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1. Measures to prevent the spread of infections and to build medical treatment structures- Counter-cluster measures: doubling the PCR capacity to 20K/day, reinforcing public health centers- Medical care for patients with severe symptoms: increase beds from 28K to 50K, securing 15K ventilators- Facilities for patients with mild symptoms to stay: securing hotels and other public facilities- Research and development of therapeutic medication and vaccines- Avigan (medicine expected to be effective): increasing its production, preparing the stockpile up to 2M doses.
2. Measures in support of business- Real interest-free unsecured loans.- Improved loan conditions: allowing recurring debts to be refinanced as interest free loans.- Deferment of the payments of national taxes and social security premiums without collateral and
penalties (amounting to ¥26 trillion)
3. Cash payments (app. ¥15 trillion in total)- Cash payment of ¥100k each to all residents in Japan (¥12.9 trillion)- Cash payments of ¥2 million each to micro-, small-, and medium-sized business and ¥1 million each to
individual business owners (¥2.3 trillion)
4. Demand stimulation measures, looking ahead to the phase after the containment of outbreaks- Support in the form of discounts and vouchers: tourism, transport, food services, and event businesses
Emergency Economic Measures for Response to COVID-19to protect the lives and lifestyles of the public and move toward economic recovery
(Revised on 20, April 2020)
117 trillion yen (app. 1.1 trillion USD) (over 20% of Japan’s GDP)
Analysis of demographic changes in designated prefectures under special caution (as of 15:00, April 22)
(Comparison with prepandemic days*) *Average of weekdays between Jan.18 to Feb. 14 2020
Sapporo
(Hokkaido Pref.)
Mito
(Ibaraki Pref.)
Omiya
(Saitama Pref.)
Chiba Funabashi
(Chiba Pref.)
52.2% 44.4% 60.8% 56.6%
54.0%
45.3%
66.7% 66.1% 52.9% 63.4%
Shibuya Center
Gai (Tokyo Met.)
Nagoya
(Aichi Pref.)
64.1%
Shinjuku
(Tokyo Met.)
Yokohama
(Kanagawa Pref.)
Kawasaki
(Kanagawa Pref.)
Kanazawa
(Ishikawa Pref.)
Gifu
69.3%
NTT Docomo Analysis Report
63.6%
Tenjin
(Fukuoka Pref.)
59.1%
Sannomiya
(Hyogo Pref.)
54.0%
Namba
(Osaka Pref.)
65.2%
Umeda
(Osaka Pref.)
74.5%
Kyoto
JR East Tokyo Metro
All Tokyo Metro Stations
(Average)Chiba Sta.
69%68%
Omiya Sta.
(Saitama Pref.)
70%
Changes in the number of passengers going through ticket gates of major stations
(Data as of April 20, compared with the same date of the previous year (2019) )
*Data is preliminary and subject to change.
Hakata Sta.(local)
(Fukuoka Pref.)
Sannomiya Sta.
(Hyogo Pref.)
Sapporo Sta.(Hokkaido Pref.)
JR Hokkaido
59%
Kyoto Sta.
JR West
72%
Osaka Sta.
JR West
74%
78%
Tokyo Sta. Shinjuku Sta.(Tokyo Met.)
Shibuya Sta.(Tokyo Met.)
76%
JR East JR East JR East
77%
73% 76%
Yokohama Sta.(Kanagawa Pref.)
JR East JR East JR East
67%
Ikebukuro Sta.(Tokyo Met.)
Ueno Sta.(Tokyo Met.)
65% 68%
JR East
Nagoya Sta.
(Aichi Pref.)
JR Central
67%
67%
JR West JR Kyushu
Otemachi Sta.
(Tokyo Met.)
