Imperial College London
Alternate

ProfessorMartaBlangiardo

Faculty of Medicine, School of Public Health

Chair in Biostatistics
 
 
 
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Contact

 

m.blangiardo Website

 
 
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Location

 

705School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Nomura:2016:10.1136/bmjopen-2015-010080,
author = {Nomura, S and Blangiardo, M and Tsubokura, M and Ozaki, A and Morita, T and Hodgson, S},
doi = {10.1136/bmjopen-2015-010080},
journal = {BMJ Open},
title = {Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis},
url = {http://dx.doi.org/10.1136/bmjopen-2015-010080},
volume = {6},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective Japan's 2011 Fukushima Daiichi Nuclear Power Plant incident required the evacuation of over a million people, creating a large displaced population with potentially increased vulnerability in terms of chronic health conditions. We assessed the long-term impact of evacuation on diabetes, hyperlipidaemia and hypertension.Participants We considered participants in annual public health check-ups from 2008 to 2014, administrated by Minamisoma City and Soma City, located about 10–50km from the Fukushima nuclear plant.Methods Disease risks, measured in terms of pre-incident and post-incident relative risks, were examined and compared between evacuees and non-evacuees/temporary-evacuees. We also constructed logistic regression models to assess the impact of evacuation on the disease risks adjusted for covariates.Results Data from a total of 6406 individuals aged 40–74years who participated in the check-ups both at baseline (2008–2010) and in one or more post-incident years were analysed. Regardless of evacuation, significant post-incident increases in risk were observed for diabetes and hyperlipidaemia (relative risk: 1.27–1.60 and 1.12–1.30, respectively, depending on evacuation status and post-incident year). After adjustment for covariates, the increase in hyperlipidaemia was significantly greater among evacuees than among non-evacuees/temporary-evacuees (OR 1.18, 95% CI 1.06 to 1.32, p<0.01).Conclusions The singularity of this study is that evacuation following the Fukushima disaster was found to be associated with a small increase in long-term hyperlipidaemia risk in adults. Our findings help identify discussion points on disaster planning, including preparedness, response and recovery measures, applicable to future disasters requiring mass evacuation.
AU  - Nomura,S
AU  - Blangiardo,M
AU  - Tsubokura,M
AU  - Ozaki,A
AU  - Morita,T
AU  - Hodgson,S
DO  - 10.1136/bmjopen-2015-010080
PY  - 2016///
SN  - 2044-6055
TI  - Postnuclear disaster evacuation and chronic health in adults in Fukushima, Japan: a long-term retrospective analysis
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2015-010080
UR  - http://hdl.handle.net/10044/1/28273
VL  - 6
ER  -
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