AP
A patient in a wheelchair is helped by attendants as they evacuate from a tsunami-affected hospital at Otsuchi, northeastern Japan, on Sunday March 13, 2011, two days after a powerful earthquake and tsunami hit the the country's northeastern coast.
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updated 3/14/2011 9:39:15 AM ET 2011-03-14T13:39:15

Within the dark and fetid wards of the Senen General Hospital, some 120 patients lie in their beds or slumped in wheelchairs, moaning incoherently.

"There is no food!" cries an old man in a blue gown, to no one in particular.

Last week's powerful earthquake and tsunami heaped untold new misery on those already suffering — thousands of elderly, infirm and sick people in hospitals that were laid to waste by the violent shaking and the walls of water that followed. There are no figures yet on how many hospitals were ravaged, but few could have escaped unscathed given the scale of the destruction.

Sam Taylor, the spokesman for Doctors Without Borders, an international group that has sent a team to Japan, said there were longer-term concerns about the elderly, many of whom are fragile and may be living on little food and water without their lifesaving medicines.

"They have some medicines for the immediate future, but in the coming weeks that's when it really could become an issue," he said.

Disaster at a glance

Senen General Hospital in Takajo town, near Miyagi prefecture's capital of Sendai, had about 200 patients when the earthquake hit, tossing its medical equipment around and collapsing part of the ceiling in one wing.

All of its food and medicine was stored on the first floor. Everything was ruined or lost in the 30 minutes when Takajo, a small town of about 12,000, was flooded by the tsunami.

"We're only administering the bare necessities," said administrator Ryoichi Hashiguchi.

Vote: Have you talked to your kids about the disaster in Japan?

So far four patients have died, all older than 90 and severely sick even before the calamity. Another 80 that could be moved were sent to a nearby shelter.

There is no power or running water, and for the first two days the staff and patients shared some frozen noodles and vegetables they salvaged from a toppled freezer.

Story: Japan nuclear health risks low, won't blow abroad

The nurses have been cutting open soiled intravenous packs and scrubbing down muddy packs of pills with alcohol to cleanse them. A gut-wrenching stench from the bathroom, after several days of waterless use by hundreds of people, was clear from half a building away.

No aid came from the government the first two days, but some rice balls were handed out on Monday. A relative of a worker donated a flooded generator, which two men were trying to get working outside. The local gas company set up a set of burners outside to warm food and water.

From the outside the hospital looks abandoned, with thick mud layered across the parking lot, and a jumble of cars piled up by the tsunami.

"I'm sorry, we have no medicine," the staff repeatedly told a constant flow of people from the town, many of them elderly.

Hashiguchi said he has been in contact with city officials, and told them that the conditions of many patients is worsening.

"I don't think this is going to be resolved any time soon," he said.

Video: Residents unaware of disaster’s magnitude in Japan

With even hospitals deprived of aid, it is no surprise that ordinary survivors are living a hand-to-mouth existence.

Osamu Hayasaka, 61, said the government hasn't provided anything to people who didn't move into the refugee centers. He strapped two cardboard boxes of DyDo drinks on his red bicycle with a bungee cord to take home to his family of six, including his sick mother, and neighbors.

"There are a lot of older people near where I live, so I'll give them some of this," he said.

Hayasaka said the local supermarkets are running out of goods. He lined up 2 1/2 hours Sunday and was allowed to buy just a few items, including a grapefruit and an orange.

In a community center crammed full with hundreds of people, there is slightly more to eat.

"Today I had some cake and an orange," said Yuto Hariyu, 15, whose middle school was destroyed the day before his graduation ceremony.

"I'm hungry, but what I want most is furniture, like a bed, and a TV," said Yuto's classmate, Shio Fujimura.

At a government-run center for the elderly on the outskirts of the city, the food allotment yesterday was two rice balls, one in the morning and one at night, says Takahashi Sata, 43, who works at the center.

"Yesterday I had two rice crackers and a bottle of water," he said. "Today there is nothing for anyone."

Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Photos: After Japan's earthquake and tsunami - week 8

