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PUBLIC HEALTH INFORMATION

Japan's summer heat
can be life-threatening.

Japan's summer combines high temperatures with very high humidity, making heat especially dangerous for outdoor workers, older adults, and anyone whose body has not yet adapted. This page provides workplaces and communities with the symptoms, first aid, emergency call procedures, and multilingual medical resources needed for prevention and response — drawn entirely from official Japanese sources.

Last reviewed: June 1, 2026 / Reviewed by WELD Consulting Group occupational physicians

01What Japanese summer is like

It's not just the heat — humidity is what overwhelms the body.

Japanese summer combines high temperatures with humidity of 70–80% for weeks at a time. When humidity is this high, sweat doesn't evaporate well, so the body can't release heat. Body temperature stays high, and heatstroke risk climbs sharply. The 2026 forecast also points to a hotter-than-average summer nationwide[1].

Typical Japanese summer conditions (Tokyo)

Daytime high
30–35°C
(86–95°F), August
Humidity
70–80%
Sweat evaporates slowly
Overnight low
25°C+
"Tropical night" — no relief

On days when the government issues a "Heatstroke Alert" (on TV and smartphone apps), avoid going outside or doing strenuous activity. The alert system is operated jointly by Japan's Ministry of the Environment and Japan Meteorological Agency[2].

What is "WBGT" — and how to read it on Japanese news

Throughout summer, Japanese TV news, weather apps, and station signage display a number called WBGT (Wet Bulb Globe Temperature). It's not the air temperature — it is a composite index that combines temperature, humidity, and radiant heat into a single risk score. Because Japan's humidity matters as much as the heat, WBGT is a more honest measure of how dangerous the day actually is.

WBGT ≥ 28Severe caution — stop strenuous outdoor activity
WBGT ≥ 31Danger — avoid all exercise
WBGT ≥ 33Heatstroke Alert issued
WBGT ≥ 35Heatstroke Special Alert (most dangerous)
For visitors from the US and other countries that use Fahrenheit: Japan uses Celsius (°C). Quick conversions: 30°C ≈ 86°F, 33°C ≈ 91°F, 35°C ≈ 95°F, 37°C ≈ 99°F. Note that WBGT values look lower than the actual air temperature — that's normal. A WBGT of 31 typically corresponds to an air temperature of around 35°C (95°F) with high humidity.

Emergency transports peak in July (Japan, 2025)

In 2025, Japan recorded 100,510 emergency transports for heatstroke — the highest annual total since data collection began in 2008. July alone accounted for ~40,000, followed by August (~32,000). The rate climbs sharply from June onward[6].

May
2,614
June
17,229
July
39,375
August
31,526
September
9,766

Source: Fire and Disaster Management Agency (FDMA), "Heatstroke Emergency Transport Report, May–September 2025"[6]. 57% of cases were people aged 65+. 38% occurred at home, 20% on the road.

02Recognizing the symptoms

Check the symptoms.

The Japanese Association for Acute Medicine classifies heatstroke into three severity grades[3]. Tick the items that apply to you, a family member, or a colleague — the level of care needed will become clear.

Grade I (Mild)

Usually manageable on-site

→ Rest in a cool place and replace water and salt. If no improvement, suspect Grade II.

Grade II (Moderate)

Needs medical care

→ If the person can't drink water, or doesn't improve — see a doctor. IV fluids are often required.

Grade III (Severe)

Call 119 immediately. Life-threatening.

→ Even one item below means you should call emergency services. Keep cooling the body while you wait.

Note: These checklists are a guide, not a diagnosis. If concerned, seek medical care early. For non-emergency medical advice in some areas of Japan, dial #7119 (limited regional service).

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03Who is most at risk

Four groups to watch closely.

People who haven't acclimatized to heat yet (a 7–14 day process), those working outdoors for long hours, and those with weakened temperature regulation face the highest risk[4].

Outdoor workers (construction, delivery, agriculture)

Direct sunlight plus physical exertion. Japan's revised Industrial Safety and Health Regulations (effective June 2025) require employers to monitor body condition and provide cooling facilities.

People starting outdoor work this season

Returning to commuting after working from home, new hires, or staff reassigned to outdoor roles — none have acclimatized yet. Keep the first 1–2 weeks short, with extra breaks and hydration.

Older adults (65+)

Reduced thirst response and weakened temperature regulation. Heatstroke can occur indoors. Use air conditioning and drink water on a schedule, not on thirst. ~57% of all emergency transports involve people aged 65 and over, and 38% of cases occur at home.

People with chronic conditions & on medication

Heart, kidney, diabetic, or psychiatric conditions raise risk, particularly with medications that affect sweating or temperature control.

KEY CONCEPT

"Heat acclimatization" — the body takes 7–14 days to adapt to summer

Your body can adapt to heat, but it takes time. Once acclimatized, you sweat more efficiently, your body cools itself better, and your heatstroke risk drops sharply — even at the same temperature. The process typically requires 7–14 days of repeated heat exposure[4].

