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Coronavirus impact in Japan [consolidated]

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Old Mar 5, 2020, 5:17 pm
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Last edit by: CPH-Flyer
This thread is for discussion of the coronavirus / COVID-19 pandemic as it relates to Japan. Non-Japan-related discussion should be taken either to the most relevant forum, the Coronavirus and Travel forum, or the OMNI forums.

UPDATE FOR TOURISTS LOOKING TO VISIT JAPAN AFTER COVID-19 BORDER RESTRICTIONS EASE
Japan does currently not allow entry for general tourism purposes. Most visa waivers are suspended, and travel to Japan for non resident foreigners generally require a visa. And quarantine as described for the countries and territories below.

UPDATE FOR PEOPLE WITH VISAS THAT ALLOW ENTRY INTO JAPAN
The quarantine requirements mentioned below will generally apply to entrants in Japan. As the conditions of who can obtain a visa for entry on exceptional circumstances are not clearly listed anywhere, it is necessary to confirm entry requirements with your local Japanese diplomatic representatives

Spouses and children of foreign permanent residents or Japanese nationals, can obtain visas for short term stays (up to 90 days) by applying in person or by mail at an overseas Japanese consulate. Required documentation includes application form, letter with reason for purpose of visit, bank statement and Koseki Tohon. Processing times have been reported as on the spot to up to one week.

From March 1st, business travelers, students and technical trainees can again enter Japan. There is a need to have a receiving organisation to apply for the visa. For business travelers, there will be one point of contact with the Ministry of Health Labour and Welfare. Though the full details are not published yet (as of typing on the 27th of February, please add them if you have seen them)

Business travelers must have a Japanese company or organization apply for a Certificate for Completion of Registration to the MHLW ERFS system. This is a two step process. The company must first register and then apply for the Certificate for the traveler. These can both be done online and completed in less than an hour.The website for doing this is https://entry.hco.mhlw.go.jp/.

After getting the certificate the traveler must apply for visa at the Japanese Consulate or Embassy with jurisdiction for where they reside. (They are quite strict about this. E.g. you can't apply while traveling in a foreign country.) The information on the Consulate pages state that you need Letter of Guarantee, Invitation Letter, etc when applying for the visa. In fact, however, if you have the EFRS certificate, all you need is the visa application, your passport and a photo. The Consulate will issue the visa within 5 days.

​​​​​​

UPDATE JAPANESE CITIZENS AND RETURNING FOREIGN JAPAN RESIDENTS

All people travelling to Japan has to present a negative PCR test taking no earlier than. 72 hours before departure to be able to board the flight. The certificate has to meet the information requirements and test types from the Japanese government.

https://www.mhlw.go.jp/content/000799426.pdf

From the 7th of June, passport number, nationality, signature and stamp from the doctor/medical institution are no longer required.
​​​​​
The requirement for pre-departure test will be removed for passengers on flights landing after the 7th of September 00:00 provided that they have received a full bases vaccination and a booster vaccination. Accepted vaccines are Moderna, Pfizer, Astra, Zeneca, J&J, Novavax, Covaxin.

Uploading documents in advance via the mysos app or via the mysos website is required. For details please see https://www.hco.mhlw.go.jp/en/


The arrival process is as follows. Countries will be grouped in red, yellow, and blue.
  • Group “Red”:On-arrival test is required. 3-day quarantine at a government-designated facility is required, however, those who obtain a valid vaccination certificate may have 5-day home quarantine (or 3-day home quarantine + negative result of a voluntary test) instead.
  • Group “Yellow”:On-arrival test and 5-day home quarantine (or 3-day home quarantine + negative result of a voluntary test) are required, however, those who obtain a valid vaccination certificate are not required to have on-arrival test, home quarantine and other measures.
  • Group “Blue”:Regardless of the vaccination status of the entrants/returnees, on-arrival test, home quarantine and other measures are not required.
Vaccine certificate does require three doses of vaccines.
​​​
Red countries:
Albania, Sierra Leone

