● このスライドは、非営利かつ個人的な目的に限り閲覧することができます。
The following presentation slides are shared with symposium participants exclusively for personal, non-commercial,educational purposes.

● このスライドの著作権は、講演の発表者本人に帰属します（図表等の引用箇所は除く）。如何なる国・地域においても、また紙媒体やインターネット・電子データなど形態に関わらず、スライドの全部または一部を無断で複製、転載、配布、送信、放送、貸与、翻訳、販売、変造、二次的著作物を作成すること等は、固く禁止します。
Copyright of these slides belongs to the presenter and/or the Radiation Medical Science Center for the Fukushima
Health Management Survey, Fukushima Medical University (except figures, tables, etc., cited from other sources).
It is strictly prohibited to reproduce, reprint, distribute, transmit, broadcast, loan, translate, sell, modify, and/or
create derivatives of any slides, in any physical or electronic medium anywhere in the world.

2024年 福島県立医科大学『県民健康調査』国際シンポジウム
公立大学法人福島県立医科大学放射線医学県民健康管理センター
国際シンポジウム事務局（広報・国際連携室）✉ kenkani@fmu.ac.jp Tel: 024-581-5454(平日9～17時)
2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey
Secretariat of International Symposium
Office of Public Communications and International Cooperation, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University✉ kenkani@fmu.ac.jp, TEL: +81-24-581-5454 (Weekday, 9a.m. - 5 p.m. JST)

2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey

Overview of
the Fukushima Health Management Survey

YASUMURA Seiji
Radiation Medical Science Center for the
Fukushima Health Management Survey,
Fukushima Medical University

“Great East Japan Earthquake” Triple Disaster in Fukushima
By Prefecture:
Iwate 4,675 deceased（1,110 missing）
Miyagi 9,639 deceased（1,215 missing）

Fukushima Prefecture
1,598 deceased and 224 still “missing”
due to earthquake and/or tsunami

2,337 “disaster-related deaths”
but no deaths caused by radiation(As of March, 2023)

Earthquake

TsunamiNuclear Power Plant Accident
as a man-made disaster

Fukushima City

Minamisoma City

Fukushima Dai-ichi
Nuclear Power Plant

The air radiation dose rates (μSv/h)Okuma Town

Namie Town

Futaba Town
Katsurao Village
Tomioka Town

2011/10/1

Figure 2. Changes in ambient air radiation doses rates
2022-03-29 Detailed monitoring results in Restricted Area and Evacuation Zone
(Support Team for Residents Affected by Nuclear Incidents)

The air radiation dose rates (μSv/h)

Fukushima City
Iwaki City
Aizuwakamatsu
City(Month)(Year)

Figure 3. Changes of ambient air dose rates in Fukushima City, Iwaki City, and Aizuwakamatsu City
Source: Reconstruction Agency. “Current Situation of Damage from Harmful Rumors and Countermeasures." 2019

（As of April 22, 2011）

Fukushima Daiichi
NPP

電子地図出典：国土地理院

Time Course Map for all areas of Fukushima (as of May, 2011) andconceptual scheme of evacuation-designated zones （as of April 22, 2011）（https://www.pref.fukushima.lg.jp/sec/298/keijihenka-201105.html（Fukushima Prefectural Centre for Environmental Creation））

Summary of disaster-related fatalities from the Great East Japan Earthquake,by prefectures and age groups

By age groups

Prefectures

Iwate
Miyagi
Fukushima
Other prefectures
Total

Total

470
931
2,337
56
3,794

Difference
from the Ages 20
previousandreviewyounger
(0)
(1)
(4)
(0)
(5)

Ages
Ages 66
21 to 65 and older

1
2
34
3
40

64
119
233
10
426

405
810
2,100
43
3,358

Fukushima
has moredisasterrelated deaths,
predominantly
among older
citizens.

