Enhanced Surveillance for the Sports Festival in Tokyo 2013: Preparation for the Tokyo 2020 Olympic and Paralympic Games

  • Shimatani Naotaka
    Medical School, Okayama University
  • Sugishita Yoshiyuki
    Epidemiological Information Section, Tokyo Metropolitan Institute of Public Health
  • Sugawara Tamie
    Infectious Disease Surveillance Center, National Institute of Infectious Diseases
  • Nakamura Yuuki
    Graduate School of Pharmacy, Nihon University
  • Ohkusa Yasushi
    Infectious Disease Surveillance Center, National Institute of Infectious Diseases
  • Yamagishi Takuya
    Infectious Disease Surveillance Center, National Institute of Infectious Diseases
  • Matsui Tamano
    Infectious Disease Surveillance Center, National Institute of Infectious Diseases
  • Kawano Masashi
    Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government
  • Watase Hirotoshi
    Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government
  • Morikawa Yukiko
    Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government
  • Oishi Kazunori
    Infectious Disease Surveillance Center, National Institute of Infectious Diseases

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Enhanced surveillance was conducted during the Sports Festival in Tokyo 2013 (September 28–October 14, 2013) for early detection of outbreaks of infectious diseases and other health emergencies. Through this enhanced surveillance, 15 cases were found that required additional gathering of information outside the routine process of creating/evaluating the Daily Report. However, none of these was assessed as critical. Through the enhanced surveillance, we structured a framework that allows for earlier response when detecting aberrations. It includes the role of the Tokyo Metropolitan Government in communications and contacts with relevant parties such as public health centers, as well as in monitoring of surveillance data. However, some issues need to be further considered toward the Tokyo 2020 Olympic and Paralympic Games, such as establishing the criteria for additional response steps, increasing the number of participating bodies in syndromic surveillance, and strengthening of cooperation with related departments, including those for crisis management assuming potential biological/chemical terrorism.

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