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Vaccines against SARS-CoV-2 with good efficacy are now available worldwide. However, gained immunity diminishes over time. Here, we investigate the course of both humoral and cell-mediated immunity in response to three doses of the Pfizer mRNA BNT162b2 SARS-CoV-2 vaccine in healthcare workers in Japan. SARS-CoV-2 anti-receptor-binding domain (RBD) antibodies (total Ig, IgG), neutralizing antibodies (NAb), and ELISpot were measured in serum and whole blood samples collected after each vaccine dose. ELISpot numbers were higher than the cutoff values in most participants at all times. It was suggested that the difference in behavior between humoral immunity and cell-mediated immunity with age is complementary. Anti-RBD total Ig, IgG, and NAb indicated a high correlation at each time point after vaccine doses. Total Ig was retained long-term after the second dose and increased significantly faster by the booster dose than IgG. Nab levels of all subjects were ≤20% six months after the second dose, and the correlation coefficient was greatly reduced. These are due to the avidity of each antibody and differences among commercial kits, which may affect the evaluation of immunokinetics in previous COVID-19 studies. Therefore, it is necessary to harmonize reagents categorized by the same characteristics. [ABSTRACT FROM AUTHOR]

Business continuity plans (BCPs) can be effective and proactive countermeasures to respond flexibly to crises caused by unexpected natural disasters such as large tsunamis. BCP guidelines for fisheries are being issued by the Fisheries Agency (Japan) and the utilization of such BCPs has been spreading in Japan. Despite the need to promote the social implementation of BCPs in the fisheries industry, there is a lack of quantitative criteria for the tsunami damage threshold of various fishing ports and facilities. In this research, we surveyed the damage to the fishing facilities from the tsunami generated by the 2011 Tohoku-oki earthquake. Data were collected on the tsunami damage for various fishery facilities and used to establish criteria for tsunami damage thresholds. In addition, tsunami damage inferred from 1506 scenarios of tsunami computations was predicted probabilistically for a model region as the Nachi Katsu'ura Fishery Port in Wakayama Prefecture. The method we developed in this research makes it possible to assess the probabilistic tsunami damage by combining a tsunami hazard assessment method with criteria for damage occurrence for fishery port facilities and equipment. [ABSTRACT FROM AUTHOR]

The increasing healthcare cost imposes a large economic burden for the Japanese government. Predicting the healthcare cost may be a useful tool for policy making. A database of the area-basis public health insurance of one city was analyzed to predict the medical healthcare cost by the dental healthcare cost with a machine learning strategy. The 30,340 subjects who had continued registration of the area-basis public health insurance of Ebina city during April 2017 to September 2018 were analyzed. The sum of the healthcare cost was JPY 13,548,831,930. The per capita healthcare cost was JPY 446,567. The proportion of medical healthcare cost, medication cost, and dental healthcare cost was 78%, 15%, and 7%, respectively. By the results of the neural network model, the medical healthcare cost proportionally depended on the medical healthcare cost of the previous year. The dental healthcare cost of the previous year had a reducing effect on the medical healthcare cost. However, the effect was very small. Oral health may be a risk for chronic diseases. However, when evaluated by the healthcare cost, its effect was very small during the observation period.

This study compared the physical fitness level and weight status of children and adolescents in China and Japan. Children and adolescents aged 7-18 years were recruited (China: n = 5660; Japan: n = 5660). Physical fitness was assessed using seven core items-grip strength, 30-s sit-ups, standing long jump, sit-and-reach, 20-s repeated straddling, 20-m shuttle run test, and 50-m dash. A physical fitness index (PFI) was calculated by adding all items' Z -scores. We conducted comparisons of PFI and its distribution, each physical fitness item, and weight status for individuals from China and Japan across all ages. The PFI was lower in China than in Japan for all age groups, with an especially large difference at age 18 years for boys (a difference of 9.05) and girls (a difference of 9.10) ( p < 0.001). The same result was seen for the seven items. The PFI distribution for children and adolescents was more disperse among those in Japan than among those in China. Obesity prevalence was 2.84 times higher in China than in Japan. An inverted U-shaped relationship was observed between physical fitness and nutritional status. Children and adolescents showed markedly lower physical fitness and higher obesity prevalence in China than in Japan.

Background: This study aimed to compare the difference in cardiorespiratory fitness between Chinese and Japanese children and adolescents., Methods: Participants comprised 9025 children and adolescents aged 7-18 years from China and Japan. Cardiorespiratory fitness (CRF) was measured by performance in the 20 m shuttle run test (20mSRT) and estimated maximal oxygen consumption (VO 2max ). Differences in CRF between countries were evaluated by t -tests. Centile curves for the 20mSRT and VO 2max values were constructed for Chinese and Japanese children and adolescents, respectively, using the Lambda Mu and Sigma (LMS) method., Results: (1) For most of the age groups, the 20mSRT and VO 2max performances among Chinese participants were lower than among Japanese participants. (2) Japanese children had the most apparent gains in P 10 , P 50 , and P 90 VO 2max values in primary school; however, they gradually decreased in middle school. For Chinese girls, the P 10 , P 50 , and P 90 VO 2max values decreased gradually with age. (3) The VO 2max value among Japanese children increased; however, it decreased or remained flat among Chinese children in primary school., Conclusions: CRF among Chinese participants was lower than among Japanese participants while the VO 2max value showed different trends in primary school. Effective measures should be taken to improve CRF among children and adolescents.