From September 26, 2022, the target of the new coronavirus infectious disease outbreak notification has been reviewed. Those who fall under any of the following 1 to 4 are eligible to submit a new coronavirus infection notification from a medical institution to a public health center.

1. 65 years old or older
2. Those who need to be hospitalized
3. Those who are at risk of aggravation and who need administration of new corona therapeutic drugs. Or those who are at risk of aggravation and need new oxygen administration due to new corona infection
4. Pregnant woman

Those who are eligible will be contacted by the public health center (by sending a short message service (SMS). Calling if necessary).
Also, if you wish to have food or a pulse oximeter delivered, please refer to the following "When a person subject to notification applies for a pulse oximeter rental or meal delivery service".

Those who are not eligible will not be contacted by the public health center because the medical institution will not submit an outbreak notification to the public health center. Please register yourself as positive at the "Tokyo positive person registration center" .

By registering with the "Tokyo Positive Person Registration Center" , you can receive follow-up services such as health observation by the center, pulse oximeter rental and meal delivery services, and applications for accommodation treatment.

This is a dedicated homepage for the Tokyo Metropolitan Government. Patients who are not subject to notification of outbreaks and who have been diagnosed positive at a medical institution or who have become positive in self-tests without visiting a medical institution can register.

While the Omicron strain is the mainstream, we have not taken measures such as active epidemiological surveys, including identifying close contacts of infected people, based on the characteristics of the Omicron strain. We will give priority to measures for the elderly, facilities for the disabled, medical institutions, etc., so we ask for your understanding and cooperation.

Priorities for the time being

1. Activities to provide medical care to patients at risk of aggravation, such as hospital adjustment
2. Measures for groups that are likely to become seriously ill, such as facilities for the elderly, facilities for the disabled, and medical institutions

We contact person targeted for outbreak report by the next day from day when there was report from medical institution. In addition, telephone contact is limited to those at risk of aggravation, such as the elderly. Other people will be contacted by short message service (SMS), so be sure to check the content (see the bottom of the page).
If more than two days have passed since your diagnosis and you have not heard from the public health center by phone or short message service, please contact the Meguro-ku Novel Coronavirus Call Center.

If you are not eligible to report the outbreak to the public health center, please register at the "Tokyo Positive Person Registration Center" above.

Precautions to be followed during home care

1. Please do not go out and recuperate at home. However, if the person with symptoms has passed 24 hours after the symptoms have subsided (Note), or if there are no symptoms, limit the time spent going out or interacting with people to a short period of time, do not use public transportation when traveling, and go out. It is possible to go out to the minimum necessary extent, such as shopping for groceries, on the premise that you will take voluntary infection prevention actions such as wearing a mask when you are in contact with people.
   Note: “Symptoms resolved” means that the fever has subsided without the use of antipyretics and the respiratory symptoms tend to improve.
2. If you suspect that your illness is becoming more severe (such as difficulty breathing or severe fatigue), call 119 or call the number below.

This is the website of the Ministry of Health, Labor and Welfare. Information on medical institutions that support online medical treatment is posted.

If you have submitted an outbreak notification from a medical institution to the public health center and would like to have food or a pulse oximeter delivered, please contact the Home Care Support Center (Uchisapo Tokyo).

"Home Recuperation Support Center (Uchisapo Tokyo)" (24 hours available)
Phone: 0120-670-440

This is the website of the Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government, which has a form for applying for the delivery of food and a pulse oximeter.

If you are ineligible for notification of the outbreak and would like to stay at a facility provided by the Tokyo Metropolitan Government, please contact the Tokyo Metropolitan Government Accommodation Recuperation Application Desk (Tel: 03-5320-5997).
In addition, those who are not subject to notification of outbreaks and wish to receive accommodation treatment are required to register with the "Tokyo Positive Person Registration Center".

If you are eligible for notification of the outbreak and wish to stay overnight, please contact the "Meguro-ku New Corona Call Center (Phone: 0120-540-380)".

"Tokyo accommodation medical treatment application counter" (open all year round, from 9:00 to 16:00)

Phone: 03-5320-5997

Application conditions

• People under the age of 65 living in Tokyo
• Asymptomatic or mild symptoms (such as coughing but not difficulty breathing)

In some cases, the person in charge of the Tokyo metropolitan government asks you about your symptoms, and you may not be able to enter the facility.

This is a handbook that summarizes the points you should be aware of when spending time at home.

This leaflet summarizes the points that pregnant women should be aware of.

