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Japan Medicine

'Japan Model' Has Beaten Coronavirus, Shinzo Abe Declares (ft.com) 246

Prime minister Shinzo Abe has declared victory for the "Japan model" of fighting coronavirus as he lifted a nationwide state of emergency after seven weeks [Editor's note: the link may be paywalled; alternative source]. From a report: Speaking at a press conference on Monday evening in Tokyo, Mr Abe said that Japan had avoided an explosive increase in cases without the compulsory lockdowns used in Europe or the US. The ending of the state of emergency in the last five prefectures it covered -- Tokyo, Kanagawa, Saitama, Chiba and Hokkaido -- will mean that the world's fourth-largest economy can start to reopen for business. "In a characteristically Japanese way, we have all but brought this epidemic under control in the last month and a half," said Mr Abe. "Surely, it shows the power of the Japan model." Japan's constitution prohibits a compulsory lockdown but, under the state of emergency that began on April 7, the government requested voluntary social distancing and business closures. Under that regime, the number of new Covid-19 cases fell from 600-700 a day in mid-April to about 20-30 a day last week. The country has diagnosed 16,581 cases of coronavirus with 830 deaths -- many fewer than similar-sized populations in Europe or the US.
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'Japan Model' Has Beaten Coronavirus, Shinzo Abe Declares

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  • Caution (Score:5, Insightful)

    by backslashdot ( 95548 ) on Monday May 25, 2020 @01:49PM (#60102910)

    I'd be cautious about declaring victory against a somewhat deadly virus that spreads easily, has embedded itself in places, and for which we still don't have a vaccine. Until we have a proven working vaccine or treatment we have to be careful.

    • Forgot to mention the other thing we may need is dirt-cheap diagnostic panels (we should be including influenza and HSV on them).

    • Re:Caution (Score:5, Insightful)

      by kalieaire ( 586092 ) on Monday May 25, 2020 @01:55PM (#60102940)

      I mean you should be cautious at believing anything coming out of Shinzo Abe's office.

      He spent 22 million USD to shore up Japan's global reputation for their botched handling of the Coronavirus. They're basically doing what other certain large countries are doing, "Confirming the corona virus cannot be done post-mortem if you die at home".

      https://www.lmtonline.com/news... [lmtonline.com]

      https://www.washingtonpost.com... [washingtonpost.com]

      • Re: (Score:2, Informative)

        More people died, more freedom survived. What constitutes botching it up is not a value free question.

        Without outright fraud it will show up in death statistics eventually any way.

        • Re:Caution (Score:4, Insightful)

          by GameboyRMH ( 1153867 ) <gameboyrmh@@@gmail...com> on Monday May 25, 2020 @03:16PM (#60103358) Journal

          Of course "freedom" can be brought back to life after the outbreak is over, people, not so much.

    • Possibly this is a translation problem?

      Japan has had a consistent and sharp drop in active cases for almost four straight weeks. That's the measure you want to watch. The peak number of active cases they've had was on 11443 on April 28th; That was 27 days ago. Today the number of active cases is 2317.

      To put that in perspective, that peak is almost midway between now and the last time they had roughly as many cases as now. Amazingly, they've brought down active cases as quickly as those cases rose to the

    • by gweihir ( 88907 )

      I'd be cautious about declaring victory against a somewhat deadly virus that spreads easily, has embedded itself in places, and for which we still don't have a vaccine. Until we have a proven working vaccine or treatment we have to be careful.

      Indeed. Declaring "victory" will make people less cautious. And exponential growth is a bitch...

  • by ErichTheRed ( 39327 ) on Monday May 25, 2020 @02:30PM (#60103104)

    This whole thing has been crazy in the US. You have groups that say this is intentionally being dragged out for political reasons. You have others who say the Illuminati are behind this and Bill Gates is going to use this opportunity to microchip all citizens during the vaccination and become the world president. You have others in the "don't tread on me" crowd who see wearing a mask and social distancing as infringing on their rights to run your business.

    You have absolutely none of this in Japan. The Japanese model can't work most other places and it certainly can't in the US. Isolated population? Check. Voluntary wearing of masks? Check. Population that generally does what it's asked to without heavy handed enforcement? Check.

