Rubella infections are spreading across Japan, raising concern that a potentially long-term epidemic could sap travel demand ahead of the 2020 Tokyo Olympics and Paralympics.

With the total number of rubella patients this year expected to top 2,000 for the first time in nearly five years, experts are stressing the importance of taking antibody tests and vaccinations. The spread is mainly because many men in their 30s and older are unvaccinated.

When the rubella outbreak began in the week between July 23 and 29, only 19 patients were reported in five prefectures including Tokyo, Chiba and Aichi, according to the National Institute of Infectious Diseases.