11/2～11/6, 2016 リオデジャネイロ，ブラジル
（２）STFM(Society of Teachers of Family Medicine) Annual Spring Conference
4/30～5/4, 2016 ミネアポリス，ミネソタ州，アメリカ合衆国
（３）AAFP(American Academy of Family Physicians)
7/28 – 7/30, 2016 カンザスシティー，ミズーリ州，アメリカ合衆国
（４）RCGP(Royal College of General Practitioners) Annual Conference
10/6～10/8, 2016 ホラゲート，ノースヨークシャ，イギリス
（５）NAPCRG(North American Primary Care Research Group) Annual Meetings
（６）CFPC(College of Family Physicians of Canada) Family Medicine Forum
11/9～11/12, 2016 バンクーバー，ケベック州, カナダ
（７）SGIM(Society of General Internal Medicine) Annual Meeting
5/11～5/14, 2016 ハリウッド，フロリダ州，アメリカ合衆国
（８）CSIM(Canadian Society of Internal Medicine) Annual Meeting
10/26～10/29, 2016 モントリオール，ケベック州，カナダ
（９）SHM(Society of Hospital Medicine) Annual Meetings
3/6～3/9, 2016 サンディエゴ，カリフォルニア州，アメリカ合衆国
Committee for international affairs
- Collects and provides information to the members about education, clinical practice and research in family medicine as well as in general internal medicine in international perspective;
- Gives information to the members about the human resources from abroad who are visiting Japan or staying in Japan;
- Supports the young investigators to actively get involved in the international activities;
- Promotes the communication with the international academies and societies in the field of family medicine as well as in general internal medicine; and
- Responds to the international request in the field of healthcare, medicine and welfare.
international public relations
■First Report (March 24, 2011)
First of all we would like to express our sincere gratitude to all international colleagues who sent us their whole hearted words of condolence and sympathy.
The megaquake and tsunami of 2:46 p.m. in the afternoon of March 11, 2011 that attacked the Tohoku and Kanto region is just beyond our imagination and the combined toll of dead and missing is over 25,000 and the number is still growing as of March 24, 2011 at the time of writing this report. Many Japanese voluntary people including healthcare professionals organized by the various organizing bodies in addition to rescue forces, Self-Defense Forces and others are supporting the earthquake struck area in various ways.
With regard to the healthcare professionals, initially over 100 DMATs (Disaster Medical Assistance Team) were dispatched from various regions of Japan, unfortunately however, as far as I know of, DMAT did not have much to do this time, because tsunami wiped out most of the buildings and houses with casualties.
The Japan Primary Care Association set up the headquarters to support the earthquake struck area for a long time to come on March 13, 2011 after obtaining the report of the devastating earthquake with heavy casualties. At the Tokyo headquarters located in the office of the Society, several voluntary society members have been in full swing to pursue the PROJECT (Primary Care for All Team; PCAT) as follows:
1）To arrange the primary care physician team to be sent to the area in need of support.
2）To send the various kinds of medicine and other healthcare goods.
3）To send the volunteers to support the healthcare workers sent by the Society or already working in the Tohoku area.
4）To establish the fund to support the continuous activities of our society.
1）To gather information about the needs of the healthcare support
2）To arrange the back-up system for the facilities from where physicians are sent to support the earthquake struck area.
3）To collaborate the people in the Tohoku area and decide the place to send the primary care team.
4）To make a schedule for the team being dispatched.
5）To establish the collaboration with other academic societies and medical associations.
6）To announce to the Japanese people about our society’s activities through our Web Page and mass media.
3.Back-up system in the Tokyo office of the society
1）To set up the headquarters for emergency support.
2）To designate the special coordinators to base at the headquarters.
3）To build the Web Page for emergency support.
4）To make up the plan to be able to continue the Society’s activity.
At the time of writing this report, JPCA headquarters in Tokyo is being supported by 16 society and volunteer people and about 100 physicians expressed their intension to join the PCAT to be sent for support and actually 3 of them have already been sent and 8 are ready to go. Although it is not a large scale operation yet, we are expecting to have large number of evacuees and their primary care health needs will be large and process will be long. We have asked the JPCA members’ donation to support the PCAT in the coming weeks and months, however, we are still underfunded to continue our long expected activities. We are setting up English Web Page soon allowing people to donate for our rescue efforts. We look forward to your strong and continuing support to overcome this unprecedented disaster.
