Japan’s vaccination drive finally kicked into gear Monday around four months after the start of inoculations in the United States and the United Kingdom, a slow rollout that has generated further criticism of Prime Minister Yoshihide Suga’s handling of the pandemic.

The doses for people 65 and over are the first vaccinations for members of the public in Japan after priority was given to inoculating front-line medical staff first.

Japan has so far weathered the coronavirus pandemic relatively well, with infection numbers and deaths just a fraction of many Western countries. But the slow vaccination plan means struggling businesses and fearful shoppers will have to hold out for longer as the recovery of the economy is delayed by as much as two years compared with global peers.