Japan Association of Medical and Care Facilities (JMC)
Emergency Headquarters for East Japan Earthquake Disaster[Director] Yozo Takehisa [Deputy Director] Takaki Fuke [Chief Secretary] Yukihiko Ikebata
First of all, we would like to offer our most sincere condolences to those who lost loved onesin the earthquake and tsunami and to extend our heartfelt sympathy to all those affected bythe disaster.
disaster
We established an emergency headquarters on March 11, the day of the earthquake, andsince have been working to restore chronic care in the affected area. With the cooperation of
our fellow members and supporters, the JMC will continue to work together as a team tosupportt theth roadd tot recovery.

Our Support Efforts
１． Transport of relief supplies
２ Dispatch２．
Dit h off medical
di l staff
t ff
３． Acceptance of chronic care patients requiring medicalmanagement
４． Acceptance of patients from affected areas
５ Call for donations
５．
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1. Transport of Relief Supplies
Thanks to the cooperation of JMC members and supporters, we were able to deliver
about 40 tons (4,000 boxes) of relief supplies to member facilities in affected areas.
[First shipment]

Wednesday, March 16
One 10-ton truckload
T FourTo:Fhospitals
hit l iin IIwakiki (F(Fukushimak hiPPrefecture)f t ) andd one hhospital
it l iin
Hitachiomiya (Ibaraki Prefecture)[Second shipment]

Thursday, March 24
One 10-ton truckload
To: Two hospitals
pin Ishinomaki, two hospitals
pin Sendai, one hospitalpin Kakuda,
one hospital in Natori, one hospital in Matsushima, one hospital in Wakayanagi(Miyagi Prefecture), and one hospital in Fukushima (Fukushima Prefecture)[Third shipment]

Saturday, March 26
One 10-ton truckload
To: Two hospitals in Sendai, one hospital in Kakuda,
one hospital in Natori, one hospital in Matsushima(Miyagi Prefecture), and one hospital in Fukushima(Fukushima Prefecture)

We have used courier
services
isinceillate
M hMarchto send relief supplies tomember facilities acrossthe Tohoku region.

22. Dispatch of Medical Staff
Aboutt 250 healthcareAb
h lthworkers
kfromf
memberb facilities
f iliti across JJapan, iincludingl di
medical doctors and nurses, have been recruited and are ready for dispatch.
March 16 to 17: Four nurses were dispatched. March 24 to 26: Three nurses were dispatched.

Dispatched staff share their experiences…
I was deeply moved by the young healthcare workers who were waiting for relief supplies in the affected areas—driven by hopefor recovery, they were working to the best of their ability, protecting whatever they had. The supplies we delivered on a 10-ton
truck were unloaded and carried into their facilities in the blink of an eye. When I wished them good luck on the long road torecovery,y theyy answered with confidence that theyy would continue to soldier on. Althoughg it was nighttimegwhile we were there,
I could nonetheless see scenes of the disaster that were way beyond my imagination. It made me think how I would breakthrough such a situation.
I got a real sense of the situation in the disaster area, where there were shortages of so many supplies, not just medications.
What was most memorable to me was the local staff members who were working so hard to take care of the patients, despite
their fatigue and anxiety.

33. Acceptance of Chronic Care Patients Requiringg
Medical Management
On an as-needed basis, 227 facilities across Japan stand ready to accept up to 1,500 patients who are in
the highest need of nursing care or severe chronic care management, for example mechanical ventilation,
post-tracheotomy care, post-gastrostomy care, severe dementia care, and hemodialysis.

4Case Examples of Patients Transferred from Acute Care Facilities in Disaster-stricken Areas[Case 1] Fukushima Æ Chiba Prefecture
Patient info Female, 88 years old; extent of nursing care needs: 5• Suctioning 1.5 to 2 h/session• Intestinal stoma: MAIBALANCE® liquid diet 400 mL × 3 times
Patient• MRSA carrier: Nasal cavity (2+), phlegm (±)
condition• Bedridden• Foley catheter + diaper
Hospitalized due to worsening condition during evacuation from a special elderly nursing home in Minamisoma.
Consultation
Pneumonia has subsided, but the patient is unable to return to the nursing home. Looking for a nursing facility or hospitaldetailnear Abiko, Chiba, to which her family has evacuated.

