We carried out disaster mitigation education to all the 600 Eigashima junior high school students of Akashi city on November 29. The human rights education which included disaster r mitigation education by cooperation with a junior high school, the Akashi disaster prevention safety division, and university were performed for 90 minutes. 30 quiz which chooses one from two was set. I explained the question about disaster nursing. Further“Does tsunami come to our town?” “Which area is vulnerable to a disaster?”“ If a support person required is found in a shelter, what do you do?” Although there was also a difficult problem of judgment, we were able to train about their own judgment and decision to the junior high school student.

We carried out disaster mitigation education to 37 second graders of kinugawa junior high school students of Akashi city on November 10.17.24. This plan is the 6th year by this year. The first time: Article creation convenient at the time of a disaster. The second time: Cardiopulmonary resuscitation and AED . The third time: How to avoid a trouble with the others in a shelter..37 third-year students in a junior high school received disaster mitigation education for two consecutive years. How much was the effect to them?

We practiced in the stricken area of the East Japan Earthquake
We went to the Miyagi Prefecture’s evacuation center for nursing care in the stricken area of the East Japan Earthquake 18 to 23 March. This picture is the evacuation center’s photo in the Higashimatsushima-cho. We accepted the new 100 refugee in this place and we practiced about health check, environment assessment, check of refugee’s medical prescription and assistance of physician. Tomorrow, we collaborated with the stricken area’s nursing association for making evacuations assessment in these area. Next day, we established the new medical treatment base with Hyogo Physician Association in this evacuation center at the coast area in Ishinomaki city. We intend to continue practicing for two months.(Hatsumi Kanzaki)

Home page was update as The 2011 off the Pacific coast of Tohoku Earthquake.

The program was conducted with JICA Hyogo.
Participants came from China and Thailand.
They will stay and study in one month.

This event was gathered to encourage an exchange of feelings on "January 17th"
We participated in this event to introduce our activity.
So many people came to our booth and they tried to the “What your national ranking in survival capability” http://www.coe-cnas.jp/english/index.html
I met the people who are not able to prepare in spite of they were suffered from this erathquake.
While the people who are able to prepare perfectly with the earthquake as a lesson.
”So as not to forget that fateful day”　is very important keyword for us.
In the exhibition booth, I enlightened the importance of preparedness in the disaster with the possibility of occurring to visitor as follows.
In spite of the congestion, many people talked to me about the recalled those days of earthquake occurring and their present days

We went to the nursing support after the flood damage of Typhoon No.9 in Sayo-cho .
We practiced it in cooperation with the Hyogo nursing association and the Japan Sciety of disaster nursing.
We based on Kuzaki elementary school refuge in the Sayo-cho, we conducted the health survey to the victim houses in the Kouzuki region and the Sayo region.

As of 10:00, 18 May 2009, Japan has officially reported 92 cases of influenza A (H1N1) infection in Kobe and Osaka. We are facing the possibility of an influenza pandemic because the human population has no immunity to this novel influenza virus. However, the new influenza is considered less deadly than some previous viruses, and we ask you to react calmly and not to panic. To reduce the risk of infection, we recommend you to stay home if possible and avoid crowded settings and close contact with others. Take measures for usual cold prevention such as washing hands with soap and water, gargling, wearing a mask, covering your mouth when coughing, and practicing good health habits including adequate sleep, eating nutritious food, and keeping physically active. Please make sure 2-week emergency food is stored at your home!
It is reported that people are rushing into convenience and drug stores and flu masks were quickly sold out. This has caused overcrowding and has increased the risk of infection. You do not have to check every drugstore in your town for masks. Just staying home is often a better prevention method than looking for masks in a crowded place.
We also recommend you to check the fliers on the influenza A(H1N1) published by Hyogo Prefecture and to get updated and reliable information through TV, Internet, etc.

Theme: "Towards creating a new domain of nursing knowledge"
Venue: Kobe International Exhibition Hall, Japan
Date: September 19-20, 2009
Chairperson of the First International
Nursing Research Conference is Aiko YAmamoto who is our Institute direstor. Details are here.

We continue liaising with the city’s disaster prevention section and secondary schools to hold comprehensive disaster preventive lessons for the local secondary school student from 2007 fiscal year. It is include which lectures, simulation of shelter and make a map of community’s dangerous place in ten hours school hours.We began to the game of the president of the society in the simulation of shelter.

A field survey was carried out in Sri Lanka, 3 years after the Sumatra-Andaman Earthquake and Indian Ocean Tsunami.

In the framework of the International Disaster Nursing Network Project of the 21st Century COE Program, we have been conducting a series of field surveys in Sri Lanka since March 2005, three months after the Indian Ocean/Sumatra Earthquake & Tsunami of December 2004.

