Tokyo University of Marine Science and Technology
School Infectious Disease Countermeasures Manual(For school use)
Student Support Committee
Created: December 20, 2013
Revised: February 18, 2020

1. Objectives
The objective of this manual is to protect against the occurrence of the infectious diseases
prescribed in the School Health and Safety Act, and to prevent epidemics, by responding promptly
and appropriately so as to minimize the harm to students.
2. Preventive measures(1) Remove the source of infection through disinfection and sterilization, etc.
a. Vomit, blood, and similar should not be touched with bare hands, and gloves must be worn without
fail. After disposal, gloves shall be removed, and hands and fingers disinfected.
b. If required, sources of infection shall be disinfected and sterilized individually.
(2) Block routes of infection by not bringing in, taking out, or spreading the source of infection(pathogen).
a. Follow a strict policy of washing hands and gargling.
b. Wear a mask if there is a possibility of fragments of the source of infection being scattered about.
c. Maintain the hygiene of the immediate environment, such as food hygiene.
(3) Implement measures to reduce susceptibility. Increase the body’s resistance by following a balanced
diet and a regular lifestyle, taking appropriate exercise, and receiving vaccinations, etc.
3. Countermeasures in the event that an outbreak occurs(1) Initial countermeasures
a. Students who suspect they may have an infectious disease should first check the website of thisuniversity, or that of the Ministry of Health, Labour and Welfare, and seek a diagnosis from a nearby
medical institution.
b. Students who are diagnosed as having an infectious disease, or any persons who come to knowof such matters, must immediately submit a report to that effect to the clerk for campus life in theStudent Services Division, or to the clerk for student support in the Etchujima Campus
Administration Division.
Clerk for campus life, Student Services Division: (03)5463-0433 E-mail: ggaku@o.kaiyodai.ac.jp
Clerk for student support in the Etchujima Campus Administration Division: (03)5245-7316
E-mail: e-gaku@o.kaiyodai.ac.jp

c. When submitting a report of the kind mentioned above, the following matters shall be
communicated to the person in charge:i) The name, affiliation, year, and student registration number of the person with symptomsii) Date and time of onsetiii) Main symptoms (temperature, vomiting, diarrhea, cough, skin problems, etc.)iv) Current condition and details of steps taken (diagnosis by medical institution, waiting at home,etc.)v) Movements before the onset of the illness, whether or not there has been close contact withother persons, etc.
(2) Countermeasures to prevent spread of infection
a. The content of the above-mentioned report shall be communicated to the head of the HealthCenter, and, depending on the judgment of Health Center doctors, necessary guidance will be given to
the patient, and efforts will be made in accordance with this to prevent the spread of infection.
b. The head of the Health Center shall take into account the class of the infectious disease, thecircumstances surrounding the onset of the disease (the number of people showing symptoms, and thelocation at which onset occurred, etc.) and the extent it has spread, then take advice from the doctorsof the Health Center and issue a warning to the entire university or to individual departments, orprovide other guidance as necessary.

Head of Health Center:(03)5463－0521
Head of Health Center (Shinagawa): (03)5463－0388
Etchujima (03)5245－7357
c. Be aware that individual departments may, if required, implement measures to suspend lectures
for students.
(3) Communication with related institutions
The Health Center shall provide information to public health centers, etc. as required. In
addition, there shall be discussion and cooperation in relation to necessary measures to take after
the onset of the infectious disease.
○ Person in Charge of Infectious Diseases, Health Preservation Department, Minato Ward
Health Center (03)6400-0081○ Clerk in Charge of Infectious Disease Countermeasures, Health Preservation Department,
Health Services Division (Health Center), Koto Ward (03)3647-5879(4) Setting up Countermeasures Headquarters
In the event that a large number of cases occur due to an infectious disease at the University,
or in the event that the infection is expected to spread, the President shall promptly set up aCountermeasures Headquarters at the request of the head of the Health Center. In such cases, thenecessary measures will be taken in accordance with the Tokyo University of Marine Science andTechnology Crisis Management Basic Manual.

In addition, in order to prevent the spread of the infection within the University, measures suchas a temporary suspension (closing of the school and of classes) may be implemented.

4. Measures to take after the event
If a student contracts the infectious disease, and a doctor has diagnosed that they should suspend
attendance, but the student wishes to return to lectures and so on, a doctor’s note, etc. (a document
describing the date on which treatment started, and clarifying when the patient will be recovered
enough to attend lectures) shall be submitted to the Student Services Division or the Etchujima
Campus Administration Division, and these instructions shall be complied with.

