The COVID-19 pandemic showed the vital role of Emergency Medical Teams (EMTs) in international surge responses. The EMTs with their internationally skilled team members were able to meaningfully support countries facing the pandemic, especially those who were suffering from scarcity in the quality and quantity of workforce and financial resources within their health systems. This report summarizes the main operational challenges faced by UK-Med and The Polish Center for International Aid (PCPM) Emergency Medical Teams, based on experiences from their 32 COVID-19 deployments. In particular, the paper discusses the hindrances related to Ministries of Health expectations and the changing roles of EMTs during deployments.

This article critically examines the inequities in the access to COVID-19 vaccine and the lessons for global health law. Despite the rapid development and approval of COVID-19 vaccines, the rollout exposed severe systemic failures rooted in preexisting economic distortions and market inefficiencies. The article argues that addressing vaccine inequity requires more than improved distribution and solidarity, but effective reinvention of the global vaccine supply chain through evidence-based and meaningful market-shaping measures. It calls for a transformative approach to global health governance, emphasising the need for a comprehensive, human rights-compliant policy framework to correct structural problems in international markets, moving beyond superficial exhortations to equity.

During outbreaks of diseases like cholera, HIV/AIDS, H1N1, and Ebola, governments often impose international border restrictions (for example, quarantines, entry restrictions, and import restrictions) that disrupt the economy without stopping the spread of disease. During COVID-19, international travel restrictions were ubiquitous despite initial World Health Organization recommendations against such measures because of their limited public health benefit and the potential for imposing a range of harms. Why did governments adopt these measures? This article argues and finds evidence that governments use international border restrictions as security theatre: ‘measures that provide not security, but a sense of it’. Quantitative analysis of original data on states’ first border restrictions during the pandemic suggests that behaviour was not just driven by the risk of COVID-19 spread. Instead, nationalist governments, which are likely to be attracted to policies associating disease with foreigners, were more likely to impose border restrictions, did so more quickly, and adopted domestic measures more slowly. A case study of the US further illustrates the security theatre logic. The findings imply that overcoming or redirecting governments’ attraction to security theatre could promote international cooperation during global health emergencies.

This article examines the impact of informal intergovernmental relations on the Kenyan government's handling of the COVID-19 pandemic. It argues that although informality in governance has been perceived negatively by many governance scholars, it nevertheless has the capacity to enhance the effectiveness and legitimacy of government. By virtue of informality's adaptability and recognition of the centrality of context, it can enhance efficacy particularly in unpredictable circumstances as occurred in the pandemic. Notwithstanding this reality, until recently, literature on informality, mainly informed by Eurocentric colonial perspectives on governance, has focussed on its negative elements, criticizing it for diverse governance ailments. Through the prism of the negotiated order theory, this article challenges this dominant narrative using an analysis of informal intergovernmental relations during the COVID-19 pandemic in Kenya. It argues that though informality was at times applied negatively, overall, it ensured vibrant intergovernmental relations, thus positively impacting health service delivery and enhancing the government's legitimacy in the management of the pandemic.

The COVID-19 pandemic and the cost-of-living crisis have raised concerns about the relevance and reliability of current measures and indices of child well-being. This article aims to bridge a significant knowledge gap by examining how these indices respond to shocks and exploring attributes of shock-responsive indicators related to child well-being. Drawing on the UNICEF Innocenti Report Card 16 on child well-being and the Korean Child Well-being Index, the study conducts a comparative analysis of differences in the design and purpose of indices that influence their resilience to shocks. Subsequently, it proposes an approach for evaluating the ‘shock-responsiveness’ of key outcome indicators of child well-being before going on to review how child income poverty measures performed during COVID-19 and the cost-of-living crisis. After finding that child well-being indices, at present, are not able to fully capture the effects of covariate crises on children, the article concludes with insights for policymakers and researchers.

Freelance work has proliferated in Japan over the last decade due in part to the Abe administration's encouragement of work style reform to reinvigorate the economy. However, freelancers have heavily criticized the government for treating them unequally in their compensation program for workers affected by the coronavirus. The COVID-19 pandemic and emergency declaration have exposed freelancers' employment insecurity and lack of access to a social safety net during an economic crisis. Intense debates have erupted on social media about how much companies and the government should be responsible for freelance workers' welfare. Defenders of providing lower levels of compensation to freelancers draw on preexisting neoliberal arguments that freelancers, like other irregular workers, are personally responsible (jiko sekinin) for themselves. However, many freelancers have pushed back by arguing that freelance work has become so mainstream that it no longer makes sense to treat it as some unique and separate work category. Being technologically savvy, freelancers have quickly leveraged their familiarity with social media platforms to criticize the unequal economic compensation and to demand increased benefits and recognition for their work in a surprising act of political defiance.

This paper examines responses to the COVID-19 pandemic from farmers in Japan. Because COVID-19 was most prevalent in Japanese urban centers and especially the Tokyo metropolitan area, farmers in rural communities in Kansai expressed less concern over infection compared to Kanto-area farmers who were more concerned with risk of infection. While some farmers expressed concern over economic losses from the closure of restaurants and schools, many interviewees had pre-established diverse market channels and thus could pivot their distribution streams during the pandemic. Farmers diverted produce typically for restaurants towards direct sales such as chokubaijyos (direct sales markets) or engaged in online platforms. Because of a lack of single stream distribution infrastructure set up for organic farmers as compared to conventional farmers, many of the interviewees already have robust distribution networks and tend to hold strong community ties with consumers and buyers in their region. We argue that the activities of these farmers demonstrate the resilience of local-scale food systems in Japan, because these networks help maintain food security and community relationships during times of crisis.

