[Supplement 1 - 10]

WHO Collaborating Centre on Community Safety Promotion

Application for Re-Designation as a Safe Community [Supplement 1 - 10]

Atsugi City, Kanagawa Prefecture

Contents

P1~2 Supplement 1 Overview of Atsugi City

P3~6 Supplement 2 Establishment of Comprehensive Plan and Ordinances

P7~14 Supplement 3 Safe Community Promotion System

P15~40 Supplement 4 Overview of Injury Risks

P41~44 Supplement 5 Demographic Structure of the Community

P45~48 Supplement 6 Scheme to Evaluate Programs and the Programs to Document the Frequency and the Causes of Injuries

P49~56 Supplement 7 Efforts with Regard to Safety and Security

P57~68 Supplement 8 High Risk Groups

P69~96 Supplement 9 Programs Implemented by Task Force Teams

P97~100 Supplement 10 Participation in Domestic & Overseas Safe Community Networks

Supplement 1 Overview of Atsugi City

[1] Position and features of Atsugi City

■ Position Atsugi City is located in the center of Kanagawa Prefecture, on fan-shaped topography on the right bank of the Sagami River. With the Tanzawa Mountain Range to its north-west, Atsugi is blessed with a rich natural environment. Over 400 years ago, this region started to flourish as a post-town and an industrial/commercial place for products. Due to its geographical advantage for a transportation hub, the region has grown into a key city to serve logistics and operational functions in Tokyo metropolitan district. On February 1, 1955, one town and four villages merged and became Atsugi City, with three more villages joining later. The City today continues to thrive with commercial districts, residential districts, laboratories of large companies, and universities, while excellent communities have been created and maintained based on the traditional neighborhood association system unique to Japan.

Kanagawa Prefecture Tokyo Metropolis

Yamanashi Prefecture

Shizuoka Prefecture

1 [2] Overview of Atsugi City

■ Population: 225,133 (96,396 households) [As of Jan. 1, 2015]

■ Area: 93.84km2 (East-west: 13.68km, South-north: 14.80km)

■ Climate: Average temperature in 2013 15.6C Highest temperature in 2013 38.1C (Aug 11) Lowest temperature in 2013 5.6C (Jan 4, Feb 26)

■ Educational institutes: ○ Day care center, nursery school (public, designated) 35 ○ High school (correspondence) 2 ○ Kindergarten 18 ○ Miscellaneous/vocational school 6 ○ Elementary school (public, private) 24 ○ Junior college 4 ○ Junior high school 13 ○ College/university 4 ○ High school (full-time) 6 ○ Graduate school 4 [As of June 1, 2014]

■ Medical institutes: Facilities: 269 (hospitals: 11, General clinics: 148, Dental clinics: 110) [As of March 1, 2014]

■ City logo ■ City flower: Satsuki (azalea) ■ City tree: Maple tree

■ Friendship cities ■ Mascot character

New Britain City (Connecticut, U.S.)

Yangzhou City (Jiangsu, China)

Gunpo City (Gyeonggi, Korea)

Yokote City (Akita Pref., Japan)

Abashiri City (Hokkaido, Japan)

Supplement 2 Establishment of Comprehensive Plan and Ordinances

[1] Inclusion of the Safe Community program in the Comprehensive Plan (the 9th Atsugi City Comprehensive Plan)

■ What is the Comprehensive Plan? The Comprehensive Plan serves as the guidelines for the municipality to promote community development in a comprehensive and systematic manner under a long-term vision, which is the “first tier plan” positioned above the sectoral and individual plans. This is a “comprehensive plan” covering goals and strategies of all sectors, which is highly regarded as a regional plan by the national and prefectural governments and also defined roles of not only the public administrations but also citizens, private companies, organizations, etc. within the community. Atsugi City stipulates in the Atsugi City Basic Autonomy Ordinance to provide the basic plan to enforce the administrative management in a comprehensive & systematic manner and the plans to put it into effect.

■ Inclusion of the Safe Community program in the Comprehensive Plan The “9th Atsugi City Comprehensive Plan ~ Atsugi Vibrant Comprehensive Plan ~” has completed its 1st period basic plan from FY2009 to FY2014 and started the 2nd period basic plan in FY2015. Continuously from the 1st period basic plan, “promotion of the Safe Community program” remains as one of the 30 fundamental policies also in the 2nd period basic plan.

FY2009 FY2014 FY2015 FY2020

Basic Plan (12 years)

The 1st period basic plan The 2nd period basic plan (6 years)

(6 years) By community (6 years)

Phase 1 Phase 2 Phase 3 Phase 4 execution plan execution plan execution plan execution plan (3 years) (3 years) (3 years) (3 years)

3 ■ “Promotion of the Safe Community program” as defined in the 9th Atsugi City Comprehensive Plan “Atsugi Vibrant Comprehensive Plan”

Future image of the City

“Atsugi: Lively and Richly Creative City in Cooperative Relationship

with the World”

Basic policies and city improvement goals

I Safety policy Development of city where people support each other to live in safety and good health

Fields and fundamental policies

Safety & Security 7 To realize a safe and secure society through promoting the Safe Community program

“Promotion of the Safe Community program” is identified as one of the policies to realize the City’s future image “Atsugi: Lively and Richly Creative City in Cooperative Relationship with the World”. With regard to “promotion of the Safe Community program”, it is defined in the Basic Plan to “aim to realize an attractive local community where everyone can lead a healthy life in a safe and secure environment through promoting efforts based on the Safe Community designation indicators and the Safe Community Promotion Ordinance”.

< Details of the 2nd Period Basic Plan of the 9th Atsugi City Comprehensive Plan ~ Atsugi Vibrant Comprehensive Plan ~>

4 [2] Establishment of the ordinance dedicated to Safe Community

■ What is the Atsugi City Safe Community Promotion Ordinance? Aiming to establish continuity of the Safe Community activity, the City of Atsugi enacted an ordinance dedicated to the Safe Community program on October 11, 2012 for the first time in Japan. The ordinance has not only defined roles of citizens, duties of the City Government, and the basic plans based on the SC principles but also established continuity of the Safe Community activity of the City.

■ Major matters defined in the Safe Community Promotion Ordinance  Objectives of the ordinance  Roles of citizens  Duties of the City Government  Preparation of basic plans ○ Basic policies ○ Preparation of organizations ○ Promotion and support of activity ○ Long-term and continuous efforts ○ Scientific verification of causes of accidents, injuries, etc. and efforts to be made based on the results ○ Establishment of a network  Provision of a committee to conduct review, etc. of operation of the ordinance  Evaluation of ordinance operation  Provision of information about results of scientific verification of causes of accidents, injuries, etc. and related efforts of importance

[On the occasion of acquisition of Safe Community designation in 2010 and of enforcement of the Safe Community Promotion Ordinance, the Safe Community logo and the date of acquisition of the designation were posted on a wall of the City Hall as a declaration of the City’s intention to continue promoting the Safe Community program.]

[3] Establishment of ordinances on safety & security

In addition to the Safe Community Promotion Ordinance, Atsugi City has established various ordinances (regulations) for safety improvement. Establishment of the ordinances has contributed not only to guaranteeing continuity of safety & security efforts but also to promoting SC activity, resulting in realization of a safe & secure local community.

■ Atsugi City Safe Bicycle Use Promotion Ordinance (established on April 1, 2013) City of Atsugi has a high occurrence rate of bicycle-related traffic accidents. Especially, there are many traffic accidents caused by dangerous riding of a bicycle, where bad traffic manners of bicycle users posed a problem. In order to address this problem, with the aim to build a workable system for “safe bicycle use” and to develop a safe & secure community based on a long-term and sustainable vision, the City established this ordinance.

[Main features of Ordinance]  Duties of bicycle users and the City Government as well as roles of bicycle retailers, traffic-related organs, and citizens have been clearly documented.  Regular checkup/maintenance for safe use, purchase of an insurance policy for possible accidents, etc. have been defined.  Parents have become obliged to have infants & children under 13 years old wear a helmet for riding.  Provisions regarding guidance/coaching, etc. to dangerous cyclists, etc.

■ Ordinance to Prohibit Touting in Public Places, etc. (Established on April 1, 2014) In Atsugi City, nuisance conducts such as touting activity by cabarets, etc. are still observed around Hon-Atsugi Station, where citizens’ worries about such crimes remain to exist. With the aim to develop life environment where citizens can utilize public places in a safe and secure manner, this ordinance was established to prevent touting activity, etc. that can raise worries among citizens or can cause trouble to others.

[Main features of Ordinance]  Aiming to eliminate touting activity, etc., the Ordinance has expanded the scope of provision of the prefectural ordinance, which stipulates the administrative guidance imposed not only on the offenders themselves but also on the business operators concerned with such activity.  Specific districts are appointed for reinforcement of the regulations.  The Ordinance provides that the guidance are delivered to the offenders, etc. not only by the City officers but also by designated persons (citizens, etc.)

Supplement 3 Safe Community Promotion System

[1] Safe Community Promotion System

■ Full picture of the promotion system The Safe Community Promotion System of Atsugi City is as follows. The functions, evaluation, etc. of each organization concerned are explained in a flowchart below:

Atsugi City Ordinance Comprehensive Plan

1 SC Steering Committee

Principles, planning, promotion, evaluation, etc. of activities

Progress Information management Information provision provision

2 SC Task Force Teams 4 SC Promotion Districts

Enforcement of 8 programs in Enforcement of programs specific fields concerning community issues

Analysis results, Reporting of Information improvement guidance provision analysis/ verification results

3 Injury Surveillance Committee

Analysis/verification of various statistic data

Technological support/evaluation

Japan Institution for Safe Communities (JISC)

Technological supports, etc. for promotion of the Safe Community program

1 Safe Community Steering Committee

■ Roles The Committee has been established as an organ to decide policies, key strategies, etc. with regard to promotion of the Safe Community program. The Committee members have been selected from private/local groups engaged in safety & security promotion, including companies, medical institutes, schools, administrative organs, etc., thus a system to promote Safe Community efforts in a cross-sectoral manner has been built. Further, it is provided in the regulation that the meeting has to be held as the need arises. So far, meetings have been held about twice a year on a regular basis.

■ Composition  No. of members : 76 persons  Chairman : Mayor of Atsugi City (Tsuneyoshi Kobayashi)  Vice-chairman : Chairman of Atsugi City Liaison Council of Neighborhood Associations Chairman of Atsugi Medical Associations

Safe Community Steering Committee

Atsugi City Neighborhood Association Liaison Council, Atsugi City Council of Welfare Officers and Children’s Committee Members, Atsugi Ward Probation Officers Association, Atsugi City Childcare Group, Regional Council of Countermeasures for Children Requiring Aid, Federation of Atsugi Senior Citizen’s Clubs, Atsugi Operation Council of Community General Support Center, Atsugi City Council of Social Welfare, Atsugi Regional Women’s Organization Liaison Council, Atsugi City Health Education Promotion Council, Atsugi City Mother & Child Welfare Liaison Council, Hon-Atsugi Station District Environmental Cleanliness Association, Traffic Safety Association in the Jurisdiction of Atsugi Police Department, Atsugi City Mothers Committee Liaison Association for Traffic Safety, Atsugi City Traffic Safety Leaders Association, Crime Prevention Leaders Non-government Liaison Committee within Jurisdiction of Atsugi Police Department, Safe Driving organization, Managers Association within Jurisdiction of Atsugi Police Department, Youth Community groups, and others Traffic Safety Liaison Association within Jurisdiction of Atsugi Police Department, Kanagawa Prefecture Work Safety and Hygiene Association-Atsugi Branch, Atsugi City Volunteer Fire Corps, Atsugi Chamber of Commerce, Atsugi City Junior Chamber, Atsugi City Agriculture Cooperative, Atsugi City Federation of Stores Associations, Atsugi Downtown Area Activation Project, Atsugi City Liaison Federation of Youth Sound Growth Associations, Atsugi City Children’s Association Training Liaison Council, Atsugi City Youth Leaders Liaison Council, Atsugi City Youth Counselors Liaison Council, Atsugi City Mothers’ Club Liaison Council, Liaison Committee of Atsugi Community Center Directors, Atsugi City Elementary and Middle School PTA Liaison Council, Atsugi Ward Association of Private Nursery Schools, Atsugi City Sports Association, Rotary Club (Atsugi, Atsugi-Naka, Atsugi-Ken-o), Lions Club (Atsugi, Atsugi Satsuki, Atsugi Momiji)

Safe Community Steering Committee (continued)

Kanagawa Prefecture Inland Industrial Park Cooperative Association, Amadera Private companies Industrial Park Council

(General incorporated association) Atsugi Medical Associations, Atsugi Hospital Medical institutions Association, (General incorporated association) Atsugi Dental Association, Atsugi Pharmacist Association, Atsugi City Hospital

Atsugi Municipal Elementary School Principals’ Association, Atsugi Municipal Junior High School Principals’ Association, Atsugi High School, Atsugi-Higashi High School, Atsugi Commercial High School, Atsugi-Seinan High School, Atsugi- Schools Kita High School, Atsugi-Nishi High School, Faculty of Agriculture, Tokyo University of Agriculture, Kanagawa Institute of Technology, Tokyo Polytechnic University, Shohoku College, Shoin University

Atsugi Labor Standards Inspection Office, Atsugi Police Department, Kanagawa Prefecture Central Region Prefectural Administrative Department, Kanagawa Administrative Prefecture Atsugi Public Works Office, Kanagawa Prefecture Atsugi Health Care organization and Welfare Office, Kanagawa Prefecture Atsugi Children’s Consultation Office, Atsugi City Fire Department, Atsugi City Board of Education, Atsugi City

2 Safe Community Task Force Teams

■ Roles Atsugi City has 8 task force teams to work on specific categories regarding the issues identified from analysis of statistical data, etc. Each team discusses strategies to address injury risks in the category and implements necessary measures. In this regard, the City Government serves as the secretariat of the Task Force Teams and gets hold of the full picture about the measures implemented by Task Force Teams and by administrative organs so that safety & security efforts can be effectively enforced.

■ Categories covered and affiliated groups/organizations

Task Force Team for Violence/Suicide Prevention ◎＝Chairman

◎Atsugi Medical Associations Atsugi City Council of Welfare Officers and Children’s Committee Community groups Members Private sector groups (4 persons) Atsugi City Council of Social Welfare Health Nurse Association, Maternity Nurse Association, Nurse Association, Assistant Nurse Association

Atsugi Labor Standards Inspection Office Members Atsugi Police Department Atsugi Health Care and Welfare Office Administrative Atsugi Child Consultation Office organization Atsugi City Fire Department (13 persons) Atsugi City Board of Education, Atsugi City (Social Education Department, Policy Department, Welfare Department, Citizen Health Department, Children’s Future Department, Industry Promotion Department)

Task Force Team for Traffic Safety ◎＝Chairman

Community groups ◎Atsugi City Traffic Safety Leaders Association Private sector groups Atsugi City Mothers Committee Liaison Association for Traffic Safety (3 persons) Traffic Safety Association in the Jurisdiction of Atsugi Police Department

Members Atsugi Police Department Atsugi City Fire Department Administrative Atsugi City Hospital organization (9 persons) Atsugi City (Policy Department, Citizen Health Department, Risk Management Department, Road Department)

10 Task Force Team for Safe Bicycle Use ◎＝Chairman

◎Traffic Safety Association in the Jurisdiction of Atsugi Police Department Youth Traffic Safety Liaison Association within Jurisdiction of Atsugi Community groups Police Department Private sector groups Atsugi City Traffic Safety Leaders Association (5 persons) Atsugi City Mothers Committee Liaison Association for Traffic Safety Kanagawa Prefecture Bicycle Merchants Cooperative Association-Atsugi Members Branch

Atsugi Police Department Administrative Atsugi City Board of Education, Atsugi City organization (School Education Department, Risk Management Department, (8 persons) Environmental Agricultural Administration Department, Urban Area Development Department, Road Department)

Task Force Team for Safety Feeling and Public Safety ◎＝Chairman

◎ Crime Prevention Leaders Liaison Committee within Jurisdiction of Atsugi Community groups Police Department Private sector groups (3 persons) Safe & Secure Town Council (Nan Mori District) Safe & Secure Town Council (Ogino District)

Members Atsugi Police Department Atsugi City Board of Education, Atsugi City Administrative organization (Social Education Department, Welfare Department, Citizen Collaboration (10 persons) Promotion Department, Risk Management Department, Rivers & Greens Department, Industry Promotion Department, Community Development Department)

Task Force Team for Elderly’s Safety ◎＝Chairman

◎ Federation of Atsugi Senior Citizen’s Clubs Community groups Atsugi Sports Promotion Committee Liaison Association Private sector groups (4 persons) Atsugi City Regional Welfare Promotion Council Dietary Habit Improvement Promotion Group (Ajimikai) Members Atsugi City Fire Department Administrative Atsugi City Board of Education, Atsugi City organization (8 persons) (Social Education Department, Financial Department, Welfare Department, Citizen Health Department, Risk Management Department)

[Task Force Team for Traffic Safety] [Task Force Team for Disaster Prevention]

11 Task Force Team for Children’s Safety ◎＝Chairman

◎ Atsugi City Elementary and Middle School PTA Liaison Council Community groups Atsugi City Youth Leaders Liaison Council Private sector groups Atsugi City Children’s Association Training Liaison Council (5 persons) Atsugi City Children’s Center Liaison Council Members Atsugi City Mothers Committee Liaison Association for Traffic Safety

Atsugi City Board of Education, Atsugi City Administrative organization (Education General Affairs Department, School Education Department, (10 persons) Social Education Department, Children’s Future Department, Risk Management Department)

Task Force Team for Work Place (Work) ◎＝Chairman

◎ Amadera Safety and Hygiene Appointed Group Community groups Kanagawa Prefecture Inland Industrial Park Cooperative Association Private sector groups Kanagawa Prefecture Work Safety and Hygiene Association-Atsugi Branch (5 persons) Atsugi Chamber of Commerce Industry Working Group Atsugi Medical Associations Members Atsugi Labor Standards Inspection Office Atsugi Police Department Administrative Atsugi City Fire Department organization (7 persons) Atsugi City (General Affairs Department, Financial Department, Citizen Collaboration Promotion Department, Industry Promotion Department)

Task Force Team for Disaster Prevention ◎＝Chairman

◎ Atsugi City Liaison Council for Voluntary Disaster Prevention Groups Atsugi City Volunteer Fire Corps Community groups Atsugi Disaster Volunteer Networks Private sector groups Atsugi City Council of Welfare Officers and Children’s Committee (6 persons) Members Atsugi City Council of Social Welfare Members Atsugi City Red Cross Service Group

Atsugi City Fire Department Administrative Atsugi City Board of Education, Atsugi City organization (School Education Department, Welfare Department, Citizen Health (6 persons) Department, Citizen Collaboration Promotion Department, Rivers & Greens Department)

■ Details of meetings held Each Task Force Team holds meetings about twice a year, where current situations of injuries, etc. are reviewed for each category, preventive measures are discussed, and their effects are measured.

