Disasters · Extreme heat & heat illness

If Heat Makes You Sick During Your Japan Trip

If you feel sick while walking or sightseeing, stop right away. Move to an air-conditioned space or a breezy shaded spot and cool your body. Call 119 if someone is unconscious or not responding normally. The same applies if they can't drink water on their own or are too exhausted to move. Don't force water on someone who is unconscious or can't drink on their own.

Official sources checked: 2026-10-12

Stop if you feel sick, and cool your body right away

  1. Stop walking and sightseeing, and move to a nearby air-conditioned space or breezy shade. Loosen your clothing and cool your body.
  2. Call 119 right away if someone is unconscious or not responding normally. Call 119 too if there are full-body convulsions, severe exhaustion that keeps them from moving, or they can't drink water on their own. Also request emergency help if their body is very hot or they can't walk straight.
  3. Before the ambulance arrives, wet the skin with water and fan with a hand fan or electric fan. If you have cold packs or ice bags, cool the neck, armpits, and inner thighs around the groin. A companion should stay nearby and watch their condition.
  4. Give fluids only when the person is alert and can drink on their own. Don't force water if they're unconscious, responding abnormally, can't drink on their own, or are nauseous or vomiting. Get medical care quickly if symptoms don't improve.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · 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 · Finding medical institutions in Korean and emergency contacts (in Korean) ↗
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How to read Japanese signs and notices

When you see the Japanese below on signs or phone alerts, check what it means. Don't just look at the number — read what danger it warns of 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

What it means A designated facility where you can rest in a cool place to escape the heat.

What to do Check the open dates and hours, and ask staff whether you can enter now. If you feel unwell, cool off at a nearby cool spot first instead of walking far to find a facility.

It's different from an overnight disaster shelter. A sign or mark alone doesn't tell you whether it's open now or whether you'll get water, medication, or interpretation. If consciousness is abnormal or the person can't drink water on their own, calling 119 and cooling the body come first.

Official sources: Ministry of the Environment · Cooling shelter guidance (in Japanese) ↗
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熱中症警戒アラート

What it means A notice that the risk of heat illness from heat has grown.

What to do Check the target date, area, and issued time. Cut back on outdoor activities and stay in air-conditioned spaces.

WBGT 33 doesn't mean an air temperature of 33°C. WBGT is a heat index that also reflects humidity and sunlight. Even with no alert, cool your body right away if symptoms appear and seek the medical help you need.

Official sources: Japan Meteorological Agency · What the heat illness alert means and its criteria (in Japanese) ↗
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熱中症特別警戒アラート

What it means A notice that very dangerous heat is expected over a wide area.

What to do Stay in a cool place and watch your companions' condition too. Check with organizers and local notices whether scheduled events will happen and whether the facility you want to rest at is open.

This is a notice about widespread dangerous heat. It doesn't automatically cancel every event or open every cooling shelter at the same time.

Official sources: Ministry of the Environment · Heat illness special alert guidance and actions (in Japanese) ↗
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開放可能時間等 / 閉館日等

What it means The hours a facility is available and the days it's closed.

What to do Read the hours and closed days in the facility's notice together. Ask staff whether you can use it today.

This is an entry in Shinjuku City's official facility list. Don't assume it's open every day from the hours alone — read the closed days too.

Official sources: Shinjuku City · Cooling shelter facility guide (in Japanese) ↗
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受入人数

What it means The number of people a facility can take.

What to do The number in the table isn't the number of spots left now. Ask staff whether there's room to go in and rest.

This is the capacity listed in Shinjuku City's official facility list. It's not a live count of remaining spots.

Official sources: Shinjuku City · Cooling shelter facility guide (in Japanese) ↗
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Official sources: Ministry of Health, Labour and Welfare (MHLW) · 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 · Finding medical institutions in Korean and emergency contacts (in Korean) ↗
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What should I do if heat makes me dizzy or nauseous?