Tokyo Metro
[COVID-19] Declaration of a State of Emergency in response to the
Novel Coronavirus Disease
April 16, 2020
[Provisional Translation]
In pursuant to Article 32, Paragraph 1 of the Act on Special Measures for Pandemic
Influenza and New Infectious Diseases Preparedness and Response (Act No. 31 of 2012),
the government declared a state of emergency in relation to the novel coronavirus disease
on April 7, 2020. It has also decided that areas subject to measures under the state of
emergency are extended to all prefectures;
1. The duration in which the emergency situation measures shall be implemented
From April 7 to May 6, 2020 (from April 16, for prefectures other than Saitama, Chiba,
Tokyo, Kanagawa, Osaka, Hyogo, and Fukuoka). When it is deemed that the emergency
situation measures are no longer necessary, the state of emergency shall be lifted
expeditiously in accordance with Article 32, Paragraph 5 of the Act on Special Measures for
Pandemic Influenza and New Infectious Diseases Preparedness and Response.
2. Areas subject to the emergency situation measures
All prefectures.
3. Overview of the State of Emergency
Regarding the novel coronavirus disease,
・It has been confirmed that, compared to seasonal influenza, patients develop pneumonia
with considerable frequency; and
・There are many cases in which it is difficult to identify the routes of transmission and the
rapid increase of such cases has been confirmed; and, medical systems are being
stretched.
Therefore, it has been determined that a situation has emerged that could cause a serious
damage to the lives and health of the people and have a great impact the daily lives of the
people and the national economy through the rapid and nationwide spread of infections.
1
(Provisional translation)
Basic Policies for Novel Coronavirus Disease Control
by the Government of Japan
(Summary)
March 28, 2020 (Revised on April 16, 2020)
On April 7, 2020, the Head of the Novel Coronavirus Response Headquarters
declared a state of emergency under Article 32, paragraph 1 of the Act on
Special Measures for Pandemic Influenza and New Infectious Diseases
Preparedness and Response. The period during which emergency measures
should be taken under the declaration is 29 days from April 7 to May 6, 2020.
Areas where emergency measures should be taken are Saitama, Chiba, Tokyo,
Kanagawa, Osaka, Hyogo and Fukuoka Prefectures and on April 16th,
targeted areas are expanded to all 47 prefectures (the period during which
emergency measures should be taken for these areas is from April 16th to May
6th). If the emergency measures are deemed no longer necessary, the state of
emergency will be released immediately even within the period.
Even under the state of emergency, the Government of Japan will work to
minimize the impact on social and economic functions, and will not take
compulsory measures such as "lockdown" (city blockade) that is being
implemented in other countries.
This Basic Policies present unified guidance on measures to be taken by the
government, local governments, and the people together to accurately grasp
the situation and further advance counter-measures against the novel
coronavirus infectious disease.
1. Facts on current situation of the Novel Coronavirus infectious disease
In Japan, 61% of infected people are those with unknown routes of
transmission (situation up to April 13, known as of April 15). This means that
the risk of infection in daily life has started to increase in addition to the
infection in specific places where clusters were identified. Medical provision
system is strained in some areas and strengthening of the system is an urgent
issue.
From mid to late March of this year, there was an increase in the number of
individuals who appear to have been infected overseas and then entered
Japan.
In addition to the seven prefectures designated for the state of emergency on
April 7th (Tokyo, Osaka, Saitama, Chiba, Kanagawa, Hyogo and Fukuoka),
the cumulative numbers of infected people in Hokkaido, Ibaraki, Ishikawa,
Gifu, Aichi, and Kyoto have exceeded 100 by April 14. Therefore, it is
necessary to place particular emphasis on Tokyo, Osaka, Hokkaido, Ibaraki,
Saitama, Chiba, Kanagawa, Ishikawa, Gifu, Aichi, Kyoto, Hyogo, and
Fukuoka prefectures in taking measures to prevent the spread of infection
2
(These 13 prefectures are collectively called “Prefectures under Specific
Cautions"). In other prefectures too, the tendency of the spread of infection is
also observed with clusters in non-urban areas caused by the influx of people
from metropolitan areas. Since it is necessary for all the prefectures to take
concerted measures to prevent the spread of the infection when all citizens
including the government, local municipalities, relevant organizations need
to make further efforts toward long national holidays to come, the
Government designates all the prefectures as the areas where emergency
measures should be taken.
