Tetsu Nakamura
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, also known as Kaka Murad (
Pashto Pashto (,; , ) is an Eastern Iranian language in the Indo-European language family. It is known in historical Persian literature as Afghani (). Spoken as a native language mostly by ethnic Pashtuns, it is one of the two official langua ...
: , transl. "Uncle Nakamura"), (15 September 1946 – 4 December 2019), was a Japanese physician and honorary Afghan citizen who headed Peace Japan Medical Services (PMS), an aid group known as ''Peshawar-kai'' ( ペシャワール会) in
Japanese Japanese may refer to: * Something from or related to Japan, an island country in East Asia * Japanese language, spoken mainly in Japan * Japanese people, the ethnic group that identifies with Japan through ancestry or culture ** Japanese diaspor ...
. Nakamura was devoted to building canal projects, from the
Kunar River The Kūnaṛ River ( ps, د کونړ سيند), also known in its upper reaches as the Mastuj ( ps, مستوج سين), Chitral ( khw, کونڑ سين; ur, دریائے کونڑ), or Kama River ( khw, کامې سين), is about long, located ...
in eastern Afghanistan and was credited with transforming the desert of Gamberi, on the outskirts of
Jalalabad Jalalabad (; Dari/ ps, جلال‌آباد, ) is the fifth-largest city of Afghanistan. It has a population of about 356,274, and serves as the capital of Nangarhar Province in the eastern part of the country, about from the capital Kabul. Jala ...
, into lush forests and productive wheat farmlands. He also constructed two hospitals and two mosques. In October 2019, Afghan president
Ashraf Ghani Mohammad Ashraf Ghani Ahmadzai (born 19 May 1949) is an Afghan politician, academic, and economist who served as the president of Afghanistan from September 2014 until August 2021, when his government was overthrown by the Taliban. Born in ...
granted him honorary Afghan citizenship. On 4 December 2019, as Nakamura was heading to work in his aid vehicle in Jalalabad, Afghanistan, he was assassinated by gunmen along with his bodyguards and driver. On 11 February 2021, sources in Afghanistan and Pakistan claimed that Amir Nawaz (also known as Haji Dubai) was the main suspect in Nakamura's death. Afghan and Pakistani officials claimed that Nawaz was killed in Afghanistan, and that he was a militant commander of the
Tehrik-i-Taliban Pakistan The Pakistani Taliban (), formally called the Tehreek-e-Taliban-e-Pakistan (Urdu/ ps, , lit=Student Movement of Pakistan, TTP), is an umbrella organization of various Islamist armed militant groups operating along the Afghan–Pakistani bo ...
.


Early life and education

Nakamura was born in
Fukuoka is the sixth-largest city in Japan, the second-largest port city after Yokohama, and the capital city of Fukuoka Prefecture, Japan. The city is built along the shores of Hakata Bay, and has been a center of international commerce since anc ...
, a city in
Fukuoka Prefecture is a Prefectures of Japan, prefecture of Japan located on the island of Kyūshū. Fukuoka Prefecture has a population of 5,109,323 (1 June 2019) and has a geographic area of 4,986 Square kilometre, km2 (1,925 sq mi). Fukuoka Prefecture borders S ...
on the northern shore of the Japanese island Kyushu. He spent his early childhood in Wakamatsu (in today's Kitakyushu), where both of his parents were born and raised. Japanese novelist Ashihei Hino (火野葦平, ''Hino Ashihei'') was Nakamura's uncle and worked for the Tamai Group (玉井組, ''Tamai Gumi''), a stevedoring firm owned by Nakamura's maternal grandfather in Wakamatsu. Hino's novel ''Flowers and Dragons'' (花と龍, ''Hana to Ryuu'') was adapted into film while Nakamura was in elementary school. Having previously worked as a subcontractor for the Tamai Group, Nakamura's father launched his own business salvaging sunken ships after
World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposing ...
. Following the collapse of his father's business, Nakamura's family moved to Koga City, Fukuoka Prefecturewhen he was age 6; he remained there through the rest of his formal education. In his youth, he studied at Koga Nishi Elementary School, Seinan Gakuin Junior High School, and Fukuoka Prefectural Fukuoka High School. Nakamura was baptized by a Christian missionary at the Kasumigaoka Baptist Church while attending junior high school. He graduated from
Kyushu University , abbreviated to , is a Japanese national university located in Fukuoka, on the island of Kyushu. It was the 4th Imperial University in Japan, ranked as 4th in 2020 Times Higher Education Japan University Rankings, one of the top 10 Design ...
School of Medicine in 1973.


