YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT MAP (JAPAN EARTHQUAKE AND TSUNAMI) BACKGROUND SITUATION TSUNAMI RADITION IN FOODSTUFF NUCLEAR POWER PLANTS GOVERNMENT OF JAPAN A 9.0 magnitude earthquake hit Japan, unleashing a tsunami. US RESPONSE UN RESPONSE OTHER ORGANIZATIONS HEALTH KEY LINKS GOVERNMENT OF JAPAN http://www.kantei.go.jp INTERNATIONAL ORGANIZATIONS RELIEFWEB UNICEF International Nuclear Safety Center International Atomic Energy Agency Global Disaster Alert and Coordination System WHO US GOVERNMENT ORGANIZATIONS The Department of State U.S Embassy in Japan State Dept.'s DipNote on Twitter State Dept. Background Note U.S. Agency for International Development OFDA Library of Congress Country Study - Japan CIA World Fact Book The Department of Defense 7th Fleet The Department of Homeland Security The Department of Health and Human Services Centers for Disease Control and Prevention CDC- Tsunami CDC-Earthquake CDC-Radiation Emergencies EPA FEMA Blog US Geological Survey NOAA Center for Tsunami Research NOAA Pacific Tsunami Warning Center PORTALS AND RESOURCES All Partners Access Network (APAN Japan Disaster Wiki CATDAT and Earthquake Reports Center of Excellence - Japanese search & rescue teams continue to search for missing people. Photograph: IFRC AS OF 0800 HRS EDT 24 MARCH 2011 LIBRARY National Medical Library – Japan Earthquake Disaster Information Management Research Center Radiation Emergency Medical Management JAPAN EARTHQUAKE AND TSUNAMI BACKGROUND EARTHQUAKE AND TSUNAMI • On 11 Mar 2011 05:46 UTC, a 9.0 magnitude earthquake struck 400km north-east of Tokyo off the coast of Japan triggering a tsunami that flattened parts of the northeast coastline. The waves were as high as 15 meters in the worst affected areas, destroyed everything in their path, and went six kilometers inland. • Because the earthquake’s hypocenter was 24.4 kilometers deep, it is considered a shallow earthquake, the most dangerous type of quake. The 9.0 magnitude places the earthquake as the fourth largest in the world since 1900 and the largest in Japan since modern instrumental recordings began 130 years ago. DEATH AND DESTRUCTION • As of March 23 , the Japan National Police have listed a new death toll of 9,408 with an additional 14,716 missing. This is a total of over 24,000 people killed or missing, the largest ever from an earthquake by nearly 4 times for a highly developed nation (as defined by the UNDP). • Thousands of households have been without electricity since 11 March. Over 2 million people have been without running water. • As of 21 March, at least 14,637 buildings have been reported as completely destroyed. CATDAT AND EARTHQUAKE-REPORT.COM OCHA SitRep No. 11: 22 March 2011 OCHA SitRep No. 9: 20 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 NOAA Center for Tsunami Rsch USAID Fact Sheet #10: 20 March 2011 JAPAN EARTHQUAKE AND TSUNAMI BACKGROUND NUCLEAR EMERGENCY • Fukushima Daiichi Nuclear Power Plant - Located on the Eastern coast of Japan, the six nuclear power reactors at Daiichi are boiling water reactors (BWRs). The earthquake on 11 March severed off-site power to the plant and triggered the automatic shutdown of the three operating reactors - Units 1, 2, and 3. The control rods were successfully inserted into the reactor cores, ending the fission chain reaction. The remaining reactors - Units 4, 5, and 6 -- had previously been shut down for routine maintenance purposes. Backup diesel generators, designed to start up after losing off-site power, began providing electricity to pumps circulating coolant to the six reactors. • Soon after the earthquake, a large tsunami washed over the reactor site, knocking out the backup generators. While some batteries remained operable, the entire site lost the ability to maintain proper reactor cooling and water circulation functions. • Over the following days there was evidence of partial nuclear meltdowns in reactors 1, 2, and 3; hydrogen explosions destroyed the upper cladding of the buildings housing reactors 1, 3, and 4; an explosion damaged reactor 2's containment; and multiple fires broke out at reactor 4. Fears of radiation leaks led to a 20 km (12-mile) radius evacuation around the plant. • Japan’s Nuclear and Industrial Safety Agency has raised the alert level at the damaged Fukushima Daiichi nuclear plant from four to five on a sevenpoint international scale for atomic accidents. • While electricity from an outside source has not flowed into the reactors at the Fukushima Daiichi plant at this time, all six reactors now have electric connections laid out. OCHA SitRep No. 11: 22 March 2011 OCHA SitRep No. 9: 20 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 NOAA Center for Tsunami Rsch USAID Fact Sheet #10: 20 March 2011 SITUATION EMERGENCY RESPONSE, • On March 23, 2011 at 07:12:29 AM at epicenter, 2 strong aftershocks occurred, 20 minutes apart, and close to Iwaki. The hypocenter was again very shallow 21 km (13 miles) and located WNW (283°) from Iwaki, Honshu, Japan and 72 km (45 miles) SSE (165°) from Fukushima, Honshu, Japan. • Freezing temperatures, snow, and rain are expected to continue into early the week of 27 March. • With nearly all people in the earthquake and tsunami affected areas now accessible, the focus of the response is shifting from search and rescue operations to caring for those who have been evacuated. • Levels of radioactive substances have also been found in seawater near the plant but not at levels that represent a threat to human health. Tokyo Electric Power Company will continue to measure the radiation level of sea water in order to evaluate the impact on the regions fishing industry. Fishing harbors in Fukushima have been closed since the earthquake, so no seafood has been shipped. FOOD - The Emergency Disaster Response Headquarters reports that approximately 7.2 million meals have been delivered to evacuation centers and hospitals in the affected areas to date. An estimated 850,000 meals were delivered on the 22 March. WATER • There are about 120,000 national emergency service personnel working in the worst affected areas repairing vital infrastructure and moving relief items such as food, water and blankets to those living in the evacuation centers. Still the evacuation centers urgently require food, water and blankets. Concerns persist for the elderly and sick in the evacuation centers. They are vulnerable to the freezing weather, shortage of medicines, and limited water, sanitation and hygiene facilities. • RADIATION CONATMINATION • The Ministry of Health, Labor and Welfare MHLW is coordinating 440 water companies for emergency water supply. It has arranged to send 349 water supply vehicles to the affected areas in Miyagi (200 vehicles), Fukushima (37 vehicles), and Iwate (88 vehicles). • Radioactive materials exceeding Japan’s legal limits have now been found in 11 types of vegetables grown in Fukushima Prefecture as well as the water there. The Government of Japan (GoJ) has ordered residents not to consume the vegetables, or drink tap water or milk there. The neighboring prefecture of Ibaraki has also had radiation detected in its vegetables and milk. In Tokyo, authorities have detected radioactive iodine in tap water that exceeds the level considered safe for infants. The GoJ has advised that it is unfit for babies to drink. OCHA SitRep No. 12: 23 March 2011 OCHA SitRep No. 11: 22 March 2011 OCHA SITREP No.10:21 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 WHO-WPRO SitRep No. 10: 19 March 2011 USAID Fact Sheet #10: 20 March 2011 At least 875,000 households (2 million people) remain without water across 11 Prefectures. In the worst affected areas it could take a month before water is restored. • The Emergency Disaster Response Headquarters reports that in total, an estimated 3.4 million bottles of water have been delivered to evacuation centers in the affected areas. Another 1.3 million is in transit. ELECTRICITY- A total of 216,977 households (533,763 people) remain without electricity. SITUATION LOGISTICS TRANSPORTATION • The bad weather is hindering emergency response efforts; helicopters that used to deliver relief supplies