Yellow countries:
Andorra, Angola, Antigua and Barbuda, Bahamas, Barbados, Belarus, Belize, Bhutan, Botswana, Brunei, Burkina Faso, Cabo Verde, Central African Republic, Chad, Comoros, Cook Island, Cuba, Cyprus, Democratic Republic of the Congo, Dominica, Egypt, Equatorial Guinea, Eritrea, Eswatini, Federated States of Micronesia, Fiji, Gabon, Gambia, Georgia, Grenada, Guinea, Guinea-Bissau, Guyana, Haiti, Honduras, India, Kazakhstan, Kiribati, Kosovo, Kuwait, Lebanon, Lesotho, Liberia, Libya, Liechtenstein, Macau, Maldives, Mali, Malta, Mauritania, Mauritius, Namibia, Nauru, Nicaragua, Niger, Niue, North Korea, North Macedonia, Oman, Pakistan, Palestine, Portugal, Republic of Burundi, Republic of Congo, Republic of the Marshall Islands, Republic of Vanuatu, Saint Christopher and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Samoa, San Marino, Sao Tome and Principe, Saudi Arabia, Senegal, Seychelles, Solomon, Somalia, Sri Lanka, Sudan, Suriname, Syria, Tajikistan, Togo, Tonga, Trinidad and Tobago, Tunisia, Turkey, Turkmenistan, Tuvalu, Ukraine, Uruguay, Uzbekistan, Vatican, Venezuela, Viet Nam, Yemen, Zimbabwe

Blue countries:
Afghanistan, Algeria, Argentine, Armenia, Australia, Austria, Azerbaijan, Bahrain, Bangladesh, Belgium, Benin, Bolivia, Bosnia and Herzegovina, Brazil, Bulgaria, Cambodia, Cameroon, Canada, Chile, China, Colombia, Costa Rica, Cote d’lvoire, Croatia, Czech Republic, Denmark, Djibouti, Dominican Republic, Ecuador, El Salvador, Estonia, Ethiopia, Finland, France, Germany, Ghana, Greece, Guatemala, Hong Kong, Hungary, Iceland, Indonesia, Iran, Iraq, Ireland, Israel, Italy, Jamaica, Jordan, Kenya, Kyrgyz, Laos, Latvia, Lithuania, Luxembourg, Madagascar, Malawi, Malaysia, Mexico, Moldova, Monaco, Mongolia, Montenegro, Morocco, Mozambique, Myanmar, Nepal, Netherlands, New Zealand, Nigeria, Norway, Palau, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Poland, Qatar, Republic of Korea, Romania, Russia, Rwanda, Serbia, Singapore, Slovakia, Slovenia, South Africa, South Sudan, Spain, Sweden, Switzerland, Taiwan, Tanzania, Thailand, Timor-Leste, Uganda, United Arab Emirates, United Kingdom, United States of America, Western Sahara, Zambia



For updates to the lists of countries and territories and changes to the rules check the website of the ministry of foreign affairs https://www.mofa.go.jp/ca/fna/page4e_001053.html and ask in the thread for clarifications and experiences of entering Japan.
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Coronavirus impact in Japan [consolidated]

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Old Jul 24, 2022, 5:27 pm
  #9466  
 
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Originally Posted by musehead
In Tokyo 3,412 people are currently hospitalised (including critical)

The population of Tokyo is around 14 million.

So, about 1 in 4000 is hospitalised.

Tourists of typical demographic would be (much) less likely to be hospitalised than the typical resident of Tokyo, but even if we saw say 20k tourists entering Tokyo every day (which would require a significant increase in the arrivals cap), and they had the same hospitalisation rate, that's only 5 people per day. Hardly a flood.

In order to get "thousands of non Japanese speaking people further flooding the care system every day" there would need to be a HUGE number of tourists. Millions of entries every single day. Something like 100x the 2019 levels of arrivals, obviously impossible.

It's been the repeated experience of many countries this year - fully opening to tourism barely makes a dent on hospitalisation and care systems.
I agree the overall hospitalization numbers would probably be comparatively low among tourists for sure, but the OP did only mention the extra burden on the "care system", and the number of infected tourists needing out-patient treatment would be much higher than those needing a hospital bed. (maybe not "thousands flooding" the system, but way way more than 5 per day). And while getting this treatment may be a less than arduous task in a major city, good luck finding help out at a mountainside onsen town.

Also there is the quarantine / isolation issue for all those infected tourists (who have no home), and as noted, the language barrier for arranging all of it (a poster here a couple weeks ago documented his ridiculous quarantine in Yokohama and how none of the related authorities or health workers he spoke with could do so in English, let alone any other language, and all needed a 3rd party translator. Doing this at scale and available everywhere across the country, would be an issue). And quarantine isn't a simple x-number of people per day, it compounds daily since it lasts about a week.

