Wilderness Awareness School, Seatle, U.S.A. With a total population of about 900, a town made up of three islands in the Seto Inland Sea has an overall aging rate of 51.32% as of 2004. According to mental health research carried out here, the village's household composition has expanded to include senior couples and single-person families, and it was established that there are a large number of elderly people who spend days without speaking to anybody or leaving the house. Additionally, it was noted that older adults had a higher propensity for depression than senior people in cities, with women experiencing especially high rates of despair. According to the Geospatial Information Authority of Japan (GSI), there are 305 inhabited islands across the country. These remote islands are experiencing rapid depopulation and aging due to the migration of young people and other factors. The Japan Center for Islands and Archipelagos projects that by April 2020, there will be about 600,000 people living on the country's outlying islands—a number that continues to decrease by nearly 10,000 each year. Furthermore, in 2015, the aging rate for distant islands reached 34.2%, significantly higher than the national average of 26.6%. As the population continues to age, the demand for local employment declines, leading to a gradual weakening of community functions. Schools are also being integrated, and medical facilities are becoming smaller. There are reportedly 526 clinics and 54 hospitals spread over distant islands in Japan. The kind of medical treatment provided on these islands varies depending on the location and population size, ranging from mobile medical care to community medicine. Remote islands are expected to have 154.5 doctors per 100,000 people on average as of 2020, which is significantly less than the national average of 256.6. In addition, there is a severe shortage of doctors with specialized training, as well as nurses and caregivers. Additionally, medical resources are often used to treat visitors' health issues on tourist-frequented islands, such as Taketomi Island in Okinawa Prefecture. Given the limited availability of medical services, it is thought that this might threaten the citizens' health even more. This article explores the challenges of providing medical care on remote islands, comparing systems in Japan with those of other countries. Due to their isolation, these islands often face difficulties in accessing healthcare. We focused on the medical system in remote islands in Japan and its countermeasures, as well as the medical systems in the Maldives and the U.S. island of Molokai. Let's dive in! Hello. My name is Nana, and I am studying nature-related studies in Seattle. It is still the rainy season in Seattle; however, the temperature is gradually rising, and I am feeling the arrival of spring. Plants are budding, flowers are blooming, and frogs are croaking until late at night. How is spring in your area?Nanami Nishiyama Japan's Remote Islands: The State of Medical Care10Health Care System in Remote Islands
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