According to the Japan Broadcasting Association (NHK), Japanese Prime Minister Shinzo Abe issued a response to the government ’s new coronary pneumonia epidemic countermeasures meeting at 17:15 Beijing time Declaration of emergency in the Japanese capital and other regions. What is the difference between “emergency” and the well-known Chinese anti-epidemic strategy? On March 14th, the Japanese government was busy amending the law. Why was it delayed to this day? This article may answer your doubts. This article is from span> public micro-channel number: FIG expected future (ID: D-Labo) span> , author: Zhao Hui, Xing Mengni, span> Graphic design: Che Lingling span> p>
span> p>
p>
On the evening of April 7, nearly a month before the amendment of the “Special Measures for New Influenza Countermeasures” was passed, Japan finally issued an “Emergency Declaration.” However, this declaration is not equivalent to “closing the city” in our understanding. What does it mean? p>
p>
○ You will see in this article: p>
p>
1. In which regions is the “Emergency Declaration” targeted? How long is it expected? p>
p>
2. What are the special effects of the “Emergency Declaration”? p>
p>
3. Why did Japan post such a “declaration” after so long? p>
p>
4. Under the declaration, Japan still faces the crisis of “collapse of medical system”? p>
p>
Which regions does the “Emergency Declaration” target? How long is it expected? p>
p>
The “Emergency Declaration” does mean that the Japanese epidemic is worse. If no more measures are taken, it may be further expanded or even out of control. p>
p>
Since Japan entered the cherry blossom season, especially since March 25, the number of people infected with Tokyo has continued to grow at a rapid rate. At present, the number of infected persons in Tokyo has exceeded one thousand, followed by Osaka, Kanagawa, Chiba, Aichi, Hyogo, Hokkaido, and Saitama. In addition to the relatively controlled Hokkaido epidemic, the number of infected people in many local governments in Japan has increased significantly. p>
p>
p>
p>
p>
p>
p>
△ On March 22nd, many people still enjoy cherry blossoms in Ueno Park, Japan. On March 27, the Tokyo Metropolitan Government called on the people to “self-sufficiency” and closed some of the Metropolitan Park paths including Ueno Park. Image source | Reuters, photography | Issel Kato p>
p>
The Japanese government expects that the “emergency declaration” will take effect for one month (April 8th to May 6th) span>, covering a total of 7 cities in Tokyo, Chiba, Saitama, Kanagawa, Osaka, Hyogo and Fukuoka Daofu County. p>
p>
Under the “Declaration of Emergency Situations”, governors of all prefectures and counties can implement specific measures according to local conditions. p>
p>
What special impact does the “Urgent Declaration” have? p>
p>
p>
p>
After the Japanese Prime Minister Shinzo Abe issued the “Declaration of Emergency Situations”, the governors of various local governments in Japan (equivalent to the governor of China) span> will Ask the public to reduce “unnecessary” and “not urgent” outings. p>
p>
But this does not mean “closing the city”, and “going out of the city” is not mandatory. People can still go to work and shop. Supermarkets, convenience stores, and drug stores are not closed in principle. There is no downtime. strong> However, the store may limit the number of people entering the store based on the flow of people, or determine whether to shorten the business hours according to the actual situation. p>
p>
Students may face long vacations. Each local government has the right to order or instruct primary and secondary schools, high schools and kindergartens to suspend classes. The government will also require social welfare facilities such as day care facilities for the elderly to be closed, but care facilities for special medical needs will still be operating normally. When the epidemic is serious, the government also has the right to request the nursery to close down. p>
p>
p>
△ At the entrance ceremony of a school in Yokohama, students kept a certain distance and were all wearing masks. Image source | AFP p>
p>
In addition, all commercial cinemas, department stores, museums, hotels, universities, technical schools and other facilities covering more than 1,000 square meters will also be closed by the government. p>
p>
In principle, small-scale restaurants are not within the scope of this regulation, and each owner can adjust the business plan based on the current situation and on the basis of ensuring certain prevention measures. p>
p>
Chain restaurants or family restaurants will continue to operate. But each family will have different prevention and control measures. For example, the family restaurant chain Jonathan’s will increase the number of takeaways; the restaurant chain Salia decided to implement an alcohol restriction strategy, in which each person can buy up to 2 bottles of beer-because after drinking, the volume may increase, which is easy between people Produce close spray contact. p>
p>
p>
For institutions or facilities that do not comply with the requirements, the Governor may issue an “instruction” and publish the name of the institution that received the instruction on the homepage of the government website to help residents understand the latest situation. p>
p>
Public transportation may be a major hidden danger in the spread of infection. However, Japan ’s Ministry of Land, Infrastructure, Transport and Tourism said in March that it should ensure the basic functions of public transportation even in an emergency. According to Articles 20 and 24 of the Special Measures for New Influenza Countermeasures, the Prime Minister and the governors of the prefectures and prefectures can negotiate with the railway and bus companies and other organizations on transportation arrangements during the outbreak. There are currently no road closure plans. p>
p>
In addition, various supplies related to people’s livelihood such as electricity, gas, and communications will continue to be maintained normally. Although logistics companies such as post offices and home delivery services continue to operate, delivery may be delayed and store opening hours may be shortened. Banks will continue to operate, but people will be more encouraged to use ATM. Taxi companies will continue to maintain taxi “attendance”, but may reduce the number of vehicles. p>
