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About "common question" about new coronavirus infectious disease

Last update date December 11, 2020

About answer to opinions about "new coronavirus infectious disease" (April 16, 2020 ...)
We are having many opinions about new coronavirus infectious disease approach from citizen's all of you now. It is sincere, and it accepts opinions that it had, and it reflects for future duties as much as possible, but it is the difficult situation that replies individually now. Therefore, about thing with many opinions, we release as "common opinion, question" sequentially and change to individual answer to opinion that had you put. We would appreciate your understanding, understanding.
Past common question (look at this.)

In addition, about question, consultation except consultation consultation,
We accept in "Yokohama-shi new model coronavirus infectious disease call center".

tel: 045-550-5530    ※It came to support from 2020/12/1 for 24 hours. (including Saturdays, Sundays and holidays)

In addition, about present status about new coronavirus infectious disease, Ministry of Health, Labour and Welfare publishes materials.
As for further suppress outbreak of new coronavirus infectious disease, saving, citizen's all of you see the latest knowledge,
We would appreciate your taking measures definitely.
"10 knowledge about "now" of new coronavirus infectious disease" (Ministry of Health, Labour and Welfare October 29, 2020 public announcement)

◆About symptom, inspection

Consultation when we thought that we might have been infected with Q1 new model coronavirus?

A1 ※We call to medical institution before consultation by all means, and I would like consultation!
* When we have annoying symptom, at first, please consult with family medicine and the nearest medical institution over telephones.
Particularly, you have underlying disease, and please consult about person with annoying symptoms early. 
 
When family medicine cannot have a medical examination by or closing the office that there is not,
With fever, a cough, throat (pain of throat),
 "Medical appointment center such as Kanagawa fever please consult in 0570-048914" (from 9:00 to 21:00).
It was said that notice as close contact came other than fever, cough, the throat from time with symptom such as a cold and Yokohama-shi public health center
Or when close contact is possible,
"Yokohama-shi new model coronavirus infectious disease call center please consult with 045-550-5530" (24 hours correspondence).
We show medical institution which gives medical care (or can inform of conduct of inspection when we admit that it is necessary as a result of medical examination of doctor) of new coronavirus infectious disease as needed.
※Guidable medical institution is limited, and after 17:00 and holiday may become guidance after the next day.
 When urgent consultation is necessary, we have emergency care engine have a medical examination after consultation over telephones beforehand, or correspondence such as calling for emergency conveyance in the case of emergency particularly, please.
* There is not symptom, but want to talk about new coronavirus infectious disease, when want to know,
"Yokohama-shi new model coronavirus infectious disease call center as is used to be for 045-550-5530" (24 hours correspondence), and to be consulted, please use.

When Q2 is transmitted, are all aggravated?

Elderly person comes to often result in being aggravated from A2 past example.
In addition, it is said that generally there are many people having diabetes, malignant tumor, chronic lung disease, underlying disease including chronic renal disease. On the other hand, to be asymptomatic whether children and young person are mild increases.
In any case it is vital to prevent infection. At first, let's do mask, hand-washing well.

When is time when Q3 virus is contagious?

It is thought with period when around 10th may transmit before and after onset to other people after the onset from 2 days before the onset as for fever or cough which symptom or symptom associated with so-called infectious disease including taste, olfactory abnormality develops in similar to A3 cold for peak.
In epidemic survey, we confirm action career of the people from onset two weeks ago to one day ago as investigation of the source of infection and infection course for where infection was confirmed and, for decision such as close contacts, confirm (contact career) in action career of the person from 2 days before onset.

Are you infected even from person with Q4 no symptom?

At time when symptom most strongly appears in the case of virus infectious disease that A4 is common and causes pneumonia,
It is thought that possibility to transmit viruses to other people becomes highest.
 However, infection might spread since before symptom became clear with new coronavirus
Indication and findings of expert called this are shown, too, e.g., is study in Taiwan, new corona
Report that virus infectious disease has highest infection power at time before and after the onset including before onset
It is done.
 Therefore, of taking distance with people and person (Social distancing: sociological distance), verge of going out
Wearing of mask, a cough etiquette, hand-washing with soap, finger disinfection, ventilation by alcohol
We keep health care such as taking general infectious disease measures and enough sleep that said this in mind and,
The situation (the local government to live whether emergency declaration is given in area
Please take information giving into account, and, based on), please work on the prevention.