Career

Nakamura's first experience in the
Afghanistan Afghanistan, officially the Islamic Emirate of Afghanistan,; prs, امارت اسلامی افغانستان is a landlocked country located at the crossroads of Central Asia and South Asia. Referred to as the Heart of Asia, it is bordere ...
/
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's fifth-most populous country, with a population of almost 243 million people, and has the world's second-lar ...
border region was in 1978, when he served as a medic for a Fukuoka Climbing Association mountaineering team during an expedition to climb
Tirich Mir Tirich Mir (also spelled Terich Mir, Terichmir and Turch Mir) is the highest mountain of the Hindu Kush range, and the highest mountain in the world outside of the Himalayas– Karakoram range, at above sea level. It is located in the Chitral ...
in western Pakistan. He was drawn there to pursue his love of mountain climbing and his hobby of collecting insects. At the request of Pakistan's Ministry of Tourism, Nakamura provided medical care to residents near the remote mountaineering base, which was located in the vicinity of
Peshawar Peshawar (; ps, پېښور ; hnd, ; ; ur, ) is the sixth most populous city in Pakistan, with a population of over 2.3 million. It is situated in the north-west of the country, close to the International border with Afghanistan. It is ...
, Pakistan. Nakamura treated many patients suffering from
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, i ...
and
leprosy Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve damag ...
, which he attributed to malnutrition and poverty in the area. With this experience in mind, he returned to Peshawar in 1984 as a volunteer with the Japan Overseas Christian Medical Cooperative Service at the Mission Hospital in
Peshawar Peshawar (; ps, پېښور ; hnd, ; ; ur, ) is the sixth most populous city in Pakistan, with a population of over 2.3 million. It is situated in the north-west of the country, close to the International border with Afghanistan. It is ...
. He again treated patients with
leprosy Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve damag ...
as well as Afghan refugees who were fleeing the
Soviet–Afghan War The Soviet–Afghan War was a protracted armed conflict fought in the Democratic Republic of Afghanistan from 1979 to 1989. It saw extensive fighting between the Soviet Union and the Afghan mujahideen (alongside smaller groups of anti-Sovie ...
. His wife and young children accompanied him and his children attended an American-funded international school. He initially intended to stay in Peshawar for five to six years. Although the clinic was focused on leprosy, Nakamura saw that leprosy-prone areas had high incidence of other infectious diseases such as
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
,
typhoid fever Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
, dengue fever, and tuberculosis. In order to provide treatment for patients suffering from other diseases, he began to offer his own medical services independent of the Mission Hospital. In the mid-1990s, the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
began providing multi drug therapy (MDT) treatment free of cost to leprosy patients in a program originally funded by the
Nippon Foundation of Tokyo, Japan, is a private, non-profit grant-making organization. It was established in 1962 by Ryoichi Sasakawa. The foundation's mission is to direct Japanese motorboat racing revenue into philanthropic activities, it uses this money ...
. While international attention and aid to fight leprosy grew, Nakamura observed the number of Afghan patients with other infectious diseases continuing to increase without similar assistance, prompting him to establish a new hospital and expand his efforts. Beginning in 1991, Nakamura opened three clinics to provide medical service in Nangarhar Province,
Afghanistan Afghanistan, officially the Islamic Emirate of Afghanistan,; prs, امارت اسلامی افغانستان is a landlocked country located at the crossroads of Central Asia and South Asia. Referred to as the Heart of Asia, it is bordere ...
, where he identified malnutrition as a root cause for the health issues in the region. From then onwards, he broadened the scope of his work into agriculture and irrigation, and focused on building canal projects in eastern Afghanistan. Starting from 2000, a drought hit the region. A consequence of this drought was the multiplications of diseases due to malnutrition and lack of water. Nakamura stated about this situation: "One
irrigation canal An acequia () or séquia () is a community-operated watercourse used in Spain and former Spanish colonization of America, Spanish colonies in the Americas for irrigation. Particularly in Spain, the Andes, northern Mexico, and the modern-day A ...
will do more good than 100 doctors." He also said: "A hospital treats patients one by one, but this helps an entire village. I love seeing a village that's been brought back to life." Starting from 2003, Nakamura started building an irrigation canal in the Khewa District (Kuz Kunar) of Nangarhar Province, the Marwarid Canal. The canal gets water from the
Kunar River The Kūnaṛ River ( ps, د کونړ سيند), also known in its upper reaches as the Mastuj ( ps, مستوج سين), Chitral ( khw, کونڑ سين; ur, دریائے کونڑ), or Kama River ( khw, کامې سين), is about long, located ...
, and has a length of 25.5 km. He drew inspiration from the irrigation canals that had been built in his native
Fukuoka is the sixth-largest city in Japan, the second-largest port city after Yokohama, and the capital city of Fukuoka Prefecture, Japan. The city is built along the shores of Hakata Bay, and has been a center of international commerce since anc ...
more than 200 years ago, without the aid of modern equipment. Nakamura built or restored eight additional canals, irrigating 16,000 hectares and supporting the livelihood of 600,000 people in the Gamberi desert on the outskirts of
Jalalabad Jalalabad (; Dari/ ps, جلال‌آباد, ) is the fifth-largest city of Afghanistan. It has a population of about 356,274, and serves as the capital of Nangarhar Province in the eastern part of the country, about from the capital Kabul. Jala ...
in Nangarhar Province. He also built eleven dams on the Kunar River. He declared: "Weapons and tanks don't solve problems. The revival of farming is the cornerstone of Afghanistan's recovery." In Afghanistan, Nakamura risked his life several times. He once narrowly escaped machine-gun fire from a U.S. military helicopter. On another occasion, he rushed to protect levees from a dangerously overflowing river. "I would be happy to die here", he said.


