Disasters · Extreme heat and heat illness

If you feel unwell from the heat during your Japan trip

If you feel unwell while walking or sightseeing, stop right away. Move to an air-conditioned room or a breezy shaded spot and cool your body. If someone is unconscious or answering strangely, call 119 immediately. The same applies when the person cannot drink water on their own or is too exhausted to move. Do not force water on someone who is unconscious or cannot drink on their own.

Official sources checked: 2026-10-12

If you feel unwell, stop and cool your body right away

  1. Stop walking and sightseeing, and move to a nearby air-conditioned room or a breezy shaded spot. Loosen your clothing and cool your body.
  2. If someone is unconscious or answering strangely, call 119 right away. Also call 119 when there are convulsions over the whole body, when exhaustion is so severe the person cannot move, or when the person cannot drink water on their own. Seek emergency help if their body is very hot or they cannot walk steadily.
  3. Before the ambulance arrives, wet the skin with water and fan the person by hand or with an electric fan. If you have cold packs or ice bags, place them around the neck, armpits, and groin to cool the body. Stay with the person and keep watching their condition.
  4. Give fluids only when the person is fully conscious and can drink on their own. When unconscious, responding strangely, unable to drink on their own, or feeling nauseous or vomiting, do not force water. If symptoms do not improve, get medical care promptly.

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Fire and Disaster Management Agency · When to call an ambulance for heat illness (in Japanese) ↗ · Fire and Disaster Management Agency · Heat illness first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗ · JNTO · Medical institution search and emergency contacts (in Korean) ↗
Sources checked:

How to read Japanese signs and notices

When you see the Japanese below on signs or phone alerts, check what it means. Do not look at the numbers alone — read what danger is being announced and which area or section it covers.

指定暑熱避難施設 / クーリングシェルター

Meaning A facility designated for resting in a cool place away from the heat.

What to do Check the opening dates and hours, and ask staff whether you can enter now. If you feel unwell, do not walk far to find a distant facility — cool your body in a nearby cool place first.

This differs from overnight disaster shelters. Do not assume from signs or marks alone that it is open now or that water, medicine, or interpretation are available. If consciousness is abnormal or you cannot drink on your own, calling 119 and cooling the body come first.

Official sources: Ministry of the Environment · Cooling shelter guide (in Japanese) ↗
Checked:

熱中症警戒アラート

Meaning This means the risk of heat illness from the heat has grown.

What to do Check the target date, area, and issued time. Reduce outdoor activities and stay in air-conditioned places.

WBGT 33 does not mean an air temperature of 33°C. WBGT is a heat index that also reflects humidity and sunlight. Even without an alert, if symptoms appear, cool your body right away and get help.

Official sources: Japan Meteorological Agency · Meaning and criteria of heat illness alert (in Japanese) ↗
Checked:

熱中症特別警戒アラート

Meaning This means extremely dangerous heat is expected over a wide area.

What to do Stay in cool places and check on your companions too. Whether scheduled events will be held and whether the facility you want to rest at is open — check with organizers and local notices.

This is guidance for widespread dangerous heat. Not every event is automatically cancelled, and not every cooling shelter opens at the same hours.

Official sources: Ministry of the Environment · Special heat illness alert and actions (in Japanese) ↗
Checked:

開放可能時間等 / 閉館日等

Meaning This means the hours the facility can be used and the days it is closed.

What to do Read the facility hours together with closed days. Ask staff whether you can use it today.

This is an entry from the Shinjuku City official facility list. Do not assume it is open every day from the hours alone — read the closed days too.

Official sources: Shinjuku City · Cooling shelter facility guide (in Japanese) ↗
Checked:

受入人数

Meaning This is the number of people the facility can accept.

What to do The listed capacity and currently available space are different. Ask staff whether there is room to rest inside.

This is the capacity listed in the Shinjuku City official facility list. It is not a real-time display of remaining space.

Official sources: Shinjuku City · Cooling shelter facility guide (in Japanese) ↗
Checked:

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Fire and Disaster Management Agency · When to call an ambulance for heat illness (in Japanese) ↗ · Fire and Disaster Management Agency · Heat illness first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗ · JNTO · Medical institution search and emergency contacts (in Korean) ↗
Sources checked:

What if I feel dizzy or nauseous from the heat?

