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They Escaped an Infected Ship, but the Flight Home Was No Haven | They Escaped an Infected Ship, but the Flight Home Was No Haven |
(1 day later) | |
TOKYO — The ground rules were clear. A day before 328 Americans were to be whisked away from a contaminated cruise ship in Japan, the U.S. Embassy in Tokyo told passengers that no one infected with the coronavirus would be allowed to board charter flights to the United States. | TOKYO — The ground rules were clear. A day before 328 Americans were to be whisked away from a contaminated cruise ship in Japan, the U.S. Embassy in Tokyo told passengers that no one infected with the coronavirus would be allowed to board charter flights to the United States. |
But as the evacuees began filing onto two reconfigured cargo planes early Monday for departures to military bases in California or Texas, some noticed tented areas separated from the rest of the cabin. | But as the evacuees began filing onto two reconfigured cargo planes early Monday for departures to military bases in California or Texas, some noticed tented areas separated from the rest of the cabin. |
Then reality hit: After 12 days stuck on the cruise ship where more and more people were testing positive for the virus, they were now sharing planes with people carrying the same pathogen they were desperate to escape. | Then reality hit: After 12 days stuck on the cruise ship where more and more people were testing positive for the virus, they were now sharing planes with people carrying the same pathogen they were desperate to escape. |
“I didn’t know until we were in the air,” said Carol Montgomery, 67, a retired administrative assistant from San Clemente, Calif. “I saw an area of plastic sheeting and tape.” | “I didn’t know until we were in the air,” said Carol Montgomery, 67, a retired administrative assistant from San Clemente, Calif. “I saw an area of plastic sheeting and tape.” |
While the planes were aloft, the State Department and the Department of Health and Human Services said in a joint statement that the results for 14 passengers who had been tested two or three days earlier had come back positive — just as they were heading to the airport in buses. | While the planes were aloft, the State Department and the Department of Health and Human Services said in a joint statement that the results for 14 passengers who had been tested two or three days earlier had come back positive — just as they were heading to the airport in buses. |
American officials, it turned out, had started bringing the passengers home without actually knowing their test results. But because the evacuation had already begun by the time Japanese officials relayed those results, officials decided to let the infected evacuees, who were not yet exhibiting symptoms, board the planes and sit in the back, separated from other passengers by plastic sheets about 10 feet tall. | American officials, it turned out, had started bringing the passengers home without actually knowing their test results. But because the evacuation had already begun by the time Japanese officials relayed those results, officials decided to let the infected evacuees, who were not yet exhibiting symptoms, board the planes and sit in the back, separated from other passengers by plastic sheets about 10 feet tall. |
The reversal was the latest chaotic turn in a two-week quarantine of the ship that has become an epidemiological nightmare. | The reversal was the latest chaotic turn in a two-week quarantine of the ship that has become an epidemiological nightmare. |
Even as the Americans were flying home and countries like Australia, Canada and South Korea were preparing to evacuate their own citizens, the Japanese Health Ministry announced on Monday that 99 more cases had been confirmed on the cruise ship, bringing the total to 454. | Even as the Americans were flying home and countries like Australia, Canada and South Korea were preparing to evacuate their own citizens, the Japanese Health Ministry announced on Monday that 99 more cases had been confirmed on the cruise ship, bringing the total to 454. |
Among them was the third Japanese public health official to contract the virus while tending to passengers and crew members aboard the ship, the Diamond Princess. | Among them was the third Japanese public health official to contract the virus while tending to passengers and crew members aboard the ship, the Diamond Princess. |
The unstinting rise in infections — and the scramble to bring American passengers home, even after some were discovered to be infected — has led to tough questions, and some withering criticism, about the handling of the outbreak aboard the ship, home to the largest number of coronavirus cases outside China. | The unstinting rise in infections — and the scramble to bring American passengers home, even after some were discovered to be infected — has led to tough questions, and some withering criticism, about the handling of the outbreak aboard the ship, home to the largest number of coronavirus cases outside China. |
