Shinjuku

2024

Cancer Screening

Health Checkup

See pagefor details

See pagefor details

See pagefor details

Medical Examination Procedure
Check that you have themedical examination
voucher with you
Request a voucher if you do nothave oneSee back cover for information
on how to request it

Contact a designatedmedical institution directly
and make an appointment
Designated medical institutions
are listed on page 11 to 22

Take a medical
examination
Be sure to take the sheet
attached with the medical
examination voucher with you

List of Medical Institutions Dental Health Checkup, etc.

List of Medical Institutions

Health Guidance, etc.

Hepatitis Virus Screening

Hepatitis Virus Screening

for details

Cancer Screening See page

Health Checkup

Health Checkup andCancer Screening Information*Individuals and family members who are exempt from paying the special ward inhabitants tax can apply in advance for exemption ofcancer screening costs. (See page 8 for details about this exemption system).

Published April 2024

Health Checkup
Health Checkup

Participating institutions

A list of medical
institutions is shown on
page 11 to 22.

Free

Can be taken

once a year.

A medical certificate will not be issued.

Eligible persons (Shinjuku residents)
16 to
39 years old・People who are unable to take a medical
examination at their school or place of employment,
etc.

40 to
74 years old・People who are covered by the Shinjuku National
Health Insurance
・People who are currently receiving welfare
assistance

75 years or
older・People who are covered by the Tokyo Medical Care
System for the Advanced Elderly (includes members
who are 65 years or older)・People who are currently receiving welfare
assistance

Medical examination period

From June 1,
2024

Until March 31,
2025
From May 1,
2024(The age is taken as the person’s age at their birthday on or before March 31, 2025)

Examination items

What kind of diseases can be detected?

20 signs of disease can be detected by simply taking a few tests.

Questionnaire

More than

Body measurements

In addition to the diseases shown below, testing may lead to discovering a variety of diseases.

Blood pressure

Required testing

Physical examination
Blood lipids

Blood pressure measurement
Urine test
Blood test
Thoracic X-ray examination*
・Essential for the early detection of
tuberculosis and other illnesses inpeople who are 65 years or older
・People who are 16 to 64 years old
must request this・An electrocardiogram test and/or
ophthalmoscopy (for persons aged 40
years or older) may be performed if
deemed necessary by the physician.
*For people who are 65 years or older
Approximately 35% of patients who
newly contracted tuberculosis in 2022
were 65 years or older.
It is important to take this test once a
year.

Disease signs

・Dyslipidemia
・Arteriosclerosis
Test details

LDL cholesterol
HDL cholesterol
Triglycerides

Liver function
Disease signs

・Alcoholic liver disease
・Obstructive jaundice
・Cholelithiasis
・Hepatitis ・Fatty liver
・Myocardial infarction
・Polymyositis
・Liver cirrhosis
・Liver cancer
Test details

γ-GT (γ-GTP)
AST (GOT), ALT (GPT)・Hypothyroidism
・Fatty liver

Disease signs

・High blood pressure ・Arteriosclerosis
Test details

Systolic and diastolic blood pressure

Blood sugar
Disease signs

・Diabetes
・Chronic pancreatitis

・Diabetic nephropathy
Test details

Blood suger
HbA1c

Kidney function
Disease signs

・Glomerulonephritis

・Diabetic nephropathy
・Nephrotic syndrome
Test details

Urine protein
eGFR

Blood test details
Total protein, albumin, AST (GOT), ALT (GPT), ALP, γ-GT (γ-GTP), urea nitrogen, creatinine, eGFR, uric acid, total cholesterol, triglycerides,
HDL cholesterol, LDL cholesterol, Non-HDL cholesterol, blood sugar, HbA1c (NGSP value), white blood cell count, red blood cell count,hematocrit value, hemoglobin content, platelet count1Notes Before Health Checkup

Taking oral
medication

Please be sure to check the questions
listed on the medical consultation form
provided by the medical institution.
76 years or older

P.3

75 years or younger

P.4

If you are taking any medication,please consult the attending physician
about how you should take themedicine on the day of the checkup.

Drinking alcohol andstrenuous exercise
the day before
Please do not consume alcohol ortake part in strenuous exercise theday before the checkup.

Q.
A.

Q.
A.

Do not eat or drink anything otherthan water during the 10 hours before
the checkup to ensure accurate blood
test results. For more information,please follow the instruction given by
the medical institution where you willtake the medical examination.

Clothing

Insurance card
You will need to verify your address and thatyou are insured so please bring your healthinsurance card on the day of the checkup(people who are currently receiving welfare
assistance do not need to do this).

The checkup includes tests such asmeasuring around your abdomen andelectrocardiography so wear loose
fitting clothes for the checkup.

Health Checkup
I’m busy and can’t get time
off work so what should I do?
Busier people tend to be more prone to lifestyle diseases.
A health checkup is necessary to ensure that you can lead ahealthy lifestyle. Some medical institutions are also open on
Sundays. See page 11 for medical institutions that are open
on Sundays.

I had a health checkup lastyear so can I skip it this year?
Lifestyle diseases can progress without the patient feelingany symptoms. It is important to check for any changes inyour health by taking a medical examination once a year,
even if there were no problems in your results last year.

Health Checkup

Checking
questions

Do not eat anything
during the 10 hours
before the checkup

Q& A
Q.
A.

Q.
A.

How much does it cost?
Shinjuku will pay the full amount of the health checkup cost.
The normal
health checkup cost isaround 13,000 yenFree

I’m receiving treatment at a
hospital right now. Can I skip
the checkup this year?
People who are visiting a hospital to receive regular treatment arealso eligible for the health checkup.
The health checkup has a different purpose to the tests conducted
for “medical treatment” at a hospital. Therefore, people who are
visiting a hospital to receive regular treatment should consult theattending physician and then take the health checkup.

