In a follow-up on the increases in syphilis in Japanthe National Institute of Infectious Diseases has put the case tally for the year over 6,000, the first time that has happened in decades.

Treponema pallidum spirochete/CDC

According to their most recent data ending Nov. 18, Japan has recorded 6,096, the highest number since 1970.

Tokyo and Osaka accounted for more than 40 percent of the cases with 1,548 and 1,043, respectively.

According to health officials, the number of patients is markedly increasing among men in their 20s to 50s and women in their 20s to 30s.

Concerning the rubella situation, more than 100 additional cases were reported in the latest week, bringing the total to 2,186. Tokyo also leads this number with 763 cases reported year-to-date.