Certainly many other countries have successfully implemented the ability for tourists to isolate in hotels, etc but this is mainly due to a general acceptance of the virus. Unfortunately (and annoyingly), covid is still stigmatized in Japan and normal hotels shun covid positive guests. So figuring out how and where to quarantine a sick tourist, particularly one who is out in the countryside and can't speak the language, needs to be determined.

But then again, I guess that is only an issue if a sick tourist chooses to cancel their reservations, stop traveling, and hunker down for a multi-day cold-bento quarantine in a dinky hotel room during their once-in-a-lifetime vacation. So its the more likely fact that most tourists probably would not electively do so and just continue roaming around while infected is what the government is fretting about.
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Old Jul 24, 2022, 5:37 pm
  #9467  
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Originally Posted by musehead
In Tokyo 3,412 people are currently hospitalised (including critical)

The population of Tokyo is around 14 million.

So, about 1 in 4000 is hospitalised.
Not quite a full picture being painted here. There are 5,872 people being monitored in quarantine hotels, 112,914 re-covering at home, and 95,021 people waiting for a decision on how their case will proceed.

Out of those 200,000+ people, I'm sure there are a good many that want to be hospitalized, and a good many that probably should be hospitalized. In a properly functioning health care situation, they would be. But in the current situation, they cannot.

That is Tokyo. In other areas, especially Okinawa, the situation is much worse.
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Old Jul 24, 2022, 5:57 pm
  #9468  
 
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the more likely fact that most tourists probably would not electively do so and just continue roaming around while infected is what the government is fretting about.
This has to be it, really. Not so much the idea that people will come along and get sick, but that they will and will not follow the rules or work to mitigate the exposure to others around them. Tourism for me in the past has meant bringing cold medication, for inevitable vacation sniffles I always seem to get either just at the start or towards the end of the trip. I personally have no issues with continuing to do so either, while adding extra layers like masks, or staying in single room hotels over hostels. I do definitely get where the worry is though, and I'm not as bothered by all of this as others, since this is no longer a "once-in-a-lifetime" trip for me. I've done it a half-dozen times before, and have plans to do what it takes to enter with covid as a risk going forward once those requirements are set in stone.
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Old Jul 24, 2022, 7:10 pm
  #9469  
 
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Originally Posted by CPH-Flyer
Mainly because that is the number that Tokyo-to puts on their covid status website. But also because the foot notes to the 75 number clearly makes it a too wide definition.
What are the definitions out of curiousity?
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Old Jul 24, 2022, 7:18 pm
  #9470  
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Originally Posted by sameruval
What are the definitions out of curiousity?
From my post last week:



"The number of severely ill patients based on the characteristics of the Omicron strain is the number of patients in the bed for which the specific intensive care unit management fee or the critical care hospitalization fee is calculated, and the number of patients who are equipped with a ventilator or ECMO or perform high flow therapy."

Additionally, the national definition of "serious condition", by which the Tokyo number exceeds 400, is "patient in the ICU, on a ventilator, and/or using ECMO"
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Old Jul 24, 2022, 8:54 pm
  #9471  
 
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Originally Posted by EuropeanPete
It seems like you’re literally unable to comprehend the social contract of a universal healthcare system Nobody has thought of making unhealthy people pay more, because in every developed country except for the US access to healthcare is assumed to be a minimum requirement of a civilised society.
1. Healthcare and medical care are not the same thing.
2. Of course unhealthy people end up paying more. That's why many or most national systems have deductibles, co-pays and/or excluded services/treatments.
3. Insurance and access are totally different things. There is no data that suggest there is an access issue in the U.S. In general access is much better than in many countries where there are long waits for many types of medical treatment. As for insurance, anyone poor in the U.S. gets free medical insurance (Medicaid/CHIP) which provides a higher quality of care than the national schemes in most other countries.
4. As I said before, if Japan were not misallocating medical care resources, there would not be an issue with hospital beds as it relates to the Covid pandemic.
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Old Jul 24, 2022, 9:31 pm
  #9472  
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Originally Posted by CPH-Flyer
Technically they don't exist, as Japan does not allow it....

