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In this three part series, we introduce historical museums in Japan and their role in public education. Following this introduction to peace museums, Ms. Nishino Rumiko, a founder of the Women's Active Museum on War and Peace (WAM), introduces WAM's activities and the 2000 Citizens Tribunal on the ‘comfort women’. The final article is by Mr. Kim Yeonghwan, the former associate director of Grassroots House Peace Museum who describes the peace and reconciliation programs that the Museum sponsors.
[The Tokyo war crimes trial (International Military Tribunal for the Far East, 1946-1948) was the Pacific counterpart to the first Nuremberg Tribunal. Controversial at the time, it is more controversial today. This essay reminds American readers of differences in assessing the trial in the victorious and in the defeated countries, as well as within a single country such as Japan.
In Japan, China, the United States and beyond, arguably no Japanese wartime atrocity against China is more widely known than the Nanjing Massacre. [1] Whatever the significance of mere name recognition, however, the history and memory of the Nanjing Massacre are profoundly complex. Indeed, even the phrase “Nanjing Massacre” (hereafter NM) remains contested, and to this day there are circles within which the words cannot be spoken without stirring deep feeling and disagreement.
World War II produced many great villains, but as for the supreme Monster, many would award that dishonor to Adolph Eichmann, the man who administered the deaths of six million Jews, and who made “I was only doing my job” into an expression laden with bitter irony in the post war world. Hannah Arendt, after attending his trial in Israel, shocked the world by announcing that she found him to be not a Monster at all, but rather a Nobody – or worse still, an Anybody. Her book, Eichmann in Jerusalem – A Report on the Banality of Evil was attacked on the reasonable grounds that where there are monstrous acts, there must be a Monster. But as terrifying as Monsters are, Arendt was pointing to a truth more frightening still: that monstrous acts can be carried out by ordinary (banal) bureaucrats.
In Japan, China, the United States and beyond, arguably no Japanese wartime atrocity against China is more widely known than the Nanjing Massacre. Whatever the significance of mere name recognition, however, the history and memory of the Nanjing Massacre are profoundly complex. Indeed, even the phrase “Nanjing Massacre” (hereafter NM) remains contested, and to this day there are circles within which the words cannot be spoken without stirring deep feeling and disagreement.
Written on the eve of Japan's dispatch of Self-Defense Forces (army) to Iraq, a major step in the erosion of the peace constitution, this article examines three issues central to understanding the contemporary Japanese military and society. The first of these is the question of the willingness of SDF forces to go to Iraq at a time when strong opposition to its dispatch surfaced in Japanese society. Based on questionnaires and interviews with SDF personnel, the article examines SDF views concerning deployment to Iraq as well as constitutional issues. The second is the nature of the movement seeking to elicit opinions and support resistance to the dispatch to Iraq, from within the ranks of the SDF. This may be viewed as a successor to the Vietnam-era movement that supported GI resistance among US troops stationed in Okinawa and Japan. The third is the existence of serious problems within the SDF, particularly bullying of recruits and suicides that have soared in recent years. This article appeared in the November, 2004 issue of Sekai (World), pp. 47-54. Posted at Japan Focus on February 15, 2005.
A law enacted six years ago has given historians a new powerful weapon to challenge a long-held taboo preserved by the Imperial Household Agency: investigating the secrets of ancient emperors’ tombs. The weapon is the public information disclosure law, which has allowed Noboru Toike, assistant professor at Den-en Chofu University and an expert on Imperial tombs, to access and obtain copies of internal agency documents.
On June 24, 2007, two US Navy minesweepers entered the small Sonai port in Yonaguni island, the westernmost Japanese island near Taiwan, on a ‘good-will visit and crew R and R’. Okinawa prefectural governor Mr. Nakaima had stated that the ‘US Navy warships should use the designated ports such as White Beach and Naha Military Port and should not use civilian ports’. He asked the Commander, US Naval Forces, Japan to voluntarily refrain from entry into Sonai port; Mr. Hokama, the mayor of Yonaguni town and its residents had also expressed opposition, but they were ignored. According to the Division Chief, North American Affairs Bureau, Ministry of Foreign Affairs, who visited the Yonaguni town office prior to the vessels' visit, ‘due to the provisions of the SOFA (Status of Forces Agreement), the heads of local public bodies have no right to reject the US minesweepers’ visit to their ports. There is no choice other than to accepti their entry into the port.'
