Silviase/jgov_v1.4_full_ann huggingface dataset:
## Outline of Results of National Health and Nutrition Survey 2011

## National Health and Nutrition Survey

Objective: Amassing of basic information for comprehensive promotion of national health in accordance with the Health Promotion Act (Act No.103 of 2002)

Subjects: Households in 300 unit areas randomly selected from unit areas established in the Comprehensive Survey of Living Conditions 2011 (approximately 5,700 households), and members of households aged 1 or older (approximately 15,000 persons)

Survey items: [Survey on physical condition] Height, weight, abdominal circumference, blood pressure, blood tests, number of steps taken when walking, interview (medication status, exercise)

[Survey on nutritional intake] Food intake, nutrient intake, etc., dietary situation (skipping meals, eating out, etc.)

[Survey on lifestyle] General lifestyle encompassing dietary habits, physical activities, exercise, rest (sleep), alcohol usage, smoking, dental health, etc.

## Key points of the results of the survey

• When compared to 2001, and with regard to the status of fresh food consumption, the amount of intake of vegetables, fruits, fish, and shellfish decreased while that of meat increased. By age group, the amount of intake of vegetables, fruits, fish, and shellfish is small with those aged 20-49.

• Of those that usually acquire fresh food, the percentage, the reason for refraining from acquiring or not being able to acquire fresh food over the last year was the highest in percentage with “too expensive” at 30.4% (over 40% for those aged 20-49).

• The amount of intake by annual household income reveals that the amount of intake of vegetables was small with males and that of fruits and meat was small with both males and females in households with income of less than ¥2 million income when compared to households with income of ¥6 million or more.

• The percentage of households that had stocked a supply of emergency food was 47.4%. By regional block, the percentage was the highest with Tokai block at 65.9% and the lowest with Kyushu block at 24.6%.

##

• The percentage of habitual smokers was 20.1% (32.4% of males and 9.7% of females).

• The percentage of those whose smoking status was affected by the rise in price of cigarettes in October 2010 was 29.2%. Of them, the percentage of those that answered “stopped smoking” due to the impact of the increase in the price of cigarettes was 15.0% and “continued smoking but reduced the amount” was 39.0%.
## Detailed Data 1 Status of Formulating Health Promotion Plans in Prefectures/Municipalities

[Status of formulating health promotion plans in prefectures] Already formulated in every prefecture (at the end of March 2002)

[Status of formulating health promotion plans in municipalities and special wards]

Total	Formulated	Plan to formulate in FY2012	Plan to formulate in FY2013	Plan to formulate in FY2014 or later	No plan
Health center-designated cities	69	68	0	1	0	0
Special wards in Tokyo	23	23	0	0	0	0
Other municipalities	1,651	1,335	56	86	130	48

(As of January 1, 2013)

[Status of formulating health promotion plans in municipalities by prefectures]

