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The prevention of death due to overworking, so called “Karoshi” is one of the most important issue for the Japanese occupational health policy. Most of the Karoshi cases are closely related to coronary heart diseases (CHD). Thus it is very important to assess the coronary risk level of workers. In 2001 the Japanese government implements a new screening program for Karoshi under the Occupational Accident Compensation Law. A worker with all four conditions (hypertension, hyperlipidemia, hyperglycemia and obesity, so called “deadly quartet” must receive the in-depth health examination. However, it has been suggested that deadly quartet model has high false negative rate and that it might be better to adapt more appropriate screening method for the prevention of Karoshi. In this study we compare the appropriateness of several screening models for CHD risks. The results of our study indicated that the screening method based only on the deadly quartet is insufficient. The use of supplementary screening standard such as the CHD Risk Model is considered to be necessary.

Health Support Program for Coronary Risk in the Occupational Setting