(As of March 31, 2023)

1,598 persons of direct death（Data from Reconstruction Agency: Tabulation by YASUMURA）

Purpose of the Fukushima Health Management Survey
From the 2nd Fukushima Prefectural Oversight Committee（June 18, 2011)（Reference）
Framework of Health Management of Fukushima residents
１．Background
２．Purpose
Relieve anxiety after the nuclear accident
Protect and promote the long-term health of Fukushima residents
３．Implementation
What is the FHMS?
Following the release of radioactive materials and evacuation of residents after
the nuclear accident, Fukushima prefecture has implemented the ‘Fukushima
Health Management Survey’ to estimate external exposure doses and toascertain the residents’ health status, essential activities for prevention, early
detection, and treatment of disease. The goal is to protect and promote thelong-term health of Fukushima Residents.
(Fukushima prefecture HP:https://www.pref.fukushima.lg.jp/sec /21045b/ps-kenkocyosa-gaiyo.html )Fukushima Health Management Survey (for all residents of Fukushima Prefecture)Outline of the Fukushima Health Management Survey■ Basic Survey to estimate individual external exposure dose for four months after the accident and Detailed Surveys to understand
individual health conditions

Type

Basic Survey
Detailed Surveys
Thyroid UltrasoundExamination (TUE)

Participants
Residents of and visitors to Fukushima
during the disaster
Preliminary Baseline Survey:
All residents aged 18 or younger at thetime of the disaster
Full-Scale Surveys:
In addition to those mentioned above,
people who were born from April 2,2011 to April 1, 2012

NumberApprox.
2.06 million

Self-reportquestionnaire to besubmitted by post

Approx.

Thyroid examinations
are performed atschools, medical
facilities, and public
facilities.

368,000
Approx.
381,000

Residents of 13 municipalities
designated as evacuation zones

Approx.

(Other municipalities are covered by theprefectural health check program)

210,000

Mental Health andLifestyle Survey (MHLS)

Residents of 13 municipalities
designated as evacuation zones

Approx.

Pregnancy and Birth
Survey (PBS)

Main Survey:
Those who received a Maternaland Child Handbook in Fukushima
Those who give birth in Fukushima
Follow-up Survey:
Respondents to the Main Survey

12,000 16,000/year

Comprehensive Health
Check (CHC)

Method of survey & response

210,000

5,000 7,000/year

Health checks areprovided at medical
facilities, municipal healthcheck venues, etc.
Self-reportquestionnaire to besubmitted by postor online
Self-reportquestionnaire to besubmitted by postor online

Source: 48th meeting of the Oversight Committee for the
Fukushima Health Management Survey (July. 20, 2023)

Basic Survey – Results

Summary of external exposure (effective dose) during the first 4 months after the disaster（％）100

90
80
70
60

As of Mar. 31, 2023

Less
than
2mSv
93.8%

Excluding those engaged in radiation work

Less
than
5mSv
99.8％

62.2

50
40

Participants： 467,256 residents
Results : Total
93.8%
Kenpoku
87.0%

Less than
2 mSv

Kenchu92.3%
Kennan88.2%
Less thanAizu, Minami-aizu 99.3%
1 mSv
Iwaki
99.1%
Soso
77.3%
Maximum: 25 mSv / Mean: 0.8 mSv / Median: 0.6 mSv

31.6

30
20
10
0

5.5
0.3

0.1

0.1

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0 0.0
mSv

Oversight Committee
The dose estimation results obtained from this survey were considered as “not being at a level where healtheffects can be confirmed with a statistical significance in light of the scientific knowledge obtained to date.”Thyroid Ultrasound Examination – Method
Preliminary baseline survey: Approx. 368,000

Full-scale survey :All residents aged 18 years or younger at the time of the disaster
Approx. 381,000
In addition, those who were born from April 2, 2011 to April 1, 2012
ProcedurePrimary Examination（Ultrasonography）

Cyst

NoduleUltrasound imaging
Grade： A1,A2■Cyst ≤20.0 mm ■Nodule ≤5.0 mm

Grade： B,C■Cyst ≥20.1 mm ■Nodule ≥5.1 mm

Confirmatory Examination

Advanced ultrasonography, blood test, urine test andfine needle aspiration cytology (if needed)

Periodic examination

Medical follow-up or treatment

Advantages and Disadvantages of Thyroid Examinations
Disadvantages

Advantages⚫Analysis of results provide information
regarding radiation effects in Fukushima
Prefecture⚫If no irregularities are found, it may bringpeace of mind.
⚫Early diagnosis reduces the risk of recurrence
and complications.

