In Ishinomaki, the most severely affected area by the 2011 Tōhoku earthquake and tsunami, the number of hospitalizations for chronic obstructive pulmonary disease (COPD) exacerbations during the subacute phase (from the third to the fifth week) was significantly higher than before the earthquake (
]. The tsunami wrecked several structures in Ishinomaki, and the entire region was buried in a thick layer of mud. Inhalation of dust and fine particles, as well as exposure to chemicals, particulates, and biological elements from debris and tsunami sludge, may have exacerbated respiratory symptoms among COPD patients in the tsunami-affected area [
In order to protect the wood from various degradation factors, such as fungi, pests, and wood-eating insects, it must be treated with various methods usually involving the application of water- or oil-based preservatives that contain mixtures of ingredients, some of which are hazardous. The water-borne wood preservative that is most frequently used is chromated copper arsenate (CCA), which has excellent fungicidal and insecticidal properties and a high potential to extend the useful life of treated wood by 45 years or more [
44]. During the pressure treatment process, CCA is applied to the wood resulting in large copper (Cu), chromium (Cr), and arsenic (As) concentrations.
Due to the massive amount of treated wood in areas devastated by an earthquake, the dispersal of these preservatives could create health hazards for all involved in debris management, including workers, volunteers, as well as affected residents. During processing, risks to humans and the environment arise from (i) As, Cu, and Cr leaching at large concentrations [
45,
46,
47]; (ii) mixing with untreated wood when recycling; and (iii) incineration when the resulting As emissions necessitate the utilization of suitable air pollution control apparatus and when the concentration of As, Cu, and Cr in the ash limits its management options [
48,
49,
50,
51].
3.3. Hazards from Heavy Metals and Other Chemicals
Earthquake debris may have a substantial influence on both surface and groundwater. They may introduce pollutants including heavy metals and other chemicals into nearby bodies of water, such as streams, lakes, rivers, and the sea, with long-term adverse effects on surface water ecosystems. Contaminated water bodies reduce the quality of water, making it harmful to aquatic life and dangerous for irrigation and supplies.
The case of demolition debris from the town of Boumerdes in northern Algeria, five years after the 21 May 2003, Mw = 6.8 earthquake, is a typical example of the effects of earthquake debris on groundwater [
85,
86]. Benmeni and Benrachedi [
87] found that the concentrations of heavy metals (cadmium, chlorine, zinc, and nickel) in samples of the leachate of the landfills and control wells were above acceptable limits, causing two types of pollution: (i) an organic one leading to high chemical oxygen demand (COD) and (ii) a mineral one leading to high concentrations of additional heavy metals in the drainage. Furthermore, the considerable prevalence of coliforms and fecal streptococci can only be explained as a result of contamination caused by drainage penetration through cracks in the porous soil [
87].
3.4. Hazards from Putrescibles
When the earthquake causes extensive damage to elements of the electricity network, there are extensive interruptions in electricity supply to homes and businesses that can compromise the safety of food supplies. The risk is higher in commercial properties including supermarkets, food warehouses, cool stores, and hospitality businesses, where large quantities of perishable products are stored. If proper storage and refrigeration are disrupted, perishable food can spoil quickly, providing an ideal environment for the growth of bacteria, such as Escherichia coli, Salmonella spp., and Campylobacter spp. These bacteria have the potential to cause foodborne diseases, which manifest as nausea, diarrhea, vomiting, and abdominal pain when consumed.
Food may also be exposed to moisture and insufficient ventilation, both of which promote mold growth. Consuming food contaminated with mold or mold-derived compounds (mycotoxins) can cause respiratory issues and, occasionally, mycotoxicosis. In particular, mycotoxicosis can cause both acute and chronic negative health effects in humans via inhalation, ingestion, skin contact, and entry of mycotoxins into the bloodstream and lymphatic system [
88].
3.5. Hazards from Fecal-Contaminated Materials in Debris
When the earthquake causes damage to the sewage network either due to the rupture of wastewater pipes or due to the destruction of treatment facilities, then the waste may contaminate surrounding geological deposits, the surface water bodies, and the groundwater systems. This contamination with fecal matter and pathogens has the potential to transmit waterborne diseases, such as cholera, typhoid fever, and hepatitis A, to workers, volunteers, and residents involved in debris removal and damage repair without using the appropriate personal protective equipment. This hazard prevails in areas affected by extensive liquefaction phenomena. The resulting cracks can affect parts of the sewer network, such as wastewater pipes and cesspits, and lead to extensive soil and water contamination with subsequent impact on public health [
89].
3.6. Hazards from Injuries and Wounds from Earthquake Debris
Another threat to the health of those either living close to or working in the collapse, demolition, and earthquake debris disposal sites during the immediate response and recovery phase is tetanus, an infectious disease brought on by spores of Clostridium tetani coming into contact with open, exposed wounds. This disease is fatal but can be prevented through vaccination. During the evacuation, the debris removal, and subsequent demolitions, there is an increased risk of injuries, such as cuts, punctures, and abrasions to the skin, during the evacuation, the removal of debris, and the subsequent demolitions. Debris management workers, volunteers, and residents are in direct contact with hazardous materials of various origins, e.g., building and infrastructure construction materials, which may contain or be mixed with hydraulic materials, human or animal faces, and rusty objects. Any break in the skin allows C. tetani to penetrate the human body and cause tetanus.