p>
In short, within the effective period and scope of this declaration, schools and other places with a higher risk of infection will be required to suspend classes or businesses, companies and supplies related to people ’s livelihood will continue, and large entertainment and shopping venues Will be closed. strong> p>
p>
Under the “Declaration of Emergency Situations”, the most stringent measures are mainly aimed at two points. First, when there are insufficient medical resources, in order to establish temporary medical institutions, the government hasThe right does not require the owner ’s consent to temporarily acquire land and house. The second is that during special periods, the government has the right to buy out medical supplies, food, masks and other sanitary products from specific institutions. In case of violation, the fine is also mainly related to the above two points. strong> p>
p>
Japan has prepared three weeks for issuing the “Declaration of Emergency Situations”. During this period, many people have already stored adequate amounts of food and daily necessities. At the same time, since supermarkets and convenience stores will not be blocked during the declaration’s entry into force, and residents are not required to go out, the supply of food and daily necessities such as supermarkets is relatively normal, and there has been no large-scale panic buying. The supply of toilet paper in some areas has gradually recovered, but purchases are still restricted. However, the supply of masks is still insufficient. p>
p>
△ On April 3rd, Japanese idol group Arashi (嵐) launched a song on YouTube that called people to wash their hands correctly, as of April 7 Today, the video has more than 1.28 million views. p>
p>
Why did Japan post the “manifesto” for so long? p>
p>
Publishing the “Declaration of Urgent Situation” is not unusual in Japanese history. On March 13, 2020, the Japanese government passed the amendments to the “Special Measures for New Influenza Countermeasures”, and new coronary pneumonia was officially added to the applicable list. Afterwards, only issued a “declaration” before it could be followed by law-when the epidemic intensified and could seriously endanger the national economy and people’s safety, Japan’s “emergency declaration” could only be launched according to law. strong> p>
p>
On the other hand, Before March 25th, the number of infected people announced in Japan has not yet reached the state of large-scale cluster outbreak or high-speed growth. strong> After entering the flower viewing season, the number of infections in various regions has increased significantly under the same statistical conditions, indicating that the infection is indeed further expanding. In response, the Abe government set up the “Government Countermeasure Headquarters” on March 26, which is also paving the way for the implementation of the declaration according to law. However, another important reason for the delay in issuing the declaration is due to “economic” considerations. strong> p>
p>
After some cities in Europe implemented the closure of the city, the infection status was not immediately effectively controlled, and the excessive impact on the economy was the main reason why Japanese public opinion questioned the need to implement the closure. strong> p>
p>
Until April 6th, Shinzo Abe finally decided to announce the implementation of the largest “emergency economic countermeasure” ever-the Japanese government decided to allocate 108 trillion yen (Approximately 7.06 trillion yuan) span>, used to provide various kinds of support and subsidies to organizations and individuals affected by the outbreak. The last time the Japanese government implemented a large-scale economic subsidy was in the Lehman crisis in 2009, when it subsidized 56.8 trillion yen. p>
p>
Before that, Abe also stated that he would issue 2 gauze masks to each household. Since then, he has been wearing this mask that does not fit the face shape when attending various public places. He is also the only person wearing all kinds of gauze masks. The distribution strategy of gauze masks has also been widely controversial. Some people believe that a US CDC internal information disclosed by the “Washington Post” may prove that the mask is effective-the information shows that even wearing a gauze mask can also help prevent viral infections. However, some doctors have questioned that these masks have no actual use for prevention and treatment. p>
p>
From the adoption of the amendment to the “Special Measures for New Influenza Measures” to the establishment of the Headquarters, Japan spent 2 weeks, and then it took another 12 days to formally issue the “Declaration of Emergency Situations”. In the past 25 days, there have been various worries about “closing the city”, but people have been psychologically prepared for this. If released too early, it may cause even more panic. p>
p>
However, in the public opinion survey conducted by TBS TV in Japan, 80% of the respondents believe that the government should issue an “emergency declaration.” strong> Also in the public opinion survey conducted by this TV station, Abe ’s cabinet support rate decreased by 5.7% from last month to 43.2%, which is also the lowest Abe cabinet support rate since the survey method was revised in October 2018. This is also the final impetus for the government to officially issue a declaration. p>
p>
On the basis of anticipating that the economic and social impact can be buffered, Shinzo Abe officially issued an “Emergency Declaration” on April 7. p>
p>
Under the declaration, Japan still facesIn a crisis of “collapse of medical system”? p>
p>
p>
p>
At present, the Ministry of Health, Labour and Welfare of Japan judges that the current status of the outbreak in Japan is: no large-scale outbreak has occurred; it is necessary to prevent outbreaks of group infections and reduce the incidence of infections, serious illnesses and deaths. As a result, the government implemented the “Declaration of Emergency Situations” to allow residents to “go out of their own homes” and try to minimize the chance of infections in closed spaces where there are poor ventilation, dense population, easy face-to-face communication between people, and close contact; It is necessary to continue to improve and perfect the medical system centered on critical patients to prevent the collapse of the medical system. strong> p>
