SUNSTAR

覚えてください 防災にオーラルケア

Remember:

Oral Care
in Disaster

Why Is Oral Care
Necessa­ry for Disaster Pre­vention?
なぜ防災にオーラルケアが必要なの?

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.

その結果、避難生活で何が起こるの?

As a result, what happens during evacuation?

  • こどもは

    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.
  • 大人は

    For adults:

    • ・As tooth brushing becomes a challenge, gum disease can set in and other systemic health issues, such as diabetes, may worsen.
  • 高齢者は

    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)

Causes of death due to the  Great Hanshin Earthquake

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)

Ratio for disaster-related deaths of the Great Hanshin Earthquake “Ratio for disaster-related deaths of the Great Hanshin Earthquake,”
Kobe Shimbun, May 14, 2004

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

監修:ときわ病院 歯科・歯科口腔外科部長 神戸市健康局歯科専門役 足立了平先生

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

お口の中を清潔に保つことは、健康維持・命を守るために重要です

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.
すすぎに使える水もハブラシもないとき

What to do in times of water shortage:

  • Prepare a cup with around 30 mL of water.
  • Wet the toothbrush with the water and proceed to brush your teeth.
  • 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.
  • 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.
水が少ないとき

Care for children:

It is effective to perform touch-up brushing for the prevention of cavities in children.

こどもへのケア

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.
入れ歯のケア

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.
もし液体ハミガキがあったら

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.
すすぎに使える水もハブラシもないとき

What to do in times of water shortage

  • Prepare a cup with around 30 mL of water.
  • Wet the toothbrush with the water and proceed to brush your teeth.
  • 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.
  • 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.
水が少ないとき

Care for children:

It is effective to perform touch-up brushing for the prevention of cavities in children.

こどもへのケア

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.

入れ歯のケア

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.
もし液体ハミガキがあったら

Three simple steps! How to use Dental Rinse:

Three simple steps!


How to use Dental Rinse:

STEP01
かんたん3ステップ!液体ハミガキの使い方

Put an appropriate amount (around 10 mL) into the mouth, and rinse for about
20 seconds to spread the
liquid throughout the mouth.

STEP02
かんたん3ステップ!液体ハミガキの使い方

Brush with your toothbrush.
It is also beneficial
to wipe teeth with a handkerchief or tissue.

STEP03
かんたん3ステップ!液体ハミガキの使い方

Tooth brushing complete!
Rinsing your mouth with water is not needed. If bothered by
lingering flavor,
it is fine to lightly rinse the mouth.

STEP01
かんたん3ステップ!液体ハミガキの使い方

Put an appropriate amount (around 10 mL) into
the mouth, and rinse for about 20 seconds to spread the liquid throughout the mouth.

STEP02
かんたん3ステップ!液体ハミガキの使い方

Brush with your toothbrush.
It is also beneficial to wipe teeth with a handkerchief or tissue.

STEP03
かんたん3ステップ!液体ハミガキの使い方

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

大型化する災害「線状降水帯」と「在宅避難」

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.

大型化する災害「線状降水帯」と「在宅避難」

Start with what’s doable now!
Check for needed storage items

まずはできるところから!必要な備蓄品をチェックしよう
Supervisor:
Nobue Kunizaki, Risk and Crisis Management Educational Institute

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.

防災備蓄品の期限切れを防ぐには?

03
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
防災にオーラルケア 啓発情報

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

To those related to medical and disaster prevention activities
who can provide support and awareness:

There is still a great need to inform people. Please feel free to use our posters in a variety of locations.

Poster for evacuation shelter display use

避難所掲示用ポスター