⚫Participants may have anxieties regarding theexamination results.
⚫Burdens may increase from thyroid cancer
treatment and/or follow-ups.
⚫Extremely low-risk cancer may be
overdiagnosed.

Efforts to promote understandings ofthyroid examinations

Explanation about the examination
at primary examination venues

Visiting lectures for students

Explanatory Animation Video

Surveys

Preliminary
Baseline Survey

Survey Rounds

1st round1)

2ndround2)

3rdround2)

4thround4)5thround5)

Fiscal Year2011-132014-152016-172018-19

Survey Population

367,637

381,237

336,667

Participation Rate

81.7%

71.0%

A1

51.5%

A2

Full-Scale Survey

Survey for Age
25 5)

Survey forAge 30 5)

2020-22

2017-

2022-

294,228

252,938

129,006

22,625

64.7%

62.3%

45.0%

9.2%

6.9%

40.2%

35.1%

33.6%

28.8%

42.5%

44.6%

47.8%

59.0%

64.2%

65.6%

70.0%

52.0%

46.9%

B

0.8%

0.8%

0.7%

0.8%

1.2%

5.5%

8.6%

C

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

0.0%

Survey Population

2,293

2,230

1,502

1,394

1,346

647

134

Participation Rate

92.9%

84.2%

73.5%

74.3%

78.8%

84.2%

79.9%

FNAC

39.6%

14.7%

8.2%

9.9%

9.5%

10.0%

14.6%

Malignant or suspicious formalignancy

116

71

31

39

43

23

5

Treatment (Surgery)

102

563)

29

34

34

17

3

papillary
Papillarycarcinoma
carcinoma

100

553)

29

34

34

16

3

Other type of cancer

1 (poorly
differentiatedcancer)1

Other(benign)11(benign)

ResultPathologicaldiagnosis

Insurance
Treatment

Confirmatory
Examination

Primary Examination

Results of the Thyroid Ultrasound Examination

1（follicularcancer）

Total
328
275
271
3
1

1) March 31, 2018; 2) March 31, 2021; 3) March 31, 2022; 4) June 30, 2022; 5) September 30, 2023)（Tabulation by Dr. YOKOYA Susumu, Feb. 2024）

Radiation Exposure Dose among Evacuation Groups
from the Chornobyl and Fukushima Nuclear Accidents

UNSCEAR Report
Average Absorbed Doseto the Thyroid (mGy)

Average absorbed dose to the thyroid in the first year to infants for each evacuation scenario

30

Fukushima

Evacuation
Destination

UNSCEAR2020/2021Report page 150

20
Average absorbed doseto the thyroid in
the first year to infants
About 2mGy-30mGy

100evacuation scenario

UNSCEAR 2008 Report
Mean effective dose

Chornobyl
Accident# ofpeople(x1,000)

External

Internal（ｍGy)

Belarus

25

30

6

1,100

Russia

0.19

25

10

440

Ukraine

90

20

10

330

（ｍSv）

Mean
Thyroid dose

(2023 FHMS 5 th International Symposium, presented by Dr. KAMIYA Kenji)

Study of the association between radiation dose and the development of malignant/suspected malignant thyroid tumors
Exposure Doses

Analytical Method
Ecological Study

Eligible Persons

External Exposure Doses from FHMS

Thyroid Examination(TUE) Examinees

Dose-based
Cross-sectional Surveys

UNSCEAR Absorbed Thyroid Dose by the Region

Individual Equivalent Thyroid Doses
Resulting from the Sum of External andInternal Exposure Doses

TUE Participants

Full-scale survey accumulation basedon effective dose

Registrants in
the Cancer RegistryFull-scale survey accumulation（nested case-control study）＋

Nested case-control study(%) 30Matching Model 1

Matching Items* Sex, Age* Examination status
at the time of diagnosis

10

Matching Model 2
Case group 131 people
Control group 1310 people
Matching Items* Matching Modei1+* Pattern of Thyroid
Examination (TUE)

0

1>

2-3

4-5 5-10

ns.

ns.