2. Overall Policies for Novel Coronavirus Disease Control
- Slow down the speed of infection by containing clusters and reducing
chances of contact.
- Minimize incidence of severe cases and death through surveillance and
appropriate medical care especially for the elderly.
- Minimize the impact on society and economy through pandemic
prevention and economic and employment measures.
3. Key points in implementing measures against novel coronavirus disease
(1)Provision and sharing of Information
Provide the public with accurate information and clear message on the
following points in the timely manner, promote awareness-raising to help
change people’s behavior and call for calm response.
- the infection situation and the medical information
- basic counter-measures against infection
- need to refrain from leaving home when feeling sick
- guidelines for visiting medical institutions
- discrimination against infected persons, close contacts and medical
personnel
- 3-Cs (closed spaces, crowded places, and close-contact settings)
- the fact that the measure of “lockdown” (city blockade) will not be taken
Provide appropriately and expeditiously related information for Japanese
national as well as foreign nationals living or staying in Japan and foreign
governments.
(2) Surveillance and Information gathering
- Identify suspected disease carrier and conduct tests that the doctor
considers necessary
- Strengthen the testing system by utilizing local and private institutes.
Grasp the PCR testing system and make necessary coordination.
- Continue to develop simple test kits for rapid diagnosis.
(3) Pandemic Prevention
- The declaration of a state of emergency on April 7 is intended to further
accelerate existing measures and to reduce the contact among people by
3
70% at minimum or 80% ideally. Restrictions on people's freedoms and
rights must be minimal. Designated prefectures (prefectures covered by
the emergency declaration) will, at first, call for voluntary cooperation
in self-restraint of leaving home as measures to prevent pandemic.
- Designated prefectures will strongly make requests not to hold events
at places where clusters could emerge or have gatherings under the 3-
Cs circumstances, especially in case of nation-wide or large events and
gatherings.
- Designated prefectures will make requests on restrictions on the use of
facilities when the spread of infection can occur. When such requests
are not met with no justifiable reason, designated prefectures will make
further requests and instructions. These requests and instructions will
be made public. When such requests and instructions are made based
on the Act, designated prefectures need to consult with the Government
and listen to the opinions of experts.
- Designated prefectures will take effective emergency measures taking
into account the characteristics of each area and give careful explanation
to the residents. The Government Response Headquarters will
coordinate with designated prefectures as necessary, listening to the
opinions of experts.
- Designated prefectures will work with the government in informing the
residents that the emergency measures are different from "lockdown"
(city blockade) and call for a calm response through asking people not to
buy up food, medicine and daily necessities in a panic.
- Designated prefectures will at first request a self-restraint of going out
while indicating the period and areas. Activities necessary for
maintaining daily life such as visiting hospitals, purchasing food,
medicine and daily necessities, going to workplaces as necessary,
exercising outdoors or taking a walk can be excluded.
- Designated prefectures will request citizens to refrain as much as
possible from moving to other prefectures for reasons such as non-urgent
and non-necessary homecoming visits or travels, especially during long
national holiday period.
- Designated prefectures will strongly discouraged citizens from visiting
eateries with hospitality services in downtown.
- Designated prefectures as well as other prefectural governments will
strongly encourage teleworking. Efforts to reduce contact with people
including through staggered work hours and bicycle commuting will be
promoted further. In workplaces, it is encouraged to take thorough
measures to prevent infection and avoid the 3-Cs.
- Businesses engaged in operations essential for ensuring the stability of
people’s lives and the national economy (exemplified in the attachment),
are required to continue their operation, depending on the
characteristics of the businesses, while fully taking measures to prevent
the spread of infection. The Government and designated prefectures will
4
work to establish a help desk for business operators, secure logistics, and
ensure a robust lifeline system, etc., in order to support smooth activities
of these businesses.
- Prefectures in metropolitan areas will thoroughly take these measures
to prevent the spread of infection so that they will not trigger nationwide
and rapid spread.
- The Government and local governments will encourage restaurants to
take necessary infection control measures by avoiding the 3Cs.
