The document discusses issues around accessibility and text-to-speech (T2S) support for EPUB publications in Japan. It notes that iBooks and Kindle provide T2S on iPhone/iPad, while other major EPUB readers do not. It identifies challenges for T2S with Japanese text, like handling multiple possible pronunciations for characters and lack of support for standards like SSML and PLS. The document also examines accessibility issues for EPUB comics, novels, and textbooks published in Japan and how these relate to the EPUB Japanese Profile guidelines. It questions which EPUB Accessibility 1.0 requirements should be prioritized for adoption and whether technique specifications could be added to address needs of Japanese text.