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YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT MAP (JAPAN EARTHQUAKE AND TSUNAMI ) KEY LINKS GOVERNMENT OF JAPAN Background Government of Japan website: http://www.kantei.go.jp Situation Earthquake Tsunami Nuclear Power Plants Government of Japan UN Response US Response Health Threats Japan’s State of Emergency continues in relation to its nuclear power plant. With the third explosion and the burning reactor at the Daiichi Nuclear Power Plant, radiation levels have risen considerably and are now at levels that can impact human health. A rescue helicopter flies over tsunami devastated Shizugawa district in Minami Sanriku of Miyagi Prefecture, northern Japan, 14 March 2011. Tens of thousands of people were feared dead after last week's earthquake and tsunami in north-eastern Japan. AS OF: 1200 EST 15 MARCH 2011 INTERNATIONAL ORGANIZATIONS RELIEFWEB UNICEF International Nuclear Safety Center Global Disaster Alert and Coordination System WHO US GOVERNMENT ORGANIZATIONS The Department of State U.S Embassy in Japan State Dept.'s DipNote on Twitter State Dept. Background Note U.S. Agency for International Development OFDA Library of Congress Country Study - Japan CIA World Fact Book The Department of Defense The Department of Homeland Security The Department of Health and Human Services Centers for Disease Control and Prevention CDC- Tsunami CDC-Earthquake CDC-Radiation Emergencies FEMA Blog US Geological Survey NOAA Center for Tsunami Research NOAA Pacific Tsunami Warning Center PORTALS All Partners Access Network (APAN) JAPAN EARTHQUAKE AND TSUNAMI BACKGROUND EARTHQUAKE AND TSUNAMI • On 11 Mar 2011 05:46 UTC, a 9.0 magnitude earthquake struck 400km (250 miles) north-east of Tokyo off the coast of Japan, triggering a tsunami. Because the earthquake’s hypocenter, or rupture point, was 24.4 kilometers (15.2 miles) deep, it is considered a shallow earthquake, the most dangerous type of quake. (The USGS has updated the magnitude of the March 11, 2011, Tohoku earthquake in northern Honshu, Japan, to 9.0 from the previous estimate of 8.9. Independently, Japanese seismologists have also updated their estimate of the earthquake’s magnitude to 9.0. This magnitude places the earthquake as the fourth largest in the world since 1900 and the largest in Japan since modern instrumental recordings began 130 years ago.) • The quake was the fifth-largest in the world since 1900 and nearly 8,000 times stronger than the one which devastated Christchurch, New Zealand, last month • The extent of damage and destruction may not be clear yet. The most affected areas are near the coastal city of Sendai in Miyagi Prefecture, with a population of one million and located 300 km northeast of Tokyo. Extensive fires in Miyagi prefecture also now under control; however, 3 large fires in Miyagi still continuing. Iwate prefecture reported new fires. There were 224 fires recorded (193 fires were reported 13 March), 142 have been controlled and 82 ongoing. NUCLEAR EMERGENCY • Ten out of 13 nuclear reactors in Miyagi and Fukushima automatically shut down in three power plants (Onogawa, Fukishima Daiichi and Fukishima Daini). • The automatic shut down went as planned for the Onogawa plant. • In the Fukishima Daini, the coolant system did not function properly but the water levels are being maintained. • Fukishima Daiichi number one unit could not maintain the level of coolant needed to adequately cool the core and the water levels are falling. The pressure within the reactor subsequently increased and the efforts to release the pressure were not successful. • The Government of Japan has declared a State of Atomic Power Emergency in relation to the Fukushima nuclear power plants. DEATH AND DESTRUCTION • The Government of Japan confirmed that 1898 people have died, 1885 people are injured and more than 17,000 people remain missing. The numbers are likely to increase once emergency service teams reach the tsunami affected areas. • Many communities remain isolated due to inundation from the tsunami waves. Around the northern coastal region of Tohoku, the Government reported that 2,852 buildings were destroyed and over 40,000 damaged by earthquakes, tsunami or fire. The tsunami waves caused the greatest destruction; and an estimated 5,000 houses remain inundated with water in Iwate. In Sendai city, 2,700 houses have been washed away, and 1,800 houses were destroyed in Fukushima. The number of houses destroyed is also expected to increase as Government assessment teams gain access. NOTE: The earthquake in Japan subsequently triggered a tsunami and a nuclear emergency with each presenting related but distinct impacts on the region. WHO Western