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S. Tashiro et al.
males) are at a particularly high risk of having special
food intake needs in disaster settings. We recommend
that a more detailed survey based on the LTCI system
be conducted in the near future. Finally, although we
estimated the number of elderly people corresponding to
each status, a more focused study is needed to enable an
analysis of personal and medical background data, inclu-
ding details of swallowing function and comorbidities.
In conclusion, the present survey revealed that a
large proportion of community-dwelling elderly care
recipients are at risk of aspiration pneumonia due to the
consumption of emergency food in a disaster setting.
Importantly, this population includes a subset of people
who would be regarded as having normal swallowing
function when consuming regular foods in an ordinary
setting. Therefore, a proper assessment of food intake
statuses in the elderly population is needed prior to
making decisions about public food storage. There is
an urgent need to educate healthcare professionals and
the larger society about this issue and thus enhance
preparedness by carefully considering this vulnerable
population.
ACKNOWLEDGEMENTS
The authors appreciate the help of all the members of the Lincage-
promotion committee of The Disaster Assistance Sub-project
for Citizens Needing Home Medical Care in the Home Medical
Care Promotion Project for Local Municipalities in the Tokyo
Metropolitan Government and The Shinjuku-Gokkun project, Ms
Eiko Hatano and all the members of the Caremanager Manager
Network Shinjuku, and Dr Maiko Ohmori, Dr Yuko Kasashima-
Shindo, Ms Makiko Ando and all the members of Department of
Rehabilitation Medicine at Keio University School of Medicine
and Department of Rehabilitation at Keio University Hospital.
This work was supported by The Rehabilitation Support Center
for the Western Part of Tokyo Metropolitan Government, and
The Disaster Assistance Sub-project for Citizens Needing Home
Medical Care in the Home Medical Care Promotion Project for
Local Municipalities in the Tokyo Metropolitan Government.
The authors have no conflicts of interest to declare.
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