Mental Health And Social Issues Following A Nuclear Accident

This book focuses on mental health issues arising in the wake of the Fukushima nuclear disaster. Three years after the 11 March 2011 Great East Japan Earthquake, tsunamis, and Fukushima Daiichi nuclear accident, roughly 130,000 individuals continue to face enormous burdens as a result of mandatory evacuation. Many evacuees still live in temporary housing, and returning home remains a distant dream as they wait for the decontamination of the danger zone to be completed. However, the plant recovery process is still evolving, and the complete cleanup will take decades. Beyond all of these hardships, many evacuees are also mourning the loss of their loved ones. The compound disaster with its many uncertainties poses and will continue to pose serious emotional and social challenges. People affected by the nuclear disaster have been facing serious psychological challenges from ongoing fear of radiation exposure. Furthermore, there is continuing debate between various stakeholders on the options for disaster responses. This situation in turn produces adverse public responses, such as discrimination and stigmatization of the evacuees and scapegoating of the authorities and nuclear plant workers. Mental Health and Social Issues Following a Nuclear Accident addresses these issues and their impacts, pursuing both evidence-based and narrative-based approaches. It also contrasts the Fukushima findings with those of other nuclear disasters, namely, Three Mile Island and Cher nobyl.

Health Effects of the Fukushima Nuclear Disaster provides a multidisciplinary retrospective on the health consequences on the population the first decade after the Fukushima nuclear disaster. Sections 1 and 2 of the book begins with an introduction and an overview of the developments surrounding the Fukushima accident. Section 3 discusses topics such as the physical health impact of radiation exposure as well as diseases that resulted from long-term evacuation. Section 4 examines the psychological factors and the social impact of the disaster and how their combined influence affected the physical and mental wellness of the population. The book concludes with Section 5 which covers the mitigation strategy for treatment and care of psychological health issues resulting from the disaster. The book contains expert contributions from those who have first-hand experience in the recovery efforts and are still actively researching the impact of the disaster. Health Effects of the Fukushima Nuclear Disaster provides readers with a coherent, multi-dimensional narrative about the physical, psychosocial, and psychological aspects of the decade-long aftermath of the Fukushima nuclear disaster. Provides information based on evidence obtained through scientific methods such as long-term epidemiological surveys and case studies Examines the indirect health impact, especially psychosocial effects, caused by technological disasters like nuclear accidents Includes contributions from experts in the field who participated in the recovery efforts and are currently researching the health impact of the Fukushima disaster

This evidence-rich collection takes on the broad diversity of traumatic stress, in both its causes and outcomes, as well as the wide variety of resources available for recovery. Its accessible coverage shows varied presentations of post-traumatic stress affected by individual, family, and group contexts, including age, previous trauma exposure, and presence or lack of social resources, as well as long-term psychological, physical, and social consequences. Contributors focus on a range of traumatic experiences, from environmental disasters (wildfires, Hurricane Katrina) to the Holocaust, from ambiguous loss to war captivity. And the book's final section, "Healing after Trauma," spotlights resilience, forgiveness, religion, and spirituality, using concepts from positive psychology. Included among the topics: The Great East Japan earthquake: tsunami and nuclear disaster. Posttraumatic stress in the aftermath of mass shootings. Psychosocial consequences: appraisal, adaptation, and bereavement after trauma. Loss, chaos, survival and despair: the storm after the storms. Aging with trauma across the lifetime and experiencing trauma in old age. On bereavement and grief: a therapeutic approach to healing. Psychologists, social workers, researchers studying trauma and resilience, and mental health professionals across disciplines will welcome Traumatic Stress and Long-Term Recovery as a profound source of insight into stress and loss, coping and healing.

These guidelines are an update of the 1999 World Health Organization (WHO) guidance on the use of iodine thyroid blocking (ITB) with a special focus on public health considerations of ITB implementation.These guidelines provide a recommendation on iodine thyroid blocking (ITB), via oral administration of stable iodine, as an urgent protective action in responding to a nuclear accident. This recommendation aims to support emergency planners, policy makers, public health specialists, clinicians and other relevant stakeholders, in order to strengthen public health preparedness for radiation emergencies in WHO Member States as required by the International Health Regulations (IHR) and in line with the international safety standards (GSR Part 7). The scope of the guidelines is confined to public health aspects of planning and implementation of ITB before and during a radiation emergency, such as dosage and timing of ITB administration, adverse effects of stable iodine, its packaging, storage, and distribution.

The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

The magnitude 9.0 Great East Japan Earthquake occurred on March 11, 2011, claiming over 20,000 lives. It crippled the Fukushima Daiichi Nuclear Power Plant, whose hydrogen-air explosions contaminated wide areas around Fukushima with radionuclides. The number of evacuees initially totaled 328,903, but has been reduced to 263,392 as of February 13, 2014. More than half of the evacuees (132,500) consist of Fukushima residents, and 67% of whom have experienced mental or physical disorders. Indeed, refugee life is so difficult that many Fukushima families have been affected by suicide, divorce, separation of family members, migration and settlement to other places, mental illness, etc. The difficulty is caused by the fear of low-dose radiation induced by the LNT model which claims that radiation cancer risk is linearly proportional to dose without any threshold. Careful scrutiny of the model, however, clearly indicates that the linearity is invalid; low dose radiation is not hazardous, but is even beneficial or hormetic because of the adaptive response to radiation. This book provides ample evidence to negate the LNT model. This book is primarily compiled to get rid of the spell of the LNT model and release Fukushima people from undue torture. The book would also be useful to the public in general who have CT scans and have concerns. In addition, the people who use radiation world-wide such as nuclear power plant workers, radiation researchers, radiologists, and X-ray operators would be relieved to learn from reading this book that the alleged risk of low-dose radiation is illusionary and that the low-dose radiation is even beneficial. Policy makers of nuclear energy and radiation who are working for governmental and/or regulatory agencies are also recommended to read this book. Severe guidelines from a safety standpoint sometimes entrap people into a fear-stricken situation rather than save them, as no one was killed by radiation directly, but more than 1,000 people have been killed by the fear of radiation secondarily in Fukushima. By the same token, this book is recommended to civil activists and journalists who emphasise dangers of low-dose radiation and raise fear of low-dose radiation. It is the time to shed new scientific light on the outdated LNT model.

本書は、2014年1月に「原子力災害の公衆衛生 -福島からの発信-」として、日本語で出版された英訳版である。