London Daily

Focus on the big picture.
Sunday, Sep 20, 2026

Why the pandemic has affected Britain and Japan so differently

Why the pandemic has affected Britain and Japan so differently

LEAVING JAPAN, where your correspondent was posted for four years, was always going to be a shock to the system. The country is almost certainly the most functional and clean on the planet (even though there are no rubbish bins in the streets). It is possibly the most considerate, too. The pandemic has only served to magnify that.
While the rest of the world struggles to contain covid-19, Japan has been through two spikes that, relatively speaking, look like mere undulations. Just over 1,600 people have died, in a country of 127m. Some studies suggest there has been no excess mortality (because people are taking care there have been fewer deaths from other diseases such as flu). That is so even though Japan has two of the world’s ten biggest cities and its oldest population-nearly a third of its people are over 65.

Contrast that with Britain. Nearly 43,000 people have died-excess mortality suggests far more-in a population half the size of Japan’s and with fewer old people (only a fifth are over 65). It is undergoing a second surge, with more recorded cases than the first one, although that partly reflects more testing.

As it again tightens up-on October 12th Boris Johnson, the prime minister, announced a three-tier system of restrictions in England-life in Japan has been returning to what now resembles something close to normal. Its shutdown in the spring was shorter and much more limited in scope than in Britain, and based on government requests rather than legally enforceable rules.

A big clue for the different rates of the virus emerged as soon as your correspondent stepped into Heathrow airport from her (Japan Airlines) flight from Tokyo. It was unsettling to see so many mouths and noses. Japanese passport officers wear face masks and visors; their British counterparts did not cover their faces at all.

They may have been largely shielded from people arriving by perspex screens, but not from other workers as they moved around, swapping cubicles or chatting. Passengers meanwhile wore their masks as casually as you might sling a scarf over a shoulder, as neckerchiefs or chin warmers.

This scene was repeated over several outings in the following days. We ventured, not without trepidation, to a soft play area. Signs stated “spectators must wear masks” yet almost all the parents were running around, talking loudly, mask-free; only some staff wore them (we left).

Lifeguards at the local pool were uncovered. So were baristas in a nearby coffee shop. Even after the British government made masks mandatory in more settings on September 24th, many seem to be complying half-heartedly at best.

The lack of face-covering feels alien-and frankly anxiety-inducing-to your correspondent. Since the pandemic started it has been extremely rare to see anyone in Japan, older than primary-school age, free of a well-fitting mask covering both nose and mouth, even on the streets. More and more evidence suggests that, when worn correctly, masks can not only significantly help slow the spread of the virus to others but also protect the wearer.

Japan had an advantage. The country has a long history of wearing masks. (Other Asian countries that also have good mask uptake have done so only since SARS in 2003, which barely touched Japan). The first traces of them date back centuries, when they were used at religious rituals and possibly for medical reasons, too.

But they were adopted widely after the last pandemic, of Spanish flu in 1918. Tokyo’s air-pollution problem in the 1970s gave another reason to keep the custom alive. So did pressure not to take a day off sick when ill during the economic boom, widespread hay-fever-inducing pollen and then, in 2011, worries about microparticles from the earthquake and tsunami that caused the meltdown of a nuclear power station. All this meant that, even before covid-19, masks were a common sight in Japan.

Japan did not just get a historical head start. Culturally there is no politically charged debate about personal liberty and masks; whether through social conformity or otherwise, and without government instruction, masks became ubiquitous from February, both for workers and the general public. The default habit is to wear a mask and remove it in exceptional settings: even lone drivers inside cars can often be seen wearing a mask, even if pulled down. In Britain the opposite is true.

It did not have to be that way. Other countries without a culture of wearing masks have adopted them. Around 85% of Italians now say they always wear a mask in public.

In Britain that figure is less than one-fifth. Part of the problem is the messaging. Initial warnings that mask-wearing could be counter-productive-because they make people feel safe and therefore more likely to engage in riskier behaviour, or because they cause them to touch their face more often-have not been updated as new research has suggested the benefits.

Masks alone probably do not fully explain the difference in the way the virus has affected Japan and Britain. Other theories for Japan’s good record circulate. Rather than hug or shake hands, people stand apart and bow to one another.

Some suggest people produce less spittle when speaking Japanese (that may be fanciful, although Japanese do tend not to talk loudly, guffaw or shout to one another). Others reckon the population has been exposed to more coronaviruses and is therefore more resistant to them.

In June Aso Taro, Japan’s finance minister, said that he explained to foreign callers that the country’s low mortality rate was down to mindo, loosely, a high level of cultural standards. That led to accusations of racism and nationalism. Many Japanese have, however, looked at other countries’ experiences of covid-19 with horror.

They wonder why people elsewhere don’t don masks or carry hand sanitiser. (On June 19th queues formed outside UNIQLO, a giant Japanese clothing brand, of customers eager to buy their newly launched face mask suitable for the summer heat. They were like gold dust for weeks afterwards.)

