Between 9 May and 4 June 2009, a total of 401 laboratory-confirmed cases of influenza A(H1N1)v virus were reported in Japan, from 16 of the 47 Japanese prefectures. The two areas most affected were Osaka prefecture and Kobe city where outbreaks in high schools occurred leading to school closures. To date all cases have had symptoms consistent with seasonal influenza and no severe or fatal cases have been reported.

To provide insight into the mortality burden of coronavirus disease (COVID-19) in Japan, we estimated the excess all-cause deaths for each week during the pandemic, January–May 2020, by prefecture and age group. We applied quasi-Poisson regression models to vital statistics data. Excess deaths were expressed as the range of differences between the observed and expected number of all-cause deaths and the 95% upper bound of the 1-sided prediction interval. A total of 208–4,322 all-cause excess deaths at the national level indicated a 0.03%–0.72% excess in the observed number of deaths. Prefecture and age structure consistency between the reported COVID-19 deaths and our estimates was weak, suggesting the need to use cause-specific analyses to distinguish between direct and indirect consequences of COVID-19.

W ith the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Wuhan, China, several countries, including Japan, repatriated their nationals (1-3). During January 29-31, 2020, a total of 566 Japanese nationals were repatriated via 3 chartered flights from Wuhan (206, 210, and 150 passengers). After passengers disembarked in Tokyo, Japan, quarantine officials assessed them for signs/symptoms (e.g., fever, respiratory illness) of coronavirus disease (COVID-19) (4). A total of 28 symptomatic passengers were transferred to select hospitals for isolation. The remaining 538 were transported to a designated hospital, where another 35 were found to be symptomatic and were hospitalized there or transferred to other hospitals, leaving 503 asymptomatic persons for observation in quarantine (Figure). The Study We conducted day 1 entry screening by testing oropharyngeal swab samples collected from all 566 returnees at the hospitals to which they were initially transported for SARS-CoV-2 (4); all tests were based on the real-time reverse transcription PCR developed by the National Institute of Infectious Diseases (5). Hospitalized patients in isolation and asymptomatic returnees in quarantine were monitored daily for 14 days. If any signs/symptoms developed in a quarantined person, that person was transported to a designated hospital and oropharyngeal swab samples were collected for testing. We conducted exit screening for quarantined persons who remained illness-free by collecting oropharyngeal swab samples on day 14. The National Institute of Infectious Diseases Ethics Committee approved the study (registration no. 1096), and all 566 returnees who provided specimens gave written informed consent. Among the 63 passengers who were symptomatic at entry screening, 2 (3.2%) were positive by PCR

Background: Coronavirus disease 2019 (COVID-19) continues to be a major global health burden. This study aims to estimate the all-cause excess mortality occurring in the

We assessed the effect of seasonal trivalent inactivated influenza vaccination (TIV) on pandemic influenza 2009 (pH1N1)-related illness from April to June 2009 among 2849 students (aged 12-18 years). TIV was associated with an increase in the frequency of pH1N1-related illness among subjects (adjusted odds ratio, 1.47; 95% confidence interval, 1.14-1.89). TIV during the 2008-2009 season increased the risk of pH1N1-related illness from April to June 2009.