Application to become a member ofInternational Safe Community Network

December 2011

Toshima City, Tokyo, Japan

Greetings from the City Mayor
Toshima City has many historical and cultural assets which have been
handed down from our ancestors. This is our home where we continue togenerate energy for tomorrow.
We have been promoting urban planning unique to each community
while focusing on welfare and education. Toshima City has beendeveloping as a city of cultural promotion, environment friendly,
life-long health in the subcenter of Ikebukuro and surrounding areas. As
we plan for the future and create a “City people want to live in and visit”,
it is absolutely vital that we focus on “safety”.
As home to around 270,000 people in a 13.01km2 area, Toshima City is
a compact high-density urban area with Japan’s highest population density. Being a city where
various people interact, Toshima City is a fertile ground where daily activities can create new values.
On the other hand, we face challenges unique to a high-density urban area.
Our first challenge is safety.
The daytime population of Toshima City, including workers and students who come from outside thecity, is around 380,000 people. Every day 2.54 million people pass through Ikebukuro Station, one ofTokyo’s bustling commerce areas, as they visit the city for shopping and other events. Crime andaccidents increase when the density of people increases. In addition, Toshima City has many dense
residential areas, so if an earthquake occurs directly below us, as has been predicted, we anticipate
major damage. While our regional characteristics differ, we learned many things from the East Japan
Great Earthquakes which occurred in March 2011.
Another challenge we are facing is local communities, especially the bond [絆（KIZUNA）] amongresidents at in the local communities and neighborhood levels.
The birthrate in Toshima City is dwindling, while the population is aging, and the rate ofsingle-person households is on the increase. The rate for ages 65 and older is 20.8% and 37.7% ofsenior citizen are single-person households. The rate of residents under the age of 14 is 8.6%. In
communities with fewer children, young mothers tend to feel more isolated. In addition, about
22,000 people move in and out each year. These population characteristics pose a challenge incommunity development.
Although these challenges in “safety” and “community” make Toshima City unique and energetic,
they are basic problems which must be tackled for urban grown.
“Safe Community”, promoted by the WHO Collaborating Centre on Community Safety Promotion,
is a valuable program which focuses on these two themes at the same time.
In March 2010, Toshima City was registered as a “city in preparation stages”. Various preparations
have been set in motion to increase lateral cooperation between communities. These include setting acommittee which will act as the nucleus, conducting social surveys on children and senior citizens,
analyzing communities based on various data, etc., setting priority themes for high-risk groups andenvironments, reinforcing the safety functions of “community plazas (Kumin-Hiroba in Japanese)”
set up at each elementary school zone, and setting task forces to enhance the effect of these preventive
actions.
“People are a relay runner in history.” These are the words of James Miki, a playwright of the play
“Ikebukuro Our Town” performed in 2008. We are responsible for passing on a worthy city to thechildren of the future. The most important value for Toshima City is indisputably “Safety”.
Acquiring the internationally-recognized “Safe Community” designation is the pride of all city
residents. This pride in one’s home place is the driving force for creating a safe city.
The “Safe Community” designation is just a relay point as Toshima City continues its long run.
However, it is a big step which will always lead to the future.
December 2011
December 2011

Yukio Takano
Mayor, Toshima City

Table of Contents

Chapter1 Overview of Toshima City ·······················································································1
1 Land Use, Urban Functions ·······················································································3(1) Location and Area
(2) Land use(3) Education and Culture(4) Medicine(5) Industry
2 Population and Households ·······················································································5(1) Transitions in Population(2) Demographics(3) Daytime population(4) Aging population and lower birthrate(5) Household composition
Chapter2 Approach to Safe Community ···················································································91 Significance of Toshima’s Action ·············································································· 11(1) “Safety” and “Community” the essence of high-density urban areas(2) Increasing “safety” supported by a rich community force(3) Reducing medical and care-giving costs, etc.
2 Progress of Actions and Programs ············································································· 12
Chapter3 Mortality and Morbidity in Toshima City ···································································· 13
1 Circumstances of Deaths ························································································ 15(1) Causes of death including illness(2) Trend of death by unintentional accidents and suicides(3) Circumstances of unintentional or suicide death according to age group(4) Situation of unintentional death in elderly persons
2 Circumstance of Injuries ························································································ 19(1) Statistics of resident injuries(2) Circumstances of emergency transport due to injury(3) Children’s Injuries(4) Elderly’s Injuries(5) Injury by disabled people(6) Injuries from traffic accidents(7) Occupational injury(8) Injury caused by sports activities(9) Estimated injury from earthquake disaster(10) Injury from assault(11) Self-inflicted injuries(12) Medical Expenses for injury covered by National Health Insurance
Chapter4 Setting Challenges Based on Community Diagnosis ······················································ 37
Chapter5 Efforts for Safety Promotion and Injury Prervention Based on the Six Indicators ···················· 41
Indicator1: an infrastructure based on partnership and collaborations, governed by a cross- sectionalgroup that is responsible for safety promotion in their community ······························ 43(1) Organization of the Safe Community Programs(2) Safe Community Steering Committee(3) Safe Community Promotion Headquarters (Organization in the Government Office)(4) Taskforce Committees(5) Specialist’ Committee(6) Injury Surveillance Committee(7) "Community Plaza (Kumin-Hiroba)" as the Station of the Safe Community

Indicator2: long-term, sustainable programs covering genders and all ages, environments, andsituations ································································································· 49(1) The overview of the Safety Promotion(2) Major Endeavors for Prevention
Indicator3: programs that target high-risk groups and environments, and programs that promotes safety
for vulnerable groups ···················································································· 55(1) Prevention of injuries and accidents of children(2) Safety of the seniors(3) Safety of the physically disabled(4) Bicycle Safety(5) Safety in commercial and entertainment district (downtown)(6) School safety(7-1) Prevention and prepadness of earthquake disasters (Community Development with Residents Participation)(7-2) Prevention and prepadness of earthquake disasters (Disaster Preventing Activities by Residents)(8) Prevention of child abuse(9) Prevention of domestic violence(10) Prevention of suicide and depression(11) Early Detection of Cancers
Indicator4: programs that document the frequency and causes of injuries ··································· 80(1) Injury surveillance committee(2) Injury surveillance at glance(3) Data sources(4) Future plan of sustainable injury surveillance/data collection(5) Overview of injury surveillance committee
Indicator5: evaluation measures to assess their programs, processes and the effects of change ·········· 85
1 Ongoing Management of the Safe Community Programs ················································· 85
2 Assessment of Each Prioritized Challenges ·································································· 86(1) Prevention of injuries and accidents of children(2) Safety of the seniors(3) Safety of the physically disabled(4) Bicycle Safety(5) Safety in commercial and entertainment district (downtown)(6) School safety(7-1) Prevention and prepadness of earthquake disasters (Community Development with Residents Participation)(7-2) Prevention and prepadness of earthquake disasters (Disaster Preventing Activities by Residents)(8) Prevention of child abuse(9) Prevention of domestic violence(10) Prevention of suicide and depression(11) Early Detection of Cancers
Indicator6: ongoing participation in national and international Safe Communities network ·············· 94(1) Participation in the domestic network(2) Participation in the international networks
Chapter6 Long-term Perspective of Toshima City Safe Community ················································ 99
1 Long-term Goals ································································································101(1) Sharing the basic concept of Safe Community(2) Comprehensive efforts for health and safety(3) Enliveneding activities at community plazas (Kumin-Hiroba)
2 Programs for ensuring long-term activities ·································································102(1) Positioning in the Basic Ordinance Related to Promoting Autonomy in Toshima City
(2) Positioning in Toshima City’s Basic Plan

Chapter 1
Overview of Toshima City

1

2

Land Use, Urban Functions

1(1) Location and Area
Toshima City is located in the northeastern Part as one of 23 cities in Metropolitan Tokyo (MT)and has an area of 13.01km, making it the 18th largest city in Tokyo. Shaped like a “birdspreading its wings”, Toshima City extends 6,720 meters to the east and west, and 3,660 meters to
the north and south. Using Tokyo Bay as the average sea level, the city has a plateau shape whichreaches 36 meters at the highest point and 8 meters at the lowest point.
Metropolitan Tokyo’s 23 cities
Toshima City

(2) Land Use
Categorized according to use, 47.7% of the city’s land is for residential use, 10.3% for public use,
7.9% for business use and 2.3% for industrial use. Twelve railway lines, from five companies,
pass through Toshima City. Tokyo’s only streetcar, the Arakawa Line, also passes through thecity. Commercial and business buildings, including department stores and Sunshine City, arelocated around Ikebukuro Station, situated in the center of the city, thus forming a sub-center area.
On the average, approximately 2.54 million people commute through Ikebukuro Station each day
making it second only to Shinjuku Station. Commerce thrives around the railway stations
including Otsuka, Sugamo, Komagome and Mejiro. Sugamo is famous for the Jizo-Dori shopping
street, also known as Grandma’s Harajuku which is a popular spot for fashion among young
generation.
Fig. 1-1 State of Land Use
Commersial/business
7.9%

Others2.7%

Takamatsu
ChihayaRoad/Rail
road
22.4%
Parks
etc.
6.7%
Industry
2.3%

Public area
10.3%

Kanamecho
Nishiikebukuro

Mejir
o

Tokyo Collegeof Music

TaishoUniversity

Nishisugam
Kamio
Ikebukuro

Teikyo Heisei
University

Rikkyo Ikebuku
Universityro

NagasakiMinaminagasaki

13.01㎢

Ikebukuro
honchoSenkawa

Higashiikebukuro
Zoshigaya

Gukushuin University

Residence
47.7%

Takada3

OtsukaKomagome
Sugamo(3) Education and Culture
Toshima City is home to universities such as Rikkyo, Gakushuin, Taisho, Tokyo College ofMusic, Kagawa Education Institute of Nutrition, as well as about 130 educational facilities
including high schools, junior high school, elementary schools and kindergartens. The cityfeatures culture facilities such as theaters, cinemas, historical museums, variety theaters and art
museums. Many individuals and community organizations are active in artistic and cultural
programs. Toshima City’s rich culture and artistic history includes the “Tokiwa-so”, an apartmentbuilding where legends of manga Osamu Tezuka and Fujio Akatsuka created the culture ofmanga.
Toshima City is also known as the cradle land of the “Someiyoshino Sakura”, the blossoms which
represent Japan.
Table 1-1 Educational institutions
KinderGardens
19

Elementary
schools25

Jr. Highschools
17

High
Schools
16

Vocational
schools49

Juniorcolleges
2

Universities

Total

6

134

(4) Medicine
Toshima City has 16 hospitals and 411 clinics.
Table 1-2 Medical institutions and number of beds
(Ministry of Health Medical Institution Survey: as of October 1, 2010)
Hospitals

Clinics

No. offacilities

No. of beds

No. offacilities

With beds

16

1,790

411

28

Total

Without
beds
383

No. ofhospitalbeds

No. offacilities

No. of
beds

151

427

1,941

(5) Industry
Employment ranks highest in the “Service Industry” followed by “Wholesale, Retail Sales” and“Food and Hotel Business”. Secondary industries such as “Construction” and “Manufacturing”
account for 10% of Toshima’s industry, and tertiary industries account for 90%.
Fig. 1-2 Employment according to industry(person)0
Agriculture, Forestry and Fisheries
MiningBuilding
Manufacturing
Electricity, gas, heat supply and water industry
Information-communication
Transport
Wholesale and retail trade
Finance and insurance
Real estate
Restaurant and lodging
Medical welfare
Education
Composition services
Service business
Public affairs

10,00020,00030,00040,00050,00060,00070,00080,00035
012,50014,353581
25,744
6,641
48,743
17,857
12,503
34,46913,70016,879507
71,465
3,713
Bureau of Statistics,Ministry of Internal Affairs and Communications
2010 Economic sensus -basic survey

4

2

Population and Households(1) Transitions in Population
As of January 1, 2011, the population of Toshima City was 265,897 people. As a result of increaseof 2,000 a year since fiscal 2006, the population density is 20,438 persons per km2, making
Toshima the highest density urban area in Japan. The number of registered foreigners has also
increased since fiscal 2008, with 19,868 persons (4,081 permanent residents) registered as ofJanuary 1, 2011.
Fig. 1-3 Transition in Population(person)270,000

Population
265,000
260,000
255,000

Fig. 1-4 Transition in number of registered foreigners(person)22,000265,897263,212260,625
258,470

18,575
17,16318,000255,444
253,461

16,364

15,61015,91316,000 14,781

250,743

250,000

19,868

Registered foreign citizen
20,00015,16914,000250,967

245,000

12,000240,000

10,000

Basic Resident Register and registered foreigners

Table 1-3

Top five countries of registered foreigners
Country
1

Fig. 1-5 Transition in population density

2（person/㎢）

3
4
5

22,00020,000 19,273

19,482

19,29019,634

20,033

20,43818,000Toshima City
Avarage of MPT's 23 cities

16,00014,00012,00013,335

13,572

13,746

13,98914,255

14,424

Basic Resident Register and registered foreigners

5

China
South Korea,
North Korea
Myanmar
Nepal
Philippines

No. of registeredpersons
11,785
3,543
940
482
428

(2) Demographics
The population of Toshima shifts by about 20,000 persons each year because of move-in and out.
Move- in surpass move-out by about 3,000 people leading to a continued increase in population.
Looking at births and deaths, there are about 2,300 deaths per year compared to about 1,800 births.
Both births and deaths are increasing.
Fig. 1-6

Trend of move-in and out

Fig. 1-7 Trend of births and deaths(person)
2,500(person)26,00024,802

1,974 1,994
24,0002,145 2,106 2,144 2,103 2,096 2,181 2,172

2,286

2,000

23,057
22,273
21,85322,0001,796 1,793

1,500

20,898Move in

1,463

1,551

1,455 1,459 1,474

1,570

1,657 1,644

Move out
20,00020,3711,000

20,360Death

19,796
18,82518,000Birth19,300500

016,000(Basic Resident Register)(Basic Resident Register)(3) Daytime population
According to the National Census conducted in fiscal 2005, the daytime population of Toshima
City is 380,000 people including workers and students. This greatly surpasses the nighttime
population. In age groups, the difference of daytime and nighttime population is large in all age
groups excluding 0 to 14 years and 65 years and older. In the younger groups of 15 to 19 and 20 to
24, the daytime population is double the nighttime population.
Fig. 1-8 Comparison of daytime and nighttime population according to age groups.
74yrs <
65～74
night population

60～64
55～59

day population

50～54
45～49
40～44

35～39
30～34
25～29
20～24
15～19
0～14
0

10,00020,00030,000(National Census)

40,00050,000(person)6

←Older population(4) Aging population and lower birthrate
Fig. 1-9 Comparison of senior citizens andAs of January 1, 2011, the 65 year and older
youth in 23 citys（1- jan-11)
25%
population in Toshima City was 20.8%, andKita
the 14 year and younger population was 8.6%.
24%
The aging population combined with theTaitodiminishing number of children is the most23%
Arakawa
pronounced of all of Tokyo’s 23 cities.

21%

Adachi
Katsushika

Sumida22%

Itabashi

ToshimaOta(5) Household composition
Shinjuku
Shinagawa
ChiyodaLooking at household composition, in 1965
20% Nakano
Nerimaparent-child households accounted for almost
SuginamiBunkyo Koto
19%
half of the city’s households. In 2005, thisMeguroSetagayaShibuyanumber had halved to 23.6%. On the contrary,
Edogawa18%
the number of single-person households has
Minatoincreased reaching 60% in fiscal 2005. When
17%
Tokyo’s 23 cities are compared, it is apparent
Chuou
Younger population→that the ratio of single-person households is
16%
especially high in Toshima.
8%
9%
10%
11%
12%
13%
14%
15%
The percent of senior citizens living alone is(Basic Resident Register)also high. According to the Basic Resident
Register of January 1, 20011, 19,546 people or 38.2% of all senior citizens were living alone.

Fig. 1-10

Composition of households inToshima City

0%

20%

40%

46.9%

1970

42.0%

1975

38.0%

1980

36.7%

60%
14%

100%

29.3%

10%

37.8%

8%

12%

44.2%

6%

11%

47.0%

5%

47.7%

5%

12%

35.0%

80%

13%

65%

Toshima

60%

50%

45%
1990

32.5%

13%

49.7%

5%

1995

29.5%

14%

52.3%

4%

2000

26.0%

56.2%

4%

14%

Toshima city
Parent-children household 23.6%
Single-person household 59.4%

Shinjuku Nakano
Shibuya
Suginami
Chuou
55%
MinatoShinagawaBunkyo← Single-person households

1965

1985

Fig. 1-11 Comparison of parent-children
households and single-personhouseholds in 23 cities in MT

40%

Setagaya

Chiyoda
Taito

MeguroOta
Kita

Itabashi

SumidaKoto
Adachi
Nerima

35%

2005

23.6%

13%

Parent(s) and child/Childeren

4%

59.4%
coupleArakawa
Edogawa

Katsushika
Parent-chiildren households →one-person

others 30%(National Census)

20%

25%

30%

35%

40%

45%

(National Census)

78Chapter 2
Approach to Safe Community

9

10

1

Significance of Toshima’s Actions(1) “Safety” and “Community” the essence of high-density urban areas
Toshima City has Japan’s largest
Most
high-densed
high-density urban area. Various
population
Large commercial
Big number ofand entertainment
functions including culture, commerce,
visitorsarea”Ikebukuro”
business, residence and education are
integrated into a compact area.
Numerousness
Accumulation of
a commercial
Challenges toof the daytime
Toshima is home to a diverse range offunction
populations
safetypeople who generate vitality throughtheir actions.
Crowded urban
Little nature
At the same time, Toshima has one ofareas
Highly-denseTokyo’s busiest commerce areas
urban community
Aging society
around Ikebukuro Station, where 2.54
Co-existence
population of elderlywith foreigners
million people pass through each day.
takes21%
The city is disabled with safety
Senior citizens
Challenges toTotal fertility
concerns unique to a high-density
living alone
rate 0.88
community
urban area. These include crime
37.7%
prevention, environmental cleanup,
Fewer children
One-person
traffic, and ensuring safety in dense(14 yrs andhousehold 60%
younger takes
only 8%residential areas which are vulnerable
People moving
in
and
out
to earthquake damage.
exceeding
20,000 annuallyWith move- in and out exceeding
20,000 people a year, single-personhouseholds accounting for 60% of households, a high proportion of elderly people living alone
and a low birth rate are all characteristics of Toshima City, these factors are also a challenge fordevelopment of communities and bonds between people.
(2) Increasing “safety” supported by a rich community force
Challenges to “safety” and “community” are basic issues which Toshima City constantly faces.
These are also the foundation for creating pillars of strategic growth including cultural policies,
environmental policies and urban regeneration.
We feel truly “safe” only when “safety” and “community” enrich our daily lives.
The Safe Community activities ensure a safe living environment, and aim to improve the qualityof safety and health by creating connections which extend beyond a rich community andorganizations. This is the model of Toshima’s policy for basic challenges.
By expanding these Safe Community activities, we hope to use “safety” as the starting point toextend the bond of people within the community and through that promote a development of a“safe” community supported by high ability of community.
Various programs to protect safety of our communities are carried out in Toshima City. These
programs will be referred to the six standards indicated by the WHO Collaborating Centre on
Community Safety, Promotion to evaluate the influences from a scientific perspective and gain
new ideas and methods. Through this, we hope to significantly improve programs for “Health”
and “Safety” promotion.