Prefecture	No. of municipalities	Formulated	Formulation rate	FY2012	FY2013	FY2014 or later	No plan
Hokkaido	175	102	58.3%	15	15	44	3
Aomori	39	39	100.0%	0	0	0	0
Iwate	32	31	96.9%	0	1	0	0
Miyagi	34	34	100.0%	0	0	0	0
Akita	24	22	91.7%	0	1	2	0
Yamagata	35	35	100.0%	0	0	0	0
Fukushima	57	35	61.4%	4	2	16	0
Ibaraki	44	33	75.0%	5	4	2	0
Tochigi	25	25	100.0%	0	0	0	0
Gunma	33	32	97.0%	0	0	1	0
Saitama	61	42	68.9%	1	6	12	0
Chiba	51	25	49.0%	0	2	6	18
Tokyo	37	27	73.0%	0	0	9	1
Kanagawa	28	20	71.4%	2	2	2	1
Niigata	29	29	100.0%	0	0	0	0
Toyama	14	14	100.0%	0	0	0	0
Ishikawa	18	17	94.4%	0	1	0	0
Fukui	17	17	100.0%	0	0	0	0
Yamanashi	27	27	100.0%	0	0	0	0
Nagano	76	58	76.3%	5	5	5	3
Gifu	41	38	92.7%	0	3	0	0
Shizuoka	33	33	100.0%	0	0	0	0
Aichi	50	49	98.0%	1	0	0	0
Mie	28	18	64.3%	0	7	3	0
Shiga	18	17	94.4%	0	0	1	0
Kyoto	26	19	73.1%	1	0	2	4
Osaka	38	33	86.8%	1	1	2	1
Hyogo	37	37	100.0%	0	0	0	0
Nara	38	34	89.5%	0	1	1	2
Wakayama	29	19	65.5%	0	1	5	4
Tottori	19	18	94.7%	0	1	0	0
Shimane	19	19	100.0%	0	0	0	0
Okayama	25	25	100.0%	0	0	0	0
Hiroshima	20	20	100.0%	0	0	0	0
Yamaguchi	18	16	88.9%	2	0	0	0
Tokushima	24	19	79.2%	2	3	0	0
Kagawa	16	16	100.0%	0	0	0	0
Ehime	19	19	100.0%	0	0	0	0
Kochi	33	30	90.9%	2	1	0	0
Fukuoka	56	24	42.9%	2	9	10	11
Saga	20	15	75.0%	2	1	2	0
Nagasaki	19	19	100.0%	0	0	0	0
Kumamoto	44	31	70.5%	3	9	1	0
Oita	17	17	100.0%	0	0	0	0
Miyazaki	25	21	84.0%	2	2	0	0
Kagoshima	42	34	81.0%	0	6	2	0
Okinawa	41	31	75.6%	6	2	2	0
1,651	1,335	80.9%	56	86	130	48

(Note) Excluding health center-designated cities and special wards.
Detailed Data 2 Number of Patients and Deaths Related to Lifestyle Diseases

Total number of patients (1,000 persons)	Number of deaths (Person)	Mortality rate (Per 100,000 persons)
Malignant neoplasm	1,526	360,790	286.4
Diabetes	2,700	14,452	11.5
Hypertensive diseases	9,067	7,254	5.8
Heart diseases	1,612	198,622	157.7
Cerebrovascular diseases	1,235	121,505	96.5

Source:

"Patient Survey 2011", Statistics and Information Department, Minister's Secretariat, MHLW

"Summary of Monthly Report of Vital Statistics", Statistics and Information Department, Minister's Secretariat, MHLW (2012 approximate figures)

(Note) Total number of patients excludes Ishinomaki and Kesennuma medical districts of Miyagi Prefecture and Fukushima Prefecture due to the effect of the Great East Japan Earthquake.

Detailed Data 3 Prevalence related to Diabetes

Males (survey samples: 1,619)	Females (survey samples: 2,384)
Age	Strongly suspected of having diabetes	With possibilities of having diabetes	Strongly suspected of having diabetes	With possibilities of having diabetes
20-29	1.1%	0%	0%	0.9%
30-39	3.0%	3.0%	0.5%	5.4%
40-49	7.6%	11.0%	2.9%	10.4%
50-59	12.1%	16.7%	5.6%	20.8%
60-69	22.1%	17.3%	14.1%	18.2%
70 or older	22.6%	18.4%	11.0%	23.8%

When the above figures are applied to the estimated population as of October 1, 2007, the estimated numbers nationwide are as follows:

• Those strongly suspected of having diabetes: approx. 8.9 million persons

• Those with possibilities of having diabetes: approx. 13.2 million persons

Source: "National Health and Nutrition Survey 2007", Health Service Bureau, MHLW
Source: “National Health and Nutrition Survey 2011”, Health Service Bureau, MHLW

(Note) Persons with exercise habits: Those who have been continuing daily exercise of 30 minutes or longer at least 2 days a week for at least a year.

