Alcohol-related issues among affected people
On March 11, 2011, the Great East Japan Earthquake occurred, causing a tsunami and a subsequent accident at the Fukushima Daiichi Nuclear Power Plant. Survivors of the disaster survived difficult living situations during evacuation, such as fear of radiation exposure; loss of family, relatives and property; and other life-threatening experiences. An analysis of large-scale research revealed that those who started drinking after the disaster presented more severe sleep problems and traumatic symptoms, and younger males were more prone to problem drinking as an ineffective coping strategy for their suffering. Several activities were implemented in Fukushima to provide early intervention on alcohol. The Fukushima Center for Disaster Mental Health started the Fukushima Alcohol Project, emphasizing a community-based approach and collaboration with existing resources with integrated multilayer services to provide comprehensive support. Their activities included working with high schools, fire departments, local psychiatric hospitals, and public services. They also reached out to residents who were at risk of problem drinking. The outreach project with high school students showed the importance of communication, not only with school nurses but also with teachers and other school personnel to provide information and services that fit the specific needs of the community. A training series for public employees and helping professionals on moderate drinking and harm reduction was well received not only by residents but by professionals because it appeared more attainable and realistic than abstinence.