Okawa was born on March 5, 1898, in the Tenma district (present-day Kita-ku) of Osaka, and now lives at a nursing home in Higashisumiyoshi-ku, Osaka. She married in 1919 to her husband Yukio, and had three children, two daughters and a son, of whom, as of February 2013, her son and 1 daughter are still alive, both over the age of 90. She has 4 grandchildren and 6 great-grandchildren.
On February 27, 2013, a few days before her 115th birthday, Misao Okawa was officially recognized by Guinness World Records as the oldest living woman in the world, and was presented with a certificate at her nursing home in Osaka.
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