title: Korea under Japanese rule

text: Due to a waterway construction permit, in the small town of Wanpaoshan in Manchuria near Changchun, "violent clashes" broke out between the local Chinese and Korean immigrants on 2 July 1931. The "Chosun Ilbo", a major Korean newspaper, misreported that many Koreans had died in the clashes, sparking a Chinese exclusion movement in urban areas of the Korean Peninsula. The worst of the rioting occurred in Pyongyang on 5 July. Approximately 127 Chinese people were killed, 393 wounded, and a considerable number of properties were destroyed by Korean residents. Republic of China further alleged the Japanese authorities in Korea did not take adequate steps to protect the lives and property of the Chinese residents, and blamed the authorities for allowing inflammatory accounts to be published. As a result of this riot, the Minister of Foreign Affairs Kijūrō Shidehara, who insisted on Japanese, Chinese, and Korean harmony, lost his position.


title: Korea under Japanese rule

text: Attempts were made to introduce the modern household registration system. This brought about the abolishment of the Korean caste system. In 1911, the proclamation "Matter Concerning the Changing of Korean Names" ("") was issued, barring ethnic Koreans from taking Japanese names and retroactively reverting the names of Koreans who had already registered under Japanese names back to the original Korean ones. By 1939, however, this position was reversed and Japan's focus had shifted towards cultural assimilation of the Korean people; Imperial Decree 19 and 20 on Korean Civil Affairs (Sōshi-kaimei) went into effect, whereby ethnic Koreans were forced to surrender their traditional use of clan-based Korean family name system, in favor for a new surname to be used in the family register. The surname could be of their own choosing, including their native clan name, but in practice many Koreans received a Japanese surname. There is controversy over whether or not the adoption of a Japanese surname was effectively mandatory, or merely strongly encouraged.


title: Korea under Japanese rule

text: The combination of immigrants and forced laborers during World War II brought the total to over 2 million Koreans in Japan by the end of the war, according to estimates by the Supreme Commander for the Allied Powers. In 1946, some 1,340,000 ethnic Koreans were repatriated to Korea, with 650,000 choosing to remain in Japan, where they now form the Zainichi Korean community. A 1982 survey by the Korean Youth Association showed that conscripted laborers account for 13 percent of first-generation Zainichi Koreans.


title: Korea under Japanese rule

text: From 1939, labor shortages as a result of conscription of Japanese males for the military efforts of World War II led to organized official recruitment of Koreans to work in mainland Japan, initially through civilian agents, and later directly, often involving elements of coercion. As the labor shortage increased, by 1942, the Japanese authorities extended the provisions of the National Mobilization Law to include the conscription of Korean workers for factories and mines on the Korean Peninsula, Manchukuo, and the involuntary relocation of workers to Japan itself as needed.


title: Korea under Japanese rule

text: Of the 5,400,000 Koreans conscripted, about 670,000 were taken to mainland Japan (including Karafuto Prefecture, present-day Sakhalin, now part of Russia) for civilian labor. Those who were brought to Japan were often forced to work under appalling and dangerous conditions. Apparently Koreans were better treated than laborers from other countries, but still their work hours, food and medical care were such that large numbers died. This is clear from the 60,000 Korean laborers who died in Japan out of the nearly 670,000 who were brought there in the years 1939 to 1945. The total number of deaths of Korean forced laborers in Korea and Manchuria is estimated to be between 270,000 and 810,000. The 43,000 ethnic Koreans in Karafuto, which had been occupied by the Soviet Union just prior to Japan's surrender, were refused repatriation to either mainland Japan or the Korean Peninsula, and were thus trapped in Sakhalin, stateless; they became the ancestors of the Sakhalin Koreans. Korean laborers were also found as far as the Tarawa Atoll, where during the Battle of Tarawa only 129 of the 1200 laborers survived. Korean laborers also worked in Korea itself, notably in Jeju where in the later stages of the Pacific War Korean laborers expanded airfields and built facilities at Alddreu Airfield in order to block a US invasion of the Japanese mainland and in 1945 laborers on Songak Mountain (where several airstrips were located) were ordered to smooth down the slope in order to prevent American vehicles from going over.


title: Korea under Japanese rule

text: Most Korean atomic-bomb victims in Japan had been drafted for work at military industrial factories in Hiroshima and Nagasaki. In the name of humanitarian assistance, Japan paid South Korea four billion yen (approx. thirty five million dollars) and built a welfare center for those suffering from the effects of the atomic bomb.


title: Korea under Japanese rule

text: Japan did not draft ethnic Koreans into its military until 1944 when the tide of World War II turned against it. Until 1944, enlistment in the Imperial Japanese Army by ethnic Koreans was voluntary, and highly competitive. From a 14% acceptance rate in 1938, it dropped to a 2% acceptance rate in 1943 while the raw number of applicants increased from 3000 per annum to 300,000 in just five years during World War II.


title: Korea under Japanese rule

text: Korea produced seven generals and numerous field grade officers (Colonels, Lieutenant-Colonels and Majors) during 35 years of colonial governance by Japan, despite institutionalized discrimination.


title: Korea under Japanese rule

text: The first and the best-known general was Lieutenant General and Crown Prince Yi Un, who commanded Japanese forces in China and later became a member of the Supreme War Council. The other six were graduates of the Imperial Japanese Army Academy. They were: Lieutenant General Jo Seonggeun; Major General Wang Yushik; Lieutenant General Viscount Yi Beyongmu; Major General Yi Heedu; Major General Kim Eungseon (also military aide and personal guard to Prince Yi Un); and Lieutenant General Hong Sa-ik, who was executed for war crimes committed while commanding the prison camps in the southern Philippines in 1944–1945.


title: Korea under Japanese rule

text: Other Korean officers who served Japan moved on to successful careers in post-colonial South Korea. Examples include Park Chung-hee, who became president of South Korea; Chung Il-kwon, prime minister from 1964 to 1970; Paik Sun-yup, South Korea's youngest general who was famous for his command of the 1st Infantry Division during the defense of the Pusan Perimeter, and Kim Suk-won, a colonel of the Imperial Japanese Army who subsequently became a general of the South Korean army. The first ten of the Chiefs of Army Staff of South Korea graduated from the Imperial Japanese Army Academy and none from the Korean Liberation Army.


title: Korea under Japanese rule

text: Officer cadets had been joining the Japanese Army since before the annexation by attending the Imperial Japanese Army Academy. Enlisted Soldier recruitment began as early as 1938, when the Japanese Kwantung Army in Manchuria began accepting pro-Japanese Korean volunteers into the army of Manchukuo, and formed the Gando Special Force. Koreans in this unit specialized in counter-insurgency operations against communist guerillas in the region of Jiandao. The size of the unit grew considerably at an annual rate of 700 men, and included such notable Koreans as General Paik Sun-yup, who served in the Korean War. Historian Philip Jowett noted that during the Japanese occupation of Manchuria, the Gando Special Force "earned a reputation for brutality and was reported to have laid waste to large areas which came under its rule."


title: Korea under Japanese rule

text: Starting in 1944, Japan started the conscription of Koreans into the armed forces. All Korean males were drafted to either join the Imperial Japanese Army, as of April 1944, or work in the military industrial sector, as of September 1944. Before 1944, 18,000 Koreans passed the examination for induction into the army. Koreans provided workers to mines and construction sites around Japan. The number of conscripted Koreans reached its peak in 1944 in preparation for war. From 1944, about 200,000 Korean males were inducted into the army.


title: Korea under Japanese rule

text: During World War II, American soldiers frequently encountered Korean soldiers within the ranks of the Imperial Japanese Army. Most notably was in the Battle of Tarawa, which was considered during that time to be one of the bloodiest battles in U.S. military history. A fifth of the Japanese garrison during this battle consisted of Korean laborers, where on the last night of the battle a combined 300 Japanese soldiers and Korean laborers did a last ditch charge. Like their Japanese counterparts, many of them were killed.


title: Korea under Japanese rule

text: The Japanese, however, did not always believe they could rely on Korean laborers to fight alongside them. In "Prisoners of the Japanese", author Gaven Daws wrote, "[O]n Tinian there were five thousand Korean laborers and so as not to have hostiles "at their back" when the Americans invaded, the Japanese killed them."


title: Korea under Japanese rule

text: After the war, 148 Koreans were convicted of Class B and C Japanese war crimes, 23 of whom were sentenced to death (compared to 920 Japanese who were sentenced to death), including Korean prison guards who were particularly notorious for their brutality during the war. The figure is relatively high considering that ethnic Koreans made up a small percentage of the Japanese military. Judge Bert Röling, who represented the Netherlands at the International Military Tribunal for the Far East, noted that "many of the commanders and guards in POW camps were Koreans – the Japanese apparently did not trust them as soldiers – and it is said that they were sometimes far more cruel than the Japanese." In his memoirs, Colonel Eugene C. Jacobs wrote that during the Bataan Death March, "the Korean guards were the most abusive. The Japanese didn't trust them in battle, so used them as service troops; the Koreans were anxious to get blood on their bayonets; and then they thought they were veterans."


title: Korea under Japanese rule

text: Korean guards were sent to the remote jungles of Burma, where Lt. Col. William A. (Bill) Henderson wrote from his own experience that some of the guards overseeing the construction of the Burma Railway "were moronic and at times almost bestial in their treatment of prisoners. This applied particularly to Korean private soldiers, conscripted only for guard and sentry duties in many parts of the Japanese empire. Regrettably, they were appointed as guards for the prisoners throughout the camps of Burma and Siam." The highest-ranking Korean to be prosecuted after the war was Lieutenant General Hong Sa-ik, who was in command of all the Japanese prisoner-of-war camps in the Philippines.


title: Korea under Japanese rule

text: During World War II, many ethnic Korean girls and women (mostly aged 12-17) were forced by the Japanese military to become sex slaves on the pretext of being hired for jobs, such as a seamstresses or factory workers, and were forced to provide sexual service for Japanese soldiers by agencies or their families against their wishes. These women were euphemistically called "comfort women".


