 3). We cross-referenced the death certificate data with data from the Fukushima Prefecture acute myocardial infarction registration survey. For each area, we tallied the number of people who fell into the SD, myocardial infarction (MI), and MI suspected groups. We calculated the age-adjusted incidence rates and analyzed the differences in the adjusted incidence rates across three years using a Poisson regression model. The age-adjusted death rate of the SD group was significantly higher in 2011 in all areas than in 2012 or 2013 (P < 0.05). The total death rate was higher in Area 1 in March 2011, just after the disaster, than in the other two areas. The rate of SD was also higher in Area 1 than in the other areas in March 2011. The incidence of sudden cardiac death might have increased just after the Great East Japan Earthquake in the evacuation area, but not in other areas in Fukushima Prefecture.
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Affiliation(s)
- Mai Takiguchi
- Department of Cardiovascular Medicine, Fukushima Medical University School of Medicine
| | - Tetsuya Ohira
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.,Department of Epidemiology, Fukushima Medical University School of Medicine
| | - Hironori Nakano
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.,Department of Epidemiology, Fukushima Medical University School of Medicine
| | - Yui Yumiya
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.,Department of Epidemiology, Fukushima Medical University School of Medicine
| | - Takayoshi Yamaki
- Department of Cardiovascular Medicine, Fukushima Medical University School of Medicine
| | - Akiomi Yoshihisa
- Department of Cardiovascular Medicine, Fukushima Medical University School of Medicine
| | - Kazuhiko Nakazato
- Department of Cardiovascular Medicine, Fukushima Medical University School of Medicine
| | - Hitoshi Suzuki
- Department of Cardiovascular Medicine, Fukushima Medical University School of Medicine
| | - Tetsuo Ishikawa
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.,Department of Radiation Physics and Chemistry, Fukushima Medical University School of Medicine
| | - Seiji Yasumura
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.,Department of Public Health, Fukushima Medical University School of Medicine
| | - Kenji Kamiya
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University.,Research Institute for Radiation Biology and Medicine, Hiroshima University
| | - Yasuchika Takeishi
- Department of Cardiovascular Medicine, Fukushima Medical University School of Medicine
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11
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Satoh J, Yokono K, Ando R, Asakura T, Hanzawa K, Ishigaki Y, Kadowaki T, Kasuga M, Katagiri H, Kato Y, Kurosawa K, Miura M, Nakamura J, Nishitsuka K, Ogawa S, Okamoto T, Sakuma S, Sakurai S, Satoh H, Shimauchi H, Shimokawa H, Shoji W, Sugiyama T, Suwabe A, Tachi M, Takahashi K, Takahashi S, Terayama Y, Tomita H, Tsuchiya Y, Waki H, Watanabe T, Yahata K, Yamashita H. Diabetes Care Providers' Manual for Disaster Diabetes Care. J Diabetes Investig 2019; 10:1118-1142. [PMID: 31197978 PMCID: PMC6626940 DOI: 10.1111/jdi.13053] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Accepted: 04/01/2019] [Indexed: 11/26/2022] Open
Abstract
To ensure that experiences and lessons learned from the unprecedented 2011 Great East Japan Earthquake are used to improve future disaster planning, the Japan Diabetes Society (JDS) launched the "Research and Survey Committee for Establishing Disaster Diabetes Care Systems Based on Relevant Findings from the Great East Japan Earthquake" under the supervision of the Chairman of the JDS. The Committee conducted a questionnaire survey among patients with diabetes, physicians, disaster medical assistance teams (DMATs), nurses, pharmacists, and nutritionists in disaster areas about the events they saw happening, the situations they found difficult to handle, and the needs that they felt required to be met during the 2011 Great East Japan Earthquake. A total of 3,481 completed questionnaires were received. Based on these and other experiences and lessons reported following the 2011 Great East Japan Earthquake and the 2004 Niigata-Chuetsu Earthquakes, the current "Manual for Disaster Diabetes Care" has been developed by the members of the Committee and other invited authors from relevant specialties. To our knowledge, the current Manual is the world's first to focus on emergency diabetes care, with this digest English version translated from the Japanese original. It is sincerely hoped that patients with diabetes and healthcare providers around the world will find this manual helpful in promoting disaster preparedness and implementing disaster relief.
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Affiliation(s)
- Jo Satoh
- Tohoku Medical and Pharmaceutical University Wakabayashi HospitalSendai
| | | | - Rie Ando
- Kanagawa University of Human ServicesYokosuka
| | - Toshinari Asakura
- Faculty of Pharmaceutical SciencesNiigata University of Pharmacy and Applied Life SciencesNiigata
| | - Kazuhiko Hanzawa
- Advanced Treatment and Prevention for Vascular Disease and EmbolismNiigata University Graduate School of Medicine and Dental SciencesNiigata
| | - Yasushi Ishigaki
- Division of Diabetes, Metabolism and EndocrinologyDepartment of Internal MedicineIwate Medical UniversityMorioka
| | - Takashi Kadowaki
- Department of Prevention of Diabetes and Lifestyle‐Related DiseasesGraduate School of MedicineThe University of TokyoTokyo
- Department of Metabolism and NutritionMizonokuchi HospitalFaculty of MedicineTeikyo UniversityTokyo
| | - Masato Kasuga
- The Institute for Adult DiseasesAsahi Life FoundationTokyo
| | - Hideki Katagiri
- Department of Metabolism and DiabetesTohoku University Graduate School of MedicineSendai
| | | | | | - Masanobu Miura
- Department of Cardiovascular MedicineGraduate School of MedicineTohoku UniversitySendai
| | - Jiro Nakamura
- Division of DiabetesDepartment of Internal MedicineSchool of MedicineAichi Medical UniversityNagakute
| | - Koichi Nishitsuka
- Department of OphthalmologyFaculty of MedicineYamagata UniversityYamagata
| | - Susumu Ogawa
- Division of Nephrology, Endocrinology and Vascular MedicineTohoku University Hospital
| | | | | | - Shigeru Sakurai
- Division of Infection ControlDepartment of Medical SafetyIwate Medical University HospitalMorioka
| | - Hiroaki Satoh
- Department of Metabolism and EndocrinologyJuntendo UniversityTokyo
| | | | - Hiroaki Shimokawa
- Department of Cardiovascular MedicineGraduate School of MedicineTohoku UniversitySendai
| | - Wataru Shoji
- Department of Preventive PsychiatryGraduate School of MedicineTohoku UniversitySendai
| | - Takashi Sugiyama
- Department of Obstetrics and GynecologyEhime University Graduate School of MedicineToon
| | - Akira Suwabe
- Department of Laboratory MedicineIwate Medical University School of MedicineMorioka
| | | | | | | | - Yasuo Terayama
- Division of Neurology and GerontologyDepartment of Internal MedicineSchool of MedicineIwate Medical University Morioka
| | | | | | - Hironori Waki
- Department of Diabetes and Metabolic DiseasesGraduate School of MedicineThe University of TokyoTokyo
| | - Tsuyoshi Watanabe
- Japan Organization of Occupational Health and SafetyFukushima Rosai HospitalIwaki
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12
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Abstract
To ensure that experiences and lessons learned from the unprecedented 2011 Great East Japan Earthquake are used to improve future disaster planning, the Japan Diabetes Society (JDS) launched the "Research and Survey Committee for Establishing Disaster Diabetes Care Systems Based on Relevant Findings from the Great East Japan Earthquake" under the supervision of the Chairman of the JDS. The Committee conducted a questionnaire survey among patients with diabetes, physicians, disaster medical assistance teams (DMATs), nurses, pharmacists, and nutritionists in disaster areas about the events they saw happening, the situations they found difficult to handle, and the needs that they felt required to be met during the 2011 Great East Japan Earthquake. A total of 3,481 completed questionnaires were received. Based on these and other experiences and lessons reported following the 2011 Great East Japan Earthquake and the 2004 Niigata-Chuetsu Earthquakes, the current "Manual for Disaster Diabetes Care" has been developed by the members of the Committee and other invited authors from relevant specialties. To our knowledge, the current Manual is the world's first to focus on emergency diabetes care, with this digest English version translated from the Japanese original. It is sincerely hoped that patients with diabetes and healthcare providers around the world will find this manual helpful in promoting disaster preparedness and implementing disaster relief.