Each year, our surveys have focused on restoration and health problems in areas affected by the disaster.
From March 10 to 11, 2008, we conducted another field survey in the same series to examine the situation three years after the disaster.

For the survey, we were based in Colombo and visited the Ministry of Health, Nutrition and Welfare and the public health center in one of the disaster areas. As of last year, Ms. Malanie Ranasinghe, Principal of the School of Nursing in Colombo, served as our local coordinator, assisting us with our interview with the Director of Nursing and Public Health of the Ministry of Health, Nutrition and Welfare.

Over the next two days, we visited the public health center in Moratuwa and talked with local nursing professionals.
On our second day in Moratuwa, we visited tsunami survivors’temporary and permanent housing complexes located in the public health center’s service area and interviewed four families.

Even three years after the disaster, temporary housing (camps) still exist because tsunami survivors who have not yet been provided with permanent housing continue to live there. The following is a report of our survey of the situation three years after the disaster.

Details are here.

A field survey was carried out in Indonesia, 3 years after the Sumatra-Andaman Earthquake and Indian Ocean Tsunami.

The Follow-up research team went to Jakarta where is capital city and Ache has been affected by the Great Sumatra Earthquake and Indian Ocean Tsunami from February 7th to 16th,2008. We visit a health center,nursing school,etc. for carrying out survey about health problems after disaster and disaster nursing.

Before Tsunami, there was a conflict in Ache. Many people who had PTSD caused of not only Tsunami but also a conflict were found, because health section in Ache worked on the mental health nursing assisted foreign supporting organization. Health status become to be good before Tsunami. Temporary housing was formally closed and many permanent houses had be built by support of oversea and reconstruction agency,bud only few people lived there.

In Nursing School and University,they want to have the class of disaster nursing education. A nursing school have already started education for student by teachers were trained by Japanese nursing university.
In Jakarta,we visited the crisis management center in Ministry of Health for comprehending a crisis management in Indonesia. They monitor a disaster in Indonesia for 24 hours and have several training for medical practitioner. Moreover,they made a pocket size book included rapid assessment sheet and a management system,etc and distribute it to health department of every states.

Details are here.

We participated the 11th East Asian Forum on Nursing Science (EAFONS) Annual Conference.
The conference was held at Kaohsinug in Taiwan from Feb. 28 and 29 2008.

Details are here.

A field survey was carried out in Thailand, 3 years after the Sumatra-Andaman Earthquake and Indian Ocean Tsunami.

From February　16th to 19th, 2008, we visited southern Thailand to carry out a follow-up study 3years after the Sumatra-Andaman Earthquake.

Like last year, we visited the disaster sites and interviewed nurses and local residents, accompanied by the president of the Nurses Association of Thailand, Southern branch, Dr Jirapan, staff of Songkra university and the staff of hospital working on attacked area We interview with the nurses at Pang ga hospital to grasp the situation of disaster happened.

The hospital has kept the EMS since the tsunami happened. It was told that the staff of nurses association of Thailand and Songkra University will come to grips with issue of disaster nursing. We also visited the public cemetery and Tsunami memorial park in Takuapa.

Details are here.

World Society of Disaster Nursing started in Kobe on January 22, 2008.

World society of Disaster Nursing(WSJN) founding member were 40 organizational members from 7 countries , and the first meeting was held in the morning. The meeting decided the chairperson of the board of director, by-law and the chairperson of the 1st and 2nd academic conferences.
Inauguration and memorial forum were held in the afternoon.

The beginning of the ceremony, Dr.Aiko Yamamoto, Principal investigator of COE, gave a speech.

Next, there were congratulatory addresses from the guests, Mr. Toshizo Ido, governor of Hyogo Prefecture, Dr.Pesigan, Technical officer of WHO regional office for the Western pacific, Dr. Hiroko Minami, President of International Council of Nursing and Prof.Kikuko Ota, chairperson of the Japan Society of Nursing Science et. al.

WSDN aims to contribute to the health and welfare of people through promotion of international academic exchanges and collaborative research of disaster nursing, and systematization of disaster nursing knowledge and practice.

In the keynote speech, Dr.Yoshiki Kawata,Director of Disaster Reduction and Human Renovation Institution talked about Current Situation of Huge Disasters in the World. Then, the panel discussion on the theme of “What is expected of the WSJN”The First WSDN Congress will convene by Prof. Hiroko Minami in Japan after June 2009, and second one is due to be held by Glamorgan University in U.K.

Details are here.

The‘Hyogo Safety Day Gathering’was held at the Community Plaza (Chuo-ku, Kobe City) on 17th January 2008. As in the previous year, we held an exhibition there, with the Information Base Project group and the Education Project group participating collaboratively this year.

