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1Japan: Aiding the Aid WorkersJapana: Ampio ireo izay manampy
2This post is part of our special coverage Japan Earthquake 2011.Saritanin'ny tanàna misy ireo traboina nafindra tao Japana
3More than two months have passed since the Tohoku earthquake and tsunami in Japan and while those who weren't affected directly by the disaster have been able to go back to a normal life, around 110,000 people are still living in evacuation centers according to police estimates.
4The lack of privacy, separation from their original community, unemployment and a deep sorrow for the loss of loved ones has been a harrowing experience for many victims who are physically and emotionally exhausted.
5Map of earthquake/tsunami evacuation centers in Japan.Roa volana izay no lasa taorian'ilay horohorontany sy tsunami tao Japana.
6Hiroshi Moriwaki explains [jp] the different types of trauma experienced and encourages care of both children and adults as, although at different levels, the tragic experiences they have undergone have emotionally debilitating after-effects:Afaka manohy ny fiainany ara-dalàna ireo izay tsy tratran'ny horohorontany mivantana, olona eo amin'ny 110 000 no mbola mialokaloka anaty trano lay, araka ny fanombatomban'ny polisy.
7Many things happen before our eyes every day. When something unexpected happens, like an accident or some kind of trouble, we are able to deal with it to an extent.Ny tsy fananana fiainana manokana, ny fisarahana amin'ny fianakaviana sy ny namana mahazatra, ny tsy fisian'ny asa atao, ary ny alahelo lalina noho ny famoizana olona akaiky no zavatra iainan'ireo traboina isan'andro, izay tena reraka ara-batana sy ara-tsaina tanteraka.
8However, we become unable to deal with violent/intrusive stimuli that go beyond ‘self control,' such as natural disasters or crime. They impact us strongly and become emotional wounds, or trauma.Hiroshi Moriwaki nanazava ireo karazana ratram-panahy ary nangataka koa mba hijerena akaiky sy hitsaboana indrindra ny zazakely ary koa ny olon-dehibe, izay samy manana ny sarangany, nisy fiatrainkany ara-tsaina mavesatra tokoa ny fizakan'izy ireo ny zava-misy mampahonena.
9There are two types of ‘trauma' - acute trauma from serious incidents or major disasters, and chronic trauma from things such as abuse or bullying.
10Symptoms can include nightmares, flash backs, headaches, stomach aches, and nausea.Maro ireo zava-miseho hitan'ny masonay isan'andro.
11Children especially may experience flash backs that are exactly as it was felt at the time of receiving the shock.Raha misy zavatra tsy ampoizina tampoka miseho, tahaka ny voina, na olana, afaka ny hiatrika izany isika mandritra ny fotoana maharitraritra.
12During this major earthquake, many victims faced emotions that they would not normally experience in everyday life.Kanefa, tsy afa-mikofoka isika amin'ny retsika mahery vaika na manaitaitra izay tsy zakan'ny fifehezantenantsika, tahaka ny loza voajanahary na heloka bevava.
13As the earthquake happened in front of their eyes, and in midst of fears of the huge disaster approaching them, some may have witnessed their family or friends getting engulfed in the catastrophe.Misy fiantraikany lehibe amintsikaireny ka lasa ratram-po na ratram-panahy. Misy karazany roa ny ratram-panahy: ny ratram-panahy manindrona, noho ny voina mahatsiravina na ny loza lehibe sy ny ratram-panahy raiki-tampisaka, avy amin'ny zavamiseho toy ny fanararaotana sy ny herisetra ara-batana.
14Some may have had to face the sad sight of their loved ones' [bodies] after the disaster.Ny fambara dia miseho amin'ny nofy ratsy, ny tsiaro ny loza, ny aretin'andoha, ny vavony ary ny loiloy ny fambara miseho.
15Even if most adults were able to digest these experiences through past life experiences or various emotions they had felt before, it will most likely leave lifelong emotional scares on young children.
16Support may also become necessary for the volunteers, such as the Self Defense Force, police, and firemen, etc.Ny zazakely indrindra indrindra no voakasiky ny tsiaro ny loza miverimberina, ary mitovy ny dona nahazo azy ireo voalohany mihitsy ny mahazo azy.
17Just from observing these different forms of ‘PTSD' [Post Traumatic Stress Disorder], we can see that it is something only a trained professional can deal with and that long term emotional care is necessary during this recovery period. Long term support from a industry-government-academia collaboration is expected to become necessary.Nandritra ny horohorontany mahery vaika, maro ireo tra-boina no niatrika fientanam-po mbola tsy niainany nandritra ny fiainany andavanandro. koa satria moa natrehin'ny mason'izy ireo ny horohorontany, tao anatin'ny tahotra ny loza goavana nanatona azy ireo, nisy angamba ireo nahita ny fianakaviany na ny namany natelin'ny voina.
18Some patients are moved to an elementary school after the earthquake, Fukushima.Ny hafa kosa nahita maso mivantana ny vata mangatsiakan'ny fianakaviany taorian'ny loza.
19Image by Natsukado, CC BY-NC-ND. Since the event, teams of volunteers and professionals such as doctors, nurses and psychologists have flocked to the affected areas to help.Na dia afaka miaritra ireny zava-nitranga ireny amin'ny alalan'ireo tranga izay efa niainany taloha sy ireo karazana fiotanam-po efa tsapany aza ny olon-dehibe, dia mety hamela ny holatry ny ratram-po mandritra ny fiainana manontolo ho an'ireo ankizy tanora kosa izany.
