Overview of medical care in remote islands and mountainous areas

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From Izu Oshima, home to the Camellia Festival in the north, to Aogashima, which has the smallest population (population) in the country, each island has its own distinct characteristics, and the Ogasawara Islands, a World Natural Heritage Site. Surrounded by the blue sea, these 11 (inhabited) isolated islands, large and small, seem surprisingly little known, but they are also part of Tokyo.
On the other hand, Okutama Town and Hinohara Village are surrounded by deep greenery. This is a mountainous area with over 90% forest coverage, located on the western edge of Tokyo.
The Tokyo Metropolitan Government has positioned these remote islands and mountainous areas as remote areas where it is necessary to secure medical care, and is implementing various measures. There are no doctors-free villages in Tokyo, even on small remote islands with a population of less than 200, where holistic medical care is provided where residents can see their faces.

* Click here for links to medical institutions in each municipality

The aging rate of the residents is high, in the 50% range in mountainous areas, and over 35% on average in remote island areas, although it varies greatly from island to island. (Reference: Average 22% in Tokyo)
Due to the characteristics of the remote islands and mountains in Tokyo, cooperation with related organizations such as welfare and home-visit medical care have been carried out for a long time. You can say that.
In addition, since Tokyo's remote island medical care is medical care on inhabited remote islands scattered over a vast sea area stretching 1000 km north to south, any patient (all clinical departments from children to the elderly, chronic diseases to tertiary emergency patients) must also be addressed. 7 out of 11 islands are equipped with CT scanners, and the medical facilities are quite good for a remote island area. Based on this, we are transporting patients by air to metropolitan hospitals such as Hiroo Hospital.

In addition, an image transmission system has been installed between the metropolitan Hiroo Hospital and public medical institutions on remote islands, enabling transmission and reception of X-rays and CT images, as well as web conferencing. We are preparing the environment (2021 interpretation results: 1,307 cases, 585,640 images).
In this way, the Tokyo Metropolitan Government and remote islands and mountain towns and villages are working together to secure and enhance medical care in this region.

Click here for information on the Tokyo Metropolitan Organization for Medical Care in Remote Areas

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