title: Korea under Japanese rule

text: According to an interrogation report by U.S. Army in 1944, comfort women were in good physical health. They were able to have a periodic checkup once a week and to receive treatment in case of spreading disease to the Japanese soldiers, but not for their own health. However, a 1996 United Nations Report detailed that "large numbers of women were forced to submit to prolonged prostitution under conditions which were frequently indescribably traumatic". Documents which survived the war revealed "beyond doubt the extent to which the Japanese forces took direct responsibility for the comfort stations" and that the published practices were "in stark contrast with the brutality and cruelty of the practice. Chizuko Ueno at Kyoto University cautions against the claim that women were not forced as the fact that "no positive sources exist supporting claims that comfort women were forced labor" must be treated with doubt, as "it is well known that the great majority of potentially damaging official documents were destroyed in anticipation of the Allied occupation".


title: Korea under Japanese rule

text: The Asian Women's Fund claimed that during World War II, the Imperial Japanese Army recruited anywhere from tens of thousands to hundreds of thousands of women from occupied territories to be used as sex slaves. Yoshimi Yoshiaki asserted that possibly hundreds of thousands of girls and women, mainly from China and the Korean Peninsula but also Southeast Asian countries occupied by the Imperial Japanese Army, as well as Australia and the Netherlands, were forced to serve as comfort women. According to testimonies, young women were abducted from their homes in countries under Imperial Japanese rule. In many cases, women were lured with promises of work in factories or restaurants. In some cases propaganda advocated equity and the sponsorship of women in higher education. Other enticements were false advertising for nursing jobs at outposts or Japanese army bases; once recruited, they were incarcerated in comfort stations both inside their nations and abroad.


title: Korea under Japanese rule

text: From the early nineties onward, former Korean comfort women have continued to protest against the Japanese government for apparent historical negationism of crimes committed by the Imperial Japanese Army, and have sought compensation for their sufferings during the war. There has also been international support for compensation, such as from the European Union, the Netherlands, Canada and the Philippines. The United States passed House of Representatives House Resolution 121 on July 30, 2007, asking the Japanese government to redress the situation and to incorporate comfort women into school curriculum. Hirofumi Hayashi at the University of Manchester argues that the resolution has helped to counter the "arguments of ultrarightists flooding the mainstream mass media" and warned against the rationalization of the comfort women system.


title: Korea under Japanese rule

text: Korean nationalist historiography, centered on "minjok", an ethnically or racially defined Korean nation, emerged in the early twentieth century among Korean intellectuals who wanted to foster national consciousness to achieve Korean independence from Japanese domination. Its first proponent was journalist and independence activist Shin Chaeho (1880–1936). In his polemical "New Reading of History" ("Doksa Sillon"), which was published in 1908 three years after Korea became a Japanese protectorate, Shin proclaimed that Korean history was the history of the Korean "minjok", a distinct race descended from the god Dangun that had once controlled not only the Korean peninsula but also large parts of Manchuria. Shin and other Korean intellectuals like Park Eun-sik (1859–1925) and Choe Nam-seon (1890–1957) continued to develop these themes in the 1910s and 1920s. They rejected two prior ways of representing the past: the Neo-Confucian historiography of Joseon Korea's scholar-bureaucrats, which they blamed for perpetuating a servile worldview centered around China, and Japanese colonial historiography, which portrayed Korea as historically dependent and culturally backward.


title: Korea under Japanese rule

text: The work of these prewar nationalist historians has shaped postwar historiography in both North and South Korea.


title: Korea under Japanese rule

text: Protestant Christian missionary efforts in Asia were quite successful in Korea. American Presbyterians and Methodists arrived in the 1880s and were well received. They served as medical and educational missionaries, establishing schools and hospitals in numerous cities. In the years when Korea was under Japanese control, some Koreans adopted Christianity as an expression of nationalism in opposition to the Japan's efforts to promote the Japanese language and the Shinto religion.


title: Korea under Japanese rule

text: In 1914 of 16 million Koreans, there were 86,000 Protestants and 79,000 Catholics. By 1934 the numbers were 168,000 and 147,000, respectively. Presbyterian missionaries were especially successful. Harmonizing with traditional practices became an issue. The Protestants developed a substitute for Confucian ancestral rites by merging Confucian-based and Christian death and funerary rituals.


title: Korea under Japanese rule

text: Following the dropping of atomic bombs on Hiroshima and Nagasaki, Soviet invasion of Manchuria, and the impending overrun of the Korean Peninsula by U.S. and Soviet forces, Japan surrendered to the Allied forces on 15 August 1945, ending 35 years of Japanese colonial rule.


title: Korea under Japanese rule

text: American forces under General John R. Hodge arrived at the southern part of the Korean Peninsula on 8 September 1945, while the Soviet Army and some Korean Communists had stationed themselves in the northern part of the Korean Peninsula. U.S. Colonel Dean Rusk proposed to Chischakov, the Soviet military administrator of northern Korea, that Korea should be split at the 38th parallel. This proposal was made at an emergency meeting to determine postwar spheres of influence, which led to the division of Korea.


title: Korea under Japanese rule

text: After the liberation of Korea from Japanese rule, the "Name Restoration Order" was issued on 23 October 1946 by the United States Army Military Government in Korea south of the 38th parallel, enabling Koreans to restore their names if they wished. Many Koreans in Japan chose to retain their Japanese names, either to avoid discrimination, or later, to meet the requirements for naturalization as Japanese citizens.


title: Korea under Japanese rule

text: Upon Emperor Gojong's death, anti-Japanese rallies took place nationwide, most notably the March 1st Movement of 1919. A declaration of independence was read in Seoul. It is estimated that 2 million people took part in these rallies. The Japanese violently suppressed the protests: According to Korean records, 46,948 were arrested, 7,509 killed and 15,961 wounded; according to Japanese figures, 8,437 were arrested, 553 killed and 1,409 wounded. About 7,000 people were killed by Japanese police and soldiers during the 12 months of demonstrations.


title: Korea under Japanese rule

text: After suppression of the uprising, some aspects of Japanese rule considered most objectionable to Koreans were removed. The military police were replaced by a civilian force, and freedom of the press was permitted to a limited extent. Two of the three major Korean daily newspapers, the "Tōa Nippō" and the "Chōsen Nippō," were established in 1920.


title: Korea under Japanese rule

text: Objection to Japanese rule over Korea continued, and the 1 March Movement was a catalyst for the establishment of the Provisional Government of the Republic of Korea by Korean émigrés in Shanghai on 13 April 1919. The modern South Korean government considers this Provisional Government of the Republic of Korea the "de jure" representation of the Korean people throughout the period of Japanese rule.


title: Korea under Japanese rule

text: The Japanese colonial rule of Korea after annexation was largely uncontested militarily by the smaller, poorly armed, and poorly trained Korean army. Many rebels, former soldiers, and other volunteers left the Korean Peninsula for Manchuria and Primorsky Krai in Russia. Koreans in Manchuria formed resistance groups and guerrilla fighters known as Dongnipgun (Independence Army), which traveled across the Korean-Chinese border, using guerrilla warfare tactics against Japanese forces. The Japanese invasion of Manchuria in 1932 and subsequent Pacification of Manchukuo deprived many of these groups of their bases of operation and supplies. Many were forced to either flee to China, or to join the Red Army-backed forces in eastern Russia. One of the guerrilla groups was led by the future leader of communist North Korea, Kim Il-sung, in Japanese-controlled Manchuria. Kim Il-Sung's time as a guerrilla leader was formative upon his political ideology once he came to power.


title: Korea under Japanese rule

text: Within Korea itself, anti-Japanese rallies continued on occasion. Most notably, the Kōshū Students Anti-Japanese Movement on 3 November 1929 led to the strengthening of Japanese military rule in 1931, after which freedom of the press and freedom of expression were curbed. Many witnesses, including Catholic priests, reported that Japanese authorities dealt with insurgency severely. When villagers were suspected of hiding rebels, entire village populations are said to have been herded into public buildings (especially churches) and massacred when the buildings were set on fire. In the village of Teigan, Suigen District, Keiki Prefecture (now Jeam-ri, Hwaseong, Gyeongggi Province) for example, a group of 29 people were gathered inside a church which was then set afire. Such events deepened the hostility of many Korean civilians towards the Japanese government.


title: Korea under Japanese rule

text: On 10 December 1941, the Provisional Government of the Republic of Korea, under the presidency of Kim Gu, declared war on Japan and Germany. Kim Gu organized many of the exiled Korean resistance groups, forming the "Korean Liberation Army". On the other hand, Kim Il-sung led tens of thousands of Koreans who volunteered for the National Revolutionary Army and the People's Liberation Army. The communist-backed Korean Volunteer Army (KVA, 조선의용군, 朝鮮義勇軍) was established in Yenan, China, outside of the Provisional Government's control, from a core of 1,000 deserters from the Imperial Japanese Army. After the Manchurian Strategic Offensive Operation, the KVA entered Manchuria, where it recruited from the ethnic Korean population and eventually became the Korean People's Army of the Democratic People's Republic of Korea.


title: Korea under Japanese rule

text: There were 13 provinces in Korea during Japanese rule: Keiki-dō, Kōgen-dō, Chūseihoku-dō, Chūseinan-dō, Zenrahoku-dō, Zenranan-dō, Keishōhoku-dō, Keishōnan-dō, Heian'nan-dō, Heianhoku-dō, Kōkai-dō, Kankyōnan-dō, and Kankyōhoku-dō. The administrative capital Keijō was in Keiki-dō.


title: Korea under Japanese rule

text: Economic output in terms of agriculture, fishery, forestry and industry increased by tenfold from 1910 to 1945 as illustrated on the chart to the right. Princeton's Atul Kohli concluded that the economic development model the Japanese instituted played the crucial role in Korean economic development, a model that was maintained by the Koreans in the post-World War II era.


title: Korea under Japanese rule

text: Randall S. Jones wrote that "economic development during the colonial period can be said to have laid the foundation for future growth in several respects." According to Myung Soo Cha of Yeungnam University, "the South Korean developmental state, as symbolized by Park Chung Hee, a former officer of the Japanese Imperial army serving in wartime Manchuria, was closely modeled upon the colonial system of government. In short, South Korea grew on the shoulders of the colonial achievement, rather than emerging out of the ashes left by the Korean War, as is sometimes asserted."