Stop what you're doing and cool your body in a cool place. The same applies with dizziness when standing, headache, muscle cramps, or heavy fatigue. Call 119 right away if responses are abnormal or the person is unconscious.

Heat illness covers the various symptoms that arise when heat keeps the body's temperature control from working well — the condition called 「熱中症」 (heat illness) in Japan. It can strike not only in the sun but also while resting in a hot, humid indoor space.

Watch out too for heavy sweating or weakness in the hands and feet. Don't diagnose yourself or assume you're fine based on body temperature or sweating alone. Check together whether they're alert, whether speech and walking look normal, and whether they can drink water on their own. If anything is off, cool the body right away and ask for help.

Don't delay first aid to take a temperature or figure out whether it's heatstroke or sunstroke. Don't self-diagnose from a few symptoms.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · 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 (MHLW) · Heat illness can happen indoors too (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗
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How should I help if my companion collapses from the heat?

Ask people around you to call 119 and start cooling the body right away. Don't give water to someone who is unconscious or can't drink on their own.

  1. Ask people or staff nearby to call an ambulance. Tell them the facility's name and location. If you're alone, call 119 yourself.
  2. Move them to an air-conditioned place or breezy shade and loosen their clothing. Don't force someone who can't walk on their own to walk back to the lodging.
  3. While waiting for the ambulance, wet the skin with water and fan them. You can also cool them by placing cold packs or ice bags around the neck, armpits, and inner thighs near the groin.
  4. Give fluids only if they're alert, can drink on their own, and aren't nauseous or vomiting. If they've sweated heavily, they can drink oral rehydration solution or sports drinks that replenish water and salt together. If they can't drink, request emergency help.
  5. Have someone stay with them and watch their responses and condition. When medics arrive, tell them how long the person was in the heat, when the symptoms started and what they were, and what first aid you gave.

Forcing someone to drink water can send it into the airway — the path for breathing. If a doctor has given you instructions on drinking water because of kidney or heart conditions, follow them. Don't drink a lot of oral rehydration solution all at once.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · 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 · Finding medical institutions in Korean and emergency contacts (in Korean) ↗
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How do I check heat information before going out?

On the Ministry of the Environment's Korean screen, choose your travel area. You can see the heat index (WBGT), which reflects humidity and sunlight, and heat illness alerts. If an alert is out, cut back on outdoor activities and stay in air-conditioned spaces.

Before leaving and before going out at your destination, check the issued time, target dates, and areas. The heat index isn't the same number as the temperature in a weather app or a body temperature. Use the nearest observation point's value, but remember the sun and wind where you actually are may differ — watch your surroundings and your body too.

The regular heat illness alert, 「熱中症警戒アラート」 (heat illness alert), is issued when the day's highest WBGT is forecast at 33 or above at any point in the target area. That 33 doesn't mean an air temperature of 33°C. Heat illness can strike without an alert, depending on your condition, activity, and surroundings.

「熱中症特別警戒アラート」 (heat illness special alert) is a special notice that dangerous heat is expected across multiple areas with a risk of serious health harm. Stay in a cool place and watch your companions too. If you're heading to an event, first check whether the organizer canceled it or changed the date or venue, then set out.

Check the official screen for which alerts are out in your area now. Also check whether the issued date is today. Don't judge current alerts or safety from this article alone.

Official sources: Ministry of the Environment · Heat index & heat illness alerts in Korean (in Korean) ↗ · Japan Meteorological Agency · What the heat illness alert means and its criteria (in Japanese) ↗ · Ministry of the Environment · When the heat illness special alert is issued (in Japanese) ↗
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What should I pack for traveling on hot days?

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

On hot days, cut back on going out around midday as much as possible. The Ministry of Health, Labour and Welfare also recommends resting in shade often and avoiding the heat. Indoors, control the temperature with air conditioning and drink fluids often.

It's good to cut plans with long walks or outdoor lines first. After seeing one place, build in rest time at your lodging or in air-conditioned spaces. Even if you shift plans to morning or evening, check the heat index and your condition for those hours before moving.