1.Symptoms

If 7 days have passed since the day of onset (0 days) and 24 hours have passed since the symptoms resolved (Note), treatment can be canceled from the 8th day. If the symptoms have not improved on the 7th day, the medical treatment can be canceled after 24 hours have passed since the symptoms improved.
However, since the risk of infection remains until 10 days have passed, there is a high risk of infection, such as checking the health condition by temperature measurement, contacting high-risk people such as the elderly, unnecessary and non-urgent visits to high-risk facilities, etc. Please take voluntary infection control measures such as avoiding the use of places and eating out, and wearing a mask.
For those who are hospitalized (including those living in facilities for the elderly), if 10 days have passed from the date of onset of symptoms and 72 hours have passed since the symptoms subsided, from the 11th day Treatment can be canceled.

Note: “Symptoms resolved” means that the fever has subsided without the use of antipyretics and the respiratory symptoms tend to improve.

2.Those who have no symptoms

If 7 days have passed since the sample collection date (examination date) is day 0, medical treatment can be canceled from the 8th day. (If the test with the test kit on the 5th day is confirmed to be negative, the medical treatment can be canceled on the 6th day. If the test on the 6th day is confirmed to be negative, it will be canceled on the same day (confirmation of test results). However, since the risk of infection remains until 7 days have passed, it is possible to check the health condition by temperature measurement, contact with high-risk people such as the elderly, and avoid going to high-risk facilities. Please take voluntary infection control measures, such as avoiding non-essential visits, using places with a high risk of infection, eating together, etc., and wearing a mask.)

Among those who have been in contact with an infected person during the infectious period (from 2 days before the onset of symptoms to during the recuperation period), those who fall under the following range are considered "close contacts". (From the National Institute of Infectious Diseases "Proactive Epidemiological Survey Implementation Guidelines")

1. People who have been in contact for more than 15 minutes without the necessary infection prevention measures (masks, etc.) at a distance where they can touch with their hands (1 meter as a guideline) comprehensively judge the infectivity)
2. People who live with an infected person or who have been in contact with an infected person for a long time (in a car, on an airplane, etc.)
3. A person who examined, nursed, or cared for an infected person without proper infection protection
4. Persons who are likely to have come into direct contact with contaminants such as respiratory secretions or bodily fluids of an infected person

Waiting period for close contacts

Please refrain from going out for 5 days and observe your health for 7 days, starting from the day after the infected person's onset of symptoms (the day the specimen was collected if there are no symptoms) or the day after infection control was taken, whichever is later . .
If you are not living with an infected person, please refrain from going out for 5 days from the day after your last contact with an infected person and monitor your health for 7 days.

However, if a negative result can be confirmed by testing using an antigen qualitative test kit approved by the pharmaceutical affairs on the 2nd and 3rd days of the waiting period (testing at own expense), the waiting period can be canceled from the 3rd day. (Infants are not expected to use an antigen qualitative test kit, so they will be on standby for 5 days. In addition, some elementary and junior high schools may not allow children to come to kindergarten or school from the 3rd day, and may require a 5-day waiting period. We may ask you to refrain from going out and observe your health for 7 days, so please contact the relevant departments for details.)

In this case, there is no need to individually confirm the cancellation decision with the public health center.

In addition, contact with people who are at high risk of becoming seriously ill if infected, such as the elderly and those with underlying diseases (hereinafter referred to as "high-risk people"), and elderly people and people with disabilities who are hospitalized with many high-risk people Please avoid unnecessary and non-urgent visits to children's facilities and medical institutions, use places with a high risk of infection, avoid eating together, and wear a mask to prevent infection.
In addition, if it turns out that the infected person was infected with a strain other than the Omicron strain, the waiting period will be 14 days.

Precautions to be observed during the waiting period

• Please reduce contact with others and stay at home. Please refrain from going out unnecessarily. Please refrain from commuting to work or school. Also, don't use public transportation.
• Please disinfect your surroundings. For more information on disinfection, please see "Disinfection for new coronavirus infections" .
• Please monitor your health every day, and if you have symptoms such as fever, cough, or malaise, please consult a medical institution or contact the Tokyo Fever Consultation Center (phone: 03-5320-4592). In addition, when visiting a medical institution, be sure to call in advance and wear a mask at the designated time. Since the treatment is covered by insurance, you will be responsible for paying the first visit fee at the counter.