Death

Nakamura was fatally shot in a
targeted killing Targeted killing is a form of murder or assassination carried out by governments outside a judicial procedure or a battlefield. Since the late 20th century, the legal status of targeted killing has become a subject of contention within and bet ...
on 4 December 2019 in
Jalalabad Jalalabad (; Dari/ ps, جلال‌آباد, ) is the fifth-largest city of Afghanistan. It has a population of about 356,274, and serves as the capital of Nangarhar Province in the eastern part of the country, about from the capital Kabul. Jala ...
, Afghanistan. The attackers also killed five others, including his bodyguards and driver. Police said that Nakamura, while sitting in the front passenger seat, was shot with five bullets at close range from above. According to a doctor performing the autopsy, the bullet entered Nakamura's right chest and lodged near the pelvis. Of the seven to eight assailants, three were armed with fully automatic rifles and other firearms. The assailants were wearing traditional Afghan dress but did not cover their faces. According to an eyewitness: "The armed men drove to a restaurant near the site of the attack in two separate cars. When the vehicle carrying Nakamura approached, the attackers ran up and shot at it from both sides, killing Nakamura's bodyguard first." As one of the gunmen yelled at the witness to stay away from the scene, the witness hid at the restaurant. "When the sound of gunshots subsided, I heard voices trying to determine whether Nakamura and the others were all dead, before a few more shots were fired. 'It's finished, let's go', I heard one of the men say before they fled in their cars", the witness added. Nakamura remained conscious after the attack and received treatment at a local hospital in Jalalabad, but bled to death at
Jalalabad Airport , nativename-r = , image = Nangarhar Airport.jpg , caption = View of the airport's control tower in 2008 , IATA = JAA , ICAO = OAJL , pushpin_map = Afghanistan , pushpi ...
as he was being prepared to be airlifted to a hospital at
Bagram Airfield Bagram Airfield-BAF, also known as Bagram Air Base , is located southeast of Charikar in the Parwan Province of Afghanistan. It is under the Afghan Ministry of Defense. Sitting on the site of the ancient Bagram at an elevation of above sea lev ...
, a U.S. military base located north of
Kabul Kabul (; ps, , ; , ) is the capital and largest city of Afghanistan. Located in the eastern half of the country, it is also a municipality, forming part of the Kabul Province; it is administratively divided into 22 municipal districts. Acco ...
. The security camera footage did not capture the actual shooting, but did show the two vehicles used by the assailants. Afghan security officials arrested two men in connection with the license plates of the vehicles identified in the footage.