Pacific Region Japan earthquake and tsunami Situation Report No. 06 OCHA Situation Report No. 3, 14 March 2011 OCHA Situation Report No. 2, 13 March 2011 OCHA Situation Report No. 1, 12 March 2011A NOAA / PMEL / Center for Tsunami Research WHO Western Pacific Region Japan earthquake and tsunami Situation Report No. 04 People walk a road between the rubble of destroyed buildings in Minamisanriku SITUATION Search and Rescue remains the priority in affected areas, but operations are hampered by lack of access as well as by continuing aftershocks and tsunamis. Many communities are still stranded due to tsunami inundation. Conditions are exacerbated by winter weather, with freezing temperatures at night in some areas. The main humanitarian needs continue to be food, drinking water, blankets, latrines, fuel and medical items which the Government and private sector in Japan are urgently mobilizing to the affected areas. More than a quarter of the planned food delivery has now reached the affected areas (more than 550,140 meals of bread, instant noodles and rice balls). Nearly 119,000 water bottles, 117,000 blankets and 130 latrines and 288,000 litres of fuel have been transported as well. CURRENT ASSESSMENT NOTE: Assessment metrics to the right are for the impacted areas. The overall infrastructure outside of the affected areas remains strong. G R A Not A Major Concern Currently Generally Ineffective Working But Inadequate HOSPITALS • 145 of the 170 hospitals designated for acute disaster emergencies are fully operational in Tokyo and Tohoku. Of the 145 hospitals, 27 are at capacity. B Non-Functional or Destroyed Unknown MEDICAL OPERATIONS • Miyagi Prefecture: among the 14 designated disaster response hospitals, 8 are operational. • Fukushima Prefecture: among the 8 designated disaster response,4 are operational. • 2 of 7 hospitals in Sendai are operational. IMPACTS TO EVACUATION • Damaged roads reported from Aomori, Miyagi, Yamagata, Akita, Tokyo, Ibaraki, Tochigi, Saitama, Gunma, Chiba; 582 roads confirmed damaged (430 roads reported 13 March). Most affected prefectures are Chiba, Tochigi, and Ibaraki; Saitama has also confirmed major road damage on 14 March; assessments from Fukushima and Iwate not completed. • East Japan Railway's bullet train and train services in the Tohoku region remain halted. • International: Haneda airport reopened operations 03:37 am, 12 March 2011. Narita International reopened 6:00 am, 12 March. • All Japanese ports continue to be closed. Sendai and Fukushima, airports closed; Sendai airport completely inundated with water. Misawa, Ibaraki, Oodatenoshiro, and Sado airports are operational. Hanamaki airport has stopped regular services but a temporary service will be operated. JAPAN A R A R PUBLIC HEALTH PUBLIC HEALTH IMPACTS ON INFRASTRUCTURE • Communication: 866 000 telephone lines remain out of service. 6 500 base stations of NTT, Soft Bank and KDDI mobile companies are not working. Telephone services remain variable; disaster messaging service in operation through mobile phone providers. • Water: At least 1.4 million households from 13 prefectures are without running water; 4 prefectures have received running water since 13 March. Access to water in the tsunami affected areas is a concern due to water contamination and salination. Most affected prefectures: Miyagi, Fukushima, Yamagata, Iwate (limited information), Ibaraki, Tochigi, Chiba, Akita, Aomori JAPAN BR B B B B B • Electricity : The Government of Japan reported that 1.25 million households are without electricity and gas supplies are running low for almost 3.2 million people. • Nuclear power plant: Ten nuclear reactors automatically shut down in 3 power plants of a total of 13 reactors. The three power plants are: Onagawa (Miyagi), Daiichi and Daini (Fukushima). Daiichi and Daini are 11.5 km apart; Onagawa is ~100 km from Daiichi and Daini plants. Majority of > 200,000 people have been evacuated; 620 need to still be evacuated. Among 190 people suspected of being exposed to radiation following Daiichi Reactor No. 1's explosion, 22 residents confirmed with detectable radiation levels. OVERALL PH/MEDICAL ASSESSMENT R SOURCE: USGS M 8.9 - NEAR THE EAST COAST OF HONSHU, JAPAN Earthquake Shaking Alert Level: RED Friday, March 11th, 2011 at 05:46:23 UTC (14:46:23 local) Location: 38.3 N, 142.4 E , Depth: 24km, USGS Estimated Population Exposed to Earthquake Shaking Estimated Modified Mercalli Intensity I II-III IV V VII VI VIII IX X Est. Population Exposure ---* ---* ---* 7,071k* 19,695k* 29,969k* 2,144k 0 0 Perceived Shaking Not Felt Weak Light Moderate Strong Very Strong Severe Violent Extreme Resistant none none none V. Light Light Moderate Moderate/Heavy Heavy V. Heavy