Health checkups for people and their dependents who are between the age of 4 0 to 7 4 and are covered by a health insurance other than the Shinjuku
National Health Insurance (such as the Health Insurance Association, Mutual Aid Association, Japan Health Insurance Association and National Health
Insurance Society) are conducted by each medical care insurer. For more information, please contact your medical care insurer.
In addition, people between the age of 4 0 to 7 4 who have switched over from Shinjuku National Health Insurance to social insurance on the date of thecheckup are unable to take the health checkup.
The health checkup sheet will be inspected and viewed by an agency and it will be submitted to the government anonymously for performance reporting purposes.
Furthermore, any results from the health checkup will be registered as digital data and appropriately managed based on the Personal Information Protection Act
for use in maintaining and promoting everyone’s health as well as for statistical purposes.

2

Health Checkup

The medical consultation form (duplicate) provided by the medical institution has a list of questions.
When you undergo a health checkup, you need to complete the questions on the medical consultation
form (duplicate), so be sure to check the questions listed in the example below prior to your medical
examination.
The purpose of this example is for you to check the questions.
When you receive the medical consultation form (duplicate) at the medical institution, youwill need to write the answers to the questions directly on the form.

People who are 76 years or older

1

How would you describe your current state of health?

1 Excellent

4 Not very good

2 Good5 Poor

3 Average

2

Are you satisfied with your daily life?

1 Satisfied

3 Somewhat dissatisfied

2 Somewhat satisfied 4 Dissatisfied

3

Do you eat three meals a day?

1 Yes

4

Do you find it more difficult to eat hard foods* compared to six months ago?
*Dried squid, takuan (pickled radish), etc.

1 Yes

2 No

5

Do you ever choke on tea, soup, or other liquids?

1 Yes

2 No

6

Did you lose 2–3 kg or more in the last six months?

1 Yes

2 No

7

Do you think your walking speed has slowed down compared to before?

1 Yes

2 No

8

Have you ever tripped/fallen in the past year?

1 Yes

2 No

9

Do you exercise (go on walks, etc.) one or more times a week?

1 Yes

2 No

10

Do people around you tell you that you are forgetful, such as“You always ask the same thing”?

1 Yes

2 No

11

Do you ever get confused about what date it is?

1 Yes

2 No

12

Do you smoke cigarettes?

1 Smoke

3 Quit smoking

2 No

SAMPLE
2 Do not smoke

3

13

Do you go out one or more times a week?

1 Yes

2 No

14

Do you normally socialize with your family and/or friends?

1 Yes

2 No

15

Is there anyone nearby whom you can consult if you’re not feeling well? 1 Yes

2 No

16

Can you hear well?

1 Can hear

3 Hard to hear

2 Can hear if voice is loud

Health Checkup

People who are 75 years or younger*If you are aged 16–39 years, please do not answer Q23.
Oral medications (Q1-Q3)
For Q1-Q3, please answer whether or not you are taking medication as part of treatment,
not whether or not you have taken medication on the day of your health check-up.
1

If currently being treated for hypertension, are you taking medicine to reduce blood pressure?

1 Yes

2 No

2

If currently being treated for diabetes, are you taking insulin injections, or other medicine to reduce blood sugar?

1 Yes

2 No

3

Are you taking any medication to lower your cholesterol or triglycerides?

1 Yes

2 No

4

Have you ever been treated for or told by a doctor that you had a stroke such as a cerebral hemorrhage or cerebral infarction?

1 Yes

2 No

5

Have you ever been treated for or told by a doctor that you have a heart disease such as angina pectoris or cardiac infarction?

1 Yes

2 No

6

Have you been told by a doctor that you have chronic kidney disease or kidney failure, or are you being treated for such (dialysis)?

1 Yes

2 No

7

Have you ever been told by a doctor that you are anemic?

1 Yes

2 No

1. Yes (meets both conditions 1 and 2)

Do you currently smoke habitually?
8

2. I used to smoke, but haven’t in the past month(A “Person who currently smokes habitually” meets both conditions 1 and 2.)(Meets condition 2 only).
Condition 1: Smoked in the past month.
Condition 2: Smoked for more than 6 months in my life, or smoked a total of at least 100 cigarettes.
3. No (other than 1 and 2)

SAMPLE

9Have you gained weight 10kg or more in the past few years?

1 Yes

2 No

10

Have you exercised to the point of breaking a light sweat for 30 minutes or more two times or more a week for over a year?

1 Yes

2 No

11

Do you walk or do equivalent physical activities for an hour or more per day daily?

1 Yes

2 No

12

Do you walk faster in comparison with someone of the same age and sex as you?

1 Yes

2 No

11.. I can chew any food I eat.

22.. Due to problems with my teeth
teeth,, gums,
gums, or bite,
bite,
chew.
sometimes it is difficult for me to che
chew
w..

13

Which of the following is true about how you chew when eating?

14

Do you eat faster in comparison with others?

15

Do you eat dinner within 2 hours before going to sleep 3 times a week or more?

16

How often do you have snacks, or sweetened drinks, between meals?

17

Do you skip breakfast 3 times a week or more?

chew.
33.. It is almost impossible for me to che
chew
w..

18

19

1 Fast2 Normal3 Slow

1 Yes

1. Everyday

2 No

2. Sometimes 3. Rarely

1 Yes

2 No

1. Every day

5. 1 to 3 days a month

How often do you drink alcohol (sake, beer, shochu, foreign liquor, etc.)?
(“I quit” refers to a person who previously and habitually drank at least once a month,but hasn’t had a drink in over one year.)