Detailed Data 5 Secular Trend in Distribution of Fat Energy Ratio (Aged 20 or Older)

| 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004
1 | 48.2 | 49.8 | 51.2 | 55.3 | 50.8 | 53.1 | 53.1 | 53.6
2 | 25.3 | 25.3 | 24.7 | 23.2 | 24.6 | 23.9 | 24.2 | 23.7
3 | 26.5 | 24.9 | 24.1 | 21.5 | 24.6 | 23.0 | 22.7 | 22.7

Source: "National Health and Nutrition Survey", Health Service Bureau, MHLW

Males
2011	52.6	25.7	21.6

2010	55.8	23.6	20.7

2009	57.0	23.0	20.0

2008	61.4	21.1	17.4

2007	55.8	23.6	20.6

2006	59.0	22.9	18.1

2005	58.5	23.3	18.2

2004	58.6	22.6	18.8

(Note) Fat energy ratio: Percentage of energy intake from fat

| 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004
Red | 44.5 | 44.6 | 46.4 | 50.0 | 46.5 | 48.0 | 48.4 | 49.4
Green | 24.9 | 26.8 | 26.0 | 25.0 | 25.3 | 24.8 | 25.0 | 24.7
Yellow | 30.6 | 28.5 | 27.6 | 25.0 | 28.1 | 27.2 | 26.6 | 25.9

Less than 25%	25% or morebut less than 30%	30% or more
Detailed Data 6 Average Intake of Vegetables, etc. (Aged 20 or Older, by Gender/Age)

Source: "National Health and Nutrition Survey 2011", Health Service Bureau, MHLW

(Note) The figures in parentheses indicate the total intake of "bright red, green or yellow vegetables" and "other vegetables (excluding bright red, green or yellow vegetables)".
Source: "National Health and Nutrition Survey 2011", Health Service Bureau, MHLW

## Detailed Data 8 Smoking Rate in Japan

Source: “National Nutrition Survey” up to 2002 and “National Health and Nutrition Survey” from 2003 onward

(Note) Definition of smoking and survey methods differ between the National Nutrition Survey and the National Health and Nutrition Survey hence figures cannot simply be compared.

Smoking rate in foreign countries (\%)

Country	Males	Females
Japan	(32.2)	(8.4)
32.4	9.7
Germany	(34.8)	(27.3)
34.8	27.3
France	(33.3)	(26.5)
35.6	27.4
Netherlands	(31.0)	(25.0)
28.1	22.1
Italy	(28.3)	(16.2)
32.8	19.2
U.K.	(22.0)	(20.0)
22.0	21.0
Canada	(19.9)	(15.5)
19.1	15.8
U.S.A.	(23.9)	(18.0)
21.6	17.4
Australia	(16.6)	(15.2)
19.9	16.3
Sweden	(16.5)	(18.8)
12.8	15.7

Source: WHO Tobacco ATLAS (2012) "National Health and Nutrition Survey 2011" for the figures for Japan

(Note) The figures in parentheses are from WHO Tobacco ATLAS (2009) and the National Health and Nutrition Survey 2010
## Overview 8020 (Eighty-Twenty) Campaign

[History of 8020 (Eighty-Twenty) Campaign]

1989	A Study Group on the Dental Health Policy for Adults made public its interim report in which the "8020 (Eighty-Twenty) Campaign" calling for the retention of 20 or more teeth even at age 80 was proposed.
1991	"Promotion of 8020 Campaign" was set to be the major objective for the Dental Hygiene Week (June 4-10).
1992	"8020 Campaign promotion measure projects" launched for dissemination and enlightenment of the 8020 Campaign (until 1996).
1993	8020 Campaign promotion support projects launched for smooth implementation of 8020 Campaign promotion measure projects (until 1997).
1996	Study Group on the Future Dental Health and Medical Care pointed out in its written opinion that pointed out that the 8020 Campaign should be developed in a more practical and community-oriented manner.
1997	Municipal dental health promotion projects (menu projects) launched.
2000	Prefecture-led "8020 Campaign promotion special projects" launched.
2003	Dental health support model projects for operators of health promotion projects launched.
2006	The results of the "Survey of Dental Diseases (2005)" was published to reveal that the percentage of persons achieving 8020 reached over 20% for the first time since the survey started.
2008	8020 Campaign marked the 20th anniversary.
2011	The Act on Advancement of Dental and Oral Health was approved.

## [Relationship between 8020 Campaign and Health Japan 21]

The “8020 Campaign” and “Health Japan 21” are complementary to each other and the projects to accomplish the goals of Health Japan 21 have been implemented within the framework of the 8020 Campaign. As dental health was explicitly stated as a key point in the Health Promotion Act, further promotion of lifelong dental health projects (8020 Campaign) is expected.

