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

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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）