TOKYO (AP) — Mountains of rubble and twisted metal. Death on an unimaginable scale. Grief. Rage. Relief at having survived.
What's left behind after a natural disaster so powerful that it rends the foundations of a society? What lingers over a decade later, even as the rest of the world moves on?
Similarities between the calamity unfolding this week in Turkey and Syria and the triple disaster that hit northern Japan in 2011 may offer a glimpse of what the region could face in the years ahead. They're linked by the sheer enormity of the collective psychological trauma, of the loss of life and of the material destruction.
The combined toll of Monday's 7.8 magnitude earthquake rose past 20,000 deaths as authorities announced the discovery of new bodies Thursday. That has already eclipsed the more than 18,400 who died in the disaster in Japan.
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That magnitude 9.0 earthquake struck at 2:46 p.m., March 11, 2011. Not long after, cameras along the Japanese coast captured the wall of water that hit the Tohoku region. The quake was one of the biggest on record, and the tsunami it caused washed away cars, homes, office buildings and thousands of people, and caused a meltdown at the Fukushima Daiichi nuclear power plant.
Huge boats were dropped miles away from the ocean in the towering jumbled debris of what had once been cities, cars toppled on their sides like playthings among the ruined streets and obliterated buildings.
Many wondered if the area would ever return to what it was before.
A big lesson from Japan is that a disaster of this size doesn't ever really have a conclusion — a lesson Turkey itself knows well from a 1999 earthquake in the country's northwest that killed some 18,000 people. Despite speeches about rebuilding, the Tohoku quake has left a deep gash in the national consciousness and the landscapes of people's lives.
The death toll
Deaths directly attributable to the quake in Turkey will level off in coming weeks, but it's unlikely to be the end.
Japan, for instance, has recognized thousands of other people who died later from stress-related heart attacks, or because of poor living conditions.
And despite hundreds of billions of dollars spent in Japan on reconstruction, some things won't ever come back — including a sense of place.
Before the quake, Tohoku was filled with small cities and villages, surrounded by farms, the ports filled with fleets of fishing boats. It's one of the wildest, most beautiful coastlines in Japan.
Today, while the wreckage of the quake and tsunami has largely been removed and many roads and buildings rebuilt, there are still large areas of empty space, places where buildings haven't been erected, farms haven't been replanted. Businesses have spent years trying to reconstruct decimated customer bases.
Just as workers once did in Japan, an army of rescuers in Turkey and Syria are digging through obliterated buildings, picking through twisted metal, pulverized concrete and exposed wires for survivors.
What comes next won't be easy
In Japan, there was initially a palpable pride in the country's ability to endure disaster. People stood calmly in long orderly lines for food and water. They posted notices on message boards in destroyed towns with descriptions of loved ones in the hopes that rescue workers would find them.
After what locals called the Great East Japan Earthquake, the dead in Tohoku were left by piles of rubble, neatly wrapped in taped-up blankets, waiting to be taken away by workers still combing through the detritus for anyone left alive.
The long haul of rebuilding has challenged this resolve. The work has been uneven and, at times, painfully slow, hampered by government incompetence, petty squabbling and bureaucratic wrangling. Nearly half a million people were displaced in Japan. Tens of thousands still haven't returned home.
FILE - Mehmet Nasir Duran, 67, sits on a chair as heavy machines remove debris from a building where five of his family members are trapped in Nurdagi, southeastern Turkey, Thursday, Feb. 9, 2023. The 2011 quake, tsunami and nuclear meltdown in northern Japan provides a glimpse of what Turkey and Syria could face in the years ahead. No two events are alike, but the recent disaster resembles Japan's in the sheer enormity of the psychological trauma, of the loss of life and of the material destruction. (AP Photo/Petros Giannakouris, File)
The issue has seeped into politics, especially as the debate continues about how to handle the aftermath of catastrophic meltdowns at the Fukushima Daiichi nuclear plant. Years later, a fear of radiation permeates, and some areas of northern Japan have placed radiation counters in parks and other public areas. Officials and experts are still undecided how to remove the highly radioactive melted fuel debris in the reactor.
There's already been criticism that the Turkish government has failed to enforce modern construction codes for years, even as it allowed a real estate boom in earthquake-prone areas, and that it has been slow to respond to the disaster.
Examining the mental toll
The years since 2011 have seen another failure, one officials in Japan have acknowledged: an inability to help those traumatized by what they experienced.
Some 2,500 people are unaccounted for across Tohoku, and people are still searching for their loved ones' remains. One man got a diving license and has gone on weekly dives for years trying to find evidence of his wife.
People still occasionally unearth victims' photo albums, clothes and other belongings.
Perhaps the most telling connection, however, is the sharp empathy shared by those who have survived a cataclysmic disaster, and the gratitude at seeing strangers help ease their suffering.
A group of about 30 rescue workers from Turkey were in the hard-hit town of Shichigahama for about six months in 2011 for search and rescue operations.
