The disaster in Noto, Japan continues to reveal its hidden repercussions as indirect deaths now exceed the number of direct fatalities, thereby doubling the burden of grief. Although exact causes of each death remain unclear, the indirect fatalities are typically associated with factors such as delayed medical aid, stress-induced illnesses, and the trauma induced by sudden occurrences of natural disasters. The actual event's toll on life, combined with these secondary impacts, illustrates the severity of the disaster in Noto which demands immediate attention.

In Japan, natural disasters such as earthquakes and tsunamis are quite common, and disaster preparedness is a major focus. However, the impact of disasters extends beyond immediate deaths and property damage. Indirect deaths, such as those from stress-related illnesses, are a serious concern. The government, local communities, and non-government organizations collaborate in disaster response and prevention to mitigate such impacts.

The U.S. and EU also pay close attention to both immediate and secondary impacts of disasters. Post-disaster stress disorders and indirect deaths are also serious considerations in planning and carrying out disaster response. Different from Japan, where community bonds are a cornerstone of disaster response, the U.S. and EU have more emphasis on government-led initiatives and insurance support.