title: Korea under Japanese rule

text: A 2017 study found that the gradual removal of trade barriers (almost fully completed by 1923) after Japan's annexation of Korea "increased population growth rates more in the regions close to the former border between Japan and Korea than in the other regions. Furthermore, after integration, the regions close to Korea that specialized in the fabric industry, whose products were the primary goods exported from Japan to Korea, experienced more population growth than other regions close to Korea did."


title: Korea under Japanese rule

text: There were some modernization efforts by the late 19th century prior to annexation. Seoul became the first city in East Asia to have electricity, trolley cars, water, telephone, and telegraph systems all at the same time, but Korea remained a largely backward agricultural economy around the start of the 20th century. "Japan's initial colonial policy was to increase agricultural production in Korea to meet Japan's growing need for rice. Japan also began to build large-scale industries in Korea in the 1930s as part of the empire-wide program of economic self-sufficiency and war preparation." In terms of exports, "Japanese industry as a whole gained little ... and this is certainly true for the most important manufacturing sector, cotton textiles. This export trade had little impact, positive or negative, on the welfare of Japanese consumer." Likewise in terms of the profitability of Japanese investors: colonial Korea made no significant impact.


title: Korea under Japanese rule

text: According to scholar Donald S. Macdonald, "for centuries most Koreans lived as subsistence farmers of rice and other grains and satisfied most of their basic needs through their own labor or through barter. The manufactures of traditional Korea – principally cloth, cooking and eating utensils, furniture, jewelry, and paper – were produced by artisans in a few population centers."


title: Korea under Japanese rule

text: However, under Japanese rule, many Korean resources were only used for Japan. Economist Suh Sang-chul points out that the nature of industrialization during the period was as an "imposed enclave", so the impact of colonialism was trivial. Another scholar, Song Byung-nak, states that the economic condition of average Koreans deteriorated during the period despite the economic growth. Cha primarily attributed this deterioration to global economic shocks and laissez-faire policies, as well as Chōsen's rapid population growth; the colonial government's attempts to mitigate this problem were inadequate. Most Koreans at the time could access only a primary school education under restriction by the Japanese, and this prevented the growth of an indigenous entrepreneurial class. A 1939 statistic shows that among the total capital recorded by factories, about 94 percent was Japanese-owned. While Koreans owned about 61 percent of small-scale firms that had 5 to 49 employees, about 92 percent of large-scale enterprises with more than 200 employees were Japanese-owned.


title: Korea under Japanese rule

text: The Japanese government created a system of colonial mercantilism, requiring construction of significant transportation infrastructure on the Korean Peninsula for the purpose of extracting and exploiting resources such as raw materials (timber), foodstuff (mostly rice and fish), and mineral resources (coal and iron ore). The Japanese developed port facilities and an extensive railway system which included a main trunk railway from the southern port city of Pusan through the capital of Seoul and north to the Chinese border. This infrastructure was intended not only to facilitate a colonial mercantilist economy, but was also viewed as a strategic necessity for the Japanese military to control Korea and to move large numbers of troops and materials to the Chinese border at short notice.


title: Korea under Japanese rule

text: From the late 1920s and into the 1930s, particularly during the tenure of Japanese Governor-General Kazushige Ugaki, concentrated efforts were made to build up the industrial base in Korea. This was especially true in the areas of heavy industry, such as chemical plants and steel mills, and munitions production. The Japanese military felt it would be beneficial to have production closer to the source of raw materials and closer to potential front lines for a future war with China.


title: Korea under Japanese rule

text: Lee Young-hoon, a professor at Seoul National University states that less than 10% of arable land actually came under Japanese control and rice was normally traded, not robbed. He also insists that Koreans' knowledge about the era under Japanese rule is mostly made up by later educators. Many of Lee's arguments, however, have been contested.


title: Korea under Japanese rule

text: According to Alleyne Ireland, a British author, he referred to condition of Korea under Japanese rule. As of 1926, he described on his book "The New Korea", "looking forward from 1910, one thing was clear where many things were obscure, namely that Japan, having decided to make Korea part of her Empire, would deem the permanence of her occupation to be a major element of her national policy, to be held intact, at whatever cost, against internal revolt or foreign intrigue. The Japanese refer with pride to their effective protection of life and property throughout a country but recently overrun by bandits, to the enormous increase during the past fifteen years in every branch of production, with its connotation of increased employment for Koreans, to the constantly mounting number of Koreans appointed to the government service are facts, that cannot be gainsaid. However, the Korean nationalists attribute to them a sinister significance."


title: Korea under Japanese rule

text: Korea produced a small amount of opium during the earlier years of the colonial period, but by the 1930s, Korea became a major exporter of both opium and narcotics, becoming a significant supplier to the illicit drug trade, specifically to the opium monopoly created by the Japanese-sponsored Manchukuo government. The Government-General developed facilities dedicated to the production of morphine and heroin. Emigrant Koreans played an extensive role in drug trafficking in China, especially in Manchuria, where they were employed as poppy farmers, drug peddlers, or proprietors of opium dens - disreputable jobs that were at the bottom rung of the drug trafficking ladder. The initiation of opium and narcotic production in Korea was motivated by the worldwide shortage of opium and Japan's unfavorable environment for poppy cultivation, making the Japanese entirely dependent on foreign imports to meet domestic demand for medical opium. The Japanese discovered that Korea provided favorable climate and soil conditions for poppy cultivation; not only were the climate and soil conditions more suitable, but land and labor costs were lower than in Japan. Farmers in Korea were aware of the global demand for opium, and welcomed the idea of increasing the amount of land for poppy cultivation, an idea that was introduced to them by Japanese pharmaceutical companies. The sale and consumption of drugs were pervasive in Korea, where the country faced a substantial domestic drug abuse problem, appearing in the form of opium-smoking and morphine addiction. Within Korea, most illicit narcotics were supplied by Japanese druggists.


title: Korea under Japanese rule

text: In 1907, the Japanese government passed the Newspaper Law which effectively prevented the publication of local papers. Only the Korean-language newspaper "Daehan Maeil Shinbo" () continued its publication, because it was run by a foreigner named Ernest Bethell. For the first decade of colonial rule, therefore, there were no Korean-owned newspapers whatsoever, although books were steadily printed and there were several dozen Korean-owned magazines. In 1920 these laws were relaxed, and in 1932 Japan eliminated a significant double standard which had been making Korean publication significantly more difficult than Japanese publication. Even with these relaxed rules, however, the government still seized newspapers without warning: there are over a thousand recorded seizures between 1920 and 1939. Revocation of publishing rights was relatively rare, and only three magazines had their rights revoked over the entire colonial period. In 1940, as the Pacific War increased in intensity, Japan shut down all Korean language newspapers again.


title: Korea under Japanese rule

text: Following the annexation of Korea, the Japanese administration introduced a free public education system modeled after the Japanese school system with a pyramidal hierarchy of elementary, middle and high schools, culminating at the Keijō Imperial University in Keijō. As in Japan itself, education was viewed primarily as an instrument of "the Formation of the Imperial Citizen" (황민화; 皇民化; "Kōminka") with a heavy emphasis on moral and political instruction. Japanese religious groups such as Protestant Christians willingly supported the Japanese authorities in their effort to assimilate Koreans through education.


title: Korea under Japanese rule

text: During colonial times, elementary schools were known as "Citizen Schools" (; ; "kokumin gakkō") as in Japan, as a means of forming proper "Imperial Citizens" (황국민; 皇国民; "kōkokumin") from early childhood. Elementary schools in South Korea today are known by the name "chodeung hakgyo" (; ) ("elementary school") as the term "gungmin hakgyo/kokumin gakkō" has recently become a politically incorrect term.


title: Korea under Japanese rule

text: During the colonial period, Japan established an officially equal educational system in Korea, but it strictly limited the rate of coed education. After the Korean Educational Ordinance was published in 1938, this situation changed slightly. "Primary education consisted of a mandated four years of primary school ("futsu gakkō"). Secondary education included four years of middle school for boys ("koto" "futsu" "gakkō") and three years for girls ("joshi" koto "futsu gakko") or two to three years of vocational school ("jitsugyo gakkō"). 1915, the Japanese announced the Regulations for Technical Schools (s"enmon gakko kisoku"), which legalized technical schools ("senmon gakkō") as post-secondary educational institutions."


title: Korea under Japanese rule

text: In addition, modernized (for the time) Korean educational institutions were excluded from the colonial system. 1911, Japanese government set The Regulations for Private Schools ("Shiritsu gakko kisoku") which was aimed at undermining these facilities, which showed patriotic awakening.


title: Korea under Japanese rule

text: The public curriculum for most of the period was taught by Korean educators under a hybrid system focused on assimilating Koreans into the Japanese Empire while emphasizing Korean cultural education. This focused on the history of the Japanese Empire as well as inculcating reverence for the Imperial House of Japan and instruction in the "Imperial Rescript on Education".


title: Korea under Japanese rule

text: Integration of Korean students into Japanese-language schools and Japanese students in Korean-language schools was discouraged but steadily increased over time. While official policy promoted equality between ethnic Koreans and ethnic Japanese, in practice this was rarely the case. Korean history and language studies would be taught side by side with Japanese history and language studies until the early 1940s under a new education ordinance that saw wartime efforts increased and the hybrid system slowly weakened.


title: Korea under Japanese rule

text: One point of view is that, although the Japanese education system in Korea was detrimental towards Korea's cultural identity, its introduction of public education as universal was a step in the right direction to improve Korea's human capital. Towards the end of Japanese rule, Korea saw elementary school attendance at 38 percent. Children of elite families were able to advance to higher education, while others were able to attend technical schools, allowing for "the emergence of a small but important class of well-educated white collar and technical workers ... who possessed skills required to run a modern industrial economy." The Japanese education system ultimately produced hundreds of thousands of educated South Koreans who later became "the core of the postwar political and economic elite."


title: Korea under Japanese rule

text: Another point of view is that it was only after the end of Japanese rule with World War II that Korea saw true, democratic rise in public education as evidenced by the rise of adult literacy rate from 22 percent in 1945 to 87.6 percent by 1970 and 93% by the late 1980s. Though free public education was made available for elementary schools during Japanese rule, Korea as a country did not experience secondary-school enrollment rates comparable to those of Japan prior to the end of World War II.