11

(3) Reducing medical and care-giving costs, etc.
As Japan enters an unprecedented aging society, it is expected that medical care costs will further
increase. It is essential that the Safe Community activities prevent and reduce unintentional
injuries and suicides. In addition, we hope that these activities will lead to an overall reduction in
medical and health care costs by preventing the elderly injuries by falls and residents who require
medical care.

2
2009

Progress of Actions and Programs
Research on Safe Community started

2010
February: Safe Community Program declared
March:
Registered as “City in preparation stages” with WHO Collaborating Centre
on Community Safety Promotion
May:Toshima City Safe Community Steering Committee set up
North Ikebukuro designated as model community
Community diagnosis

October: Residents Meeting for Safe Community (1,500 participants)
November:  “Basic Policy for Safe Community Certification” enacted
December:  Task forces committees set for prioritizes themes
2011

January:Injury Surveillance Task Force formed

March:The East Japan Great Earthquakes
Safe Community activities by Taskforce committees

June:

Disaster prevention forum (1,000 participants)
Preliminary review by SC Asian Certifying Center (Korea)
Reports from task force committees presented for preliminary review“Toshima Safety Festival” held(co-sponsor: Nihon Shimin Anzen Gakkai)

December: Application report for designation submitted to
SC Asian Certifying Center2012
February: Field review by SC Asian Certifying Center (scheduled)12

Chapter 3
Mortality and Morbidity in Toshima City

13

Legend
Demographics“Demographics Statistics” “Ministry of Health, Labor and Welfare”

EMS

Emergency Medical Service (Emergency transport data) “Tokyo Metropolitan Fire Department”

Police statistics“Metropolitan Police Department Statistics” “Metropolitan Police Department”

City Resident Survey“City Citizen Awareness& Awareness Survey” Refer to Chapter 5 Index 4 for details

Children Survey“Survey on Injuries and Accidents by Children” Refer to Chapter 5 Index 4 for details

Senior Citizen Survey“Survey on Injuries and Accidents by Senior Citizens”
Refer to Chapter 5 Index 4 for details

Disabled Persons Survey“Survey on Injuries and Accidents by Disabled Persons”
Refer to Chapter 5 Index 4 for details

Composition

Composition

Rate of occurrence(1) When compared with national or metropolitan statistics, indicated as
Per 100,000 people(2) Rate of occurrence in Toshima City indicated as percentage

Real numbers

Real numbers

2010

Data for fiscal 20102006 to 10

5-year average for 2006 to 201014

1

Circumstances of Deaths(1) Causes of death including illness
2,000 or more people die in Toshima City every year. Looking at the age groups in the past ten
years, death by “unintentional causes” is in the top five causes in the 0 to 39 age group. “Suicide”
is one of the five top causes of death in the 15 to 64 age group, posing a challenge to the city.
Table 3-1 Ranking causes of death by age group (Average for ten years from 2001) Demographics
Age group

1st

2nd

3rd

4th

5th

Age 0

Congenital
malformation

Ages 1-4

Malignant neoplasm, neurological disease, respiratory disease

Heart disease, Unintentional injury

Ages 5-9

Unintentional
injuryNeurological disease, respiratory disease

OthersAges 10-14

Malignant neoplasm, neurological disease, Unintentional injury

OthersAges 15-19

SuicideMalignant neoplasm, neurological disease, Unintentional injury, heart disease

Ages 20-24

SuicideUnintentional
injuryMalignant neoplasm

Heart disease, cerebrovascular disease

Ages 25-29

SuicideUnintentional
injuryMalignant neoplasm

Heart disease, neurological disease

Ages 30-34

SuicideUnintentional
injuryMalignant neoplasm, heart disease

Ages 35-39

SuicideMalignant neoplasm

Unintentional
injuryCerebrovasculardiseaseHeart disease

Ages 40-44

Malignant neoplasm

SuicideHeart disease

CerebrovasculardiseaseGastrointestinal
diseaseAges 45-49

Malignant neoplasm

SuicideCerebrovasculardiseaseHeart disease

Gastrointestinal
diseaseAges 50-54

Malignant neoplasm

SuicideGastrointestinal
diseaseCerebrovasculardiseaseHeart disease

Ages 55-59

Malignant neoplasm

Heart disease

Gastrointestinal disease, cerebrovasculardisease

SuicideAges 60-64

Malignant neoplasm

Heart disease

Gastrointestinal
diseaseCerebrovasculardisease

SuicideAges 65-69

Malignant neoplasm

Heart disease

CerebrovasculardiseaseGastrointestinal
diseasePneumonia

Ages 70-74

Malignant neoplasm

Heart disease

CerebrovasculardiseasePneumonia

Gastrointestinal
diseaseAges 75-79

Malignant neoplasm

Heart disease

CerebrovasculardiseasePneumonia

Gastrointestinal
diseaseAges 80-84

Malignant neoplasm

Heart disease

CerebrovasculardiseasePneumonia

Gastrointestinal
diseaseAges 85-89

Malignant neoplasm

Heart disease

Pneumonia

CerebrovasculardiseaseGastrointestinal
diseaseAges 90-94

Heart disease

Malignant neoplasm

CerebrovasculardiseasePneumonia

Senile decay

Ages 95 andolderHeart disease

Pneumonia

Senile decay

CerebrovasculardiseaseMalignant neoplasm

All age groups

Malignant neoplasm

Heart disease

CerebrovasculardiseasePneumonia

Gastrointestinal
diseasePrenatal condition

Neurological disease15

Cerebrovasculardisease(2) Trend of death by unintentional accidents and suicides
While unintentional deaths are low on a national average, the numbers are higher than the averageof Tokyo. The average of suicides in the past ten years is higher than the Tokyo or national
averages.
Demographics
Fig. 3-1 Trend of unintentional or suicide deaths (per 100,000 people)

Rate of occurrence(person)35

Suicide(person)35

Unintentional injuries

30

30

25

25

20

20

15

15
Japan

10
5

Toshima10

Toshima

Tokyo

5

Tokyo

0

Japan

0

(3) Circumstances of unintentional or suicide death according to age group
About 60 people die unintentionally each year. The unintentional deaths of elderly people are
increasing yearly. The main causes are tripping/falling, drowning or suffocation. About 60 people
die each year by suicide, with the numbers increasing in the 20 to 60 age groups.
Fig. 3-2 Number of unintentional deaths according to age group and cause
Demographics(Annual average for five years from 2006 to 2010)

Real numbers（person）
10

trafficother9

poisoning

13.4, 21.9%

exposure to fire and smoke poisoning,
8

3.4, 5.6%

suffocation, 12.4, 20.3%

composition
cause ofdeath（all age）
61.2persons

drowning

7
6
5
4

3

fall

3.4, 5.6%
traffic ,accident

exposure to
fire andsmoke, 3.6,
5.9%

1.6
1.6

other, 6.2,
10.1%

smoke, 11.6,
19.0%

poisoning,

2.2

1
0.2

0.4
0.2
0.2
0.4

0.4
0.2
0.2
0.2

0.4
0.2
0.6
0.2
0.2

1.0

0.6

0.8
0.8
0.2
0.2
0.4

0.4
0.2
0.4
0.2
0.2

0.8

0.2
0.4

1.2

1.4

0.6
0.8

1.0

1.8

1.4

0.6

0.4

0.6
0.2

2.4

2.2

2.2

1.0

1.8
0.2

1.8

0.6
1.0

0.2
0.8

1.2

0.6

1.0
0.6
0.2
0.2
0.2

0.6
1.4

0.8
0.4
0.2
0.4

thre ere no death by unintentional 10.6, 17.3%
injuries fat 0-14 years lod for thalast ten years
0.2
0.6

0.2
0.8

exposure to
fire andsmoke, 11.6,
19.0%

composition
other, 6.2, ofcause 10.1%of deathpoisoning,
exposure to17.3%and, 3.6, 5.9%
（all age） 10.6,fire

20

traffic
accident,
13.4, 21.9%

other, 12.4,
accident,
20.3%

1.0

0.6

2.4

1.2

2.0
1.4

0.2

0.2

0.4

1.6

0.2

（years old）

16

Fig. 3-3

Number of deaths by suicide according to age group
Demographics

Real numbers

2006 to 10（person）

8
7
男
6

3.8

女

5

4.2

4
1.2

3.6

3.4

3

4.8

4.6

4.2

3.0
2.8

2

2.8
1.2

3.8
3.0

1

2.0

0

-

-

2.0

0.4
0.2

1.8

1.4

1.0

1.2

1.2

1.0

1.2

1.4

0.4
0.4

0.4
0.4

0.2
-

0.2

(years old)

Table 3-2 Trend of deaths by injury

Demographics

Real numbers

Number of deaths (Persons, 65 and older shown in parentheses)
Cause of death
2006

2007

2008

2009

2010

Unintentional injury

56(37)

63 (43)60 (42)56 (40)71(50)

Traffic accident

8 (4)

7 (5)

6 (3)

4 (3)

6 (1)

Tripping/falling

14 (9)

13 (10)13 (11)17 (13)10 (9)

Drowning or
submersion

14 (9)

9 (7)

9 (9)

9 (7)

12 (11)

Suffocation

6 (5)16 (11)

12 (8)

11 (9)

13 (10)

1 (1)

3 (2)

5 (2)

4 (2)

5 (2)

2 (0)

4 (0)

2 (0)

4 (1)

5 (1)

11 (9)

11 (8)

13 (9)

7 (5)

20 (16)

Suicide42 (12)67 (10)58 (14)79 (13)70 (13)

Murder

1 (0)

0 (0)

0 (0)

0 (0)

0 (0)

Total

99(37)

130(43)

118(42)135(40)141(50)

Exposure to smoke or
fire
Poisoning fromharmful substance
Other Unintentional
injury* Toshima City has had no deaths caused by unintentional injury, suicide or murder in the 0 to 14 age group in
the past ten years.

17(4) Situation of unintentional death in elderly persons
When looking at the cause of unintentional deaths in elderly persons, while traffic accidents areon the decline, death by tripping/falling, suffocation and drowning are on the increase.
Fig. 3-4

Causes of unintentional deaths in elderly persons

Demographics

Real numbers（person）

14
13
12

11
10

10

11

99

9
8

8

11
10
9

9

fall
suffocation

7

7

drowning

6

5
4

4

traffic accident

5

exposure to fire or smoke

2

3
2

2

0

3
2

poisoning

2
1

0
2006

Column

2007

2008

2009

2010

Annually increasing solitary deaths

In Toshima City which is aging quickly, the number of elderly persons living alone isincreasing. At the same time, the number of “solitary deaths” where a person isolated from thelocal society dies is also increasing.
Fig. 3-5of occurrence
Trend of solitary deaths (per 100,000Rate
persons)（person）
60
49.5

Toshima50

23 Cities of MT

40
31.6
28.3

26.7

30

32.5

20.1

18.6

25.3

20

22.1

19.8
10

16.4

15.0

0
00

01

02

03

04

05

06

07

08

09

10

* Number of unnatural deaths by elderly persons age 65 or older living alone which were autopsied by the Tokyo Metropolitan
Medical Examiner to determine the cause of death18

Circumstances of Injuries

2(1) Statistics of resident injuries
Analyzed experience of injury from the results of questionnaire survey, around 10% at the agegroup of 0-5 years old and around 15% among school children has experienced injuries. As for theage group over 18 years old, the rate of experience in being injured tends to be higher as age goesup, and especially residents have high tend to be hospitalized from injury when they become 60
years old or over.
Fig. 3-6 Experience of injury or accident in past year
（％）

20.0

For pre-schoolers, “injuries” occurring at
pre-school have been excluded.

15.0

0.2

hospital visit
0.6

14.8
9.6

Rate of occurrence
City Resident Survey

hoslitalization

1.1

0.1

10.0
5.0

Children Survey

15.4

0.6

0.7

7.5

7.8

11.5

10.1

4.1

0.3
2.4
11.3
7.8

10

0.0

Column Overview of deaths and injuries in Toshima City based on survey results
When the numbers are tabulated, the numbers for all city residents over the age of 18 shows thatfor every death the number of hospitalizations is approx. 65-fold and the number of outpatient
cases is approx. 340-fold.
Fig. 3-7 Overview of deaths and injuries (Tabulated from demographics survey and city
resident survey)
Deaths 71

Deaths 63

1 to 8 persons

1 to 7 persons

Hospitalization 4,650（1.9%）

Hospitalization 1,500（4.1%）

Hospital visit 24,220(9.9%）

Hospital visit 3,660（10.0%）

18years<

70years<(person)* The number of hospitalizations, outpatient cases and close-call accidents is based on the “number of injuries and accidents inthe past year”. The values have been converted for the population (244,637 people) and population of the age of 70 (36,594
people) registered in the Basic Resident Register as of January 1, 2011.

19

(2) Circumstances of emergency transport due to injury
In 2010, there were 4,581 transportations to hospitals by ambulance due to injuries and accidents
in the city. Calculated incidence rate at each age group adjusted based on day time population, theincident rate inside home is higher than outside and children under 5 years old and the elderly
have higher rate than other age groups.

Fig. 3-8 Rate of accidents resulting in emergency transport

EMS

2010

Rate of occurrence（%）5.04.5
4.0

Indoor

3.5

Outdoor

3.0
2.5

2.0
1.5
1.0
0.5
0.0

（years old）

Analyzing cases of injuries sent to hospital by ambulance, as a whole generation, fall takes 42.3%
as the highest followed by traffic accident of 25.0%. As other causes, assault takes 5.9%,
self-harm as 2.9%, sports injury and occupational injury take around 2% each. As for elderly at 65
years old and over, fall takes about 70% and among children under 15 years old, the rate ofgeneral injuries except fall and sport injury tend to higher compared to other age groups.
Fig. 3-9

Types of accidents

Sport
Injury2.2%
Self-harm
2.9%

Occupation
al injuries
2.1%

Fire
0.6%

Drowning
0.2%

2010

Composition

National
disaster
0.0%

All ages
Total

Assault
6.0%

Traffic
accident
25.0%

EMS

4,581
cases
Generalinjury（except
fall）
18.9%

Generalinjury（fall）
42.3%

General injuries(fall)
General injuries(except fall)
Traffic accidents
Assaults
Self-harmSport injury
Occupational injuries
Fire
Drowning
Natural disaster

20

Ages 0 to 14

Ages 65 and older

4,581 289 (100.0%)

1,465 (100.0%)

1,937 107(37.0%)

1,051(71.7%)

865

93(32.2%)

203(13.9%)

1,145
268
132
100
97
26
10
1

71
4
1
13
0
0
0
0

(24.6%)(1.4%)(0.3%)(4.5%)(0.0%)(0.0%)(0.0%)(0.0%)

163
15
9
4
11
6
2
1

(11.1%)(1.0%)(0.6%)(0.3%)(0.8%)(0.4%)(0.1%)(0.1%)

Comparing the type of accidents occurring in Toshima City compared to the 23-city of MT
average, traffic accidents, sports accidents and labor accidents were low in Toshima, but general
injuries, fire accidents, self-inflicted injuries and assault were higher.
EMS

Fig. 3-10
70%
60%

2010

Composition

Comparison of Toshima City and 23 city of MT accident type component ratio
7%

62%
55%

5.8%

6%

50%

23 cities of MPT

5%
33%

40%

4%
25%

30%

3%

20%

2%

10%

1%

0%

0%
Generalinjury2.6%
2.2%

Toshima City

2.3%

2.6%

2.1%

2.9%

3.7%

0.6%
0.5%

0.3%

0.2%

0.0%

0.0%

Traffic
accident

When looking at the place where emergency transport originated, general roads was highest at
40%, followed by residents and stations. For children and elderly people, injuries occurred athome more often than on general roads.
Fig. 3-11
School
1.7%

Place of injuries occurred

2010

Composition

accommoda
tion
1.1%

sales
facility
4.6%

All ages
Others
10.0%
Roads
41.0%

Restaurant
4.7%

EMS

Station
9.6%

4,581
cases

Residence
27.3%

Ages 0 to 14

Ages 65 and older
1,465 (100.0%)

Total

4,581

289 (100.0%)

Roads
Residences
Stations
Restaurant
sales facility
SchoolAccommodation
Others

1,879
1,250
438
216
210
80
52
456

82
97
14
5
26
23
3
39

21

(28.4%)(33.6%)(4.8%)(1.7%)(9.0%)(8.0%)(1.0%)(13.5%)

513
576
154
32
67
1
10
112

(35.0%)(39.3%)(10.5%)(2.2%)(4.6%)(0.1%)(0.7%)(7.6%)

The most frequent cause of emergency transport from injury was falling at 37.5%. Injuries
resulting from a bicycle, automobile, motorcycle or while walking totaled approx 25%. The ratioof falling was high for elderly people.
Fig. 3-12 Cause of injury EMS
Sleeping
medicineetc.
Cut with
2.4%
edged tools
2.5%

2010

Composition
All ages
Ages 0 to 14

Others18.4%

Collision
4.0%

Total

Beaten・
kicked4.3%
Injuredwhile
walking
4.3%

InjuredInjury withwithmotorcycle automobile
5.2%
5.3%

Injuredwithbicycle9.8%

4,581 289 (100.0%) 1,465 (100.0%)

Fall
36.7%

Fall
Fall (From High level)
Injured with bicycle
Injured with automobile
Injured with motorcycle
Injured while walking
Beaten, kicked
Collision

Fall(fromhigh level)
7.4%

4,581
cases

Ages 65 and older

1,650
335
433
240
235
196
194
180

78
48
33
8
0
26
3
29

(27.0%)(16.6%)(11.4%)(2.8%)(0.0%)(9.0%)(1.0%)(10.0%)

