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Have you heard of the term “RD Worker”? RD Worker is a new concept announced in September 2025, referring to people who are working or seeking to work while living with a “rare disease.” When you hear the term “rare disease,” you may feel that it’s a world unrelated to your own. However, the topic of “rare diseases and work” is likely to become much more relevant to us all in the future.

In this series, Ikumi Sotozaki, Creative Director and Copywriter at Dentsu Inc., will introduce creative projects that have tackled the theme of “Rare Diseases and Work”—a topic that has historically been difficult to discuss openly in society.

*In this article, the term “rare and intractable diseases” is used comprehensively to include not only those defined by national systems—such as “rare and intractable diseases,” “designated rare and intractable diseases,” “rare and intractable diseases under the Act on Comprehensive Support for Persons with Disabilities,” and “rare diseases”—but also “intractable chronic diseases,” as defined by the NPO Ryoyu World.

Articulating the Hidden Challenges and Possibilities of “Intractable Diseases and Work”

August 2024. I received a message from Takayuki Shigemitsu, Chairman of the NPO Ryoyu World. He asked if I could help develop a message to raise public awareness of “Intractable Diseases × Work.”My connection with Mr. Shigemitsu began 10 years ago through a Dentsu Inc.-initiated project addressing social issues under the theme “Creators × NPOs/NGOs.” We first collaborated on creating posters and workshop tools to raise awareness of various disabilities, intractable diseases, and rare diseases. Since then, we have continued to exchange information to raise broader awareness of this issue, while exploring ways to give it tangible form and share it with the world.

Although Ms. Shigemitsu had been actively involved in various initiatives as the chairperson of the NPO Ryoyu World since that time, she is actually a person living with a rare disease called “cerebrospinal fluid hypovolemia.”

Cerebrospinal fluid hypovolemia is an intractable disease of unknown cause for which no established treatment exists. While symptoms vary from person to person, in Ms. Shigemitsu’s case, she reportedly experiences severe, constant pain throughout her body every day—pain comparable to that of having a wisdom tooth extracted. While battling the stress caused by this pain, she has continued her efforts to support the social participation of people living with disabilities, intractable diseases, and rare diseases.

Why did Shigemitsu ask me to develop these terms? It was because she strongly believed in the power of language.“I feel that the world is changing as the existence of groups like ‘young carers’ and ‘LGBTQ+’ has become visible and recognized by many people through the creation of new terms. I want to articulate the concept of ‘Intractable Diseases × Work’ in an easy-to-understand way so that more people can learn about its challenges and possibilities.” Hearing Shigemitsu-san say this, I realized this was an issue worth tackling, and I took action as well.


“Raising awareness” is the first step toward changing society

Through this process, after repeated discussions with Ms. Shigemitsu and other people living with rare diseases, we ultimately coined the term “RD Worker.” Currently, the definition of “RD Worker” is described as follows on the Ryoyu World website and in the “White Paper on Social Participation of People with Rare Diseases 2025.”

Click the image to view details


The “R” in “RD Worker” stands for “Rare,” but it also carries three additional meanings beyond the English term “Rare Disease.”

  1. Limited support systems
  2. Low public awareness
  3. Limited employment options

This “Rare” is a key point. The fact that many people remain in a state of “not knowing the facts” or “not trying to learn” is a major factor hindering understanding of rare diseases. As a result, because they cannot gain understanding from those around them and support systems fail to develop, there are many people who want to work but are unable to do so. The number is estimated to be over 1 million (according to the NPO Ryoyu World).Furthermore, survey results indicate that nearly half of those with rare diseases who have worked have left their jobs due to their condition (2018 White Paper on Health, Labour and Welfare).

Although we use the term “rare disease” as a general category, there are numerous types and symptoms, and many people could work if given flexible arrangements such as remote work or reduced hours. In other words, there is still a great deal of untapped potential in society.One of the most effective ways to instantly raise awareness of the potential of these 1 million people is through the power of “creativity.” Therefore, I decided to ask young creators—who are themselves full of potential—to use their flexible thinking to develop ideas that would help spread awareness and understanding of “RD Workers.” All of the works were finalized after extensive discussions with Mr. Shigemitsu and people living with intractable diseases.

Then, on April 7, 2026, we unveiled these works at “PYNT Takebashi”—a co-creation space platform for solving social issues operated by Nikken Sekkei—in conjunction with a symposium titled “Designing the Future of ‘Intractable Diseases × Work’—Unlocking the Potential of ‘RD Workers’ Through the Power of Creativity.” Here, we present the works of the four teams of young creators who participated, along with details of their creative process. (This first part of the article features two of the teams.)

