TY - JOUR T1 - Lessons learned from the Tokyo games isolation hotel experience JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 597 LP - 598 DO - 10.1136/bjsports-2021-105116 VL - 56 IS - 11 AU - J Tod Olin AU - Michael Fredericson AU - Cameron Nichol AU - Stuart E Willick AU - Hege Havstad Clemm A2 - , Y1 - 2022/06/01 UR - http://bjsm.bmj.com/content/56/11/597.abstract N2 - Despite the SARS-CoV-2 pandemic, the Tokyo2020 Organizing Committee (TOGOC), IOC, International Paralympic Committee (IPC) and National Olympic and Paralympic Committees (NOC/NPCs) delivered events across 42 venues for over 15 000 athletes from over 200 countries. Athletes lived in congregate housing (Olympic and Paralympic Village) within a metropolis featuring to record SARS-CoV-2 infections and resistance to the Games.1 Across 2 months of operations, over 1 million tests were performed on athletes and staff. There were fewer than 500 confirmed positive results, the majority outside the Athlete’s Village, involving volunteers and contractors. Less than 40 positive tests were detected among athletes.2 3 While opinions vary on the Games’ impact on Japan,4 5 the infection mitigation strategy was mostly successful. The strategy included: (1) rigorous participant testing prior to and during the event, (2) separation of athletes and entourage from the public, (3) isolation of infected participants, (4) robust contact tracing involving mandatory cell-phone tracking and quarantine measures for close contacts of infected persons and (5) standard mitigation measures such as face masks, social distancing, hygiene protocols and a daily health questionnaire.6 In addition to lessons regarding infection control, there are important human and mental health lessons to be gained from those with positive SARS-CoV-2 testing. For these participants, the Games’ experience was characterised by a monitored 7–10-day period in a modest hotel with few daily periods for socialisation, no regular access to fresh air and an absence of designated exercise space accompanied by the stress … ER -