Disaster nursing education, practice and research activities undertaken in the COE program were introduced.
The Education Project group distributed copies of the‘For Times of Emergency’booklet, while the Information Base Project group did ‘preparedness checks’.
In this way, we provided information about what to prepare in advance for a disaster, and made people aware of which areas they themselves needed to work on, thus contributing to specific preparedness action.

We held “The Report Meeting of the Results of the COE Program: Disaster Nursing in a Ubiquitous Society“ in an auditorium of Collage of Nursing Art and Science, University of Hyogo on 16th and 17th November 2007.

The report meeting has been held once a year from fiscal 2004. We have entered the final year of the COE program, so that we made part of this year’s meeting open to the public.
There were oral presentations made by Dr Aiko Yamamoto, Principal Investigator of the COE program, Dr Noriko Katada, Dean of College of Nursing Art and Science and researchers of thirteen research projects.

Dr Yamamoto summed up the activities and results of the 5-year COE program and Dr Katada talked about researcher upbringing. There were 14 exhibition booths outlining each project with useful tools for disaster nursing including brochures, DVD, website and rescue goods.

Dr Yamamoto (Principal Investigator) and Ms Nishigami (COE Researcher) participated in Asia-Pacific Informal Meeting of Health Emergency Partners and Nursing Stakeholders from 25th to 27th October 2007 in Bangkok, Thailand.

This meeting was supported by WHO and IOM. The participants included faculties of nursing universities, representatives of nursing associations, hospitals, Ministry of Health and Red Cross Society from WPRO or SEARO member countries.

Disaster situations of the participants’ countries and action taken by their institutions were reported. Workshops were also held during the meeting.
Dr Yamamoto introduced our institute as the WHO Collaborating Centre for Nursing in Disasters and Health Emergency Management and the COE research activities.

On 1st September 2007, the ‘Akashi City Disaster Prevention Fair’ was held at Asagiri Junior High School.

On the initiative of Akashi City Disaster Prevention and Safety Section, the format of the fair was slightly different from previous years, with the aim being to create frameworks of ‘self-help’ and ‘mutual help’ among local residents through participatory training.

The COE program was represented at the Fair, conducting an activity on ‘How prepared are you?’ and a display of ‘emergency disaster bags’, while students from our university did ‘aromatherapy’.

I will report on our relief activities following the 2007 Niigata Chuetsu Offshore Earthquake.

Details are here.

Reports were presented by both the team that worked at the site of the disaster until the end of July, and the University team that provided backup support from on-campus. A total of 51 people participated in the meeting, including people from both within and outside the University community.

Details are here.

At the 9th Annual Meeting of the Japan Society of Disaster Nursing, we had an exhibition booth and also presented research results. At our booth, we introduced the outline of this project and the WHO Collaborating Center, and also presented a poster on the relief efforts for the 2007 Niigata Chuetsu Offshore Earthquake (see photo 2).

Each project team presented their research results, and we also shared our 2006 report and 2007 pamphlet. Over 220 people stopped by, and the reports, pamphlets and other handouts we prepared all attracted interest with many people taking copies home.

In the General Session, the Elderly CDP group presented a paper on “Analysis and organization of elderly people’s care needs after a disaster: helping elderly people to rebuild their lives after a disaster”. During Session 1, Saitama Children’s Medical Center, which is engaged in collaborative research with the Child Health CDP group, presented a paper on “Introducing the 3 minute simulation.” We played the simulation DVD on a computer in our exhibition booth and explained it to people. In Session 2, the Professional Nursing Support Network group presented “Learning from nursing experiences after the Noto Peninsula Earthquake: the role of professional support.” The presentation examined how nursing professionals’network and collaborate during a disaster.

Following the Monday July 16th, 2007 Niigata Chuetsu Offshore Earthquake, it was decided that the University of Hyogo Akashi Campus, which is actively involved in disaster research (especially through the 21st Century COE program "Development of a Center of Excellence for Disaster Nursing in a Ubiquitous Society"), should use its findings to help provide relief and guidance at the disaster site. We have therefore sent a number of our teachers to the site. Details are as follows.
　
Dispatch to Niigata Chuetsu Offshore Earthquake Disaster Site

1　Duration
4 days (Wednesday July 18th to Saturday July 21st)
　　　
2　Relief Party
　　
Research Institute of Nursing Care for People and Community:
Associate Professors Tomoe Watanabe, Hatsumi Kanzaki
　　
Graduate School of Nursing:
COE Researcher Ayumi Nishigami and 1 other

3　Location (planned)
　　Emergency shelters in Kashiwazaki City

The WHO Collaborating Center for Nursing in Disasters and Health Emergency Management (WHO Disaster Nursing Collaborating Center) held its Designation Ceremony and Forum.