Riskiest days
  • · First very hot day after the rainy season
  • · A sudden jump after several cool days
  • · Returning to outdoor work after a long break
  • · A new worker's first day on an outdoor job
How to acclimatize safely
  • · Start with short outdoor sessions, increase gradually
  • · Take warm baths (slight sweating is enough)
  • · Light aerobic activity several times per week
  • · Drink water and salt deliberately, not just on thirst

⚠ A full day outdoors is a special case. Construction, delivery, agriculture, outdoor events — even an acclimatized body has limits during a long day in the sun. On days when WBGT exceeds 33 (Heatstroke Alert), plan work hours, breaks, and hydration in advance. Don't rely on willpower.

04First aid: what to do

Five steps. Act first, judge later.

Untreated heatstroke can be rapidly fatal. If severe, call an ambulance and start cooling on the spot at the same time[4].

  1. 1
    Move to a cool placeAir-conditioned indoor space, or a shaded area with good airflow. Away from direct sunlight.
  2. 2
    Loosen clothing and cool the bodyLoosen belts, ties, tight collars. Apply ice or cold packs to the sides of the neck, armpits, and groin — these cool the large blood vessels just under the skin.
  3. 3
    Replenish water and saltOnly if the person is fully conscious and can drink on their own. Oral rehydration solutions or sports drinks are preferred. Never force fluids into someone with reduced consciousness — risk of choking.
  4. 4
    Decide whether to seek careIf they cannot drink on their own, do not improve, or show altered consciousness — call 119 without hesitating.
  5. 5
    Keep cooling until help arrivesContinuous cooling until paramedics arrive measurably improves survival.
05How to call an ambulance

If in doubt, dial 119. Available in your language.

119

Free to call from anywhere in Japan.

A three-way interpretation service is available 24/7 in 15 languages, including English, Chinese, Korean, Thai, Spanish, French, Portuguese, Vietnamese, Indonesian, and more[5]. If you don't speak Japanese, simply say "English, please" and an interpreter will join the call.

What to say (template)

Note: Ambulance service in Japan is free. There is no charge. Do not let cost worries delay your call.

06Multilingual medical resources

Hotlines to use when non-Japanese-speaking staff need care.

When a worker or family member whose first language is not Japanese needs medical care — or when employers need help coordinating it — use these regularly updated public hotlines maintained by Japanese government agencies.

AMDA International Medical Information Center

Multilingual medical consultation & interpretation

Provides information on Japan's medical system and refers to multilingual medical facilities. Languages include English, Chinese, Korean, Thai, Spanish, Portuguese, and more.

03-6233-9266
Mon–Fri 10:00–15:00 / Toll-free 0120-339-266
→ AMDA Official Site (English)
JNTO Japan Visitor Hotline

24/7 multilingual hotline for medical and emergency situations

A 24/7 public hotline that can refer callers to English-speaking medical facilities and guide them through emergency procedures. Useful for after-hours or weekend situations.

050-3816-2787
24 hours / 365 days · English, Chinese, Korean, Japanese
→ Emergency Guide
Tokyo Metropolitan Government — Himawari

Medical institution search in foreign languages

Search Tokyo hospitals and clinics by supported language, specialty, and ward.

03-5285-8181
Daily 9:00–20:00 · English, Chinese, Korean, Thai, Spanish
→ Tokyo Himawari

Note: Information current as of June 2026. Please verify hours and phone numbers on each organization's official site before calling.

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Workplace heatstroke prevention — talk to WELD

Japan's revised Industrial Safety and Health Regulations (effective June 2025) require employers to put heatstroke prevention measures in place. WELD Consulting Group's occupational physicians and health professionals help companies design and operate those measures — including support for non-Japanese-speaking staff.

Contact us →

REFERENCES

  1. Japan Meteorological Agency, "Seasonal Forecast (Warm Season, June–August 2026)" https://www.jma.go.jp/bosai/season/
  2. Ministry of the Environment, "Heat Illness Prevention Information Site / Wet Bulb Globe Temperature (WBGT)" https://www.wbgt.env.go.jp/
  3. Japanese Association for Acute Medicine, "Clinical Practice Guidelines for Heatstroke 2024" PDF
  4. Ministry of the Environment, "Heat Illness Environmental Health Manual 2018" PDF
  5. Fire and Disaster Management Agency, "Three-way Interpretation Service for 119 Emergency Calls" Official
  6. Fire and Disaster Management Agency, "Heatstroke Emergency Transport Report, May–September 2025 (令和7年)" PDF

Disclaimer: This page is public health information, not medical advice. In an emergency, dial 119. Treatment decisions should follow the instructions of a qualified physician. Information is current as of June 1, 2026 — please verify latest details on each official site.

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