Respiratory Infection and Aggravation of Pulmonary Disease Related to Environmental Hygiene Aggravation: What Types of Respiratory Infection and Aggravation of Respiratory Diseases Are Increased by Aggravation of Environmental Hygiene?

  • Shinsuke Yamanda
Part of the Respiratory Disease Series: Diagnostic Tools and Disease Managements book series (RDSDTDM)


After large-scale natural disasters, environmental hygiene in affected areas is aggravated by several causes. This aggravation of environmental hygiene leads to an increased incidence of respiratory infection and exacerbation of chronic pulmonary disease, such as acute respiratory infection, pneumonia, influenza, and tuberculosis; acute exacerbation of chronic obstructive pulmonary disease; and exacerbation of asthma.


Tsunami Natural disaster Respiratory infection Respiratory disease Environmental hygiene 


  1. 1.
    Robinson B, Alatas MF, Robertson A, Steer H. Natural disasters and the lung. Respirology. 2011;16(3):386–95.CrossRefGoogle Scholar
  2. 2.
    Kouadio IK, Aljunid S, Kamigaki T, Hammad K, Oshitani H. Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti-Infect Ther. 2012;10(1):95–104.CrossRefGoogle Scholar
  3. 3.
    Sato H, Tomio J. Emergency and disaster preparedness for chronically ill patients: a review of recommendations. Open Access Emerg Med. 2014;6:69.CrossRefGoogle Scholar
  4. 4.
    Yamanda S, Hanagama M, Kobayashi S, Satou H, Tokuda S, Niu K, Yanai M. The impact of the 2011 Great East Japan Earthquake on hospitalisation for respiratory disease in a rapidly aging society: a retrospective descriptive and cross-sectional study at the disaster base hospital in Ishinomaki. BMJ Open. 2013;3(1):e000865.CrossRefGoogle Scholar
  5. 5.
    Rando RJ, Lefante JJ, Freyder LM, Jones RN. Respiratory health effects associated with restoration work in post-hurricane katrina New Orleans. J Environ Public Health. 2012;2012:462478.CrossRefGoogle Scholar
  6. 6.
    Aghababian RV, Teuscher J. Infectious diseases following major disasters. Ann Emerg Med. 1992;21(4):362–7.CrossRefGoogle Scholar
  7. 7.
    Nukiwa T. An overview of respiratory medicine during the Tsunami Disaster at Tohoku, Japan, on March 11, 2011. Respir Investig. 2012;50(4):124–8.CrossRefGoogle Scholar
  8. 8.
    Ohkouchi S, Shibuya R, Yanai M, Kikuchi Y, Ichinose M, Nukiwa T. Deterioration in regional health status after the acute phase of a great disaster: respiratory physicians’ experiences of the Great East Japan Earthquake. Respir Investig. 2013;51(2):50–5.CrossRefGoogle Scholar
  9. 9.
    Takakura R, Himeno S, Kanayama Y, Sonoda T, Kiriyama K, Furubayashi T, Yabu M, Yoshida S, Nagasawa Y, Inoue S, Iwao N. Follow-up after the Hanshin-Awaji earthquake: diverse influences on pneumonia, bronchial asthma, peptic ulcer and diabetes mellitus. Intern Med. 1997;36(2):87–91.CrossRefGoogle Scholar
  10. 10.
    Oshikata C, Watanabe M, Saito A, Ishida M, Kobayashi S, Konuma R, Kamata Y, Terajima J, Cho J, Yanai M, Tsurikisawa N. Allergic bronchopulmonary mycosis due to exposure to Eurotium herbariorum after the Great East Japan Earthquake. Prehosp Disaster Med. 2017;32(6):688–90.CrossRefGoogle Scholar
  11. 11.