have been grounded, and authorities must rely on road transport. • The GoJ has enacted a plan to redirect 38,000 kiloliters per day of fuel from the oil refinery factories in Hokkaido and western Japan by surface transportation. This was the average daily demand of fuel in the Tohoku area before the disaster, and has been secured. The Ministry of Economy, Trade and Industry (METI) is planning to transfer 300 tanker vehicles operating in western Japan to the Tohoku area, and 100 out of 500 fuel stations will supply emergency vehicles carrying relief items with fuel. It has also requested the oil refinery industry increase their production from the current level of 80% capacity to 95% capacity. • The GoJ says 4,300 kiloliters of fuel has been delivered to affected prefectures to date. 600 kiloliters/day has been delivered for the past 2 days. The METI reported that its emergency oil supply plan for the Tokyo Metropolitan and the Tohoku areas is likely to reach initial targets. The GoJ has secured 280 tanker vehicles thus far to transport fuel to the affected areas. • As of March 21, capacity had recovered to around 3.9 million barrels per day (mbpd) more than the usual daily demand of 3.6 mbpd. (Yomiuri, March 23) The first oil tanker to arrive since the disaster docked near a storage facility in Shiogama, Miyagi, which is a key oil shipping base. The tanker arrived with 2,010 kiloliters of gas, heating oil and light oil. • The Ministry of Land, Infrastructure, Transport and Tourism (MLIT) announced that most (94%) of the main roads reaching to the affected Pacific coastal areas have been repaired. Two main highways are still reserved for emergency vehicles only. • The Tohoku bullet train has also resumed services between Morioka, Iwate and Shin-Aomori today. However, it will be some time before the train can carry passengers along its full 670 km stretch from Tokyo to Aomori. • Six sea ports which were damaged by the earthquake and tsunami have resumed operations. • 13 airports in the affected areas are open for scheduled and chartered flights, and Sendai Airport which was heavily affected by the tsunami is open for humanitarian flights. • According to NHK, the Tohoku bullet train is expected to resume full service as early as late April, East Japan Railway said, while briefing the transportation ministry on Tuesday. The route runs through affected regions and service has only been resumed in sections near the two terminals, but the train cannot run in the middle section. The company says the work will take more than a month but the line sustained relatively minor damage. • The petroleum industry believes the fuel shortages will be nearly resolved this week in the Kanto region and by the end of the month in the Tohoku region, the Daily Yomiuri Online reported. The Petroleum Association of Japan says the amount of crude oil refined domestically declined to around 2.7 million barrels a day after the quake struck. OCHA SitRep No. 12: 23 March 2011 OCHA SitRep No. 11: 22 March 2011 OCHA SITREP No.10:21 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 WHO-WPRO SitRep No. 10: 19 March 2011 USAID Fact Sheet #10: 20 March 2011 SITUATION (SHELTER) SHELTER • The GoJ’s Special Task Force for Livelihood Support of the Affected Populations, announced on 18 March, is now operational. The Task Force is responsible for ensuring that aid reaches the evacuation centers. It will also coordinate with the Disaster Volunteer Coordination Office, established on 16 March. A separate Task Force has been set up for nuclear power plant response. • More evacuees are relocating to unaffected prefectures. To date, nearly 30,000 evacuees, about 13 percent, have relocated to 437 municipalities in 43 prefectures. The number of people in evacuation centers in and outside the affected areas has dropped to 261,000. This includes the 83,778 people evacuated from the 20 kilometer zone around the Fukushima Nuclear Power Plant. This is down from initial reports of 210,000. The Fukushima Prefecture reports that 23,000 of its evacuees are now taking refuge in non-effected prefectures. It’s estimated that there are 177,222 earthquake and disaster affected people living in the evacuation centers. It’s unknown how many people are in need of assistance that are not living in the evacuation centers. • The number of evacuation centers operating has decreased by 20%. Now that roads are repaired and debris is cleared evacuees are moving into larger evacuation centers. In the week following the disaster there were about 2,212 mostly smaller evacuation centers. Many of them were in isolated, difficult to reach places and many did not receive timely assistance. The evacuees are now congregating in larger centers that are also main distribution points for relief supplies. • The evacuees have established managing committees in the evacuation centers. The committees are helping to organize distribution of food and relief items, cleaning, water supply, and allocation of individual living spaces. A municipal official acts as the liaison between the committees and the municipality. This practice of self-management will continue when the evacuees are relocated to planned housing. • The authorities in Iwate Prefecture say they are planning a mass relocation of its displaced population. Currently, there are about 44,000 people in 370 evacuation centers. Due to logistical difficulties, the authorities say it is easier to relocate the geographically-scattered evacuees to a smaller number of temporary shelters in the prefecture where more effective assistance is possible. The construction of temporary housing has started in Miyagi and Fukushima Prefectures. Families with elderly, handicapped, or pregnant members, or women with babies will be prioritized. Until the buildings are constructed the GoJ is recommending the displaced relocate to shelters in non-affected prefectures. • A GoJ survey of all of Japan has found 19,600 vacant public houses that can be used to accommodate displaced people. This will be combined with governmentand volunteer-run evacuation shelters such as sports stadiums. The GoJ wants to keep people from the same evacuation centers together so bonds formed since the earthquake can be maintained. • The GoJ has requested that the housing industry construct 33,175 temporary shelters for the displaced. While the construction of temporary accommodation has started in some Prefectures, many areas are finding it very difficult to find suitable pieces of land to build upon as much of the coastal area in Tohoku is mountainous. • There is concern about the situation of affected populations outside the evacuation centers. Local media says people who are living in their homes are not receiving relief items as distribution of relief items has been prioritized for the evacuation centers. People who are still able to live in their homes also require assistance as they have no access to food, water and basic supplies. AS OF 22 MARCH WHO-WPRO SitRep No. 13: 22 March 2011 CATDAT AND EARTHQUAKE-REPORT.COM SITUATION (Evacuation Centers) SITUATION (Health) • The focus of healthcare priorities are for the vulnerable and the elderly in evacuation centers, those who have stayed in their homes in the affected areas, and mental health care for those affected by the disaster. • The GoJ has over 105 health worker teams working in Iwate, Miyagi and Fukushima. The National Hospital Organization has 20 medical teams in Iwate (6 teams), Miyagi (6 teams) and Fukushima (8 teams). The Japan Medical Association has dispatched 43 teams and the All Japan Hospital Association and the Japan Association of Medical Care Corporations have jointly sent 11 teams to the affected areas. Another 389 child welfare specialists and nearly 6,000 social workers are waiting for formal requests from the affected municipalities. CURRENT ASSESSMENT NOTE: Assessment estimates are for the impacted areas. The overall infrastructure outside of the affected areas remains strong. G R A Not a Major Concern Currently B Generally Ineffective Working But Inadequate Non-Functional Or Destroyed Unknown MEDICAL OPERATIONS • An Internet-based ad-hoc