During the Great East Japan Earthquake Disaster, the medical team’s responses in the Iwate Prefecture Emergency Operation Center (EOC) experienced many difficulties, especially in the first nine days after disaster occurrence. In this paper we proposed to objectively reveal problems of response activities at the viewpoint of information processing by the After Action Review (AAR), focusing on the activity logs in the time series (chronologies). By using the Emergency Support Function (ESF) as a framework of our analysis, we clarified the gap between the task that should be performed and actual conditions in the operation of the Japan Disaster Medical Assistance Team (DMAT) from the hyperacute phase to the subacute phase of medical responses.

1. [1] National Police Agency of Japan, “Police Countermeasures and Damage Situation associated with 2011Tohoku district – off the Pacific Ocean Earthquake,” https://www.npa.go.jp/news/other/earthquake2011/pdf/higaijokyo_e.pdf [accessed February 6, 2018]
2. [2] Cabinet Office of Japan, “White Paper on Disaster Management 2010,” http://www.bousai.go.jp/kaigirep/hakusho/h22/bousai2010/html/honbun/2b_2s_2_05.htm (in Japanese) [accessed July 1, 2016]
3. [3] Y. Tsujinaka, “Social science to learn from the great earthquake, Vol.1 Political process and policy,” Toyo Keizai Inc., p. 35, 2016 (in Japanese).
4. [4] H. Henmi et al., “Final Report of Special Research of Health and Sciences about standardization of Disaster Medical Assistance Team (DMAT) in Japan,” 2001.
5. [5] Y. Koido et al., “Research on the DMAT response to the 2011 East Japan Earthquake,” J. of the National Institute of Public Health, Vol.60, No.6, pp. 495-501, 2011 (in Japanese).
6. [6] H. Komatsu, “Community medicine and nursing care at the time of large scale disaster,” “Urgent Proposal collection: Great East Japan Earthquake Disaster – The way forward for Japanese society,” pp. 64-75, Zenrosai kyokai, 2011 (in Japanese).
7. [7] S. Koshino, “150 days at Great East Japan Earthquake Disaster as Iwate prefectural disaster risk management officer,” Gyosei, 2012 (in Japanese).
8. [8] T. Deal et al., “Beyond Initial Response: Using the National Incident Management System’s Incident Command System,” 2nd Edition, AuthorHouse, 2012.
9. [9] Survival.org.au, “Survival Essentials: How to Survive in the Wilderness,” http://www.survival.org.au/survival.php [accessed June 19, 2017]
10. [10] Cabinet Office of Japan, “Survey pertaining to generalization and verification of the Great Hanshin-Awaji Earthquake,” http://www.bousai.go.jp/kensho-hanshinawaji/chosa/index.htm (in Japanese) [accessed June 19, 2017]
11. [11] Federal Emergency Management Agency (FEMA), “FEMA Strategic Plan, Fiscal Years 2011-2014,” FEMA P-806, http://www.fema.gov/pdf/about/strategic_plan11.pdf [accessed June 19, 2017]
12. [12] FEMA, “National Incident Management System,” https://www.fema.gov/pdf/emergency/nims/NIMS_core.pdf [accessed June 19, 2017]
13. [13] FEMA, “Emergency Support Functions Annex: Introduction,” https://www.fema.gov/pdf/emergency/nrf/nrf-esf-intro.pdf [accessed June 19, 2017]
14. [14] FEMA, “National Response Framework Emergency Support Functions (ESF) Annex,” https://www.fema.gov/national-preparedness-resource-library [accessed June 19, 2017]
15. [15] Central Disaster Management Council of Japan, “Disaster Management Basic Plan,” http://www.bousai.go.jp/taisaku/keikaku/pdf/kihon_basic_plan170411.pdf (in Japanese) [accessed June 19, 2017]
16. [16] VashonBePrepared, “Who are all these groups?!,” http://vashonbeprepared.org/Partners [accessed June 19, 2017]
17. [17] N. Aoki et al., “Survival and Cost Analysis of Fatalities of the Kobe Earthquake in Japan,” Prehospital Emergency Care, Vol.8, Issue 2, pp. 217-222, 2004.
18. [18] H. Hayashi and K. Shigekawa, “Producing Disaster Ethnography for the Development of Disaster Ethnology,” Papers of the Annual Conf. of the Institute of Social Safety Science, No.7, pp. 376-379, 1997 (in Japanese).
19. [19] Y. Komatsubara et al., “Visualization Business Process of Damage Cetificate Issuing process from Ethnographical Interviews,” J. of Social Safety Science, No.10, pp. 77-87, 2008 (in Japanese).