Novel Coronavirus Disease (Covid-19)
Guidebook for Recuperation
at Lodging Facilities
Excerpted version in English

This guidebook is distributed to people
who had a test for Covid-19.

June 8, 2020, Sixth version

Introduction
To those who are requested torecuperate at lodging facilities
Among people infected with Covid-19, those diagnosed as “patients with no or
mild symptoms,” except for the elderly and those with underlying diseases, arerequested either to recuperate at lodging facilities or at home by the publichealth center.

In that case, the public health center considers individual patients’ family
situations and other conditions so that they can recuperate depending on theirindividual situation.

We would like to ask for the cooperation of every Kanagawa Prefecture
resident so that coronavirus infections can be fully contained as soon as possible.

1General Flow of Recuperation at Lodging
Facilities
1) Outpatient consultation
A doctor will have a hearing on necessary information for recuperation from people who
had a PCR test, showed a positive reaction and have mild or no symptoms.
Please submit the hearing sheet to the doctor.

２）Preparation for recuperation
You need to prepare to stay at lodging facilities for recuperation while you are waiting forthe results of your PCR test. Please see “Recuperation at Lodging Facilities” on page 3.

３）Notification of the results and movement to the recuperation facility
Test results will be informed to you by the medical institution or the public health center.
If you test positive, the Prefectural government will call you to explain about recuperation.
If you want to recuperate at a lodging facility, we will also explain about how to move tothe facility.

４）During recuperation
According to the Notice of the Ministry of Health, Labour and Welfare, the recuperation period continues until
the day after 10 days have passed (the 11th day) following the date of onset. (For those who have nosymptoms or whose date of onset is not clear, the start of the period is counted as the date on which thespecimen which tested positive was collected). During the recuperation period, you are required to stay in thefacility or at home without going out. There are also precautions and various restrictions on life during therecuperation period. In addition, you need to report your daily health condition. For details, please see “DailyHealth Management” starting on page 7.

５）Completion of recuperation
On the day you start recuperation, we will inform you of the expected completion date. When yoursymptoms are considered to be relieved, we will inform you of the completion of recuperation on
the 10th day. However, if you have symptoms such as coughing or developing a fever during thelast three days of the recuperation period, your recuperation period may be extended as necessary.
The prefectural government cannot issue a “certificate of recovery,” but can issue a “Certificate ofRecuperation” at your request.
Date of onset(Date specimen is collected)

1st day

10th day11th day

0 day(Beginning date)

Recuperation period (10 days) havepassed, and 72 hours have passed
since symptoms are relieved.
If the patient shows new symptoms(fever/headache/respiratory distress), the approachfor releasing patients with symptoms from the facility
will be applied considering the day on which thesymptoms become apparent as the date of onset.

Recuperation period (10 days) havepassed since the date on which thespecimen was collected.

Continue if thepatient hassymptoms

When the patient isshifted from
hospitalization torecuperation athome or lodging
facilities, thebeginning date isalso considered tobe the date of
onset or the dateon which thespecimen was 2collected.

Recuperation at Lodging Facilities

Recuperation at lodging facilities
Patients will recuperate at lodging facilities provided by the prefectural and municipal
governments of Kanagawa Prefecture.
Criteria for recuperating at lodging facilities
1. People who can rest at the facility
2. People who can live in a room at the facility
3. People who are independent in activities of daily living (ADL)
4. People who can use a mobile phone or a smart device to consult with staff
members on their health condition

Example of people who can recuperate at lodging facilities○ People who want to avoid the risk of transmitting the virus to their family
members(e.g.: Family members include elderly people or a pregnant woman)○ People who can manage their health condition by incorporating some kind of
exercise into their daily life even in a small space○ People who are relatively young or strong physically, and can deal with the stressof staying in a small space for recuperation○ People who live in areas with a flood risk or that are prone to sediment disasters
and who may need to go to a shelter in the case of a typhoon or other disaster
Points to be noted● During the recuperation period, you are not allowed to go out of the designatedarea of the facility.
● You must observe the rules of each facility.
● Packaged meals are provided three times per day at the fixed time.
● You are not allowed to receive goods from outside, such as online purchases or
items presented from family members. In addition, it is prohibited to bring food inorder to prevent food poisoning.
● Drinking and smoking is prohibited.

3

Lodging Facility
Lodging facility
The following photos are sample images of a lodging facility provided by
the Kanagawa Prefectural Government.
Please note that similar types of rooms are not always provided.
Living space (example of a room with 11㎡)

Bath and toilet

Example of a packaged meal provided by the prefectural government4

To People Who Will Recuperate at Lodging
Facilities (Preparation)
Expenses
You do not need to bear the lodging and food expenses.
However, if you lose the key of the room assigned to you, for example, you may berequired to pay the expense.

