臨牀透析 Vol.22 No.11(1)


特集名 透析医療における災害対策
題名 [総論]透析医療と災害対策
発刊年月 2006年 10月
著者 杉崎 弘章 府中腎クリニック
【 要旨 】 1923年関東大震災後に始まった「防災対策」も,1995年兵庫県南部地震 (阪神・淡路大震災),2004年新潟県中越地震,2005年福岡県西方沖地震を経験して,「防災対策」から「減災対策」へ移行しつつある.透析医療を継続するにはさまざまな条件があるにもかかわらず,災害時でも「患者のPreventable Deathをなくす」ために明日の透析治療を継続しなければならない.そうした条件下で,各透析施設の「災害対策マニュアル」は整備され,災害対策の要である「情報システム」も各施設・地域で整備されつつある.そして全国の透析施設を結ぶ災害時ネットワークも日本透析医会が中心となって整備されつつある.新潟県中越地震でその存在が認識され,福岡県西方沖地震で支部・全国のネットワークが見事に役立った.しかし「災害対策は日々進化」している.この稿では,いくつかの問題点と対策について提示する.
Theme Contingency Plans for Dialysis Treatment
Title Dialysis treatment and contingency plans
Author Hiroaki Sugisaki Fuchu Renal Disease Clinic
[ Summary ] To continue dialysis treatment, even in the disaster situations, and to minimize preventable death of dialysis patients in such situations, we must maintain treatment facilities and functions by creating a lifeline and overcoming various difficulties. To achieve these goals, each facility must gradually prepare a contingency plan manual and a disaster information system as key points in achieving these goals. However, contingency plans actually evolve through the real-life experiences with catastrophes and verification of the efficacy of these plans.
In this issue, experts present the difficulties which some facilities have encountered due to major earthquakes and the devices and means by which they were dealt with, along with current and future contingency plans. It is hoped that the contents of this issue are useful in reinforcing present contingency plans.
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