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13
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Ripoll Gallardo A, Pacelli B, Alesina M, Serrone D, Iacutone G, Faggiano F, Della Corte F, Allara E. Medium- and long-term health effects of earthquakes in high-income countries: a systematic review and meta-analysis. Int J Epidemiol 2019; 47:1317-1332. [PMID: 30053061 DOI: 10.1093/ije/dyy130] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2018] [Indexed: 11/14/2022] Open
Abstract
Background Accurate monitoring of population health is essential to ensure proper recovery after earthquakes. We aimed to summarize the findings and features of post-earthquake epidemiological studies conducted in high-income countries and to prompt the development of future surveillance plans. Methods Medline, Scopus and six sources of grey literature were systematically searched. Inclusion criteria were: observational study conducted in high-income countries with at least one comparison group of unexposed participants, and measurement of health outcomes at least 1 month after the earthquake. Results A total of 52 articles were included, assessing the effects of 13 earthquakes that occurred in eight countries. Most studies: had a time-series (33%) or cross-sectional (29%) design; included temporal comparison groups (63%); used routine data (58%); and focused on patient subgroups rather than the whole population (65%). Individuals exposed to earthquakes had: 2% higher all-cause mortality rates [95% confidence interval (CI), 1% to 3%]; 36% (95% CI, 19% to 57%) and 37% (95% CI, 29% to 46%) greater mortality rates from myocardial infarction and stroke, respectively; and 0.16 higher mean percent points of glycated haemoglobin (95% CI, 0.07% to 0.25% points). There was no evidence of earthquake effects for blood pressure, body mass index or lipid biomarkers. Conclusions A more regular and coordinated use of large and routinely collected datasets would benefit post-earthquake epidemiological surveillance. Whenever possible, a cohort design with geographical and temporal comparison groups should be used, and both communicable and non-communicable diseases should be assessed. Post-earthquake epidemiological surveillance should also capture the impact of seismic events on the access to and use of health care services.
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Affiliation(s)
- Alba Ripoll Gallardo
- Research Centre in Emergency and Disaster Medicine (CRIMEDIM), Università del Piemonte Orientale, Novara, Italy
| | - Barbara Pacelli
- Italian Association of Epidemiology.,Regional Health and Social Care Agency of Emilia-Romagna, Bologna, Italy
| | - Marta Alesina
- Department of Public Health and Paediatrics, University of Turin, Turin, Italy
| | - Dario Serrone
- Department of Biotechnological and Applied Clinical Sciences (DISCAB), Università degli Studi dell'Aquila, L'Aquila, Italy
| | - Giovanni Iacutone
- Department of Life, Health and Enviromental Sciences, Università degli Studi dell'Aquila, L'Aquila, Italy
| | - Fabrizio Faggiano
- Italian Association of Epidemiology.,Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy
| | - Francesco Della Corte
- Research Centre in Emergency and Disaster Medicine (CRIMEDIM), Università del Piemonte Orientale, Novara, Italy
| | - Elias Allara
- Italian Association of Epidemiology.,Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.,Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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14
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Bazoukis G, Tse G, Naka KK, Kalfakakou V, Vlachos K, Saplaouras A, Letsas KP, Korantzopoulos P, Thomopoulos C, Michelongona P, Bazoukis X, González-Salvado V, Liu T, Michalis LK, Baranchuk A, Itoh T, Efremidis M, Tsioufis C, Stavrakis S. Impact of major earthquakes on the incidence of acute coronary syndromes - A systematic review of the literature. Hellenic J Cardiol 2018; 59:262-267. [PMID: 29807192 DOI: 10.1016/j.hjc.2018.05.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 05/11/2018] [Accepted: 05/18/2018] [Indexed: 01/13/2023] Open
Abstract
Natural disasters such as tsunami, hurricanes, and earthquakes may have a negative impact on cardiac health. The aim of our systematic review is to evaluate the impact of earthquakes on the incidence of acute coronary syndromes and cardiac mortality and to examine the impact of the time of earthquakes on the incidence of acute coronary syndromes. MEDLINE and Cochrane databases were searched for studies assessing the impact of earthquakes on acute coronary syndromes from inception until December 20, 2017. Reference lists of all included studies and relevant review studies were also searched. A total of 26 studies on 12 earthquake disasters were included in the systematic review. The existing data show a significant negative impact of the Great East Japan, Christchurch, Niigata-Chuetsu, Northridge, Great Hanshin-Awaji, Sichuan, Athens, Armenia, and Noto Peninsula earthquakes on the incidence of acute coronary syndromes. By contrast, studies on the Newcastle, Loma Prieta, and Thessaloniki earthquakes did not show a significant correlation with myocardial infarction and cardiac mortality. In conclusion, earthquakes may be associated with increased incidence of acute coronary syndromes and cardiovascular mortality. There are conflicting data about the impact of the timing of earthquakes on the occurrence of acute coronary syndromes. Preventive measures to promote the adjustment of healthcare systems to treat cardiovascular diseases after natural disasters should be immediately implemented particularly in high-risk regions.
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Affiliation(s)
- George Bazoukis
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece.
| | - Gary Tse
- Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China; Li Ka Shing Institute of Health Sciences, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China.
| | - Katerina K Naka
- Second Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece
| | - Vasiliki Kalfakakou
- Laboratory of Physiology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Konstantinos Vlachos
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Athanasios Saplaouras
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Konstantinos P Letsas
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | | | | | | | - Xenophon Bazoukis
- Department of Cardiology, 'G. Hatzikosta' General Hospital, Ioannina, Greece
| | - Violeta González-Salvado
- Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain
| | - Tong Liu
- Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, People's Republic of China
| | - Lampros K Michalis
- Second Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece
| | - Adrian Baranchuk
- Division of Cardiology, Electrophysiology and Pacing, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada.
| | - Tomonori Itoh
- Department of Internal Medicine, Iwate Medical University, Uchimaru, Morioka, 020-8505, Japan
| | - Michael Efremidis
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Costas Tsioufis
- First Cardiology Clinic, Hippokration Hospital, University of Athens, 114 Vas.Sofias Ave., 11527, Athens, Greece
| | - Stavros Stavrakis
- University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
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15
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The Great Recession worsened blood pressure and blood glucose levels in American adults. Proc Natl Acad Sci U S A 2018. [PMID: 29531048 DOI: 10.1073/pnas.1710502115] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Longitudinal, individual-specific data from the Multi-Ethnic Study of Atherosclerosis (MESA) provide support for the hypothesis that the 2008 to 2010 Great Recession (GR) negatively impacted the health of US adults. Results further advance understanding of the relationship by (i) illuminating hypothesized greater negative impacts in population subgroups exposed to more severe impacts of the GR and (ii) explicitly controlling for confounding by individual differences in age-related changes in health over time. Analyses overcome limitations of prior work by (i) employing individual-level data that avoid concerns about ecological fallacy associated with prior reliance on group-level data, (ii) using four waves of data before the GR to estimate and control for underlying individual-level age-related trends, (iii) focusing on objective, temporally appropriate health outcomes rather than mortality, and (iv) leveraging a diverse cohort to investigate subgroup differences in the GR's impact. Innovative individual fixed-effects modeling controlling for individual-level age-related trajectories yielded substantively important insights: (i) significant elevations post-GR for blood pressure and fasting glucose, especially among those on medication pre-GR, and (ii) reductions in prevalence and intensity of medication use post-GR. Important differences in the effects of the GR are seen across subgroups, with larger effects among younger adults (who are likely still in the labor force) and older homeowners (whose declining home wealth likely reduced financial security, with less scope for recouping losses during their lifetime); least affected were older adults without a college degree (whose greater reliance on Medicare and Social Security likely provided more protection from the recession).
