A Global Collaboration for Community-Based Disaster Preparation and Health Promotion: Fukushima to Zuunbayan in Mongolia

2020 ◽  
pp. 1-7
Author(s):  
Chieri Yamada ◽  
Bolormaa Tsedendamba ◽  
Amarbileg Shajbalidir ◽  
Teruko Horiuchi ◽  
Katsuko Suenaga ◽  
...  
Keyword(s):  
Emergency Preparedness ◽  
Nuclear Power ◽  
Information Dissemination ◽  
Good Health ◽  
Lessons Learned ◽  
Global Collaboration ◽  
Psychological Issues ◽  
Radiation Emergency ◽  
Disaster Preparation ◽  
And Behavior

Abstract Excessive radiation exposure has adverse effects on health. In Fukushima, psychological issues such as anxiety are still affecting people nine years after the Fukushima nuclear power plant accident in 2011. In light of the lessons learned from Fukushima communities, a joint Japanese and Mongolian research team introduced a community program to the Zuunbayan district in Mongolia, which is located near a uranium deposit, to promote good health by strengthening radiation emergency preparedness. The program, which commenced in 2017, aimed to increase community participation, education, information dissemination, and capacity of community preparedness. After two years a monitoring study showed that, out of 227 respondents, the proportions who thought that any level of radiation was dangerous decreased from 53.3% in 2017 to 33.9% in 2019. Moreover, half of the respondents knew that there were safe and unsafe radiation levels and that their community was safe. This global collaboration demonstrated that a lesson learned from a disaster can be applied to other countries and changed people’s recognition and behavior toward good health and disaster/emergency preparedness.

scholarly journals State-Level Emergency Preparedness and Response Capabilities

2011 ◽  
Vol 5 (S1) ◽  
pp. S134-S142 ◽  
Author(s):  
Sharon M. Watkins ◽  
Dennis M. Perrotta ◽  
Martha Stanbury ◽  
Michael Heumann ◽  
Henry Anderson ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Nuclear Power ◽  
Power Plants ◽  
Nuclear Power Plants ◽  
Public Health Surveillance ◽  
State Level ◽  
Health Departments ◽  
State Health ◽  
Radiation Emergency

ABSTRACTBackground: Prior assessments of public health readiness had identified gaps in radiation preparedness. In recent years, preparedness planning has involved an “all-hazards” approach. Current assessment of the national status related to radiation public health emergency preparedness capabilities at the state and local health department levels was needed.Methods: A survey of state health departments related to radiation readiness was undertaken in 2010 by the Council of State and Territorial Epidemiologists (CSTE). States with nuclear power plants were instructed to consider their responses exclusive of capabilities and resources related to the plants given that the emergency response plans for nuclear power plants are specific and unique.Results: Thirty-eight (76%) state health departments responded to the survey, including 26 of the 31 states with nuclear power plants. Specific strengths noted at the state level included that the majority of states had a written radiation response plan and most plans include a detailed section for communications issues during a radiation emergency. In addition, more than half of the states indicated that their relationship with federal partners is sufficient to provide resources for radiation emergencies, indicating the importance states placed on federal resources and expertise. Specific weaknesses are discussed and include that most states had completed little to no planning for public health surveillance to assess potential human health impacts of a radiation event; less than half had written plans to address exposure assessment, environmental sampling, human specimen collection and analysis, and human health assessment. Few reported having sufficient resources to do public health surveillance, radiation exposure assessment, laboratory functions and other capabilities.Discussion: Levels of planning, resources and partnerships varied among states, those with nuclear power plants were better prepared. Gaps were evident in all states; however and additional training and resources are needed to ensure adequate levels of preparedness.Conclusion: Overall results of this assessment indicate that in most measures of public health capacity and capability, states are poorly prepared to adequately respond to a major radiation emergency event. Specific recommendations are noted in the discussion.(Disaster Med Public Health Preparedness. 2011;5:S134-S142)

Working with Sexual-Minority Individuals

2010 ◽  
pp. 837-868 ◽  
Author(s):  
Lisa M. Diamond ◽  
Molly R. Butterworth ◽  
Ritch C. Savin-Williams
Keyword(s):  
Identity Development ◽  
Sexual Minority ◽  
Minority Stress ◽  
Sexual Minorities ◽  
Minority Population ◽  
Same Sex ◽  
Psychological Issues ◽  
The Family ◽  
And Behavior ◽  
Oriented Research

