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Easy Living in Kyoto

III Necessary Information for Daily Life

1.Health and Medical Care

1-1 Receiving Medical Attention

◆Hospitals and Clinics

*Hours of operation vary, but treatment is usually available weekday mornings. Most facilities are closed Sundays and holidays.

*Call an ambulance in case of emergency.

Telephone number for ambulances p.20

*Make sure the doctor gives a sufficient explanation about any medicine you receive from him/her.


◆General points to consider about hospitals and clinics

(1) If you are worried about language problems, use an interpreter service or visit with someone who can interpret for you.

(2) If there is something you do not understand, ask immediately.

(3) Ask the doctor to explain such things as test results and methods of taking medication as simply as possible until you understand.

(4) Do not be late for appointments or consultation times.

(5) Do not use a mobile phone, PHS phone or similar devices inside a hospital or clinic.

(6) Consult with the hospital in regards to inpatient costs, items you do not understand, and services you may use. If there is a social worker at the hospital, consult with the social worker.

(7) In Japan, there are many services you must apply for on your own, otherwise you will not be able to make use of them. It is important therefore to know about them. If you want such information, consult a social worker. Since consultation is free and privacy is protected, feel free to consult a social worker or medical facility.


◆Medical Departments - Which department is for what?

Internal medicine (Naika)

illnesses of internal organs

Psychiatric medicine (Seishinka)

mental illnesses

Neurology (Shinkeinaika)

brain and muscle illnesses

Pediatrics (Shonika)

children’s illnesses

Surgery (Geka)

swelling and injury of internal organs Orthopedics

(Seikeigeka)

bone and joint injuries or illnesses

Plastic Surgery (Keiseigeka)

scar removal

Neurosurgery (Noshinkeigeka)

head injury, brain damage

Dermatology (Hifuka)

skin injuries or illness

Urology (Hinyokika)

kidney, bladder, genitalia illnesses

Obstetrics/ Gynecology (Sanfujinka)

pregnancy, childbirth, and women's illnesses

Ophthalmology (Ganka)

eye injury or illness

Otolaryngology (Jibiinkoka)

injuries or illnesses to ear, nose, or throat

Rehabilitation (Rihabiriteishon)

walking practice etc.

Radiology (Hoshasenka)

X-ray testing

Anesthesiology (Masuika)

Pain suppressants

Dentistry (Shika)

Tooth-ache, gum disease

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1-2 Medical Insurance Schemes

Medical Expenses


Without having medical insurance, medical expenses become your sole responsibility and may be very expensive. Financial aid is available for medical expenses related to incurable diseases and for the elderly, infants, and single parent households.


Japanese Public Health Insurance


In Japan, under Public Health Insurance System, everyone is required to join public health insurance. There are two kinds of public health insurance; insurance available at your place of employment, and insurance available at the Ward Office of your city, town, or village. Joining a private insurance scheme does not mean that you are not obligated to join public insurance.

When you join public health insurance, you are required to pay premiums, but when you are sick or injured, you will generally only have to pay 30% of medical expenses. In addition, you will be reimbursed for expenses incurred when giving birth and for large medical bills.


A convenient system whereby medical expenses and insurance premiums are reduced


◆For Exchange Students

〈Ryugakusei Kokumin-Kenko-Hoken Hojo〉

The Kyoto City International Foundation (kokoka) provides a National Health Insurance subsidy (Ryugakusei Kokumin Kenko Hoken Hojo) to privately funded foreign students who live in Kyoto and go to universities and junior colleges in Kyoto City. The subsidy is a maximum of \700 yen per month (provided that the student pay the premiums).


◆Insurance Reduction/Exemption System

When it is difficult to pay the premium because of disaster, unemployment, bankruptcy, etc., sometimes the payment can be reduced or exempted upon application.

 The Pension Insurance Section of the Ward or Branch Office in your area. p.192


◆Free/Low Cost Medical Care Project

When it is not possible to pay medical expenses because of financial reasons such as low income, you can receive medical care free of charge or at a reduced cost. In order to be eligible for the project, you need to visit a hospital/clinic managed by Kyoto Health Association (Kyoto Hokenkai) and submit a document to prove the income situation of your household.

 The Area Welfare Department  (251-1175

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1-3 Health Examinations and Vaccinations

(1) Health examinations

Regular health examinations are recommended to prevent serious illness. Some examinations are provided for free.