- Secure and foster experts for the counter-cluster measures and
strengthen the health center system.
- Ministry of Education, Culture, Sports, Science and Technology will
disseminate the guiding principle on temporary closure of schools.
Prefectural governments will provide guidance to school operators on
infectious disease countermeasures such as health management. The
Ministry of Health, Labor and Welfare (MHLW) will provide guiding
principles of nursery schools and after-school children's clubs, etc.
regarding the down-sizing of childcare and temporary closure of
facilities. In this regard, the MHLW will also present guidance on
securing childcare during such temporary closure for children of medical
staff, those who need to continue working to maintain social functions,
and those who have difficulty taking off work including single-parents.
- The Government will continue to implement entry restrictions, travel
warnings, strengthened quarantine, and visa restrictions, from the
viewpoint of preventing the flow of infected people into Japan
(4) Medical care, etc.
The MHLW will secure a flexible medical provision system in each region,
responding to the spread of infection.
- Perform tests at the discretion of doctors and, if patients are found,
provide appropriate medical care by admitting them to hospitals.
- Establish a system for those with mild symptoms to be taken care of at
home in prefectures where an increase in patients may risk the medical
care for severely ill patients in hospitals.
The MHLW will secure medical provision structure to prepare for possible
significant increase of patients in Japan.
- Consider division of roles among medical institutions in each region.
- Secure necessary beds, personnel, and necessary medical equipment such
as respirators.
The MHLW will also notify and ensure the following measures to thoroughly
prevent nosocomial infection in medical institutions and facilities for the
elderly.
- Take every possible precautious measure to prevent workers from being a
source of infection including by thoroughly avoiding the 3-Cs.
5
- Temporarily stop receiving visitors except for emergency cases in order to
prevent infection.
- Consider measures such as suspending or restricting temporary use of
such facilities in areas where infection is prevalent.
- Isolate a suspected patient immediately and implement counter-infection
measures under the guidance of public health centers.
The Government and prefectures will prioritize securing personal protective
equipment such as masks for medical institutions that conduct PCR tests and
admit patients, and ensure that PCR tests are conducted for medical
personnel, workers and inpatients.
The MHLW will take other measures including:
- Systematic surveillance of bed occupancy in hospitals
- Prevention of infection for outpatients and pregnant women
- Provision of medical interpreters for foreigners
- Acceleration of clinical research and treatment to verify the effects of
therapeutic agents
(5) Economic and employment measures
Expeditiously implement necessary and sufficient economic and fiscal policies
without pause, taking bold measures to return the Japanese economy to a
solid growth trajectory
(6) Other important considerations
- Consideration for the human rights
- Supply of goods and materials necessary for the medical operation
- Collaboration with related organizations (including local governments,
the international community, and the research institutions)
- Maintenance of social functions
- Measures after the declaration of a state of emergency
Attachment
6
Business operators who are required to continue their business during the
period of the state of emergency
1. Maintaining Medical System
・We request the continuation of all business by medical personnel not only
for treatment of COVID-19 infections, but also for their duties to deal with
other severe diseases.
・The abovementioned businesses by medical personnel include hospitals,
pharmacies, and other manufacturing and service industries related to all the
supplies and services necessary for treatment of patients including importing,
manufacturing and sales of pharmaceuticals and medical equipment, blood
collection for blood donations, and providing meals to inpatients.
2. Continuing to protect those in need
・We request the continuation of all life support businesses for people who
need assistance, especially the elderly and the people with disabilities,
including housing and support for them .
・The abovementioned life support businesses include all manufacturing and
service industries related to the goods and services necessary for the lives of
the elderly and the people with disability, such as management of facilities
for nursing care and for people with disability, as well as providing meals to
residents of the facilities.
3. Securing stable lives of the people
・We request the continuation of all concerned businesses which provide
essential services for those who stay at home to lead minimum necessary lives.
(1) Infrastructure operation (electricity, gas, oil, petrochemical, LP gas, water
and sewage, telecommunications and data centers, etc.)