Vulnerable none none none Light Moderate Moderate/Heavy Heavy V. Heavy V. Heavy Potential Structure Damage Selected Cities Exposed Population Exposure Population per ~1 sq. km. from LandScan from GeoNames Database of Cities with 1,000 or more residents MMI NOTE: • Overall, the population in this region resides in structures that are resistant to earthquakes, though some vulnerable structures exist. The predominant vulnerable building types are non-ductile reinforced concrete frame and heavy wood frame construction. Estimated Fatalities City . Population VII VII VII Sendai Chiba Funabashi 1,038k 920k 561k VII Matsudo 470k VII VII VII VI VI VI VI Ichikawa Utsunomiya Mito Tokyo Yokohama Morioka Fukushima 458k 450k 247k 8,337k 3,574k 295k 294k Estimated Economic Losses SITUATION (NUCLEAR POWER PLANTS) • On March 12, an explosion occurred at the Fukushima Daiichi (Fukushima 1) nuclear power plant, located approximately 150 miles north of Tokyo. Japanese authorities reported that the primary containment vessel at the reactor remains intact despite the explosion, according to the International Atomic Energy Agency (IAEA). The GoJ will continue to closely monitor the situation, as the building housing an additional reactor at the same site remains at risk. • As of Sunday (March 13), authorities have evacuated 185,000 residents from some 10 towns near the affected nuclear power plants. • On March 14 a second explosion a second explosion at one of Japan’s nuclear power plants that was damaged by the 11 March earthquake. Authorities report that the reactor core is still intact. This explosion was in Fukushima Daiichi's reactor 3. There are also concerns for a third reactor at the plant which has lost its cooling system. • A third explosion occurred at the Fukushima Daiichi nuclear power plant on the morning of 15 March exposing nuclear fuel rods for several hours. Within three hours the amount of radiation at the plant rose to 163 times the previously recorded level, according to Japan's Nuclear and Industrial Safety Agency. Elsewhere radiation levels were said to have reached 400 times the "annual legal limit" at reactor No. 3. Subsequently, a fire erupted at reactor No. 4 of the Fukushima Daini plant and a hydrogen explosion occurred at No. 4 reactor as well. The Government has ordered a no-fly zone 30 km around the plant, and Prime Minister Naoto Kan has expanded to 30 km the range within which people should remain indoors and warned that further leaks are possible. A second blast was reported today at the Fukushima Daiichi nuclear complex, seen here from the air on 14 March. The first explosion happened Saturday, 12 March. • The Government has asked the International Atomic Energy Agency (IAEA) to send a technical support team to affected area. The IAEA is coordinating international nuclear response support to Japan through Response and Assistance Network (RANET). A US expert team is supporting Japanese counterparts in dealing with the nuclear crisis. NOTES: • Japan’s State of Emergency continues in relation to its nuclear power plant. • Japan has one of the most extensively regulated nuclear power industries in the world. • There is a history of a lack of transparency in incidents at Japan’s nuclear power plants that may impact the effectiveness of public information strategies OCHA Situation Report No. 6 - 15 March 2011 OCHA Situation Report No. 1, 12 March 2011A IAEA Japan Earthquake Update (0730 CET) 12 March 2011 IAEA Japan Earthquake Update (2210 CET) 11 March 2011 A toddler is checked for signs of radiation by officials in protective gear after thousands of residents were evacuated from the area near the Fukushima Daini nuclear plant in Koriyama SITUATION (NUCLEAR POWER PLANTS) NOTE: With the third explosion and the burning reactor at the Daiichi plant, radiation levels have risen considerably and are now at the levels to impact human health. A burning reactor at Fukushima Daiichi nuclear power plant has exploded, and radiation levels have gone up markedly. • Radiation levels over 400 milisieverts--1,000 times higher than the microsievert measurements earlier reported (the equivalent of 400,000 microsieverts)-- are now present following a third explosion-- this occurred at reactor #2 and is considered more serious than two prior explosions at reactors #1 and #3. • Prime Minister Naoto Kan said radiation levels had risen considerably, with a risk of radiation leaking into the atmosphere, and a meltdown was likely. • In his televised address on Tuesday, Mr Kan urged people within 30 km of the Fukushima Daiichi plant to remain indoors. • Mr Kan also confirmed that a fire had broken out at the No. 4 reactor, with an explosion later reported there. Chief