Metabolic Syndrome Health Check-up Starting from April 2008

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;

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

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?

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!


Industry Safety and Health Law Suggests 8 health Check-Up Items to be Examined

n       However, an employee is not obliged to take the check-up at the hospital/clinic which the company provides if he/she is able to provide a medical report which is equivalent to the report which a company designated hospital/clinic would provide at their own expense.

 

 

n       Factors that company doctor need to know are;

 

1.         Past history

2.         Any symptoms

3.         Height & body weight, hearing, eyesight, waist

4.         Chest X-ray

5.         Blood pressure

6.         Laboratory examination; RBC, Hb, GOT, GPT, γGTP, T chol (LDL chol), HDL chol, TG, Blood sugar

7.         Urine examination; urinary sugar, urinary protein

8.         ECG


Risk Management for Foreign Companies in Japan

Recently, the control of the Labor Standards Inspection Office is strengthened, and the number of their recommendation is rapidly increasing.

 

So, foreign companies in Japan must take special attention about;

 

Rousai (Workers‘ Accident Compensation)

 

Karoshi (Death from Overwork)

 

Overtime and Excessive Working Hours


Recent indications, measures and rules about mental health

n 1996.10. Indications about health check-up.

n「健康診断結果に基づき事業者が講ずべき措置に関する指針」を策定

 

n 1999.9. Rules about mental disease from working stress.

n「心理的負荷による精神障害等に係る業務上外の判断指針について」

 

n  2000.8. Indications about employee’s mental health.

n「事業場における労働者の心の健康づくりのための指針」

 

n  2002.2. Measures about overwork and health problems.

n「過重労働による健康障害防止の為の総合対策」

 

n  2003.5. Rules about overtime working.

n「賃金不払い残業総合対策要領」「サービス残業解消対策指針」

 

n  2004.10. Indication about reinstatement of employees who suffered from a mental disease.

n「心の健康問題により休業した労働者の職場復帰支援の手引き」

 

n  2006.3. Rules about overwork and health problems.

n「過重労働による健康障害防止のための総合対策について」


Penal Regulations from the Labor Standards Inspection Office

Penal regulations from the Labor Standards Inspection Office are;

 

1.Request for Corrective Action (改善指導票)

 

This is not a violation of the labor law, but you should improve it.

 

 

2. Instruction for Corrective Action (yellow card) (是正勧告書)

 

This is an administrative guidance, and not an administrative penalty.

However, if it is left undone, it will be a violation of the labor law and sent to the prosecutor’s office.

 

 

3. Decree (red card) (命令書)

 

This is an order and you will be punished if you don’t obey it.

 

 

 

n For yellow card and red card, you must submit a corrective action report.

 

  OR

 

n Fine 500,000 yen and a loss of social trust.

 

n It will be a big disadvantage in a court.