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16
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Suneja A, Gakh M, Rutkow L. Burden and Management of Noncommunicable Diseases After Earthquakes and Tsunamis. Health Secur 2018; 16:30-47. [PMID: 29355393 DOI: 10.1089/hs.2017.0059] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This integrative review examines extant literature assessing the burden and management of noncommunicable diseases 6 months or more after earthquakes and tsunamis. We conducted an integrative review to identify and characterize the strength of published studies about noncommunicable disease-specific outcomes and interventions at least 6 months after an earthquake and/or tsunami. We included disasters that occurred from 2004 to 2016. We focused primarily on the World Health Organization noncommunicable disease designations to define chronic disease, but we also included chronic renal disease, risk factors for noncommunicable diseases, and other chronic diseases or symptoms. After removing duplicates, our search yielded 6,188 articles. Twenty-five articles met our inclusion criteria, some discussing multiple noncommunicable diseases. Results demonstrate that existing medical conditions may worsen and subsequently improve, new diseases may develop, and risk factors, such as weight and cholesterol levels, may increase for several years after an earthquake and/or tsunami. We make 3 recommendations for practitioners and researchers: (1) plan for noncommunicable disease management further into the recovery period of disaster; (2) increase research on the burden of noncommunicable diseases, the treatment modalities employed, resulting population-level outcomes in the postdisaster setting, and existing models to improve stakeholder coordination and action regarding noncommunicable diseases after disasters; and (3) coordinate with preexisting provision networks, especially primary care.
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17
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Zhang W, Ohira T, Yasumura S, Maeda M, Otsuru A, Harigane M, Horikoshi N, Suzuki Y, Yabe H, Nagai M, Nakano H, Hirosaki M, Uemura M, Takahashi H, Kamiya K, Yamashita S, Abe M. Effects of socioeconomic factors on cardiovascular-related symptoms among residents in Fukushima after the Great East Japan Earthquake: a cross-sectional study using data from the Fukushima Health Management Survey. BMJ Open 2017; 7:e014077. [PMID: 28645951 PMCID: PMC5541377 DOI: 10.1136/bmjopen-2016-014077] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To investigate the association between socioeconomic factors and the exacerbation of cardiovascular symptoms among evacuees after the Great East Japan Earthquake. METHODS A sample of 73 433 individuals was included in the Fukushima Health Management Survey. Self-report questionnaires were used to determine the influence of socioeconomic factors including living arrangements, loss of employment and decreased income on the exacerbation of headache, dizziness, palpitations and shortness of breath. Odds ratios (ORs) and 95% CIs of the effect of socioeconomic factors were estimated for each symptom using multiple logistic regression analyses. RESULTS Exacerbation of headaches was reported by 1893 individuals, dizziness by 1229, palpitations by 1085 and shortness of breath by 626 individuals. Evacuation accommodation was associated with all of these symptoms. Compared with participants living in their own home (OR=1.00), individuals living in relatives' homes had increased probability of experiencing exacerbation of headache (1.58; 95% CI 1.19 to 2.09) and dizziness (1.42; 95% CI 1.02 to 1.98); those living in rental housing or apartments experienced exacerbation of headache (1.54; 95% CI 1.32 to 1.80), dizziness (1.45; 95% CI 1.20 to 1.75), palpitations (1.25; 95% CI 1.03 to 1.51) and shortness of breath (1.76; 95% CI 1.35 to 2.28); participants living in evacuation shelters experienced exacerbation of headache (1.80; 95% CI 1.09 to 2.96); and refugees living in temporary housing also experienced exacerbation of headache (1.42; 95% CI 1.15 to 1.72), dizziness (1.40; 95% CI 1.09 to 1.79) and shortness of breath (1.49; 95% CI 1.07 to 2.08). Compared with the evacuees who retained their jobs, unemployed individuals showed increased probability of exacerbation of headache (1.28, 95% CI 1.12 to 1.46), dizziness (1.26, 95% CI 1.07 to 1.48) and palpitations (1.21, 95% CI 1.01 to 1.45). Decreased income was associated with exacerbation of headache (1.39, 95% CI 1.22 to 1.60). CONCLUSION After the earthquake, living in non-home conditions was more likely to result in exacerbated cardiovascular symptoms among evacuees. Loss of employment was another risk factor related to exacerbated headache and dizziness.
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Affiliation(s)
- Wen Zhang
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Tetsuya Ohira
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Seiji Yasumura
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Masaharu Maeda
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Disaster Psychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Akira Otsuru
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Radiation Health Management, Fukushima Medical University, Fukushima, Japan
| | - Mayumi Harigane
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
| | - Naoko Horikoshi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
| | - Yuriko Suzuki
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Hirooki Yabe
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Neuropsychiatry, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Masato Nagai
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Hironori Nakano
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Mayumi Hirosaki
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Mayu Uemura
- Department of Epidemiology, School of Medicine, Fukushima Medical University, Fukushima, Japan
| | - Hideto Takahashi
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
| | - Kenji Kamiya
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Department of Experimental Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan
| | - Shunichi Yamashita
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
- Japan and Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan
| | - Masafumi Abe
- Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima, Japan
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18
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19
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Li N, Wang Y, Yu L, Song M, Wang L, Ji C, Wang X, Wu S. Long-term effects of earthquake experience of young persons on cardiovascular disease risk factors. Arch Med Sci 2017; 13:75-81. [PMID: 28144258 PMCID: PMC5206373 DOI: 10.5114/aoms.2017.64716] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Accepted: 02/14/2015] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION The aim of the study was to study the long-term effect on cardiovascular disease risk factors of stress from direct experience of an earthquake as a young person. MATERIAL AND METHODS We selected workers born between July 1, 1958 and July 1, 1976 who were examined at Kailuan General Hospital between May and October of 2013. Data on cardiovascular events were taken during the workers' annual health examination conducted between 2006 and 2007. All subjects were divided into three groups according to their experience of the Tangshan earthquake of July 28, 1976, as follows: control group; exposed group 1 and exposed group 2. We compared cardiovascular disease risk factors between the three groups as well as by gender and age. RESULTS One thousand one hundred and ninety-six workers were included in the final statistical analysis. Among all subjects, resting heart rate (p = 0.003), total cholesterol (p < 0.001), and fasting blood glucose (p < 0.001) were significantly higher among those who experienced the earthquake compared with unexposed controls, but were unrelated to loss of relatives. No significant difference in triglyceride levels was observed between the three groups (p = 0.900). Further refinement showed that the effects were restricted to males 40 years of age or older at the time of analysis, but were due primarily to age at the time of earthquake exposure (p = 0.002, p < 0.001 and p = 0.002). CONCLUSIONS Earthquake experience in the early years of life has long-term effects on adult resting heart rate, total cholesterol, and fasting plasma glucose, especially among men.
