6月, 2008年

Overtime Work Measures in Japan

2008-06-26

lMinistry of Health, Labor and Welfare takes overtime seriously and recently, the control of the labor standards inspection office is getting strict in Japan.

 

 

lEmployers are required to monitor track of employee’s working hours because the level of tiredness is commonly estimated by overtime work hours.

 

ØRelationship between overtime work hours and brain / heart disease;

²        >100 hrs, within 1 month          Strong relationship!!

²        >80 hrs, within 2-6 months         Strong relationship

²        >45 hrs                         Relationship exists

²        <45hrs, within 6months           Weak relationship

 

 

l It is the company’s responsibility to acknowledge employees’ health situation and excessive working hours.

Managing Overtime & Excessive Working Employees in Japan

2008-06-25

nOn an employee request bases, company must give company doctor’s consultations to employees who’s overtime working hours exceed 100 hours per month and show signs of fatigue.

 

nAlso, for employees who’s average overtime working hours are 80 to 100 hours (in past 2 to 6 months), company must try to give  company doctor’s consultations on an employee request bases (努力義務).

 

 

nCompany doctors will provide consultation and recommendation report to employers and the record must be kept for 5 years.

 

 

nEmployers must make actions when recommended by company doctor.

 

ne.g. Working hour limitations, Replacement, Report to Hygiene Committee Meeting.

General Actions against Overtime and Excessive Working Hours

2008-06-24

nOvertime work managements.

n<45 hrs a month.

nTime card, online time management application.

 

nAnnual vacation.

 

n Carrying out annual health check-up and its follow up.

 

nAsking for a doctor’s opinion for a person with abnormal findings and act.

 

nCarrying out health check-up semiannually for employees with late-shift work.

 

nWorking hour limitations.

Company Doctor Consultations with Employees with Overtime Working Hours

2008-06-23

nCompany doctor would;

 

1. Analyze data of his/her periodic health check-up report and search for signs of lifestyle diseases and abnormal readings.

 

 

2. Check whether an employee has a high chance of developing depression.

 

ü  A loss of interest or pleasure?

ü   A feeling of depression?

 

Ø  If Both answers are Yes.”⇒  Sensitivity for depression is 90%.

 

 

3.  Ask about his/her ;

 

ü         Appetite

ü         Body weigh

ü         Mental statement

ü         Tiredness

ü         Responsibility

ü         Desire to suicide

ü         Decrease in thought and concentration

ü         Sleeping patterns

自殺の原因「うつ病」がトップ 10年連続3万人、60歳以上は最多

2008-06-19

直接ではありませんが、日本の産業医の気になるニュースです。

産業医としては以下のFACTがまず大切です。

過労自殺81人(前年度比22.7%増)で過去最多、2年間で倍増。
「脳、心疾患」の認定者392人も前年度比約10%増え過去最多。

 

【2008年6月19日】 記事:共同通信社 提供:共同通信社
 日本国内で昨年1年間に自殺した人は前年に比べ2・9%(938人)増の3万3093人で、このうち「うつ病」が原因・動機とみられる人が約18%に当たる6060人に上り最多だったことが19日、警察庁のまとめで分かった。

 総数は2003年の3万4427人に次ぐ過去2番目で、10年連続で3万人を超えた。年代別で60歳以上、30歳代が過去最多。発生場所でみた都道府県別10万人当たり自殺者(自殺率)は、39人の山梨が前年の秋田に代わり最悪だった。

 警察庁は自殺対策に役立てるため07年に自殺統計原票を改正、動機の項目などをきめ細かくしており、今回が初の公表。昨年6月に自殺総合対策大綱を策定し、多重債務問題などに取り組む政府はデータを基にさらなる対策を迫られそうだ。

 新しい統計は原因・動機を52項目に分類。遺書や診断書、ネット掲示板への書き込みや関係者の話から推定し、複合することも考慮して3つまで選べることとした。

 最も多かった原因・動機は「うつ病」で、2番目が「身体の病気」の5240人と健康問題が上位を占めた。次いで「多重債務」の1973人、「その他の負債」の1656人と経済・生活問題が続いた。