Preparation of daily necessities• Please be sure to bring cash, your health insurance card, Okusuri-Techo (a personalprescription record), smartphone/mobile phone (if you have one) and its battery charger.
• Please bring a clinical thermometer to take your temperature every day.
• You need to prepare necessary items on your own. However, please note that thestorage space of the facility room is limited.
Examples of items that you need to bring: spare clothes, nightwear, mask, towel,
toiletries including a toothbrush and shampoo, detergent, writing instruments, etc.
• Basic equipment including TV, refrigerator, and Wi-Fi may differ depending on the facility,
so please confirm with the public health center before starting recuperation.

Preparation of medicine
・If you have a family doctor, please make a note of the doctor’s contact information forcaution’s sake.
・If you are currently taking any medicine, please bring enough for about three weeks inorder to avoid running out during recuperation at the lodging facility.
・If the medicine is likely to run out, you need to ask your family doctor to prescribe themedicine after having a medical examination by phone, etc.

5

To People Who Will Recuperate at Lodging
Facilities (Recuperation)
Precautions during recuperation• You are required to recuperate at the facility in accordance with the rules.
• You are basically required to spend time in your room during the recuperation
period.
• You are not allowed to go out of the designated area within the lodging facility
during the recuperation period. If you are allowed to walk out of the room tothe designated area at the facility to receive a packaged meal, etc., you mustwear a mask when you leave the room after confirming the designated timeand area with the staff members of the facility.
• You are requested to keep contact with other lodgers to a minimum.
• Packaged meals are provided three times per day at the fixed time.
• You need to clean up your room by yourself.
• In doing the laundry, you need to wash by hand in your room, or if there arewashing machines at the facility, you can use them. You are not allowed to dry
your laundry outdoors.
• Drinking and smoking is strictly prohibited during the recuperation period as it
may make it difficult to monitor your health condition correctly or worsensymptoms.
• You are not allowed to shop online, use delivery services, or bring goods andfood in from outside, including those given to you by your family members.
• The Kanagawa Prefectural Government assumes no responsibility for loss ortheft during the recuperation period.
Note: Operation methods may differ depending on the lodging facility. Please
follow the guide of your lodging facility concerning specific time schedules andprocedures.

6

Novel Coronavirus Disease (Covid-19)
Guidebook for Recuperation at Lodging Facilities

Daily HealthManagement

7Health Management during Recuperation

What you are required to do
When visiting a hospitalAt the hospital, you will be asked to provide information necessary for follow-up during recuperation. Basedon the information, we will decide your facility for recuperation and manage your health condition.

After you tested positive and have started recuperating

Every day
(1) Twice-daily temperature check
You need to take your temperature and record it twice a day in the morning and evening.

(2) Response to the regular confirmation of health condition
The Recuperation Support Desk staff members contact you every day to check on your health condition. At that time, theyalso ask the two temperature check results.
Regular confirmation is made byphone.
byphone.
For details, please see the pages that follow.

If your condition worsens or changes suddenly
If you need to consult with us or contact us urgently concerning the worsening of your health condition at a time otherthan the regular confirmation session, please contact us at the following number. Depending on the situation, we will
make arrangements to take you to a medical institution. Therefore, please contact the following number when you feel
uneasy, even somewhat so, about your health condition.
If you develop urgent symptoms as described on the next page, please contact “Kanagawa Prefecture Coronavirus 119”
immediately.

For inquiries and consultation about health condition and how to spend your time during recuperation

Kanagawa Prefecture Recuperation Support Desk 045-285-0598（9:00 a.m. to 5:00 p.m.）
Emergency consultation service when your health condition worsens, suddenly changes, etc.

Kanagawa Prefecture Coronavirus 119※※045-285-1019（24 hours）

Whichever number you call, we will hang up once and call back through an interpreter.
The telephone in your room cannot make outgoing calls, so please call these numbers
using your own mobile phone.

8

To People Who Will Recuperate at Lodging
Facilities(Precautions during Recuperation)- We understand that you have many concerns, but please be assured that our staff will
support your recuperation.
- The staff will call you every day to monitor your health. So please answer about your healthcondition at that time.
- When taking your temperature twice a day, you are required to perform a self-check forwhether or not you have the symptoms described below. If you have any of them, pleasecontact the Kanagawa Prefecture Coronavirus 119 below immediately.
- Even at another time, if you develop any such symptoms, please contact the Coronavirus
119 immediately because emergency response needs to be taken.

Urgent symptoms
Expression/
appearance

Obviously look pale
Lips have turned blue
Different than usual, feeling strangeUnusual breathing (increase in breathing rate)
Sudden difficulty breathing
Feelingof Running out of breath when moving only a littleFeeling chest pain
dyspnea, etc.
Cannot lie down/cannot breathe without sitting
Panting/wheezing

consciousness,

Being absent-minded (responding poorly)
Being half-conscious (no reply)

etc.

Pulse skips a beat, feel that pulse rhythm is disturbed

Impaired

Emergency consultation service when your health condition
worsens, suddenly changes, etc.

Contact information:

Kanagawa Prefecture Coronavirus 119045-285-1019（24 hours）※※

Whichever number you call, we will hang up once and call back through an interpreter.
The telephone in your room cannot make outgoing calls, so please call these numbers
using your own mobile phone.
9Regular Confirmation by Phone (Every Day)

The Recuperation Support Desk staff call you once a day to hear about yourhealth condition. At that time, the staff will also ask the two temperature check
results, so make sure to take your temperature and record it twice a day in themorning and evening.
Please be sure to answer the phone call from the following number.