3 Injury Surveillance Committee

■ Roles As an organization to conduct analysis, verification, etc. of injury data of Atsugi City, “Injury Surveillance Committee” has been established. The analysis results of injury data are reported to the Safe Community Steering Committee and necessary information is also submitted to Task Force Teams, etc. at appropriate times. New activities have been proactively worked on in recent years, which include implementation of self-monitoring to evaluate projects enforced by Task Force Teams, issuance of leaflets to disseminate analysis results to citizens, etc.

■ Composition

Injuries Surveillance Committee ◎＝Chairman

◎ Tokai University, School of Medicine Medical institutes, etc. (3 persons) Atsugi Medical Associations National Institute of Advanced Industrial Science and Technology Administrative organ Members Atsugi Health Care and Welfare Office (1 person)

Atsugi City Fire Department City Government Atsugi City Safe Community Specialists (3 persons) Atsugi Risk Management Department

■ Details of analysis and evaluation method

Injuries Surveillance Committee

(1) Analysis & verification of various statistical data

Statistical data of City Epidemiological data Fixed-point observation

administration data Ambulance call-out data, Citizens’ awareness survey School Health Statistics, police statistics, receipts of the National Health demographic statistics, etc. Insurance, hospital data

Wide & shallow Narrow & deep Deeper

Analysis & identification of priority subjects

Significant social effects/increasing trend Collection of new data required

(2) Analysis result & activity (3) Reporting of analysis/ support verification results SC Task Force Teams SC Steering Committee

4 Safe & Secure SC Promotion Districts

■ Roles With the aim to enforce and diffuse the Safe Community activity in each community, the Safe & Secure SC Promotion Districts have been designated. The Safe & Secure SC Promotion Districts have been developing various activities for safety & security by utilizing traffic accident data and crime data and the Safe Community approach including use of discussions such as workshops, review of problems/measures on community safety & security, etc. Through the safety & security efforts in the Safe & Secure SC Promotion Districts, the City of Atsugi has been working on increasing understanding about the SC activity among citizens and their participation in it. Further, for addressing the identified problems in the community, measures led by the Task Force Teams may be adopted, for which initiatives in the Safe Community Promotion Districts are promoted by joint cooperation of the community, Task Force Teams, and City administrative organs. [Designated Safe Community Promotion Districts: 19 districts (As of March 31, 2015)]

■ Activity examples in the Safe Community Promotion Districts ○ Activity for traffic safety adopted in Tomuro district Tomuro district was suffering from a number of traffic accidents of elderly people and was assigned as a “district with special emphasis on prevention of traffic accidents among the elderly”. Taking this as an opportunity, the District conducted workshops to discuss the District’s traffic safety measures by using the Safe Community approach method. The workshops were participated by community residents, personnel from the Atsugi Police Department, and the City officers, where traffic accident data of the District and potentially dangerous places identified by participants in daily life were reviewed, the places to be improved and persons requiring education/training were selected, and the measures were discussed. In addition, as interest in and importance of prevention of traffic accidents of children were raised in the course of the workshops, traffic safety measures for children were also subject to discussion.

(1) Making of hand-flags for traffic safety (2) Introduction of 30km speed limit

[Community children made hand-flags.] [A new speed limit was adopted through collaboration with the Police Department.]

Supplement 4 Overview of Injury Risks

[1] Causes of death and injury

(1) Five leading causes of death (by age group) According to the demographic statistics, “suicide” is the top leading cause of death among persons aged 20 to 39 years. “Suicide” is also one of the 5 leading causes of death among persons aged 10 to 59 years, which is thus indicated as one of the leading causes of death for people in various age groups. Further, as for causes of death due to external factors other than “suicide”, “unforeseeable accident” ranks high for persons aged 5 to 49 and 60 to 69, and “other external factors” is one of the leading cause for persons aged 20 to 39.

[Table 4-1] Source: Demographic statistics (Total of 10 years, from 2004 to 2013)

Age 1st 2nd 3rd 4th 5th Congenital Sudden infant death syndrome, Other Pathology anomaly, deformity symptoms, indicium and abnormality, Other respiratory 0 - 4 developed during & chromosomal Others that cannot be categorized based on disease perinatal period abnormality clinical incidence/examination results

Congenital anomaly, Deformity & chromosomal abnormality, Unforeseeable Malignant 5 - 9 accident, Heart disease, Central nervous system disease, Pneumonia, Chronic neoplasm obstructive pulmonary disease (COPD)

Unforeseeable Malignant 10 - 19 Suicide Heart disease, Other malignant neoplasm accident neoplasm

Unforeseeable 20 - 29 Suicide Heart disease Malignant neoplasm, Other external causes accident

Malignant Unforeseeable 30 - 39 Suicide Heart disease Other external causes neoplasm accident

Malignant Cerebrovascular Unforeseeable 40 - 49 Suicide Heart disease neoplasm disease accident

Malignant Cerebrovascular 50 - 59 Heart disease Suicide Hepatic disease neoplasm disease

Malignant Cerebrovascular Unforeseeable 60 - 69 Heart disease Pneumonia neoplasm disease accident

Malignant Cerebrovascular Other respiratory 70 - 79 Heart disease Pneumonia neoplasm disease disease

Malignant Cerebrovascular Other respiratory 80 - 89 Heart disease Pneumonia neoplasm disease disease

Cerebrovascular Malignant 90 - Heart disease Pneumonia Senile decay disease neoplasm

Terms in bold face indicate the death causes due to an external factor.

15 (2) Five leading causes of death due to external factors (by age group) As the cause of death due to external factors, “traffic accident” ranks the high among people aged 5 to 19 years while “suicide” is the highest cause of death for those aged 20 to 79 years. Further, “unintentional drowning & near-drowning”, “unintentional suffocation”, and “tumbling” increase with aging.

Table 4-2 Source: Demographic statistics (Total of 10 years, from 2004 to 2013)

Age 1st 2nd 3rd 4th 5th

Other external Unintentional suffocation, 0 - 4 Traffic accident causes Other unforeseeable accidents, Murder

5 - 9 Traffic accident －

Unintentional Other external 10 - 19 Traffic accident Suicide drowning and － causes near-drowning

Other external Unintentional drowning and 20 - 29 Suicide Traffic accident causes near-drowning, Murder

Other external Other unforeseeable accidents, 30 - 39 Suicide Traffic accident causes Unintentional suffocation

Other external Unintentional drowning and 40 - 49 Suicide Traffic accident causes near-drowning, Tumbling/falling

Unintentional Other external 50 - 59 Suicide Traffic accident Tumbling/falling drowning and causes near-drowning

Unintentional Other external Unintentional 60 - 69 Suicide drowning and Tumbling/falling causes suffocation near-drowning

Unintentional Other external Unintentional 70 - 79 Suicide drowning and Traffic accident causes suffocation near-drowning

Unintentional Other Unintentional 80 - 89 drowning and tumbling/falling unforeseeable Suicide suffocation near-drowning accidents

Other Unintentional Unintentional 90 - Tumbling/falling unforeseeable Suicide drowning and suffocation accidents near-drowning

16 (3) Change in death rate caused by external factors (by national, prefectural, and City levels) Although the number of deaths per 100,000 population of the City has almost consistently remained lower than the national/prefectural level, the ratio of deaths due to external factors to the total number of deaths has always been above the national/prefectural level, which has even been on the increase trend since 2010.

(Persons per 100,000 population) (%) Start of the SC program Acquisition of SC designation 80 25 74.6 70 20 60.1 58.2 60 58.6 58.5 60.2 58.0 58.4 58.3 56.9 55.1 49.4 53.8 54.4 52.9 50.9 51.2 50 49.0 50.8 48.2 46.8 15 46.2 45.6 46.3 40 Death rate Death 8.5 8.6 10 total number deaths of 30 8.0 7.6 7.7 7.5 6.7 7.5 7.2 6.9 7.2 7.1 7.2 7.2 7 6.9 6.8 6.7 6.7 6.4 6.4 6.3 20 5.8 5.6 Ratioof deaths due toexternal injury tothe 5 10

0 0 2006 2007 2008 2009 2010 2011 2012 2013 Atsugi厚木市 City 神奈川県Kanagawa N全国ational 厚木市Atsugi City 神奈川県Kanagawa 全国National Prefecture Prefecture

[Fig. 4-3] Source: Demographic statistics (Change from 2006 to 2013)

(4) Change in death rate caused by external factors (by age group) As for the death rate caused by external factors by age group, a higher rate is observed among the elderly compared to other age groups. Effects of injury on death rate increases with aging.

(Persons per 100,000 population)

Start of the SC program Acquisition of SC designation 200 187.4 180 175.7 160 140 138.1 120 121.7 122.5 118.9 100 80 60 40 41.2 39.5 38.3 34.8 38.5 33.2 20 11.8 16.7 14.1 0 2.4 7.2 2.4 2008 2009 2010 2011 2012 2013

0～19歳0-19 yrs. old 20～64歳20-64 yrs. old 65歳以上65 yrs. old and above

[Fig. 4-4] Source: Demographic statistics (Change from 2008 to 2013)

17 (5) Change in death rate (by external factor) “Suicide” shows the highest death rate by external factor and the rate of "unintentional drowning & near-drowning” and “unintentional suffocation” have been on the increase since 2010.

(Persons per 100,000 population)

Start of the SC program Acquisition of SC designation 30

25 25.5 23.7 22.3 20.8 21.4 20 19.4 19.1 17.8 15 12.1 11.6 10 9.3 6.2 5.3 6.2 5 4 2.7 0 2006 2007 2008 2009 2010 2011 2012 2013

交通事故Traffic accident 転倒・転落Tumbling/falling 不慮の溺死及び溺水Unintentional drowning & near-drowning 不慮の窒息Unintentional suffocation 煙、火及び火災への曝露Exposure to smoke/flame/fire 有害物質による不慮の中毒Unintentional poisoning by harmful substances その他の不慮の事故Other unintentional accident 自殺Suicide 他殺Murder その他の外因Other external cause

[Fig. 4-5] Source: Demographic statistics (Change from 2006 to 2013)

Numerical number of each item on [Table 4-5] (Persons per 100,000 population)

2006 2007 2008 2009 2010 2011 2012 2013

Traffic accident 7.1 4.9 4.4 3.1 3.1 4.9 5.3 3.1

Tumbling/falling 3.1 4.5 3.5 4 3.6 3.6 1.8 4.9

Unintentional drowning and near-drowning 2.7 4 6.2 5.3 6.2 12.1 9.3 11.6

Unintentional suffocation 2.7 3.6 4.9 2.2 3.1 6.7 7.6 5.8

Exposure to smoke/flame/fire 0.4 0.9 1.3 0.4 0 0.5 0 0

Unintentional poisoning by harmful substances 0.4 0.4 0 0 0 0.5 0 0

Other unforeseeable accidents 3.1 4.9 2.7 3.5 3.6 2.7 4.9 4.9

Suicide 25.5 22.3 19.4 20.8 21.4 23.7 17.8 19.1

Murder 0.4 0 0 0.4 0 0 0.4 0.4

Other external causes 2.7 3.6 4.4 5.8 5.4 5.8 4 8.5

18 (6) Ratio of causes of death due to external factors (by age group) “Traffic accident” accounts for a high ratio for younger people aged 15 to 19 years, while “tumbling/falling” starts to increase among people in their 80’s, accounting for over 25% among those in their 90’s. “Unintentional drowning & near-drowning” start to show a sharp increase among people in their 60’s, which accounts for 40% among those aged 80 to 84 years. The ratio of “Suicide” is high for a wide range of age groups from teens to 70’s.

All 全体ages 9% 7% 14% 9% 7% 42% 0% 10% N=914

0% 20% 40% 60% 80% 100%

0～4 17% 17% 33% 33% N=6

100% N=1 5～9 10～14 40% 60% N=5

45% 10% 40% 5% N=20 15～19 20～24 24% 7% 59% 3% 7% N=29

25～29 17% 3% 3% 57% 14% N=35

30～34 5% 3% 5% 83% 5% N=40

35～39 6% 74% 17% N=53

20% 70% 7% N=46 40～44 45～49 11% 4% 66% 13% N=47

11% 9% 4% 60% 13% 50～54 N=55 55～59 7% 3% 9% 4% 61% 10% N=67

60～64 5% 5% 16% 3% 6% 56% 6% N=64

65～69 5% 6% 22% 9% 9% 38% 10% N=79

70～74 6% 6% 24% 10% 11% 28% 12% N=83

10% 2% 23% 14% 10% 26% 14% N=81 75～79 80～84 6% 11% 37% 23% 6% 8% 6% N=79

4% 24% 20% 20% 16% 9% 7% 85～89 N=70 90～ 26% 7% 30% 20% 7% 6% N=54

0% 20% 40% 60% 80% 100% 交通事故Traffic accident 転倒・転落Tumbling/falling 不慮の溺死及び溺水Unintentional drowning & near-drowning 不慮の窒息Unintentional suffocation 煙、火及び火炎への曝露Exposure to smoke/flame/fire 有害物質による不慮の中毒及び有害物質Unintentional poisoning by harmful substances その他の不慮の事故Other unintentional accident 自殺Suicide

[Fig. 4-6] Source: Demographic statistics (Cumulative total for 2006 to 2013)

19 (7) Change in the number of persons transported by ambulance because of injury due to external factors (by age group) The number of persons transported by ambulance remains at the same level for persons aged 0 to 14 years, is on the decrease for persons aged 15 to 64 years, and is increasing for persons aged 65 years and above.

(Persons) Start of the SC program Acquisition of SC designation

3500

3000 633 599 738 805 880 2500 651 656 887 990

2000

1500 2251 1922 1779 1836 1885 1790 1751 1673 1641 1000

500 333 351 315 323 331 364 333 343 350 0 2006 2007 2008 2009 2010 2011 2012 2013 2014

65歳以上65 yrs. old and above 15～64歳15-64 yrs. old 0～14歳0-14 yrs. old

[Fig. 4-7] Source: Ambulance transport data (Change from 2006 to 2014)

(8) Change in the number of persons transported by ambulance (per 100,000 population) because of injury due to external factors (by age group) The numbers of persons transported by ambulance (per 100,000 population) remain the same level for persons aged 0 to 14 years and for persons aged 15 to 64 years, while the number is increasing for persons aged 65 years and above. Further, the number of persons aged 65 years and above who were transported by ambulance is higher than those in other age groups. A part of the reason is because the effects of injury increase with aging.

(Persons per 100,000 population) Start of the SC program Acquisition of SC designation

2,095 2,088 2,038 2,000 1,992 1,979 1,866 1,803 1,842 1,747 1,410 1,500 1,212 1,221 1,170 1,173 1,157 1,129 1,120 1,100

1,188 1,180 1,000 1,115 1,143 1,059 1,059 1,097 996 1,021

500 2006 2007 2008 2009 2010 2011 2012 2013 2014

0～14歳0-14 yrs. old 15～64歳15-64 yrs. old 65歳以上65 yrs. old and above

[Fig. 4-8] Source: Ambulance transport data (Change from 2006 to 2014)

20 (9) Ratio of persons transported by ambulance because of injury caused by external factors (by age group) Ambulance transports due to “traffic accident” and “general injury” combined accounts for about 90% of the total number of ambulance transports due to external factors. “Traffic accident” accounts for more than 40% for all age groups from 5 to 64 years, which especially accounts for more than 60% for persons aged 15 to 29 years. “General injury” also shows a high rate in a wide range of age groups, which especially accounts for 86% for persons aged 0 to 4 years. The ratio exceeds 60% for the age groups of 65 years and above and exceeds 80% for each age groups of 80 years and above.

All全体 ages 43% 4% 3% 43% 3% 4% N=14,761

0% 20% 40% 60% 80% 100%

0～40～5 13% 86% N＝ 451

5～9 47% 50% N＝ 554

10～14 44% 30% N＝ 738

15～19 72% 11% N＝ 828

20～24 69% 14% N＝ 855

25～29 65% 12% N＝ 874

30～34 58% 16% N＝ 915

35～39 56% 19% N＝ 657

40～44 56% 19% N＝ 654

45～49 52% 26% N＝ 819

50～54 50% 33% N＝ 887

55～59 46% 37% N＝ 869

60～64 43% 45% N＝ 724

65～69 31% 61% N＝ 828

70～74 26% 66% N＝ 1,176

75～79 18% 78% N＝ 1,211

80～84 10% 87% N＝ 492

85～89 5% 92% N＝ 518

90～ 2% 98% N＝ 711 0% 20% 40% 60% 80% 100%

Fire火災 disaster 自然災害Natural disaster 水難Water accident 交通事故Traffic accident Work労働災害 accident Sports運動競技一般負傷General injury 加害Assault 自損行為Self-injurious Othersその他 behavior [Fig. 4-9] Source: Ambulance transport data (Cumulative total for 2006 to 2014)

21 [2] Data based on which 8 priority subjects have been identified

Atsugi City has identified the following 8 priority subjects based on the statistical data, results of social surveys, etc. In this regard, more detailed analysis are discussed on pages 24 to 40 and the injury risks are explained.

Priority problems Problems identified from data Fig. & Table

Violence/suicide Suicide is the highest cause of death due to external causes. prevention [Out of 914 deaths in total that occurred during 2006 to 2013 caused by external causes, 383 deaths were due to suicide (42% of the total).] 4-6

As for causes of deaths due to injuries by age group, suicide accounts for the highest percentage in each age group between 20 and 69 4-2 years old.

Traffic safety Although the number of traffic accidents (per 100,000 population) has decreased by 38.4% during the period from 2008 (before the start of the SC 4-13 program) to 2014, the number still remains high. 4-14 [Year 2008: 778 cases  2014: 479 cases: Decrease of 38.4%]

Ambulance transport due to a traffic accident accounts for 43.3% of all the ambulance transports due to external causes. 4-9 [Out of 14,761 persons transported by ambulance due to an external cause during the period from 2006 to 2014, 6,396 persons (43% of the total) were traffic 4-15 accident-related.]

Safe Bicycle Use Although the number of bicycle accidents (per 100,000 population) has decreased by 39.4% during the period from 2008 (before the start of the SC program) to 2014, the number still remains high. 4-16 [180 cases in 2008  109 cases in 2014: Decrease of 39.4%]

Bicycle accidents account for a high percentage of all traffic accidents. [Out of 13,886 traffic accidents that occurred during 2006 to 2014, bicycle accidents 4-17 amounted to 3,148 cases (22.7% of the total).]

Feeling of safety Although the number of crime cases registered by the police (per 100,000 and public safety population) has decreased by 43.0% during the period from 2008 (before the start of the SC program) to 2014, the number still remains high compared to 4-22 the national and prefectural levels. [1,866 cases in 2008  1,063 cases in 2014: Decrease of 43.0%]

Although the anxiety about safety among citizens has been on a recovery trend, it still remains high. From a comparison between year 2008 (before acquisition of the SC designation) and 2014, the number of persons who answered “Safety has been improved” have stayed at the same level, while “Safety has been worsened” sharply decreased. 4-23 [“Safety has been improved” response ratio: 10.8% in 2009  13.1% in 2014: Increase of 2.3% “Safety has been worsened” response ratio: 27.2% in 2009  15.9% in 2014: Decrease of 11.3%]

22 Priority problems Problems identified from data Fig. & Table

Elderly Safety The City’s aging rate that was 10.1% in 2000 exceeded 15.7% in 2008 and then reached 21.1% in 2014, increasing year by year. 4-24

The number of elderly persons who were transported by ambulance due to injury caused by an external factor (per 100,000 population) has increased by 13.4% during the period from 2008 (before the start of the SC program) to 2014. The percentage of elderly persons is high when compared with that of 4-8 different age groups. [1,842 persons in 2008  2,088 persons in 2014: Increase of 13.4%]

Children’s Safety As for ambulance transport of children due to injury caused by an external factor, general injury outnumbers others for persons aged 0 to 6 years, while traffic accident outnumbers others for persons aged 7 to 19 years. [Between 2006 and 2014, 1,213 persons (77.1% of the total) out of 1,573 children 4-31 aged 0 to 6 years who were transported by ambulance were transported due to general injury, while, 2,355 persons (63.7% of the total) out of 3,698 persons aged 7 to 19 years who were transported by ambulance were transported due to traffic accident.]

