Application Report to become a member ofInternational Safe Community Network（Attached report to the Form A）

June, 2013
Kurume City
Fukuoka Prefecture, Japan

Contents
Chapter 1 Overview of Kurume City ................................................................... - 1 1. Geography ................................................................................................................................... - 1 2.Industry, Education, Culture, and Medical-Care System ............................................................... - 4 (1) Industry ............................................................................................................................................................ - 4 (2) Education ......................................................................................................................................................... - 5 (3) Culture ............................................................................................................................................................ - 7 (4) Health care & medical care system ................................................................................................................. - 8 -Chapter 2 Initiatives for Safe Community ......................................................... - 10 1. Background of Initiatives by Kurume City ................................................................................ - 10 2. Progress of Our Initiatives ......................................................................................................... - 10 -Chapter 3 Current Situations of Death and injuries ......................................... - 11 1. Data on Deaths (Demographic Statistics, Accumulation of 5 Years from 2007 to 2011) ............ - 11 (1) Causes of death from illness ..........................................................................................................................- 11 (2) Causes of death excluding illness ................................................................................................................. - 12 -2. Ambulance Call-out Data ........................................................................................................... - 13 (1) The number of persons transported by ambulance, by type of accident ....................................................... - 13 (2) The number of persons transported by ambulance, by place of occurrence ................................................. - 13 (3) Breakdown of accident types by age group .................................................................................................. - 14 (4) Analysis of injury causes by age group ........................................................................................................ - 14 -3. Data of Injuries and Accidents Based on Questionnaire Survey ................................................. - 15 (1) Causes of injuries for the past 3 years .......................................................................................................... - 15 (2) Locations of injury occurrence (not including own home) for children (under 12 yrs old) for the past 3 years ............................. - 16 -4. Data on Anxiety ......................................................................................................................... - 17 5. Data on Traffic Accidents........................................................................................................... - 18 6. Data on Crime ............................................................................................................................ - 21 7. Data on Abuse Consultation ....................................................................................................... - 22 8. Data on “Bullying” at School ..................................................................................................... - 24 -Chapter 4 Initiatives Based on Seven Indicators .............................................. - 26 Indicator 1: An infrastructure based on cross-sector collaborations ............................................... - 27 1. Safe Community promotion system ............................................................................................................... - 27 2. Safe Community expert advisor ..................................................................................................................... - 29 -

3. Collaborative initiatives for community safety (in a unit of each elementary school district) ....................... - 29 -Indicator 2: Long-term, sustainable programs covering genders and all ages, environments, andsituation ......................................................................................................................................... - 33 1. Entire picture of safety promotion .................................................................................................................. - 33 2. Major preventive initiatives ............................................................................................................................ - 34 -Indicator 3: Programs targeting high-risk groups & environments, and programs for vulnerables’
safety ............................................................................................................................................. - 43 1. High risk groups ............................................................................................................................................. - 43 2.High risk environments .................................................................................................................................... - 45 -Indicator 4

Programs that are based on the available evidence .................................................... - 46 -1. Problematic aspects identified from Community Diagnosis ........................................................................... - 46 2. Activities based on Community Diagnosis .................................................................................................... - 48 -Indicator 5: Programs that document the frequency and causes of injuries .................................. - 102 1. Organization and function of Injuries Surveillance Committee .................................................................... - 102 2. General image of Injuries Surveillance ......................................................................................................... - 103 3. Data configuring Injuries Surveillance .......................................................................................................... - 104 4. Planning of continuous data collection .......................................................................................................... - 105 5. Features of Injury surveillance by Kurume City ........................................................................................... - 106 6. Number of meetings held by Injuries Surveillance Committee ..................................................................... - 107 -Indicator 6: Evaluation measures to assess their programs, processes and the effects of change .. - 108 1. Managing the progress of Safety Program .................................................................................................. - 108 2. Evaluation indicator for each priority challenge .......................................................................................... - 108 -Indicator 7: Ongoing participation in national and international Safe Communities networks ..... - 115 1. Participation in national networks .................................................................................................................. - 115 2. Participation in international networks ........................................................................................................... - 115 -Chapter 5 Long-term Prospects of SC Programs............................................. - 117 1. Long-term goal of Safe Community activities.......................................................................... - 117 (1) Sharing the basic principle of Safe Community ........................................................................................... - 117 (2) Effective use of Injury data, etc. ................................................................................................................... - 117 (3) Promotion and activation of community activities ....................................................................................... - 117 (4) Collaboration with Safe Communities in Japan and overseas ...................................................................... - 117 -2. Programs for ensuring long-term activities .............................................................................. - 117 (1) Promotion of Kurume City’s New General Plan .......................................................................................... - 117 (2) Promoting programs based on ordinances pertaining to safety..................................................................... - 118 -Chapter 1 Overview of Kurume City
Kurume City is located in the northern part of the Kyushu island, in the southwest of Fukuoka Prefecture.
Embraced by the Chikugo River, Kyushu’s longest river, and the Minou Mountain Range stretching from east to
west, the City is blessed with beautiful nature, a moderate climate, and abundant greenery.
As it is the largest agricultural producing city in Fukuoka Prefecture, and because of its important location for
traffic since times of old, the city has flourished in industry and has developed as the center of the Chikugo region.
In 1889, along with the 30 other Japanese cities, Kurume City introduced the city system and, through several
municipal mergers, it has grown into a core city with a current population of about 305,000.
Even more vitalized by the opening of the entire line of the Kyushu Shinkansen in 2011, the city is
continuously striving toward further development by making use of the rich resources of Kurume City suchas nature, history, culture/art, public transport and advanced medical care.

1. Geography(1) Population
305,699 persons (Basic Resident Register as of May 1, 2013)(2) Number of households
126,331 households (Basic Resident Register as of May 1, 2013)(3) Area
229.84 km2 (32.27 km from east to west, 15.99 km from south to north)(4) Altitude
11.15ｍabove sea level(5) East longitude
130 degrees 30 minutes 29 seconds(6) North latitude
33 degrees 9 minutes 9 seconds
Source: Monthly report of Basic Resident Resister, Statistical Documentation of Kurume City (2011)-1-

The population of Kurume City, after showing a moderate increase as Fukuoka Prefecture and the whole
nation also did, took a downward turn in 2010 [Table 1-1].
Meanwhile, the number of households still remains on an upward trend, for which the number of one-personhouseholds has especially shown a large increase [Table 1-2].
Out of the total population of Kurume City, foreigners account for about 0.63% (2010 statistic), whose top
nationalities are China for 766 persons (40.1%), Philippines for 414 persons (21.7%), and South Korea/North
Korea for 250 persons (13.1%).

Table 1-1

Change Rate Index of Population
Source: National Census

1990

1995

2000

2005

2010

Population (persons)294,665

302,741

304,884

306,434

302,402

Change rate index

100.0

102.7

103.5

104.0

102.6

Fukuoka
Prefecture

Population (persons)

4,811,050

4,933,393

5,015,699

5,049,908

5,071,968

Change rate index

100.0

102.5

104.3

105.0

105.4

Entirecountry

Population (persons)

Kurume City

123,611,167 125,570,246 126,925,843 127,767,994 128,057,352

Change rate index

Table 1-2

100.0

101.6

102.7

103.4

103.6

Change in Population and the Number of Households in Kurume City
Source: National Census

1990

1995

2000

2005

2010

Population (persons)294,665

302,741

304,884

306,434

302,402

No. of households

91,496

100,409

107,612

113,400

116,664

Nuclear family households included in the above

52,85957,23560,60363,052

63,487

One-person households included in the above

18,602

24,627

29,186

31,661

36,598

No. of foreigners included in the above(persons)

593

904

1,216

1,727

1,910

In terms of comparison of the three age groups that include the juvenile population (younger than 15 years old),the productive population (15 - 64 years old), and the aged population (65 years and older), their proportions in
the demographic composition in 2010 are almost the same as the national and Fukuoka Prefecture levels [Table
1-3].
The table shows a decrease in the juvenile & productive populations in the past and an increase in the elderly
population. From these changes, it is predicted that the number of the elderly one-person households will increasein future [Table 1-4].
Although the aged population remained less than the juvenile population until 1995, the populations were reversed
in 2000 and the aged population became over 1.5 times as large as the juvenile population in 2010.

-2-

Table 1-3

Comparison of Population Compositions among 3 Age Groups (2010)
Source: National Census

Kurume City
Fukuoka
Prefecture
Entire country

Below 15 yrs old

15 - 64 yrs old

65 yrs or above(Juvenile population)(Productive population)(Aged population)

Age unknown

Population (persons)41,720189,948

66,194

4,540

Composition ratio (%)

13.8

62.8

21.9

1.5

Population (persons)684,124

3,227,932

1,123,376

36,536Composition ratio (%)

13.5

63.6

22.1

0.8

Population (persons)

16,803,444

81,031,800

29,245,685

976,423

Composition ratio (%)

13.1

63.3

22.8

0.8

Table 1-4

Total
302,402
5,071,968
128,057,352

Change in Population of 3 Age Groups of Kurume City (persons)
Source: National Census
1990

1995

2000

2005

2010

65 yrs or above (Aged population)

36,61343,65351,61659,16866,19415 - 64 yrs old (Productive population)

198,960

205,994

204,550

199,592

189,948

Below 15 yrs old (Juvenile population)

57,83253,03048,14745,37941,720Aging index

63.3

82.3

107.2

130.3

158.7

Aged population index

18.4

21.2

25.2

29.6

34.8

Juvenile population index

29.1

25.7

23.5

22.7

22.0

Aging index:(Aged population/Juvenile population)  100

Aged population index:(Aged population/Productive population)  100

Juvenile population index:(Juvenile population/Productive population)  100-3-

2. Industry, Education, Culture, and Medical-Care System(1) Industry
In terms of the working population by type of industry in Kurume City, the percentage of the tertiaryindustry reaches as high as about 70%. Although Kurume City is ranked the highest in the Prefecture ingross production of agriculture, the number of people engaged in the primary industry has been on adecreasing trend, reaching a figure almost a half in 2010 of what it was in 1985. The number of people
engaged in the secondary industry took a downward turn in 2000 after showing a moderate increase
until 1995. The tertiary industry, in the same way as the other industries, also took a downward turn in2010 after an increasing trend up to 2005. [Table 1-5]
When the working population is grouped by broad category of industry, a high percentage (13.8%) is
engaged in medical/welfare field, which is the second highest after wholesale/retail business field. This
indicates one aspect of the Kurume City, “city of medical care”. [Table 1-6]

Table 1-5 Change in Working Population and Composition Ratio by Type of Industry inKurume City

Tertiary industry
Secondary industry
Primary industry
Total

Source: National Census
2005
2010
103,850
99,02671.5%
70.5%
29,737
26,392
20.5%
18.8%

1985
84,46964.5%
31,27523.9%

1990
90,50365.6%
33,85224.5%

1995
99,54067.7%
35,073
23.9%

2000
101,362
69.7%
32,88922.6%

14,925

13,194

11,667

10,306

9,964

7,999

11.4%
130,871

9.6%
137,965

7.9%
146,934

7.1%
145,5206.9%
145,2485.7%
140,299* The total figures in the table also include the working population for the industries that cannot be categorized.

-4-

Table 1-6

Population by Industry and Population Composition Ratio of Kurume City (2010)

Category

Population

Source: National Census
Composition ratio(%)

Primary industry

7,999

5.7

Agriculture

7,963

5.7

Forestry

21

0.0

Fishery15

0.0

26,392

18.8

Secondary industry
Mining, quarry, gravel digging

8

0.0

Construction

9,507

6.8

Manufacturing

16,877

12.0

Tertiary industry

99,026

70.5

581

0.4

1,557

1.1

Electricity, gas, heat and water supply services
Information and communication industry
Transportation and postal services

7,553

5.4

Wholesale industry, retail industry

25,07917.9Banking, trust industry

3,636

2.6

Real estate industry, rental industry

2,233

1.6

Academic and research & development institution, professional/technical services

3,415

2.4

Accommodations, eating and drinking places

8,561

6.1

Household services, amusement

5,526

3.9

Education and learning support school education miscellaneous

6,629

4.7

Medical care, welfare

19,40913.8

Compound services

939

0.7

Service (Not categorized above)

7,518

5.4

Official duty (Excluding those categorized above)

6,390

4.6

6,882

‐

Unclassifiable industries
Total

140,299(2) Education
In Kurume City, there are 74 nursery centers, 32 kindergartens, 47 elementary schools, 20 junior high schools,
12 high schools, 3 special support schools, 1 technical college, 1 junior college, and 3 universities [Table 1-7]
[Table 1-8].
Kurume City has formulated the “Kurume City Education Reform Plan” and is raising children with “humanpower” to bear the future society through advancing the education reform toward the goal of “Kurume children,
studying with smiles”.

-5-Table 1-7 Current Situations of Schools in Kurume City (as of May 1, 2012)
Source: Education Database
Category
Kindergarten

Total

Number ofschools

Number of
students

32

3,584

Private

32

3,584

Total

47

17,209Municipal

46

16,738Elementary school

National

1

471

Total

20

9,251

Municipal

17

8,242

National

1

360

Attached to Fukuoka University of Education
Attached to Kurume University, Shin-ai

Junior high school

Private

2

649

Total

12

8,640

Municipal

2

1,427

Kurume Commercial, Nanchiku

Prefectural

5

3,628

Meizen, Kurume, Kurume Chikusui, Mizuma, Ukiha TechnicalCooperative

1

332

Private

4

3,253

Total

3

787
183

Kurume Special Support School

104

Tanushimaru Special Support School, Kurume Hearing Special
Support School

High school

Special support education school

Municipal

1

Prefectural

2

Technical college

Total

1

1,164

Technical college

National

1

1,164

1

276

Junior college

Total

Junior college

Private1

276

University

Total

3

8,825

University

Private3

8,825

Table 1-8

Remarks

Mii Chuo
Attached to Kurume University, Shin-ai, Yusei, Kurume Gakuen

Kurume Technical College
Shin-ai
Kurume, Kurume Institute of Technology, St. Mary’s College

Current Situations of Nursery Schools in Kurume City (As of April 1, 2012
Source: Child Future Dept. of Kurume City

No. of nursery schools

No. of children

Public12

1,346

Private

62

6,467

Total

74

7,813

-6-

(3) Culture
In ancient times, Kurume City was the location of the Chikugo Provincial Office and the state-supported
provincial temple, where Kurume Domain was located during the Edo period. Ever since, it has always served
as an important strategic spot for traffic and a central spot for culture. Because of this historical background, anumber of cultural properties remain in the city [Table 1-9].
Further, the city has produced various famous artists like Shigeru Aoki and Hanjiro Sakamoto, both
representing the modern Western style paintings in Japan, and has been characterized by its cultural
atmosphere.

Table 1-9

Cultural Properties in Kurume City (as of April 1, 2012)
Source: Citizens’ Culture Department of Kurume City

NationPrefecture

City

Total

Tangible cultural property

20

22

43

85

Intangible cultural property

11Intangible folk-cultural property

1

2

7

10

5

25

30

6

8

23

1

1

Tangible folk-cultural property
Historic spot

9

Scenic beauty

2

Natural monument

3

8

16

27

Total

34

44

100

178

Designated cultural property

5

-7-

5

(4) Health care & medical care system
From old days, Kurume City has been called the “city of medical care” and currently has a large
number of medical institutions including 34 hospitals and more than 300 clinics, whose number ofdoctors per population ranks among the top in the country.
[Table 1-10] [Table 1-11] [Table 1-12] [Table 1-13] [Table 1-14]
Further, the city is the location of Kurume University Hospital, which is equipped with the only
advanced emergency medical service center in Kyushu, and other hospitals equipped with perinatal careand other intensive medical care & examination functions, as well as research institutes, thus serving as
the center city for medical care in the southern area of the prefecture.

Table 1-10

Number of Medical Care Facilities in Kurume City (as of March 31, 2012)
Source: Health and Welfare Dept. of Kurume City

Category

Hospital

ClinicDental clinic

Maternity home

Treatment place

Dental technician
officeSanitary survey
officeNumber of facilities

34

314

181

3

217

54

4

Table 1-11

Number of hospital beds in Kurume City (as of March 31, 2012)
Source: Health and Welfare Dept. of Kurume City
HospitalCategory

Beds forpsychopathic patients

Beds for infectious
disease patients

Beds forrecuperation patients

4,014

1,536

6

1,373

Number of
beds

Table 1-12

ClinicBeds for generalpatients

Total

Beds for generalpatients

Beds forrecuperation patients

Total

Grand
total

6,929

843

94

937

7,866

Approved/designated Hospitals, etc. Based on the Hospital and Health Planning of Fukuoka Prefecture
Source: Hospital and Health Planning of Fukuoka Prefecture

Hospital name
Kurume University
Hospital

Advanced treatment

Emergency andPerinatal

Disaster base

Regional medical

Designated regional

hospital

critical care center

medical center

hospital

support hospitalcancer hospital○○(Advanced)○(General)○○○(General)○St. Mary’s Hospital
Shinkoga Hospital

Table 1-13

○
○

○

○

Number of medical doctors, dentists, and pharmacists in Kurume City
(per 100,000 population) (as of Dec. 31, 2010)

Kurume City
Fukuoka Prefecture
Entire country

Medical doctor
574.7
288.4
230.4

-8-

Source: Survey on Doctors, Dentists and Pharmacists
DentistPharmacist
96.2
260.6
103.2
208.0
79.3
215.9

Table 1-14

Number of Medical Service Workers in Kurume City (as of Dec. 31, 2010)
Source: Health Care Center of Kurume City

Category

MedicaldoctorDentistPharmacist

Healthnurse

Maternity
nurse

Nurse

Assistantnurse

Dentalhygienist

Dentaltechnician

No. of persons

1,720

289

762

124

96

4,155

1,430

358

130

After being upgraded to a “Core City” on April 1, 2008, Kurume City set up its own health care centerand has been carrying out health/hygiene administration. The five health centers in the city provide
health counseling for citizens and other detailed support for health promotion. [Table 1-15]

Table 1-15

Current Situation of Availability of Health Care Centers and Health Centers
Source: Health Care Center of Kurume City

Category

Number of centers

Remarks

Health care center

1

Health Care Center of Kurume City

Health center

5

Tanushimaru Health Center, Kitano Health Center, Joujima Health Center,
Mizuma Health Center, Nambu Health Center* What is a Core City?
In the trend toward decentralization of power, the Local Autonomy Act was amended and the Core
City System was introduced (April 1995). With this, the cities of relatively large size and ability were
strengthened in their administrative power and authority.
Requirements for Core Cities
Population of more than 300,000 people
Main administrative works processed by Core Cities○ Work related to public welfare administration
 Setting up and operation of the Council of Social Welfare Approval/authorization and guidance/inspection of the social welfare service corporations andthe social welfare facilities Determination of the number of district welfare officers and their guidance/training Issuance of the physical disability certificate
 Loans of welfare funds for mothers with dependent children and widows○ Work related to health/hygiene administration
 License to open a clinic/maternity home and its inspection & guidance Business license for operating general sales of drugs/medicines and its inspection & guidance Business license for operating a restaurant/hotel and its inspection & guidance Acceptance, inspection, & guidance of notification of opening a barber’s shop/beautysalon/laundry Protection and prevention of spread of infectious disease, food poisoning, etc.
 Consultation & examination of sexually transmitted disease Consultation of mental health and welfare○ Work related to educational administration
 Training of teachers & other staff of municipal elementary schools, junior high schools, andspecial support schools, etc.

-9-

Chapter 2 Initiatives for Safe Community
1. Background of Initiatives by Kurume City
Kurume City has long been carrying out various initiatives to improve security & safety of the community ina proactive manner.
Meanwhile, following the Great East Japan Earthquake (March 11, 2011), citizens’ awareness on daily
security & safety issues such as Disaster Preparedness, crime/violence prevention, traffic safety, andsuicide/abuse prevention has been increasing more and more.
It is a common wish for all citizens to maintain secure and safe living. For its realization, it is necessary thatthe city’s administration, citizens, and various organizations work in unity to move forward the initiatives
through mutual cooperation.
“Safe Community” is the initiatives of global standard that aim to improve the quality of safety in acommunity through cross-sectoral and wide-ranging cooperation/collaboration, which are carried out basedon the concept that injuries/accidents are not caused by chance and can be prevented by determining thecauses.”With the aim to realize our vision of “Kurume City, a place where citizens live with pride and love toward
the community and where everyone wishes to live,” the city of Kurume has set out to work on Safe
Community initiatives for “city planning for secure and safe living” in cooperation with a number of citizens
and organizations.

2. Progress of Our Initiatives
Month/year

Major activities

July 2011

Mayor announced initiatives toward acquisition of Safe Community designation.

July 2011

Registered as a “city under preparation for designation” on the webpage of the WHO Collaborating Center on
Community Safety Promotion

July to Aug. 2011

Conducted a survey of citizens’ awareness of “secure & safe city planning”

Aug. 2011

Set up the Safe Community promoting organizations (SC Promoting Headquarters, SC Promotion and
Coordination Meeting) within the City government

Sept. to Oct. 2011

Conducted a “Survey of Actual Situations of Injuries of Kurume Citizens”

Nov. 2011

Set up the Safe Community Steering Committee of Kurume City

Nov. 2011

Participated in the “National Safe Community Promotion Local Government Network meeting” (Atsugi City)

Feb. 2012

Held a lecture meeting on Safe Community in “Kurume Forum 2012 for Promoting Citizens’ Initiatives”

March to June2012

Set up the Safe Community Task Forces (8 task forces)
March :Traffic safety, safety of the elderly, child abuse prevention, suicide prevention
April:Domestic violence prevention
May:Crime prevention, Disaster Preparedness
June:Safety of schools

Aug. 2012

Started the Injuries Surveillance Committee

Oct. 2012

A pre on-site evaluation for the certification acquisition of Safe Community was held.

Nov. 2012

Participated in and gave a presentation at the 6th Asian Regional Conference on Safe Community (Toshima
Ward)- 10 -

Chapter 3 Current Situations of Death and injuries
1. Data on Deaths (Demographic Statistics, Accumulation of 5 Years from 2007 to 2011)(1) Causes of death from illness
Table 3-1 Top 5 Causes by Age Group and by Fatalities
Age group

1st

2nd

3rd
Sudden infant death

0 to 9 yrs old

Congenital anom aly of
circulatory sy stem

(9)

Cancer, etc.

(6)

10 to 19 yrs old

Suicide(8)

Unforeseen
accidents(7)

Cancer, etc.

20 to 29 yrs old

Suicide(38)

Unforeseen
accidents(12)

Cancer(10)

30 to 39 yrs old

Suicide(59)

Cancer(33)

Unforeseen
accidents(16)

40 to 49 yrs old

Cancer(105)

Suicide(59)

50 to 59 yrs old

Cancer(384)

Suicide(86)

60 to 69 yrs old

Cancer(863)

Cerebrovasculardisease(130)

70 to 79 yrs old

Cancer(1,361)80 to 89 yrs old

Cancer(1,275)

Heart disease(220)

90 yrs and older

All ages(excl. hypertensive disease)

CancerHeart disease(excl. hypertensive disease)

Heart disease(excl. hypertensive disease)(4,401)

Pneumonia
Heart disease(excl. hypertensive disease)syndrome

Heart disease(excl. hypertensive disease)

CerebrovasculardiseaseHeart disease(excl. hypertensive disease)

5th

4th

(5)

(2)

Unforeseen
accidents, etc.
Heart disease, etc.
(excl. hypertensive disease)

Heart disease, etc.
(excl. hypertensive disease)

Heart disease(excl. hypertensive disease)(4)

Heart disease(excl. hypertensive disease)

(3)

(1)

(3)

Liver disease

(2)

(9)

Cerebrovasculardisease(8)(23)

Cerebrovasculardisease(21)

Unforeseen
accidents

(18)

(65)

Unforeseen
accidents, etc.

(47)

Pneumonia

(25)

(105)

Pneumonia(79)

Unforeseen
accidents

(57)

(301)

Cerebrovasculardisease(292)

Pneumonia(191)

Other respiratory(133)
diseases(571)

Pneumonia(548)

Cerebrovasculardisease(487)

Other respiratory(274)
diseases(169)

Senile decay(162)

Cerebrovasculardisease(149)

Other respiratory
diseases(1,609)Cerebrovasculardisease(1,366)

Pneumonia(1,274)

Other respiratory(682)
diseases(81)(persons)- 11 -

(2) Causes of death excluding illness
Table 3-2 Top 5 Fatality Causes of Unforeseen Accident and Suicide by Age GroupAge group

1st

2nd

3rd

4th

5th

0 to 9 yrs old

Drowning/near-drowning(2)

T raffic accident,
etc.

(1)

10 to 19 yrs old

Suicide(8)

T raffic accident(5)

T umbling/falling,
etc.

(1)

20 to 29 yrs old

Suicide(38)

T raffic accident(7)

Drowning/near-drowning(4)

Smoke/fire, etc.

