There are limited data on chiropractic care for older adults, specifically from medically underserved communities. This study describes the characteristics, clinical management, and patient-reported outcomes of older adults with spinal pain who present for chiropractic care at a publicly funded community health centre serving marginalized populations. This retrospective analysis utilized quality assurance data from chiropractic encounters at Mount Carmel Clinic between January 2011 and June 2020 of adults aged 45 and older. Descriptive statistics summarized the study population and their self-reported pain severity scores. Student’s t-tests and repeated-measures ANOVA explored relationships between pain outcomes, age, and clinical characteristics. The sample included 240 middle-aged (45–59 years) and older adults (≥60 years) who recorded baseline and discharge pain scores following chiropractic treatment. Over half of middle-aged participants self-identified as Indigenous or as people with disabilities. Statistically and clinically important improvements in pain were noted across spinal regions and extremities for both cohorts.

Freelance work has proliferated in Japan over the last decade due in part to the Abe administration's encouragement of work style reform to reinvigorate the economy. However, freelancers have heavily criticized the government for treating them unequally in their compensation program for workers affected by the coronavirus. The COVID-19 pandemic and emergency declaration have exposed freelancers' employment insecurity and lack of access to a social safety net during an economic crisis. Intense debates have erupted on social media about how much companies and the government should be responsible for freelance workers' welfare. Defenders of providing lower levels of compensation to freelancers draw on preexisting neoliberal arguments that freelancers, like other irregular workers, are personally responsible (jiko sekinin) for themselves. However, many freelancers have pushed back by arguing that freelance work has become so mainstream that it no longer makes sense to treat it as some unique and separate work category. Being technologically savvy, freelancers have quickly leveraged their familiarity with social media platforms to criticize the unequal economic compensation and to demand increased benefits and recognition for their work in a surprising act of political defiance.

This paper examines responses to the COVID-19 pandemic from farmers in Japan. Because COVID-19 was most prevalent in Japanese urban centers and especially the Tokyo metropolitan area, farmers in rural communities in Kansai expressed less concern over infection compared to Kanto-area farmers who were more concerned with risk of infection. While some farmers expressed concern over economic losses from the closure of restaurants and schools, many interviewees had pre-established diverse market channels and thus could pivot their distribution streams during the pandemic. Farmers diverted produce typically for restaurants towards direct sales such as chokubaijyos (direct sales markets) or engaged in online platforms. Because of a lack of single stream distribution infrastructure set up for organic farmers as compared to conventional farmers, many of the interviewees already have robust distribution networks and tend to hold strong community ties with consumers and buyers in their region. We argue that the activities of these farmers demonstrate the resilience of local-scale food systems in Japan, because these networks help maintain food security and community relationships during times of crisis.

This is a collection of original articles on diverse vulnerable populations in Japan in the wake of the new coronavirus pandemic. The effects of COVID-19 are felt differently, with some among us at much greater risk of infection due to preexisting health and welfare conditions. For others, perhaps more than the risk of infection, it is the precautions taken to mitigate the risk for the whole population, such as lockdowns and business closures, that have pulled away the already fragile safety net of state and civil society organization (CSO) support, leading to increased marginalization and social exclusion. The goal of this set of papers is to document the conditions of those that have been most directly affected by the virus and to provide background on the conditions that made them vulnerable in the first place, notably chronic conditions that are brought into more obvious relief in light of emergency measures. Each of the authors had a pre-established relationship with those affected populations and employed various ethnographic approaches, some face to face, others digitally via Zoom interviews and SNS exchanges. In this moment of what appears to be relative calm, we hope that our collection, quickly compiled in an attempt to capture the ever-changing situation, will give some insight into how those most vulnerable are faring in this time of crisis and provide information that will allow us to prepare better before the next wave comes our way.

