FLOOD CONTROL MEASURES OF CORE MEDICAL INSTITUTION: LESSONS LEARNED FROM FLOODS IN KUMA RIVER IN 2020

Recordable heavy rainfall hit and caused severe floods from the Kuma River in Hitoyoshi and Kuma regions in July, 2020 due to an active frontal rain system. This paper aims to clarify challenges and issues in measures taken by core medical institutions against large-scale floods, which have been identified in the flood event in Kuma River in July 2020, based on the interview with the core medical institution in those regions. The paper then discusses directions for effective flood countermeasures of core medical institutions in order to have more robust Business Continuity Plan (BCP) for large-scale flood disasters.抄録　令和2年7月豪雨災害では，九州地方や東北地方などで大規模な出水となり，中でも九州地方では人的被害を含む甚大な被害が生じた．一方で，本災害は，新型コロナウイルス感染症（COVID-19）が全国的に流行する中で発生した最初の大規模水害であり，特殊な感染症への対応を継続しつつも，大規模な水害が発生した場合に地域の医療機能をどのように維持していくかが大きく問われた災害でもあった．本稿では，人吉・球磨地方における地域医療の拠点病院に対して令和2年7月豪雨災害での球磨川の氾濫に伴う浸水時の状況と対応についてヒアリングを行った結果を報告するとともに，これを踏まえた拠点医療機関の水害対策の課題と方向性について述べる．

Managing disasters amid COVID-19 pandemic: Approaches of response to flood disasters.

The world faces difficulties managing disasters while making efforts to slowing the spread of COVID-19. The paper aims at proposing policies and approaches to manage dual disasters of flooding and COVID-19. It reviews on-going efforts of organizations in the humanitarian assistance, water and sanitation, disaster management and health sectors. Based on review works the policy was recommended. The objective of the policy is to protect human life, in particular, vulnerable groups, from the human security perspective. Local organizations and communities play an important role in disaster management, and risk information supported by scientific knowledge is essential. As the experience of disaster management shows, various organizations including health and water should be coordinated to conduct measures.