surveillance system was set up by the Infectious Disease Surveillance Center, National Institute of Infectious Diseases. • The Ministry of Health, Labor and Welfare (MHLW) has also assessed the capacity of social welfare facilities in the non-affected Prefectures to receive patients. It found there is space available for 28,929 in elderly facilities, 5,345 in handicapped facilities, 6,745 in child welfare facilities, and 685 in other protection facilities. JAPAN A A G R A R R R R R PUBLIC HEALTH PUBLIC HEALTH • The MHLW has also prepared a mental care guidebook that is being distributed to affected municipalities and a website has been set up to provide information for counselors and teachers http://www.ncnp.go.jp/mental_info/index.htmll. • The Japanese Red Cross has 48 active teams on the ground and is reporting an increase in influenza and diarrheal diseases among the displaced communities and cases of hypothermia and pneumonia among people who have survived long periods in water. JAPAN NOTE: • Improvements in living conditions of displaced persons will be necessary to prevent further spread of infectious disease. • The elderly and medically fragile are particularly vulnerable to hypothermia and other medical issues present. OCHA SitRep No. 11: 22 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 R R A B B A A OVERALL PH/MEDICAL ASSESSMENT B G R SITUATION (EARTHQUAKE AND TSUNAMI) • A 9.0 magnitude earthquake (upgraded from 8.8 magnitude, by Japan Meteorological Agency on 13 March) occurred 11 Mar 2011 in Japan at 05.46.23 UTC, hitting the northeast coast of Honshu, Japan. The hardest hit area is the east coast of Tohoku Prefecture. • The initial tsunami that swept over Japan’s northeastern coast was reportedly as high as 33 feet at the port of Sendai. The prefecture capital is located some 180 miles (300 km) from Tokyo. The tsunami waves reportedly reached as far as six miles (10 km) inland in Miyagi. The Sendai domestic airport was submerged. Strong tsunami waves also hit Fukushima prefecture, causing widespread damage to coastal communities. (The National Meteorological Agency has now reported that the highest tsunami wave on the 11 March was 15 meters (50 feet) high in Mekawa, Miyagi – twice as high as the 7.3 meter waves earlier reported) • The worst affected areas are the prefectures along the north-eastern coast, including Iwate, Miyagi, Fukushima, Ibraki and Chiba. The pre-crisis population of these five prefectures was 14.8 million people, of whom 1.6 million lived within five km of the coast. • More rain continues to disrupt Japan’s emergency relief operations as well as compounding the misery of the hundreds of thousands of people who survived the 11 March earthquake and tsunami in the northeast of the country. • The sewage system is yet to be repaired in many areas. • Freezing temperatures through 25 March. The Japan Meteorological Agency has warned of possible landslides and has issued a flood alert. • The earthquake largely sank the ground level of the Pacific coast of Tohoku region and northern part of Kanto region, which leads to greater risks of flooding in these regions. Increased attention to tidal levels as well as preparation for possible inundation and flooding in these regions, are essential, especially during the spring tide, when tides are higher than usual. • 2 very dangerous strong aftershocks (M5.7) 20 minutes separated and close to Iwaki The aftershock is especially dangerous because the hypocenter seems to be very shallow (Depth 1.0 km) located 21 km (13 miles) WNW (283°) from Iwaki, Honshu, Japan and 72 km (45 miles) SSE (165°) from Fukushima, Honshu, Japan NOTES: • The tsunami following the earthquake was the primary cause of major damage to the region. • Cold weather is exacerbating the emergency due to shortages of blankets and fuel, and lack of electricity. OCHA SitRep No. 11: 22 March 2011 OCHA SitRep No. 9: 20 March 2011 COE-DMHA Update: 15 March 2011 COE-DMHA Update 17 March 2001 Japan Meteorological Agency: 17 March 2011 Full Map Available at UNITAR SITUATION (Radionuclides in Food and Water) Radioactive materials exceeding legal limits in Japan have now been found in 11 types of vegetables grown in Fukushima Prefecture. The GoJ has ordered residents not to consume the vegetables, or drink tap water or milk. The neighboring prefecture of Ibaraki has also had radiation detected in its vegetables and milk. In Tokyo, authorities have detected radioactive iodine in tap water that exceeds the level considered safe for infants. • There are large variations of Iodine‐131 and Cs‐137 levels in food. Levels of I‐131 in leafy vegetables, sampled near cities South of Fukushima mostly exceed the level of 2000 Becquerel per kg that was set by Japanese authorities for restriction of food consumption. In Fukushima prefecture six raw milk samples, and in Ibaraki prefecture three spinach samples, showed concentrations of I-131 in excess of limits. 1 of 37 samples of milk exceeded the Cs-137 limit for consumption. • The Prime Minister of Japan, has issued instructions to food business operators to temporarily cease distribution, and to the public to cease consumption of certain leafy vegetables (e.g., spinach, komatsuna, cabbages) and any flower head brassicas (broccoli, cauliflower) produced in Fukushima Prefecture. • The Prime Minister has also temporarily banned distribution of fresh raw milk and parsley from Ibaraki Prefecture. • The MHLW has encouraged Ibaraki and Chiba Prefectures to monitor seafood products. NOTES: Though radioactive iodine has a short half-life of about 8 days and decays naturally within a matter of weeks, there is a risk to human health if I-131 is ingested in food. Monitoring of levels in food and water is essential to ensuring the safety of the population. IAEA Update: 22 March 2011 IAEA Update: 23 March 2011 FDA Radiation Safety: 21 March 2011 OCHA SitRep No12: 23 March SITUATION (Radionuclides in Food and Water) • The UN World Health Organization (WHO) warned members of the general public against self-medicating with potassium iodide (KI) or with products containing iodide as a precaution against nuclear radiation. WHO advised that KI should only be taken when there is a clear public health recommendation to do so, as indiscriminate use can cause adverse sideeffects. • On 21 March, the US Food & Drug Administration (FDA) announced that it is no longer accepting shipments of products from the affected areas of Japan. DRINKING WATER • The Tokyo Metropolitan Water Office stated that levels of I-131 in tap water at a purification plant were found to be above the limits for drinking water for infants but below the level for adults. The MHLW has advised that tap water in Tokyo should not used as drinking water for infants. SEA WATER • On 22 March (16:45UTC), Japanese authorities reported that the Tokyo Electric Power Company has detected I-131, Cs-134, and Cs-137 in seawater at one location near the Southern discharge canal at the Fukushima Daiichi nuclear power plant. • On 23 March the MHLW advised Ibaraki and Chiba Prefectures to monitor seafood products. • The Japan Agency for Marine-Earth Science and Technology (JAMSTEC) measured radioactivity around the plant from 22-23 March. Seawater was collected from eight locations. The Japan Atomic Energy Agency is expected to release the results 24 March. The analysis will include radionuclide concentrations in both air and seawater. Tokyo officials have started giving out 240,000 half-liter bottles of water to 80,000 families with infants in the city, 137 miles south of the crippled Fukushima Daiichi nuclear plant, after panic buying in the capital cleared supermarket shelves CHART: levels of radiation in drinking water by prefecture NOTE: The presence of elevated radiation levels in food and water may impede nutrition and hydration in the impacted areas, potentially exacerbating the health issues already emerging in some locations (e.g. influenza, gastroenteritis, hypothermia). IAEA Update: 23 March 2011 IAEA Update: 22 March 2011 FDA Radiation Safety: 21 March 2011 SITUATION (NUCLEAR POWER PLANTS) NOTE: Radiation levels are at levels high enough to