This article comes from WeChat public account: New Weekly (ID: new-weekly) , author: Yan non

The news of the Tokyo Olympic Games being delayed for one year was finally officially confirmed on March 24. The Olympic Games, originally scheduled for July 24 to August 9, can only meet with you in the summer of 2021.

This is the first postponed Olympic Games in the 124-year history of the modern Olympics. It is undoubtedly a huge blow to the hopeful Japanese government that wants to use it to revive the economy.

However, the Japanese people have been waiting for too long.

Under the epidemic, the Japanese have not forgotten to joke about the stalk of the revised chapter.

Since the emergence of the new crown epidemic in Japan, someone first dug out the 1988 comic “Akira” to predict the suspension of the 2020 Olympics, followed by the embarrassment of being extinguished by strong winds during the torch relay. He announced that he would not participate in the Olympic Games. On the 25th, it was revealed that the staff involved in the collection of the torch confirmed COVID-19 … Now that the turmoil has finally come to an end, the Olympic Games originally scheduled for this summer will be suspended for the time being.

The epidemic has developed from now on, and has evolved from a lone war in China to the “global pandemic” in the mouth of WHO.”.

Johns Hopkins University Center for Systems Science and Engineering (CSSE) Statistics released on the 25th show that the global COVID- 19 Over 400,000 confirmed cases, almost every country has reported infections, and more than 18,000 deaths worldwide.

On March 11, WHO announced that a new coronavirus infection is in pandemic. As of March 17, the spread of infection in Europe was very clear. / WHO situation report

China’s fight against the epidemic paid a huge price for its initial success, and Japan, with its watershed, seems to have taken a completely different path to epidemic prevention. There is no large-scale closure of the city, no compulsory entry isolation, no comprehensive inspection, no masks worn by all staff … Based on the experience of the country, domestic netizens worry about the Japanese across the strait.

As of March 26, 23:42 (Japan time) , the cumulative number of infections in Japan is 1401, and the number of deaths is 47. The number of discharged patients was 359. For a country with a population of 126 million, the numbers don’t look particularly serious.

Other signs also seem to confirm Japan’s epidemic preventioneffect. On March 22, Shanghai officially transferred Japan from the original 24 key countries for epidemic prevention and control to supplement the Philippines. As long as Chinese and foreign personnel who entered Shanghai from 24 countries, they must be quarantined in strict accordance with regulations for 14 days.

However, does Japan ’s epidemic prevention report card look so beautiful?

Ensure medical resources, give priority to advanced age and severe illness, and prepare for a protracted battle

The epidemic in Japan began in Kanagawa Prefecture on January 16, 2010, and the first death occurred in Kanagawa on February 13. On January 27, Japan officially classified COVID-19 pneumonia as a designated infection.

The infectious persons brought by chartered plane evacuation and the Diamond Princess have been “occupied” by prefectures, increasing the panic among Japanese people.

As early as February 1, Japan has banned the entry of tourists with passports issued by Hubei. From March 9, Chinese immigrants were required to be quarantined for 14 days. Visas issued by the consulate in China were temporarily invalid.

On February 26, the government requested that national activities be suspended or downsized. On February 27, the government requested that primary and secondary schools in the country be suspended from March 2 to the end of the spring break. . Soon, Japanese companies have also introduced remote office systems.

Until March 1, the Ministry of Health, Labour and Welfare issued an appeal not to gather in “poorly ventilated, crowded places.”

In China, once the body temperature exceeds 37.3 ° C, it is recommended to test for COVID-19 virus. But Japan’s requirements are obviously much looser.

Official opinion, even if you have a cold and fever above 37.5 ° C, it will continue for 4 days. (including the case of taking antipyretics continuously) Relevant tests are necessary; the elderly or people with basic diseases can see a doctor for 2 days if they have similar symptoms; if there is strong If you have a sense of burnout and difficulty breathing, seek medical attention immediately.

Under such requirements, many people with mild infections are actually denied the opportunity to be tested.

