Secondary: Radioactive materials and other dangerous substances leaked from power plants, Saltwater from tsunamis flood freshwater ecosystems, Economic decline as businesses are destroyed, High cost of rebuilding and insurance payout, Sources of income lost, Gas pipes rupture, starting fires which can kill, Water supplies are contaminated as pipes burst, spreading disease and causing floods, Tsunamis which lead to damaging flooding, Political unrest from food shortages or water shortages, Borrowing money for international aid, Can be initial chaos and 'lawlessness' e.g. looting