We looked into the effects of the specified health examination and health guidance, which was enforced in 2008 in place of the fundamental health examination, and found that there were plenty of problems to be addressed. The changes in the standard range of the specified health examination and checkup items seemed to have been received much more unfavorably than anticipated.In the new health scheme as compared with the previous one, the occasion to perform blood tests for anemia and electrocardiography decreased drastically;there was veritably no funduscopy (ophthalmoscopy?); and the chances that the examinees were told to receive medical treatment or to watch yourself carefully were increased by a large margin. Since the objective of the health checkup was changed greatly, emphasis was placed on the detection of metabolic syndrome in the specified health examination. We thought that the hospitals, affiliated with the Aichi Prefectural Federation of Agricultural Coopeatives for Health and Welfare, had to renew their efforts for the maintenance of the health of local residents and the prevention of disease.