15-20 20<

Equivalent thyroid dose (mSv)(%) 30□ Control group 462■ Symmetry group
population 149,778

20
10
0 1>

Odds Ratio

20

Controlgroup□ Control
group462■ Symmetry
group
1310
population 149,778

Odds Ratio

Case group 154 people
Control group 462 people

The 21st Thyroid Examination Evaluation Subcommittee

2-3

4-5 5-10

15-20 20<

Equivalent thyroid dose (mSv)(2023 FHMS 5 th International Symposium, presented by Dr. KAMIYA Kenji)

Thyroid Ultrasound Examination –Prefectural OversightCommittee’s view on results

1st round

Based on comprehensive evaluation of the results of the Preliminary Baseline Survey,
thyroid cancers found thus far cannot be attributed to radiation from the Fukushima accident.
Because…
・ Exposure doses in the Fukushima accident were generally lower.

From “Interim Report on the Fukushima Health Management Survey”

・ Latent period of thyroid cancers is short (approximately one to four years).
・ Cancers have not been found in those aged five and younger.
・ There are no significant regional differences in detection rates.

2nd round

Oversight Committee confirmed its subcommittee’s view that no causal relationshipcould be established between radiation exposure and prevalence of thyroid cancer found in the 2ndround survey.
(Documents for the 36th Oversight Committee meeting)Because…
・ Analyses of an association between thyroid cancer detection rates and thyroid doses estimated by UNSCEAR revealed nodose-effect relationship.

・ The age distribution of thyroid cancers in Fukushima is different from that of Chornobyl.

Through the 4 th round The evaluation has concluded that there is no evidence of an association
between thyroid cancer and radiation exposure found from the Preliminary Baseline Survey throughthe fourth-round survey.
(The 21st Thyroid Examination Evaluation Subcommittee)
Because…
・No association (dose-effect relationship) is observed in the analysis of the estimated exposure doses by region or the estimatedexposure doses for individuals and the detection rate of malignant or suspected malignancy.

Thyroid Ultrasound Examination – Support○ Support for Primary Examination○ Support for Confirmatory Examination

The Diagnosis Explanation Booth【Members】● Set up at public location/facility● Provisional explanation by adoctor showing the scanned
image

Thyroid Support Team

Nurse, Psychiatric Social Worker, Clinical Phycologist, Medical Social
Worker, etc.
Primary
Exam

Provided explanation to34,696 people since FY2015

Insurancecoveredtreatment

Secondary Exam(two visits to
hospital)

Observation,
Operation, etc.

Cytology（The figure as of the end of Sep. 2023）

In the booth (image)
Next Primary Exam【Activities】〇 Leaflet● Distribution at the examination venues● Explanation of nodules & cysts, diagnostic criteria, follow-up exams, etc.

Psychosocial support for the confirmatory examination examinees
and their families
Supported 2,511 people (5,098 times) since FY2013

TUE Flow chart（Figures as of the end of Sep. 2023）○ Exclusive Medical Call Center【Coverage】

452 calls since

Thyroid exam patients and their families【Activities】

FY2016(The figure as of the end of March 2023)● Medical consultation on the diagnosis and thyroid diseases, etc.
● Doctors respond while checking the result and scan.