At present, the capacity of PCR detection in Japan has reached the level of 7,500 detections per day, and it is expected to reach 8,000 per day by the end of the month.

However, according to the Ministry of Health of Japan, the average daily test was 1,190 times in the past month, a total of 32,125 times, and only 1/6 of the testing capacity was used. Coupled with the existence of multiple inspections, only 16,484 people were actually tested. Compared with 200,000 times in South Korea and 80,000 times in Italy, there is a big gap.

In this regard, the official of the Ministry of Health, Sawara Sato, (Yayyuki Sahara) explained: “There is no need to test those who are just worried . (It isn’t necessary to carry out tests on these people who are justsimply worried.)

The reason is still concerned that the PCR test is not accurate enough, resulting in overwhelming medical resources.

Shiromoto Sakamoto, manager and nurse of the infection management room at the QI Center of St. Luke’s International Hospital, responded in an interview with Asahi Shimbun. The accuracy of the PCR test is only about 70%. There is no infection but it is positive and infected But it shows a negative situation.

The Japanese medical community believes that in the case of COVID-19 infection, there will be cold symptoms that last for one week. Eight adults can be cured by autoimmunity, and two adults will be exacerbated. But early detection does not prevent the disease from getting worse. Visiting a hospital for nucleic acid testing will actually face a higher risk of infection, further resulting in insufficient hospital beds.

Use CT scan to detect pneumonia. /

In contrast, Japanese doctors trust CT results more. CT can directly observe whether the patient has pneumonia. (including other pneumonia) . After CT detection and PCR detection, the accuracy can be greatly improved. .

Previously, the Self-Defense Forces Central Hospital accepted passengers on the Diamond Princess. The case report of 104 positive patients released on March 24 showed that 80% of the positive infections were asymptomatic or mild when hospitalized, but half of them showed abnormal lung shadows on CT tests.

Medical experts in the Ministry of Defense believe that this is proof of the effectiveness of CT in the initial diagnosis.

Plus Japan is the country with the highest CT possession rate in the world , the number is as high as 107.2 units per million people, and CT instruments can be seen even in private clinics, which is very helpful in epidemics Detection.

Every indication shows that Japan ’s approach to epidemic prevention is largely closer to that of the United Kingdom. The global pandemic of COVID-19 virus and the rise in cases in tropical countries have proved that this is bound to be a protracted war.

Priority treatment of critically ill and elderly patients, reducing mortality, allowing mild patients to heal themselves to obtain immunity against viruses, and to make the best possible efforts to ensure that medical resources are not over-consumed. This is the current basic strategy of this small resource country .

Unconscious Japanese in the epidemic

Perhaps because of the tepid official attitude. Today, there are still many Japanese without a sense of crisis.

I feel this. After taking a 14-day quarantine, the Japanese, who lived in Nanjing for a long time, took a bus temperature test, a table and table for one person, a subway scan code to track the itinerary, and no identity card. His refusal to enter the scenic spot and other experiences truly recorded his psychological changes from anger to understanding.

Recently, this small documentary has been uploaded to the homepage of Yahoo Japan, and has been watched by tens of millions of Japanese. The online lessons reflected in the videos also inspired Japanese people a lot.

《Nanjing Anti-epidemic Diary》

In Japan, most public places of business have not been closed, at most they have shortened business hours. Most people should still go to work and go shopping. Daily life does not seem to be affected much.

Tokyo Shinagawa Station on March 2, 2020. Someone named this picture The Working Dead.

The holding of large-scale events is still discouraged rather than forced to cancel. The cherry blossom viewing season in previous years was overcrowded in Ueno Park, and the number of people has not decreased under the epidemic. The park only posted a notice “No Banquet (picnic) “, and did not restrict the flow of people.

Ohara, an international student in Japan, told New Weekly that there was a decrease in group activities around him, hand sanitizers were installed at the supermarket entrance, and shop clerks also wore masks. But the roommate of Mu Mu, a foreign student, went to a live show a few days ago. In Japanese, Mr. He believes that except for shortages of epidemic prevention and hygiene products such as masks, disinfection water, and toilet paper, and restrictions on purchases, the degree of prevention of those around them does not seem to be too high.