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  1. A radiation measuring instrument is seen next to some residents in Kawauchimura, a village within the 12- to 18-mile zone around the Fukushima Daiichi nuclear plant, on April 28. Most residents of Kawauchimura have evacuated in order to avoid the radiation, but some remain in the area of their own accord. (Koichi Kamoshida / EPA) Back to slideshow navigation
  2. A brazier heats the house of Masahiro Kazami, located within a 12-mile radius of the Fukushima Daiichi nuclear plant, April 28. (Koichi Kamoshida / EPA) Back to slideshow navigation
  3. Volunteers help clean a cemetery at Jionin temple in Ishinomaki, Miyagi prefecture, northeastern Japan, on April 29. Many volunteers poured into the disaster-hit region at the beginning of the annual Golden Week holiday. (Hiro Komae / AP) Back to slideshow navigation
  4. Japanese government adviser Toshiso Kosako is overcome with emotion during a news conference on April 29 in Tokyo announcing his resignation. The expert on radiation exposure said he could not stay on the job and allow the government to set what he called improper radiation limits for elementary schools in areas near the tsunami-damaged Fukushima nuclear plant. (AP) Back to slideshow navigation
  5. Fuel rods are seen inside the spent fuel pool of the Fukushima Daiichi nuclear plant reactor 4 on April 30. (Reuters) Back to slideshow navigation
  6. A volunteer girl from Tokyo works to clean the debris of a house in Higashimatsushima, northern Japan, on April 30. (AP) Back to slideshow navigation
  7. Farmer Tsugio Sato tends to his Japanese pear trees in Fukushima city, May 1. He said he expects to harvest the pears in October. Farmers and businesses face so-called "fuhyo higai," or damages stemming from the battered reputation of the Fukushima brand. (Hiro Komae / AP) Back to slideshow navigation
  8. Members of Japan Ground Self-Defense Force in protective gear receive radiation screening in Minamisoma in Fukushima prefecture, after searching for bodies at an area devastated by the March 11 earthquake and tsunami. (Reuters) Back to slideshow navigation
  9. Ruriko Sakuma, daughter of dairy farmer Shinji Sakuma, rubs a cow at their farm in the village of Katsurao in Fukushima prefecture on May 3. Thousands of farm animals died of hunger in the weeks following the quake. (Yoshikazu Tsuno / AFP - Getty Images) Back to slideshow navigation
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Video: Separating radiation fears from reality

Explainer: The 10 deadliest earthquakes in recorded history

  • A look at the worst earthquakes in recorded history, in loss of human life. (The March 11, 2011, earthquake and tsumani that affected eastern Japan is not included because the fatalities caused, about 15,000, are fewer than those resulting from the temblors listed below.) Sources: United States Geological Survey, Encyclopedia Britannica

  • 1: Shensi, China, Jan. 23, 1556

    Magnitude about 8, about 830,000 deaths.

    This earthquake occurred in the Shaanxi province (formerly Shensi), China, about 50 miles east-northeast of Xi'an, the capital of Shaanxi. More than 830,000 people are estimated to have been killed. Damage extended as far away as about 270 miles northeast of the epicenter, with reports as far as Liuyang in Hunan, more than 500 miles away. Geological effects reported with this earthquake included ground fissures, uplift, subsidence, liquefaction and landslides. Most towns in the damage area reported city walls collapsed, most to all houses collapsed and many of the towns reported ground fissures with water gushing out.

  • 2: Tangshan, China, July 27, 1976

    Chinese Earthquake
    Keystone  /  Getty Images
    1976: Workers start rebuilding work following earthquake damage in the Chinese city of Tangshan, 100 miles east of Pekin, with a wrecked train carriage behind them. (Photo by Keystone/Getty Images)
    Magnitude 7.5. Official casualty figure is 255,000 deaths. Estimated death toll as high as 655,000.

    Damage extended as far as Beijing. This is probably the greatest death toll from an earthquake in the last four centuries, and the second greatest in recorded history.

  • 3: Aleppo, Syria, Aug. 9, 1138

    Magnitude not known, about 230,000 deaths.

    Contemporary accounts said the walls of Syria’s second-largest city crumbled and rocks cascaded into the streets. Aleppo’s citadel collapsed, killing hundreds of residents. Although Aleppo was the largest community affected by the earthquake, it likely did not suffer the worst of the damage. European Crusaders had constructed a citadel at nearby Harim, which was leveled by the quake. A Muslim fort at Al-Atarib was destroyed as well, and several smaller towns and manned forts were reduced to rubble. The quake was said to have been felt as far away as Damascus, about 220 miles to the south. The Aleppo earthquake was the first of several occurring between 1138 and 1139 that devastated areas in northern Syria and western Turkey.

  • 4: Sumatra, Indonesia, Dec. 26, 2004

    Aerial images show the extent of the devastation in Meulaboh
    Getty Images  /  Getty Images
    MEULABOH, INDONESIA - DECEMBER 29: In this handout photo taken from a print via the Indonesian Air Force, the scene of devastation in Meulaboh, the town closest to the Sunday's earthquake epicentre, is pictured from the air on December 29, 2004, Meulaboh, Aceh Province, Sumatra, Indonesia. The western coastal town in Aceh Province, only 60 kilometres north-east of the epicentre, has been the hardest hit by sunday's underwater earthquake in the Indian Ocean. Officials expected to find at least 10,000 killed which would amount to a quarter of Meulaboh's population. Three-quarters of Sumatra's western coast was destroyed and some towns were totally wiped out after the tsunamis that followed the earthquake. (Photo by Indonesian Air Force via Getty Images)

    Magnitude 9.1, 227,898 deaths.