958
105
77
23
15
40
9
24

(65.4%)(7.2%)(5.3%)(1.6%)(1.0%)(2.7%)(0.6%)(1.6%)

Cut with edged tool

111

3

(1.0%)

10(0.7%)

Sleeping medication,
painkiller, tranquilizer

890(0.0%)

0(0.0%)

Others741

61(21.1%)

204(13.9%)

When looking at the type of injury and sickness which required emergency transport, blows andbruises were highest at 60%. This was followed by fractures at 13.8%.
Fig. 3-13 Names of injury and sicknessEMS
sufforcation
1.0%

2010

Composition

Burn
1.0%

All ages
Ages 0 to 14

Poisoning
3.3%

Others9.4%

Dislocation・sprain
5.9%
Open
wound
8.9%
Bone
fracture
13.3%

4,581
cases
Contusion
57.3%

Total

4,446

289 (100.0%)

Contusion
Bone fracture
Open wound
Dislocation, sprain
Poisoning
Suffocation
Burn
Others

2,623
608
406
269
151
48
47
252

193
23
31
12
1
10
10
9

22

(66.8%)(8.0%)(10.7%)(4.2%)(0.3%)(3.5%)(3.5%)(3.1%)

Ages 65 and older
1,465(100.0%)840 (57.3%)
359 (24.5%)
119 (8.1%)
44 (3.0%)
10 (0.7%)
21 (1.4%)
10 (0.7%)
62 (4.2%)

Seeing causes of injuries among foreign visitors/travelers, fall is the most frequent cause whichtakes 40 % of all injuries.
Fig. 3-14 Cause of injuries which was sent to hospital by ambulance EMS 2010

Other
general injury
19.2%

Self-harm
3.8%
Fire
3.8%

Composition

Fall
42.3%

26
cases
Traffic
accident
11.5%
Beaten,kicked19.2%(3) Children’s Injuries
When the rate of emergency transport from indoor injuries for children between the ages of 0 to 4
is looked at, ages 0 to 1 were highest at 3.3%. The rate of injury occurrence declined as the child’s
age increased. Half of the injuries were caused by tripping, falling or slipping. “Drowning” islisted as a cause in the statistics, but there have been no drowning in Toshima City.
Fig. 3-15 Cause of indoor injuries by children under the age of 4（％）3.5
3.0
2.5
2.0
1.5

2010

Composition

3.3
H
G
F
E
D
C

2.3
H
G
F
C

B
B

1.0
0.5

EMS

H Others
G Dragged
F Foreign object

1.8
H
G
F
D
C

E High heat・fire
D Caught・pinched
0.9
H
D
C
B

B
A
A

A

2

3

C Collision
B Fall (from high level)
A Fall

A

0.0
0～1

4

23

（years old）

Most injuries, when looked at by type of injury and sickness, are the result of blows and bruises.
Suffocation and accidental ingestion have occurred in ages 0 to 3, and burns have occurred only inages 0 to 1.
Fig. 3-16 Indoor injuries by children under the age of 4（％）3.5

3.3
H
F
E

3.0

EMS

2010

IndoorD
2.5

H.Other injureis

C

2.3

B

E
C

2.0

G.Poisoning
F.Bone fracture

1.8
E
C
B

B
1.5
1.0

Composition

E.Dislocation・sprain
D.BurnA

A

0.5

C.Supporcation

0.9
H
B

A

B.Open wound
A.Contusion

A
0.0
2

0～1

3

4

（years old)

When the place of injury or accident by elementary or junior high school children was surveyed,
the rate of occurrence was highest at school followed by injuries at sports related facilities.
Fig. 3-17 Place of injury occurred
Home

Roads

0%

10%

20%

Roads

Park/square

Elementary School

Home

Jr. High School

Home

Park/squareChildren survey

Composition

Other public places

StoresSchools

Sports facilities

30%

50%

60%

70%

40%

Schools

Schools

24

80%

Others90%

Sports facilities

Sports facilities

100%(4) Elderly’s Injuries
When the cause of death by unintentional injuries in elderly people is looked at, the three maincauses are fall, drowning and suffocation. With examination of the circumstances of indoor
injuries among elderly people with the emergency transport data, fall takes 71.0% of all injuries,
while suffocation and drowning are lower.
Fig. 3-18 Causes of unintentional deaths inelderly people
Demographics

Poisoning
0.9%

Fig. 3-19 Cause of emergency transport for injury
by elderly people

Composition

2006 to 10

EMS

ActionSuffocatiowith noncontact
0.9%
withperson/obj
ect
1.5%
Injuredwhile
driving
1.5%

Traffic
accident
7.5%

Other
22.2%

Fall
24.5%

Exposured
to smoke,
fire
4.2%

2010

212
cases

Composition
Drowning
0.7%
Other
15.1%

1,522
cases
Fall
64.0%

Collision
1.6%

Suffocation
20.3%

Injuredwhile
walking
2.6%

Drowning
20.3%

Injuredwhilebiking
5.1%

Fall fromhgher level
7.0%

When the causes are studied based on a survey, 17.6% respondents had fallen at home, 0.8% had
almost drowned during taking a bath, and 12.9% had choked on food. Of those who had fallen,
19% had broken bones. In other words, 3% of all respondents had broken bones from falling.
Fig. 3-20 Experience of injury or accident by elderly people
0%

0%

ない
20% 10%

40%
20%

17.6%

81.4%

自宅で転んだ経験
Experience of fall at home
入浴中におぼれそうになっ
About tobe drown during taking
た経験bath
食べ物がのどに詰まりそうになった経験
About to suffocate with food60%100% 70%

90%

80%

17.6%
81.4%
0.8%
No

Yes

N/A

95.9%

84.0%

12.9%

12.9%

84.0%

火傷をした経験
Experience of burn

Composition

ある
無回答
80%
30% 60% 40%
50%

95.9%

0.8%

Senior Citizen Survey

91.5%
5.1%

91.5%

Fig. 3-21 Circumstances of injury from falling

Senior Citizen Survey

Bonefracture
18.9%

No injury
27.2%

2,208
cases
abrasion・incisure
23.7%

5.1%

Contusio
n
30.2%

25

Composition

100%When cases that elderly people were transported to hospitals due to tripping/falling indoors arelooked at, it is apparent that the rate of being transported increases as with age. The rate of bone
fracture also increases with age.
Fig. 3-22 Rate of emergency transport from elderly people tripping/falling (indoors) and name of
injury/sickness
EMS 2010 Rate of occurrence
（％）
（％）
3.5!
3.5

M/標準
3.2

3.0!
3.0
2.5!
2.5
2.0!
2.0
1.5!
1.0!
1.5
0.5!
1.0
0.0!
0.5

0.0

その他
打撲・挫傷
M/標準

M/標準

骨折
Contusion
高齢者全体
Bone
fracture

1.5
打撲・挫傷

M/標準

1.3
打撲・挫傷

打撲・挫傷
0.7
骨折
65_74
Contusion

65yrs<

Contusion

骨折

骨折
Contusion

打撲・挫傷Open wound
骨折
ContusionBonefracture（歳）

Bonefracture
85_

75_84
Bone
fracture

65_74

開放創・離断Others75_84

85_（year）(5) Injury by disabled people
In the city resident survey, 11.0% of city residents above the age of 18 had experienced injuries.
However, the rate of injury experienced by disabled people was higher than the city resident
average. The rate for visually-disabled people was especially high at 34.9%, which is as threetimes high as the typical city resident average.
Fig. 3-23 Experience of outdoor injury according to injury type0%20%

visually challenged

hearing challenged

40%

City Resident Survey
Disabled Persons Survey

60%

34.9

57.1

14.7

80%

100%
7.9

82.7

2.7

70.6

10.0

78.6

6.1

Yes
physically challenged

internal impedimentmentally challenged

mental illness

Survey on awereness and attitude of
citizens(over 18 yesrl old)

19.4

15.3

9.0

77.1

15.0

14.0

79.0

11.0

82.4

26

6.0

6.6

No
N/A

(6) Injuries from traffic accidents
Traffic accidents in 2010 had dropped to 953, almost half compared to the peak of 1,885 accidents
in fiscal 2001. Serious injuries had also dropped to one-tenth of those in 2001. The occurrence ratein Toshima City has dropped in recent years compared to the national and Tokyo statistics for
population of 100,000.
Police Statistics

Fig. 3-24 Trend of traffic accidents
Police Statistics

Real numbers(person) (case)
50 800no. of death
45
700
747
no. of severely
40
injured600
no. of RTA
35(case)
2,000
1,885
1,600

1,801 1,792 1,765

40

1,620
1,480

1,200

30
22

800
12
400
5

6

5

5

975 958 953
15

17

15

708

700
643
580

500

20

Japan

11
8

Tokyo

4

200
4

1

1

0

364

362

Toshima

10

7

441
374

300

15

7
4

710

25 4001,138

20Rate of occurrence

Fig. 3-25 Trend of traffic accidents(Per population of 100,000)

100

5
0

0

While the total number of traffic accidents has been on a decline, the number of accidents
involving bicycles has stayed the same. The percent of accidents involving bicycles has increased
up to 47%.
Fig. 3-26 Trend of bicycle accidents

Police Statistics

Real numbers

800

50%
689

no. of accident withbicycle

662
595

37%

571

37%

47%
40%

591
36%

33%

47%

554
37%

39%

39%

454

441

32%

444

30%

378

400

20%

10%

0

0%
2001

2002

2003

2004

2005

2006

2007

27

2008

2009

2010

When we analyze the situations of traffic accident occurrences by generation, the ratios ofaccidents of children and seniors are high while they are riding a bicycle.
Fig.3-27

Situations of Traffic Accidents by Generation

100%
13.4%

90%

11.4%

80%

5.7%

14.6%

19.6%
23.4%

35.7%

36.2%

26.3%
Others

20.9%

70%

28.3%
29.4%

31.4%

60%
6.9%

40%

8.4%

27.4%

50%

10.5%
8.8%

Injured while walking
Injured while automobile

5.9%

22.2%

28.6%

15.9%

Injured while motorcycle

30%
51.7%
20%

45.7%
37.3%

28.6%

43.1%

47.7%

47.4%

65～74

75～

Injured while bicycle

32.4%

10%
0%
～4

5～14

15～19

20～39

40～59

60～64

（years old)28

(7) Occupational injury
There were 97 cases of emergency transport because of occupational accidents in 2010. In age
groups, the 20s and 30s had the most accidents, followed by the 60s. The place of occurrence
reflects Toshima City’s industrial structure, with approx. 40% of accidents occurring at businessor commercial places such as stores, restaurants and offices. Approx. 20% of accidents occurred
at construction sites or factories. 60% of injuries were minor, 26.8% were moderate, and 10%
were serious or critical. 10.3% of injuries were fractures.
EMS 2010
Real numbers

Fig. 3-28 Age groups
30

EMS
Policeoffice/Police Box; 2.1%

(case)

97cases/year25

18

Lodging;
Residence;
4.1%
7.2%

15
11

0

6

7

5

4

2

3

Road;
10.3%

Male
Female5

3

Factory・
workshop;
9.3%1

0_9 10's 20's 30's 40's 50's 60's 70's 80's 90's

Fig. 3-30

Severity of injury

serious;
1.0%

EMS 2010
Composition

Burn; 5.2%

severe;9.3%

Occipational
Injury97
cases/yearBonefracture;
10.3%

Minor;
62.9%

Outletstore;
15.5%

Constructi
on site;12.4%

Fig. 3-31 Name of injury

Dislocation・sprain;6.2%
moderate;
26.8%

Composition

Occipational
Injury97
cases/year

18

10

1
3

Others;9.3%

Station;
3.1%

20
15

2010

Fig. 3-29 Place of occurrence

Restaurant;
14.4%

Company
office;12.4%

EMS 2010
Composition

Others;10.3%

Occipational
Injury97
cases/year

Contusion;
37.1%

Open
wound;
30.9%

According to the report on morbidity and mortality regarding to work places from Ikebukuro
Labor Standards Office in 2010, there were 261 cases of injury which result in 4 days or moreleave from work. Most frequent cause is fall which brings on a fourth of injuries.
Fig. 3-32 Injuries at work place in Toshima City
2010 Composition
Contact withhot/cold
substances
4.6%

Others
2.7%
Fall
26.1%

Struck byfalling object
4.6%
Collide
6.5%

Ppinched in or
betweenobjects
8.0%

261
cases/year
Cut /rubbed
9.2%
RTA
9.2%

unreasonable
movement
15.7%
Fall fromdiferrent level
13.4%

29

(8) Injury caused by sports activities
In 2010, there were 100 cases of emergency transport caused by sports or athletic competition
activities. In age groups, the 10s and 20s made up 60%, with 80% of the accidents by males.
Injuries as sports fields, gymnasiums and school facilities made up 70% of the injuries. 60% of the
injuries were minor, with fractures accounting for 21.0% of all injuries.
EMS 2010
Real numbers

Fig. 3-33 Age groups

EMS

2010

Composition

Fig. 3-34 Place of occurrence(case)
40

Other
sportsfacility;
7.0%

35

100
ｃａｓｅｓ
/ ｙｅａｒ30

Others;
13.0%

25
28

20
15

21

10

Female1450Facility
belongs toSportclubs ;
8.0%

Male

7
1
0_9

10's

4
20's

2
30's

9

4

4

2
3

40's

50's

60's

Fig. 3-35 Severity of injury

Gym/
Sport
yard;
41.0%

SportsInjuries
100
cases/year
Education
al facility;
31.0%

1
70's

EMS 2010
Composition

EMS 2010
Composition

Fig. 3-36 Name of injury
Others;7.0%
Openwound; 9.0%

moderate;
36.0%SportsInjuries
100
cases/year

Minor;
64.0%

Tear of the
Achilles ten
don; 7.0%30

Contusion;
30.0%SportsInjuries
100
cases/yearBonefracture;
21.0%

Dislocation・sprain;26.0%

(9) Estimated Injury from earthquake disaster
In South Kanto Area, it is speculated that there is a 70% chance that a Class 7 magnitude
earthquake will occur in the next 30 years. In this event, it is estimated that the human casualties
will reach 77 deaths and 4602 injuries in Toshima. Compared to the average of MT’s 23 cities,
the effect of falling debris and block walls is high, and the effect of fires resulting from theearthquake is low.
Fig. 3-37 Estimated casualties from epicentral earthquakes (deaths)
Number of deaths in Toshima City
77 persons(0.06 persons per 1ha)slide of steep
sloping land, 2

ToshimaCity

Collapsedbuildings, 38

Fire result fromearthquackes, 7Collapsed brickfences, 30

Number of deaths in MT 23 cities
5,743 persons(0.09 persons per 1ha)slides of steep
sloping land, 144

23 citiesof MT

Fire result fromearthquackes,
3483

Collapsedbuildings, 1716

0%

20%

40%

60%

Collapsed brickfences, 400

80%

100%

Fig. 3-38 Estimated casualties from epicentral earthquakes (injuries)
Fire result fromearthquakes, 210

Shake/damagedbuilding etc.,
2308

ToshimaCity

Object in house,
1630

Shake/damagedbuilding etc.,
70420

23 cities
of MT

0%

20%

Object in house,
51770

40%

60%

Damaged bycollapsed bricks,
454

Fire result fromearthquakes,
16002

Number of casualties in Toshima City4,602 persons(3.54 persons per 1ha)
Number of casualties in MT 23 cities
145,003 persons(2.35 persons per 1ha)

Damaged bycollapsed bricks,
6811

80%

100%

* Reference: "Estimated damage from epicentral earthquakes in Tokyo" (May 2006, Government of Tokyo)

Number of building per hectare in Toshima City is 4.01 buildings, which is largest among the 23
cities of MT. This situation may expand damages in case that fire is caused at multiple places atthe same time by big earthquakes.
Fig. 3-39

Density of building in 23 cities of MT（Survey on the use of land 2008）（number of building/ha）
45

40.1

40
35
30
25
20
15
10
5
0

31

(10) Injury from assault
There were 268 cases of injury from assault in 2010. Injuries occurring around Ikebukuro Station
were highest at 58%, in the 20 to 30 age group. The highest cause was “beating/kicking” at 69%.
EMS

Fig. 3-40 Age of injuries

2010

Fig. 3-41 Place of occurrence

Real numbers

EMS 2010
Composition（case）
100

89

90
80
64

70

Other
areas;
42.2%

60
50

42

40

32

30

AroundIkebukuro
Station; 57.8%19

20
10

injury byassault(Emergent
transport byamburance)
268cases/year

10

5

2

3

1

0

Fig. 3-42
Hit bydroppedobjects;
2.6%

Cause of injury

EMS

2010

Composition

Scratched;
2.6%
Others;9.3%

Ccompressi
on; 3.0%

Collision;
3.4%

injury byassault(Emergent
transport byamburance)
268cases/year

Cut byedged
tools; 4.1%

Beaten・
kicked;68.7%

Fall; 6.3%

Incidence rate of consultation child abuse is higher compared to the average of 23 cities of MT in2010.
Fig.3-43

rate of consultation on child abuse for population of the age 0-17 years old
Composition

23 Cities of MT

2.2%

Toshima City

6.5%
0%

2%

4%

6%

32

8%

The crime rate in Toshima City has dropped annually from the peak in 2003. Half of the crimes
occurring in Toshima City occur around Ikebukuro Station.
Police statistics
Police statistics
Real numbers

Fig. 3-44 Trend of crime cases
12,00010,000

11,25911,58910,73910,721

9,676
8,000
486

6,000

441

412

9,145
482

violent crime

900

no. reported
cases(left）

800
700

8,676
600

7,817 7,855
7,162

459
381

351
4,000

388

340

356

2,000

500

Others54%

Recorded crimes
7,162 cases

AroundIkebukuro
Station
46%

400
300

102

92

Composition

Fig. 3-45 Place of occurrence
1,000

vicious crime(case)

2010

200
95
50

68

48

55

47

50

35

2004

2005

2006

2007

2008

2009

2010

0

100
0

2001

2002

2003

According to the results of survey on the awareness and attitude for/of the gender-equal society,around 20 % of respondents answered that they have experience in being suffered by violence of
their partners. The number of consultation on domestic violence has been increasing year by year
and as a result, it is as 4.2 times as it was in 5 year ago. It can be the result of enhancement ofconsultation desks and publication to citizens.
Fig. 3-46