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Affiliation(s)
- Na Li
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Yumei Wang
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Lulu Yu
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Mei Song
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Lan Wang
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Chunpeng Ji
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Xueyi Wang
- Department of Mental Health, the First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health, Shijiazhuang, China
| | - Shouling Wu
- Department of Cardiology, Kailuan General Hospital, Tangshan, China
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20
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Konno S, Munakata M. Blood Pressure Elevation Lasting Longer Than 1 Year Among Public Employees After the Great East Japan Earthquake: The Watari Study. Am J Hypertens 2017; 30:120-123. [PMID: 27784682 DOI: 10.1093/ajh/hpw131] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Revised: 06/03/2016] [Accepted: 10/04/2016] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND We have previously reported that the public employees of Watari town showed significantly greater elevations in both systolic and diastolic blood pressure than the general population 4-8 months after the Great East Japan Earthquake, which occurred on 11 March 2011. To examine whether these differences persisted thereafter, we conducted a follow-up study for both the public employees and the general population of Watari town over 1 year. METHODS Among 225 public employees and 1232 individuals from the general population of the town who received consecutive annual health checkups from 2010 to 2012, 89 pairs were matched for age and sex according to a propensity score. RESULTS The baseline characteristics (predisaster) did not statistically differ between the paired groups. The public employees showed significantly higher systolic and diastolic blood pressure in 2011 (postdisaster) compared with the general population (129.8 ± 14.0/78.0 ± 11.7 vs. 117.0 ± 14.4/71.6 ± 11.4 mm Hg, P < 0.001 for both). Furthermore, the systolic blood pressure of the public employees remained significantly higher than that of the general population in 2012 (125.3 ± 16.0 vs. 119.9 ± 15.5 mm Hg, P = 0.023). CONCLUSION Prolonged blood pressure elevation among the public employees was observed for more than 1 year after the disaster, suggesting a need for close blood pressure monitoring of public employees engaged in long-term disaster relief operations.
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Affiliation(s)
- Satoshi Konno
- Division of Hypertension and Research Center for Lifestyle-related Disease, Tohoku Rosai Hospital, Sendai, Japan
| | - Masanori Munakata
- Division of Hypertension and Research Center for Lifestyle-related Disease, Tohoku Rosai Hospital, Sendai, Japan.
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21
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Ohira T, Hosoya M, Yasumura S, Satoh H, Suzuki H, Sakai A, Ohtsuru A, Kawasaki Y, Takahashi A, Ozasa K, Kobashi G, Hashimoto S, Kamiya K, Yamashita S, Abe M, Ohto H, Suzuki S, Yabe H, Maeda M, Matsui S, Fujimori K, Ishikawa T, Watanabe T, Suzuki S, Fukushima T, Midorikawa S, Shimura H, Mashiko H, Goto A, Nollet KE, Niwa S, Takahashi H, Shibata Y. Evacuation and Risk of Hypertension After the Great East Japan Earthquake. Hypertension 2016; 68:558-64. [DOI: 10.1161/hypertensionaha.116.07499] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 07/05/2016] [Indexed: 01/14/2023]
Abstract
On March 11, 2011, the Great East Japan Earthquake occurred in Japan, with a nuclear accident subsequently occurring at the Fukushima Daiichi Nuclear Power Plant. The disaster forced many evacuees to change particular aspects of their lifestyles. This study assessed the hypothesis that evacuation may have increased the risk of hypertension among residents in Fukushima. A longitudinal study examined data collected from 31 252 Japanese participants aged 40 to 74 years sourced from general health checkups conducted in 13 communities between 2008 and 2010. Follow-up examinations were conducted from 2011 through 2013. A total of 21 989 participants (follow-up proportion, 70.4%) received follow-up examinations. Mean blood pressure significantly increased in both evacuees and nonevacuees after the disaster, with greater changes in blood pressure among the former. The changes in systolic and diastolic blood pressure among the evacuees and nonevacuees were +5.8/3.4 versus +4.6/2.1 mm Hg (
P
<0.01/
P
<0.0001) for men and +4.4/2.8 versus +4.1/1.7 mm Hg (
P
=0.33/
P
<0.0001) for women, respectively. Evacuation was associated with an increased risk of hypertension among men, and the age-adjusted hazard ratios of evacuation for incidence of hypertension were 1.24 (95% confidence interval, 1.11–1.39;
P
<0.001) for men and 1.05 (95% confidence interval, 0.94–1.17;
P
=0.37) for women, respectively. For men, after adjustment for confounding variables, the hazard ratio slightly decreased to 1.20, but the association was essentially unchanged. Blood pressure increased among residents, especially evacuees, in the evacuation zone of Fukushima prefecture after the Great East Japan Earthquake. Evacuation may be associated with an increased risk of hypertension among men in the 2 years after the disaster.
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Affiliation(s)
- Tetsuya Ohira
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Mitsuaki Hosoya
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Seiji Yasumura
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Hiroaki Satoh
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Hitoshi Suzuki
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Akira Sakai
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Akira Ohtsuru
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Yukihiko Kawasaki
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Atsushi Takahashi
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Kotaro Ozasa
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Gen Kobashi
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Shigeatsu Hashimoto
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Kenji Kamiya
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Shunichi Yamashita
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
| | - Masafumi Abe
- From the Radiation Medical Science Center for the Fukushima Health Management Survey (T.O., M.H., S.Y., H. Satoh, H. Suzuki, A.S., A.O., Y.K., A.T., S.H., K.K., S.Y., M.A.) and Department of Public Health School of Medicine (S.Y.), Fukushima Medical University, Japan; Department of Epidemiology (T.O.), Department of Pediatrics (M.H., Y.K.), Department of Diabetology, Endocrinology, and Metabolism (H. Satoh), Department of Cardiology and Hematology (H. Suzuki), Department of Radiation Life Sciences
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Kario K, Tomitani N, Matsumoto Y, Hamasaki H, Okawara Y, Kondo M, Nozue R, Yamagata H, Okura A, Hoshide S. Research and Development of Information and Communication Technology-based Home Blood Pressure Monitoring from Morning to Nocturnal Hypertension. Ann Glob Health 2016; 82:254-73. [DOI: 10.1016/j.aogh.2016.02.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Kario K. Evidence and Perspectives on the 24-hour Management of Hypertension: Hemodynamic Biomarker-Initiated 'Anticipation Medicine' for Zero Cardiovascular Event. Prog Cardiovasc Dis 2016; 59:262-281. [PMID: 27080202 DOI: 10.1016/j.pcad.2016.04.001] [Citation(s) in RCA: 102] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Accepted: 04/08/2016] [Indexed: 12/29/2022]
Abstract
There are notable differences between Asians and Westerners regarding hypertension (HTN) and the relationship between HTN and cardiovascular disease (CVD). Asians show greater morning surges in blood pressure (BP) and a steeper slope illustrating the link between higher BP and the risk of CVD events. It is thus particularly important for Asian hypertensives to achieve 24-h BP control, including morning and night-time control. There are three components of 'perfect 24-h BP control:' the 24-h BP level, nocturnal BP dipping, and BP variability (BPV), such as the morning BP surge that can be assessed by ambulatory BP monitoring. The morning BP-guided approach using home BP monitoring (HBPM) is the first step toward perfect 24-h BP control, followed by the control of nocturnal HTN. We have been developing new HBPM devices that can measure nocturnal BP. BPV includes different time-phase variability from the shortest beat-by-beat, positional, diurnal, day-by-day, visit-to-visit, seasonal, and yearly changes. The synergistic resonance of each type of BPV would produce a great dynamic BP surge (resonance hypothesis), which triggers a CVD event, especially in the high-risk patients with systemic hemodynamic atherothrombotic syndrome (SHATS). In the future, the innovative management of HTN based on the simultaneous assessment of the resonance of all of the BPV phenotypes using a beat by beat wearable 'surge' BP monitoring device (WSP) and an information and communication technology (ICT)-based data analysis system will produce a paradigm shift from 'dots' BP management to 'seamless' ultimate individualized 'anticipation medication' for reaching a zero CVD event rate.
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Affiliation(s)
- Kazuomi Kario
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan; Jichi Medical University Center of Excellence, Cardiovascular Research and Development (JCARD), Tochigi, Japan; Hypertension Cardiovascular Outcome Prevention and Evidence in Asia (HOPE Asia) Network, Tokyo, Japan.