The ongoing COVID-19 pandemic has had a significant impact on love, marriage and family life. Employing both social science and cultural studies perspectives, this article discusses romantic and familial relationships and their respective depictions in four Japanese romantic dramas (ren'ai dorama) produced under pandemic conditions. It touches upon the COVID-19 pandemic and related policies in Japan, elaborates on conditions of TV production during the pandemic, and asks: How have TV series addressed love, dating and (marital) relationships during the pandemic? How did the pandemic and concomitant policies impact depictions of these topics? Finally, what do these dramas reveal about the state of domestic gender relations and gender equality in the context of changing working conditions and stay-at-home policies implemented during the pandemic? The article identifies a trend consistent with ‘re-traditionalization’ on the one hand, and depictions of diverse, unconventional relational practices that are critical of the marital institution on the other. While the dramas touch on the impact of the pandemic on women's livelihoods and gender equality, more serious consequences remain unexplored.

This is a collection of original articles on diverse vulnerable populations in Japan in the wake of the new coronavirus pandemic. The effects of COVID-19 are felt differently, with some among us at much greater risk of infection due to preexisting health and welfare conditions. For others, perhaps more than the risk of infection, it is the precautions taken to mitigate the risk for the whole population, such as lockdowns and business closures, that have pulled away the already fragile safety net of state and civil society organization (CSO) support, leading to increased marginalization and social exclusion. The goal of this set of papers is to document the conditions of those that have been most directly affected by the virus and to provide background on the conditions that made them vulnerable in the first place, notably chronic conditions that are brought into more obvious relief in light of emergency measures. Each of the authors had a pre-established relationship with those affected populations and employed various ethnographic approaches, some face to face, others digitally via Zoom interviews and SNS exchanges. In this moment of what appears to be relative calm, we hope that our collection, quickly compiled in an attempt to capture the ever-changing situation, will give some insight into how those most vulnerable are faring in this time of crisis and provide information that will allow us to prepare better before the next wave comes our way.

This special collection of papers reflects the work of contributing authors to the newly released book Legacies of Fukushima: 3.11 in Context (University of Pennsylvania Press, 2021). The edited volume addresses the Fukushima nuclear crisis in Japan, taking a multi-dimensional, cross-disciplinary approach to understanding this epic disaster. The book is an intersectional collaboration that is unique in that it incorporates the work of Japan-area scholars, journalists, nuclear experts and Science, Technology and Society (STS) scholars from Japan and abroad, who discuss the trajectory of the Fukushima nuclear disaster in the first decade since its inception. There are 19 authors whose work is included in the book; this special edition of selected papers for The Asia-Pacific Journal: Japan Focus evokes that work, and while they do not entirely represent the scope of the material included in the edited volume, these papers delve into issues that any disaster studies scholar or student of the Fukushima nuclear disaster will find compelling.

A decade ago, Japan learned some bitter lessons from the 2011 Fukushima nuclear disaster, after ignoring global and local ones over the preceding four decades. But elements of the country clearly haven’t, whether it comes to the atom or dealing with an international event like the Tokyo Summer Olympics during a global pandemic. Because of Japan’s mishandling of the pandemic and new variants resistant to vaccines, whether the games, which a majority of the public wanted cancelled or postponed again, would have become a super-spreader event, trigger a new variant or create an explosion of COVID-19 cases or a combination thereof remained a continuing concern. What’s clear is that Tokyo put political, bureaucratic and commercial interests ahead of the health and wellbeing of the overall public —similar to what happened in the decades preceding Fukushima.

The COVID-19 pandemic presents a remarkable opportunity to put to work all of the research that has been undertaken in past decades on the elicitation and structural estimation of subjective belief distributions as well as preferences over atemporal risk, patience, and intertemporal risk. As contributors to elements of that research in laboratories and the field, we drew together those methods and applied them to an online, incentivized experiment in the United States. We have two major findings. First, the atemporal risk premium during the COVID-19 pandemic appeared to change significantly compared to before the pandemic, consistent with theoretical results of the effect of increased background risk on foreground risk attitudes. Second, subjective beliefs about the cumulative level of deaths evolved dramatically over the period between May and November 2020, a volatile one in terms of the background evolution of the pandemic.

Sanitation workers in any society are essential workers that deal with the ‘dirty work’ that most people would rather not do. With the coronavirus outbreak in 2020, these workers have been particularly vulnerable with the increase in the amount of household garbage due to people staying home, as well as potential exposure to the virus through handling contaminated trash. This paper analyzed interviews of six Japanese men who work in garbage collection and/or are sanitation union members to shed light on how they experienced the impact of the coronavirus outbreak in their daily lives. Qualitative analysis highlights the following seven themes (1) Alerting overseas news of potential dangers; (2) Fear of contracting Covid-19: (3) Negotiated for safer protocols and gear; (4) Increased workload; (5) Experience of discrimination and stigma; (6) Increased public attention and awareness; and (7) “Our Work Goes Beyond Garbage Collection.” The paper also highlights sanitation workers' concern with the increased privatization of the public sector, pointing out how this may undermine the general welfare of society especially in times of crisis.

Globally, independent restaurants have been dealt a double blow by COVID-19. Restaurant staff face the risk of infection, and restaurants have been among the businesses hardest hit by urban lockdowns. With fewer resources than corporate chains, small independent restaurants are particularly vulnerable to an extended economic downturn. This paper looks at how independent restaurant owners in Tokyo have coped with the pandemic both individually and as members of larger communities. Both government and community support have been key to sustaining these small businesses and their employees during this crisis.

The Coronavirus hit Japan during our study-abroad semester in Kyoto. Here we present similarities in Japanese societal response to chemical pollutants throughout the long twentieth century and to COVID-19, as they became apparent to us through a chemistry course on Japanese industrial pollution.