impact human health at the Fukushima power plant. FUKUSHIMA NUCLEAR PLANT: According to the International Atomic Energy Agency (IAEA), progress has been made at the Fukushima Daiichi nuclear power plant, however, the situation remains very serious. • On 23 March, workers at the Fukushima Daiichi nuclear plant were again temporarily evacuated from the plant after black smoke was seen rising from reactor No 3. Radiation levels were reported to be unusually high before the smoke was spotted and later dropped, but remain higher than in recent days. There is also concern about the rising temperature at reactor No 1. Power cables have been connected to all six reactors, and lighting has been restored at reactor No 3. • At Units 1, 2, 3, and 4, workers have advanced the restoration of off-site electricity, and the lights are working in Unit 3's main control room. Crews continued to use a concrete pump truck to deliver high volumes of water into the Unit 4 spent fuel pool, where there are concerns of inadequate water coverage over the fuel assemblies. • At Units 5 and 6, workers have successfully restored off-site power to the reactor, which had previously reached a safe, cold shutdown status. SPENT FUEL POOLS Spent fuel removed from a nuclear reactor is highly radioactive and generates intense heat. This irradiated fuel needs to be actively cooled for one to three years in pools that cool the fuel, shield the radioactivity, and keep the fuel in the proper position to avoid fission reactions. If the cooling is lost, the water can boil and fuel rods can be exposed to the air, possibly leading to severe damage and a large release of radiation. The concern about the spent fuel pools at Fukushima Daiichi is that the capability to cool the pools has been compromised. See diagram to the left for location of the pool in each reactor building. Elevated radiation measurements at the site may be partially of the result of uncovered or overheated spent fuel. See the next slide for updates on each Unit's spent fuel pool. NOTES: • On 21 March, IAEA Board of Governors convened to discuss environmental monitoring readings, noting high readings 16 km from the Fukushima plant. • IAEA has been given online data access to CTBTO readings, allowing for increased inter-agency collaboration. Image source: IAEA IAEA Board of Governors Report 22 March 2011 IAEA Fukushima Nuclear Accident Update Log 22 March 2011 IAEA Update: 23 March 2011 SITUATION (NUCLEAR POWER PLANTS) UNIT UNIT 1 UNIT 2 UNIT 3 SITUATION Coolant within Unit 1 is covering about half of the fuel rods in the reactor, and Japanese authorities believe the core has been damaged. High pressure within the reactor's containment led operators to vent gas from the containment. Later, an explosion destroyed the outer shell of the reactor building above the containment on 12 March. IAEA officials report that they have not received validated information for some time related to the containment integrity of unit 1, and are concerned that they do not know its exact status. Efforts to pump seawater into the reactor core continue. No precise information has been available on the status of the spent fuel pool. On 18 March, Japan assigned an INES rating of 5 to this Unit. Coolant within Unit 2 is covering about half of the fuel rods in the reactor, and Japanese authorities believe the core has been damaged. Following an explosion on 15 March, Japanese officials expressed concerns that the reactor's containment may not be fully intact. Power was restored to the building on 19 March. White smoke was seen emanating from the building on 21 March at 09:22 UTC, but has since died down. Efforts to pump seawater into the reactor core continue. On 22 March, the spent fuel pool was temperature was 50 degrees C. On 18 March, Japan assigned an INES rating of 5 to this Unit. Coolant within Unit 3 is covering about half of the fuel rods in the reactor, and Japanese authorities believe the core has been damaged. High pressure within the reactor's containment led operators to vent gas from the containment. Later, an explosion destroyed the outer shell of the reactor building above the containment on 14 March. Following the explosion, Japanese officials expressed concerns that the reactor's containment may not be fully intact. White smoke was seen emerging from the building on 21 March, leading to the temporary evacuation of plant personnel. The smoke reportedly died down two hours later. Of additional concern at Unit 3 is the inadequate cooling water level in the spent fuel pool. Japanese authorities have addressed the problem by dropping water from helicopters into the building and spraying water from trucks. As of 22 March, workers had sprayed at least 3,742 tons of water into the building; however, data on the temperature of the spent fuel pool is unavailable. Authorities continue to try to restore electricity to unit 3. On 18 March, Japan assigned an INES rating of 5 to this Unit. On 23 March, workers at the Fukushima Daiichi nuclear plant have again been temporarily evacuated from the plant after black smoke was seen rising from reactor No 3. UNIT 4 All fuel from Unit 4 had been removed from the reactor core for routine maintenance before the earthquake and placed into the spent fuel pool. The building's outer shell was damaged on 14 March, and there have been two reported fires - possibly including one in the area of the spent fuel pool on 15 March - that were extinguished spontaneously. Authorities remain concerned about the condition of the spent fuel pool, and emergency workers began spraying water into the building on 20 March. As of 22 March, at least 255 tons of water have been sprayed into the building, and electricity was restored to the unit’s power center. Data on the temperature of the spent fuel pool is unavailable. On 18 March, Japan assigned an INES rating of 3 to this site. UNITS 5 & 6 Shut down for routine maintenance before the earthquake, both reactors achieved cold shutdown on 20 March. The reactors are now in a safe mode, with cooling systems stable and under control, and with low temperature and pressure within the reactor. Instrumentation from both spent fuel pools had shown gradually increasing temperatures over the past few days. On 22 March, the temperatures of the spent fuel pools in units 5 and 6 were 33.5 and 27.5 degrees C, respectively. Unit 5 was connected to an external power supply. Unit 6 continues to receive power from an emergency diesel generator. Workers have opened holes in the roofs of both buildings to prevent the possible accumulation of hydrogen, which is suspected of causing explosions at other units. COMMON SPENT FUEL POOLS In addition to pools in each of the plant's reactor buildings, authorities are also concerned about rising temperatures in the Common Use Spent Fuel Pool, where spent fuel is stored after cooling for at least 18 months in the reactor buildings. On 21 March, emergency workers sprayed water into the pool for five hours. On 22 March, the pool’s temperature was around 61 degrees C. NISA UPDATE SEISMIC DAMAGE INFORMATION 22 MARCH 2011 IAEA Update (18:00 UTC) 22 March 2011 IAEA Update: 23 March 2011 IAWA Update ((2100 UTC) 20 March 2011 SEVERE CONDITIO N CONCERN NO IMMEDIAT E CONCERN GOVERNMENT OF JAPAN RESPONSE TRANSPORTATION & INFRASTRUCTURE • As of 21 March, 1,703 roads were reported damaged from 11 prefectures (Aomori, Miyagi, Yamagata, Akita, Tokyo, Ibaragi, Tochigi, Saitama, Gunma, Chiba and Iwate). Assessments from Fukushima are not yet completed. 