Yearly Archives: 2013
Mr. Chung-Cheng Lee and 3 others from Taiwan Power Company and one from United Daily News of Taiwan visited FMU to hear about our health situation after the radiation disaster.
Dr. Kumagai explained our initial response to the nuclear disaster at FMU. Dr. Ohtsuru outlined the Fukushima Health Management Survey, the External Radiation Doses to the Residents in Fukushima, and the Thyroid Screening Examination. And Dr. Yabe explained Mental Health Survey. A Q&A session was done after the presentations from FMU.
Mr. Lee told that he would like to visit Fukushima again in next March with many delegate from Taiwan.
The IRSN is the biggest institute in the world in the field of nuclear science and radiation. It is in France and has around 1700 staff. On 17 Dec. 2013, Dr. Jacques Repussard, Director General of IRSN and 3 other IRSN staff, 15 members of the French press, and 2 from the French Embassy visited FMU to hear about human health after the radiation disaster in Fukushima. The press included Le Monde, AFP, Le Figaro, and other national and regional entities.
Dr. Yasumura outlined the Fukushima Health Management Survey Program. Dr. Ishikawa explained External Radiation Doses to the Residents in Fukushima. Dr. Suzuki explained our Thyroid Screening Examination. Dr. Kunii explained the Mental Health in Fukushima Health Management Survey. And Dr. Ohira explained the Changes in Metabolic Profiles among Evacuees. After the presentations from FMU, a Q&A session was done.
Next day they exchanged information and opinions with Fukushima press people.
The results of secondary examination (Proceedings of the Prefectural Oversight Committee Meeting for Fukushima Health Management Survey) were amended because of errors. We would like to take this opportunity to apologize for the problems and any confusion it may have caused. We will improve work operations to prevent problems due to human error.
Because of the errors found in the results of aspiration biopsy cytology (Proceedings of the 11th Prefectural Oversight Committee Meeting for Fukushima Health Management Survey), we started checking if there were any other incorrect data items in the previous surveys. After reviewing the electronic medical record from all the results of the secondary examination from the 8th through 12th Proceedings of the Prefectural Oversight Committee Meeting for Fukushima Health Management Survey, we found that the results contain errors that should be identified and corrected. These are purely data management issues that have no impact on patient care and follow-up.
Corrections to the results have been organized into the following categories.
1) Incorrect data entry. For example, we folded data from 1 August into the total that included data as of 31 July. Other errors have occurred because of data duplication.
2) Incomplete data sheet. The detailed results of secondary examination and the reasons for shifting to general medical examination were unclear.
3) Incorrect classification. We mistakenly classified some of the participants with ‘A2’ result as ‘Advised to be monitored’ when they needed further examination because of other health problems.
Note that Errata in the Proceedings of the 12th Prefectural Oversight Committee Meeting for Fukushima Health Management Survey in English is available.
Solutions to mistake proofing
1) Revise the data sheet to avoid any misunderstanding between doctors and the clerical staff who record secondary examination data by adding a description box to write down details of the results.
2) Separate the staff responsible for organizing data from members responsible for secondary examination to form a special team in charge of data processing.
3) Work with an external institution to cross-check the data. Signing a non-disclosure agreement, the institution would tally, check and periodically cross-check the data tallied by the special team organizing data inside the university.
The M8 Alliance World Health Summit (www.worldhealthsummit.org) convened in Berlin 20-22 October 2013. A workshop entitled “Community Engagement and Responsibilities of Medical Universities” was chaired by Monash University Deputy Dean Ben CANNY and FMU Vice President Shunichi FUKUHARA. Dr. Kenneth E. NOLLET presented “Town and Gown, Professor and Prefecture: Fukushima Medical University’s Response to the 3.11 Earthquake, Tsunami, and Nuclear Crisis” to an international audience.
Town and Gown, Professor and Prefecture: Fukushima Medical University’s Response to the 3.11 Earthquake, Tsunami, and Nuclear Crisis
Kenneth E. NOLLET, MD, PhD
In the M8 Alliance meeting that preceded the World Health Summit, it was agreed that the 2015 WHS Regional Meeting would convene at Kyoto University, Japan’s principle M8 Alliance member. M8 members expressed considerable interest in visiting Fukushima after the Kyoto meeting.
On 17 October, FMU hosted jointly a workshop with the International Agency for Research on Cancer as well as Danish Cancer Society, IARC’s collaborating institute to seek possibilities of future collaborative studies in radiation epidemiology at Fukushima Medical University. The delegates, led by Dr Joachim Schüz, included Drs Ausra Kesminiene, Isabelle Thierry-Chef, Isabelle Deltour, Sara Schonfeld, and Pernille Envold Bidstrup. Joined by FMU Vice-Presidents Masafumi Abe, MD PhD and Shunichi Yamashita, MD PhD and the Dean Hitoshi Ohto, MD PhD, the workshop brought together around 30 scientists and stakeholders from IARC and FMU. Each presentation by IARC and FMU faculty members was followed by a lively discussion regarding mental health, dosimetry and radiation and health.