The present chapter provides a review of some of the primary psychological issues confronting sexual minorities (i.e., individuals with same-sex attractions and relationships). Our goal is to provide a flexible set of preliminary questions that can be used to help sexual-minority clients to articulate their own idiosyncratic experiences and give voice to their own unique needs. We begin by addressing two of the most common and important clinical issues faced by sexual minorities: generalized “minority stress” and acceptance and validation from the family of origin. We then turn attention to the vast—and vastly underinvestigated—population of individuals with bisexual attractions and behavior, who actually constitute the majority of the sexual-minority population, despite having been systematically excluded from most prior research. We review the increasing body of research suggesting that individuals with bisexual patterns of attraction and behavior actually face greater mental health risks than those with exclusive same-sex attractions and behavior, and we explore potential processes and mechanisms underlying this phenomenon, focusing particular attention on issues of identity development and transition over the life span. We conclude by outlining a number of areas for future clinically oriented research.

scholarly journals Diverse and Complex Challenges to Migrant and Refugee Mental Health: Reflections of the M8 Alliance Expert Group on Migrant Health

2020 ◽  
Vol 17 (10) ◽  
pp. 3530 ◽  
Author(s):  
Danny Sheath ◽  
Antoine Flahault ◽  
Joachim Seybold ◽  
Luciano Saso
Keyword(s):  
Mental Health ◽  
Forced Migration ◽  
Disease Outbreaks ◽  
Good Health ◽  
Migrant Health ◽  
Lessons Learned ◽  
World Health ◽  
Expert Group ◽  
Good Mental Health ◽  
University Of Rome

Forced migration is likely to continue to grow in the coming years due to climate change, disease outbreaks, conflict, and other factors. There are a huge number of challenges to maintaining good health, and specifically good mental health, among migrants at all stages of migration. It is vital to fully understand these diverse challenges so that we can work towards overcoming them. In 2017, as a response to the growing health challenges faced by migrants and refugees, the M8 Alliance created an expert group focussing on migrant and refugee health. The group meets annually at the Sapienza University of Rome, Italy, and this article is based on the discussions that took place at the third annual meeting (6–7 June 2019) and a special session on “Protecting the Mental Health of Refugees and Migrants,” which took place on 27 October at the World Health Summit 2019 in Berlin. Our discussions are also supported by supplementary literature to present the diverse and complex challenges to the mental health of migrants and refugees. We conclude with some lessons learned and hope for the future.

Expectations for Inservice Testing Programs at New Nuclear Power Plants

2017 ◽  
Author(s):  
Thomas G. Scarbrough
Keyword(s):  
Nuclear Power ◽  
Power Plants ◽  
Nuclear Power Plants ◽  
Reactor Core ◽  
Nuclear Regulatory Commission ◽  
Lessons Learned ◽  
Mechanical Equipment ◽  
American Society ◽  
Regulatory Commission ◽  
Safety Systems

In a series of Commission papers, the U.S. Nuclear Regulatory Commission (NRC) described its policy for inservice testing (IST) programs to be developed and implemented at nuclear power plants licensed under 10 CFR Part 52. This paper discusses the expectations for IST programs based on those Commission policy papers as applied in the NRC staff review of combined license (COL) applications for new reactors. For example, the design and qualification of pumps, valves, and dynamic restraints through implementation of American Society of Mechanical Engineers (ASME) Standard QME-1-2007, “Qualification of Active Mechanical Equipment Used in Nuclear Power Plants,” as accepted in NRC Regulatory Guide (RG) 1.100 (Revision 3), “Seismic Qualification of Electrical and Active Mechanical Equipment and Functional Qualification of Active Mechanical Equipment for Nuclear Power Plants,” will enable IST activities to assess the operational readiness of those components to perform their intended functions. ASME has updated the Operation and Maintenance of Nuclear Power Plants (OM Code) to improve the IST provisions for pumps, valves, and dynamic restraints that are incorporated by reference in the NRC regulations with applicable conditions. In addition, lessons learned from performance experience and testing of motor-operated valves (MOVs) will be implemented as part of the IST programs together with application of those lessons learned to other power-operated valves (POVs). Licensee programs for the Regulatory Treatment of Non-Safety Systems (RTNSS) will be implemented for components in active nonsafety-related systems that are the first line of defense in new reactors that rely on passive systems to provide reactor core and containment cooling in the event of a plant transient. This paper also discusses the overlapping testing provisions specified in ASME Standard QME-1-2007; plant-specific inspections, tests, analyses, and acceptance criteria; the applicable ASME OM Code as incorporated by reference in the NRC regulations; specific license conditions; and Initial Test Programs as described in the final safety analysis report and applicable RGs. Paper published with permission.

