Abstract

The Fukushima Health Management Survey (FHMS) was implemented in the wake of the 2011 Fukushima Daiichi Nuclear Power Plant accident. The primary purpose of this survey was to monitor the long-term health of residents, promote their future well-being and confirm whether long-term low-dose radiation exposure affects health. The FHMS results indicated very low-radiation exposure doses among residents and that no discernible increased incidence of radiation-related health effects could be expected. However, psychological distress was found to be far greater among people in Fukushima than those in other areas affected by the accident’s preceding Great East Japan Earthquake and the resultant tsunami. Additionally, prevalence of lifestyle-related health problems such as being overweight, hypertension, diabetes mellitus, dyslipidaemia and liver dysfunction increased among evacuees. Thyroid examinations of asymptomatic individuals, using ultrasound techniques, also contributed to public concern and fear about the health effects of radiation. The FHMS ultimately revealed that ethical considerations are important in the design and implementation of health surveillance and epidemiological studies.

Highlights

  • After the Fukushima Daiichi Nuclear Power Plant Accident in 2011, 160 000 people from the plant’s vicinity were evacuated either mandatorily or voluntarily

  • The Fukushima prefectural government decided to launch the Fukushima Health Management Survey (FHMS), and Fukushima Medical University was entrusted with its design and implementation[1]

  • Personal behaviour data were obtained via a questionnaire in order to estimate radiation exposure doses

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Summary

Introduction

After the Fukushima Daiichi Nuclear Power Plant Accident in 2011, 160 000 people from the plant’s vicinity were evacuated either mandatorily or voluntarily. The effective dose due to external radiation for the first year was estimated by adding the estimated dose from the Basic Survey to individual doses obtained from personal dosemeters.

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