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      Rethinking Japan’s Infallibility Principle for a Better Pandemic Response

      editorial
      1 , , 2 , 3
      ,
      Cureus
      Cureus
      transparency in healthcare policy, bureaucratic culture, principle of infallibility, covid-19, japan

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          Abstract

          The "infallibility principle" in Japanese government bureaucracy has led to conservative responses in handling the COVID-19 pandemic, with adherence to initial methods, like the 3Cs (crowded places, close-contact settings, and confined and enclosed spaces), and resistance to policy changes, despite evolving scientific findings on airborne transmission. This inflexible approach resulted in multiple states of emergency, social and economic losses, and increased health challenges. Although claims have been made of near-total control by May 2022, lack of sufficient verification and the record death toll in the eighth wave in the fall of 2022 suggest a reactionary rather than proactive policy approach.

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          Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19)

          Coronavirus has emerged as a global health threat due to its accelerated geographic spread over the last two decades. This article reviews the current state of knowledge concerning the origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Historically, it has caused two pandemics: severe acute respiratory syndrome and Middle East respiratory syndrome followed by the present COVID-19 that emerged from China. The virus is believed to be acquired from zoonotic source and spreads through direct and contact transmission. The symptomatic phase manifests with fever, cough and myalgia to severe respiratory failure. The diagnosis is confirmed using reverse transcriptase PCR. Management of COVID-19 is mainly by supportive therapy along with mechanical ventilation in severe cases. Preventive strategies form the major role in reducing the public spread of virus along with successful disease isolation and community containment. Development of a vaccine to eliminate the virus from the host still remains an ongoing challenge.
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            COVID lessons from Japan: the right messaging empowers citizens

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              The Origins of Totalitarianism

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                20 May 2023
                May 2023
                : 15
                : 5
                : e39270
                Affiliations
                [1 ] School of Medicine, Hokkaido University, Sapporo, JPN
                [2 ] Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, JPN
                [3 ] Internal Medicine, Navitas Clinic, Kawasaki, JPN
                Author notes
                Article
                10.7759/cureus.39270
                10292065
                37378102
                5d620607-5237-4360-94ab-dd9d08ab2f38
                Copyright © 2023, Kaneda et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 20 May 2023
                Categories
                Infectious Disease
                Public Health
                Health Policy

                transparency in healthcare policy,bureaucratic culture,principle of infallibility,covid-19,japan

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