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The Tohoku Region in northern Japan was devastated by the 2011 Great East Japan Earthquake and Tsunami. Although much of the physical infrastructure has since been restored, annual tourism numbers have yet to restore to pre-disaster levels. In some areas, tourism recovery remains stagnant. The objective of this research is to examine how local decision-­makers utilize media strategies to deal with image-related crises and reverse negative images to combat stereotypes and deliver successful campaign messages. The study has found that each of the prefectures affected by the disasters has since utilized different campaign strategies with some, such as Fukushima, focusing on the future, while others, such as Aomori, utilized a mixture disassociating itself from the troubled area and associating itself with its more prestigious neighbor. Much of these negative images stem from persisting images of region-wide safety fears over natural hazards and radiation concerns. This study suggests that further research needs to be done to identify the different risk perceptions of foreign tourists by country, as some groups such as Koreans are more risk averse leading to a sharp decline in visits, while others such as Taiwanese who are accustomed to natural hazards are leading in visitor numbers and tourism recovery.

Drawing on a case study in Hitachi City, Ibaraki prefecture, this chapter aims to analyze the relationship between community support and the behavior of residents after the Tohoku Pacific Earthquake in the regions affected by the disaster. The chapter will examine residents’ behavior and the community’s roles by way of the following process: (1) We will review Japan’s natural disaster prevention regimes; (2) we will examine the result of a field survey conducted in Hitachi City detailing the city’s natural disaster prevention procedures and the operation of some neighborhood evacuation sites; (3) the behavior of residents following the earthquake is analyzed. In this part, questionnaires were sent to 2000 households, of which 492 (24.6%) were collected and used for this analysis. The earthquake and tsunami destroyed lifelines such as water supply for several days in the city. According to the city, a total of 65 buildings were judged to be in dangerous condition, 251 as requiring care, and 478 were only partially damaged. The most serious damage was found mainly in the city’s coastal areas, where a total of 85 houses were entirely or partly damaged, and 483 houses were flooded above the floorboards by the tsunami. On March 11, a total of 69 evacuation sites opened, and 13,607 residents rushed into them. After the disaster, residents initially tried to go back to their homes. Depending on the damage done, they either stayed there or moved to a relative’s or friend’s house, or to a neighborhood evacuation site. Due to the failure of the lifelines, transportation systems, and the damage caused by the disaster, most residents had to stay within an area more limited than usual, around which they could walk or ride by bicycle. Residents had only the human and physical resources of their neighborhoods. Therefore, the characteristics of their local communities affected how residents behaved during and after the earthquake.

This study aims to highlight the value of economics, social relations and culture in building a healthy community by interpreting qualitative data.

A qualitative descriptive approach was used between June 2016 and May 2017 and interviews were analysed inductively. Twenty residents of a shopping street in Tohoku, a rural town in north-eastern Japan, participated in this survey. This study focused on the residents’ value of economics, social relations and culture in building a healthy community.

People acquired economic benefits in the hope of gaining irreplaceable relationships with customers and residents, including memorable stories and heart-to-heart satisfaction. The narratives reflected not only the ideal aspects of social relations but also realistic and complex aspects, such as feelings of being uncomfortable with strangers, whether they were long-term residents or newcomers. The daily life of the town is a story, which is built based on customs fostered and strengthened through capital bonds.

To build a healthy community, people residing on shopping streets have unique care systems in which multiple glass shop windows make it easier to tell narrative stories, communicate or request assistance, which is very different from knocking on doors in suburban neighbourhoods.

This study aims to develop an extended social attachment model for expatriates, integrating a multiple stakeholder perspective, to understand evacuation decisions during disasters.

Through interviews with 12 Tokyo-based expatriates who experienced the 2011 Tohoku earthquake, tsunami and nuclear disasters, this study collects the lived experiences of a diverse set of expatriates. This data is analyzed abductively to map relevant evacuation factors and to propose a reaction typology.

While the 2011 Tohoku disasters caused regional destruction and fears of nuclear fallout, Tokyo remained largely unscathed. Still, many expatriates based in Tokyo chose to leave the country. Evacuation decisions were shaped by an interplay of threat assessment, location of attachment figures and cross-cultural adjustment. The study also discusses the influence of expatriate types.

Disaster planning is often overlooked or designed primarily with host country nationals in mind. Expatriates often lack the disaster experience and readiness of host country nationals in disaster-prone regions in Asia and beyond, and thus might need special attention when disaster strikes. This study provides advice for how to do so.

By unpacking the under-researched and complex phenomenon of expatriate reactions to disasters, this study contributes to the fields of international human resource and disaster management. Specifically, seven proposition on casual links leading to expatriate evacuation are suggested, paving the way for future research.