“The quarantine on the ship ended up being an unprecedented failure,” said Eiji Kusumi, a doctor specializing in infectious diseases at Navitas Clinic in Tokyo. “We should learn from this lesson that a quarantine on a ship is impossible, and we should not repeat this in the future.” | “The quarantine on the ship ended up being an unprecedented failure,” said Eiji Kusumi, a doctor specializing in infectious diseases at Navitas Clinic in Tokyo. “We should learn from this lesson that a quarantine on a ship is impossible, and we should not repeat this in the future.” |
Countries around the world are now struggling to figure out what to do with cruise ships during the coronavirus outbreak. | Countries around the world are now struggling to figure out what to do with cruise ships during the coronavirus outbreak. |
Another ship, the Westerdam, was turned away from port after port in Asia until it was welcomed in Cambodia. The cruise line insisted that no one was ill and passengers started heading home, yet one of them, an American woman, later tested positive for the virus, worrying experts that the epidemic will get only worse. | Another ship, the Westerdam, was turned away from port after port in Asia until it was welcomed in Cambodia. The cruise line insisted that no one was ill and passengers started heading home, yet one of them, an American woman, later tested positive for the virus, worrying experts that the epidemic will get only worse. |
After the long quarantine in Japan, the U.S. authorities had strongly encouraged American passengers on the Diamond Princess to accept the offer of a flight out. Getting them off the ship took days of planning and hours of screening, checking passports and loading passengers onto buses for the 40-minute bus ride from the port of Yokohama to Haneda Airport in Tokyo. | After the long quarantine in Japan, the U.S. authorities had strongly encouraged American passengers on the Diamond Princess to accept the offer of a flight out. Getting them off the ship took days of planning and hours of screening, checking passports and loading passengers onto buses for the 40-minute bus ride from the port of Yokohama to Haneda Airport in Tokyo. |
The goal was to ensure that passengers who were symptomatic remain in Japan, American officials said. Medical experts examined American passengers on the ship and determined that at least 328 of them could be evacuated. Meanwhile, Japanese medical experts had done testing of the passengers, but did not have all the results ready. | The goal was to ensure that passengers who were symptomatic remain in Japan, American officials said. Medical experts examined American passengers on the ship and determined that at least 328 of them could be evacuated. Meanwhile, Japanese medical experts had done testing of the passengers, but did not have all the results ready. |
In the end, 61 Americans remain on board, officials said. | In the end, 61 Americans remain on board, officials said. |
Asked why American officials began evacuating passengers without knowing their test results, Dr. William Walters, managing director of operational medicine at the State Department, told reporters on Monday that it was “unpredictable” when the results would come back. | Asked why American officials began evacuating passengers without knowing their test results, Dr. William Walters, managing director of operational medicine at the State Department, told reporters on Monday that it was “unpredictable” when the results would come back. |
The Americans were put on about 15 buses to the airport. Once it became clear that some had the coronavirus, the State Department said, the infected passengers “were moved in the most expeditious and safe manner to a specialized containment area” in the rear of the planes. | The Americans were put on about 15 buses to the airport. Once it became clear that some had the coronavirus, the State Department said, the infected passengers “were moved in the most expeditious and safe manner to a specialized containment area” in the rear of the planes. |
“In the isolation area, they posed no additional risk,” Dr. Walters said. | “In the isolation area, they posed no additional risk,” Dr. Walters said. |
After landing, the 14 infected evacuees went to hospitals for monitoring and treatment. Most ended up being flown to Omaha for medical treatment by experts at the University of Nebraska. Another five returning passengers were also put into isolation because they had developed fevers. | After landing, the 14 infected evacuees went to hospitals for monitoring and treatment. Most ended up being flown to Omaha for medical treatment by experts at the University of Nebraska. Another five returning passengers were also put into isolation because they had developed fevers. |
The remaining American passengers stayed at Travis Air Force Base in California or Lackland Air Force Base in Texas, where they had landed and where they will remain under quarantine for an additional 14 days. | The remaining American passengers stayed at Travis Air Force Base in California or Lackland Air Force Base in Texas, where they had landed and where they will remain under quarantine for an additional 14 days. |
