Medical and healthcare support by University of Occupational and Environmental Health, Japan at the Fukushima 1 Nuclear Power Plant complex

Introduction
The 2011 Tohoku earthquake and tsunami caused major accidents at the Fukushima 1 Nuclear Power Plant complex (1F). Not only workers of Tokyo Electric Power Company (TEPCO), but workers of associate companies at 1F still work for preventing the radiation spreading. As a team of Occupational Physicians, we have recommended a framework of occupational health systems to prevent health disorders there.

Methods
To achieve the goal, we have made the following efforts.
Providing medical support
Conducting general and radiation associated health checks for TEPCO workers
Collecting information through medical activity and health checks
Sharing information at 1F network group consisting of physicians and other experts
Submitting recommendations for supporting TEPCO to government
Contributing to TEPCO heath preventive activities

Results
We have recommended some measures that can prevent health disorders related to work. We will show the measures we have done or could not.

Discussion
This situation was too unexpected to be planed. Management of radiation exposure, response to first aid, and medical needs of the local transport were through from the relatively early stage of the accident. However, during the long-term work there were many health risks. We, as the outsider of occupational health experts, had done a variety of initiatives to help lead the implementation of concrete measures and proposals. At first, we tried to become insider of the group through providing medical assistance at the site. At the same time, we were collecting information to recommend health and safety measures on the complex system consisted of all kinds of corporate hierarchy, and made the framework of administrative guidance beyond the legal responsibility of businesses. As a result, we could contribute to implement and conduct many measures. Our final goals are not only to protect them but also to include measures to prevent health disorders of workers on the emergency response plan.