Cabinet Secretary Yukio Edano says radiation is now at levels that can impact human health. He emphasized that those levels were recorded at the Daiichi plant and that the "further away you get from the power plant or reactor, the value should go down". However, authorities are telling everyone within a 20-km radius of the plant to leave, with a new warning for people within 10 km of the nearby Fukushima Daini plant to do the same. WHO – 15 MAR 2011 - Japan nuclear concerns SITUATION (Tsunami) • A 9.0 magnitude earthquake (updated from the 8.8 magnitude, by Japan Meteorological Agency on 13 March) occurred 11 Mar 2011 in Japan at 05.46.23 UTC, hitting the northeast coast of Honshu, Japan. The worst affected area is the east coast of Tohoku Prefecture. • Tsunamis have caused devastation in the coastal areas Tohoku and southern Hokkaido. Although wide areas of the Pacific were under tsunami alert, the alerts have now been lifted. • On 14 March, a magnitude 6 aftershock triggered a three-meter tsunami in the north-east of Japan. The Japan Meteorological Agency says there is a 70 percent possibility of more aftershocks higher than 7.0 in the following days. The impact of the disaster is exacerbated by winter weather, with temperatures dropping • The worst affected areas are the prefectures along the north-eastern coast, including Iwate, Miyagi, Fukushima, Ibraki and Chiba. The precrisis population of these five prefectures was 14.8 million people, of whom 1.6 million live within five km of the coast. • Evacuation centers have been set up in the tsunami affected areas in the north-east. More than 371,800 people have been evacuated from Miyagi, Fukushima, Ibaraki, Iwate, Tochigi and Aomori prefectures. Evacuation centers face a shortage of potable water, food, blankets and bathing facilities, which is being addressed by the Government. Dropping temperatures exacerbate the problem in the shelters due to the disruption in electrical and gas supplies. NOTES: • The tsunami following the earthquake was the primary cause of major damage to the region • Tsunamis caused by aftershocks continue to be of concern to the impacted area OCHA Situation Report No. 3 - 14 March 2011 OCHA Situation Report No. 1 - 12 March 2011 COE: Japan Earthquake and Tsunami Update - March 11, 2011 GOVERNMENT OF JAPAN • The National Emergency Management Committee, led by the Prime Minister, has been established to oversee and coordinate all response activities. All relevant ministries and agencies such as Ministry of Foreign Affairs, Ministry of Land and Transportation and Ministry of Health have been involved in the response. • To date, 3000 people have been rescued. The most affected area is a town called Minami-Sanriku-cho in the northern part of Miyagi Prefecture. The entire village has washed away and there are grave concerns for 10,000 residents – half the town’s population. • The government issued a "state of emergency" for Fukushima; Daichi and Daini and evacuation area is ongoing for a 20-km radius and 10-km radius respectively. 15000 have been evacuated, 270,000 are still in the process of evacuating (as of 5am 13 March) • The earthquake damaged or destroyed nearly 37,700 buildings throughout northeastern Japan. • Self Defense Force team arrived on the ground at Fukushima's Daiichi nuclear power plant site. • The Nuclear Disaster Response Committee has been activated. • Ministry of Health has sent an emergency medical team (doctors, nurses, and experts on radiation) to Daiichi plant. • Based on official Japanese government figures 1 898 people are confirmed dead, 1 885 injured with more than 17 000 missing. Figures are expected to rise. Various media sources report more than 15 000 estimated deaths.. • A state of emergency has been declared. • All prefectures have also activated local government responses. • The Government has ordered 100,000 defense force troops to assist emergency operations with the aid of 190 planes and 45 boats. • Rescue and relief operations are being hampered by continuous aftershocks, tsunami alerts, and fires. Many areas along the northeast coast remain isolated and unreachable by emergency services. WHO Western Pacific Region Japan earthquake and tsunami Situation Report No. 04 Declaration of Nuclear Emergency Prime Minister Prime Minister Naoto Kan, nuclear emergency response headquarters held a meeting the 6th Conference and earthquake disaster headquarters Taiheiyou Northeast 8th. GOVERNMENT OF JAPAN • The Government announced temporary power cuts nationwide, due to reduced energy supplies following reduction in output or closure of nuclear generators for 11 of the 50 generators located in the tsunami affected areas. An estimated one third of Japan’s