Comprehensive Health Check – Outline
Age groups and check items

Covered Population: About 210,000＝same as Mental Health and Lifestyle Survey
Residents of nationally designatedevacuation zones as of 2011

Fukushima
PrefectureAgegroupsCheck items

0–6

Height, weight[Additional items on request]
CBC (complete blood count:red cell count, differential white cellcount, platelet count, hematocrit,hemoglobin)

7 - 15Height, weight, blood pressure, CBC[Additional items on request]
Blood biochemistry (AST, ALT, γGT,
TG, HDL-C, LDL-C, HbA1c, plasma
glucose, serum creatinine, uric acid)(Preschool)

Fukushima
Daiichi Nuclear
Power Plant(Elementary
school Grade 1– Junior highschool Grade 3)

13 Municipalities
designated as evacuation
zones in 201116 or older

Those who were recommended tohave follow-up based on the
results of the Basic Survey

Height, weight, abdominal
circumference or BMI, blood pressure,CBC, urine protein, urine sugar, urine
occult blood), blood biochemistry(AST, ALT, γGT, TG, HDL-C, LDL-C,
HbA1c, plasma glucose, serum
creatinine, estimated glomerular
filtration rate [eGFR], uric acid)※The underlined items are not usually
performed in Specific Health Checkups.

Comprehensive Health Check (CHC) – Results
41st, 44th, 48th and 50th Oversight Committee for the Fukushima Health Management
SurveyNo findings indicating radiation effects were found in the results of the CHC
Health status after the 3.11 Great East Japan Earthquake（ages 15 years old or younger）• Obesity has improved, but dyslipidemia has persisted.
Diseases that are considered as being attributable to changes in lifestyle including evacuation due tothe disaster（ages 16 yeas old or older）••••

Obesity
Hypertension
Dyslipidemia (low HDL-C)
Diabetes
Risk factors for circulatory diseases
are increasing.

•
•
•
•

Renal dysfunction
Hyperuricemia
Hepatic dysfunction
Polycythemia

Diseases that had increased after the disaster but reduced thereafter （ages 16 years or older）• Blood pressure, LDL-C: Improved treatment rate
• Hepatobiliary system enzyme abnormality (hepatic dysfunction): Daily exercise and eating of breakfastComprehensive Health Check – Support
13 municipalities designatedas evacuation zones

Radiation Medical Science Center
Analytical Report

Explanation/p
roposal tolocal gov’t

Results Report

Leaflet“Health Check isYour Body's Report
Card.”●Results by each municipality●Health promotion suiting
the needs of each municipality etc.

Deepeningunderstanding andraising awareness ofhealth condition

Residents

Report at briefing sessions with
13 municipalities

Conducted 342 times
From FY2013 to FY2022

Used for promotional
activities and health advice
etc.

“Health Seminars” at health check
results reporting meetings, etc.
Participation

Learn and apply
knowledge fromour leaflet

Exercise

Health checks（Health lecture by a doctor）
Sleep

Meals

（Blood glucose measurement）

Conducted 177 times
from FY2016 to FY2022

Mental Health and Lifestyle Survey – Outline

Covered Population（FY2021）＝same as Comprehensive Health Check
196,569 people who resided in 13 municipalities designated as evacuation zones by Japanese
government. These people are divided into 5 age groups (ages 0-3, 4-6, 7-12, 13-15, 16+ years).

Mental Health and Lifestyle Survey – Results

General mental health measured by K6 (Adults: ages 16 years old or older)
Trends in K6 score of 13 points or higher
16

%
14.6

14
12
10
8

7.1

5.2

6

6.1

4

3.0%

2
0
FY
2011

2015

2020

2021

※The percentage of those scoring 13 points or higher among general Japanese population unaffected by any disaster is 3.0%
（Kawakami, 2007）
Source: The 48th Oversight Committee for the Fukushima
Health Management Survey (July 20, 2023)

Mental Health and Lifestyle Survey – Results

Trends in SDQ score of 16 or higher among children
30
25

%
24.4

22.0

20
15
10

16.2
13.7
10.8

7.0 6.9

11.6
9.0 8.0

10.9
8.4

5
9.5%

0
F

Ages
Ages４-６4-6Elementary
schoolPrimary School
students

JuniorhighschoolMiddleSchoolstudents

A child is considered to have some problematic behavior, and to require specialized support, if the SDQ score is 16
or higher. The percentage of high-risk children reported in a survey conducted among disaster-unaffected children
was 9.5% (*2)
Source: The 48th Oversight Committee for the Fukushima
Health Management Survey (July 20, 2023)