    The fallout of COVID in the US is going to be bad. New York and similar cities, the only places with any sort of density in the country, took the financial and public health hit. Everywhere else in the country is going to get off relatively unscathed and determine that it really was an evil plot to unseat Trump. Other US cities are so sprawled out that people have square miles of space to roam around in so no matter what happens no other part of the country is going to experience a public health emergency of any kind. I'm in NY (outside of NYC) and around the March timeframe lots of people were wondering if there would be total chaos if enough people got sick or a bunch of crazies touched off a riot that made the Feds bring the army in or similar. Very different from Omaha, NE or Topeka, KS where a couple of people get sick and there are plenty of resources to isolate them.

    • Just being atypically respectful of the public commons [bbc.com]? Check.

    • by dpilot ( 134227 )

      We'll see about that. You're correct in that the density is lower, but the facilities to handle the sick are scaled down similarly. In the low-density areas the medical system will be much easier to overwhelm.

      Other demographic effects of Covid-19 have only been emerging recently, so it remains to be seen how populations in different regions are affected. The one thing we do know is that it can affect different people differently, and that's not just on a scale of zero-to-dead, there are different symptom

    • by HiThere ( 15173 )

      I don't think your forecast is correct. The virus does spread where people are close together, especially indoors, but the real reason that NYC was hit so hard is because its a travel hub, and lots of different groups came through.

      This doesn't imply that sparser populations will be spared. The barbershop and the bar are great places for COVID to spread, and there are a large percentage of asymptomatic carriers. It means it will get to more rural places more slowly, not that it won't get there.

      OTOH, anoth

      • The real reason NYC was hit so hard is because most of the deaths were among the elderly, and in NYC, they have to rely on public transportation to get necessities. In other parts of the country, the elderly drive themselves to the store, so they're more able to self-isolate.
      • Almost every state in the US is requiring masks now, and we've seen from Czechia (and other places) that wearing masks is enough to limit the spread of COVID.
        • I happen to go to the grocery store today, and I'd say that about 4/5 of the customers and all the staff were wearing masks. For the US, I guess that's not too bad. Even so, I don't understand the 1/5 of people that are still not wearing them. At this point, they're a clear minority, so the social awkwardness should be gone. And everyone has had time to educate themselves and acquire a mask by now.

          The CDC really screwed up when they yelled at the public early on about how "masks don't work". I think w

          • I think there are going to be a LOT of clinical studies about how effective masks really are at helping to reduce the spread of these sorts of pathogens.

            There already are a lot of studies about this just in the last two months. A quick search will find them.

    • Population that generally does what it's asked to without heavy handed enforcement? Check.

      Population that generally does what it's told? Check

    • Actually, Alabama currently has more new infections per capita right now than New York state... The other rural states which are opening up right now without effective countermeasures (like pervasive masks and contact tracing) are likely to follow the same path.

  • by hdyoung ( 5182939 ) on Monday May 25, 2020 @02:33PM (#60103122)
    I want to hear about fatalities, not cases.


    The number of "cases" depends on factors like the number of doctors, the number of hospitals, the number of tests, the overall culture of the people and the culture of the healthcare community. It also depends on what the government wants to report. In a lot of countries, the government decides what they want the statistics to be, and miraculously, that's how they turn out. My county reports only 600 cases. I'd be truly surprised if that number is within a factor of 10 of reality. I wouldn't be too surprised if it was off by a factor of 100 to be honest.


    It's all about the fatality rate. While a government can kinda-sorta fudge a death rate, it's much harder. You can't disguise the number of mass-graves recently dug or the number of crematoriums that are running 24-7. I want to know if there's been a recent spike in respiratory-related deaths per-million-people, and how that number compares to other countries. And I don't want to hear it from the government. The number needs to come from independent groups of scientists/doctors.


    Report an accurate death rate, and then we can talk about whether your strategy is better than ours.
    • by Joe2020 ( 6760092 ) on Monday May 25, 2020 @03:25PM (#60103394)

      Report an accurate death rate, and then we can talk about whether your strategy is better than ours.

      The death rate can be seen here: https://www.worldometers.info/... [worldometers.info]

      Staying positive is important, which is what Japan is demonstrating, but their death rate has a very slow decline. They need to stay vigilant.

