[Cooperation and support activities of infection control after the Great East Japan Earthquake]

On 11 March 2011, an earthquake measuring 9.0 on the Richter scale occurred off the northeast coast of Honshu Island, Japan, produced a devastating tsunami that destroyed many towns and villages near the coast in Iwate, Miyagi, and Fukushima prefectures. Miyagi Prefecture was the area most severely devastated by the tsunami, with extensive loss of life and property; hundreds of thousands of people lost their houses and were forced to move to evacuation areas. In the days and weeks following devastating natural disasters, the threat of infectious disease outbreak is high. We initiated cooperation and support activities in terms of infection control at evacuation centers in the aftermath of the disaster. For example, we assessed sanitary and infectious risk factors in evacuation centers, in collaboration with Miyagi Prefectural Government and public health centers in the devastated area, to prevent the transmission of infectious diseases among evacuees. We also supported the control of two outbreaks of influenza A, which occurred in different centers in Miyagi Prefecture in the early period after the disaster. Both outbreaks subsided without any complicated or fatal cases of influenza as a result of the prompt implementation of a systemic approach with a bundle of control measures.