Where can you receive examination for Q5?

We carry out polymerase chain reaction test (or we inspect antigen) determined by law to confirm A5 infection in infection suspecting that it is possible as a result of medical examination of returnee, close contact or doctor.
As for the close contact of returnee from endemic area or infected person, public health center coordinates consultation in returnee, contact outpatient department.
We will have you examine in any of the following if diagnosed as a result of medical examination of doctor about  other person in consultation when there is the need of inspection.
① We are just examined with medical examination medical institution (family medicine)
② We are examined with another medical institution introduced from medical examination medical institution
③ We are examined in specimen collection place of drive-through method introduced from medical examination medical institution
In either case, medical treatment, inspection need reservation. (we cannot accept only inspection.)
In addition, in this case we give an administrative test (positive judgment based on Infectious Disease Law), and inspection charges are free, but window burden occurs to medical examination expense and expenses accompanied with normal medical examination such as the fee charged for a patient's first visit.
Please consult about the case family medicine that we cannot receive in medical treatment overtime that there is not in medical appointment center (tel:0570-048914 from 9:00 to 21:00) such as Kanagawa fever or Yokohama-shi call center (tel:045-550-5530 24 hours correspondence).

We want to be examined to confirm that Q6 is healthy (negative thing).

At the time of convenience or study abroad of A6 work, there is medical institution carrying out polymerase chain reaction tests (examination for antigen) by hope of the person in negative thing for the purpose of confirmation.
But it is paid in full as there are not application and public expenditure of employee health insurance unlike administrative inspection.
In addition, I am sorry, but am not doing introduction, guidance about inspection by such a freedom medical treatment at all at public health center and ward office.

◆About laboratory cost, the hospitalization fee

When we receive Q7 polymerase chain reaction test (examination for antigen), does it cost money?

Because copayment of employee health insurance is assisted, as for the inspection of insurance application to perform as examination of A7 administration, inspection charges are free.
But we cause self-burden as normal medical treatment about medical treatment before inspection.


We quote from Ministry of Health, Labour and Welfare HP (https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000121431_00132.html)

Though examination for Q8 should be free of charge, the doctor's fee was sought at window of medical institution.

As public money assistance exits as for the inspection charges of polymerase chain reaction test (examination for antigen), in the case of examination of A8 administration, we are free of charge.
But, about medical treatment to judge the need of inspection, it takes fee charged for a patient's first visit or doctor's fee as well as normal consultation.
In addition, doctor suffers from the separately laboratory cost when we judge that it is necessary and inspect CT or X-rays. About breakdowns when expense was demanded, ask window of medical institution.

How long does it cost expense if hospitalized with Q9 new model coronavirus infectious disease?

As a general rule, free, but, as for the period (length of stay when hospitalization advice before infectiousness disappearing enters) hospitalized for treatment of A9 new model coronavirus infectious disease, hospitalization medical expenses asks for burden as limit for monthly basis 20,000 yen when the totals of income percent of inhabitants' tax of household exceed 564,000 yen.
In addition, selective expenditure of individual who occurred during hospitalization such as TV fee and pajamas linen charges, amenity charges, hospital room rent not covered by a health insurance plan (so-called hospital room not covered by a health insurance plan) is paid.

When Q10 positive becomes clear, must we be hospitalized immediately?

As a general rule, by regulations of A10 Infectious Disease Law, I will receive cooperation from isolation medical treatment for prevention of infection.
 In the place of medical treatment, adjustment notification of hospitalization enters or elderly person, with self-disease that is easy to be aggravated, pregnant woman who are beyond medium grade symptom at public health centers of places of residence by ... next day almost on that day after we guide hospitalization, and positive judgment was notified the person of.
 Due to child care or care, there are person having difficulty in hospitalization to medical institution and medical treatment facility, hope of medical treatment at home, and, in cases that medical treatment environment is set, it may be home medical treatment. For details, please consult with public health center in response to contact.