(2) Food and beverage supply (agriculture, forestry, fishery, importing,
manufacturing, processing, distribution, and online shopping of food and
beverage, etc.)
(3) Supply of daily necessities (importing, manufacturing, processing,
distribution and online shopping of household goods, etc.)
(4) Canteens, restaurants, coffee shops, home delivery and take-out, retailers
of daily necessities (department stores, supermarkets, convenience stores,
drugstores, hardware stores etc.)
(5) Maintenance of household goods (plumber, electrician, etc.)
(6) Services related to daily necessities (hotel and accommodation, public bath,
barber shop and hairdressers’ salons, laundry, veterinary, etc.)
(7) Waste disposal services (collection, transportation, and disposal of waste,
etc.)
(8) Ceremonial affairs (operators engaged in cremation and post-mortem
treatment of bodies)
(9) Media (TV, radio, newspapers, internet related business, etc.)
(10) Services for individuals (webcast, remote education, facilities and
Attachment
7
services related to maintenance of the internet environment, maintenance
services of private vehicles, etc.)
4. Maintaining the stability of the society
・With a view to maintaining the stability of the society, we request the
continuation of the businesses, at their minimum level, who provide essential
services to maintain corporate activities during the period of a state of
emergency.
(1) Financial services (banks, credit banks and credit unions, securities,
insurance, credit cards, and other settlement services etc.)
(2) Logistics and transportation services (railways, buses, taxis, trucks,
maritime transportation and port management, aviation and airport
management, postal services, etc.)
(3) Maintenance of manufacturing and service industries necessary for
national defense (aircraft, submarines, etc.)
(4) Services necessary to maintain corporate activities and security
(maintenance and security of building, etc.)
(5) Social infrastructure necessary for safety and security (management of
public goods such as of rivers and roads, public works, waste disposal,
hazardous goods management based on respective law, etc.)
(6) Administrative services (police, fire fighting, other administrative
services)
(7) Childcare services (daycare centers, etc.)
5. Others
・Among medical and manufacturing industries, we request the continuation
of the following business operators in consideration of infection prevention:
operators who are difficult to stop production line due to the characteristics
of the equipment (such as blast furnaces and semiconductor factories); and
operators who produce essentials (including important items in supply
chains) for protection of the people who need medical care and support, as
well as for maintenance of social infrastructure. We also request the
continuation of the business operators who sustain medical care, the lives of
the people, and maintenance of the national economy.
1
Updates onCOVID-19 in Japan
April 23rd, 2020
Ministry of Health, Labour and Welfare
PCR tested positive
Currently in hospitalAlready discharged from hospital
Death
11,919(+422)10,212(+342) 2,408(+70)
287(+10)
PCR tested positive(in hospital in Japan) Currently in hospital
Already discharged from hospital
Death
67214 645
13
PCR tested positive(in hospital in Japan) Currently in hospital
Already discharged from hospital
Death
12,591(+422)10,226(+342) 3,053(+70)
300(+10)
From severe to moderate/mild symptoms 29
As of 6PM, April 22, 2020【Domestic cases】
【Cases at the Cruise ship】
【Total】
The number in parentheses indicates the change from the previous day.