(1)30 to 39 yrs old

Suicide(59)

T raffic accident(6)

Poisoning, etc.

(4)

T umbling/falling,
etc.

(2)

Homicide(1)

40 to 49 yrs old

Suicide(59)

T raffic accident(6)

Poisoning, etc.

(3)

Drowning/neardrowning, etc.

(2)

T umbling/falling,
etc.

(1)

50 to 59 yrs old

Suicide(86)

T raffic accident(13)

Drowning/near-drowning(9)

Suffocation(7)

Other unforeseen
accident(6)

60 to 69 yrs old

Suicide(56)

Drowning/near-drowning(14)

T raffic accident(12)

Suffocation, etc.

(10)

T umbling/falling(7)

70 to 79 yrs old

Drowning/near-drowning(44)

Suicide(40)

Suffocation(26)

T umbling/falling(25)

T raffic accident(17)

80 to 89 yrs old

Drowning/near-drowning(55)

Suffocation(47)

Other unforeseen
accident(28)

T umbling/falling(24)

Suicide(21)

90 yrs and older

T umbling/falling(23)

Suffocation(22)

Drowning/near-drowning(11)

Other unforeseen
accident(8)

T raffic accident(6)

All ages

SuicideSuffocation(115)

T umbling/falling(88)

T raffic accident(84)(369) Drowning/near-drowning (143)(persons)◆Challenges to be addressed, as indicated by the demographic statistics
Suicide ranks the top among all the causes of death of people aged between 10 and 39 years old.
[Table 3-1]
Deaths caused by suicide and traffic accident account for a high percentage and the number ofsuicides of people aged between 20 and 69 years old is especially higher compared to othercauses. Deaths caused by drowning/near-drowning, falling/falling, and suffocation increase as
age advances. [Table 3-2]

- 12 -

2. Ambulance Call-out Data
This analysis is based on the Injury data of 3,589 persons who were transported by ambulance because of Injury(limited to the transports taking place within Kurume City) among the total number of persons (12,098)
transported by ambulance in 2011 (data from Kurume City Large Area Fire Station Headquarter).

(1) The number of persons transported by ambulance, by type of accident
General injuries rank the top, followed by traffic accidents (1).

(1)

Fig. 3-1(2) The number of persons transported by ambulance, by place of occurrence
The largest number occurred on a street, followed by in a house (1).

(1)

Fig. 3-2- 13 -

(3) Breakdown of accident types by age group
The percentage of general injury is high for infants and for juveniles (1).
The percentage of traffic accident is high for juveniles and adults (2).
Sport accident accounts for a high percentage for juveniles (3).

Breakdown of accident types by age group
Infant (6 yrs old or below)
10(201 persons)

50

150

(2)

(3)

Juvenile (7 to 17 yrs old)
0(339 persons)
Adult (18 to 64 yrs old)
0
(1,672 persons)
Elderly (65 yrs or older)1(1,377 persons)

290

0%
Fire
Sport

20%

40%

Natural disaster
General injury

8 15

1045

1

10

60%

Water accident
Assault(1)

54 131

441

77 67

891

48

79

49

197

80%

Traffic accident
Self-injurious behavior

100%

Industrial accident

Fig. 3-3(4) Analysis of injury causes by age group
As for the cause of injury, traffic accident accounts for more than 50% for juveniles and adults (1).
Falling/falling/collision accounts for more than 50% for infants and the elderly (2).
Accidental ingestion of foreign material (3) accounts for a higher percentage for infants (4) while sport
accident accounts for a higher percentage for juveniles, both in comparison to other age groups.

Breakdown of injury causes by age group(3)
Infant(6 yrs old or below)

134

01

268

47

84

(4)
(2)

Juvenile①(7 to 17 yrs old)

158

621

Adult
(18 to 64 yrs old)

67

2,647

Elderly(65 yrs or older)

863

0%

10%

5 97

20%

139

5

202

859

40%

50%

Traffic accident
Sport
Tumbling, falling & collision
Others

60%

586

10

2,410

30%

80

70%

80%

329

90%

Industrial accident
Accidental ingestion of foreign material
Drug

Fig. 3-4- 14 -

100%

◆ Major challenges based on ambulance call-out data
Traffic accidents occur most frequently among juveniles and adults [Fig 3-3].
Falling/falling/collision occurs most frequently among infants and the elderly. Further, thepercentages of accidental ingestion of foreign material for infants and of sport for juveniles
are higher than those for other age groups [Fig. 3-4].

3. Data of Injuries and Accidents Based on Questionnaire Survey(1) Causes of injuries for the past 3 years
As for causes of injuries, not including “Others,” “falling” (1) showed the highest percentage of 43.8%
followed by “traffic accident” (2) and “contact & collision” (3).
Causes of injuries
(2)

Total
(n=445)

(3)

(1)

11.2

0%

43.8

10%

20%

30%

5.2

40%

50%

Traffic accident
Falling
PinchedStung or bitten by insect
Others

7.4

60%

3.4 1.8
3.1
0.4

70%

18.5

80%

5.2

90%

100%

Tumbling
Contact/collision
Falling objects
Violence
No answer(Factual investigation on injuries and accidents of Kurume City citizens: 2011)

Fig. 3-5- 15 -

(2) Locations of injury occurrence (not including own home) for children (under 12 yrs old) for the past 3 years
As for children’s injuries that occurred other than at home, “I have never been injured” showed the highest
percentage of about 40% (1), followed by “Injuries in nursery school, etc.” (2) and “Injuries at school(indoors and outdoors)” (3).

Children's injuries that occurred other than at home for the past 3 years
0.0%

5.0%

10.0%

15.0%

20.0%

Drowning in sea/river

25.0%

30.0%

35.0%

40.0%

Total
(n=374)

Traffic accident
Tumbling on road/side walk
Injury related to playgroundequipment in park
Injury caused by animal bite
Collision with man or object
Falling from steps or elevatedlevelsInjury caused by being caught
in a door
Injury at school (indoors)(3)

Injury at school (outdoors)(2)

Injury in nursery school
Others(1)

No injuries
NA (no answer)(Factual investigation on injuries and accidents of Kurume City citizens: 2011)

Fig. 3-6◆ Major challenges based on questionnaire survey on injuries and accidents
 As for causes of injuries due to an unforeseen external factor for the past 3 years,“falling” showed the highest percentage of 43.8%, followed by “traffic accident”[Fig 3-5].
 As for children’s injuries that occurred other than at home, “Injuries in nursery school,etc.” and “Injuries at school (indoors & outdoors)” showed high percentages [Fig 3-6].

- 16 -

4. Data on Anxiety
Among various kinds of anxiety felt in daily living, traffic accident and theft crime elicit the highest anxiety.
Anxieties that are felt in daily living
Traffic accident involving bicycle and car

Theft crime such as break ins, bicycle theft, bag snatching

Vicious crime such as violence, injury, and robbery
Sex crime such as molestation, indecent assault, andvoyeurism
Injury and accident at home (tumbling of the elderly, etc.)

Increase trend of suicide and depression
Injury and accident at school, or on the way to and fromschoolInjury and accident at workplace (industrial disaster)
What you feel anxious about(Choose as many as apply.)

Increase of domestic violence and child abuse

What you feel especiallyanxious about (Choose
maximum 3.)

Injury and accident at the time of leisure and sports

Nothing in particular

0%

20%

40%

60%

80%

100%

(Kurume City Citizens' Awareness Survey: 2011)

Fig. 3-7◆ Major challenges based on data on anxiety
In daily living, there is a large amount of anxiety about traffic accidents and crimes (especiallytheft crimes) [Fig 3-7].

- 17 -

5. Data on Traffic Accidents(1) The number of cases of traffic accidents
Although the number of traffic accidents has been on a decreasing trend since 2005, it still remains higher
compared to the entire country and Fukuoka Prefecture.
Number of cases of traffic accidents (per 100,000 population)
Kurume City
1300 cases

1,201

1,207

1,172

Fukuoka Pref.

1,172

1100 cases

1,026

984

1,076

1,029

1,018

Entire country

1,127

1,097
1,011

907
751

748

736

1,057
995

698

879

881

580

571

2009

2010

880

900 cases
741

1,073

857

655

700 cases

603

548

500 cases
2002

2003

2004

2005

2006

2007

2008

2011

(Police statistics: 2002 - 2011)

Fig. 3-8(2) The number of cases of children’s traffic accidents
Although the number of cases of children’s traffic accidents has been on a decreasing trend since 2004, it
still remains at a high level compared to Fukuoka Prefecture.

80 cases

Number of cases of children's traffic accidents (per 100,000 population)
78
72
66

60 cases

58

Kurume City

63

59

62

Fukuoka Pref.

64

60
49

50

52

53

53
49

40 cases

43

41

42

40
36

20 cases

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

(Police statistics: 2002 - 2011)

Fig. 3-9- 18 -

(3) The number of cases of traffic accidents of the elderly
Despite a decreasing trend in recent years, the number of cases of traffic accidents of the elderly remains
almost at the same level. Also, the number has continued to stay higher than that of Fukuoka Prefecture.
Number of cases of traffic accidents of the elderly (per 100,000 population)
300 cases

250 cases

200 cases

220

231

237

179

185

243

253

242

244
225

215

194

150 cases

155

166

172

180

197

192

183

191

Kurume City
Fukuoka Pref.

100 cases

2002

2003

2004

2006

2005

2007

2008

2009

2010

2011

(Police statistics: 2002 - 2011)

Fig. 3-10(4) The number of cases of traffic accidents involving bicycles
Although the number of cases of traffic accidents involving bicycles has been on a decreasing trend since2005, it still remains at a high level compared to Fukuoka Prefecture.
Number of cases of traffic accidents involving bicycle(per 100,000 population)
240 cases

224

Kurume City

227

215
210

206

200 cases

160 cases

120 cases

180

176

164

173

188
179

178

172

169
156

2002

2003

Fukuoka Pref.

217

2004

2005

2006

2007

155

2008

158

2009

152

2010

147

2011

(Police statistics: 2002 - 2011)

Fig. 3-11- 19 -

(5) The number of cases of drink driving
Although the number of cases of drink driving has been on a decreasing trend since 2005, it went up again in
2011. It is also showing a tendency to exceed the level of Fukuoka Prefecture.
Number of cases of drink driving (per 100,000 population)
25 cases

23

Kurume City

20 cases

Fukuoka Pref.

18

18

13

13

15 cases

10 cases

16
15
13

11

10
8
7

5 cases

6

9
6

6

6

2008

2009

7
5

5

2010

2011

cases
2002

2003

2004

2005

2006

2007

(Police statistics: 2002 - 2011)

Fig. 3-12◆ Major challenges based on traffic accident data Although the number of cases of traffic accidents has been on a decreasing trend since2003, it still remains higher compared to the entire country and Fukuoka Prefecture [Fig3-8].
 Despite a decreasing trend in recent years, the number of cases of traffic accidents of theelderly still remains almost at the same level, which is higher compared to the level of
Fukuoka Prefecture [Fig 3-10].
 Despite a decreasing trend after the peak in 2005, the number of cases of traffic accidents
involving bicycles still remains higher than that of Fukuoka Prefecture [Fig 3-11].
 Despite a decreasing trend in recent years, the number of cases of drink driving isshowing a tendency to exceed the level of Fukuoka Prefecture [Fig 3-12].

- 20 -

6. Data on Crime(1) Change in the number of cases of recognized criminal offenses
The number of cases of recognized criminal offenses has continued to decline in recent years, with figures
about half the level of 2002 in 2011. However, in the past 3 years, the number has continued to stay higher
than those of the entire country and Fukuoka Prefecture.
Number of cases of recognized criminal offenses
3500 cases

3,354
Kurume3,084

Fukuoka

3000 cases
2,803
2500 cases

Entire country

2,556
2,501
2,3062,123

2000 cases

2,256

2,202

2,028

1,929

2,021

1,890

1,707
1,794
1,841
1,562
1,453
1,681
1,934
1,681
1,514

1,838

1,789

1500 cases

1,614

1,502

1,431

2007

2008

1000 cases
2002

2003

2004

2005

2006

1,340

1,248

2009

2010

1,173
2011

(Police statistics: 2002 - 2011)

Fig. 3-13(2) Component ratio by type of crime
Theft crime accounts for 78% of the total number of crimes that occurred, of which bicycle theft is thelargest in number.
Component ratio of the number ofrecognized criminal offenses
Viciousoffense0.6%
Moral
offense
0.8%
Intellectual
offense
1.6%

Component ratio of critical crimes

Violent
offense
4.1%

Parts theft
6.5%

Others
14.9%

Vending
machinetheft
3.6%

Others4.7%

Bicycle
theft
35.9%

Break ins
6.6%

n=4,590

Shoplifting
10.7%

n=2,881
T heft fromvehicle12.1%

T heft crime
78.0%(Police statistics: 2011)

Fig. 3-14

Motorbike
theft
20.0%

(Police statistics: 2011)

Fig. 3-15◆ Major challenges based on crime data
Although the number of cases of recognized criminal offenses has continued to decline inrecent years, it still remains higher than those of the entire country and Fukuoka Prefecturein the past 3 years [Fig 3-13].
As for crime type, theft crime such as bicycle theft and motorbike theft account for 78%[Fig 3-14].

- 21 -

7. Data on Abuse Consultation(1) Women’s consultation, etc.
According to the data on the women’s consultation dealt with by the public administration, the number ofconsultations on spousal violence is large.
Table 3-3 General Consultation Dealt with by the Gender Equality Promotion Center: FY 2011
Married couple

Content[Spousal violence]

Number of
cases

1,351 cases[872 cases]

HealthLivelihood

Child

Work

Securing
safetyFamilyOthers

Total

559
cases

362
cases

259
cases

258
cases

261 cases

204
cases

247
cases

3,501
cases

Table 3-4 Content of Women’s Consultations Dealt with by Home Child Consultation Section: FY 2011
ContentJob
hunting

MentalhealthViolence/drunken
frenzy of husband

Divorce
problem

Housingproblem

Other domestic
problem

Others

Total

Number ofcases

13 cases

6 cases

196 cases

105 cases

62 cases

57 cases

57 cases

496 cases(2) Children’s consultation
The number of children’s consultations dealt with by Home Child Consultation Section has continued toincrease in recent years. Especially, consultations on abuse have increased from 120 to 208 cases.

Number of cases

1,000 cases

Number of cases dealt with in children's consultation & abuseconsultation

800 cases

777

600 cases

587

400 cases
200 cases

453

421

349
120

121

2007

2008

224

215

208

2009

2010

2011

0 cases
Abuse consultation
Children's consultation(Children’s consultation, etc. dealt with by Home Child Consultation Section: 2007 - 2011)

Fig. 3-16- 22 -

(3) Consultation on elderly abuse
In recent years, both the number of abuse consultations and the number of identified abuses are on an
increasing trend.

Number of abuse consultations and identified abuses
FY 2008

43

26

FY 200922

FY 201022

FY 2011

18
0

10

69

34

56
73

95

60
20

30

40

50

Identified as non-abuse

78
60

70

Identified as abuse

80

90

100

Statistics made by Longevity
Support Section

Fig. 3-17◆ Major challenges based on data on consultations
In recent year, the number of consultations for child/elderly abuse is on an increasing
trend [Fig. 3-16] [Fig. 3-17].

- 23 -

8. Data on “Bullying” at School(1) Change in “the number of recognized cases” of bullying“The number of recognized cases” of bullying at school increased both for elementary schools and juniorhigh schools during FY2012. This, however, has the following background: October had been set as“Bullying Prevention Month” for promoting early detection & early response to bullying, during which an
anonymous questionnaire survey and an education consultation were conducted. Also, the parents wereencouraged to utilize the checklist. Therefore, even minor cases that might lead to bullying could become
identified.
Table 3-5 Change in “the Number of Recognized Cases” of Bullying
FY 2008

FY 2009

FY 2010

FY 2011

FY 2012

17,673

17,57817,30917,02916,735

15

10

12

6

65

12

9

12

4

60

8,353

8,411

8,268

8,329

8,240

The number of recognized cases

11

17

24

27

46

The number settled within the same fiscal year

9

11

18

18

45

The number of children/students

26,02625,98925,57725,35824,975The number of recognized cases

26

27

37

33

111

21
(80.7%)

20(74.0%)

30(81.1%)

22(66.7%)

105(94.6%)

Elementary The number of school children
school The number of recognized cases
The number settled within the same fiscal year
JuniorhighschoolTotal

The number of students

The number settled within the same fiscal year
(Percentage settled within the same fiscal year)(Survey made by Municipal Board of Education: FY 2008 - 2012)(2) The number of cases of recognized bullying, by grade (FY2012)

Number of cases of recognized bullying: Total 111 cases
Number of cases(Elementary school: 65 cases Junior high school: 46 cases)

22

25
20
15

11

12

13

15

10
5

18
13
6

1

0
Grade1 Grade2 Grade3 Grade4 Grade5 Grade6 Grade1 Grade2 Gaade3
(E.S)
(E.S)
(E.S)
(E.S)
(E.S)
(E.S) (Jr.high) (Jr.high) (Jr.high)(Survey made by Municipal Board of Education: FY 2012)

Fig. 3-18- 24 -

(3) Types of bullying (FY 2012)
Table 3-6

Types of Bullying (FY 2012)

Multiple choices: Composition ratio represents the ratio to “the number of recognized cases”.
Elementary school

Junior high school

1

Being mocked/teased, reviled,threatened, and/or harassed

49 cases(75%)

Being mocked/teased, reviled,threatened, and/or harassed

27 cases(59%)

2

Being hit lightly, and/or
hit/kicked as if you were beingchased around in a game28 cases(43%)

Being ostracized and/or ignored
by a group

10 cases(22%)

3

Being ostracized and/or ignored
by a group

12 cases(18%)

Being bashed with strong force,
hit, and/or kicked

8 cases(17%)(Survey made by Municipal Board of Education: FY 2012)◆ The number of recognized cases of “bullying” at school “The number of recognized cases” of bullying has increased during FY2012 both atelementary schools and junior high schools [Table 3-5].
 Among the types of bullying, “Being mocked/teased and/or harassed” shows the largest
number, accounting for 75% of the total number of cases [Table 3-6].

- 25 -

Chapter 4 Initiatives Based on Seven Indicators
Based on the seven indicators, Kurume City has been working on Safe Community initiatives as follows:[Existing statistical data][Citizens’ awareness survey questionnaire]

Grasping situations

 Demographic statistics
 Ambulance call-out data Traffic accident data, etc.

Collecting/analyzing data and identifying
challenges on security & safety of the City, by
age group and by environment Awareness on security & safety Details of occurrence of external
injury Necessary measures

Construction of basic framework
for Safe Community
Promoting organizations
Setting of initiatives
Systematization of security &safety measures
Existing measures & initiatives are
systematized
 for each target age group for each target environment &situation, etc.

Setting of prioritized subjects
Subjects to be worked on with priority as
Kurume City are set.

Steering Committee
Task forces
External Injuries SurveillanceCommittee(Organizations & groups
concerning citizens’ “security &safety”)

Indicator 3<Internal organizations of
Administration>

Indicator 2

SC Promoting Headquarter
Meeting
SC Promotion and Coordination
Meeting
SC Promotion Working-level
Meeting

Selection of approaches
Deciding on how to forward the SC initiatives(city-wide approach, model district approach, etc.)

Indicator 1

Implementation of SC activities
Development ofpreventive activity

Participation in SC network Participating in events both atnational and international levels

 Implementing initiatives ineach field Indicator 4

Indicator 7

Evaluation of SC activities

System for grasping current
situation of external injuries
 Collecting data on injuries and accidents

Indicator 5

Evaluation of effects of
preventive activity
 Objective evaluation based on data

Indicator 6

Reflection of evaluation result
 Improving the initiatives
 Reviewing and raising awareness of new
initiatives

 External evaluation (Japan Institution for Safe Communities (JISC)
 Submission of report to the SC Steering Committee
 Feeding back to citizens and relevant organizations & groups

Fig. 4

Perspective of Safe Community initiatives of Kurume City
- 26 -

Indicator 1: An infrastructure based on cross-sector collaborations
1. Safe Community promotion system

SupportJapan Institution for Safe Communities (JISC)

Disaster prevention

Suicide prevention

DV prevention

Crime prevention

Elderly safety

School safety

Child abuse prevention(2) Task forces

Traffic safety(3) Injuries Surveillance Committee(1) Safe Community Steering Committee(4) Safe Community Promoting Headquarter Meeting, etc.
(City’s internal organization)

In order to set “integration of security/safety initiatives carried out by various local entities” as one ofcharacteristics for our Safe Community initiative, we have founded a promotion organization widely participatedby security/safety-related organs, groups, etc. in the City.

Fig. 4-1-1 Image of Safe Community promotion system(1) Kurume City Safe Community Steering Committee[Establishment] Established as a city-wide organization[Composition]

Composed of members representing various groups, etc. in the City that areconcerned with security & safety or Safe Community (61 groups and 63 members)
 Public organizations, etc.
 Groups engaged in local (school district) activities
 Groups engaged in City-wide activities
 Administrative organs (police dept, fire dept, Labor Standards Inspection
Office, Child Consultation Center, City government)[Role]

Deliberation & decision-making of fundamental policies on SC and liaison &coordination on matters regarding SC- 27 -

Fig. 4-1-2

Photo of the meeting of the Safe Community Steering Committee(2) Task forces for Kurume City Safe Community[Establishment] Established for each of the major 6 priority fields that have been set by the SC
Steering Committee[Composition]

Composed of persons in charge of the major groups, the related NPO’s, etc. that areconcerned with the priority subjects among the member groups of the SC Steering
Committee (115 persons) Public organizations, etc.
 Groups engaged in local (school district) activities
 Groups engaged in City-wide activities
 Administrative organs (police dept, fire dept, national, prefectural, city
government)[Role]

I. Task Force for Traffic Safety (No. of members: 16)
II. Task Force for Child Abuse Prevention (No. of members: 11)
III. Task Force for Safety of School (No. of members: 18)
IV. Task Force for Safety of Elderly (No. of members: 10)
V. Task Force for Crime Prevention (No. of members: 19)
VI. Task Force for DV Prevention (No. of members: 15)
VII. Task Force for Suicide Prevention (No. of members: 11)
VIII. Task Force for Disaster Preparedness (No. of members: 15)(The detailed composition of each task force is listed on pages 31 and 32.)
As the “actual working organization” by playing the central role for SC promotion,
to discuss how to forward specific measures to address the priority subjects,
improvement of the existing initiatives, new measures, etc.

(3) Kurume City Safe Community Injuries Surveillance Committee[Establishment] Established as a specialized organization to analyze surveillance data of Injuries &
accidents and to support SC Steering Committee and Task Forces, which is composed of
the groups concerned such as administrative bodies and medical institutes[Composition] Composed of specialists, etc. in the public hygiene field in medical institutions anduniversities (6 persons)
To collect & analyze surveillance data of Injuries and to measure & evaluate the[Role]
effects/influence, etc. of preventive activities while collaborating with Task Forces, etc.
(The detailed contents are described on P100 to 106: Indicator 5.)- 28 -

(4) Internal organizations of Kurume City government for promotion of Safe Community
Safe Community promoting organizations are founded inside the City government, whose roles are to
discuss and decide on the initiatives on Safe Community to be proposed to the SC Steering Committee andTask Forces that are city-wide organizations.
■ SC Promoting Headquarter Meeting[Composition] Composed of Deputy Mayor who controls Collaboration Promotion Dept. as thechairman and general managers of the relevant department as the members
Deciding on approaches and initiatives of the City government on Safe Community[Role]■ SC Promotion and Coordination Meeting[Composition] Composed of Deputy Manager of Collaboration Promotion Dept. as the chairman, andthe deputy managers of departments concerned with Safe Community, the heads of thesecretariat sections of Task Forces, and others as the members
Coordinating matters, etc. submitted to SC Promoting Headquarter Meeting and[Role]
coordination within the City government for promotion of Safe Community■SC Promotion Working-level Meeting[Composition] Persons in charge of the Safe Community Task Forces and of the secretariat of Injuries
Surveillance Committee
 Coordinating the course of actions and the schedules of the task forces[Role]
 Sharing information on Safe Community

2. Safe Community expert advisor
With the aim to effectively forward SC initiatives, we ask academic experts to give us advices/guidance from a
professional point of view.
Dr. Yoko Shiraishi
 Official Safe Community Coordinator for the Certifying Center Chair of Japan Institution for Safe Community (JISC)

3. Collaborative initiatives for community safety (in a unit of each elementary school district)
Each elementary school district in Kurume City has its school district community organization, which is carryingout activities for improving living environment of its own district such as promotion of social welfare,conservation of environment, improvement of education & culture, crime prevention and Disaster Preparedness.
Safe Community, by working together with this security/safety efforts of community level, is implementing
community activities.

(1) School District Community Organization
School District Community Organization is the comprehensive city planning body formed for eachelementary school district, which is formed in 46 elementary school districts in Kurume City and operated
by residents.
(2) System of School District Community Organization
School District Community Organization has a structure in which neighborhood community associations inthe school district and various citizens’ groups based on neighborhood community associations have beenconnected together in a network.

