Remember:
Oral Care
in Disaster
Why Is Oral Care
Necessary for Disaster Prevention?
Oral care in times of disaster isn’t just for oral health, but it also affects the overall health of the body.
During water outages, the little water available is prioritized for drinking, making people hesitant to use this precious resource for tooth brushing.
As maintaining an optimal oral care becomes more difficult, bacteria growth increases and can have an impact on overall health. Older people, being at higher risk for pneumonia, need to take particular care.
As a result, what happens during evacuation?
-
For children:
- ・Relief supplies available at emergency shelters often offer copious amounts of confectionary and pastries, and the impossibility to brush teeth leads to cavities forming more easily.
- ・As it’s not possible to go to the dentist, treatment is also not an option, hence maintaining an excellent.
-
For adults:
- ・As tooth brushing becomes a challenge, gum disease can set in and other systemic health issues, such as diabetes, may worsen.
-
For elderly people:
- ・Due to the lack of proper oral care and the increasingly weakened oral function, an increased amount of bacteria can enter the trachea and make it easier to contract pneumonia.*
- *Aspiration pneumonia
Less commonly known
disaster-related fatalities:
There are people who pass away during evacuation life,
even though they may have successfully evacuated from the disaster itself
(disaster-related death).
These situations can be avoided through preparation.
Disaster-related deaths:
14%
(921 victims)
Direct deaths:
86% (5,507 victims)
18% of people (3,523 victims) during the Great East Japan Earthquake and 78% of people (189 victims) during the the Kumamoto Earthquake lost their lives due to disaster-related deaths.
Potential risks arise when maintaining good oral care becomes
impossible during an evacuation
In times of disaster, factors such as water shortage, deteriorating hygiene conditions,
limited access to proper nutrition, sleep deprivation in emergency shelters, increased stress,
and various other causes can reduced oral functionality, thereby promoting the growth of bacteria in the mouth.
Additionally, the loss or malfunction of dentures can increase the risk of swallowing difficulties.
Swallowing difficulties can allow oral bacteria to enter the lungs, where they can proliferate,
leading to inflammation and potentially resulting in aspiration pneumonia. Individuals with gum disease who frequently experience swallowing problems are found to be at a greater risk of contracting pneumonia.
Pneumonia:
24% (921 victims)
During the Great East Japan Earthquake, there was three times the number of pneumonia cases directly after the earthquake hit (26.9% of deaths in Ishinomaki due to pneumonia),
and respiratory diseases (including pneumonia) were the cause for 28.4% of deaths for the Kumamoto Earthquake.
Supervisor: Dr. Ryohei Adachi,
Director of Department of Dentistry and Oral Surgery at Tokiwa Hospital;
Kobe City Health Department Dental Specialist
For the prevention of pneumonia, let’s brush our teeth!
It has been found that unclean dentures can also increase the risk for pneumonia.
Supervisor: Dr. Ryohei Adachi, Director of Department of Dentistry and Oral Surgery at Tokiwa Hospital; Kobe City Health Department Dental Specialist
The mouth is the front door to the lungs. If oral hygiene is not maintained while staying in emergency shelters and due to water shortage, older people are at higher risk of contracting aspiration pneumonia, so they need to take special care.
During the Great Hanshin Earthquake, over 200 victims died of disaster-related pneumonia. We believe that the number of aspiration pneumonia was high among the deaths.
Cleaning dentures is also important for maintaining proper oral hygiene. After eating, remove dentures and clean whenever possible. Also, remember to take them out before going to sleep at night.
Oral care also aids in preventing infection by the influenza virus. Please take care to prevent gum disease as well as to better control blood sugar levels. As snacking increases and tooth brushing is not being adequately performed over extended periods of time, the number of cavities appearing in children also increases.
To protect your life and wellness, maintaining oral hygiene is essential
To protect your life and wellness, maintaining oral hygiene is essential
Oral Care Practices in
Times of Disaster
What to do when you don’t have oral care tools:
- ・ Wrap a handkerchief, tissue, towel, etc. around your finger and wipe your teeth to remove grime.
