The Official Data of the Emergency Patients related to the 2002 FIFA World Cup Games in Japan The Interim Report

The Official Data of the Emergency Patients related
to the 2002 FIFA World Cup Games in Japan

《The Interim Report》

(Except the data concerning accompanying events, e.g. public viewing event)

November 5, 2002

The Japan Health Research Team for
"Establishment and evaluation of the guideline for mass casualty in
mass gathering"

Chief researcher
Yasuhiro Yamamoto MD

Co-researchers
Yasuhumi Asai MD,
Noboru Ishii MD
Tohru Ishihara MD
Atsushi Katsumi MD
Yuichi Koido MD
Katsuhiko Sugimoto MD
Mitsugi Sugiyama MD
Toshiharu Yoshioka MD
Chiho Fujii MD
Hiroshi Henmi MD
Naoto Morimura MD

(1) Patients data of 32 games in Japan

1. The number of spectators and patients

1.1. Spectators total: 1,439,052

1.2. The average number of spectators per game: 44,970

1.3. The total number of patients: 1,661 (contained for offering the place to the self-control patients and breast-feeding)

1.4. The number of patients within the stadium: 998 (60.1% of the total)

1.5. The number of patients in the circumference of the stadium: 663(39.9% of the total)

1.6. The average number of total patients per game around 10,000 spectators: 12.1

1.7. The average number of patients within the stadium per game around 10,000 spectators: 7.3

1.8. The average number of patients in the circumference of the stadium per game around 10,000 spectators: 4.8

1.9. The total number of patients transported by ambulance: 73 (4.4% of the total)

1.10. The total number of the patients of foreign tourists 273(16.4% of the total)

2. The average age: 30.1±17.4 years old ( 0〜87)

3. Gender: male 603 female 500 (unknown 558)

4. The Severity of patients

(1) Mild: 1,599 (93.9% of the total)

(2) Moderate: 3 (0.2% of the total)

(3) Serious: 2 (0.1% of the total)

(4) Dead:1 (0.1% of the total)

5. The sort of disease and injured site ( % )=rate of the total

(1)

Trauma : 454 (27.3%)

Injury site: Extremities 285 (62.8%)

Head/Neck 10 (2.2%)

Face 10 (2.2%)

Chest 3

Abdomen 3

Unknown 143

Diagnosis: Fracture 7, Compartment syndrome 1
Most traumatized patients were mild cases e.g., abrasion, spraining, minor laceration, shoe sore and so on.

(2) Headache : 191 (11.5%)

(3) GI disorders : 177 (10.7%)

(4) Fever, Common cold : 92 (5.5%)

(5) Heat stroke : 75 (4.5%)

(6) Fatigue, Discomfort : 68 (4.1%)

(7) Obstetrics and gynecology related : 53 (3.2%)

(8) Respiratory disorders : 18 (1.1%)

(9) Cardiovascular disorders : 12 (0.7%)

(10) Burn : 12 (0.7%)

(11) Acute alcoholism : 11 (0.7%)

(12) CNS disorders : 9 (0.5%)

(13) others : 137 (8.2%)

(14) Unknown : 352 (21.2%)

(2) Analysis of the data

1. Relationships between the number of patients and temperature / relative humidity / average velocity of the wind
The weather condition
Temperature (average): 24.7℃
Relative humidity (average): 61.4%
Velocity of the wind (average): 2.4m/sec

Significantly larger number of patient was demonstrated as much as temperature was high.

Velocity of the wind and the number of total patients per game around 10,000 spectators

Significantly larger number of patient was demonstrated as much as velocity was low.

2. Relationship between the number of spectators and patients
There were no relationships between the number of spectators and patients, also between the number of patients and accommodation rate of each stadium.

3. Comparison occurrence place of patients among each stadium

The average number of patients per game around 10,000 spectators at each stadium
The Percentage of patients within the stadium of the total per game around 10,000 spectators at each stadium

→Most of the sick and wounded people occurred "within the stadium" as the characteristics of the access to the stadium "within walking ten minutes" (Sapporo, Yokohama, Osaka and Kobe) and "which was access due to the shuttle bus service completely" (Miyagi). The forty percent and more of the sick and wounded people appeared "around the stadium" in the other side, "the stadium which takes more than 10 minutes on foot and where an access means is not only a shuttle bus on more than walking 10 minutes" (Ibaraki, Niigata and Saitama).

4. Relationships between number of patients and temperature/humidity/velocity/number of spectators by the disease/occurrence place

4.1. Relationship between the occurrence frequency of the heat stroke, dehydration and temperature

Heat Stroke and Temperature

The number of heat stroke cases didn't recognize correlation as the velocity of the wind though there was it as much as temperature was high.

4.2. The relationship between patients in the circumference of the stadium and the stadium access
The stadium where all one within a walking 10-minute or access was a shuttle bus had significantly fewer patients in the circumference of the stadium compared with rest stadiums.
(Easy access Vs Not = 2.0±2.3 Vs 9.0±4.9 pts/game/10,000 spectators、p=0.0001)

4.3 The relationship between traumatized patients in the circumference of the stadium and the stadium access
The stadium where all one within a walking 10-minute or access was a shuttle bus had significantly fewer patients in the circumference of the stadium compared with rest stadiums.
(Easy access Vs Not = 0.4±0.6 Vs 4.8人±2.7 pts/game/10,000 spectators、p<0.0001)

5. Comparison between 2002 Japan data and 1998 France

Comparison the occurrence place of patients: 2002 in Japan Vs 1998 in France

There was higher rate of the patient occurrences "within the stadium" at games in 2002/Japan than that of France.

Deputy Director, Guidance of Medical Service Division,
Health Policy Bureau, Ministry of Health, Labour and Welfare
Phone:81-3-3595-2194

1.	Relationships between the number of patients and temperature / relative humidity / average velocity of the wind The weather condition Temperature (average): 24.7℃ Relative humidity (average): 61.4% Velocity of the wind (average): 2.4m/sec Significantly larger number of patient was demonstrated as much as temperature was high. Significantly larger number of patient was demonstrated as much as velocity was low.
2.	Relationship between the number of spectators and patients There were no relationships between the number of spectators and patients, also between the number of patients and accommodation rate of each stadium.
3.	Comparison occurrence place of patients among each stadium →Most of the sick and wounded people occurred "within the stadium" as the characteristics of the access to the stadium "within walking ten minutes" (Sapporo, Yokohama, Osaka and Kobe) and "which was access due to the shuttle bus service completely" (Miyagi). The forty percent and more of the sick and wounded people appeared "around the stadium" in the other side, "the stadium which takes more than 10 minutes on foot and where an access means is not only a shuttle bus on more than walking 10 minutes" (Ibaraki, Niigata and Saitama).
4.	Relationships between number of patients and temperature/humidity/velocity/number of spectators by the disease/occurrence place