[Case 2] Miyagi Æ Saitama Prefecture
Patient info Female, 76 years old• Hemodialysis• Receiving dialysis since Nov. 13, 2002, due to chronic renal failure from diabetic nephropathy.
• Bilateral, lower extremity arteriosclerosis obliterans (ASO). Bedridden due to lumber compression fracture.
• Bilateral heel ulcers and left heel osteomyelitis in 2008 but healed. No existing ulcers at the moment, but may be prone
to the condition.
Patient• Diabetes controlled by insulin injection. Dry weight set slightly higher due to hypotension during hemodialysis. Mildcondition
edema in legs.
• Bladder cancer suspected in Mar. 2010 but not examined in detail.
• Since the Tohoku earthquake and tsunami on Mar
Mar. 1111, 20112011, unable to visit hospital and hospitalized on Mar
Mar. 18 at ourfacility by request of Japanese Red Cross Ishinomaki Hospital, where the patient was originally seen. Currently under
examination for bladder cancer at the Urology Department.

[Case 3] Fukushima Æ Saitama Prefecture
Patient infof Female, 80 years oldPatient
condition • On mechanical ventilation due to throat injury in a traffic accident which occurred last yearIn-patient care became difficult in Fukushima Prefecture due to the earthquake. Also treated for acute disease (surgery forConsultationhydrocephaly was being considered). Transferred to Kawaguchi Municipal Medical Center in Saitama, where transfer to adetailchronic care facility was recommended
recommended. Looking for a hospital in Saitama Prefecture
Prefecture, where her relatives residereside.

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Case Examples of Patients Transferred from Acute Care Facilities in Disaster-stricken Areas[Case 4] Miyagi Æ Saitama Prefecture
Patient info Female, 89 years old• Chronic kidney disease (supportive care stage)• Chronic heart failure
Patient• Hypertension
condition• Diabetes• Dementia
With the family not opting for dialysis, strict dietary management and oral medication are necessary. Since the patient
lives on her own, external support is essential. The family lives in Tokorozawa, Saitama. As they are already taking care
Consultationof an elderly relative, it is difficult to accept another. Due to the disaster, it is difficult to find a place in Sendai, Miyagi, anddetailthe patient remains hospitalized in an acute care facility even though her condition has stabilized.
area, where they residereside.
* The family is looking for a facility in the Saitama area

[Case 5] Fukushima Æ Kanagawa Prefecture
Patient info Male, 66 years old• Nasal feeding• Severe dementia (Binswanger(Binswanger’s)s)• Evacuated from a geriatric health services facility. Brought to the hospital by ambulance after contracting pneumonia at ashelter.
• Occasionally used a wheelchair during the stay at the geriatric health services facility, but currently bedridden requiring
Patient
full assistance.
condition• Current medical care includes: nasal feeding, suctioning, oxygen (via mask, 4 L) bedsore treatment (GEBEN® Cream:sulfadiazinefsilver))• Medical history: Dementia since 2007
* Relatives live in Yokohama. Looking for in-patient care at a hospital or facility in that area.

[Case 6] Miyagi Æ Tokyo
Patient info Female, 23 years oldIn 2011, collapsed while running and was brought in for emergency care in a state of cardiac arrest. Severe brain
hypoxia (vegetative state).
Quadriplegia, nasogastric feeding, no tracheotomy. There is spontaneous eye opening. The patient may speak but is notPatient
capable of communicating.
condition
Currently manageable by nasogastric feeding without intravenous infusion.
* The patient’s parents live in Higashimurayama, Tokyo, and have been looking for a facility in the Tokyo area since
before the earthquake.

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4. Acceptance of Patients from Affected Areas
Member facilities across Japan are accepting patients from disaster-strickenareas.
No. of facilities
Tohoku
Kanto
Chubu
Kinki
Chugoku
Kyushu and Okinawa

Total

1839
582577

No. of patients accepted(in-patient)

3203816915722

No. of patients(out-patient)

029
130
1465
As of May 13, 20117

5. Call for Donations
On March 31,31 Dr.
Dr Deok-Jin
Deok Jin Kim,Kim president of the Korea Association ofGeriatric Hospital (KAGH), visited Japan in order to make a donation.
We once again reiterated our determination to endeavor in good faith toadvance chronic care in Asia.

