With so many victims of the March 11 earthquake and tsunami still residing at temporary shelters, it has become all the more important to make sure that ill evacuees receive proper medical care and that the spread of communicable disease is prevented. Medicines and medical treatment apparatuses in the shelters are in short supply, and hygienic conditions are in an undesirable state.

Infants, young children and the elderly are particularly susceptible to influenza, pneumonia and norovirus infections. Infectious disease, including tuberculosis, can spread quickly in crowded shelters. At the very least, masks and alcohol for disinfection should be distributed.

Shortages of food and water, a lack of exercise and low body temperature can lead to cerebral infarction in elderly people. Those who have lost their dentures can develop pneumonia as their oral hygiene deteriorates. Some people are likely suffering from depression or loneliness because of the loss of their family or communities. Such people should be given counseling.