- 29 -

School District Community Organization works to address various regional problems and to build acomfortable city to live in by setting up a working group for each region-level challenge. Althoughcomposition and name of the working group differ for each school district, there are, for example, Living
Environment Working Group to address security & safety activity and environmental problems, andHealth/Welfare Working Group to address health promotion and welfare issues. These working groups are
putting effort into city building in collaboration with the various relevant citizens’ groups.
Each school district community has a School District Community Center as its base facility.

(Activity base)
Variouscitizens'groupsVariouscitizens'groupsVariouscitizens'groupsVariouscitizens'groups

Women & elderly
persons activities

Crime prevention &disaster prevention
activities

Environment & social
welfare activities

Human right & youth
development activities

Health promotion
activities

School District
Community Center

Lifelong learning &social educational
activities

Security & safety school district city planning (Elementary school district)Variouscitizens'groupsSchool District Community Organization
Community
associations

Community
associations

Community
associations

Participation in planning supported by each and every citizen

Fig. 4-1-2

Image drawing of cooperative initiatives on regional security & safety(3) Activities of school district community organization (example)■ Initiatives to promote safety and security
 School road safety patrol
 Preparation of hazard maps and Disaster Preparedness activities such as fire drills
 Crime-prevention activities such as year-end night watch, and others■ Initiatives on childcare and youth development
 Creating places for children through the after-school care program and Saturday Cram School Childcare support activities such as childcare consultation
 Youth development activities such as nighttime patrol Coming-of-Age ceremony in each school district, and others■ Health and social welfare initiatives
 Health promotion through athletic meets, walking events, etc.
 Elderly support activities such as meal delivery, friendly greeting, and safety check Elderly Day event in each school district, and others- 30 -

(4)Composition of each task force
a. Task Force for Traffic Safety (No. of members: 16)
Regional activity groups(7)

Traffic safety advisors of Kurume City, Traffic Safety Association of Kurume City, Council ofCommunity Traffic Safety Promotion Committee Members of Kurume City, Liaison Council of Safe
Driving Management of Kurume City, Federation of Senior Citizens' Clubs of Kurume City, Federationof Junior High School Parents-Teachers Association (PTAs) of Kurume City, Council of Social Welfareof Kurume City

Related organizations (5) Kurume Maintenance Branch Office of Fukuoka National Highway Office of Ministry of Land,
Infrastructure, Transport and Tourism, Kurume Civil Engineering Office of Fukuoka Prefecture,
Kurume Police Station, Ukiha Police Station, Kurume City Large Area Fire Station Headquarters
City government (4)Longevity Support Section, Community Road Section, School Education Section, Safety/Security
Promotion Section

b. Task Force for Child Abuse Prevention (No. of members: 11)
Regional activity groups(6)

Council of Local Welfare Office & Children's Committee Members of Kurume City, Childcare
Association of Kurume City, Private Kindergarten Association of Kurume City, NPO Nijiiro-Cap, NPO
Le Bateau, NPO Childcare Support Volunteer KURURUNRUN

Related organizations (1) Kurume Child Consultation Center of Fukuoka Prefecture
City government (4)Health Promotion Section of Health Care Center, Child Development Section, School Education
Section, Home Child Consultation Section,c. Task Force for Safety of School (No. of members: 18)
Regional activity groups(11)

Promotion Association of City Planning in Kamitsu School District, Council of Juvenile Developmentin Kamitsu School District, Crime Prevention Association in Kamitsu School District, Council of
Human Rights Promotion in Kamitsu School District, Council of Human Rights City Plannning in
Seiryou School District, PTA of Kamitsu Elementary School, PTA of Seiryou Junior High School,
Kurume Institute of Technology, Yusei High School

Related organizations (2) Kurume Police Station
City government (5)Kamitsu Elementary School, Seiryo Junior High School, Safety/Security Promotion Section, Youth
Development Section, School Education Section

d. Task Force for Safety of Elderly (No. of members: 10)
Regional activity groups(6)

Council of Local Welfare Office & Children's Committee Members of Kurume City, Federation of
Senior Citizens' Clubs of Kurume City, Council of Social Welfare of Kurume City, Fukuoka Prefecture
Occupational Therapy Association, Kurume City Nursing-care & Welfare Service Business Operators’Council, NPO Kurume Community Support Center

City government (4)Community Welfare Service Section, Nursing Care Insurance Section, Health Promotion Section of
Health Care Center, Longevity Support Section

e. Task Force for Crime Prevention (No. of members: 19)
Regional activity groups(11)

Kumamoto University, Federation of Crime Prevention Association of Kurume City, Tanushimaru
Branch of Ukiha Cime Prevention Association, Liaison Committee of School Violence Elimination
Steering Committee, Liaison Council of City Planning of Kurume City School District, Gender Equality
Promotion Network of Kurume City, Federation of Junior High School PTAs in Kurume City,
Federation of Elementary School PTAs in Kurume City, Liaison Committee of Youth Development
Councils in Kurume City School Districts, Women's Association of Kurume City Chamber ofCommerce and Industry, Cultural Town Sakura Group

Related organizations (1) Kurume Police Station
City government (7)Junior High School Principals' Association of Kurume City, Elementary School Principals' Associationof Kurume City, Child Future Department, City Construction Department, Education Department,
Collaboration Promotion Department- 31 -

f. Task Force for DV Prevention (No. of members: 15)
Regional activity groups(6)

Kurume Medical Association, Chikugo Subcommittee of Fukuoka Prefecture Bar Association, Supportof the Child, NPO Nijiiro-Cap, "NO! SH Kurume", DV victim support group

Related organizations (2) Kurume Police Station
City government (7)Health Promotion Section of Health Care Center, Child Development Section, Home Child Consultation
Section, School Education Section, Human Rights & Dowa Education Section, Gender Equality Policy
Section, Gender Equality Promotion Centerg. Task Force for Suicide Prevention (No. of members: 11)
Regional activity groups(5)

Kurume University, Kurume Medical Association, Council of Local Welfare Office & Children'sCommittee Members of Kurume City, Liaison Council of City Planning of Kurume City School
District, Green CO-OP Livelihood Restoration Consultation Room

Related organizations (1) Kurume City Large Area Fire Station Headquarter
City government (5)Livelihood Support 1st Section, Consumer Affairs Center, Labor Administration Section, School
Education Section, Health Prevention Section of Health Care Centerh. Task Force for Disaster Preparedness (No. of members: 15)
Regional activity groups(12)

Liaison Council of City Planning of Kurume City School District, Liaison Committee of City Planning
Promotion Association of Tanushimaru School District, City Planning Promotion Association of Yuge
School District in Kitano, Liaison Committee of City Planning Promotion Association of Jojima School
District, City Planning Promotion Association of Inuzuka School District in Mizuma, Council of Local
Welfare Office & Children's Committee Members of Kurume City, Kurume Branch of NPO Japan
Bousaisi Society, Council of Social Welfare of Kurume City, Volunteer fire corps of Kurume City

Related organizations (1) Kurume City Large Area Fire Station Headquarter s
City government (2)Community Welfare Service Section, Disaster Preparedness Measures Section- 32 -

Indicator 2: Long-term, sustainable programs covering genders and all ages,
environments, and situation
1. Entire picture of safety promotion
Kurume City has been working on initiatives on security & safety for both genders, all ages, and different
environments/factors.
Initiatives on security & safety that are worked on in the City have been investigated and are summarized bytarget age group, environment/factor as follows.
The upper-case figures for each environment & age group in the table below show the numbers of major
initiatives (measures). Further, representative measures are chosen and are introduced on the following pages. The
figures in brackets ( ) of each column correspond to each specific measure on the following pages.

Table 4-2
Age groupa Childb Youthc Adult

d Elderly(0 – 14 yrs old)

(15 – 24 yrs old)

(25 – 64 yrs old)

(65 yrs old and over)

14

5

7

26

(1), (2)――(3), (4)

16

4

2

2

(5), (6), (7), (8), (9),(10), (11)

(12)

―

―

0

6

6

2

―

(13)

(13)

(13)

7

6

6

7

(14), (15)(14), (15)(14), (15)(14), (15)

16

12

11

13

(16)

(12)

―

(17), (18)

20

18

18

18

(19), (20)(19), (20)(19), (20)(19), (20), (21)

8

8

7

7

(22), (23), (24)(22), (23), (24)(22), (23), (24)(22), (23), (24)

49

45

37

34

(25), (26), (27)(25), (26), (27)(25), (26), (27)(25), (26), (27)

7

7

7

7

(28), (29), (30), (31)(28), (29), (30)(28), (29)(28), (29)

A. Safety of home

Unforeseen causes

B. School safety

C. Safety of workplace

D. Safety of sports andleisureE. Traffic safety

Intentional causes

F. Safety during disaster

G. Suicide prevention

H. Prevention of crime andviolence

I. Others* The initiatives are not, in principle, affected by gender difference. (Both genders are covered equally as the targets.)- 33 -

2. Major preventive initiatives
Representative initiatives are introduced below:

A. Safety of home(1)Brochure of infant accident prevention
Target personsChild(preschool)

Objective
Prevention of injury/
accident of infant
inside house

Summery
The awareness brochure of child accident
prevention is enclosed together with thevaccination schedule set and is distributed toparents with the aim to promote accident
prevention.

Executor, etc.
Private support groups
Fukuoka PrefectureCity(2) Training workshop on safety of infant
Target personsChild(preschool)

Objective
Prevention of injury/
accident of infant
inside house

Summery

Executor, etc.

To provide knowledge how to respond toCity
injury/accident/illness of infants, with the aim ofaccident prevention(3) "Safety Registration" and subsidizing the charge for using the location search service
Target persons
Dementia
elderly

Objective
Accident preventionof aged wanderers

Summery

Executor, etc.

To subsidize the charge for using the location
City
search service by means of GPS to discover andsave aged wanderers(4) House renovation project for the elderly
Target persons

Objective

Summery

Executor, etc.

Houseboundelderly

Prevention of injury
inside house

With the aim to help the care-needed-elderly,
secure safety in daily life at home and continue
living at home, to subsidize the cost of houserenovation such as elimination oflevel-difference inside a house

Private support groupsCity- 34 -

B. School safety(5) Project on use of school social workers
Target persons
Child(elementary
school, juniorhigh school)

Objective

Summery

Executor, etc.

Response to children/ To station a school social worker with Medical institutestudents withprofessional knowledge and expertise (social Child Consultation
problems
welfare worker, mental health welfare worker, Centeretc.) at the Municipal Board of Education and to City, etc.
send him/her to schools on request(6) Child watch activity
Target persons
Child

Objective

Summery

Executor, etc.

Protecting children
from crime andtraffic accident on
their way to/fromschoolStanding watch, leading, & friendly greeting onrout to/from school
Distribution of safety maps

Communityorganization of school
district
PTA of elementary &junior high schools
City

Summery

Executor, etc.

(7) Traffic safety training class
Target persons

ObjectiveChild(elementary
schoolchildren)Prevention ofdamage caused bytraffic accident ofchildrenWith the aim to diffuse awareness of traffic
Traffic Safety
rules & traffic safety, to provide guidance on
Association
correct way to walk on a pedestrian crossing and Police station
on safety of riding a bicycleCity(8) Anonymous questionnaire survey and education consultation
Target persons
Child(elementary
school, juniorhigh school)

Objective

Summery

Early detection of
To conduct, at least once every term, anand early response to anonymous questionnaire survey on bullying
bullying
and an education consultation

Executor, etc.
Each elementary andjunior high schoolCity(9) Distribution of checklist for Home Use
Target persons
Child(elementary
school, juniorhigh school)

Objective

Summery

Early detection of
To distribute the "Checklist for Home Use" in aand early response to standardized form of the City and to promotebullying
efforts not to miss seeing minor signs observedin changes of child's daily life, personal
belongings, relationship with friends, etc.

- 35 -

Executor, etc.
Each elementary andjunior high schoolCity(10) eachers' workshop
Target persons
Teachers ofelementary &junior highschools

Objective

Summery

Early detection of
To implement teachers' workshops by utilizing
and early response to materials for in-school workshops on bullying
bullying(11) Colored pavement in sidewalk on school route around the school
Target persons
Objective
SummeryChild(Elementary
schoolchildren)Prevention of traffic
accident

With the aim to secure safety of children on
their way to/from school, to provide colored
pavement in the sidewalk, sidewalk safetymeasures, etc.

Executor, etc.
Each elementary andjunior high school
City

Executor, etc.
Police station
City, etc.

(12) Short course for students commuting by motorbike
Target persons

Objective

Juvenile(high school
students)

Prevention of traffic
accident involving a
motorbike

Summery

Executor, etc.

For high school students who are permitted to
Police station
commute by motorbike, to provide a short
High school
course regarding knowledge & technique of safe
driving at a driving test center, etc.

C. Safety of workplace(13) Labor consultation
Target persons
Juvenile
Adult
Elderly

Objective
Prevention ofindustrial disaster

Summery
To hold consultation on various problems andworries about labor/safety/health andemployment, and to help solve the problems

Executor, etc.
Labor Standards
Inspection Office
City, etc.

D. Safety of sports and leisure(14) Sports-related lecture meeting
Target persons
All agesgroupsObjective
Prevention of injury
and accident related
to sports

Summery

Executor, etc.

To hold training sessions for sport-related
Sports Association
personnel such as sports instructors by inviting a City
sports doctor, etc. as a lecturer(15) Inspection and repair of play equipment at parks and children's amusement parks
Target persons
Park users
Child

Objective

Summery

Prevention of
Safety inspection & repair of play equipment
accidents during use and removal of risky play equipmentof play equipment at
a park/children's playground- 36 -

Executor, etc.
Community
associations
Council of Social
WelfareCity, etc.

E. Traffic safety(16) Traffic safety training class
Target persons

ObjectiveChild(Elementary
schoolchildren)Prevention ofdamage caused bytraffic accident ofchildren

Summery

With the aim to diffuse awareness of traffic
Traffic Safety
rules & traffic safety, to provide guidance on
Association
correct way to walk on a pedestrian crossing and Police station
on safety of riding a bicycle
City

(12)

Short course for students commuting by motorbike (Repeated)(17)

Silver Safety School

Target persons
Elderly

Executor, etc.

Objective

Summery

Executor, etc.

Prevention of traffic
accident of theelderly

To hold Traffic safety training classes ofparticipatory, experience-based, and practicaldesign for the elderly

Traffic Safety
Association
Elderly citizen's club
Police station
City, etc.

(18) Barrier-free Walking Space Network Project
Target persons
Elderly
Wheelchair
users

Objective

Summery

Executor, etc.

Prevention ofdamage caused bytraffic accident

To provide walking spaces for safe & pleasanttransit and to organize them into a network

Fukuoka National
Highways Office
Kurume Police Station
City, etc.

F. Safety during disaster(19)

Disaster volunteer training session

Target persons
All agesgroupsObjective

Summery

Executor, etc.

Diffusion andawareness-raising ofDisasterPreparedness
knowledge

To provide lecture lessons and practical lessons
to raise Disaster Preparedness power ofcommunity

Council of Social
WelfareVolunteer Liaison
Council
Disaster Preparedness
Expert Association(20) Kurume City comprehensive Disaster Preparedness drill
Target persons
All agesgroupsObjective
Increase in Disaster
Preparedness power

Summery
To implement comprehensive Disaster
Preparedness drills on the National Disaster
Preparedness Day on September 1 withparticipation of relevant organizations andcommunity citizens- 37 -

Executor, etc.
Volunteer fire corps
Large Area Fire
Station Headquarters
Police station
City, etc.

(21)Promotion of support plan for disaster vulnerable people

Target persons
Elderly
Disabled
persons

Objective
Prevention ofdamage to the elderly
and persons withdisabilities during
disaster

Summery
To prepare the system to support vulnerable
people within the community by diffusing
manual for supporting disaster vulnerable
people and by updating a list of disaster
vulnerable people

Executor, etc.
Communityorganization of school
district
City

G. Suicide and self injury(22)

Training session for family doctors of how to approach depression

Target persons
All agesgroupsObjective
Suicide prevention

Summery
Through promoting linkage among family
doctors, occupational health physicians, andpsychiatrists, to work on early detection ofdepression caused suicide

Executor, etc.
Kurume University
Medical Association
Association of
Psychiatric Hospitals
City(23) Training session for gatekeepers
Target persons
All agesgroupsObjective

Summery

Suicide prevention

To hold training sessions for training of“gatekeeper” who can detect a sign of suicide
risk of people around

Executor, etc.
Supporters fromprivate sectors
City(24) Mental health welfare consultation (Mental Health Consultation)
Target persons
All agesgroupsObjective
Suicide prevention

Summery
To hold a consultation with a psychiatrist on
mental health and to give advice

Executor, etc.
Psychiatrists
City

H. Crime and violence(25)

Installation of security lights and security cameras in busy areas

Target persons
All agesgroupsObjective
Securing safety of
Cultural Town area

Summery

Executor, etc.

To install security cameras and security lights in Community
the Cultural Town areaorganization of
Hiyoshi School
District
Police station
City, etc.

- 38 -

(26) Installation and maintenance of security lights
Target persons
All agesgroupsObjective

Summery

Prevention ofdamage caused bynighttime crime, etc.

With the aim to secure residents' safety by
preventing nighttime crime, etc, to install andmaintain the security lights

Executor, etc.
Community
associations
City(27) Women's consultation (including DV consultation)
Target persons
All agesgroups(Women)

I.
(28)

Objective
Prevention of DV
cases

Summery
To hold consultations on troubles that women
have and give assistance such as providing
information responding to each specific trouble
for its solving

Executor, etc.
Police station
Prefecture
City

OthersLife-saving training class

Target persons
FiremenCitizens ingeneralWorkplace

Objective
Life-saving of thesick/wounded persons

Summery

Executor, etc.

To improve life saving rate of the community
through participation in a training session ofcardiopulmonary resuscitation and how to use
AED

Volunteer fire corps
Large Area Fire
Station Headquarters
City

Summery

Executor, etc.

To implement health consultations in the street
and a food distribution project for homelesspeople on the street

Private support groups
Medical Association
National government
Prefecture
City, etc.

Summery

Executor, etc.

(29) Assistance to homeless people
Target persons
Homeless
people on thestreetObjective
Securing safety ofhomeless people(30) Young Telephone
Target persons
Child
Juvenile

Objective

Juvenile misconduct To respond to consultations on juveniles’
prevention andworries and troubles of misconduct andhealthy development relationship with friends and to give counselingaccording to each specific caseCity(31) Swimming school for children who cannot swim
Target persons
Child

Objective
Prevention of childdrowning

Summery
Swimming school for children who cannot swim City

- 39 -

Executor, etc.

a. Safety of child(1)

Brochure of infant accident prevention (Repeated)(2)

Training workshop on safety of infant (Repeated)(5)

Project on use of school social workers (Repeated)(6)Child watch activity (Repeated)(7)

Traffic safety training class (Repeated)(8)

Anonymous questionnaire survey and education consultation (Repeated)(9)

Distribution of checklist for Home Use (Repeated)(10)

Teachers' workshop (Repeated)(11)

Colored pavement in sidewalk on school route around the school (Repeated)(14)

Sports-related lecture meeting (Repeated)(15)

Inspection and repair of play equipment at parks and children’s amusement parks (Repeated)(16)

Traffic safety training class (Repeated)(19)

Disaster volunteer training session (Repeated)(20)

Kurume City comprehensive Disaster Preparedness drill (Repeated)(22)

Training session for family doctors of how to approach depression (Repeated)(23)

Training session for gatekeepers (Repeated)(24)

Mental health welfare consultation (Mental Health Consultation) (Repeated)(25)

Installation of security lights and security cameras in busy areas (Repeated)(26)

Installation and maintenance of security lights (Repeated)(27)

Women's consultation (including DV consultation) (Repeated)(28)

Life-saving training class (Repeated)(29)

Assistance to homeless people (Repeated)(30)

Young Telephone (Repeated)(31)

Swimming school for children who cannot swim (Repeated)- 40 -

b. Safety of youth(12)

Short course for students commuting by motorbike (Repeated)(13)

Labor consultation (Repeated)(14)

Sports-related lecture meeting (Repeated)(15)

Inspection and repair of play equipment at parks and children’s amusement parks (Repeated)(19)

Disaster volunteer training session (Repeated)(20)

Kurume City comprehensive Disaster Preparedness drill (Repeated)(22)

Training session for family doctors of how to approach depression (Repeated)(23)

Training session for gatekeepers (Repeated)(24)

Mental health welfare consultation (Mental Health Consultation) (Repeated)(25)

Installation of security lights and security cameras in busy areas (Repeated)(26)

Installation and maintenance of security lights (Repeated)(27)

Women's consultation (including DV consultation) (Repeated)(28)

Life-saving training class (Repeated)(29)

Assistance to homeless people (Repeated)(30)

Young Telephone (Repeated)c. Safety of adults(13)

Labor consultation (Repeated)(14)

Sports-related lecture meeting (Repeated)(15)

Inspection and repair of play equipment at parks and children’s amusement parks (Repeated)(19)

Disaster volunteer training session (Repeated)(20)

Kurume City comprehensive Disaster Preparedness drill (Repeated)(22)

Training session for family doctors of how to approach depression (Repeated)(23)

Training session for gatekeepers (Repeated)(24)

Mental health welfare consultation (Mental Health Consultation) (Repeated)(25)

Installation of security lights and security cameras in busy areas (Repeated)(26)

Installation and maintenance of security lights (Repeated)(27)

Women's consultation (including DV consultation) (Repeated)(28)

Life-saving training class (Repeated)(29)

Assistance to homeless people (Repeated)- 41 -

d. Safety of the elderly(3)"Safety Registration" and subsidizing the charge for using the location search service (Repeated)(4)

House renovation project for the elderly (Repeated)(13)

Labor consultation (Repeated)(14)

Sports-related lecture meeting (Repeated)(15)

Inspection and repair of play equipment at parks and children’s amusement parks (Repeated)(17)

Silver Safety School (Repeated)(18)

Barrier-free Walking Space Network Project (Repeated)(19)

Disaster volunteer training session (Repeated)(20)

Kurume City comprehensive Disaster Preparedness drill (Repeated)(21)

Promotion of support plan for disaster vulnerable people (Repeated)(22)

Training session for family doctors of how to approach depression (Repeated)(23)

Training session for gatekeepers (Repeated)(24)

Mental health welfare consultation (Mental Health Consultation) (Repeated)(25)

Installation of security lights and security cameras in busy areas (Repeated)(26)

Installation and maintenance of security lights (Repeated)(27)

Women's consultation (including DV consultation) (Repeated)(28)

Life-saving training class (Repeated)(29)

Assistance to homeless people (Repeated)- 42 -

Indicator 3: Programs targeting high-risk groups & environments, andprograms for vulnerables’ safety
In Kurume City, the following people are identified as a high-risk group of people:(1) Children vulnerable to abuse(2) Women vulnerable to DV(3) Elderly vulnerable to abuse(4) Elderly vulnerable to injury caused by falling(5) Persons at risk of suicide(6) Persons at risk of injury from natural disasterIn addition, the followings are identified as high-risk environments:(1) Potential flood areas along the Chikugo River, etc.
(2) Places at risk of sediment disaster (special damage potential zone of sediment disasters, etc.)
The reasons for the setting and major challenges are as follows:

1. High risk groups(1) Children vulnerable to abuse
Setting grounds

 The number of consultations about children including abuse has been increasing.
 More than 20% of the parents replied that they “sometimes think that (they) may be
abusing own child (elementary school age or younger).

Major measures

Indicator 4-II

Responded by Task Force for Child Abuse Prevention

A. Community cooperation to visit homes with infants
B. Salon visits to junior high schools
C. Orange ribbon making sessions by children(As for details, refer to p.58–59.)(2) Women vulnerable to DV
Setting grounds

 Consultation on domestic violence (DV) accounts for a high percentage of all
consultations with women.
 Among those who have (had) a partner, 39.3% have experienced DV.

Major measures

Indicator 4-VI

Responded by Task Force for DV Prevention

A. Raising awareness of gender equality and DV prevention
B. Improving DV prevention education at schools, etc.
C. Reinforcing a workshop for medical personnel
D. Promoting of activities for victim support at medical institutions
E. Improving a workshop for personnel engaged in child-related services
F. Studying support for psychological and social rehabilitation of victims
G. Implementing the telephone hotline for children
H. Workshops for promoting understanding toward children of DV victims
I.

Educational support for children of DV victims(As for details, refer to p.84–86.)- 43 -

(3) Elderly vulnerable to abuse
Setting grounds

 The number of consultations and reports of the elderly abuse has shown an increasing
trend at the national level in recent years. In Kurume City also, it has been showing somesigns of increase, despite some ups and downs.
 A little less than 10% people either watched actual scenes or heard of rumors of theelderly abuse.