The number of consultations concerning abuse of children aged 18 years or less increased by 98.7% in 2014 when compared to 2012. 4-32 Especially, those for children from 0 to pre-school age (*1) account for 70% of the total. 4-33 [77 cases in 2012  153 cases in 2014: Increase of 98.7%]

Work place Although the number of accidents at work places (*2) has decreased by 17.2% (work) safety during the period from 2008 (before the start of the SC program) to 2013, the number still remains high compared to the national and prefectural levels. 4-34 [302 cases in 2008  250 cases in 2013: Decrease of 17.2%]

Disaster Approximately 20% of earthquakes (with a magnitude 6 or higher) in the prevention world occur in Japan. 4-38 measures Occurrence probability of Tokai Earthquake (expected magnitude of 8) that may occur in Atsugi City within 30 years is as high as 88%, while that of the North Tokyo Bay Earthquake (expected magnitude of 7.3) is also as high as 4-39 70%.

*1 Pre-school children Children before school entry age (Every child who becomes seven years old on or after April 2 enters an elementary school.) *2 Work accident This term means injury, illness, and death of workers that occur in work-related situation including work environment, work behavior, etc. The data that are used as the number of work accident cases include the work accidents that require absence from work of 4 days or more and that are eligible for benefits under the occupational accident insurance.

23 (1) Suicide prevention 1) Change in the number of suicides per 100,000 population (by national, prefectural, and City levels) The number of suicides is decreasing every year both in the national and prefectural levels. The number of suicides in Atsugi City has shown a slight fluctuation, which was below the national/prefectural level in 2008 and 2012, but briefly increased to 23.7 persons in 2011. (Persons per 100,000 population) Start of the SC program Acquisition of SC designation 30

20 Remaining at the same level 15

10 2006 2007 2008 2009 2010 2011 2012 2013 厚木市Atsugi City 25.5 22.3 19.4 20.8 21.4 23.7 17.8 19.1 Kanagawa 神奈川県Prefecture 19.0 20.5 21.3 21.2 20.9 20.7 18.3 17.7 全国National 23.7 24.4 24.0 24.4 23.4 22.9 21 20.7

[Fig. 4-10] Source: Demographic statistics (Change from 2006 to 2013)

2) Number of suicides (by sex and by age group) The number of suicides is higher among men than among women in all age groups. Especially, the number of suicides among men aged 30 to 69 years is about 2 to 5 times higher compared to women in the same age group.

10 30 (Persons) 0 0～5 0 0 5～9 0 2 10～14 1 6 15～19 2 Age group with a large 9 20～24 8 number of suicides 11 25～29 9 25 30～34 8 27 35～39 12 25 40～44 7 26 45～49 5 25 50～54 8 33 55～59 8 23 60～64 13 21 65～69 9 13 70～74 10 14 75～79 7 3 80～84 3 4 85～89 2 2 90～ 2 (Persons) 30 10 男性Male 女性Female

[Fig. 4-11] Source: Demographic statistics (Cumulative total for 2006 to 2013)

24 (2) Traffic safety 1) Change in the number of deaths (per 100,000 population) due to traffic accident As for the number of deaths due to traffic accident of the City, because of its small number of incidents, the result fluctuates each year and, therefore, the situation is difficult to grasp. In this respect, the number of deaths remained low in 2012 and 2013, which turned to increase in 2014.

(Cases per 100,000 population) Start of the SC program Acquisition of SC designation 7.0

6.0 Remaining at 5.0 the same level 4.0 3.0 2.0 1.0 0.0 2006 2007 2008 2009 2010 2011 2012 2013 2014 厚木市Atsugi City 4.0 1.3 5.7 3.1 1.8 4.5 1.3 1.8 3.6

Kanagawa 神奈川県Prefecture 2.7 2.7 2.1 2.0 2.0 2.0 2.0 1.8 2.0 全国National 5.0 4.5 4.0 3.9 3.8 3.6 3.5 3.5 3.3

[Fig. 4-12] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

2) Change in the number of traffic accidents (cases per 100,000 population) The number of traffic accidents has been on the decrease every year. The number of traffic accidents reached 778 in 2008 before the start of the SC program, which decreased by 38.4% to 479 in 2014. (Cases per 100,000 population) (Cases) Start of the SC program Acquisition of SC designation 3,000 1,000 948 Incident rate of traffic accidents has ％ 900 2,500 848 dropped by38.4 800 2,112 778 734 (Comparison between 2008 and 2014) 1,899 700 2,000 1,751 664 1,663 621 600 1,499 592 1,500 1,393 1,326 520 500 1,167 479 1,075 400 1,000 300 200 500 100 0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014

事故件数人口10万人当たりの事故件数 No. of accidents No. of accidents per 100,000 population

[Fig. 4-13] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

25 3) Change in the number of traffic accidents per 100,000 population (by age group) The numbers are on the decrease for all age groups. From a comparison between 2008 (before the start of the SC program) and the latest 2014, the number has dropped by 49.3% among children aged 0 to 14 years and dropped by 38-39% among age groups of both 15-64 years and 65 years and above.

(Cases per 100,000 population) Start of the SC program Acquisition of SC designation

1,200 0-14 yrs. old 49.3% down 1,075 15-64 yrs. old 38.3% down 65 yrs. old and above 38.8% down 1,000 1,018 957 945 (Comparison between 2008 and 2014) 906 874 800 804 756 769 703 674 700 712 619 620 600 578 507 496 487 461 471 471 400 349 372 313 303 239 200

0 2006 2007 2008 2009 2010 2011 2012 2013 2014

65歳以上65 yrs. old and above 15～64歳15-64 yrs. old 0～14歳0-14 yrs. old

[Fig. 4-14] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

4) Change in the number of persons transported by ambulance following a traffic accident (by age group) While the number has dropped for age groups of 0-14 years and 15-64 years, it remains almost the same level and without any sign of decrease for people aged 65 years and above.

(Persons) Start of the SC program Acquisition of SC designation 1,800 1,670 14.6% down 1,600 154 1,473 (Comparison between 2008 and 2014) 1,409 1,406 1,400 145 1,330 1,340 145 144 1,283 1,231 155 140 1,200 144 1,136 180 150 1,000

800 1,370 1,205 1,138 1,140 1,063 600 1,055 1,033 956 894 400

200 146 123 120 126 122 137 106 0 95 92 2006 2007 2008 2009 2010 2011 2012 2013 2014 65歳以上 15～64歳15-64 yrs. old 0～14歳 65 yrs. old and above 0-14 yrs. old

[Fig. 4-15] Source: Ambulance transport data (Change from 2006 to 2014)

26 (3) Safe Bicycle Use 1) Change in the number of bicycle accidents (No. of cases and per 100,000 population) The number of bicycle accidents has been on the decrease every year, which marked a decrease of 39.4% in 2014 compared to 2008 (before the start of the SC program).

(Cases) Start of the SC program Acquisition of SC designation (Cases per 100,000 population)

700 250 Incident rate of bicycle accidents has 209 600 dropped by 39.4%. 183 (Comparison between 2008 and 2014) 180 200 500 171 152 145 127 150 400 124 109 300 100 467 200 411 408 387 342 324 286 278 245 50 100

0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014

自転車事故件数No. of bicycle accidents 人口10万人当たり自転車事故件数No. of bicycle accidents per 100,000 population 人口 10 万人当たりの自転車事故件数

[Fig. 4-16] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

2) Change in the proportion of accidents involving a bicycle in total traffic accidents The proportion of accidents involving a bicycle in total traffic accidents has been showing no sign of decrease, staying around 22%.

(%) Start of the SC program Acquisition of SC designation

30 23.8 25 23.3 23.3 22.8 23.3 22.8 22.1 21.6 21.6

20 Remaining at the same level 15

0 2006 2007 2008 2009 2010 2011 2012 2013 2014

[Fig. 4-17] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

27 3) Change in the number of bicycle accidents (by age group) Although the total number of bicycle accidents is on the decrease, a comparison by age group indicates that bicycle accidents occur more frequently among people aged 0-14 years, 15-19 years, and 20-29 years in comparison to other age groups

Start of the SC program (Cases) Acquisition of SC designation 600 70歳以上70 yrs. and above

500 60～69歳60-69 yrs. old 27 46 29 50～59歳50-59 yrs. old 400 44 27 33 41 24 37 35 29 24 26 24 10 40～49歳40-49 yrs. old 300 42 28 34 66 42 40 25 23 13 58 25 18 22 50 58 38 38 18 30～39歳30-39 yrs. old 28 25 22 200 91 44 41 40 35 66 65 63 19 32 33 34 20～29歳 62 57 28 20-29 yrs. old 77 72 72 67 55 44 100 62 65 44 52 65 15～19歳15-19 yrs. old 91 87 87 80 48 59 54 38 41 0 32 0～14歳0-14 yrs. old 2006 2007 2008 2009 2010 2011 2012 2013 2014

[Fig. 4-18] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

4) Proportion of the numbers of bicycle accidents by age group With regard to the proportion of the number of bicycle accidents for each age group, age groups of 0-14 years and 15-19 years mark the highest proportions both with 18%, followed by 20-29 years with 17% and 30-39 years with 13%. A high occurrence rate among people aged 0 to 19 years is clearly observed.

195 cases 0～14歳0-14 yrs. old 6% 273 cases 569 cases 15～19歳15-19 yrs. old 9% 18%

251 cases 20～29歳20-29 yrs. old 8% 30～39歳30-39 yrs. old

346 cases 580 cases 40～49歳40-49 yrs. old 11% 18% 50～59歳50-59 yrs. old

410 cases 60～69歳60-69 yrs. old 13% 547 cases 17% 70歳以上70 yrs. and above N=3,171

[Fig. 4-19] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

28 (4) Feeling of safety and public safety 1) Change in the number of crime cases registered by the police The number of crime cases registered by the police has been on the decrease every year. In comparison between 2008 (before the start of the SC program) and the latest 2014, it has dropped by 43.3%.

Start of the SC program Acquisition of SC designation (Cases) 4,500 4,274 4,224 4,000 3,773 3,709 43.3% down (Comparison between 2008 and 2014) 3,500 3,100 2,883 2865 3,000 2622 2,394 2,500 2,000 1,500 1,000 500 0 2006 2007 2008 2009 2010 2011 2012 2013 2014

[Fig. 4-20] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

2) Change in the number of crime cases registered by the police (per 100,000 population) (by national, prefectural, and City levels) The number of crime cases registered by the police has been decreasing at all levels – national, prefectural and City. Although the number of crime cases registered by the police of the City is higher than that of the nation and prefecture, it has dropped by 43.0% from 2008 (before the start of the SC program) to 2014, showing a reduction rate that is larger than that of the nation (32.2%) and the prefecture (41.6%).

(Cases per 100,000 population) Start of the SC program Acquisition of SC designation 2,500

43.0% down 2,000 1,909 1,866 (Comparison between 2008 and 2014) 1,680 1,605 1,641 1,500 1,494 1,424 1,390 1,336 1,381 1,267 1,268 1,238 1,286 1,275 1,159 1,166 1,091 1,032 1,084 1,051 1,063 1,000 946 966 843 847 740 500

0 2006 2007 2008 2009 2010 2011 2012 2013 2014

厚木市Atsugi City 神奈川県Kanagawa Prefecture 全国National

[Fig. 4-21] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

29 3) Change in crime occurrence (by type of crime) As for occurrences of “serious crimes” and “violent crimes” that can result in an injury or accident, while “violent crimes” have been decreasing, the number of “serious crimes” remains at the same level. This is partly because “serious crimes” occur less frequently compared to other types of crime. Start of the SC program Acquisition of SC designation (Cases) 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 Serious凶悪犯（殺人・強盗等） crime (murder, robbery, etc.) 20 17 18 15 11 12 18 12 14 Same level

Violent粗暴犯（暴力・傷害・恐喝等） crimes (violence, injury, threat, etc.) 179 183 194 172 207 176 174 156 119 Decrease Theft窃盗犯（空き巣、乗り物盗等） crime (sneak theft, vehicle theft/larceny, etc.) 3368 2950 3219 2809 2464 2267 2220 2031 1902

Intellectual知能犯（詐欺、横領、偽造等） offence (scam, appropriation, counterfeit, etc.) 129 113 106 99 66 56 62 183 83 Moral風俗犯（賭博、わいせつ） offense (gambling, indecent assault, etc.) 10138 141710221656

Othersその他 568 497 679 600 335 362 369 224 220

合計Total 4274 3773 4224 3709 3100 2883 2865 2622 2394

[Fig. 4-22] Source: Police statistics (Atsugi Police Dept.) (Change from 2006 to 2014)

4) Change in feeling of safety/anxiety of citizens based on the citizens’ awareness survey To the question asking about “prevention of crime/delinquency in comparison to 5 years ago”, the number of persons who answered “Safety has been improved between 2009 and 2013” have stayed at the same level, while “Safety has been worsened between 2009 and 2013” decreased by

11.3%. Start of the SC program (%) Acquisition of SC designation 60 54.2 50 “Improved” increased by 2.3% “ 40 Worsened” decreased by 11.3%. 36.4 (Comparison between 2009 and 2013) 30 27.2 21.2 20 15.9 13.7 13.1 10 9.5 10.8 4.4 0 2005 2007 2009 2011 2013

良くなったと回答した割合Ratio of persons who answered “Improved” 悪くなったと回答した割合Ratio of persons who answered “Worsened”

[Fig. 4-23] Source: Citizens’ Awareness Survey (Change from 2005 to 2013)

30 (5) Elderly’s safety 1) Change in the elderly population and aging rate The elderly population of the City is increasing year by year, and the elderly proportion in the total population has also been increasing

(Persons) 60,000 25% 22.2% 50,000 20% 40,000 17.5% 15% 30,000 12.9% 10.1% 50,056 10% 20,000 8.0% 39,547 6.6% 5.6% 28,637 5.2% 21,694 5% 10,000 16,614 7,261 9,550 12,777 0 0% 1980 1985 1990 1995 2000 2005 2010 2015 高齢者人口高齢化率 Elderly population Aging rate [Fig. 4-24] Source: Estimation based on National Census

2) Change in the number of persons issued Certifications of Needed Long-Term Support/Long-Term Care The numbers of persons with Certifications of Needed Long-Term Support or with Needed Long-Term Care have been both on the increase.

(Persons) 7,000

6,000

5,000

4,000 4,661 4,338 3,000 3,693 3,963 3,219 3,457 3,107 3,198 2,000

1,000 924 1,023 1,147 1,112 1,196 1,189 1,246 1,309 - 2006 2007 2008 2009 2010 2011 2012 2013 要介護要支援 Needed Long-Term Care Needed Long-Term Support [Fig. 4-25] Source: Atsugi City Statistics (Change from 2006 to 2013)

Issuance of Certification of Needed Long-Term Support/Long-Term Care is the system in which the conditions of care required and the degree of care necessary are judged when services under the Nursing-Care Insurance scheme are used in accordance with the Category of Condition of Need for Long-Term Care (Support Need Grade 1 or 2, or Care Need Grade 1 - 5) as defined in the certification standards of long-term care/support needed level. Services available differ by Category of Conditions of Need for Long-Term Care, where Care Need Grade 5 is issued to a person requiring the highest level of care.

31 3) Change in death rate among the elderly caused by tumbling The death rate among the elderly caused by tumbling is far higher compared to other age groups.

(Cases per 100,000 population) Start of the SC program Acquisition of SC designation 25

22.3 20 20.2

17.0 16.0 15 Remaining at the same level 12.4 10 9.5

5 4.9 3.5 4.0 3.6 3.6 1.8 1.06 1.6 1.6 0 0 0 0.6 2008 2009 2010 2011 2012 2013

全年齢の死亡率高齢者の死亡率 64歳以下の死亡率 Death rate of all ages Death rate of the elderly Death rate of persons aged 64 yrs. or younger

[Fig. 4-26] Source: Demographic statistics (Change from 2008 to 2013)

4) Change in the number of elderly persons transported by ambulance (by cause) The number of elderly persons who were transported by ambulance due to “general injury” has sharply increased and the elderly proportion in the total transport data has also been increasing every year.

Start of the SC program Acquisition of SC designation (Persons) 1200

1000 52.1% up 800 (Comparison between 2008 and 2014)

600

400

200

0 2006 2007 2008 2009 2010 2011 2012 2013 2014

Traffic交通事故 accident 154 145 155 145 144 140 144 180 150 Same level

General一般負傷 injury 443 418 470 479 563 622 702 659 788 Increase Self-injurious自損行為 13 10 10 10 12 11 11 17 17 behavior Othersその他 23 26 16 22 19 32 23 31 35

Total合計 633 599 651 656 738 805 880 887 990

[Fig. 4-27] Source: Ambulance transport data (Change from 2006 to 2014)

32 5) Change in incidents of injuries among the elderly (based on questionnaire surveys) According to the questionnaire survey of citizens, the occurrence rate of injuries among the elderly has been remaining the same level regardless of whether the injuries occurred inside or outside home. Further, for both inside and outside home, “tumbling” is the highest cause, accounting for approximately 50%.

Occurrence rate of elderly's injuries

Proportion of the elderly who were injured Proportion of the elderly who were injured Proportion of the elderly who were not injured Proportion of the elderly who were not injured

Proportion of injury caused by tumbling

Proportion of injury caused by tumbling Proportion of injury caused by tumbling Proportion of injuries caused by others Proportion of injuries caused by others

[Fig. 4-28] Injuries of the elderly (Change 2008 to 2011 to 2014) Source: Survey on Safety, Health, and Community

33 (6) Children’s safety 1) Change in the number of children transported by ambulance (by cause) The number of children transported by ambulance has generally remained at the same level. Although “traffic accidents” and “self-injurious behaviors” have decreased, “general injury” has increased. Start of the SC program Acquisition of SC designation (Persons) 800 700 Same level 600 500 400 300 200 100 0 2006 2007 2008 2009 2010 2011 2012 2013 2014

交通事故Traffic accident 341 315 289 315 313 314 296 265 240 Decrease

一般負傷General injury 198 201 199 196 208 216 238 243 245 Increase 自損行為Self-injurious 11913991339 6 behavior

その他Others 57 73 60 53 62 76 52 60 64

合計Total 607 598 561 573 592 619 589 577 555

[Fig. 4-29] Source: Ambulance transport data (Details of external factors for ambulance transport data (change from 2006 to 2014))

2) Proportions of children transported by ambulance because of injury due to external factors (by cause) With regard to ambulance call-outs for children from 2006 to 2014, “traffic accident” was the top cause, accounting for 51%, followed by “general injury” of 37%.