If you wish to have a PCR test, please consult with your family doctor. Also, please call the medical institution in advance to confirm that you are a close contact person and check if you can be tested. If you can take the test, please come to the hospital wearing a mask at the time specified by the medical institution. Since the treatment is covered by insurance, you will be responsible for paying the first visit fee at the counter.

Only medical institutions located in Meguro Ward are included in the list of medical examination and examination medical institutions located in Meguro Ward, which are listed on the website of the Bureau of Social Welfare and Public Health of the Tokyo Metropolitan Government. This is what I did.

This is the website of the Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government. Information on where to consult if you have symptoms such as fever or other symptoms suspected of being infected with the new coronavirus.

Priority will be given to facilities for the elderly, facilities for the disabled, and medical institutions.
In addition, if it is necessary to close the facility to prevent the spread of infection, the public health center will request it.
If there is no request, the person in charge of the facility will make the decision to close.

A function has been added to the new coronavirus infectious disease patient information acquisition and management support system (hereinafter referred to as My HER-SYS) that allows those who have completed home treatment to display and verify their medical certificate by themselves. In addition, it is limited to person who submitted report of outbreak to public health center from medical institutions that can display home medical treatment certificate.
It cannot be displayed if you have just tested yourself and have not submitted an outbreak report from a medical institution.
Notes

• If you are diagnosed with a new coronavirus infection after September 26, 2022, you will be divided into "notified" or "not subject to notification" of the outbreak notification. Those who are not subject to notification cannot display the home care certificate on My HER-SYS.
• If a close contact of an infected person, such as a family member living together, becomes symptomatic, and a clinical diagnosis made by a doctor without testing at a medical institution is deemed positive, the certificate of medical treatment cannot be displayed. .

With this function, if the period of medical treatment is within the period indicated by the Ministry of Health, Labor and Welfare's medical treatment cancellation criteria, it is possible to receive benefits, etc., without preparing a medical treatment certificate issued by the public health center. There are cases. Please check with your insurance company for details.

This is the login page for the new coronavirus infectious disease patient information acquisition and management support system (My HER-SYS).

Initial registration is required to log in. For the first registration, you will need an email address and the "HER-SYS ID" given to each person infected with the new coronavirus, so if you do not know your ID, please contact the Meguro Public Health Center. Please inquire.

After logging in, there is a button "Display medical certificate" on the top page, so you can display the medical certificate by pressing the button. In addition, since the screen of the certificate of medical treatment cannot be downloaded, please use it as a screen shot.

Those who can issue a home care certificate are limited to those who have submitted an outbreak notification to the public health center from a medical institution. For this reason, we cannot issue a certificate if you have not submitted an outbreak report from a medical institution, etc. just by testing yourself.

In addition, if you are diagnosed with a new coronavirus infectious disease after September 26, 2022, you will be divided into "subject to notification" or "not subject to notification" in the outbreak notification. Those who fall under any of the following 1 to 4 are eligible for notification.

1. 65 years old or older
2. Those who need to be hospitalized
3. Those who are at risk of aggravation and who need administration of new corona therapeutic drugs. Or those who are at risk of aggravation and need new oxygen administration due to new corona infection
4. Pregnant woman

If you do not fall under any of the above, you will not be subject to the notification of occurrence, and we will not be able to issue a certificate.

If you are diagnosed with a new coronavirus infectious disease before September 25, 2022, all people will be subject to notification of outbreak notification, and a certificate can be issued. Certificates cannot be issued for those who have been in close contact with the patient because they have not submitted an outbreak report.

Application method

Applications for issuance of medical certificate are accepted online.
It will be sent in approximately one month (the sending schedule will vary depending on the number of applications).

The content of the message to be sent will be:

(1) Message example

• (Example) "This is the Meguro Public Health Center. We have received your new coronavirus infection notification, so we will contact you by SMS."
• (Example) "This is the Meguro Public Health Center. We will contact you by SMS regarding your medical treatment period for the new coronavirus infection."

(2) Sender number

The following numbers are displayed for messages to be sent, depending on the carrier of the mobile phone.

• (NTT Docomo, au, Rakuten Mobile) 32 06 9403
• (Softbank) 32 06 9000

(3) Please be careful

We will never ask you to ask for account information or operate an ATM.
Please be careful about money transfer scams.

(4) Notice

The SMS sent by the ward shall be sent as a means of advertising or publicizing the business of oneself or others e-mail) does not apply.

(5) Request

We take all possible measures to confirm the phone number, but if you do not recognize the contents of the email, please forgive us. Please contact us.