The Health Promotion Law was enforced in May 2003 to establish legal foundations for facilitating greater health promotion efforts by citizens made in accordance with “Health Japan 21”. The Subcommittee on Community Health and Nutrition and Health Promotion of the Health Sciences Council conducted an interim evaluation of “Health Japan 21” in December 2006 and published a written report of the “Health Japan 21 middle evaluation report” in April 2007. In consideration of the middle evaluation countermeasures against lifestyle-related diseases will be further promoted as a national campaign in cooperation with industry and through efficient as well as effective health checkups and counseling guidance made by health care insurers. In addition, and as part of the reform of the medical care system, discussions were held on how to provide specific health checkup and specific counseling guidance based on scientific grounds at the “Study Group on Standard Health Checkup and Counseling Guidance”, aiming at effective and efficient implementation of the specific health checkup and specific counseling guidance focused on metabolic syndrome (visceral fat syndrome). A “Standard Health Checkup and Counseling Guidance Program” was compiled in April 2007 with specific health checkup and specific counseling having started in FY 2008.