These are not necessarily contradictory. Fukushima can quite easily be lacking all of those things because they're stuck on the wrong side of Japan, where more people who don't know how to fix roads or speak Japanese won't help. Similarly, adding more supplies to the piles on the wrong side of the country won't help either.

The point here is that the bottleneck is distribution of things that already exist, not getting them to Japan in the first place.