Major measures

Indicator 4-IV

Responded by Task Force for Safety of the Elderly

D. Holding lectures and seminars about abuse and dementia
E. Training course of Dementia supporters
F. Workshop on abuse prevention for caregiving service provider employees
G. Establishing the community comprehensive care system
H. Holding classes for family caregivers
I.

Forgetfulness prevention checkup(As for details, refer to p.71–73.)(4) Elderly vulnerable to injury caused by falling
Setting grounds

 Based on Ambulance call-out data, falling is a major cause of injuries (65.0%) among
the elderly.

Major measures

Indicator 4-IV

Responded by Task Force for Safety of the Elderly

A. Preparation of brochure about falling
B. Implementation of prevention programs to avoid long-term care situations
C. Support of community activities to maintain health and physical strength(As for details, refer to p.70–71.)

Although not as many as the elderly, the number of falling injuries of infants (0-4 years old) at home isrelatively high. Therefore, leaflets to raise awareness for accident prevention are distributed to parents
and training workshops to lead to accident prevention are held. (As for details, refer to p.34.)(5) Persons at risk of suicide
Setting grounds

 The number of suicides in Kurume City remains between 60 and 80 persons per year inrecent years, which is the second highest cause of death after illness. Further, the suicide
rate that shows the number of suicides per 100,000 population is also as high as 24.70 in
2009, which is a little higher than the rates for the entire country (24.08) and the
Fukuoka Prefecture (23.39). (Demographic statistics)

Major measures

Indicator 4-VII

Responded by Task Force for Suicide Prevention

A. Training sessions for gatekeepers
B. Workshop of family doctor depression approach
C. Provision of suicide liaison council of prevention
D. Implementing the one-stop service consultations(As for details, refer to p.91–92.)- 44 -

(6) Persons at risk of injury from natural disaster
Setting grounds

Based on a lesson from the large scale disasters such as earthquakes that occurred in thepast, it is considered necessary to build the evacuation support system for the disaster
vulnerable people without delay as damages tend to intensify for these people.

Major measures

Indicator 4-VIII

Responded by Task Force for Disaster Preparedness

A. Active information provision to promote registration in the list
B. Preparation of individual response plans for vulnerable people during disaster(As for details, refer to p.98.)

2. High risk environments(1) Potential flood areas along the Chikugo River, etc.
Setting grounds

There are some areas at risk of potential flood of over 5 m in the event of overflow of the
Chikugo River caused by very heavy rain (521 mm in 48 hours) that is expected to occur
about once every 150 years. It is necessary to prepare the evacuation plan based on local
regional characteristics for the sake of precautionary measures and appropriate evacuation.

Major measures

A. Preparation of community evacuation plan (Indicator 4-VIII Responded by Task
Force for Disaster Preparedness

For details, refer to p99.)

B. Distribution of the evacuation support maps
To distribute the evacuation support maps (Hazard Map) that show the potential flood
areas along the Chikugo River, to provide knowledge of safe evacuation and to raiseawareness of preparedness, etc. for disasters through disaster drills, etc. of the volunteer
Disaster Preparedness organizations(2) Places at risk of sediment disaster (special damage potential zone of sediment disasters, etc.)
Setting grounds

In accordance with the Sediment Disaster Preparedness Act, Fukuoka Prefecture designatedthe special damage potential zones, etc. in Kurume City. As the special damage potential
zones are especially are prone to building damage and can cause extensive safety hazard toresidents, preparation of evacuation plans by district is required

Major measures

A. Preparation of community evacuation plan (Indicator 4-VIII Responded by Task Forcefor Disaster Preparedness

For details, refer to p99.)

B. Distribution of sediment disaster hazard maps
To distribute the hazard maps that show the places at risk of sediment disaster(sediment-related damage potential zone, special sediment-related damage potentialzone), to provide knowledge of safe evacuation and to raise awareness of preparedness,
etc. for disasters through disaster drills, etc. of the volunteer Disaster Preparedness
organizations
C. Distribution of receivers of urgent notice Disaster Preparedness FM radio
With the aim to accurately convey precautionary warning information on sedimentdisasters and information on evacuation to the residents in special sediment-related
damage potential zone, to distribute receivers of urgent notice Disaster Preparedness FM
radio that starts automatically in response to the signal from the City

- 45 -

Indicator 4

Programs that are based on the available evidence

In Kurume City, various data pertaining to safety and security as well as the results of past surveys such as
citizen awareness surveys were considered. Based on this, the following challenges (six priority activity
fields and priority activity items) were set at the Steering Committee for the reasons listed below.
Table 4-4-1
Priority activity fields

Important activity item

1.

Traffic safety

(1)
(2)

Prevention of traffic accidents involving the elderly
Prevention of bicycle accidents

2.

Child safety

(3)
(4)

Prevention of child abuse
School safety

3.

Elderly safety

(5)
(6)

Fall prevention
Prevention of elderly abuse

4.

Crime and abuse
prevention

(7)
(8)

Crime prevention and improvement of crime preventing ability
DV prevention, and early diagnosis

5.

Suicide prevention(9)

Prevention of suicide and depression

6.

Disaster Preparedness(10) Improvements of community Disaster Preparedness ability

1. Problematic aspects identified from Community Diagnosis(State of death and injury caused by external causes)
Table 4-4-2
Problematic Aspects identified from Community Diagnosis

Challenge setting(1)  The percentage of the elderly (aged 65 and over) in the total number of deaths
caused by traffic accidents in the City is almost as high as 50% (49% in averageof 5 years). [Police statistics](1) Prevention of traffic
accidents involving
the elderly(2)  Although the number of traffic accidents in the City (per 100,000 population)that involves a person on a bicycle is on a decrease trend in recent years, it isstill higher than the level of nationwide and Fukuoka Prefecture. [Police
statistics] (P. 19, [Fig. 3-11])(2) Prevention of
bicycle accidents(3)  The number of consultations about children including abuse has been
increasing. (P. 22, Fig. 3-16)(3) Prevention ofchild abuse More than 20% of the parents replied that they “sometimes think that (they)
may be abusing own child (elementary school age or younger).
[Next-generation parenting support needs survey](4)  As for injuries occurring outside home, injuries at school (outdoor and indoor)
are large in number, accounting for 11.8%. (P. 16, [Fig. 3-6])
 Based on a lesson from the Great East Japan Earthquake, developing“self-protection ability” is expected to children.

- 46 -(4) School safety

Problematic Aspects identified from Community Diagnosis

Challenge setting(5)  According to the ambulance call-out data, the percentage of falling as the cause
of injury is high among the elderly (65.0%). (P. 14, [Table 3-4])(5) Fall prevention(6)  The number of consultations and reports of the elderly abuse has shown an
increasing trend at the national level in recent years. In Kurume City also, it has
been showing some signs of increase, despite some ups and downs. (P. 23,[Fig. 3-17])(6) Prevention of theelderly abuse A little less than 10% people either watched actual scenes or heard of rumors of
the elderly abuse. [Factual Survey of the elderly](7)  The number of crimes per 100,000 population has on a decrease trend after
showing an increase in 2009. However, it still remains at a high level,compared to those of the entire country and Fukuoka Prefecture in 2009 and2010. (P. 21, [Fig. 3-13])(7) Crime prevention
and improvementof crimepreventing ability

 There are intense worries over theft crime (62.1%) such as sneak thief, bicycle
theft, bag snatching and vicious crime (41.4%) such as violence, injury,
robbery, and sex crime. [Survey of Citizen Awareness] (P. 17, [Fig. 3-7])(8)  Consultation on domestic violence accounts for a high percentage of all
consultations with women. (P. 22, [Table 3-3], [Table 3-4])
 Among those who have (had) a partner, 39.3% have experienced DV.
(P. 81, [Fig. VI-1])(9)  The number of suicides in Kurume City remains between 60 and 80 persons per
year in recent years, which is the second highest cause of death after illness.
Further, the suicide rate (in 2009) that shows the number of suicides per
100,000 population is also as high as 24.70 in 2009, which is a little higher than
the rates for the entire country (24.08) and the Fukuoka Prefecture (23.39).
[Demographic statistics](8) DV prevention,and early
diagnosis(9) Prevention ofsuicide anddepression(P88, [Fig. VII-1], [Fig. VII-2])(10)  People with worries over natural disasters (earthquake, typhoon) account for ahigh percentage (about 80%).
[Survey of Citizen Awareness]- 47 -(10) Improvements ofcommunity
DisasterPreparedness
ability2. Activities based on Community Diagnosis
In Kurume City, eight cross-sector task forces have been set for each of the important activity field set on thepervious page. Activities based on the community diagnosis are being promoted.
Table 4-4-3
Priority activity fields

Important activity item

Task force

1. Traffic safety(1) Prevention of traffic accidents involving
the elderly(2) Prevention of bicycle accidents

I.

2. Child safety(3) Prevention of child abuse(4) School safety

II. Task Force for Child Abuse Prevention
III. Task Force for Safety of School

3. Elderly safety(5) Fall prevention(6) Prevention of the elderly abuse

IV. Task Force for Safety of Elderly

4. Crime and abuse
prevention(7) Crime prevention and improvement ofcrime preventing ability(8) DV prevention, and early diagnosis

V. Task Force for Crime Prevention
VI. Task Force for DV Prevention

5. Suicide prevention(9) Prevention of suicide and depression

VII. Task Force for Suicide Prevention

6. Disaster Preparedness(10) Improvements of community Disaster
Preparedness ability

VIII. Task Force for Disaster Preparedness

Task Force for Traffic Safety

Table 4-4-4 State of Task Force Setting and Meetings
Traffic
safetyPrevention ofchild abuse

March 2012

(1)

(1)

April 2012

(2)

(2)

May 2012(3)(3)

June 2012

(4)

(4)

July 2012

(5)

(5)

Aug. 2012

SchoolsafetyElderly safety

Crime
prevention

(1)

(2)

(1)

(2)

(2)

(1), (2)

(1)

(3)

(2)

(3)

(3)

(3)

(2), (3)(4), (5)

(3)

(4)

(4)

(6)

(4)

(4), (5)
(4)

(5)
(6)

Dec. 2012

(6)

(5)

(7)

(7)

(5)

(8)

(6)

(6)

Jan. 2013

March 2013

DisasterPreparedness(1)

Nov. 2012

Feb. 2013

Suicideprevention(1)

Sept. 2012
Oct. 2012

DV
prevention

(7)

(6)

(5)

(6)

(7)

(9)
(7)

(6)
(8)

(7)

(8)

* Numbers in parenthesis indicate the number of meetings.

- 48 -(7)(7)

In Kurume City each of the eight task forces set on the previous page have proceeded with activities basedon evidence using various available data, etc.
2-1. Traffic Safety《Overview of Traffic accidents in Kurume》
The trend of traffic accidents in Kurume is indicated below. When we see the trend by types of the accident,
those involving cars takes the most. When we see the trend by the age group, youth and elderly tend to be more
involved compared to others. When we see the accidents in relation to the drinking and driving, accidents related
to drinking and driving has been taking less than 1% of whole cases.

3,500

1,400

3,000

1,200

2,500

1,000

2,000

800

1,500

600

1,000

400

500

200

Whole

Number of Case

Number of Case

Trend of Traffic Accicent Occurence

car
Pedestrian
BicycleMotercycle
Children

0
Whole
car
Pedestrian
BicycleMotercycle
ChildrenYouthElderly
Drinking-Driving

2008
3,272
3,035
266
659
545
189
1,147
735
19

2009
3,257
3,057
289
624
504
194
1,139
768
19

2010
3,207
3,028
271
570
474
181
1,050
740
16

2011
3,018
2,833
216
522
427
148
962
683
27

0

Youth
Elderly
DrinkingDriving

FY（Source:Police statistics2008－2011）※ The number of occurence includes the cases by both first and second perties related;※ “Pedastrians” includes peole roller-skating, on the wheel chairs as well as general pedastrians but don’t include
peole on except pedastrians roards;※ “Motercysle” includes mopeds;※ “Children” are those under the age of Jr. high school, “Youth” is 16-24 yearl old, “Senior” is 65 years old and over;
Other age groups (25-64 years old) are not indicated in the statistical date from Police;※

The number of accident related to drinking and driving are included in those analysed by types of accident andagegroups.

- 49 -

2-1-1-(1) Current state (Traffic accidents involving the elderly)(1) Percentage of accidents involving the elderly is high

The number of traffic accidents has been declining in recent years, but the percentage of accidents
involving the elderly has been level in recent years. These accidents account for 22.6% of all accidents.

State of traffic accidents involving senior citizens

(%)

50.0

3,440

3,272

3,257

3,207

3,018

3,000

Percentage of senior citizens

Number of accidents

4,000

40.0
30.0

2,000

23.6

22.5

21.6

23.1

22.6

743

735

768

740

683

2007

2008

2009

2010

2011

1,000

20.0
10.0

0

0.0
Total number of cases
Percentage of sensor citizens

Number related to senior citizens(Police statistics: 2007-2011)

Fig. I-1

State of traffic accidents by situation (senior citizens)

Number of accidents(cases)500
400(persons)

10

411
8.2
6

300
200

Passenger
car

Truck

87

42

3 0.8

0

8
6

5.4

130

100

8.4

7.2

Motorcycle

ScooterNumber of accidents

Bicycle458
Pedestrian

1

2

0.4 0

OthersNumber of serious injuries or fatalities

Number of serious injuries and fatalities(2) Seriousness of injuries sustained while walking or riding bicycle is increasing
Injuries sustained by the elderly while walking or riding bicycles tend to be serious.

(Police statistics: Average of 2007-2011)

Fig. I-2- 50 -

(3) Many accidents involving the elderly riding bicycles occur before noon
Most traffic accidents involving the elderly riding bicycles or walking occur before noon. Most
accidents involving pedestrians occur during dusk (between 18:00 and 19:00).

State of traffic accidents involving the elderly riding bicycles or walking by time zone
40

33

Riding bicycle
Pedestrian

30
20
10
0

0

0

4

2

14

7

3

19

15

14

14

6

4

17

16 22
13

5

6

8

1

4

0

(Ambulance call-out data

+ medical agency unified data: Totals for 2007-2011)

Fig. I-3(4) Most Elderly injuries are single-person accidents
Most of the injuries sustained by the elderly while walking or riding their bicycle are single-person
accidents.
Contact/collision with bicycle
Contact/collision with bicycle or motorbike
Collision/contact with pedestrianContact/collision with obstacle such as sign or electric pole
Stairs/steps
Holes, bumps, inclinations
Single-person accidents
OthersNo response

17

13.7

0%

10%

20%

04.

30%

6

11

40%

50%

36

60%

70%

5

80%

90%

3

100%

(Survey on Actual Situations of Injureis in Kurume: 2011)

Fig. I-4- 51 -

2-1-1-(2) Current situation (bicycle traffic accidents)(1) Most bicycle traffic accidents involve the 10 to 19 age group
Traffic accidents involving bicycles occur mostly in the 10 to 19 age group. The higher the age is,the more serious the injuries tend to be.

5.0

250

Number of accidents

207

4.4

4.0

200
3.6
3.2

150

2.8

100

2.2

83
56

50

31

0.8

49

42
0.8

2.0
63

54
23

0.4

3.0

1.0

0.4

0.0

0

Number of accidents

Number of serious injuries and fatalities

State of bicycle accidents by age group

Number of serious injuries or fatalities(Police statistics: Average of 2007-2011)

Fig. I-5(2)

Approx. 60% of bicycle accidents are intersection collisions
Most of the traffic accidents involving bicycles are caused by intersection collisions.
S tate of bicycle accidents by accident
type
Head-oncollision
2%
Others13%

T urningright10%

T urning
left
9%
When
crossing
paths
1%

n=605

Intersectioncollision63%

Whenpassing or
overtaking
2%(Police statistics: Average of 2007-2011)

Fig. I-6- 52 -

(3)Approximately half of bicycle riders do not follow road or sidewalk travel rules
In a survey regarding bicycle rules or manners, more than half responded that they did not follow theroad or sidewalk travel rules.
State of awareness regarding traffic rules for bicycles
0%

20%

40%

60%

80%

n=420

100%

As a rule, bicycles must travel or road; travelon sidewalk is an exception
Travel on left side of road
Pedestrians have priority on sidewalk; bicycle
travel on road side
Riding while intoxicated is prohibited

Double-riding is prohibitedMust have light at nightMust observe traffic lights and stop sign atintersection; must confirm safety

Knows and observes rules

Knows rules, but often does not follow them

Knows rules, but doesn’t follow them

Does not know rules

Knows rules, but doesn’t ride bicycle

No response(Survey regarding safety bicycle use: 2013)

Fig. I-7

2-1-2-(1) Challenges (Elderly traffic accidents)(1) The number of traffic accidents is declining, but the rate of accidents involving the elderly is flat. The numberof accidents per population of 100,000 is higher than nationwide and Fukuoka Prefecture levels. [Fig. I-1],
P18: [Fig. 3-8](2) Most traffic accidents resulting in the elderly’s serious injury or fatality occurs while walking or riding a bicycle. Most
injuries to the elderly sustained during a traffic accident are the result of single-person accidents. The elderly are not awareof changes in their physical strength. [Fig. I-4]
(3) Traffic accidents involving the elderly who are working occur during dusk to nighttime. [Fig. I-3]
(4) It is not know in detail where traffic accidents involving the elderly are occurring.
2-1-2-(2) Challenges (Traffic accidents involving bicycles)(5) Most traffic accidents involving bicycles occur in the 10 to 19 age group. [Fig. I-5]
All elementary school children participate in a Traffic Safety Class at school, but many junior high and highschools do not hold such classes. There is a need to strengthen this activity.
(6) Bicycle accidents involving the elderly often result in serious injuries. [Fig. I-2]
(7) Many traffic accidents involving bicycles are the result of intersection collisions. [Fig. I-6]
According to a survey, bicycle rules and manners are not sufficiently followed. Many bicycle riders do not follow traffic
rules for bicycles. [Fig. I-7]
(8) There are not enough instructors for Traffic Safety Classes, so sufficient training is not provided- 53 -

2-1-3-(1) Programs (Traffic accidents involving the elderly)
A. Implementation of practical traffic safety classes for the elderly
Prevention target

Elderly accidents while walking or riding bicycle

Corresponding
challenges(1), (2), (3), (6)Outline of program

Experience-type traffic safety classes held at community meetings, etc. Classes focus on becoming
aware of one’s own physical abilities.

Acheavement in FY
2010-2012

FY 2010: 48 sessions, FY 2011: 40 sessions, FY 2012: 55 sessions

Improvements andchanges fromintroduction of SC

Changed from lecture type to experience type

Targets

Elderly

ProviderCommunity traffic safety activity promoters, Traffic safety instructors, Traffic safety association,
Police, City, etc.

B. Campaign to wear bright clothes and reflective materials
Prevention target

Elderly accidents at night and dusk

Corresponding
challenges(1), (3)Outline of program

A street campaign was held to promote the wearing of bright clothes and reflective materials for theelderly to promote higher visibility by vehicle drivers at night time and dusk, and ultimately reduce thenumber of traffic accidents.

Acheavement in FY
2010-2012

FY 2010: 1 session, FY 2011: 3 sessions, FY 2012: 4 sessions

Improvements andchanges fromintroduction of SC

The number of sessions was increased.

Targets

Community residents

ProviderCommunity traffic safety activity promoters, Traffic safety instructors, Traffic safety association,
Police, City, etc.

C. Preparation of traffic safety map
Prevention target

Traffic accidents and bicycle accidents involving the elderly

Corresponding
challenges(1), (4), (7)Outline of program

Prepare a map showing places where traffic accidents have occurred and hazardous spots, andimplement this map for various traffic safety accidents such as “Child watch over patrol” activities andpreparation of safe facilities.

Improvements andchanges fromintroduction of SC

New

Targets

Community residents

ProviderCommunity traffic safety activity promoters, Traffic safety instructors, Traffic safety association,
country, prefecture (Police), City, etc.

- 54 -

2-1-3-(2) Programs (bicycle traffic accidents)
D. Traffic safety classes
Prevention target

Traffic accidents involving preschoolers and students

Corresponding challenges(5), (8)Outline of program

With the cooperation of community traffic safety volunteers, the traffic safety education has
been implemented for different age groups, which has been expand to cover junior high andhigh school students.

Acheavement in FY
2010-2012

FY 2010: 125 sessions
FY 2011: 153 sessions
FY 2012: 158 sessions

Improvements and changes
from introduction of SC

Expand targets

Targets

Preschoolers, elementary, junior high and high school students, etc.

ProviderCommunity traffic safety activity promoters, Traffic safety instructors, Traffic safety
association, Police, City, etc.

11,663 participants
14,153 participants
14,804 participants

E. Safe bicycle riding campaign
Prevention target

Bicycle accidents

Corresponding challenges(2), (5), (6), (7)Outline of program

Publicize rules and manners to bicycle users around the stations and bicycle parking areas.

Acheavement in FY
2010-2012

FY 2010: 0 sessions, FY 2011: 1 session, FY 2012: 4 sessions

Improvements and changes
from introduction of SC

New

Targets

Bicycle users

ProviderCommunity traffic safety activity promoters, Traffic safety instructors, Traffic safety
association, Police, City, etc.

2-1-4. FY 2013 Programs
FY 2013
Outline of programs
April to June

Implementation of practical traffic safetyclasses for the elderly

Improved

Campaign to wear bright clothes and reflective
materials

Expanded

Preparation of traffic accident hazard spot map

New

Traffic safety classes

Safe bicycle riding campaign

Carried out

Oct. to Dec.

Jan. to March

Scheduled

Scheduled

Scheduled

Details being reviewed

Expanded

New

July to Sept.

Details being reviewed

Carried out

Scheduled
Scheduled- 55 -

Scheduled

Scheduled2-1-5 Changes following Safe Community activities
Previous bicycle traffic safety classes focused on classes to teach elementary school students how to ride abicycle. However, data on accidents has shown that accidents among junior high and high school students are
particularly high, and that the programs are insufficient. As a result, the target has been expanded to juniorhigh and high school students.


Only the police and specific volunteers gave instruction in the traffic safety classes. The burden was high,and there was no enough instruction time. As a result, we were able to gain the cooperation of community
traffic safety volunteers, etc.

- 56 -

2-2. Prevention of Child Abuse
2-2-1

Current state(1) Most often the biological mother is the(2) Approximately 60% of parents find parenting
abuserto be difficult
The biological mother is most often the childIn response to the question “Do you find difficulties
abuse abuser, accounting for 70% of all abusers.
in parenting?” approximately 60% of the parents
said they feel some sort of difficult in parenting.
Mother other thanbiological mother
Father other thanbiological father

No

2.4%

3.3%

Oth

11.5%

12.0%

Often

1.1% 9.6%

Almost none

14.4%

26.1%

67.9%

BiologicalfatherNot much

Sometimes

51.7%

Biologicalmother(Kurume City Home and Child Consultation Section tabulated (Kurume City Next-generation Parenting Support Needs Survey:
data: FY 2011 n=209 persons)
FY 2008 n=1,506 persons)Fig. II-1 Main abusers

Fig. II-2 Parents feeling difficulity in raising children(3) No place for easy consultations(4) Approximately 60% of parents feel that
Half of the parents said they had no one theyeducation is insufficient
could easily consult with about parenting, orApproximately 60% of the parents feel thatthey responded that they “did not think”, “dideducation for the following generataion to
not know” or “not sure” about a consulting
become parents is not sufficient.
service.
No response

5.5%No response

2.5%

Did not think

26.8%

22.0%

47.5%
Thin

Did not think

32.0%
Think

Did not know,
not sure

28.0%

35.7%
Did not know,
not sure(Kurume City Next-generation Parenting Support Needs Survey: (Kurume City Next-generation Parenting Support Needs Survey:
FY 2008 n=1,506 persons)
FY 2008 n=1,593 persons)Fig. II-3 Do you think you have someone to
ask for advised for parenting?

- 57 -

Fig. II-4 Do you think the education to
become parents is sufficient ?

(5) Neglect is the most common type of abuse

Neglect is the most common type of abuse. Regarding sexual abuse, either there are few cases, or it
does not surface as easily as other types of abuse.

90
80
70
60
50
40
30
20
10
0

82
68
58
46

City Home Child Consultation Section

43

Kurume Child Consultation
Center of Fukuoka Prefecture

14
50
Neglect

Physical abuse

Psychological abuse

Sexual abuse(Kurume City Home and Child Consultation Section, Kurume Child Consultation Center of Fukuoka Prefecture tabulated data: FY 2011)

Fig. II-5

There are few cases of abuse consultations from child

When looking at the consultations on new abuse cases received by route, it is apparent that there arefew consultations from the children themselves while there are many from schools, neighbors andacquaintance.

