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Resources for Business Continuity in Disaster-Based Hospitals in the Great East Japan Earthquake: Survey of Miyagi Prefecture Disaster Base Hospitals and the Prefectural Disaster Medicine Headquarters

  • Daisuke Kudo (a1) (a2), Hajime Furukawa (a1), Atsuhiro Nakagawa (a1) (a3), Satoshi Yamanouchi (a1) (a2), Yuichi Koido (a4), Takashi Matsumura (a1), Yoshiko Abe (a1), Ryota Konishi (a5), Masaaki Matoba (a6), Teiji Tominaga (a3) and Shigeki Kushimoto (a1) (a2)...



To clarify advance measures for business continuity taken by disaster base hospitals involved in the Great East Japan Earthquake.


The predisaster situation regarding stockpiles was abstracted from a 2010 survey. Timing of electricity and water restoration and sufficiency of supplies to continue operations were investigated through materials from Miyagi Prefecture disaster medicine headquarters (prefectural medical headquarters) and disaster base hospitals (14 hospitals) in Miyagi Prefecture after the East Japan earthquake.


The number of hospitals with less than 1 day of stockpiles in reserve before the disaster was 7 (50%) for electricity supplies, 8 (57.1%) for water, 6 (42.9%) for medical goods, and 6 (42.9%) for food. After the disaster, restoration of electricity and water did not occur until the second day or later at 8 of 13 (61.5%) hospitals, respectively. By the fourth postdisaster day, 14 hospitals had requested supplies from the prefectural medical headquarters: 9 (64.3%) for electricity supplies, 2 (14.3%) for water trucks, 9 (64.3%) for medical goods, and 6 (42.9%) for food.


The lack of supplies needed to continue operations in disaster base hospitals following the disaster clearly indicated that current business continuity plans require revision. (Disaster Med Public Health Preparedness. 2013;0:1-6)


Corresponding author

Address correspondence and reprint requests to Daisuke Kudo, MD, PhD, Assistant Professor, Department of Emergency and Critical Care Medicine/Emergency Center Tohoku University Hospital, Division of Emergency Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi 980-8574, Japan e-mail


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1. The situation of damage of the Great East Japan Earthquake [in Japanese]. Miyagi Prefecture website. Accessed October 30, 2012.
2.Satomi, S. The Great East Japan earthquake: Tohoku University Hospital's efforts and lessons learned. Surg Today. 2011;41(9):1171-1181.
3.Yamanouchi, S, Inoue, J, Yamada, Y, etal. Actions of the Miyagi Prefectural Operational Headquarters for DMAT regarding the Great East Japan Earthquake [in Japanese]. Japan J Disaster Med. 2012;17:38-44.
4.Nakagawa, A, Furukawa, H, Kudo, D, etal. Lessons from chronological analysis during first 72 hours after the Great East Japan Earthquake: Report from Tohoku University Hospital [in Japanese]. J Japan Congress Neurol Emerg. 2012;24:24-31.
5.Nakagawa, A, Furukawa, H, Kudo, D, etal. The Great East Japan earthquake: lessons learned at Tohoku University Hospital during the first 72 hours. IEEE Pulse. 2013;4(3):20-27.
6. A condition of designation of disaster base hospitals [in Japanese]. Ministry of Health, Labour and Welfare website. Accessed May 7, 2012.
7. Guideline of business continuity the first edition [in Japanese]. Cabinet office, Government of Japan website. Accessed May 7, 2012.
8. Guideline of establishing BCP in small and medium enterprises [in Japanese]. The Small and Medium Enterprise Agency website. Accessed May 7, 2012.
9.Graham, K, Connolly, M. Health systems planning for an influenza pandemic. Healthc Manage Forum. 2007;20(1):25-31.
10.Horvath, JS, McKinnon, M, Roberts, L. The Australian response: pandemic influenza preparedness. Med J Aust. 2006;185(suppl 10):S35-S38.
11.Roberts, P, Molyneux, H. Implementing business continuity effectively within the UK National Health Service. J Bus Contin Emer Plan. 2010;4(4):352-359.
12.Luecke, RW, Hoopingarner, C. Business continuity planning: the hospital's insurance policy. Healthc Financ Manage. 1993;47(4):30, 32-37.
13.Sasaki, S. BCP (business continuity plan) in disaster [in Japanese]. Mod Physician. 2012;32(5):201-205.
14.Ohara, T, Narikiyo, T, Matsumura, H. Reconsideration of BCP manual in crisis/disaster: the need to consider not only hospital information system and but also department information systems [in Japanese]. Iryo Joho. 2010;30(4):233-239.
15.Yutani, Y, Nakatani, M. Resilient BCP/LCP facility planning for disasters [in Japanese]. Byouin Setsubi. 2012;54(2):52-57.
16.Koido, Y. Study of effective utilization for evaluation criterion. In: Henmi H, ed. Health Security and Crisis Management Measures General Research Project, Study of First Response Medical System for Health Crises and Large-Scale Disasters. Tokyo: Ministry of Health, Labour and Welfare; 2010:71-80.
17. “Disaster Medicine” aimed at local authority officials and dealing with the revision of medical plans [in Japanese]. Ministry of Health, Labour and Welfare website. Accessed May 7, 2012.
18.Fukuda, I, Hashimoto, H, Suzuki, Y, etal. Operating room during natural disaster: lessons from the 2011 Tohoku earthquake [in Japanese]. Nihon Geka Gakkai Zassi. 2012;113(2):241-251.
19.Yamanouchi, Y, Kobayashi, M, Shinozawa, Y, etal. Preparation for medical transportation to be provided for the Miyagiken-oki earthquake—can we establish a staging care unit (SCU), and can wide-area medical transportation be realized with the use of self-defense force aircraft? Jap J Disaster Med. 2010;15(2):165-170.



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