Asked at a news conference if the Games might still be cancelled amid rising COVID-19 cases, Toshiro Muto said he would keep an eye on infection numbers and hold discussions with organisers if necessary.
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The comments, less than 200 days before the postponed Games start in July, come with greater Tokyo under a state of emergency over a spike in coronavirus cases and with countries around the world battling outbreaks.
The Olympic organisers said this on Thursday.
The Games, scheduled to start in July, were postponed for a year in March because of fears over the COVID-19 pandemic.