The most shocking is the organizer of the fighting contest K-1. Regardless of the dissuasion of the Governor of Saitama Prefecture, the event with up to 6,500 spectators was held on schedule. You know, watching how many fighting games will shout loudly, it is inevitable that droplets will spread.

At the meeting, Japanese experts announced three key conditions for an outbreak: confined spaces with poor ventilation, crowded people, short-distance dialogue and vocalization. The K-1 venue is likely to take all three of these conditions.

Two days after the game, some audience members who watched the game showed fever symptoms. They were tested by PCR and are waiting for the results. It is conceivable how big the inner shock of other live audiences is.

There is no shortage of malicious communicators in Japan. A man in his 50s in Gamagori, Aichi Prefecture, who was known to be infected, still concealed his illness and ate at a restaurant on March 4. The female employee in his 30s was infected and the restaurant was forced to close for two years. Zhou, and he himself died on the 18th.

In Nagoya, a 60-year-old woman who returned from Hawaii was found to be infected with COVID-19 on February 15th, but went to the gym on the 16th, causing 14 members to become infected, and even involved. Women in their 70s who have met members.

The ripple effects of the epidemic are much more than that. Kindergartens, primary and secondary schools are closed, which has led to a surge in demand for childcare. In addition, staff members left at the end of the year, and the existing staffing was insufficient. The nursery even issued an appeal that “working parents are expected to keep their children at home.”

For security reasons, this recommendation is indeed worth taking. After all, a kindergarten childcare worker was tested positive on March 7, causing the park to have to notify about 100 child caregivers and ask them to conduct health observations of their children twice a day.

But not everything is good without going to school. For single-parent families in financial difficulties, children are not only upset at home, they also consume more food, and the cost of electricity and heating also rises, which will inevitably bring them a greater financial burden.

But then again, even with such laissez-faire and soft control, the outbreak in Japan has not yet reached its outbreak. This is inseparable from its national character.

Today, Japan is described as a “low desire society” and a “sociable society.” Most people have a very low social willingness. Being alone, unwilling to deal with others, habitually silent, and unwilling to cause trouble to others.

Even if there is no official requirement, I will consciously stay at home for a long time, and do not like to chat and socialize when going out. In weekdays, such people are likely to go to the end of “solitary death”, but in the epidemic, they “lost” many opportunities for infection.

Their family relationship is also very distant, so they would rather crowd the nursery and rarely ask their grandparents to bring their grandchildren. Husbands and wives are equally indifferent. Many people sleep and eat separately all year round, so that there is no chance to get infected.

From a health perspective, Japan has always done well.

The streets are spotless and there are no public trash cans, which cuts off the possibility of rubbish piles and promotes the spread of the virus. Some public places are often so clean that they often smell like disinfectant.

The hay fever in Japan every year, and the flu that occurs from time to time, make them a habit of wearing masks all year round. Before the outbreak, many people had a certain amount of mask reserves, which largely isolated the possibility of infection.

Without such nationals, Japan’s policies may not be fruitful.

Even breath can be a reason to wear a mask. The Japanese are really afraid of causing trouble for others. / “Fenxiong Rescue: We Are in Japan”

Japan in the wind and rain, always ready to fight

Japan has always been a country with frequent disasters. Earthquakes, tsunamis, floods, torrential rains, typhoons, volcanic eruptions … almost all natural disasters that can be encountered on Earth have occurred here. To the extent that each of their families is equipped with a life-saving bag, the escape drills are even started from a young age.

This sense of worry will also play a role in the emergence of new disasters.

In 2009, the outbreak of H1N1 influenza virus in North America affected many countries, including Japan. In the outbreak at the time, countries such as the United Kingdom and Sweden usedThe ECMO machine (artificial heart-lung machine) , successfully achieved a survival rate of 90%, but only 30% in Japan.

For this reason, Japan sent dozens of scientists to Sweden after the epidemic, to participate in the training on the use of related equipment.