2. 5 to 6 days a week

6. Less than 1 day a month

3. 3 to 4 days a week

7. I quit

4. 1 to 2 days a week

8. I don’t/can’t drink

How much do you drink alcohol per day when you drink?

1. Less than 1 cup

4. Less than 3 to 5 cups

2. Less than 1 to 2 cups

5. 5 cups or more

One cup of sake (alcohol content: 15%/180 ml) as a guideline:
beer (5%/500 ml), shochu (25%/approx. 110 ml), wine (14%/approx. 180 ml),whiskey (43%/60 ml), canned chuhai (5%/approx. 500 ml, 7%/approx. 350 ml)

3. Less than 2 to 3 cups

20

Do you sleep well and get enough rest?

21

Do you think you need to improve your physical exercise, dietary or other lifestyle habits?

22

Have you received health guidance regarding improving your daily habits?

23(For those aged 65 or above) Do you hear well?

1. I hear well.

1 Yes
2 No
1. No, I don’t think so.
2. I will improve them within about 6 months.
3. I will improve them within about 1 month and havealready started, step by step.
4. I have already engaged in activities to improve them(for less than 6 months).
5. I have already engaged in activities to improve them(for 6 months or more).
1 Yes
2 No
2. I hear if spoken loudly.

3. I don’t hear well.

4Cancer Screening
You can take this examination regardless of the type of health insurance that you are covered by.
It is important to continue to undergo cancer screening for the early detection and early treatment of cancer.
Participating institutions
Cancer Screening

A list of medical institutions isshown on page 11 to 22.

Medical examination period
74 years or
younger
75 years or older

Stomach cancer

Types of cancer screening

From May 1, 2024

Copayment
amountGastroscopy(stomach endoscope)

2,000 yen

Until March 31, 2025
*Note that this is until January 31, 2025 for gastroscopy

Eligible persons (Shinjuku residents)

Frequency

50 years or older

Once every
2 years

1,900 yen*(1) The city’s stomach cancer screening (gastroscopy
and gastrointestinal X-ray examination) is notavailable the year after the city’s gastroscopy is taken
by residents(2) Gastrointestinal X-ray examinations can also be taken
by people aged between 40 to 49*Can be takeevery year whencontinuing to undergo
gastrointestinal X-ray
examination

600 yen

40 years or older

Once a year

Thoracic X-ray examination

900 yen

40 years or older

Thoracic X-ray examinationand sputum cytology

1,200 yen

People who are 50 years or older
with a high smoking index

Until January 31, 2025

Gastrointestinal
X-ray examination (barium)

Colorectal cancer(fecal occult blood test)

Lung cancer

From June 1, 2024

Cervical cancer(cervical cytology)

Breast cancer(mammography)

900 yen

800 yen

Women of 20 years or older
of an even-numbered age*Women who are of an odd-numbered age and did notundergo the examination last year can take this examination

Women of 40 years or older
of an even-numbered age*Women who are of an odd-numbered age and did notundergo the examination last year can take this examination

Once a year

Once every
2 years

Once every
2 years

Prostate cancer(PSA test)* This differs to the five cancer screening categories
shown above. It is an examination that lies outside thenational guidelines as cancer screening conducted by
the local government.

200 yen*The age is taken as the person’s age at their birthday on or before March 31, 2025

5

Men of 50 years or older

Once a year

●You can take this examination at approximately 10% of the amount
it would cost to take the examination at your own expense.
●An exemption system for copayment of cancer screening is available for individuals
and family members who are exempt from paying the special ward inhabitants tax
if you carry out the application procedures in advance.
For more information, please see “Cancer screening Q&A” on page 8.
●Be sure to take your medical examination voucher and health insurance card with you.

Cancer screening details and notes

Cancer Screening●You will be notified of the results of the cancer screening by the medical institutions within about 4 weeks.
After the cancer screening, please visit the medical institution to receive an explanation about the results
at the instructed date and time (you may receive your results in the mail depending on the medical institution).
About subjective
symptoms

・An endoscopic camera is inserted through your mouth or nose to inspect the inside of your stomach.
・If a tissue sample is taken during the test, this procedure will incur an additional cost since this is regarded as insured

medical care.

・An additional cost will also be incurred if a test for infectious diseases is conducted or any additional medicine is used during

the screening process.

・Listen to the physician’s explanation before the examination and then sign your name in the agreement section.
・Dietary restrictions apply from the day before the examination. For more information, please follow the instruction given by

the medical institution where you will take the medical examination.

・You will drink a barium solution and then pictures of your stomach will be taken using x-rays.
・Dietary restrictions apply from the day before the examination. For more information, please follow the instruction given by

the medical institution where you will take the medical examination.

・This is a test to detect blood in a stool sample. You will collect 2-days worth of stool samples at home before theexamination.

・The medical institution will send you a testing kit.
・Pictures of your chest will be taken using x-rays from both the front and back.

・Pictures of your chest will be taken using x-rays from both the front and back.
・Additionally, a sputum cytology is conducted for people with a smoking index [average number of cigarettes smoked per day

x number of years smoking] of 600 or higher (including past smoking).

・If you have any subjective
symptoms, instead ofundergoing cancer screening,
visit a medical institution totake a medical examination
immediately.
・If you are currently undergoingtreatment for an illness or
have a pre-existing condition,please consult the medical
institution.

・A visual and internal examination is conducted, and cells are collected using a dedicated tool.

*Take this test after your menstrual period has ended.

