due to the disaster-related causes, such as worsening condition of the injuries and health after the earthquake. More than four years later, about 230,000 people remained evacuated from the affected areas. The Japanese government has placed the total cost of the disasters at $309 billion. Japan is known as the "earthquake" capital of the world. Although the regularity of earthquakes in Japan has motivated the country to invest in building quake-resistant structures, prepare plans for emergency evacuation, and conduct research on earthquakes, the Great East Japan Earthquake was beyond imagining, beyond preparation. Recovery will take decades.