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RESUMEN Introduccion: Durante el 21o. Congreso Mundial de Epidemiologia, organizado por la Asociacion Internacional de Epidemiologia (IEA) en Saitama-Japon en agosto de 2017, se acepto invitacion de los organizadores para visitar la Planta Nuclear # 1 de Fukushima. Objetivo: Explorar la situacion operacional y de salud publica en el area de la prefectura de Fukushima y su planta nuclear #1, sitio afectado por el terremoto y tsunami de 2011. Metodos: Salida de inspeccion de campo (Inspection Tour) y encuentro con representantes de TEPCO (Tokyo Energy Power Company) en area de control; explicacion didactica de antecedentes y situacion actual zonal, e instrucciones (briefing) para acceso. Visita con explicacion de zonas de atencion de salud y trabajos realizados. Recorrido en autobus especialmente adaptado al perimetro de cada reactor, portando dosimetro individual. Reunion final para resolucion de dudas e inquietudes y lecciones del caso. Resultados: Visita y reuniones ejecutadas; exposicion personal = 0,01 mSv/h. Radiacion por zonas de reactor: central=230 mSv/h; paredes=40 mSv/h; planta=0,26 mSv/h, periferia=0,26 mSv/h. Zona de exclusion=20 km. Politicas de salubridad basadas en limpieza y remocion de fuentes de contaminacion; aislamiento de aguas y bombeo de fuentes subterraneas; prevencion y contencion de escapes. Conclusion: La prevencion lo es todo en asuntos industriales, sean nucleares o no; la colaboracion interpersonal e interagencias es esencial en el manejo a muy largo plazo de desastres similares; debe evitarse incorporar tecnicas o tecnologias industriales desconocidas o foraneas sin antes valorar su costo, alcance y posibles riesgos de salud individual, publica o medio-ambiental.  Palabras clave: Salud Publica, Epidemiologia de desastres, Liberacion de Radiactividad Peligrosa, Proteccion Ambiental, Vigilancia Sanitaria Ambiental.  ABSTRACT Introduction. During the 21st. International Epidemiology Association (IEA) World Congress of Epidemiology at Saitama (Japan), celebrated in August 2017, an invitation from its organizers to visit Fukushima Nuclear Plant # 1 was accepted. Objective: To explore operational and public health situation at the area of the Fukushima Prefecture and its nuclear plant #1, place affected by the 2011 earthquake and tsunami. Methods. Inspection tour and appointment with representatives of TEPCO (Tokyo Energy Power Company) at the control area; explanation on background and actual situation, and briefing before access. Guided visit to areas dedicated to healthcare and workers’ attention, and work done. Tour by specially adapted autobus to the perimeter of each reactor, using individual dosimeter. Final meeting to solve questions and lessons of this case. Results. Visit and meetings were executed; individual exposure = 0,01 mSv. Radioactivity by reactor zones: central (inside) =230 mSv/h; walls =40 mSv/h; plant =0,26 mSv/h, perimeter =0,26 mSv/h. Exclusion zone =20 km. Public Health policies in place based upon cleansing and removal of sources of contamination; water isolation and subterranean sources pumping; prevention and containment of leaks. Conclusion: About industrial issues, prevention is everything, whether they be nuclear or not; interpersonal / interagencies’ cooperation is paramount when dealing with similar disasters at a very long term; unknown or poorly understood industrial techniques or technologies should be avoided before a proper evaluation of their risk/benefit balance, scope and possible health risks to subjects, communities or environment.  Keywords: Public Health, Disaster Epidemiology, Radioactive Hazard Release, Radioactivity Release, Environmental Protection, Environmental Health Surveillance.

Fukushima: lecciones japonesas para la salud pública colombiana