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¡Table of Contents
Chronology: The History of Muscular Dystrophy Wards in Japan
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¡Chronology: The History of Muscular Dystrophy Wards in Japan
1960 For the first time in Japan long-term hospitalization of children with muscular dystrophy begins at Nishitaga National Sanatorium.
1964@The National Association for Parents of Children with Progressive Muscular Atrophy is established (Tokyo, Japan Center for Cities).
The Nationwide Association for Children (Persons) with Severe Physical and Intellectual Disabilities is established.
EThe Ministry of Health and Welfare releases an gOverview of measures addressing children with progressive muscular atrophy,h and, in order to move forward with research on the causes and treatment of this illness, primary muscular dystrophy healthcare institutions are designated and 20 special beds at both Nishitaga National Sanatorium and National Sanatorium Shimoshizu Hospital are created. (Since children with muscular dystrophy died around 14 to 15 years old in those days the Ministry of Health and Welfare was not able to grasp its actual number. After being flooded with parents hoping to have their children admitted to these special wards the Ministry of Health and Welfare established 9 facilities in 9 prefectures).
1964 National Sanatoriums begin to admit children with muscular dystrophy--100 beds
EThe Health and Welfare Ministry releases its gOverview of measures addressing children with progressive muscular atrophyh
(1) Select patients to be institutionalized, establish a treatment program, ensure access to education
(2) Promote active rehabilitation services
(3) Promote research/collaborate with universities
(4) Medical fees are 80% of the amount of what is imposed as medical service under health insurance and medical treatment and education will be examined
1965 Second national convention. The gNational Association for Parents of Children with Muscular Atrophyh renames itself the gJapan Muscular Dystrophy Associationh.
EVice Minister of Health and Welfarefs gRegarding the medical treatment and education of children with progressive muscular atrophyh report.
1965 The Child Welfare Actfs child-rearing and medical care system is applied but is limited to the National Sanatoriums.
1965-66 Education within institutions spreads.
1966 A school attendance survey is conducted (67.1% excused from attending school, 15.1% attending schools for children with disabilities)
EThe Central Child Welfare Committee reports its recommendations
(1) Clarify treatment of children with progressive muscular atrophy under the Child Welfare Act
(2) Increase the number of beds for children with progressive muscular atrophy
(3) Look for methods of treating or preventing progressive muscular atrophy
1967 The number of beds in National Sanatoriums grows to 580.
EVice Minister of Health and Welfare's report "Regarding the implementation of legislation to reform parts of the Child Welfare Act"
(1) Regarding the delegation of medical treatment and other tasks to National Sanatoriums
(2) Regarding children with progressive muscular atrophy, treatment as children with physical disabilities in line with the manner of their disability
(3) Limit physical disabilities that can be assigned to National Sanatoriums to progressive muscular atrophy
(4) Regarding extending the period of stay, etc.
1968 First muscular dystrophy ward is completed (Nishitaga National Sanatorium).
1969 Measures are taken to have people with physical disabilities caused by progressive muscular atrophy admitted to National Sanatoriums.
1971 Social welfare organizations for people with physical disabilities caused by progressive muscular atrophy begin having patients admitted to medical institutions
EThe "Association for the aid of patients with progressive muscular atrophy" is founded. It gathers signatures in support of the establishment of a national muscular dystrophy research laboratory.
Early 1970s Motorized wheel chairs begin to be introduced. For a while the costs born by patients are very high.
1975 Occupational therapy wards are set up.
1976 Daycare wards are set up (support for patients living at home).
1978 National Neurology Center is established at Musashi National Sanatorium.
1980 "Wards to deal with patients becoming adults" are established as a means of addressing aging.
1982 A ward for adults with muscular dystrophy is established at Akita National Michikawa Sanatorium.
1986 The restructuring of national hospitals and sanatoriums is announced.
1990 Social insurance becomes applicable to mechanical ventilation treatment at home, programs to loan mechanical ventilators to patients living at home are initiated.
1991 (Amagasaki) Masato Tamaki, a patient with muscular dystrophy, sues to have his rejection from public high school reversed. On March 13th, 1992 the Kobe District Court rules that his rejection was illegal. (During the trial the school argued that its decision was based "not only on academic ability but on overall ability" while Tamaki asserted that academic ability must be the standard used to determine admittance. His suit was based on the fact that he was rejected despite scoring "in the top 10% of applicants" on the admissions test. Prior to this 1992 ruling, many students could only attend normal schools if they met certain conditions such as having a parent accompany them at all times, and as a result many had no choice but to attend schools for people with disabilities.)
1991-92 Funds are allocated for 2,500 muscular dystrophy beds.
1991 Computer communication programs initiated.
1992 The Japan Muscular Dystrophy Association initiates "Yume no tobira"[Dream doorway], a nationwide welfare network.
1993 Enactment of the "Act concerning the Promotion of the Research and Development and the Dissemination of Social Welfare Equipment."
2003 Enactment of the "Support Expense System Act"
EEnactment of "Standards regarding personnel, equipment, and administration of designated in-home support providers in accordance with the Physically Disabled Persons Welfare Act."
EEnactment of "Standards for equipment and administration of designated rehabilitation facilities for people with physical disabilities"
2004 National hospitals/sanatoriums across the country became independent national hospital organizations.
2005 With the exception of ALS patients, removal of phlegm with suction recognized for patients under care/people with disabilities living at home (Health Policy Publication No.0324006.)