p>
The Japanese Society of Physicians announced on April 1 that Japan is “already facing a medical crisis” and some large cities may continue to face a shortage of hospital beds. Chairman Yokokura Yoshitake believes that the collapse of the medical system in some countries in Europe and the United States only took two weeks. “Currently, Japan cannot be careless.” p>
p>
If the number of patients increases significantly, the Japanese Ministry of Health, Labour and Welfare still recommends the use of “mild convalescence, observation” measures. The convalescence will recommend convalescence in the house or centralized treatment in designated hotels. In order to prevent death and serious patients, senior citizens and people with basic diseases will be given priority treatment. strong> p>
p>
But this is also the problem- What exactly are these “mild” criteria? strong> Some patients who were finally diagnosed by the test also questioned this. At present, a big controversy is that even if the patient complains of uncomfortable symptoms, he may still be judged not to have the nucleic acid detection standard. Once it is finally dragged to “meet the detection conditions”, the treatment time may be delayed. p>
p>
The Japanese Ministry of Health, Labour and Welfare stated that patients with “mild” must meet the following conditions: they are not elderly patients, have no underlying disease, are not in an “immunosuppressive state”, and are not pregnant. At the same time, the doctor comprehensively judges whether the patient needs to be hospitalized based on the patient’s fever, respiratory system status, X-ray, blood oxygen saturation, etc., and the number of beds in the general hospital. strong> p>
p>
Although Japan relaxesThe standard of nucleic acid detection has been met, but it still faces the problem of higher detection threshold. strong> At present, it is basically necessary to meet the “cold symptoms, fever (above 37.5 ℃) span> lasts more than 4 days, or is accompanied by a strong sense of fatigue One of the two conditions with “dyspnea”. If it is an elderly person or a patient with an underlying disease, the standard is lowered to 2 days. With the increase in knowledge of viruses, doctors will also make comprehensive judgments based on symptoms such as “loss of smell and taste.” But there are still people who say that if it is just a fever, the regional health center still recommends that they observe at home. p>
p>
One possible reason is that once the standards are relaxed and more people are tested, the number of positive patients will increase significantly. Under the premise of limited medical resources, doctors must bear the responsibility of judging who is admitted to hospital for treatment. strong> Currently, the utilization rate of new coronary pneumonia beds in Japan is about 55.2%. In the absence of special treatment drugs, if mild patients continue to occupy a large number of beds, severe patients may be “nowhere to treat”. strong> p>
p>
Abe announced on April 6 that it plans to increase Japan ’s daily nucleic acid detection capacity to 20,000 times. However, nucleic acid testing requires more professionals, and Japanese medical personnel are not redundant. In addition, Japan may have to set up temporary testing points that are not set up in hospitals, as in South Korea-at present, Japan has not implemented this measure. p>
p>
Therefore, for Japan, the number of critically ill patients must also be controlled. strong> The Japanese Society of Intensive Care Medicine also stated that, generally speaking, Japan ’s ICU (Intensive Care Unit) span> is equipped with a medical resource ratio of: 1 A nurse takes care of two patients, but when a new coronary pneumonia patient enters the ICU, each patient needs two nurses. There are currently approximately 6,500 ICU beds in Japan, which requires four times the number of nurses on weekdays. However, if you consider caring for critically ill patients with other conditions, in fact, those with new coronary pneumonia may use less than 1,000 ICU beds. Once the number of critical illnesses increases, the frontline medical staff in Japan will not only increase fatigue, but also face great mental pressure. p>
p>
Medical human resources will be an important support to ensure the continuous operation of the medical system. strong> At present, patients with severe new pneumonia sometimes sometimes use an extracorporeal artificial lung-Yike membrane (ECMO) span> technology.When implementing the treatment of Ye Ke membrane in Japan, each time requires 10 medical staff with experience and medical technology, this is also a high-proportion rescue project. The Japanese Nurses Association is calling on more qualified nurses to return to the treatment site. p>
p>
Some strategies in Japan continue to embody the principle of “Critical Center”. strong> Japan currently has 1,412 Yeike membrane equipment and 28,000 artificial respiration equipment. The Japanese government stated that it would require companies with qualifications for the production of artificial respiration equipment to increase production equipment. The government will bear 2/3 of the investment in production equipment and purchase these equipment. p>
p>
Although there is no special medicine for new coronary pneumonia, the Japanese government has launched research and trials on four medicines, including Fujifilm Toyama Chemical R & D and Avigan, a treatment for Ebola hemorrhagic fever. Avigan’s production increase will also receive state subsidies. p>
p>
This article is from span> WeChat public account: future vision map (ID: D-Labo) span> a> , author: Zhao Hui, Xing Meng Ni, graphic design: car Ling, span> p>
If you want to know more information, you can view the past reports of “Future Expectations”: span> ” How to understand Japanese ” “Emergency Declaration”? 》 Span> p>