Phone No.: 042-698-9049
Note: The staff will contact you through an interpreter.

10Temperature Check Report FormDays ofrecuperation

Date

Beginning date/℃℃

1/℃℃

2/℃℃

3/℃

℃

4/℃

℃

5/℃

℃

6/℃

℃

7/℃

℃

8/℃

℃

9/℃

℃

10/℃

℃

11/℃

℃

12/℃

℃

13/℃

℃

14/℃

℃

15/℃

℃

16/℃

℃

17/℃

℃

18/℃℃

19/℃℃

20/℃℃

MorningEvening

Memo of your health condition

11To Return to Society without Worry
Based on scientific grounds obtained from the latest academic research, the Kanagawa Prefectural
Government has decided that patients will finish recuperation at lodging facilities without receiving a PCR
test if they have no symptoms, including coughing or developing a fever, during the last three days of the
10-day period for recuperation (the Ministry of Health, Labour and Welfare’s notice has also suggested
the completion of recuperation in the same manner).
In addition, so that the prefectural residents who have been infected can return to society free fromworry, the prefectural government will issue a document certifying that they have recuperated for theprescribed period of recuperation, if they wish.
Introduction of scientific grounds○

Since the novel coronavirus in the body will die in about 10 days from the onset of symptoms, there is no
possibility of passing the infection to other people if 10 or more days have passed since the onset of symptoms.

○

Since the PCR test reacts to a fragment of the dead virus, there are cases when you may test positive over along period, even though the virus in the body is dead.

Due to these reasons, it is possible to reduce the likelihood of transmitting the infection to other people to aminimum by confirming that patients have no symptoms, including coughing or developing a fever, during thelast three days of the 10-day period from the date of onset or the date on which a specimen is collected.
However, if patients have symptoms such as coughing or developing a fever during the last three days, theirrecuperation period may be extended so that they can finish recuperation without worry.

• If symptoms reappear
after they disappeared
once, another three-day
recuperation is required
after they are relieved.
• If patients with nosymptoms develop newsymptoms, they need torecuperate for anotherten days from that day.

（Source）①Hao-Yuan Cheng et.al. Contact Tracing Assessment of COVID-19 Transmission
Dynamics in Taiwan and Risk at Different Exposure Periods Before and After Symptom Onset.
JAMA Intern Med. Published online May 1, 2020. ②Wolfel, R et.al. Accelerated Article Preview.
Nature. Published Online 1 April, 2020 Prepared by the Covid-19 Infection Control
12Headquarters of Kanagawa Prefecture

In Finishing Recuperation
Thank you for your cooperation and patience in yourrecuperation.
Now you can go back to work or return to your daily life.
However, we would like to ask for your cooperation
concerning the following points for four weeks after thecompletion of recuperation.
According to the Ministry of Health, Labour and Welfare, in rare cases, patients infected with Covid-19 who havefinished the necessary recuperation may test positive again. Therefore, to prevent yourself from testing positive
again and prevent people around you from being infected, we will continue to ask for your cooperation
concerning the following points for four weeks after the completion of recuperation.

●Please take thorough general hygiene measures.
- Wash your hands with soap or alcohol disinfectant solution.
- Wear a mask.
- Observe good coughing manners. (Cover your mouth and nose with a mask, tissue paper,
handkerchief, sleeve, or the crook of your arm. Also, please wear a mask.)●Please confirm your health condition every day.
- Take your temperature every day and confirm whether or not you have developed a fever (37.5℃ or higher).

●When you develop symptoms including coughing or a fever- Please contact the nearest public health center immediately, follow its instructions and visit a medicalinstitution as needed.
- When you contact the nearest public health center and visit a medical institution, you need to make a phone
call in advance to tell them that you have recuperated at home or at a lodging facility.

Please continue to avoid the “3 Cs” (Closed spaces,Crowded places, and Close-contact settings) and maintainsocial distancing when in contact with people.

For people who want to apply for a “Certificate of Recuperation”
For the detailed procedure, please contact the Kanagawa Prefecture Recuperation Support
Desk.

045-285-0598（9:00 a.m. to 5:00 p.m.）13

Consultation Services during Recuperation
These are dedicated services
for those who tested positive for Covid-19 and are required to recuperate.
For inquiries and consultation about health conditionand how to spend your time during recuperation
9:00 a.m. to 5:00 p.m.
Kanagawa Prefecture Recuperation Support Desk045-285-0598

Emergency consultation service when your healthcondition worsens, suddenly changes, etc.
24 hours
Kanagawa Prefecture Coronavirus 119045-285-1019••Whichever number you call, we will hang up once and callback through an interpreter.
The telephone in your room cannot make outgoing calls,
so please call these numbers using your own mobilephone.

Covid-19 Infection Control Headquarters of Kanagawa Prefecture