The Medical Department of the Army, Imperial Headquarters Executive Command, and Masanao KOIKE (Medical Affairs Bureau of Ministry of Army) came under increasing criticism when tragic news of the beriberi epidemic and the shortage of army surgeons became known in Japan.
また国内で、脚気患者の大量発生と軍医不足という悲惨な状況が知られはじめると、陸軍衛生部さらに大本営の大本営組織、小池正直（陸軍省医務局）に対する批判が高まった。