title: Korea under Japanese rule

text: In the initial phase of Japanese rule, students were taught in Korean in public schools established by ethnic Korean officials who worked for the colonial government. While prior to this schools in Korea had used mostly Hanja, during this time Korean came to be written in a mixed Hanja–Korean script influenced by the Japanese writing system, where most lexical roots were written in Hanja and grammatical forms in Korean script. Korean textbooks from this era included excerpts from traditional Korean stories such as "Heungbujeon/Kōfuden" (/興夫伝).


title: Korea under Japanese rule

text: In 1921, government efforts were strengthened to promote Korean media and literature throughout Korea and also in Japan. The Japanese government also created incentives to educate ethnic Japanese students in the Korean language. In 1928, the Korean Language Society inaugurated Hangul Day (9 October), which was meant to celebrate the Korean alphabet in the face of accelerating Japanization of Korean culture.


title: Korea under Japanese rule

text: The Japanese administrative policy shifted more aggressively towards cultural assimilation in 1938 ("Naisen ittai") with a new government report advising reform to strengthen the war effort. This left less room for Korean language studies and by 1943 all Korean language courses had been phased out. Teaching and speaking of Korean was prohibited. Although the government report advised further, more radical reform, the 10-year plan would never fully go into effect.


title: Korea under Japanese rule

text: The Japanese rule of Korea also resulted in the relocation of tens of thousands of cultural artifacts to Japan. The issue over where these artifacts should be located began during the U.S. occupation of Japan. In 1965, as part of the Treaty on Basic Relations between Japan and the Republic of Korea, Japan returned roughly 1,400 artifacts to Korea, and considered the diplomatic matter to have been resolved. Korean artifacts are retained in the Tōkyō National Museum and in the hands of many private collectors.


title: Korea under Japanese rule

text: According to the South Korean government, there are 75,311 cultural artifacts that were taken from Korea. Japan has 34,369, the United States has 17,803, and France had several hundred, which were seized in the French campaign against Korea and loaned back to Korea in 2010 without an apology. In 2010, Prime Minister of Japan Naoto Kan expressed "deep remorse" for the removal of artifacts, and arranged an initial plan to return the Royal Protocols of the Joseon Dynasty and over 1,200 other books, which was carried out in 2011.


title: Korea under Japanese rule

text: Japan sent anthropologists to Korea who took photos of the traditional state of Korean villages, serving as evidence that Korea was "backwards" and needed to be modernized.


title: Korea under Japanese rule

text: As Japan established the puppet state of Manchukuo, Korea became more vital to the internal communications and defense of the Japanese empire against the Soviet Union. Japan decided in the 1930s to make the Koreans become more loyal to the Emperor by requiring Korean participation in the State Shinto devotions, and by weakening the influences of both Christianity and traditional religion.


title: Korea under Japanese rule

text: The primary building of Gyeongbokgung Palace was demolished and the Japanese General Government Building was built in its exact location. The Japanese colonial authorities destroyed 85 percent of all the buildings in Gyeongbokgung. Sungnyemun, the gate in Gyeongsong that was a symbol of Korea, was altered by the addition of large, Shinto-style golden horns near the roofs, later removed by the South Korean government after independence.


title: Korea under Japanese rule

text: Protestant missionary efforts in Asia were nowhere more successful than in Korea. American Presbyterians and Methodists arrived in the 1880s and were well received. During the Japanese colonial period, Christianity became an expression of Korean nationalist opposition to Japan and its assimilation policies. In 1914, out of 16 million people, there were 86,000 Protestants and 79,000 Catholics; by 1934 the numbers were 168,000 and 147,000. Presbyterian missionaries were especially successful. Harmonizing with traditional practices became an issue. Catholics tolerated Shinto rites; Protestants developed a substitute for Confucian ancestral rites by merging Confucian-based and Christian death and funerary rituals.


title: Korea under Japanese rule

text: Missionaries expressed alarm at the rise in communist activity during the 1920s. With the enactment of the Peace Preservation Law in 1925, communist literature was banned throughout the Empire of Japan, including Chōsen; in order to avoid suspicion and permit dissemination, it was often disguised as Christian literature addressed to missionaries. Communist concepts, such as class struggle, and its partner nationalist movement were resonating well with some of the peasants and lower-class citizens of Chōsen; this was worrying to some missionaries because of communism's atheist components. At one point, communist students in Keijō held an "anti-Sunday School conference" and loudly protested religion in front of churches. This protest renewed Japanese governmental interest in censorship of communist ideas and language.


title: Korea under Japanese rule

text: Many Koreans became victims of Japanese brutality during the colonial period. Korean villagers hiding resistance fighters were dealt with harshly, often with summary execution, rape, forced labour, and looting. Starting on 1 March 1919, an anti-Japanese demonstration began to spread, and as the Japanese national and military police could not contain the crowds, the army and even the navy were also called in. There were several reports of atrocities. In one instance, Japanese police in the village of Teigan, Suigen District, Keiki Prefecture (now Jeam-ri, Hwaseong, Gyeongggi Province) herded everyone into a church, locked it, and burned it to the ground. They also shot through the burning windows of the church to ensure that no one made it out alive. Many participants of the 1 March Movement were subjected to torture and execution.


title: Korea under Japanese rule

text: Although officially voluntary, and initially resisted by the Japanese Colonial Government, 80% of Koreans voluntarily changed their name to Japanese in 1940. Many community leaders urged the adoption of Japanese names to make it easy for their children to succeed in society and overcome discrimination.


title: Korea under Japanese rule

text: A study conducted by the United States Library of Congress states that "the Korean culture was quashed, and Koreans were required to speak Japanese and take Japanese names". This name change policy, called sōshi-kaimei (; ), was part of Japan's assimilation efforts. This was heavily resisted by the Korean people. Those Koreans who retained their Korean names were not allowed to enroll at school, were refused service at government offices, and were excluded from the lists for food rations and other supplies. Faced


title: Korea under Japanese rule

text: with such compulsion, many Koreans ended up complying with the Name Change Order. Such a radical policy was deemed to be symbolically significant in the war effort, binding the fate of Korea with that of the empire. A number of prominent ethnic Koreans working for the Japanese government, including General Kō Shiyoku/Hong Sa-ik, insisted on keeping their Korean names. Another ethnic Korean, Boku Shunkin/Park Chun-Geum (박춘금, 朴春琴), was elected as a member of the Lower House from the Tōkyō Third District in the general election in 1932 and served two terms without changing his Korean name, but has been registered as chinilpa by the current Republic of Korea government.


title: Korea under Japanese rule

text: During World War II, about 450,000 Korean male laborers were involuntarily sent to Japan. Comfort women, who served in Japanese military brothels as a form of sexual slavery, came from all over the Japanese empire. Historical estimates range from 10,000 to 200,000, including an unknown number of Koreans. However, 200,000 is considered to be a conservative number by modern historians, and up to 500,000 comfort women are estimated to be taken. These women faced an average of 29 men and up to 40 men per day, according to one surviving comfort woman. However, of the 500,000, less than 50 are alive . Comfort women were often recruited from rural locales with the promise of factory employment; business records, often from Korean subcontractees of Japanese companies, showed them falsely classified as nurses or secretaries. There is evidence that the Japanese government intentionally destroyed official records regarding comfort women.


title: Korea under Japanese rule

text: In 2002, South Korea started an investigation of Japanese collaborators. Part of the investigation was completed in 2006 and a list of names of individuals who profited from exploitation of fellow Koreans were posted. The collaborators not only benefited from exploiting their countrymen, but the children of these collaborators benefited further by acquiring higher education with the exploitation money they had amassed.


title: Korea under Japanese rule

text: The "Truth Commission on Forced Mobilization under the Japanese Imperialism Republic of Korea" investigated the received reports for damage from 86 people among the 148 Koreans who were accused of being the level B and C war criminals while serving as prison guards for the Japanese military during World War II. The commission, which was organized by the South Korean government, announced that they acknowledge 83 people among them as victims. The commission said that although the people reluctantly served as guards to avoid the draft, they took responsibility for mistreatment by the Japanese against prisoners of war. Lee Se-il, leader of the investigation, said that examination of the military prosecution reports for 15 Korean prison guards, obtained from The National Archives of the United Kingdom, confirmed that they were convicted without explicit evidence.


title: Korea under Japanese rule

text: Koreans, along with many other Asians, were experimented on in Unit 731, a secret military medical experimentation unit in World War II. The victims who died in the camp included at least 25 victims from the former Soviet Union and Korea. General Shiro Ishii, the head of Unit 731, revealed during the Tōkyō War Crime Trials that 254 Koreans were killed in Unit 731. Some historians estimate up to 250,000 total people were subjected to human experiments. A Unit 731 veteran attested that most that were experimented on were Chinese, Koreans and Mongolians.


title: Korea under Japanese rule

text: Colonial Korea was subject to the same "Leprosy Prevention Laws" of 1907 and 1931 as the Japanese home islands. These laws directly and indirectly permitted the quarantine of patients in sanitariums, where forced abortions and sterilization were common. The laws authorized punishment of patients "disturbing the peace", as most Japanese leprologists believed that vulnerability to the disease was inheritable. In Korea, many leprosy patients were also subjected to hard labor.


title: Korea under Japanese rule

text: Many Koreans were drafted for work at military industrial factories in Hiroshima and Nagasaki. According to the secretary-general of a group named Peace Project Network, "there were a total of 70,000 Korean victims in both cities". Japan paid South Korea 4 billion yen and built a welfare center in the name of humanitarian assistance, not as compensation to the victims.


title: Korea under Japanese rule

text: Collaborators of the Imperial Japanese Army were prosecuted in the postwar period as Chinilpa, or "friendly to Japanese". In 2006 South Korean president Roh Moo-hyun appointed an investigation commission into the issue of locating descendants of pro-Japanese collaborators from the times of the 1890s until the collapse of Japanese rule in 1945.


title: Korea under Japanese rule

text: In 2010, the commission concluded its five-volume report. As a result, the land property of 168 South Korean citizens has been confiscated by the government, these citizens being descendants of pro-Japanese collaborators.