    Johanning E, Auger P, Morey PR, Yang CS, Olmsted E. Review of health hazards and prevention measures for response and recovery workers and volunteers after natural disasters, flooding, and water damage: Mold and dampness. Environ Health Prev Med. 2014;19(2):93–9.CrossRefGoogle Scholar
  12. 12.
    Kawano T, Tsugawa Y, Nishiyama K, Morita H, Yamamura O, Hasegawa K. Shelter crowding and increased incidence of acute respiratory infection in evacuees following the Great Eastern Japan Earthquake and tsunami. Epidemiol Infect. 2016;144(4):787–95.CrossRefGoogle Scholar
  13. 13.
    Aoyagi T, Yamada M, Kunishima H, Tokuda K, Yano H, Ishibashi N, Hatta M, Endo S, Arai K, Inomata S, Gu Y, Kanamori H, Kitagawa M, Hirakata Y, Kaku M. Characteristics of infectious diseases in hospitalized patients during the early phase after the 2011 Great East Japan Earthquake. Chest. 2013;143(2):349–56.CrossRefGoogle Scholar
  14. 14.
    Daito H, Suzuki M, Shiihara J, Kilgore PE, Ohtomo H, Morimoto K, Ishida M, Kamigaki T, Oshitani H, Hashizume M, Endo W, Hagiwara K, Ariyoshi K, Okinaga S. Impact of the Tohoku earthquake and tsunami on pneumonia hospitalisations and mortality among adults in northern Miyagi, Japan: a multicentre observational study. Thorax. 2013;68(6):544–50.CrossRefGoogle Scholar
  15. 15.
    Shibata Y, Ojima T, Tomata Y, Okada E, Nakamura M, Kawado M, Hashimoto S. Characteristics of pneumonia deaths after an earthquake and tsunami: an ecological study of 5.7 million participants in 131 municipalities, Japan. BMJ Open. 2016;6(2):1–6.CrossRefGoogle Scholar
  16. 16.
    Kamigaki T, Seino J, Tohma K, Nukiwa-Soma N, Otani K, Oshitani H. Investigation of an Influenza A (H3N2) outbreak in evacuation centres following the Great East Japan earthquake, 2011. BMC Public Health. 2014;14(1):34.CrossRefGoogle Scholar
  17. 17.
    Hatta M, Endo S, Tokuda K, Kunishima H, Arai K, Yano H, Ishibashi N, Aoyagi T, Yamada M, Inomata S, Kanamori H, Gu Y, Kitagawa M, Hirakata Y, Kaku M. Post-tsunami outbreaks of influenza in evacuation centers in Miyagi Prefecture, Japan. Clin Infect Dis. 2012;54(1):e5–7.CrossRefGoogle Scholar
  18. 18.
    Kanamori H, Hatakeyama T, Uchiyama B, Weber DJ, Takeuchi M, Endo S, Hirakata Y, Kaku M. Clinical and molecular epidemiological features of tuberculosis after the 2011 Japan earthquake and tsunami. Int J Tuberc Lung Dis. 2016;20(4):505–14.CrossRefGoogle Scholar
  19. 19.
    Kanamori H, Aso N, Tadano S, Saito M, Saito H, Uchiyama B, Ishibashi N, Inomata S, Endo S, Aoyagi T, Hatta M, Yamada M, Gu Y, Tokuda K, Yano H, Kunishima H, Hirakata Y, Saijyo T, Kitagawa M, Kaku M. Tuberculosis exposure among evacuees at a shelter after earthquake, Japan, 2011. Emerg Infect Dis. 2013;19(5):799–801.CrossRefGoogle Scholar
  20. 20.
    Kobayashi S, Hanagama M, Yamanda S, Satoh H, Tokuda S, Kobayashi M, Ueda S, Suzuki S, Yanai M. The impact of a large-scale natural disaster on patients with chronic obstructive pulmonary disease: the aftermath of the 2011 Great East Japan Earthquake. Respir Investig. 2013;51(1):17–23.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Shinsuke Yamanda
    • 1
  1. 1.Department of Respiratory MedicineSendai Kousei HospitalSendaiJapan

Personalised recommendations