In addition, a survey released by the Japanese Society of Respiratory Medicine and the Japanese Society of Clinical Engineers in March revealed that more than 1,300 ECMO machines are available in Japan. Compared with the 400 units that China holds, it can be said that the reserves are quite sufficient. And one of the five most well-known ECMO manufacturers in the world is in Japan.

The only question is how to coordinate the allocation of equipment to meet the treatment needs of patients with severe COVID-19 when other patients with severe heart or lung diseases have needs.

A total of 23 patients with COVID-19 severe respiratory failure who received ECMO treatment, of which 12 were cured, no deaths were found. / Japanese Central Medical Association

Testing instruments and drugs for COVID-19 are also being accelerated.

On March 18th, the University of Tokyo Institute of Medicine issued a message stating that namomostat, originally used for the treatment of pancreatitis and kidney disease, is (nafamostat) < / span>, may help inhibit the virus from invading human cell proteins, thereby achieving the effect of treating COVID-19.

On March 19, the rapid detection kit developed by Nagasaki University in Japan, Canon Medical Systems, and the National Institute of Infectious Diseases in Japan can detect the presence of the virus within 10 minutes at the earliest.

Learning lessons from the epidemic is logically a matter that should be and cannot be ignored, but it does notNot so easy.

Before the epidemic, all countries are crossing the river by feeling the stones. Even Japan, which has done its best to control the death toll, faces no fewer challenges than others.

As of March 25, 23:42 (Japan time) , 259 cases were confirmed in Tokyo. Experts from the Ministry of Health, Labour and Welfare Group Infection Response Group estimate that the number of confirmed patients in Tokyo may increase to 530 by April 8.

The Governor of Tokyo, Yuriko Koike, issued a warning on the 23rd that if a large-scale infection occurs, it will have to take measures to close the city. In addition, the government is seeking cooperation with private medical institutions to prepare 4,000 beds to accommodate the growing number of patients with moderate and severe illness.

Toyokawa, Japan, which donated 4,500 masks and protective clothing to the sister city of Wuxi, is now in danger of experiencing an emergency. The mayor of Toyokawa had to discuss with Wuxi, “If the masks are fully stocked, can I send back the donations I have made?” Soon, Wuxi City “reversely donated” 50,000 masks.

Before the disaster, the so-called historical prejudice, discrimination, and hatred are not worth putting on the stage. This is the common destiny of all humanity, and we in it are not qualified to be complacent or even gloating over temporary stability.

At the very least, learning to learn lessons can be called the most basic responsibility of being born.


The WHO warns that the new crown epidemic has accelerated, Hill, 2020-03-24

Infection of 400,000 people in the world breaks through the dead18,000 people—new Koro, 2020-03-25

Japantesting for coronavirus at fraction of capacity, data shows, REUTERS

Positive PCR checkup “Non-infection certificate seeking hospital”, Matsuura Yuko, 2020-03-25

Where is the world of CT, MRI, and PET in Japan? | Comparison of the number of medical devices in various countries in the world, 2018-04-30

The new Koro patients, see “CT inspection”, powerful! Prevalence rate は World I. PCR check after confirmation of pneumonia, 2020-03-23 ​​

8 asymptomatic asymptomatic symptoms, CT examination, half of the abnormal shadows-ク ル ー ズ boat 104 cases, self-defense force, 2020-03-24

Diabetes, Infectious Diseases, Enemy, New Coro, Critical Illness, 2020-03-24

Episodes infected with “3 conditions” Attention: change, closed, dense, close-range, conversation, 2020-03-11

ひ と り family retired from school and forced to “cut food costs …”, Chika Urashima, Takagawa Ogawa, Tomohisa Hosaka, 2020-03-15

Child care worker, new Koro infection, after fever, attendance, Shingo Fujiwara, Koto, Tokyo, 2020-03-07

<新 コ ロ ナ > The childcare crisis of childcare, the cry of the childcare sergeant "Family support, self-divided children", 2020-03-18

Detailed public information on the possibility of infection prevention… new type of infection