In 2020, Asia — especially East Asia — was often touted as a model of effective pandemic response. While Western countries endured harsh lockdowns and soaring infection and death rates, Asian countries largely kept the coronavirus under control.

But the tables have turned, with East Asia now lagging far behind the United States and Europe on vaccinations. This does not bode well for this summer’s Olympic and Paralympic Games in Tokyo.

As of June 15, Japan had the second worst vaccination record among the 38 Organization for Economic Cooperation and Development (OECD) countries, with 20.9 doses per 100 people. Contrast that with the United Kingdom’s 106.1 doses per 100 people and the U.S. rate of 93.3 doses per 100.