It is complex because preexisting community inequities and challenges mingle with disaster impacts and because communities are heterogeneous. One affected community is different to another, and each community itself consists of diverse groups of people with differing needs, strengths and visions.

The communities are culturally diverse. They are all very different communities. The villages, which are primarily made up of fishermen are different to villages composed of farmers. Dr Toshiharu Makishima, Japanese Red Cross Medical Center