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With infectious disease development pulse-taking

Last update date June 10, 2019

1.Yokohama-shi infectious disease development pulse-taking business

With infectious disease development pulse-taking

Infectious disease development pulse-taking was one of the surveillance system of infectious disease in Japan and, with the enforcement of "law (the following Infectious Disease Law) about medical care for patient of the prevention of infectious disease and infectious disease", was placed as laws and ordinances from April, 1999.

As big pillar of Infectious Disease Law, it becomes basics of infectious disease measures. We grasp outbreak information of infectious disease exactly and analyze and we provide the result precisely and will release.

The conduct main constituent is set of city (including special ward) setting up country, the metropolis and districts and public health center. Infectious diseases to collect information are classified in five kinds by Infectious Disease Law by kin.

When we diagnosed patient corresponding to a part (infectious disease for all quantity grasp) of one kind - four kinds and five kinds based on Infectious Disease Law Article 12, doctor must report to the nearest public health center.

City (including special ward) setting up the metropolis and districts and public health center appoints "designated report organization" (fixed point medical institution) based on Infectious Disease Law Article 14 beforehand. Fixed point medical institution will report the outbreak situation of infectious disease (infectious disease for fixed point grasp) set in the public welfare departmental order among five kinds of infectious diseases.

About Infectious Disease Law

Revival infectious diseases such as highly pathogenic avian influenza, appearance of new infectious diseases such as SARS that spread from 2002 through 2003 around East Asia or tuberculosis, malaria that it was thought that we were already overcome become problem in AIDS, 1997 in Ebola hemorrhagic fever, 1983 in Lassa fever, 1976 of 1969 when we see the situation to surround recent infectious disease.

It is extensive rapidly, and, in the present when international exchange is active, the fashion of infectious disease might be prevalent without being confined to local thing, and it is necessary to establish appropriate measures that it comprised in the fashion of these infectious diseases. In addition, uplift of improvement, human rights and health conscious of public sanitation standard, medicine, environment surrounding infectious disease measures such as medical progress greatly change in the late years.

We changed Infectious Diseases Prevention Act that was legal grounds of infectious disease measures for 100 years or more totally, and, in 1999 (Heisei 11), the measures method integrated established venereal disease prophylaxis and AIDS prophylaxis individually after 1897 (Meiji 30), and, based on the above, "law (the following Infectious Disease Law) about medical care for patient of the prevention of infectious disease and infectious disease" was enforced as fundamental law which promoted the prevention of infectious disease and measure about medical care of patient.

It was specified in Infectious Disease Law that we performed review every five years, and, in 2003, revision for the purpose of review of type of reinforcement of infectious disease measures in emergency and measures reinforcement to animal origin infectious disease, Infectious Disease Law object disease and infectious disease was performed.

In addition, in 2007, two kinds of tuberculosis was added to infectious disease with unification with Tuberculosis Prevention Law, and bacillary dysentery, cholera, typhoid fever suffered from three kinds of infectious diseases, and disease was added to review and four kinds of infectious diseases of type of infectious disease newly.

In 2008, adult measles that was measles that was five kinds of fixed point diseases and rubella and five kinds of nucleus fixed point diseases was unified by five kinds of all quantity grasp diseases.

In addition, bird flu (H5N1) that was designated infectious disease suffered from two kinds of infectious diseases, and bird flu (other than H5N1) suffered from four kinds of infectious diseases. Furthermore, classifications called infectious disease such as new influenza were added newly.

[basic principles]

What is promoted generally and premeditatedly while recognizing the situation that patients of infectious disease are placed in deeply so that measure that country and local public entity take for the purpose of the prevention of outbreak of infectious disease and prevention of the spread copes with environmental change to surround health medical care with international trend about measure for the purpose of these in mind, progress of international exchange, and quickness can also cope with new infection related to or other infectious diseases precisely, and respecting human rights of these people

[basic guideline]

  1. Basic direction of preventive promotion of infectious disease
  2. Matter about measure for the prevention of outbreak of infectious disease
  3. Matter about measure for prevention of spread of infectious disease
  4. Matter about securing of system providing medical care to affect infectious disease
  5. Matter about investigation and study on infectious disease
  6. Matter about promotion of research and development of pharmaceutical products for medical care to affect infectious disease
  7. The conduct system of inspection such as pathogens of infectious disease and matter about improvement of ability for inspection
  8. Matter about the training of human resources about the prevention of infectious disease
  9. Matter about consideration of human rights such as the patients with spread of enlightenment about infectious disease and knowledge and infectious disease
  10. Matter about the contact system between country and local public entity in emergency and local public entities
  11. Important matter about preventive promotion of other infectious diseases

Summary of Yokohama-shi infectious disease development pulse-taking system

We gather the outbreak situation of national infectious disease in the National Institute of Infectious Diseases infectious disease information center (as follows central infectious disease information center) and are to analyze to know outbreak trend of domestic infectious disease under the Infectious Disease Law. Local infectious disease information center collects the outbreak situation of each local infectious disease and will send to central infectious disease information center.

