**5.4 Measures against infectious diseases inside shelters**

**Figure 13** shows the measures taken at the shelter for COVID-19. Most local governments install disinfectants in various places, and the temperature is measured at the reception desk, regular ventilation is maintained, and social-distances are secured in the evacuation space. There are several new stockpiles needed as a infectious disease countermeasure, but it can be said that many local governments are able to respond to them. In addition, it is said that it is effective to separate the space and flow lines of people who are in good physical condition from those who are in poor physical condition in order to prevent the spread of infection in shelters, but few local governments have taken such measures. It is probable that there was no need to deal with this in the short-term shelter opening like this time because it is not necessary to divide the space and flow line if the person who is in poor physical condition does not come to the shelter.

These measures considered to be helpful not only for COVID-19 but also for other infectious diseases, such as SARS, flu, and norovirus. In the past disasters, there was not much infectious disease control at shelter and nurses or other medical *A Report of the Survey on Shelter Management under COVID-19 in Japanese Local Governments DOI: http://dx.doi.org/10.5772/intechopen.98493*

**Figure 13.** *Measures taken at the shelter for COVID-19.*

staff have been dispatched to a shelter to respond. However, like this COVID-19 response, it is considered that local governments should prepare for other infectious diseases or the next pandemic.