From severe to moderate/mild symptoms 90
From severe to moderate/mild symptoms 57
Hospitalization and Discharge
0
100
200
300
400
500
600
700
1月
17日
1月
19日
1月
21日
1月
23日
1月
25日
1月
27日
1月
29日
1月
31日
2月
2日
2月
4日
2月
6日
2月
8日
2月
10日
2月
12日
2月
14日
2月
16日
2月
18日
2月
20日
2月
22日
2月
24日
2月
26日
2月
28日
3月
1日
3月
3日
3月
5日
3月
7日
3月
9日
3月
11日
3月
13日
3月
15日
3月
17日
3月
19日
3月
21日
3月
23日
3月
25日
3月
27日
3月
29日
3月
31日
4月
2日
4月
4日
4月
6日
4月
8日
4月
10日
4月
12日
4月
14日
4月
16日
4月
18日
4月
20日
4月
22日
Cumulative No. of confirmed cases:11,919Cumulative No. of death cases: 287
3
Jan
17
Jan
24
Jan
31
Fe
b 7
Fe
b 1
4
Fe
b 2
1
Fe
b 2
8
Ma
r 6
Ma
r 1
3
Ma
r 2
0
Ma
r 2
7
Ap
r 3
Ap
ril 1
0
Ap
ril 1
7
Ap
ril 2
2
The trend of No. of confirmed cases
As of 6PM, April 22, 2020
187 266
19481809
19592055
1373
1095938
24 96 220
500
1000
1500
2000
2500
年齢階級別陽性者数
PCR Tested Positives by age
4Death 56 Severe symptoms 59 Others 1772
As of 6PM, April 22, 2020
Death 81 Severe symptoms 99 Others 3988
Un
der
10
10’s
20’s
30’s
40’s
50’s
60’s
70’s
Ove
r 80
Not
kn
ow
n
Un
der
Inve
sti
gati
on
Not
Dis
clo
sed
0 0 0 2 4 824
61
111
1 0 21 1 27
27
50
78
64
29
0 0 01 1 2
9
31
58
102
125
140
1 0 20
20
40
60
80
100
120
140
年齢階級別死亡数・重症者数
死亡 重症
Cases by age
5
Un
der
10
10’s
20’s
30’s
40’s
50’s
60’s
70’s
Ove
r 80
Not
kn
ow
n
Un
der
Inve
sti
gati
on
Not
Dis
clo
sed
As of 6PM, April 22, 2020
Death Rate(%)
Cases in each prefecture
As of 6PM, April 22, 2020
6
* (Nagasaki) is the cases excluding PCR Tested Positives at the cruise ship.
471
18 81 11 55 5312851122
664488
239
794
50 9816911145 4510647400
31 74238
1177
43162 40 3 11 15 99 20 4 21 36 65
446
18 14 14 38 44 16 5 115
23
4 3 5 10 1221
1 3
1970
13
29
10 1325 7 6
7 33 10
31
11 1423
67
55
13 9 5 4611 1 3
115
57
2 2 3 16 1 5
1
2 6
31167
3200
18
1 45
1 44
10
1
14
138
77
342
57
34150
500
1000
1500
2000
2500
3000
3500
4000
北海道
青森
岩手
宮城
秋田
山形
福島
茨城
栃木
群馬
埼玉
千葉
東京
神奈川
新潟
富山
石川
福井
山梨
長野
岐阜
静岡
愛知
三重
滋賀
京都
大阪
兵庫
奈良
和歌山
鳥取
島根
岡山
広島
山口
徳島
香川
愛媛
高知
福岡
佐賀
長崎
(長崎
)
熊本
大分
宮崎
鹿児島
沖縄
都道府県別人数
有症者 7269 無症者 677 症状確認中 3826Hokkaid
o
Aom
ori
Iwate
Miy
agi
Akit
aY
am
agata
Fu
ku
sh
ima
Ibara
ki
Toch
igi
Gu
nm
a
Sait
am
a
Ch
iba
Tokyo
Kan
agaw
a
Niigata
Toya
ma
Ish
ikaw
a
Fu
ku
i
Yam
an
ash
i
Nagan
o
Gif
u
Sh
izu
oka
Aic
hi
Mie
Sh
iga
Kyo
to
Osaka
Hyo
go
Nara
Wakaya
ma
Tott
ori
Sh
iman
e
Okaya
ma
Hir
osh
ima
Yam
agu
ch
i
Toku
sh
ima
Kagaw
a
Eh
ime
Koch
i
Fu
ku
oka
Saga
Nagasaki
(Nagasaki)
Ku
mam
oto
Oit
a
Miy
aza
ki
Kagosh
ima
Okin
aw
a
Japan
277
ROK
238
Italy
France
Germany
UK
US
Spain
0
100
200
300
400
500
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69
Tota
l D
eath
(p
ers
on
)
Days since occurrence of first death case
• Slow increase of death cases• Burden on local health system is not overwhelming so far
Source:WHO Situation Reports
Day 60 : 24648
Day 49 : 21282Day 51 : 37602
Day 47 : 17337
Day 67 : 20763Day 44 : 4879
7
As of 22 April, Japan changed the method of reporting deaths, which now includes both the number of (i) deceased cases with complete data matching
and verification; and (ii) deceased cases whose data matching and
verification are in progress.