Masaji Maezawa, MD, PhD
President, Japan Primary Care Association (JPCA)
Nobutaro Ban, MD, PhD
Chief, Committee for International Affairs, JPCA
■Second Report (April 2, 2011)
Dear international colleagues:
This is the second report from the Japan Primary Care Association (JPCA) about the Primary Care for All Team (PCAT) project to support the healthcare needs of the earthquake struck regions.
First of all we would like to apologize for not being able to set up our English Web site yet, because the headquarters of the JPCA is quite busy arranging the healthcare team and various goods to be sent and transportation by which they are sent etc. We are on the process to do and would like to let you know as soon as it is ready.
The JPCA set up the base-camps in cooperation with the local health care personnel and other supporting teams in three prefectures, Iwate, Miyagi and Fukushima prefectures, hit hardest by the March 11 earthquake and massive tsunami. We have already sent 21 physicians, pharmacist, other healthcare workers and volunteer personnel. One of the multidisciplinary PCATs consisting of physician, dentist and dietician did a quick survey at the Kesennuma City, Miyagi prefecture and found that dietary balance of the food supply was quite different from one shelter to the other and collaborated the local health care center to establish the team to oversee the dietary balance. At the time of writing this report (April 2, 2011), it is becoming clear that the evacuees’ healthcare needs are more primary care ones such as treatment for URI, GI infections, medication needs for hypertension and DM which cannot be prescribed by their primary care doctors, mental health problems, such as insomnia of the elderly and PTSD like unstable psychology of children at the shelters.
On the other hand, many elderly are kept to stay at their home and home-visit care is also in big demand. We are also collaborating the local health care team to assess the needs of those people.
Although we are not taking a lead role in the field of disaster, we are building up the system to keep conducting support the primary health care needs of the large number of evacuees as well as to assist local doctors for a long time to come. We are preparing to keep conducting those activities by multidisciplinary teams.
We would like to express our sincere thanks to all international colleagues who sent their words of support to our PCAT and continuing encouragement. We also really appreciate many of your proposals for donation to support the PCAT. We look forward to your strong and continuing support to overcome this unimaginable crisis.
Primary Care for All Team (PCAT)
Japan Primary Care Association (JPCA)
■Third Report (April 10, 2011)
Dear international colleagues:
This is the third report from the Japan Primary Care Association (JPCA) about the Primary Care for All Team (PCAT) project.
The phase of needs in healthcare has shifted from acute to chronic. This shift can be seen as other organizations and medical teams supporting several shelters may close their activities in April since the accessibility to the local clinics has been gradually recovered. As a consequence, concentration of population in particular shelters where continuous healthcare support is needed would increase. The need of home visits for health and social care which has currently not been available may become apparent and more individuals who have complex healthcare needs, e.g. frail elderly, may need to move to the shelters where PCAT support is available.
The uncovered needs yet to be urgently addressed include alcohol problems, dementia and palliative care in the temporary shelters. The PCAT has set a rescuer meeting with local Public Health Nurses (PHNs). Collaboration with local PHNs, the key figures to understand local culture and healthcare needs, is a crucial process for providing flexible care in changeable situation. The JPCA also participated in the care-management conference at the local area.
The continuous JPCA support activities include supporting DMAT (Disaster Medical Assistance Teams), Home Visit Treatment Teams, Healthcare points in the Kesennuma Primary and Secondary School and the Nursing home, "Ehuso." Each PCAT team comprising multidisciplinary professionals continuously detects hidden local needs. These include nutrition balance, dental care, and caregivers' care including local doctors and nurses. Our quick survey at the Kesennuma City identified their immediate need for home care.
It is still challenging to collaborate with other support organizations to maximize the effectiveness of the support in where large area has been destroyed and wiped. To prevent unbalance of supply and demand, more collaboration with local healthcare organisation and resource is essential and providing service model of the PCAT healthcare to local government may be the next task to improve healthcare system in the area.
We would like to express our sincere thanks again to all international colleagues who sent their words of support.
Primary Care for All Team (PCAT)
Japan Primary Care Association (JPCA)