No one knew what to do about the children.
Dr. Kozue Shimabukuro did her best to treat these children with the limited medical supplies on hand. The older child appointed himself the team's helper and showed up everyday to make origami toys for the younger children. It wasn't until later that Shimabukuro began to suspect that he kept showing up because his parents never came home after the disaster. Photos provided by Shimabukuro.
"They just kept waiting and waiting and waiting for their moms to come and pick them up," said Shimabukuro, choking back tears as she struggled to tell a room full of listeners about her experience in the disaster zone. She returned from Japan to complete her fellowhip in pediatric critical care at UCLA, and gave her heartbreaking presentation at UCLA's Gonda Research Facility Tuesday, April 26, to give a voice to the tsunami orphans still in need of help.
"We told the children that somebody cares still, somebody remembers them, somebody is going to make sure their future is all right," said Shimabukuro. "Please don't let us be wrong." "We need your help"
On March 11, the day the quake hit, Shimabukuro was on her way to LAX airport, about to begin a tropical vacation on Okinawa, the equatorial Japanese island where she grew up. Her plans included boat tours, bathing suits and cherry blossom festivals, but when she got to the airport, all flights were canceled.
"The tsunami hit Japan," an airline worker explained to her. "Tokyo is in blackout."
Shimabukuro dialed phone numbers again and again, finally getting through to a friend in Japan. "Get on the plane," the friend said. "We need your help."
She arranged an emergency flight and hours later was in the air. Then panic set in. Japan was famously well-prepared for quakes - what could have happened to plunge Tokyo into blackout, she wondered? At her presentation on Tuesday, she looked around the room at the familiar faces of her colleagues. "A couple of you probably got my frantic phone calls saying, 'I'm leaving for Japan soon. I'm freaked out. I don't want to go, but I have to.'"
Where are the children?
Shimabukuro consulting with other doctors in the field.
"Ten to 20 percent of the population were kids ... 10 to 20 percent of the transports should have been pediatric patients," she said. "We asked, 'Where are they?' ... The government's answer was, 'We don't know.'"
Meanwhile, other disaster response teams already in the field had no pediatricians, she said. "They told me, 'We pray that kids don't come to us ... because we won't know what to do,'" she said. "CPR, procedures, drug doses, everything is different with kids." Doctors who did encounter children told her they froze up.
Embarking into chaos
Finally, a week after the disaster, her pediatric team was allowed to set out. With resources stretched thin across the country, they had virtually no support, and drove through snowy, frozen mountain terrain from one evacuation center to another looking for patients. They had to scrounge food supplies and struggled to find passable roads, she said. Worse than the cold and the hunger was what Shimabukuro saw.
"It was hell," she said.
Shimabukuro's team found toys strewn amidst the rubble.
They also found areas where clean-up teams had tagged houses as empty - the owners presumed dead - and had tried to clear away the remnants of lost lives. But over and over, Shimabukuro saw that the workers had intentionally left behind small piles of toys, children's drawings and photographs of happy families, just in case. "This one is a drawing from a kid to a daddy," she said, showing a picture. "They didn't have the heart to throw it away because they were hoping maybe the people in these houses are still alive."
At one school-turned-shelter, dozens of backpacks remained tucked in their cubbyholes. "When we got to this school, we knew we were in trouble. The kids hadn't come back to claim their stuff yet," she said. The team knew all those children were probably dead.
Because the disaster occurred in the middle of the afternoon when parents were at work and children were in school or walking home, families everywhere were separated, Shimabukuro said. When her team finally did find refugee centers with children, the children were inevitably alone. "No one knew whom they belonged to." The team did their best, but makeshift hospitals in the shelters lacked medicine for children. She remembered with obvious distress how she couldn't treat a baby with a fever because there was no liquid Tylenol. She recalled the frustration of having nothing but the distraction of origami to give to a little girl who needed antibiotics because child-size doses were nowhere to be found.
Most of the children showed signs of depression or post-traumatic stress disorder, she said. Even those who were uninjured asked daily whether they were going to die, had trouble sleeping and avoided eye contact. Shimabukuro recalled children who sat alone, saying, "My mom is coming, my mom is coming."
"It's a dying story"
Shimabukuro's team was crushed to find so many children's belongings unclaimed.
"It's a dying story," the reporter had told her. Recalling the conversation, Shimbukuro said in a quavering voice, "If they could only see these kids' eyes when they cry every time an aftershock hits; when innocently they tell me that they are waiting for father to come back from the boat, he has just gone out fishing; if they could see those little boy's eyes saying 'School is starting soon, they promised me,' they would not have said this is a dying story."___________________________________________________________
You can read previous article on Dr. Shimabukuro here, here and here. Dr. Shimabukuro provided the following information and recommended donating to these charities for the biggest impact:
Japanese Society of Emergency Pediatrics Special Committee for the Japan EarthquakeAccount name: The Bank of Tokyo-Mitsubishi UFJ, Ltd. Swift Code: BOTKJPJTAccount Branch and Address:Tsukiji Branch1-10-6 Tsukiji Chuo-kuTokyo, Japan 104-0045Phone: 81-33-541-2151Beneficiary's Account Number: 025-0078003Beneficiary's Name: Special Committee for the East Japan Earthquake, Japanese Society of Pediatrics.
American Academy of Pediatrics: Direct your donation to the Japanese Children's Disaster Relief FundPhilanthropic contributions enable the American Academy of Pediatrics to do more for children and for those who care for them. Through its Friends of Children Fund, the Academy develops resources to support educational activities, research projects, and special programs that advance pediatrics: http://www.aap.org/donate/fcfdonate.htm. To make a designated gift to a specific AAP program or activity, please contact the Department of Development at (888) 700-5378 during business hours of 9-5 Central time or email firstname.lastname@example.org.