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24
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Public Attitudes toward an Epidemiological Study with Genomic Analysis in the Great East Japan Earthquake Disaster Area. Prehosp Disaster Med 2016; 31:330-4. [PMID: 27019378 DOI: 10.1017/s1049023x16000182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
UNLABELLED Introduction The Great East Japan Earthquake of March 11, 2011 may have influenced the long-term health of those in the disaster area. It is important to collect current and future health information of the people living in the post-disaster area to provide appropriate health support and quality-oriented care. However, public perceptions of health and genomic studies in the Great East Japan Earthquake disaster area are still unknown. METHODS A questionnaire survey was conducted in one town affected by the Great East Japan Earthquake and subsequent tsunami. The results of the questionnaire were tailed and the differences in responses to each question were assessed by sex and age. RESULTS In 284 eligible people (137 men, 147 women), almost all participants agreed to join a health survey investigating the adverse effects of the disaster, and over 80% of the total participants agreed to genomic analysis. Over 70% of the participants wanted to receive pharmacogenetic testing and to receive feedback on which medications were suitable or unsuitable for them. CONCLUSIONS Most people living in the disaster area are interested in health surveys. Most of the participants also showed interest in genomic analysis. Ishikuro M , Nakaya N , Obara T , Sato Y , Metoki H , Kikuya M , Tsuchiya N , Nakamura T , Nagami F , Kuriyama S , Hozawa A , the ToMMo Study Group. Public attitudes toward an epidemiological study with genomic analysis in the Great East Japan Earthquake disaster area. Prehosp Disaster Med. 2016;31(3):330-334.
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25
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Shiraishi Y, Kujiraoka T, Hakuno D, Masaki N, Tokuno S, Adachi T. Elevation of Derivatives of Reactive Oxygen Metabolites Elevated in Young "Disaster Responders" in Hypertension due to Great East Japan Earthquake. Int Heart J 2016; 57:61-6. [PMID: 26742880 DOI: 10.1536/ihj.15-303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
There have been very few studies on serum biomarkers associated with hypertension in disaster situations. We assessed biomarkers associated with disaster-related hypertension (DRH) due to the Great East Japan Earthquake of March 2011.We collected blood samples from members of the Japan Self Defense Forces (JSDF) (n = 77) after completing disaster relief operations. We divided them into two groups based on systolic blood pressure. We defined DRH as either systolic blood pressure greater than 140 mmHg or diastolic blood pressure greater than 90 mmHg at the time of completing missions.In subjects with DRH, the mean blood pressure was 143.5 ± 5.0/99.5 ± 2.4 mmHg. Height and body weight measurements were slightly greater in the DRH group but the differences were not significant, and age was significantly higher in the DRH group. There were no differences in serum biochemical tests including metabolic markers, sulfur-containing amino acids, and cytokines. Among nitric oxide-related amino acids, asymmetric dimethylarginine (ADMA) was lower in the DRH group than in the normotension group (0.40 ± 0.02 versus 0.31 ± 0.02 μmol/L P = 0.04). The serum oxidative stress metabolite levels (d-ROMs; indicators of active oxygen metabolite products) were significantly higher in the DRH group (273.6 ± 6.08 versus 313.5 ± 13.7 U.CARR P = 0.016). Using multivariable regression analysis, d-ROMs levels were particularly predictive for DRH.Oxidative stress is associated with DRH in responders to the disaster of the Great East Japan Earthquake.
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Affiliation(s)
- Yasunaga Shiraishi
- Department of Internal Medicine, Division of Cardiovascular Medicine, National Defense Medical College
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26
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Nishizawa M, Hoshide S, Okawara Y, Shimpo M, Matsuo T, Kario K. Aftershock Triggers Augmented Pressor Effects in Survivors: Follow-Up of the Great East Japan Earthquake. Am J Hypertens 2015; 28:1405-8. [PMID: 25890830 DOI: 10.1093/ajh/hpv044] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2014] [Accepted: 01/15/2015] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Previous reports focused on the significant acute effects immediately after an earthquake on an increase in blood pressure (BP) assessed by ambulatory BP monitoring. However, there have been no data on the impact of environmental triggers on the long-term response to earthquake. METHODS We analyzed the ambulatory BP monitoring data of 8 patients who lived in the disaster area of the 11 March 2011 Great East Japan Earthquake on the day of the largest aftershock with a first tsunami warming (sirens) on 7 December 2012. RESULTS There was no significant difference in the BP in either the period 1 hour before (median (range): 126.5 (121.5-138.0) vs. 137.8 (129.5-177.0) mm Hg, P = 0.07) or that 1 hour after (139.3 (113.0-143.5) vs. 137.5 (125.0-192.0) mm Hg, P = 0.27) the aftershock between those living at home and those who had been living in temporary housing. After the time of aftershock, the systolic BP levels at that night (124.9 (113.2-137.9) vs. 107.0 (101.9-110.1) mm Hg, P = 0.021) and systolic BP levels at the following morning (149.3 (131.0-196.2) vs. 129.5 (128.8-131.0) mm Hg, P = 0.029) were also significantly higher in those living in temporary housing at the time compared to those living in their own homes. CONCLUSION Our data suggest that the stress of a change in living conditions following the disaster might have contributed an increased risk of cardiovascular events.
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Affiliation(s)
- Masafumi Nishizawa
- Department of Medicine, Minamisanriku Public Medical Clinic, Minamisanriku, Motoyoshi-gun, Miyagi, Japan; Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan
| | - Satoshi Hoshide
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan
| | - Yukie Okawara
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan
| | - Masahisa Shimpo
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan
| | - Takefumi Matsuo
- Hyogo Prefectural Awaji Medical Center, Shioya, Sumoto-shi, Hyogo, Japan
| | - Kazuomi Kario
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan;
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Tomio J, Sato H. Emergency and disaster preparedness for chronically ill patients: a review of recommendations. Open Access Emerg Med 2014; 6:69-79. [PMID: 27147882 PMCID: PMC4753992 DOI: 10.2147/oaem.s48532] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Recent disasters, especially those in developed countries, have highlighted the importance of disaster preparedness measures for chronic diseases. A number of surviving patients experienced the exacerbation of a chronic illness, such as hypertension, diabetes, cancer, and chronic respiratory diseases, due to disaster-related stress, interruption of care, or both; for some patients, these exacerbations resulted in death. Here, we review reports from recent disasters in developed countries and summarize the recommendations for disaster preparedness of chronically ill patients. A considerable number of recommendations based on the lessons learned from recent disasters have been developed, and they provide practical and essential steps to prevent treatment interruption during and after a disaster. To improve preparedness efforts, we suggest that health care providers should be aware of the following three suggestions: 1) recommendations should be evidence-based; 2) recommendations should contain consistent messages; and 3) recommendations should be feasible.