Changes in Percentage of Persons Having 20 or More Teeth by Age Group

Age Year	40-44	45-49	50-54	55-59	60-64	65-69	70-74	75-79	80-85	85+
1993	92.9%	88.1%	77.9%	67.5%	40.9%	31.4%	25.5%	10.0%	11.7%	5.6%
1999	97.1%	90.0%	84.3%	74.6%	64.9%	48.8%	31.9%	17.5%	13.0%	3.0%
2005	98.0%	95.0%	88.9%	82.3%	70.3%	57.1%	42.3%	27.1%	21.1%	8.3%

Source: “Survey of Dental Diseases”, Health Policy Bureau, MHLW
## Cancer Control Measures

## Overview

## Future Direction with the “3rd-Term Comprehensive 10-year Cancer Control Strategy”

Goal of the strategy: Substantially decrease the prevalence and death rate of cancer, which is a major cause of death in Japan, through comprehensive promotion of research, prevention, and treatment.

## Promotion of cancer research

(1) Rapid promotion of research to elucidate the nature of cancer with cross-scientific ideas and through introducing the latest science and technology.

(2) Promotion of translational research for active utilization of basic research results in prevention, diagnosis, and treatment

(3) Development of innovative prevention methods

## Promotion of cancer prevention

(4) Development of innovative diagnostic/treatment methods

(5) Identification of the actual situation with cancer and distribution and dissemination of cancer information/treatment technologies

Improved social environment with improved cancer medical care and support

## Substantial decrease in the prevalence/death rate of cancer

(1) Establishment of effective cancer prevention methods

(2) Promotion of knowledge dissemination on cancer prevention

(3) Improved preventive measures against cancer caused by infectious diseases

(4) Early discovery/treatment of cancer

(1) Improved cancer research/treatment functions of core facilities

(2) "Eeualization" of cancer medical services

(3) Improved quality of life (QOL) for cancer patients

(4) Promotion of international cooperation/exchanges and cooperation between industry, the government, and academia
Detailed Data Statistics on Cancer (as of March 1, 2012)

Item	Current status	Source
Number of deaths	Total of 360,790 persons (28.7% of all causes of death)
[215,011 males (32.8% of all causes of death)]
[145,779 females (24.3% of all causes of death)]
→ “1 in every 3.5 Japanese die of cancer”
* Risk of cancer increases with age
→ The gross number of deaths is increasing (effect of aging)
* The age-adjusted mortality (younger than 75) has been on a declining trend since 1995 (108.4 in 1995 → 84.3 in 2010)
* Types of cancers are changing	Vital Statistics of Japan
(2012 approximates)
(Recounted by the Center for Cancer Control and Information Services, National Cancer Center)
Incidence rate	743,664 persons
[427,949 males]
Major sites: [1] stomach, [2] large intestine, [3] lung,
[4] prostate gland, [5] liver
[315,715 females]
Major sites: [1] breast, [2] large intestine, [3] stomach, [4] lung,
[5] uterine cervix
* Including esophageal, colon, lung, skin, breast, uterine cervix, and carcinoma in situ bladder cancer	Estimates based on population-based cancer registry (2007)
Lifetime risk	Male 54%, Female 41%
→ “1 in every 2 persons will contract cancer in Japan”	Estimates by Center for Cancer Control and Information Services, National Cancer Center (2005)
Patients and persons receiving treatment	The number of persons requiring constant treatment was 1.53 million
• The number of persons hospitalized at the time of the survey was 134,800
• The number of outpatients was 163,500
• 298,300 persons received treatment per day
(3.5% of those receiving treatment)	Patient Survey
(2011)
Medical care expenditure for cancer	¥3,031.2 billion
* 11.1% of total medical fees of medical treatment	Estimates of National Medical Care Expenditure (2010)

(Note) The figures of Patient Survey exclude Ishinomaki and Kesennuma medical districts of Miyagi Prefecture and Fukushima Prefecture due to the effect of the Great East Japan Earthquake.
## Overview Outline of Intractable Disease Measures

Various projects have been implemented in accordance with the "Outline of Intractable Disease Measures" compiled in 1972.

Types of projects

$ ^{*1} $ Diseases subjected to focused research and cross-sectional basic research are the same as those subjected to clinical investigations/research.