127,000 buildings reported damaged or destroyed. • There were reports of 51 damaged bridges in four prefectures. ELECTRICITY & GAS • Gradual electricity improvement: • Power has been restored to all but 216,977 households. • 223,770 households remain without power, mostly in the Tohoku region. • Tokyo Electric Company will restart rolling power outages on 22 March. • Slow gas improvement: • 439 728 households remain without gas supply. EDUCATION • Nearly 3,300 schools have been closed in 16 prefectures because they were damaged, are within the nuclear exclusion zone, or are now being used as evacuation centers. There are about 554 schools currently being used as evacuation centers. • To provide education to affected school children, the Ministry of Education, Culture, Sports, Science and Technology is allowing school children to transfer without the necessary documents. NOTES: The Ministry of Defense has established a civil assistance cell. Japan Self Defence Force will liaise with the Prefectual and Municipal governments regarding the types and quantity of relief items needed. OCHA SitRep No. 11: 22 March 2011 OCHA SitRep No. 10: 21 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 HEALTH & MEDICAL CARE • Through coordination by the MHLW, various medical institutions have dispatched or are in the process of dispatching medical assistance teams to the affected areas: Medical Team National Hospital Organization National Center for Global Health and Medicine National Center for Child Health and Development & Japan Society of Emergency Pediatrics Japan Labour Health and Welfare Organization Japan Pharmaceutical Association and Japan Society of Hospital Pharmacists Health Worker Team Psychological Care Teams Iwate 6 teams Fukushima 8 teams (including 4 teams specialized in radiation medicine) 1 team 1 team (assessment) 1 team 3 persons 51 persons 10 persons 22 teams 54 teams 5 teams 1 team Japan Care Manager Association Japan Medical Association All Japan Hospital Association and the Japan Association of Medical Care Corporations TOTAL Miyagi 6 teams 8 persons 43 teams 11 teams More than 28 teams & 3 persons More than 68 teams & 59 persons More than 9 teams & 10 persons • Another 389 child welfare specialists and nearly 6,000 social workers are waiting for a formal request from the affected municipalities. • The MHLW has assessed the capacity of social welfare facilities in the nonaffected Prefectures to receive patients. It found there is space available for 28,929 in elderly facilities, 5,345 in handicapped facilities, 6,745 in child welfare facilities, and 685 in other protection facilities. • The GoJ is following the National Guideline for Monitoring Radionuclides in the Environment, in its surveillance of radioactivity. GOVERNMENT OF JAPAN RESPONSE DEAD & MISSING • As of 22 March the Government of Japan reported 9,079 confirmed deaths, 2,628 injured, and 12,782 reported missing. Total dead and missing is 21,861. Worst Affected Prefectures: Prefecture Deaths Missing Evacuees Miyagi 5,507 3,487 113,029 Iwate 2,773 5,018 45,687 Fukushima 743 4,272 131,665 • The MHLW is supporting local government for management of dead bodies. EVACUATION, SHELTER & HOUSING • As of 22 March, 318,213 people are living in 2,060 evacuation centres across 16 Prefectures. This is a decrease of about 30,000 over the last day, as the displaced seek shelter with host families or return home as power is restored. • Number of evacuation centers is decreasing as smaller, isolated centres consolidate and evacuees congregate in large shelters, which are the main distribution points for relief. • GoJ plans to build 33,175 temporary shelters over next two months. Some prefectures are finding it is difficult to find suitable pieces of land to build upon. • Eight prefectural governments have announced that they are ready to host a total of 152,000 evacuees (48% of evacuation centre’s populations) in hotels and public facilities such as schools and community centres. • 700 patients from 6 hospitals and 980 people from nursing homes have been evacuated from the 20-30 km radius around Fukushima Daiichi nuclear plant. • Evacuees have established managing committees in the centres to establish order. A municipal official acts as the liaison between the committees and the municipality. This self-management will continue when the evacuees are relocated to planned housing. NOTES: There is now concern about the situation of affected populations outside evacuation centres. People who are living in their homes may not be receiving relief items as distribution of relief items has been prioritized for the evacuation centres. People who are still able to live in their homes still require assistance as they have no access to food, water and basic supplies. COMMUNICATIONS • 90% of disrupted telecommunications restored. • 226,000 damaged landlines, down from 1.88 million. • 2,100 damaged mobile towers, down from 13,000. • 12 new community radio stations opened, immediate Government authorization granted. • Disaster messaging services and free calling services are in operation through some providers. HUMANITARIAN AID & RELIEF • As of 22 March, Japan has received offers of assistance from 128 countries/areas and regions and 33 international organizations. • On 21 March 10,000 sets of USAID/OFDA-funded personal protective equipment (PPE) arrived in Tokyo after Government of Japan request. • On March 21 inclement weather hindered helicopter transportation in affected areas, requiring ground transportation of supplies and limiting access for assessment missions. • Access to water is still a concern with 875,000 households (2 million people) without water across 11 Prefectures. In the worst affected areas it could take a month before water is restored • The Government’s Special Task Force for Livelihood Support of the Affected Populations has announced its main priorities are debris removal and relocating affected populations from the evacuation centres to other parts of the country. • The Emergency Disaster Response Headquarters reports that approximately 3.2 million bottles of water have been delivered to evacuation centers and hospitals in the affected areas to date. • The National Emergency Management Committee, led by the Prime Minister, has been established to oversee and coordinate all response activities. A state of emergency has been declared. All prefectures have also activated local government responses. OCHA SitRep No. 11: 22 March 2011 Japan MOFA: Update 22 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 USAID Fact Sheet #11: 21 March 2011 UNITED STATES RESPONSE • 11 March, U.S. Ambassador to Japan John V. Roos declared a disaster due to the effects of the earthquake and tsunami. In response, the U.S. Agency for International Development, (USAID) deployed a Disaster Assistance Response Team (DART) that includes disaster response experts, nuclear experts, as well as urban search and rescue teams from Fairfax County and the Los Angeles County Fire Departments. These teams include 144 personnel, 12 canines trained to detect live victims and 45 tons of equipment. They’ve established a Base of Operations and send out reconnaissance teams to locations identified by local authorities. • USAID also activated a Response Management Team (RMT) in Washington, D.C • The USAID team is working to manage the overall USG response effort in Japan in coordination with the U.S. Embassy in Tokyo. U.S. experts from the NRC, Department of Energy, Department of Health and Human Services and the U.S. military are in place in Japan, cooperating directly with Japanese authorities to help contain the damage at the Fukushima Dai-ichi reactors. They are monitoring technical aspects and engaging with Japanese officials on efforts to cool the reactors at Fukushima, as well as regarding the health impacts of radiation. • The Disaster Assistance Response Team continues to engage at three levels to determine any possible humanitarian needs in Japan: nationally through Japan’s Ministry of Foreign Affairs, locally at the prefecture level and in coordination with U.S. Forces-Japan, and through Japanese civil society organizations. • 22 March - The U.S. Department of State advises U.S citizens of the deteriorating situation at the Fukushima Daiichi Nuclear Power Plant. The NRC continues to recommend that U.S. citizens who live within 50 miles (80 km) of the Fukushima Daiichi Nuclear Power Plant evacuate the area or take shelter indoors if safe evacuation is not practical. • The U.S. Embassy continues to deploy consular assistance teams around the Tohoku region, where they worked with local authorities to locate U.S. citizens, visit shelters and assistance centers, and help U.S. citizens identify public and commercial transportation options away