*Specific health examination (for people between 40 and 74 years old)

*Young adults health examination (for people between 18 and 39 years old)

*Osteoporosis prevention health examination (for people over 18 years old)

*Tuberculosis examination (for people over 15 years old)

*Lung cancer examination (for people over 40 years old)

*Stomach cancer examination (for people over 40 years old)

*Large intestine cancer examination (for people over 40 years old)

*Breast cancer examination (for women over 30 years old)

*Uterus cancer examination (for women over 20 years old)

*Adult/ pregnant woman dentistry health consultation (for adults between 18 and 64 years old and pregnant/parturient women)

*Weekday HIV and sexually transmitted disease test (for those who are worried about infection)

*Immediate HIV test during nighttime (for those who are worried about HIV infection)

*Immediate HIV test during holidays (for those who are worried about HIV infection)

*Hepatitis virus test (for those who are worried about hepatitis virus infection)

 The Health Department (Health Center) of the Ward Office or Branch Ward Office in your area. p.192

Regarding the Specific health examination, inquire at the office of health insurance you enroll.


(2) Vaccinations(Vaccinations which are a part of the Preventative Vaccination Law)

Vaccinations provide immunity (Meneki) to bacteria and viruses, which sometimes cause illness when they enter the body.

While there is no obligation to get these vaccines, it is a good idea to at least do so for a child’s health.


Illness

Vaccination frequency

Target age group

Period when vaccine is available

Location where vaccine is available

BCG (tuberculosis vaccine)

Once

Within 6 months

Any time during the year

Ward Branch Office’s Health Dept.(Health Center)

Polio

Twice, with at least a 41 day interval

3-90 months

April and October Please contact the Health Center

Whooping cough, Diphtheria, Tetanus

(two/triple vaccine) (DPT)

1st Period: (primary injections) three times with a 20-56 day interval. One additional injection needed 12-18 months after the primary set

3 months to 90 months

Any time during the year

*The 3rd and 4th vaccination periods will be discontinued by March 31, 2013 (Heisei 24)

Hospital, clinic

(DT)

2nd period: one injection

11-12 years old

Measles / Rubella

1st period: one injection

12-24months old

2nd period: one injection

5-6 years old

3rd period: one injection (Until March 31, 2013)

Those becoming 13 years old before March 31, 2013.

4th Period: one injection (Until March 31, 2013)

Those becoming 18 years old before March 31, 2013.

Japanese Encephalitis

1st period (primary injections) two times with 6-28 days interval. One additional injection abt.1 year after the primary injections.

Between 3 years to 7 years & 5 months old

2nd period: one injection

9-12 years old

Exceptions

1st period: After a period of at least 6 days, if the number of injections is deficient (People must observe the vaccination intervals whose 1st period injections were not entirely completed)

For those born between June 1, 1995 and April 1, 2007 (available to those who are younger than 20 years of age)

2nd Period: After turning 9 years old, after the 1st period injections are completed one time in an over 6 day interval


Optional Vaccinations (Vaccinations which are outside of the Preventative Vaccination Law)

Please get any vaccinations you desire.

Illness

Vaccination frequency

Target age group

Period when vaccine is available

Location where vaccine is available

Cervical Cancer

3 Times
Completion of all vaccinations will take a period of six months.

For girls, starting from the day they turn 13 until the day they turn 16.

All year long

Hospital, clinic

Hib (Hemophilus influenza type b)

4 Times
3 injections in an interval of 4-8 weeks (In the case of a physician’s note, 3 weeks); 1 time a year after the third injection

Older than 2 months old and younger than 7 months old

3 Times
3 injections in an interval of 4-8 weeks (In the case of a physician’s note, 3 weeks); 1 time a year after the third injection

Older than 2 months old and younger than one year old

1 Time

1-4 year olds

For Infants
Pneumonia Coccus

4 Times
From birth to 11 months, 3 injections in intervals of 27 days; after the third injection, 1 more about a year later

Older than 2 months old and younger than 7 months old

3 Times
2 injections in intervals of 27 days, the third injection at least 60 days after the 2nd injection and after the child turns 1 year old.

Older than 7 months old and younger than one year old

2 Times
2 injections in intervals of 60 days.

Older than one year old before the child turns 2 years old

1 Time

Older than 2 years old before the child turns 5 years old

Ⅲ-2. Bank and Post Office

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