82 persons 557 persons 1% 11% 交通事故Traffic accident

一般負傷General injury

1,944 persons 2,688 persons 37% 51% 自損行為Self-injurious behavior

その他Others

N=5,271

[Fig. 4-30] Source: Ambulance transport data (Cumulative total for 2006 to 2014)

34 3) Change in cause of injury (by age of children) In all ages except those younger than 5 years old, “traffic accident” accounts for a high percentage, which especially accounts for more than 70% among children aged 16 to 19 years. As the age decreases, the ratio of “general injury” increases and the ratio exceeds 70% for any age of 4 years or under.

Traffic accident Athletics General injury Assault Self-injurious behavior Others

[Fig. 4-31] Source: Ambulance transport data (Cumulative total for 2006 to 2014)

35 4) Change in the number of abuse consultations for children aged 18 years or younger The number of abuse consultations for children aged 18 years or younger increased by 98.7% during a period from 2012 to 2014. Especially, neglect and psychological abuse have sharply increased.

(Cases) Acquisition of SC designation

180 153 160 98.7% up 140 性的虐待Sexual abuse (Comparison between 2012 and 2014) 46 120 心理的虐待Psychological abuse 100 91 77 ネグレクトNeglect 80 2 28 17 60 92 身体的虐待Physical abuse 40 40 55 20 18 15 0 8 2012 2013 2014

[Fig. 4-32] Source: Consultation record of Child Care & Family Consultation Division (Change from 2012 to 2014)

5) Number of abuse consultations by age group As for the number of abuse consultations by age group, consultations for children aged 0 to 3 years and 3-year old to pre-school children account for 70% of the total.

3 cases 22 cases1% 7% 0～3歳0-3 yrs. old 102 cases 72 cases 32% 3歳～就学前3 yrs. old – preschool 22% 小学生Elementary school

中学生Middle school 高校生・その他 High school, others 122 cases 38% N=321

[Fig. 4-33] Source: Consultation record of Child Care & Family Consultation Division (Cumulative total for 2012 to 2014)

36 (7) Workplace safety 1) Change in the number of casualties caused by work accident The number of casualties caused by work accident is on the decrease every year and the number of deaths has also stayed low.

(Persons) Start of the SC program Acquisition of SC designation (Persons)

400 7 17.2% down 350 344 6 (Comparison between 2008 and 2013) 6 320 300 302 305 288 294 5 250 257 250 4 4 200 3 3 150 Remaining at the same level 2 100 2 50 1 1 1 1 0 0 0 2006 2007 2008 2009 2010 2011 2012 2013

死傷者数No. of casualties No.死亡者数 of deaths

[Fig. 4-34] Source: Work accident data (Change from 2006 to 2013)

2) Change in the number of casualties (per 100,000 employees) caused by work accident (by national, prefectural, jurisdiction, & City levels) Although the numbers decreased in 2009 for all of national, prefectural, jurisdiction, and City levels, which however showed a slight increase in 2012.

Start of the SC program Acquisition of SC designation (Persons per 100,000 employees) 300 271 250 249 242 225 220 214 211 210 200 207 181 198 179 150 Remaining at the same level 100

0 2006 2009 2012 全国National 神奈川県Kanagawa 厚木労働基準監督署管内Jurisdiction of Atsugi Labor 厚木市Atsugi City Prefecture Standards Inspection Office

[Fig. 4-35] Source: Work accident data (Change from 2006 to 2013)

37 3) Change in incidents of work accidents (by business category) The number of work accidents has been decreasing as a whole. From a comparison between 2008 (before the start of the SC program) and the latest 2013, it has dropped by 17.2% as a whole and by 37.2% in “manufacturing”.

(Persons) Start of the SC program Acquisition of SC designation

400

17.2% down 350 (Comparison between 2008 and 2013) その他Others 64 300 59 56 接客娯楽業 31 68 45 68 Service 250 31 40 21 31 56 29 24 60 商業 200 47 49 Commerce 44 33 25 69 36 18 29 150 71 41 運輸業Transports 67 90 46 75 82 100 74 61 38 31 建設業Construction 17 28 23 26 21 50 94 74 78 72 61 61 製造業 47 49 Manufacturing 0 2006 2007 2008 2009 2010 2011 2012 2013

[Fig. 4-36] Source: Work accident data (Change from 2006 to 2013)

4) Change in incidents of work accidents in manufacturing (by accident type) As for the incidents of work accidents by accident type in manufacturing, “pinned or caught between or in objects” is largest in number. Although the number varies from year to year, the work accidents in manufacturing has dropped by 37.2% when comparison is done between 2008 (before the start of the SC program) and the latest 2013.

(Persons) Start of the SC program Acquisition of SC designation 100 その他Others 90 37.2% down 80 23 切れ・こすれCut or scraped (Comparison between 2008 and 2013) 70 16 6 12 飛来・落下Dropping 18 60 7 3 4 5 7 10 12 50 12 5 6 墜落・転落 1 8 6 2 Fall from high places 5 6 2 8 40 9 15 5 5 2 6 2 4 5 4 動作の反動・無理な動Backlash caused by physical 17 5 6 30 8 13 6 motion/unnatural movement 16 11 4 作 13 20 10 8 10 10 転倒Tumbling 33 8 10 21 22 17 Pinned or caught between or in 16 10 16 15 はさまれ・巻き込まれ 0 objects 2006 2007 2008 2009 2010 2011 2012 2013

[Fig. 4-37] Source: Work accident data (Change from 2006 to 2013)

38 (8) Disaster prevention 1) Incidents of earthquakes in the world Approximately 20% of earthquakes (with a magnitude 6 or higher) in the world occur in Japan.

[Fig. 4-38] Source: White Paper on Disaster Prevention (Cabinet Office)

2) Estimation of earthquake damage in Atsugi City Kanagawa is one of the prefectures that has the largest number of active faults. Atsugi City also has an increasing risk of being hit by a massive earthquake such as Tokai Earthquake or North Tokyo Bay Earthquake within the next 30 years.

[Table 4-39] Source: Estimation of earthquake damage in Atsugi City

Damage of house/building Human damage Occurrence (structures) (persons) Earthquake probability Completely Partially within 30 years Death Injured Evacuee*3 destroyed destroyed

(1) Tokai Earthquake 8.0 88% 328 1,332 7 297 7,666

(2) North Tokyo Bay 7.3 70% 367 1,456 10 344 8,921 Earthquake

*3 Evacuee The figures shown here are the expected numbers of evacuees on the next day after the disaster.

39 3) Citizens’ worries about disasters The citizens have much worries about “earthquakes”, “fire disaster”, “wind/flood disaster”, and “lightning damage”. Especially, a large proportion of people answered “worrying”, which accounted for 97%.

地震 97% 3% Earthquake N=3,555

火災 93% 7% Fire disaster N=3,424

風水害 92% 8% Wind/flood disaster N=3,432

落雷 84% 16% Lightening N=3,378

土砂災害 54% 46% Landslide disaster N=3,259

その他 25% 75% Others N=1,019

0% 20% 40% 60% 80% 100% 不安Worrying 不安ではないNot worrying

[Fig. 4-40] Source: Survey on Safety, Health, and Community (2014)

4) Importance of promoting disaster prevention measures The proportion of people who answered “Important” regarding promoting development of a highly disaster-resistant community has been consistently high. Especially since 2011 after outbreak of the Great East Japan Earthquake, awareness of development of a disaster-resistant community has even more increased and more people have become to realize its importance.

Start of the SC 2009 63% 23% 2%3% N=1,608 program

2010 66% 24% 3% 5% N=1,450 Acquisition of SC designation 2011 77% 16% 1%3% N=1,343

2012 70% 22% 2%3% N=1,570

2013 75% 17% 2%3% N=1,496

2014 65% 23% 1% 7% N=1,537

0% 20% 40% 60% 80% 100%

Very重要 Ratherやや重要あまり重要でないNot very important N重要でないot at all important Nわからないot sure important important

[Fig. 4-41] Source: Citizens’ satisfaction survey (Change from 2008 to 2014)

Supplement 5 Demographic Structure of the Community

[1] Change in total population and population of 3 age groups

■ Population change At the time Atsugi City was municipalized in 1955, the population of the City was about 30,000, which grew to 100,000 in 1973 and reached 200,000 in 1991. Since then, it has been showing a moderate increase.

(Persons) 230,000

224,420 225,133 225,000 222,403

220,000 217,369

215,000

210,000

205,000

200,000 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

[Fig. 5-1] Source: Estimation based on National Census

■ Change in population of 3 age groups While the population of young people aged 0 to 14 years and the productive population between ages 15 and 64 are on the decrease, the population of the elderly aged 65 years and older has increased.

(Persons) 250,000 225,797 225,133 215,761 222,703 207,416 17 563 681 193,273 49 31,261 29,186 200,000 670 32,216 31,929 170,901 30 34,136 38,851 139,095 140 150,000 43,467 5 38,750 154,426 145,210 161,802 162,120 100,000 155,996 141,615 117,744 50,000 93,079 39,547 50,056 21,694 28,637 0 7,261 9,550 12,777 16,614 1980 1985 1990 1995 2000 2005 2010 2015 年齢不詳Age unknown 0～19歳0-19 yrs. old 20～64歳20-64 yrs. old 65歳以上65 yrs. and older

[Fig. 5-2] Source: Estimation based on National Census

41 [2] Population distribution

■ Population distribution As with the nation-wide trend, Atsugi City also has the largest numbers of population in age groups of 60-74 years and of 35-49 years.

(Persons) 0 5,000 10,000

17 100～ 82

70 95～99 293

358 90～94 985

1,168 85～89 2,002

2,410 80～84 3,132

4,346 75～79 4,624

6,860 70～74 6,994

8,210 65～69 8,505

7,359 60～64 7,782

6,399 55～59 5,894

7,088 50～54 6,256

9,027 45～49 7,637

10,445 40～44 8,979

8,649 35～39 7,553

7,401 30～34 6,230

8,210 25～29 5,568

7,768 20～24 5,759

5,777 15～19 5,429

5,293 10～14 5,106

4,956 5～9 4,605

4,769 0～4 4,457

10,000 5,000 0

(Persons) 男Male 女Female

[Fig. 5-3] Source: Estimation based National Census

[3] Non-Japanese residents

■ Change in the number of registered non-Japanese residents The number of registered non-Japanese residents was on the decrease after a peak population (6,174 persons) in 2008 and then started to slightly increase since 2013.

(Persons) 6,500 6,174 6,020 6,000 5,777 5,813 5,555 5,581 5,426 5,369 5,500 5,264

5,000

4,500

4,000 2006 2007 2008 2009 2010 2011 2012 2013 2014

[Fig. 5-4] Source: Basic Resident Register (Change from 2006 to 2014)

■ Population breakdown by nationality Nationalities of the registered non-Japanese residents in Atsugi City include Chinese with 1,073 persons (19.2%), followed by Vietnamese with 998 persons (17.9%) and Peruvian with 676 persons (12.1%).

(Persons) 0 200 400 600 538 China中国 535 518 Vietベトナム Nam 480

340 Peruペルー 336

148 Philippinesフィリピン 445

212 Korea韓国 253

189 Brazilブラジル 173

149 インド 33 India 84 ラオス 95 Laos 40 Thailandタイ 97 86 Sriスリランカ Lanka 41 55 Cambodiaカンボジア 45 58 Pakistanパキスタン 28 24 Taiwan台湾 47 40 U.S.A.米国 19 287 Othersその他 186 600 400 200 0

(Persons) 男Male 女Female

[Fig. 5-5] Source: Basic Resident Register

Supplement 6 Scheme to Evaluate Programs and the Programs to Document the Frequency and the Causes of Injuries

[1] Program progress management

The Atsugi City Safe Community program consists of the following elements, for each of which the relevant organizations implement their roles and manage the progress.

(1) Safety analysis [Injury Surveillance Committee] To grasp the current risk state of injuries in the City based on analysis of statistics and results of social surveys

(2) Problem identification [Injury Surveillance Committee, Task Force Team] To identify problems of the City based on analysis of data that are obtained by the safety analysis

(3) Strategy-planning [Task Force Team] To discuss and plan measures to address the City’s problems

(4) Measure-implementation [Task Force Team] To implement measures to address the City’s problems

(5) Activity evaluation [Task Force Team, Injury Surveillance Committee, SC Steering Committee] To evaluate activity performance

(6) Short-term evaluation [Task Force Team, Injury Surveillance Committee, SC Steering Committee] To conduct evaluation on changes in awareness & recognition

(7) Mid-term evaluation [Task Force Team, Injury Surveillance Committee, SC Steering Committee] To conduct evaluation on changes in attitude & behavior

(8) Long-term evaluation [Injury Surveillance Committee, SC Steering Committee] To conduct evaluation on changes in situation & environment

(9) External assessment [Japan Institution for Safe Communities] After receiving reports on (1) to (8) above, to conduct evaluation on the program progress management and the implementation state of each program

45 [System Chart for Program Progress Management]

Ambulance Questionnaire call-out data survey

Medical data Police statistics (1) Safety diagnosis Deaths & (2) injury (8) Long-term Identification External evaluation Injury of problems assessment Surveillance Committee

(7) Mid-term Safe Community (3) Measure evaluation Steering Committee planning

Existing efforts Reporting Questionnaire, Task Force on-site & Team (6) Short-term (4) Measure activity implementation investigation evaluation (5) Activity evaluation

Japan Institution for Safe Communities (JISC) Japan Institution for Safe Activity & results

Support

City government’s internal organizations

46 [2] Collected data

■ Data subject to collection The following statistics, etc. are collected.

Contents Name of statistics, No. etc. Collection frequency Source of data Target groups

Information on death caused by external factors Demographic (1) Statistics Data Ministry of Health, Labor Every year All citizens and Welfare Information on traffic accidents, crimes, and suicides (2) Police statistics Every year Atsugi Police Department All citizens

Information on ambulance call-out caused by accident or injury Ambulance call-out (3) data Every year Atsugi Fire Department All citizens

Information on damages caused by fire and flood Statistics of fire (4) fighting Every year Atsugi Fire Department All citizens

Information on death and injury caused by work-related accidents Industrial accident (5) data Atsugi Labor Standards Every year Workers in Atsugi City Inspection Office Information on accident and injury at elementary schools and junior high schools Mutual Aid Disaster (6) Insurance data Students of elementary/middle Every year Japan Sports Council schools within Atsugi City Information on National Health Insurance National Health (7) Insurance data National Health Insurance － Atsugi City policy holders *1 Information on in- and out-patients of Atsugi City Hospital (8) Hospital data Patients of Atsugi City Every year Atsugi City Hospital Hospital Survey on safety, Information on injury incidents, worries about accident/injury, and preventive measures health, communities against accident/injury (9) (SC questionnaire survey) Once in 3 years Atsugi City All citizens

Information on injury caused by bicycle use Questionnaire survey (10) on bicycle use Once in 3 years Atsugi City All citizens

Information on population and No. of households (11) Atsugi City statistics Every year Atsugi City All citizens

Information on demographic situations of national, prefectural, and City levels and the regional characteristics (12) National Census 5 years Atsugi City All citizens

*1 Approximately 30% of people in Atsugi City are policy holders of the National Health Insurance. People who are not covered by the Health Insurance at the workplace must join the National Health Insurance program.

[3] Categories covered by collected data

The City collects various data and is utilizing various kinds of data so as to correctly work on categories that cannot be covered by single data. Various data are used to accurately cover the categories including: “Statistics on demographic situations” to collect data on the number of deaths, “Police statistics”/ “ambulance call-out data”/ “work accident data” to collect data mainly on injuries of moderate to death severity, “National Health Insurance Statistics” and “hospital data” to collect data mainly on injuries of minor to death severity, and “Survey on Safety, Health, and Community (SC questionnaire survey)” and other “various questionnaire surveys” to collect data mainly on injuries of minimal to death severity. The categories covered by the data collected by the City are as follows:

[Categories covered by the data]

Elderly Minimal Minor Moderate Serious Death

Adults Minimal Minor Moderate Serious Death

Students Minimal Minor Moderate Serious Death (children, students)

Infants Minimal Minor Moderate Serious Death

(1) Demographic Statistics Data (2) Police statistics (3) Ambulance call-out data (5) Industrial accident data (6) Mutual Aid Disaster Insurance data (7) National Health Insurance data (8) Hospital data (9) Survey on Safety, Health, and Community (SC questionnaire survey) Various questionnaire surveys (Citizens’ satisfaction survey, citizens’ awareness survey, etc.)

Supplement 7 Efforts with Regard to Safety and Security

[1] Programs by category and by age group

■ Overview of safety & security efforts Atsugi City categorizes its various efforts in safety improvement and injury prevention into the following, which cover both sexes, all ages, environments, and situation: (Each figures in the table below indicates the number of programs.)

Elderly Children Adolescents Adults Category (65 yrs. old and (0 - 14 yrs. old) (15 – 24 yrs. old) (25 – 64 yrs. old) above)

1. Home 8 7 10 8

2. School 26 11 - -

Unintentional 3. Workplace, - 9 9 9 factors work

4. Leisure 7 6 9 9

5. Traffic 17 16 14 10

6. Violence, 27 29 27 26 crime

Intentional factors

7. Suicide 5 8 8 8

Others 8. Disaster 16 16 17 17

49 [2] Efforts in each category

1. Home

(1) “Hello Baby Project”

Objectives To prevent injury of babies Expert staff visit all families with a baby under 4 months old, conduct health checkup and consultation on child care and give information about child care support along Details with information about accidents most likely to happen with babies and accident-causing situations. Target Babies and parents of babies Organizations Atsugi Medical Associations, City Government concerned

(2) Health Consultation Dial 24

Objectives Consultation on injury and mental health The 24-hour telephone service including health consultation and provision of information on medical institutes is available for citizens. Consultations on health, Details medicine, nursing care, childcare, mental health, etc. are available in the 24-hour system from experts such as medical doctors, health nurses, registered dietitians, and psychological counselors. Target Citizens Organizations Atsugi Medical Associations, City Government concerned

2. School (1) Dangerous places on school routes

Objectives Prevention of traffic accidents With the aim to secure school routes where children/students can walk to/from school Details in a safe & secure manner, necessary measures have been taken by setting up Traffic Safety Measures Council for Safe School Routes. Target Children, students Atsugi City Traffic Safety Guides Association, Atsugi City Mothers Committee Organizations Liaison Association for Traffic Safety, Atsugi Police Department, Board of concerned Education, City Government

[Inspection of dangerous places] [Crossing-prevention fences installed] [Road signs painted on the road]

50 (2) Students handing-over drill

Objectives Children’s safety in the event of disaster

Neighboring elementary and middle schools have been jointly conducting the drill of handing-over students to parents along with the disaster prevention drill. The drills Details are conducted on a community-wide scale with cooperation of the neighborhood associations. Children/students, parents of children/students, teachers & staff members of Target elementary/middle schools Organizations Neighborhood associations, teachers & staff members of elementary/middle schools, concerned parents of children/students, Board of Education

3. Work place (work)

(1) Project of posting information on industrial accidents, etc.

Objectives Dissemination of information on work accidents, etc.

