Covid-19: Japan declares second state of emergency as Asia struggles with virus surgeBMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n141 (Published 15 January 2021) Cite this as: BMJ 2021;372:n141
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COVID-19 trends with a focus on the mortality rate: How should Japan respond to the current state of COVID-19? Re: Covid-19: Japan declares second state of emergency as Asia struggles with virus surge
Looi MK described the current situation of the rapid increase in the number of people infected with COVID-19 and the viewpoint of a state of emergency in Japan politely . We add more information and future response of the disease.
In Japan, numerous entities including “the healthcare system”, “government agencies in various areas”, and “private organizations” have implemented COVID-19 measures at the national and regional levels; these measures govern various aspects of life such as health, daily activities, the economy, labor, and school attendance, but Japan is facing a dire situation. We examined the number of COVID-19 deaths in Japan as of December 28, 2020 and calculated the mortality rate [2,3]. In light of COVID-19’s ranking as a cause of death (or lack thereof) in 2018 and 2019 .
At the time of this research, a mortality rate of COVID-19 was 2.6 per 100,000 population. This mortality rate would not rank COVID-19 as one of the 10 leading causes of death in 2018 or 2019. Nevertheless, the waves of people with COVID-19 and deaths are accelerating. Hardships in life and unemployment due to COVID-19 continue to occur. There is a considerable risk of suicide due to the economic downturn caused by COVID-19 .
The following 4 points must be considered as part of the current response to COVID-19.
1. Individuals should continue to take measures to prevent infection, but there are limits to the voluntary continuation of those measures. COVID-19 deaths will not markedly decrease unless effective preventive efforts beyond current efforts are mandated for some time at the national level.
2. The healthcare system in Japan is primed to collapse due to COVID-19. Medical personnel are exhausted. COVID-19 is currently classified as a category 2 infectious disease, and the country is responding accordingly, but in light of current circumstances the healthcare system may collapse, and the country’s response may need to be reconsidered.
3. Detailed trends in the number of people with COVID-19 and deaths in Japan and elsewhere around the world need to be verified, and measures need to be implemented in a coordinated manner in terms of epidemiology, public health, and basic medicine. SARS-CoV-2 variants may appear, so those mutations need to be identified in the short and medium term.
4. Japan needs to stand united as a country and work with other countries while fully studying the efficacy of vaccines based on 3., devising responses to adverse reactions, and establishing effective treatments. COVID-19 must be contained to return to a life without fear.
Kochi University, 2-5-1 Akebono-cho, Kochi-shi, Kochi 780-8520, Japan
Gunma University, Japan
Shimane University, Japan
Hiroshima University, Japan
1. Looi MK. Covid-19: Japan declares second state of emergency as Asia struggles with virus surge. BMJ 372: n141, 2021
2. NHK. https://www3.nhk.or.jp/news/special/coronavirus/data-all/. Accessed 28 Dec 2020
3. Statistics Bureau of Japan. https://www.stat.go.jp/data/jinsui/pdf/202012.pdf. Accessed 27 Dec 2020
4. Ministry of Health, Labour and Welfare. https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/kakutei19/dl/10_h6.pdf. Accessed 27 Dec 2020
5. Inoue K, Hashioka S, Kawano N. Risk of an Increase in Suicide Rates Associated With Economic Downturn due to COVID-19 Pandemic. Asia Pac J Public Health 32: 367, 2020
Competing interests: No competing interests
Mystery and Misery Continue! Re: Covid-19: Japan declares second state of emergency as Asia struggles with virus surge
Second Waves, Third Wave, Variant Strains, Failure of Projected Elixirs, Unexpected Reactions to the Vaccines, Contradictory Statements from Eminent Personalities: Almost a Yearlong Reign of the Pandemic!
We have learnt and understood so little of the Scourge!
Arvind Joshi MBBS MD FCGP FAMS FICP.
Competing interests: No competing interests