ObjectivesTo assess temporal patterns and factors associated with infectious disease (ID)-related consultations after the 2024 Noto Earthquake in Japan using Emergency Medical Team (EMT) reports from the Japan Surveillance in Post Extreme Emergencies and Disasters (J-SPEED) system. MethodsWe analyzed 12,236 consultations by 672 EMTs between 2 January and 26 May 2024.Joinpoint regression of moving averages was used to define response phases, and multivariable logistic regression estimated adjusted odds ratios (aORs) for acute respiratory infection (ARI) and gastrointestinal infection or food poisoning (GI) by age group and geographic area. Results4,597 consultations (37.6%) were ID-related.Children aged 0-14 years showed higher odds of ARI (aOR 1.90, 95% CI 1.53-2.36)and GI (aOR 1.84, 95% CI 1.28-2.64)compared with adults aged 65 years.Northern Noto showed highest odds of ARI (aOR 7.34, 95% CI 5.15-10.45).ARI was most frequent during Phase 2, whereas GI predominated during Phase 1. ConclusionsID-related consultations showed distinct age-, geographic-, and phase-specific patterns.These findings support restoration of water, sanitation, and hygiene, improved shelter conditions, and linkage between EMT reporting, rapid analysis, and coordinated public health response to mitigate infectious disease threats in future disasters.
Sakata et al. (Wed,) studied this question.
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