Experience in being suffered byviolence from partners

have suffered暴力を受けた経験なし
physical violence
暴力を受けた経験あり
haven't suffered physical violence
N/A
1998
20.3%
66.1%
Aug.2009(n=591)
2005

18.3%

70.4%

14.3%

180

180
160

13.6%

140
120
100

12.5%

73.2%

Number of consultation on DV(case)200

無回答

11.3%

73.2%

Aug.2005(n=646) 14.3%

Fig. 3-47

84

80

12.5%

65

60
2009

18.3%

Dec.1998(n=560)
0%

70.4%
20.3%
20%

66.1%
40%

60%

80%

11.3%

40

13.6%

20

100%

43

44

2006

2007

0

0% （男女共同参画社会に関する住民意識調査）
20%
40%
60%
80%
100%

33

2008

2009

2010

(11) Self-inflicted injuries
In 2010, there were a total of 132 emergency transports for self-inflected injuries (attemptedsuicides). In age groups, cases in the 20s and 30s were highest, with high rates of women. The
severity of injury was relatively minor for the 20s to 30s, but tended to be severe in age groups
over 50.
The highest cause was ingestion of sleeping aids, etc., at 31.8%, followed by cutting with knives
at 29.5%. The name of injury reflects the cause with poisoning at the highest at 32.6% followed byopen wounds at 20.5%.
Fig. 3-48

Number of cases according to age
group EMS 2010 Real numbers

Fig. 3-49 Severity of injury according to age
EMS
2010 Real numbers
group(case)
50(case)
50

45

132
cases/
year

11

40
35

Male

40

9

Serious
Sever

13

8

15
8

10

17

3

9

5
10's

20's

Fig. 3-50

30's

6

9

40's

8

5
50's

60's

10
5
4
70's

1
2
1
80's 90's(years old)

0

Cause

Hanging;
10.6%

1
2
5

11
20's

3
4

2
5

6

4
3

40's

50's

3
3
1
60's

4
3

30's

2010

1
1
2
70's

1
1
2
80's 90's(years old)

Composition

Fig. 3-51 Name of injury/sickness
Nervoussystemdisorder;
2.3%

Others;7.6%

Suffocation; 2.3%Bone
fracture;
2.3%
Contusion; 11.4%

Hypnotic;
31.8%

Leap;
9.1%

4

EMS

Unknown;
Other;
3.8%
6.1%
Other
drugs;
9.1%

8
22

10's

EMS 2010
Composition

Minor

5

20

35

15

Moderate

1

25

20

0

Death

30

25

5

2

35

Female30

45

Self-harm(EmergentTransport by
Ambulance)
132cases/year

Unknown;
8.3%

Self-harm(EmergentTransport by
Ambulance)
132cases/year
Other
injuries;
12.9%

Knife/edg
ed tools;
29.5%

34

Poisoning;
32.6%

Open
wound;
20.5%

(12) Medical Expenses for injury covered by National Health Insurance
Toshima City believes that reducing injuries and accidents through National Health Insurance
policy Safe Community programs is essential for suppressing the social burden of health carecosts.
To understand the situation of health care costs for injuries, the National Health Insurance receipts(details of health care costs submitted from medical institutions) were analyzed. This National
Health Insurance is managed by Toshima City (local public body).
The number of National Health Insurance policy holders in fiscal 2010 was 87,465 people, 32.9%
of city residents. The overall health care costs in fiscal 2010 were 16.77 billion yen, with approx.
2% (330 million) for injury.
The number of doctor examinations for injury has shifted between 15,000 and 17,000 visits, andthe number of examinations (3-year average) per policy holder was 18.4%. Of these exams,
around 4,000 were for fractures with an examination rate of 4.6%.
Health care costs for medical injury have been on decline from 450 million yen in fiscal 2008.
This is also said to fractures.
In age groups, examinations for 60 years and older and 15 years and younger were higher thanother age groups. As for fractures, the age groups of 60 and older take more examination thanother generations.
Fig. 3-52

Trend of medical examinations for injury
Real numbers
Fig. 3-53(case)
20,000Trend of health care costs for injury

6
100million
JPY

18,0005

16,000

4.5(億円)

17,196(件)
15,56414,00012,00010,0008,000

Medical cost of injuries
Medical cost of bone
fracture

4.3

415,036
medical examination due toinjuries
medical examination due to bone
fracture

3.3
3
2.2
2

1.6

6,000

1.2

4,000

1
4,284

3,840

2,000

3,900
0

0

2009

2010

Fig. 3-54 Number of medical examinations for injury according to age group

Real numbers

2008

2009

2008

2010

(case)
2,500
2010
Injurys 15,036
Bone fracture 3,900

2,000
1,500

medical examination due
toinjury

2,112 2,088

medical examination due tobone fracture

1,560

1,188

(件)
1,000 780

960

864
552

500

264
24

84

120

732

612
120

876

744

744

708

780

732

480
264
108

216

35

84

192

240

168

768

36

Chapter 4
Setting Challenges Based on
Community Diagnosis

37

38

While Toshima City’s residential areas have Japan’s highest population density, the aging
population and lower birthrate make it difficult to maintain communities in neighboring areas. The
commercial and entertainment districts around train stations are passed by many people on theway to work, school, and visiting for shopping, enjoying culture and entertainment.
Topics of injury prevention requiring priority actions and high risk groups have been set based on
the community diagnosis of deaths and injuries from unintentional accidents and suicides, etc., andthen prevention activities have been developed.
Results from community diagnosis
 While there have been no deaths from unintentional accidents in the 0 to
14 age group, the number of cases requiring emergency transport in the 01
to 4 age group follows that of senior citizens.
 Death rate of ages 65 and older resulting from unintentional accidents ishigher than the Tokyo average.
 The rate of solitary deaths is higher than the MT 23-cities’ average, and2
is on the increase.
 Of all age groups, the rate of injuries requiring hospitalization is high. At
the same time, the rate of injuries and accidents requiring emergency
transport is high.
 The rate of injuries by disabled persons is higher than the city resident
average (11.0%). The rate among visually impaired persons is especially3high at 34.9%.

4

 The rate of traffic accidents is declining, but the rate of traffic accidents
caused by bicycles is increasing.

 58% of injuries and accidents resulting from assault which required
emergency transport occurred around Ikebukuro Station.
5 46% of criminal cases occurred around Ikebukuro Station.
 Approx. half of injuries in elementary school and jr. high school age
groups occurred at schools.
6 The number of injuries (3.5 persons) per 1ha estimated in the event of aninland earthquake is 1.5 times the 23-city average (2.4 persons).
7
 The building density per 1ha is the highest (40.1 buildings/ha) in the 23
cities. Buildings are tightly-packed.
8 Cases of consultation on child abuse accounted 5.2%, which was higher
than MT 23-cities average (2.0%).

Challenge setting
Safety for children

Safety for seniorcitizens

Safety for disabled
persons

Bicycle Safety
Safety incommercial andentertainment
areas(downtown)
Safety at school

Prevention ofdamage in event ofearthquake
Prevention of childabuse According to the residents' attitude surveys, the percentage of the persons
without experience of violence by partners was not improving.
9  The number of consultations about DV dealt at the Gender Equality
Promotion Center has been increasing by about 4.2 times in the past five
years.

Prevention ofdomestic violence In the 15 to 39 age group, suicide was the highest cause of deathaccording to age group.
10 The average suicide rate (24.8%) in the past ten years is higher than theTokyo average (21.8%) and national average (24.1%).

Prevention ofsuicide39

40

Chapter 5
Efforts for Safety Promotion andInjury Prevention Based on the Six
Indicators

41

42

Indicator1

An infrastructure based on partnership and collaborations, governed by across- sectional group that is responsible for safety promotion in theircommunity(1) Organization of the Safe Community programs
Toshima City Safe Community Steering Committee(Chair person: the mayor of Toshima City)SC Promotion Headquarters (Organization in City office)

Early detection of cancers

Prevention of suicide anddepression

Prevention of domestic violencePrevention of child abuse

Prevention and prepadness ofearthquake disasters

School safety

Safety in commercial andentertainment district

Bicycle safety

Safety of the physically disabled

Safety of the seniors

Prevention of injuries and accidents
of children

Injury Surveillance Committee

External Specialists' Committee

Taskforce committees for prioritized challenges

Community Plaza (Kumin-Hiroba)(2) Safe Community Steering Committee
As a body to promote the Toshima City's safe community activities, the Toshima City Safe
Community Steering Committee was established in May 2010. This committee consists of theorganizations, associations, and so forth that have the commitment to the activities in relation to
the safety and the security.
The Safety Community Steering Committee was established on the basis of the guidelines
formulated by Toshima City. Its chairperson is the mayor of Toshima City.
The past meetings of the Safe Community
Steering Committee2010 May 20
1stJuly 30
2nd
November 16
3rd2011 May 19
4thJune 115th
October 7
6th
December 16
7th2012 February 4 (planned) 8th*Regularly held every year43

(3) Safe Community Promotion Headquarters (Organization in the Government Office)Safe Community Promotion Headquarter is established under the leadership of the mayor inorder to secure the close cooperation across the fields of the city organizations and in order tosupport the effective Safe Community Activities by the Safe Community Steering Committee
and each taskforce committees. The organization consists of the mayor, the deputy mayor, thesuperintendent of education, and the department manager of each administrative field.
Past sessions of Safe Community Promotion Headquarters
Fiscal year 2009
Fiscal year 2010

February

1st

March

2nd

April

3rd

May

4th

June

5th

July

6th

September

7th

October

8th

Fiscal year 2011 April

9th

May

10th

July

11th

November

12th

Fiscal year 2012 January(Planned)

DisasterPrevention/
Preparedness

Education

Pablicworks

Community

Safe
Community
Promotion
Headquarters

HealthUrbanization

Chidren

13th

44

CultureWelfare(4) Taskforce Committees
Under the Toshima City Safe Community Steering Committee, ten taskforce committees were
established to set up countermeasures based on analyzed data, and to examine the measures for
improvement with respect to the priority themes.
The taskforce Committees are, in principle, established on the basis of the Guideline for the
Establishment of the Toshima City Safe Community Steering Committee.
Each taskforce committee are configured across various fields with the associations and the likethat are in commitment to the local activities as well as the administrative organizations related
to the priorities challenges.
Table 5-1 Configuration of the taskforce committees
1

Taskforce
Prevention of
injuries andaccidents ofchildrenScope of prevention
・Injuries and accidents of infants
at home・Injuries and accidents ofchildren at children's daycare
facilities (nurseryschool,after-school childcare
facilities)
・Fall of the senior・Senior abuse

2

Safety of theseniors3

Safety of thephysicallydisabled

・Injuries and accidents of thevisually disabled outdoors

4

Bicycle Safety

・Injuries and accidents ofchildren and seniors

5

Safety incommercial andentertainment
district(downto
wn)・Injuries causedby crimes and/or
violence

6

School safety

・Injuries at school・Traffic accidents by bicycles

7

Prevention andprepadness ofearthquake
disasters

8

Prevention ofchild abuse

・Deaths and injuries caused bycollapsed buildings and fences
and/or spreading fire・Deaths and injuries at theoccurrence of an earthquake
・Deaths and injuries during
evacuation
・Child abuse

9

Prevention ofdomestic
violence
Prevention ofsuicide anddepression

・violence to intimate partners
such as spouses

Early Detectionof Cancers

・Death from cancer

10

11・Suicides of the middle-aged
generation and attempted suicides
by the youth

Member of taskforce *(number of members)
local welfare /childcare commissioner association (1), youth
nurturing committee （1）, elementary school PTA (1), parents ofafter-school daycare center (1), boy scouts (1), health/medical carerelated organizations(1), organizations related to facilities forchildren (1), Sports Association (1), fire departments (2), Toshima
City (6)Neighborhood associations (1), Kumin-Hiroba management
association (1）, local welfare /childcare commissioner association（1), local organizations (3), medical care/nursing related
associations (3), social welfare council (1), fire departments (2),Toshima City (10)
Associations of the physically disabled (5), neighborhood
associations (1), local welfare /childcare commissioner association(1), facilities for life practice/ community workshops (1), social
welfare council (2), fire department (2), Toshima City (9）Traffic safety committee (3), children's association for traffic safety(3), senior citizen's club associations (1), elementary/junior highschool PTA (2), Tokyo construction office (1), police department(3), Toshima City (12)Neighborhood Association/shopping street associations （6）,crime-prevention related associations (8), fire-prevention relatedbodies (4）, local organizations (4), railroad companies /entertainment facilities (11), educational organizations (1), police
department (4), fire department(2), Toshima City （8）Neighborhood associations （3), local welfare /childcarecommissioner association （3), youth nurturing committee (2),elementary school PTA （2）, local associations (3), police
department (1), fire department (1), Toshima City (5)Neighborhood associations (1), volunteer fire company (2), local
welfare /childcare commissioner association (1), community
development association (3), real estate related associations (5), fire
department (2), social welfare council (1), Toshima City (10)Local welfare /childcare commissioner association (2), junior highschool PTA (1), kindergartens (1), facilities for mother and childlives (1), lawyers (1), social welfare council （1), Tokyo (2), police
department (1), Toshima City (7）Local welfare /childcare commissioner association (1), layers (1),related associations (1）, facilities for mother and child lives (1),Tokyo (1), police department (3), Toshima City (18)
Local welfare /childcare commissioner association (1), community
life support center (1), social welfare council (1), labor standards
office (1), police department (1), mental health and welfare center(1), Toshima City （11）Medical association(7),Medical examination center(4),Toshima
City(4)45

Table 5-2 Past sessions of the taskforces
Year, MmonthTaskforce
Prevention of
injuries andaccidents of children
Safety of the seniors

2010
Dec

2011
Jan

①

②

①

②

③

④

⑤

⑥

⑦

⑧

Safety of thephysically disabled

①

②

③

④

⑤

⑥

⑦

⑧

Bicycle Safety

①

②

④⑤

⑥

Safety incommercial andentertainment
district(downtown)

Mar

②

③
③

④

⑤

－

－

－

①

Aug

－

Oct

Nov

Dec

⑦

⑧

⑨

⑩

⑪

⑨

⑩

⑪

⑦⑧

⑨

⑩

⑥

⑥

⑤

⑥

⑤

⑥

④

⑤

⑥

⑦

⑧

－

－

①

③
③

Sep

③

②
②

Jul

④
④

②

②③

Jun
④⑤

②

①

①

May

③

①

－

Apr
③

①

School safety
Prevention andprepadness ofearthquake disasters
Prevention of childabuse
Prevention ofdomestic violencePrevention ofsuicide anddepression
Early Detection ofCancers

Feb

④

②
④

⑤

⑥

③

④

⑤
⑦

(5) Specialist’ Committee (external organization)
In order to effectively promote community safety activities, we request specialists to give
guidance and advice from their professional standpoint.
Takashi
Eto
HiroshiIshizuki
Yoko
Shiraishi
Masao
Ichikawa

Emeritus Professor, The University of Tokyo
Vice-Director General, Japan Child and Family Research Institute (JCFRI)
Senior director, Society International Traffic Safety
President, Japan Society of Civic Safety
Director, Japan Institution for Safe Communities
Coordinator for the Society Center (Korea)
Professor, Graduate School of Comprehensive Human Sciences,Tsukuba
University(6) Injury Surveillance Committee
We set up an injury surveillance committee which specialists take part in to build a mechanismof injury surveillances and its evaluation.
Members
Ikebukuro Public Health Center, Division of Policy and Management in Toshima City Government
Toshima Medical Association
Toshima Fire Department, Ikebukuro Fire Department
Specialists in the field of safety promotion

46

(7) "Community Plaza (Kumin-Hiroba)" as the Station of the Safe Community① Outline of the Community Plaza “Kumin-Hiroba”
The Community Plazas are the facilities to be
the bases of new countermeasures ofcommunity development. There is one
Community Plaza in one elementary-school
district with the population of ten thousand to
twenty thousand or so. Currently, eighteen
districts out of the twenty-two districts havesuch plazas. It is planned that all the districts
are going to have one in the future.
The Community Plazas are the facilities for
association, which everybody, infants through seniors, can use. The total number of the users isabout 723 thousand per year. Approximately 12 thousand projects are provided in one year.
These plazas also play the role of the aid and support centers at the occurrence of an earthquake.
② Operation with the Initiative of the Residents
neighborhood
At the plazas, projects are planned and implemented
associationby each "management meeting," where the local
Local
residents take the initiative.
welfare/Childcure
The management meetings extends over the fields,
comissioners
Management ofconsisting of the neighborhood associations, the local
Kumin-Hiroba
welfare /childcare commissioner associations, theyouth nurturing committees, the PTAs, the users, andso forth. The total number of the members in the
Individuals,
management meetings is 30 to 40.
club members
The endeavors are ongoing to turn the management
meetings into non-profit corporations, which enable
the local communities to operate their Community Plazas with higher autonomy.

Youthnurthringcommissioners

PTA③ The Roles of the Community Plaza in the Safe Community Activities
Toshima City has an intention to make use of the Community Plazas as the bases of the Safe
Community Activities.
In order to notify the city citizens of a wide range of generations of the activities performed by
the taskforces, the information is provided from the Community Plazas. In addition, its function
as a field to learn the Safe Community Activities, together with the function in consultation withrespect to the local welfare, will be expanded.
Prioritized challenges for the Safe Community
Prevention of injuries and accidents of children
Safety of the seniors
Safety for the physically disabled
Bicycle safety
Safety in commercial and entertainment district
School safety
Prevention and prepadness of earthquake disasters
Prevention of child abuse
Prevention of Domestic violencePrevention of suicide and depression
Early Detection of Cancers

Community
Plaza”Kumin-Hiroba”
Providing information
Learning opportunity
Consultation function

47

The Safe Community
Activities are expanded
to the city residents ofa wide range ofgenerations.