from affected areas • In response to a GoJ request, USAID/OFDA has dispatched 10,000 sets of personal protective equipment (PPE)—including suits, masks, gloves, decontamination bags, and other supplies—to Yokota, Japan, from the USAID/OFDA chemical, biological, radiological, nuclear, and radiological warehouse at Dobbins Air Reserve Base in Georgia. The PPE sets arrived In Tokyo on 21 March for consignment to the GoJ and will be distributed to Self Defense Forces in Fukushima. • U.S. Forces have assisted in the re-opening of Sendai Airport for relief aid. Marine Corps troops from Futenma, Iwakuni, and Okinawa have delivered food, water, fuel, and supplies including clothing and blankets to Sendai. According to the UNOCHA, continuing priority needs are fuel, temporary shelters, food, medicine, clothing, and sanitation materials. US rescue workers, including one with a fiber optic telescopic camera (R), check rubble for survivors in Ofunato. Photo credit: Nicholas Kamm / AFP NOTES: • The U.S. DoD and DART teams continue to assist with search and rescue activities. In addition, the teams are providing support and monitoring with issues related to Fukushima Daiichi Nuclear Power Plant. • Inclement weather has continued to hamper relief efforts and is expected to continue. Heavy rains have grounded helicopter transportation , requiring ground transportation of supplies and limiting access for assessment missions. • US Department of State has made Potassium Iodide (KI) available to US government personnel as a precautionary measure. The DOS advises that it should only be consumed after specific instruction. U.S. Embassy Tokyo News: 22 March 2011 U.S. Embassy Tokyo Fact Sheet for American Citizens Update 22 March 2011 DOS Note on Potassium Iodide 21 March 2011 DOS Travel Warning – Japan: Update 21 March 2011 USAID Fact Sheet 21 March 2011 COE Japan Update 21 March 2011 UNITED STATES RESPONSE • 17 March, U.S. and U.K. USAR teams conducted a joint mission in three previously unsearched sectors of Kamaishi City, Iwate Prefecture. The combined teams searched a wide area of Kamaishi for 5 hours but did not detect any live victims. • 17 March, a 35-member DoE team began aerial surveillance missions to measure air contamination between Tokyo and Fukushima. The DoE continues to collect data for analysis. As of 22 March, the DoE has sent 39 experts and 17 tons of equipment to Japan, including aerial measuring devices and radiation detectors. • As of 18 March, nuclear specialists on the DART team include 11 NRC officers, 1 DoE officer, and 1 U.S. Department of Health and Human Services (HHS) officer. The DART team nuclear experts are monitoring technical aspects, engaging with Japanese officials on the status of the health impacts of radiation, and providing guidance through the U.S. Embassy in Tokyo on efforts to cool reactors. • U.S. Northern Command has sent a planning team with expertise in hazardous materials and medical and logistical support to Japan to determine what assistance the United States can provide in the nuclear reactor crisis. The team will report to the commander of U.S. Forces Japan and will work with the Japanese military to assess whether more U.S. help is needed. • 19 March, the U.S. Centers for Disease Control (CDC) Travel Health Precaution indicates that the “risk of exposure to radiation and the risk of contamination from radioactive materials are believed to be low, especially for anyone outside a 50-mile radius of a nuclear power plant.“ • 20 March, USAID/OFDA Director Mark Bartolini arrived in Tokyo for a threeday visit to meet with staff from the U.S. Embassy, U.S. Department of Defense (DoD), U.N. agencies, and non-governmental organizations, as well as to travel to tsunami-affected areas with the Disaster Assistance Response Team (DART). A third DART military liaison officer arrived in Tokyo on March 21st to work with DoD in defining humanitarian requirements and planning humanitarian operations. USAID Fact Sheet #11: 21 March 2011 U.S. Embassy Tokyo News: 22 March 2011 DOS Travel Warning – Japan: 17 March 2011 Ambassador Roos Press Conference: 16 March 2011 UNITED STATES RESPONSE (DOD) • Dubbed Operation Tomodachi -- Japanese for "friendship" -- U.S. military assets mobilizing in the area include a wide range of equipment, air, sea, and ground capability and expertise. As of 21 March, Seventh Fleet forces reported using 14 helicopters to deliver more than 47 tons of relief • On 21 March the USS Ronald Reagan Carrier Strike Group to include USS Chancellorsville (CG 62), USS Preble (DDG 88), USS Fitzgerald (DDG 62), USS McCampbell (DDG 85), USS Mustin (89) and USS Curtis Wilbur (DDG 54) along with USS Cowpens (CG-63) and USS Shiloh (CG-67) along with USS Harpers Ferry (LSD 49), USS Germantown (LSD 42), USS Tortuga (LSD 46) along with USS Essex (LHD 2) delivered 23 tons of HADR supplies via various helicopters to the hard hit area of near Hachinohe • Commander Task Force 76 developed port clearance plans for the Hachinohe port. USNS Safeguard (TARS 50) is enroute Hachinohe to assist the Japan Maritime Self Defense Force with clearing debris from the port.’ • USS Blue Ridge (LCC 19), flagship for the United States Seventh Fleet, remains in the vicinity of Okinawa to conduct transfers of supplies and personnel to augment the staff. Machinist’s Mate 2nd Class Jack Veselik uses an IM-271/PD Radiacmeter to detect possible surface contaminates on the gloves of Lt. Jason Harrel. U.S. Navy • The USS Ronald Reagan Carrier Strike Group continues operations north of Sendai • The forward-deployed amphibious assault ship USS Essex (LHD 2) and embarked 31st Marine Expeditionary Unit (MEU) continued humanitarian assistance and disaster relief (HADR) efforts off the northeast coast of the Japan island of Honshu, on March 23 in support of Operation Tomodachi. • The MEU conducted surveys of the Hachinohe coastline to determine what areas were damaged, which roads could be used, and where nationals may need assistance. • The MEU is operating far away from any source of radiation, but pilots, crew and the aircraft go through a thorough check upon return from every mission. Members of a radiological assistance team landed aboard the USS Essex on 19 March. While providing humanitarian assistance is a goal of the crew, ensuring the safety of the men and women performing these humanitarian missions is the main objective of the radiological assessment control team. • US Army Japan launched Logistic Task Force 35, to establish and maintain a distribution and supply point at the Sendai Airport. NOTE: The United States Pacific Command (USPACOM) has created a webpage that provides information about relief efforts and U.S. military support of Operation Tomodachi in Japan. http://www.pacom.mil/web/Site_Pages/Home_Page/AssistedDeparture-2011/Operation.shtml Sea Knights take off from the flight deck of USS Essex with humanitarian assistance and disaster relief supplies. U.S. Navy PACOM UPDATE As of 23 MARCH DOD News 23 March DOD News: 22 March 2011 DOD News: 22 March 2011 COE-DMHA Update: 21 March 2011 DOD News: 21 March 2011 DOD News: 21 March 2011 DOD News: 21 March 2011 UNITED NATIONS RESPONSE WORLD HEALTH ORGANIZATION-REGIONAL OFFICE FOR THE WESTERN PACIFIC (WHO-WPRO) IN MANILA • Dr. H. Ogawa, Team Leader Environmental Health of WHO/WPRO, continues to support the WHO Kobe Center and coordinate with the UNDAC team. UN DISASTER ASSESSMENT AND COORDINATION (UNDAC) • An UNDAC team, based at JICA Tokyo International Centre is supporting the Government with information • The UNDAC mission will officially end on the 23 March. • Forward planning for assessment of status, risk and planning for response for potential • nuclear and human health needs are being conducted. • Funds have been made available for initiating training and planning for mental health and psycho-social issues. • The WPRO Situation Room operating 24/7 to collect information and to monitor the evolving events. Daily situation reports are produced based on official sources, media reports and updates from other UN agencies. • WPRO closely coordinates with the Ministry of Health, Labor and Welfare of Japan