Death
Despite her healthy lifestyle, which included abstaining from tobacco and alcohol, Sakai was seriously ill at times. According to the Kitto Wasurenai Official book, she had to stop her career temporarily due to various uterus-related illnesses in 2001, and did not begin working full time until 2003. In June 2006, she was diagnosed with cervical cancer, for which she immediately underwent treatment. She appeared to have healed, but discovered that her cancer had spread to her lungs, indicating a Stage 5 cancer. She began undergoing treatment at Keio University Hospital in April 2007 but she never fully recovered.
However, Sakai was neither discouraged nor thought she was dying. After her death, the Japanese weekly magazine Friday ran an interview in which said Sakai thought that modern treatments would enable her to live long. Her mother said that she greeted her visitors cheerfully and did not seem to show the effects of her illness. A fellow patient later said that they walked together at times and Sakai sang "Makenaide" for her when she could not walk. Finally, Sakai sent an e-mail to her staff saying that she was anxious to go back to producing music and was looking forward to another concert in late 2007.
Sakai died suddenly on 27 May 2007. Police judged her death accidental, the result of a fall from the landing of an emergency-exit slope at Keio University Hospital, where she was undergoing chemotherapy. The slope appeared to be very slippery due to rain the day before. According to police, the fall took place during a walk on the morning of 26 May 2007, from a height of about 3 meters. Sakai was discovered unconscious at around 5:40 a.m. by a passer-by and taken to the emergency room, where she died the following afternoon of head injuries. Due to the unusual and unlikely nature of her death, police investigated for possibility of suicide, but concluded that it was indeed an accident. In the Friday article, her mother said that she took walks in rehabilitation and the location where she fell was her favorite place to meditate. Sakai had been planning to release a new album in fall 2007, as well as launch her first live tour in three years. She was 40. Her family was at her side, but it was reported that she never regained consciousness.
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