Japan extends COVID-19 emergency lockdown as cases surge

By Daniel Leussink, Leika Kihara and Sakura Murakami

TOKYO/FUKUOKA, Japan (Reuters) – Japan on Tuesday extended its state of emergency in Tokyo and other regions and announced new measures covering seven more prefectures to counter a spike in COVID-19 infections that is threatening the medical system.

The current state of emergency, the fifth of the pandemic so far, was due to expire on Aug. 31 but will now last until Sept. 12. Tokyo announced 4,377 new coronavirus cases on Tuesday, after a record 5,773 on Friday.

“The Delta variant raging across the world is causing unprecedented cases in our country,” Prime Minister Yoshihide Suga said. “Serious cases are increasing rapidly and severely burdening the medical system, particularly in the capital region.”

The emergency will now cover nearly 60% of Japan’s population with the prefectures of Ibaraki, Tochigi, Gunma, Shizuoka, Kyoto, Hyogo and Fukuoka included. Less strict “quasi-emergency” measures will be applied to a further 10 prefectures.

Restaurants are being asked to close early and stop serving alcohol in exchange for a subsidy. Suga announced a fresh subsidy of 300 billion yen ($2.7 billion) to help businesses cope with the fall-out.

Suga said the government would also request occupancy limits at department stores and ask people to reduce by half the times they go to crowded areas.

Speaking at a news conference explaining the steps, the government’s top health advisor, Shigeru Omi, said Japan needed to come up with steps to “prod individuals to avoid taking action that could potentially spread infections”.

He said that could be done under the current laws, which are mostly based on voluntary cooperation, but added that there’s also room for a nationwide debate on how to do this under a new legal framework”. He did not go into details.

Speaking beside Omi, Suga said the government would consider crafting legislation to swiftly prepare enough hospital beds for critically ill COVID-19 patients, and speed up vaccinations.

Suga dismissed the idea of imposing a blanket, nationwide state of emergency, saying that would pose “excessive restrictions for some prefectures” that were succeeding in containing new infections.

FALLING SHARES

Japanese shares fell for a fourth day on Tuesday as concerns about the Delta variant overshadowed optimism about upbeat earnings.

Japan’s case fatality rate stands at about 1.3%, compared with 1.7% in the United States and 2.1% in Britain.

But health experts fear the number of deaths could soar in Japan as the Delta variant tears through the younger population and hospitals become too crowded to treat serious cases.

“Many experts expressed an extremely strong sense of crisis about the medical care situation and the status of infections,” Economy Minister Yasutoshi Nishimura said after consulting with health advisers.

More than 80% of Tokyo’s critical care beds are occupied, and the rate is already 100% in neighboring Kanagawa prefecture. Serious cases climbed to records of 276 in Tokyo and 1,646 nationwide on Tuesday.

Dai-ichi Life Research Institute estimated that the government’s extended and expanded state of emergency would lead to a total economic loss of about 1.2 trillion yen ($11 billion) and could cost 66,000 jobs.

That was about 60% higher than an expected loss of about 750 billion yen if the emergency remained at its current scope and schedule.

Repeated states of emergency have had a limited effect in slowing the spread of the virus.

Takuto Honda, 20, a university student in the southwestern city of Fukuoka who works part-time at a karaoke shop, said a harder lockdown with government pay-outs would be more effective. “If there is money to host the Olympics, there should be money to compensate us,” he said.

Pandemic fatigue and summer vacations have also been blamed for contributing to the latest COVID-19 surge in a nation where only around 37% of people have been fully vaccinated.

(Reporting by Sakura Murakami in FUKUOKA, Daniel Leussink, Leika Kihara and Rocky Swift in TOKYO; Additional reporting by Antoni Slodkowski; Editing by Susan Fenton, Giles Elgood and Mark Heinrich)

Top Japan medic urges nationwide state of emergency amid COVID surge

By Akiko Okamoto, Linda Sieg and Kiyoshi Takenaka

TOKYO (Reuters) – The head of the Japan Medical Association called on Tuesday for a nationwide state of emergency to contain a surge in COVID-19 cases in Olympics host city Tokyo and elsewhere, Kyodo news agency said, as worries grow about a strained healthcare system.

