Never go to Japan (or anywhere for that matter) without adequate health insurance. You will not get help without it. If you’re really concerned, particularly with things like climbing Fuji, it’s sometimes better to get a tour, for the peace of mind aspect of knowing you will have help on hand if needed. In case of an emergency, it's best to have a Japanese-speaking person call the emergency services in Japan. If that's not an option, call the Tokyo English Lifeline (TELL) at (03) 3403-7106 for emergency assistance in English.
Climber on Mt.Fuji
Also, depending on when you travel; Japan’s summer heat and high humidity can lead to possible food poisoning, fatigue and heat stroke. In spring and fall, many people suffer from rhinitis and itchy eyes caused by pollen, especially to Japanese cedar pollen. A small medical kit can save you the problem of running around and looking for items that are a lot easier to find at home.
Hygiene standards are high in Japan, and medical facilities (although expensive) are widely available. So, the most important preventive measure is to make sure that you are healthy BEFORE you start traveling!
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