Sanitation workers in any society are essential workers that deal with the ‘dirty work’ that most people would rather not do. With the coronavirus outbreak in 2020, these workers have been particularly vulnerable with the increase in the amount of household garbage due to people staying home, as well as potential exposure to the virus through handling contaminated trash. This paper analyzed interviews of six Japanese men who work in garbage collection and/or are sanitation union members to shed light on how they experienced the impact of the coronavirus outbreak in their daily lives. Qualitative analysis highlights the following seven themes (1) Alerting overseas news of potential dangers; (2) Fear of contracting Covid-19: (3) Negotiated for safer protocols and gear; (4) Increased workload; (5) Experience of discrimination and stigma; (6) Increased public attention and awareness; and (7) “Our Work Goes Beyond Garbage Collection.” The paper also highlights sanitation workers' concern with the increased privatization of the public sector, pointing out how this may undermine the general welfare of society especially in times of crisis.

Globally, independent restaurants have been dealt a double blow by COVID-19. Restaurant staff face the risk of infection, and restaurants have been among the businesses hardest hit by urban lockdowns. With fewer resources than corporate chains, small independent restaurants are particularly vulnerable to an extended economic downturn. This paper looks at how independent restaurant owners in Tokyo have coped with the pandemic both individually and as members of larger communities. Both government and community support have been key to sustaining these small businesses and their employees during this crisis.

The Technical Intern Training Program (TITP) – a short-term labor rotation system that originated in 1993 – brings young and middle-aged workers from developing countries to Japan with a stated objective to transfer Japanese vocational skills and techniques to these workers. However, the program faced criticism for doing little more than covering the chronic labor shortage in unskilled blue-collar jobs that are regarded unfavorably by many Japanese in recent years. This paper highlights the heightened vulnerability of the technical intern trainees as cheap and disposable sources of labor, especially during the Covid-19 pandemic. Based on digital communications with 16 Vietnamese technical trainees and an analysis of the content on media platforms since the outbreak of the pandemic, the paper extends my previous work on the challenges faced by technical intern trainees, analyzing the handling of Japanese governments and the accepting companies. The article also introduces the roles of support groups in Japan devoted to protecting vulnerable technical intern trainees. At a moment when the Japanese government is reforming and promoting the TITP, this analysis of Vietnamese technical trainees during the COVID-19 crisis is particularly timely.

There are 608 “children’s homes” (児童養護施設 jidō yōgo shisetsu) across Japan that care for children and adolescents whose parents are unable to care for them (even though in many cases, their parents are known and still in contact with them). The causes for separation vary, including financial or psychological pressures, often taking the form of neglect or abuse. Institutionalization of any kind is always difficult for both children and their caretakers. Inside the children’s homes, the situation is difficult due to limited staff and tight budgets. The onset of COVID-19 has meant a dramatic decrease in the support services, staff, and resources that these institutions can provide, putting an already vulnerable population at added risk. Based on interviews with administrators at some of the leading nonprofits working with these children, this article lays out both the immediate difficulties within children’s homes during this difficult time, and the longer-term challenges they face in providing support for these young people.

The spread of COVID–19 across Japan has exacerbated accessibility issues born out of the nation's past, creating difficulties for disabled people in the present and anxieties about the future. In this article, I consider some of the historical contingencies and geopolitical circumstances that have fueled a precarious pipeline to risk and institutionalization for many disabled individuals. My analysis reveals how inadequate installation and inappropriate use of accommodations like ramps and elevators in various public venues has prevented disabled people from obtaining key supplies. It suggests that some disabled people have survived the current moment by relying on professional caregivers, but others have been unable to do so due to service cancellations and fear of contagion.

For individuals without support networks, assisted living facilities have offered a means of survival. However, many assisted living facilities have long grappled with funding issues and lack of willing workers. Accordingly, their residents have been exposed to neglect, abuse, and now, viral infection.