Q11 slight illness and having to be hospitalized if we become positive when it is asymptomatic.

A11 slight illness when is asymptomatic, as a general rule, will have undergo medical treatment in accommodation medical treatment facility.
But elderly people 65 years or older, with underlying disease, in immunocompromised state, pregnant woman become handled as exclusion, and it is principle hospitalization.
In addition, due to child care or care, home medical treatment may be detected in person having difficulty in entrance to medical treatment facility. For details, please consult with public health center in response to contact.

◆About disinfection

When corona patient occurs in Q12 store, office and facility, where does disinfection?

You will go in A12 business owner, facility managers.
 In addition, when we sterilize,
・We sterilize place where common use department and finger of facility touch well
・We operate opening and ventilation fan of window and door before work start and ventilate during work enough
・Commercially available antiseptic solution protects density and usage and uses
・When we use sodium hypochlorite, we dilute to 0.05% - 0.1% of density and dip into clean cloth or paper towel enough and we wear gloves and wipe off place that we want to sterilize
Please note point that said this.
<reference> About disinfection, sanitization method of new coronavirus (Ministry of Health, Labour and Welfare, Ministry of Economy, Trade and Industry, Consumer Affairs Agency special page)
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/syoudoku_00001.html (the outside site)
 

When we ask Q13 company, how long does disinfection cost money?

As it varies according to structure or area of A13 facility, we cannot necessarily answer.

How long is effect given in when we sterilize Q14? How many times should we do?

A14 disinfection is effective at once if we perform appropriately. When you have question about methods of disinfection, please contact each ward Health and Welfare Center Health Sanitation Division.
<reference> About disinfection, sanitization method of new coronavirus (Ministry of Health, Labour and Welfare, Ministry of Economy, Trade and Industry, Consumer Affairs Agency special page)
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/syoudoku_00001.html (the outside site)

◆On foreign tour

"Negative certificate" for Q15 foreign tour is necessary, or what should I do?

By inspection of insurance application to perform as examination of A15 administration, we do not perform inspection for confirmation to prove negative. In addition, confirmation, documents to prove do not issue negative at public health center. I would like consultation to each embassy.
In addition, there is medical institution carrying out polymerase chain reaction tests by freedom medical treatment for the person which is going to be examined for hope without depending on diagnosis of doctor.
I'm sorry, but, at public health center and ward office, we do not introduce inspection by such a freedom medical treatment at all.

We are going to return home from stay in Q16 foreign country. In the case of returning home, how becomes quarantine inspection?

Correspondence varies according to stay in A16 places.
For more details, you have you confirm on homepage of Ministry of Foreign Affairs and Ministry of Health, Labour and Welfare, or please confirm in each country Embassy.

Probably because, at the time of Q17 entry, we are inspected when we have a fever at the time of quarantine inspection.

About A17 quarantine inspection, please confirm on homepages of Ministry of Foreign Affairs and Ministry of Health, Labour and Welfare.
<reference> Q&A (Ministry of Health, Labour and Welfare home pe ji) about radical reinforcement of the water's edge measures
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/covid19_qa_kanrenkigyou_00001.html (the outside site)
 

At the time of Q18 entry, in the case of quarantine inspection, you received polymerase chain reaction test, but when do you know test result?

A18 is sorry, but does not grasp at public health center. Please refer to quarantine station undergone an examination.

◆Correspondence in office, company

What should new coronavirus measures in Q19 office, company do?

Each affiliate makes guidelines every classification of type of industry and facility, and it is decided to push forward approach for the voluntary infection prevention by "basic coping policy of new coronavirus infectious disease measures" revised on A19 May 4, 2020 (new coronavirus infectious disease task force decision).
<reference> List of infection spread prevention guidelines every type of industry (please push pink link on the Cabinet Secretariat HP ※ screen right side)
  https://corona.go.jp/ (the outside site)
 

If Q20 employee becomes positive, what should I do?