Stop what you are doing and cool your body in a cool place. The same applies if you feel faint when standing up, or have a headache, muscle cramps, or severe fatigue. If answers are strange or the person is unconscious, call 119 right away.

Heat illness refers to various symptoms that occur when the body fails to regulate heat properly. In Japan it is called 「熱中症」. It can occur not only under the sun but also when staying still in a hot, humid room.

Also watch for heavy sweating or weakness in the hands and feet. Do not decide on a diagnosis or assume you are fine based only on body temperature or whether you are sweating. Check together whether consciousness is clear, whether answers and walking are normal, and whether the person can drink water on their own. If anything is wrong, cool the body right away and get help.

Do not delay first aid by taking temperature or trying to distinguish heat exhaustion from heatstroke. Do not self-diagnose from just a few symptoms.

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Fire and Disaster Management Agency · When to call an ambulance for heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness that occurs indoors (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗
Sources checked:

How should I help if a companion collapses from the heat?

Ask someone nearby to call 119 and start cooling the body right away. Do not give water to someone who is unconscious or cannot drink on their own.

  1. Ask people nearby or staff to call an ambulance. Tell them the facility name and location where you are. If alone, call 119 yourself.
  2. Move them to an air-conditioned place or a breezy shaded spot and loosen their clothing. Do not force someone who cannot walk on their own to walk back to the accommodation.
  3. While waiting for the ambulance, wet the skin with water and fan the person. You can also cool the body by placing cold packs or ice bags around the neck, armpits, and groin.
  4. If fully conscious, able to drink on their own, and without nausea or vomiting, give fluids. If they sweated a lot, they can drink oral rehydration solution or sports drinks that replenish water and salt together. If they cannot drink, call for emergency help.
  5. Stay with them and watch their answers and condition. When medical staff arrive, tell them how long the person was in the heat, when symptoms started, and what first aid was given.

Forcing water can send it into the airway. If a doctor has given instructions about drinking water due to kidney or heart conditions, follow those instructions. Do not drink a large amount of oral rehydration solution at once.

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Fire and Disaster Management Agency · Heat illness first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗ · JNTO · Medical institution search and emergency contacts (in Korean) ↗
Sources checked:

How do I check heat information before going out?

On the Ministry of the Environment Korean-language page, select the area you are traveling in. You can see the heat index (WBGT), which reflects humidity and sunlight, and heat illness alerts. If an alert is issued, reduce outdoor activities and stay in air-conditioned rooms.

Before departure and before going out at your destination, check the issued time, target dates, and areas. The heat index is not the same number as the temperature in weather apps or body temperature. Look at the nearest observation point, but sunlight and wind where you actually stay may differ — also watch your surroundings and condition.

The regular heat illness alert 「熱中症警戒アラート」 is issued when the highest WBGT of the day is predicted to reach 33 or above at any point in the target area. This 33 does not mean an air temperature of 33°C. Even without an alert, heat illness can occur depending on your condition, activity, and surroundings.

「熱中症特別警戒アラート」 is a special alert meaning dangerous heat is expected across many areas with a risk of serious health harm. Stay in cool places and check on your companions too. If you plan to attend an event, first check whether the organizer cancelled it or changed the date or venue before setting out.

Check the official page for which alerts are issued for your area now. Also check whether the issued date is today. Do not judge current alerts or safety from this text alone.

Official sources: Ministry of the Environment · Heat index and heat illness alerts in Korean ↗ · Japan Meteorological Agency · Meaning and criteria of heat illness alert (in Japanese) ↗ · Ministry of the Environment · When special heat illness alert is issued (in Japanese) ↗
Sources checked:

What should I pack for travel on hot days?

Bring water and a hat or parasol, and wear breathable clothes. Drink fluids often before you feel thirsty, and rest in shade or air-conditioned places.

On hot days, minimize going out at midday as much as possible. The Ministry of Health, Labour and Welfare also advises resting often in shade and avoiding heat. Indoors too, control temperature with air conditioning and replenish fluids often.

It is good to cut first the plans that involve long walks or waiting in outdoor lines. After touring one place, add rest time at your accommodation or an air-conditioned room. Even if you shift plans to morning or evening, check the heat index and your condition at that time before moving.