But by the time they enter eg the US on their US passport, they would enter as US citizens not Japanese citizens....
Originally Posted by hailstorm
Technically, Japan allows it up to the age of 20.
I was being sarcastic......sorry for the confusion.
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Old Jul 24, 2022, 9:35 pm
  #9473  
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Originally Posted by Q Shoe Guy
I was being sarcastic......sorry for the confusion.
Sorry, this morning I was in need of the sarcasm sign it seems. (cue Big Bang Theory)
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Old Jul 24, 2022, 10:22 pm
  #9474  
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From Wednesday, Fiji and Pakistan will graduate to the "Yellow" group, leaving only Albania and Sierra Leone in the "Red" group of countries subject to mandatory testing and three days quarantine upon arrival.

At the same time, Nepal, Peru, Moldova, and Western Sahara will be moved into the "Blue" group not subject to any tests or quarantine regardless of vaccination status.
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Old Jul 25, 2022, 12:54 am
  #9475  
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The first news I've seen of the seventh wave affecting train services, as JR Kyushu announced the cancellation of 120 special express trains between July 27th and August 5th due to COVID related staffing issues.

https://www3.nhk.or.jp/news/html/202...734821000.html
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Old Jul 25, 2022, 2:49 am
  #9476  
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Originally Posted by hailstorm
Not quite a full picture being painted here. There are 5,872 people being monitored in quarantine hotels, 112,914 re-covering at home, and 95,021 people waiting for a decision on how their case will proceed.

Out of those 200,000+ people, I'm sure there are a good many that want to be hospitalized, and a good many that probably should be hospitalized. In a properly functioning health care situation, they would be. But in the current situation, they cannot.

That is Tokyo. In other areas, especially Okinawa, the situation is much worse.
As with the rest of the world, the far far majority of cases are recovering at home. As it should be.

Whether people want to be in a hospital is neither here nor there. The question is do they need to be in the hospital? The experience in the rest of the world with omicron and sub variants is that the heavy increase in infection numbers has not lead to the same level of increase in serious cases and fatalities as seen in the early part of the pandemic. Especially in populations that vaccinated.

People "monitored" in quarantine hotels, basically mainly means they have no place to isolate at home, and are thus being offered a spot. It does not automatically mean they are at death's door and can't get a hospital bed. I know people who have been "monitored" in Tokyo quarantine facilities, even some students who picked it for a week of free food rather than staying at home for a week.
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Old Jul 25, 2022, 5:17 am
  #9477  
 
Join Date: Sep 2019
Posts: 813
Originally Posted by alan11
So its the more likely fact that most tourists probably would not electively do so and just continue roaming around while infected is what the government is fretting about.
You don't think thousands of Japanese like in many other countries roam around sick? Some think it's a minor sniffle and can't get tested or a minor scratchy throat and no other symptom. I'd suggest that thr government ought to be more concerned with residents continue Roaming around sick. That's kind of what happens everywhere.
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Old Jul 25, 2022, 5:26 am
  #9478  
 
Join Date: Sep 2007
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Originally Posted by Topcare
You don't think thousands of Japanese like in many other countries roam around sick? Some think it's a minor sniffle and can't get tested or a minor scratchy throat and no other symptom. I'd suggest that thr government ought to be more concerned with residents continue Roaming around sick. That's kind of what happens everywhere.
Japan is not like other countries. There is this crazy thing that goes on here where people actually care about the rest of society. The nutjobs even wear masks when they aren't feeling well out of courtesy to others - without whining on and on about MUH FREEDUMS
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Old Jul 25, 2022, 8:04 am
  #9479  
 
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Originally Posted by pesos
Japan is not like other countries. There is this crazy thing that goes on here where people actually care about the rest of society. The nutjobs even wear masks when they aren't feeling well out of courtesy to others - without whining on and on about MUH FREEDUMS
Yeah, even the guy who assassinated the ex prime minister was wearing a mask. How courteous of him.
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Old Jul 25, 2022, 8:07 am
  #9480  
 
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Interesting. 126000 cases on 140000 tests. So much for that wave cresting. Sure. People may wear masks with a scratchy throat or slight sniffle but I'm sure they eat lunch and dinner without them. I guarantee you they are not staying home for 10 days or until clear rapid tests. Numbers and positivity rate would suggest Japan is not unique.

And if masks so prevlaent, why such a high infection wave?
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