APPLICATION OF ESTIMATED DATA BY MACHINE LEARNING

Hattori and Hattori^{Reference Hattori and Hattori5} developed a machine learning model to estimate the number of pregnant women in small community areas from 1737 record of nation-wide data. The estimation acquired by this model was applied to small areas of tsunami-predicted areas in Nagoya City, Aichi Prefecture. In this study, 40 _(wks) /52_(wks) were multiplied by population data because the original data were annual statistics. Figure 2 shows the estimated number of pregnant women in tsunami-predicted areas.

FIGURE 2 Estimated Number of Pregnant Women in Small Community Areas in the Coastal Ward of Nagoya City.

ESCAPABLE AREA FROM A TSUNAMI

Disaster evacuation on foot has been recommended before now, but the use of automobile for evacuation became acceptable after the Tohoku Earthquake Tsunami Disaster of 2011.⁶ There were cases where people escaped by automobile from an approaching tsunami. The speed of the automobile was advantageous.

GEOGRAPHICAL DEVELOPMENT OF THE CITY

The City of Nagoya has a vulnerability against a tsunami. The city was built by irrigation and landfills over an alluvial plain produced by several rivers coming from major mountain areas of Honshu Island. Coastal area wards had been farmlands but were changed to residential or industrial areas with urban sprawl. Sections are separated by rivers and canals, and they are connected by bridges. The bridges will be bottlenecks for evacuating traffic.

EVACUATION ON FOOT

Disadvantages of the use of automobile have been indicated. Traffic signals become dysfunctional by blackout or damages of signal systems. There is a possibility that so-called gridlock phenomena appear at multiple points of devastated areas simultaneously. Even in Tokyo, there were gridlocks after a Tohoku earthquake and a tsunami disaster.^{Reference Kiyota, Iwakura and Nonaka7} Emerging traffic moving toward the same direction generated jams at many intersections. There were many cases where a whole train of evacuating cars were caught by gridlock and swept away by a tsunami.⁸ Evacuation on foot, which is reliable in many situations, is assumed as a countermeasure for escaping a tsunami disaster.

Walking Speed and Walkable Distance of Pregnant Women

Pregnant women were presumed to be able to walk 30 meters per minute and continue to walk for 60 minutes. A 1-hour walk, total of 1800 meters (1.1 miles), was regarded as the longest evacuation distance. Road centerline data of Nagoya City Second Medical Area^{Reference Hattori and Hattori5} were introduced. From the terminal edge of the tsunami, 1800-meter road distances were measured by network analysis of QGIS.⁹ Areas presented using fine lines in Figure 3 are those escapable from the tsunami by evacuation on foot.

Measured by the Road Centerline

FIGURE 3 Area of 1800 Meters From the Terminal Edge of the Tsunami.

NUMBER OF PREGNANT WOMEN IN THE TSUNAMI-PREDICTED AREA

Areas were divided by administrative areas and possible evacuation routes. Evacuees were assumed to transport toward the north direction or toward areas with a higher altitude on the east side. Area borders are presented by thick lines, and a summary of evacuating pregnant women in each area is presented in Figure 4. An estimated total number of full-term pregnant women of 37 to 40 weeks is 261. Facilities for these women should be prepared. There are a total of 591 pregnant women of 28 to 36 weeks, when risk of early delivery increases. Estimated numbers of full-term pregnant women and those of high risk women are presented of each evacuation direction by a boxed number and underlined number, respectively, in Figure 4.

FIGURE 4 Summary of Estimated Number of Pregnant Women in 1800 Meters Distant From Safe Area, Total Number of Pregnant Women to Each Evacuation Direction, That of Full-Term Women, and That of High Risk Women.

SAFE AREA PASSED OVER

Through this GIS analysis, a safe area passed over became clear. There is a cargo container base (Arrow in Figure 5) in the middle of the tsunami-predicted area. The lowest altitude of the area is 5.4 meters, and the highest tsunami height of neighboring areas is 2.33 meters. The area is 35 hectares (0.135 mile²) wide. There are assumed problems such as operation of traveling trains, containers which may tip over by earthquake, strength of slope face of this high area, route to climb up to the high points, installation of gate, and so on. This area is expected to receive 625 pregnant women. The feasibility study on the use of the cargo container base for disaster evacuation and authorization based on the feasibility study are expected.

FIGURE 5 Added Number of Pregnant Women Who Can Evacuate If the Cargo Container Base is Open for Evacuation.

FACILITIES SUPPORTING PREGNANT WOMEN

There are medical facilities and individuals that will mobilize their functions to support pregnant women. They include the disaster base hospital (DBH), perinatal medical center, area health care center, obstetricians and gynecologists, and midwives. See Figure 6.