④ Major projects related to the Safe Community
Project
Creating the safety/security map
Seminar to prevent falling at home
Seminar to support the physicallydisabled
Toshima Safety Caravan project
Safety/security patrol
Depression prevention seminar
AED/emergency medical care seminar
Disaster/fire prevention exhibition

Host
Private sector
University
Administrative
organization
Private sector
Management
Meeting
University
Management
Meeting
Management
Meeting⑤ providing information in relation to the safety and security
Information on the disaster prevention
Information on the dubious persons and crimes
Traffic safety information map
Poster Exhibition on activities by Safe Community taskforce
committees

48

Indicator2

Long-term, sustainable programs covering genders and all ages,
environments, and situations(1) The Overview of the Safety Promotion
In Toshima City, there are programs for safety promotion in terms of prevention of injuries
covering all both genders, all generations, environments and conditions
The following table shows the numbers of those programs in the upper columns, in addition,corresponding major programs are explained which is indicate in alphabets in the lower columns.
Age group
For thephysicallydisabled

For
women

19

5

1

ｃ

ｂ

ｄ

Child
(0 - 14)Youth(15 - 24)Adult
(25 - 64)

Senior(65 - )

3

5

6

ａ

ｂ

ｂ

For all
ages

Home

17
Schoolｅ
Unintentional injuries at

3Work place
ｆ
6

2

2

3(1)

2

ｇ

ｈ

ｈ

ｉ

ｈ

26(5)

20

20

22

20

10

ｊ

ｋ

ｋ

ｌ

ｋ

ｍ

10(1)

6

6

6

6

2

ｎ

ｏ

ｏ

ｏ

ｏ

ｐ

8

7

7

7

6

ｑ

ｒ

ｒ

ｓ

ｒ

28(10)

15(4)

15

19(3)

9

6

ｔ

ｕ

ｕ

ｖ

ｕ

ｗ

20

20

20

23

20

3

ｘ

ｘ

ｘ

ｙ

ｘ

ｙ

102

74

79

95

63

20

Leisure/sport

Traffic

Public places

Intentionan injuries

SuicideViolence/abuse

Disaster

Total
*1
*2

7

The numbers in the "Age" columns are the total numbers of "Child," "Youth," "Adult," and "Senior,"
The numbers in ( ) indicate those of programs which are also listed in other columns since they are covering multiple columns.

49

(2) Major Endeavors for Prevention

Here are major endeavors for each age group, environment and condition. All programs andactivities are explained in the appendix.
Legend: ① Targets (person/object), ② Purposes, ③ Outline ④ Host, parties concernedａ Health education for guardians① Guardians of infants② Prevention of injuries and accidents of infants at home
③ Information is provided to mother and child health care projects by the
public health center, in the health education programs at the
Kumin-Hiroba/children's houses, etc. And at child-related facilities/inchild-related projects (health education materials are provided tokindergartens, for example). Through such activities, guardians change
attitude by learning the actual situations of the injuries and accidents ofchildren, specific measures for organizing the environment at home andthe cardiopulmonary resuscitation(CPR)④ Medical association, Dental association, Local welfare/childcarecommittee association, Toshima City Governmentｂ Emergency alert system for the severely physically disabled① Residents living alone etc. who are severely physically disabled and/or have intractable disease requiring special
attentions② Securing the safety of the physically disabled at home
③ If an emergency such as an accident, illness, etc. Arises at home, some radio-communication alert device or the
like is used to contact the Tokyo Fire Department to call for an immediate aid.
④ Tokyo Fire Department, Toshima City Governmentｃ Friendly watching over activities① Seniors living alone and/or staying in bed② Securing the safety of the seniors living alone etc.
③ The healthy seniors belonging to a seniors club make teams to periodically visit other member seniors living
alone and seniors staying in bed, making sure that they are fine and/or keeping company for a talk etc. Some aid isprovided for daily lives. As of the end of fiscal year 2010, there are 79 teams in 65 clubs in the city that were
providing services for 707 seniors.
④ Seniors clubｄ Seminars to prevent osteoporosis and bone fractures caused by fall
① Women living/working in the city
② Preventing osteoporosis and stumbling that may cause bone fractures③ Bone density is measured. The information on diet/exercises is provided. The
seminars involving exercise example performance etc. are held. The Residents'
Squares in the district of the Nagasaki Health Consultation Office host
"Women's Elegant Health Seminar" for the women, who are frequently play theroles of health care takers at home.
④ Residents' Square Management Meeting, Toshima City Governmentｅ Group walk to/from school attended by ＰＴＡs (Walking school bus)
① School children going to/coming back from school② Preventing criminal victimization of children on their way to/back fromschool③ Hoyu Elementary School forms group-walk groups. The guardians taketurns to be leaders to take the groups to the vicinity of the school every day inthe group-walk project. As for the Komagome Elementary School, the PTA
takes initiative to host a project once years, where the guardians take thechildren home from the school.
④ PTA, Toshima City Government

50

ｆ National Safety Week/Occupational Hygiene Week project① Employees at business bases in the city
② Preventing work place accidents③ On the occasions of the National Safety Week and the National Occupational Hygiene Week, specialists and thepersonnel from the Labor Standards Office are invited as lecturers to deliver lectures and seminars. In fiscal year
2011, a lecture about mental health is delivered, and a seminar on general emergency medical service is held.
④ Industrial Association, Labor Standards Office, fire department, Toshima City Governmentｇ Sport accident prevention seminar① Instructors of junior sports② Preventing children's accidents during sport③ Sport instructors and specialists in the field of the sport accident prevention deliver lectures about the knowledge
for the instructors to prevent sport accidents and about the accident handling etc. At the occurrence of accidents.
④ Junior Sport Leader Education Project Steering Committee, Toshima City Governmentｈ Acquisition of safety-related certificates by the sport facility personnel① Personnel of the sport facilities established by the city
② Preventing serious cases of injuries and accidents by the sport-facility users③ General emergency medical service seminars and the AED-certificate acquisition seminars are held by the fire
departments. All of the personnel should acquire the certificate of the emergency medical skills issued by the
Tokyo Fire Department.
④ Fire department, Toshima City Governmentｉ Walking seminars① The middle-aged and seniors of approximately 50 or above and the instructors of the senior sports living in or
working at the city
② Preventing to become in need of nursing care
③ Lecture is annually provided by inviting doctors with knowledge about the exercise therapy from JAFIAS, an
NPO corporate. Participants can learn about healthy, fun walking in correct posture, and its practice. The seminaris held once a year.
④ JAFIAS (NPO organizations), Community Sports Commissioners, Toshima City Government
ｊ Scared-straight classes① Students of the municipal junior high schools② Preventing bicycle accidents③ Traffic accidents are reproduced by stunt men/women in front of municipal
junior-high school students to let them experience the impacts and fears ofaccidents. Thus, the importance of observing the traffic rules and manners istaught. These classes are delivered at a school or two every year.
④ Police departments, Toshima City Government

ｋ Traffic safety seminars (and drivers' seminars)① Residents (drivers)② Preventing traffic accidents③ The seminars are delivered at Community Plaza(Kumin-Hiroba), elementary schools, etc. For general drivers andthe residents who want to participate during the traffic safety campaigns in springs and falls. To spread and diffuse
the knowledge about the traffic safety, the personnel from a police department give instructions such as traffic
rules and the precautions for drivers. The participants are given the certificate of the completion after the seminars.
④ Traffic Safety Association, Community Plaza(Kumin-Hiroba) Management Meeting, police department, Toshima
City Government51

ｌ Subsidy to wandering seniors positioning information services① The seniors of 65 or above with senile dementia who wander extremely frequently② Preventing accidents of wandering seniors③ The subsidy to the fees of the services of detecting lost wandering senior with the PHS network is granted to thecare takers living with the wandering senior.
④ Toshima City Government
ｍ Construction of platform doors at railroad stations① Platforms at railroad stations② Securing the safety of the visually impaired etc.
③ To physically prevent falling down from platforms and contacts with trains,
the fences with movable openings (doors) are constructed on the railroad
platforms facing the railroad tracks. In the city, such fences have been
constructed at some subway stations. The number of the subway stations
having such fences will be increased.
④ Railroad companies
ｎ Inspection of public square/playground equipment① Public square/playground equipment② Preventing accidents of the children using playground equipments③ The city personnel give check by sight and inspect function of equipments during public square patrols.
Specialists make inspections every three years. The seminar about playground equipment inspection is delivered tothe city personnel approximately once a year to reconfirm where to check etc.
④ Toshima City Governmentｏ Community Plaza AED/emergency medical service seminars① The personnel of the Community Plaza and their users② Saving the life of the injured at a Community Plaza③ The emergency treatment such as the operation of AED is taught by fire
department (lecture/practice).
④ Community Plaza Management Meeting, Toshima City Governmentｐ Compilation of incident reports① The personnel of the facilities for the disabled② Preventing injuries and accidents at the facilities for the disabled③ From the daily operation diaries, the descriptions about the near-accidents having occurred in the activities at thefacility are extracted to compile an "incident report" As the information shared among the personnel in order tomake studies about prevention of similar cases.
④ Toshima City Government
ｑ Phone consultation for children① Elementary/junior-high/high school students② Preventing the suicides by the youth③ Free-dial phone numbers are set up for children to make direct phone calls so that they can have consultation overthe phone about their worries and opinions. The special personnel having a certificate, such as clinicalpsychologists, psychiatric social workers, teachers, and kindergarten teachers, receive phone calls. The
consultation is available from 9 am through 6 pm on weekdays and from 9 am through 5 pm on Saturdays. The
consultation cards are distributed mainly to the fourth to sixth graders and junior-high school students every year
to make the free-dial phone numbers well known.
④ Toshima City Government52

ｒ Mental health welfare consultation① Persons and their family members who are not willing to go see psychiatrists② Preventing suicides, severe cases of depression, and diffusion of suicides and severe cases of depression③ Psychiatrists and psychiatric social workers periodically accept consultations about technical issues (mental
consultations, family-problem consultations).
④ Toshima City Governmentｓ Project for the unsocialized and depression① Seniors requiring care takers and/or in depression cases② Preventing suicides of the seniors③ Public health nurses or nurses pay visits to houses, giving comprehensive assessments of problems and providing
necessary advice and guidance, in order to support independent lives.
④ Toshima City Governmentｔ Distributing of the alarm buzzers to the elementary school children① New elementary school children② Preventing the crime victimization of elementary school children during going
to/coming back from schools③ The Toshima branch of Tokyo Real Estate Association contributes alarm buzzers
which are distributed to all the new school children of the municipal elementary
schools.
④ Toshima City Section, Tokyo Real Estate Association; Toshima City Government

ｕ Safety/security mail
① City residents② Preventing crimes③ Residents can register to the system of mail distribution in which the information about crime occurrences, crime
preventions measures, etc are distributed. E-mails are distributed to the personal computers and/or cell phones of
the residents after they make application, which give cautions against informed crimes.
④ Police department, Toshima City Governmentｖ Special management project for senile dementia and maltreatment① The family members taking care of the seniors having senile dementia and the seniors in need of nursing care, thepersonnel of the general consultation center for the seniors, the staffs of private sector offices, and so forth whowork for care-taking operations② Preventing the maltreatment of the seniors③ The specialists such as layers, psychiatrists, clinical psychologists, and the like give advice with respect to thehandlings of the cases where aid is difficult and/or maltreatment is found. The consultation about the mental stateof the seniors is provided in the projects for the family members. The consultation specifically for the staff
members taking care of the seniors in need of such care is provided in the projects for the personnel/staff members
in relation to care-taking operation.
④ Private-sector care service providers, General Consultation Center for the Seniors (Comprehensive Aid Center),Toshima City Governmentｗ Temporary protection project for mothers, children, etc.
① Mothers and children and women② Protection of mothers and children and women against violence③Public and private protection facility temporarily protects mothers and children and women requiring urgent
shelter and the like against the violence by the spouse or the like.
④ Private-sector protection facilities, Tokyo Women's Consultation Center, Toshima City Government53

ｘ General/joint disaster prevention drill① Residents② Preventing damages from disasters③ The disaster prevention related organizations and local residents in the city join
for the practical drills of the management at the occurrence of an earthquake andso forth. Such drills are conducted about 30 times in a year to practice thedisaster prevention measures and to enhance the ability in taking actions fordisaster prevention.
④ Neighborhood association, Welfare Association for the Disabled, Medical
Association, Pharmaceutical Association, Self Defense Forces, fire departments,
police departments, Toshima City Government, etc.
ｙ "Leaving-no-one-behind-during-disaster project" by local welfare/childcare commissioner① The seniors and the physically disabled② Preventing damage on the persons requiring aid during disaster (theseniors/physically disabled)③ The local welfare/ /childcarecommisioners keep record of the persons requiring
aid during disaster who may need to be watched over in local areas. This
information is compiled into the color-coded maps of the persons requiring aid
during disaster. Based on the maps, the local welfare/childcare commissioner ofthe same areas exchange information. Each local elementary school children
committee meeting of a local area collects the information and enters into an
information agreement with the governmental office to prepare disaster.
④ Local welfare /childcare commissioners, Toshima City Government

54

Indicator3

Programs that target high-risk groups and environments, and programs
that promotes safety for vulnerable groups

Based on the community safety diagnosis of the city, which has highest population density in Japan, andwhich is the urban community with highly advancing phenomena such as the diminishing childbirth rate,
the aging society, and the nuclear families, Toshima city sets up the prioritized challenges of the safe
community activities. For each of these challenges, we establish the taskforces committees across thefields of specializations to advance our activities.
From the next page on, endeavors for the prioritized challenges, are described as according to eachtaskforce committee.
High population
density city
Ikebukuro - one of themost famous
commercial andentertainment district inMT
The highest population
density per building of
the 23 cities of MT (per1 ha)Nuclear family
Diminishing childbirthrate, aging societyHigh population
mobility
Single-person family
Weak relationship withneighbors

Increasing solitary
deaths (isolated deaths)

The suicide ratio higher
than the averages of thenation and Tokyo

The higher occurrence
ratio of the consultation
about child abuses than
the average of the 23
cities in MT

No.

Priolietsed Challenge

1Prevention of injuries and accidents ofchildren2

Safety of the seniors

3

Safety of the physically disabled

Injuries and accidents of the visually disabled outdoors

4

Bicycle safety

Injuries and accidents of children and seniors

5

Safety in commercial and entertainment
districts (downtown)

Injuries caused by crimes and/or violence

6

School Safety

7

The higher crime
occurrence ratio than
the average of MT
The high ratio of thetraffic accidents
involving bicycles

What to Prevent
Injuries and accidents of infants at home
Injuries and accidents of children at children's facilities (nursery schools,
after-school child care facilities)
Fall of the seniors
Senior abuse

Injuries at school
Traffic accidents by bicycles
Prevention and prepadness of earthquake Deaths and injuries caused by collapsed buildings and fences and/or spreading fire
Deaths and injuries at the occurrence of an earthquake
disasters
Deaths and injuries during evacuation

8

Prevention of child abuses

Child abuses

9

Prevention of domestic violence

Violence to intimate partners such as the spouse

10 Prevention of suicides and depression

Suicides pf the middle-aged generation and attenmted suicides by the youth

11 (*) Early detection of cancers

Deaths from cancer* The taskforce committee for "Early detection of cancers" is also established as an additional taskforces for the safe community.

55

(1) Prevention of Injuries and Accidents of Children
Composition of the taskforce committee (17 members)
Community
Organizations

local welfare /childcare commissioner association, youth nurturing committee, elementary school PTA
association, representatives of the guardians of the children using children's facilities, Japan boy scouts
local conference, health/medicine related organizations, organizations related to children’s facilities,
physical education association

Administrative
organizations

Fire departments, public health center, Toshima city government (section in charge of children's
welfare)What to Prevent (1) Injuries and Accidents of Infants at Home
Reason to select what to prevent

Analysis of causes

Challenges

10.3% of infants have experienced
injuries and accidents except nurseryschool or day care centers and sent tomedical facilities. The place wheremost frequently injuries occur ishome as 58.6%.

Stumbling and fall are the two major causes of injuries andaccidents.
An insufficient number of fences are installed to beds, stairs, anduneven floors, which can prevent children from stumbling or
falling. The ratio of installation, however, by guardians who havegained that information from the children’s accident prevention
center was relatively higher compared to those who never visited
to the centre.
Fig.5-3 Situation of Implementationof Preventive Measures at Home
Fig.5-2 Causes of

1
Improvementof
implementation
ratio ofpreventive
measures athome

Fig.5-1

Locations to Cause Injuries
and/or Accidents

Facilities
suc asstores
4.1%

Otherfaciliti
es
3.6%

Park,
squire,amusement park
9.5%

Other
s
6.5%

N/A
1.8%

Injury/Accident Occurrences
Accid
ental
ingesti
on
4.1%

Home
58.6%

Roard
16.0%

Source: the questionnaire survey ofthe injuries and accidents of children(see indicator 4, chapter 5)

Bit byCut Others pets
5.2% 9.3% 1.0%

42.2%
46.5%

Don't leave water in the bath
tub

22.0%
14.1%

Install stopper on drawers

Pull up fences around beds

Fall
48.5%

Pinchedin or
betweenobjects,contact,collision
13.4%

31.4%

Install tools to prevent fall atstars and other places withdifferent high

25.0%

49.6%
48.3%

Have gain information at Children's Accident Preevntion Center(n=522)
Never gained information about children's addicent prevention(n=104)

Burn
18.6%

Source: questionnaire survey of the injuries and accidents ofchildren

What to Prevent (2) Injuries and Accidents of Children at Children's Facilities (Nursery Schools,
After-school Childcare Facilities)
Occurrences of injuries and accidents
at public facilities for children such as
nursery schools and after-school
childcare facilities are not decreasing.

The ratio of being injured on the face is higher than that of otherparts of the body.
The most frequent causes of the face injuries are their own acts
followed by other child/children, then facility equipment.

