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From large corporations to small and medium-sized enterprises, there are cases where industrial health activities in "small businesses" with fewer than 50 employees do not penetrate well. There are even small businesses that have not fulfilled their obligations for work assessments and physician interviews until pointed out by the labor standards office. What approaches can be taken to promote industrial health activities in response to such challenges? Dr. Imai, representative of OH Support Co., Ltd. and an industrial physician, will explain, using examples, how to measure the penetration of industrial health and support services tailored to various needs.