Mental Health and Lifestyle Survey – Support

Addressing thePeople with High Risk

Brochure
Telephone
SupportApproaching to Groups
to Reduce Risk

Feedback ofknowledge

Visiting Covered Municipalities
・Briefing sessions with
13 municipalities
・Advice based on the
results (health workers andhealth & welfare officials)

Organizing Symposiums• Providing information useful for
support activities (Specialists,teachers, students, etc.)

Exhibiting at health events• Health information• Referring to a medical facility
or a consultation center• Physical and mental healthcheck• Identifying needs• Professional advice• Dialogue with residents• Information dissemination
Promotional
activities

Pregnancy and Birth Survey – Outline
Main Survey: Covered population 12,000 - 16,000
・Those who were pregnant and gave birth in Fukushima Pref.
from FY2011 to FY2020

Follow-up Survey: Covered population 5,200 - 7,300
・Those who responded to the Main Survey from FY2011 to FY2014

4 years after
birth

Questionnaire items:• Mental health of pregnant and nursing mothers• Current living conditions/child-rearing situation• Outcomes of pregnancy and childbirth• Expectations for the next pregnancy

Send questionnaires

Main

Midwives, public healthnurses, and certified public
psychologists provide
consultation for anxieties
and/or worries

8 years after birth
Send response

First
Follow-up
Consult by phone
and/or email

SecondFollow-up

Radiation Medical
Science Center for the
Fukushima HealthManagement Survey

Pregnancy and Birth Survey – Results
44th Oversight Committee for the Fukushima Health Management Survey

Preterm
deliveries (%)

Low birthweight infants (%)

Congenital
anomalies (%)

Fukushima

National*

Fukushima

National*

Fukushima

FY 2011

4.6

5.7

8.6

9.6

2.85

FY 2012

5.6

5.7

9.2

9.6

2.39

FY 2013

5.2

5.8

9.6

9.6

2.35

FY 2014

5.3

5.7

9.8

9.5

2.30

FY 2015

5.6

5.6

9.4

9.5

2.24

FY 2016

5.3

5.6

9.2

9.4

2.55

FY 2017

5.3

5.7

9.2

9.4

2.38

FY2018

5.2

5.6

9.0

9.4

2.19

FY2019

5.1

5.6

9.1

9.4

2.71

FY2020

4.4

5.5

8.1

9.2

2.21

GeneralIncidence

2-3*** Vital Statistics (Ministry of Health, Labor and Welfare) ** Guidelines for Obstetrical Practice in Japan 2023

Pregnancy and Birth Survey – Support
Source: 44th meeting of the Oversight Committee for the Fukushima Health Management Survey (May 17, 2022)

Incidence rates ofdepression needing
supportreduced to about halffrom rates
immediately after thedisaster.

(%)

Telephone Support Rate

20.0

16.0
12.0

8.0
4.0

0.0
FY 2011 '12
Overall

80

(%)

'13

'14

'15

About depression

Concerns expressed at consultationand changes in radiation-related concerns

'16

'17

'18

'19

'20

Found from the Free Note

“Concerns about the effectof radiation” were highest

60

immediately after the disaster andreduced over time

40

Mother's physical and mental stateChild rearing-related (daily life) issues

20Child's physical and mental healthFamily life-related issues

0Concerns about radiation effects

FY 2011 '12

'13

'14

'15

'16

'17

'18

'19

'20

[For the future]
As we approach the 10-year anniversary of the earthquake and the start of thesurvey, it is necessary to establish a new framework to understand the needs thathave become increasingly diverse over time and to provide information, while
conducting public relations activities in an engaging way, by utilizing various media
and human resources for communication with the people of Fukushima.
In addition, it is necessary to continue international collaboration activities in orderto obtain cooperation and support from international organizations related toradiation, and scientific advice and support from overseas experts, etc., in order toelucidate health effects related to the nuclear accident and to address people's
anxieties.