・A machine referred to as a mammography is used to compress the breast between two firm surfaces and then an x-ray

captures images.
Women of 40 to 49 years old: Images taken from 2 directions / Women of 50 years or older: Images taken from 1 direction*Women who have breast fed within the last 6 months should contact the medical institution and inquire in advance whether
they can be screened or not.
*If any of the following (1) to (5) applies, you cannot undergo breast cancer screening.
(1) If you have been fitted with a medical device such as a cardiac pacemaker, CV port or V-P shunt(2) If you have had breast augmentation surgery (3) If you are currently breastfeeding(4) If you are currently pregnant or there is a possibility that you are pregnant(5) If the physician decides that a mammography test is not appropriate

・Blood is collected to measure PSA, which is a tumor marker for prostate cancer.
・Examination method

People eligible for the health checkup→Taken at the same time as the health checkup. There is need to request a medical examination voucher. When taking
the health checkup, please inform the medical institution that you also “wish undergo prostate cancer screen”. Note thatpeople who have applied for copayment exemption or people who are currently receiving welfare assistance must apply
for this test separately in advance. In addition, people who are eligible for the health checkup cannot undergo prostatecancer screening on its own.
People not eligible for the health checkup→Must request a medical examination voucher. Please telephone the Health Checkup Section, Health Promotion Division on☎ 03(5273)4207 to request a medical examination voucher.
*Any results from the cancer screening and detailed examination will be registered as digital data and appropriately managed based on the Personal Information
Protection Act for use in statistics to promote everyone’s health as well as improve the quality of medical examinations.
*Screening is conducted through cooperation between the local government and each medical institution. Results from detailed examinations will be shared with therelevant institutions.
*If an illness is discovered that requires treatment, it is regarded as insured medical care.

6Cancer
Screening

What you need toknow
1Currently, cancer is the leading cause of death among Shinjuku residents.
Cancer that can be detected and treated early on has increased due to theprogress made in the diagnosis and treatment of cancer.
Cancer screening has both advantages and disadvantages. However,conducting proper screening using correct procedures can reduce death due tocancer.

Cancer Screening Procedure

Cancer Screening

Cancer screening involves examining whether “detailed examination is required” or whether there are any “abnormalities”. If a“detailed examination is required”, the patient will undergo a “detailed examination”. Cancer screening refers to all processes
performed until it can be established that the patient “has cancer” or “does not have cancer”.

Undergo primarycancer screening

Detailed examinationis required

Undergo detailed
examination

CancerCancer treatment“No abnormality” or“benign lesion”

Undergo primarycancer screening
next time

No abnormality

2

Detailed Examination Method
Types of cancer
screening

3

Main detailed examination methods

Stomach cancer●Gastroscopy

Colorectal cancer●Total colonoscopy ●Sigmoidoscopy combined with a barium enema examination

Lung cancer●CT scan ●Bronchoscopy

Cervical cancer●Biopsy during colposcopy and cytology combined with HPV testing

Breast cancer●Additional mammography images ●Ultrasound examination ●Fine needle aspiration biopsy and needle biopsy

Cancer Screening Advantages and Disadvantages
Correctly understand the advantages and disadvantages to acquire proper knowledge before undergoing cancer screening.
Advantages

Disadvantages(1) P rovides early detection and early
treatment of cancer to save yourlifeT he most significant advantage ofcancer screening is that it can detect
cancer during the early stages andsave your life.

(1) C ancer screening does not necessarily discover 100% of the time (false negative)No matter how good the test is, accuracy is not 100%. If the cancer is too small, located ina hard to find place, or has a shape that is difficult to see, the cancer may be missed evenduring an examination. When a cancer is missed it is referred to as a “false negative”, and isdifferent depending on the type of cancer and accuracy of the test or examination.

(2) Simplifies cancer treatment
C ancer screening is for “healthypeople who have no symptoms
when they undergo the screening”.
Therefore, screening enables cancer
to be easily discovered at the “earlystages” and almost all early-stage
cancers are curable. Moreover, thetreatment is less stressful on thebody.
(3) Peace of mind knowing that there
are “no abnormalities”
Receiving cancer screening results thatshow “no abnormalities” can provide
peace of mind to a patient.

7

(2) R
 esults in unnecessary treatment and testing (overdiagnosis and false positive)
Some cancers discovered during screening are microscopic and may not become advanced
cancer later on. Treatment in such cases may not be actually necessary, and this is referred toas “overdiagnosis”. Furthermore, if a “suspected cancer” has been determined during cancer
screening, it is necessary to always undergo a detailed examination. However, there are manycases in which the results of the detailed examination show that “it was not cancerous”. Thisis referred to as a “false positive”. Such false positive results are too some extent unavoidable.
(3) M edical examinations and test can cause procedural accidents
In rare instances, accidents and such may occur when a patient undergoes testing aspart of an examination. This is referred to as “procedural accidents”. Such accidents
have a low probability of occurring but it is impossible to have zero chance of procedural
accidents no matter how carefully the test or examination is conducted.
(4) T he psychological effect of screening
When undergoing cancer screening, it will cause psychological stress to some people. Whena patient receives a result of a “suspected cancer” during screening, they must undergo adetailed examination. However, they will experience a significant amount of psychologicalstress while waiting for the results of the test.

The 5 Types of Cancer Screening Recommended
by the Government
Scientific methods have verified that there is reduced mortality from cancer, and the government has establishedcancer screening since the advantages of screening outweigh the disadvantages. The following 5 types of cancer
screening are recommended by the government.

Colorectal cancer

Lung cancer

Many people are affected by thiscancer in their 5 0 s and older. This is
one of the leading cause of death fromcancer.