Funeral procession

On 7 December, a state funeral ceremony was held for Nakamura at
Kabul Kabul (; ps, , ; , ) is the capital and largest city of Afghanistan. Located in the eastern half of the country, it is also a municipality, forming part of the Kabul Province; it is administratively divided into 22 municipal districts. Acco ...
's
Hamid Karzai International Airport , nativename-r = , image = Flightline at Kabul International Airport.jpeg , caption = The flightline at Kabul International Airport in January 2012 , IATA = KBL , ICAO = OAKB , ...
, during which the Afghan President
Ashraf Ghani Mohammad Ashraf Ghani Ahmadzai (born 19 May 1949) is an Afghan politician, academic, and economist who served as the president of Afghanistan from September 2014 until August 2021, when his government was overthrown by the Taliban. Born in ...
joined soldiers to carry the coffin wrapped in the Afghan flag towards an airplane. Nakamura's wife, Naoko, and eldest daughter, Akiko, were present at the ceremony in Kabul. President Ghani said: " akamura'skillers will definitely go to hell. The Afghan National Defense and Security Forces will find out the perpetrators and will hand them over to justice". On 8 December, the airplane carrying Nakamura's body reached
Tokyo Tokyo (; ja, 東京, , ), officially the Tokyo Metropolis ( ja, 東京都, label=none, ), is the capital and List of cities in Japan, largest city of Japan. Formerly known as Edo, its metropolitan area () is the most populous in the world, ...
's Narita International Airport. Nakamura's wife and eldest daughter, as well as the Japanese Senior Vice Foreign Minister Keisuke Suzuki, laid flowers and observed a moment of silence as the body was unloaded from the airplane in Tokyo. On 11 December, a funeral was held for Nakamura in his hometown
Fukuoka is the sixth-largest city in Japan, the second-largest port city after Yokohama, and the capital city of Fukuoka Prefecture, Japan. The city is built along the shores of Hakata Bay, and has been a center of international commerce since anc ...
, attended by 1,300 mourners. The Afghan flag was laid over the coffin of Nakamura. Portraits of the other five Afghans killed with him were also displayed.