(Report of the Fukushima Health Management Survey 2011-2020)

40.4%
0%Overall

Total 2,000 (persons)

20%

11.8

FY2021

Tokyo Metropolis (200)

60%

47.8
24.0

Fukushima Prefecture (200)
Tohoku Region (Excluding Fukushima) (200)

40%

80%
33.8

53.5

10.9

47.8

14.4

6.6
17.9

33.4

49.5

100%

31.6

4.6
7.9
4.6

46.8%

FY2022Overall

Total 2,000 (persons)

Fukushima Prefecture (200)
Tohoku Region (Excluding Fukushima) (200)Tokyo Metropolis (200)very low

10.3

42.9

17.0

39.5
47.5

7.3
31.0

4.6

13.8

45.6

34.7

6.0

17.3

39.8

39.7

3.3

low

high

very highRisk perception of heritable radiation health effects, by residential area
Ministry of environment: FY2021 Web Survey result on risk perception of radiation health effects (Conduct in March
2022) https://www.env.go.jp/chemi/rhm/portal/communicate/result/r3.html
Ministry of environment: FY2022 Web Survey result on risk perception of radiation health effects (Conduct in March
2023) https://www.env.go.jp/chemi/rhm/portal/communicate/result/r4.html

In press

What problems of the Fukushima nuclear accident continue to the present day?
…The word “revitalization” is often used and its definition is “the process ofmaking something grow, develop, or become successful again” (Cambridge
Dictionary). It is obvious that the goal is “revitalization,” but considering calmly
the situation, pessimistic notions persist that even “restoration,” in fact “returning
something to its earlier condition” (Cambridge Dictionary), may be difficult.
…What is important is human support. It is the restoration and revitalization of
the lives of the people who lived there and their families. This may be connected
to employment or livelihood support, but the core part of the problem is whether
the dignity of their “place of living,” which they have not been aware of until now,
is being maintained. For the people of Fukushima Prefecture, the “place of living"is considered as “the area that was contaminated," “the area where people are
not certain if the food is safe to eat," and “the area where people from otherprefectures are afraid to come," and the fact that these rumors are still
continuing today. This is quite different from other disasters…
”Perception: Reflections on Public Health in Nuclear Disasters”
Igaku-Shoin (Public Health) Journal. 2023, 87(11) p1076-1078

2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey

3.11: Sharing lessons of Fukushima with Japan and the world

Fukushima HealthManagement Survey

We are here
to support your health!
Radiation Medical Science Center
For the Fukushima Health Management Survey

● このスライドは、非営利かつ個人的な目的に限り閲覧することができます。
The following presentation slides are shared with symposium participants exclusively for personal, non-commercial,educational purposes.

● このスライドの著作権は、講演の発表者本人に帰属します（図表等の引用箇所は除く）。如何なる国・地域においても、また紙媒体やインターネット・電子データなど形態に関わらず、スライドの全部または一部を無断で複製、転載、配布、送信、放送、貸与、翻訳、販売、変造、二次的著作物を作成すること等は、固く禁止します。
Copyright of these slides belongs to the presenter and/or the Radiation Medical Science Center for the Fukushima
Health Management Survey, Fukushima Medical University (except figures, tables, etc., cited from other sources).
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2024年 福島県立医科大学『県民健康調査』国際シンポジウム
公立大学法人福島県立医科大学放射線医学県民健康管理センター
国際シンポジウム事務局（広報・国際連携室）✉ kenkani@fmu.ac.jp Tel: 024-581-5454(平日9～17時)
2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey
Secretariat of International Symposium
Office of Public Communications and International Cooperation, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University✉ kenkani@fmu.ac.jp, TEL: +81-24-581-5454 (Weekday, 9a.m. - 5 p.m. JST)