Japan has an extremely strict border policy, too. It currently altogether bans people from 159 countries from entering and, until September, prevented residents from leaving and returning. Now anyone among the few who are allowed to enter, or Japanese and foreign residents who go and return, must take a test for covid-19 infection before leaving, on arrival, and must quarantine for two weeks whatever the result.

Japan is being lax when it comes to other preventative measures. There is not enough testing. Social distancing is minimal. Yet as time has passed it has seemed churlish to criticise the country’s record. After shutting for a few weeks in the spring, nurseries have since been open with large groups of kids messing around together.

Schools, which were shut early for several months, before other countries, reopened in June and have remained so. Businesses have been hit hard, but can operate again. Wearing a mask has few costs and evidence of their effectiveness is mounting; it will be one (of several) Japanese habits that your correspondent will keep.
Newsletter

Related Articles

0:00
0:00
Close
Ed Sheeran Tour Faces Backlash After Macklemore Is Removed Over Pro-Palestinian Remarks
Vandalism of Traffic Cameras Intensifies Across Parts of England
Nearly 300 Evacuated as Fire Hits Grand Burstin Hotel in Folkestone
King Charles Warns AI Executives About Risks From Uncontrolled Technology
Church of England Apologises for Role in Historical Forced Adoption Practices
UK Debate Over Online Speech Intensifies After Arrest Figures Draw Scrutiny
Oxfordshire Village Holds Symbolic Independence Vote Over Asylum Accommodation Plan
Nigel Farage and Richard Tice Sue National Crime Agency Over Alleged Banking Data Leaks
Apple Introduces Stricter Age Checks for UK Accounts
BBC Cash Reserves Fall 66% to £125 Million as Broadcaster Restructures
McLaren Announces £500 Million UK Investment and Plans 1,000 Jobs
Green Party Wins Historic Gorton and Denton By-Election as Labour Falls to Third
Burnham Government Prepares October Budget Under Growing Fiscal Pressure
UK Energy Suppliers Pull Fixed-Price Deals as Wholesale Markets Turn More Volatile
Bank of England Holds Rates at 3.75% as Middle East Energy Shock Raises Inflation Risks
Addison Lee Founder Loses £20 Million UK Tax Tribunal Case
BrewDog Creditors Face Losses on About £190 Million of Debt
Harrods Seeks to Recover Abuse Compensation Costs From Mohamed Al Fayed’s Estate
Ed Davey Targets Reform UK as Liberal Democrat Conference Opens
Great Britain Retail Sales Rise 0.5% in August
NHS England Approves Life-Extending Treatment for Incurable Breast Cancer
Proposals to Limit NHS ADHD Diagnoses Draw Criticism From Patient Groups
Resolution Foundation Warns of Housing Cost Crunch for Low-Income UK Families
BBC Cash Reserves Fall to Decade Low as Annual Deficit Reaches £121 Million
Millisecond Software Error Triggered Major UK Air Traffic Control Disruption
Twenty Women Underwent Unnecessary Mastectomies During NHS Cancer Care
Sensitive UK Police Data Found Vulnerable to Access by Foreign Actors
British Steel Faces Renewed Pressure for a Long-Term Financial Plan
MPs Urge Government to End Thames Water Restructuring Talks With U.S. Hedge Funds
Andy Burnham Warns of Difficult UK Budget Choices as Inflation Returns to 3.1%
England Tightens School Food Standards With Restrictions on Deep-Fried and High-Sugar Foods
Oxfordshire Village Votes Symbolically to Leave UK Over Proposed Asylum Centre
Michael Marra Elected Leader of Scottish Labour
BBC Cash Reserves Fall Sharply as Financial Pressures Mount
George Osborne Calls for UK to Rejoin EU Customs Union
UK Explores Joining Canada-Led Global Defence Bank
Thirlwall Inquiry Highlights Management Failures Surrounding Lucy Letby Crimes
Parliamentary Committee Calls for New UK Law to Address AI Risks to Human Rights
UK Considers Giving Regional Mayors Greater Oversight of Water Companies
UK Opposition Presses Burnham for Stronger Response to Russian Security Threats
Reform UK Faces Scrutiny Over £72 Million in Donations as Political Finance Rules Tighten
Millisecond Software Failure Behind UK Air-Traffic Outage That Cancelled More Than 2,000 Flights
Bank of England Holds Interest Rate at 3.75% as Energy Prices Complicate Inflation Outlook
Burnham Warns of Difficult Choices in October Budget as UK Inflation Rises to 3.1%
Addison Lee Founder Loses £20.5 Million Non-Domicile Tax Case
BrewDog Creditors Face Heavy Losses After Collapse
Thirteenth Metropolitan Police Officer Dismissed Over Charing Cross Conduct
Oxfordshire Village Votes Symbolically to Leave UK Over Asylum Accommodation Plan
NHS Approves Life-Extending Treatment for Women With Incurable Breast Cancer
Software Defect Blamed for Major UK Air Traffic Disruption
×