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Affiliation(s)
- Jun Tomio
- Department of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Hajime Sato
- Department of Health Policy and Technology Assessment, National Institute of Public Health, Wako, Japan
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Watanabe T. [The 41st Scientific Meeting: perspectives of internal medicine; lessons from the disaster of the Great East Japan earthquake: 3. Medical disease learned from the Great East Japan earthquake--feature, treatment and prevention--; 4) Status of medical care on dialysis patients and patients with chronic life-style related diseases after Great East-Japan earthquake: lesson from our experiences in Fukushima and future perspectives]. NIHON NAIKA GAKKAI ZASSHI. THE JOURNAL OF THE JAPANESE SOCIETY OF INTERNAL MEDICINE 2014; 103:561-571. [PMID: 24796117 DOI: 10.2169/naika.103.561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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29
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Kusano Y, Nishizawa M, Iguchi S. [Series: Physicians and disaster medical care; Third stage, Management and education for disaster medicine: experience in the Tohoku-Pacific ocean earthquake]. NIHON NAIKA GAKKAI ZASSHI. THE JOURNAL OF THE JAPANESE SOCIETY OF INTERNAL MEDICINE 2014; 103:212-223. [PMID: 24605513 DOI: 10.2169/naika.103.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Yoshiro Kusano
- Third Department of Internal Medicine, Shirakawa Kosei General Hospital Japan, Japan
| | | | - Seitaro Iguchi
- Department of Community Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
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30
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Thethi TK, Yau CL, Shi L, Leger S, Nagireddy P, Waddadar J, Surampudi P, John-Kalarickal J, Yenoby L, Fonseca V. Time to recovery in diabetes and comorbidities following Hurricane Katrina. Disaster Med Public Health Prep 2013; 4 Suppl 1:S33-8. [PMID: 23105033 DOI: 10.1001/dmp.2010.10] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND The impact of a natural disaster on self-care and health care delivery has been well documented. The objective of the study was to document the recovery pattern from the impact of a natural disaster such as Hurricane Katrina on clinical and biochemical measures of diabetes and its comorbidities. METHODS Patients were selected from Tulane University Hospital and Clinic, Southeast Louisiana Veterans Health Care System, and the Medical Center of Louisiana at New Orleans. Adults with diabetes and A(1c) measurement 6 months before (pre-K) Hurricane Katrina (February 28, 2005-August 27, 2005) and 6 to 16 months after (post-K) Katrina (March 1, 2006-December 31, 2006) were identified within the 3 facilities. Follow-up data (January 1, 2007-December 31, 2007) were 1 year after the first post-K visit. The outcome measures were hemoglobin A(1c) (HbA(1c)), systolic and diastolic blood pressure (BP), and lipids (low-density lipoprotein cholesterol, high-density lipoprotein cholesterol [HDL], triglycerides). RESULTS Averaged across the 3 facilities, the parameters significantly different in the follow-up period compared with pre- and post-K were HbA(1c) (P = .04), HDL, and systolic and diastolic BP (P < .0001). Parameters with significantly different patterns of change in the 3 facilities over time were HbA(1c), HDL, systolic and diastolic BP (P < .0001), and low-density lipoprotein (P < .01). CONCLUSIONS Our results suggest that a variety of clinical and biochemical parameters related to diabetes and its comorbidities affected by natural disaster have varied the rate of recovery to predisaster levels.
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Affiliation(s)
- Tina K Thethi
- Tulane University School of Medicine, New Orleans, LA 70112, USA
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Blood pressure elevation in hemodialysis patients after the Great East Japan Earthquake. Hypertens Res 2013; 37:139-44. [DOI: 10.1038/hr.2013.116] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2012] [Revised: 05/21/2013] [Accepted: 07/06/2013] [Indexed: 11/08/2022]
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Konno S, Hozawa A, Munakata M. Blood pressure among public employees after the Great East Japan Earthquake: the Watari study. Am J Hypertens 2013; 26:1059-63. [PMID: 23694920 DOI: 10.1093/ajh/hpt065] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Increases in blood pressure were reported in overworked public workers following the Mid-Niigata earthquake. This study aimed to compare blood pressure changes between public employees and the general population after the Great East Japan Earthquake of March 2011. METHODS We analyzed 1,776 individuals from the general population and 240 public employees of the town of Watari who received medical check-ups in 2010 and from July 2011 through November 2011. Anthropometric parameters and sitting blood pressure were compared, and fasting blood samples were taken from all participants. In post-disaster measurements, the degrees of insomnia, depression, fatigue, and life disruption due to the disaster were assessed using a questionnaire. Information on the working hours of public employees was obtained from authorized sources. RESULTS After age-sex adjustments, the public employees showed greater increases in systolic (11.3 vs. -1.9mm Hg, P < 0.001) and diastolic (7.8 vs. 1.1mm Hg, P < 0.001) blood pressure than the general population when compared with measurements taken during the previous year. In contrast, the degrees of fatigue, depression, and life disruption were equivalent in the 2 groups. The average monthly overtime hours worked by public employees in March 2011 was 10-fold higher compared with the previous March. CONCLUSION Public employees showed greater and more prolonged increases in blood pressure than the general population after the Great East Japan earthquake. Thus blood pressure should be monitored after a great earthquake among public employees, and treatment should be considered if necessary.
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Affiliation(s)
- Satoshi Konno
- Preventive Medical Center and Division of Hypertension, Tohoku Rosai Hospital, Sendai, Japan
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Tanaka K, Nakayama M, Kanno M, Kimura H, Watanabe K, Tani Y, Hayashi Y, Asahi K, Suzuki K, Watanabe T. Home blood pressure control after the great East Japan earthquake in patients on chronic hemodialysis. Ther Apher Dial 2013; 18:149-54. [PMID: 24720405 DOI: 10.1111/1744-9987.12072] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
At 14:46 on 11 March 2011, northeastern Japan was struck by a major earthquake measuring 9.0 on the Richter scale (the Great East Japan Earthquake). Several reports have suggested a transient blood pressure (BP) increase after a major earthquake, but its impact on BP in chronic dialysis patients has not been reported. In a retrospective review of 25 hemodialysis patients who were residents of Koriyama City, changes in the morning home BP after the earthquake were investigated. Home systolic and diastolic BPs were significantly elevated 1 week after the earthquake (158 ± 16 mm Hg vs. 151 ± 13 mm Hg, P < 0.01, for systolic; 81 ± 13 mm Hg vs. 78 ± 11 mm Hg, P = 0.01, for diastolic). Mean home BP 1 week after the earthquake was unchanged from baseline in patients treated with sympatholytics and/or renin-angiotensin system (RAS) inhibitors. BP values returned to baseline by 4 weeks after the earthquake, but percent changes in mean BP were significantly greater even 2 weeks, 4 weeks, and 6 weeks after the earthquake in patients not treated with RAS inhibitors than in those treated with RAS inhibitors (2 weeks 7.0% ± 4.5% vs. 0.2% ± 5.0%, P < 0.01; 4 weeks 4.4% ± 5.9% vs. -1.8% ± 5.3%, P = 0.02; 6 weeks 4.6% ± 4.9% vs. -1.9% ± 3.9%, P < 0.01). On multiple regression analysis, RAS inhibitor use had an independent relationship with percentage increases in mean BP during the 6 weeks after the earthquake. Home BP was significantly increased after a major earthquake in patients on chronic hemodialysis. Prolonged deterioration of BP control after the earthquake was associated with non-use of RAS inhibitors.
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Affiliation(s)
- Kenichi Tanaka
- Departments of Nephrology and Hypertension, Fukushima Medical University, Fukushima, Japan; Chronic Kidney Disease Initiatives, Fukushima Medical University, Fukushima, Japan
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Blood pressure in hemodialysis patients after Great East Japan earthquake in Fukushima. J Hypertens 2013; 31:1724-6. [DOI: 10.1097/hjh.0b013e328362dd5c] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Yamauchi H, Yoshihisa A, Iwaya S, Owada T, Sato T, Suzuki S, Yamaki T, Sugimoto K, Kunii H, Nakazato K, Suzuki H, Saitoh SI, Takeishi Y. Clinical features of patients with decompensated heart failure after the Great East Japan Earthquake. Am J Cardiol 2013; 112:94-9. [PMID: 23561586 DOI: 10.1016/j.amjcard.2013.02.057] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Revised: 02/26/2013] [Accepted: 02/26/2013] [Indexed: 01/17/2023]
Abstract
The occurrence of heart failure (HF) and its clinical features after a great disaster have not been rigorously examined. We retrospectively examined the effect of the Great East Japan Earthquake on the occurrence of decompensated HF. The number of patients admitted for treatment of decompensated HF and their clinical features were compared between 2 periods, March 11, 2011 to September 10, 2011 (after the earthquake) and the same period in the previous year. The number of admissions increased from 55 in 2010 to 84 in 2011. A comparison of the clinical features showed that the patients admitted after the earthquake had (1) older age (p = 0.031), (2) greater systolic blood pressure (p = 0.039), (3) a greater incidence of new-onset HF due to valvular heart disease (p = 0.040), (4) interruption of drugs (p = 0.001), (5) a greater incidence of infection (p = 0.019), (6) greater B-type natriuretic peptide (p = 0.005) and C-reactive protein (p = 0.003) levels, (7) a lower estimated glomerular filtration rate (p = 0.048) and lower albumin levels (p = 0.021), and (8) a larger diameter of the inferior vena cava (p = 0.008). In conclusion, these results suggest that the earthquake increased the incidence of HF in association with high blood pressure, interruption of drugs, inflammation, malnutrition, and fluid retention. Taking appropriate measures to control blood pressure, nutritional status, and hygiene environment might decrease the occurrence of HF in future disasters.