$ ^{*2} $ In addition to the 56 diseases the research project on the treatment of specified diseases includes the research project on hemophilia treatment, etc.
## Development of countermeasures against zoonoses

• Prohibition of the import of monkeys, masked palm civets, bats, African soft-furred rats, prairie dogs, etc.

• Establishment of the import quarantine system for monkeys from designated exporting countries

• Designation of 10 diseases, including Ebola hemorrhagic fever, etc., as subjects of notification obligation for veterinarians

• "Notification System for the Importation of Animals" to require importers of living mammals and birds, and carcasses of rodents and Lagomorpha to report necessary information to the Minister of Health, Labour and Welfare (quarantine station) along with a health certificate issued by government authorities of the exporting countries

## Development of regulation on possession of pathogens, etc

• Regulation through enforcement of standards of prohibition, permission, notification, and facilities according to the classification of Type 1, 2, 3, and 4 pathogens, etc.

• Establishment of standards on facilities according to the types of pathogens, etc.

• Development of regulations on prevention of infectious disease outbreaks, selection of persons in charge of handling pathogens, and obligation for the owners to notify the transportation of pathogens, etc.

• Supervision by the Minister of Health, Labour and Welfare on facilities handling pathogens, including on-site investigation of the facilities and orders of corrective measures for sterilization/transfer methods, etc.

## Development of measures against novel influenza

• Implementation of measures, including hospitalization, etc. and enabling measures equivalent to those for Type 1 infectious diseases to be taken by Cabinet Order

• Request for persons possibly infected to report health status and abstain from going out

• Disclosure of information regarding outbreak and measures to be taken, etc.

• Report on progress from prefectural governors

• Enhancement of cooperation between prefectural governors and directors of Quarantine Stations
## Tuberculosis Measures

## Overview Outline of Tuberculosis Prevention Measures

A. Regular physical checkups (tuberculin test, X-ray test, etc.)	Elderly, (high school) students, employees working at school and hospitals, and facility residents
B. Regular preventive vaccination (BCG)	Infants younger than 6 months old
C. Patient management	Notification
Registration
Health guidance
Screening for proper disease management
D. Infection prevention	Work restriction, etc.
Sterilization, etc.
On-site investigatio
E. Medical care (public fund)	Hospitalization care
Proper medical care

Detailed Data 1 Changes in Number of Newly Registered Tuberculosis Patients, Prevalence Rate, and the Number of Deaths

Number of newly registered patients	Prevalence rate	Number of deaths	Rate of deaths
(Person)	(Per 100,000 persons)	(Person)	(Per 100,000 persons)
1960	489,715	524.2	31,959	34.2
1965	304,556	309.9	22,366	22.8
1970	178,940	172.3	15,899	15.4
1975	108,088	96.6	10,567	9.5
1980	70,916	60.7	6,439	5.5
1985	58,567	48.4	4,692	3.9
1990	51,821	41.9	3,664	3.0
1995	43,078	34.3	3,178	2.6
1999	43,818	34.6	2,935	2.3
2000	39,384	31.0	2,656	2.1
2001	35,489	27.9	2,491	2.0
2002	32,828	25.8	2,317	1.8
2003	31,638	24.8	2,337	1.9
2004	29,736	23.3	2,330	1.8
2005	28,319	22.2	2,296	1.8
2006	26,384	20.6	2,269	1.8
2007	25,311	19.8	2,194	1.7
2008	24,760	19.4	2,220	1.8
2009	24,170	19.0	2,159	1.7
2010	23,261	18.2	2,129	1.7
2011	22,681	17.7	2,166	1.7

Source: “Aggregate Result of the Annual Reports of Surveillance of Tuberculosis”, Health Service Bureau, MHLW

“Vital Statistics”, Statistics and Information Department, Minister's Secretariat, MHLW

(Note) The figures for 1998 and later do not include those of atypical mycobacteria positive.
Detailed Data 2 Tuberculosis Prevalence Rate by Prefecture (as of the end of 2011)

