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Evidence Record
★ Blue Zone

Okinawa

Japan

Leading cause: Cancer · 94% plant-based · 87.4 yr life expectancy · UHC 86/100

Heart Disease
28 / 100k
Plant-Based Score
94%
Life Expectancy
87.4 yr
Alzheimer's Prevalence
1.1%

What People Eat

Whole-plant-food score 94%
Animal foods
20%
Plant foods
75%
Added sugars
10%

% of dietary energy (calories) · Diet breakdown: share of dietary energy supply by food group, FAO Food Balance Sheets via Our World in Data.

Home of the longest-lived women on Earth. 96% plant-based diet — sweet potatoes provide 69% of calories.

Disease Burden

Leading cause of death: Cancer · 95 / 100k

Cancer
95
Respiratory
42
Stroke
32
Heart Disease
28
Kidney Disease
14
Diabetes
5

Bars show each rate against the global range; the tick marks the world median.

Okinawa's mortality profile is dominated by cancer and respiratory disease rather than the cardiovascular disease that drives most wealthy nations, heart disease (28/100k) is roughly a sixth of the US rate. This is the classic longevity signature: deaths shift to very old age and to causes only loosely tied to diet. Healthcare figures reflect Japan; the diet shown is the traditional Okinawan pattern documented by the Centenarian Study.

Healthcare System

Universal health coverage index 86/100
Health spending per person $3,650

Sources: WHO UHC Service Coverage Index (SDG 3.8.1) & WHO Global Health Expenditure Database. Latest available year.

What Could Improve

Explore the evidence: Cancer

Okinawa Centenarian Study · Willcox et al., 2007 · > 900 centenarians studied

→ 50+ centenarians per 100k · 5× US rate

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