For how we live.
National surveillance recorded 60,826 cases in Japan by July 2025 — about 15 times the previous year's 4054 — concentrated in school-age children, while four other countries had already peaked and declined.
Eleven vaccines remain recommended for all children. The rest move to risk-based or shared-decision categories, on the strength of a comparison with 20 other countries.
A Global Burden of Disease analysis of 204 countries finds 15.7 million children received no DTP dose in 2023, more than half of them in eight countries, and only one of three target vaccines on track for 2030.