Table 2 Baseline characteristics of the victims of indirect disaster-related deaths in the Miyagi prefecture.

From: Medical perspective on the systemic challenges involving indirect disaster-related deaths in Japan

Overall, n (%)

755 (100)

Age–year, mean (SD)

79.7 (± 13.2)

Sex–Female, n (%)

346 (46.7)

Number of indirect disaster-related deaths certified by each municipality’s disaster-related deaths certification review committee—n (%)

 Sendai

265 (35.1)

 Ishinomaki

263 (34.8)

 Kesennuma

108 (14.3)

 Natori

41 (5.4)

 Miyagi Joint Review Committeea

37 (4.9)

 Tagajo

26 (3.4)

 Watari

9 (1.2)

 Iwanuma

6 (0.8)

Time period of the death from the disaster onset, n (%)

 Short-term (≤ 30 days)

461 (61.1%)

 Medium-term (31–180 days)

256 (34.0%)

 Long-term (≥ 181 days)

34 (4.5%)

 Unknown

4 (0.5%)

Median days [IQR]

21 [7–52]

Classification of Evidence–Medical Documentation usedb, n (%)

 Group A

74 (9.8)

 Group B

145 (19.2)

 Group C

536 (71.0)

Direct etiology of death (ICD-10), n (%)

 A00–B99 (Infectious and parasitic diseases)

21 (2.8)

 C00–D48 (Neoplasms)

66 (8.7)

 D50–D89 (diseases of the blood and blood-forming organs and disorders of the immune system)

4 (0.5)

 E00–E90 (Endocrine, nutritional, and metabolic disorders)

6 (0.8)

 F00–F99 (Mental and behavioral disorders)

2 (0.3)

 G00–G99 (Diseases of the nervous system)

5 (0.7)

 I00–I99 (Diseases of the circulatory system)

247 (32.7)

 J00–J99 (Diseases of the respiratory system)

209 (27.7)

 K00–K93 (Diseases of the digestive system)

13 (1.7)

 L00–L99 (Diseases of the skin and subcutaneous tissue)

1 (0.1)

 M00–M99 (Diseases of the musculoskeletal system and connective tissue)

2 (0.3)

 N00–N99 (Diseases of the urogenital system)

27 (3.6)

 R00–R99 (Symptoms, signs, and abnormal clinical and laboratory findings not elsewhere classified)

71 (9.4)

 S00–T98 (Injury, poisoning, and other effects of external causes)

39 (5.2)

 V01–Y98 (External causes of injury, illness, and death)

11 (1.5)

Unknown

31 (4.1)

  1. aMinamisanriku, Matsushima, Shichigahama, Misato, Tome, Kurihara, Tomiya, Osaki, and Rifu have participated in the Prefectural Joint Review Committee. bGroup A: death certificate mentioned the relevance.
  2. Group B: official medical documentation other than death certificates mentioned the relevance.
  3. Group C: non-medical, self-report by bereaved families claimed the relevance.
  4. IQR interquartile range, SD standard deviation.