Fig.5-4 Occurrences of Injuries andAccident
150

Fig.5-5 Injured Parts

137

117

128

100
77
50

68

68

Nursely
After school day care

0
2008

2009

2010

Source: statistics on nursery schools andafter-school childcare facilities

Upper
body,
18.0%

Other
parts of
body,
1.6%

Lower
body,
3.9%

Head,
6.3%

Face,
70.3%

Fig.5-6 Causes of injuries
Injureddue toequipment offacility,
Injured 11.9%
by staffoffacility,
4.8%

Injuredby otherchild,
21.4%

Other or
N/A,
5.4%

Injuredon child
own,
56.6%

Source: statistics on nursery schools in fiscal year 2009562
Improvementof the safety
management
at facilities
and ofequipments

3
Training ofchildren’sability to
avoid
dangers

Changes as a result of the endeavors for the safe community (findings etc.)
By conducting questionnaire survey about the injuries and accidents of children for the first time, the situation thatcaused injuries and/or accidents were found out. Furthermore, it was revealed that sufficient preventive measures
were not well taken at home.
At the nursery schools, a part of the existing forms of injury record was improved based on the WHO's injury
surveillance guideline. Thus, all the public nursery schools and private nursery schools have started to adopt andimplemented the unified form.
Goals, objectives and concrete countermeasures become to be shared among related parties through taskforce
committee meetings. For example, community organizations made a proposal about physical exercise to improvechildren’s ability to avoid dangers.
Countermeasure
1-1
Diffusion andenlightenment of
injury prevention athome by using thechildren's accident
prevention center(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

(1)
(2)
(3)

(4)

1-2
Implementation of
the nurturing
project of thehuman resources tosupport theparenting in thelocal area

(1)
(2)
(3)

(4)

Toshima city government
Guardians/parents of infants
The Children's Accident Prevention Center is the diffusion andenlightenment facility for accident prevention by providing a mock-up
which is the first in this country. For accident prevention of children at
home, there are exhibitions of a front door/entrance, stairs, kitchen,bathroom, and so forth. Guardians/parents learn how to prevent children’s
injuries at home by referring their own houses in looking through the
mock-up.
With the catchphrase of "Come and see the Children's Accident
Prevention Center", the diffusion and enlightenment materials in the sizeof a maternal and child health handbook are created. They are hand out atoccasions of infants' health examinations, at activities at the Community
Plazas, and so forth.
local welfare /childcare commissioners, local community groups,
Toshima city government
The persons who want to participate in the parenting support
In order to provide the opportunities to gain knowledge and ability tosupport parenting activities, the training course to nurture humanresources for parenting support will be provided from the next fiscal year.
In this fiscal year, the preparatory study sessions are held by the parties
currently working on parenting support at local areas, such as local
welfare /childcare commissioners.
In order to implement the training courses to nurture the human resources
for parenting support, themes and learning materials should be selected.
Furthermore, a system to register the persons who finished the training
course should be established, for example. Thus, the opportunities forsuch human resources to work will be provided.

Achievements in 2010
6,225 visitors (among
them, guardians/parents
were 6,047)

Preparatory study: 9
sessions
Participants in the
preparatory study
sessions: 200 in total(as of fiscal year 2011)(Scheduled for future)
The number of sessionsof the training courses
The number ofparticipants of the
training courses

2
Implementation of
inspection andcorrection from thepreventive point ofview(1) Private nursery schools, Toshima city government(2) Children's facilities, personnel of such facilities(3) Periodical safety checks are conducted by the personnel of the facilities tocorrect dangerous portions and faulty portions of the facilities and playequipment.
(4) With the preventive point of view, a checklist will be coated. In addition,
training sessions will be provided for the personnel of the facilities to findout such dangerous portions and faulty portions.

The number ofcorrections of trouble sin equipment of the
facilities:(Scheduled for future)
The number of training
sessions for the facility
personnel and training
session participants

3
Implementation of
the safety
education programsfor children(1) Private nursery schools, local activist (associations), Toshima city
government(2) Children using a nursery school or after-school childcare facility and theirguardians/parents(3) In order to provide safety education programs as daily nursery educations,a safety education curriculum is created. By using this, safety education
programs are provided to the children and their guardians/parents. Someof the nursery schools use the narrative stories with picture cards for theeducation programs as one of the ingenuities to interest the children.
(4) The training courses will be provided to improve education ability offacility personnel. In addition, an examination will be made on the use of
the physical exercise to cultivate children’s ability to avoid dangers,which was proposed by a local community organization.

The number offacilities having
implemented safety
education programs:(Scheduled for future)
The number ofeducation programs forthe facility personnel
and program
participants57(2) Safety of the seniors
Composition of the taskforce committee (22 members)
Community
Organizations

Neighborhood associations, Community Plaza (Kumin-Plaza) Management Meeting, Local welfare/childcare commissioner Association, local community groups, medical/nursing related organizations

Administrative
organizations

National Council of Social Welfare, Toshima city (relevant sections in charge of disaster prevention,communities, senior welfare, welfare of the physically disabled, and nursing)

What to Prevent (1)Fall of the senior

Reason to select what to prevent
The number one cause of the deaths ofthe seniors in the category ofunintentional injuries is fall. According
to the questionnaire survey, 17% said
they have experienced fall.
According to the emergency transport
data (2010), there were 974 cases offall by senior at the age of 65 years oldor higher. Among them, 600 cases are
the case of fall indoors.

Analysis of causes
Livingenvironment(unevenfloor, etc.）
17%loss ofvisualaccuracy
20%

Fig.5-7 Deaths of the Senior Due tounintentional injuries
Poisoning, 1%Other,
22%

31.7%
15.6%
13.6% 17.7%
Apartment[rent]

House[rent]

Apartment
owned

House
[owned]Toshima City

1
Suppressionof thedeteriorationin thephysicalfunction

etc.）
20%

48.4% 48.1%
43.6% 43.8%］

Source: Demographic statistics:
The average of the past five years

What to Prevent (2)In general, the aging
causes some deteriorationin the physical ability,
which is expected to be acause of fall. According
to the citizens' attitude
survey, the number one
illness(stroke, reason for fall is the lackbackache of physical exercises.

Fig.5-9 The Barrier-free Buildings

Drowning,
20%

Sufforc
ation,
20%

Luck ofexercise
38%

Total

Fire
and
smoke,
4%
RTA,
8%

Others5%

Source: Questionnaire on injuries andaccidents of the senior in 2010

39.8%
34.0%

Fall,
25%

Fig.5-8 Causes of Fall

Challenges

Although, as for thesenior, the rate ofoccurrences of fallindoors (at home) is highas the causes of
emergency transport,
Barrier-free houses arestill slow to spread.

2
Improvementin theenvironment
at homeAvarage of 23 cities of MT

Source: Housing land statistical research 2010

Senior Abuse

The number of consultations about
abuses has increased since the five
years ago by four times. The number ofabuses is also increasing.
Fig.5-10 The Number of abuses andthe Number of Consultations about
abuses
1400

1232

1200

Fig.5-11 Occurrences by Abuse Typen=70 (accumulated)neglect
15.7% physicalfinanciaabusel abuse
41.4%
14.3% psychologicalabuse
28.6%

Besides physical abuses,
invisible abuses such as
mental abuses are
happening3
Early
detection of
abuses andtakingnecessary
actions

Statistics by the Senior General Consultation Centerin fiscal year 2010

1000
800

795

600
400

319

200

33

Fig.5-12 Victims with or without Senile
Dementia

508
327
25

20

35

45

no seniledementia
6%02006 2007 2008 2009 2010
Number of abuse
Number of consultation
Statistics by the Senior General Consultation
Center in fiscal year 2010

withseniledementia
94%
Statistics by the Senior General Consultation Centerin fiscal year 2010

58

Among the victims ofabuses, nine out of ten
have senile dementia.
Those who have senile
dementia are prone to be
victims since they are notable to express
themselves and it isdifficult to communicate
with them.

4
Preventing
seniledementia

Changes as a result of the endeavors for the Safe Community (findings etc.)
A questionnaire survey was conducted to the seniors who are living alone to understand the reality of their experiences of fall andthe accidents outdoors. The taskforce committee made use of this information as the material for deliberation.
As one of the endeavors for the seniors living alone, the support project by Tokyo (Silver Police Box) is utilized. Since April in
2011, a special reception desk has been opened at the Senior General Consultation Center, and the personnel in charge ofwatch-over support are available.

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in 2010

(1) Local activist associations, Community Plaza Management Committee,
Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Toshimacity government(2) Seniors at the age of 65 or higher(3) Physical education facilities, the Community Plaza, and the like are used toprovide exercise programs such as machine training, muscle-increasing
gymnastics, under-water exercise, tai chi, and so forth(4) The number of activities should be increased as a large number of people
want to participate. The participants should be encouraged to continue
exercise(1) Community Plaza Management Committee, experts, Toshima city
2-1
government
The program toreconfirm the risk (2) Seniors at the age of 65 or higher(3) At the Community Plaza, standard assessment tools are used for the activities
of fall at home
to finding problems in their living environment at home that may be a causeof fall (locations and objects with some high risk of chilling and frightening
moments), and to find solutions.
(4) The numbers of sessions and participants should be increased.
(1) Toshima city government2-2
The aid for house (2) Seniors at the age of 65 or higher(3) The city gives some aid to the expenses to install the handrails, to flatten thereforms touneven floors, to replace squatting toilets with sitting toilets, and so forth at
support thethe houses of seniors.
seniors to live on(4) Barrier-free rooms should be promoted in rented houses and the common use
their own
spaces in shared houses.

[Hosted by the city]Three programs:
8698 participants in total[Hosted by local groups
and organizations]Three programs:
7938 participants in total(1) Local volunteers, cooperative businesses (newspaper distributors, mailcarriers etc.)(2) Seniors at the age of 65 or higher living alone, households of seniors thatwant watch-over service(3) The local volunteers watch over the applicants from the outside (once a week)
and pay a direct visit (once a month) to make sure their safety. In addition,
the cooperative businesses, if they feel something strange in the daily-life
condition of applicants, make report to the Senior General Consultation
Center.
(4) The cooperation with the Community Plaza should be intensified to gather
local volunteers.
(1) Medical doctors, Toshima city government
3-2 4-1(2) City citizens, care-giving family members of seniors with senile dementia,
Publication andpersonnel of the city government, personnel of the Senior Generalenlightenment ofConsultation Center, staffs in private-sector offices, etc.
abuses and senile(3) The classes in relation of senile dementia are provided for the care-giving
dementiafamily members and city citizens. The pamphlets concerning senile dementia
etc. are created and distributed. In addition, in order to give support to thepatients of senile dementia and their family members, the classes are provided
to train the supporters of the persons with senile dementia, and the lectures
are hosted to prevent abuses.
(4) Close cooperation with experts such as lawyers and the support from the
Senior General Consultation Center should be intensified.
(1) Toshima city government
4-2(2) Seniors at the age of 65 or higher
Senile dementia
prevention class (3) The activities with walking at the center are made to activate the brain, thus
preventing senile dementia(4) Close cooperation with the Tokyo Metropolitan Geriatric Hospital andInstitute of Gerontology should be intensified with respect to the programs

Applicants for thewatch-over service: 127
Working cooperative
personnel: 85

1
The exercise
program toprevent fall

3-1
The networking
project for
watching overand mutual
support

59

Implemented at 15
Community Plazas:
300 participants

The number ofrenovations:
Installation of handrails:
689,
Diminishing of uneven
floors: 128,
installing sitting toilets:
31, others: 129

Public classes: 3 sessions
Classes to support nursing
family members: 8 sessions
Classes to train supporters:
3 sessions
Classes to train the
supporters for the persons
with senile dementia: 28
sessions
Lecture to prevent abuses:
1 session
11 participants in 7
sessions in 2 series

(3) Safety of the Physically DisabledComposition of the taskforce committee (21 members)
Communityorganizations

Associations of the physically disabled, neighbors associations, local welfare /childcare commissioners,
welfare facilities for the physically disabled, social welfare council, residents with disabilities(physical,
visual, and hearing)

Administrative
organizations

Fire department, Toshima city government (sections in charge for welfare for the physically disabled,
road, traffic, risk management)

What to Prevent: Injuries and Accidents of the Visually Disabled Outdoors
Reason to select what to prevent

Analysis of causes

According to the questionnaire survey, 50% of
the physically disabled go outside "almost everyday."
In addition, about 35% of the visually disabledexperienced injuries outdoors, which is washigher than the rate of the other physicallydisabled people
Fig.5-13 Experience of injury ingoing out
Visually impaired

34.9%

Hearing impaired 14.7%

82.7%

2.7%

Orthopedically19.4%
impaired

70.6%

10.0%

Internal
15.3%
impediment

78.6%

6.1%

Intellectually9.0%
disabled

77.1%

14.0%

Mental disorder 15.0%

79.0%

6.0%

Contact withpedestrian
14%
Contact withbicycle18%

the barriers on
the sidewalks(unattended
bicycles, store
displays on theroad, etc.)24%

the steps on
the unevenness
on thesidewalks
24%

Source: survey on attitude of disabledresidents in the city

Yes No N/A
0% 20%40%60%80%100%
Source: survey on attitude of disabledresidents in the city

As a cause of the injuries outdoors among visually disabled,1
the barriers on the sidewalks (unattended bicycles, store
Barrier-free
displays on the road, etc.) and the steps on the unevenness on
the sidewalks covered about a half of the causes of injuries. walking space[barrier-freecommunity]
Fig.5-14 Cause of injury of visually challenges

N/A
Other 2%
Wet sidewalk 6%
Contact with 6%
motorcycle orcar
6%

57.1% 7.9%

Challenges

Furthermore, the visually disabled suffer a higher risk dueless accessibility to information and less communications
with sight than the other physically disabled people.

According to the questionnaire sruvey, more than 20% said
they could not help the others when seeing they were introuble. Fig.5-15 “When seeing they were in trouble”●Too shay to offer help

7.1

●Didn't know what to do…
●Helped since being asked

15.0
7.8

●Help as much as possible

59.6●Willingly offer support to others

4.0

Other, N/A

6.5
0

10

20

30

40

50

60

70

Source: Attitude and awareness survey on the city citizens forrevision of the health and welfare plan in 2010

60

2
Securing theinformation
communicationmeans on streets[barrier-free
informationexchange]

3
Announcing themeans forhelping thephysicallydisabled onstreets[barrier-freeminds]

Challenges as a result of the endeavors for the Safe Community (findings etc.)
The questionnaire survey of the injuries and accidents was conducted to the physically disabled for the first time. It wasreconfirmed that the occurrence ratio of the injuries and accidents outdoors was higher than that of able-bodied persons.
As the mental barrier-free means, the classes about supporting the physically disabled will be periodically provided at theCommunity Plaza (Kumin-Hiroba) s with the physically disabled as the lecturer.
In addition, as the class about supporting the physically disabled was held, the momentum has increased among management
committee of Kumin-Hiroba. They became willing to walk around the city with the visually disabled for check-up in order tounderstand the barriers in the walking space for the visually disabled and in order to make efforts to solve environment problems
such as unattended bicycles and litters.

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in 2010

(1) Taskforce committee for Safety of the Physically Disabled , Community Plaza
1-1
Management Meeting, Toshima city government
On-street(2) City citizens, barriers on streets
inspection toreport on the point (3) The taskforce members including the visually disabled and the local residents
walk around the city to find out and point out the locations and situations thatof view of theinterfere with the passage from a point of view of the physically disabled. Thus,
physicallyendeavors are made to eliminate and regulate unattended bicycles and signboards
disabled
on sidewalks etc. and to repair uneven sidewalks.
(4) The areas of the street-walk inspections should be expanded.

Street-walkinspections:
Actual result in fiscal
year 2011: 1 time(1) Associations of the physically disabled, road-managing parties, Railroad
companies, Toshima city government(2) Sidewalks etc.
(3) By reflecting the opinions from the associations of the physically disabled, thebarrier-free basic concept in the Ikebukuro Station District was formulated in
2011. Based on this, textured paving blocks, escort zones, etc. will be reformed in
the vicinity of the Ikebukuro Station, where visitors concentrate. Unevensidewalks, steep slopes, etc. will be eliminated. Step structures will be unified.
The elevators and the station platform doors for the physically disabled will be
installed.
(4) The taskforce should conduct street-walk inspections periodically to makeproposals for improvements.

[Areas in the vicinityof the Ikebukuro
Station]Installation of bumpy
tiles:
42.8 km(1) Associations of the physically disabled, Toshima city government(2) The visually disabled, city citizens(3) By making use of the voice devices of personal computers and cell phones, theroad guide data is created for audio road guide to public facilities. In addition, thetextured paving blocks with audio information embedded in the form of IC chips
are installed on major spots to transmit audio information.
(4) The taskforce committee should conduct on-site inspections periodically to makeproposals about the locations to install the audio road guide equipment.

Road guide data
created:
9 locations (10 routes)
The IC chips areplanned to beembedded in fiscal year
2011 or later.

1-2
Barrier-freereforms focusedon the Ikebukuro
Station district

2
Voice road guideservice(1) Associations of the physically disabled, Community Plaza Management Meeting, The number of classes:
3
Toshima city government
2 sessions
Training classes to(2) City citizens
79 participants
support the(3) The physically disabled take roles as teachers to promote understanding about the * Thedisabled
physically disabled. At the same time with this, participants to the training classes
above-mentioned islearn how to frankly give a support to the physically disabled. So that more
the actual results inresidents become able to offer support when they see the physically disabled infiscal year 2011
trouble.
since this project
started in this fiscal(4) The taskforce committee should reflect opinions from the physically disabled andyear.
the results of the questionnaire survey conducted to the participants in the classes
to improve countermeasures including periodical examination of contents of theclasses and the location of the classes.

61

(4) Bicycle Safety
Composition of the taskforce committee(25 members)
Communityorganizations

Traffic Safety Association, Senior Club Association, PTA association

Administrative
organizations

Police department, Tokyo Metropolitan government, elementary/junior high schools, board of education,
Toshima city government (the relevant sections in charge of the welfare for the physically disabled, senior's
welfare, children's welfare, and road traffic)

What to Prevent: Injuries and Accidents of Children and Seniors
Reason to select what to prevent

Analysis of causes

When we analyze the situations of traffic
accident occurrences by generation, theratios of accidents of children and seniors
are high while they are riding a bicycle.

When we see the locations where bicycle accidents occurred in 2010, alarger number of accidents occurred at crossings of community roads
where the sight was hindered than on the major roads with high traffic
density. Such accidents covered two thirds of the total accidents.
Among the cases of traffic accidents caused by the violation on the sideof the bicycle riders, the most frequent causes were poor confirmation ofsafety, violation of stopping, ignoring the red light, and violation of theobligation of safe driving in crossings in this order.
According to the questionnaire to the users of bicycle parking lots, theratio of the people who knew the obligation of the children to wear
bicycle helmets is as low as about 40%.