There is an increase in the number ofpeople affected by this cancer. This is
one of the leading cause of death fromcancer.

This is one of the leading cause of deathfrom cancer. Smoking is the biggest
cause of lung cancer. However, there
is also a high risk among people who
do not smoke cigarettes due to passive
smoking.

Cervical cancer

Breast cancer

A relatively high number of women areaffected by this type of cancer. There has
been an increase in recent years among
women particularly in their 20s to 40s.

Many women are affected by this typeof cancer. This is one of the leading
cause of death from cancer.

Cancer Screening
Q.

Cancer Screening

Stomach cancer

Q& A

Is there an exemption system for copayment ofcancer screening?
The following people are exempt from copayment.

A.

Q.

A.

(1) Individuals and family members who are exempt from paying the special ward inhabitants tax (all membersof the household must be tax-exempt)➡You must apply for this in advance at the city office contact counter. Exemptions cannot be given(in the form of refunds) after you have taken the examination.
Before taking the examination, fill in the required information in the “About exemption of copayment for
Shinjuku cancer screening, etc. (Exemption Confirmation Agreement)” section of your medical examination
voucher, and then submit it to the Health Checkup Section, Health Promotion Division or your local publichealth center contact counter.
(2) People who are receiving support benefits for remaining Japanese in China and welfare assistance➡There is need to apply for exemption. “Exempt” is already printed in the “Copayment amount” sectionof the medical examination voucher.
If a monetary amount is listed in the “Copayment amount” section of the medical examination
voucher, please contact the Health Checkup Section, Health Promotion Division (☎03-5273-4207).

Up to what date can I
take the gastroscopy
examination?

Q.

Can I have a breast ultrasoundor colonoscopy during my
Shinjuku checkup?

Until January 31, 2025.

This is not possible.

You can take the gastroscopy examination
if you are 50 years or older and did nottake a gastroscopy examination lastyear. It may not be possible to makean appointment near the end of theexamination period. Please make an
appointment as early as possible.

As a general rule, Shinjuku conducts cancer
screening recommended by the government.
If you wish to have an examination notconducted by the city such as a breast
ultrasound or colonoscopy, please take thesetests at your own expense.

A.

8

Hepatitis Virus Screening

Free*You can undergo this screening only once
while living in Shinjuku. A blood test (blood isdrawn) is performed for this test.

Hepatitis virus screening provides you with an awareness of whether you have contracted the hepatitis
B or hepatitis C virus. Screening is done for the purpose of receiving medical treatment as required toprevent health problems due to hepatitis and either reduce or delay the progress of its symptoms.
Participating institutions

Eligible persons (Shinjuku residents)

A list of medical institutions isshown on page 11 to 22.

40 to 74 years old
75 years or older

Medical examination period

City residents who are 4 0 years orolder and have never had a hepatitis
virus screening examination in the
past

From June 1, 2024
From May 1, 2024

Until March 31,
2025(The age is taken as the person’s age at their birthday on or before March 31, 2025)

Hepatitis Virus Screening

Please check your hepatitis virus medical examination ticket· For those who are listed as Implementation type:

Simultaneous implementation· For those who are listed as Implementation type:

Separate

For those who are· ＊＊＊＊＊＊＊＊＊＊＊＊ marked with asterisks

The medical examination will be carried out

at the same time as your healthcheckup (p. 1).

*Persons eligible to undergo a health checkup may not takethe Hepatitis Virus Medical Examination alone.

You can undergo the hepatitis virus
screening only (separately).

Please inquire with the healthcheckup staff if you wish to undergo
the medical examination.

· Persons who are listed as Already Undergone Hepatitis Virus Medical Examination/Ineligible may not undergo thehepatitis virus screening.

· Persons who are listed as Not eligible to be sent a hepatitis virus medical examination ticket may not undergo thehepatitis virus screening.

*Any results from the hepatitis virus screening test will be registered as digital data and appropriately managed based on the Personal Information Protection Act for use
in maintaining and promoting everyone’s health as well as for statistical purposes.

People who are between
the age of 40 to 74 and are coveredby the Shinjuku National Health
Insurance

For people taking a complete medical checkup
or the employee health checkup*1～ Please submit the results of your health checkup ～*1 The employee health checkup is implemented by employers to check the health of their employees based on the Industrial Safety and Health Act.

When you have submitted your results from a complete medical checkup, the employee health checkup or similar medical examination thatcovers all of the required items, you are regarded as having taken a Shinjuku specific health checkup, and if eligible, you will be able toreceive free health assistance such as health guidance on P.10. Please contact us for more information about the submission method andwhat items are required.

Eligibility》 People who are between the age of 40 to 74 and are covered by the Shinjuku National Health Insurance, and havenot taken the Shinjuku specific health checkup but have instead taken a complete medical checkup or employee
health checkup.
Contact information 》Supervisor for receiving complete medical checkup results, etc., Health Checkup Section, Health Promotion Division,
Health Department, Shinjuku
TEL：034207
FAX：033930（5273）（5273）
Any submitted results from a complete medical checkup or employee health checkup will be registered as digital data and appropriately managed based on the
Personal Information Protection Act for use in maintaining and promoting everyone’s health as well as for statistical purposes.

9Health Guidance, etc.

〜 After taking
the health checkup 〜

If your health checkup results correspond to 1 to 3 below, about 2 months after you took
the health checkup you will receive information in one of the following envelopes (seesamples).
For more information, please read through the pamphlet.