When one of the planes landed in California, a line of officials from the military, the Centers for Disease Control and Prevention, and the Department of Homeland Security greeted passengers with banners that read “Welcome home.” | When one of the planes landed in California, a line of officials from the military, the Centers for Disease Control and Prevention, and the Department of Homeland Security greeted passengers with banners that read “Welcome home.” |
After being ushered through an isolation tent, they were assigned to apartments on the base. | After being ushered through an isolation tent, they were assigned to apartments on the base. |
“They have flown in specialists from across the country,” said one evacuee, Sarah Arana, 52, a medical social worker from Paso Robles, Calif. “It’s a phenomenal amount of resources. I’m kind of blown away.” | “They have flown in specialists from across the country,” said one evacuee, Sarah Arana, 52, a medical social worker from Paso Robles, Calif. “It’s a phenomenal amount of resources. I’m kind of blown away.” |
Epidemiologists said American officials had made a difficult decision in allowing infected passengers onboard the charter flights. | Epidemiologists said American officials had made a difficult decision in allowing infected passengers onboard the charter flights. |
“You don’t want to expose anyone on the plane who hadn’t otherwise been exposed before on the boat,” said Dr. Allen Cheng, an infectious disease specialist at Monash University in Melbourne, Australia. | “You don’t want to expose anyone on the plane who hadn’t otherwise been exposed before on the boat,” said Dr. Allen Cheng, an infectious disease specialist at Monash University in Melbourne, Australia. |
Australia is planning to take approximately 200 passengers off the Diamond Princess on Wednesday. Dr. Cheng said that Australia had decided that “anyone who is sick or becomes sick in the next 48 hours will stay in Japan and stay in the hospital.” | Australia is planning to take approximately 200 passengers off the Diamond Princess on Wednesday. Dr. Cheng said that Australia had decided that “anyone who is sick or becomes sick in the next 48 hours will stay in Japan and stay in the hospital.” |
With Australia and other countries preparing to help transport their citizens off the boat, the captain told the more than 2,000 people still on board that the Japanese health authorities could swab everyone for the coronavirus by the end of Monday and begin letting guests leave the ship on Wednesday. | With Australia and other countries preparing to help transport their citizens off the boat, the captain told the more than 2,000 people still on board that the Japanese health authorities could swab everyone for the coronavirus by the end of Monday and begin letting guests leave the ship on Wednesday. |
Updated June 16, 2020 | |
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave. | |
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. | So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. |
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. |
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. | A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. |
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. |
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. | Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. |
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. | States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. |
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. | Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. |
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. | The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. |
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. | If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. |
“This disembarkation will be an ongoing process” until Feb. 22, the captain said in an onboard announcement. The captain said the cruise line was “coordinating closely with your embassies.” | “This disembarkation will be an ongoing process” until Feb. 22, the captain said in an onboard announcement. The captain said the cruise line was “coordinating closely with your embassies.” |
In a briefing on Monday, Shigeru Omi, president of the Japan Community Healthcare Organization, said that Japan had made the right decision to put the ship in quarantine based on the information available when the ship arrived in Yokohama on Feb. 3. “At that time, the international community was trying to contain the virus,” Mr. Omi said. | In a briefing on Monday, Shigeru Omi, president of the Japan Community Healthcare Organization, said that Japan had made the right decision to put the ship in quarantine based on the information available when the ship arrived in Yokohama on Feb. 3. “At that time, the international community was trying to contain the virus,” Mr. Omi said. |