This comparative study qualitatively explores how linguistic minority immigrants and refugees experienced the 2010–2011 Canterbury and Tohoku disasters, including their coping mechanisms and their perceived vulnerabilities and resilience. The data used for this qualitative analysis was primarily drawn from 28 in-depth interviews with linguistic minority immigrants and refugees and their supporting organization staff conducted in 2015–2016. Additional material was drawn from two publicly available data sets. Immigrants and refugees are typically thought of as being more vulnerable in disasters. However, findings drawn from this research demonstrate the nonlinearity, complexity, and contextuality of social vulnerabilities in disasters, suggesting that they are not necessarily powerless help-seekers in some cases. Using Bourdieu’s capital theory, this study demonstrates how immigrants and refugees were active social agents in these disasters. Consequently, we need to reconceptualize the social vulnerability approach. Some study participants had experiences of going through wars and everyday disasters, which made them more resilient. This is conceptualized here as earned strength, which can be a significant resource in disasters for the socially vulnerable. This chapter hopes to answer some critical questions regarding the social vulnerability approach: how do we incorporate the structure–agency concept, how do we theoretically deal with the contextuality/nonlinearity of social vulnerability in disasters, and how do we conceptualize a research study that can seek more practical and generalizable findings, instead of event-driven and disaster-specific findings?

Though shopkeepers in small enterprises (SSEs) are pioneers in rethinking retirement, working ages and the lifestyles of an aging society, some pertinent health issues remain unexplored. Using narratives of shopkeepers in small, rural enterprises, the purpose of this paper is to investigate the ways of thinking about health maintenance.

This study employed an ethnographic approach. In total, 20 shopkeepers and residents in a rural shopping street in Tohoku, in northeast Japan, were interviewed between June 2016 and May 2017. These interviews were analysed inductively.

The ways shopkeepers think about health maintenance are expressed through an interaction with their personal history. Shopkeepers and customers used narratives to arrive at novel methods to re-think health maintenance. Through data analysis, the cultural theme of maintaining vitality through long-lasting self-struggle supported by cooperation and familiar membership was identified. This cultural theme was related to three sub-themes: struggle stimulated by flexibility and responsibility; cooperation by devoting personal capital; and compensation through family support.

There is a growing focus on the important role that SSEs play in rural health. The results of this study will enable rural nurses to approach and develop health via communal interaction. In addition, the support of the family through cooperation at home should be enhanced.

There exists the potential for shopkeepers to develop a care strategy for small enterprise-related work. This strategy could enhance active ageing and promote a sustainable healthy life.

This paper aims to consider the current situation of relocation in Japan after the 2011 Great East Japan Earthquake (GEJE) in the context of past examples and post-disaster housing relocation projects in other countries.

Information about international cases of post-disaster housing relocation was gathered though desk and literature review, supplemented by field visits to the sites for direct observation and interviews with people involved in the relocation projects.

To be successful, residential relocation must consider livelihood, especially in regards to location. Involvement of the residents in the planning and decision making process creates housing relocation projects that better meet residents’ needs. Japan faces some unique challenges, yet shares commonalities with other countries, for example, in tsunami-stricken fishing areas. Housing relocation in Tohoku must strive to be accountable to the needs of the residents and the specific contexts of their communities.

There is still a limited amount of literature in English that considers the issues of relocation in recovery after the GEJE in an international context, especially comprehensive comparisons with multiple countries. Although this paper does not deal with each international case in great detail, the comparison provides a good overview of the key issues for residents in post-disaster relocation, and suggests how lessons from international cases could be applied to the challenges that Japan currently faces in relocation planning in the Tohoku region.

This chapter focuses on the experiences and processes of earthquake recovery to discuss the general state of disaster recovery in Japan. In this way, it is expected that the outcome and discussion can provide effective insights for both domestic and international disaster-related efforts. First, the characteristics of natural disasters in Japan are summarized using statistical data. Quantitative and qualitative methods are flexibly used to analyze published data, materials, and semistructured interview data. Published data and materials are collected from various sources. Interview data were gained from diverse interviewees. Then, four case studies of earthquake recovery are introduced and the application of their recovery experiences to future disaster risk reduction is proposed. Finally, conclusions have been drawn from these case studies to show the practical influence of disaster-recovery experiences to regions that are currently experiencing or are likely to experience natural disasters in the future. More specifically, the chapter illustrates what challenges and influences past earthquakes can have on our present preparedness against a Nankai Trough Earthquake, which is predicted to occur in the near future.

Several epidemiological studies have reported an age-related increase in the prevalence of sleep disturbances. This study aims to investigate the relationship between sleep and sarcopenia/frailty in older adults and clarify issues that remain to be addressed in future studies.

PubMed was searched for relevant studies with the following keywords in the title: “sleep” and “sarcopenia” or “sleep” and “frailty.” A total of 15 studies published in English between 1998 and 2018 were reviewed.

Among the four studies that examined the relationship between sarcopenia and sleep, two reported that long or short sleep duration increased the risk of sarcopenia and this association was more pronounced in women than men. Among the seven studies examining the relationship between frailty and sleep, four reported that higher Pittsburgh Sleep Quality Index (PSQI) scores were associated with an increased risk of frailty.

Most previous studies have focused on interventions targeting a single area such as muscle strength or exercise habits, in older adults at risk for frailty. The results suggest that interventions targeting improved sleep may positively impact the maintenance of muscle strength.

The literature review revealed that too much or too little sleep increases the risk of sarcopenia in older adults. Further, sleep deprivation, greater night-time wakefulness and reduced sleep quality increase the risk of frailty. Interestingly, the risk of mortality is increased in individuals with daytime functional disorders such as excessive drowsiness or napping habits.