On July 27, 2023, Empress Masako of Japan, Princess Hanako of Hitachi and Princess Nobuko of Mikasa attended the Florence Nightingale Medal Ceremony at Tokyo Prince Hotel in Tokyo. The Empress presented the medals to nurses Miki Takahara, Tomoko Kusama and Setsuko Imamura. The medal is awarded to nurses with outstanding achievements around the world. Empress Masako is the honorary president of the Japanese Red Cross Society.