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Health Statistics in Japan 2007 Contents Page 1.Patients 1-1 Trends in estimated number of patients (per day) by type of health care facility, 1975-2005 1 1-2 Trends in estimated number of patients (per day) by age, 1975-2005 2 1-3 Trends in the rates of estimated patients per 100,000 population (per day) by age,1975-2005 3 1-4 The rates of estimated inpatients/outpatients per 100,000 population (per day) by prefecture,2005 4 1-5 Trends in the rates of estimated inpatients/outpatients per 100,000 population (per day) by major diseases,1996-2005 5 1-6 Trends in the rates of estimated inpatients/outpatients per 100,000 population (per day) by diseases referred in "The New Health Frontier Strategy",1996-2005 6 1-7 Percentage distribution of estimated number of inpatients/outpatients of age 65 and over by leading diseases,2005 7 1-8 Percentage distribution of location of patients before hospitalization and after discharge,2005 8 1-9 Percentage distribution of length of stay of estimated discharged patients by major diseases, 2005 9 1-10 Average length of stay for estimated discharged patients by prefecture, 2005 10 1-11 Estimated number of patients receiving medical treatment of major diseases, 2005 11 1-12 Estimated number of patients receiving medical treatment for cancer, 2005 12 1-13 Waiting time and care time spent with a physician by hospital type, 2005 13 1-14 Satisfaction level of hospital care, 2005 14 1-15 Patients' insecurities concerning hospital safety, 2005 15 1-16 Prospects and barriers of receiving home care, 2005 16 2.Health Care Facilities 2-1 Trends in the number of hospitals by type of hospital and the number of beds by type of bed,1975-2006 17 2-2 Trends in the number of medical clinics and dental clinics,1975-2006 17 2-3 Number of hospitals per 100,000 population by prefecture,2006 18 2-4 Number of medical clinics per 100,000 population by prefecture,2006 18 2-5 Number of dental clinics per 100,000 population by prefecture,2006 18 2-6 Trends in the number of general hospitals and number of beds by hospital size,1975-2006 19 2-7 Trends in hospital bed utilization rates by type of bed,1975-2006 20 2-8 Trends in average length of stay in hospitals by type of bed,1975-2006 20 2-9 Proportion of health care facilities providing in-home services, 2005 21 2-10 Proportion of hospitals accepting emergency care patients during nighttime hours, 2005 22 2-11 Proportion of health care facilities taking preventive measures against passive smoking, 2005 22 3.Human Resources for Medical Care 3-1 Trends in the number of physicians and admission capacity of medical schools, 1953-2006 23 3-2 Number of physicians practicing in health care facilities per 100,000 population by prefecture,2006 24 3-3 Trends in the number of dentists and admission capacity of dental schools, 1953-2006 25 3-4 Number of dentists practicing in health care facilities per 100,000 population by prefecture,2006 26 3-5 Trends in the number of pharmacists and admission capacity of pharmacy schools, 1954-2006 27 3-6 Number of pharmacists practicing in pharmacies or health care facilities per 100,000 population by prefecture,2006 28 3-7 Trends in the proportion of female of physicians/dentists/pharmacists,1975-2006 29 3-8 Male/femal proportion of physicians/dentists/pharmacists by age group, 2006 29 3-9 Trends in the number of currently working public health nurses/midwives/nurses/assistant nurses/dental hygienists/ dental technologists, 1982-2006 30 3-10 Number of currently working public health nurses/midwives per 100,000 population by prefecture,2006 31 3-11 Number of currently working nurses/assistant nurses per 100,000 population by prefecture,2006 31 4.Public Health Services 4-1 Trends in recipients of basic health examinations and cancer screening, 2001-2005 32 4-2 Proportion of persons receiving basic health examinations by municipality,2005 33 4-3 Proportion of persons receiving cancer screening by municipality,2005 34 4-4 Trends in the total number of clients for mental health and welfare counseling, 2001-2005 36 4-5 Total number of clients of mental health and welfare counseling by subject matter,2005 36 4-6 Trends in proportion of municipalities providing periodontal disease screening and osteoporosis screening, 2001-2005 37 4-7 Total number of clients of home care guidance by subject matter,2005 37 4-8 Trends in total number of clients for AIDS counseling and recipients of HIV screening in public health centers,2001-2005 38 (Reference) Trends in the number of newly reported HIV-infected people and AIDS patients, 1985-2006 38 (Reference) Percentage distribution of newly reported HIV-infected people and AIDS patients by infection routes, 2006 38 5.National Medical Care Expenditure 5-1 Trends in national medical care expenditure and its share of the national income, 1955-2005 39 5-2 Percent distribution of medical care expenditure for general practice by leading diseases, 2005 40 5-3 National medical care expenditure per capita by age and type of medical service, 2005 41 5-4 Medical care expenditure per capita by prefecture, 2005 42