With cooperation of Atsugi Labor Standards Inspection Office, details of work Details accidents within the jurisdiction are put on the City’s homepage periodically, calling for attention to prevention of work accidents.

Target Employees of workplaces, etc., citizens

Organizations Atsugi Labor Standards Inspection Office, Kanagawa Prefecture Work Safety and concerned Hygiene Association-Atsugi Branch, Task Force Team, City Government

(2) Certification for safety with “Emergency” logo

To increase the number of workplaces where first-aid treatment is available and to Objectives diffuse provision of AED With the aim to raise awareness of first-aid treatment and to protect citizens’ lives, the Details life-saving training class is offered and the “Emergency” logo is issued to workplaces, facilities, etc. that have installed an AED.

Target Citizens, employees of workplaces, etc. in the City

Organizations Workplaces in the City, Atsugi Fire Department, City Government concerned

[“Emergency” logo issued] [First-aid treatment training class]

51 4. Leisure

(1) River patrol

Objectives To improve river safety

Rivers and river beds are patrolled on a regular basis so that safety of rivers and river Details beds is improved and citizens enjoying there are fully aware of water accidents prevention.

Target Citizens enjoying on/around the river

Organizations Atsugi Fire Department concerned

(2) Safety measures and environmental improvement for users of Atsugi City Children’s Center

Objectives To prevent accidents occurring in public facilities

Causes, occurrence time, site, etc. are recorded regarding children’s injuries that occur in Children’s Center where many children gather. In addition, environmental Details improvement for accident prevention as well as safety education for children are enforced by utilizing the risk prediction training adopted by the Task Force Team.

Users of Children’s Center (babies, elementary school students, parents of babies & Target elementary school students)

Organizations Steering Committee of Children’s Center, City Government concerned

(3) Life-saving training class (including also AED drill)

Objectives Emergency responses A training class is held to teach hemostatic methods to treat massive bleeding, cardio-pulmonary resuscitation, and use of Automatic External Defibrillator (AED) so that participants become capable of administering first-aid treatment in the event of an injury occurrence. The training class consists of multiple courses so that participants can choose to learn Details necessary skills. In addition, in recent years, the basic life-saving training class has been held targeting elementary school students in 4th to 6th grade, where they have an opportunity to learn sternal compression technique and how to use of AED. First-aid treatment education is thus offered to younger children, which is expected to raise their awareness.

Target Citizens

Organizations First-aid treatment diffuser, Atsugi Fire Department concerned

52 5. Traffic

(1) On-the-street check of bicycle and two wheeled vehicles

Objectives Prevention of accidents on a road

Aiming at prevention of traffic accidents involving a motorbike/bicycle, on-the-street Details check and guidance have been implemented, through which users are encouraged to observe traffic rules and improve traffic manners.

Target Motorbike users, bicycle users

Organizations Bicycle Merchants Cooperative Association, Atsugi Police Department, City concerned Government

[Bicycle inspection] [Motorbike inspection]

(2) Maintenance/repair of hazardous spots on roads

Objectives To improve traffic environment

(Based on information about road damages, etc. that are reported from citizens, newspaper delivery agents, and others,) repair work is promptly conducted if the Details damage is minor, thus promoting safe traffic for pedestrians and drivers. The City Government inspects city roads periodically and implements the same measure.

Target All roads within the City

Organizations Citizens, newspaper delivery agents, etc., City Government concerned

(3) Child safety seat promotion program

Objectives To promote use of child safety seats

Aiming to reduce risks of traffic accidents involving infants, the City Government Details subsidizes purchase of a child safety seat whose use is stipulated by the Road Traffic Law.

Target Infants, parents of infants

Organizations City Government concerned

53 6. Violence, crime

(1) Promotion of crime prevention activity for the next generation

To encourage high school students, university students, and others who will lead the Objectives next generation to participate in crime prevention activity

As an approach to secure continuity of crime prevention activity that is a joint collaboration activity between the City Government and citizens, patrol are conducted Details by community residents jointly with high school/university students who will lead the next generation. It is intended to promote participation of young age groups in crime prevention activity and to increase crime prevention awareness.

Target High school students, university students

Organizations High schools, universities, neighborhood associations around high concerned schools/universities, City Government

(2) Circulating Banya (guardhouse)

Objectives Consultation on crime prevention for community residents

Citizen Safety Advisors visit community centers in the City and hold a Circulating Details Banya where they offer consultation service on crime prevention and work on awareness-raising.

Target Citizens

Organizations Citizen Safety Advisors, community centers, Ward Community Center, City concerned Government

(3) Measures Council for Aid-Requiring Children

Objectives Child abuse prevention

With the intention to early detect and appropriately protect aid-requiring children, Atsugi City Measures Council for Aid-Requiring Children was set up and has been Details taking necessary measures so that staff working in related organs and other persons concerned can share information about these children and can respond in good cooperation.

Target Aid-requiring children

Atsugi Office of the Yokohama District Legal Affairs Bureau, Atsugi Health and Welfare Office, Atsugi City Child Counseling Office, Atsugi Police Department, Atsugi City Council of Welfare Officers and Children’s Committee Members, Human Organizations Rights Protection Committee, Atsugi Medical Associations, Atsugi Dental concerned Association, Atsugi City Childcare Association, Atsugi District Private Kindergarten Association, Elementary School Principals’ Association, Atsugi City Hospital, City Government

54 (4) Consultation on elderly abuse

Objectives Prevention of elderly abuse

Aiming at preventing the elderly abuse, various groups are conducting abuse consultation for the elderly, working on detecting/finding abuse cases, and supporting victims in cooperation with related organs. Details Atsugi City Advocacy Support Center set up within Atsugi City Social Welfare Association has established an emergency system to offer 24-hour consultation on elderly abuse.

Target Elderly people, family of the elderly

Organizations Community General Support Center, Atsugi City Advocacy Support Center, Atsugi concerned City Social Welfare Association, City Government

7. Suicide

(1) Health consultation by a clinical psychologist

Objectives Consultation on suicide prevention

For the purpose to prevent suicide, consultations by a clinical psychologist with expertise is performed for people with worries about mental health and Details human relationship, etc. Further, depending on contents of the consultation, the person is introduced to an appropriate consultation service organization or a medial institution.

Target Citizens (in person or family)

Organizations City Government concerned

(2) Liaison Council for Suicide Prevention

To enforce various measures for suicide prevention by promoting internal Objectives collaboration and coordination

With the aim to coordinate and promote various measures for suicide prevention, Liaison Council for Suicide Prevention was set up in April 2010. Details This organization serves to facilitate communication & coordination with Task Force Teams so that measures of both parties can be smoothly implemented.

Target Citizens (in person or family)

Organizations City Government concerned

55 8. Disaster

(1) Service to re-deliver the information already transmitted over the municipal disaster management radio communication network by telephone service

Objectives To complement disaster information

When citizens cannot clearly hear the urgent disaster information delivered over the Details Municipal Disaster Management Communication Network or want to confirm such information again, they can re-access it by mail delivery service or telephone service.

Target Citizens

Organizations Atsugi Police Department, Atsugi Fire Department, City Government concerned

(2) Training of volunteer interpreters in preparation for a disaster

Objectives To assist disaster vulnerable people (non-Japanese residents)

In order to assist non-Japanese residents who have difficulty in understanding Japanese during a disaster, the City Government supports to develop volunteer interpreters who can work in the event of a disaster. Details Further, the City of Atsugi has prepared the disaster response manual in multiple languages, which is handed to persons moving into the City. Available languages: English, Chinese, Korean, Spanish, Portuguese

Target Non-Japanese residents

Organizations Atsugi Disaster Volunteer Network, City Government concerned

(3) Comprehensive disaster prevention drill

Objectives To reinforce disaster responses and collaboration among related groups

In addition to the drill to practice procedures that respond to confusion from outbreak of an earthquake up to setting up of the disaster prevention system, the emergency drill has also been implemented in cooperation with the Self-Defense Force and other related organs. Thus, with the focus placed on training of accurate judgment and Details behavior during a disaster, drills that are suitable for regional circumstances have been conducted on a city-wide scale. Further, in order to raise preparedness for disasters, each community together with City officers and others has been working to raise awareness, to diffuse knowledge and to increase disaster readiness.

Target Citizens

Atsugi City Voluntary Disaster Corps, Japan Ground Self-Defense Force, Atsugi Medical Associations, Atsugi Dental Association, Atsugi Pharmacist Association, Organizations Atsugi Social Welfare Association, Atsugi City Red Cross Service Group, Atsugi concerned Disaster Volunteer Networks, Atsugi Associated General Constructors, Amateur Wireless Disaster Radio Network Association, Atsugi Fire Department, City Government, etc.

Supplement 8 High Risk Groups

[1] Background of identification of high risk groups

The high risk groups identified by Atsugi City include the following:

■ High risk groups and enforced programs

Eyes of Love Movement

Shelter Points

Cell Phone SOS Net

Providing crime prevention buzzers

Risk prediction training

Elementary & middle school female ISS efforts of Shimizu Elementary School and Mutsuai-Higashi students with a high risk of being middle school approached by a suspicious person School Route Safety Measures Council

Patrol in a vehicle with a rotating blue light

Patrol around Hon-Atsugi Station

Street crime prevention programs

Installation of security lights and increase of illumination intensity

Preparation of regional safety map

Young people having a high rate of Cyclist’s manners improvement campaign bicycle accidents (especially high Safe cycling training class based on the “scared straight” school students) educational method Mental health consultation

Suicide prevention campaign Male adults (aged 30 to 59 years) having a high rate of suicide deaths Training workshop for suicide prevention Mental Health System “Kokoro-no-taionkei (thermometer in mind)“ Traffic safety training for elderly people

Elderly people having a high rate of Subsidizing a part of purchase expenses for bicycle helmet traffic accidents Awareness raising campaign for voluntary return of driver’s license Improvement of motility function

Tumbling/bone fracture prevention training class

Elderly people having a high rate of Home safety support program tumbling injuries Subsidizing a part of purchase expenses for the reduced-fare bus tickets for the elderly (Kanachan Bill) Dissemination and awareness-rising activity for tumbling prevention

57 [2] Background of identification of high risk groups

1. Elementary/middle school girl students exposed to a high risk of being approached by a suspicious person (1) Background of why they were identified as a high risk group According to the suspicious person information, elementary/middle school students account for 78% of all victims. Further, of all the elementary/middle school student victims, girl students account for 87%.

According to the suspicious person 7 cases information, elementary school 3 cases 1% students account for 78% of all the 0% 51 cases 108 cases 未就学児童Pre-school children 5% 10% 小学生Elementary school students 68 cases 中学生Middle school students 6% 435 cases 40% 高校生High school students 417 cases 成人Adults

38% 高齢者Elderly persons

N=1,089 その他Others

[Fig. 8-1] Age groups of victims involved in the suspicious person information (Total for 2004 to 2013) Source: Factual survey on current situation regarding suspicious persons

Elementary/middle school girl students account for 87% of all victims of 115 cases suspicious persons. 13%

737 cases 87% 男性Male

女性Female N=852

[Fig. 8-2] Male-female ratio of elementary/middle school student victims (Total for 2004 to 2013) Source: Factual survey on current situation regarding suspicious persons

58 (2) Currently enforced programs  Eyes of Love Movement “Eyes of Love Movement” is practiced by citizens, etc. as a community-wide program, aiming to protect children from crimes and traffic accidents by standing on school routes during commute hours to/from school and through using community eyes. [Organizers concerned] Elementary school PTA, Senior Clubs, community groups such as Youth Sound Growth Associations, Ward Community Center, City Government  Shelter Point Shelter points have been established with cooperation of citizen volunteers, where children can run for help when they feel in danger of being attacked by or being subject to attack by a suspicious person under various situations. [Organizers concerned] Elementary school PTA, Senior Clubs, community groups such as Youth Sound Growth Associations, Ward Community Center, City Government  Cell Phone SOS Net Information related to crime prevention, disaster prevention, fire-defense, etc. on “safe & secure community” is promptly distributed from the City Government to citizens, etc. by e-mail magazines. Especially, information related to crime prevention is widely utilized as alert tool, for which schools, City administration, and the Police Department work in cooperation. [Organizers concerned] Elementary/Middle Schools, Elementary/Middle School PTA, Board of Education, City Government  Providing crime prevention buzzers In consideration of deteriorating environments surrounding children, crime prevention buzzers are given to all students entering an elementary school as one of measures to protect children/students from suspicious persons in case of emergency and how to use is also instructed. [Organizers concerned] Elementary school, Board of Education  Training for risk prediction Training for risk prediction has been performed with the intention to improve children’s ability to predict risks and ability to avoid risks, in which children learn potential dangers in daily life and activities by looking at illustrations. [Organizers concerned] Steering Committee of Children’s Hall, City Government  ISS efforts of Shimizu Elementary School and Mutsuai-Higashi middle school The ISS initiatives are now underway toward realization of safe educational environment and the activities that have produced good results in the ISS schools are introduced to other elementary/middle schools within the City. [Organizers concerned] Shimizu Kids Sound Network, Pupils/students/PTA/teachers and staff members of Shimizu Elementary School and Mutsuai-Higashi middle school

59  School Route Traffic Safety Measures Council With the aim of securing school routes where children/students can commute to/from school in a safe & secure manner, the School Route Traffic Safety Measures Council was established, where situation are inspected and improvements are discussed. [Organizers concerned] Teachers and staff members of elementary schools, PTA of elementary schools, Board of Education, City Government  Patrol in a vehicle with a rotating blue light Community volunteers have been conducting patrol in the vicinity by using their own cars or cars owned by organizations as the patrol vehicle with a rotating blue light. Further, the City Government supports them by offering subsidies to cover a part of expenses for the activity so as to establish continuity of the activity. [Organizers concerned] Neighborhood Association, Safe City Council of each ward district, various crime-prevention groups, Ward Citizen’s Center, Task Force Team, City Government  Patrol around Hon-Atsugi Station Patrol has been implemented in the vicinity of Hon-Atsugi Station where crime occurrence rate is high so that people’s sense of security in the area is improved and crime prevention is increased. [Organizers concerned] Neighborhood Association, various crime-prevention groups, private companies volunteers, school volunteers, Atsugi Police Department, City Government  Street crime prevention programs Patrol and awareness raising activity has been performed by Citizen Safety Advisors, aiming to prevent street crimes occurring close to citizens’ living and to effectively serve as a deterrent against crime. [Organizers concerned] Neighborhood Association, Ward Community Center, City Government  Installation of security lights and increase of illumination intensity Installation of security lights and increase of illumination intensity has been enforced, aiming at increased crime prevention effects during nighttime, crime/delinquency prevention, and security improvement for citizens. [Organizers concerned] Residents, Neighborhood Association, Ward Community Center, City Government  Preparation of regional safety map In view of crime prevention and traffic safety, hazardous spots in the community are checked mainly by community residents and the information thus obtained is visualized and shared. [Organizers concerned] SC promotion districts of safety and security, Neighborhood Association, City Government

60 2. Young people showing a high rate of bicycle accidents (1) Background of why they have been identified as a high risk group Bicycle accidents account for 20 to 25% of all traffic accidents. Of all bicycle accidents, those involving young people aged 19 years or younger account for 36%. Further, based on the number of bicycle accidents among young people of Fig. 8-4, it is indicated that the number of cases is especially higher among young people in high school (grade 1-3) compared to other age groups.

195 cases Bicycle accidents among young people account for 36% of all the bicycle 6% 273 cases accidents. 9% 0～19歳0 – 19 yrs. old 251 cases 8% 1,149 cases 20～29歳20 – 29 yrs. old 36% 30～39歳30 – 39 yrs. old 346 cases 40～49歳40 – 49 yrs. old 11% 50～59歳50 – 59 yrs. old 410 cases 60～69歳60 – 69 yrs. old 13% 547 cases 17% 70歳以上70 yrs. old and above N=3,171

[Fig. 8-3] Number of bicycle accidents by age group (Total for 2006 to 2014) Source: Police statistics (Atsugi Police Dept.) (Cases) 200 180 174 Especially young people in high school 160 show a larger number of bicycle 140 accidents. 117 120 100 94 80 60 41 40 41 32 36 37 36 40 24 25 20 1 3 0 未就児就園児小学校小学校小学校小学校小学校小学校中学校中学校中学校高校高校高校 1年生 2年生 3年生 4年生 5年生 6年生 1年生 2年生 3年生 1年生 2年生 3年生

Kindergarten children children Kindergarten school 1, elementary Grade school 2, elementary Grade school 3, elementary Grade school 4, elementary Grade school 5, elementary Grade school 6, elementary Grade school middle 1, Grade school middle 2, Grade school middle 3, Grade school high 1, Grade

children Pre-kindergarten Grade 2, high school high 2, Grade school high 3, Grade

[Fig. 8-4] Number of bicycle accidents among young people (Total for 2008 to 2014) Source: Police statistics (Atsugi Police Dept.)

61 (2) Currently enforced programs  Cyclist’s manners improvement campaign Efforts to promote prevention of bicycle accidents have been implemented, where leaflets and awareness raising goods are distributed at high schools in the City and observing traffic rules & improving traffic manners has been encouraged. [Organizers concerned] Organs/groups composing Traffic Safety Measures Council, Kanagawa Chuo Kotsu Co., Ltd., Atsugi Police Department, City Government  Safe Cycling Training Class (Scared-Straight Training Method) In consideration of a large number of bicycle accidents that show no sign of decrease, Safe Cycling Training Class has been held for high school students by using Scared-Straight Training Method with high educational effects, aiming to raise traffic safety awareness. [Organizers concerned] Organs/groups composing Traffic Safety Measures Council, Atsugi Police Department, City Government

3. Adult males aged 30-59 showing a higher rate of deaths by suicide (1) Background of why they have been identified as a high risk group It is shown in the Demographic Census Data that the number of suicide deaths is especially high among males aged 30 to 59. On the other hand, as shown in Fig. 8-6 “Percentage of the number of consultations on suicide”, the number of consultations from men only accounts for 36% of the total, which is far less than that from women. (Persons) 0 10203040 0～5 0 Suicide occurs more often 0 0 5～9 0 among men aged 30’s to 50’s 2 10～14 1 6 15～19 2 9 20～24 8 11 25～29 9 25 30～34 8 27 35～39 12 25 40～44 7 26 45～49 5 25 50～54 8 33 55～59 8 23 60～64 13 21 65～69 9 13 70～74 10 14 75～79 7 3 80～84 3 4 85～89 2 2 90～ 2 40 30 20 10 0 Male男性 Female女性

[Fig. 8-5] Number of suicides by sex (Total of 10 years, from 2004 to 2013) Source: Demographic statistics

62 The number of consultations on suicide from men accounts for 266 cases only 36% of the total. 36% 480 cases 64%

Male男性 Female女性 N=746

[Fig. 8-6] Percentage of the number of consultations on suicide (Total for 2011 to 2013) Source: Report on result of consultations on suicide

(2) Currently enforced programs  Mental health consultation In effort to prevent suicide, consultation service is provided by health nurses and clinical psychologists regarding worries about mental health, human relationship, etc. In a face-to-face consultation or a telephone consultation, a medical institution may be introduced to consulters depending on the content of the consultation. [Organizers concerned] City Government  Suicide prevention campaign In effort to promote use of appropriate consultation service, a leaflet listing consultation organs is distributed targeting men indicating a lower use rate of consultation organs. [Organizers concerned] Task Force Team, Liaison Council for Suicide Prevention  Training workshop for suicide prevention With the intention to encourage people to have correct knowledge about suicide, to recognize a change in a family member’s/friend’s behavior, and to form a community with mutual assistance, lecture meetings are held targeting community residents. [Organizers concerned] Community Social Workers, Task Force Team, City Government  Mental Health System “Kokoro-no-taionkei (thermometer in mind)” A mental health self-check system has been operated that is easy for anyone and accessible from cell phone or personal computer. At the end of the mental health check, contact addresses of professional medical institutes, consultation organs, etc. are listed and introduced. [Organizers concerned] Task Force Team, City Government

63 4. Elderly people showing a higher rate of traffic accidents (1) Background of why they were identified as a high risk group Despite an overall decrease trend of traffic accidents, the traffic accident rate is higher and the decrease rate is smaller in the elderly as compared to those of other age groups. The number even increased in 2011-2013. Based on the data on ambulance transport due to traffic accidents of Fig. 8-8, the injury severity is higher in the elderly compared to the other age groups.

