Among tool kits to combat the coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, school closures are one of the most frequent non-pharmaceutical interventions. However, school closures bring about substantial costs, such as learning loss. To date, studies have not reached a consensus about the effectiveness of these policies at mitigating community transmission, partly because they lack rigorous causal inference. Here we assess the causal effect of school closures in Japan on reducing the spread of COVID-19 in spring 2020. By matching each municipality with open schools to a municipality with closed schools that is the most similar in terms of potential confounders, we can estimate how many cases the municipality with open schools would have had if it had closed its schools. We do not find any evidence that school closures in Japan reduced the spread of COVID-19. Our null results suggest that policies on school closures should be reexamined given the potential negative consequences for children and parents.
According to past analyses of prescription and treatment patterns for major depressive disorder (MDD), the majority of MDD patients in Japan have not been treated according to the recommended guidelines. 1 In this context, the Japanese Society of Mood Disorders published the 'Treatment Guidelines for Major Depressive Disorders' (GL) in 2012, and the 'Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE)' project was launched in 2016, which aimed to standardize medical practice using quality indicators (QI) as indices for the quality of medical practice. 2, 3 The present study was a cross-sectional, retrospective study conducted in a total of 84 institutions (36 university hospitals, 23 national/
Weak electoral registration requirements are commonly thought to encourage electoral participation, but may also promote electoral fraud. For one, candidates and their supporters can more easily mobilize voters outside the district to register and vote for the candidates, even though these voters do not reside within the district. We statistically detect this classic type of electoral fraud for the first time, by taking advantage of a natural experimental setting in Japanese municipal elections. We argue that whether or not a municipal election was held in 3
This study discusses a downside of electoral pressure. As elections approach, legislators reduce their effort in legislative activities, albeit while increasing their efficiency. To show this, we propose a new, natural experimental design exploiting staggered legislative election calendars to identify the effect of approaching elections. Two‐way natural blocking improves the balance of pretreatments and an instrumental variable approach addresses noncompliance by retirees. Our analysis of the Japanese House of Councillors demonstrates that legislators up for election show up in the chamber less often than those not facing election; however, when they do show up and speak, they tend to speak longer.
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