Children and older adults need extra care as their ability to regulate body heat differs. Ask your companions whether they feel too hot or unwell. If someone seems less energetic than usual or responds differently, stop activities. If the resting place is a long walk away, consider shortening the plan.

If you must wait outside for a long time

First cut plans that involve waiting without shade or rest areas. Check before departure whether events or facilities operate as scheduled.

If you must follow a doctor's instructions when drinking water

Follow your doctor's instructions even while traveling. Do not assume you can take the same amount of water or salt as others.

Official sources: Ministry of Health, Labour and Welfare · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Japan Meteorological Agency · Meaning and criteria of heat illness alert (in Japanese) ↗
Sources checked:

Where do I find a place to escape the heat?

First rest in a nearby air-conditioned room or a breezy shaded spot. To find a cooling shelter — a facility designated for escaping heat — go through the Ministry of the Environment link collection to your area city or ward office and check the available dates and hours.

Cooling shelters are air-conditioned facilities designated by local governments as places to escape heat, called 「クーリングシェルター」 in Japanese. When a special heat illness alert is issued, they are to open at set hours. Details like available dates and hours are announced by the area city or ward office.

Even if listed, check separately whether you can enter now. Check the available dates and hours in the facility guidance, and when you arrive ask staff where you can rest. If you can already stay in an air-conditioned place, you do not need to move to a cooling shelter.

Rather than walking far on hot roads to find a specific facility, ask for help nearby first. When consciousness or walking is abnormal, or the person cannot drink water on their own, do not spend time searching for facilities — call 119 and cool the body.

Cooling shelters are places to escape heat, different from shelters for staying during disasters. Ask the facility whether it is open now and whether you can stay overnight or get supplies or interpretation help. Being designated does not mean all this help is available.

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Ministry of the Environment · Find cooling shelters by area (in Japanese) ↗ · Ministry of the Environment · When special heat illness alert is issued (in Japanese) ↗
Sources checked:

What if my accommodation is hot or the air conditioning does not work?

If you feel unwell, do not endure it in the room — cool your body in a cool place. If you can move, ask staff whether you can rest somewhere air-conditioned.

Entering the room does not remove the heat danger. Heat illness can occur indoors too, so control temperature with air conditioning. If dizziness or headache continues, get medical care. If unconscious or unable to drink water on their own, call 119.

If the air conditioning is broken or there is a power outage, ask staff whether there is a cool place to rest, whether you can move to another room, and when air conditioning will be available again. If you must move to another accommodation, ask your accommodation and the booking company each about change fees and conditions. Do not assume you can change rooms or cancel for free.

Even when evacuated for an earthquake, shelters may have no air conditioning or be unable to use it due to power outages. If you feel unwell from the heat, tell staff right away and ask for help resting in a cool place.

Official sources: Ministry of Health, Labour and Welfare · Heat illness that occurs indoors (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗
Sources checked:

Can I go sightseeing again when I feel a bit better?

Even if you feel better, rest enough. If symptoms do not improve, get medical care soon. If you received care, follow medical staff guidance on whether you can resume activities or travel.

The Ministry of the Environment first aid materials also advise resting and taking it easy after feeling better. If you cannot drink water due to nausea or vomiting, or your condition worsens, call 119.

While recovering, drop plans with long walks or outdoor waiting, and first decide with your companions where you can rest. Do not push yourself to travel while unwell just to catch a booked train or flight.

When you can move, check separately whether trains and buses from your accommodation to the station or airport run, and whether your booked flight operates. Transport may still be stopped even after you feel better. If you need to change bookings, ask the operator, airline, or booking company about how to change and the fees. A heat alert does not make every booking free to change or cancel.

Official sources: Ministry of the Environment · Heat illness first aid steps (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗
Sources checked:

How do I ask for help if Japanese is difficult?

In an emergency, call 119 or ask someone nearby to call an ambulance. If you need help finding a medical institution in English, contact the JNTO traveler support line at 050-3816-2787.

Show people nearby 「救急車を呼んでください。」 It means "Please call an ambulance." Also tell them your facility name and location. In emergencies, do not wait for English-language consultation to connect — call 119 first.

