She is not a doctor or a nurse – she’s a cleaner on Covid-19 wards, making sure every surface is sterilised while taking precautions to keep herself safe.

“All the time, I am afraid of the possibility of catching it,” Naho, who did not want her surname published, said at the hospital outside Tokyo where she has worked since January.

Japan’s outbreak has been less severe than in many other places, with around 14,000 deaths in total.

But two sharp spikes in cases have strained medical resources, forced the government to impose emergency restrictions, and cast doubt over this summer’s Tokyo Olympics.

“At the beginning, there was a period where I found it really difficult,” Naho said.

“It troubled me not to be able to do anything for the patients who were suffering and groaning in front of me.”

At work, she puts on protective gear – two masks, a visor, gloves, a hairnet and plastic aprons over her clothes.

She disinfects the floor, beds and everything else, then leaves through a ventilated containment unit, disposing of the plastic items before unzipping the door and stepping out into the corridor.

Case numbers have been brought down by curbs on commercial activities, and the government is now preparing to lift a state of emergency in Tokyo and other areas.

But with just 6% of the population fully vaccinated, experts warn that a rebound in infections could soon follow, with five weeks until the Olympics begin.

Naho recalls how harrowing the last surges were.

“Almost all the beds were occupied and nurses who should have finished at 5pm were doing three or four extra hours before going home,” she said.

“They would thank me because I was easing their burden a little.”

The 2020 Tokyo Games, postponed due to the pandemic, opens on July 23 and can be held safely under strict anti-infection rules, according to Olympic officials.