It's a matter of cultural standards

How the Japanese deal with the pandemic is illustrative of what’s wrong in America.

The US just set a new record: more than 40,000 new cases of COVID-19 infections in one day. This is the end of June 2020 when many states have been reopening their economies and people around the country have breathed a big sigh of relief: The pandemic is over and we survived it! Except that it is not over and many did not survive. So far there have been more than 125,000 deaths confirmed to have been caused by the virus in the US. This is a quarter of all deaths globally (Americans stand for just over 4% of the world population).

Meanwhile in Japan, there is growing concern that a second wave of the pandemic is about to hit the country. This widespread fear among the general population and politicians alike has been caused by the fact that over the past three weeks or so there has been an increase in the number of new cases detected daily, mostly in the capital city. It is important to note, however, that these infection figures causing the panic are entirely in a different range than those in America. On Saturday, June 27, Tokyo discovered 57 new infections. The day before that, the figure was 54 and the day before that 55. That is 55, not 55,000.

Now, your reaction may be that, well, Japan is a small country. It is indeed much smaller that the United States, just 377,975 km² (147,937 sq. miles), as compared with the 9,833,520 km2 (3,796,742 square miles) of the USA. The US thus has many times the land area of Japan, but Japan’s population of 126 million is well over a third of America’s 328 million. Japan’s population density is therefore many times higher than that of the United States. Pandemics thrive in densely populated places. Tokyo is one of the largest cities in the world—probably the largest if you count the surrounding areas the form the contiguous metropolitan area. Just the area falling under the administrative unit of Tokyo proper houses 14 million people, one-third more than New York City.

Despite this enormous population concentration, Japan has so far only had just over 18,000 corona cases, as compared with America’s almost 2.5 million. Japan also sits next to China, where the pandemic started at the end of last year, and is a major destination for Chinese tourists: 9.6 million Chinese visited Japan in 2019, some of them bringing the virus with them, especially to the northern island of Hokkaido that experienced an early surge in infections.

So what might explain these striking differences? Japan’s Finance Minister Taro Aso, as reported by The Japan Times, had a short and clear answer: Cultural standards. Aso was criticized for his insensitivity, including by some of his fellow politicians in Japan (this is not the first time that he is taking flak for blunt comments that can be seen as culturally chauvinistic), but it would be impossible to dismiss his observation offhand. Unlike in the USA where efforts to (belatedly) control the spread of the virus through lockdowns and social distancing have been met with armed protests, the Japanese never implemented any draconian closings. Sure, there were many common sense changes—restaurants would stop serving alcohol early in the evening encouraging people to return home, train service was significantly reduced—but much of It was done voluntarily.

There are different forces at play. One is that the Japanese tend to be on the average a well-educated populace with a high science literacy. This naturally comes with a respect for scientific authority. People would heed the advice that epidemiologists and medical professionals would give them. This is the first obvious contrast to the US where an anti-science bias has long and deep roots, as documented by the historian Richard Hofstadter in his 1963 classic Anti-Intellectualism in American Life. Many people simply reject scientifically proven facts. Even during the COVID-19 crisis, there have been people claiming that the pandemic is just a liberal ploy to destroy the American way of life.

Secondly, Japan is ethnically and socially a very homogenous country with very low numbers of foreigners and relatively small differences between the rich and the poor. This homogeneity has maintained centuries old social structures and hierarchies. It is also a society with generally a high level of trust: between people and between people and the government. Needless to say, nothing could be further from truth when it comes to the American society today where divisions run deep between different groups and where distrust of the government has in recent years risen to feverish levels.

The Japanese homogeneity is of course not pure idyll. Its downside is that people who are different are often frowned upon, even ostracized. During the pandemic earlier in the spring, “virus vigilantes” would harass those seen as breaking the social rules and putting other people at risk. There were also reports of discrimination against people who would be—rightly or falsely—suspected of carrying the virus, including quite unreasonably health care workers.

Respect for rules and other people’s safety and comfort, however, runs very deep in the Japanese culture. This would be part of the “high cultural standards” that Taro Aso was referring to as helping ward off the spread of the virus. Having lived in Japan for almost a decade and visiting frequently since then, I can attest to the extreme politeness and considerateness that people show to others. Wearing surgical masks has for decades been par for the course during the flu and pollen allergy seasons, not to protect oneself but out of consideration to others. Inconveniencing other people is highly embarrassing. So when the pandemic started, everyone naturally started wearing a mask. Cleanliness overall is at a remarkably high level in Japan, so again few adjustments had to be made in terms of hygiene.

No formal travel limitations had to be put in place as people censored themselves. My wife hails from Iwate, an area between the central mountains and the Pacific Ocean in the northern part of the main island, Honshu. Iwate has been the only prefecture in the country where no COVID cases have been recorded throughout the pandemic (they may well be there, but no-one has got sick enough to require hospitalization). This fact is thanks to health checks of people entering the prefecture that were not mandated by the central government and, notably, by self-regulation by travelers. Like my wife has pointed out: Being the person who gets to be known as the one who brought the virus to a hitherto uncontaminated place would bring unbearable shame to the person and her/his family, so people would rather not risk acting as the vector.

So, now there is a resurgence of the virus in Japan, which has led to quick action by both the authorities and regular people. Scientists have been able to trace the infection clusters that have emerged in the past few weeks since Japan started getting back to normal after new cases almost disappeared towards the end of May. These new clusters are almost all traceable to entertainment areas in Tokyo—karaoke bars, clubs and gyms, “associated with heavy breathing in close proximity,” as a new scientific paper put it.

This same pattern is, of course, visible in the States. Partying over the Memorial Day weekend resulted in a new spread of infections. The pandemic has now moved south, to places like Florida, Arizona and Texas that opened up their economies prematurely, crowding beaches and bars as the weather warmed. On Friday, June 26, the governors of Texas and Florida were again forced to close down bars as new COVID-19 cases shot through the roof. Florida alone reported 8,942 new cases in one day alone.

The question now is, what will happen next. There may be a second wave hitting Japan but it is bound to be a very small one that will again be curbed in a few weeks, as people refrain from behaviors that put themselves and others at risk. It is hard to see the pandemic contained as easily in the US. The rudderless and reactive government response, self-centered instant gratification-seeking behavior of individuals, hugely divided society, and distrust of authority will guarantee that.

The renowned political scientist Francis Fukuyama recently wrote in Foreign Affairs that the factors that have determined successful response to the pandemic across countries are state capacity, social trust, and leadership. The United States has failed in all three. Others have observed that Americans seem to have simply given up on the pandemic, focusing on different things instead. Some are serious—like the Black Lives Matter and police brutality—but many people just want to get their lives back, whether it’s getting on with work and making money or simply enjoying the summer. Now it’s coming back to bite us—and the world watches in stunned bafflement as the country that used to lead the way in so many ways now only leads the way to a downward spiral. In the meantime, the European Union (EU) mulls a travel ban for American visitors and countries like Japan require a 14-day quarantine for anyone arriving there, leaving people like us spinning our wheels at our homes and watching as every new day brings more and more misery that could have been avoided.

Published in Medium.