for updates on radiation concerns, food safety issues, health situation in the evacuation centers, and other post-disaster health issues. The National IHR Focal Point of Japan has been designated as the contact person of WHO on the event. • External situation reports are issued regularly through the EHA website, and web updates are done on a daily basis. FAQs are proactively developed based on inquiries from the member states, partners and the general public. • Partner agencies have expressed material and human resources support to WHO for the emergency. • WHO and FAO are updating information on food and water safety and will continue to evaluate data and revise advice as the situation evolves. Through its partners, WHO is consulting with a wide range of technical experts who are assisting in the scientific evaluation of immediate and longer-term health implications of the situation. All Search and Rescue operations will officially end. In total, 890 International Search and Rescue (USAR) specialists and 37 rescue dogs from 20 teams representing 15 countries have supported the Japanese rescue teams in this disaster response. • UNDAC will hand over their reporting and some other functions to an OCHA presence which has been temporarily set up in Japan. • International teams are expected to finish rescue operations in days. • The UNDAC team, based at JICA Tokyo International Centre will leave a residual OCHA presence that will continue reporting on the humanitarian situation in the disaster affected area and provide advice to the Government on acceptance of assistance from internal NGO. WORLD FOOD PROGRAM (WFP) • WFP will deploy logistics experts to participate in the Government's central coordination response unit and establish a logistics coordination cell at the Narita Airport in Tokyo in order to avoid airport congestion caused by the large volume of incoming donations of relief items from third country governments. • WFP will also provide emergency storage facilities to support the response efforts of the Government. NOTE: • WHO is not advising general restrictions on travel to Japan. OCHA SitRep No 12: 23 March 2001 OCHA SitRep No. 11: 22 March 2011 OCHA SitRep No. 10: 21 March 2011 WHO Top Stories – 22 March 2011 • Transportation & logistics remain a high priority to deliver essential aid to isolated affected communities. WHO-WPRO SitRep No. 12: 21 March 2011 WHO-WPRO SitRep No. 13: 22 March 2011 OTHER ORGANIZATIONS OF INTEREST • UNDAC mission will officially end on 23 March, including all Search and Rescue operations. The GoJ has received 128 offers of assistance from countries as well as 33 offers from international organizations. In total, 890 International Search and Rescue (USAR) specialists and 37 rescue dogs from 20 teams representing 15 countries have supported the Japanese rescue teams. UNDAC will hand over their reporting and some other functions to an OCHA presence which has been temporarily set up in Japan. • WORLD VISION has delivered blankets, bottled water, sanitary and hygiene supplies for more than 6,000 people in urgent need in Minami Sanriku and Tome. JRCS distributing relief packs in evacuation centers Photo: IFRC NOTE: • Multiple international health and welfare organizations are operating in the impacted area to support displaced and vulnerable populations, with specific attention to the highly vulnerable and substantial elderly population. • All offers of assistance should be directed to the GoJ. • INTERNATIONAL MEDICAL CORPS International Medical Corps has completed another assessment of the affected areas and reports that health care for the vulnerable and the elderly in evacuation centers, and possibly also for those who have stayed in their homes in the affected areas, and mental health care for those affected by the disaster remains the biggest priority. - International Medical Corps’ emergency response team is assessing the post-disaster needs of isolated coastal villages north of Sendai that have yet to receive humanitarian assistance. - Shortages of food, water, fuel and some medicines, and survivors in need of mental health support have been found. - International Medical Corps’ assessments include: Kesennuma, Riken-Takata, East Matsushima, and areas north of Ishinomaki. - Based on assessments at evacuation centers and a regional hospital where critical patients have been referred, International Medical Corps will work to fill essential gaps including addressing the need for food, water and chronic medicines at shelters, providing psychological support, and if needed deploying four medical teams currently on standby. • ADVENTIST DEVELOPMENT AND RELIEF AGENCY (ADRA) Through ongoing coordination efforts with local governmental authorities, ADRA has been appointed to support an evacuation enter in Wakabayashi ward located in Sendai City of the Miyagi prefecture. This center is currently housing approximately 1,300 displaced persons of which 350 are receiving 24-hour care. ADRA immediately dispatched a two-ton truck loaded with food and non-food items, fuel and cooking gas, which arrived at the evacuation center in Sendai in the early morning hours on Thursday. OCHA SitRep No. 11: 22 March 2011 OCHA Rep. No. 10: 21 March 2011 World Vision News: 21 March 2011 ADRA Press Release: 18 March 2011 IMC News: 22 March 2011 OTHER ORGANIZATIONS OF INTEREST Médecins Sans Frontières (MSF) has been providing medical consultations in evacuation centers in Minami Sanriku, where around 10,000 people are housed in 20 locations. • The International Federation of the Red Cross and Red Crescent Societies (IFRC) is currently in Japan, working to support the Japanese Red Cross as it expands its activities. • Two MSF mobile teams are working in Minami Sanriku. Another team has been assessing communities between Kesennuma and Miyako on the northeast coastline. MSF is considering starting activities for elderly patients in Miyako and will now assess the situation in Rikuzentakada as well. • The Japanese Red Cross Society (JRCS) is scaling up its relief operations to help meet the needs of hundreds of thousands of survivors housed in evacuation centers. • The situation in areas seen by MSF’s team in northern Miyagi prefecture is evolving quickly, as the massive national relief effort clears access to areas and large quantities of relief supplies continue to come in. The main issues seen by the MSF doctors remain chronic diseases in what is largely an elderly population. • Before the earthquake, MSF in Japan had around 40 people working in the Tokyo office. Five additional people have joined the office in the capital to work on the emergency. • As of 21 March, a total of 249 medical teams, involving more than 735 persons and on four- day rotations, have been deployed to the affected prefectures including Miyagi, Iwate, Fukushima, Ibaraki, Yamagata, Chiba and Tochigi. Medical teams were also deployed to Hokkaido and Nagano. • Over 125,530 blankets and 20,760 emergency relief packs have been distributed and now further supplies of badly needed items are being procured from other parts of Japan, including nappies, baby food, undershirts and face masks. These supplies will target up to 100,000 people. • Red Cross planners are consulting with local authorities to map out other ways to facilitate stays in evacuation centers such as the provision of hot showers and the improvement of sanitation facilities • The Red Cross will continue its efforts, focusing on the psychological wellbeing of a mainly elderly population. • Restoring Family Links (www.familylinks.icrc.org/eng/familylinks-japan) is the designated webpage, supported by the International Committee of the Red Cross (ICRC), for persons to register persons sought and to report their being safe. - Facilitates the use of the site by people of different nationalities, an interface for up to 5 languages has been established, including Japanese, English, Korean, Chinese, and Portuguese. Dr. Yoshitaka Nakagawa consults with a patient at an evacuation center in Kesennuma. Photo: MSF MSF News: 21 March 2011 IFRC Info Bulletin 4: 22 March 2011 - To date, a total of 5,103 registrations were