Tag: Japan

  • The Delta variant is taking over the world

    The Delta variant is taking over the world

    The Delta variant is now dominant in the U.S., but our high vaccination rates still put us in a much better position than the rest of the world—which is facing the super-contagious variant largely unprotected.

    Let’s look at how the U.S.’s situation compares:

    U.S.: Delta now causes 52% of new cases, according to the latest Nowcast estimate from the CDC. (This estimate is pegged to July 3, so we can assume the true number is higher now.) It has outcompeted other concerning variants here, including Alpha/B.1.1.7 (now at 29%), Gamma/P.1 (now at 9%), and the New York City and California variants (all well under 5%). And Delta has taken hold in unvaccinated parts of the country, especially the Midwest and Mountain West.

    Israel and the U.K.: Both of these countries—lauded for their successful vaccination campaigns—are seeing Delta spikes. Research from Israel has shown that, while the mRNA vaccines are still very good at protecting against Delta-caused severe COVID-19, these vaccines are not as effective against Delta-caused infection. As a result, public health experts who previously said that 70% vaccination could confer herd immunity are now calling for higher goals.

    Japan: The Tokyo Olympics will no longer allow spectators after Japan declared a state of emergency. The country is seeing another spike in infections connected to the Delta variant, and just over a quarter of the population has received a dose of a COVID-19 vaccine. I argued in a recent CDD issue that, if spectators are allowed, the Olympics could turn into a superspreading event.

    Australia: Several major cities are on lockdown in the face of a new, Delta-caused surge following a party where every single unvaccinated attendee was infected. Unlike other large countries that faced significant outbreaks, Australia has successfully used lockdowns to keep COVID-19 out: the country has under 1,000 deaths total. But the lockdown strategy has diminished incentives for Australians to get vaccinated; under 5% of the population has received a shot. Will lockdowns work against Delta, or does Australia need more shots now?

    India: Delta was first identified in India, tied to a massive surge in the country earlier this spring. Now, India has also become the site of a Delta mutation, unofficially called “Delta Plus.” This new variant has an extra spike protein mutation; it may be even more transmissible and even better at invading people’s immune systems than the original Delta, though scientists are still investigating. India continues to see tens of thousands of new cases every day.

    Africa: Across this continent, countries are seeing their highest case numbers yet; more than 20 countries are experiencing third waves. Most African countries have fewer genetic sequencing resources than the U.S. and other wealthier nations, but the data we do have are shocking: former CDC Director Dr. Tom Frieden reported that, in Uganda, Delta was detected in 97% of case samples. Meanwhile, vaccine delivery to these countries is behind schedule—Nature reports that many people in African countries and other low-income nations will not get their shots until 2023

    South America: This continent is also under-vaccinated, and is facing threats from Delta as well as Lambda, a variant detected in Peru last year. While Lambda is not as fast-spreading as other variants, it has become the dominant variant in Peru and has been identified in at least 29 other countries. Peru has the highest COVID-19 death rate in the world, and scientists are concerned that Lambda may be more fatal than other variants. Studies on this variant are currently underway.

    In short: basically every region of the world right now is seeing COVID-19 spikes caused by Delta. More than 20 countries are experiencing exponential case growth, according to the WHO:

    We’ve already seen more COVID-19 deaths worldwide so far in 2021 than in the entirety of 2020. Without more widespread vaccination, treatments, and testing, the numbers will only get worse.

    More international reporting

    • Will the Tokyo Olympics be a superspreading event?

      Will the Tokyo Olympics be a superspreading event?

      Back in May, Sarah Braner wrote that Japan was seeing a COVID-19 spike in the lead-up to the Tokyo Olympics, which are scheduled to start in late July. The situation has remained worrying since then.

      True, cases have dropped significantly since the May outbreak—the nation is now seeing around 1,500 cases a day, compared to a peak of 6,500 on May 14. But many Japanese residents are concerned that the Olympic games could push numbers back up.

      Despite a recent push towards vaccinations, Japan’s numbers remain low: just over 20% of the population has received at least one dose, as of June 24. On social media, Japanese residents have reported issues with getting their shots due to a voucher system implemented earlier this spring. A resident must receive a vaccine voucher from the government in order to get their shot; without that bureaucratic step, they may be turned away from a vaccine clinic, even if doses are available.

      Meanwhile, rules around the Olympics have focused on protecting the athletes themselves. Over 80% of the athletes have been vaccinated and Japan will prioritize getting shots to Olympics staffers, journalists, and volunteers, according to the New York Times. Athletes will also be tested regularly.

      The Olympics are not allowing international spectators, but officials announced this week that Japanese crowds will be permitted—up to 50% of a venue’s capacity. While masks will be required and other guidelines will be in place, the rules for attendees are not nearly so strict as those for athletes.

      It only takes one unvaccinated person to set off a superspreading event. And with variants like Delta and Gamma spreading rapidly around the world, such events are more likely and more dangerous. In order to truly make the Olympics safe, Japan should ensure the coronavirus is locked out of Olympic events—not just for athletes, but for workers and spectators as well.

      More international reporting

      • The 2021 Tokyo Olympics begin on July 23. Will Japan be ready?

        The 2021 Tokyo Olympics begin on July 23. Will Japan be ready?

        Japan’s new COVID-19 cases per million, as of May 8. Chart via Our World in Data.

        They’re definitely not ready now. The Japanese government just announced it would extend an already-standing state of emergency through May 31 following a large spike in COVID-19 cases. After “Golden Week,” a sequence of Japanese Holidays lasting from late April to early May, Tokyo reported 907 new cases for the week. (New York City reported 985 cases just on May 7, for comparison.) A variant called N501Y has caused recent surges in cases, like in Osaka where hospitals struggled to treat the influx. N501Y is more infectious, and it has been correlated with more serious cases.

        This surge comes as Japan struggles to roll out vaccinations. According to Our World in Data, as of May 6, 2.44% of the country’s population has received at least one dose of the vaccine. (In the United States, around 57% of the population has received at least one dose as of May 8.) So far, Japan has only approved the Pfizer-BioNTech vaccine for use, though it may approve the Moderna and AstraZeneca vaccines by May 20. Pfizer has also announced that the company will donate vaccines to athletes and staff, and the International Olympic Committee has said, “It is expected that a significant proportion of Games participants will have been vaccinated before arriving in Japan.”

        An online campaign called Stop Tokyo Olympics has gained more than 200,000 signatures to an online petition, per Reuters. A Japanese poll in January showed that 80% of respondents said the games should be postponed or cancelled, and this trend has held true since.

        Japan has been extremely successful in controlling the pandemic so far, but that has also led to a lack in urgency in vaccinating the population, and again, surges have happened. The Olympics are very difficult to do in an NBA-like bubble. The scale of the Olympics is much larger, and with case counts across the world as high as they are, it’s hard to imagine that someone won’t come down with COVID-19 during the games. As the New York Times points out, the chances of a COVID-19 free Olympics are slim—instead, the priority will be controlling cases as they come up.

        Officials have repeatedly insisted that the games will go on as planned, and there is no sign that they will be cancelled or postponed. Will this current state of emergency crush the curve enough? We won’t know until July.

        More international data