Vol. 1: Expressing the Potential of RD Workers Through “Logos”

Logo design and tagline for “RD Workers,” along with promotional posters featuring the logo. Click on the image to view details

Planning and Production:

──This team transformed the new term “RD Worker” into a symbolic logo. Please tell us what you prioritized in the design.

Morishima: We created a system that can be adapted into various forms to express the freedom and flexibility of RD Workers, while maintaining a robust, powerful presence capable of widely conveying the term and concept of “RD Worker.”

—A design where parts can be combined like building blocks to create various forms truly embodies the very potential of RD Worker. What is the sentiment behind the tagline, “A new way of working, starting here”?

Kobe: Based on the idea that “a society where people with rare diseases can work is a society where everyone can work comfortably,” we developed this concept with the hope that the concept of “RD Workers” and their way of working will become more deeply embedded in society. We focused on creating a bright tone that conveys the potential of RD Workers and a sense of hope for the changing society ahead.

──Since it’s all in hiragana, it’s easy to read and symbolic, and the phrase “from here” really conveys a sense of future possibilities. What is the purpose or intention behind the poster visuals that utilize the logo’s adaptability?

Morishima: At first glance, it looks like a symbol, but when viewed alongside the copy, you can see that the design incorporates the sentiments of RD Workers and features kanji characters derived from the copy. The poster serves as a gateway to convey the voices of RD Workers.

──Please share the message you hope to convey through this work.

Kobe: Through each piece of copy, we aimed to spark new discoveries and insights about RD workers. We would be delighted if this work encourages someone to take action, inspires new initiatives, or sparks meaningful conversations.

Morishima: Precisely because RD workers haven’t yet received widespread attention in society, I hope that through your future efforts, society as a whole will move in a positive direction.

(From left) Copywriter Yazu Kobe, Art Director Ko Morishima

Vol. 2: “Momotaro” Embodies Diverse Ways of Working!

Nihon Imanashi “Momotaro’s Job Hunt” (a picture book themed around “Intractable Diseases × Work”). Click the image to view details

Planning and Production:

──This team utilizes the format of the well-known story “Momotaro,” reflecting the challenges faced by “RD workers” through the characters, thereby conveying the message in a way that everyone can easily relate to. How did you come up with the idea of using the “Momotaro” story as a hook?

Natsui: What struck me most while speaking with those directly affected was the idea that “to achieve results, it’s better to have a diverse group of colleagues, and that leads to a stronger organization and society.” When translating this concept into visuals, the first idea that came to mind was “characters from a fairy tale everyone knows using their ingenuity to overcome challenges and achieve success.”

──Using the well-known “Momotaro” as an introduction makes it much easier to engage with the theme of rare diseases. Was there anything you were careful about when designing the characters?

Tomono: I made sure not to portray characters with illnesses or conditions as mere symbols of “vulnerability.” When I interviewed RD workers, I was struck by how each of them worked at their own pace while making the most of their individual personalities and strengths. That’s why I focused on depicting their characteristics and behaviors in a way that felt authentic—avoiding excessive fictionalization and aiming for a realism that closely mirrors how actual RD workers operate.

──It’s also a unique idea to have the demon appear as a “boss whose values haven’t been updated.”

Natsui: Not just regarding RD workers, but also when it comes to issues like gender and LGBTQ+, I believe that viewing only minorities as the “stakeholders” won’t lead to a solution. That’s why I had the Demon appear in this role this time. I hope that the society Momotaro and the others have changed will eventually reach the Demon as well, and that he, too, will find happiness.

──What message do you want to convey through this story?

Tomono: Rather than conforming to a “normal” standard, we should build upon our own strengths and ask, “What can I do?” I believe that this process of trial and error is the foundation for a society where not only RD Workers, but everyone, can work comfortably. Affirming each person’s preferred way of working and sharing small ideas with one another—I want this story to help spread that kind of gentle chain reaction.

Natsui: “A society where RD workers can work comfortably is a society where everyone can work comfortably.” I believe this way of thinking will bring happiness not only to RD workers but to everyone. I’d be delighted if this picture book could serve as a catalyst for a paradigm shift.

(From left) Copywriter Nanako Tomoyoshi, Art Director/Illustrator Kisa Natsui

*Continued in Part 2

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Author

Ikumi Toga

Ikumi Toga

Dentsu Inc.

Second CR Planning Bureau

クリエイティブディレクター/コピーライター

Creative direction and copywriting form the core of my work, which also encompasses branding, business development support from a creative perspective, communication development, product development, and project management. Served as Representative of Dentsu Inc. Gal Lab from 2016 to 2020.

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