１ Specific Health Guidance & Non-Obese Health Guidance Appointment required / Free
People who are between 40 to 74 years old and are covered by the Shinjuku National Health Insurance
and have a high risk of lifestyle diseases based on the results of their health checkup are provided withassistance to improve their lifestyle from specialists (such as registered dietitians, public health nurses
and doctors).
Assistance by phone or interviews (for 3 months)

Details

Initialinterview

Continuous
assistanceSampleFinalevaluation

Participating
institutions& interview*See page 24 for a list of medical institutions.
location■Non-obese health guidancePrivate contractor (venue: each public health center)*Online consultation services are also provided.

２ Recommendation to Be Examinedat a Medical Institution

Specific health guidance
Health Guidance, etc.

■Specific health guidancePrivate contractor (venue: each public health center)orMedical institutions conducting specific healthguidance

SampleNon-obese health guidance

SampleInformation is sent to people whose test results recommend thatthey be examined at a medical institution. Be sure to take an
examination at a medical institution as soon as possible.

３ Health Consultation

Appointment required / FreeSpecialists (such as public health nurses, registered dietitians
and dental hygienists) provide private consultations concerning
health such as lifestyle diseases, periodontal disease, osteoporosis,
women’s health, and quitting smoking.

SampleParticipating ・Ushigome Public Health Center・Yotsuya Public Health Center
location・Higashi-Shinjuku Public Health Center・Ochiai Public Health Center

Health checkup results are a record of your health at the point you took thehealth checkup. Understand your health condition, and use the information
provided to make decisions concerning your future lifestyle.
Be sure to take the health checkup every year to remain healthy for as long as
possible.

10

Dental Health Checkup, etc.
Dental Health Checkup & Advanced Elderly Dental Health Checkup
All residents who are 16 years or older and live in the city can take the health checkup once a year. Pleasecontact us using the phone number shown below if you do not have a dental health checkup card or anadvanced elderly dental health checkup card.
If you are a person who requires nursing care and find it difficult to come to the hospital, a visitation service
is available to perform the dental health checkup.

[Dental Health Checkup] *16 to 19 year olds are now also eligible from 2023.
Dental examination
periodFrom June 1, 2024 to December 28, 2024

Eligible persons

Residents between the age of 16 to 75 (can be taken every year)

Participating
institutions

Designated dental clinics located in the city

Cost

400 yen (Cost exemption is available.)

Details

Questionnaire and oral examination (checking such as the teeth, gums and oral hygiene),
as well as advice[Advanced Elderly Dental Health Checkup]
Dental examination
periodFrom June 1, 2024 to December 28, 2024

Eligible persons

Residents who are 76 years or older (can be taken every year)

Participating
institutions

Designated dental clinics located in the city

Cost

Exempt

Questionnaire and oral examination (checking such as the teeth, gums, ability to chew andswallow), as well as advice*The age is taken as the person’s age at their birthday on or before March 31, 2025
*Health checkups are free of charge for persons aged 70 years or older, members of households receiving welfare benefits,
and members of households receiving support benefits for Japanese people left behind in China after World War II.
*There is a system of exemption from copayment for households not subject to residence tax.
*If the results of the health checkup indicate that you require treatment, as a general rule please undergo another medical
examination on another day.
*Medical certificates are not issued.
Details

Dental Health Checkup, etc.

Person in charge

25

Health Services Section, Health Promotion Division
TEL: 03 (5273) 3047 / FAX: 03 (5273) 3930

2024

Fax Sheet to Request Medical Examination Vouchers
for the Health Checkup and Cancer Screening
Please use this fax sheet when requesting additional medical examination vouchers.
*Please contact the medical institution directly to apply for the health checkup and cancer screening.

Health Promotion Division 03（5273）3930

Fax to:Fill out the form below (only the thick-bordered box) and then send it by fax.
Furigana
BirthdayFull name

Address

Meiji / Taisho / Showa / Heisei /Western calendar//（）years old

Shinjuku

TelephoneYour healthinsurance

GenderMale / Female□ Medical Care System for the Advanced Elderly □ Currently receiving welfare assistance or similar ther health insurance (social insurance such as the Health Insurance Association,□O
Mutual Aid Association or National Health Insurance Association)

Type of Health (Medical)
Checkups

Eligible persons (Shinjuku residents)

Selection*The age is taken as the person’s age at their birthday on or before March 31, 2025

Please see page 1 for people who are eligible for the health checkup.

Hepatitis virus

Please see page 9 for people who are eligible for hepatitis virus screening.

Stomach cancer

People who are 50 years or older and did not take a gastroscopy examination lastyear

Colorectal cancer

People who are 40 years or older

Lung cancer

People who are 40 years or older

Cervical cancer*Women who are of an odd-numbered age and did not undergo the examination last year
can also take this examination.

Prostate cancer

Place a circle in the box of your desired health (medical) checkups.

Breast cancer➡

Health checkup*People in their 40s can take a gastrointestinal X-ray examination.

Women of 20 years or older (of an even-numbered age)
Women of 40 years or older (of an even-numbered age)*Women who are of an odd-numbered age and did not undergo the examination last year
can also take this examination.

Men of 50 years or older*People with another health insurance or who are currently receiving welfare assistance

Dental health checkup &Residents of 16 years or older (June 1 to December 28)
Advanced elderly dental health*People of 76 years or older will receive the advanced elderly dental health checkup.
checkup
新宿区処理欄

Notes◦It will take about 1 week from the time of your request until the medical
examination vouchers are sent to you.
◦After receiving your fax, we will send the medical examination vouchers, etc.,
to your address.
◦Medical examination vouchers that you are not eligible for cannot be sent.
◦If you are not eligible to receive the health checkup or screening on the day ofthe examination, you will not be able to take the examination.
◦Hepatitis virus screening and prostate cancer screening for people eligible
for the health checkup can only be taken at the same time as the healthcheckup.