In thousands Inpatients Total Estimated number of inpatients (per day) Hospitals Medical clinics In thousands Outpatients Total Estimated number of outpatients (per day) Medical clinics Hospitals Dental clinics

In thousands Inpatients Estimated number of inpatients (per day) Age 35-64 Age 65-74 Age 75 and over Age 15-34 Age 0-14 In thousands Outpatients Estimated number of outpatients (per day) Age 15-34 Age 0-14 Age 35-64 Age 65-74 Age 75 and over

Inpatients Rates of estimated inpatients per 100,000 population(per day) Age 35-64 Age 15-34 Age 0-14 Age 75 and over Age 65-74 Total Outpatients Rates of estimated outpatients per 100,000 population(per day) Age 35-64 Age 75 and over Age 65-74 Age 0-14 Age 15-34 Total

As of Oct. 2005 All Japan Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa The rates of estimated inpatients per 100,000 population (per day) Rates of estimated outpatients per 100,000 population (per day) The rates of estimated outpatients per 100,000 population (per day) All Japan All Japan All Japan Saitama Chiba Kanagawa Wakayama Kochi Saga Kagoshima Okinawa Rates of estimated inpatients per 100,000 population (per day) Hiroshima Kagawa

Cerebrovascular diseases The rates of estimated inpatients per 100,000 population Schizophrenia, schizotypal and delusional disorders Malignant neoplasm Fractures Heart diseases (excluding hypertensive heart diseases) Pneumonia The rates of estimated outpatients per 100,000 population Diseases of teeth and gums Hypertensive diseases Dorsopathies Acute upper respiratory infections Arthrosis Diabetes mellitus

Rates of Estimated patients per 100,000 population (per day) Non-insulin-dependent diabetes mellitus Ischemic heart diseases Alzheimer's diseases Osteoporosis Cerebrovasculardiseases Mood (affective) disorders Dental caries Gingivitis and periodontal diseases Malignant neoplasm Total Outpatients Inpatients Total Outpatients Inpatients Total Outpatients Inpatients Total Outpatients Inpatients Total Outpatients Inpatients Total Outpatients Inpatients Dental caries ( outpatients) Gingivitis and periodontal diseases (outpatients) Total Outpatients Inpatients

Inpatients As of Oct. 2005 Injury,poisoning and certain other consequences of external causes Diseases of the nervous system Age 65-74 Mental and behavioural disorders Diseases of the circulatory system Neoplasms Others Injury,poisoning and certain other consequences of external causes Diseases of the respiratory system Age 75 and over Diseases of the circulatory system Neoplasms Others Mental and behavioural disorders Outpatients Diseases of the musculoskeletal system and connective tissue Factors influencing health status and contact with health services Age 65-74 Diseases of the circulatory system Diseases of the digestive system Others Endocrine,nutritional and metabolic diseases Diseases of the digestive system Factors influencing health status and contact with health services Age 75 and over Diseases of the circulatory system Diseases of the musculoskeletal system and connective tissue Others Diseases of the eye and adnexa

