Before the Omicron variant struck, Covid deaths mostly occurred in cities like Tokyo and Osaka, but there are now cases across the country, said Dr Oshitani, who was once regional adviser to the WHO on communicable disease surveillance and response.In smaller prefectures and rural areas, the proportion of the elderly population is even higher than the national average. This changing geographic pattern may also contribute to the increasing trend of deaths," he said.Japan is the oldest society in the world by various measures, and its share of elderly people has been increasing every year since 1950.

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