Japan’s pandemic deaths low, but future success uncertain

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Japan’s pandemic deaths low, but future success uncertain
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Japan has kept its deaths from the new coronavirus low despite a series of missteps that beg the question of whether it can prevent future waves of infections. Authorities were criticized for bungling a cruise ship quarantine.

Customers drink a toast through plastic partitions at Kichiri, an "izakaya" restaurant at Shinjuku district in Tokyo Thursday June 4, 2020. At the restaurant, customers pass through a gate to get whole-body disinfectant smoke, follow a mobile map to their tables and order from tablets with sensors allowing touchless operation. Seats are divided with plastic partitions and dishes delivered with plastic covers.

Experts say it’s unclear exactly how Japan has managed to keep outbreaks in check, but the country needs to use the reprieve to beef up testing and healthcare systems to better find, isolate and treat patients to minimize future waves of infections. Patients who were hospitalized benefited from Japanese doctors’ heavy reliance on CAT scans and X-rays to diagnose pneumonia cases. Researchers also suspect possible past exposure to other strains of coronavirus might provide some protection from the illness.Initially, hopes were high that Japan’s system of public health centers, or “hokenjo,” set up decades ago to track down tuberculosis and other infectious diseases, might be a powerful weapon against the pandemic.

The handling of the Diamond Princess cruise ship, on which 712 of the 3,711 people aboard gradually fell ill while being quarantined in the Yokohama port, triggered criticism that Japanese health officials had turned the vessel into a virus incubator. By early June, Japan had tested some 254,000, or only 0.2% of its 126 million people, a fraction of the numbers tested in the U.S., Germany and South Korea.

One priority is to better protect the nearly one-third of Japanese over 65 in this fastest aging nation, said Tatsuhiko Kodama, a Tokyo University Immunologist.

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