2006 Support for the Independence of Persons with Disabilities Act - Muscular dystrophy wards go from being facilities governed by the Medical Care Act to being facilities designated as providers of medical and nursing care under the Support for the Independence of Persons with Disabilities Act. There is a transition from "[government] measures" to "contracts."
By Our Members
March 31, 2010 "Muscular Dystrophy Wards: Issues Related to Long-term Care Facilities in Japan," Core Ethics6
: 25-36 [PDF]
/[Abstract in English]
OYAMA Ryoko, ITO Kayoko
, KAWAHARA Hitoshi, TAKASAKA Shizuko, HAYASHI Noriko & TANAKA Tamaki September 26, 2009 "Examination of the Way of Support of Relocation of Severely Disabled People under Long-term Care: Focusing on Patients with Muscular Dystrophy" (Abstract in Japanese
) The 6th Annual Convention of Japan Society of Disability Studies
, Ritsumeikan University
September 25, 2009 "Policy Treatment and Unprofitable Treatment: What we can See from the Muscular Dystrophy Wards" Welfare Labor Quarterly
August 28, 2009 "Cooperation of Medical Treatment and Welfare for Severely Disabled Patients with Medical Care: A Case Study of Patients with Muscular Dystrophy Transferring from Hospital to the Local Community," The 14th Annual Convention of Japan Intractable Illness Nursing Society, Presentation with Peer Review
June 25, 2009 "Facing Many 'First-time Experience': Discharge of Patients with Muscular Dystrophy with the Long-Term Recuperation and Start of their Living in a Community" Welfare Labor Quarterly
June 6, 2009 "Supporting Discharge of the Patients with Severe Disabilities with Long-term Recuperation: A Case Study of Patient with Muscular Dystrophy," The 7th Annual Convention of Japan Welfare Sociology Association, Nihon Fukushi University (With Peer Review)
August 2008 Presentation "Securing Care and Living for Singles with Disabilities: A Case of Muscular Dystrophy Patient Leaving Hospital to Local Community after Long-term Recuperation" The 13rd Annual Convention of Japan Intractable Illness Nursing Society
February 2008 "Chapter 4 Independence of Patients: A Case of Muscular Dystrophy Patient" Medical World 2007
49-62 The 190th Reports of Graduate School of Humanity, Chiba University
September 16, 2007 Poster Presentation "Toward the 'Escaping Terminalization' of Muscular Dystrophy: Comparing Life of Muscular Dystrophy Patients in the National Hospital Wards and Independent Living", The 4th Annual Convention of Japan Society of Disability Studies
¡Theme Related Links
Muscular Disease Center (National Center Hospital)
Muscular Dystrophies (Healthline)
Muscular dystrophy (Better Health Channel)
Muscular dystrophy (Centers for Disease Control and Prevention)
Muscular dystrophy (Mayo Clinic)
Muscular dystrophy (NHS, U.K.)
Muscular dystrophy (NIH, U.S.)
Muscular dystrophy (TeensHealth)
Muscular dystrophy (Wikipedia)
Muscular Dystrophy Association
Muscular Dystrophy Australia
Muscular Dystrophy Canada
Muscular Dystrophy UK
The Japan Muscular Dystrophy Association
Understanding Muscular Dystrophy -- the Basics (WebMD)
December 2, 2015 "Scientists debate morality of editing babiesfgenes" (The Japan Times
October 24, 2015 "Boom in gene-editing raises ethics debate" (The Japan Times
February 25, 2015 "U.K. becomes first country to allow creation of embryos from three people's DNA" (The Japan Times
February 4, 2015 "U.K. House of Commons OKs making babies from DNA of three people" (The Japan Times
December 18, 2014 "U.K. proposes rules for embryos made from 3 people" (The Japan Times
August 23, 2014 "Ice bucket challenge may change nonprofit world" (The Japan Times
March 7, 2014 "Era of personal genomic medicine dawns at last" (The Japan Times
February 15, 2014 "Euthanasia: the dilemma of choice" (The Japan Times
December 28, 2013 "US boy, 9, is youngest to reach Aconcagua summit" (The Japan Times
September 4, 2013 "Suicide victimfs organ donation wish denied in China" (The Japan Times
June 8, 2013 "Why do identical twins lead such different lives?" (The Japan Times
September 28, 2010 "Building a world without barriers, borders" (The Japan Times
April 16, 2009 "Study of iPS cells draws nearer to finding cures" (The Japan Times
April 17, 2008 "Robotic suit lab breaks ground" (The Japan Times
May 18, 2007 "'Pacchigi! Love & Peace'" (The Japan Times
January 22, 2007 "Right-to-die issue need not be incoherent" (The Japan Times
July 3, 2006 "Hashimoto brought a rare passion to politics during his long career" (The Japan Times
April 6, 2006 "Robot suit to give quadriplegic a lift" (The Japan Times
November 30, 2005 "'Monster' gene defect may counter deadly affliction" (The Japan Times
February 5, 2004 "Clinic in Kobe breaks taboo on sex selection" (The Japan Times
March 19, 2000 "Unique team wiring the disabled for work" (The Japan Times
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The orginal Japanese page is prepared by Kayoko Ito