The anticipated Nankai Trough earthquake poses significant risks, particularly in densely populated regions like Mie Prefecture, where massive damage from potential tsunamis is expected. Medical teams, such as Disaster Medical Assistance Teams (DMAT), have limited experience with widespread disasters, leading experts to emphasize the need for thorough preparedness. Dr. Kentaro Taniguchi from Matsusaka Central General Hospital highlighted the inadequacy of disaster readiness, especially following the recent Noto Peninsula earthquake which isolated communities and disrupted essential services.

Dr. Taniguchi's reflections on the Noto Peninsula earthquake revealed the vulnerabilities in infrastructure; roads were cut off, and communities became isolated, complicating rescue and supply efforts. The geographic parallels between the Noto Peninsula and southern Mie, where similar scenarios could occur, underline the potential for widespread isolation following an earthquake. Dr. Taniguchi stresses the need for hospitals to plan for a business continuity strategy extending beyond three days, potentially up to seven, to ensure that they can cope with the influx of casualties from such a disaster.

In addition, concerns are raised regarding the adequacy of facilities for medical support such as heliports for rescue helicopters and accommodations for assistance personnel. Dr. Taniguchi noted that improving basic facilities, like restrooms for relief workers, could significantly reduce stress and encourage better operational effectiveness. His takeaways from the Noto experience underline the importance of proactive planning and resource allocation, as Japan prepares for a disaster that could challenge its medical and logistical frameworks on an unprecedented scale.