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Murakami H, Akashi H, Noda S, Mizoue T, Okazaki O, Ouchi Y, Okaji Y, Kajiwara C, Miyoshi C. A cross-sectional survey of blood pressure of a coastal city's resident victims of the 2011 Tohoku tsunami. Am J Hypertens 2013; 26:799-807. [PMID: 23455946 DOI: 10.1093/ajh/hpt022] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Blood pressure (BP) increase as a reaction to major disasters has been well documented; however, the impact has been underdocumented for tsunamis. This study aimed to confirm whether different levels of flooding/inundation and other damage caused by the 2011 Tohoku (northeast Japan) tsunami were associated with BP among resident victims in Higashi-Matsushima, Miyagi. METHODS Cross-sectional household screening was conducted 7-19 weeks after the disaster in administrative areas totally or partially flooded by the tsunami. Systolic and diastolic BP (SBP/DBP) were measured in 4,311 residents. RESULTS There was a degree-dependent association between SBP/DBP and flooding height above sea level among victims not on antihypertensive medication (P < 0.01 for both). Disruption of the gas supply was also significantly associated with SBP/DBP (P < 0.01 for both). Among individuals on antihypertensive medication, the discontinuation of medication was associated with SBP/DBP (P < 0.01 for both). After adjusting for confounding and multiplicity, a matched case-control analysis did not identify any significant associations between the tsunami or lifeline indicators and high BP (SBP ≥160mm Hg or DBP ≥100mm Hg). CONCLUSIONS This study suggests that after a major tsunami, resident victims in areas highly inundated by flood waters and those with disrupted gas supply are more likely to have higher BP and thus might warrant getting BP screening earlier than other residents. Those with hypertension should be given assistance to resume or commence antihypertensive medication as soon as possible to reduce the risk of cardiovascular morbidity and mortality.
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Affiliation(s)
- Hitoshi Murakami
- Bureau of International Medical Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
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Hung KKC, Lam ECC, Chan EYY, Graham CA. Disease pattern and chronic illness in rural China: the Hong Kong Red Cross basic health clinic after 2008 Sichuan earthquake. Emerg Med Australas 2013; 25:252-9. [PMID: 23759047 DOI: 10.1111/1742-6723.12080] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND Medical teams might have difficulties preparing for deployment to rural towns due to a lack of prior information. The study objective was to identify the health needs and chronic disease prevalence of rural Chinese following a major earthquake. METHODS Hong Kong Red Cross organised a basic healthcare team to Yanmen town, Jiangyou 3 weeks after the 2008 Sichuan earthquake. A cross-sectional records-based study of all patients treated by the Hong Kong Red Cross basic healthcare team from 1 June to 19 June 2008 was conducted. RESULTS Two thousand and thirty-four individual patient encounters occurred during the 19-day period. Musculoskeletal, respiratory and gastrointestinal problems were the top three categories and accounted for 30.4%, 17.4% and 12.7%, respectively. The 43.4% of the 762 patients with blood pressure measurements were above the recognised criteria for hypertension. CONCLUSIONS We identified that the management of chronic diseases was an important issue, especially with the high prevalence of hypertension found in our study. Medical responders need to be aware of the potential pre-existing disease burden in the community, with the possible exacerbation in post-disaster situations. Careful planning on the use of treatment guidelines with particular focus on the local health resources available and issues with continuation of care will provide better care for the patients.
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Affiliation(s)
- Kevin K C Hung
- Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response, School of Public Health and Primary Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
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Shimizu K, Takahashi M, Shirai K. A Huge Earthquake Hardened Arterial Stiffness Monitored with Cardio-Ankle Vascular Index. J Atheroscler Thromb 2013; 20:503-11. [DOI: 10.5551/jat.16097] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Watanabe K, Tani Y, Tanaka K, Hayashi Y, Asahi K, Nakayama M, Watanabe T. Acute changes in home blood pressure after the Great East Japan Earthquake among patients with chronic kidney disease in Fukushima City. Clin Exp Nephrol 2012; 17:718-724. [PMID: 23224028 DOI: 10.1007/s10157-012-0750-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2012] [Accepted: 11/21/2012] [Indexed: 01/21/2023]
Abstract
BACKGROUND Blood pressure (BP) transiently increases after major earthquakes. Although home BP increased in hypertensive patients after the Great East Japan Earthquake (measuring 9.0 on the Richter scale) on March 11th, 2011, such profiles in patients with chronic kidney disease (CKD) have not been investigated. METHODS This retrospective single-center observational study included 38 patients with CKD at the predialysis stage [male, n=27 (71%); mean age 66.0 years; mean estimated glomerular filtration rate (eGFR) 46.0 mL/min/1.73 m²] who lived in Fukushima City. We compared their morning BP between two and four weeks after the quake with that of a control group of 39 non-CKD patients with hypertension. RESULTS Systolic BP (SBP) remained elevated for one week after the quake in the CKD and non-CKD groups [before vs. after the quake 133.7±15.6 vs. 136.9±16.9 (p=0.017) and 129.9±7.8 vs. 133.3±9.3 mmHg (p=0.009), respectively]. Increases in SBP in the morning after the quake were statistically significant in the group with but not in that without CKD (7.1 and 3.4 mmHg; p=0.038 and 0.221, respectively). Multivariate analysis revealed that a low eGFR was an independent risk factor for elevated SBP after the quake. CONCLUSIONS The quake caused acute changes in the home BP and the fact that BP elevation correlated with renal function suggests a possible mechanism of CKD, such as enhanced activity of the sympathetic nervous system in such patients.
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Affiliation(s)
- Kimio Watanabe
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan.
| | - Yoshihiro Tani
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan
| | - Kenichi Tanaka
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan
| | - Yoshimitsu Hayashi
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan
| | - Koichi Asahi
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan
| | - Masaaki Nakayama
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan
| | - Tsuyoshi Watanabe
- Department of Nephrology, Hypertension, Diabetology, Endocrinology and Metabolism, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan
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Tanaka K, Nakayama M, Tani Y, Watanabe K, Asai J, Hayashi Y, Asahi K, Watanabe T. The great East Japan earthquake: blood pressure control in patients with chronic kidney disease. Am J Hypertens 2012; 25:951-4. [PMID: 22673019 DOI: 10.1038/ajh.2012.71] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND At 1446 on 11 March 2011, northeastern Japan was struck by a major earthquake measuring 9.0 on the Richter scale. There have been several reports of transient blood pressure increases after a major earthquake, but the impact of a major earthquake on blood pressure in chronic kidney disease (CKD) patients has not been fully investigated. METHODS Changes in clinic blood pressure following the earthquake were investigated in 132 hypertensive patients with stage 3 and 4 CKD who were residents of Fukushima City. RESULTS Both systolic and diastolic blood pressures were significantly elevated 1-3 weeks after the earthquake compared with before the earthquake (134 ± 19 mm Hg vs. 138 ± 20 mm Hg, P = 0.02 for systolic; 76 ± 13 mm Hg vs. 79 ± 12 mm Hg, P = 0.01 for diastolic), and these values returned to baseline by 5-7 weeks after the earthquake. Multiple logistic regression analysis identified male sex (odds ratio (OR), 0.35; 95% confidence interval (CI), 0.14-0.86; P = 0.02), mean blood pressure at baseline (OR, 0.92; 95% CI, 0.86-0.96; P < 0.01), and sympatholytic medications, such as α-blockers, β-blockers, or central sympatholytics (OR, 0.23; 95% CI, 0.07-0.76; P = 0.01), as independent factors related to elevation of mean blood pressure 1-3 weeks after the earthquake in CKD patients. CONCLUSIONS Blood pressure was significantly increased after a major earthquake in hypertensive patients with stage 3 and 4 CKD. During the first 3 weeks after the earthquake, blood pressure control was associated with the use of sympatholytic medications.
