Research Institute for Radiation Biology and Medicine, Hiroshima University, Minami-ku, Hiroshima, Japan.
Front Public Health. 2023 Jul 24;11:1217118. doi: 10.3389/fpubh.2023.1217118. eCollection 2023.
In the accident at the Fukushima Daiichi nuclear power station following the Great East Japan Earthquake and tsunami, more than 50 hospital patients died during or soon after evacuation, primarily owing to the interruption of necessary medical care. To prevent the occurrence of such losses in the future, the focus of evacuation decisions should be on the health status of individual patients and not on currently evaluated non-human aspects such as the geophysical conditions and the status of the accident facility. This brief research report provides a conceptual basis considering the principle of justification for making more appropriate decisions on the evacuation of hospitalized patients by balancing radiological risks and evacuation-induced health risks. This research report is expected to foster discussions among stakeholders on how to protect vulnerable people more appropriately in nuclear emergencies.
在东日本大地震及海啸引发的福岛第一核电站事故中，有超过 50 名住院患者在转移过程中或转移后不久死亡，主要是因为中断了必要的医疗护理。为了防止今后发生此类损失，转移决策的重点应放在患者个体的健康状况上，而不是放在目前评估的非人类方面，如地球物理条件和事故设施状况。本简要研究报告考虑到正当性原则，提供了一个概念性基础，以平衡放射性风险和转移引起的健康风险，从而为更恰当地决定转移住院患者做出决策提供参考。本研究报告有望促进利益攸关方之间的讨论，以探讨如何在核紧急情况下更恰当地保护弱势群体。