5. Other(1) Sufficient care shall be taken with regard to the handling of personal information, and informationthat could be used to identify the individual shall not be disclosed.
(2) Refer to infectious disease surveillance initiatives as appropriate:
Infectious Disease Surveillance Center, National Institute of Infectious Diseases
Address: Toyama 1-23-1, Shinjuku Ward
Tel (03)5285-1111
Website http://www.nih.go.jp/niid/ja/from-idsc.htmlReference materials 1: Ordinance for Enforcement of the School Health and Safety Act, Article 18(Class of Infectious Disease)
Ebola hemorrhagic fever; Crimean-Congo hemorrhagic fever; smallpox; South AmericanClass I
hemorrhagic fever; plague; Marburg virus disease; Lassa fever; acute poliomyelitis (polio); diphtheria;
severe acute respiratory syndrome (limited to cases in which the pathogen is the SARS coronavirus);
Middle East respiratory syndrome (limited to cases in which the pathogen is the MERS coronavirus);
specified avian influenza (meaning specified avian influenza as prescribed in Article 6, Paragraph 3,
Item 6 of the Act on the Prevention of Infectious Diseases and Medical Care for Patients with
Infectious Diseases [Law No.114 of 1998], hereinafter the same shall apply)*In addition to the above, infectious diseases such as novel influenza, specified infectious diseases
and new infectious diseases

Class II

Influenza (excluding specified avian influenza); pertussis; measles; parotitis; rubella; chickenpox;
pharyngoconjunctival fever; tuberculosis and meningococcal meningitis

Class IICholera; bacillary dysentery; enterohemorrhagic Escherichia coli infection; typhoid; para typhoid;epidemic keratoconjunctivitis; acute hemorrhagic conjunctivitis, and other infectious diseases

Reference materials 2: Ordinance for Enforcement of the School Health and Safety Act, Article 19(Standard for Suspension of Attendance)
Class of infectious disease
Class I

Standard for suspension of attendance•Ebola hemorrhagic fever•Crimean-Congo hemorrhagic fever•Smallpox•South American hemorrhagic fever•Plague•Marburg virus disease•Lassa fever•Acute poliomyelitis (polio)•Diphtheria•Severe acute respiratory syndrome(limited to cases in which the pathogen isthe SARS coronavirus)•Middle East respiratory syndrome(limited to cases in which the pathogen
is the MERS coronavirus)•Specified avian influenza (meaningspecified avian influenza as prescribedin Article 6, Paragraph 3, Item 6 of theAct on the Prevention of Infectious
Diseases and Medical Care forPatients with Infectious Diseases [LawNo.114 of 1998])

Until recovered

*In addition to the above, infectious
diseases such as novel influenza,
specified infectious diseases and newinfectious diseases

Class II

•Influenza (excluding specified avian • Until five days have elapsed since onset, and two daysinfluenza)

have passed since the fever broke (three days forinfants)•Pertussis• Until the characteristics disappeared, or until a 5-day
treatment by means of an appropriate antibiotic
preparation has been completed•Measles• Until three days have passed since the fever broke•Parotitis (mumps)•Until five days have passed since the appearance ofswelling in the parotid glands, the glandula
submandibularis, or the glandula sublimgualis, anduntil overall physical condition returns to normal•Rubella (German measles)• Until the rash disappears•Chickenpox• Until all rashes have scabbed over

•Pharyngoconjunctival fever• Until two days have elapsed since the main symptoms
receded•Tuberculosis•Meningococcal meningitis• Until the symptoms lead a University doctor or otherdoctor to acknowledge that there is no longer a risk ofinfection

Class II

•Cholera•Bacillary dysentery•Enterohemorrhagic Escherichia coli
infection• Until the symptoms lead a University doctor or other•Typhoid

doctor to acknowledge that there is no longer a risk of•Para typhoid

infection•Epidemic keratoconjunctivitis•Acute hemorrhagic conjunctivitis•Other infectious diseases

Reference materials 3: main infection routes and causative organism
Infection routeCharacteristics
Oral infection○ Infection through contaminated food or items
introduced to the mouth by fingers.

Main causative organism
Norovirus
Enterohemorrhagic

Escherichia

coli infection, etc.
Droplet infection○ Propagation by droplet particles (of at least 5Influenza virusµm) from coughs, sneezes, conversation, etc.