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Disaster Hypertension: Experience from the Great East Japan Earthquake of 2011. Curr Hypertens Rep 2012; 14:375-81. [DOI: 10.1007/s11906-012-0298-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Injuries and Illnesses Treated at the World Trade Center, 14 September–20 November 2001. Prehosp Disaster Med 2012. [DOI: 10.1017/s1049023x00002417] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractIntroduction:In response to the 11 September 2001 terrorist attacks on the World Trade Center (WTC), the United States Public Health Service (USPHS) deployed Disaster Medical Assistance Teams (DMATs) and the Commissioned Corps to provide on-site, primary medical care to anyone who presented. Patients included rescue and recovery workers, other responders, and some members of the general public.Objective:A descriptive analysis of WTC-USPHS patient records was conducted in order to better understandthe short-term impact of the WTC site on the safety and health of individuals who were at or near the site from 14 September–20 November 2001.Methods:The Patient Treatment Record forms that were completed for each patient visit to these USPHS stations over the 10-week deployment period were reviewed.Results:Patient visits numbered 9,349, with visits peaking during Week 2 (21–27 September). More than one-quarter of the visits were due to traumatic injuries not including eye injuries (n = 2,716; 29%). Respiratory problems comprised more than one-fifth of the complaints (n = 2,011; 22%). Eye problems were the third most frequent complaint (n = 1,120; 12%). With respect to the triage class, the majority of visits fell into the lowest category of severity (n = 6,237; 67%).Conclusion:USPHS visits probably were skewed to milder complaints when compared to analyses of employer medical department reports or hospital cases; however, given the close proximity of the USPHS stations to the damage, analysis of the USPHS forms provides a more complete picture of the safety and health impact on those who were at or near the WTC site.
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Development of Disaster Pamphlets Based on Health Needs of Patients with Chronic Illnesses. Prehosp Disaster Med 2012; 25:354-60. [DOI: 10.1017/s1049023x00008347] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractThe aim of this research was to develop a pamphlet that would enable patients with diabetes, rheumatic diseases, chronic respiratory disease, and dialysis treatment to be aware of changes in their physical conditions at an early stage of a disaster, cope with these changes, maintain self-care measures, and recover their health.Illness-specific pamphlets were produced based on disaster-related literature, news articles, surveys of victims of the Great Hanshin-Awaji Earthquake Disaster and Typhoon Tokage, and other sources.Each pamphlet consisted of seven sections—each section includes items common to all illnesses as well as items specific to each illness. The first section, “Physical Self-Care”, contains a checklist of 18 common physical symptoms as well as symptoms specific to each illness, and goes on to explain what the symptoms may indicate and what should be done about them. The main aim of the “Changes in Mental Health Conditions” section is to detect post-traumatic stress disorder (PTSD) at an early stage. The section “Preventing the Deterioration of Chronic Illnesses” is designed to prevent the worsening of each illness through the provision of information on cold prevention, adjustment to the living environment, and ways of coping with stress. In the sections, “Medication Control” and “Importance of Having Medical Examinations”, spaces are provided to list medications currently being used and details of the hospital address, in order to ensure the continued use of medications. The section, “Preparing for Evacuations” gives a list of everyday items and medical items needed to be prepared for a disaster. Finally, the “Methods of Contact in an Emergency” section provides details of how to use the voicemail service. The following content-specific to each illness also was explained in detail: (1) for diabetes, complications arising from the deterioration of the illness, attention to nutrition, and insulin management; (2) for rheumatic diseases, a checklist of factors indicating the worsening of the illness and methods of coping with stress; (3) for chronic respiratory disease, prevention of respiratory infections and management of supplemental oxygen; and (4) for patients requiring dialysis, conditions of dialysis (such as dry weight, dialyzer, number of dialysis treatments, and dialysis hours) and what to do if a disaster occurs during dialysis.It is expected that these pamphlets will be useful to patients with chronic illnesses, and will be used to prepare for disasters, thereby helping the patients cope with the unusual situation that during a disaster and recover as soon as possible.
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Kario K. [Series: Physicians and disaster medical care; disaster-related cardiovascular disease]. NIHON NAIKA GAKKAI ZASSHI. THE JOURNAL OF THE JAPANESE SOCIETY OF INTERNAL MEDICINE 2012; 101:1446-1457. [PMID: 22693871 DOI: 10.2169/naika.101.1446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Kazuomi Kario
- Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan
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Abstract
Major earthquakes are some of the most devastating natural disasters. The epidemiology of earthquake-related injuries and mortality is unique for these disasters. Because earthquakes frequently affect populous urban areas with poor structural standards, they often result in high death rates and mass casualties with many traumatic injuries. These injuries are highly mechanical and often multisystem, requiring intensive curative medical and surgical care at a time when the local and regional medical response capacities have been at least partly disrupted. Many patients surviving blunt and penetrating trauma and crush injuries have subsequent complications that lead to additional morbidity and mortality. Here, we review and summarise earthquake-induced injuries and medical complications affecting major organ systems.
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Affiliation(s)
- Susan A Bartels
- Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
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Abstract
The devastating Great East Japan Earthquake, which was 9.0 on the Richter scale, occurred on March 11, 2011. Japan experienced the Great Hanshin-Awaji Earthquake 16 years ago, and I was working at the epicenter, and reported the characteristics of the earthquake-associated cardiovascular risk and high blood pressure (BP) found during the continuous practice and clinical studies of Tsuna Medical Association before and after the quake. A major disaster increases thrombophilic tendency and BP, both of which trigger disaster-induced cardiovascular events such as stroke, cardiac events, etc. The high salt intake and the increased salt sensitivity caused by disrupted circadian rhythms are the 2 major leading causes of disaster hypertension (HT) through neurohumoral activation under stressful conditions. To better assess and reduce the risks for disaster-associated cardiovascular events, we introduced the web-based Disaster Cardiovascular Prevention (DCAP) network (which consists of DCAP risk and prevention score assessment, and self-measured BP monitoring at both the shelter and the home) to the survivors of the 2011 disaster, and frequently found newly developed HT. Here I review the recent evidence, possible mechanism and the management of "disaster HT" for effective prevention of disaster-induced cardiovascular events.
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Affiliation(s)
- Kazuomi Kario
- Division of Cardiovascular Medicine, Department of Medicine, and Department of Sleep and Circadian Cardiology, Jichi Medical University School of Medicine, Tochigi, Japan.
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Affiliation(s)
- Ben Beaglehole
- Canterbury District Health Board, South Adult Community Psychiatric Service, Christchurch, New Zealand
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Measuring the effects of stress on the cardiovascular system during a disaster: the effective use of self-measured blood pressure monitoring. J Hypertens 2010; 28:657-9. [DOI: 10.1097/hjh.0b013e32833815a4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Prolonged effects of participation in disaster relief operations after the Mid-Niigata earthquake on increased cardiovascular risk among local governmental staff. J Hypertens 2010; 28:695-702. [DOI: 10.1097/hjh.0b013e328336ed70] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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