      • Re: (Score:2, Insightful)

        by AmiMoJo ( 196126 )

        That's the official number of deaths due to C19. What you really need is the number of excess deaths over the norm for this time of year, because that will include people who were not diagnosed with C19 but had it, people who died due to the lockdown and the like.

        • Re: (Score:2, Troll)

          by AmiMoJo ( 196126 )

          Interesting that this was modded troll. Anti-lockdown trolls with mod points? Something else?

  • by AndyKron ( 937105 ) on Monday May 25, 2020 @04:05PM (#60103504)
    That's because Mr. Abe didn't inherit empty cupboards. He's also not the worst president in the history of the United States. Ever.
  • Just don't allow people to get tested and especially don't test deceased people afterwards.
    The grim reaper will come again in Japan

  • Pandemic reactions inevitably vary depending on location. A city much different than a farm. Coincidentally Hokkaido outbreak per capita worse than many others though less dense. Japan residents largely acknowledges tip of the ice berg on stats. Still hospitals are not overwhelmed but the amount of ICU beds limited due to resources needed to manage. There is no silver bullet. Many factors helped avoid high outbreak. Many fear a 2nd wave if guard drops to far. But economy suffering so cautious opening worth
  • Because unless a vaccine is developed, keeping the virus infection in check to this extent just means that 99.99% of your population is still vulnerable should the virus be reintroduced to the country. So to protect your population, you need to keep your borders closed indefinitely. Nobody allowed in without going through a strict 3-week quarantine to make sure they're not carrying the virus, forever (or until a vaccine is developed).

    Avoiding getting sick is a strategy that's best for an individual. I
    • No, it means you can effectively use contact tracing and isolation to keep the virus in check. Effectively, you continue the lockdown for the small minority of people who are infected or were in contact with an infected person, while everyone else can go about their lives more or less normally (wearing masks, and mass events like sports and concerts cancelled, but everything else operating normally)

  • It is not clear that there ever was a competent "Japan model". People being turned away from hospitals or dropping dead in the streets because they were told to stay home only indicate the prevailing status quo from before the pandemic. The spotty reporting by fax and lack of transparent kpi, reporting via fax, refusal to check cause of death on suspected covid related fatalities, cluelessness of the top minister in charge, and political posturing are the way things are always run in Japan. Since there was no legal requirement while most remained closed or only for takeout, a small number of restaurants were open and crowded (though most people thought they were nuts). From next week more or all will be open. I think most people will be suitably skeptical and many companies may keep people home longer, but the pressure to open will increase as it gets warmer. My guess is that there will be an increase in infections due to this opening but that contact tracing and reporting of it may induce people to stay at home and further heighten skepticism, I hope. However this past week in a popular area of Tokyo there have been a lot of people on the street, with a slightly lower incidence of mask wearing. (It had been 99% but yesterday I would say 5% glaringly without masks. It is now a difficult to avoid non-mask wearers if you walk the main streets.) High risk people and intelligent people who stayed away from any open restaurants will I hope continue to do so but due to the opening, the environment will actually become more dangerous for them. The only positive side is immune systems will probably get healthier I expect if people get outside more. Frankly the situation in the U.S.A. is far more dangerous since people are starting to have home get-togethers even though there is a high death rate and half the states are seeing high spikes directly caused by opening due to corruption. I would say that Japan's generally compliant and unassuming public, high mask wearing and not hugging and kissing people when you meet them, and in general not being insane, plus avoiding a high initial viral influx aside from Hokkaido and the cruise ship, are the reasons why Japan seems to have done well. Japan also naturally self-isolates the country and downgrades compassionate responses as a go-to thought process when at risk, which is not so good for foreigners but additionally reduced new influx. The idea of armed protests and anti-vaxxers with a narcisstic president egging them all on is so alien I don't think it is comprehensible to the Japanese. The Japanese petri dish was not continually provided nutrients and agitation, is all. No magical Japan model was required.

  • Japan has done ~3400 tests per million people. That is less than 1/10 of what US has done. There are reports of people with several people clearly having a fever traveling in the crowded subway system. I've read about the hospitals being overwhelmed with patients, like one example from Tokyo where an ambulance had to go through tens of hospitals before finding one that would accept a new patients.

    So I think there is something fishy in the numbers, and it's not sushi. But hopefully they still have managed to

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