recorded, of which 1,359 are from Japanese people OTHER ORGANIZATIONS OF INTEREST (LIST OF ACTIVE ORGANIZATIONS IN THE AFFECTED AREA) • AAR (Association for Aid and Relief): Fuel, water, food, hygiene products and emergency relief item distribution in Sendai, Iwanuma and Ishinomaki city, Yamamoto town, Miyagi Pref. as well as Otsuchi town, Iwate Pref. • AMDA (Association of Medical Doctors of Asia): Doctors, nurses, and coordinators, providing medical assistance and distribution of basic supplies in Sendai city and Minamisanriku, Miyagi Pref and Kamaishi city, Iwate Pref. • CARE: Emergency relief items arrived Kamaishi city, Iwate Pref. • Child Fund: Distributed hygiene products in Minami Soma City, Fukushima Pref. • Civic Force: Relief items continue to reach Kesen’numa city. Major companies are providing cash/in-kind donations. • • Good Neighbors: Relief and hygiene products distribution in Oduchi town, Iwate JEN: Food and basic relief items distribution Sendai, Miyagi Pref.,accepting listed in-kind donation from public till 24 Mar. • JIFH (Japan International Food for the Hungry): Distribution of food and basic supplies in Sendai city and Date city, Fukushima, with international aid workers joining its base camp, relief items are also collected from Western part of Japan and its US partner. • JPF: Distributing food, water in Sendai city, coordinating JPF member organizations. • JVC: Basic medical supply item distribution in Natori city, Miyagi. • KnK Japan: Distribution of basic relief item and baby fomula milk in Kita Ibaraki city, Ibaraki Pref. • The NGO collaboration center for HANSHIN QUAKE Rehabilitation/CODE: providing food in Natori city, Miyagi Pref. • NICCO: Medical assistance (including psychological care), toiletries distribution, portable toilet set-up Natori and Iwanuma city, Miyagi Pref. and site investigation in Rikuzentakata city, Iwate Pref. • Plan Japan: Providing psychological care for children at teachers training event, Tagajo, Miyagi. • Rocinantes: Providing medical assistance in Natori, Iwanuma city, Miyagi Pref. • Shaplaneer: Providing food and relief items in Kita Ibaraki city, Ibaraki Pref. • PWJ (Peace Winds Japan): Expanded its operation in Ofunato and Rikuzentakada, Iwate Pref., distribution of relief items, free iridium satellite telephone services and mobile phone charging services in Kesen’numa, Miyagi Pref. • SHARE: Medical assistance in Natori city, Miyagi Pref., providing medical need information in English • Shanti: Distribution of relief items and food in Kesen’numa, Miyagi Pref. SEEDSAsia Situation Report 6: 21 March 2011 OTHER ORGANIZATIONS OF INTEREST (LOCAL RESPONSE) SEEDS Asia Situation Report 6: 21 March 2011 HEALTH – MEDICAL TEAMS • Through the coordination by the Ministry of Health, Labor and Welfare (MHLW), various medical institutions have dispatched or in the process of dispatching medical assistance teams to the affected areas. • The Ministry has assessed the capacity of social welfare facilities in the nonaffected Prefectures to receive patients. It found there is space available for 28,929 in elderly facilities, 5,345 in handicapped facilities, 6,745 in child welfare facilities, and 685 in other protection facilities. • The Japanese Red Cross has had 171 teams on the ground since the disaster, 48 of which are still active. They are helping treat injuries, illnesses and provide psychosocial support. A Red Cross psychosocial team is also based at Ishinomaki Hospital in Miyagi Prefecture. Red Cross doctors are seeing an increase in influenza and diarrheal diseases among the displaced communities and cases of hypothermia and pneumonia among people who have survived long periods in water. • Another group of AMDA personnel arrived in Minamisanriku-cho and reached another emergency center established in the local athletic ground (Minamisanriku-cho Sports Exchange Villa Athletic Ground.) They joined the earlier team to work in the local daycare center (evacuation shelter.) The team is later scheduled to work at a local elementary school where currently 650 people have been evacuated. • Medecins Sans Frontieres (MSF) has 50 staff in Japan, compared to 5000 deployed after the Haiti quake. Twelve staff are in the field running mobile clinics and assessments in Miyagi • A preliminary IDF Homefront Command medical delegation arrived Monday 21 March 2011 in the Miyagi prefecture north of Tokyo and have begun their appraisal of requirements that will enable the dispatch of the full-scale medical delegation, which is due to leave Israel shortly. OCHA SitRep No. 11: 22 March 2011 Govt. of Israel: 21 March 2011 AMDA Emergency Bulletin #5 • On 19 March AMDA's eighth team arrived in Hanamaki Airport and started providing medical services in Kamaishi City and Ohtsuchicho. The team has been delivering mobile (donated-electronic vehicles) clinic services in five locations, namely, Ohtsuchi High school (Otsuchicho), and Kamaishi Jr. High School, Futaba Elementary School, City Gymansium, and Nakashima Gymnasium (Kamaishi City.) • On 19 March AMDA team in Sendai moved to Minamisanriku-cho. At the local disaster headquarters set in Minamisanriku-cho Bay Side Arena, the team provided orthopedic treatments and provided medicine to 100-some patients. A number of patients with chronic diseases such as high blood pressure and diabetes were seen. • On 20 March, beside treating patients, AMDA team provided comprehensive support ranging from setting up examination rooms, improving toilets for patient-use, guiding visitors and developing a map of the facility. The team returned to Sendai after providing necessary services in the facility. HEALTH - HOSPITALS • The National Hospital Organization has dispatched 17 medical teams to Iwate (7 teams 39 personnel), Miyagi (5 teams 27 personnel) and Fukushima (5 teams 19 personnel). The Japan Medical Association has dispatched 24 teams and the All Japan Hospital Association and the Japan Association of Medical Care Corporations have jointly sent 11 teams to the affected areas. • In the town of Tagajo on the coast of Miyagi Prefecture, the Sen-en Hospital has been without electricity, gas or running water for nearly two weeks. There are shortages of basic medicines. Several elderly patients have died because of the freezing temperatures in the wards. - Most of the patients here have had strokes or cerebral infections, so they can't move by themselves - Most needed is the special milk, which is fed through tubes. They don't have any of that so they aren't getting enough nutrition - The army has installed a generator, which operates for two hours in the evening and is a vital window for the doctors to perform the most important tasks. • About 200 patients were transferred to nearby hospitals. Those who remain are the most serious cases. • As of March 20, the WHO reports that medical doctors with non Japanese medical licenses will be allowed to conduct basic medical treatment. MHLW has also relaxed several regulations to facilitate medical assistance such as allowing medical institutes to sell or contribute medicine without permission from the Prefectural Government as well as requesting that the Customs Bureau relax customs procedures to facilitate the speedy delivery of medical items from foreign countries. • .• The UN reports that deaths are being reported in hospitals due to the lack of medicines, fuel and other basic items. Nearly 40 elderly people are reported to have died since being moved to evacuation centers due to the cold weather, as well as physical and mental stress. Deaths are also being reported in hospitals due to the lack of medicines, fuel and other basic items. Elderly patients forced to move from a hospital near the Fukushima nuclear plant are treated at a hospital in Koriyama, outside the exclusion zone. Some hospitals say that without urgent assistance they will not be able to treat patients. Of the disaster designated hospitals in the Kanto area, 20 are at capacity and 130 are still accepting additional patients COE-DMHA update: 20 March 2001 WHO-WPRO SitRep No. 13: 22 March 2011 MSF NEWS: 20 March 2011 Voice of America (VOA): 22 March 2011 OCHA SitRep No. 9: 20 March 2011