On May 24th, 2007, the Research Institute of Nursing Care for People and Community was designated a World Health Organization Collaborating Centre for Nursing in Disasters and Health Emergency Management (WHO Disaster Nursing Collaborating Centre). On Tuesday June 12th, 2007, a designation ceremony and inaugural forum were held with a total of approximately 150 attendees, including 50 guests, 75 faculty members, and 35 graduate students.

Details are here.

The International Council of Nurses (ICN) International Conference, together with the Council of National Representatives (CNR), were held in Yokohama, Kanagawa Prefecture, from May 27th to June 1st , 2007.

Details are here.

A story about the Chronic Diseases CDP group's manual, “Overcoming Disasters’appeared in Kobe Shimbun's Akashi edition on April 10th, and in the Kobe edition on April 11th. A number of people who read the article requested pamphlets.

Details are here.

A field survey was carried out in Thailand, 2 years after the Sumatra-Andaman Earthquake and Indian Ocean Tsunami.
　
From March 13th to March 17th, 2007, we visited southern Thailand to carry out a follow-up study 2 years after the Sumatra-Andaman Earthquake. Like last year, we visited the disaster sites and interviewed nurses and local residents, accompanied by the former president of the Nurses Association of Thailand, Dr Jintana Yunibhand.

Tourist destinations which were heavily damaged, such as Ao Nang and the Phi Phi islands, are being rebuilt as part of a government policy to draw back tourists from all over the world, with special attention being paid to environmental problems and scenery. Nurses have established even closer contact with local residents, and the restoration of functioning hospitals in the Phi Phi islands together with the completion of a nursing village supported by the Nurses Association of Thailand are signs that the rebuilding process has come a long way.

A field survey was carried out in Indonesia, 2 years after the Sumatra-Andaman Earthquake and Indian Ocean Tsunami.

With the cooperation of the Indonesia National Nurses Association and the Ministry of Health, a 2-year post-disaster follow-up survey was conducted from March 11th to March 17th, 2007. In Jakarta, we visited the Ministry of Health, and in the disaster area of Banda Aceh, we visited the Aceh Provincial Health Office, the Aceh branch of the Nurses Association, the provincial hospital we visited last year, the Ulee Lhee disaster area, as well as health centers in the disaster area and temporary housing facilities.

In the disaster areas along the coast, breakwaters have been constructed and houses on stilts have been built. There has been a reduction in the number of residents in temporary housing, from 305 households last year to 70 households this year. In interviews with temporary housing leaders, mothers of infants, pregnant women, elderly people, and unemployed people, among others, we found that there were plans to dismantle the temporary housing in 2 or 3 months, but there were still people who had nowhere to go.

Although recovery is progressing thanks to national and international support, there is an increasing gulf in the standards of living among victims, and the number of victims with psychological problems is on the increase. With a sense of stability now restored, nurses at hospitals and health centers have returned to almost normal work conditions and are working enthusiastically to provide care for victims.

A field survey was carried out in Sri Lanka, 2 years after the Sumatra-Andaman Earthquake and Indian Ocean Tsunami.

Between February 24th and February 28th, the International Network group carried out a follow-up survey in Sri Lanka, 2 years after the Sumatra-Andaman Earthquake. As part of the survey we visited the Sri Lanka Ministry of Health, M district health center in the suburbs of Colombo, a permanent housing district built by an NGO near the city of Galle, and temporary and permanent housing districts in M district.
We visited a total of five families who were victims of the disaster, and interviewed them about the ordinary life of victims, community building after the disaster, the restoration of health and medical services, and the state of medical services in the temporary housing district.

We interviewed 2 visiting-nurse stations in Sapporo, Hokkaido, about disaster preparedness and mutual support networks. The first visiting-nurse station was annexed to a hospital, and the hospital disaster manual was used for disaster preparation. Plans to create a manual for users of the station are currently being discussed.

From 17th January, the disaster reduction booklet, “Preparing for the worst” was made available for distribution at the Disaster Reduction and Human Renovation Institution. It was seen as practical, and in February another 400 copies were made available. The number of requests from associations wanting to use it has.

“Advance preparation for supporting vulnerable populations in a disaster”Creating individual disaster response manuals for patients using artificial respiration devices.
The Fukuzaki Health and Welfare Office Committee on Dealing Collaboratively with Chronic Diseases organized a meeting on the above theme, in which we participated as advisors. The meeting took place on February 8th, 2007. Fukuzaki Health and Welfare Office health workers reported on the process of creating individual disaster response manuals with patients using intracanalicular artificial respiration devices, their family care giversand people involved in supporting home care.

Details are here.

A second workshop on preparing for disaster was held for nurses in Tokyo.
Following on from the first workshop, the second workshop was attended by a total of 37 nurses from 12 wards of 2 hospitals: Kanto Medical Center NTT EC and Toshiba General Hospital. Presentations were made by each ward on measures they had taken to prepare for disaster in the month since the first. Details are here.