Aware of the situation, government officials have instituted emergency policies to provide disabled people and assisted living facilities with personal protective equipment and flexible financing. And yet, as activists have argued, those policies have often failed to pan out in practice. The future of disability in Japan remains uncertain. But as I suggest, the current crisis is our chance to intervene. I contend that we must use this opportunity to identify and resolve barriers to accessibility in Japan and build an inclusive society for domestic and international populations of disabled individuals.

When the state of emergency was declared in Tokyo, it was less a mandatory order than a request for cooperation and for jishuku (self-restraint). Along with the ambiguous status of such a request in a time of pandemic, this confusion was further compounded by uneven enforcement. While wealthier, middle class areas were left relatively unpatrolled, the areas around the redlight district of Kabuki-chō in Shinjuku, Tokyo, were very strictly monitored despite the lack of any conclusive data at that time regarding the infection patterns or rates. In targeting workers in the “night business,” the Tokyo Metropolitan Government reenacted centuries old prejudices against those working the sex trades. This paper focuses on how the advent of COVID-19 affected the lives of people working in the settai (business entertainment) industry, in particular hostesses in hostess bars, kyabajō (hostesses in clubs), and male hosts. Their voices tell us how, through the government's actions as well as mass media and social media discourse surrounding their work, these laborers were stigmatized, resulting in a worsening of their already precarious positions as they have been expected to do difficult and increasingly dangerous work, almost always without any contract or insurance protection, in a time of pandemic.

The right to protection from violence should be conferred upon all people regardless of their nationality. However, migrant women in Japan face exceptional risks, including that of domestic violence. This paper focuses on the vulnerability of Nepalese women, most often in Japan as dependents of their husbands, who are engaged as cooks in the ubiquitous Indo-Nepali restaurants. Shut out of the male-dominated support networks within the Nepalese community, they are forced to rely on Japanese state support in a time of crisis. Yet, despite the fact that most of these women are working and paying taxes in Japan, many are unable to effectively access the state support system, leaving them particularly at risk in times of calamity, as we are seeing now with COVID-19. This paper outlines their vulnerability and calls upon the state to recognize that these migrants are not free riders, but residents entitled to equal rights and protection under the law. At a time when we often hear about the national imperative to “Build Back Better” in the post-COVID-19 period, I hope that these vulnerable populations are included in such building.

In the unfolding of a global pandemic that has wreaked havoc worldwide, another less obvious pandemic hovers overhead. This is what the United Nations is calling a ‘Shadow Pandemic.‘ A rise in domestic violence within households has been noted in Japan and other countries. The stay-at-home measures to prevent the spread of the infection have essentially kept victims trapped with abusive partners and few means of escaping to the often-closed manga cafes or women's shelters. In this dire time, Japanese laws offer only minimal protection. This article draws on insights from Nakajima Sachiko of NPO Resilience, which aims to spread awareness of domestic violence and the effects of this trauma. She shares her expertise in the field and experiences as a survivor herself on the mechanisms that exist in Japanese laws and society that have created increased vulnerability among victims. Domestic violence in Japan is an area needing stronger attention from the government and legal system.

In the context of the global increase in displaced people, spiking to nearly 80 million in these corona times, Japan has also seen a dramatic increase in the number of applications for refugee asylum since 2010. Despite increasing numbers of applications, Japan has not increased its refugee recognition rate. Unable to return home to sure persecution when rejected, many refugees end up in Japanese detention centers once their visa expires. Like jails, hospitals and detention centers everywhere, detention centers in Japan are crowded and dangerous and unable to protect the detainees inside. Japan has been slower than many other countries to take precautions, including temporary release. This paper outlines some of the policy shifts that have led to this dangerous situation, the conditions of anxiety inside the detention centers themselves in Tokyo and Ibaraki and the problematic situation of “provisional release” of some detainees into a corona-infested Japan without any safety net or protection. We hope to not only point out the immediate danger of infection under COVID-19, but also the larger dynamic of using detention to manage a refugee asylum system that has proven to be ineffective and unjust.