Implementation of two novel schemes for patients on dialysis as a response to the COVID-19 surge in Tokyo.

The Japanese government recommended hospitalization of patients on dialysis once they tested positive because of their high COVID-19 mortality rate and definite need for periodic dialysis. However, after experiencing the Delta variant surge, strategic changes towards outpatient care for mild or asymptomatic cases, along with strengthening emergency preparedness were needed. Facing the Omicron surge, the Tokyo Metropolitan Government introduced two novel schemes: ) a temporary medical facility with a dialysis center for infected patients on hemodialysis, which started admitting patients on dialysis on January 20, 2022, to provide additional bed capacity and access to hemodialysis and ) a transportation scheme for patients who need travel to maintenance dialysis facilities from their homes, which was introduced on February 5.

Risk factors associated with hospital transfer among mild or asymptomatic COVID-19 patients in isolation facilities in Tokyo: a case-control study.

Objectives: The Tokyo Metropolitan Government has been implementing facility-based isolation of asymptomatic/mild coronavirus disease (COVID-19) patients to facilitate timely hospital referral. However, there are only a few published studies in prehospital settings, and the factors associated with hospital transfer are unclear. Our study identified the factors associated with COVID-19 deterioration in a prehospital setting.

Reporting on the implementation to set up a "care and isolation facility" for mild COVID-19 cases in Tokyo.

The increasing number of COVID-19 cases has placed pressure on medical facilities. Against this backdrop, the Tokyo Metropolitan Government established a facility for mild and asymptomatic COVID-19 cases by using existing hotels. These kinds of facilities were established in several countries, and represented a spectrum from hotel-like to hospital-like care.

[Patient-centered medicine for tuberculosis medical services].

The 2011 edition of Specific Guiding Principles for Tuberculosis Prevention calls for a streamlined medical services system capable of providing medical care that is customized to the patient's needs. The new 21st Century Japanese version of the Directly Observed Treatment Short Course (DOTS) expands the indication of DOTS to all tuberculosis (TB) patients in need of treatment. Hospital DOTS consists of comprehensive, patient-centered support provided by a DOTS care team.

[Implementation status of community Directly Observed Therapy Short-course (dots) practice in medical facilities designated for tuberculosis treatment in the Tama area].

Objectives: We conducted a survey of tuberculosis (TB) treatment and community Directly Observed Therapy, Short-course (DOTS) practice of doctors at the medical facilities designated for TB treatment in the Tama area, Tokyo, to determine the current status and issues of community DOTS and to enhance cooperation between public health centers and medical institutions.

Methods: A self-administered questionnaire was sent by postal mail to 500 medical institutions selected through stratified random sampling in each public health center region.

Results: We received 287 (57.

[Development and perspectives of community DOTS].

The Japanese version of DOTS seems to have established itself. However, there is criticism that the primary purpose of DOTS expansion has often been supplanted by pressure to meet a quota. In this symposium, we returned to the starting point of DOTS, i.