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The most powerful earthquake to hit Japan in at least 100 years unleashed walls of water Friday that swept across rice fields, engulfing towns, dragging houses onto highways and tossing cars and boats like toys.
Local media reported at least 50 deaths, with more casualties feared.
And the 8.9-magnitude quake prompted the U.S. National Weather Service to issue a tsunami warning for at least 50 countries and territories.
It also sparked fires in at least 80 locations, Kyodo news reported. Residents there continued to feel aftershocks hours after the quake. More than 30 aftershocks followed, with the strongest measuring 7.1.
The National Weather Service issued warnings for more than 50 countries and territories. The wide-ranging list includes Russia and Indonesia, Central American countries like Guatemala, El Salvador and Costa Rica, and the U.S. state of Hawaii, where warning sirens were sounded in the morning. A tsunami warning was also issued for areas along the United States and Canadian west coasts.
"When such an earthquake impacts a developed country like Japan, our concern also turns to countries like the Philippines and Indonesia, which might not have the same resources," said Rachel Wolff, a spokeswoman for World Vision.
President Barack Obama, while offering his condolences to the people of Japan, said the United States was standing by to help "in this time of great trial."
IMA is reaching out to its extensive network of partners to send IMA Medicine Boxes® and supplies to the affected region.
"IMA World Health is standing ready to assist the humanitarian efforts that are under way. We are prepared to do our part to help the people affected by this catastrophe," said Rick Santos, President and CEO of IMA World Health.