25

22

City Home and Child Consultation Section

20
15

18
15

Kurume Child Consultation
Center of Fukuoka Prefecture

14

14
11
8

3
0

Neighbor,acquaintanceFamily,relative

Child welfare
officer

Nursery school

City, others

4Fig. II-6- 58 -

1

0

1

2

0

0

0
Child

5

Medicalinstitution

5

4

Board ofeducation

3

0
Child
consultation
center03

Prefecture,others5

7

Others10

School(6)

2-2-2 Challenges(1) Even though there are many people who feel difficulty in parenting, they do not have someone they caneasily consult with, or do not know that there is a consultation center. [Fig. II-2] [Fig. II-3](2) A declining birthrate and weaker regional community, etc., has reduced the number of chances toassociate with babies from a young age. [Fig. II-4](3) There are few learning chances for children to learn about abuse, and thus, few children bring up abuseon their own. [Fig. II-6]

2-2-3 Programs
A Community cooperation to visit homes with infants
Prevention target

Isolation of homes with children

Corresponding challenges (1)Outline of program

The “Visits to homes with infants” will create a relation allowing parents to easily consult with supports in thecommunity.

Acheavement in FY
2010-2012○FY 2010 … No. of visits 1399, visit rate 99.0%○FY 2011 … No. of visits 1421, visit rate 99.5%○FY 2012 … No. of visits 1415, visit rate 99.0%

Improvements and changes
from introduction of SC

Increase number of visitors (visits together with supervising child welfare officer)

Targets

Homes with infants under 4 months old of not first child

ProviderSupervising child welfare officer, Ikigai Health Group, city, etc.

B

Salon visits to junior high schools

Prevention target

Insufficient education regarding child rearing, link to abuse

Corresponding challenges (2), (3)Outline of program

The “Parenting Salon” held in various communities will be provided at junior high schools to provide a place forparents with infants to meet up. Students will be given a chance to experience child rearing, and will learn tovalue life.

Improvements andNewchanges from introductionof SC
Targets

Junior high school students

ProviderSupervising child welfare officer, welfare officers/child welfare officers, junior high schools, Board of
Education、 city, etc.

C

Orange ribbon making sessions by children
Prevention target

Corresponding
challenges
Outline of program

Improvements and changes
from Introduction of SC
Targets
ProviderFew chances for learning, lack of consults from children(3)
Have children make an orange ribbon (the symbol for child abuse prevention) at Children
Association meetings and other events for children and parents, etc. Teach children the meaning andhistory of the ribbon, and about human rights and the value of life. Expand the environment inwhich children can consult with an adult.
New
Elementary school children, parents and children participating in events, etc.
Supervising child welfare officer, Children Associations in school district, community
organizations in school district, city, etc.

- 59 -

2-2-4 FY 2013 programs
FY 2013

Outline of programs

April to June

Community cooperation to visit
homes with infants

Expanded

Salon visits to junior. high schools

New

July to Sept.

Oct. to Dec.

Jan. to Mar.

Trial
Review of challenges

Details being reviewed

Trials
Review of challenges

Orange ribbon making sessions bychildren

Details being reviewed

New

Scheduled
Review of challenges

2-2-5 Changes following Safe Community activities

 Government officials as well as persons from different fields have gathered to analyze the situation andcause of child abuse. Awareness of problems was shared through deliberations.
 As a program to promote Safe Community in the future, a community “Child watch over patrol” network
was newly started. The community is working as one to prevent child abuse.

- 60 -

2-3 School Safety
Kurume City is aiming to create a safe and secure organization for school safety that incorporates methods
and collaborations that suits each school’s situation.
Kamitsu Elementary School, in a hazardous area with high levels of traffic, (near national routes andhighway bypass) and a community cooperation organization already in place has been designated as a model
school. An objective verification, organization and evaluation system using data is being promoted.
The effect of programs at the model school will be verified in the future and applied to programs for all
schools in the city.
2-3-1 Current state(1) Many injuries occur during recess
When looking at the cases of injuries at Kamitsu Elementary School covered by Japan Sports Council

Disaster Relief Funds, many cases occurred during recess.
Number of cases of injuries covered by Japan Sports Council Disaster Relief Funds(cases)56

KamitsuElementary
ElemenratySchool
School(Kamizu

60
50
40
30
18

20

8

10

1

0

0

P.E.

Classroom study Club activities

School event

0Extracurricular
instruction

Recess44CommuteOthers(Japan Sports Council statistics: 2011)

Fig. III-1(2) Approximately 70% of 3rd to 6th grade students correctly knew traffic rules
Approximately 70% of 3rd to 6th grade students correctly knew the traffic rules for pedestrians andbicycles. Few students in 1st and 2nd grade students knew that pedestrians should keep to the right.
100
79.7

77.0

(%)

54.5

60
40

70.1

69.2

80

Pedestrian on right side
Bicycle on left side

32.7

20
0
1st and 2nd grade

3rd and 4th grade

5th and 6th grade(Kamitsu Elementary School student survey: July 2012)

Fig. III-2- 61 -

(3) Approximately 40% recognition rate of “Shelter House #110 for Children” (Emergency refuge forchildren) in 1st and 2nd grade

The recognition rate of “Shelter House #110 for Children” was approximately 40% in 1st and 2nd gradestudents, and approx. 70% in 3rd to 6th grade students.
(%)

80

69.2

60

68.1

69
60.1

44.7

39.4
40
20
0
1st grade
n=108

2nd graden=109

3rd grade

4th grade
n=119

n=114

5th graden=129

6th grade
n=119(Kamitsu Elementary School student survey: Aug. 2012)

Fig. III-3
2-3-2. Challenges(1) Many of injuries at schools occur during recess (56%). [Fig. III-1]
One cause is that rules and manners for spending time indoors are not observed. Many injuries arecaused by collisions with friends while playing or collisions with playing equipment. Students are notpredicting such collisions when playing (setting of play area, setting of rules).
(2) Approximately 70% of 3rd to 6th grade students correctly understood the traffic rules for pedestrians
and bicycles. [Fig. III-2]
Only approximately 30% of students in all grades had helmets. The scope and awareness to observe
traffic rules and manners was low.
(3) Approximately 40% of 1st and 2nd grade students and approximately 70% of 3rd to 6th grade students
knew about the “Shelter House #110 for Children”. Awareness of community resources and methods
providing protection was low. [Fig. III-3](4) The number of “known cases of bullying” was one case in FY2010, one case in FY2011, and two cases in
FY2012. Continuous programs to identify and take measures against bullying at an early stage are required.
2-3-3 Programs
A. Preparation of school environment that promotes awareness and lead to actions to be safe insideschool building
Prevention target

Student injuries at school

Corresponding challenges(1)

Outline of program

Post educational posters, etc., to inform of hazardous spots in school, etc. Prepare school safety
map by Children’s Association (health supervisor), and educate all school students.

Acheavement in FY
2010-2012

Inform all students by preparing and posting educational posters and school safety map

Improvements and changes
from introduction of SC

Improve from education focusing on teachers to education focusing on students

Targets

Kamitsu elementary school students

ProviderKamitsu elementary school (students, teachers and other staff), etc.

- 62 -

B. Introduction of safe and fun playing methods
Prevention target

Student injuries at school

Corresponding
challenges(1)

Outline of program

Education all students to consider safe and fun playing methods that lead to fewer collisions withfriends and playing equipment.

Acheavement in FY
2010-2012

Promote caution with in-school announcements by Children’s Association.

Improvements andchanges fromintroduction of SC

Newly proposal and implement safe playing methods by Children’s Association.

Targets

Kamitsu elementary school students

ProviderKamitsu elementary school (students), etc.

C. Practical traffic safety classes
Prevention target

Education of traffic rules and manners

Corresponding
challenges(2)

Outline of program

Cooperate with community resident organizations to set situations where accidents could actuallyoccur. Repeatedly practice so that students learn safe walking and bicycle riding skills within thosesituations.

Acheavement in FY
2010-2012

Traffic safety classes

Improvements andchanges fromintroduction of SC Traffic safety classes improved from lecture type to experience-type classes
 Newly started traffic safety classes together with community resident organizations.

Targets

Kamitsu elementary school students

ProviderKurume institute of technology, Traffic safety association, Police, Kamitsu elementary school, City,
etc.

D. Improvement of traffic instruction to match hazard spots and time
Prevention target

Modification of traffic instruction to match hazard spots and time

Corresponding
challenges(2)

Outline of program

Cooperate with PTA and community resident organizations, and assign personnel to provide traffic
instruction according to hazardous spots in school routes and time zones.

Acheavement in FY
2010-2012

Traffic instruction in cooperation with PTA and community resident organizations

Improvements andchanges fromintroduction of SC

Improved to assign personnel according to hazard spot and time, and provide traffic instruction

Targets

Kamitsu elementary school students

ProviderYusei high school, Traffic safety association, Police, Kamitsu elementary school, City, etc.

- 63 -

E. Prepare school district safety map and promote education on how to handle suspicious persons
Prevention target

Activities to enhance awareness on awareness of hazards pertaining to crime

Corresponding
challenges(3)

Outline of program

Prepare a school district safety map showing the “Shelter House #110 for Children” and places
thought to be scary, and provide experience-type training so children learn how to handle suspicious
persons.

Acheavement in FY
2010-2012

Preparation of school district safety map by PTA, improvement of school district safety map

Improvements andchanges fromintroduction of SC “Shelter House #110 for Children” and hazardous spots newly added to school district safety map
 Improved studies about handling suspicious people from lecture to experience-type class.

Targets

Kamitsu elementary school students

ProviderKamitsu elementary school (students, teachers and other staff), etc.

F. Crime prevention safety patrol using school district safety map
Prevention target

Activities to enhance scope and awareness of crime prevention

Corresponding
challenges(3)

Outline of program

Using the school district safety map created in cooperation with PTA and community resident
organizations, and review number and locations of “Shelter House #110 for Children”, and review
routes and time zone of crime prevention patrols.

Acheavement in FY
2010-2012“Shelter House #110 for Children” designated, and crime prevention patrol carried out by community
resident organizations

Improvements andchanges fromintroduction of SC Improved designation of “Shelter House #110 for Children” according to hazardous spots
 Improved crime prevention patrol according to hazardous spots and time zone

Targets

Kamitsu elementary school students

ProviderCommunity organizations in school district, Crime prevention association, Police, Kamitsu elementary
school, City, etc.

G. Program for early identification and handling of bullying
Prevention target

Early identification and handling of bullying

Corresponding
challenges(4)

Outline of program

Set a “Bullying Prevention Month”. Carry out an anonymous questionnaire survey focusing onbullying and provide education consultation, utilize the checklist for parents, training teachers andother staff about bullying, and hold classes about bullying.

Acheavement in FY
2010-2012

The “Month for Reinforced Programs Against Bullying” was set, a survey and teacher consultation
was carried out, a checklist for parents was distributed, and educators received training aboutbullying.

Improvements andchanges fromintroduction of SC

Teachers and other staff education and classes about bullying were newly incorporated.

Targets

Kamitsu elementary school students

ProviderKamitsu elementary school (students, teachers and other staff), City, etc.

- 64 -

2-3-4. FY 2013 programs
FY 2013

Outline of programs
Preparation of school environment that
promotes awareness and lead to actions to
be safe inside school building

April to June

July to Sept.

Oct. to Dec.

Jan. to March

Improved
Scheduled

Introduction of safe and fun playing
methods

Expanded

Practical traffic safety classes

Expanded

Scheduled

Details being reviewed

Review of challenges

Details being Carried
outreviewed
Review of challenges

Improvement of traffic instruction tomatch hazard spots and time

Improved

Details being reviewed

Scheduled(Map)

Prepare school district safety map andpromote education on how to handle
suspicious persons

Details being reviewed

Expanded(Experience-type
training)
Details being
reviewed

Crime prevention safety patrol using
school district safety map
Program for early identification andhandling of bullying

Improved

Scheduled

Scheduled

Details being reviewed

ScheduledExpanded
Scheduled

5. Changes following Safe Community activities Through the survey to students regarding actions and awareness that lead to injuries, it was found that thestudents lack awareness toward traffic rules and manners and lack of awareness toward safety lead to failto observe rules and manner. The direction and methods to be taken for improvement were identified.

- 65 -

2-4 Elderly Safety
2-4-1 Current state (falling by the elderly)(1) More than half of the elderly injuries arecaused by falling
As for causes of injuries of the elderly,
falling showed the highest percentage of
55.4%.

No response
7.1%

Insect, etc.,
sting/bite
0.6%

Others16.7%

Tumbling
55.4%

Pinching
4.8%
Falling
5.4% Traffic accident
8.3%(Survey on Actual Situations of Injureis in Kurume: FY 2011)

Fig. IV-1 Cause of the elderly injuries(2) State of the elderly injury caused by fall
One third of the elderly who have tumbled
are seriously injured, such as fracture.

Cerebralcontusion/concussion
4%

Others1%
No response
1%

n＝156 persons

Sprain8%

Bruise40%

Scrape orscratch10%
Fracture
34%(Survey on Actual Situations of Injureis in Kurume: FY 2011)

Fig. IV-2 State of the elderly injury caused by fall(3) More than half of falling occurred at
home
Almost half of the people responded thatthey tumbled at home. Falling of the elderly
occurs where they are accustomed to, within
their daily life.

Commercial,eating, leisurefacility
3.2%

Park
2.2%

Farm, forest
5.4%

Others7.5%
No response
1.1%

Home
47.3%

Road, sidewalk
32.3%(Survey on Actual Situations of Injureis in Kurume:FY2011)

Fig. IV-3 Place where the elderly fell

- 66 -

No response
14.9%(4) Approximately 14% of persons
certified as requiring long-term care
resulted from falling or fractures
Approximately 14% of persons certified as
requiring long-term care resulted fromfalling or fractures, is the third highest
cause. Falling and fractures occur where
they are accustomed to, have the possibility
to affect the life of elderly greatly.

Others5.4%

Physicaldecline from
aging
19%
Cerebrovasc
ular disease(stroke, etc.)
16%

Heart disease
3.8%

n＝93 persons

Fracture/tumbling
Joint disease
13.6%(rheumatism,
Dementia
n＝1,265
10.0%
etc.)
6%
(Factual survey on the elderly life, health and welfare, and nursing insurance: FY 2010)

Fig. IV-4 Cause of need for long-term care(5) Worries about falling are high, but few people have taken countermeasures
Many elderly responded that they worry about falling, but few of them have taken any
countermeasures to prevent falling. This shows that the awareness of the dangers of falling is low.
No response
11.2%

Very
worried18.6%

No response
5.5%
Has noworries
17.5%

Yes
27.6%

n＝1,018

Not vry
worried
21.4%

No
61.2%

Somewhatworried37.0%

n＝1,018(Survey on Actual Situations of Injureis in Kurume: FY 2011)

Fig. IV-5

Worries about fallingFig. IV-6

Necessity of modifications to prevent
falling

1-2 Current state (Elderly abuse)(1) The number of consults and known cases of abuse is increasing
The number of consults and known cases of abuse is increasing in recent years.
2008

26

2009

22

2010

22

2011

43
34
73

18
0

10

60
20

30

40

50

60

70

80

90

100

Identified as non-abuse
Identified as abuse(Longevity Support Section statistics: FY 2008 to FY 2011)

Fig. IV-7

Number of abuse consultations and identified abuses- 67 -

(2) Abusive actions are not correctly understood
There are various types of abuse. More than 25% of respondents did not recognize that being directly
violent with another person is abuse. In addition, few people interpreted psychological pain toward a theelderly as abuse.
76.2%

Physically hurting a body, including pinching, slapping and hitting
Sexual activities without other person’s consent, leaving person withlower half of body unclothed

66.9%

Failure to provide food, clothes or environment for comfortable life

63.1%

Confiscation of pension or savings, using such money against intent or
profit

61.4%

58.0%

Slandering person to hurt one’s feelings or personality
38.9%

Talking to someone but being ignored

19.1%

No response(Survey on senior citizen life, health and welfare,and nursing insurance: FY 2010)

Fig. IV-8

0.0%

10.0%

20.0%

30.0%

40.0%

Do you think the following actions are abuse?

(3) Less than 10% of all respondents have seen or heard of abuse
The number of people who have seen or heard ofabuse was very low accounting for less than 10% of
respondents.

50.0%

60.0%

70.0%

80.0%

90.0%

n=2,198 people

No response
8.5%

Yes
8.3%

n=2,198 persons
No
83.2%

(Survey on senior citizen life, health and welfare,and nursing insurance: FY 2010)(4) There are few reports of abuse from neighbors
There are many reports of abuse from third parties,
such as care-giving service providers or welfare
officers, who are in close contact with the elderly,
but there are few reports from neighbors, etc.

(Longevity Support Section statistics: FY 2009 to FY 2011)- 68 -

Fig. IV-9 Have you seen or heard of theelderly abuse around you?

Abuser
2.3%

City

Neighbor Friend/
1.8% acquaintance
0.9%Service(otherprovider
5.0% thanresponsibl
e…
Familymemberlivingseparately
6.9%
MedicalWelfare officer
institution
11.0% 11.5%

Caremanager
37.2%
n=218 persons
Person being
abused11.5%

Fig. IV-10 Path of reports andconsultations regardingb

(5) 60% of abused elderly have dementia
60% or more of the elderly who have actually
been abused have dementia. It is thought that
abuse and dementia are related.

Unknown
3.0%
No
34.7%

Yes
62.3%
n=167 persons

Fig. IV-11 Rate of abused being elderlywith dementia(Longevity Support Section statistics: FY 2009 - FY 2011)(6) Most of the abusers were co-habitants
Most of the abusers were co-habitants such asson, spouse or daughter.

Son (living
apart)
2.9%

Acquaintance
1.1%

Son (living
together)
30.3%

Grandchild
4.0%Child's spouse
9.7%
Daughter(living
together)
17.7%

n=167 persons

Spouse29.1%

Fig. IV-12 Abuser(Longevity Support Section statistics: FY 2009 - FY 2011)(7) Care-giver feels stress regarding care-giving, and is psychologically unstable
In cases where the family is the abuser, often taking care of the elderly living at home is the cause ofstress. This leads to insecurities and psychological stress as one does not know how long caregiving willcontinue. This leads to the caregiver taking it out on the elderly. In addition, a lack of knowledge andskills on caregiving can also cause abuse as the caregiver does not know how to handle or communicate
with the elderly with dementia.

- 69 -

Insecure because you do not know how long caregiving will continue

44.6%

P hysiologically stressed

44.6%

Cannot deal with patient gently sometimes

43.7%

P hysically straining (back pain, stiff shoulders, etc.)

32.8%

Do not have time for one’ s self

29.0%

Economically straining

21.8%

Difficult to perform both caregiving and housework

19.4%

Difficult to perform both caregiving and job

19.3%

Do not know appropriate caregiving methods

12.8%

Worried whether it is okay to leave caregiving up to some other than family member

12.1%

Cannot use services well, Not enough services available

8.3%

Do not know who to talk to or what to talk about

7.3%

Others

7.8%

None in particular

9.4%

No response

15.4%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0%(Survey on senior citizen life, health and welfare, and nursing insurance: FY 2010)

Fig. IV-13 Difficulties in at-home caregiving

2-4-2-1Challenges (falling by the elderly)(1) Falling occur frequently during daily life
More than half of the elderly injuries are caused by falling, and more than half of falling occur at home.
[Fig. IV-1, Fig. IV-3]
When looking at actual cases of falling, most falling occur during daily life.
(2) Effect of falling on the elderly
More than 30% of the elderly who have tumbled are seriously injured such as fractures. Falling is thethird highest cause of the elderly being certified as requiring long-term care. The effect of falling on thedaily life of the elderly is high. [Fig. IV-2, Fig. IV-4](3) There is insufficient understanding of the risks of falling and the cause of dangers
As a person ages, their center of gravity shifts forward due to changes in walking posture. Weakeningof the muscles in the lower limbs cause the person to shuffle. Thus, the risk of the elderly falling
naturally increases. However, only 27.6% responded that they had taken measures to prevent falling.
This was only one in four. [Fig. IV-6](4) Recognizing necessity of preventive measures and implementation
To prevent falling, the external causes (obstacles such as stairs that can cause falling) and internalcauses (drop in muscle strength, etc.) must both be resolved. However, in the current state neither cause
is recognized fully. To resolve internal causes, the person must exercise their body every day, but not
many people actually participate in caregiving prevention programs.

- 70 -

2-4-2-2 Challenges (elderly abuse)(5) Citizens’ lack of understanding toward abuse
When citizens were surveyed about abuse, violent abuse was the most recognized at 76.2%, but
psychological abuse such as being ignored when talking was low at 38.9%.
Most abuse occurs in the home, and the persons involve tend to hide the abuse and it is generally hard
to find. However, if abuse is not correctly understood, there is the probability that it will be overlookedeven if it is occurring nearby. [Fig. IV-8](6) Increase awareness among caregiving service provides
In addition to abuse from family members living together, abuse can occur in caregiving situations.
(7) Mimamori (watching) in the community for early identification and early consultations
To prevent abuse, it is necessary to identify the abuse in an early stage before it becomes serious, and toprovide early consultations before a situation leads to abuse. Reports on abuse are often received from athird-party, such as a care manager or welfare officer, but there are few reports from neighbors or
acquaintances. [Fig. IV-10](8) Support for caregivers
In an awareness survey taken with family members taking care of the elderly, it was found that thepsychological stress of caregiving was quite high. Worries about how long caregiving will continue,
frustration of not having one’s own time, etc., led to harsh treatment and abuse toward the person being
cared for. Of the cases recognized as abuse, more than 60% were cases of abuse to the elderly withdementia. When caring for the elderly with dementia at home, the burden on the caregiver is high as
they do not know the appropriate care methods and cannot communicate well. This increases
psychological stress. [Fig. IV-11, Fig. IV-13]
2-4-3-(1) Programs (falling by the elderly)
A. Preparation of brochure about falling
Prevention target

Fall accidents at home

Corresponding
challenges(1), (2), (3)Outline of program

Prepare a brochure introducing falling hazards in the home, and cases of falling. Promote caution, andinform people of the necessity of countermeasure to prevent falling accidents.

Improvements andchanges fromintroduction of SC

New

Targets

Elderly

ProviderNPOs, Caregiving service provider, Ikigai health group, City, etc.

- 71 -

B.

Implementation of prevention programs to avoid long-term care situations

Prevention target

Falling accidents

Corresponding
challenges(1), (2), (3), (4)Outline of program

Carry out long-term care prevention programs to help maintain physical strength that tends to declinewith age.

Acheavement in FY
2010-2012

Daycare type: FY 2010: 409 persons, FY 2011: 435 persons, FY 2012: 495 persons

Improvements andchanges fromintroduction of SC

Directly informing and inviting persons at high-risk of long-term care prevention programs bycomprehensive support center employees.

Targets

Elderly

ProviderNPOs, Caregiving service provider, Kurume city social welfare council, Ikigai health group, City, etc.

C.

Support of community activities to maintain health and physical strength

Prevention target

Falling accidents

Corresponding
challenges(4)

Outline of program

Support various health promotion activities carried out within the community by assisting, educating
and advertising the activities.

Acheavement in FY
2010-2012

The elderly sports education programs were started from FY2012 and held in six districts
School district walking program was assisted
FY 2010: 28 school districts, FY 2011: 30 school districts, FY 2012: 37 school districts

Improvements andchanges fromintroduction of SC

In addition to the walking assistance project, educational programs focusing on new sports were held.

Targets

General public

ProviderGroups carrying out health programs in the community, City, etc.

2-4-3-(2) Programs (sensor citizen abuse)D. Holding lectures and seminars about abuse and dementia
Prevention target

Prevention of abuse

Corresponding
challenges(5)

Outline of program

Seminars were provided to enhance awareness on abuse, and to increase understanding on dementia

Acheavement in FY
2010-2012

FY 2010: 215 persons, FY 2011: 236 persons, FY 2012: 228 persons

Improvements andchanges fromintroduction of SC

To encourage the participation of as many citizens as possible, several sessions were held through out
the city instead of one large seminar at one place.

Targets

Citizens

ProviderInterested persons in the community, Interested groups, City, etc.

- 72 -

E.

Training course of Dementia supporters

Prevention target

Prevention of abuse

Corresponding
challenges(5), (7)Outline of program

Train dementia supporters, who are sympathetic to the elderly with dementia in the community, andwatch over and support the elderly with dementia and their families in the community.

Acheavement in FY
2010-2012

FY 2010: 593 persons, FY 2011: 1,078 persons, FY 2012: 2,255 persons
Total 4,703 persons

Improvements andchanges fromintroduction of SC

Increase targets (elementary school students)

Targets

Citizens including elementary school students and older

ProviderCaravan mate (dementia supporters who have taken the Caravan-mate-volunteer workshop), City, etc.

F.

Workshop on abuse prevention for caregiving service provider employees

Prevention target

Prevention of abuse

Corresponding
challenges(5), (6)Outline of program

Two workshops, a basic course and applied skills course, have been set up as abuse prevention
training for caregiving service provider employees. Caregivers are educated on awareness forpreventing abuse, and creation of a workplace free of abuse is promoted.

Acheavement in FY
2010-2012

Participants: FY 2010: 103 persons, FY 2011: 302 persons, FY 2012: 313 persons

Improvements andchanges fromintroduction of SC

workshops are held at night so caregiving service provider employees can attend easily, and the sameclass is held several times, etc.

