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Securing blood in crisis: Lessons from Japan's earthquake disasters and evolving preparedness
Nelson H Tsuno1,2, Hitoshi Okazaki3, Yutaka Nagura4
1Japanese Red Cross Nagano Blood Center, Nagano, Japan.
Vox Sanguinis
|February 11, 2026
Summary
Japan
Area of Science:
- Disaster medicine
- Blood transfusion services
- Public health preparedness
Background:
- Japan faces significant natural disaster risks (earthquakes, tsunamis, typhoons).
- Maintaining a stable blood supply during emergencies is a critical challenge.
- Lessons from major earthquakes (1995, 2011, 2016) inform disaster resilience.
Purpose of the Study:
- To review Japanese Red Cross Blood Services (JRCBS) strategies.
- To identify challenges and innovations for blood supply continuity during disasters.
- To inform disaster preparedness and blood service resilience.
Main Methods:
- Examination of JRCBS key measures and systemic challenges.
- Focus on disaster response protocols and technological innovations.
- Analysis of service continuity during and after large-scale disasters.
Main Results:
- Wide-Area Management System (WAMS) enables centralized control and real-time inventory management.
- Communication via traditional lines remains a challenge; web-based systems improve reliability.
- Contingency transport (maritime, air, drones) and hospital coordination are crucial.
- Operational continuity guidelines provide recovery protocols for facility incapacitation.
Conclusions:
- Integrated management, robust communication, and diverse transport are vital for blood supply resilience.
- Japan's strategies offer a model for disaster-prone regions globally.
- Enhancing coordination and multi-modal transport plans are urgent priorities.
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