Tohoku still in dire need of medical support


Thirty months after tsunami devastated the Tohoku coast, residents are still facing a lack of medical services because of delays in restarting damaged hospitals and clinics and the closures of others.

To overcome the shortage of medical staff in Iwate, Miyagi and Fukushima prefectures, the central government has taken special measures, such as reducing the number of nurses required to operate.

The steps have not been much help in the affected areas, which was short on medical services even before the disasters. Others have given up due to concerns about overall health conditions.

In Rikuzentakata, a city in Iwate that was heavily damaged by tsunami, only 13 of 20 medical institutions have reopened. The reduction means some of the city’s residents have to spend an entire day to visit a hospital.

A prefectural hospital in the city is using doctors on loan from other hospitals both in and outside the prefecture, but it is uncertain if the personnel support system can be sustained, a prefectural official said.

The situation is even worse in the Miyagi town of Minamisanriku, where only two of 13 medical institutions have reopened. An official at a public health center said many of them are mired in uncertainty because the town’s reconstruction plans remain in flux.

Patients in serious condition and needing emergency care must be sent to the neighboring city of Ishinomaki. However, an ambulance takes more than 30 minutes to travel from Minamisanriku to Ishinomaki.

Adding insult to injury, Ishinomaki likewise faces a shortage of medical services.

“Some people have stopped going to hospitals,” an Ishinomaki official said.

The city’s health consultation services have been concentrated mainly on preventive steps for evacuees living in temporary housing.

In Iwate, prefectural hospitals in the towns of Yamada and Otsuchi were damaged by the March 2011 tsunami at the cost of 60 beds each.

Prefectural hospitals in neighboring areas are accepting patients from the two towns who need hospitalization. However, some patients and their families are finding it difficult to get to these distant institutions, an Iwate official said.

“We want to give them a sense of security as early as possible,” the official said, emphasizing the importance of restoring local hospitals.

A hospital in Ishinomaki that was destroyed by tsunami has restarted services with a makeshift clinic, but it can’t accept patients in need of emergency care or hospitalization.

As a result, patients are crowding the Japanese Red Cross Ishinomaki Hospital. The institution is swamped by a 20 percent increase in patients requiring hospitalization and a 40 percent surge in patients needing emergency care, compared with the pre-disaster levels.

To deal with the situation, the hospital is shortening patients’ stays when possible.

On top of their other problems, hospitals in Fukushima Prefecture are struggling to secure staff because concerns persist about radioactive contamination.

The number of nurses has dropped at a major hospital run by the city of Mimamisoma.

“Even if we hire new nurses, they soon quit,” an official at the hospital said. The hospital has 230 beds, but it only has the manpower to cover 150.

Another hospital run by the city is planning to reopen its internal medicine department next April, but an official there said they aren’t sure whether it can secure enough doctors and nurses.

Tally of solitary deaths at 81 for 3/11 evacuees


At least 81 evacuees have died alone in temporary housing in Fukushima, Iwate and Miyagi prefectures since the 2011 quake and tsunami, a survey says.

But the problem of solitary deaths among survivors could be more widespread, as many moved into accommodations rented by municipal offices over a broader area, potentially severing community links, the survey suggested Wednesday.

The total, compiled by Kyodo News as of Aug. 31 based on police data, included 21 solitary deaths in Iwate, 23 in Fukushima and 37 in Miyagi. Of the deceased, 47 were over 65 and more than half died of heart and other diseases.

  • Starviking

    “Patients in serious condition and needing emergency care must be sent to the neighboring city of Ishinomaki. However, an ambulance takes more than 30 minutes to travel from Minamisanriku to Ishinomaki.”
    This is an occurence which occurs all over Tohoku, and dare I say, in all Rural areas of Japan.

    • Ron NJ

      I’m reminded of trying to find a veterinarian open for emergency care on a weekend in a city of one million people and how that failed spectacularly. Also trying to get (non-emergency) medical care on a weekend was a massive pain.
      You’d figure with a “____ Clinic” every 50 feet they’d have some that are open outside the hours of 9am-12pm, 2pm-5pm Mon-Fri? Bit too much outside the box thinking there, I guess.

  • Ron NJ

    Is this the appropriate place to plant one of those “Ganbarou Nippon” flags, or are those just reserved for parts of the country that couldn’t have been less directly affected? I can’t tell.