 年代別では60歳以上が最多で、前年比8・9%(987人)増の1万2107人と過去最悪。50歳代の7046人、40歳代の5096人がこれに次ぎ、中高年の割合が高い傾向は変わらなかった。性別では男性が約71%だった。

 19歳以下は前年に比べ12%(75人)減の548人。このうち「いじめ」が原因とみられるのは10人で「友達との不和など」が25人いた。

 職業別では無職が1万8990人と57・4%を占め、うち年金・雇用保険生活者が4982人、失業者が1756人で、被雇用者・勤め人は9154人だった。

▽警察庁の自殺統計

 警察庁の自殺統計 警察は変死者について検視などで死因を特定し、動機を調べて事件性の有無を判断、自殺と認定する。死亡届を出した後に自殺と判明したケースや日本国内で自殺した外国人も含まれるため、死亡届を基に集計する厚生労働省の人口動態統計より人数が多くなる傾向がある。警察庁は昨年、自殺統計原票の原因動機や職業分類を見直し、今年から詳細データを公表した。

Metabolic Syndrome Health Check-up Starting from April 2008

2008-06-18

n Recently, the control of the Labor Standards Inspection Office is strengthened, and the responsibility of companies and managers are imposed on taking care about their employees’ health problems.

 

 

n Employees from 40 to 74 years of age, who are covered by the Japanese Health Insurance Society, are required to receive a further “Metabolic Syndrome” examination on top of the regular annual health check-up. (Please check your health insurance society.)

 

 

n If you are identified as having “Metabolic Syndrome” or have a high chance of developing “Metabolic Syndrome”, you will be required to receive special medical guidance.

Metabolic Syndrome conditions are;

2008-06-17

Metabolic Syndrome conditions are;

 

n 1. Waist measurement (diameter) is greater than or equal to 85cm for male, 90 cm for females

 

n 2. Triglyceride reading of over 150mg/dl and, or HDL Cholesterol reading of under 40mg/dl

 

n 3. Systolic BP of over 130mmHg and, or Diastolic reading of over 85mmHg

 

n 4. Blood Glucose level of over 110mg/dl (empty stomach)

 

 

n       1+two of2,3,4)⇒Metabolic Syndrome

n       1+one of 2,3,4)⇒High chance of Metabolic syndrome

 

metabolic

n      

 

 

 

 

 

 

 

 

 

e.g.

n       Motivation support:

n       waist90 female, smoking – & hyperlipidemia

n       BMI25, smoking – & one or two risks

 

n       Active support:

n       waist85 male & Diabetes & Hypertension

n        BMI25, smoking + & one risk

 

Special Medical Guidance

2008-06-16

If you are identified as having “Metabolic Syndrome” or have a high chance of developing “Metabolic Syndrome”, you will be required to receive special medical guidance.

 

n  A man to man consultation at least 20 minutes.

 

n  A group consultation with less than 8 people at least 80 minutes.

 

n  For Active support, continuance medical support more than 3 months is essential.

 

n  Both supports follow an evaluation (consultation, phone, email) after 6 months.

Why do we need a Health Check-Up in Japan?

2008-06-12

l Companies have to know about their employees’ health situations and excessive working hours.

 

l Company doctors analyze employees’ health situation based on the result of their periodic health check-up reports.

 

l Company doctors provide health care guidance and consultations to overtime working employees based on the result of their periodic health check-up reports.

 

l You Must Receive a Health Check-Up Every Year!

Periodic health check-up is decided by the Industry Safety and Health Law in Japan

2008-06-11

l A company has an obligation to provide a periodic health check-up at least once a year.

 

l An employee has an obligation to take periodic health check-up at least once a year.

 

l A company is also obliged to keep the periodic check-up reports and the record must be reported to the head of the labor standards inspection office.

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