Children and older adults regulate body heat differently, so they need extra care. Ask your companions whether they're too hot or struggling. If they seem less energetic than usual or respond differently, stop the activity. If it's a long walk to a rest spot, it's better to shorten the plan.

If you have to wait outside a long time

Cut plans with waits where there's no shade or rest spot first. Check before leaving whether events and facilities are operating as scheduled.

If you have medical instructions about drinking water

Keep following your doctor's instructions while traveling. Don't assume the same amount of water or salt as others is fine for you.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗ · Japan Meteorological Agency · What the heat illness alert means and its criteria (in Japanese) ↗
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Where can I find a place to escape the heat?

Rest first in a nearby air-conditioned space or breezy shade. To find a cooling shelter — a designated heat-escape facility — use the Ministry of the Environment's link collection to go to the city or ward office of your travel area and check the open dates and hours.

A cooling shelter is an air-conditioned facility a municipality designates as a place to escape the heat; in Japanese it's called 「クーリングシェルター」. When a heat illness special alert is issued, it opens at set hours. The city or ward office provides details like available dates and hours.

Being on a list doesn't mean you can enter now — check separately. Look at the facility notice's open dates and hours, and ask staff where you can rest when you arrive. If you can already stay in an air-conditioned place, you don't have to move to a cooling shelter.

Rather than walking far in the heat to find a specific facility, ask for help nearby first. If consciousness or walking looks abnormal, or the person can't drink water on their own, don't spend time searching for a facility — call 119 and cool the body.

A cooling shelter is a place to escape the heat, different from a shelter for staying during a disaster. Ask the facility whether it's open now and whether you can stay overnight or get supplies or interpretation help. Being designated doesn't guarantee all of that.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗ · Ministry of the Environment · Finding cooling shelters by area (in Japanese) ↗ · Ministry of the Environment · When the heat illness special alert is issued (in Japanese) ↗
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What if my lodging is hot or the air conditioning doesn't work?

If you feel sick, don't tough it out in your room — cool your body in a cool place. If you can move, ask staff whether you can rest somewhere air-conditioned.

Going inside doesn't remove the heat risk. Heat illness can happen indoors too, so control the temperature with air conditioning. If dizziness or headache continues, get medical care. Call 119 if someone is unconscious or can't drink water on their own.

If the air conditioning is broken or there's a power outage, ask staff whether there's a cool place to rest, whether you can move to another room, and when the cooling will be back. If you need to move to another lodging, ask the lodging and your booking operator separately about change fees and conditions. Don't assume in advance that you can switch rooms or cancel for free.

Even after evacuating for an earthquake or the like, a shelter may have no air conditioning, or its air conditioning may not work during a power outage. If the heat makes you sick, tell staff right away and ask for help resting somewhere cool.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · Heat illness can happen indoors too (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗
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Once I'm feeling better, can I go sightseeing again?

Even if you feel better, rest enough. If symptoms don't improve, get medical care quickly. If you got care, follow the medical staff's guidance on whether you may resume activities or travel.

The Ministry of the Environment's first aid materials also recommend staying calm and resting enough after you improve. If nausea or vomiting keeps you from drinking water, or your condition worsens, call 119.

While recovering, drop plans with long walks or outdoor waits, and first pick rest spots with your companions. Don't force yourself to travel while sick just to catch a booked train or flight.

Once you can move, check separately whether trains and buses from your lodging to the station or airport are running and whether your booked flight is operating. Transport may still be stopped even if you feel better. If you need to change bookings, ask the operator, airline, or booking company about how to change and what it costs. A heat alert doesn't mean every booking is changed or canceled for free.

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 (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗
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How do I ask for help if Japanese is hard?

In an emergency, call 119 or ask people around you to call an ambulance. If you need help finding a medical institution, call the JNTO tourist support hotline at 050-3816-2787.

Show people around you: 「救急車を呼んでください。」 — it means "Please call an ambulance." Also tell them the facility's name and location. In an emergency, call 119 first instead of waiting for a Korean-language counselor to connect.

