Climatotherapy in the world and the potential of Japanese climate and geographical features to health promotion and disease prevention.

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39th International Congress of ISMH 11-14 May, 214: Kyoto International Conference Center Section 14: Climatotherapy and thalassotherapy 1! Climatotherapy in the world and the potential of Japanese climate and geographical features to health promotion and disease prevention. Hitomi Kanayama, Yukinori Kusaka, Kazuhiro Sato, Tarou Tamura! Department of Environmental Health, Faculty of Medical Sciences, University of Fukui 1

39th World Congress of ISMH X 79th BCPM COI Disclosure Lead Presenter: Hitomi Kanayama Affiliated Organization: University of Fukui There are no COI with regard to this presentation.

Objective and Methods Our objective was to review the related articles and consider the potential of Japanese climate and geographical features to health promotion and disease prevention in the context of health resort medicine. To summarise the studies concerning climatotherapy in the world, PubMed database was searched from 1965 to 213. Additional references were identified from bibliographical searches of included studies. Japanese climate and geographical data were obtained from Japan Meteorological Agency (JMA), Ministry of Land, Infrastructure, Transport and Tourism (MLIT), Forestry Agency, and Japan Institute of Country-ology and Engineering (JICE).

Literatures on Climatotherapy/Climate therapy derived from PubMed database from 1965 to 213: Published literatures by language English German Russian Polish Italian Others 5 37.5 25 12.5 1965-69 197-74 1975-79 198-84 1985-89 199-94 1995-99 2-4 25-9 21-13

Literatures on Climatotherapy/Climate therapy derived from PubMed database from 1965 to 213: Health resorts in the world Baltic Sea coastal zone Kamchatka Peninsula North Sea coast and islands Kyrgyz mountain area Alpine mountain area Adriatic Sea coastal zone Sea of Japan coastal zone Canary Islands Caspian Sea shore Tropical climate Tropical rainforest/monsoon climate Tropical savanna climate Island of Jerba Crimea, Ukraine coastal zone Dry climate Steppe climate Desert climate Safaga Red Sea coast Temperate climate Continental climate f : wet climate w : dry season in winter s : dry season in summer Dead Sea Polar & Alpine climate Tundra climate Ice-cap climate Köppen s classification of climate

Literatures on Climatotherapy/Climate therapy derived from PubMed database from 1965 to 213: Health resorts in the world Health resort Climatic and Geographical features Diseases: evaluated effective Dead Sea Maritime climate Psoriasis, Atopic dermatitis, Rheumatic diseases, Vitiligo, Uveitis, Mycosis fungoides, Hypertension Canary Islands Subtropical Maritime climate Psoriasis, Atopic dermatitis, Cerebral palsy Alpine mountain area Moderate- and highaltitude Mountain climate Bronchial asthma, Atopic eczema, COPD, Circulatory diseases, Osteoporosis, Metabolic syndrome Adriatic Sea shore Mediterranean Maritime climate Bronchial asthma

Literatures on Climatotherapy/Climate therapy derived from PubMed database from 1965 to 213: Health resorts in the world Health resort Climatic and Geographical features Diseases: evaluated effective North Sea Maritime climate Bronchial asthma, Atopic dermatitis Baltic Sea Island of Jerba, Tunisia Maritime climate Mediterranean Maritime climate Bronchial asthma, Psoriasis, Chronic bronchitis, Pulmonary silicosis, Children after rheumatic disease Fibromyalgia Kyrgyz mountain area High-altitude Mountain climate Aplastic anaemia, Idiopathic thrombocytopenic purpura

Literatures on Climatotherapy/Climate therapy derived from PubMed database from 1965 to 213: Health resorts in the world Health resort Climatic and Geographical features Diseases: evaluated effective Black Sea, Crimea, Ukraine coastal zone Maritime climate Chronic dermatoses, Atherosclerosis, Coronary heart disease, Rheumatic heart disease, After lung resection in children Caspian Sea Maritime climate Cerebrovascular disorder Sea of Japan, North shore Maritime climate Children with oncological disease

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Sapporo mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Niigata mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Tokyo mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Osaka mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Fukuoka mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Kagoshima mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: The Climate Normals (1981 21) Data from Japan Meteorological Agency (JMA) Celsius degree Mean Temp. (Celsius) Precipitation (mm) Sunshine (hours) Naha mm, hours 3 5 22.5 4 15 3 7.5 2 1-7.5 Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Japanese Climate and Geographical features: Geographical features Data from Ministry of Land, Infrastructure, Transport and Tourism (MLIT), Forestry Agency, Japan Institute of Country-ology and Engineering (JICE) Land area classified by sea level Sea Level (m) Area (km2) Percentage (%) -5 11,753 3.1 5-1 8,676 2.3 1-5 42,626 11.4 5-1 37,91 9.9 1-25 81,585 21.8 25-5 91,355 24.5 5-1 76,697 2.5 1-23,743 6.4 Forest Area 33.6% 66.4% Moderate-altitude mountain area : 45.% High-altitude mountain area : 6.4% Islands of Japan the mainland solitary islands Hokkaido, Honsyu Shikoku, Kyusyu Okinawa main island inhabited islands uninhabited islands 5 418 6429 total 6852 Total coastline 35,558 km the 6th rank among the world

Japanese Climate and Geographical features: Maximum and minimum mean temperature the middle 1 days of August, 2 and 21 in the Hokuriku area Kanazawa city Height 5.7m Mean Temperature Max. 32. ; Min. 25.1 Fukui city Height 8.8m Mean Temperature Max. 32.5 ; Min. 24. Toyama city Height 8.6m Mean Temperature Max. 31.6 ; Min. 23.8 Tateyama, Murodo Height 245m Mean Temperature Max. 16.9 ; Min. 1.7 3km Hakusan, Murodo Height 245m Mean Temperature Max. 18.7 ; Min. 11.8 Tokyo

Conclusion The number of published literatures on Climatotherapy/Climate therapy had decreased in the 199s. From 2 onwards, literature publication have been increasing again and a language of the greater part of literatures became English. In PubMed search, Health resorts of Maritime climate and Mountain climate which had been studied are centered in Mid-Latitude of the Northern hemisphere. Japanese Climate is rich in variety. There are great differences between the Northern part and the Southern part, and between the Pacific side and the Sea of Japan side. Japanese remarkable Geographical features are rich in Mountain area and Forest area, long coastline, and the closeness of Mountainous region and Coastal zone. There would be a high potential of Japanese Climate and Geographical features as a Health resort of Climatotherapy and Terrain kur.