Okinawa is Japan's southernmost prefecture lying between mainland Japan and Taiwan off China's east coast. The main island measures twice the size of Guam and has a population roughly seven times greater, or one-third the size of New York's Long Island with 50,000 more people. On its slender, irregularly shaped island, which constitutes a mere 0.3 per cent of the country, Okinawa hosts 75 per cent in size of all U.S. only military bases in Japan, exclusive of sea and air space. U.S. bases include the Marine Corps jungle training, aviation, bombing and shooting ranges, landing training grounds and an ammunition depot, the largest Air Force base in the region with its own ammunition site, a naval station often visited by nuclear submarines and Army facilities, adding in sum to roughly one-fifth of the densely populated island. It is home to an estimated 24,600 U.S. service personnel, out of a total of 36,000 in all of Japan, many of them living with their dependents in fenced-in “American towns” with schools, gyms, golf courses, shopping centers and churches. Nearly 90 per cent (about 15,000 in number) of the Japan-based Marines are concentrated in Okinawa.
In this three part series, we introduce historical museums in Japan and their role in public education. Following this introduction to peace museums, Ms. Nishino Rumiko, a founder of the Women's Active Museum on War and Peace (WAM), introduces WAM's activities and the 2000 Citizens Tribunal on the ‘comfort women’. The final article is by Mr. Kim Yeonghwan, the former associate director of Grassroots House Peace Museum who describes the peace and reconciliation programs that the Museum sponsors.
The WHO endorsed the Emergency Medical Team (EMT) Minimum Data Set (MDS) as a real-time data collection and reporting tool during health emergencies and disasters in 2017. It was for the first time activated in 2019 during Cyclone Idai in Mozambique. Since then, it has been used in 16 countries during various events. However, no assessment on data quality collected via MDS has been conducted.
Objectives:
This study aimed to assess data completeness using data from Cyclone Idai.
Method/Description:
We analyzed 282 daily reports containing 18,468 patient consultations from 14 international EMTs between 2019/03/27 and 2019/07/12. We considered data incomplete if inputs for demographic information, health events, outcomes, and relation to disaster were lower than the total number of patient consultations. We calculated the percentage of missing values for MDS items. Logistic regression identified associations between data incompleteness and EMT type.
Results/Outcomes:
Completeness of information on team and location was 100%. Incompleteness rates were 7.1% for sex and age, 37.2% for health events, 48.9% for outcomes, and 41.8% for the relation of health events to the disaster. Type 1 Fixed EMTs reported less complete data compared to Type 1 Mobile and Type 2 EMTs. Classified EMTs were more likely to report complete data.
Conclusion:
Overall, MDS daily report completeness needs improvement. Type 1 Fixed EMTs may have lower completeness due to busier schedules, while Type 1 Mobile EMTs benefit from more effective just-in-time training. Type 2 teams, being less busy, achieve more accurate data entry. Training for data collection is essential for better data completeness.
When a natural or man-made disaster occurs, emergency medical teams (EMTs) are dispatched to provide medical surge capacity for injured and sick individuals. Accurate predictions of EMTs consultations during disasters can improve dispatch and withdrawal decisions. However, no published studies have yet demonstrated a method for predicting the number of consultations or patients based on EMT activity data.
Objectives:
This research explores an innovative yet simple and reliable method to predict the number of consultations needed by EMTs during disasters, aiming to enhance the effectiveness and efficiency of medical response.
Method/Description:
Data were collected using Japan-Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED) and Minimum Data Set (MDS) for five disasters in Japan and one in Mozambique. For each disaster, the number of consultations was predicted from the K value and constant attenuation model, originally developed for predicting COVID-19 patient numbers.
Results/Outcomes:
The total number of EMT consultations per disaster ranged from 684 to 18,468. The predicted curve and actual K data were similar for each of the disasters (R2 from 0.953 to 0.997), but offset adjustments were needed for the Kumamoto earthquake and the Mozambique cyclone because their R2 values were below 0.985. For the six disasters, the difference between the number of consultations predicted from K values and the measured cumulative number of consultations ranged from ±1.0% to ±4.1%.
Conclusion:
The K value and constant attenuation model reliably predicted EMT consultations during six different disasters. This simple model may be useful for the coordination of future responses of EMTs during disasters.
Past disaster responses have demonstrated the importance of occupational health services for Emergency Medical Team (EMT) members. However, that implementation has been mostly left to individual teams and organizations and with less systematic approaches. During the Noto Peninsula earthquake that occurred in January 2024, the Emergency Medical Team Coordination Cell (EMTCC) activated the new Occupational Health System; J-SPEED Health Check-up for the first time to monitor health status of all EMT members and to provide comprehensive occupational services regardless of their affiliated organizations.
Objectives:
To review methodology and key achievements of the J-SPEED Health Check-up during the Noto Earthquake 2024 in Japan.
Method/Description:
During their deployment, all EMT members were suggested by the EMTCC which was embedded in the local health authority to enter and report their health status daily by using the J-SPEED+ application, which was originally developed to report the EMT Minimum Data Set (MDS) of patients. At the EMTCC, J-SPEED analysis support team conducted data analysis, and Disaster Occupational Health Assistance Team (DOHAT) provided targeted interventions to the individuals identified to be supported.