JNTO's Japan Visitor Hotline is a phone line that guides foreign travelers in Japan when they're in trouble from illness or disaster. It's available 24 hours a day in Korean, English, and Chinese. In Japan call 050-3816-2787; from abroad call +81-50-3816-2787. If you need an ambulance, call 119 first, before this line.

If it's not an emergency and you need a hospital, use JNTO's Korean medical institution search to pick a region and language. Contact the hospital to ask about available hours, whether they can explain in the language you want, and whether you can be seen now. JNTO generally doesn't interpret between patients and hospitals or book on your behalf. Korean guidance doesn't guarantee interpretation, treatment, or booking.

Official sources: JNTO · Finding medical institutions in Korean and emergency contacts (in Korean) ↗ · JNTO · Japan Visitor Hotline guide (in English) ↗
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Related guides

Frequently asked questions

Do I need to tell heatstroke and sunstroke apart first?

Don't put off cooling the body or asking for help to figure out a diagnosis. Don't look only at body temperature or sweat — check together whether they're alert, whether speech and walking look normal, and whether they can drink water on their own. Call 119 if they're unconscious or responding abnormally. The same applies if they can't drink water or are 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) ↗
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When should I NOT give water?

Don't force water if they're unconscious or responding abnormally, can't drink on their own, or are nauseous or vomiting. There's a risk water enters the airway — the path for breathing. If they're unconscious or can't drink water on their own, call 119 and cool the body.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗ · Ministry of the Environment · Heat illness environmental health manual 2022 (in Japanese) ↗
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Can I keep sightseeing outdoors if there's no alert?

Heat illness can strike without an alert, depending on your surroundings, activity, and condition. Check your travel area's heat index (WBGT) and rest in shade often. If you feel dizzy or get a headache or nausea, stop what you're doing and cool your body.

Official sources: Japan Meteorological Agency · What the heat illness alert means and its criteria (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗
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Does WBGT 33 mean an air temperature of 33°C?

No. WBGT is a heat index that reflects humidity and sunlight as well as temperature. The regular heat illness alert is issued when the day's highest WBGT is forecast at 33 or above at any point in the target area. Don't read it as the same number as a weather app's temperature.

Official sources: Japan Meteorological Agency · What the heat illness alert means and its criteria (in Japanese) ↗
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Can I get heat illness inside a hotel?

Heat illness can strike even while resting in a hot, humid indoor space. Control the temperature with air conditioning and drink fluids often. If symptoms appear, cool your body in a cool place. Call 119 if someone is unconscious or can't drink water on their own.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · Heat illness can happen indoors too (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Avoiding heat and preventing heat illness (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · Heat illness symptoms and first aid (in Japanese) ↗
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Will calling JNTO get me an interpreter or a hospital booking?

JNTO's tourist support hotline can give illness and disaster guidance in Korean, English, and Chinese. But it generally doesn't interpret between patients and hospitals or book on your behalf. Ask the hospital about available hours and whether they can treat you in the language you need. In an emergency, call 119 first.

Official sources: JNTO · Finding medical institutions in Korean and emergency contacts (in Korean) ↗ · JNTO · Japan Visitor Hotline guide (in English) ↗
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Official sources for this guide

Check local notices for current warnings and entry restrictions. For trains and flights, check the transport operators' latest notices.

Official sources: Ministry of Health, Labour and Welfare (MHLW) · 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 (MHLW) · Heat illness can happen indoors too (in Japanese) ↗ · Ministry of Health, Labour and Welfare (MHLW) · 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 & heat illness alerts in Korean (in Korean) ↗ · Japan Meteorological Agency · What the heat illness alert means and its criteria (in Japanese) ↗ · Ministry of the Environment · When the heat illness special alert is issued (in Japanese) ↗ · Ministry of the Environment · Finding cooling shelters by area (in Japanese) ↗ · JNTO · Finding medical institutions in Korean and emergency contacts (in Korean) ↗ · JNTO · Japan Visitor Hotline guide (in English) ↗
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