Table 8.

Lines of thinking for nutrition improvement measures at evacuation shelters (excerpt).

Phases	Approaches to Improving Nutrition
Within 1 month	Ensure water and calorie intake
1–3 months	Ensure intake of minimum requirements and prioritize supplementation of nutrients that are stored in the body in small amounts (calories, protein, vitamin B1, vitamin B2, and vitamin C) Ensure frequency and quantity of meals Consider the use of nutrient-added foods (e.g., fortified rice)
3–6 months	Insufficient nutrient intake is considered in relation to specific characteristics (calcium, vitamin A, and iron) Consider excessive intake of calories and certain nutrients Ensure meals comprise a staple food, a main dish, and side dishes
6 months onwards	Consider primary prevention of lifestyle-related diseases Ensure meals that meet each individual’s health needs, comprising a staple food, a main dish, and side dishes

Note. Japanese Ministry of Health, Labour and Welfare (2011). Lines of Thinking for Nutrition Improvement Measures at Evacuation Shelters.