(Persons per 100,000 population) 1200 1,075 Elderly people have a higher rate 1000 1,018 of traffic accidents than other age 957 945 groups. 906 874 800 804 756 769 703 674 700 712 620 600 619 578 507 496 487 461 471 471 400 349 372 313 303 239 200

0 2006 2007 2008 2009 2010 2011 2012 2013 2014

65～65 yrs. old and 15～6415 - 64 yrs. old 0～140 - 14 yrs. old above

[Fig. 8-7] Traffic accident occurrence rates in 3 age groups (Change from 2006 to 2014) Source: Police statistics (Atsugi Police Dept.)

(Cases)

軽症Minor injury 0 -0～14 14 yrs.0～14 歳 ol d 148 40 3

中等症Moderate injury

15～6415～64 歳 884 382 27 8 15 - 64 yrs. old 重症Serious injury 上

死亡Death 65 yrs.65 歳以上 old65～ 181 154 19 8 and 上above

0% 20% 40% 60% 80% 100% Half of traffic accidents in the elderly

caused a moderate or more severe [Fig. 8-8] Severity of injury cases due to traffic accident where ambulance transport was required (Total for 2006 to 2014) Source: Police statistics (Atsugi Police Dept.)

64 (2) Currently enforced programs  Traffic safety training class for the elderly Traffic safety training class is held at a gathering, etc. for elderly people, aiming to prevent elderly’s traffic accident that is on the increase. [Organizers concerned] Atsugi City Traffic Safety Measures Council, Kanagawa Chuo Kotsu Co., Ltd., Atsugi Police Department, City Government  Subsidizing a part of purchase expenses for bicycle helmet A system for elementary students and their parents in the City to subsidize a part of purchase expenses for bicycle helmet has been extended to cover the elderly so that injury on the head in the case of a bicycle accident can be prevented. In this regard, information about the subsidy system is disseminated at the traffic safety training class for the elderly and other gatherings of the elderly. [Organizers concerned] Elementary school PTA, Board of Education, Atsugi City Traffic Safety Leaders Association, Atsugi City Mothers Committee Liaison Association for Traffic Safety, City Government  Awareness raising campaign for voluntary return of driver’s license Initiated by the police, voluntarily returning driver’s licenses is encouraged to the elderly with the aim to prevent traffic accidents of the elderly. As a part of efforts, various ideas have been introduced such as issuance of the ID card as an alternative to a driver’s license and other privileges. [Organizers concerned] Atsugi City Traffic Safety Measures Council, Atsugi Police Department

65 5. Elderly people having a high rate of tumbling injuries (1) Background of why they were identified as a high risk group Death and injury due to tumbling occur at a higher rate in the elderly than in the other age groups. For the elderly, the death rate due to tumbling is especially high. Further, from the number of injuries in the elderly based on the results of the survey on safety, health, and community of Fig. 8-11, tumbling accounts for about a half of all the injuries.

[Table 8-9] Causes of Death Due To External Factor for the Elderly (Total of 10 years, from 2004 to 2013) Source: Demographic Census Data

Age 1st 2nd 3rd 4th 5th

Unintentional Other external Unintentional 60 - 69 Suicide drowning & Tumbling, falling causes suffocation near-drowning

Unintentional Other external Unintentional Traffic 70 - 79 Suicide drowning & causes suffocation accident near-drowning

Unintentional Unintentional Tumbling, Other unintentional 80 - 89 drowning & Suicide suffocation falling accidents near-drowning

Unintentional Other Unintentional Tumbling, drowning & 90 - unintentional Suicide suffocation falling near-drownin accidents g

In each age group of the elderly, death due to tumbling/falling ranks high along with suicide, unintentional drowning/near-drowning, and unintentional suffocation.

(Persons per 100,000 population)

25.0 The death rate of the elderly due to tumbling is higher than the total average. 22.3 20.0 20.2 17.0 15.0 16.0 12.4 10.0 9.5

5.0 4.9 3.5 4.0 3.6 3.6 1.8 - 2008 2009 2010 2011 2012 2013 死亡率高齢者の死亡率 Death rate Death rate of the elderly

[Fig. 8-10] Death rate of the elderly due to tumbling (Change from 2008 to 2013) Source: Demographic Census Data

Occurrence rate of elderly's injuries

2008 11% 89% 2008 12% 88% N=1011 N=1011

2011 12% 88% 2011 10% 90%

N=898 N=898 2014 10% 90% 2014 9% 91% N=1301 N=1301 0% 50% 100% 0% 50% 100%

けがをした人数Proportion of the elderly who were injured けがをした人数Proportion of the elderly who were injured

けがをしなかった人数 Proportion of the elderly who were not injured けがをしなかった人数Proportion of the elderly who were not injured

Proportion of injury caused by tumbling

2008 49% 51% 2008 50% 50% N=144 N=123

2011 45% 55% 2011 41% 59%

N=114 N=91 2014 60% 40% 2014 40% 60% N=158 N=119

0% 50% 100% 0% 50% 100%

転倒Proportion of injury caused by tumbling 転倒Proportion of injury caused by tumbling

その他外傷Proportion of injuries caused by others その他外傷Proportion of injuries caused by others

Half of injuries of the elderly is caused by tumbling, either inside or outside own home.

[Fig. 8-11] Injuries of the elderly (Change 2008 to 2011 to 2014) Source: Survey on Safety, Health, and Community

67 (2) Currently enforced programs

 Mobility function improvement program For elderly persons who are not in Needed Long-Term Care or Needed Long-Term Support, exercise to improve mobility function and recreation programs are offered with the aim to prevent bone fracture caused by tumbling and age-related deterioration in mobility. [Organizers concerned] Federation of Atsugi Senior Citizens’ Clubs, Community General Support Center, Volunteers, SC Task Force Team, City Government

 Tumbling/bone fracture prevention class With the intention to maintain & improve functions of the locomotory apparatus (tissues and organs responsible for body movement, including bones, joints, muscles, ligaments, nerves, etc.), exercise guidance and physical fitness measurement service are offered so that elderly people can prevent bone fracture due to tumbling and can lead healthy & vigorous lives. [Organizers concerned] Federation of Atsugi Senior Citizens’ Clubs, Community General Support Center, Volunteers, SC Task Force Team, City Government

 Home safety support program In order to cover a part of cost of construction for safe home living such as provision of hand rails and removal of level difference, subsidy is given to people who are not in Needed Long-Term Care/Needed Long-Term Support under the Public Nursing Care Insurance program. [Organizers concerned] Community General Support Center, SC Task Force Team, City Government

 Subsidizing a part of purchase expenses for the reduced-fare bus tickets for the elderly In order to prevent deterioration in mobility by encouraging elderly people to go out more often, promoting their social participation, health, and creating their motivation in life, a part of purchase expenses for the reduced-fare bus tickets for the elderly (Kanachan Bill) is subsidized. [Organizers concerned] Kanagawa Chuo Kotsu Co., Ltd., City Government

 Dissemination of and awareness-rising activity for tumbling prevention Leaflets to introduce various kinds of exercise and activities have been made and distributed so that elderly people can choose suitable activity. Leaflets on various activities have been prepared based on which elderly people can make a choice according to their health condition so that they can continue it over a long period of time. [Organizers concerned] Federation of Atsugi Senior Citizens’ Clubs, Community General Support Center, Volunteers, SC Task Force Team, City Government

Supplement 9 Programs Implemented by Task Force Teams

[1] Management of Programs Implemented by Task Force Teams

Programs implemented by each Task Force Team are managed in accordance with the following contents, whose effect and performance are evaluated and measured. In the initial stage of the Atsugi SC activity, there were not any clear indicators to measure program effects such as change in target people’s awareness/change in behavior brought by enforcement of each program. Therefore in 2014, with support from Japan Institution for Safe Community, each Task Force Team newly set its own indicators to measure “activity”, “change in awareness/knowledge”, “change in behavior/action”, and “change in situation”. Further, in addition to the contents of the programs explained in the following section and after, the other special remarks including process up to the enforcement of the program, program improvements after acquisition of SC designation in 2010, collaboration with administrative/non-government organizations and private companies that led to smooth enforcement, etc. as well as the results of each indicator from 2010 up to now are also explained on the next page and after.

□ Details

No. Name of the program

Subject Challenges identified based on data regarding 8 subjects

Goal Goal of the program

Contents Details of the program Organizers Target Major targets Organizers and related organizations concerned (1) Special remarks concerning the program Process up to the enforcement of the program, program improvements, collaboration with public administrative/non-government organizations and private companies, etc. (2) Change in the indicators over the years (3) Photos of actual activities

■ Effect of programs

Details of indicator Indicator Unit 2010 2011 2012 2013 2014 [measuring method]

Activity Indicator for performance

Awareness/ Indicator for change in awareness/knowledge

knowledge of targets, etc. Behavior/ Indicator for change in behavior/action of

action targets, etc.

Indicator for change in situation Situation (environment)

is a newly adopted indicator.

69 [2] Programs Implemented by Task Force Teams

(1) Task Force Team for Suicide Prevention

1 Suicide prevention campaign A large number of suicide occur in men in their 30’s. Subject The number of consultations from the age group with a high suicide rate is small. Goal To reduce the number of suicides (especially in men in their 30’s)

Targeting men in their 30’s with a low use rate of consultation organs, activity to promote use of Contents the organs is conducted by distributing leaflets that state contact addresses of consultation service organizations and by encouraging use of appropriate consultation organs.

Task Force Team for Suicide Prevention inside Men in their 30’s and Organizers Target City Government, Task Force Team, City family concerned Government

In order to widely disseminate information about appropriate consultation organs among men in their 30’s as the major target set by the Task Force Team, a campaign has been in operation by means of (1) “direct approach” and (2) “indirect approach” to people surrounding them.

12 Direct approach 2

1 2 Indirect approach

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times held Activity times 2 2 2 2 2 [Performance report] Dissemination of consultation counters, Awareness/ distribution of leaflets copies 2,000 2,000 2,000 2,000 2,000 knowledge [Performance report] No. of mental health consultations by health nurses cases - 49 101 596 463 Behavior/ [Performance report] action No. of mental health consultations by clinical psychologists cases - 50 44 44 45 [Performance report] No. of suicides Situation persons* 21.4 23.7 17.8 19.1 [Demographic statistics]

* The number of persons per 100,000 population

2 Utilization of the mental health check system A large number of suicide occur in men in their 30’s. Subject The number of consultations from the age group with a high suicide rate is small. Goal To increase the number of consultations from men in their 30’s at which many suicides occur A system is operated to which users can easily access from a cell phone/personal computer for Contents a mental self-checking. Further, efforts are made to disseminate the mental check system to expand its use.

Organizers Target Citizens Task Force Team, City Government concerned

The mental health check system has been operated so that users can notice a change in or check of their own mental health condition. In the initial stage of operation, the dissemination activity was mainly focusing on its use. Today, the activity has been expanded, which includes provision of information about contact addresses of consultation service organizations so that users can access a consultation counter based on the check result.

(Cases) Stress degree

200,000 175,657 148,712 Depression

degree

100,000 63,921 35,496 30,161 [Explanatory notice]

0 Red goldfish : Stress to oneself 2010 2011 2012 2013 2014 Black goldfish : Stress to others Cat : Stress to the society [Fig. 9-1] Utilization situation of the mental Water clarity : Depression degree health check system

Source: Performance report

■ Effect of programs

Details of indicator Indicator Unit 2010 2011 2012 2013 2014 [measuring method]

No. of users Activity times 30,161 175,657 148,712 63,921 35,496 [Performance report]

Dissemination of mental health Awareness/ check system copies 2,000 2,000 2,000 2,000 2,000 knowledge [Performance report]

No. of users Situation times 30,161 175,657 148,712 63,921 35,496 [Performance report]

3 Seminar on suicide prevention measures Suicide can be triggered by a number of different causes and by multiple factors in many Subject cases. Neither family members nor people surrounding can notice a sign of suicide. Goal To reduce the number of suicides With the objective to build a community where people can notice a change in family & Contents friends behavior and can help each other by acquiring correct knowledge about suicide, lecture meetings and training sessions for gatekeepers are held.

Persons with close contact with citizens, Organizers Task Force Team, City Target including Community Social Workers, City concerned Government officers, etc.

With the objective to build a community where people can notice a change in family & friends behavior and can help each other, we have been holding seminars. In this regard, for the purpose of increasing people’s understanding about suicide in local communities, we have been developing community-based efforts by changing the seminar venues from large halls in urban areas to small meeting places in local communities.

Group training seminar held in city centers Visiting type individual seminar

Shift

■ Effect of programs

Details of indicator Indicator Unit 2010 2011 2012 2013 2014 [measuring method] No. of times held times 2 3 9 21 9 [Performance report] Activity No. of participants persons 70 397 324 541 672 [Performance report] Awareness/ Change in participants’ awareness % - - - - - knowledge [Questionnaire survey with participants] Percentage of seminar participants who put Behavior/ what they have learnt into practice % - - - - - action [Questionnaire survey with participants (No. of advanced learners)] No. of suicides Situation persons* 21.4 23.7 17.8 19.1 - [Demographic statistics]

* No. of persons per 100,000 population is an indicator newly introduced in 2014.

(2) Task Force Team for Traffic Safety

1 Traffic safety training class for elderly people

Subject There are many traffic accidents of elderly persons.

Goal To reduce the number of traffic accidents in the elderly Traffic safety training classes are held at elderly’s gatherings, etc. with the aim to prevent Contents traffic accidents of elderly persons that are on the increase. Traffic Safety Measures Council, Atsugi Police Organizers Target Elderly people Department, Kanagawa Chuo Kotsu Co., Ltd. (private concerned company), City Government The traffic safety class project for the elderly has been worked on since the beginning of the Safe Community program. However, as the number of times the class was held had not been consistent, varying by the City’s financial resources because the Traffic Safety Guides were employed by the City. The number of times were on the decrease in 2012 and after. In the effort to increase the number of times of the class and to improve the contents of the class, a new scheme has been developed in which the traffic safety class is held jointly with a private company and has been held together with a bus operator in the City since 2012.

(Persons per 100,000 population)

1,000

769 700 712 619 578 500

2010 2011 2012 2013 2014

[Fig. 9-2] Change in the number of traffic accidents of [Learning how pedestrians are seen from the the elderly driver’s seat in a bus] Source: Police statistics (Atsugi Police Department)

■Effect of programs

Details of indicator Indicator Unit 2010 2011 2012 2013 2014 [measuring method] No. of times held [Performance report] times 53 25 3 10 3 Activity No. of participants [Performance report] persons 2,140 1,305 74 110 57 Understanding of participants on training Awareness/ contents % - - 100 100 100 knowledge [Questionnaire survey with participants] No. and rate of accidents in a year in areas Behavior/ where a class was held cases - - - - - action [Police statistics (Atsugi Police Department)] cases 304 250 294 319 274 No. of traffic accidents of the elderly Situation [Police statistics (Atsugi Police Department)] cases* 769 619 700 712 578

* No. of cases per 100,000 population is an indicator newly introduced in 2014.

2 Bicycle Manner-up Campaign

Subject There are many traffic accidents of high school students while riding a bicycle.

Goal To reduce the number of traffic accidents of high school students while riding a bicycle Leaflets and awareness-raising goods are distributed at high schools in the City, aiming to appeal Contents to students to observe traffic rules and improve traffic manners. High school students Organizations & groups composing Traffic Safety Organizers Target (students of 7 high schools Measures Council, Atsugi Police Department, City concerned in the City) Government While the Bicycle Manner-up Campaign has been implemented targeting high schools in the City since 2010, bicycle accidents of high school students still keep occurring. In order to address this, in addition to the campaign to distribute awareness-raising leaflets together with high school students in front of the school gates and to call for observation of bicycle rules, etc., a lecture meeting type campaign has been held for more detailed guidance. For the purpose of this guidance, video materials including actual accident scenes of drive recorders are provided by the bus operator in the City and the viewers can learn about traffic accident-prone places/situations and fear of traffic accidents.

(Persons) 5,000 4,700 4,000 2,965 3,000 2,000 750 1,000 600 600

0 2010 2011 2012 2013 2014 [Fig. 9-3] No. of participants [In addition to awareness-raising activity at the school gate, lecture meetings are held.] Source: Performance report

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times held [Performance report] times 1 1 3 6 11 Activity No. of participants [Performance report] persons 600 600 750 4,700 2,965

Understanding of participants on training Awareness/ contents % - - - - - knowledge [Questionnaire survey with participants] No. of accidents in a year in the high schools Behavior/ where the lecture meeting was held cases - - - - 46 action [Record of traffic accidents kept by each high school] No. of bicycle accidents of high school students Situation cases 83 100 101 84 60 [Police statistics (Atsugi Police Department)] is an indicator newly introduced in 2014.

74 3 Safe Cycling Training Class (Scared-Straight Training Method)

Subject There are many traffic accidents of high school students while riding a bicycle.

Goal To reduce the number of traffic accidents of high school students while riding a bicycle

In consideration of a large number of bicycle accidents that show no sign of decrease, Safe Contents Cycling Training Class has been held for high school students by using Scared-Straight Training Method with high educational effects, aiming to raise traffic safety awareness. Organizations & groups composing Traffic Safety Organizers Target High school students Measures Council, Atsugi Police Department, City concerned Government Especially for high school students with a high number of traffic accidents when riding a bicycle, the Safe Cycling Training Class has been implemented since 2012 by using Scared-Straight Training Method with high educational effects. In the Safe Cycling Training Class based on Scared-Straight Training Method, programs to raise awareness of traffic safety have been developed, where a stunt man reproduces a traffic accident scene and officers from Atsugi Police Department give lectures on traffic safety.

(Cases) 200

100 101 100 83 84 60

0 2010 2011 2012 2013 2014 [Fig. 9-4] Change in the number of bicycle accidents of high school students

[Safe Cycling Training Class based on Source: Police statistics (Atsugi Police Department) Scared-Straight Training Method]

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times held [Performance report] times - - 1 1 1 Activity No. of participants [Performance report] persons - - 1,200 750 600

Awareness/ Understanding of participants on training contents % - - 82 85 87 knowledge [Questionnaire survey with participants] No. of accidents in a year in the high schools Behavior/ where the lecture meeting was held cases - - - - 46 action [Record of traffic accidents kept by each high school] No. of bicycle accidents of high school students Situation cases 83 100 101 84 60 [Police statistics (Atsugi Police Department)]

is an indicator newly introduced in 2014.