The JNTO Japan Visitor Hotline is a line that guides foreign travelers in Japan who face difficulties from illness or disaster. It is available 24 hours daily in Korean, English, and Chinese. Call 050-3816-2787 within Japan, or +81-50-3816-2787 from abroad. If you need an ambulance, call 119 before this line.

If it is not an emergency and you need to find a hospital, use the JNTO medical institution search (in Korean) to select your area and language. Contact the hospital to ask about available hours, whether they can explain in your language, and whether you can be seen now. As a rule, JNTO does not interpret between patient and hospital or book on your behalf. Receiving guidance does not guarantee interpretation, treatment, or booking.

Official sources: JNTO · Medical institution search and emergency contacts (in Korean) ↗ · JNTO · Japan Visitor Hotline guide ↗
Sources checked:

Related guides

FAQ

Do I need to distinguish heat exhaustion from heatstroke first?

Do not delay cooling your body or asking for help to distinguish the diagnosis. Do not look only at body temperature or sweat — check together whether consciousness is clear, whether answers and walking are normal, and whether the person can drink water on their own. If unconscious or answering strangely, call 119. The same applies when the person cannot drink water or is too exhausted to move.

Official sources: Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗ · Fire and Disaster Management Agency · When to call an ambulance for heat illness (in Japanese) ↗ · Fire and Disaster Management Agency · Heat illness first aid (in Japanese) ↗
Sources checked:

When should I not give water?

When unconscious or responding strangely, unable to drink on their own, or feeling nauseous or vomiting, do not force water. Water can enter the airway. If unconscious or unable to drink water on their own, call 119 and cool the body.

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗
Sources checked:

Can I keep sightseeing outdoors if no alert is issued?

Even without an alert, heat illness can occur depending on surroundings, activity, and your condition. Check the heat index (WBGT) for your travel area and rest often in shade. If you feel dizzy or develop a headache or nausea, stop what you are doing and cool your body.

Official sources: Japan Meteorological Agency · Meaning and criteria of heat illness alert (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗
Sources checked:

Does WBGT 33 mean an air temperature of 33°C?

No. WBGT is a heat index that reflects not only air temperature but also humidity and sunlight. The regular heat illness alert is issued when the highest WBGT of the day is predicted to reach 33 or above at any point in the target area. Do not read it as the same number as the temperature in weather apps.

Official sources: Japan Meteorological Agency · Meaning and criteria of heat illness alert (in Japanese) ↗
Sources checked:

If I stay inside the hotel, do I not need to worry about heat illness?

Heat illness can occur even when staying still in a hot, humid room. Control temperature with air conditioning and replenish fluids often. If symptoms appear, cool your body in a cool place. If unconscious or unable to drink water on their own, call 119.

Official sources: Ministry of Health, Labour and Welfare · Heat illness that occurs indoors (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗
Sources checked:

If I call JNTO, will they provide interpretation or book a hospital for me?

The JNTO traveler support line offers guidance on illness and disaster in Korean, English, and Chinese. However, as a rule it does not interpret between patient and hospital or book on your behalf. Ask the hospital about available hours and whether you can be seen in a language you understand. In emergencies, call 119 first.

Official sources: JNTO · Medical institution search and emergency contacts (in Korean) ↗ · JNTO · Japan Visitor Hotline guide ↗
Sources checked:

Official sources for this guide

Check local notices for current warnings and access restrictions. For whether trains and flights are running, see the transport operators' latest notices.

Official sources: Ministry of Health, Labour and Welfare · Heat illness symptoms and first aid (in Japanese) ↗ · Fire and Disaster Management Agency · When to call an ambulance for heat illness (in Japanese) ↗ · Fire and Disaster Management Agency · Heat illness first aid (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Heat illness that occurs indoors (in Japanese) ↗ · Ministry of Health, Labour and Welfare · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of the Environment · Heat illness first aid steps (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗ · Ministry of the Environment · Heat index and heat illness alerts in Korean ↗ · Japan Meteorological Agency · Meaning and criteria of heat illness alert (in Japanese) ↗ · Ministry of the Environment · When special heat illness alert is issued (in Japanese) ↗ · Ministry of the Environment · Find cooling shelters by area (in Japanese) ↗ · JNTO · Medical institution search and emergency contacts (in Korean) ↗ · JNTO · Japan Visitor Hotline guide ↗
Sources checked: