Public Health Emergency Preparedness and Response in Ministry of Health, Labour and Welfare (MHLW) Toshiyasu Teratani, M.D., Ph.D. Office of Public Health Emergency Preparedness and Response Ministry of Health, Labour, and Welfare (MHLW) Japan 1 March 8, 2014 @Kojima Hall (Tokyo university)
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Public Health Emergency Preparedness and …gsdm.u-tokyo.ac.jp/file/140308s3k2_teratani.pdfsharing information on potential health risks and crisis in 1997.(HIV incident) 2. Office
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Public Health Emergency Preparedness and Response in Ministry of Health,
Labour and Welfare (MHLW)
Toshiyasu Teratani, M.D., Ph.D. Office of Public Health Emergency Preparedness and Response
Ministry of Health, Labour, and Welfare (MHLW) Japan
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March 8, 2014 @Kojima Hall (Tokyo university)
My history
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1977
1998-2003
2004-2007
2008-
• Introduction
• Public health risk management and coordination – 1 : overview
Summary of Japan DMAT Activities after the Great East Japan Earthquake and Tsunami (3.11)
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Supporting disaster-base hospitals
DMAT Activities
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Hanamaki Airport Staging Care Unit
Received 136 pts - Wide-area air
transportation: 16 pts - transported to Morioka
city: 120 pts
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In the C-1 jet plane to Haneda Airport Receive patients from coastal area
Carry in patients to the aircraft
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Fukushima Prefectural Office
DMAT Supervisors in Prefectural Government Offices
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Response to Pandemic Influenza
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En-demic
epi-demic
pan-demic
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What is Pandemic?
When a virus derived from animals such as birds with an influenza virus
enters the world of humans and acquires the ability for human to human transmission,
Since humans do not have immunity against this new type of virus,
- it would lead to a global pandemic, and
- could result in severe virulence in individuals because of the lack of immunity (resistance)
Causing major health damage (patients, severely ill patients and deaths), secondary impacts on social activities and functions, causing social stagnation and decline
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What is Pandemic Influenza?
Pandemic year Known as Virus type Number of
deaths
1918-1919 Spanish Influenza H1N1 40 million
1957-1958 Asian Influenza H2N2 ≥ 2 million
1968-1969 Hong Kong Influenza
H3N2 ≥ 1 million
Inpatients: 0.5-2 million Deaths : 0.2-0.6 million
(Reference)
The pandemic influenza control action plan estimate following the scale of the damage:
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Estimated Scales and Patient Numbers
1. To contain the range of infection as far as possible while minimizing health damage
2. Not to allow escalation into collapse of the society or economy
(According to the following policies as national crisis management)
⇒ To build a clear framework for speedy actions
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Actions not taken
Actions taken
Peak
delayed
Peak patient number reduced
Pat
ient
num
ber
Stronger care
framework Capacity for
care provision
Securing the minimum
society infrastructure
Time
Conceptual Illustration of Effects of Actions
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Next steps
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Situation awareness
37 All hazard approach
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国土強靱化計画 (Kokudokyoujinka)
= national resilience ??? = National risk assessment and management ???
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Management system × micromanagement
ICS
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Triage
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Whose is Public health
1. MHLW of Japan developed a framework for sharing information on potential health risks and crisis in 1997.(HIV incident)
2. Office of Public Health Emergency Preparedness and Response coordinates with relevant departments/offices for early alerting and response to address all-hazard health risks.
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Summary
3. It is necessary to prepare for complex incident/disaster in Japan.