![]() ![]() ![]() Furthermore, since public funds will no longer cover all medical expenses, individual judgment and responsibility will be more crucial. This will further heighten the risk of SARS-CoV-2 infection. When the provisions under the Infectious Disease Control Law are altered to resemble those in the place for seasonal influenza, beginning May 2023, recommendations such as wearing masks indoors, isolating patients, and investigating contacts will be eliminated. This suggests that the vaccine may not be fully utilized as an available and effective preventive measure. Although a three-dose COVID-19 vaccination is recommended in Japan for individuals aged 6 months and above, coverage is low, with rates of 0.4%, 8.1%, and 46.2% among ages 6 months-4 years, 5-11 years, and 12-19 years, respectively. Among those who died, 29 cases (58%) had no underlying disease, while 23 of 26 (88%) who were eligible for vaccination had not been vaccinated (5). A survey conducted by the National Institute of Infectious Diseases (NIID) of Japan provided details on 50 COVID-19-related deaths among CYP, based on the infectious disease law. However, mortality control efficacy remains high, regardless of the mutation type (4). The effectiveness of COVID-19 vaccination in preventing infection among CYP may be reduced during Omicron strain predominance. Based on the 54 deaths that occurred in the most recent year, and 3973 deaths among CYP in the 2020 Current Population Survey, the proportion of total deaths is estimated to be 1.4%, which is not substantially different from the 2% reported in the United States (3). As of February 14, 2023, the number of reported deaths has increased, with 38 deaths among children and 19 among teenagers. According to a database provided by the Ministry of Health, Labour, and Welfare (MHLW) of Japan, COVID-19-related deaths were first documented for teenagers aged 10-19 in September 2021 and children under ten years old in March 2022 (2). Like pulmonary tuberculosis, strict patient isolation and publicly-funded treatment are enforced under the Infectious Disease Control Law until May 8, 2023. In Japan, medical facilities are mandated to report all COVID-19-related deaths to public health centers. on the evaluation of reported COVID-19 deaths among children and young people (CYP) aged 0 to 19 years in the US (1). I have read with great interest the article by Flaxman et al. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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