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The Guardian reports the Tokyo Olympics might not be held next year.

“Unless an effective vaccine is developed I think it will be difficult to hold the Olympics next year,” JMA president Yoshitake Yokokura told reporters in Tokyo on Tuesday. “I’m not saying at this point that they shouldn’t be held. The outbreak is not only confined to Japan … it’s a worldwide issue.”

Several health experts have cast doubt on plans to hold the Games next July and August. Last week, Kentaro Iwata, a specialist in infectious diseases, said he thought it “unlikely” that the Games would be held just over a year from now.