-
・
It is also important to produce saliva, as it helps to maintain a clean mouth.
Massage and warm the area of the lower jaw you’re your hands, directly under the ears to promote saliva production.
What to do in times of water shortage:
- ➀ Prepare a cup with around 30 mL of water.
- ➁ Wet the toothbrush with the water and proceed to brush your teeth.
- ➂ As the toothbrush will get increasingly dirty over time, clean off as much grime as possible with a tissue (or wet wipe if available), brush your teeth, and repeat every so often.
-
➃
Lastly, rinse your mouth 2–3 times with water from a cup.
Oral Hygiene is shown to improve more by repeating this routine up to 2–3 times per day, rather than all at once.
Care for children:
It is effective to perform touch-up brushing for the prevention of cavities in children.
Care for dentures:
-
If usable water is available, you can disinfect them with a denture cleaning solution or by submerging them in water. However, if water is not available, use a mouth-safe wet wipe to wipe off grime after eating at least once a day. For those with partial dentures, clean the metal part with a toothbrush or cotton swab.
If Dental Rinse is available:
- ・ Use Dental Rinse instead of water or tea.
- ・ Rinsing your mouth with water is not necessary.
- ・ The sterilizing effect stunts bacterial growth.
Three simple steps! How to use Dental Rinse:
Three simple steps!
How to use Dental Rinse:
Put an appropriate amount (around 10 mL) into the mouth, and rinse for about
20 seconds to spread the
liquid throughout the mouth.
Brush with your toothbrush.
It is also beneficial
to wipe teeth with a handkerchief or tissue.
Tooth brushing complete!
Rinsing your mouth with water is not needed. If bothered by
lingering flavor,
it is fine to lightly rinse the mouth.
Steps to Take in Daily Life
The intensifying disaster
“linear precipitation zones,”
and “Shelter-in-Place”
・Intensifying natural disasters due to global climate change
・Increased occurrence of “linear precipitation zones” with downpours lasting several days
As the risk of a disaster outbreak increases everywhere, evacuation preparedness is essential, be it setting up a “Shelter at Home” or carrying an emergency kit with you.
Start with what’s doable now!
Check for needed storage items
With an increase in the occurrence of ever-intensifying natural disasters, emergency and evacuation preparedness is also changing. Setting up a “Shelter-at-home” to survive in cases where leaving the house is not possible,or carrying an emergency portable kit while away from home can be quite possible. That is why we have prepared disaster storage item lists for an “evacuating-from-home set,” a “Shelter-at-Home set,” and a “portable emergency kit.” Let’s use these as a reference for further preparation so as not to be caught off guard by unpredictable disasters.
How do I prevent the expiration
of disaster storage items?
We recommend having a running stock with large amounts of long-lasting items. For example, avoid keeping food or water that expires in the disaster bag.
For example, it is common to have vegetable nutritional imbalance due to the lack of access to shopping in times of disaster. However, if you have a supply of long-lasting canned vegetable juice that can be stored at room temperature, you can have vegetable nutrients at any time.
Also, if you buy a large amount of Dental Rinse and get into the habit of using it regularly, you can clean your teeth during water outages.
Train your mouth function on a regularly to survive disasters.
During disaster, it could be difficult to speak and communicate with others.
The limited opportunity to move the mouth increases the risk of aspiration due to reduced mouth function.
To survive a disaster, do a daily self-check and be aware of the condition of your mouth,
When disaster strikes, make sure your mouth is in good condition to survive.
Oral frailty" refers to the decline of functions around the mouth with age.
Sunstar has focused on the Patakara exercises, which are said to help prevent oral frailty,
and has developed an application that includes self-checks and training using the exercises.
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Oral Care in Disaster:
awareness
information
TV commercial,
“Oral Care in Disaster ver.”
Keep this in mind to keep you safe when you need it most, Oral Care in Disaster.
Remember: Oral Care in Disaster
Posters&Disaster Preparedness Handbook
To those related to medical and disaster prevention activities
who can provide support and awareness:
There is still a great need to inform people. Feel free to use the posters and handbooks in various locations.