受 診 番 号
受 診 券
整 理 番 号
被保険者証等記 号 番 号

受付者

241000

ご

案

内

要

・

不要

同

意

書

要

・

不要

1

2

確認者

3

26

Preventing Depression
The society we live in can be stressful. Do you feel mentally exhausted?
It is said that about 1 in 15 people in Japan suffer from depression during their lifetime. It is an illness that
can affect anyone.
When you feel mentally exhausted, various physical symptoms can occur. If you fail to notice the symptoms,
it may prolong the illness. However, people can quickly recover if the illness is detected and quickly treated.

Mental Health Self-Check Sheet
Think about how you have felt over the last 2 weeks when answering these questions.
Circle “Yes” or “No”.
1. Do you lack a sense of fulfillment during your daily life?

Yes

No

2. Do you no longer enjoy an activity that you once enjoyed?

Yes

No

3. Do you feel that something you previously found was easy to do has now become a chore?

Yes

No

4. Do you feel that you are not useful as a person?

Yes

No

5. Do you feel tired for no reason?

Yes

No

Source: “Manual for Promoting Measures Against Depression” Committee on Regional Depression Measures, Ministry of Health, Labour and Welfare of Japan

If you answered “Yes” to 2 or more questions, and this has continued for 2 weeks or more and you feel distressed
and it is posing a problem in your life, we recommend that you contact a neurologist, psychiatrist or the healthcenter as soon as possible to receive a consultation.

To Prevent Depression
1. When there are changes in your life, make sure that you get enough time to rest and relax.
2. Try to make some time for yourself each day.
3. Don’t prioritize what you need to do and try too hard.
4. It is important to rely on other people at times.
5. Adopt a method of relieving stress yourself (through such things as sports, hobbies and leisure activities).

If you see any signs of possibly having depression,
immediately consult a specialist and take an examination
as soon as possible.
It is also important for family and friends
to notice signs of depression and respond accordingly!

Providing consultation about mental health issues
If you wish to receive consultation, please contact the public health center responsible for the area
where you live.
Public health centers provide consultation from specialists in the areas of depression, mental
health and addiction.

Ushigome Public Health Center
Yotsuya Public Health Center
Higashi-Shinjuku Public Health Center
Ochiai Public Health Center27☎ (3260) 6231
☎ (3351) 5161
☎ (3200) 1026
☎ (3952) 7161

FAX (3260) 6223
FAX (3351) 5166
FAX (3200) 1027
FAX (3952) 9943

eople .
p
r
e
d
l
ct
o
fe
af
y
el
iv
us
Dementia doesn’t excl
Dementia can also onset even among people in the 30s to 50s as well.

Dementia is not something you can be optimistic
even if you’re young“Young-onset dementia” is defined as the onset of symptoms
before the age of 65.

Statistics show that the average age at which young-onset dementia occurs is “around the age of 51”.

Regardless of your age…
Memory disorder
Depression

Irritated and angry“if you feel a little strange”, this is an important sign.

□ Asks the same question repeatedly□ Forgets appointments and personal items□ Feeling down
□ Reluctant to go to work

□ Goes out to buy the same thing every day□ Unable to take a telephone messages□ Has no interest in going outside or meeting people□ Complains about sleeplessness□ Often feels irritated and restless□ Responds angrily when a mistake is pointed out to them
□ Speaks harmful words that are not true and becomes angry

Dizziness headache andtinnitus□ Often complains about feeling dizzy, has a headache or ringing in the ears
□ Often takes headache pills

Changes in taste□ Has a change in their preferred food (favor sweet or strong tasting food)□ Feels as though they have become selfish

Speech disorder□ Does not understand the conversation and says that they don’t understand the meaning of aword
□ Does not speak smoothly
Source: “Support Book for Individuals and Families with Young-onset Dementia” Chuohoki

You may tend to think such as “I’m young so I’ll be fine”, “It’s just part of getting old” and “I’m healthy soI’ll never get dementia”. However, when you are concerned about any of the above symptoms, please ask

us for a consultation as soon as possible because it will allow you to detect and receive treatment
before more serious symptoms develop.

Ask the public health center for a consultation on young-onset dementia
Public health centers provide consultation from specialists in the areas of depression,
mental health and addiction.

Ushigome Public Health Center
Yotsuya Public Health Center
Higashi-Shinjuku Public Health Center
Ochiai Public Health Center☎ (3260) 6231
☎ (3351) 5161
☎ (3200) 1026
☎ (3952) 7161

FAX(3260) 6223
FAX(3351) 5166
FAX(3200) 1027
FAX(3952) 9943

*Depending on the consultation, we may introduce you to a relevant institution.

★ For dementia in people of over 65 years, please ask the General Consultation Center for the Elderly.
The General Consultation Center for the Elderly provides “consultation on dementia and forgetfulness”.
If you do not know the General Consultation Center for the Elderly responsible for the area where you live,
please contact the Shinjuku City Office General Consultation Center for the Elderly ☎ (5273) 4593.

28

Walk to receive a gift!
Promoting health with benefits♪

Currently
seeking
participants

Enjoy walking to stay healthy!

ShinpoCheck your steps andenjoy managing your health
Gift received by lottery !

Smartphone App

Pedometer

It will enable you to acquire points based on the number of steps taken
during your daily life. If you accumulate a certain number of points within the eligibility
period, you can receive a gift by lottery.
You can participate using your smartphone or a dedicated pedometer distributedby the Health Promotion Division or your local public health center contact counter(first 900 people). For more information, please see the official website.