The call by JMA President Toshio Nakagawa followed Prime Minister Yoshihide Suga’s announcement that only COVID-19 patients who are seriously ill and those at risk of becoming so will be hospitalized, while others isolate at home, a shift in policy some fear could boost the death toll.

Japan has seen a sharp increase in coronavirus cases. Tokyo, which had a record high of 4,058 new infections on Saturday, had another 3,709 new cases on Tuesday.

Tokyo hospitals are already feeling the crunch, Hironori Sagara, director of Showa University Hospital, told Reuters.

“There are those being rejected repeatedly for admission,” he said in an interview. “In the midst of excitement over the Olympics, the situation for medical personnel is very severe.”

Chief Cabinet Secretary Katsunobu Kato told reporters fewer elderly people, most already vaccinated, were getting infected.

“On the other hand, infections of younger people are increasing and people in their 40s and 50s with severe symptoms are rising,” he said, adding some could not immediately get admitted to hospital.

Suga announced the change in hospital policy on Monday, saying the government would ensure people isolating at home can be hospitalized if necessary. Previous policy had focused on hospitalizing a broader category of patients.

Suga and Olympics organizers say there is no link between the July 23-Aug. 8 Summer Games and the sharp increase in cases.

Medical experts, however, have said holding the Olympics sent a confusing message about the need to stay home, contributing to the rise.

Unlike the voluntary restrictions and low vaccination rates elsewhere in Japan, more than 80% of the people in the Olympic village in Tokyo for athletes and coaches are vaccinated, testing is compulsory and movement is curtailed.

Organisers on Tuesday announced 18 new Games-related COVID-19 cases, bringing the total since July 1 to 294.

‘IN-HOME ABANDONMENT’

On Tuesday, Suga, meeting with heads of national medical groups, vowed to “protect people’s lives”.

“The spreading infections on a nationwide scale are approaching our biggest crisis since last year’s first wave,” Nakagawa said.

Some worry the hospital policy shift could lead to more deaths.

“They call it in-home treatment but it’s actually in-home abandonment,” opposition Constitutional Democratic Party of Japan leader Yukio Edano was quoted as saying by NHK public TV.

Japan on Monday expanded its state of emergency to include three prefectures near Tokyo and the western prefecture of Osaka. An existing emergency in Tokyo – its fourth since the pandemic began – and Okinawa is now set to last through Aug. 31.

Japan’s latest emergency steps, unlike stricter measures in many countries, have focused mainly on asking eateries that serve alcohol to close and those that don’t to close by 8 p.m.

The country has avoided a devastating outbreak of the virus, with about 941,000 total cases and just over 15,000 deaths as of Monday.

But it is now struggling to contain the highly transmissible Delta variant even as the public grows weary of mostly voluntary limits on activities and the vaccination rollout lags.

Just under 30% of the population is fully vaccinated, including three-quarters of those 65 and over.

Nearly 70% of hospital beds for seriously ill COVID-19 patients were filled as of Sunday, Tokyo data showed.

Showa University Hospital’s Sagara said there was a difference between theoretically available beds and beds that could accept patients immediately.

“I think the latter is close to zero,” he said, adding that if infections keep rising, hospitals will have to limit surgery and other non-COVID-19 treatments.

“We must avoid a situation in which the Olympics was held but the medical system collapsed,” he said. “At present, infections are spreading quite a lot and if they spike further, (the Olympics) will be considered a failure.”

According to health ministry guidelines, seriously ill patients are defined as those admitted to intensive care units (ICUs) or needing artificial respirators.

The Tokyo Shimbun newspaper said 12,000 patients were isolating at home, a 12-fold increase in the past month.

(Reporting by Linda Sieg, Akiko Okamoto and Kiyoshi Takenaka; Additional reporting by Ritsuko Ando, Ami Miyazaki and Tim Kelly; Editing by Gerry Doyle and Nick Macfie)