You really are gullible Yes, Japan's infant mortality rate (IMR) has changed significantly, dropping from a relatively high post-war rate of 76.7 per 1,000 live births in 1947 to one of the lowest in the world, around 1.5 to 1.8 per 1,000 live births by 2022–2025. It has shown a steady, long-term, and consistent downward trend, rather than a sudden change in recent years. Macrotrends Macrotrends +4 Key Changes and Trends Long-Term Decline: The IMR has dropped almost continuously since the late 1950s/early 1960s, driven by improvements in medical care, prenatal services, and sanitation. Recent Status: As of 2024–2025, the rate is consistently among the lowest globally, with a 2.16% decline from 2024 to 2025. Sudden Events: The 2011 Tohoku earthquake and tsunami caused a temporary, slight spike in infant mortality in that region. Structural Trends: Since the 1980s, the decline has been driven primarily by a faster decrease in neonatal mortality (deaths within 0–28 days) compared to post-neonatal deaths. Recent Shifts: While the long-term trend is downwards, studies indicate that from 2015 to 2021, the pace of decrease in neonatal mortality began to slow down, specifically regarding deaths within the first week of life. National Institutes of Health (.gov) National Institutes of Health (.gov) +7 Causes of Low Mortality Rates Comprehensive Care: The widespread use of the Boshi Kenko Techo (Maternal-Child Health Handbook) ensures standardized care. Medical Advancements: High-quality prenatal, perinatal, and postnatal care has improved, keeping neonatal mortality rates exceptionally low. Proactive Care: Despite the 1994 change from mandatory to voluntary vaccinations, high immunization coverage has been maintained, and infant mortality has continued to fall, refuting claims that the 1994 change caused a drop in deaths
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