As of Sep.1-30,2005 Location before hospitalization Home Other hospitals or clinics Health care facilities for the elderly requiring long-term care Welfare facilities for the elderly requiring long-term care Social welfare institutions Others Location before hospitalization Home Other hospitals or clinics Health care facilities for the elderly requiring long-term care Welfare facilities for the elderly requiring long-term care Social welfare institutions Home Location after discharge Other hospitals or clinics Health care facilities for the elderly requiring long-term care Welfare facilities for the elderly requiring long-term care Social welfare institutions Others

As of Sep.1-30,2005 Estimated total number of discharged patients thousands Malignant neoplasms Days Days Months Months Months and over Median Unknown Days Cerebrovascular diseases Fracture Ischaemic heart disease Pneumonia Cataract Dorsopathies Diabetes mellitus Glomerular diseases, renal tubulo-interstitial diseases and renal failure Asthma Diseases of liver Schizophrenia,schirotypal and delusional disorders Gastric ulcer and duodenal ulcer Mood (affective) disorders

In ten thousands As of Oct.2005 Hypertensive diseases Diseases of teeth and gums Diabetes mellitus Dorsopathies Heart Diseases (excluding hypertensive heart diseases) Malignant neoplasms Cerebrovascular diseases Cataract Asthma Arthrosis Mood (affective) disorders Acute upper respiratory infections Schizophrenia,schirotypal and delusional disorders Number of outpatients (following visit) Number of outpatients (first visit) Number of outpatients (following visit) except the survey day Estimated number of outpatients on the survey day Estimated number of inpatients on the survey day Estimated number of patients Estimated number of patients receiving medical treatment

In ten thousands As of Oct.2005 Male Prostate cancer Stomach cancer Colorectal cancer Lung cancer Liver cancer Bladder cancer Esophageal cancer In ten thousands Female Breast cancer Colorectal cancer Stomach cancer Uterine cancer Lung cancer Ovarian cancer Liver cancer

Waiting time As of Oct.2005 Total Large hospitals (500 beds and over) Less than 15 minutes 15-29 min. 30-59 min. 60-89 min. 120-179 min. 90-119 min. 180 minutes and over Medium hospitals (100-499 beds) Small hospitals (20-99 beds) Care time spent with a physician As of Oct.2005 Total Large hospitals (500 beds and over) Less than 3 minutes 3-9 min. 10-19 min. 20-29 min. 30 minutes and over Medium hospitals (100-499 beds) Small hospitals (20-99 beds)

The overall satisfaction level of outpatient care Medical treatment Communication with doctor Protection of privacy Waiting time Time spent with doctor Expenditure Satisfied Outpatients Average Dissatisfied Others No reply Inpatients The overall satisfaction level of inpatient care Satisfied Average Dissatisfied Others No reply Medical treatment Communication with doctor Protection of privacy Nursing care Hospitalrooms,bathrooms Meals

Outpatients Inpatients As of Oct.2005 No reply No reply No idea No idea Felt insecure Felt secure Felt insecure Felt secure Causes of insecurity (multiple answers allowed) Outpatients Inpatients Actions of physician and nurses Tests and therapeutic procedures Facilities and hygiene conditions Others

No idea No reply No need for care Impossible Prospects of recieving home care Possible Barriers to home care (multiple answers allowed) Cooperation of family members Care services for bathing and eating Building special care rooms and installing handrails at home Emergency contact system with health care facilities Means of transportation to health care facilities Regular home care by physician or nurse No idea Guidance for home care Others

In ten thousands Tuberculosis beds Psychiatric beds Infectious diseases beds General hospitals Total Hospitals Number of beds Psychiatric hospitals General beds Beds for long-term care Number of hospitals Clinics Medical clinics Number of clinics Medical clinics without beds (Regruoped) Dental clinics Medical clinics with beds Regrouped