2024 point eligibility period

Gift

Period 1: June 1 (Sat) to August 31 (Sat)Period 2: September 1 (Sun) to November 30 (Sat)Period 3: December 1 (Sun) to February 28 (Fri)Catalog gift of your choice
QUO 1,000 yen gift card
etc.

◆You can also start participating in this event midway through the period.

SHINJUKU♥Shinpo contact information / Health Services Section, Health Promotion Division, Health Department
Address〒160-0022
Shinjuku Hokusei Bldg., 5F, 5-18-14, 160-0022

Counter Hours 8:30 a.m. to 5:00 p.m.
ClosedSaturdays, Sundays, national holidays, December 29th to January 3rd

SHINJUKU♥Shinpo
official website

Prevent diabetes by making improvements
in your daily life!

People in theprime of theirworking life inparticular needto check this!

Eating too many carbohydrates in one sitting such as
noodles and rice

Not often eating vegetables

hese
t
f
o
y
n
a
Do
ou?
y
o
t
y
l
p
p
a

Irregular meal times
Often drinking sweetened beverages
No time to exercise
Put on weight since your 20s
Binge eating

If any of these apply, you are at risk of developing diabetes and future vascular problems...
Thick

Occurs when thin blood vessel
are damaged●The 3 major complications of diabetes

Nephropathy ⇒ Artificial dialysis
Retinopathy ⇒ Blindness
Neuropathy ⇒ Leg amputation

Occurs when thick blood vessel
are damaged
About 1 in 10 people

Ischemic heart disease
Strokewho are covered by the Shinjuku National Health Insurance

have diabetes and it is a very
common illness.

⇒Life-threatening

situation

However! Prevention is possible
with a few improvements to your lifestyle.

Advice for Preventing Diabetes
Choose from the set meal menu
when eating out!

● Single items on the menu such as rice bowls and noodles tend to becarbohydrate heavy and lack sufficient nutrition. We recommend the set
meal menu, which has portions of a staple food, main dish and side dish.
● Not just sweets, but carbohydrates are also mostly sugar so eating too many
carbohydrates in one sitting (noodles and fried rice) means you will be
consuming too much sugar, which is not good for your body.

Eat an extra plate of vegetables!
● The amount of vegetables you need to eat each day is 350
grams (equal to 5 small plates).

It is best to eat your evening meal
before 9PM!

● When you will return home late due to overtime, eat yourevening meal at the workplace as early and wheneverpossible.
● When this is difficult, supplement your diet with food suchas a rice ball or banana while working and then reduce
the amount you eat after returning home.

Drink non-sugary beverages!
● Do not underestimate sugar in beverages!
Make it a habit to replace high calorie beverages with tea or water.

Move for an extra 10 minutes!
● It is important to move your body a little bit at a time in your life. Ideally you
should be moving for at least 60 minutes in total per day. It is also effective
to include exercise that makes you breathless and sweat for a total of 60
minutes per week.

3 gram stick sugar

3 gram stick sugar

Equivalent toabout
18 sticks

Equivalent toabout
8 sticks

500 ml of coke

500 ml of coffee drinks· Get your blood sugar checked during a health checkup because diabetes can continue to progress without
any subjective symptoms after its onset.
· It is important to weigh yourself and maintain an appropriate body weight!
· Periodontal disease is also adversely affected by diabetes so be sure to clean your teeth thoroughly!

Shijuku

Editor & Responsible: Health Services Section, Health Promotion Division, Health Department

Supervisor: Shinjuku Health and Medical System Development Council
Expert Committee for Measures Against Diabetes

Health Checkup and Cancer Screening
Medical Examination Vouchers Request and Contact Information

Telephone

FAX

Health Checkup Section, Health Promotion Division☎03(5273)4207(excluding public holidays)

8:30～17:00

Please fill out the Fax Sheet to Request Medical Examination Vouchers for
the Health Checkup and Cancer Screening on page 26 and then fax it to us.
FAX：03(5273)3930

Tokyo e-Municipal Joint Operation Service

E-application

Monday to Friday

Ushigome Public Health Center☎03(3260)6231
Yotsuya Public Health Center☎03(3351)5161
Higashi-Shinjuku Public Health Center ☎03(3200)1026
Ochiai Public Health Center☎03(3952)7161

Search

https://www.e-tokyo.lg.jp/top/index.html* Perform the search shown above or scan the 2D code on the right to apply.
* The E-application process is available from May 25, 2024.
Please contact us by telephone if you require assistance immediately.

Tokyo e-Municipal
Joint Operation Service

If you prefer to receive the medical examination vouchers immediately,please come to the location shown below.
160-0022
Shinjuku Hokusei Bldg., 4F, 5-18-14, Shinjuku, Shinjuku-ku
Health Checkup Section, Health Promotion Division☎03(5273)4207

Monday to Friday (excluding public holidays) 8:30～17:00
Meiji-doriSeibu Shinjuku Line

JR Yamanote Line

Shin-Okubo Station

Contact
counter

Okubo-doriToyama Heights

Tokyo-Metro Fukutoshin Line
HIgashi-Shinjuku Station

Exit B1
Toei Oedo Line
HIgashi-Shinjuku Station
Exit B2

Shokuan-dori

Exit A3

Exit A1

To Wakamatsucho

Bus stop
Nisshin-Shokuhin mae

Seibu-Shinjuku
StationSubwayShinjuku-sanchome Station
Exit E1

Shinjuku City Office
Main Building
Hanazono Shrine

Shinjuku Station

Shinjuku-doriHealth Promotion Division(Branch of New Wing of Annex 2)

To Shibuya

Yasukuni-dori

To Yotsuya