Responsibility

Afghan officials and civil society activists blamed the
Taliban The Taliban (; ps, طالبان, ṭālibān, lit=students or 'seekers'), which also refers to itself by its state name, the Islamic Emirate of Afghanistan, is a Deobandi Islamic fundamentalist, militant Islamist, jihadist, and Pasht ...
insurgent group for the attack. One of Nakamura's Japanese colleagues, Kazuya Ito, who was an agricultural specialist working on the construction of
irrigation Irrigation (also referred to as watering) is the practice of applying controlled amounts of water to land to help grow crops, landscape plants, and lawns. Irrigation has been a key aspect of agriculture for over 5,000 years and has been devel ...
channels in the Kuz Kunar District of Afghanistan's Nangarhar Province, had previously been abducted and killed by the Taliban militants in 2008 as he was on his way to an irrigation project's site in the area. The Taliban, however, denied involvement in Nakamura's assassination. The Taliban claimed that they had good relations with organisations that contribute to the reconstruction of Afghanistan. Provincial authorities in Nangarhar had obtained information about a possible attack on Nakamura about a year before the attack. According to the governor of Nangarhar province, Shah Mahmood Miakhel, Nakamura was cautioned by the provincial government about a plan to abduct or kill him six weeks before the attack. A few days before the attack, another warning was issued to him by the province's security authorities. Although Nakamura did not like being accompanied by security guards, the governor convinced him to the dispatch of four security guards in a separate vehicle for his protection.


Reactions

Nakamura's murder sent "shocks of grief" across Afghanistan and Japan, and drew widespread condemnation. In Kabul, Nangarhar,
Khost Khōst ( ps, خوست) is the capital of Khost Province in Afghanistan. It is the largest city in the southeastern part of the country, and also the largest in the region of Loya Paktia. To the south and east of Khost lie Waziristan and Kurram ...
and
Parwan Parwan (Dari: ), also spelled Parvan, is one of the 34 provinces of Afghanistan. It has a population of about 751,000. The province is multi-ethnic and mostly rural society. The province is divided into ten districts. The town of Imam Abu Hanif ...
provinces, as well as in New York and
Delhi Delhi, officially the National Capital Territory (NCT) of Delhi, is a city and a union territory of India containing New Delhi, the capital of India. Straddling the Yamuna river, primarily its western or right bank, Delhi shares borders ...
, candlelight vigils were held for Nakamura. In
Tokyo Tokyo (; ja, 東京, , ), officially the Tokyo Metropolis ( ja, 東京都, label=none, ), is the capital and List of cities in Japan, largest city of Japan. Formerly known as Edo, its metropolitan area () is the most populous in the world, ...
, tributes were paid to Nakamura at music concerts.


Afghan government

The Afghan President,
Ashraf Ghani Mohammad Ashraf Ghani Ahmadzai (born 19 May 1949) is an Afghan politician, academic, and economist who served as the president of Afghanistan from September 2014 until August 2021, when his government was overthrown by the Taliban. Born in ...
, offered his "deepest condolences" to the families of Nakamura and others who were killed in the attack, and called Nakamura's death a big loss to the people of Afghanistan. Ashraf Ghani's spokesman, Sediq Sediqqi, said: "Dr Nakamura dedicated all his life to change the lives of Afghans, working on water management, dams and improving traditional agriculture." The governor of Nangarhar province, Shah Mahmood Miakhel, said: "All the people of Nangarhar were saddened by Dr Nakamura's death and were thankful for the many years he spent helping the people." In January 2021, Afghan Post issued a commemorative postage stamp of 300 AFN featuring the image of Nakamura.


Japanese government

The Japanese Prime Minister,
Shinzō Abe Shinzo Abe ( ; ja, 安倍 晋三, Hepburn: , ; 21 September 1954 – 8 July 2022) was a Japanese politician who served as Prime Minister of Japan and President of the Liberal Democratic Party (LDP) from 2006 to 2007 and again from 2012 to 20 ...
, expressed "shock" over the assassination of Nakamura. He said: " akamurarisked his life in a dangerous environment to do various work, and the people of Afghanistan were very grateful to him." Japanese
Empress Masako is as the consort of Emperor Naruhito, who ascended to the Chrysanthemum Throne in 2019. Masako, who was educated at Harvard and Oxford, had a prior career as a diplomat. Early life and education was born on 9 December 1963 at Toranomon ...
, in a statement released by the Imperial Household Agency, mourned for the death of Nakamura.