L: Dr. Deok-Jin Kim, President of KAGH
R: Dr. Yozo Takehisa, Chairman of JMC

S. Korea

KAGH¥2,346,000Japan

152 donations¥30,903,470
Total¥33,249,470

From Left:
Dr. Deok-Hyeon Son, General Affairs Director, KAGH
Dr. Seong-Gon Son, International Affairs Director, KAGH
Dr. Doek-Jin Kim, President, KAGH
Dr. Yozo Takehisa, Chairman, JMC
D TDr.
Tetsuyat
Nakamura,
N kH
Headd off ththe IInternationalt
tilC
Committee,
itt
JMC(A off M(AsMay 21)

Donations should be directed to:Japan Post Bank Account: 00140-7-401993
Account Name:Japan Association of Medical and Care Facilities

8Messages from member facilities in disaster-stricken areas (excerpted)
Nanshou Hospital, Iwate

After the earthquake,
earthquake we were struggling to acquire food
food, medicine
medicine, paper diapers
diapers, and other supplies thatwere in short supply due to severed utility and transport connections. Through the JMC, however, we havereceived a number of relief supplies from member facilities. We would like to express our sincere
appreciation for the donation of these valuable supplies.

Ishinomaki Hospital, Miyagi

The relief package was filled with exactly what we needed and were looking for, thanks to JMC members’
expertise in chronic disease care
care. It helped us a great dealdeal.

Saito Hospital, Miyagi

Our hearts are filled with appreciation for such a prompt response. We will never give in and continue to riseup together to contribute to local healthcare.

Kaiyama Central Hospital,Miyagi

We truly appreciate the supply of nursing care products, medicines, fluids, and liquid diet products in a timeof great need, when commercial supplies were inadequate.

Mori Hospital, Miyagi

There was an outbreak of influenza at the evacuation center, and we were able to actively respond to thesituation. Blankets and clothing were very much appreciated by the geriatric health service facilities.

Ishibashi Hospital, Miyagi

We were delighted with the swift response and appreciate the thoughtful donation of supplies. We will makeeffective use of this large amount of relief supplies for our patients. The staff at our facility will work together
to overcome the challenges posed by the earthquake
earthquake.

The staff at our hospital was making a concerted effort to make patients’ safety a top priority when we did
not have supplies, both medical and everyday products, and they could not commute due to collapsed utility
Nishi Sendai Hospital, Miyagi
and transportation infrastructure. The heartfelt support from the JMC will keep us together and pressing on
toward full recovery.
As a disaster victim myself
myself, I cannot express thanks enough for the establishment and activities of theEmergency Headquarters at such an early stage, led by the JMC’S prompt decisions and efforts. We are still
Fukushima Jyukokai Hospital, receiving evacuees, in particular those requiring hemodialysis, from areas that were affected by the tsunami
Fukushimaand radiation. A part of the relief supplies is being utilized for medical care visits to evacuation centers. We
are absolutely certain that as one of the first organizations to offer support for maintenance of the afflicted
areas, the JMC will be highly recognized for its insight and ability to take action in times of chaos.
Anazawa Hospital,Fukushima

The shortage of medical supplies was imposing great constraints on us. We would like to express ourgratitude for these unexpected relief supplies, and it is our sincere desire to fulfill our responsibilities as aJMC member.

Koujima Jiai Hospital,Fukushima

We would like to express our respect for the swift arrangement of relief supplies. It was astonishingly fast.
We will continue to dedicate ourselves to our work. Thank you very much for your future support.

9Messages from member facilities in disaster-stricken areas (excerpted)
In our prefecture
prefecture, patients were evacuated from hospitals in Minamisoma
Minamisoma, and we were one of the first
Sawara Hospital, Fukushima hospitals to respond to their SOS and accepted 22 patients. We will make effective use of relief supplies
from the JMC.
Iwaki Yumoto Hospital,Fukushima

We were very encouraged by the relief support when we were just managing to provide healthcare during
the logistics shutdown. We would like to extend our special thanks for such prompt and substantial support.

Umemura Hospital, Aomori

We received the supplies during a time of difficulty when there was a delay in commercial supplies ofnursing care products. We were able to immediately use the supplies for the benefit of our patients.

Shimura-Omiya Hospital,Ibaraki

There was a prolonged shortage of gasoline and supplies due to highway blockages and radiation issues.
We will make effective use of these valuable supplies provided by the JMC.

Ogawa Minami Hospital,Ibaraki

We were experiencing great difficulty for days of electricity failures, water outages, and other utility problems
when we received the relief supplies. We were very grateful and used them immediately for the benefit of ourpatients. With the highest priority on patient safety and security, we will continue to work with a united front.

Hiki Hospital, TochigiThere is a continuing shortage of supplies such as linens and daily necessities. We would like to express ourgratitude for the prompt actions of the JMC.

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被災施設の状況

11Scenes from disaster-stricken areas

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