According to the Japanese Health Ministry, at least 71 Americans on the ship were infected with the coronavirus. Many of them remain in hospitals around Japan. | According to the Japanese Health Ministry, at least 71 Americans on the ship were infected with the coronavirus. Many of them remain in hospitals around Japan. |
John Haering, 63, a retired operations manager for Union Pacific Railroad who lives in Tooele, Utah, was taken to a hospital in Chiba Prefecture last week with a fever and tested positive for the virus. He said he felt stranded as he lay in an isolation room. | John Haering, 63, a retired operations manager for Union Pacific Railroad who lives in Tooele, Utah, was taken to a hospital in Chiba Prefecture last week with a fever and tested positive for the virus. He said he felt stranded as he lay in an isolation room. |
His wife, Melanie, left on one of the charter flights. | His wife, Melanie, left on one of the charter flights. |
“I’m happy for her that she got out of here and that she’s going to get some attention in the U.S.,” said Mr. Haering, who retired in November and was about a third of the way through a six-month trip around the world. “But at the same time I’m sad. You feel that loss of somebody leaving.” | “I’m happy for her that she got out of here and that she’s going to get some attention in the U.S.,” said Mr. Haering, who retired in November and was about a third of the way through a six-month trip around the world. “But at the same time I’m sad. You feel that loss of somebody leaving.” |
Mr. Haering, who said that he no longer had any symptoms or a fever but that a CT scan showed signs of pneumonia, was not sure how much longer he would have to stay. | Mr. Haering, who said that he no longer had any symptoms or a fever but that a CT scan showed signs of pneumonia, was not sure how much longer he would have to stay. |
“They did swab me today again, and I’ll get my test back tomorrow,” he said. “I asked the doctor if the swab shows that I’m negative, and he just shook his head and said, ‘I don’t know.’ There’s a lot of stuff that they don’t know.” | “They did swab me today again, and I’ll get my test back tomorrow,” he said. “I asked the doctor if the swab shows that I’m negative, and he just shook his head and said, ‘I don’t know.’ There’s a lot of stuff that they don’t know.” |
Mr. Haering said he had not heard from anyone at Princess Cruises, the company that operates the Diamond Princess, since he arrived at the hospital. Until Sunday, he had not heard from anyone at the U.S. Embassy in Tokyo, either. | Mr. Haering said he had not heard from anyone at Princess Cruises, the company that operates the Diamond Princess, since he arrived at the hospital. Until Sunday, he had not heard from anyone at the U.S. Embassy in Tokyo, either. |
He received a call and a follow-up email urging him to get in touch with the cruise ship company for further information about how he will get home. | He received a call and a follow-up email urging him to get in touch with the cruise ship company for further information about how he will get home. |
“It’s very scary,” he said. “It feels like a little bit of abandonment.” | “It’s very scary,” he said. “It feels like a little bit of abandonment.” |
Tung Pi Lee, 79, a retired physician, was left in a Tokyo hospital with a coronavirus infection while his wife, Angela, flew to California on one of the charter flights. Several of her siblings and their spouses were among the 14 infected passengers who flew home. Two were taken to Nebraska, and another was in California for treatment. | Tung Pi Lee, 79, a retired physician, was left in a Tokyo hospital with a coronavirus infection while his wife, Angela, flew to California on one of the charter flights. Several of her siblings and their spouses were among the 14 infected passengers who flew home. Two were taken to Nebraska, and another was in California for treatment. |
“I am glad for my aunts and uncles to be in the U.S. and to be receiving treatment here,” said JoAnn LaRoche Lee, one of Mr. Lee’s daughters. “Had they been left in Japan, I wonder what would have happened to them.” | “I am glad for my aunts and uncles to be in the U.S. and to be receiving treatment here,” said JoAnn LaRoche Lee, one of Mr. Lee’s daughters. “Had they been left in Japan, I wonder what would have happened to them.” |
Trying to coordinate her father’s care in Tokyo with her siblings in the United States, she said, “feels like a never-ending nightmare.” | Trying to coordinate her father’s care in Tokyo with her siblings in the United States, she said, “feels like a never-ending nightmare.” |
Motoko Rick reported from Tokyo and Edward Wong from Philadelphia. Hisako Ueno, Eimi Yamamitsu and Makiko Inoue contributed reporting from Tokyo, and Chris Cameron from Washington. | Motoko Rick reported from Tokyo and Edward Wong from Philadelphia. Hisako Ueno, Eimi Yamamitsu and Makiko Inoue contributed reporting from Tokyo, and Chris Cameron from Washington. |