Results/Outcomes:
A total of 20,879 data entries were recorded during the deployment, which triggered 148 interventions by the professional Occupational Health Team. Anonymous summary report was made and shared at every EMTCC meeting.
Conclusion:
J-SPEED Health Check-up was successfully implemented. Necessary and targeted occupational health supports were provided, awareness of the issue was improved among partners.
An association between weekend/off-hour care and unfavorable clinical outcomes has been observed, commonly called the “weekend effect.” In the present study, we examined whether there was a weekend effect associated with blood culture (BC) contamination, which can lead to inappropriate medical resource consumption.
Methods:
We conducted a single-center retrospective observational study using data from BC tests performed on adult patients. The primary outcome was the incidence of BC contamination, which was compared between weekend and weekday sampling groups. In a multivariable logistic analysis, we evaluated the association between weekend sampling and the incidence of BC contamination.
Results:
The analysis included 7,597 weekend and 50,655 weekday BC sets from 1 January 2013 to 31 December 2019. The proportion of BC contamination during the study period was 1.15% (87/7,597) and 0.80% (405/50,655) in the weekend and weekday groups, respectively. In the logistic regression analysis adjusted for blood sampling settings, weekend sampling was significantly associated with increased BC contamination (odds ratio, 1.36; 95% confidence interval, 1.06–1.71).
Conclusions:
This study highlighted a significant association between weekend blood sampling for BC and an increased incidence of contamination. To provide better-quality care, further studies evaluating the differences in staffing and blood collection processes on weekends and weekdays are warranted.
The total number of Japanese casualties in the Asia-Pacific War (1937-1945) is estimated to be around 3.1 million, with military fatalities accounting for 2.3 million. In contrast to the popular image in Japan of these war dead as “noble heroes” (eirei) who fought valiantly in service of the nation, however, the realities of war were quite different. Rather than being killed in combat, some sixty percent of soldiers (1.4 million) died away from the battlefield, succumbing to disease and starvation. Others suffered from the military's failure to secure dependable supply lines to provide food and equipment replenishments, resulting in a large number of otherwise preventable deaths. In this article, Professor Yoshida Yutaka focuses on the grim realities of war death as experienced by ordinary soldiers in the Imperial Japanese Army, a topic rarely touched upon by scholars. Combining a social historical approach with rigorous statistical analysis, Yoshida sheds light on the institutional issues and peculiarities of what was once proudly known as the “Emperor's military.”
Tsuyoshi Hasegawa, a US citizen who was born in Japan, has taught in both countries. Applying his specialized knowledge of Russian history to an analysis of the US decision to drop atomic bombs on Japan, he challenges the prevailing American view that the US decision to drop the atomic bombs on Hiroshima and Nagasaki was justified. The prevailing view is based on two premises: first, the use of the atomic bombs was the only option available to the US government to avoid launching a costly invasion of the Japanese homeland; and second, the atomic bombings had an immediate and direct impact on Japan's decision to surrender. Dr. Hasegawa rebuts both assumptions. He also assesses a third – and often hidden – justification for dropping the bombs, namely, the American desire for revenge. He argues that, even before the atomic bombings, the United States had already crossed the moral high ground that it had held. He views the US use of atomic bombs as a war crime. But he asserts that this action must be understood in the context of Japan's responsibility for starting the war of aggression and committing atrocities in the Asia–Pacific War.
In isolated subclavian artery, abnormal aortic arch development causes a loss of continuity with the aorta. Patent ductus arteriosus is a known cause of congestive heart failure. Herein, we present a rare case of congestive heart failure caused by isolated right subclavian artery and right patent ductus arteriosus associated with left-sided aortic arch treated by early closure.
Group B streptococcus (GBS) is a major global cause of neonatal, infant, and maternal infections. In Japan, national guidelines based on Centers for Disease Control and Prevention recommendations mandate culture-based screening and intrapartum antibiotic prophylaxis (IAP) for GBS-positive pregnant women. Despite initial reductions in GBS infections, the incidence has plateaued, and there are notable limitations in current prevention methods. Approximately 15% of pregnant women are not screened for GBS, and intermittent colonization undermines screening accuracy, contributing to early-onset disease. IAP does not prevent late-onset disease, the incidence of which is increasing in Japan. This study reviewed maternal and neonatal GBS colonization using polymerase chain reaction, evaluated capsular type distributions, and explored late-onset disease infection routes. Among 525 mother-neonate pairs, the study found a higher detection rate of GBS via polymerase chain reaction compared to culture methods and identified significant discrepancies between antepartum and intrapartum colonization. GBS was detected in 3.5% of neonates from initially negative mothers at 4 days of age. Capsular types varied between mothers and neonates, indicating potential horizontal transmission. This study underscores the need for improved rapid diagnostic tests and highlights the potential of maternal GBS vaccination as a future prevention strategy.