Futaba Medical Center, Tomioka 979-1151, Japan.
Int J Environ Res Public Health. 2021 Dec 23;19(1):144. doi: 10.3390/ijerph19010144.
Futaba County was the area most affected by the 2011 Fukushima Daiichi nuclear power plant accident. To understand issues around the re-development of the medical system, we investigated the post-accident changes in medical needs and the system's transition. We analyzed reports from Fukushima Prefecture and local municipalities, ambulance transport data from the Futaba Fire Department, and patient data from Futaba Medical Center (FMC). After the accident, all medical institutions were closed, and the number of ambulance use dropped sharply. With the lifting of evacuation orders beginning in 2014, the amount of ambulance use increased at an annual rate of about 10%. Early on, the proportion of trauma caused by occupational and traffic accidents increased rapidly to more than 30%. As residents returned, the proportion related to endogenous diseases (most commonly respiratory) increased. Soon after the FMC opened in 2018, the majority of the patients were in their 60s, and by 2019 the proportion of patients in their 80s markedly increased. The return of the residents as well as ongoing decontamination and reconstruction projects were related to changes in the demographics of patients and the types of injuries and illnesses observed.
福岛县是受 2011 年福岛第一核电站事故影响最严重的地区。为了了解医疗系统重建所面临的问题，我们调查了事故后医疗需求的变化和系统的转型。我们分析了来自福岛县和地方自治政府的报告、双叶消防署的救护车运输数据以及双叶医疗中心（FMC）的患者数据。事故发生后，所有医疗机构都关闭了，救护车的使用量急剧下降。随着 2014 年开始解除疏散令，救护车的使用量以每年约 10%的速度增加。早期，职业和交通事故造成的创伤比例迅速上升到 30%以上。随着居民的返回，与内源性疾病（最常见的是呼吸道疾病）相关的比例增加。FMC 于 2018 年开业后不久，大多数患者的年龄在 60 多岁，到 2019 年，80 多岁患者的比例明显增加。居民的返回以及正在进行的去污和重建项目与患者人口统计学特征以及观察到的伤害和疾病类型的变化有关。