    This was the third largest earthquake in the world since 1900 and the largest since the 1964 Prince William Sound, Alaska temblor. In total, 227,898 people were killed or were missing and presumed dead and about 1.7 million people were displaced by the earthquake and subsequent tsunami in 14 countries in South Asia and East Africa. (In January 2005, the death toll was 286,000. In April 2005, Indonesia reduced its estimate for the number missing by over 50,000.)

  • 5: Haiti, Jan 12, 2010

    Haitians walk through collapsed building
    Jean-philippe Ksiazek  /  AFP/Getty Images
    Haitians walk through collapsed buildings near the iron market in Port-au-Prince on January 31, 2010. Quake-hit Haiti will need at least a decade of painstaking reconstruction, aid chiefs and donor nations warned, as homeless, scarred survivors struggled today to rebuild their lives. AFP PHOTO / JEAN-PHILIPPE KSIAZEK (Photo credit should read JEAN-PHILIPPE KSIAZEK/AFP/Getty Images)

    Magnitude 7.0. According to official estimates, 222,570 people killed.

    According to official estimates, 300,000 were also injured, 1.3 million displaced, 97,294 houses destroyed and 188,383 damaged in the Port-au-Prince area and in much of southern Haiti. This includes at least 4 people killed by a local tsunami in the Petit Paradis area near Leogane. Tsunami waves were also reported at Jacmel, Les Cayes, Petit Goave, Leogane, Luly and Anse a Galets.

  • 6: Damghan, Iran, Dec. 22, 856

    Magnitude not known, about 200,000 deaths.

    This earthquake struck a 200-mile stretch of northeast Iran, with the epicenter directly below the city of Demghan, which was at that point the capital city. Most of the city was destroyed as well as the neighboring areas. Approximately 200,000 people were killed.

  • 7: Haiyuan, Ningxia , China, Dec. 16, 1920

    7.8 magnitude, about 200,000 deaths.

    This earthquake brought total destruction to the Lijunbu-Haiyuan-Ganyanchi area. Over 73,000 people were killed in Haiyuan County. A landslide buried the village of Sujiahe in Xiji County. More than 30,000 people were killed in Guyuan County. Nearly all the houses collapsed in the cities of Longde and Huining. About 125 miles of surface faulting was seen from Lijunbu through Ganyanchi to Jingtai. There were large numbers of landslides and ground cracks throughout the epicentral area. Some rivers were dammed, others changed course.

  • 8: Ardabil, Iran, March. 23, 893

    Magnitude not known, about 150,000 deaths

    The memories of the massive Damghan earthquake (see above) had barely faded when only 37 years later, Iran was again hit by a huge earthquake. This time it cost 150,000 lives and destroyed the largest city in the northwestern section of the country. The area was again hit by a fatal earthquake in 1997.

  • 9: Kanto, Japan, Sept. 1, 1923

    Kanto Damage
    Hulton Archive  /  Getty Images
    1923: High-angle view of earthquake and fire damage on Hongokucho Street and the Kanda District, taken from the Yamaguchi Bank building after the Kanto earthquake, Tokyo, Japan. (Photo by Hulton Archive/Getty Images)
    7.9 magnitude, 142,800 deaths.

    This earthquake brought extreme destruction in the Tokyo-Yokohama area, both from the temblor and subsequent firestorms, which burned about 381,000 of the more than 694,000 houses that were partially or completely destroyed. Although often known as the Great Tokyo Earthquake (or the Great Tokyo Fire), the damage was most severe in Yokohama. Nearly 6 feet of permanent uplift was observed on the north shore of Sagami Bay and horizontal displacements of as much as 15 feet were measured on the Boso Peninsula.

  • 10: Ashgabat, Turkmenistan, Oct. 5, 1948

    7.3 magnitude, 110,000 deaths.

    This quake brought extreme damage in Ashgabat (Ashkhabad) and nearby villages, where almost all the brick buildings collapsed, concrete structures were heavily damaged and freight trains were derailed. Damage and casualties also occurred in the Darreh Gaz area in neighboring Iran. Surface rupture was observed both northwest and southeast of Ashgabat. Many sources list the casualty total at 10,000, but a news release from the newly independent government on Dec. 9, 1988, advised that the correct death toll was 110,000. (Turkmenistan had been part of the Soviet Union, which tended to downplay the death tolls from man-made and natural disasters.)

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