{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T02:10:08Z","timestamp":1750644608105,"version":"3.41.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"unspecified","delay-in-days":173,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1478951525100308_sec1a\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>To examine the challenges and practical realities of providing end-of-life care in welfare evacuation centers following the Noto Peninsula earthquake in Japan, and to identify lessons for improving disaster preparedness in similar settings.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100308_sec2b\">\n\t    <jats:title>Case presentations<\/jats:title>\n\t    <jats:p>Case 1: A man in his late 90s was transferred to a welfare evacuation center after contracting COVID-19 in a general shelter. He arrived with fever and marked physical decline. Acetaminophen was administered to relieve his fever and provide comfort. His condition gradually worsened, and eight days after arriving at the evacuation shelter, he died peacefully while being closely observed by medical staff. Case 2: A man in his 60s with a history of smoking and alcohol use was found bedridden and incontinent at home and was subsequently moved to a welfare evacuation center. Two days after evacuation, he complained of leg and back pain, which was suspected to be due to arterial occlusion. He was monitored and provided with supportive care at the center, however, pain control remained inadequate. Four days after evacuation, he was found in respiratory arrest and was confirmed dead.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100308_sec3c\">\n\t    <jats:title>Conclusion<\/jats:title>\n\t    <jats:p>These cases underscore the need for establishing unified guidelines and external support frameworks for end-of-life care in disaster settings. In a disaster-prone country like Japan, scenario-based training and the integration of trained volunteers are essential to ensuring dignified care for vulnerable evacuees.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1478951525100308","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T01:52:42Z","timestamp":1750643562000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["End-of-life care at welfare evacuation centers following the 2024 Noto peninsula earthquake"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4962-8603","authenticated-orcid":false,"given":"Momoka","family":"Yamamura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Ikeguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2948-4497","authenticated-orcid":false,"given":"Makoto","family":"Kosaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Abe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianchen","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chika","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michioki","family":"Endo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toyoaki","family":"Sawano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuko","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Moriyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4415-9657","authenticated-orcid":false,"given":"Akihiko","family":"Ozaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8027-202X","authenticated-orcid":false,"given":"Masaharu","family":"Tsubokura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Beniya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"S1478951525100308_ref26","unstructured":"Wahlstr\u00f6m, M (2015) The Sendai Framework for Disaster Risk Reduction 2015\u20132030: building on the legacy of global disaster risk reduction frameworks. In: Third UN World Conference on Disaster Risk Reduction. Sendai: United Nations Office for Disaster Risk Reduction."},{"key":"S1478951525100308_ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-022-03744-6"},{"key":"S1478951525100308_ref29","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1394376"},{"key":"S1478951525100308_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000520255.65083.35"},{"key":"S1478951525100308_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15099"},{"key":"S1478951525100308_ref5","first-page":"266","article-title":"Communication between doctors","volume":"41","author":"Cybulska","year":"1989","journal-title":"British Journal of Hospital Medicine"},{"key":"S1478951525100308_ref3","volume-title":"Noto Peninsula Earthquake (January 2024): Updates and Information","year":"2024"},{"key":"S1478951525100308_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2023.103989"},{"key":"S1478951525100308_ref6","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1075.76233"},{"key":"S1478951525100308_ref16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0060192"},{"key":"S1478951525100308_ref17","volume-title":"Integrating Palliative Care and Symptom Relief into the Response to Humanitarian Emergencies and Crises: A WHO Guide","year":"2018"},{"key":"S1478951525100308_ref28","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0b013e31829a303c"},{"key":"S1478951525100308_ref15","unstructured":"Mathieu, E (2024) Japan has the highest ratio of elderly people relative to working-age people globally. Available at https:\/\/ourworldindata.org\/data-insights\/japan-has-the-highest-ratio-of-elderly-people-relative-to-working-age-people-globally (accessed 3 December 2024 )."},{"key":"S1478951525100308_ref22","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/3284153"},{"key":"S1478951525100308_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2015.9"},{"key":"S1478951525100308_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2022.103514"},{"key":"S1478951525100308_ref14","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1292776"},{"key":"S1478951525100308_ref20","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2015.21.10.495"},{"key":"S1478951525100308_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951511000575"},{"key":"S1478951525100308_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.envadv.2022.100248"},{"key":"S1478951525100308_ref24","doi-asserted-by":"publisher","DOI":"10.1088\/1361-6498\/ac8bdd"},{"key":"S1478951525100308_ref27","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312467706"},{"key":"S1478951525100308_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01523-2"},{"key":"S1478951525100308_ref4","unstructured":"Chihoko Aoki, MG (2011) The Process of Establishing \u201cWelfare Shelters.\u201d http:\/\/www.arsvi.com\/2010\/1110acgm.htm (accessed 3 December 2024 )."},{"key":"S1478951525100308_ref9","first-page":"27","article-title":"Current issues of welfare evacuation shelter in japan: from the 1995 kobe earthquake to the 2018 Floods","volume":"3","author":"Hiroaki","year":"2020","journal-title":"Disaster and Kyosei"},{"key":"S1478951525100308_ref1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.28.021406.144037"},{"key":"S1478951525100308_ref19","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11172382"},{"key":"S1478951525100308_ref7","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-4-201002160-00010"},{"key":"S1478951525100308_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00002727-200510000-00002"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525100308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T01:52:45Z","timestamp":1750643565000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525100308\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":29,"alternative-id":["S1478951525100308"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525100308","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e125"}}