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Volume 19
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10.3390/ijerph19095647
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Article

Can Homecare Chronic Respiratory Disease Patients with Home Oxygen Treatment (HOT) in Southern Okinawa, Japan Be Evacuated Ahead of the Next Anticipated Tsunami?

by
Hiroshi Sekiguchi
1,*,
Rie Takeuchi
2,3,
Yoko Sato
4,
Tsuyoshi Matsumoto
4,
Jun Kobayashi
2 and
Takehiro Umemura
5
1
Department of Nursing for Home and Chronic Care, Graduate School of Health Sciences, University of the Ryukyus, Okinawa 903-0215, Japan
2
Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Okinawa 903-0215, Japan
3
JICA Okinawa, Okinawa 901-2552, Japan
4
Pulmonary Medicine, Yuuai Medical Center, Tomigusuku 901-0224, Okinawa, Japan
5
Department of Emergency and Critical Care Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(9), 5647; https://doi.org/10.3390/ijerph19095647
Submission received: 7 April 2022 / Revised: 3 May 2022 / Accepted: 3 May 2022 / Published: 6 May 2022
(This article belongs to the Section Disabilities)
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Abstract

An earthquake with a magnitude of 8 or 9 is predicted to occur near the Ryukyu Islands in Japan, for which the Okinawa Prefecture is preparing countermeasures. Evacuating people to a safe shelter within the tsunami arrival time is a crucial countermeasure. This study aims to understand the vulnerabilities of patients with chronic respiratory diseases in southern parts of Okinawa during a tsunami evacuation, thereby calculating evacuation distance of vulnerable patients and creating individual evacuation plans. Data for chronic respiratory patients obtained in July 2021 from the hospitals in Okinawa Prefecture include age, gender, diagnosis, residence, nearest tsunami shelter, oxygen flow at rest and walking, and maximum walking distance for 6 min based on a 6-min walk test. A quantum geographic information system was used for mapping the data. The survival potential of patients with chronic respiratory disease was evaluated by using a tsunami inundation depth of one meter and the distance within which an evacuation can be performed until the first tsunami wave reaches the nearest evacuation shelter. Results revealed a low survival potential for respiratory disease patients under the current tsunami evacuation plan. The study suggests creating an individual evacuation plan for vulnerable patients involving families and medical staff and then conducting a drill for improving the plan.
Keywords: chronic respiratory disease; evacuation routes; tsunami shelter; 6-min walk test (6MWT); people with disabilities (PWDs) chronic respiratory disease; evacuation routes; tsunami shelter; 6-min walk test (6MWT); people with disabilities (PWDs)

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MDPI and ACS Style

Sekiguchi, H.; Takeuchi, R.; Sato, Y.; Matsumoto, T.; Kobayashi, J.; Umemura, T. Can Homecare Chronic Respiratory Disease Patients with Home Oxygen Treatment (HOT) in Southern Okinawa, Japan Be Evacuated Ahead of the Next Anticipated Tsunami? Int. J. Environ. Res. Public Health 2022, 19, 5647. https://doi.org/10.3390/ijerph19095647

AMA Style

Sekiguchi H, Takeuchi R, Sato Y, Matsumoto T, Kobayashi J, Umemura T. Can Homecare Chronic Respiratory Disease Patients with Home Oxygen Treatment (HOT) in Southern Okinawa, Japan Be Evacuated Ahead of the Next Anticipated Tsunami? International Journal of Environmental Research and Public Health. 2022; 19(9):5647. https://doi.org/10.3390/ijerph19095647

Chicago/Turabian Style

Sekiguchi, Hiroshi, Rie Takeuchi, Yoko Sato, Tsuyoshi Matsumoto, Jun Kobayashi, and Takehiro Umemura. 2022. "Can Homecare Chronic Respiratory Disease Patients with Home Oxygen Treatment (HOT) in Southern Okinawa, Japan Be Evacuated Ahead of the Next Anticipated Tsunami?" International Journal of Environmental Research and Public Health 19, no. 9: 5647. https://doi.org/10.3390/ijerph19095647

APA Style

Sekiguchi, H., Takeuchi, R., Sato, Y., Matsumoto, T., Kobayashi, J., & Umemura, T. (2022). Can Homecare Chronic Respiratory Disease Patients with Home Oxygen Treatment (HOT) in Southern Okinawa, Japan Be Evacuated Ahead of the Next Anticipated Tsunami? International Journal of Environmental Research and Public Health, 19(9), 5647. https://doi.org/10.3390/ijerph19095647

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