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Oct 19, 2026 Ministry of Health, Labour and Welfare (MHLW) Labor law & HR Applies from October 19, 2026 (Reiwa 8)

Health promotion guidelines revised: secondary prevention for cancer, women's health issues and dental disease now written inThe national rules that protect the health of working people have been updated

On October 19, 2026 (Reiwa 8), the Ministry of Health, Labour and Welfare issued a public notice revising the Guidelines for Maintaining and Promoting the Health of Workers in Workplaces, which rest on Article 70-2, paragraph 1 of the Industrial Safety and Health Act (Public Notice of Guidelines for Health Maintenance and Promotion No. 13). Alongside primary prevention, which has centred on preventing lifestyle-related disease, the guidelines now clearly position secondary prevention as a health maintenance and promotion measure: encouraging workers to undergo screening and detailed examinations for cancer, women's health issues, dental disease, osteoporosis and eye disease. The notice applies from the same day, October 19, 2026.

What the revision writes into the guidelines
The previous guidelinesThe guidelines from October 19, 2026
Central ideaPrimary prevention centred on preventing lifestyle-related diseasePrimary prevention plus secondary prevention as a health promotion measure
Screening for cancer, dental disease, osteoporosis and eye diseaseNot clearly positioned in the guidelinesEncouraging screening and detailed examinations is positioned
Women's health issuesNot clearly positioned in the guidelinesEncouraging examinations for dysmenorrhoea, menopausal disorders and the like is positioned
Coordination with medical insurersNot written into the guidelinesCoordination efforts are written in
Balancing treatment and workNot written into the guidelinesSupport for balancing the two is written in

Key points

  • Both the date of the notice and the date of application are October 19, 2026. The basis is Article 70-2, paragraph 1 of the Industrial Safety and Health Act (Act No. 57 of 1972), and it was issued in the name of Minister of Health, Labour and Welfare Kenichiro Ueno
  • Alongside primary prevention (preventing the onset of disease by improving lifestyle habits), secondary prevention (early detection and early treatment of disease through health checkups and the like) is now clearly positioned in the guidelines as a health maintenance and promotion measure
  • The secondary prevention set out covers encouraging screening and detailed examinations for cancer, women's health issues (irregular menstruation, dysmenorrhoea, heavy menstrual bleeding, premenstrual syndrome, menopausal disorders and the like), dental disease, osteoporosis and eye disease
  • Coordination with medical insurers and support for balancing treatment with continued employment are now written into the guidelines
  • The text of the guidelines and a comparison table of the old and new provisions were released together with the notice
Who is affected: Employers working on maintaining and promoting the health of workers at their workplaces, and their occupational safety, health and human resources staff

What to do in practice

  • Use the comparison table of old and new provisions to check whether anything is missing from your own health promotion efforts, such as encouraging follow-up examinations after a health checkup
  • Consider how to work with the health programmes run by medical insurers such as a health insurance society or the Japan Health Insurance Association
  • Review the in-house procedures that support employees who work while receiving treatment
Note: These guidelines rest on Article 70-2 of the Industrial Safety and Health Act, and the specific measures are to be set according to the circumstances of each workplace. For individual judgements, please check the text of the guidelines and the comparison table at the issuing agency.

Companies have rules about helping the people who work for them keep from getting ill. On October 19, 2026, the government updated those rules. Until now the main idea was to live in a way that keeps you from getting ill. From now on, finding illness early and treating it early is included too. Encouraging workers to get checked for cancer, for health issues that only women have, and for their teeth, bones and eyes is now written down as something companies should do.

How a company helps with health, step by step
  1. 1. Take careKeep from getting ill through food and exercise
  2. 2. Find it earlyEncourage checkups for cancer, teeth, bones and eyes
  3. 3. Treat it earlyEncourage detailed examinations and treatment
  4. 4. Keep workingHelp people keep working while receiving treatment

Points

  • The day the rules were updated is October 19, 2026, and they are already in use from that day
  • Not only keeping people from getting ill, but also finding illness early with a checkup and treating it early, is now part of what companies do
  • Working together with the bodies that run health insurance, and helping people keep working while they receive treatment, are also written down
For example: A cavity is quicker and easier to fix if the dentist finds it before it starts to hurt. The idea is that a company should likewise encourage the people who work there to get checked early.

What the words mean

Primary prevention
Being careful about food and exercise so that you do not get ill
Secondary prevention
Finding illness early with a checkup and treating it early
Guidelines
Rules in which the government shows what it is good to do
Sources (official)
Checked against the source on: Oct 20, 2026

This article summarizes and explains materials published by government agencies and is not advice on any individual case. Rules can change, so for actual procedures and decisions always check the latest original materials and consult professionals such as tax accountants or labor and social security attorneys. English, Simplified Chinese and Traditional Chinese versions are translations prepared from the Japanese articles for convenience. If anything differs, the Japanese text and the original source take precedence.

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