title: Myocarditis

text: Myocarditis, also known as inflammatory cardiomyopathy, is an acquired cardiomyopathy due to inflammation of the heart muscle. Symptoms can include shortness of breath, chest pain, decreased ability to exercise, and an irregular heartbeat. The duration of problems can vary from hours to months. Complications may include heart failure due to dilated cardiomyopathy or cardiac arrest.


title: Myocarditis

text: Myocarditis is most often due to a viral infection. Other causes include bacterial infections, certain medications, toxins and autoimmune disorders. A diagnosis may be supported by an electrocardiogram (ECG), increased troponin, heart MRI, and occasionally a heart biopsy. An ultrasound of the heart is important to rule out other potential causes such as heart valve problems.


title: Myocarditis

text: Treatment depends on both the severity and the cause. Medications such as ACE inhibitors, beta blockers, and diuretics are often used. A period of no exercise is typically recommended during recovery. Corticosteroids or intravenous immunoglobulin (IVIG) may be useful in certain cases. In severe cases an implantable cardiac defibrillator or heart transplant may be recommended.


title: Myocarditis

text: In 2013, about 1.5 million cases of acute myocarditis occurred. While people of all ages are affected, the young are most often affected. It is slightly more common in males than females. Most cases are mild. In 2015 cardiomyopathy, including myocarditis, resulted in 354,000 deaths up from 294,000 in 1990. The initial descriptions of the condition are from the mid-1800s.


title: Myocarditis

text: The signs and symptoms associated with myocarditis are varied, and relate either to the actual inflammation of the myocardium or to the weakness and dysfunction of the heart muscle that is secondary to the inflammation. While myocarditis may develop over periods ranging from hours to months, patients typically present with signs and symptoms that resemble heart failure, including the following:


title: Myocarditis

text: Since myocarditis is often due to a viral illness, many patients experience symptoms consistent with a recent viral infection including a fever, rash, loss of appetite, abdominal pain, vomiting, diarrhea, joint pains, and easily becoming tired. Additionally, myocarditis is often associated with pericarditis, and many people with myocarditis present with signs and symptoms that suggest myocarditis and pericarditis at the same time.


title: Myocarditis

text: Children primarily present with the aforementioned symptoms associated with a viral infection. Later stages of the illness can involve the respiratory system and lead to increased work of breathing. These are often mistaken for asthma.


title: Myocarditis

text: Myocarditis can be distinguished as either fulminant or acute based on the severity of symptoms on presentation, as well as the time course over which symptoms develop and persist. This categorization can help predict the treatment, outcomes, and complications of myocarditis.


title: Myocarditis

text: Fulminant myocarditis is defined as sudden and severe myocarditis that is associated with signs and symptoms of heart failure while at rest. More specifically, fulminant myocarditis is characterized by a distinct, rapid onset of severe heart failure symptoms, such as shortness of breath and chest pain, that develop over the course of hours to days. Additionally, treatment requires the use of medications or mechanical devices to improve heart function.


title: Myocarditis

text: Acute non-fulminant myocarditis has a less distinct onset in contrast to fulminant myocarditis, and evolves over days to months. While the symptoms of acute myocarditis overlap with those of fulminant myocarditis, they do not typically occur at rest, and treatment does not require the use of mechanical circulatory support.


title: Myocarditis

text: While many causes of myocarditis are known, there are many cases in which a causative agent cannot be identified. In Europe and North America, viruses are common culprits. Worldwide, however, the most common cause is Chagas disease, an illness endemic to Central and South America that results from infection with the protozoan "Trypanosoma cruzi". Overall, myocarditis can be caused by infections, immune conditions, toxins, drug reactions, and physical injuries to the heart. These different etiologies are detailed below. Myocarditis is a rare adverse side effect from mRNA COVID-19 vaccines.


title: Myocarditis

text: The most common causes of myocarditis are infectious organisms. Viral infections are the most common cause in developed countries, with a majority of cases being caused by those with single-stranded RNA genetic information such as Coxsackie viruses (especially Coxsackie B3 and B5). Globally, Chagas disease is the leading cause of myocarditis, which results from infection with the protozoan "Trypanosoma cruzi." Bacteria can also result in myocarditis, although it is rare in patients with normal heart function and without a preexisting immunodeficiency. A list of the most relevant infectious organisms is below.


title: Myocarditis

text: Most forms of myocarditis involve the infiltration of heart tissues by one or two types of pro-inflammatory blood cells, lymphocytes and macrophages plus two respective descendants of these cells, NK cells and macrophages. Eosinophilic myocarditis is a subtype of myocarditis in which cardiac tissue is infiltrated by another type of pro-inflammatory blood cell, the eosinophil. Eosinophilic myocarditis is further distinguished from non-eosinophilic myocarditis by having a different set of causes and recommended treatments.


title: Myocarditis

text: The pathophysiology of viral myocarditis is not well understood, but it is believed to involve cardiotropic viruses (viruses with a high affinity for the heart muscle) gaining entry to cardiac muscle cells, usually via binding to a transmembrane receptor. Over approximately the next 1-7 days the virus replicates and causes inflammation leadings to necrosis and apoptosis of cardiac muscle cells (myocytes) and activation of the innate immune system. Over the next 1-4 weeks, viral replication continues with subsequent activation of the acquired immune system leading to T cell infiltration and the formation of antibodies, including possibly auto-antibodies. Over the next few months to years, this process either resolves and concludes with viral clearance or it may progress to cause permanent heart damage such as dilated cardiomyopathy, ventricular dysfunction or other cardiomyopathies. Coxsackie B, specifically B3 and B5, has been found to interact with coxsackievirus-adenovirus receptor (CAR) and decay-accelerating factor (DAF). However, other proteins have also been identified that allow Coxsackieviruses to bind to cardiac cells. The natural function of CAR and mechanism that the Coxsackievirus uses to infect the cardiac muscle is still unknown. The mechanism by which coxsackie B viruses (CBVs) trigger inflammation is believed to be through the recognition of CBV virions by Toll-like receptors.


title: Myocarditis

text: The binding of many types of coronaviruses, including the SARS-CoV-2 virus, through ACE2 receptors present in heart muscle may be responsible for direct viral injury leading to myocarditis. In a study done during the 2002-2004 SARS outbreak,  SARS viral RNA  was detected in the autopsy of heart specimens in 35% of the patients in the Toronto,Canada area who had died due to SARS. It was also observed that an already diseased heart has increased expression of ACE2 receptor contrasted to healthy individuals which may lead to greater viral infiltration in the heart muscle. Hyperactive immune responses in COVID-19 patients may lead to the initiation of the cytokine storm. This excess release of cytokines may lead to myocardial injury. In addition to direct cardiac myocyte (heart muscle cell) damage due to SARS-CoV-2 viral infiltration and inflammation, there are other suspected mechanisms that Covid-19 may indirectly cause myocarditis. During Covid-19, the other indirect mechanisms thought to contribute to myocarditis include: oxygen supply-demand mismatch to the heart muscle leading to myocardial (heart muscle) injury; microvascular thrombi, or blood clots in the small blood vessels of the heart causing injury; the systemic hyperinflammatory state in Covid-19 leading to heart muscle injury; or the virus causing indirect damage to the heart by inducing auto-immune mediated damage to the heart muscle (and frequently other organs).


title: Myocarditis

text: Myocarditis refers to an underlying process that causes inflammation and injury of the heart. It does not refer to inflammation of the heart as a consequence of some other insult. Many secondary causes, such as a heart attack, can lead to inflammation of the myocardium and therefore the diagnosis of myocarditis cannot be made by evidence of inflammation of the myocardium alone.


title: Myocarditis

text: Myocardial inflammation can be suspected on the basis of elevated inflammatory markers including C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), or an increased IgM (serology) against viruses known to affect the myocardium. Markers of myocardial damage (troponin or creatine kinase cardiac isoenzymes) are elevated. The CRP and ESR are sometimes elevated in myocarditis but they are not specific as they may be elevated due to many other causes. Similarly, CK may be elevated in myocarditis but is also non-specific, as it may be elevated in myositis (skeletal muscle injury). High sensitivity troponin is usually elevated in myocarditis and this marker is very specific to myocardial (heart muscle) injury.


title: Myocarditis

text: Myocardial inflammation may also be suspected based on ECG findings, but these findings are not specific to myocarditis. The ECG finding most commonly seen in myocarditis is sinus tachycardia with non-specific ST or T wave changes. But other findings that may be seen in perimyocarditis (a combination of pericarditis and myocarditis) include PR segment depression, PR segment depression with associated ST segment elevation, diffuse ST segment elevation (in a pericarditis pattern). ST segment elevation was seen in 62% of people with myocarditis. The presence of Q waves, a widened QRS complex, prolongation of the QT interval, high degree AV nodal blockade, and ventricular tachyarrhythmias are associated with a poor prognosis when seen on ECG in people with myocarditis.


title: Myocarditis

text: The gold standard is the biopsy of the myocardium, in general done in the setting of angiography. A small tissue sample of the endocardium and myocardium is taken and investigated. The cause of the myocarditis can be only identified by a biopsy. Endomyocardial biopsy samples are assessed for histopathology (how the tissue looks like under the microscope): myocardial interstitium may show abundant edema and inflammatory infiltrate, rich in lymphocytes and macrophages. Focal destruction of myocytes explains the myocardial pump failure. In addition samples may be assessed with immunohistochemistry to determine which types of immune cells are involved in the reaction and how they are distributed. Furthermore, PCR and/or RT-PCR may be performed to identify particular viruses. Finally, further diagnostic methods like microRNA assays and gene-expression profile may be performed.


title: Myocarditis

text: Cardiac magnetic resonance imaging (cMRI or CMR) has been shown to be very useful in diagnosing myocarditis by visualizing markers for inflammation of the myocardium. Cardiac MRI is most sensitive when performed 2-3 weeks after the initial clinical presentation of myocarditis and may be repeated 6-12 months after onset to monitor the evolution of disease or response to treatment. The Lake Louise Criteria (established in 2009) are a commonly used MRI criteria to establish the diagnosis of myocarditis in suspected cases. The Lake Louise Criteria include increased signal intensity after gadolinium contrast enhancement (a sign of hyperemia, or increased blood flow to damaged tissue), increased myocardial T2 relaxation time or an increased T2 signal intensity (which are signs of tissue edema or swelling), and late gadolinium contrast enhancement (which is a sign of tissue necrosis (tissue damage) or fibrosis (scarring)). In 2018, additional radiographic MRI criteria were added, including increased T1 signal intensity and increased extracellular volume (both of which being signs of myocardial injury). The original 2009 Lake Louise Criteria had a 74% sensitivity and 86% specificity in the diagnosis of myocarditis, but when adding the 2018 update to the criteria (in which T1 signal intensity was found to have high diagnostic sensitivity), the sensitivity and specificity in the diagnosis of myocarditis increased to 88% and 96% respectively. Cardiac MRI, if available, is recommended in all cases of suspected myocarditis.