Fig.5-16 Situations of Traffic Accidents
by Generation

75_

65_74

60_64

40_59

20_39

8.8%

47.4%

26.3%
10.5%

8.4%
23.4%
15.9%

47.7%

5.9%

43.1%

32.4%

22.2%

29.4% 19.6%

28.3% 14.6%

13.4%
27.4% 20.9%

37.3%

Fig.5-17 Accidents Caused by
the Violation on the Side of
the Bicycle Riders

Accident
whichbicyclist
getinjured77.0%

Accidents
causeddue toviolationofregulation
by bicycle
23.0%

Challenges

Fig.5-18 Situations of the Accidents
Caused by the Violation on the side of
the Bicycle Riders
Madedrivingerror
Didn't 1.0%
look
ahead
carefully
5.9%

Others14.7%

IntrudedIgnored aintotraffic
crossover
light
point
15.7%
7.8%

Didn'tcheck
safety28.4%

1
Improveme
nt ofenvirontme
nt for safe
traffic2
Improveme
nt of theawarenessof the rules,
manners,
and traffic
safety bybicycleusers

Didn'tstop once
26.5%

Source: Questionnaire to the users of bicycle parking lots in 2010
15_19

5_14

_4

45.7%

31.4%

51.7%

28.6%

5.7%
11.4%

6.9% 36.2%

28.6%

35.7%

In the city, the locations where accidents have occurred tend to be3
different from the locations that had been thought to be dangerous by theAnnounce
residents.
Road Safety Map
ment ofdangerous
locations inthecommunitiesinjured in driving car
injured in riding motor bikeinjured in biking
injured in walking
Other or N/A

Source: Emergency transport data in 2010

Spots where accident occurred
Spots where residents feel dangerous
Spots where accidents occurs while residents don’t feel so.

62

Challenges as a result of the endeavors for the Safe Community (findings etc.)

By conducting survey on the actual situations of the bicycle accidents, it was reconfirmed that the rules and manners for thebicycle riders were not observed. From now on, the enlightenment activities with respect to such problems should be
intensified. Besides, we determined to intensify the promotion for children to wear helmets on bicycles.

Residents learned gaps in their awareness of danger by understanding there are spots where accident often occurs although
they haven’t realized through workshops by using GIS system. Based on understanding where they should be more careful
about traffic accidents, they can develop countermeasures. Accumulated data by GIP on maps will provide good information
to improve programs

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement(1) Road managing organizations, police department, Toshima city government
1(2) Roads
New installationand modification of (3) Road markings and traffic mirrors for arousing caution, traffic signs, and soforth are installed, painted, and/or modified
traffic signs and(4) Safety checks should be conducted around schools and facilities for theroad markingsseniors to advance necessary rearrangement.

2-1
Enlightenment ofactivities on roads
and providing
traffic safetyclasses(1) Traffic safety related organizations, schools, neighborhood associations, store
associations, police department, Toshima city government(2) City citizens, bicycle users(3) On the roads in front of stations and with heavy bicycle traffic, patrol
instructors are assigned to inform about right traffic rules and manners. In
addition, announcements are made to emphasize the safe use of bicycles. On
top of that, close cooperation is made with elementary/junior high schools
and the PTAs to provide bicycle safety classes. By using the Community
Plaza (Kumin-Hiroba) as the bases, traffic safety classes are provided for theseniors and the parenting parents.
(4) Questionnaire surveys should be made to study more efficient methods ofenlightenment.

Achievements in 2010
Hump image paintings:
On 6 roads
Set up bicycle lanes:
4.6 kmSchool zone paintings onroads:
11 locations
Installment/modificationof traffic signs: 65
locations, etc.
On-street enlightenment
campaign: 19 times
Guidance by patrol
instructors: 293 days intotal
Various types of traffic
safety classes: 50
sessions, etc.

(1) Bicycle shop associations, police department, schools, Toshima city
Scheduled for fiscal year
2-2
government
2011
Diffusion and(2) The guardians/parents of infants and elementary school children in Toshima
enlightenment ofcity
the bicycle helmets(3) The effectiveness of wearing bicycle helmets as one of the traffic rules isfor children
diffused. Subsidy is given to the people who purchase bicycle helmets. In
order to emphasize safe usage of bicycles, enlightenment flyers are
distributed at bicycle shops on the purchase. In addition, as a pilot project, inclose cooperation with the police department, safe bicycle use classes areprovided to parents and children.
(4) A survey should be made with the nursery schools and the elementary schoolsin Toshima city with respect to the safety headgear usage ratio.

3
Creating maps for
traffic safety
findings(1) Local residents, elementary schools, PTAs, Toshima city government(2) City citizens, elementary school students(3) With certain areas as a unit, such as the Community Plazas (Kumin-Hiroba)
and the elementary school districts, workshop meetings are conducted bymaking use of a geographic information system (GIS) to create traffic safety
findings maps. The maps are widely distributed to neighborhood associations,
elementary schools, and so forth. Thus, dangerous sites in neighborhood areas
are announced, and the information about traffic accidents is distributed(4) The areas covered by the maps should be expanded.

63

The maps were createdand updated in two
districts (Kita-ikebukuroand Hoyu elementary
school districts)

(5) Safety in Commercial and Entertainment District
Composition of the taskforce (48 members)
Local activist
associations etc.

Neighborhood associations, store associations, crime prevention related associations, firefighting related
associations, youth nurturing associations, railroad companies, entertainment facility businesses,
universities

Administrative
organizations

Police department, fire department, Toshima city (sections in charge of crime prevention, disasterprevention, industry promotion, environment, traffic, and roads)

What to Prevent: Injuries Caused by Crimes and/or Violence
Reason to select what to prevent

Analysis of causes

The number of crime occurrences in the
Toshima city is gradually decreasing year afteryear. However, in the vicinity of the Ikebukuro
Station, a commercial and entertainment district,
about a half of the crimes in the Toshima cityand 60% of the violence and body injuries
happen.

Of all the cases of the violence and body injuries, 35% occurredat the station, which was the highest of all. Following this, 28%
occurred on the roads. As for the time zones, a majority of theviolence and body injuries occurred in the morning, evening andlate at night. This indicates that the major causes were thecongestion at the time of commuting and the troubles resulting
from drinking.

Fig. 5-19 Trend of the Crime

Fig.5-22 The Time Zones When the Violence/
Body Injuries Occurred (2009)35

10,000

30
25

9,000

9,145

20

8,676

15
10

7,855

8,000

5
7,817

0

7,000
7,162

1_3

4_6

5_7

8_10 11_13 14_16 17_19 20_22 23_1
Statistics by the police department

6,000
2006 20072008 20092010

Statistics by the police department

Fig.5-23 The Locations Where the Violence/Body
Injuries Occurred in the Ikebukuro Commercial andEntertainment District (2009)
restaurant
3.0%

others21.3%

station34.8%
department
Fig.5-20 Crime occurences in the Ikebukuro
store
commercial and entertainment district
3.7%
Statistics by
the police
game center
exceptroads
ikebukuro
train
department
ikebukuro
3.7%
28.0%
46.0%
5.5%
54.0%
Statistics by the police department
According to the questionnaire survey, a larger number ofpeople said that the uneasiness against the situations of touting,catch sales, graffiti, and littering is deteriorating rather thanameliorating. According to the business types reported to
Touting 110, the numbers of complaints were large in the sexual
Fig.5-21 Violence and body injuries in the
Ikebukuro commercial and entertainment district entertainment business, in the cabaret club business, in the pub
house business, in the karaoke box business, and so forth.
Among them, some are violating the law. The environment is
exceptikebukuro
deteriorated if these businesses are left as they are.
ikebukuro
63.2%

36.8%

Statistics by the police department

Fig.5-24 Complaints on aggressive runner reported to #110

64

Challenges
1The
environmentthat does nottolerate
crimes orviolenceChanges caused by the endeavors for the safe community (findings etc.)○Actions for the challenge to develop the community where no crime occurs
As one of the countermeasures for the harmful environment including touting, the act of touting that is not regulated by the current
laws is regulated. In addition, a partial amendment of the Toshima City Life Safety Ordinance was made, which included theprovisions of the consignment to environment purification associations. Such provisions are not seen anywhere else in this nation.
The Toshima City Crime Syndicate Elimination Ordinance was newly formulated to extinguish the crime syndicates manipulating
the commercial and entertainment district by the grassroots movement of the entire society.
The on-street art museum was established along the railways in the vicinity of the North Entrance of the Ikebukuro Station, whichis in the harmful environment district. Thus, it is attempted to prevent graffiti. In addition, the purification of the environment is
promoted. With this new sightseeing spot of the Toshima city, the development of the community advances to prevent crimes.

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition to improve countermeasures

Achievements in 2010

(1) Store associations, neighborhood associations, railways companies, police
department, Toshima city
(2) Streets around the Ikebukuro Station and the station premises(3) Security cameras are installed on streets and in the station premises. In addition,
to promote the installation, a subsidy is provided for those who install thefacilities, including condominiums, store associations, and so forth. The
effectiveness of the installation is announced.
(4) Not only the increase in the number of units but also the situations of crime
occurrences and the effectiveness of the security cameras should be considered
to examine where to install such cameras.

635 units in total
131 on-street security
cameras (increased by 15
units from the previous
fiscal year)
504 security cameras forthe railways companies(increased by 5 units
from the previous fiscal
year)(1) Environment purification associations (store associations, neighborhood
associations), police department, Toshima city(2) Harmful environment (touting; on-street recruitment; illegal signboards;
unattended bicycles; graffiti; throwing chewing gum, cigarettes, and trash),various types of on-street crimes (violence, body injuries)(3) Environment purification associations and the police department cooperate toperiodically patrol in the commercial and entertainment district, giving
instructions to those who are touting for customers, performing recruitment
activities, and/or installing illegal signboards in order to improve the harmfulenvironment.
(4) As the ordinance was revised, environment purification associations are
entrusted with the authority to instruct those who are touting for customers
and/or performing recruitment activities. Besides conventional verbal
instructions, warning documents are used for such instruction.
Close linkage is made with the police in enforcement of the regulations to faceserious cases of touting and the like.

The number of patrols:73(1) Store associations, neighborhood associations, universities, vocational colleges,
junior high schools, police department, Toshima city
(2) Locations where graffiti are frequently seen
(3) Local communities cooperate to erase graffiti in the commercial andentertainment districts in a timely manner. In addition, in fiscal year 2011, an
on-street art museum was established in the vicinity of the North Entrance of
the Ikebukuro Station, where there were many harmful environment spots, andwhere graffiti were frequently seen. At this art museum, photo exhibitions wereshown.
(4) As for the locations where graffiti are frequently painted, an examination
should be made to install security cameras.

The number of
implementations:8(1) Store associations, neighborhood associations, universities, vocational colleges,
1-4
junior high schools, police department, Toshima city
Countermeasures(2) Throwing chewing gum and cigarettes
for throwing
chewing gum and (3) Local communities cooperate to remove chewing gum on streets in thecommercial and entertainment districts in a timely manner.
cigarettes
In addition, in May this year, the ordinance in relation to prevention ofthrowing cigarettes on streets in the Toshima city was revised. As the provision
to prohibit throwing cigarettes was added, a campaign was conductedconcerning throwing cigarettes.
(4) In the areas where chewing gum and cigarettes are frequently thrown away, ajoint patrol is performed to find such behaviors. An examination should bemade to develop the environment that does not induce crimes.

The number of
implementations: 2

1-1
Installation of
security cameras

1-2
Environment
clean-up patrol
activities

1-3
Measures forpreventing
graffiti

65

The number ofparticipants: 1,458
persons

The number ofparticipants: 282 persons

The number ofparticipants: 325 persons

(6) School Safety
Hoyu Elementary School started its history by merging of two schools; Jishu Elementary School and Otsukadai Elementary School in 2003. At thepresent, the Hoyu E.S. has 507 students taken care by the third principal, Kozo Tabuchi. There are following features at the school;-be surrounded by high buildings such as Sunshine 60, be center of various traffic system,- has the second biggest number of students as a result of increasing high-rise apartment building which represent “high dense urban city, Toshima”- has high risk in terms of injury and accident because of wide school area, commercial districts of Ikebukuro,
To solve problems to which Hoyu E.S. now facing due to the above situations, the school decided to launch the Safe School programs with which
the school can make improvement of quality of safety and security by following strategies such as collecting and analyzing data on injuries andaccidents

Composition of the taskforce committee (20 members)
Community
Organizations

Hoyu Elementary School PTA, neighborhood associations, Sugamo Mukohara Local Safety CenterCouncil, youth nurturing council

Administrative
organizations

Hoyu Elementary School, Toshima city board of education, Toshima city government (section in charge ofcommunity)

What to Prevent: Injuries at School
Reason to select what to prevent

Analysis of causes

Challenges

The number of injuries has been increasing for A large number of injuries occurred not only in recesses but also in
1
five years.
classes. Also, a large number of injuries occurred not only inPreventing
school grounds but also, surprisingly, in classrooms.
Table 5-3 Trend of injury occurrences by year
injuries
Fig.5-26 Occurrence of injuries at school (n=278)
during2006 2007 2008 2009 2010
Special
5 min. On the way
Street/road Toilet
Physicalroom
Othersrecesses and
break
home
2.2%
Injuries treated at
1.1% 1.1%
education
2.2%
classes5%
4%school healthcare 418
444
415
487
503
class
room

Injuries treated at
hospital

24

20

18

9

27

Source: injury report

Injuries Occur most frequently in June.

5%
Lunch
6%
Beforeschool6%
Duringcleaning
10%

Fig.5-25 Trend of injury occurrences by month

Duringmiddlebreak
24%

Gymnasium
3.2%
Stairs4.3%

When
Duringclasses18%

Duringlunch break
22%

Hallway
5.0%

Hatch
0.4%

Where
Schoolground39.9%(Excerpted from the survey on injuries at school in June by Hoyu
Elementary School in fiscal year 2011)

Different teachers were teaching different things as the ability
related to the safety (safety skills) was not organized.

(Cases)Safety and security guidebook(Disaster prevention)
Emergency education plan(Disaster prevention)
Safety education program
Safety education Curriculum
April

Classroom
40.6%

June

Aug.

Oct.

Dec.

Feb.

(Based on the survey of the injuries at Hoyu
Elementary School in fiscal year 2010)

Organized
Organized
Distributed
Not organized

The occurrences of mental injuries caused by bullying do notdecrease.
Table 5-4 Occurrences of bullying
Dec.
2009
8

March
2010
3

July
2010
9

Dec.
2010
9

March
2011
9

2
Organizing
allcurriculums

3
Preventing
bullying(Excerpted from the bullying research by Hoyu Elementary School in 2010)

What to Prevent: Traffic Accidents by Bicycles
Hoyu Elementary School has its school districts There were 2 traffic accidents involving elementary schoolin a big commercial district with major roads, JR children's bicycle riding in 2010 following to one in 2011. The
railways, streetcars, and so forth
ratio of wearing bicycle helmets declines as higher grade.
Fig. 5-27 Unsafe of helmet on bicycles

No helmet

Hoyu area.
IKebukuro STA

super-high-rise buildings

downtown

Hoyu ESSunShine60

45%

With helmet
36%

19%

10%
9%
3%
Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6* The numbers in the parentheses are the occurrences at all the elementary and juniorhigh schools in the Toshima city.
(Excerpted from the summary of the accidents involving suspicious persons and the traffic
accidents outside the school by Hoyu Elementary School in fiscal years 2010 and 2011)

66

4
Improvementof awarenessof Traffic
SafetyChanges as a result of the endeavors for the safe community (findings etc.)
Improving the existing recording technique recording methods, causes and features in accidents and injuries can be better
identified.
Some changes have been observed in awareness and attitudes among students by having meetings and questionnaire survey byinitiatives of Safe School Committee which was organized by students
The relationship among school, PTA and neighborhood associations have strengthened through study meetings for promotion ofchildren’s safety and workshops for traffic safety,

Countermeasure1
Students centeredactivities byinitiatives of the
Safe School
Committee

2Creating safety
education
curriculums

3
Promoting themental education

4-1
Providing bicycle
safety classes

4-2
Watch-overactivities in local
areas(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in 2010

(1) Students and teachers of Hoyu Elementary School(2) Students of Hoyu Elementary School(3) Chilling-moment maps are created by describing the situation and by marking
the spots on the school maps where a student or a teacher encountered theoccurrence of an injury to enhance the awareness of the safety.
(4) As the locations in the school where injuries have been occurring are
visualized, the students and teachers further enhance their awareness of thesafety.

Data on the chillingmoment maps: 771
The number of students
having participated increating or using thechilling-moment maps:
507(The numbers were theresults in fiscal year
2011.)(1) The teachers of Hoyu Elementary School
The hours spent for theclasses in relation to(2) The Students of Hoyu Elementary School
safety:11 hours(3) Responding to the development and changes in behaviors through six years at
the elementary school, instruction plan (safety education plan) is developed to
improve awareness of safety.
(4) Assessment is made about the classes based on the safety curriculum in order toimprove and enrich the safety curriculum according to such assessment.
(1) The teachers of Hoyu Elementary School(2) The Students of Hoyu Elementary School(3) The students make ideas for the endeavors based on the reality survey aboutbullying, and specify the fields to make efforts.
(4) The factors having caused injuries should be analyzed to enhance the accuracyof the endeavors.

The hours spent for theclasses for mental
education(No past result isavailable as the classstarts in fiscal year
2011.)(1) Hoyu Elementary School PTA(2) The Students of Hoyu Elementary School(3) Hoyu Elementary School and its PTA cooperate to provide instructions about
safe riding of bicycles. A bicycle-riding certificate is issued to the students who
have proved that they have obtained certain skills. Thus, it is attempted toenhance and to continue to have the awareness.
(4) The practice of wearing safety headgears should be diffused, and enlightenmentof such practice should be continued to improve the ratio of the people whowear safety headgears.

Issuance of the bicycle
riding certificates: 251
The participants in thebicycle safety classes:
482(1) The local residents in the vicinity of Hoyu Elementary School and the PTA(2) The Students of Hoyu Elementary School(3) The local residents and PTA cooperate to advance the speak-to activities to thestudents. In addition, as one of the PTA activities, the study sessions of thetraffic accident summarization system that uses GIS are provided to construct
an effective watch-over organization.
(4) The traffic accident summarization system that uses GIS should be utilized toassess the ongoing watch-over organization and to improve and expand theorganization.

Registrations to the
speak-to activity in thewatch-overactivities:840(in accumulated total)67

(7-1) Prevention and prepadness of Earthquake Disasters (Community Development with Residents' Participation)
Composition of the taskforce committee (26 members)
Community organization Neighbors associations, voluntary fire companies, local welfare /childcare commissioner association,community development council, construction/real estate related associations, social welfare council
Administrative
organizations

Fire department, Toshima city government (sections in charge of disaster prevention, communities,
senior welfare, urban development, and housing)

What to Prevent (1) Deaths and Injuries Caused by Collapsed Buildings and Fences and/or SpreadingFire
Reason to select what to prevent

Analysis of causes

When an epicentral earthquake hits themetropolitan Tokyo, according to theestimation by Toshima city, a large number ofdeaths and injuries are estimated due todamages by collapsed buildings and the fences
and the spreading fire.

