Nago City’s Transport Reform
2026-05-13 16:10:21

Revolutionizing Emergency Transport: Nago City’s Innovative Collaboration with OPHIS

Transforming Emergency Transport in Nago City



Nago City, situated in the northern part of Okinawa Prefecture, is embarking on an innovative project to restructure its emergency transport system. This initiative, underpinned by public-private collaboration, is spearheaded by Ryo Niosaka, the representative director of OPHIS, a nonprofit organization based in Setagaya, Tokyo. The project, scheduled to kick off in the 2025 fiscal year, aims to establish a sustainable model for emergency transport ahead of its planned nationwide rollout in 2026.

Urgent Need for Reform


According to the Fire and Disaster Management Agency of the Ministry of Internal Affairs and Communications, the number of emergency call-outs across Japan is expected to surpass 7.71 million in 2024, marking an unprecedented trend in annual emergency responses. Alarmingly, the time it takes to reach emergency scenes has increased from an average of 8.6 minutes to 9.8 minutes over the past decade.

In rural areas like northern Okinawa, where both population aging and geographical challenges are prominent, the burden on emergency services has intensified. Nago City is experiencing a significant influx of inter-hospital transfers that ideally wouldn’t require ambulance services, presently representing 11% of total emergency dispatches, surpassing the national average of 7.3% for the same year. This highlights a pressing need for a reimagined approach to emergency transport.

Nago City’s Initiative


To address these challenges, Nago City has committed to testing a new emergency transport system that separates the roles of fire and emergency services from private patient transportation providers. With OPHIS starting operations in December 2023 and a formal agreement established by March 2025, this joint effort represents a step towards a more effective and sustainable rescue system.

The partnership aims to provide a viable solution tailored to the unique challenges faced by many rural areas across Japan, combining community resources with healthcare expertise to enhance patient outcomes during emergencies.

A Vision from OPHIS's Ryo Niosaka


Ryo Niosaka, the director of OPHIS, expresses a strong commitment to this transformative project. He stated, “Nago City is addressing the sustainability of emergency transport systems through innovative public-private collaboration, which could serve as a model for the nation. I am deeply honored to apply my research experience in this local setting via the regional revitalization entrepreneurship program.”

Niosaka emphasizes the importance of collecting real-time data and engaging with local residents and the Nago Fire Department to carry out effective research that can positively impact emergency response strategies nationwide.

Invitation for Collaboration


This pioneering initiative welcomes inquiries from other municipalities, healthcare providers, and media organizations facing similar challenges.

For further details, reach out to:

About the Regional Revitalization Entrepreneurship Program


This program, managed by the Ministry of Internal Affairs, facilitates the temporary deployment of urban corporate employees to local governments for periods ranging from six months to three years. The initiative aims to leverage specialized knowledge to tackle local issues, categorized into three sections: corporate dispatch, senior expertise, and part-time engagements. For this project, the part-time model will be utilized.

OPHIS Organization Overview


OPHIS is a nonprofit organization dedicated to creating a sustainable emergency transportation framework amid Japan's aging society. Their primary focus encompasses emergency transport system reforms, research initiatives, and support services for emergency systems, all aimed at building a safer society where every life can be saved.

Contact Information


  • - Organization Name: OPHIS
  • - Representative Director: Ryo Niosaka (Instructor at Kokushikan University's Disaster Prevention and Emergency Rescue Research Institute)
  • - Established: January 2024
  • - Location: 3-27-10 Matsubara, Setagaya, Tokyo, 156-0043
  • - Website: OPHIS Official Site
  • - Email: [email protected]


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