Targets

Caregiving service provider employees

ProviderProvider Association, Community comprehensive support center, City

G. Establishing the community comprehensive care system
Prevention target

Prevention of abuse

Corresponding
challenges(7), (8)Outline of program

To help the elderly continue living safely in the community where they have lived so long, various
social resources in the community are applied to organize and maintain an organization to support theelderly, and identify abuse at an early stage. Lead cases discovered at an early stage to early
consultations and resolutions.

Improvements andchanges fromintroduction of SC

New

Targets

Elderly

ProviderGroups active in the community, Medical institutions, Caregiving service providers, Councils of social
welfare, Comprehensive support center, City

- 73 -

H. Holding classes for family caregivers
Prevention target

Prevention of abuse

Corresponding
challenges(8)

Outline of program

Teach the basic skills for caring for the elderly at home, and increase understanding on caregiving.
Provide lectures and teach skills for taking care of the elderly with dementia. Provide support forfamily caregivers, and reduce the burden of caregiving.

Acheavement in FY
2010-2012

Classes were held from FY2012. 37 people participated in the basic course, and 50 in the caregiving
for dementia patients’ course.

Improvements andchanges fromintroduction of SC

A two-part course: basic course and course for caregiving for dementia patients was held.

Targets

Citizens

ProviderCaregiving welfare service provider council, City

I.

Forgetfulness prevention checkup

Prevention target

Prevention of abuse

Corresponding
challenges(8)

Outline of program

Together with the Kurume university, the elderly with light cases of dementia will be identified andgiven early treatment to help them live a rich social life suited for that person.

Improvements andchanges fromintroduction of SC

New

Targets

Elderly

ProviderKurume university, City

2-4-4 FY 2013 programs
FY 2013

Outline of programs

April to June

July to Sept.

Oct. to Dec.

Jan. to March*Brochure prepared in FY 2012
Preparation of brochure about falling

New

Scheduled (education)

Implementation of prevention programs to avoid
long-term care situations

Expanded

Support of community activities to maintainhealth and physical strength

Expanded

Holding lectures and seminars about abuse anddementia

Expanded

Details being
reviewed

Training course of Dementia supporters

Expanded

Scheduled

Workshop on abuse prevention for caregiving
service provider employees

Expanded

Scheduled

Scheduled

Scheduled

Scheduled

Review of details/contents- 74 -

Scheduled

ScheduledFY 2013

Outline of programs

Establishing the community comprehensive caresystemApril to June
Survey ofadvanced areas

New

July to Sept.

Oct. to Dec.

Jan. to March

Details being
reviewed

Review of challenges

Holding of community care meeting

Holding classes for family caregivers

Expanded

Forgetfulness prevention checkup

New

Scheduled

Scheduled

2-4-5. Changes following Safe Community activities(1) Falling by the elderly Increase understanding that falling accidents are not spontaneous and that they are inevitable due tovarious factors.
 A fall by the elderly can greatly change their subsequent daily life.
(2) Elderly abuse Even if abuse occurs in the vicinity, if it is not recognized as abuse, the abuse will remain hidden.
 Support for the abused is necessary, but supporting the abuser is also important.

- 75 -

2-5 Crime Prevention
The Crime Prevention Task Force is promoting activities to prevent crimes that occur within daily lives(break ins, purse snatchings, bank transfer scams, sexual crimes, and crimes targeting children and theelderly, etc.), as well as violent crimes such as murders, robberies and arsons, and violent crimes by gangs.
Domestic violence (DV), traffic safety and prevention of safety toward children and the elderly is notcovered by this task force. (The respectively assigned task forces handle DV, traffic safety, child abuse
prevention and elderly safety.)2-5-1 Current state(1) Weakening of community ties
1) Community solidarity is weakening as seen in the decline in community association membership.
Rate of community association membershipin Kurume City

* The community association is avoluntary neighborhood-run
association which intends toimprove the local community.
Those members also configure theschool district community
organizations.
(See page 29.)

(Kurume City survey: FY 2008-2012)

Fig. V-1

2) Approximately 40% of the people in the community do not know about the resident’s voluntary
activities. This also shows a weakening in community ties.

n=1,777(Kurume City Citizens' Awareness Survey: 2011)

Fig. V-2- 76 -

(2) Many crimes occur around large commercial centers and train stations, etc.
When looking at the number of known crimes by school district, many crimes occur around largecommercial centers and train stations, etc.

Number of known crimes according to school district
600

School district with largecommercial center

500
400

School district
with train station

300
200

0

Nishikokubu
ShojimaHiyoshi
Sasayama
Kyoumachi
NankunTorikai
Nagatoishi
Komorino
Kanamaru
Higashi-Kokubu
MinamiMii
Yamakawa
AikawaKamitsu
Kourauchi
Miyanojin
Yamamoto
KusanoAraki
Daizenji
Yasutake
ZendoujiOohashi
SeihouTsubuku
Tanushimaru
Mizuwake
Kawai
Shibakari
Funakoshi
TakenoMinou
KitanoYuge
Ooki
Kaneshima
Joujima
ShimodaAoki
Ukishima
Egami
Inutsuka
MizumaNishimuta

100(Police statistics: 2011)

Fig. V-3(3) The number of known serious crimes is increasing
The number of serious crime is in increase while the occurrence of general crimes have been decrese.

(Police statistics: 2004-2011)）

Fig. V-4

Fig. V-5

Note: general crime: criminal offense expects manslaughter cases related to veheicles, professional negligence andso on. Mainly consist of “atrocious criminal” “violent criminal” “property criminal” “white-collar criminal”“unnatural offense” and others such as obstructing executive officers and trespassing.

- 77 -

(4) Sense of insecurity regarding crimes by gangs is prominent
Crimes by gangs, including gun shootings, is highest (45.1%). The citizens’ insecurity toward crimes bygangs is much higher than street crimes such as purse snatching.

- 78 -

Q5: Where have you felt that Kurume’s safety has declined? (Multiple responses allowed)

Gang crimes such as shootings
Street crimes such as purse snatchings, theft from vehicle andbicycle theft
Sexual crimes against children and women, reports on
suspicious people
Noise from motorcycle gangs
Littering from cigarette butts, illegal disposal of trash, etc.
Drinking and smoking by minors
Crimes in daily life, such as break ins and bank fraud scams
Illegal graffiti on walls and shutters, etc.
Others(City internet survey: FY 2012)

Fig. V-6
2-5-2 Challenges(1) The ability to suppress crime has dropped due to the community’s indifference and weaker solidarity in thecommunity. [Fig. V-1]
(2) Most crimes that police in the city clamp down on are bicycle thefts. P21: [Fig. 3-15]*

A decline in minor offenses leads to a decline in violent crimes, or consequentially the decline leads to a
reduction in citizen insecurity.

(3) Many crimes occur where people gather such as large commercial centers and train stations. [Fig. V-3]
(4) The sense of security is worsening due to the occurrence of violent crimes. [Fig. V-5] [Fig. V-6]

2-5-3 Programs
A. Preparation of community safety map for each elementary school district
Prevention target

Injuries from crime and violence

Corresponding
challenges(1), (3)Outline of program

Field work will be carried out in the community to inspect and diagnose the area. Places where crimes
occur easily or have occurred in the past will be confirmed and mapped to create the “Community
Safety Map”.

Improvements andchanges fromintroduction of SC

New

Targets

General public

ProviderCitizens, Community organizations in school district, PTA, Crime prevention association, Police, City,
etc.

- 79 -

B.

Promotion of two-lock system for bicycles

Prevention target

Injuries from crime and violence

Corresponding
challenges(1), (2)Outline of program

In areas where there are many bicycle thefts, such as in bicycle parking lots and commercial facilities,
unlocked bikes are alerted of the safety of wire locks, etc., and bicycle owners are urged to use two locks.
* Broken Window Theory
The theory that “If a single pane of window glass is left broken, in time the entire city disrupts andcrime increases”, promoted by Professor George Kelling, an American criminologist in 1982.
Even with seemingly minor offenses such as graffiti, if it is overlooked, it will induce more serious
crimes, and could cause the community society to collapse. In other words, if even minor offenses areextensively countered without overlooking them, frequent serious crimes can be suppressed.
Mayor Rudy Giuliani of New York applied this theory. Mayor Giuliani took the “Broken Window
Theory”, and eliminated “broken windows” from the streets of New York. He hired 5,000 more police
officers and incorporated extensive walking patrols and caught even the slightest crime. As a result,violent crimes drastically declined, and cleaned up the negative image of New York as a dangerous
city.

Improvements andchanges fromintroduction of SC

New

Targets

General public

ProviderCitizens, Business owners, Crime prevention association, Police, City, etc.

C.

Enforcement of joint patrols in high crime rate areas

Prevention target

Injuries from crime and violence

Corresponding
challenges(1), (3)Outline of program

In addition to crime prevention patrols in each school district, areas with high crime rates aredesignated as priority patrol areas. Priority patrols are carried out with various agencies, groups andthe entire city working together.

Improvements andchanges fromintroduction of SC

New

Targets

General public (areas with high crime rates)

ProviderCitizens, Community organizations in school district, PTA, Crime prevention association, Police, City,
etc.

- 80 -

D.

Maintenance of community environment to enhance sense of safety and security

Prevention target

Injuries from crime and violence

Corresponding
challenges(1), (3), (4)Outline of program

The community, government, police and instructed groups work together to use the “Community
Safety Map” in areas where crimes occur easily, and take actions (installation of security cameras,
security lights, signs alerting caution, etc.) to eliminate the causes of danger.

Acheavement in FY
2010-2012

Installation of security cameras (1 place in FY2012)
Installation of security lights(FY 2010: 909 units, FY 2011: 1,605 units, FY 2012: 1,654 units)

Improvements andchanges fromintroduction of SC

Changes to actions based on evidence

Targets

General public (Places where crimes are thought to occur easily)

ProviderCitizens, Community organizations in school district, PTA, Crime prevention association, Police, City,
etc.

E.

Holding citizens' General Action Meeting to abolish violencePrevention target

Injuries from crime and violence

Corresponding
challenges(4)

Outline of program

The police, government, citizens and business operators cooperate to hold a Citizens’ General Action
Meeting to abolish violence by the entire community. The Violence Abolishment Meetings held insome elementary school districts will be expanded to all elementary school districts.

Acheavement in FY
2010-2012

Number of elementary school districts that held Violence Abolishment Meeting
FY 2010: 14 elementary school districts, FY 2011: 17 elementary school districts

Improvements andchanges fromintroduction of SC

Increase number of target elementary school districts

Targets

General public

ProviderCitizens, PTA, Violence abolishment Steering Committee, Crime prevention association, Police, City, etc.

F.

Seminars and classes to teach children and youths about the real situation of organized crime, andto prevent youths from becoming members of such organizations
Prevention target

Injuries from crime and violence

Corresponding
challenges(4)

Outline of program

Persons with expertise on gang abolishment, such as former police officers, have been assigned as the“Gang Abolishment Promoters (temporary name)”. These promoters hold seminars and classes toteach 5th and 6th graders, junior high and high school students about the real situation of organizedcrime, and to prevent such youths from becoming members of such organizations.

Acheavement in FY
2010-2012

Number of seminars held for junior high and high school students
FY 2011: 80 sessions, FY 2012: 66 sessions

Improvements andchanges fromintroduction of SC

Expand targets from junior high and high school students to include 5th and 6th graders

Targets

5th and 6th graders, junior high and high school students

ProviderCitizens, PTA, Youth groups, Violence abolishment Steering Committee, Police, City, etc.

- 81 -

2-5-4 FY 2013 programs
FY 2013

Outline of programs

April to June

Preparation of community safety map for eachelementary school district

New

Promotion of two-lock for bicycles

New

July to Sept.

Details being reviewed
Intervention

New

Maintenance of community environment toenhance sense of safety and security

Improved

Holding citizens' General Action Meeting toabolish violence

Expanded

Seminars and classes to teach children andyouths about the real situation of organizedcrime, and to prevent youths from becoming
members of such organizations

Expanded

Details being reviewed

Scheduled

Scheduled
Scheduled
Scheduled

Details being
reviewed

Jan. to March

Scheduled
Scheduled

Enforcement of joint patrols in high crime rate
areas

Oct. to Dec.

Scheduled

Scheduled

Details being reviewed

2-5-5 Changes following Safe Community activities

 It has become clear that in programs to prevent crime, it is essential for various groups to work together,and to share information as they collaborate. Collaboration and sharing of information by the various
groups will be enforced, and actual programs will be promoted.
 Based on the opinions and surveys of various groups, it is clear that violent crimes are making citizens feel
insecure. Each group sensed the necessity of programs to eliminate violent crimes.

- 82 -

2-6 DV Prevention
2-6-1 Current state(1) Almost half of women have been subject to DV
Approximately half of the women who have had a partner have experienced DV.
Have you ever experience any sort of DV from a partner?

Total(n=1,359 persons)
Woman(n=795 persons)Men(n=564 persons)

Yes

No

Have never had a partner

No response(Citizen awareness survey regarding Kurume City gender equality: FY 2009)

Fig. VI-1(2) Inquiries regarding DV are increasing
The number of inquiries to the Kurume City Home Child Consultation Section and the Gender
Equality Promotion Center is increasing.
Transition of consultation cases, where main complaint is DV, received at Home
Child Consultation Section and Kurume City Gender Equality Promotion Center(cases)Fiscal Year
Gender Equality Promotion Center

Home Child Consultation Section(Kurume City survey: FY 2006-2011)

Fig. VI-2- 83 -

(3) Many DV victims have no one to consult with
Many DV victims have no one to confide in. Almost half of those who have experienced violencefrom partners have no one to consult with. 30% responded that they did not consult with anyone
because, “they thought they were also wrong”, and 20% because, “they thought they could handle thesituation if they endured the abuse”. There were people who did not realize they were victims.
Have you consulted with anyone about DV?

Total(n=534 persons)Woman(n=377 persons)Men(n=157 persons)Yes

Did not consult (was no able to)

No response(Citizen awareness survey regarding Kurume City gender equality: FY 2009)

Fig. VI-3(4) There is a set relation between recognizing DV as a violation of human rights and awareness on
division of labor by genderMore than half of the people favor division of labor by gender. The stronger the person favors fixed
division of labor by gender, the lower their recognition that DV is a violation of a woman’s human rights.

Agree(n=42)Do not agree(n=91)All men(n=564)Agree(n=65)

Agree to some extent(n=346)

Do not agree much
(n=233)

Do not agree(n=130)

All women(n=795)

Agree to some extent(n=236)

Men

Women

Do not agree much
(n=178)Rate of recognizing DV as violation ofhuman rights according to awarenessof division of labor by gender

Rate of people who recognize that DV is a violation of a woman’s human rights

Degree of agreement to division of labor by gender(Citizen awareness survey regarding Kurume City gender equality: FY 2009)

Fig. VI-4- 84 -

(5) Approximately 70% of DV victims have sought medical attention
Approximately 90% of DV victims who are leading self-reliant lives or are working towards aself-reliant life have been injured or suffered mental disorders. Of those, approximately 70% havereceived medical attention, etc. (Cabinet Office survey (nationwide): FY 2006)(6) Few medical institutions provide support for DV victims
Of the 275 medical institutions surveyed, approximately 40% said they did not “Hand out DV
prevention cards”. Approximately 80% medical institutions responded that they had no programs for
DV victim support, such as training of employees, distribution of manuals, or provision of compliancemanual. (Survey of medical institutions in Kurume City: FY2012)(7) In many cases, DV victims are in a living situation that is difficult to rebuild.
Of the DV victims that are leading or working towards a self-reliant life, 54.7% responded that “theyhad been pursued by the abuser”, 14.7% responded that “they are living only on income gained throughemployment”, 52.9% responded that “their body condition and feelings have not recovered” and 17.7%
responded that “they are troubled by their children’s behavior”. (Cabinet Office survey (nationwide):
FY 2006)(8) Support groups have reported the effect of DV onto children
All though there is no numerical data, after the DV victim leaves the abuser, the children often act
out at home because of the effect of DV, and the victim is subject to violence again. Support groups anddoctors have reported that children face difficulties including psychological problems such as
depression, or have trouble fitting in and end up becoming reclusive.
2-6-2 Challenges(1) Occurrence of DV
a. The number of consultations regarding DV is on the increase, and the occurrence of DV is notdecline. The stronger the person favors fixed division of labor by gender, the lower theirrecognition that DV is a violation of a woman’s human rights. It is believed that awareness of fixed
division of labor by gender is a factor of DV cases. [Fig. VI-2] [Fig. VI-4]
b. In recent years, cases violence from a boyfriend/girlfriend (Date DV) has become a problem.
However, only some schools hold educational seminars.
(2) Potential of harma. Almost half of the women have experienced DV. While the number of consults to the City
consultation section is increasing, many women are not aware that they are the victim. They often
have no one to confide in, leading to an isolated and serious situation. [Fig. VI-3]
b. Even if the victim does not consult with anyone, in many cases they have received medical attention.
However, there are still few medical institutions that are capable to be act as bridge to tue
counseling services.
c. Approximately 20% of the child abuse cases handled by the city involve DV. It has been reported
various problem behavior and changes are seen in children living in a home with DV. It is very
possible that a child’s behavior will be the key to discovering DV, however, the involved persons
do not have sufficient knowledge on the matter.
(3) Continuous and adverse effect of DV harma. Even after the DV victim is separated from the abuser, it is often difficult to rebuild their life,
recover their body/mental health, and recover their connections to society.
b. DV adversely affects children in many ways. However, care that focuses on the child are limited tocare programs for abused children that are provided by private groups.

- 85 -

2-6-3 Programs
A. Raising awareness of gender equality and DV prevention
Prevention target

DV occurrence

Corresponding
challenges(1) aOutline of program

Actively increase the publicity and education regarding DV by modifying seminars provided at theGender Equality Promotion Center, providing seminars regarding child abuse problems, andcollaborating with onsite seminars.

Acheavement in FY
2010-2012

Seminars regarding the Study of Women, the Study of Men and Gender Research, and onsite seminars
to communities
Campaign to eliminate violence against women

Improvements andchanges fromintroduction of SC

For the campaign, pamphlets were distributed, and details of the project were distributed tonewspapers, etc., to strengthen the publicity campaign.

Targets

Citizens

ProviderPrivate support groups, Police, City, etc.

B.

Improving DV prevention education at schools, etc.

Prevention target

DV occurrence

Corresponding
challenges(1) a,b

Outline of program

For DV prevention education at schools, actual cases have been collected and introduced, andprograms to nurture awareness on human rights even for preschoolers will be increased. Seminars on
prevention of date DV will be expanded to junior high school and older students. New educational
materials will be prepared and prevention education seminars will be enhanced.

Acheavement in FY
2010-2012
Improvements andchanges fromintroduction of SC

Educational seminars (junior high, sr. high and university, etc.)
1 schools (FY 2010), 5 schools (FY 2011), 4 schools (FY 2012)
Educational materials for junior high school and older students are being prepared.

Targets

Preschoolers, elementary students and older students

ProviderPrivate support groups, Schools, Kindergartens, Nursery schools, City, etc.

C. Reinforcing a workshop for medical personnel
Prevention target

Potential victims

Corresponding
challenges(2) a, b

Outline of program

Educational materials for medical personnel will be prepared, and workshops will be held.

Improvements andchanges fromintroduction of SC

New

Targets

Doctors, Nurses, Pharmacists, Clerical staff

ProviderMedical institutions, Medical association, City, etc.

- 86 -

D. Promoting of activities for DV victim support at medical institutions
Prevention target

Potential victims

Corresponding
challenges(2) a, b

Outline of program

Preparation of compliance manual for use by medical institutions to discover DV victims, provide
information, and alert the necessary authorities, etc.

Acheavement in FY
2010-2012

Provision of cards of DV prevention at medical insitutitions which participate to the seminars ofMedcal Safety Countermeasure (every year)

Improvements andchanges fromintroduction of SC

Scheduled to be pubish manual during FY 2013

Targets

Doctors, Nurses, Pharmacists, Clerical staff

ProviderMedical institutions, Medical association, City, etc.

E. Improving a workshop for personnel engaged in child-related service
Prevention target

Potential victims

Corresponding
challenges(2) a, cOutline of program

More workshops to promote understanding regarding DV problems will be held, and the contents ofthe seminars shall be modified.

Acheavement in FY
2010-2012

Groups holding seminars: 3 (FY 010), 5 (FY 2011), 6 (FY 2012)

Improvements andchanges fromintroduction of SC

Leaflet to be used when encouraging groups to hold seminars has been prepared.

Targets

Employees of schools and nursery schools, etc. (public, private), Welfare officers, Child welfare
officers, Supervising child welfare officers, Employees of affiliated groups, etc.

ProviderSame as above

F. Studying support for psychological and social rehabilitation of DV victims
Prevention target

Continuous adverse effect caused by DV

Corresponding
challenges(3) aOutline of program

Review methods governmental support the stable management of a "place to live".

Acheavement in FY
2010-2012

Researching the establishment of a joint work site with the Gender equality promotion center.(every
year)

Improvements andchanges fromintroduction of SC

Home children consultation section was added to the discussions.

Targets

DV victims

ProviderPrivate support groups, City

- 87 -

G. Implementing the telephone hotline for children
Prevention target

Continuous adverse effect caused by DV

Corresponding
challenges(3) b

Outline of program

Provide a telephone hotline where children of DV victims, etc., can consult without worry.

Acheavement in FY
2010-2012

Number of telephone hotline sessions: Once a week throughout the year (every year) (private support groups)
 Three days during November (2010, 2011), Five days during November (2012)(City and private support groups)

Improvements andchanges fromintroduction of SC

The weekly telephone hotline was also made toll-free. The number of consultation days in November
was increased by two days.

Targets

Children of DV victims, etc.

ProviderPrivate support groups, City

H. Workshops for promoting understanding toward children of DV victims
Prevention target

Continuous adverse effect caused by DV

Corresponding
challenges(3) b

Outline of program

Hold workshops for learning the skills for suitable care of children in or previously in a DV
environment.

Acheavement in FY
2010-2012

Groups holding workshops: 3 (2010), 5 (2011), 6 (2012)
Workshops for learning skills provided by private groups (annual)

Improvements andchanges fromintroduction of SC

Leaflet to be used when encouraging groups to hold seminars has been prepared.

Targets

Employees of interested agencies and groups, such as schools

ProviderInterested agencies, Interested groups, City

I.

Educational support for children of DV victims

Prevention target

Continuous adverse effect caused by DV

Corresponding
challenges(3) b

Outline of program

Provide educational support for children of DV victims.

Improvements andchanges fromintroduction of SC

Financial assistance from the city has allowed programs by private support groups to be continued.

Targets

Children of DV victims living apart from abuser

ProviderPrivate support groups, City

- 88 -

2-6-4 FY 2013 programs
FY 2013

Outline of programs

April to June

Raising awareness of gender equality
and DV prevention

Expanded

Improving DV prevention education
at schools, etc.

ExpandedReinforcing a workshop for medical
personnel

New

Promoting of activities for victim
support at medical institutions

New

Improving a workshop for personnel
engaged in child-related service

Expanded

Studying support for psychologicaland social rehabilitation of victim

Expanded

Implementing the telephone hotline
for children

ExpandedWorkshops for promoting
understanding toward children of DV
victims

Expanded

Educational support for children of
DV victims

Expanded

July to Sept.

Oct. to Dec.

Jan. to March

Scheduled

Details being reviewed

Details being reviewed

Details being reviewed

Scheduled

Scheduled

Scheduled

Scheduled

Scheduled

Scheduled

Details being reviewed

Scheduled

Scheduled

2-6-5 Changes following Safe Community activities

 We were able to gain the understanding and participation of medical personnel in measures for DV
prevention and early discovery. Through surveys, we were able to start promoting support for DV victims
at medical institutions.
 Through repeated meetings of interested persons from different fields, it was found that the effect of DV
on children is great. The importance of identification through the children, prevention education frompreschooler ages, and care for children was identified.
 There are no statistics on the effect of DV onto children. A lack of research focusing on children isapparent, so this committee will refer to the opinions of support and medical fields, and will start reviewsfor implementing actual programs.
 Plans for countermeasures were incorporated into the “Kurume City Basic Plan and Implementation Plan
for DV Countermeasures” allowing implementation of reliable projects and management of progress.