Parotitis (mumps) virus
Rubella virus○ Falls to the floor about a meter away, and will

Legionella, etc.

not continue to float in the air.
○ Propagation by droplet nuclei (less than 5 µm)
Airborne infection
Contact infection

from coughs, sneezes, etc.

Tubercle bacillus
Measles virus○ Floats in the air, is dispersed by air currents.

Chickenpox virus, etc.

○ Infection through touching mouth, nose, or eyes

Pharyngoconjunctival feverwith contaminated hands.
○ Blood, fluids, or secretions contaminated by the Hepatitis B/C virus
Infection through thepathogen are introduced through accidental Human immunodeficiency virus

medium of blood

needle contact, leading to infection.

(HIV),etc.

Reference materials 4: cough etiquette
What is cough etiquette?
Many infectious diseases, including influenza, are transmitted by droplets from coughs and sneezes. “Coughetiquette” means covering your mouth and nose with a mask, tissue, handkerchief, or sleeve when coughing
or sneezing so that infectious diseases are not transmitted to others.
This is an important practice, particularly in areas where people gather, such as trains, workplaces, and schools.
The three elements of correct cough etiquette

1. Wear a mask.

2. Cover your nose and3. Cover with the inside omouth with a tissue or hf your outer garments orandkerchief, etc.

sleeve.

Read the instructions carefu
lly before putting on a mas

Tissues used to cover yok and fitting it correctly.

ur mouth and nose shoul

Ensure that it covers yourd be disposed of immedi

face from nose to chin, wit

ately.

hout gaps.

*The spread of the pathogen can also be prevented by the washing of hands.

Example of bad practices

Using hands to contain a cough or sneeze

When hands are used to contain coughs andsneezes, the virus can be left on surrounding
objects, such as doorknobs, after contact withthose hands.
The disease could be transmitted to other peo
ple via the doorknob.

Doing nothing in particular when coughing or sneezing

When coughing or sneezing, the spr
ay can fly as far as 2 m.
Because this spray may contain thepathogen, the disease could be transmitted to other people.

Reference materials 5: how to gargle○ The basic principle with gargling is rinse your mouth and throat separately.
1. Prepare some water or tepid water in a cup.
2. Take around 1/3 to 1/2 of the water into your mouth and swill it inside your mouth once or twice,while continuing to face forwards.
The objective here is to wash away particles of food and the like from inside your mouth.
3. Take around 1/3 to 1/2 of the water into your mouth, tilt your face up (as if looking at the ceiling),
and make “Aaaarh” and “Gaaaa” noises while opening your mouth.
Or make a gargling noise so as to rinse the throat.
Continue this for around ten seconds each time and repeat two-three times. The objective
here is to wet the throat and wash away dust and germs.

Reference materials 6: hand-washing procedureReference materials 7: disposing of vomit, etc.
Vomit or excreta caused by infectious gastroenteritis can become a source of infection. Caremust be taken to avoid spreading the infection further through inappropriate disposal. Norovirus inparticular floats in the air when it dries out, and can cause infection by entering the airways, so it
is important that vomit or excreta is not allowed to dry.
1. Disposal procedure
When performing disposal, be sure to open windows to allow sufficient ventilation.
i) First, put on disposable gloves and a mask. Ideally, goggles and a plastic apron should also be worn.
ii) Cover the vomit with a wetted paper towel or a disposable cloth.
iii) Holding the paper towel, etc. from the outside, gather the vomit into the center and place it in a
doubled-up plastic bag. When wiping it up, do so gently to avoid scattering the virus contained
within the substance being disposed of.
Then wipe it again with a wetted paper towel, etc.
iv) Next, using a 0.02% chlorine-based disinfectant (dilute commercial bleach products with achlorine concentration of 5-6% by two hundred times) such as sodium hypochlorite, soak the floor
with a paper towel, etc. For example, add one capful of the chlorine-based disinfectant to a 1-litre
PET bottle of water.
After this, wipe away the water. Put the paper towels used for wiping in the plastic bag as well.
v) After finished wiping the floor, change out the disposable gloves for new items. When doing so,take them off in such a way that the used outer surface is on the inside, and immediately put themin the plastic bag, being careful not to touch your clothes or body.
vi) Close the plastic bag with the substance for disposal tightly and treat it as infectious waste.
vii) After completing the above disposal procedure, the person performing the task must, without fail,wash their hands with soap and running water.

*This manual was created pursuant to the revised School Health and Safety Act, which came intoeffect on July 1, 2019.