energy derives from nuclear power. Electricity supplies will be prioritized for tsunami affected north-eastern areas. • The Ministry of National Defense has deployed 66,000 l of the 100,000 personnel the Prime Minister Naoto Kan asked for, as well as 96 helicopters, seven fixed wing aircraft and 58 naval ships. • More than 3,660 police officers have also been deployed. A total of 1,146 teams from the Ground Self-Defense Force and 40 teams from the Air Self-Defense Force are engaged in response operations NOTES: • The Japanese government has a robust emergency preparedness and response system in place • The central government and critical infrastructure of Japan, outside of the impacted area, continue to be functional and capable of coordinating response activities WHO Western Pacific Region Japan earthquake and tsunami Situation Report No. 03 Ministry of Forests and Waters and Ministry of Finance • Provision of rice, food, and water • Deployment of 5,000 portable latrines • Provision of blankets, radios, gasoline, flashlights, dry ice, and other essentials being prepared Police and Fire Department • Police helicopters deployed to Miyagi and Iwate for support • Assisting through deployment of response teams via helicopters and ships Transportation • Site assessments throughout the Tohoku and Kanto regions Coast Guard • Coordinating evacuation and alerts services • Alerts to potential radiation exposure in Fukushima nuclear plant Ministry of Health Labor and Welfare (MHLW) • Activities coordinated through DMAT (Disaster Medical Assistance Team) – Responding: 193 teams – Deployed: 46 teams – Standby: 124 teams • Preparing deployment of vehicles for provision of water to affected areas • MHLW is advising local governments to take appropriate action to respond to food poisoning and other infectious diseases and deep vein thrombosis. UNITED STATES RESPONSE (DOD) • Dubbed Operation Tomodachi -- Japanese for "friendship" -- U.S. military assets mobilizing in the area include a wide range of equipment, air, sea, and ground capability and expertise. • Yokota Air Base in Japan was instrumental in resuming airline traffic in the hours immediately following the earthquake. Yokota is being used as an alternate airfield for planes that cannot land at Tokyo's Narita Airport. The air base is also providing food and shelter for displaced Japanese. • U.S. Air Force and Marine helicopter and transport aircraft were moved from Okinawa to the U.S. military bases on Honshu. • Two SH-60 Seahawk helicopters from the U.S. Naval Air Facility Atsugi have already delivered 1,500 pounds of rice and bread to people in the town of Shiroishi, in one of the worst-hit parts of Japan. • Marines and sailors from III Marine Expeditionary Force are supporting relief operations and its subordinate units are providing command and control, aviation and logistics. The troops are capable of providing food, water, transportation and other relief support. U.S. Air Force airmen load a pallet onto a U.S. Air Force C-17A Globe Master III, March Air Reserve Base, Calif., March 12, 2011. The supplies are in route to Japan for earthquake relief efforts. USAF • The proximity of aviation assets at Marine Corps Air Station Futenma in Okinawa has allowed Marines from III MEF to quickly deploy critically needed supplies and aid to impacted areas. CH-46E Sea Knight helicopters with Marine Medium Helicopter Squadron 265, III MEF, departed Marine Corps Air Station Futenma bound for Naval Air Facility Atsugi on mainland Japan. • The aircraft carrier USS Ronald Reagan is now off the coast of Japan’s main island of Honshu. The Reagan is serving as place for Japanese helicopters to land and refuel. There are two escort ships with the Reagan and four more destroyers on the way to conduct search and rescue. • The USS Tortuga has arrived and is loaded with two heavy lift MH-53 Sea Stallion helicopters. • The USS Essex, an amphibious ship carrying a 31st Marine Expeditionary Unit is still a couple days away. The USS Blue Ridge, a command ship loaded with relief supplies, has left Singapore but it will get to Japan after Essex. • The U.S. Air Force's Air Mobility Command forces are poised to support relief operations in Japan. • U.S. Army Japan/1st Corps Forward has activated its Emergency Operations Center and is mobilizing a disaster assessment team. The Nimitz-class aircraft carrier USS Ronald Reagan is underway in the 7th Fleet area of responsibility, March 12, 2011. Ronald Reagan has been directed to Japan following a 8.9 earthquake and tsunami to render humanitarian assistance and disaster relief as directed. U.S. Navy U.S. Forces Provide Relief Aid to Japan UNITED STATES RESPONSE On March 11, U.S. Ambassador