- 89 -

2-7 Suicide Prevention
2-7-1-(1) Current state (Suicides in Kurume City)(1) High levels of suicide among men
In recent years, the number of suicides has leveled off, but the male to female rate is 7:3, with moresuicides among men.
Men
Person

Woman

90

81

80

68

70

56

60

Total

75

68
57

56

54

77

49

50
40

25

30

19

14

20

20

19

10
0
2007

2008

2009

2010

2011
(Demographic statistics: 2007-2011)

Fig. VII-1 Transition of number of suicides in Kurume City
(2)
Suicide rate higher than national levels
Suicides among men are higher than the national average.
50.0

40.0

30.0

38.6

39.6

38.9

37.4

34.0
35.8

36.2

35.1

34.2

32.4

20.0
13.7

13.5

13.2

13.2

13.9

11.9

11.9

12.6

2009

2010

2011

１５．６

10.0

15.6

8.8
0.0
2007

2008
Male in Kurume

Male nationwide

Female in Kurume

Female nationwide(Demographic statistics: 2007-2011)

Fig. II-2 Comparison of suicide rate in Kurume and national suicide rate
- 90 -

(3) Suicides among working men
The rate of suicide is high among prime age groups (30 to 50s).
人
Persons

80

71
男性
Men

60

女性
Women

50
42

41

40
25
20

24
17

13

15

16

15

14

9

3 5

7

2 0

0
Teens
10代

20s
20代

30s
30代

40s
40代

50s
50代

60s
60代

70s
70代

80s
80代

90s
90代

(Demographic statistics: 2007 - 2011)

Fig. VII-3 Number of suicides in FY 2007 to 2011 (by gender, by age)
2-7-1-(2) Current state (Background of suicides)(4) Complex causes of suicide
There are various causes of suicide including health problems, financial problems, problems at home,and problems at work. Social programs before a person develops depression are essential.

Changes inwork
environment

Course of suicide risks foundDVin a “fact survey of 1000 people”

Victimof crime

Alcohol
problems
Interpersonal
relations withcolleagues

Slump inbusiness
Overwork(Karoo)Problems
at work

Bullying

Physicalailments

BrokenheartsOthersLoss of job

Worries
about
academics

Debt

Problems
withparentingVictimof abuse

Death inthe familySocialwithdrawal
Unknown

Hardships
indaily life

Pain

Depression

Problems
with debt
collectors

Fatiguefromcaregiving

Discordamong
familySuicideFig. VII-4- 91 -(NPO Life Link)

Not reluctant
No response

Men

Reluctant

Tend to be reluctant

Not very reluctant

13.4

35.1

24.7

20歳代
20s

9.9

30歳代
30s

28.2

50s
50歳代
60s
60歳代
70 and older
70歳以上

16.9

36.3
31.8

16.3

42.3

3.8

38.2

58.0

4.7

57.0

38.4

1.9 1.3

50.0

46.9

1.4

52.1

40.8

1.2

44.0

45.8

43.0

54.2

30.4

65.2

2.4 2.4

34.5

60.8

1.9 2.4

33.8

61.9

1.7 1.7

42.8

54.0

2.6

50.7

38.2

28.1

17.5

27.7

48.5

6.2

21.5

18.8

20.4

3.1

35.1

40.1

13.8

Do not know

17.5

22.9

16.9

40歳代
40s

Not reluctant

23.2

21.7

5.7

24.1

Not reluctant (total)

Reluctant

Reluctant (total)(5) Men who are reluctant to seek advice or help
More than half of men in the 40 to 60 age group are reluctant to seek advice or help when they haveworries.

9.0

Women
0%
20歳代
20s

10.3

30歳代
30s

5.6

40歳代
40s

5.3

10%

20%

32.7 30%

40%

24.8

8.1

60s
60歳代

10.4

70 and older

70歳以上

25.7

80% 28.0

23.8

32.4
11.2

40%

50%

27.0

60%

70%

1.2

3.1

32.4
21.6

30%

0.9
1.9 100%

90%

40.7

33.6

20%

70%

39.1

32.4

10%

60%

20.1

17.1

0%

26.2

26.1

29.2

50s
50歳代

50%

8.6

80%

90%

100%

Source: Cabinet Office “Survey of awareness regarding suicide measures” (January 2012)

Fig. VII-5 Reluctance to seek advice or help(6) Suicide victims often do not seek psychiatric help
While approximately 60% of persons who have attempted suicide have a history of psychiatric care,less than 30% of suicides have received care.
Table VII-6

History of Psychiatric Care by Suicide Attempters and Suicides according toEmergency Transport Data (Kurume citizens)
Attempts
Total

Suicides (incl. those not transported to hospital)

History of psychiatric care

Total

History of psychiatric care

2009

112

72

64.3%

43

12

27.9%

2010

113

67

59.3%

36

8

22.2%

2011

135

74

54.8%

47

9

19.1%

Total

360

213

59.2%

126

29

23.0%

(Ambulance call-out data: 2009-2011)

2-7-2 Challenges(1)The number of suicides in Kurume City has leveled off in recent years, and 70% of suicides areamong men. [Fig. VII-1](2)Even though the rate of suicide is high among prime age groups (30 to 50s), awareness of worriers regarding
suicide among suicides in those age groups is low. [Fig. VII-2] [Fig. VII-3] [Fig. VII-5](3)There are multiple causes of suicide, and the causes tend to be intertwined. [Fig. VII-4](4)Men in their prime have no one to consult with, and commit suicide. [Fig. VII-5](5)According to Ambulance call-out data of citizens in Kurume City, the rate of suicides that have ahistory of psychiatric care is lower than suicide attempts. [Fig. VII-6]- 92 -

2-7-3 Programs
A. Training sessions for gatekeepers
Prevention target

SuicideCorresponding
challenges(1),(2),(3),(5)Outline of program

Hold training sessions for gatekeepers who can identify signs of “suicide” or “depression” amongcommunity residents, and lead such persons to appropriate consulting and support agencies. Visitvarious places where community residents gather to hold onsite lectures, and expand the circle ofgatekeepers. Cooperate with the Gatekeeper Kizuna no Kai, and hold suicide prevention seminars.

Results of FY 2011 to2012

FY 2011 Gatekeeper Training Session held 3 times with 263 participants, Employee seminar held 4times with 162 participants
FY 2012 Gatekeeper Training Session held 4 times with 283 participants, Employee seminar held 5times with 369 participants, Gatekeeper Seminar held 10 times with 299 participants.

Improvements andchanges fromintroduction of SC From single session to series
 To experience-type seminar using role playing

Targets

Community residents

ProviderCitizen gatekeepers, Welfare officers, Kurume medical association, Okawa mizuma medical
association, Ogori mitsui medical association, Ukiha medical association, Universities, Barassociation, Judicial scrivener association, City, etc.

B.

Workshop of family doctor depression approach

Prevention target

Depression

Corresponding
challenges(1)

Outline of program

Collaboration between family doctor, such as internal medicine doctor, and psychiatric doctors will bestrengthened to identify and treat depression at an early stage. A system of medical collaboration will
be organized, and a community support network will be created.

Acheavement in FY
2010-2012

FY2010, Workshop held 2 times, Review meeting held 6 times, 177 participants
FY2011, Workshop held 2 times, Review meeting held 9 times, 207 participants
FY2012, Workshop held 2 times, Review meeting held 8 times, 218 participants

Improvements andchanges fromintroduction of SC

Expand targets to occupational health physicians

Targets

Psychiatric doctors, Family doctors, Certified social worker, Occupational health physicians, etc.

ProviderKurume medical association, Okawa mizuma medical association, Ogori mitsui medical association,
Ukiha medical association, Association of mental hospitals, Association of neuropsychiatry clinics,
Universities, Judicial scrivener association, City, etc.

C.

Provision of suicide liaison council of prevention

Prevention target

SuicideCorresponding
challenges(1),(2),(3)Outline of program

Since suicides occurs for a variety of intertwined causes, groups from various fields will gather toshare information regarding the current state of suicides and each group’s programs, and will promotesuicide prevention measures throughout the city.

Acheavement in FY
2010-2012

FY 2010 City Hall Meeting held 2 times, Conference held 1 time, 44 people from 42 groups participated
FY 2011 City Hall Meeting held 2 times, Conference held 1 time, 48 people from 42 groups participated
FY 2012 City Hall Meeting held 2 times, Conference held 1 time, 41 people from 39 groups participated

Improvements andchanges fromintroduction of SC

Citizen groups added to affiliated groups- 93 -

Targets

Community residents

ProviderCitizen gatekeepers, Families of succeeds, Interested community groups, Homeless support groups,
Groups helping people reestablish life, Medical, health and welfare related groups, Education related
persons, Judicial related persons, Commerce and industrial labor related response, Persons with
relevant knowledge and experience, Police, Fire department, City, etc.

D. Implementing the one-stop service consultations
Prevention target

SuicideCorresponding
challenges(1),(3)Outline of program

Hold consultation sessions in cooperation with employment support agencies, judicial agencies andgroups helping people reestablish life

Acheavement in FY
2010-2012

FY 2010 Consultation session held 1 time,
FY 2011 Consultation session held 1 time,
FY 2012 Consultation session held 1 time

Improvements andchanges fromintroduction of SC

Employment support agency added

Targets

Citizens

ProviderCity, Bar Association, Groups helping people reestablish life, Judicial scrivener association, etc.

2-7-4 FY 2013 programs
FY 2013

Outline of programs

April to June

July to Sept.

Oct. to Dec.

Training sessions for gatekeepers

Improved

Details being reviewed

Scheduled

Workshop of family doctor depression
approach

Expanded

Details being reviewed

Scheduled

Provision of suicide liaison council of
prevention

Expanded

Details
being
id

Implementing the one-stop service
consultations

Expanded

Details being
reviewed

Jan. to March

Scheduled

Scheduled
Details being
reviewed

Scheduled

2-7-5 Changes following Safe Community activities Through the cooperation of school district representatives and welfare officers on the suicide prevention
measures task force, understanding on suicide prevention was increased in the community. In addition,
employees had more changes to visit and educate the community.
 The Bar Association and Association of Judicial Scriveners asked to cooperate with the city’s suicide
prevention measures. This showed an increase in the circle of measures to prevent suicides.

- 94 -

2-8 Disaster Preparedness
2-8-1 Current state(1) When a large-scale disaster occurs, more than half of rescues are made by family members orneighbors
During the Hanshin-Awaji Earthquake, approximately 35,000 people had trouble escaping on theirown because of collapsed buildings, etc. Of these, 77% (approx. 27,000 persons) were rescued by afamily member or neighbor.
Rate of persons having trouble escaping on their own in Hanshin-Awaji
Earthquake (n=35,000)
4%

Family member, neighbor

19%
Disaster prevention worker

77%

Others(Source:"Prediction of human casualties in large-scale earthquake damage", Yoshiaki Kawata, 1997)

Fig. VIII-1(2) The probability of elderly victims is highIn the Hanshin-Awaji Earthquake, the rate of elderly victims was higher than younger people.
Circumstances of deaths in Hanshin-Awaji Earthquake (n=5,470)
400
356

370

350

332
312

300

Men

280

Women

250

226

190

200

156 162

152
145

150
101

100

234

66
52

6563

76
67

67

93
83

106 110
92

84
59

6257

223
204

189
164
140

156

84
59

50

17

0

2

11

3 0

(Source: "Circumstances of death caused by Hanshin-Awaji Earthquake looking from demographic statistics" Ministry of Health andWelfare, Minister's secretariat, 1995)

Fig. VIII-2- 95 -

(3) Citizens' worries about disasters are increasing
More than half of the citizens are worried that they may be harmed during a disaster.
Circumstances of citizens' sense of insecurity toward disasters (n=1,777)

0%

25%

50%

Feel a little worried

Not very worried

75%

100%

Earthquake
TyphoonDamage from heavy rains
Damage from landslides

Feel very worried

No worries

No response(Source: Kurume City Citizens' Awareness Survey FY 2011)

Fig. VIII-3(4) Less than half of the citizens have emergency supplies prepared
While many residents are worried about disasters, many have not taken actions such as preparing
water or food.
Fig. VIII Situation on preparation of water and food (n=1,777)
0%

25%

Water

14.40%

Food

12.80%

13.90%

16.40%

1 day's worth

50%

11.70%

100%

59.50%

19.70%

2 days' worth

75%

0.50%

50.40%

More than 3 days' worth

No stock7.00%

No response(Source: Kurume City Citizens' Awareness Survey FY 2011)

Fig. VIII-4- 96 -

(5) More than half of the citizens have no preparations for disasters
While worries for disasters are high, close to half of the citizens have made no preparations fordisasters.
State of Kurume City citizen's preparation for disasters (n=1,777)
0.0%

25.0%

Have
insurance
to coverearthquake
water
damage,Haveinsurance
to coverearthquake
andandwater
damage,etc.etc.

50.0%
29.60%

Discussed modes of contact with family

20.00%

Prepared an Emergency Supply
bag an Emergency Supply bag
Prepared13.30%

Installed braces to prevent furniture or refrigerator from tiltingover

12.20%

Reinforced structure for earthquakes
Reinforced structure for earthquakes

9.10%

Nothing in particular

46.20%(Source: Kurume City Citizens' Awareness Survey FY 2011)

Fig. VIII-5(6) More than half of the citizens do not know about voluntary Disaster Preparedness activities
More than half of the people do not know whether there are voluntary Disaster Preparedness group
activities in their neighborhood based on school district community organizations.
Degree of citizen awareness on community's voluntary disasterprevention activities (n=1,777)
2.1%
7.0%

Often see the activity
Sometimes held

19.6%

Almost never held

59.6%

Do not know about activity

11.7%

No response(Source: Kurume City Citizens' Awareness Survey FY 2011)

Fig. VIII-6- 97 -

(7) Approximately one out of four elderly is worried about escaping in the event of a disaster
Elderly are most worried about their health and bodies within their daily lives. This is followed byworries about “evacuation in the event of the disaster”.
Elderly insecurities in daily life (n=2,570)
0%20%

Living expenses

40%

59.1%

Nursing care

20.5%
3.3%

Evacuation in event of disaster
Others80%

13.4%

Health and bodyManagement of finances

60%

28.8%
2.8%

Nothing in particular

28.3%(Source: Survey on Actual Situations of Injureis in Kurume FY 2009)

Fig. VIII-7(8) More than 60% of the elderly would like someone to come visit to check on them in the event of adisasterMore than 60% of the elderly would like someone to come visit to check their safety and help with
evacuation, etc., in the event of a disaster.
Senior citizen's request for visit and confirmationin the event of the disaster (n=2,570)
2%
4.7%
6.6%

Want someone to comeEither is fine22.6%

Do not need to come

63.9%
Other
No response(Source: Survey on Actual Situations of Injureis in Kurume FY 2009)

Fig. VIII-8- 98 -

2-8-2 Challenges(1) When a disaster strikes, the agencies involved with Disaster Preparedness may also be affected. In
addition to disabled roads and means of communications, stoppage of water, etc., multiple places could
be affected at the same time, so support only by Disaster Preparedness related agencies may beinsufficient.
(2) Worries about natural disasters (earthquakes, typhoons) are high at approximately 80%, but less thanhalf of the citizens have prepared water or food. Even though awareness on disasters is high, people
have not necessarily taken sufficient measures for Disaster Preparedness at home. [Fig. VIII-3] [Fig.
VIII-4] [Fig. VIII-5](3) Approximately 60% of the people did not know about voluntary Disaster Preparedness activities in theschool district. The level of cooperation activities, which are essential in the event of a large-scaledisaster, differ by school district and neighborhood association ,etc., and are not sufficiently publicizedto the community residents. [Fig. VIII-6](4) The elderly and disabled people are often victim to large-scale disasters, as seen with the high rate ofelderly victims in the Hanshin-Awaji Earthquake. [Fig. VIII-2](5) There are communities that are not aware of people needing assistance in the event of a disaster. In
some communities, the cooperators are not decided.
2-8-3 Programs(1) Training of voluntary Disaster Preparedness groups
Target:Preparations by neighbors on a constant basis, and swift evacuation andassistance in the disaster are essential when a large-scale disaster occurs. To increase thecommunity’s Disaster Preparedness abilities, it is important for neighbors to cooperate witheach other. Thus, activities will be held to increase the community residents’ awareness ofDisaster Preparedness, and to promote organized Disaster Preparedness activities in thecommunity.
A. Periodic Disaster Preparedness seminars, training and education
Prevention target

Deaths and injuries from disaster

Corresponding
challenges(1), (2), (3)Outline of program

Periodically hold Disaster Preparedness seminars, training and education together with the community
residents as well as Disaster Preparedness related agencies, medical institutions, groups and local
businesses. Training and education focusing on Disaster Preparedness will be held at existing events.

Acheavement in FY
2010-2012

FY 2010

Improvements andchanges fromintroduction of SC

Increase groups participating in seminars and training

Targets

Community residents, etc.

ProviderCitizens, Community organizations in school district, Private companies, Medical institutions, Disaster
Preparedness agencies, City, etc.

Voluntary Disaster Preparedness seminar and training 34 sessions Total 2,422 people
Onsite seminars
23 sessions Total 936 people
FY 2011 Voluntary Disaster Preparedness seminar and training 49 sessions Total 2,696 people
Onsite seminars
71 sessions Total 2,991 people
FY 2012 Voluntary Disaster Preparedness seminar and training 82 sessions Total 3,695 people
Onsite seminars
66 sessions Total 3,730 people- 99 -

B.

Training of leaders educated in Disaster Preparedness

Prevention target

Deaths and injuries from disaster

Corresponding
challenges(1), (2), (3)Outline of program

Leaders with high Disaster Preparedness skills, etc., will be trained to ensure that organized activities
are continued. Fire department personnel and Disaster Preparedness experts in the community will be
actively incorporated.

Acheavement in FY
2010-2012

FY 2011 Voluntary Disaster Preparedness leader seminar 27 participants
FY 2012 Voluntary Disaster Preparedness leader seminar 58 participants

Improvements andchanges fromintroduction of SC

Training of leaders with Disaster Preparedness skills and knowledge

Targets

Community residents, etc.

ProviderCitizens, Community organizations in school district, Private companies, Medical institutions, Disaster
Preparedness agencies, City, etc.

(2) Promotion of plan to support people needing assistance in event of disaster
Target:
The elderly and the disabled are easily affected in the event of a disaster, so a directory of
persons needing assistance in the event of a disaster and an organization to help these people
on a daily basis will be created.
C. Active information provision to promote registration in the list
Prevention target

Harm to persons needing assistance in the event of disaster

Corresponding
challenges(4), (5)Outline of program

Use information each group has to the fullest to promote registration of a directory, and actively share
information with those people who need assistance in the event of a disaster.

Acheavement in FY
2010-2012

Explain to school district community organization, and alert community with community bulletinboard, etc.

Improvements andchanges fromintroduction of SC

Added private companies and medical institutions to providers.

Targets

Persons needing assistance in event of disaster (the elderly, disabled persons, etc.)

ProviderCitizens, Community organizations in school district, Private companies, Medical institutions, Disaster
Preparedness agencies, City, etc.

D.

Preparation of individual response plans for vulnerable people during disaster

Prevention target

Harm to persons needing assistance in the event of disaster

Corresponding
challenges(4), (5)Outline of program

To increase effectiveness in the event of a disaster, cooperators in the community will be selected andassigned. Persons requiring support will be clarified, and an individual support plan to be used in theevent of a disaster will be prepared. Mimamori (watching activities) will be held on a regular basis for
persons needing assistance.

Improvements andchanges fromintroduction of SC

Newly prepare individual plans

Targets

Persons needing assistance in event of disaster (the elderly, disabled persons, etc.)

ProviderCitizens, Community organizations in school district, Private companies, Medical institutions, Disaster
Preparedness agencies, City, etc.

- 100 -

E.

Preparation of community evacuation plan

Prevention target

Deaths and injuries from disaster

Corresponding
challenges(4), (5)Outline of program

The community’s hazard spots, and safe routes and facilities will be identified. An evacuation planthat matches the community’s situation, such as safer evacuation routes and meeting places, will be
prepared.

Improvements andchanges fromintroduction of SC

A community evacuation plan was newly createdTargets

Community residents, etc.

ProviderCitizens, Community organizations in school district, Private companies, Medical institutions, Disaster
Preparedness agencies, City, etc.

2-8-4 FY 2013 programs
FY 2013
Outline of programs
April to June

July to Sept.

Oct. to Dec. Jan. to March

Periodic Disaster Preparedness seminars,
training and education

ExpandedTraining of leaders educated in Disaster
Preparedness

Expanded Details being

Active information provision to promoteregistration in the list

Expanded

Preparation of individual response plans forvulnerable people during disaster

New

Details being reviewed

Scheduled

Preparation of community evacuation planNew

Details being reviewed

Scheduled

Scheduled

Scheduledreviewed

Scheduled

2-8-5 Changes following Safe Community activities Through Safe Community programs, honest opinions from various groups have been collected.
 In some school districts, medical institutions and schools in the school district have participated in thevoluntary Disaster Preparedness training and seminars.
 Community residents and groups are playing a big role in “cooperating” with each other to improve
community Disaster Preparedness. A connection between community residents and groups on a daily baseis essential for increasing “cooperation”.
 Future programs for Disaster Preparedness measures will be carried out while forming and maintaining afavorable local community, and strengthening cooperation between various groups.

- 101 -

Indicator 5: Programs that document the frequency and causes of injuries
1. Organization and function of Injuries Surveillance Committee(1) Positioning
Established as a specialized organization to analyze
surveillance data of Injuries & accidents and to support SC
Steering Committee and Task Forces, which is composed of
the groups concerned such as administrative bodies andmedical institutes(2) Committee organization
The committee shall be comprised of persons with teachingexperience at universities, etc., interested agencies such as
medical institutions, and administrative agencies.
Organization

Secretariat[University]
 Kurume University[Medical institution]
 Kurume Medical Board  St. Maria Hospital[Administrative agency]  Kurume City Large Area Fire Station Headquarters  Kurume City

City (Collaboration
Promotion Department,
Health Care Center) Kurume Police Department[Observer](3) Functions
To collect & analyze surveillance data of Injuries and to measure & evaluate the effects/influence, etc. of
preventive activities while collaborating with Task Forces, etc.
Table 4-5-2

Data on injuries, etc.
Police data

Fire Dept data

Social statistics

Administrative
statistics

Medical data

Collection andorganization of data by
each responsible groupand secretariat

Application ofdata

External Injuries Surveillance Committee Identification of challenges through collection and analysis ofdata, etc.
 Verification of evaluation indicator

Collection ofdata

Support oftask forces activities

Each task force

 Proposal, improvement and implementation of measures Confirmation of effect of measures

Fig. 4-5-1

Image of Activities- 102 -

Setting ofevaluation indicator2. General image of Injuries Surveillance
In Kurume City, the following data is generally used according to the situation of injury, etc.
For the 0 to 14 age group, Japan Sports Council Disaster Relief Funds data from schools was used. However,excluding that data, there is little difference in the data used for each age group.
Table 4-5-1 Ascertaining Injury Data (by age group)
0 - 14 years

Death

15 - 64 years

65 years and older(2) Demographic statistics(1) Medical institution data
(1) Medical institution data
(1) Medical institution data
(4) Ambulance call-out data
(4) Ambulance call-out data
(4) Ambulance call-out data
Serious (11) School Japan Council(12) Survey on Actual Situations (12) Survey on Actual Situations
injuryDisaster Relief Fund dataof Injureis
of Injureis(12) Survey on Actual Situationsof Injureis(1) Medical institution data
(1) Medical institution data
(1) Medical institution data
(4) Ambulance call-out data
(4) Ambulance call-out data
(4) Ambulance call-out data
Moderate (11) School Japan Council(12) Survey on Actual Situations (12) Survey on Actual Situations
injuryDisaster Relief Fund dataof Injureis
of Injureis(12) Survey on Actual Situationsof Injureis
Minor
injury(12) Survey on Actual Situations (12) Survey on Actual Situations (12) Survey on Actual Situationsof Injureis
of Injureis
of Injureis- 103 -

3. Data configuring Injuries Surveillance
Various data on injuries and accidents are used by the Injuries Surveillance Committee and each task force topromote the Safe Community. The main data is listed below.
Table 4-5-2

Main Data Utilized by Each Committee

Data fromadministrative
agencies

School safety

Elderly safety

Crime prevention

DV prevention

Suicide prevention

DisasterPreparedness

Data frommedicalinstitutions

Child abuse
prevention

Category

Traffic safety

Name of committee(1) Medical institution data

●

●

●

●

●

●

●

●

(2) Demographic statistics●(3) Police statistics●(4) Ambulance call-out data●

Name of data, etc.

