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      Managing Compound Hazards: Impact of COVID-19 and Cases of Adaptive Governance during the 2020 Kumamoto Flood in Japan

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      International Journal of Environmental Research and Public Health
      MDPI AG

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          Abstract

          Japan experienced natural hazards during the COVID-19 pandemic as some other countries did. Kumamoto and Kagoshima prefectures, including many other parts of southern Japan, experienced record-breaking heavy rain on 4th July 2020. While many countries were affected by compound hazards, some cases such as the Kumamoto flood did not cause a spike of the COVID-19 cases even after going through massive evacuation actions. This study aims to understand how COVID-19 made an impact on people’s response actions, learn the challenges and problems during the response and recovery phases, and identify any innovative actions and efforts to overcome various restrictions and challenges through a questionnaire survey and interviews with the affected people. With an increase in the risk of compound hazards, it has become important to take a new, innovative, and non-traditional approach. Proper understanding and application of adaptive governance can make it possible to come up with a solution that can work directly on the complex challenges during disasters. This study identified that a spike of COVID-19 cases after the disaster could be avoided due to various preventive measures taken at the evacuation centers. It shows that it is possible to manage compound hazard risks with effective preparedness. Furthermore, during emergencies, public-private-partnership as well as collaboration among private organizations and local business networks are extremely important. These collaborations generate a new approach, mechanism and platform to tackle unprecedented challenges.

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          Most cited references27

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          The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study

          Summary Background In December, 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus, emerged in Wuhan, China. Since then, the city of Wuhan has taken unprecedented measures in response to the outbreak, including extended school and workplace closures. We aimed to estimate the effects of physical distancing measures on the progression of the COVID-19 epidemic, hoping to provide some insights for the rest of the world. Methods To examine how changes in population mixing have affected outbreak progression in Wuhan, we used synthetic location-specific contact patterns in Wuhan and adapted these in the presence of school closures, extended workplace closures, and a reduction in mixing in the general community. Using these matrices and the latest estimates of the epidemiological parameters of the Wuhan outbreak, we simulated the ongoing trajectory of an outbreak in Wuhan using an age-structured susceptible-exposed-infected-removed (SEIR) model for several physical distancing measures. We fitted the latest estimates of epidemic parameters from a transmission model to data on local and internationally exported cases from Wuhan in an age-structured epidemic framework and investigated the age distribution of cases. We also simulated lifting of the control measures by allowing people to return to work in a phased-in way and looked at the effects of returning to work at different stages of the underlying outbreak (at the beginning of March or April). Findings Our projections show that physical distancing measures were most effective if the staggered return to work was at the beginning of April; this reduced the median number of infections by more than 92% (IQR 66–97) and 24% (13–90) in mid-2020 and end-2020, respectively. There are benefits to sustaining these measures until April in terms of delaying and reducing the height of the peak, median epidemic size at end-2020, and affording health-care systems more time to expand and respond. However, the modelled effects of physical distancing measures vary by the duration of infectiousness and the role school children have in the epidemic. Interpretation Restrictions on activities in Wuhan, if maintained until April, would probably help to delay the epidemic peak. Our projections suggest that premature and sudden lifting of interventions could lead to an earlier secondary peak, which could be flattened by relaxing the interventions gradually. However, there are limitations to our analysis, including large uncertainties around estimates of R 0 and the duration of infectiousness. Funding Bill & Melinda Gates Foundation, National Institute for Health Research, Wellcome Trust, and Health Data Research UK.
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            A review of informal volunteerism in emergencies and disasters: Definition, opportunities and challenges

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              COVID-19 Pandemic Response in Japan: What Is behind the Initial Flattening of the Curve?

              The new coronavirus disease (COVID-19) emerged in December 2019 and became a global pandemic in March 2020. The unprecedented speed of SARS-CoV2 spread, the high infection rate among the aged population, and the collapse of healthcare systems in several countries have made COVID-19 the worst “modern” pandemic. Despite its proximity to China, a large aged population, and a high urban density, Japan has mitigated successfully the initial catastrophic impacts of COVID-19. This paper analyzed the key policy measures undertaken in Japan and suggests that Japan’s culture, healthcare system, sanitation, immunity, and food habits, along with citizens’ behavior, are the possible reasons for the successful flattening of the curve. Although additional disease peaks may occur, and a consequent increase in the number of affected individuals, a combination of policy, good governance, a healthy society, and good citizen behaviors’ should be sufficient to provide enough time for the health care system to cope with them. Cluster approach, science-based decision making, and scenario planning were some of the key policy decisions taken by the government. Based on the lessons from Japan, this paper suggests the importance of an ecosystem-based lifestyle as a potential way to cope with pandemic events.
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                Author and article information

                Contributors
                Journal
                IJERGQ
                International Journal of Environmental Research and Public Health
                IJERPH
                MDPI AG
                1660-4601
                February 2022
                January 21 2022
                : 19
                : 3
                : 1188
                Article
                10.3390/ijerph19031188
                35162212
                cf6fe139-8894-42b1-9d80-edc64d4227d7
                © 2022

                https://creativecommons.org/licenses/by/4.0/

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