FMU and IARC intend to conduct more workshops and events that will encourage further collaborative studies.
With over 80 participants, a special lecture organized by Fukushima Medical Association in cooperation with Radiation Medical Science Center for the Fukushima Health Management Survey was concluded with a great success. Dr. Schüz, Head of Section of Environment and Radiation at the International Agency for Research on Cancer, presented a lecture on the principles and immediate effects of cancer screening at the Fukushima Medical Association Headquarters.
Fukushima Medical University (FMU) made agreements on academic cooperation with Belarusian State Medical University (BSMU) and Gomel State Medical University (GSMU)
The purpose of these agreements is to develop academic and educational cooperation and to promote mutual understanding. Under the agreement between FMU and BSMU, FMU will send one or two student(s) per year to BSMU, and BSMU will provide FMU student(s) with education and training on clinical epidemiology research and clinical medicine. Additionally, FMU will invite BSMU faculty (one or two per year) as speaker(s) for lectures given at our university.
FMU made a similar agreement with Gomel State Medical University in Belarus as well.
The results of aspiration biopsy cytology (Proceedings of the 11th Prefectural Oversight Committee Meeting for Fukushima Health Management Survey) were amended because of an editing error. Apologies.
◾In 2011/2012 the mean age said 17.3±2.0 (13-19, 11-17 at the time of the disaster); 17.2±1.9 (13-19, 11-18 at the time of the disaster), that should have said.
◾In 2012/2013 the mean age said 16.1±2.6; 16.1±2.8, that should have said.
◾Number of malignant or suspicious for malignancy by age and sex
FMU welcomed two delegates from University of Southern California (USC) and two from the International Green Cross on 12 August 2013. USC Professor Jonathan Samet, MD, MS, and his research associate Sonny Patel, MPH, have been cooperating with Green Cross representatives Nathalie Gysi and Maria Vitagliano, MIC, MA, to study long-term mental health and well-being following the Chernobyl nuclear accident of 1986.
On their visit, the delegation toured FMU’s Hikarigaoka campus with Dr. Arifumi Hasegawa and learned about our disaster response efforts since 11 March 2011.
Prof. Samet, the director of USC Institute for Global Health, made a presentation on the research he has conducted. Ms. Vitagliano, International Program Director for Social and Medical Care, then explained the work of Green Cross in Chernobyl.
After the presentations, the group exchanged information with FMU faculty and staff.
The Asia-Pacific Science, Technology and Society Network (http://apstsn.org) convened in Singapore 15-17 July 2013. Three scholars from Fukushima Medical University joined it and made presentations.
Since November 2012, several expert meetings have been conducted at the International Atomic Energy Agency (IAEA) in Vienna, Austria that involve Japanese and international physicians and Science and Technology Studies (STS) experts, including various social scientists from the fields of sociology, history, anthropology, and psychology. These expert meetings are components of two projects that are initiated and coordinated by Dr Rethy Chhem and Dr Gregory Clancey.
In these two projects, the IAEA, in collaboration with FMU, Hiroshima University and Nagasaki University, aims to enhance radiation medicine education and to strengthen research cooperation in radiation disaster medicine related to the Fukushima nuclear disaster.
Several outcomes of the projects are enhancements of education programmes in radiation disaster management with the incorporation of STS for health professionals and emphasis on communication in an atmosphere of uncertainty and mistrust. A further outcome includes the contribution to the APSTSN special panel on Monday 15 July on “Medical and Academic Responses to the Fukushima Nuclear Accident” with plenary speakers from Hiroshima University (Kenji Kamiya, Mariko Komatsu) and Fukushima Medical University (Arifumi Hasegawa, Atsushi Kumagai, Kenneth Nollet).
The IAEA has funded several staff members from FMU to participate in this plenary session, Dr. Arifumi Hasegawa, Dr. Atsushi Kumagai and Dr. Kenneth Nollet.
This plenary session at the conference stressed the importance of a multidisciplinary approach that is STS in helping to overcome the numerous difficulties in the wake of the Fukushima nuclear disaster. While STS may not provide ready-made answers to the various health challenges following a nuclear disaster, it does help us to understand them more clearly, and also provides a useful conceptual framework in which practical solutions may be developed and successfully applied in the future.
1.Radiating Truth from Fukushima
Kenneth E. NOLLET, MD, PhD
2. Engaging Medical Students in Radiation Emergency Medicine
Arifumi HASEGAWA, MD, PhD