FIGURE 6 Facilities Able to Support Pregnant Women in Nagoya City After a Tsunami Invasion.

FACILITIES IN TSUNAMI-PREDICTED AREAS

Three DBHs, 1 APMC, 2 PEMCs, and 11 facilities are located in tsunami-predicted areas (Figure 6). They may reduce their functions after an earthquake and cease the functions after a tsunami. It is rational to develop a plan to support pregnant women without these facilities.

EVACUATION FACILITIES

The best efforts must be made for the evacuation of pregnant women from tsunami-predicted areas. However, there are pregnant women who may not be able to evacuate from the predicted area. The women must be protected from invading tsunami water with a large amount of debris and heavy mud raised from the sea bed.

USE OF TSUNAMI EVACUATION BUILDINGS

There are areas that are too far from a high point to escape from a tsunami invasion. In order to increase the survival of residents, tsunami evacuation buildings, which are steel-reinforced concrete buildings and satisfy Quake-Resistance Standards of 2000, developed after Hanshin-Awaji Earthquake of 1995, have been promoted.^{Reference Office15} Prefectural and local governments are carrying out survey and designating buildings. In coastal area prefectures, specially designed tsunami evacuation towers have been built. City of Nagoya contracted building owners and designated tsunami evacuation buildings in areas where evacuations are difficult.¹⁶

DISPUTABLE QUESTION OF EVACUATION BUILDINGS

Although tsunami evacuation buildings have been designated, there are disputable questions. Two different kinds of tsunami height must be considered. Although regular tsunami height was used in this simulation, tsunami runup height must be considered. A tsunami increases its height when it runs up a long floor of sea slope, such as sea with shoals. It also increases its height when it comes into a convergent shaped bay. The energy of a tsunami is concentrated, and the height of a tsunami increases toward the closed section of the bay.

STRENGTH OF EVACUATION BUILDINGS

Wooden residential buildings begin to break by a 1-m high tsunami. The buildings will be destroyed in full scale by a 2-m. high tsunami. Reinforced concrete buildings may not tolerate the tsunami if the tsunami height surpasses 5 m.¹⁸ Even a concrete building will be destroyed totally by a tsunami higher than 16 m.

In the case of the 2011 disaster, a GPS wave gauge installed offshore recorded a 6-m high tsunami multiple times. This means that a tsunami as high as 12 to 18 m invaded the coasts. Out of the tsunami heights in the coasts, it is estimated that there were about 40-m high tsunami runups.^{Reference Nyoumura17} The predicted tsunami height at Minato ward, located at the coast, will be 3 m (City of Nagoya, 2018). It is not incredible to estimate a 12-m high tsunami runup at the coastal area of Nagoya City.

It is not certain whether all of the evacuation buildings can tolerate the tsunami runup. At this moment of time, it is recommended to visit tsunami evacuation buildings near residences and make a judgment about the best selection. The Individual Evacuation Plan (IEP) is important, and efforts for self-help are significant.

PREGNANT WOMEN IN DIFFICULT-TO-ESCAPE AREAS

Approximately 1200 pregnant women will be left in areas where evacuation on foot from a tsunami is difficult. An available method to support them is to provide tsunami evacuation buildings for initial protection (Figure 7). The small dots in the figure represent tsunami evacuation buildings. After a tsunami recedes and aftershocks stop, the women should be transported to safer facilities or appropriate accommodations.

FIGURE 7 Estimated Number of Pregnant Women Living in Areas Where Evacuation From a Tsunami is Difficult on Foot and Tsunami Evacuation Buildings.

SUMMARY AND CONCLUSION

From this simulation, next research activity targets were revealed.

1. 1. Planning of triage points in areas to which pregnant women are evacuating. The women will be transferred to facilities – CPMC, APMC – or to the care of obstetricians and gynecologists or to appropriate accommodations.

2. 2. Training of staff, who engage in perinatal care rescue operation, to interpret information transmitted from disaster recon groups. (Recon groups equipped with helicopters and drones are being organized. Self Defense Force, police force, Geospatial Information Authority of Japan, and others are participating in the recon activities.)

3. 3. GIS trainings for perinatal care rescue operation teams.

4. 4. Development of an Individualized Evacuation Plan (IEP) for pregnant women and promotion of grassroot activity for self-help and mutual help.

5. 5. Development of smartphone application for pregnant women. A large number of pregnant women will be left in tsunami-invaded areas. It is not possible to rescue all of the women simultaneously, and priority must be given to women who need urgent needs, such as delivery or a high risk of miscarriage. Information on these women are important to prepare a rescue plan and to determine rescue priority. If the women’s clinical conditions are properly conveyed to the perinatal rescue workers, the appropriate treatment will be provided.