Number of general hospitals Hospitals Beds 500 Beds and over Number of beds in general hospitals Beds Beds 500 Beds and over

Hospital beds utilization rates Total Psychiatric beds General beds Tuberculosis beds Long-term care beds Days Psychiatric beds Average length of stay in hospital Tuberculosis beds Total General beds Long-term care beds

In-home services by medical care insurance As of Sep.1-30,2005 In-home services by medical care insurance (Total) Regular home-visit medical care Giving medical instructions to home-visit nursing stations Rental services of home care devices House visit by physician Home-visit nursing care and guidance Psychiatric home-visit nursing care and guidance Home-visit rehabilitation and management Home medical care management Home-visit dental care Home General Terminal Care Hospitals Medical clinics In-home services by long-term care insurance (Total) Home-visit nursing care Home care management and guidance (by physician) Home-visit rehabilitation Home care management and guidance (by pharmacist) Home care management and guidance (by managerial nutritionist) Home care management and guidance (by dentist) Home care management and guidance (by dental hygienist and others) In-home services by long-term care insurance Hospitals Medical clinics As of Sep.1-30,2005 In-home services by dental clinic (Total) Home-visit dental treatment Home-visit dental hygiene guidance Home dental care management and guidance Others In-home services by dental clinics As of Sep.1-30,2005

InternalMedicine Orthopedics Pediatrics Psychiatry Otorhinolaryngology Ophthalmology Neurosurgery Cardiovascular Medicine Gastrointestinal Surgery Multiple trauma Acceptable everday Acceptable 1-2days in week Acceptable 3-5days in week Unacceptable As of Oct.1, 2005 Hospitals Psychiatric hospitals General hospitals Medical clinics Dental clinics As of Oct.1, 2005 Otherpreventive measures against passive smoking Define smoking-area without preventive measures for smoke disseminating into no-smoking areas Define smoking-area with preventive measures for smoke disseminating into no-smoking areas No-smoking inside heath care facilities

In ten thousands Admission capacity of medical schools Number of physicians Physicians of clinics Others Physicians of hospitals (Excluding medical school hospitals) Admission capacity of medical schools Physicians of medical school hospitals

In ten thousands Admission capacity of dental schools Others Number of dentists Dentists of hospitals (Excluding medical and dental school hospitals) Dentists of medical and dental school hospitals Dentists of clinics Admission capacity of dental schools

In ten thousands Others Number of pharmacists Admission capacity of pharmacy schools Pharmacists of hospital and clinics Pharmacists of pharmaceutical companies Pharmacists of colleges and universities Admission capacity of pharmacy schools Pharmacists of pharmacies

Pharmacists Dentists Physicians Physicians Dentists Pharmacists Age 29 and under Age 70 and over Age 29 and under Age 70 and over Age 29 and under Age 70 and over Male Female

In ten thousands Number of currently working nurses,assistant nurses Nurses Assistant nurses Number of currently working public health nurses,midwives,dental hygienists,dental technologists In ten thousands Dental hygienists Public health nurses Dental technologists Midwives

Actual number of recipients of basic health examination In ten thousands Basic health examination by municipality In ten thousands Stomach cancer screening Actual number of recipients of cancer screening by municipality Lung cancer screening Colorectal cancer screening Uterine cancer screening Breast cancer screening Proportion of persons receiving basic health examination Proportion of persons receiving cancer screening by municipality Lung cancer screening Colorectal cancer screening Uterine cancer screening Breast cancer screening Stomach cancer screening