scholarly journals (P2-17) “Burning Valentine,” a Simulated Evacuation Exercise of a Burn Unit (BU)

2011 ◽  
Vol 26 (S1) ◽  
pp. s141-s141
Author(s):  
E.L. Dhondt ◽  
T. Peeters ◽  
L. Orlans
Keyword(s):  
Emergency Preparedness ◽  
Fire Detection ◽  
Lessons Learned ◽  
Mitigation Measures ◽  
Simulated Patients ◽  
Military Hospital ◽  
Incident Management ◽  
Hospital Emergency ◽  
Burn Care ◽  
Evacuation Drills

BackgroundAccording to the Belgian Hospital Disaster Planning Act, all hospitals are required to have written disaster plans and to routinely conduct annual disaster drills. In 2010, the management of the Military Hospital decided to organize an evacuation exercise of the newly built 24-bed BU.AimTo evaluate this new BU's evacuation plan and drills and the overall hospital emergency incident response and command system.Methods and ResultsIt was decided to conduct a simulated evacuation exercise following an internal fire, before the BU effectively was put into use, thereby deploying fashioned simulated patients and visitors but bringing into action the regular attending medical, nursing and logistic staff. A multidisciplinary design and organizing team was launched, consisting of the hospitals disaster preparedness coordinator, the EMS-staff, external burn care, emergency incident management and operational engineering experts. The appointed objectives for evaluation were the knowledge of the regular evacuation drills, especially the clearance of an intensive care room; access to evacuation routes; visibility of safety guidelines; mission and tasks of the hospital's first response team and the medical incident manager; communication and information flow and the establishment of the hospital's coordination committee. In the mean time and following lessons learned, a number of mitigation measures have been instituted: adequate identification of evacuated rooms, new configuration of the fire detection alarm, optimized access to stairwells and elevators, adjustment of action cards and specific fire fighting training for hospital staff. Finally the decision was made not to purchase specific evacuation equipment for the movement of patients.ConclusionTaking advantage of the BU's provisional vacancy, a simulated hospital evacuation exercise increased the hospital emergency preparedness, awareness and response to disasters within the hospital, in particular in a critical care department, otherwise difficult to assess.

Knowledge on radiation emergency preparedness among nuclear medicine technologists

2021 ◽  
Author(s):  
N.A. Shubayr ◽  
Y.I. Alashban
Keyword(s):  
Nuclear Medicine ◽  
Emergency Preparedness ◽  
Nuclear Reactor ◽  
Radiation Detection ◽  
Population Monitoring ◽  
Geiger Counter ◽  
Willingness To Participate ◽  
Reactor Accident ◽  
Radiation Emergency ◽  
Emergency Preparedness And Response

This study aimed to assess the knowledge of nuclear medicine technologists (NMTs) in radiation emergency preparedness and response operations and their willingness to participate in such operations. A survey was developed for this purpose and distributed to NMTs in Saudi Arabia. Sixty participants responded with a response rate of 63.31%. Based on the overall radiation protection knowledge related to emergency response, NMTs can perform radiation detection, population monitoring, patient decontamination, and assist with radiological dose assessments during radiation emergencies. There were no significant differences in the knowledge on the use of scintillation gamma camera (P = 0.314), well counter (P = 0.744), Geiger counter (P = 0.935), thyroid probes (P = 0.980), portable monitor (P = 0.830), or portable multichannel analyzer (P = 0.413) and years of experience. Approximately 44% of the respondents reported receiving emergency preparedness training in the last 5 years. Respondents who reported receiving training were significantly more familiar with the emergency preparedness resources (P = 0.031) and more willing to assist with radiation detection or monitoring in the event of nuclear reactor accident (P = 0.016), nuclear weapon detonation (P = 0.002), and dirty bomb detonation (P = 0.003). These findings indicate the importance of training and continuing education in radiological emergency preparedness and response, which increase the willingness to respond to radiological accidents and fill the gaps in NMTs’ knowledge and familiarity with response resources.

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