- It's confirmed later in the series that it's something genetic. If one person rises as a Shiki, it's very likely that other people related to them directly by blood will also rise. However, this is still not guaranteed...
This is chiefly based on the notion that, as Tatsumi put it, Jinrou “never died” but rather transformed at the brink of death. Their superhuman qualities are all totally dependent on how much human blood they consume.
The sole exception to this might be their basic longevity, as while Tatsumi explains that Jinrou require sufficient blood consumption to access their full capabilities, he does not explain whether or not they need blood to cease aging.
The times we see Jinrou manifesting their Shiki qualities, it is during times of emotional upheaval (such as when Tatsumi is angered by Natsuno’s feigned ignorance during their first confrontation), feeding or imminent feeding (Tatsumi’s fangs being visible when he attacks the Ozaki clinic, and Yoshie’s fangs and Shiki eyes when feeding on fleeing villagers), or seemingly at will (Seishin’s eyes changing when trying to convince Sunako to leave the village with him, and Tatsumi’s right eye changing after accepting Tohru’s first invitation to his house).
These things come together to suggest that rather than becoming a subspecies of Shiki, some humans merely gain the ability to activate superhuman qualities in exchange for new blood.
If this theory is valid, it would be more correct to refer to Jinrou as “werevampires” or “wereshiki” (translated into Japanese, of course) rather than “werewolves.” Some even theorize that the Shiki are controlled entirely by their blood (with the insinuation being that vampirism, in this universe, is a curse of blood rather than body and soul).
It would make sense that in the event of the blood curse failing to entirely dominate a person’s system- even if the struggle persists until near death- he or she would instead assimilate the curse and become able to manifest its characteristics with new blood being the reagent.
- Given how Tatsumi willingly defers to Sunako, he may have done the same as Seishin did.
- This troper thinks it's more or less with the fact that they weren't sucked consecutively in 3 days. Thus allowing their living bodies to adjust longer and become Jinrou.
- Sunako probably born in the Meiji period. Around that time, it's not strange to have western-style house, especially wealthy family like Sunako's.