20Sometimes with direct medical intervention, sometimes by just lending an ear to the refugees' tragic stories or worries.Manjary lasa zava-dehibe tokoa ny fanohanana an'ireo mpilatsaka antsitra-po, toy ny miaramila, ny polisy ary ny mpamonjy voina, sns.
21Because of the very nature of their job and the fact that they're used to working in emergency situations, the aid workers tend to work very long shifts and their dedication is often taken for granted.
22Too often, however, it is forgotten that among those doctors and nurses there are those who are victims themselves and have lost family or friends or houses.Raha mijery ny karazana fikorontanan-tsaina taoriana ratram-po isika dia hitantsika fa olona voaofana manokana ihany no afa-miatrika ireny ary fotoana maharitra mihitsy ny fitsaboana azy.
23It is for this reason that private and government related centers have begun a campaign to educate the aid workers against the dangers of overwork and to warn them to take care of themselves first, in order to be better able to help others.
24Reporting the experiences of a friend, @jishin_care tells of the emotional and physical stress doctors have to deal with.Tena ilaina tokoa ny fanohanana mandritra ny fotoana elaela avy amin'ny fiaraha-miasa eo anivon'ny orinasa, ny governemanta, ary ny oniversite.
25According to the author of the blog called ‘Information on Psychological Care Related to the Earthquake', although doctors and nurses are trained to do their best in emergency situations, it's in such difficult situations as this that they most need the support of other people:
26I also heard some stories from my friend who was one of the doctors dispatched to the disaster area.Nafindra tao amin'ny sekoly ambaratonga ambany ireo marary taorian'ny horohoron-tany Sary Natsukado, CC BY-NC-ND.
27He was working under such harsh conditions and I felt the utmost respect for his true professionalism for holding on during the whole ordeal.Hatramin'ny nisian'ny zava-mitranga, ekipa mpilatsaka an-tsitrapo sy manam-pahaizana, toy ny dokotera, mpitsabo mpanampy, ny mpahay momba ny toe-tsaina, no nirohotra nankany amin'ny faritra voaravan'ny horohorontany hanao asam-pamonjena.
28At the same time, I became acutely aware that support for his emotional and physical fatigue is a very significant issue.Mirotsaka mivantana aminy fanomezana fanafody ny sasany, ny hafa mihaino fotsiny ihany ny tantara mahonena sy ny fahoriana niainan'ireo traboina .
29I especially felt sympathetic when I heard him blaming himself for not being able to provide sufficient aid despite his efforts, because of the lack of resources and manpower.Noho ny asan'izy ireo, izay zatra miasa amin'ny toe-javatra manahirana sy maika toy izao, dia te-hiasa mandritra ny ora maro izy ireo ary hita fa zavatra mahazatra matetika ny fikirizana asehon'izy ireo.
30Aid workers are viewed as ‘strong' in ‘times of emergency', ‘to help the weak'.
31Because of this, it's not difficult to imagine that care and support for them tend to take a backseat.Indrisy fa indraindray dia adino fa amin'ireo dokotera sy mpitsabo mpanampy ireo, dia misy ireo izay traboina sy very havana, namana sy trano ihany koa.
32But to continually deal with various kinds of injuries, death, and grief under unimaginable conditions, and to try to keep one's cool (such as show no tears) in such a situation will inevitably put emotional and physical strain on anyone, even if they were some kind of superman.
33It's only natural. They are doing difficult things in difficult situations, which is why is it important to provide care and support to aid workers, for their emotional and physical health as it will ultimately lead to helping more victims.Izany indrindra no antony nahatonga ny Ivon-toerana tsy miankina na izay vatsian'ny governemanta vola nanantosa ny fanentanana mba hametrahana ny famonjena amin'ny loza ateraky ny havizanana ary mangataka azy ireo mba hitsabo ny tenany manokana aloa, mba ahafahany manampy tsara ny hafa.
34Also, aid workers tend to hold back expressing their pain and anguish because of their belief that ‘we are the ones providing help. We can't be weak'.Milaza ny zava-nianan'ny namana iray, @jishin milaza ny sorisorin-tsaina ara-piontanampo sy ara-batana izay tsy maintsy atrehin'ny dokotera.
35Therefore, it is important that families, friends and organizations around them fully understand the need to support aid workers and provide appropriate support for them. Finally psychologist Satoko says [jp] that the volunteer and professional aid workers should not consider their sense of ‘disaster fatigue' as a weakness:Araka ny hevitry ny mpanoratra iray ao amin'ny bilaogy antsoina hoe Information on Psychological Care Related to the Earthquake' na ” Tsara ho fantatra momba ny fitsaboana ara-tsaina mifandraika amin'ny horohorontany, nisy ny fiofanana nataon'ny dokotera sy ny mpitsabo mpanampy mba hanomezany ny fitsaboana tsara indrindra mandritra ny famonjena voina maika toy izao, amin'izao toe-draharaha sarotra toy izao indrindra no tena ilàna ny fanohanan'olon-kafa.
36There are some victims who are helping out as volunteers. Please take care and don't overwork yourselves.Farany, nilaza ny manam-pahaizana manokana ny toe-tsaina Satoko fa tsy tokony hihevitra ny “faharerahan'izy ireo noho ny voina” ho toy ny “fahosana' ireo mpilatsaka an-tsitrapo sy mpamonjy voina matihanina.
37It's natural to fall ill or get tired.
38It's not because you are weak!
39The Japanese posts were translated by Rino Yamamoto.Nadikan'i Rino Yamamoto ny sombiny amin'ireo bilaogy japoney .