Peshawar-kai

Masaru Murakami, Chairman of Nakamura's aid group ''Peshawar-kai'', said he would continue all the work Nakamura had undertaken. "Nakamura told me how unreasonable it was that we don't offer help to poor people living in mountainous areas who die of treatable diseases," he added. Murakami succeeded Nakamura as the representative of ''Peshawar-kai'' in Afghanistan and decided to go to Afghanistan to resume the aid group's projects in the country.


UNAMA

The
United Nations Assistance Mission in Afghanistan The United Nations Assistance Mission in Afghanistan ('UNAMA'') is a UN Special Political Mission tasked with assisting the people of Afghanistan. UNAMA was established on 28 March 2002 by United Nations Security Council Resolution 1401. Revie ...
(UNAMA) tweeted: "UN in Afghanistan condemns and expresses its revulsion at the killing today of respected Japanese aid worker Dr. Tetsu Nakamura in Jalalabad. A senseless act of violence against a man who dedicated much of his life to helping the most vulnerable Afghans."


Awards and decorations

*In 2003, he received the Philippines' Ramon Magsaysay Award—often called Asia's Nobel Prize—for peace and international understanding. *
Fukuoka Prize The is an award established by the city of Fukuoka and the Fukuoka City International Foundation (formerly The Yokatopia Foundation) to honor the outstanding work of individuals or organizations in preserving or creating Asian culture. There are ...
(Grand Prize) in 2013. *
Kikuchi Kan Prize The honors achievement in all aspects of Japanese literary culture. It was named in honor of Kikuchi Kan. The prize is presented annually by the literary magazine '' Bungei Shunjū'' and the Society for the Promotion of Japanese Literature. Hist ...
from the
Society for the Promotion of Japanese Literature The is an organisation, established in 1938, to promote Japanese literature. It organises five literary prizes: *Akutagawa Prize *Kikuchi Kan Prize * Matsumoto Prize *Naoki Prize The Naoki Prize, officially , is a Japanese literary award present ...
in 2013. *In 2016, he was inducted into the Earth Hall of Fame in Kyoto. * Order of the Rising Sun (Gold and Silver Rays) in 2016. * The Afghan national medal in 2018. * On 7 October 2019, he was awarded honorary citizenship of Afghanistan for his long-standing services in the country. *
Padma Shri Padma Shri ( IAST: ''padma śrī''), also spelled Padma Shree, is the fourth-highest civilian award of the Republic of India, after the Bharat Ratna, the Padma Vibhushan and the Padma Bhushan. Instituted on 2 January 1954, the award is conf ...
- 4th highest civilian award of India, was given to him posthumously on 26 January 2020. * In August 2020, researchers from Saga University in Japan named a newly discovered species of
gall midge Cecidomyiidae is a family of flies known as gall midges or gall gnats. As the name implies, the larvae of most gall midges feed within plant tissue, creating abnormal plant growths called galls. Cecidomyiidae are very fragile small insects us ...
insect ''Massalongia nakamuratetsui'' in honor of Nakamura.


Publications

* * * *


References


External links


Peshawar-kai
* ttp://www1a.biglobe.ne.jp/peshawar/site/Annual%20Report%20of%20year%202008.htm Irrigation program {{DEFAULTSORT:Nakamura, Tetsu 1946 births 2019 deaths 2019 murders in Afghanistan 21st-century Japanese physicians Afghanistan–Japan relations Assassinated Japanese people Deaths by firearm in Afghanistan Japanese emigrants to Afghanistan Japanese expatriates in Pakistan Japanese neurologists Japanese people murdered abroad Kyushu University alumni Mass murder in 2019 People from Fukuoka People murdered in Afghanistan Ramon Magsaysay Award winners Recipients of the Order of the Rising Sun, 5th class Recipients of the Padma Shri in social work Terrorism deaths in Afghanistan 21st-century mass murder in Afghanistan