Evacuation
In the initial hours of the accident, in response to station blackout and uncertainty regarding the cooling status of units 1 and 2, a 2 km radius evacuation of 1,900 residents was ordered at 20:50. However, due to difficulty coordinating with the national government, a 3 km evacuation order of ~6,000 residents and a 10 km shelter-in-place order for 45,000 residents was established nearly simultaneously at 21:23. The evacuation radius was expanded to 10 km at 5:44, and was then revised to 20 km at 18:25. The size of these evacuation zones was set for arbitrary reasons at the discretion of bureaucrats rather than nuclear experts. Communication between different authorities was scattered and at several times the local governments learned the status of evacuation via the televised news media. Citizens were informed by radio, trucks with megaphones, and door to door visits. Many municipalities independently ordered evacuations ahead of orders from the national government due to loss of communication with authorities; at the time of the 3 km evacuation order, the majority of residents within the zone had already evacuated.
Due to the multiple overlapping evacuation orders, many residents had evacuated to areas which would shortly be designated as evacuation areas. This resulted in many residents having to move multiple times until they reached an area outside of the final 20 km evacuation zone. 20% of residents who were within the initial 2 km radius had to evacuate more than six times.
Additionally, a 30 km shelter in place order was communicated on the 15th, although some municipalities within this zone had already decided to evacuate their residents. This order was followed by a voluntary evacuation recommendation on the 25th, although the majority of residents had evacuated from the 30 km zone by then. The shelter in place order was lifted on April 22, but the evacuation recommendation remained.
Fatalities
Of an estimated 2,220 patients and elderly who resided within hospitals and nursing homes within the 20 km evacuation zone, 51 fatalities are attributed to the evacuation. There was one suspected death due to radiation, as one person died 4 years later of a lung cancer possibly triggered by it. According to one estimation, more than 1700 deaths are to be attributed to evacuation-related stress, the vast majority of whom were over the age of 65.
Communication failures
There were several instances early in the accident response in which data about the accident was not properly handled. The national government only sent data from the SPEEDI network to the Fukushima prefectural government and was later criticized for delaying the communication of data to the U.S. military. Additionally, the U.S. military produced a detailed map using aircraft and provided it to the Ministry of Economy, Trade and Industry (METI) on 18 March and to the Ministry of Education, Culture, Sports, Science and Technology (MEXT) two days later, but no new evacuation plans were made a week after the accident. The data was not forwarded to the Nuclear Safety Commission, but was made public by the United States on the 23rd.
TEPCO officials were instructed not to use the phrase "core meltdown" in order to conceal the meltdown until they officially recognized it two months after the accident.
Japan towns, villages, and cities in and around the Daiichi nuclear plant exclusion zone. The 20 and 30 km (12 and 19 mi) areas had evacuation and shelter in place orders, and additional administrative districts that had an evacuation order are highlighted. However, the above map's factual accuracy is called into question as only the southern portion of Kawamata district had evacuation orders. More accurate maps are available.
The Japanese government did not keep records of key meetings during the crisis. Emails from NISA to the Fukushima prefectural government, including evacuation and health advisories from 12 March 11:54 PM to 16 March 9 AM, went unread and were deleted.
Mental health and evacuation side effects
In January 2015, the number of residents displaced due to the accident was around 119,000, peaking at 164,000 in June 2012. In terms of months of life lost, the loss of life would have been far smaller if all residents had done nothing at all, or were sheltered in place, instead of evacuated.
In the former Soviet Union, many patients with negligible radioactive exposure after the Chernobyl accident displayed extreme anxiety about radiation exposure. They developed many psychosomatic problems, including radiophobia along with an increase in fatalistic alcoholism.
We know from Chernobyl that the psychological consequences are enormous. Life expectancy of the evacuees dropped from 65 to 58 years – not because of cancer, but because of depression, alcoholism, and suicide. Relocation is not easy, the stress is very big. We must not only track those problems, but also treat them. Otherwise people will feel they are just guinea pigs in our research.
A 2012 survey by the Iitate local government obtained responses from approximately 1,743 evacuees within the evacuation zone. The survey showed that many residents are experiencing growing frustration, instability, and an inability to return to their earlier lives. Sixty percent of respondents stated that their health and the health of their families had deteriorated after evacuating, while 39.9% reported feeling more irritated compared to before the accident.
Summarizing all responses to questions related to evacuees' current family status, one-third of all surveyed families live apart from their children, while 50.1% live away from other family members (including elderly parents) with whom they lived before the disaster. The survey also showed that 34.7% of the evacuees have suffered salary cuts of 50% or more since the outbreak of the nuclear disaster. A total of 36.8% reported a lack of sleep, while 17.9% reported smoking or drinking more than before they evacuated.
Stress often manifests in physical ailments, including behavioral changes such as poor dietary choices, lack of exercise, and sleep deprivation. Survivors, including some who lost homes, villages, and family members, were found likely to face mental health and physical challenges. Much of the stress came from lack of information and from relocation.
A 2014 metareview of 48 articles indexed by PubMed, PsycINFO, and EMBASE, highlighted several psychophysical consequences among the residents in Miyagi, Iwate, Ibaraki, Tochigi and Tokyo. The metareview found mass fear among Fukushmia residents which was associated with depressive symptoms, anxiety, sleep disturbance, post-traumatic stress disorder, maternal distress, and distress among the workers. The rates of psychological distress among evacuated people rose fivefold compared to the Japanese average due to the experience of the accident and evacuation. An increase in childhood obesity in the area after the accident has also been attributed to recommendations that children stay indoors instead of going outside to play.
Energy policy
Prior to the accident, over 25% of domestic electricity generation in Japan used nuclear power and Japan had set a fairly ambitious GHG reduction target of 25% below 1990 levels by 2020, which involved increasing the share of nuclear power in electricity generation from 30% to 50%. However, this plan was abandoned and the target was revised to a 5.2% emissions increase by 2020 following the accident, alongside a focus on reducing dependence on nuclear power in favor of improved thermal efficiency in fossil fuel energy use and increasing the share of "renewables". The contribution of nuclear energy dropped to less than one percent following the accident and all nuclear reactors in the country were shut down by 2013. This resulted in an increase in the share of fossil fuel energy use, which had increased to ~94% by 2015 (the highest of any IEA member state, with the remaining ~6% produced by renewables, an increase from 4% in 2010). The required fossil fuel imports in 2011 resulted in a trade deficit for the first time in decades which would continue in the following decade.
In the immediate aftermath, nine prefectures served by TEPCO experienced power rationing. The government asked major companies to reduce power consumption by 15%, and some shifted their work hours to smooth power demand. As of 2013, TEPCO and eight other Japanese power companies were paying approximately 3.6 trillion JPY (37 billion USD) more in combined imported fossil fuel costs compared to 2010 to make up for the missing power.