75 4 Traffic safety class

Subject Many accidents occur at an intersection.

Goal To reduce the number of traffic accidents of children aged 0 to 12 years Efforts are made to eradicate traffic accidents through improving traffic safety education to Contents children/students, developing Traffic Safety Guides, and expanding traffic education. Organizations & groups composing Traffic Safety Children and Organizers Target Measures Council, Trucking Association, Atsugi students concerned Police Department, City Government The number of times the class was held had declined due to lack of Traffic Safety Guides. In order to solve this by increasing the number of times of the class and by improving the contents, the traffic safety class is now operated jointly with Trucking Association. In actual class, a heavy duty truck is used to raise attention to an accident caused by difference between track followed by the front and rear-inner wheels when turning and to instruct correct manner of crossing at an intersection. Especially, as it is difficult for elementary school children to understand about “difference between track followed by front and rear-inner wheels when turning”, efforts are underway jointly with persons concerned with schools and organizations/groups concerned with traffic safety to develop easy class material.

(Cases) 60 47 49 50 43 40 35 40 30 20

0 2010 2011 2012 2013 2014 [Fig. 9-5] No. of traffic accidents of elementary school students in the City [Traffic safety class held on the elementary school ground] Source: Traffic accident record of the Board of Education

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times held [Performance report] times 96 44 24 43 41 Activity No. of participants [Performance report] persons 9,931 6,671 4,075 8,345 7,440 Change in awareness as shown in questionnaire Awareness/ survey % - - - - 97.4 knowledge [Questionnaire survey with participants] No. of accidents in a year of elementary school Behavior/ students in the City cases 43 47 40 35 49 action [Traffic accident record of the Board of Education] No. of traffic accidents of children aged 0 to 12 Situation years persons 109 114 95 91 71 [Police statistics (Atsugi Police Department)] is an indicator newly introduced in 2014.

76 5 Private traffic monitoring center

Subject Many traffic accidents occur at intersections.

Goal To prevent traffic accidents at traffic accident-prone area such as intersections. With the aim to increase traffic safety awareness, private traffic monitoring centers are set up Contents in 15 spots on the City’s major roads, where observation of traffic rules is advocated to people aiming at eradication of traffic accidents. Organizations & groups composing Traffic Organizers Target Citizens, entire City Safety Measures Council, Atsugi Police concerned Department, City Government With the objective to increase traffic safety awareness among citizens, the private traffic monitoring centers are set up twice a year at selected places with many traffic accidents and on selected busy streets and observation of traffic rules is advocated to people.

(Cases) 2,000

1,499 1,393 1,500 1,327 1,167 1,075 1,000

500

2010 2011 2012 2013 2014 [Distributing traffic safety leaflets at an [Fig. 9-6] Change in the number of traffic accidents in intersection] the City Source: Police statistics (Atsugi Police Department)

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times held [Performance report] times 2 2 2 2 2 Activity No. of participants [Performance report] persons 2,200 2,300 2,300 2,200 2,300

No. of traffic accidents Situation cases 1,499 1,393 1,327 1,167 1,075 [Police statistics (Atsugi Police Department)]

(3) Task Force Team for Safe Bicycle Use

１ Improvement of bicycle-ride environment Bicycle-related injuries & accidents frequently occur on a sidewalk, roadway, and Subject intersections. Goal To improve bicycle-ride environment In view of securing bicycle-ride safety, a space dedicated to bicycle travel (bicycle lane, etc.) separated from vehicles and pedestrians is prepared. Along with this, traffic signs to indicate Contents “left-hand traffic”, etc. are used to make it widely known that a bicycle as a light vehicle must, in principle, travel on the left end of a roadway.

Organizers Target City area Atsugi Police Department, City Government concerned

Efforts were focused on improvement of bicycle ride environment mainly through provision of the dedicated bicycle lane. However, considering that there exist many roads where such measures cannot be made due to the road structure, more efforts have been made in recent years to paint road signs to indicate visually to riders where to travel.

(m)

6,000

4,000 4,039

2,540 2,820 2,000 1,650 680 0

2010 2011 2012 2013 2014 [Fig. 9-7] Change in total extended distance of the bicycle lane (since 2010) [Road signs painted on a road]

Source: Performance report

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

Distance of newly built road [Performance Activity m 680 970 890 280 1,219 report]

Total extended distance of dedicated bicycle lane m 680 1,650 2,540 2,820 4,039 [Performance report] Situation No. of places equipped with dedicated bicycle lane cases 1 1 1 3 1 [Performance report]

78 2 Bicycle helmet wearing campaign

Subject It is necessary to increase recognition degree to traffic rules and to improve traffic manners.

Goal To raise the helmet wearing rate of children Efforts have been made to promote helmet wearing by distributing awareness-raising leaflets to Contents elementary school students & parents in the City and by subsidizing a part of purchase expenses for a bicycle helmet. Teachers & staff of elementary schools in the City, Organizers Target Students PTA, Task Force Team, Board of Education, City concerned Government Leaflets to encourage wearing of a bicycle helmet were distributed to students & parents of all 23 elementary schools in the City, advocating importance of wearing a helmet when riding a bicycle. Further, efforts have been made to improve the helmet owning rate based on use of the subsidization system, including putting an announcement on the awareness-raising leaflet of the purchase expense subsidy system for bicycle helmet that is currently in operation by Atsugi City. Further, a survey on use of a bicycle and helmet wearing has been carried out with all the elementary schools and, based on the helmet wearing rates, reasons for not wearing a helmet, etc. obtained from the survey, an approach has been made to schools and improvement programs have been discussed.

(%) (Cases) 60 3,000 54.5 1,963 2,083 40 39.4 2,000 1,586 1,554 28.3 20 22.7 1,000 749 12.3

0 0 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

[Fig. 9-8] Helmet wearing rate [Fig. 9-9] No. of subsidized cases under the system

Source: Survey on helmet wearing situation Source: Survey on helmet wearing situation

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of helmets purchased with subsidy Activity cases 749 1,586 1,554 1,963 2,083 [Performance report]

Distribution of leaflets to encourage helmet Awareness/ wearing school 23 23 23 23 23 knowledge [Performance report] Behavior/ No. of helmets purchased with subsidy cases 749 1,586 1,554 1,963 2,083 action [Performance report]

Helmet wearing rate Situation % 12.3 22.7 28.3 39.4 54.5 [Survey on helmet wearing situation]

79 3 Traffic safety class

Subject It is necessary to increase recognition degree to traffic rules and to improve traffic manners.

Contents, [Written again] Please refer to P76. etc. Jointly performed with Task Force Team for Traffic Safety

4 Bicycle Manner-up Campaign

It is necessary to increase recognition degree to traffic rules and to improve traffic manners. Subject There are many traffic accidents of high school students while riding a bicycle.

Contents, [Written again] Please refer to P74. etc. Jointly performed with Task Force Team for Traffic Safety

5 Safe Cycling Training Class (Scared-Straight Training Method)

It is necessary to increase recognition degree to traffic rules and to improve traffic manners. Subject There are many traffic accidents of high school students while riding a bicycle.

Contents, [Written again] Please refer to P75. etc. Jointly performed with Task Force Team for Traffic Safety

(4) Task Force Team for Feeling of Safety and Public Safety

1 Patrol around Hon-Atsugi Station There are many crime incidents (atrocious crimes, violent crimes) in the vicinity of Hon-Atsugi Subject Station. To reduce atrocious/violent crime incidents in the vicinity of Hon-Atsugi Station Goal To reduce anxiety about security felt by citizens in the vicinity of Hon-Atsugi Station Patrol has been implemented in the vicinity of Hon-Atsugi Station where crime rate is high so Contents that people’s feeling of safety in the area is improved and crime prevention is increased. Neighborhood Associations, company volunteers, Citizens, users of Organizers Target school volunteers, Atsugi Police Department, City Hon-Atsugi Station concerned Government To address the high crime rate and citizens anxiety about security of the vicinity on Hon-Atsugi Station, patrol has been implemented jointly by Neighborhood Associations, Federation of Stores Associations, various crime prevention groups, the police stations, and City Government. Student volunteers and volunteers from local companies have also joined in recent years and the cooperating group has expanded. In addition to this patrol, as patrol has also been implemented individually by Neighborhood Associations, non-government organizations, and the City administration organs, patrol activity is now implemented in a seamless manner.

(Cases per 100,000 population)

31.7

24.6 23.1 22.5 20 15.9

2010 2011 2012 2013 2014

[Fig. 9-10] No. of atrocious/violent crimes in [Patrol in the vicinity of Hon-Atsugi Station] Hon-Atsugi area Source: Calculated from police statistics (Atsugi Police Department)

(%) 40

32.3 30.1 26

0 2009 2011 2013

[Fig. 9-11] Percentage of persons who answered that [Patrol by City government staff] security around Hon-Atsugi Station has improved in 5 years. Source: Citizens’ Awareness Survey

81 ■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times held [Performance report] times 14 21 22 19 22

Activity

No. of participants [Performance report] persons 540 778 747 715 544

Awareness/ knowledge No. of groups performing patrol groups 17 16 16 14 14 [Practice report] Behavior/ action

No. of atrocious/violent crime incidents in Situation the vicinity of Hon-Atsugi Station cases* 31.7 24.6 23.1 22.5 15.9 [No. of registered criminal offenses]

Improved 30.1 32.3 Threat to feeling of safety in Feeling of the vicinity of Hon-Atsugi % - - - safety Station [Citizens’ awareness survey] Worsened 23.6 24.3

* The number of persons per 10,000 population

82 2 Installation and maintenance of security light There are many crime incidents including intrusion (theft, sneak theft) and vehicle theft. Subject There is high anxiety about crimes occurring in dark places/streets with no people. Goal To reduce the number of registered criminal offenses and anxiety about security in the City

Security lights are installed and illumination intensity is increased to enhance crime prevention Contents effect during nighttime, while efforts are made to prevent potential crimes, delinquencies, etc.

Citizens, Neighborhood Organizers Local residents, Neighborhood Associations, Target Associations concerned Ward Community Center, City Government

As for installation of security lights, City Government implements it in response to the requests for the installation among residents, etc. that are submitted through each community. Further, maintenance/management such as replacement of electric bulbs for security lights within a community is performed by each community (Neighborhood Association) and the cost required is charged to the City. In order to improve local crime preventive measures and to eradicate anxiety about security, activities have been carried out led by communities.

(Cases) (No./km 2) 300 19,000 18,197 18,021 17,644 17,332 200 17,034 182 185 188 192 194

17,000 100

0 15,000 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

[Fig. 9-12] Change in the number of installed [Fig. 9-13] Installation ratio of security lights security lights

Source: Performance report Source: Performance report

■ Effect of programs

Details of indicator Indicator Unit 2010 2011 2012 2013 2014 [measuring method] No. of LED lights installed cases 100 252 252 259 777 [Performance report] No. of newly installed lights Activity cases 388 274 278 216 150 [Performance report]

Total number [Performance report] cases 17,034 17,332 17,644 18,021 18,197

Installation ratio of security lights Situation cases* 182 185 188 192 194 [Calculated from performance report] Satisfaction level regarding present state of Feeling of development for safe & secure community % 59.3 60.4 67.7 64.9 66.0 safety [Citizens’ satisfaction survey] * No. of security lights installed per 1 km2.

3 Community patrol in a vehicle with a rotating blue light There are many crime incidents including intrusion (theft, sneak theft) and vehicle theft. Subject Many of the victims of reported suspicious persons are children. Goal To reduce the number of registered criminal offenses and anxiety about security in the City Patrol of the community is performed to create a crime deterrence effect by using a vehicle Contents with a rotating blue light, through which it is aimed to prevent crimes and to increase people’s feeling of safety. Neighborhood Associations, Safe City Council, crime Entire area of the Organizers Target prevention groups, Ward Community Center, City City concerned Government Privately owned vehicles are registered to the police for use in crime prevention patrol of a community as a patrol car equipped with a rotating blue light. Use of such vehicles help cover a relatively wide area and, by combining this with patrol on foot in the case of narrow streets and residential area, efficient patrol suitable for situations of each community can be performed. Patrol in a vehicle with a rotating blue light is also expected to contribute to crime deterrence because it can serve as a “highly visible security guard”.

(Units) 100 87 75 77 81

0 2010 2011 2012 2013 2014 [Fig. 9-14] No. of registered vehicles with a rotating blue light (Excluding vehicles owned by the City Government) [Vehicle equipped with a rotating blue light] Source: Performance report

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of times the patrol was conducted Activity times 844 1,093 1,136 1,221 - [Performance report] Percentage of people who feel secured when a Awareness/ blue-light patrol vehicle is travelling % 68.1 65.6 - 62.2 61.7 knowledge [Cell Phone SOS Net questionnaire survey] Behavior/ No. of registered vehicles with a rotating blue light units 52 75 77 81 87 action [Performance report] Change in the number of registered criminal offenses cases 1,295 1,072 998 941 886 Situation Top row : vehicle theft (bicycle theft) Bottom row : burglary (theft and sneak theft) cases* 286 286 298 193 133 [Police statistics (Atsugi Police Department)] Satisfaction level regarding present state of Feeling of development for safe & secure community % 59.3 60.4 67.7 64.9 66 safety [Citizens’ satisfaction survey]

(5) Task Force Team for Elderly’s Safety

1 Exercise program for tumbling prevention

Subject Many injuries are caused by tumbling.

Goal To reduce the number of injuries of the elderly caused by tumbling “Tumbling/Bone Fracture Prevention Class”, “Mobility Function Improvement Program”, etc. have been implemented, aiming at prevention of bone fracture caused by tumbling and decline Contents in mobility function through promotion of exercise and recreation to improve mobility function. Elderly persons who are not in Federation of Atsugi Senior Citizens’ Clubs, Organizers Target Needed Long-Term Care or Community General Support Center, SC Task concerned Needed Long-Term Support Force Team, Volunteers, City Government Two programs including “Mobility Function Improvement Program” and “Tumbling/Bone Fracture Prevention Class” are mainly implemented as the exercise project for tumbling prevention that can be practiced by the elderly on a continuous basis. In addition to these projects, research & study have been carried out including measurement of the “before and after” effect regarding potential activities that can be practiced by the elderly on a continuous basis such as Atsugi City’s health exercise “Ayukoro-chan” and the radio gymnastic exercise.

(%)

70 61.3 60 58.4 58.3 56.6 50 40 39 38 36.9 34.1 30 20 10 6.4 4.6 0 3.7 2.7 2010 2011 2012 2013 2014 よいImproved 普通No change 悪いWorsened [Fig. 9-15] Change in psychological health view after practice [Tumbling prevention class] Source: Performance report

(%)

70 60 54.8 56.6 56 58.5 50

40 30 20 19.3 21.5 19 20.4 10 0 2010 2011 2012 2013 2014

改善Ratio of persons with physical strength improved

維持Ratio of persons with physical strength maintained

[Fig. 9-16] Results of physical fitness measurement [Program aiming to improve mobility before & after practice function] Source: Performance report

85 ■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of participants in “Mobility Function Improvement Program” persons 2,644 3,601 4,927 4,587 4,594 [Performance report] Activity No. of participants in “Tumbling/Bone Fracture Prevention Class” persons 322 218 209 198 417 [Performance report]

Change in psychological health view after practice % 38 39 369 34.1 - [Questionnaire survey with participants] Top row : Ratio of persons who answered % 58.4 58.3 56.6 61.3 - Awareness/ “Improved” knowledge Middle row : Ratio of persons who answered “No change” % 3.7 2.7 6.4 4.6 - Bottom row : Ratio of persons who answered “Worsened”

Results of physical fitness measurement before & after % 19.3 21.5 19 20.4 - practice [Questionnaire survey with participants] Top row : Ratio of persons who answered “Improved” % 54.8 56.6 56 58.5 - Behavior/ Bottom row : Ratio of persons who answered action “Maintained” [“Mobility Function Improvement Program” and “Tumbling/Bone Fracture Prevention Class”] Ratio of persons (among participants of the last year) % - - - - - who continued exercise [Questionnaire survey with participants] No. of persons transported by ambulance due to injury caused by tumbling persons* 908 953 1036 910 1,018 [Ambulance transport data] Situation No. of persons transported by ambulance (general injury) persons* 1,424 1,539 1,671 1,470 1,662 [Ambulance transport data]

* The number of persons per 100,000 population is an indicator newly introduced in 2014.

2 Diffusion and awareness raising of tumbling prevention exercise program

Subject There are many injuries caused by tumbling.

Goal To reduce the number of injuries of the elderly caused by tumbling Efforts are made to widely disseminate activity/exercise by using leaflets to improve the Contents mobility function, aiming to establish exercise activity on a continuous basis. Federation of Atsugi Senior Citizens’ Clubs, Organizers Target Elderly people Community General Support Center, SC Task concerned Force Team Since 2012, several kinds of leaflets have been made and distributed to introduce various activities and exercises so that elderly persons can choose them according to their own condition. As each person can choose activities according to his/her own physical strength/health condition, it is expected that the activities thus chosen should be practicable over a long period of time.

[Leaflet for locomotive exercise] [Training workshop is held at the same time.]

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of leaflets distributed cases - - 970 970 940 [Performance report] Activity Groups to which leaflets were distributed groups - - 97 97 94 [Performance report] Understanding of contents of leaflet Awareness/ [Questionnaire survey with participants] % - - - - - knowledge Top row: Let’s move the body in an active way. Bottom row: Locomotive exercise

Behavior/ action No. of cases that led to activity/exercise on a continuous basis cases - - - - - [Questionnaire survey with participants] Situation

is an indicator newly introduced in 2014.

3 Home Safety Support Program Subject Many injuries are caused by tumbling.

Goal To reduce the number of injuries of the elderly caused by tumbling In order to cover a part of cost of construction for safe home living such as provision of hand rails and removal of level difference, subsidy is given to people who are not in Needed Contents Long-Term Care/Needed Long-Term Support under the Public Nursing Care Insurance program. Elderly persons who are not in Organizers Community General Support Center, Target Needed Long-Term Care or concerned City Government Needed Long-Term Support With the intention to encourage use of the renovation cost subsidy scheme that is operated by the City to help prevent the elderly’s accidents at home, Task Force Team members distribute the leaflets to various related groups they join. To the elderly persons who do not apply for or are not eligible for the Home Safety Support Program services, the leaflets titled “Let’s move the body in an active way” are distributed, which explains hazardous spots in a house and needs for renovation, advocating prevention of tumbling inside own house.

