title: How Should Disaster Base Hospitals Prepare for Dialysis Therapy after Earthquakes? Introduction of Double Water Piping Circuits Provided by Well Water System.
abstract: After earthquakes, continuing dialysis for patients with ESRD and patients suffering from crush syndrome is the serious problem. In this paper, we analyzed the failure of the provision of dialysis services observed in recent disasters and discussed how to prepare for disasters to continue dialysis therapy. Japan has frequently experienced devastating earthquakes. A lot of dialysis centers could not continue dialysis treatment owing to damage caused by these earthquakes. The survey by Japanese Society for Dialysis Treatment (JSDT) after the Great East Japan Earthquake in 2011 showed that failure of lifelines such as electric power and water supply was the leading cause of the malfunction of dialysis treatment. Our hospital is located in Shizuoka Prefecture, where one of the biggest earthquakes is predicted to occur in the near future. In addition to reconstructing earthquake-resistant buildings and facilities, we therefore have adopted double electric and water lifelines by introducing emergency generators and well water supply systems. It is very important to inform politicians, bureaucrats, and local water departments that dialysis treatment, a life sustaining therapy for patients with end stage renal diseases, requires a large amount of water. We cannot prevent an earthquake but can curb the extent of a disaster by preparing for earthquakes.
authors.affiliation: Department of Medicine, Yaizu City Hospital, 1000 Dobara, Yaizu, Shizuoka 425-8505, Japan.
authors.forename: Naoki
authors.identifier: 0000-0001-6104-2106
authors.initials: N
authors.lastname: Ikegaya
authors.affiliation: Department of Nephrology, Yaizu City Hospital, 1000 Dobara, Yaizu, Shizuoka 425-8505, Japan.
authors.forename: George
authors.identifier: 0000-0002-1172-2784
authors.initials: G
authors.lastname: Seki
authors.affiliation: Department of Urology, Yaizu City Hospital, 1000 Dobara, Yaizu, Shizuoka 425-8505, Japan.
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Ohta
mesh_terms: D054597:Disaster Medicine / Q000379:methods / Q000458:organization & administration / Q000592:standards; D004189:Disaster Planning / Q000379:methods / Q000458:organization & administration / Q000592:standards; D055866:Earthquakes; D006801:Humans; D006435:Renal Dialysis / Q000379:methods / Q000592:standards; D014881:Water Supply; D060986:Water Wells