Prefecture	Prevalence rate
5 prefectures with the lowest prevalence rate	Iwate	8.9
Miyagi	9.8
Nagano	10.1
Gunma	11.2
Yamagata	11.3
5 prefectures with the highest prevalence rate	Osaka	28.0
Tokushima	23.6
Wakayama	23.5
Tokyo	22.9
Gifu	21.0

Detailed Data 3 International Comparison of Tuberculosis Prevalence Rate

Country	Prevalence rate	Year
U.S.A.	4.1	2010
Canada	4.7	2010
Sweden	6.8	2010
Australia	6.3	2010
Netherlands	7.3	2010
Germany	4.8	2010
Denmark	6.0	2010
Italy	4.9	2010
France	9.3	2010
U.K.	13.0	2010
Japan	17.7	2011

Source: Global Tuberculosis Control WHO Report 2011
Overview

Outline of AIDS Control Measures

1. Survey of trends in the occurrence of AIDS

2. Investigative projects on the actual conditions of patients with blood coagulation abnormalities

3. Health and welfare consultation projects for HIV-infected patients, etc.

4. Liaison council of prefectures subjected to focused guidance

5. Education and training on AIDS

6. HIV testing and consultation projects at health centers, etc.

1. Operation of HIV treatment support network systems

2. Establishment of private rooms, etc. for AIDS treatment

3. Improved medical equipment at core AIDS treatment hospitals

4. Enlightenment and promotion projects on AIDS treatment

5. Development of AIDS treatment research information networks

6. Overseas on-the-job training for medical professionals of core AIDS treatment hospitals

7. Promotion projects on developing core hospitals in regional-blocks

8. HIV specialist doctor information network support projects

9. Seminars on infection prevention for dental care professionals

10. Securing medical service provision systems

11. Research on hemophilia treatment, etc.

AIDS control measures

1. Research on AIDS control measures

2. Comprehensive research on policies and drug development

3. Investigation and research projects on HIV patients infected through blood products in preventing the onset of AIDS

4. Research projects on treatment for complications from AIDS and tuberculosis

5. Research promotion projects, including inviting researchers to Japan from overseas

6. Operation of AIDS research centers

7. Joint use installation of expensive research equipment

## I nternational cooperation

Respect for human rights, public education, and new ways of cooperation with related institutions

1. Financial contributions to the Joint United Nations Programme on HIV/AIDS

2. Projects involving the discussion and promotion of international cooperation plans for AIDS

3. Projects involving researchers being sent to the International Congress on AIDS

1."World AIDS day" enlightenment/promotion projects

2. Enlightenment and promotion (distribution of booklets, etc.)

3. Evaluation/discussion of AIDS control measures

4. AIDS prevention information center projects

5. Projects for AIDS control measures for young people

6 Support projects involving NGOs, etc.

AIDS control measures promotion projects by prefectures, etc.

• Projects to establish/operate an AIDS Control Promotion Council, etc.

• Projects to train and develop human resources to engage in the promotion of AIDS control measures

• Dissemination/enlightenment activity projects involving AIDS control measures in regions

• Promotion projects for care at core AIDS treatment hospitals, etc.

Operation of National Center for Global Health and Medicine

## • Clinical research on AID
## 3 important areas on which measures should be focused

## Dissemination, enlightenment, and education

• Provision of basic information and correct knowledge on HIV/AIDS

• Development of and preparation of manuals on dissemination/enlightenment methods

• Measures for young people and homosexuals

## I mprovement of test/consultation system

## Provision of medical care services

• Establishment of HIV test promotion week (June 1 to 7 every year)

• Development of test methods, preparation of manuals on test/consultation methods

• Establishment of more accessible test system (night time on weekdays, holidays, quick test, etc.)

• Formulation of annual test plans and implementation of consultations regarding tests

• Establishment of outpatient team medical care

• Discussion on hospital-clinic cooperation → creation of hospital-clinic cooperation model projects

• Securing medical care system in prefectures, including establishment of core hospitals

• Support for cooperation between respective hospitals through establishing conferences, etc.

## New methods to support implementation of measures

o Enhanced cooperation with NGOs for implementing measures, including dissemination and enlightenment

o Promotion of comprehensive AIDS control measures through conducting regular conference among relevant ministries and agencies

○ Focused cooperation with prefectures, etc. with large numbers of infected persons/patients