to Japan John V. Roos declared a disaster due to the effects of the earthquake and tsunami. In response, USAID activated a Response Management Team (RMT) in Washington, D.C., and deployed a Disaster Assistance Response Team (DART) to Japan to coordinate U.S. Government (USG) response efforts in Japan. USAR On March 13, the Fairfax County and Los Angeles County Urban Search and Rescue (USAR) Teams arrived in Japan as part of the DART. NRC Acting as part of a U.S. Agency for International Development assistance team, the NRC has dispatched eight additional experts to Tokyo to provide assistance as requested by the Japanese government. The first members of the team left the United States Monday evening and were due to arrive in Tokyo Wednesday afternoon. The team includes additional reactor experts, international affairs professional staffers, and a senior manager from one of the NRC’s four operating regions. NOTES: • The United States briefly engaged in limited domestic response operations due to Pacific tsunamis triggered by the earthquake. • The United States Department of Defense is actively assisting response operations, primarily through heavy lift operations. • The United States continues to have disaster response assets on stand-by to support Japan if requested. USAID Responds Immediately to Japan Earthquake and Tsunami WORLD HEALTH ORGANIZATION World Health Organization-Regional Office for the Western Pacific (WHO-WPRO) in Manila • The Event Management Group has been activated to monitor and alert others with regard to the evolving situation, as well as to communicate and coordinate the response to the earthquake in Japan. The WPRO Situation Room is currently operational. • WPRO has been in contact with the Ministry of Health, Labour and Welfare of Japan. The National IHR Focal Point in Japan has been designated by Japan to communicate with WHO on the event. • WPRO has conducted an teleconference with its country Representatives and Liaison Officers to appraise them on the present situation. • WPRO/ENH (Environmental Health) has joined the Event Management Team to advise, assess and monitor the situation related nuclear power plant leak. • WHO/WPRO has been working with WHO/HQ to compile available technical guidelines related to radiation issues. • WPRO communications team has been developing advisories and information materials to support needs of Member States with regards to issues on radiation and health. • All levels of WHO have been mobilized to provide support to the emergency. OCHA Situation Report No. 6 - 15 March 2011 • As part of its response to the nuclear power plant crisis in Japan, the World Health Organization (WHO) has alerted its global network of health experts specialized in nuclear-related disasters. • The Radiation Emergency Medical Preparedness and Assistance Network (REMPAN), is composed of more than 40 specialized institutions with expertise in radiation emergency medicine, public health interventions and long-term follow-up. • REMPAN's experts are now on standby but will not travel to Japan unless their assistance is requested by the Japanese authorities. A number of the REMPAN institutions are based in Japan, providing the country with a high level of domestic expertise. • A United Nations Disaster Assessment and Coordination (UNDAC) team has arrived in Japan to support the Government in its emergency response operations. NOTE: • WHO continues to make preparations to support response operations as requested. • The impact of radiation released from the ongoing nuclear emergency remains a major concern of WHO. OTHER ORGANIZATIONS OF INTEREST • Medecins Sans Frontieres (MSF) currently has a team of 10 people divided into three teams conducting mobile clinics and assessments in Miyagi prefecture, following the earthquake and resulting tsunamis. They have expressed concern for the elderly that have been evacuated. MSF is now identifying specific needs - which include oxygen, non-food items, medical items and water - and will work with Japanese authorities to assist these populations. • Save the Children has a team in Sendai, establishing an operations base to help the most vulnerable children and their families. The teams will be setting up a network of child friendly spaces. • Association of Medical Doctors of Asia team comprising one coordinator, one nurse and two doctors (pediatrician/physician, physician/public health specialist) left Okayama in the morning of Mar. 12th and headed to Niigata to secure the logistic point and access to the worst-hit Sendai city and the vicinity of Miyagi prefecture. The team is mainly aiming to support the vulnerable elderly, however, their further scope of activities will be determined based on the needs assessment and information gathering at the local sites. • The International Federation of the Red Cross and Red Crescent Societies (IFRC) reports there are now more than 430,000 people housed in some 2,500 evacuation centers, mostly in schools and other public buildings. In addition, Red Cross medical teams are reporting many cases of people arriving at hospitals suffering from hypothermia and at risk of pneumonia. Many people are suffering the effects of having swallowed contaminated water during the tsunami. 