In Yokohama-shi, we set up Yokohama-shi infectious disease information center in institute for health infectious disease, epidemiology Information Systems Section, and collection analyzes patient information in Yokohama-shi and pathogen information and reports to the center infectious disease information center, and offer will release these to related organizations such as medical associations with the whole country information immediately in addition.

It is in the secretariat, and, about patient information collected in the Yokohama city and pathogen information, Health and Social Welfare Bureau health security section and institute for health infectious disease, epidemiology Information Systems Section hold infectious disease occurrence pulse-taking committee (infectious disease Committee) once a month (last Thursday) and analyze as the outbreak situation of infectious disease of Yokohama-shi. Infectious disease Committee is constructed having specialist in epidemiology, representative of medical association, representative of Health and Welfare Center and institute for health. Institute for health infectious disease, epidemiology Information Systems Section plays a key role and distributes issues such as analysis or infectious disease Committee report of infectious disease Committee to summary, fixed point medical institution, medical association, relations medical institution, Health and Welfare Center (public health center). In addition, targeting at citizen and medical institutions, we give information through homepages of Yokohama City Inst. of Health.

Infectious disease, epidemiology Information Systems Section (Yokohama-shi infectious disease information center) gathers data of the whole Yokohama-shi and reports patient information to central infectious disease information center of country.

Yokohama-shi pathogen investigation

As part of infectious disease development pulse-taking business, we search pathogen using specimen gathered at pathogen fixed point in institute for health. Fixed point pediatric as for the pathogen fixed point in the city: Eight places, influenza (Internal medicine) fixed point: Four places, Ophthalmology fixed point: One place, basic (hospital) fixed point: We set 17 places of four in total.

Pediatrics fixed point shares eight to 4-5 2 groups and gathers specimen of 1 group a week. Influenza fixed point gathers specimen at the time of the influenza fashion of the winter season in particular. When specimen collection was possible from the patients with target disease, we carry out Ophthalmology and basic fixed point at any time.

Examination for institute for health study section microorganism section collects and reports inspection specimen from pathogen fixed point and other pathogen information to central infectious disease information center of country. In addition, we notify pathogen fixed point of test result of specimen from pathogen fixed point directly.

Information flow in infectious disease development pulse-taking

Doctor who diagnosed target infectious disease tells Health and Welfare Center having jurisdiction over medical institution using predetermined style.

Report acceptance center confirms contents, and they send report style to Health and Social Welfare Bureau health security section and institute for health infectious disease, epidemiology Information Systems Section.

Infectious disease, epidemiology Information Systems Section (Yokohama-shi infectious disease information center) reports to central infectious disease information center of country.

We analyze collected information in Yokohama-shi infectious disease development pulse-taking Committee and are released offer to related organizations immediately through institute for health homepages.

Infectious disease development pulse-taking system

Distinction fixed point medical institution


Doctor who diagnosed target infectious disease tells Health and Welfare Center having jurisdiction over medical institution using predetermined style.

Report acceptance center confirms contents, and they send report style to Health and Social Welfare Bureau health security section and institute for health infectious disease, epidemiology Information Systems Section.

Infectious disease, epidemiology Information Systems Section (Yokohama-shi infectious disease information center) reports to central infectious disease information center of country.

We analyze collected information in Yokohama-shi infectious disease development pulse-taking Committee and are released offer to related organizations immediately through institute for health homepages.

Fixed point pediatric as for the patient fixed point: 94 places, Internal medicine fixed point: 59 places, Ophthalmology fixed point: 22 places, sexually transmitted disease fixed point: 29 places (Obstetrics and gynaecology system 12, Urology, Dermatology system 17), basic (hospital) fixed point: It is four 208 places in total. Basic fixed point is hospital having Internal medicine and Pediatrics with 300 or more beds. In addition, Pediatrics fixed point reports influenza and 10 infectious diseases of children, and Internal medicine fixed point reports only influenza.

Fixed point pediatric as for the pathogen fixed point: Eight places, influenza (Internal medicine) fixed point: Four places, Ophthalmology fixed point: One place, basic (hospital) fixed point: We set 17 places of four in total.

Distribution of distinction is street of table (the number of the distinction fixed point medical institutions).

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Health and Social Welfare Bureau institute for health infectious disease, epidemiology Information Systems Section

Telephone: 045-370-9237

Telephone: 045-370-9237

Fax: 045-370-8462

E-Mail address [email protected]

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