The trend of death cases in several countries
As of April 22, 2020
<Overall Goal> Maximization of suppression of transmission and Minimization of socio-economic damage
1. Early detection of and early response to clusters
2. Enhancement of intensive care and securing of medical service system for the severely ill patients, including medical equipments (Ventilator, ECMO, etc)
3. Behavior modification of citizens
8
Three Pillars of Basic Strategy to combat COVID-19 in Japan
0
10
20
30
40
50
60
70
80
0 1 2 3 4 5 6 7 8 9 10 11 12 13
Fre
que
ncy
Number of secondary cases per single primary case
Primary cases in closed environment
Other primary cases
Three “C” high risk environments① Closed spaces with insufficient
ventilation② Crowded conditions with people③ Conversations in short distance
• Voluntary restraint of mass gathering.• Closure of school.
80% of cases infected in open environment have not transmitted to others.
If these cases are prevented, broad transmission will not occur.
■Primary cases in closed environment■Primary cases in open environment
Number of secondary cases per single primary case
Fre
qu
en
cy
N=110
9
Avoidance of high risk environment
Outpatient facilities for Japanese Returnees and Potential Contacts
○If a public health center decides that a patient is out of the scope of administrative testing, doctors can request the test directly to testing institutes with their own decision.
〇For the purpose of preventing in-hospital infection and ensuring the accuracy of the testing, the test is required to be conducted at outpatient facilities for Japanese Returnees and Potential Contacts.
○Moreover, efforts will be made to expand the number of tests to be conducted with insurance coverage, taking into account future improvement in the preparedness of the private sectors.
Patients
the Call Center for JapaneseReturnees and Potential Contacts
Public health center
Local public health institutes
Medical institutions with PCR test
capacity
Private testing institute
consult
Visit
visit clinic
Family doctors, general medical institutions
Consultation by Doctors or patients
Referred to or visit
New test mechanism covered by public medical insurance
To be expanded
10
PCR Testing system for novel corona virus covered by medical insurance
1003699
675
16111169
659513
9321375
1292
1492
911635
12321725
1503
15621805
1515
545
1173
1951
17411738
14881607
6031052
1716
1686
16851364
805776
1264
2291
1909
2155
2272
25632144
3199
40974157
51015775
5957
3667
5267
7273
7999
8124
7976
7023
4793
6787
8440
8777
8277
8140
7802
4175
5242
0
2000
4000
6000
8000
10000
12000
14000
16000T
este
d c
ases/
per
day
Test capacity Tested cases
〇 Capacity to conduct PCR tests for novel corona virus has been increasing.〇 As of now, more PCR test capacity is secured than the actual number of conducted tests.
Total number of tested cases: 203,068 (2/18-4/21)
11
Novel Corona Virus Test: Capacity and the number of cases tested per day
• We have great concerns about following situation;(1) increased new cases in urban areas,
(2) increased cases with unidentified source.
(3) Rapidly increased confirmed cases and death worldwide.
(4) Many imported cases to Japan.
• Needs to control infection while minimizing socio-economic damage.
• Needs to prevent overwhelming hospitals
• Strengthen the capacity of local government to control the outbreak, considering local situations based on data.
12Delay and lower the peak of infection.
12
Way Forward
Nu
mb
er
of
pati
en
ts
The limits of medical care
(Example: Number of beds)
Strengthen medical response system
Delay and Lower the peak of infectious disease
epidemic
Control the speed of the increase in the number of patients
Delay domestic intrusion Prevent outbreaks and control the spread of infection
Main
measu
res
At the moment
Time elapsed
Prevention of domestic invasion
Prevention of infection spread
Prevention of serious condition
13
Purpose of new coronavirus measures(basic concept)