title: Myocarditis

text: While myocarditis has many etiologies and a variable constellation of signs and symptoms, many causes do not have a specific treatment thus the primary focus is on supportive care and symptom management. In some cases of biopsy-proven myocarditis, the causative cell type may indicate condition specific treatments that are beneficial. These treatments typically consist of corticosteroids, or immunosuppressants. Eosinophilic myocarditis, giant cell myocarditis and cardiac sarcoidosis are usually responsive to immunosuppressive treatments; in the form of glucocorticoids with or without azathioprine and cyclosporine. Some of these immune mediated forms of myocarditis require an extended course (maintenance course) of immunosuppressive therapy. It is recommended to rule out drugs and parasites as potential causes of eosinophilic myocarditis as these common causes of the variant can be effectively treated with discontinuation of the offending drug or specific anti-parasitic treatment respectively. Empiric IV glucocorticoids are indicated in acute myocarditis with cardiogenic shock, heart failure, ventricular arrhythmias or high degree AV block that is suspected due to auto-immune disease; but the European Society of Cardiology also recommends subsequent viral genome testing of endomyocardial biopsy specimens due to risk of viral activation, which may necessitate discontinuation of immunosuppression therapy.


title: Myocarditis

text: In a majority of cases, the main therapies are used to support patients and are dependent on the severity of symptoms and the time course across which myocarditis develops. Supportive therapies can be divided into two broad categories, medications and mechanical support.


title: Myocarditis

text: The specific medications that are used to support patients are directly related to the cause of the symptom or sign. Just as the symptoms of myocarditis mirror those of congestive heart failure, so too do the therapies. Additionally, the order in which therapies are used depends on the degree of heart dysfunction, with stabilization of patient blood pressure and breathing taking highest priority when present. This can involve the use of inotropes, or medications that make the heart contract with greater force, as well as antiarrhythmic drugs such as adenosine or carvedilol. In patients that have stable and adequate heart function, further treatments are based on heart failure guidelines. ACE inhibitors or Angiotensin Receptor Blockers (ARBs) can have a protective benefit to the heart, so either are typically used in any patient with symptomatic myocarditis. Simultaneously, beta blockers are used in patients that can tolerate their heart beating at a slower rate. Shortness of breath at rest and swelling can be relieved with diuretics such as furosemide, and the addition of aldosterone receptor blockers can augment the diuresis while preventing the excess loss of potassium. In patients with symptoms while resting, additional medications can be added such as digoxin.


title: Myocarditis

text: Mechanical support is used in cases of myocarditis in which medications alone do not lead to adequate heart function and the body requires additional support to achieve organ perfusion. Myocarditis cases that require mechanical circulatory support are categorized as fulminant by definition. People that require additional support with their heart function can benefit from the use of ventricular assist devices like intra-aortic balloon pumps. In people with myocarditis severe enough to cause cardiac arrest, extracorporeal membrane oxygenation (ECMO) is used to adequately pump blood and provide oxygen if needed. Both ventricular assist devices and ECMO can be used as bridge therapy until heart transplantation in patients that are candidates. Heart transplantation is reserved for those that do not respond to the aforementioned conventional medical therapies. An implantable cardioverter-defibrillator (ICD) is sometimes required in those with cardiomyopathy or heart failure caused by myocarditis due to the risk of fatal ventricular arrhythmias. The need for ICD is usually assessed 3-6 months after the onset of myocarditis, after the acute phase of myocarditis has passed, with a temporary, wearable cardioverter-defibrillator acting as a temporary treatment in the interim.


title: Myocarditis

text: The prognosis associated with myocarditis is stratified by the severity and time course along which symptoms develop. In addition to symptom severity, there are also several indicators of heart function that can be used to predict patient outcomes, many of which are part of the standard evaluation of patients presenting with cardiovascular dysfunction. Most people with myocarditis have an uncomplicated, self-limited and mild course while making a full recovery. However, those with myocarditis that present with a decreased ejection fraction, or those who present with heart failure, advanced atrioventricular block, with sustained ventricular arrhythmias or with hemodynamic instability have a worse prognosis with an increased risk of death or need for heart transplantation.


title: Myocarditis

text: An electrocardiogram is one of the most common screening tools used in cases of suspected cardiac pathology, such as myocarditis. The findings that correlate with poorer outcomes are non-specific and include widened QRS complexes and QT intervals, partial or complete atrial-ventricular heart block, and malignant ventricular arrhythmias like sustained ventricular tachycardia or ventricular fibrillation. Electrocardiogram findings of ST elevations with upward concavity and an early repolarization pattern, however, were associated with a better cardiovascular prognosis in general.


title: Myocarditis

text: In cases of acute myocarditis, cardiac magnetic resonance imaging can reveal several prognostic indicators that, similar to ECGs, are non-specific and reflect poorer cardiac physiology. Late gadolinium enhancement on cardiac MRI demonstrates perturbations in extracellular volume as a result of cell necrosis or edema, and is significantly associated with increases in all-cause mortality, cardiovascular mortality, and major adverse cardiovascular events. The association was strongest with any late gadolinium enhancement, but remained true for findings of anterolateral-specific enhancement. A similar relationship was found between a left ventricular ejection fraction < 50%, increased mortality, and increased major adverse cardiovascular events.


title: Myocarditis

text: Myocarditis has been reported to be a major cause of sudden cardiac death (SCD) in infants, adolescents, and young adults, but the reported rates show wide variation (1 to 14 percent) among young people depending on differences in SCD definition and classification/ definition of myocarditis post-mortem as well as heterogeneity of study populations. And one has also to distinguish between studies about myocarditis in general and "fulminant" myocarditis.


title: Myocarditis

text: The prevalence of myocarditis is estimated to be about 1-10 cases per 100,000 persons per year, with higher estimates at 22 cases per 100,000 persons annually. The highest incidence of myocarditis is seen in men between the ages of 20 and 40. Fulminant myocarditis, the most severe subtype, has been shown to occur in up to 2.5% of known myocarditis presentations. When looking at different causes of myocarditis, viral infection is the most prevalent, especially in children; however, the prevalence rate of myocarditis is often underestimated as the condition is easily overlooked and is sometimes asymptomatic. Viral myocarditis being an outcome of viral infection depends heavily on genetic host factors and the pathogenicity unique to the virus. If one tests positive for an acute viral infection, clinical developments have discovered that 1-5% of said population may show some form of myocarditis.


title: Myocarditis

text: In regard to the population affected, myocarditis is more common in pregnant women, children, and those who are immunocompromised. Myocarditis, however, has shown to be more common in the male population than in the female. Multiple studies report a 1:1.3-1.7 female-male ratio of prevalence of myocarditis. In young adults, up to 20% of all cases of sudden death are due to myocarditis. Young males specifically have a higher incidence rate than any other population due to their testosterone levels creating a greater inflammatory response that increases the chance of cardiac pathologies. While males tend to have a higher risk of developing myocarditis, females tend to display more severe signs and symptoms, such as ventricular tachycardia and ventricular fibrillation, but do so at an older age. Among patients with HIV, myocarditis is the most common cardiac pathological finding at autopsy, with a prevalence of 50% or more.


title: Myocarditis

text: Myocarditis is the third most common cause of death among young adults with a cumulative incidence rate globally of 1.5 cases per 100,000 persons annually. Myocarditis accounts for approximately 20% of sudden cardiac death in a variety of populations, including adults under the age of 40, young athletes, United States Air Force recruits, and elite Swedish orienteers. With individuals who develop myocarditis, the first year is difficult as a collection of cases have shown there is a 20% mortality rate.


title: Myocarditis

text: Myocarditis can be seen during Covid-19, the disease caused by the SARS-CoV-2 virus; with the myocarditis being associated with a spectrum of severities from asymptomatic to fulminant. In one cohort study, comparing the autopsy reports of 277 hearts of people who died from Covid-19, clinically significant myocarditis was seen in approximately 2% of hearts. Other estimates of the incidence of myocarditis in those with Covid-19 range from 2.4 cases of definite/probable myocarditis (based on clinical criteria) per 1,000 people with Covid-19 to 4.1 cases per 1,000 persons in those who are hospitalized with Covid-19.


title: Myocarditis

text: Although myocarditis is relatively rare in those with Covid-19, when it is present it is likely to follow a severe and fulminant course. Of those with Covid-19 and myocarditis, 39% presented with severe myocarditis associated with hemodynamic instability, needing mechanical circulation support or other major interventions. Severe myocarditis in Covid-19 is more likely in those who have Covid-19 pneumonia.


title: Myocarditis

text: Cases of myocarditis have been documented as early as the 1600s, but the term "myocarditis", implying an inflammatory process of the myocardium, was introduced by German physician Joseph Friedrich Sobernheim in 1837. However, the term has been confused with other cardiovascular conditions, such as hypertension and ischemic heart disease. Following admonition regarding the indiscriminate use of myocarditis as a diagnosis from authorities such as British cardiologist Sir Thomas Lewis and American cardiologist and a co-founder of the American Heart Association Paul White, myocarditis was under-diagnosed.


title: Myocarditis

text: Although myocarditis is clinically and pathologically clearly defined as "inflammation of the myocardium", its definition, classification, diagnosis, and treatment are subject to continued controversy, but endomyocardial biopsy has helped define the natural history of myocarditis and clarify clinicopathological correlations.


title: Gestapo

text: The (), abbreviated Gestapo (; ), was the official secret police of Nazi Germany and in German-occupied Europe.