85 medical teams are operating out of hospitals and mobile clinics treating survivors. Each team includes a trained psychosocial nurse, who allows survivors to voice their grief and anxieties, as well discuss practical concerns. • The Japanese Red Cross has also deployed 95 medical teams, with a total of 735 people, including doctors and nurses. • The National Society set up field clinics and is operating mobile health clinics, providing first aid, medical, health and psychosocial support. The Red Cross has almost 2,400 nurses trained to give psychosocial support. • Volunteers continue to distribute relief items, ensuring displaced people are offered hot meals, clearing debris and providing medical transportation. The IFRC maintains a pre-positioned stock of relief items for up to 20,000 families in the region which can be dispatched if requested. All of the Japanese Red Cross branches are equipped with special equipment to deal with nuclear, biological or chemical disasters. In addition, there is a specialist team at Nagasaki Red Cross hospital, which remains on standby and ready to receive patients if required, as part of the Government’s nuclear accident plan NOTE: Multiple international health and welfare organizations are operating in the impacted area to support displaced and vulnerable populations. OCHA Situation Report No. 6 - 15 March 2011 Japan: Significant needs in remote quake and tsunami-hit areas Japan: Red Cross steps up response to meet needs of evolving disaster Up to 100,000 children displaced in Japan earthquake and tsunami, warns Save the Children AMDA Sit Rep 1, 14 MAR 2011 HEALTH THREAT FROM A NUCLEAR ACCIDENT Contaminated Soil Contaminated Air Contaminated Water Environmental Radiation Contamination Radiation Exposure Exposure Burns to eyes/skin Molds/Allergens Inhalation GI Tract ARS Thyroid Cancer Contaminated Food Secondary Fires Loss of Communications Loss of Essential Services Nuclear Accident Infrastructure Loss of Utilities Fires and Explosions Delays/ Inability to Evacuate Access to care prohibited Trauma/Wounds Burns Radiation Blast Maternal & Neonatal Chronic Disease Burns/Smoke Inhalation Exposure Loss of Transportation Networks Loss of Assets Displacement Socio-Economic Loss of Shelter Loss of Employment Loss of Access To Food/Water Meningitis Measles Malnutrition Dehydration Diarrhea A toddler is checked for signs of radiation by officials in protective gear after thousands of residents were evacuated from the area near the Fukushima Daini nuclear plant in Koriyama RADIATION – MEDICAL ISSUES NUCLEAR ACCIDENT DOSE (REM) • A nuclear and radiation accident is defined by the International Atomic Energy Agency as "an event that has led to significant consequences to people, the environment or the facility. • Examples include lethal effects to individuals, large radioactivity release to the environment, or reactor core melt. • The prime example of a "major nuclear accident" is one in which a reactor core is damaged and large amounts of radiation are released. ACUTE RADIATION SYNDROME (ARS) • • Also called radiation sickness People exposed to radiation will get ARS only if: – The radiation dose was high – The radiation was penetrating • (that is, able to reach internal organs), – The person’s entire body, or most of it, received the dose, and – The radiation was received in a short time, usually within minutes. EFFECTS .070 Mammogram .365 Annual Natural Background Radiation- Denver <50 Clinical threshold (drop in lymphocyte count) ~100 Threshold for Prodrome (Nausea,Vomiting, Diarrhea) ~350 ~50% die within 60 days (with minimal supportive care) ~500 ~50% die within 60 days (with supportive medical care) >1,000 ~100% die within 30 days • If the dose of radiation exceeds a certain threshold level, then it can produce acute effects, such as skin redness, hair loss, radiation burns, and acute radiation syndrome (ARS1). NOTES: • In a nuclear power plant accident, the general population is not likely to be exposed to doses high enough to cause such effects. • Rescuers, first responders and nuclear power plant workers are more likely to be exposed to doses of radiation high enough to cause acute effects.