Since the physician (equivalent to doctor) in charge of daily health checks, 高階経由, did not have much experience treating smallpox, Kanemichi NISHIO and Kyo HISANO (they were both pediatricians) who had treated smallpox before, were called in to participate in the medical examination, there was more possibility that the Emperor might have smallpox, on the 17th, the Imperial Palace made an official announcement to Buketenso (an Imperial official in charge of communications between the samurai and the court) that the Emperor was infected with smallpox.
執匙の高階経由は痘瘡の治療経験が乏しかったため、経験豊富な西尾兼道・久野恭（いずれも小児科医）を召集して拝診に参加させた結果、いよいよ痘瘡の疑いは強まり、17日に武家伝奏などへ天皇が痘瘡に罹ったことを正式に発表した。