There's no reason to under-estimate it - even with absolute worst case estimates based on past experience from Chernobyl etc., nuclear comes favourably out in terms of health effects / deaths per unit of energy.
The biggest harm that Fukushima might do would be to reduce investment in nuclear vs. more harmful power plants like coal (which incidentally releases more radioactive material every few years than every nuclear accident combined), or hydro (dam accidents have killed shocking numbers of people). Even rooftop solar (people fall off roofs, and since each installation on average produces so little, the numbers add up; larger purpose built solar installations are as far as I know far safer)