The contentious issue of partial nudity during health examinations in Japanese schools has been reignited, despite the Ministry of Education’s directive earlier this year urging education authorities not to compel students to strip to the waist during medical assessments unless it’s deemed necessary.
A recent incident at an elementary school in Yokohama’s Kanagawa Ward has brought the debate back into the spotlight. Concerns were raised by a guardian on social media regarding a health checkup conducted at the school on May 20.
Reportedly, approximately 100 boys and girls in grades 4 to 6 were required to undergo examinations shirtless, with a male doctor using a stethoscope to assess heart sounds and other health indicators. Although some female students expressed reservations about disrobing, ultimately, all students complied. Notably, a female nurse was present during the examination of the girls.
The Ministry of Education’s notice outlined scenarios where visual and tactile inspections may necessitate the lifting of gym clothes or underwear, with a focus on detecting abnormalities such as skin or cardiac conditions. However, interpretations of this directive vary among local governments and schools, leading to discrepancies in their approaches.
In the case of the Yokohama school, families were informed in advance that students would be required to remove their upper garments for the examination. The city’s education board defended this practice, asserting that it was deemed necessary by the school physician and staff, and that parents were duly notified.
Nevertheless, concerns have been raised by some members of the Parent-Teacher Association (PTA), with reports of girls feeling uncomfortable with the requirement to disrobe. A parent criticized the practice, citing the standard use of stethoscopes over clothing in hospital settings and questioning the necessity of full undressing for a checkup, suggesting it may infringe upon the child’s rights.
Instances of misconduct during similar examinations in the past, including the arrest of a doctor for filming female students in underwear, have contributed to heightened scrutiny of these practices. Experts weigh in on the matter, with Professor Emeritus Takashi Kawamura advocating for alternative methods that prioritize the comfort and peace of mind of students.
Professor Satoshi Kodama of Kyoto University calls for clearer guidelines from the education ministry, suggesting that evidence-based information on the impact of different examination methods should be provided to students and guardians, empowering them to make informed choices regarding their participation in health assessments.
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