title: Gestapo

text: The force was created by Hermann Göring in 1933 by combining the various political police agencies of Prussia into one organisation. On 20 April 1934, oversight of the Gestapo passed to the head of the "Schutzstaffel" (SS), Heinrich Himmler, who was also appointed Chief of German Police by Hitler in 1936. Instead of being exclusively a Prussian state agency, the Gestapo became a national one as a sub-office of the (SiPo; Security Police). From 27 September 1939, it was administered by the Reich Security Main Office (RSHA). It became known as (Dept) 4 of the RSHA and was considered a sister organisation to the (SD; Security Service). During World War II, the Gestapo played a key role in the Holocaust. After the war ended, the Gestapo was declared a criminal organisation by the International Military Tribunal (IMT) at the Nuremberg trials.


title: Gestapo

text: After Adolf Hitler became Chancellor of Germany, Hermann Göring—future commander of the Luftwaffe and the number two man in the Nazi Party—was named Interior Minister of Prussia. This gave Göring command of the largest police force in Germany. Soon afterward, Göring detached the political and intelligence sections from the police and filled their ranks with Nazis. On 26 April 1933, Göring merged the two units as the , which was abbreviated by a post office clerk for a franking stamp and became known as the "Gestapo". He originally wanted to name it the Secret Police Office (), but the German initials, "GPA", were too similar to those of the Soviet State Political Directorate (, or GPU).


title: Gestapo

text: The first commander of the Gestapo was Rudolf Diels, a protégé of Göring. Diels was appointed with the title of chief of (Department 1a) of the Prussian Secret Police. Diels was best known as the primary interrogator of Marinus van der Lubbe after the Reichstag fire. In late 1933, the Reich Interior Minister Wilhelm Frick wanted to integrate all the police forces of the German states under his control. Göring outflanked him by removing the Prussian political and intelligence departments from the state interior ministry. Göring took over the Gestapo in 1934 and urged Hitler to extend the agency's authority throughout Germany. This represented a radical departure from German tradition, which held that law enforcement was (mostly) a (state) and local matter. In this, he ran into conflict with (SS) chief Heinrich Himmler who was police chief of the second most powerful German state, Bavaria. Frick did not have the political power to take on Göring by himself so he allied with Himmler. With Frick's support, Himmler (pushed on by his right-hand man, Reinhard Heydrich) took over the political police in state-after-state. Soon only Prussia was left.


title: Gestapo

text: Concerned that Diels was not ruthless enough to effectively counteract the power of the (SA), Göring handed over control of the Gestapo to Himmler on 20 April 1934. Also on that date, Hitler appointed Himmler chief of all German police outside Prussia. Heydrich, named chief of the Gestapo by Himmler on 22 April 1934, also continued as head of the SS Security Service (; SD). Himmler and Heydrich both immediately began installing their own personnel in select positions, several of whom were directly from the Bavarian Political Police, such as Heinrich Müller, Franz Josef Huber and Josef Meisinger. Many of the Gestapo employees in the newly established offices were young and highly educated in a wide variety of academic fields and moreover, represented a new generation of National Socialist adherents, who were hard-working, efficient, and prepared to carry the Nazi state forward through the persecution of their political opponents.


title: Gestapo

text: By the spring of 1934, Himmler's SS controlled the SD and the Gestapo, but for him, there was still a problem, as technically the SS (and the Gestapo by proxy) was subordinated to the SA, which was under the command of Ernst Röhm. Himmler wanted to free himself entirely from Röhm, whom he viewed as an obstacle. Röhm's position was menacing as more than 4.5 million men fell under his command once the militias and veterans organisations were absorbed by the SA, a fact which fuelled Röhm's aspirations; his dream of fusing the SA and "Reichswehr" together was undermining Hitler's relationships with the leadership of Germany's armed forces. Several Nazi chieftains, among them Göring, Joseph Goebbels, Rudolf Hess, and Himmler, began a concerted campaign to convince Hitler to take action against Röhm. Both the SD and Gestapo released information concerning an imminent putsch by the SA. Once persuaded, Hitler acted by setting Himmler's SS into action, who then proceeded to murder over 100 of Hitler's identified antagonists. The Gestapo supplied the information which implicated the SA and ultimately enabled Himmler and Heydrich to emancipate themselves entirely from the organisation. For the Gestapo, the next two years following the Night of the Long Knives, a term describing the putsch against Röhm and the SA, were characterised by "behind-the-scenes political wrangling over policing".


title: Gestapo

text: On 17 June 1936, Hitler decreed the unification of all police forces in Germany and named Himmler as Chief of German Police. This action effectively merged the police into the SS and removed it from Frick's control. Himmler was nominally subordinate to Frick as police chief, but as , he answered only to Hitler. This move also gave Himmler operational control over Germany's entire detective force. The Gestapo became a national state agency. Himmler also gained authority over all of Germany's uniformed law enforcement agencies, which were amalgamated into the new (Orpo; Order Police), which became a national agency under SS general Kurt Daluege. Shortly thereafter, Himmler created the (Kripo; Criminal Police), merging it with the Gestapo into the (SiPo; Security Police), under Heydrich's command. Heinrich Müller was at that time the Gestapo operations chief. He answered to Heydrich; Heydrich answered only to Himmler and Himmler answered only to Hitler.


title: Gestapo

text: The Gestapo had the authority to investigate cases of treason, espionage, sabotage and criminal attacks on the Nazi Party and Germany. The basic Gestapo law passed by the government in 1936 gave the Gestapo to operate without judicial review—in effect, putting it above the law. The Gestapo was specifically exempted from responsibility to administrative courts, where citizens normally could sue the state to conform to laws. As early as 1935, a Prussian administrative court had ruled that the Gestapo's actions were not subject to judicial review. The SS officer Werner Best, one-time head of legal affairs in the Gestapo, summed up this policy by saying, "As long as the police carries out the will of the leadership, it is acting legally".


title: Gestapo

text: On 27 September 1939, the security and police agencies of Nazi Germany—with the exception of the Order Police—were consolidated into the Reich Security Main Office (RSHA), headed by Heydrich. The Gestapo became (Department IV) of RSHA and Müller became the Gestapo Chief, with Heydrich as his immediate superior. After Heydrich's 1942 assassination, Himmler assumed the leadership of the RSHA until January 1943, when Ernst Kaltenbrunner was appointed chief. Müller remained the Gestapo Chief. His direct subordinate Adolf Eichmann headed the Gestapo's Office of Resettlement and then its Office of Jewish Affairs ( or Sub-Department IV, Section B4). During the Holocaust, Eichmann's department within the Gestapo coordinated the mass deportation of European Jews to the Nazis' extermination camps.


title: Gestapo

text: The power of the Gestapo included the use of what was called, —"protective custody", a euphemism for the power to imprison people without judicial proceedings. An oddity of the system was that the prisoner had to sign his own , an order declaring that the person had requested imprisonment—presumably out of fear of personal harm. In addition, political prisoners throughout Germany—and from 1941, throughout the occupied territories under the Night and Fog Decree ()—simply disappeared while in Gestapo custody. Up to 30 April 1944, at least 6,639 persons were arrested under orders. However, the total number of people who disappeared as a result of this decree is not known.


title: Gestapo

text: The Polish government in exile in London during World War II received sensitive military information about Nazi Germany from agents and informants throughout Europe. After Germany conquered Poland (in the autumn of 1939), Gestapo officials believed that they had neutralised Polish intelligence activities. However, certain Polish information about the movement of German police and SS units to the East during 1941 German invasion of the Soviet Union was similar to information British intelligence secretly obtained through intercepting and decoding German police and SS messages sent by radio telegraphy.


title: Gestapo

text: In 1942, the Gestapo discovered a cache of Polish intelligence documents in Prague and were surprised to see that Polish agents and informants had been gathering detailed military information and smuggling it out to London, via Budapest and Istanbul. The Poles identified and tracked German military trains to the Eastern front and identified four Order Police battalions sent to occupied areas of the Soviet Union in October 1941 that engaged in war crimes and mass murder.


title: Gestapo

text: Polish agents also gathered detailed information about the morale of German soldiers in the East. After uncovering a sample of the information the Poles had reported, Gestapo officials concluded that Polish intelligence activity represented a very serious danger to Germany. As late as 6 June 1944, Heinrich Müller—concerned about the leakage of information to the Allies—set up a special unit called that was meant to root out the Polish intelligence network in western and southwestern Europe.


title: Gestapo

text: In Austria, there were groups still loyal to the Habsburgs, who unlike most across the Greater German Reich, remained determined to resist the Nazis. These groups became a special focus of the Gestapo because of their insurrectionist goals—the overthrow of the Nazi regime, the re-establishment of an independent Austria under Habsburg leadership—and Hitler's hatred of the Habsburg family. Hitler vehemently rejected the centuries' old Habsburg pluralist principles of "live and let live" with regard to ethnic groups, peoples, minorities, religions, cultures and languages. Habsburg loyalist Karl Burian's (who was later executed) plan to blow up the Gestapo headquarters in Vienna represented a unique attempt to act aggressively against the Gestapo. Burian's group had also set up a secret courier service to Otto von Habsburg in Belgium. Individuals in Austrian resistance groups led by Heinrich Maier also managed to pass along the plans and the location of production facilities for V-1, V-2 rockets, Tiger tanks, and aircraft (Messerschmitt Bf 109, Messerschmitt Me 163 Komet, etc.) to the Allies. The Maier group informed very early about the mass murder of Jews. The resistance group, later discovered by the Gestapo because of a double agent of the Abwehr, was in contact with Allen Dulles, the head of the US Office of Strategic Services in Switzerland. Although Maier and the other group members were severely tortured, the Gestapo did not uncover the essential involvement of the resistance group in Operation Crossbow and Operation Hydra.


title: Gestapo

text: Early in the regime's existence, harsh measures were meted out to political opponents and those who resisted Nazi doctrine, such as members of the Communist Party of Germany (KPD); a role originally performed by the SA until the SD and Gestapo undermined their influence and took control of Reich security. Because the Gestapo seemed omniscient and omnipotent, the atmosphere of fear they created led to an overestimation of their reach and strength; a faulty assessment which hampered the operational effectiveness of underground resistance organisations.


