Three Fine Things In The Background

Three very fine things giving a frisson when looking at the images broadcast of Their Imperial Majesties' visit to the war memorials in the Republic of Palau:

1) That it is Muraki Atsuko, there on the left in the above screen shot from NHK, who is the master of ceremonies. Muraki is one of the very few victims of a prosecutorial frame-up to ever to win full exoneration and restitution, with the prosecutor who fabricated the evidence against her going to prison in her stead. (Link)

2) That Muraki is not just some flunkey or monomaniacal freak but a straight arrow, high-achieving, dedicated human being in what can only be described an awesome marriage whom the prime minister can take pride in having appointed to the highest office available to her in what was then only the second appointment of a woman as a vice minister. (Link)

3) That it is the Vice Minister of Health, Labour and Welfare presiding at the commemoration events at the newly refurbished memorial on the island of Peliliu, not the Vice Minister of Foreign Affairs -- making it crystal clear once again that it is the MHLW, not MOFA, that is in control of war memory in Japan.

Not Another Harangue About Public Day Care In Japan

Every year about this time the Ministry of Health, Labour and Welfare releases the report on the state of the nation's public day care facilities as of April 1. In reponse I usually I lose my senses and compose a long post on how the statistics once again show that the provision of public day care by local authorities is really good, contrary to the reporting of journalists and assertions of Japanese day care activists. The purported failure of local jurisdictions to be responsive to the needs of working parents turns out to be that-- purported -- existing mostly only in lazy strings of anecdotes.

I will restrain myself this year. I will only ask readers to look at the MHLW press release (Link - J) and note:

- The total number of children attending public day care in Japan increased by 42,779. To put that in perspective, that represents the equivalent opening of 850 new day care centers (the newest one in my neighbor accommodates 50 children) in a single calendar year. This was the largest year-on-year increase in children ever.

- The actual number of new day care center that opened -- 327 -- indicates that much of the record increase in children was handled by existing facilities with excess capacity

- Only two prefectures have chronic day care deficits as represented by waiting lists: Tokyo and Okinawa. All other prefectures are either at zero children on waiting lists or are on a course toward that goal.

- Yokohama, the municipality that gets all the attention from the press and the politicians for zeroing out its waiting lists (Link) was not even in the top five among cities cutting back on its lists last year. The best performer in raw numbers was Nagoya, which managed to reduce its waiting lists by 73% in a single year. There were 1032 children on waiting lists in Nagoya in April 2012 but only 280 children a year later.

- Maintaining a reputation of success is costly. Keeping the promise to have no children on waiting lists within three years meant the Yokohama city government had to find or build public daycare accommodations for 3,740 more children in the last fiscal year. The Tokyo ward of Suginami, which won national recognition for its zeroing out of its waiting lists a decade ago, is still recovering from the consequences of earning a reputation of being "working parent friendly" and thus an attractive destination for young parents or would be parents. Of all the nation's municipalities Suginami had the largest raw increase in children on waiting lists.

- Despite immense efforts of local authorities, the number of children on waiting lists nationwide remained stuck above 20,000 -- though there was improvement, with the totals falling from 24,825 to 22,741.

The struggles of Yokohama and Suginami to keep ahead of increases in demand and the failure of the nationwide numbers to plummet, despite record levels of new children getting incepted into the system (an annual increase double the number on the waiting lists!) -- illustrate the difficulties of inherent in meeting the challenge of what reader JC calls the "out of the woodwork effect" -- where increases of the supply of a good increases the demand for that good, even with rising prices.

Considering that local authorities have little ability to raise funds for specific projects, that the total and relative numbers of small children are declining, that both the national and local budgets have to accommodate rapid increases in costs associated with the elderly (who vote) and all levels of government face severe fiscal crises, the effort being put into increasing access to public day care seems very respectable.

Not that you would ever hear about these successes from demagogues fishing for the votes of women (Link) or worse from men who wish to show their sensitivity.  For the record, public day care is used by families -- sometimes single-parent, most times not -- not women.　In these families the men are very often equal partners in child rearing and the household. Indeed, in terms of beneficial social transformation of individuals, day care centers probably rarely make better mothers -- but they seem to make better fathers.

Duck And Cover, HPV Edition

Yesterday, a government advisory panel to the Ministry of Health, Labour and Welfare recommended that doctors stop encouraging patients to be vaccinated against the HPV virus. Following a spate of reports of lingering pain from the shots and the organization of a parents support group of purported victims, the panel concluded that the ministry that should ask doctors to suspend the practice of telling patients and their parents that receiving the shots is a good idea. (Link - J)

An oddity in this story is the lack of agreement on how many cases of mysterious pains have been reported. NHK is reporting 33 cases, with 8 patients still suffering from unresolved pain. The Nihon Keizai Shimbun is reporting 38 cases out of the 3.28 million patients who have received the shots since November of 2010 (Link - J). The Asahi Shimbun is reporting 43 cases over the same timespan (Link). The Mainichi Shimbun is also reporting 43 cases, with 11 of them with still unresolved pain. (Link- J)

Ostensibly, all these news organizations had their representatives at yesterday's meeting, or received the reports of the advisory panel's recommendatoin. How can the numbers coming out of the meeting be all over the map?

Since the panel has not recommended a halt in the vaccinations, it is difficult to assess what it is recommending the MHLW ask doctors to do. The incidence of mysterious pains is around 1 in 100,000, with the instances of lasting pains less than 1 in 300,000. At the same time, known adverse reactions to the vaccine (such as anaphalactic shock) numbered over 10,000. That and the fact that cervical cancer kills 2,700 Japanese women every year seems to argue that panic in the face of pressure is...inadvisable?

Women's health advocates fought a long and costly battle to push the health industry and the government into including the HPV vaccine in the regimen of standard vaccines provided free for minors. It is both saddening and entirely in character that the advisory panel has chosen to delegitimize the program at the first sign of trouble, on the entirely political and utterly unscientific excuse of "Well, we do not know what is going on, but to cover our behinds let us retreat to the position of being neither for nor against the vaccinations."