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Table 1　Recent mass disaster and incident in Japan (2000~VX nerve agent cases (1994)the Great Hanshin-Awaji Earthquake (1995) A series of sarin cases (1995)O157 mass food poisoning (1995)Wakayama Curry Incident (1998)The Ikeda Elementary School child murder case (2001)the JR Fukuchiyama train derailment accident (2005)The Chinese frozen dumpling incident (2008)The Akihabara indiscriminate murder case (2008)The Great East Japan Earthquake (2011)Mt Ontake eruption (2014)Kinugawa flood (2015)Kumamoto earthquake (2016)Arson attack on an anime station in Kyoto (2019)COVID-19 pandemic (2020)Table 2　 Patient Cllasfications and the Number of No. of Deaths (%)50 (13.4)128 (5.5)349 (10.3)527 (8.6)emergency care, intensive care, and the field of disaster medicine, medical control in the region.Frozen poisonous dumpling incident made in China I was transferred to Juntendo University Urayasu Hospital in September 2007. Soon after my assign-ment, Urayasu Hospital was in the spotlight due to the emergency hospitalization of the All-Japan soccer coach and the Chinese frozen dumpling inci-dent (1). An outbreak of food poisoning that affected at least ten people in various regions of Japan was traced to exposure to Chinese dumpling contami-nated with the organophosphate insecticide Metha-midophos. We experienced the most serious case, a five years old girl, who suffered coma. She presented with features of cholinergic overactivity and her serum cholinesterase activity was very low. We started intravenous treatment with pralidoxime iodide, atropine sulfate, and midazolam. Her symp-toms improved gradually and she was discharged on day 25 without any sequelae. I and Dr Yuka Sumi got interviewed from a lot of media after her illness recovered (Figure 1). Dr Sumi, a member of us, is now working at the World Health Organization. Emergency medicine is a mirror of society.It is said that emergency medicine is a mirror of society. I myself have experienced many disasters and incidents (Table 1). In Osaka, I provided medical care for the Great Hanshin-Awaji Earthquake (2), the hemolytic uremic syndrome by O157 mass food poisoning, the Ikeda Elementary School child murder cases, and the JR Fukuchiyama train derailment Figure 1　I and Dr Yuka Sumi got interviewed from a lot of media after the patient got well. Dr Sumi who is a member of us, and now she is working at the World Health Organization.accident. A catastrophic earthquake registering 7.2 on the Richter scale hit the southern part of Hyogo Prefecture including the city of Kobe, at 5:46 AM on January 17, 1995. The earthquake, subsequently knows as “Hanshin-Awaji,” caused approximately 5,500 deaths and 41,000 injuries. Most of the dead were crushed or suffocated in collapsed dwellings. The number of partially destroyed dwellings reached approximately 100,000, and the number of those completely collapsed reached 93,000. Seven thousand one hundred dwellings burned down. We demonstrated morbidity and mortality of hospital-ized patients within 14-days after the earthquake. Of the total 6,107 patients admitted to the 95 surveyed hospitals, 2,718 were injury patients, comprising 372 crush syndrome patients and 2,346 patients with other trauma. A total of 3,389 patients presented with illness. The mortality rates were 13.4% (50/372), 5.5% (128/2,346), and 10.3% (349/3,389) in crush syndrome, other trauma, and illness, respec-tively (Table 2). All patients admitted to surveyed hospitals are represented by the graph in Figure 2. Approximately 75% of trauma patients were hospi-talized during the first 3 days. In contrast, the number of patients hospitalized for illness continued to increase during the entire 15-day period.Crush syndromeOther traumaIllnessTotalRelated DeathsNo. of Patients372234633896107325