Japan to allow doctors to confirm coronavirus infections without testing

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The Japanese government has announced new measures concerning outpatient care for people infected with the novel coronavirus, including allowing doctors to diagnose close contacts as infected without conducting a PCR test.

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Medical institutions will also be encouraged to increase their use of remote medical services, for example over the phone and online. If someone gets a positive result from a self-test, a doctor will be allowed to make a definitive diagnosis without retesting them at a medical facility.

To reduce the burden on medical institutions, doctors will be also allowed to diagnose a close contact as an infected person without testing at a medical facility, if the close contact — such as a family member of the infected person — has a fever or other symptoms. If outpatient services are too overloaded to see someone, people who have mild symptoms but are at low risk of developing serious problems can test themselves without visiting a medical institution and then contact local government’s health follow-up centers. The centers have doctors on standby, and people can have their health monitored during home recuperation.

Infection test kits are becoming difficult to obtain. Prime Minister Fumiko Kishida told reporters Monday that the government has asked manufacturers to increase the supply to 800,000 tests per day under a purchase guarantee agreement. Kishida also referred to his intention to promote remote medical care, saying, “We will make further improvements to ensure smooth outpatient visits.”

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