title: Gestapo

text: Shortly after the Nazis came to power, they decided to dissolve the 28 federations of the General German Trade Union Confederation, because Hitler—after noting their success in the works council elections—intended to consolidate all German workers under the Nazi government's administration, a decision he made on 7 April 1933. As a preface to this action, Hitler decreed May 1 as National Labor Day to celebrate German workers, a move the trade union leaders welcomed. With their trade union flags waving, Hitler gave a rousing speech to the 1.5 million people assembled on Berlin's that was nationally broadcast, during which he extolled the nation's revival and working class solidarity. On the following day, the newly formed Gestapo officers, who had been shadowing some 58 trade union leaders, arrested them wherever they could find them—many in their homes. Meanwhile, the SA and police occupied trade union headquarters, arrested functionaries, confiscated their property and assets; all by design so as to be replaced on 12 May by the German Labour Front (DAF), a Nazi organisation placed under the leadership of Robert Ley. For their part, this was the first time the Gestapo operated under its new name since its 26 April 1933 founding in Prussia.


title: Gestapo

text: Many parts of Germany (where religious dissent existed upon the Nazi seizure of power) saw a rapid transformation; a change as noted by the Gestapo in conservative towns such as Würzburg, where people acquiesced to the regime either through accommodation, collaboration, or simple compliance. Increasing religious objections to Nazi policies led the Gestapo to carefully monitor church organisations. For the most part, members of the church did not offer political resistance but simply wanted to ensure that organizational doctrine remained intact.


title: Gestapo

text: However, the Nazi regime sought to suppress any source of ideology other than its own, and set out to muzzle or crush the churches in the so-called . When Church leaders (clergy) voiced their misgiving about the euthanasia program and Nazi racial policies, Hitler intimated that he considered them "traitors to the people" and went so far as to call them "the destroyers of Germany". The extreme anti-semitism and neo-pagan heresies of the Nazis caused some Christians to outright resist, and Pope Pius XI to issue the encyclical Mit Brennender Sorge denouncing Nazism and warning Catholics against joining or supporting the Party. Some pastors, like the Protestant clergyman Dietrich Bonhoeffer, paid for their opposition with their lives.


title: Gestapo

text: In an effort to counter the strength and influence of spiritual resistance, Nazi records reveal that the Gestapo's monitored the activities of bishops very closely—instructing that agents be set up in every diocese, that the bishops' reports to the Vatican should be obtained and that the bishops' areas of activity must be found out. Deans were to be targeted as the "eyes and ears of the bishops" and a "vast network" established to monitor the activities of ordinary clergy: "The importance of this enemy is such that inspectors of security police and of the security service will make this group of people and the questions discussed by them their special concern".


title: Gestapo

text: In "Dachau: The Official History 1933–1945", Paul Berben wrote that clergy were watched closely, and frequently denounced, arrested and sent to Nazi concentration camps: "One priest was imprisoned in Dachau for having stated that there were good folk in England too; another suffered the same fate for warning a girl who wanted to marry an S.S. man after abjuring the Catholic faith; yet another because he conducted a service for a deceased communist". Others were arrested simply on the basis of being "suspected of activities hostile to the State" or that there was reason to "suppose that his dealings might harm society". Over 2,700 Catholic, Protestant, and Orthodox clergy were imprisoned at Dachau alone. After Heydrich (who was staunchly anti-Catholic and anti-Christian) was assassinated in Prague, his successor, Ernst Kaltenbrunner, relaxed some of the policies and then disbanded Department IVB (religious opponents) of the Gestapo.


title: Gestapo

text: Violence and arrest were not confined to that opposing political parties, membership in trade unions, or those with dissenting religious opinions, but also homosexuality. It was viewed negatively by Hitler. Homosexuals were correspondingly considered a threat to the (National Community). From the Nazis rise to national power in 1933, the number of court verdicts against homosexuals steadily increased and only declined once the Second World War started. In 1934, a special Gestapo office was set up in Berlin to deal with homosexuality.


title: Gestapo

text: Despite male homosexuality being considered a greater danger to "national survival", lesbianism was likewise viewed as unacceptable—deemed gender nonconformity—and a number of individual reports on lesbians can be found in Gestapo files. Between 1933 and 1935, some 4,000 men were arrested; between 1936 and 1939, another 30,000 men were convicted. If homosexuals showed any signs of sympathy to the Nazis' identified racial enemies, they were considered an even greater danger. According to Gestapo case files, the majority of those arrested for homosexuality were males between eighteen and twenty-five years of age.


title: Gestapo

text: Between June 1942 and March 1943, student protests were calling for an end to the Nazi regime. These included the non-violent resistance of Hans and Sophie Scholl, two leaders of the White Rose student group. However, resistance groups and those who were in moral or political opposition to the Nazis were stalled by the fear of reprisals from the Gestapo. Fearful of an internal overthrow, the forces of the Gestapo were unleashed on the opposition. Groups like the White Rose and others, such as the Edelweiss Pirates, and the Swing Youth, were placed under close Gestapo observation. Some participants were sent to concentration camps. Leading members of the most famous of these groups, the White Rose, were arrested by the police and turned over to the Gestapo. For several leaders the punishment was death. During the first five months of 1943, the Gestapo arrested thousands suspected of resistance activities and carried out numerous executions. Student opposition leaders were executed in late February, and a major opposition organisation, the Oster Circle, was destroyed in April 1943. Efforts to resist the Nazi regime amounted to very little and had only minor chances of success, particularly since a broad percentage of the German people did not support such actions.


title: Gestapo

text: Between 1934 and 1938, opponents of the Nazi regime and their fellow travellers began to emerge. Among the first to speak out were religious dissenters but following in their wake were educators, aristocratic businessmen, office workers, teachers, and others from nearly every walk of life. Most people quickly learned that open opposition was dangerous since Gestapo informants and agents were widespread. Yet a significant number of them still worked against the National Socialist government.


title: Gestapo

text: In May 1935, the Gestapo broke up and arrested members of the "Markwitz Circle", a group of former socialists in contact with Otto Strasser, who sought Hitler's downfall. From the mid-1930s into the early 1940s—various groups made up of communists, idealists, working-class people, and far-right conservative opposition organisations covertly fought against Hitler's government, and several of them fomented plots that included Hitler's assassination. Nearly all of them, including: the Römer Group, Robby Group, Solf Circle, , the Party of the Radical Middle Class, , and were either discovered or infiltrated by the Gestapo. This led to corresponding arrests, being sent to concentration camps and execution. One of the methods employed by the Gestapo to contend with these resistance factions was 'protective detention' which facilitated the process in expediting dissenters to concentration camps and against which there was no legal defence.


title: Gestapo

text: Early efforts to resist the Nazis with aid from abroad were hindered when the opposition's peace feelers to the Western Allies did not meet with success. This was partly because of the Venlo incident of 9 November 1939, in which SD and Gestapo agents, posing as anti-Nazis in the Netherlands, kidnapped two British Secret Intelligence Service (SIS) officers after having lured them to a meeting to discuss peace terms. This prompted Winston Churchill to ban any further contact with the German opposition. Later, the British and Americans did not want to deal with anti-Nazis because they were fearful that the Soviet Union would believe they were attempting to make deals behind their back.


title: Gestapo

text: The German opposition was in an unenviable position by the late spring and early summer of 1943. On one hand, it was next to impossible for them to overthrow Hitler and the party; on the other, the Allied demand for an unconditional surrender meant no opportunity for a compromise peace, which left the military and conservative aristocrats who opposed the regime no option (in their eyes) other than continuing the military struggle. Despite the fear of the Gestapo after mass arrests and executions in the spring, the opposition still plotted and planned. One of the more famous schemes, Operation Valkyrie, involved a number of senior German officers and was carried out by Colonel Claus Schenk Graf von Stauffenberg. In an attempt to assassinate Hitler, Stauffenberg planted a bomb underneath a conference table inside the Wolf's Lair field headquarters. Known as the 20 July plot, this assassination attempt failed and Hitler was only slightly injured. Reports indicate that the Gestapo was caught unaware of this plot as they did not have sufficient protections in place at the appropriate locations nor did they take any preventative steps. Stauffenberg and his group were shot on 21 July 1944; meanwhile, his fellow conspirators were rounded up by the Gestapo and sent to a concentration camp. Thereafter, there was a show trial overseen by Roland Freisler, followed by their execution.


title: Gestapo

text: Some Germans were convinced that it was their duty to apply all possible expedients to end the war as quickly as possible. Sabotage efforts were undertaken by members of the (military intelligence) leadership, as they recruited people known to oppose the Nazi regime. The Gestapo cracked down ruthlessly on dissidents in Germany, just as they did everywhere else. Opposition became more difficult. Arrests, torture, and executions were common. Terror against "state enemies" had become a way of life to such a degree that the Gestapo's presence and methods were eventually normalised in the minds of people living in Nazi Germany.


title: Gestapo

text: In January 1933, Hermann Göring, Hitler's minister without portfolio, was appointed the head of the Prussian Police and began filling the political and intelligence units of the Prussian Secret Police with Nazi Party members. A year after the organisation's inception, Göring wrote in a British publication about having created the organisation on his own initiative and how he was "chiefly responsible" for the elimination of the Marxist and Communist threat to Germany and Prussia. Describing the activities of the organisation, Göring boasted about the utter ruthlessness required for Germany's recovery, the establishment of concentration camps for that purpose, and even went on to claim that excesses were committed in the beginning, recounting how beatings took place here and there. On 26 April 1933, he reorganised the force's as the (better-known by the "sobriquet" Gestapo), a secret state police intended to serve the Nazi cause. Less than two weeks later in early May 1933, the Gestapo moved into their Berlin headquarters at Prinz-Albrecht-Straße 8.


title: Gestapo

text: As a result of its 1936 merger with the Kripo (National criminal police) to form sub-units of the (SiPo; Security Police), the Gestapo was officially classified as a government agency. Himmler's subsequent appointment to (Chief of German Police) and status as made him independent of Interior Minister Wilhelm Frick's nominal control.


title: Gestapo

text: The SiPo was placed under the direct command of Reinhard Heydrich who was already chief of the Nazi Party's intelligence service, the (SD). The idea was to fully identify and integrate the party agency (SD) with the state agency (SiPo). Most SiPo members joined the SS and held a rank in both organisations. Nevertheless, in practice there was jurisdictional overlap and operational conflict between the SD and Gestapo.