All Japan Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa Asahikawa Hakodate Akita Koriyama Iwaki Utsunomiya Kawagoe Funabashi Yokosuka Sagamihara Niigata Toyama Kanazawa Nagano Gifu Hamamatsu Toyohashi Toyota Okazaki Sakai Takatsuki Higashiosaka Himeji Nara Wakayama Okayama Kurashiki Fukuyama Shimonoseki Takamatsu Matsuyama Kochi Nagasaki Kumamoto Oita Miyazaki Kagoshima Tokyo 23 wards Sapporo Sendai Saitama Chiba Yokohama Kawasaki Shizuoka Nagoya Kyoto Osaka Kobe Hiroshima Kitakyushu Fukuoka Proportion of persons receiving cancer screening by prefecture, 2005 Proportion of persons receiving cancer screening by the core cities, 2005 Proportion of persons receiving cancer screening by the 15 major cities,2005 Stomach cancer screening Lung cancer screening Colorectal cancer screening Stomach cancer screening Lung cancer screening Colorectal cancer screening Stomach cancer screening Lung cancer screening Colorectal cancer screening

All Japan Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa Proportion of persons receiving cancer screening by prefecture, 2005 Uterine cancer screening Breast cancer screening Tokyo 23 wards Sapporo Sendai Saitama Chiba Yokohama Kawasaki Shizuoka Nagoya Kyoto Osaka Kobe Hiroshima Kitakyushu Fukuoka Proportion of persons receiving cancer screening by the 15 major cities,2005 Uterine cancer screening Breast cancer screening Asahikawa Hakodate Akita Koriyama Iwaki Utsunomiya Kawagoe Funabashi Yokosuka Sagamihara Niigata Toyama Kanazawa Nagano Gifu Hamamatsu Toyohashi Toyota Okazaki Sakai Takatsuki Higashiosaka Himeji Nara Wakayama Okayama Kurashiki Fukuyama Shimonoseki Takamatsu Matsuyama Kochi Nagasaki Kumamoto Oita Miyazaki Kagoshima Proportion of persons receiving cancer screening by the core cities, 2005 Uterine cancer screening Breast cancer screening

In ten thousands Telephone counseling Day-care services In-person counseling Home-visiting guidance Mental health services for the aged Others Total number of clients Social withdrawal (regrouped) Social rehabilitation Mental health promotion Adolescence Alcohol Drugs

Osteoporosis screening Periodontal disease screening In thousands Age 40-64 Age 65-69 Age 70 and over Persons who need rehabilitation training etc. Prevention of isolation Bedridden persons Caring family members Eldery persons with dementia Clients of individualized health education Others

In ten thousands Telephone counseling In-person counseling HIV screening Persons Total Japanese nationals, Male Japanese nationals, Female Non-Japanese, Male Non-Japanese, Female Trends in the number of newly reported HIV-infected people and AIDS patients, 1985-2006 Newly reported HIV-infected people Persons Total Japanese nationals, Male Japanese nationals, Female Non-Japanese, Male Non-Japanese, Female Newly reported AIDS patients Others Mother-child transmission IV drug abuse Percentage distribution of newly reported HIV-infected people and AIDS patients by infection routes, 2006 Unknown Newly reported HIV-infected people 2006 952 persons Homosexual relationship Heterosexual relationship Mother-child transmission Including bisexual relationship Including the cases with multiple possibilities of infection resulting from transfusion, organ transplantation, and potential infectious routes. Others IV drug abuse Unknown Newly reported AIDS patients 2006 406 persons Homosexual relationship Heterosexual relationship

In trillion yen Implementation of the long-term care insurance system 2000 National medical care expenditure Share of the national income Share of the national income National medical care expenditure

Total Circulatory system Respiratory system Neoplasms Genitourinary system Others Mental and behavioural disorders Under age 65 Musculoskeletal system and connective tissue Endocrine,nutritional and metabolic disease Age 65 and over Regrouped Age 75 and over Injury,poisoning and certain other consequences of extemal causes

In thousand yen Home-visit nursing expenses National medical care expenditure per capita Hospital meal expenses Drug dispensing expenses Dentistry expenses Hospital outpatient expenses Hospital inpatient expenses Total Age 0-4 Age 85 and over RegroupedAge 75 and over