Shichigahama locals have not forgotten. They have now started a donation campaign for Turkey. One man said this week that he wept as he watched the scenes in Turkey, remembering his town's ordeal 12 years ago.
"They bravely walked through the debris to help find victims and return their bodies to their families," Mayor Kaoru Terasawa told reporters of the Turkish aid workers who came to Japan. "We are still so thankful to them, and we want to do something to return the favor and show our gratitude."
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Photos: Scenes from Turkey and Syria as earthquake death toll reaches 20,000
People stand next to the dead bodies of earthquake victims at a hospital in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Francisco Seco)
Rescue teams carry the body of a victim from a destroyed building after a devastating earthquake rocked Syria and Turkey, in the costal town of Jableh, Syria, Thursday, Feb. 9, 2023. The quake that razed thousands of buildings was one of the deadliest worldwide in more than a decade. (AP Photo/Omar Sanadiki)
People walk past collapsed buildings following a devastating earthquake in the town of Jinderis, Aleppo province, Syria, Thursday, Feb. 9, 2023. The quake that razed thousands of buildings was one of the deadliest worldwide in more than a decade. (AP Photo/Ghaith Alsayed)
People walk past collapsed buildings following a devastating earthquake in the town of Jinderis, Aleppo province, Syria, Thursday, Feb. 9, 2023. The quake that razed thousands of buildings was one of the deadliest worldwide in more than a decade. (AP Photo/Ghaith Alsayed)
A woman reacts as rescue workers carry the body of an earthquake victim in Adiyaman, southeastern Turkey, Thursday, Feb. 9, 2023. Thousands who lost their homes in a catastrophic earthquake huddled around campfires and clamored for food and water in the bitter cold, three days after the temblor and series of aftershocks hit Turkey and Syria. (AP Photo/Emrah Gurel)
Jana al-Abdo, 7 years-old, who was pulled from under the rubble after a 50-hour rescue operation caused by an earthquake that hit Syria and Turkey, receives treatment at a hospital run by the Syrian American Medical Society near the Bab al-Hawa border crossing with Turkey in the north of Idlib province, Syria, Wednesday, Feb. 8, 2023, her parents and siblings all died. (AP Photo/Omar Albam)
A body of a person rests on a stretcher as it waits to be collected outside a hospital in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Francisco Seco)
Two men speak as a damaged mosque is seen in the background, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
Soldiers are set up a tent, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
Soldiers and local residents are set up a tent, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
A destroyed building is seen in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
Children walk between tents, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
Soldiers and local residents are set up a tent, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
People pray next to a destroyed building, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
A mosque is seen after an earthquake, in Aslanli, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Kamran Jebreili)
People warm around fire as rescuers search in a destroyed building in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
Rescuers and people search in a destroyed building in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
Rescuers carry a dead body from a destroyed building in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
Bodies, victims of the earthquake, lie on the floor at an indoor stadium, in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
A man speaks on his cellphone among bodies, victims of the earthquake, at an indoor stadium, in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
A man holds a dead body as an excavator removes them from a destroyed building in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
Rescuers and people search as smoke raises from a destroyed building in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
Rescuers and people search in a destroyed building in Kahramanmaras, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Petros Giannakouris)
Rescue workers search for survivor on a collapsed building in the coastal city of Latakia, Syria, Thursday, Feb. 9, 2023. The quake that razed thousands of buildings was one of the deadliest worldwide in more than a decade. (AP Photo/Omar Sanadiki)
People walk past collapsed buildings following a devastating earthquake in the town of Jinderis, Aleppo province, Syria, Thursday, Feb. 9, 2023. The quake that razed thousands of buildings was one of the deadliest worldwide in more than a decade. (AP Photo/Ghaith Alsayed)
Collapsed buildings are seen through the windows of a damaged house following a devastating earthquake in the town of Jinderis, Aleppo province, Syria, Thursday, Feb. 9, 2023. The quake that razed thousands of buildings was one of the deadliest worldwide in more than a decade. . (AP Photo/Ghaith Alsayed)
Police and rescue team members carry in a plastic bag, the body of Durmus Kilinc after they remove him from a destroyed building, in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Francisco Seco)
The son of Turkish Durmus Kilinc, center, reacts after rescue team members removed the dead body of his father from a destroyed building, in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Francisco Seco)
People pray next a bag with the body of Durmus Kilinc after they removed him from a destroyed building, in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Francisco Seco)
A sheet of paper rests on the ground among the debris of a destroyed building, in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/Francisco Seco)
Hatice Korkut, 82, is rescued alive from her destroyed building in Elbistan, southeastern Turkey, Thursday, Feb. 9, 2023. Tens of thousands of people who lost their homes in a catastrophic earthquake huddled around campfires in the bitter cold and clamored for food and water Thursday, three days after the temblor hit Turkey and Syria. (AP Photo/ Francisco Seco)
AP reporter Mari Yamaguchi in Tokyo contributed to this story.
Foster Klug, AP's news director for Japan, the Koreas, Australia and the South Pacific, reported from Tohoku after the 2011 quake, and has covered Japan since 2005.

