state of emergency of Japan with new crown cases to mere dozens decrease eventually. It will ignore there despite much of the standard text book. No restrictions have been placed on the movements of residents and businesses from restaurants to hairdressers remained open. There are high-tech applications, popular movements were tracked employed. The country does not have a Center for Disease Control. And even as nations have been warned, “Test, test, test,” Japan has only 0.2% of the tested population – one of the lowest rates among developed countries. However, the flattened curve has been developed with significantly lower deaths compared to 1000, the fewest by far among the group of seven nations. In Tokyo, its dense center, cases have been dropped into the single digits almost every day. While the possibility of a stronger second wave of infection is always present, Japan has entered and is determined the need to leave in a matter of weeks, with the state already canceled for most of the country and Tokyo and Monday the remaining four other regions to leave. analyzed how Japan has defied the odds and content virus, while the book of other countries successful in part a national conversation. It ‘was agreed on only one thing: there was no silver bullet, is not a factor that made the difference. “Just trying digits to the death, you may say, Japan has been successful,” said Mikihito Tanaka, professor at Waseda University, specializing in science communication and member of a public advisory group of experts on the virus. “But even the experts do not know why.” A common list gathering 43 possible reasons cited in media reports that the bear of a culture of masks and famous bass obesity rate of the decision relatively soon to nearby schools. Among the imaginative proposals include a Japanese spokesman credit less potentially virus infected droplets emitted when speaking than other languages. Contact tracing of experts Bloomberg News also interviewed a number of factors suggested that contributed to the result, and no one could show to a unique package of policies that can be repeated in other countries. However, these measures are still long-term lessons for countries in the Middle of the pandemic last year in May for years. Earlier basis in response to the increase in infections is crucial. While the central government has been criticized for his steps slow political experts praise the role of Japan Contact tracers swung in fact, after the first infection found in January. The rapid response was activated by a built-in advantages of Japan – to public health centers that used in 2018, more than half of the 50,000 public health nurses who have experience in infection persecution. In normal times, these nurses would detect frequent infections such as influenza and tuberculosis. “It ‘s very similar – not an app-based system like Singapore,” said Kazuto Suzuki, a professor of public policy at the University of Hokkaido, who wrote on the response of Japan. “But, however, it has proven to be very useful.” While countries like the US and the UK just starting to hire and train contact tracers in an attempt to open their economies, Japan has been monitoring the movement of the disease from the first handful of cases have been found. These local experts focused on the fight against so-called clusters or groups of infection from a single location such as clubs or hospitals, the cases contain before it got out of control. “Many people say that we have a Center for Disease Control in Japan,” said Yoko Tsukamoto, a professor of infection control at the Health Sciences University of Hokkaido, a common complaint on the management of Japan’s contested infections . “But the public health center is a kind of local CDC.” Burning Car The initial response it has also been strengthened by an unlikely event. the fight of Japan with the virus first time to integrate international attention with his much-criticized response to the Diamond Princess cruise ship in February, which led to hundreds of infections. However, the experience of the ship and is credited with Japanese valuable data experts, at the beginning of the crisis, such as the spread of the virus provides, catapulted into the public consciousness. see other countries have the virus as a problem to someone else, Tanaka said. But in Japan, international control of infections on board and the pace at which the virus throughout the ship has the knowledge and the knowledge that the same can be done throughout the country, he said. “For Japan, it was like a burning car with your home on the doorstep.” They are also what is credited simply to avoid the creation to understand the message, the so-called experts “three C’s” of – enclosed spaces, crowded spaces and close contact settings – however it was to keep away from the other political direction entirely.Although deficiencies criticized that allows doctors and medical experts to come to the fore – generally considered best practice in the management of medical emergencies seen. “You could say that Japan has experienced a guided approach, unlike other countries,” said Tanaka. “Social Spacing can work, but does not really help resume normal social life”, Suzuki of Hokkaido University said. “Der, Drei Cs’ist a much more pragmatic and highly effective approach, while a similar effect.” Different varieties infectious disease experts has other factors, Shigeru Omi, the deputy head of the expert group, the Japanese government and a former WHO Western Pacific consultation office boss, Japanese awareness of public health, perhaps as the most important factor contested. The possibility that the spread of the virus strain in Japan may be different, and less dangerous than that of other nations, has also increased. Researchers at the Los Alamos National Laboratory in the US have studied variations crown in a database and a strain of the virus found in all of Europe shared that stands out from the Asian version, according to a paper in early May had put several mutations. Although the study has not evaluated some criticism and was pulled, the results indicate the need to investigate further how the virus changes. The big questions still remain about the true extent of the spread of the pathogen. In April, a hospital in Tokyo carried out tests on a handful of non-Covid patients and found that about 7% of the crown had, shows the risk of losing asymptomatic or mild it can be a source of the outbreak. An antibody test on 500 people in the capital hit the true break-out of almost 20 times greater could have shown how figures. collapses analogue contact tracing when levels of infection are high, and not to do the test reports of people able or even medical treatment for symptoms Covid as social media during the height of the blast peppered. And the fact remains that the reaction of Japan was less than perfect. While the total population much smaller Asian neighbors like Taiwan only seven confirmed deaths were caused by the virus, while Vietnam had none. “You can not say Japan was amazing to say,” said Norio Sugaya, a visiting professor at Keio University School of Medicine in Tokyo and a member of a World Health Organization panel of pandemic influenza council. “If you look at other Asian countries, all had a mortality rate that is / was about a 100 ° of the Western countries.” Purchase, while Japan is the worst health consequences can be avoided time, the loose block, does not have the country protected from the economic impact. The economy, which is already dealing with the effects of the VAT increase in October, officially slipped into recession in the first three months of the year. Economists in the second quarter is the worst ever recorded, and warned the specter of deflation, which follows the industry for decades, new frames. Tourist arrivals fell by 99.9% in April, after the country has closed its borders to put the brakes on a booming industry, which had promised a growth factor for years. As in other countries, bankruptcies have risen sharply. Even with the state of emergency ended, the authorities warned that life will not return to normal. If the number of cases has slowed in early March, it was the public optimism that the worst was over – Spike and the trigger declaration of emergency in the event that once again. is the case where a deadly second wave followed, the risk factor in Japan, which has the oldest population in the world remains high. The country suffered Gilead Sciences Inc. remdesivir approved and strip now use proven Fujifilm Holdings Corp. allowing antiviral Avigan. There are demands for the country to use the time, bought to support its test and learn the way did his neighbors SARS and MERS. Officials must speak of a phase in which people “living with the virus,” started with the recognition that the approach of Japan no chance of wiping out the pathogen has. “We have to assume that the second wave could be much worse than the first wave and prepares it,” said Yoshihito Niki, a professor of infectious diseases at Showa University School of Medicine. “When the next explosion of cases is even worse, your doctor will collapse” system. -With assistance from Gearoid Reidy and Marika Katanuma.
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