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==Government policies== To provide a strategic plan to decrease the rate of karoshi, the National Institute of Health proposed the establishment of a comprehensive industrial health service program to reduce karoshi and other diseases caused by work-related stress in its 2005 annual report. The program requires communal efforts from the following groups: #The government, as the policy maker, should promote shorter working hours, make health services readily accessible, encourage voluntary health examination and enhance the effectiveness of medical care. #As the group that is more closely involved with the everyday health of employees, labor unions and employers should strive to implement and comply with government policies that focus on reducing work overtime and creating a better work environment. #The employees themselves should recognize the need to take rests regularly and take preventive measures as needed.<ref>{{cite journal |last1=Araki |first1=Shunichi |last2=Iwasaki |first2=Kenji |title=Death Due to Overwork (Karoshi): Causation, health service, and life expectancy of Japanese males |journal=Japan Medical Association Journal |volume=48 |issue=2 |year=2005 |pages=92β98 |url=https://www.med.or.jp/english/pdf/2005_02/092_098.pdf |access-date=19 January 2018 |archive-date=13 January 2016 |archive-url=https://web.archive.org/web/20160113201842/http://www.med.or.jp/english/pdf/2005_02/092_098.pdf |url-status=dead }}</ref> As a formal response to this proposal, the Industry Safety and Health Act was revised in 2006. The Act established various terms that focus on work-related health issues, including mandatory health checks and consultations with professional medical personnel for employees who work long hours and have a higher probability of having work related illnesses.<ref>{{cite web |url=https://www.cas.go.jp/jp/seisaku/hourei/data/isha.pdf |title=Industrial Safety and Health Act (Act No. 57 of 1972) |access-date=22 January 2018}}</ref>
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