●●

(5) Child Consultation Center consolation
records●(6) Home Child Consultation Section
consultation records

●

●

●

●

●

●

●

●

●

●

(7) Gender Equality Promotion Center
consultation records●(8) Number of consultations to Consumer
Affairs Center by persons with multiple
debts

●

(9) Number of mental health consultations toPreventive Health Section●(10) Survey by Health Section●(11) Japan Sports Council Disaster Relief Funds
data●(12) Survey on Actual Situations of Injureis●●(13) Kurume City Citizens' Awareness Survey

Questionnaire
surveys●(14) Kurume City Next-generation Parenting
Support Needs Survey

●

●

●

(15) Factual survey of the elderly●(16) Survey of citizen awareness regarding
Kurume City gender quality(17) Questionnaire for students regarding safety
given- 104 -●●●●

4. Planning of continuous data collection
Basically the medical institutions and administrative agencies will collect the following data each year to
create a sustainable system for the data configuring the Injuries Surveillance. In addition, questionnaire
surveys will be periodically collected and analyzed. Date will be analyzed base on ICD10 and ICECI. As forthe survey on accidents and injuries in which the experience of the last 3 years are asked, it will be changd tothe experience in the past one year.
Table 4-5-3
Data configuring surveillance
Data frommedicalinstitutions

2011

2012

2013

2014

2015

2016

2017

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

(8) Number of consultations toConsumer Affairs Center by
persons with multiple debts

●

●

●

●

●

●

●

(9) Number of mental health consultations toPreventive Health Section

●

●

●

●

●

●

●

●

●

●

●

●

●

●

(11) Japan Sports Council Disaster
Relief Funds data

●

●

●

●

●

●

●

(12) Survey on Actual Situations of
Injureis(carried out approx. every 3 years)

●

●

●

(13) Kurume City Citizens' Awareness Survey(carried out approx. every 3 years)

●

●

●

(1) Medical institution data

(2) Demographic statistics(3) Police statistics(4) Ambulance call-out data
(5) Child Consultation Center
consolation records(6) Home Child Consultation
Section consultation records
Data fromadministrative (7) Gender Equality Promotion
agencies
Center consultation records(10) Survey by Health Section(14) Kurume City Next-generation
Parenting Support Needs Survey(carried out approx. every 5 years)
Questionnaire
surveys(15) Factual survey of the elderly(carried out approx. every 3 years)●●(16) Survey of citizen awareness regarding
Kurume City gender quality (carried out
approx. every 5 years)(17) Questionnaire for students
regarding safety given(carried out approx. every year)●●●- 105 -

●

●

●

●

●

●

5. Injury Surveillance in Kurume City
(1) Collection and utilization of injury database by Injuries Surveillance Committee, using Ambulancecall-out data and medical institution data
1)

PurposeInjury data from medical institutions will be interlinked with Ambulance call-out data obtained
from the Kurume City Large Area Fire Station Headquarters. Mutual information will becomplemented to enable accurate comprehension of the situation of injuries, etc. (For example, theplace of Injury occurrence is not evident from Injury data supplied from medical institutions, andthe injury name is not accurately identified from Ambulance call-out data.) The results of analysis
will be applied for programs at each taskforce committee.

2)Each data (overview)■ Injury data from medical institutions (Medical institutions in Kurume City)
 Cases reported by medical institutions at Conferences for research purposes (Cases of
emergency transport for Injury)
Data items
1) Date/time, 2) Gender, 3) Age, 4) Diagnosis and treatment department, 5) Cause of Injury, 6) Type of
Injury, 7) Situation caused by injury, 8) Name of illness, etc.

■ Ambulance call-out data (Kurume City Large Area Fire Station Headquarters) Data on patients transported by Kurume City Large Area Fire Station Headquarters ambulance
to medical institution in city. (Including transport for illness)
Data items
1) Injury name, 2) Transport destination, 3) Date/time, 4) Age, 5) Gender, 6) Place of injury, 7) Injured
member, 8) Type of accident, 9) Type of injury, 10) Name of illness, etc.

3) Interlinking data
Using the date/time, age and gender as a key, data from both parties shall be compared andinterlinked to create an Injury database4) Tabulation of Injury data
Data was tabulated by category such as gender and age based on the Injury database.
5) Challenge
Effective and efficient data collection and analysis in data matching6) Future direction
Study on analysis methods which is useful for assessment of each program at taskforce committees .

(2)

Survey on occurrence of minor Injuries (currently in review)

1) Background of survey
The following data has been used to comprise the “Program that documents the frequency andcauses of Injuries (Indicator 5)”.
 Ambulance call-out data (Kurume City Large Area Fire Station Headquarters) Factual survey on accidents and injuries (Questionnaire survey carried out by Kurume City) Data from medical institutions (St. Maria Hospital Emergency Center, emergency transport
related)While the situation of Injury occurrence has been identified, the state of minor injuries (cause/placeof occurrence, etc.) cannot be sufficiently understood from this data. A questionnaire survey will be
carried out at the medical institutions to collect data covering a wider range.
- 106 -

2) Questionnaire survey at medical institutions
With improvement of the template which was developed by Toshima(designated as a Safe
Community in 2012), a survey regarding the state of Injury occurrence is being considered forpatients who have had Injuries treated by a medical institution. A trial will be carried out, and basedon the investigation results, the details of the survey will be improved and the investigation period
will be adjusted.

(3) Questionnaire survey on anxiety for injuries, accidents, crimes, and past experience of injures, etc.
1) Survey of Actual Situation of Injuries of Kurume Citizens

i. Purpose of survey
The citizens’ experience of accidents and injuries, and their thoughts on safety will be surveyed.
The results will be used as basic materials to establish preventive measures for accidents andinjuries for the “Safe Community” programs intended to prevent accidents and injuries, etc.
ii. Surveyed items
 Injuries in the past three years “Situation of the elderly”, etc.
iii. Design of survey, and collected results Survey target: Men and women age 20 and older living in KurumeCity Survey method: Distributed by mail and returned by mail
 Number of persons investigated: 3,500 people
 Number of responses (response rate) : 1,994 people (57.0%)
 Survey period: September 26, 2011 to October 10, 2011
 Survey sponsor: Kurume City (Security/Safety Promotion Section ofCollaboration Promotion Part)
2)

Kurume City Citizens' Awareness Survey
The “Safe and Secure City Planning” was surveyed in the FY2011 Kurume City Citizen Awareness
Survey to use as basic materiel for promoting the Safe Community.

i. Surveyed items
Worries about natural disasters, injuries and crime, preparation of food, etc. for disasters, etc.
ii. Survey method
 Survey target
 Number of samples
 Survey method: People age 20 and older living in Kurume City
: 2,000: Survey was mailed, and survey staff visited homes tocollect response Survey period: July 27 to August 5, 2011
 Number of responses (response rate) : 1,777 forms (88.9%)

6. Number of meetings held by Injuries Surveillance Committee
2012
2013

August 9

1st meeting

September 24

2nd meeting

January 21

3rd meeting

June 24

4th meeting- 107 -

Indicator 6: Evaluation measures to assess their programs, processes and theeffects of change
1. Managing the progress of Safety Program
As shown in Fig. 4 (page 26), Kurume City has been measuring and evacuating the effect of preventive
activities.

2. Evaluation indicator for each priority challenge
An approximately program indicator as well as short/mid-term and long-term indicators have been set
and applied for each program implemented for challenges identified from community diagnosis, etc.
The indicators for program carried out by each task force are listed below.
As the program is carried out, each task force reviews changes to the indicator, etc., according to thestate of progress.
(1) Traffic Safety
Table 4-6-1
Evaluation index
Measure/program

Activity indicator
Short/mid-term

Implementation ofpractical traffic safetyclasses for the elderly

Campaign to wear
bright clothes andreflective materials
Preparation of traffic
safety map

Traffic safety classes

Implementation ofpractical traffic safetyclasses for the elderly

Safe bicycle riding
campaign

Long-term

Method of confirmation

Indicator nameIndicator name

Number of practical traffic safetyclass for the elderly that havebeen held and number ofparticipants

Survey on changes in awarenessand behavior regarding traffic
safetyState of senior citizen traffic
accidents

Method of confirmation

Method of confirmation

Factual survey on accidents andinjuries (every 3 years)

 Police statistic data (annual) Ambulance call-out data(annual)Number of campaign sessions,
number of distributed goods

Method of confirmation

Method of confirmation
Number of traffic safety maps
prepared, number of participantsMethod of confirmation

Indicator nameIndicator name

Number of traffic safety classes
held, number of participants

Survey on changes in awarenessand behavior regarding traffic
safetyState of bicycle traffic accident
occurrence

Method of confirmation

 Police statistic data (annual) Ambulance call-out data(annual)

Method of confirmation

Number of experience-type traffic
Survey to users of bicycle parking
safety class for the elderly thatlots (annual)
have been held and number ofparticipantsMethod of confirmation
Number of campaigns held,number of campaign locations,
number of distributed goods- 108 -

Method of confirmation

(2) Child Abuse Prevention
Table 4-6-2
Evaluation index
Program

Activity indicator
Short/mid-term

Community
cooperation to visit
homes with infantsLong-term

Method of confirmation

Indicator nameIndicator name

Number of participating school
districts, number of visited
homes, and number of households
requiring continuous assistancefrom supervising child welfare
officerRate of people feeling difficult inparentingState of child abuse measures

Method of confirmation

Number of child abuse cases
handledSalon visits to juniorhigh schools

Method of confirmation

Orange ribbon
making sessions bychildren

Method of confirmation

 Provision of information from
community (supervising childwelfare officer), and number ofreported cases
 City needs survey on parenting
Indicator nameMethod of confirmation

Indicator name
Awareness on parenting inKurume City
Method of confirmation

Number of provider groups andChild’s awareness of abuse
participating children *, number
Method of confirmationof salon providers participating in
Number of information andschool district, etc.
consultations received fromchildren
Number of provider groups andparticipating children

City needs survey on parenting
 Recognition of abuseawareness Availability of someone toconfide in Degree of exchange between
citizens and children* Child … Person under the age of 18 (Child Welfare Law)

(3) School Safety
Table 4-6-3
Evaluation index
Measure/program
Short/mid-term
Preparation of school
environment that
promotes awareness andlead to actions to be safe
inside school building

Long-term

Indicator nameIndicator name

Awareness on how time is spent at school,confirmation of changes in behavior

State of injury

Method of confirmation
Questionnaire surveys (annual)

Injuries covered by Japan Sports Council Disaster
Relief Funds (annual)

Indicator nameIndicator name

Changes in awareness pertaining to traffic
rules

Changes in awareness and behavior pertaining tofollowing traffic rules and manners

Method of confirmation

Method of confirmation

 Rate of bicycle helmet possession and use(annual) Bicycle Skills Test (annual)

Questionnaire surveys

Method of confirmation

Introduction of safe andfun playing methods
Practical traffic safetyclasses

Improvement of traffic
instruction to matchhazard spots and time

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Evaluation index
Measure/program
Short/mid-termLong-term

Prepare school district
Indicator namesafety map and promote
Changesin recognition of “Shelter House #110
education on how toforChildren”
handle suspicious persons
Method of confirmation
Crime prevention safety
patrol using school district Questionnaire surveys (annual)safety map

Indicator name
Confirm changes in crime prevention awareness, andchanges in recognition of methods
Method of confirmation
Questionnaire surveys(4) Elderly Safety
Table 4-6-4
Evaluation index
Measure/program

Activity indicator
Short/mid-term

Education of falling
hazard places inhomeProvision of
information andeducation pertaining
to risks of falling on
daily life

Method ofconfirmation
Number of brochure
distributed
Method ofconfirmation

Indicator nameIndicator nameRate of people taking measures to prevent fallingNumber of people injured
by falling

Method of confirmation
Questionnaire survey on awareness and behavior

Merits and demerits ofholding courses incommunity, andnumber of participantsin educational courses

Seminars for
Method ofmaintaining healthconfirmationand physical Number ofstrength, including
participants in
caregiving
prevention programs,
prevention programs,
etc.
and support of health Number ofmaintenanceparticipants inactivities in thehealthy walking
community
seminars
Information
provision regarding
to abuse and care fordementia throught
symposium andstudy sessions

Long-term

Method of confirmation
 Ambulance call-out
data Factual survey withquestionnaire

Indicator nameRate of persons requiringlong-term assistancebecause of falling
Method of confirmation
Factual survey withquestionnaire

Indicator nameMethod ofconfirmation
Number of pariticipants tothe events

Indicator nameRate of abuse accurence
 number of abuse(reported) / elderly
population

Improvement of awreness about abuse among citizens
Training fordementia supproters

Method ofconfirmation
Number of certified
supproters

Method of confirmation
Method of confirmation
Questionnaire survey on actual situations- 110 -

Statistics from Deartmentof long life support

Evaluation index
Measure/program

Activity indicator
Short-term

Establish the network to
support the eliderly whoneed support

Reduce the burden of caregivers in mental andphysical aspects

Mid-term

Method of confirmation

Indicator nameIndicator name

Number of reported cases

Improvement of awrenesson
abuse among citizens

Rate of abuse accurence
 number of abuse (reported) / elderly
population

Method of confirmation

Method of confirmation

Questionnaire survey on actual
situations

Statistics from Deartment of longlife support

Method of confirmation
Number of participants to thetraining courses
Number of telephonecousultation(5) Crime Prevention
Table 4-6-5
Evaluation index
Measure/program

Activity indicator
Short-term

Preparation of community
safety map for eachelementary school district

Mid-term

Method of confirmation

Indicator nameIndicator name

Number of school districts
involved in voluntary crime
prevention programs using“Community Safety Map”

Number of known street crimes

Resolving citizens’ worries
regarding robberies and sexual
crimes, etc.

Method of confirmation
Police statistics

Method of confirmation
Questionnaire surveys (every 3
years)

Promotion of two-locksystem for bicycles

Method of confirmation

Indicator nameIndicator name

Number of educational
programs held at bicycle
parking lots and commercial
facilities, etc.

Number of known bicycle thefts
in street crimes

Resolving citizens’ worries
regarding robberies and sexual
crimes, etc.

Method of confirmation
Police statistics

Method of confirmation
Questionnaire surveys (every 3
years)

Enforcement of joint
patrols in high crime rate
areas

Method of confirmation

Indicator nameIndicator name

Number of important point
patrol sessions

Number of known street crimes

Resolving citizens’ worries
regarding robberies and sexual
crimes, etc.

Maintenance ofMethod of confirmation
community environment to
Number of improvements
enhance sense of safety
made in areas with high crimeand security
rate (installation of security
cameras on street, etc.)

Method of confirmation
Police statistics

Method of confirmation
Questionnaire surveys (every 3
years)- 111 -

Evaluation index
Measure/program

Activity indicator
Short-term

Mid-term

Citizens’ General Action
Meeting to abolishviolence

Method of confirmation

Indicator name

Number of school districts
with original eviction
programs such as Violence
Abolishment Meetings
programs

Seminars and courses byretired police officers toprevent preschoolers,
students and youths fromjoining gangs

Method of confirmation

Within crimes subject to general Resolving citizens’ worries
crime law, the number of known regarding violent crimes
heinous crime and violent
Method of confirmation
offenses
Questionnaire surveys (every 3
Method of confirmation
years)
Police statistics

Indicator name

Number of schools holding
crime prevention education
programs such as gangabolishment(6) DV Prevention
Table 4-6-6
Evaluation index
Measure/program

Activity indicator
Short/mid-term

Raising awareness ofgender equality and DV
prevention

Improving DV prevention
education at schools, etc.

Long-term

Method of confirmation

Indicator nameIndicator name

Number of schools agencies
and groups holding
educational seminars andprevention training, Numberof participantsParticipant awarenessRate of people who haveexperienced DV
Rate of people who do not agreewith division of roles by gender
Rate of people who think that DV
is a violation of a woman’s humanrightsRate of people who have been
abusedMethod of confirmation
Questionnaire survey (annual)

Method of confirmation
Check at the site of the
program .

Method of confirmation
Citizen Awareness Survey(every 5 years)
Reinforcing a workshop
for medical personnel

Promoting of activities forvictim support at medical
institutions

Method of confirmation

Indicator nameIndicator name

Number of
institutions/groups holding
seminars, number ofparticipants

Number of medical institutions
holding programs

Rate of people who did not consult
about DVParticipant awareness

Method of confirmation

Method of confirmation

Citizen Awareness Survey(every 5 years)

Questionnaire survey (annual)

Improving a workshop for
personnel engaged inchild-related service
Studying support forpsychological and social
rehabilitation of victims

Method of confirmation

Indicator name

Number of Review meetingon administrative support

Number of workshops and number Number of people who were ableof participants
to recover psychologically andsocially through skill training
courses, etc.
Method of confirmation
Method of confirmation
Check at the site of the program(annual)- 112 -

Indicator name

Check at the site of the program .
(annual)Evaluation index
Measure/program

Activity indicator
Short/mid-term

Implementing thetelephone hotline forchildrenWorkshops for promoting
understanding toward
children of DV victims

Long-term

Method of confirmation

Indicator nameIndicator name

Number of
institutions/groups holding
seminars, number ofparticipantsParticipant awareness

Number of telephone
consultations, number of children
receiving extra learning support

Method of confirmation
Questionnaire survey (annual)

Method of confirmation
Check at the site of the program(annual)Educational support forchildren of DV victims(7) Suicide Prevention
Table 4-6-7
Measure/program
Training of people
who can identify
signs of suicide atearly stage andprovide appropriate
measures

Evaluation index

Activity indicator

Short/mid-term

Method of confirmation

Indicator nameIndicator name

Number of Gatekeeper Training
sessions held

Number of Gatekeepers

Changes in number of suicides inKurume City

Method of confirmation
Number of Family Doctor
Depression Approach workshop
held

Method of confirmation
Number of training course
participants, number of employee
participantsMethod of confirmation

Indicator name

Number of transports fromself-inflicted injuries, and numberof deaths

Number of cases reported between
family doctor and psychologicaldoctorMethod of confirmation
Number of cases reported fromeach hospital

Reinforcement ofcooperation between
related agencies, andcreation of network

Long-term

Method of confirmation

Indicator name

Number of Liaison Council of
Suicide Prevention sessions held
Number of consults pertaining torebuilding life

Changes in awareness pertaining tosuicideMethod of confirmation
Citizen Awareness Survey(every 5 years)- 113 -

Demographic statistics
Indicator nameMethod of confirmation
Ambulance call-out data(8) Disaster Preparedness
Table 4-6-8
Measure/program

Activity indicator

Evaluation index
Short/mid-termLong-term

Periodic Disaster
Method of confirmation
Preparedness
seminars, training and  Number of voluntary Disaster
Preparedness seminars andeducation
training sessions held
 Number of persons and groups
participating in training andseminars
Training of leaders
educated in Disaster
Preparedness

Active information
provision to promoteregistration in the list

Method of confirmation
 Number of persons
participating in voluntary
Disaster Preparedness leader
seminar Number of persons with
Disaster Preparedness skills
who are registered
Method of confirmation
 Number of directories of
persons needing assistance inthe event of a disaster Number of persons registeredin directory of persons needing
assistance in the event of adisaster

Indicator name
Changes in citizens’ awareness and Indicator nameknowledge on Disaster Preparedness Method of confirmation
Method of confirmation
Number of persons injured in
Citizen Awareness Survey (every 3 event of disasteryears)

Preparation of
Method of confirmationindividual response Number of training sessions
plans for vulnerable
held using directory of persons
people during disasterneeding assistance in the eventof a disaster Number of individual plans
prepared
Preparation ofcommunity
evacuation plan

Method of confirmation

Indicator name

Number of community
evacuation plans prepared
Method of confirmation

Changes in citizen’s awareness on Method of confirmation
evacuation
Number of persons injured inevent of disaster
Method of confirmation

Number of evacuation training
sessions held

Citizen Awareness Survey(every 3 years)- 114 -

Indicator nameIndicator 7: Ongoing participation in national and international Safe
Communities networks
1. Participation in national networks(1) Exchanges with Safe Community cities in Japan
Year/month

Description

Oct. 2010

Attended Citizen Security and Safety Festa 2010 in Atsugi (Atsugi City)

June 2011

Attended the Safe Community pre-evaluation of Toshima Ward in Tokyo
Participated in the Conference of Citizens’ Safety in Toshima Ward
Attended the Safe Community pre-evaluation of Sakae Ward, Yokohama City of Kanagawa Prefecture

July 2011

Visited Kameoka, Kyoto

Nov. 2011

Participated in the Meeting of National Safe Community Promotion Local Government Network (Atsugi
City, Kanagawa Prefecture)
Participated in the 5th Academic Conference of Japan Society of Safe Promotion (Ikeda City, Osaka
Prefecture)

2012
Jan. to Feb.

Attended the Safe Community on-site evaluation of Minowa Town in Nagano Prefecture
Attended the Safe Community on-site evaluation of Toshima Ward in Tokyo

May 2012

Attended the Safe Community on-site evaluation of Komoro City in Nagano Prefecture
Participated in the Safe Community Designation Ceremony of Minowa Town in Nagano Prefecture
Participated in the Meeting of National Safe Community Promotion Local Government Network
Observed preliminary screening of Kameoka, Kyoto
Attended joint study group Japan Safe Community Promotion Municipalities (Osaka)

Sept. 2012

Participated in JISC Safe Community Seminar (Matsubara)Oct. 2012

Participated in Safe Community Summit held in Toshima Ward
Attended the Safe Community on-site evaluation for re-designation of Kameoka City in Kyoto Prefecture
Attended the Safe Community pre-evaluation of Matsubara City in Osaka

2012
Nov. to Dec.

Participated in the Safe Community Designation Ceremony of Toshima Ward in Tokyo
Participated in the Safe Community Designation Ceremony of Komoro City in Nagano Prefecture

Feb. 2013

Participated in the Safe Community re-designation of Kameoka City in Kyoto Prefecture
Participated in meeting of supervisors in National Safe Community Promotion Local Government
Network(2) Hosting of visiting groups
Year/monthGroup nameJuly 2012

Miyazaki Prefectural Assembly

Dec. 2012

Yame City, Fukuoka Prefecture

2. Participation in international networks
Year/month

Description

Dec. 2011

Participated in the symposium commemorating the designation of the JISC Safe School Certifying Center(Osaka, Japan)

June 2012

Visited Jeju Island (special self-governing island), a Safe Community in South Korea, and participated inseminars (Jeju Island, South Korea)

Dec. 2012

Participated in and gave a presentation at the 6th Asian Regional Conference on Safe Community (Toshima
Ward) (Tokyo, Japan)- 115 -

Visited Jeju Island, a Safe Community in South
Korea, and participated in seminars (2012)

Symposium commemorating the designation of the JISC
Safe School Certifying Center (2011)

6th Asian Regional
Community (2012)

6th Asian Regional Conference on Safe Community(2012)

Conference

on

Safe

Meeting of supervisors in National Safe
Community Promotion Local Government Network(2011)

Matsubara City, Osaka(2012)

Joint study group National Safe
Promotion Local Government (2012)

JISC Safe Community Seminar (2012)

Community- 116 -

Safe Community Pre-evaluation

Chapter 5 Long-term Prospects of SC Programs
1. Long-term goal of Safe Community activities(1) Sharing the basic principle of Safe Community
Promotional and educational activities will be promoted with as many citizens as possible to share
the basic principle of Safe Community, “Injuries and accidents do not happen spontaneously, andare preventable by identifying the cause.”
The circle of activities pertaining to safety and security will be enlarged by increasing cooperationof agencies related to community safety, such as city, police and fire department with institutions
such as schools, medical institutions, community activity groups and private groups.

(2) Effective use of Injury data, etc.
Data collected from each field and organized by the Injuries Surveillance Committee, andeffectively used by each task force to resolve challenges. Safety measures with evidence will be
implemented with this. Therefe, before submitting the annual report, good assessment will be
conducted at taskforce committees as well as the Injury Surveillance Committee.

(3) Promotion and activation of community activities
Since the city is promoting city creation in school units, voluntary safety and security activities will
be promoted in the school district. To achieve this, data related to safety and security will be
actively provided to the school district. In addition, an effort will be made to expand safety andsecurity activities through the city by collaborating and exchanging information between school
districts.

(4) Collaboration with Safe Communities in Japan and overseas
Kurume City plans to participate the Safe Community Network in Japan and overseas, and will
share information with each community. In Japan, we value the network with the Safe Community
certified municipalities and those in the preparation stages. We will structure a system ofcooperation through the Safe Community activities, and will strive to educate people in Japan about
the Safety Community activities so that we may broaden our activities.

2. Programs for ensuring long-term activities(1) Promotion of Kurume City’s New General Plan
Kurume City has enacted the “Kurume City’s New General Plan” as an indicator of cityadministration. We are involved with “Safe Community” as a means to realize the basic concept ofcity planning outlined in this plan and to create our ideal city.
Specifically, we are using the “Safe Community” mechanism to promote policies regarding safety
and security over various sectors in an integral manner. In the development of each policy, we arefocusing on cooperation while incorporating the views of PDCA. We are continuously andeffectively carrying out programs to improve the safety and security of all citizens.
- 117 -

(2) Promoting programs based on ordinances pertaining to safety
Kurume City has enacted the “Kurume City Crime Prevention City Planning Ordinance” aiming tocreate a Kurume in which each and every citizen can live safely and security. This ordinancestipulates “creation of a crime prevention city must be engaged by the city, citizens and businessowners, and each party must collaborate closely and cooperate”, etc.
The “Ordinance pertaining to Promotion of Traffic Safety Measures in Kurume City”, regarding
traffic safety and enacted to contribute creating a safe and secure life for citizens, stipulates thecity’s and citizens’ responsibilities and the basis for the city’s policies.
There are other ordinances pertaining to safety. Programs based on these ordinances will be
continually promoted with “Safe Community” to create a safe and secure city.

- 118 -