(%) (Persons per 100,000 population)

80 1000 60 62 624 50 587 559 529 593 40 43 500 35 30 20 0

0 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

[Fig. 9-17] Change in No. of cases subsidized under [Fig. 9-18] Change in No. of persons Home Safety Support Program transported by ambulance due to injury caused by tumbling inside own house Source: Performance report Source: Ambulance transport data

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of subsidized cases [Performance report] cases 62 35 30 50 43 Activity No. of renovations [Performance report] place 89 54 43 60 58

Percentage of persons who answered “Renovation is Awareness/ effective for tumbling prevention” % - - - 100 95.1 knowledge [Questionnaire survey after renovation work] No. of persons transported by ambulance due to injury caused by tumbling inside own house persons* 587 559 624 529 593 Situation [Ambulance transport data] No. of persons transported by ambulance due to general persons* 936 948 1026 879 993 injury inside own house [Ambulance transport data]

* The number of persons per 100,000 population

88 (6) Task Force Team for Children’s Safety

1 Risk prediction training There are many injuries that occur outside/inside own house. Subject There are many traffic accidents involving children. Goal To reduce the number of injury incidents of children

By learning how to predict potential risk in daily life and activities, children can improve their Contents ability to predict risks and ability to avoid risks.

Infants, elementary school students, Organizers Steering Committee of Children’s Target parents of infants concerned Hall, City Government In order to respond to environmental changes surrounding children, teaching materials and training methods are subject to review and modification on a regular basis in cooperation with groups specialized in study on children’s injury. In 2013, a change was added to the text so that children can learn risks in daily life while enjoying a “Spot the Difference” puzzle. Further, a training workshop was held for training instructors for the training, aiming to increase quality of the risk prediction training. ■ Identifying dangerous behaviors in a picture in a form of quiz  Learning dangerous behaviors while enjoying a game

■ In the KYT (Kiken-Yochi-Training: risk prediction training) that is performed together with parents, comments are added for easy comprehension.

(Times) (Cases) 500 50 46 44

205 213 40 39 39 186 172

0 2010 2011 2012 2013 2014 30 2010 2011 2012 2013 2014 [Fig. 9-19] No. of trainings held at Children’s [Fig. 9-20] No. of injuries at the KYT Center enforcement facility (Children’s Center) Source: Performance report Source: Performance report

89 ■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of trainings held at Children’s Center times 205 213 186 172 170 [Performance report] Activity No. of trainings held at Momiji-no-te childcare support center times - - - - - [Performance report]

Awareness/ Understanding of participants on training contents % - - - - - knowledge [Questionnaire survey with participants]

Percentage of participants who keep in mind in daily life what they have learnt % - - - - - [Questionnaire survey with participants] Behavior/ action No. of injuries at the KYT enforcement facility (Children’s Center) cases 46 39 39 44 96 [Report on recorded injuries of Children’s Center]

No. of injuries of children (under 15 yrs. old) that occurred inside/outside house persons - 14201 - - 14753 [Survey on Safety, Health, and Community] Situation No. of persons transported by ambulance due to general injury persons 208 216 238 243 245 [Ambulance transport data]

is an indicator newly introduced in 2014.

2 Eye of Love Movement

Subject Elementary/middle school girl students often become crime victims. To reduce traffic accidents and suspicious person incidents involving children/students on the Goal way to/from school Through cooperative efforts of various groups such as Neighborhood Associations, Senior Clubs, Traffic Safety Guides, Mothers Committee Liaison for Traffic Safety, and elementary & middle school PTA, activities to protect children’s safety on the way to/from school are Contents implemented. The network to share information about school leaving time, etc. in the community has been built.

Elementary/middle school Local groups such as Elementary school PTA, Organizers Target students (time zone when Senior Clubs, Ward Citizens’ Center, and Youth concerned students leave school) Sound Growth Associations; City Government

Eye of Love Movement has widely worked on in the community, in which not only schools and parents but also local groups such as Neighborhood Associations, Senior Clubs, and Youth Sound Growth Associations have worked together to create a network to share information about school commuting time, etc.

(Cases) 150

100 100

78 72 71 56 50

0 2010 2011 2012 2013 2014

[Fig. 9-21] Traffic accidents on the way to/from school and [Eye of Love Movement activity on the incidents of being approached by a suspicious way to/from school] person

Source: Board of Education survey on suspicious person incidents

■ Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of vests provided for the Eye of Love Activity Movement copies 17,285 17,785 18,215 18,215 18,530 [Performance report]

No. of incidents of being approached by suspicious person on the way to/from school Situation cases 100 56 78 72 71 [Board of Education survey on suspicious person incidents]

3 Shelter Point

Subject Elementary/middle school girl students often become crime victims.

Goal To reduce traffic accidents on the way to/from school and suspicious person incidents

Shelter Points (emergency shelters) have been established with cooperation of residents and shopkeepers on the school routes, etc. with the aim to protect children/students from Contents suspicious persons. Signboards are displayed, which are also expected to create a crime deterrence effect by announcing that the community is actively working on crime prevention.

Local groups such as Elementary school PTA, Entire area of the Organizers Target Senior Clubs, Ward Citizens’ Center, and Youth City concerned Sound Growth Associations; City Government

Since start of Shelter Point project up to now, there has been no case in which the shelter was actually used because of an incident of a suspicious person. However, the project has been carried out with a view to its crime deterrence effect. Shimizu Elementary School (a designated International Safe School) sends a letter of appreciation to each point provider once every year, which also serving as means to connect children with community residents and strengthening community ties.

(Cases)

4,000

3,197 3,262 3,272 3,360 3,000 2,618 2,000

1,000

0 2010 2011 2012 2013 2014

[Fig. 9-22] Change in No. of Shelter Points established [Signboard of Shelter Point]

Source: Performance report

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of Shelter Points established Activity copies 3,197 3,262 3,272 3,360 2,618 [Performance report]

No. of traffic accidents and suspicious person incidents on the way to/from school Situation cases 100 56 78 72 71 [Board of Education survey on suspicious person incidents]

4 International Safe School (ISS) project Injuries frequently occur outside/inside own house. Subject There are many traffic accidents involving children. Elementary/middle school girl students often become crime victims. To reduce traffic accidents and suspicious person incidents involving children/students on the Goal way to/from school The schools working on the ISS project have been making efforts on safety & security towards realization of safe educational environment by means of collaboration of schools (teachers & staff, Contents students, PTA) and the community. Further, the measures that have produced good effects in the schools working on the ISS project are diffused to other elementary/middle schools in the City. Shimizu Elementary School Shimizu Kids Sound Network, students of Shimizu Organizers Target Mutsuai-Higashi Middle Elementary School and Mutsuai-Higashi Middle concerned School School, PTA, teachers & staff Task Force Team has started to discuss efforts to increase the number of elementary/middle schools in the City that work on the ISS project. As model schools are to be selected from the elementary and middle schools in the City, strategies will be discussed to diffuse safety/security measures with good effects from those model schools.

[ISS Designation Ceremony of [ISS On-Site Guidance of Shimizu Elementary School] Mutsuai-Higashi Middle School] (Cases) (Cases)

5,000 80 4,121 61 4,000 3,334 3,278 3,193 60 47 2,750 3,000 37 34 40 29 2,000 20 1,000 0 0 2010 2011 2012 2013 2014 2009 2010 2011 2012 2013

[Fig. 9-23] Change in the number of injuries [Fig. 9-24] Change in the number of injuries (Shimizu Elementary School) compensated by the Disaster Mutual Benefit System (Mutsuai-Higashi Middle School) Source: Data from infirmary room of Shimizu Source: Data regarding Disaster Mutual Benefit Elementary School System

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014 Activity Schools working on ISS school 1 1 1 2 2 Situation

(7) Task Force Team for Work Place (Work) Safety

1 Safety & health patrol Subject Many work-related accidents occur in manufacturing. Goal To reduce work-related accidents in manufacturing Patrol has been conducted by the members in workplaces within the industrial complexes located in the City. Contents During the patrol, the matters whose improvement was pointed out in the preceding year are checked for the subsequent improvement. Then, the results are reported and information is exchanged to improve the work safety/health level. Business operators in Organizers Amadera Occupational Complexes Appointed Target the City concerned Group, Inland Industrial Park The safety & health patrol having been implemented in Amadera Occupational Complexes was visited by persons from other industrial parks and the efforts having been made were introduced, aiming to increase the safety/health level of the industrial parks located in the City. Task Force Team has been working to diffuse the safety/health patrol by announcing the approach & effects of the patrol conducted in Amadera Occupational Complexes and, at the same time, has been discussing/studying to develop a more effective approach.

(%) (Cases) 100 100 92 84.5 91.4 84.6 86.1 56 50 39 34 50 29 25

0 0

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

[Fig. 9-25] Improvement rate for matters pointed [Fig. 9-26] No. of work-related accidents in out Amadera Occupational Complexes Source: Report of Amadera Occupational Source: Report of Amadera Occupational Complexes Appointed Group Complexes Appointed Group

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014 Activity No. of patrols conducted [Performance report] times 31 31 29 29 27 Appreciation & necessity felt by people protected by patrol Awareness/ [Report of Amadera Occupational Complexes Appointed % - - - - - knowledge Group] No. of matters pointed out/improved after patrol is performed [Report of Amadera Occupational Complexes Appointed 58 58 52 50 36 Behavior/ Group] cases action Upper: No. of matters pointed out, Lower: No. of matters 49 53 44 46 31 improved No. of work-related accidents in Amadera Occupational Complexes cases 39 29 25 34 56 [Report of Amadera Occupational Complexes Appointed Situation Group] No. of work-related accidents in manufacturing in Atsugi City [Data on work-related accidents within the jurisdiction of cases 288 257 294 250 - Atsugi Labor Standards Inspection Office] is an indicator newly introduced in 2014.

2 Safety/health seminar for small to medium-sized firms in the City

Subject Many accidents occur among workers whose working years are shorter. To reduce the number of work-related accidents of workers whose working years are less than Goal 2 years Especially for newly employed persons, etc. of small to medium-sized companies in the City, a Contents seminar on safety & health is held as a part of the orientation program of the companies.

Newly employed Organizers Atsugi Chamber of Commerce, Task Force Target persons, etc. concerned Team

In tie-ups with the seminar held by Atsugi Chamber of Commerce for the newly employed persons of small to medium-sized companies in the City, the work safety/health seminar has been held. As this seminar is attended by newly employed persons in various category of business, contents dealt with do not focus only on work safety in manufacturing, but deal with matters common to all categories.

(Persons) (Cases) 60 48 120 104 97 96 100 84 40 31 28 80 60 20 40 20 0 0 2012 2013 2014 2010 2011 2012 2013 [Fig. 9-27] No. of attendants [Fig. 9-28] Work-related accidents for persons whose working years are less than 2 years Source: Performance report Source: Data on work-related accidents within the jurisdiction of Atsugi Standards Inspection Office

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014

No. of attendants Activity persons - - 31 48 28 [Performance report]

Awareness/ Appreciation & necessity felt by attendants % - - 88.0 78.4 78.6 knowledge [Questionnaire survey with participants]

No. of accidents of attendants in a year Behavior/ [Questionnaire survey with attendants after times - - - - - action attendance] No. of work-related accidents of workers whose working years are less than 2 year Situation cases 97 84 96 104 - [Data on work-related accidents within the jurisdiction of Atsugi Standards Inspection Office]

is an indicator newly introduced in 2014.

3 Experience-based work safety/health seminar (New)

Subject Many work-related accidents occur in manufacturing.

Goal To reduce work-related accidents in manufacturing

As a measure for preventing “pinching” or “caught-in” accidents in manufacturing, an Contents experience-based work safety/health seminar is held. Atsugi Chamber of Commerce, Atsugi Labor Employees in Organizers Standards Inspection Office, Kanagawa Prefecture Target manufacturing concerned Association for Occupational Safety and Health – Atsugi Branch, Task Force Team With the aim to reduce work-related accidents in manufacturing, parties concerned started to discuss in 2014 to develop an “experience-based work safety/health seminar” in which attendants can experience accident-prone situations/environments regarding work-related accidents frequently occurring in manufacturing such as “pinching and caught-in” accidents. For the purpose of introduction of this “experience-based work safety/health seminar”, cooperation from various groups are expected regarding use of equipment and provision of seminar spaces that are owned by business operators in the City. Further, the attendants are mainly recruited from groups affiliated with Atsugi Chamber of Commerce and Kanagawa Prefecture Association for Occupational Safety and Health – Atsugi Branch in which many firms in the City join as the members. (Cases) 100

61 61

47 49 50

0 2010 2011 2012 2013 [Fig. 9-28] Change in work-related accidents in [Equipment used in the seminar] manufacturing Source: Data on work-related accidents

■Effect of programs

Indicator Details of indicator [measuring method] Unit 2010 2011 2012 2013 2014 No. of times held [Performance report] times - - - - - Activity No. of participants [Performance report] persons - - - - - Ratio of persons who answered that they understood Awareness/ the seminar content % - - - - - knowledge [Questionnaire survey with participants] Behavior/ No. of accidents of attendants in a year cases - - - - - action [Questionnaire survey with participants] Work-related accidents in manufacturing [Data on work-related accidents within the Situation cases 61 47 61 49 - jurisdiction of Atsugi Labor Standards Inspection Office] is an indicator newly introduced in 2014.

Supplement 10 Participation in Domestic & Overseas Safe Community Networks

[1] Participation in Domestic Networks

City of Atsugi has been participating in activities of the Safe Community networks in an active and continuous way, which include various conventions, designation ceremonies, on-site evaluation, etc. held within Japan. Meanwhile, as the role of a member city of International Safe Community, the City has been making efforts to diffuse and expand the Safe Community movement in Japan. Today, there are 10 municipalities in Japan that have already been designated as a Safe Community. When the municipalities, etc. that are currently working toward designation are added to these, a total of 15 or more municipalities are now promoting the Safe Community program.

■ Process to the designation

International Conference on Surveillance for Safe Mar. 2008 Kameoka City, Kyoto Pref. Community

The 2nd Academic Conference of the Japanese Society of Oct. 2008 Itabashi Ward, Tokyo Safety Promotion

The 5th Convention of Japan Association of Community Dec. 2008 Toda City, Saitama Pref. Based Civil Safety Science

Towada City Safe Community Designation Ceremony Towada City, Aomori Pref. (Aomori Pref.) Aug. 2009 The 3rd Academic Conference of the Japanese Society of Towada City, Aomori Pref. Safety Promotion

The 6th Convention of Japan Association of Community Yokohama City, Nov. 2009 Based Civil Safety Science Kanagawa Pref.

The 4th Academic Conference of the Japanese Society of Atsugi City Safety Promotion Nov. 2010 The 7th Convention of Japan Association of Community Atsugi City Based Civil Safety Science

■ Acquisition of designation The City was designated as a member of International Safe Community on November 19, 2012. [as the 223rd designated Safe Community in the world and the 3rd in Japan]

[Atsugi City Safe Community Designation Ceremony]

97 ■ After acquisition of designation The 8th Convention of Japan Association of Community Based Jun. 2011 Toshima Ward, Tokyo Civil Safety Science

Study meeting of the Japan Association of Community Based Jul. 2011 Sakai City, Osaka Pref. Civil Safety Science: West Japan

Inaugural Meeting of the National SC Promotion Municipalities Nov. 2011 Atsugi City Network (1)

The 5th Academic Conference of the Japanese Society of Safety Nov. 2011 Ikeda City, Osaka Pref. Promotion

JISC Anniversary Symposium and ISS Certify Center Dec. 2011 Osaka City, Osaka Pref. Designation Ceremony

Minowa Town, Nagano May 2012 Minowa Town SC Designation Ceremony (Nagano Pref.) (2) Pref.

2012 Safety & Security Forum in Komoro Komoro City, Nagano Sep. 2012 The 9th Convention of Japan Association of Community Based Pref. Civil Safety Science

Oct. 2012 SC Summit in Toshima Toshima Ward, Tokyo

The 6th Asia Region SC Conference Toshima Ward, Tokyo Nov. 2012 Toshima Ward SC Designation Ceremony (Tokyo) Toshima Ward, Tokyo

Komoro City, Nagano Dec. 2012 Komoro City SC Designation Ceremony (Nagano Pref.) Pref.

Kameoka City, Kyoto Kameoka City SC Re-designation Ceremony (Kyoto) Pref. Feb. 2013 Kameoka City, Kyoto The 1st Japan SC Regular Conference Pref.

The 6th Academic Conference of the Japanese Society of Safety Mar. 2013 Kobe City, Hyogo Pref. Promotion

Minowa Town, Nagano May 2013 2013 Minowa Town SC Forum (Nagano Pref.) Pref.

Matsubara City, Osaka Matsubara City SC Designation Ceremony (Osaka Pref.) (3) Pref. Nov. 2013 The 7th Academic Conference of the Japanese Society of Safety Tsukuba City, Ibaraki Promotion Pref.

Kurume City, Fukuoka Dec. 2013 Kurume City SC Designation Ceremony (Fukuoka Pref.) Pref.

Chichibu City, Saitama Chichibu City Symposium (Saitama Pref.) Pref.

Feb. 2014 2014 Safety & Security Forum in Kameoka Kameoka City, Kyoto The 10th Convention of Japan Association of Community Based Pref. Civil Safety Science

Chichibu City, Saitama Jul. 2014 Chichibu City SC Citizens Forum (Saitama Pref.) Pref.

The 11th Convention of Japan Association of Community Based Urayasu City, Chiba Pref. Civil Safety Science (East Japan Convention) Oct. 2014 Sakae Ward, Yokohama Sakae SC Forum City

Koriyama City SC International Designated City Symposium Koriyama City, (Fukushima Pref.) Fukushima Pref. Nov. 2014 The 11th Convention of Japan Association of Community Based Sakai City, Osaka Pref. Civil Safety Science (West Japan Convention)

Kurume City, Fukuoka Jan. 2015 Kurume City SC Forum (Fukuoka Pref.) Pref.

Kitamoto City, Saitama Kitamoto City SC Designation Ceremony (Saitama Pref.) Prefecture Feb. 2015 Towada City, Aomori Towada City SC Re-designation Ceremony (Aomori Pref.) (4) Pref.

[(1) Inaugural Meeting of the National Safe [(2) Minowa Town Safe Community Community Promotion Municipalities Network] Designation Ceremony in Nagano Prefecture]

[(3) Matsubara City Safe Community [(4) Towada City Safe Community Designation Ceremony in Osaka Prefecture] Re-Designation Ceremony in Aomori Prefecture]

99 [2] Participation in Overseas Networks

The City has been participating in activities of the Safe Community networks such as international conferences held overseas in an active and continuous way and, while introducing the City’s initiatives to people from other countries, has gained precious knowledge and experience.

Songpa District Designation Ceremony Participation in the international June 2008 [Seoul City, Korea] network

The 17th SC International Conference Oct. 2008 Poster display [Christchurch, New Zealand]

Paid a visit to view the Visited Neihu District of Taipei Mar. 2009 progressive approach for the Safe [Taipei City, Taiwan] Community project

The 5th Asia Region SC Conference Presentation on the SC case Oct. 2009 [Beijing, China] study, poster display

The 6th World Congress on Injury Prevention and Nov. 2009 Control [Seoul City, Korea]

The 18th SC International Conference Presentation on the SC case Mar. 2010 [Suwon City, Korea] study, poster display

The 20th SC International Conference Sep. 2011 Poster display [Falun, Sweden]

The 6th Asia Region SC Conference Presentation on the SC case Nov. 2012 [Toshima Ward, Tokyo, Japan] study, poster display

The 7th Asia Region SC Conference Presentation by the Mayor, May 2014 [Busan City, Korea] presentation on the SC case study

[The 6th Asia Region SC Conference] [The 7th Asia Region SC Conference]

100