[Laboratory Medicine Support for Disaster-Affected Region].

Hideo Sakamoto, Naoto Shimetani
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Abstract

As natural disasters have been occurring more frequently in recent years, the need to prepare for a future disaster is growing. Based on the experience of the Great Hanshin earthquake occurred in 1995, we pre- dicted that laboratory test demand will be increased one week post-disaster. Also, the provision of medical and health care services is indispensable in areas affected by disasters for not only acute-phase patients, but also for those with diabetes, hypertension, and chronic diseases. This study summarized how laboratory medicine supplies were provided to the region affected by the Great East Japan earthquake occurred in 2011. In order to provide laboratory medicine supplies in the affected region, the Japanese Society of Laboratory Medicine set up a committee to respond to the Great East Japan earthquake as a temporary measure. Since electric power and water supplies are cut after a disaster, we decided to provide support using Point-Of-Care Testing (POCT) devices and disposable In-Vitro Diagnostic (IVD) reagents. A total of 40 companies agreed to provide support, and more than 100 IVD reagents were prepared. We posted the above information on our website, and updated it immediately when additional support requests were made. In addition, volunteer clinical technologists were sent to the affected region for 8 weeks, in order to support laboratory tests per- formed in temporary clinics or first aid stations. This experience was immediately applied to medical sup- port activities performed after the 2016 Kumamoto earthquake. This study identified the usefulness of la- boratory tests and clinical technologists in disaster-affected regions. [Review].

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[灾区检验医学支持]。
由于近年来自然灾害的发生越来越频繁,为将来的灾害做准备的必要性也越来越大。根据1995年阪神大地震的经验,我们预测灾后一周实验室检测需求将会增加。此外,在受灾地区,不仅为急性期患者,而且为糖尿病、高血压和慢性病患者提供医疗和保健服务是必不可少的。本研究总结了2011年东日本大地震受灾地区的实验室药品供应情况。为了向受灾地区提供检验医学用品,日本检验医学学会成立了一个委员会,作为应对东日本大地震的临时措施。由于灾后电力和水供应中断,我们决定使用即时检测设备和一次性体外诊断试剂提供支持。共有40家公司同意提供支持,并制备了100多种IVD试剂。我们在网站上发布了上述信息,并在收到额外的支持请求时立即进行更新。此外,志愿临床技术人员被派往受影响地区,为期8周,以支持在临时诊所或急救站进行的实验室检测。这一经验立即应用于2016年熊本地震后开展的医疗支援活动。这项研究确定了实验室检测和临床技术人员在受灾地区的作用。(审查)。
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