As employee that A20 positive became clear gets a contact from public health centers of the office (company) location about survey for confirmation by close contact when it is left the house for after two days ago to develop, cooperation to investigation, please according to instructions. In addition, please confirm about necessary correspondence on this occasion.
In addition, when there is not close contact, you have the present health observation (fever or a cough symptom) call people concerned for sense, and please order consultation in early family medicine when symptom is seen.
 ※ When common knowledge is planned in office, we ask once again to show the consideration for protection of privacy of employee become with positive.

If infected person appears in Q21 company, should we announce on homepages?

As A21 law and rule do not have fate, it is judgment of office, company.

Does public health center not announce Name of the facility which Q22 infected person was over?

When we can grasp range where there is possibility of infection in by hearing investigation from A22 infected person, we do not announce Name of the facility as public health center. But we may announce Name of the facility for alerting for prevention of infection spread when we might come into contact with infected person and cannot grasp, and infection spread is possible.

How do you determine whether you correspond to Q23 close contact?

A23 public health center interviews from infected person or family and judges based on opinions such as doctors generally.
In addition, as for the contents listed in the National Institute of Infectious Diseases infectious disease epidemiology center "positive epidemic survey conduct point for patients with new coronavirus infectious disease", following.
[definition of close contact] When, among patient whom we can be infected and came into contact with during period, we correspond to the following range
・Patient (decision) and person who had living together or long-time contact (including the inside of car, the planes)
・Person who examined patient without appropriate infection protection, and did nursing or care
・Person who might touch pollutants such as the respiratory tract secreting fluid of patient or body fluid directly
・It is patient and person whom there was of contact that it is or more for 15 minutes without the infection prevention that is necessary for distance (as indication 1 meter) that we can mention by hand

When Q24 employee becomes close contact, what happens?

It is thought that A24 close contact is very likely to be infection than that is not so. Therefore, from the viewpoint of prevention of infection spread, we have 14 days stand by at home last from day when it touched with positive person at public health center.

Should employee except Q25 close contact let you stand by at home, too?

Toward other than the A25 close contact, we may not ask for layoff from public health center.
It becomes judgment of office, company.

◆About contact confirmation application (COCOA)

What is Q26 contact confirmation application COCOA?

Using proximity communication facility (Bluetooth) of smartphone, we secure privacy not to know each other and, assuming agreement of user, can receive notice about possibility that it touched with-positive person of new coronavirus infectious disease.

How to use and point to keep in mind of Q27 COCOA?

Please confirm on A27 Ministry of Health, Labour and Welfare homepage.
<reference> Q&A (Ministry of Health, Labour and Welfare HP) for contact confirmation application users
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/covid19_qa_kanrenkigyou_00009.html#Q1 (the outside site)
 
 

We received contact and alert with positive person at line of Q28 COCOA. What to do.

Please confirm contact day specified in A28 alert (day said that we came into contact with patient).
When is contact day within two weeks, with or without symptom "Yokohama-shi new model coronavirus infectious disease call center please contact 045-550-5530" (24 hours correspondence). We show medical institution which inspection with hope can consult. (as a result of medical examination, it may be judged that inspection is unnecessary.)
In addition, of inspection administrative about medical treatment to judge the need of inspection inspection charges can receive without self-pay to become handled, but, as well as normal consultation, the fee charged for a patient's first visit or the doctor's fee suffer. On consultation, take health insurance card by all means.
In addition, doctor suffers from the separately laboratory cost when we judge that it is necessary and inspect CT or X-rays. Thank you for your understanding beforehand.
As period of healthy observation passes when it is contact day more than two weeks ago, it is not necessary to be examined promptly. Please note infection measures sequentially.
In addition, healthy observation that there were symptoms such as fever during period "Yokohama-shi new model coronavirus infectious disease call center please consult with 045-550-5530" (24 hours correspondence).

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