About 40% of the Toshima city is the high dense urban areas
with wooden houses, which are weak against earthquake
disasters. In these areas, there are many alleys and streets of 4
meters or less in width. Consequently, there is a high possibility
that serious earthquake disasters may happen.

Fig.5-28 Estimation of the damage in Tokyo
by an epicentral earthquake in metropolitan
Tokyo
Steep
hillside,2, 3%

Ikebukuro

Object,1, 1%

Ikebukuro Sta.

Fire, 7,
9%

Death
77

Fall ofwall/fence, 29,38%

Fall ofwall/fence, 351,8%

Fire, 210,
5%ommodity
insidebuilding,
1,630,
35%

Destroy
ed byfire,
4,642,
65%

Damageofbuilding,
Commodity insidebuilding,
38, 49%

Object,101, 2%

Injuriers
4,602

Challenges
1
Improvementof the highdense urban
areas withwooden houses
andconstruction offire-resistanturban areas

Highdense urban areaswith
wooden houses
Develpled urban district bydesighn

The number of houses with insufficient earthquake-resisting
capacity (based on an earthquake-resisting capacity standard asof 1980 or earlier, for example) is decreasing. There are,however, still such houses in about 20% of the Toshima city
◆In 2006: 32,700 houses (29.2%) → ◆In 2010: 26,182
houses (19.0%)

2
Improvementofearthquake-resisting capacityof buildings

Fig.5-29 Earthquake-resisting capacity of Houses (2010)

Damageofbuilding,
2,308,
50%

sufficientearthquakeresisting
capacity
111,618

0%

20%

40%

insufficientearthquakeresisting
capacity
26,182

60%

80%

100%

(Source: Calculated based on the housing area statistics survey etc.)

Damagedbuildings
7,182

Collapseofbuilding, 2,514,35%

Calvingof steep
hillside,22, 0%

About 40% of deaths in the estimated damage are due tocollapsed concrete-block walls. After the East Japan Great
Earthquake, a survey of concrete-block walls etc. wasconducted. And it was found that about 60% need cautious
attention or some improvement
Fig.5-30 Survey of concrete-block walls
Need measure,85, 16%
No problem ,202, 37%

Need caution,
258, 47%[Source: Tokyo Government, 2006]
Epicenter: Northern part of the Tokyo Bay, Magnitude 7.3
on the Richter scale
Weather condition: 6:00 pm in winter, wind velocity of 15
meters per second

Source: Survey by the Toshima city in 201168

3
Preventing
destruction ofold decaying
fences etc.

Changes as a result of the endeavors for the Safe Community (findings etc.)
Considering the East Japan Great Earthquake, a field survey of the concrete-block fences in the city was conducted as a part of the
Safe Community activities.

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement(1)
1-1
Development of
the disaster-proof(2)
community(3)

Community development council (residents, neighbors associations,
shopping streets, etc.), national government, Tokyo Government, Toshimacity government
High dense urban areas with wooden houses
Sharing the awareness of the problems by using the newsletters issued by
the community development council, proposals of the plans to construct thecommunity with excellent disaster-proof performance, proposals of local
area specific rules about such as inflammability (local plans), expansion
and construction of alleys and streets to 6.5 m in width, new construction of
public spaces, squares, etc.
(4) More participation of residents in the community development council.

Achievements in 2010
[Accumulated total up fiscal
year 2010]
District plan: 68.8 ha
Distance of road
expansion/construction
Width: 8m, distance:110m
Width: 6m, distance:249m
Construction of new public
spaces/squares: 8,274 m2
Ratio of fire-retardant: 61.1%(Higashi-ikebukuro
4-/5-chome)(1) Owners of land/buildings, Toshima city government[Accumulated total up to
1-2
2010]
(2) Owners in relation to reconstruction in a lot on streets of 4 meters in width
Expandingetc.
The ratio of improvement of
narrow alleys andnarrow roads: 28.8%(3) Constructing streets of 4 meters in width by expanding them into a part ofstreets
the lot at the time of reconstruction(63.4 thousand meters)(4) Expansion/reconstruction of roads/streets of 4 meters in width at the time ofreconstruction of buildings should be promoted.
(1) National government, Tokyo Government, Toshima city government,
2
construction related associations in the private sector
Diagnosis of(2) The buildings with insufficient earthquakes-proof performance such as theearthquake-resistiones based on former earthquake-proof standards
ng capacity(3) With consideration to the East Japan Great Earthquake, the subsidy isand promotion
provided with respect to all the expenses for the diagnosis of theof renovation etc.
earthquake-proof performance of the lots on the specifically appointed
roads for the use of emergency transport. The subsidy to the expenses ofearthquake-proof renovations is expanded.
(4) The usage of the subsidy program should be expanded.

3
Inspection of old
decaying fences
and promotion of
improvement[Accumulated total fromfiscal year 2006 to 2011]
Subsidies to the diagnosis ofearthquake-proof
performance:34
Subsidies toearthquake-proof
renovations: 13
Subsidies to the diagnosis ofearthquake-proof
performance ofcondominiums: 95(1) The owners of old decaying fences, Toshima city government[Accumulated total from
(2) The concrete-block fences etc. that may collapse as a result of decaying etc. fiscal year 2008 to 2010]
Results of removal of fences(3) With consideration to the East Japan Great Earthquake, a subsidy program
and replacement withwas started to give aid to removals and renovations.
hedges (the numbers related(4) Promote application to support system with which old decaying wall andto reconstruction of narrow
fences etc. are improved or replaced with hedges.
roads)
Removal of fences: 335
Distance of removed fences:3500.7 m
The number of replacementwith hedges: 182
Distance of replacementwith hedges: 946.1 m

69

(7-2) Prevention and prepadness of Earthquake Disasters (Disaster Prevention by Residents)
What to Prevent (2) Deaths and Injuries at the Occurrence of an Earthquake
Reason to select what to prevent
At the time of epicentral earthquake
in the metropolitan Tokyo, a large
number of deaths and injuries, it isestimated, will be caused because of
the destruction of the buildings,
falling furniture, and the fire.

Analysis of causes
Among the serious
injuries in theestimation of thedamage, the mostfrequent injuries canbe cause with objects
indoors.

Fig.5-31 Cause of serious injuries

Brickwall, 61,
11%
Comodity inside,
289,
50%

77
4,602
579
2,540
4,642
29

(Source: Estimation of the damage of
epicentral earthquakes by Tokyo
Government)

Securing theindoor safetyof eachhousehold

Damegeofbuilding, 181,
31%(M7.3, 6:00 pm in winter, wind velocity of 15 m/sec.)

InjurySerious injury (alsoincluded in "Injury")
Complete destruction ofbuildings
Complete burn-down ofbuildings
Fire outbreak

4Fire, 46,
8%

Table5-5 Estimated Damage
Death

Challenges

According to theestimation of thedamages, fireoccurrences will beseen in 29 locations
at the same time.
Since this cannot be
handled solely by thefire department, fires
may keep spreading

Fig.5-32 Classification of Building Damages

Completecollapse ofbuildings,
2,514, 35%

complete
destructionof buildingby fire,4,642, 65%

5Enhancementof the initial
fireextinguishingability of theresidents

What to Prevent (3) Deaths and Injuries during Evacuation
The damages may be caused at thetime of an earthquake disasterbecause of the delay of evacuation,
which can be most frequently seen
with the seniors and the like.
In addition, a large number ofpassengers converge in the vicinityof the Ikebukuro Station, where
there can be a large number ofpeople around the station who havedifficulty in going back to theirhomes if transportation is suspended
for a long time. This can cause large
disturbance.
Fig.5-33 Deaths caused by the
Niigata Chuetsu and the Chuetsu-oki
Earthquake
Other,
26,
32%

Senior56,
68%

Table5-6 Damages caused by the epicentral
earthquake in metropolitan Tokyo estimated(M7.3, 6:00 pm in winter, wind velocityof 15 m/sec.) (person)
Total number of359,406
remaining people
Total number of people
having difficulty in going
158,662
back to their homes
People remaining around
165,733
the Ikebukuro Station
People around the
Ikebukuro Station having
84,764difficulty in going back totheir homes(Source: Damages from the epicentral
earthquake in metropolitan Tokyo)

It is possible that theseniors, thephysically disabled,
and the persons
requiring care, forexample, may not beable to evacuate
immediately at thetime of an earthquake
disaster and may bekilled or injured.
At the time of anearthquake, thepublic transportation
may stop. If the masswalkers start to go
back home at thesame time, they may
not be able to go
anywhere, causing
human avalanches or
the like and, thus,
causing accidents.
The persons havedifficulty in goingback home have noplace to go andgather around the
Ikebukuro Station ina mass, causing apanic or the like andmay trigger asecondary disaster.

Table5-7 Estimation of damages
Persons requiring care (levels 3 to 5)
Physically disabled certificate(grades 1 to 4)
Love Handbook

3,095

Total

8,715

5,901
708

6
Arrangementof theevacuation
supportorganizations(Source: Estimation of the damages in Tokyo caused by anepicentral earthquake at metropolitan Tokyo) (person)

7
Suppressing
the mass
walkers
going backhome

Human avalanche!

Fig.5-34 Situation of the persons having
difficulty in going back homeAmong thepersons having
difficulty ingoing home, 70%
are shoppers

Shopping,
114,682,
72%

Business
42,058, 27%

School,1,921, 1%(Source: Cabinet
Office)70

8Preventing
disorderaround the
Ikebukuro
StationChanges as a result of the endeavors for the safe community (findings etc.)
Since launching the safe community programs, by learning from the past examples of earthquakes and so forth, the close
cooperation among different fields such as local disaster prevention organizations, local welfare workers/elementary-school
children committee, and the like is intensified in an attempt to further develop the community’s ability of disaster prevention andprepadness.
By dealing with problems noticed at the time of the East Japan Great Earthquake, countermeasures to prevent commotion aroundthe Ikebukuro Station have been developed. In addition, since the endeavors for the safe community was started, the close
cooperation with the businesses and relevant organizations are intensified more than ever.
Countermeasure
4
Promotion tokeep thefurniture andthe like fromfalling(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement(1) Toshima city government, senior human resource center, dealers of disasterprevention equipment, social welfare council(2) Furniture, electric appliances, window glass, etc.
(3) In order to promote the means for keeping cabinets, refrigerators, televisionsets, and so forth from falling down and in order to encourage people toattach window glass sheets to prevent glass breakage, some disasterprevention equipment is recommended to households in general. Since June,the installation project with the help, for example, from the senior humanresource center has been intensified for the people who have difficulty ininstalling such equipment on their own.
(4) The support to the people having difficulty in installation should becontinued by the Toshima city government, the volunteers, and so on.

5
Initial action
drills andenrichment of
the materials
and equipment(1) Toshima city government, neighborhood associations, self-governingassociations(2) Initial fire extinguishment by the residents(3) Fire extinguishers are distributed all around the city. D-grade pumps toextinguish fire are allocated to all 129 neighborhood associations in the city.
The fire extinguishers and D-grade pumps are used by each neighborhood
association for the initial fire extinguishment drills once in a year at least.
(4) As for the areas with a high risk of fire where it is difficult for fire engines todrive through, the installation of simplified fire extinguishing equipment,
which is easier to handle than the D-grade pumps, is promoted.

6
Creating
evacuation
support plans
for the seniorsetc.

(1) Neighborhood associations, self-governing associations, Community PlazaManagement Meeting, social welfare council (CSW: community social
workers)(2) The persons who are at high risk of delay in evacuation at the time of adisaster such as seniors(3) Name lists of residents who need support at the emergency are made onrequest of seniors and the like who want to be in the list. The information is
distributed to the local residents such as neighborhood associations,self-governing associations, and local welfare /childcare commissioner
association to make evacuation support plan.
(4) More residents who need support should be included in the name lists. The
support to the neighborhood associations should be intensified. The numberof evacuation support plans should be increased.
(1) Toshima city government, Metropolitan Tokyo Government, businesses, etc.
(2) People who might have difficulty in going back home(3) The rule, "Do not move around with no reasons (do not make unreasonable
efforts to go home)," is made to be known to the participants of the drill forthe people who might have difficulty in going back home, which has been
held three times (once a year) at the Ikebukuro Station.
(4) Close cooperation should be made with the national government,
Metropolitan Tokyo government, and business associations to try to makethe rule, "Do not move around with any reasons," known to each and every
person who might have difficulty in going back home.
(1) Toshima city government, the association for the measures to prevent
turbulence in the vicinity of the Ikebukuro Station(2) Businesses etc. in Toshima city
(3) The association for the measures to prevent turbulence in the vicinity of the
Ikebukuro Station is established to have discussions the business owners
around the station about the measures. Thus, the plan for the measures forthe people having difficulty in going back home is formulated.
(4) Specific action plans should be formulated about the measures for the people
having difficulty in going back home. The public and private sectors should
unite to secure the facilities for the people having difficulty in going backhome to take temporary refuge and to make arrangements of necessary items
such as drinks and foods in advance.

7
Announcement
andenlightenmentof action rules

8
Embodiment of
the measures
for the people
who might
have difficultyin going back
home

71

Achievements in 2010
Support to those whohave difficulty ininstallation on theirown (social welfare
council)
11 cases
Installation of tools on
one's own
(recommendation ofdisaster prevention
equipment) Apparatus
to prevent falling
down: 84 items
Disaster prevention
drills:
157 times in total

The number ofregistrations in thename lists of theseniors and so forth
who want to be enlisted
there: 551 (6.3% of thewhole)The number ofparticipants in the drills
in fiscal year 2010: 741

The discussion is
ongoing to formulate
the plan.

(8) Prevention of Child AbusesComposition of the taskforce committee (18 members)
Communityorganizations

Local welfare /childcare commissioner association, junior high school PTA association, kindergartens,
mother-child life support facilities, lawyers, social welfare council.

Administrative
organizations

Tokyo Elementary School Children Counseling Center, police department, public health center,education committee, Toshima city government (sections in charge of children's welfare)

What to Prevent: Child Abuses
Reason to select what to prevent

Analysis of causes

Consultations and reports concerning abuse ofelementary school children are increasing. In
fiscal year 2010, the number reached 533

According to the classifications of the occurrence conditions ofchild abuses, the most frequent cause is the difficulty in parenting.

Fig.5-35 Transition of the Consultations andReports Concerning Child Abuses(person)600

Fig.5-37 Conditions of Occurrences of Child Abuses(case)
250
200

539

533

68
2

2

39

51

25

100
30

500

43

0

39
38

50
450

64

448

48

63

2007

2008

0
407

400
2006

2006

2007

2008

2009

2010

Source: Statistics by the Toshima City
Children and Household Support Center

The consultation ratio concerning child abuses(6.5%) is higher than the average of the 23 cities
of MPT (2.2%).

Fig.5-36 Ratio of the Consultations Concerning
the Children Compared with the Population of
the Children at the ages from 0 to 17

Life or work
environmentof parents
5%
Development
orcharacteristics of children
13%

5%

10%

58

44

26

27

2009

2010

2

lack ofnurturingability
35%

2.2%

0%

28

Unstablementalcondition ofparents2%

Unstable
relationshipbetweenparents15%

6.5%

Psychological Abuse

021

Physical Abuse
Neglect

According to the analysis of the factors that may cause childabuses, the largest factor is the lack of the parents' ability inparenting.
Fig.5-38 Cause of child abuses

Others14%

Toshima City

Sexual Abuse

99

56

Source: Statistics by the Toshima City Childrenand Household Support Center(Actual results in fiscal year 2010)

23 Cities of MT

n＝533

Source:Statistics
by the Toshima
City Children andHouseholdSupport Center

Illness ofparent(s)16%Parenting is isolated as a result of a weak relationship in the local
communities and the trend toward the nuclear family. A half of theparenting parents want some support concerning parenting (suchas distribution of services and information)
Fig.5-39 Ratio of Requests about Support to Parenting

Source: Statistics by Tokyo1
Enhancingthe supportforparentingDifficulty in nurturing

85

150

560

550

Challenges

N/A
2.7%
Don't
know
19.8%
Never felt
it woud begood tohave
24.3%

Have felt it
would begood to
have
53.2%

n＝666
Source: Questionnaire survey in March 2009

72

2
Early
detectionand early
actionChanges as a result of the endeavors for the Safe Community (findings etc.)
Through active discussions among relevant organizations, a deep analysis became made on reality of child abuses and theircauses. Thus, further problems were shared among them. At the same time with this, the relevant organizations were able tointensify the linkage among them.

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in 2010

1-1
Support forenhancement of theparenting ability ofparents(1) Elementary schools, Toshima city government(2) Guardians/parents(3) Materials of "Nobody-is-perfect Program" and the "Parent Training" are used
for the group work (parent supporting program in which parents who feel
uneasiness in children's development and/or nurturing exchanged their views
among the group to solve their problems by themselves) to learn the methodsof parenting that were suitable to themselves.
(4) Since fiscal year 2011, close cooperation is ongoing with elementary schools
to expand the participants, besides the guardians/parents of the preschoolers,to the guardians/parents of elementary school children, enriching theendeavors furthermore.

The number of group
works: 4 sessions
40 participants

1-2
Consultation at theChildren andHousehold Support
Center(1) Toshima city government(2) Guardians/parents and children(3) Consultation is provided at the center and at homes. At the center, consultants
can be provided at any time. On top of that, the center provides playing
ground for children so that parents can ask socialists for consultation aboutparenting while their children playing there. This is also a place whereguardians/parents can be acquainted with each other and communicate.
As for consultation by visit, counselors visit houses to provide consultationand give them advises in regard to parenting, when guardians/parents withdifficulty in visiting the support facility ask for consultation, or some relevantorganizations provide information. In addition, they can introduce parenting
support service. Furthermore, as they pay visits to houses, they can find out
the households that require some support at an early stage(4) "One-year-old Birthday Home Visiting Consultation" started in April 2011.
The number of the visiting consultants will be increased from fiscal year 2012and expanded further.
(1) Toshima city government(2) Infants up to four month old and their guardians(3) After a child birth, a midwife or a health nurse pays a visit to home at an earlystage to check mother and baby’s health condition including mother’s
depression. Considering that mothers tend to be depressed after giving birth,they get instructions from experts from the center. In addition, the households
in need of some support are identified and provide necessary services.
(4) To visit all the houses, the endeavor to visit unvisited mothers should be
intensified(1) Tokyo Children’s Counseling Center, local welfare /childcare commissioner
association, medical association, lawyers, police department, kindergartens,
nursery schools, elementary/junior high schools, Toshima city government,
etc.
(2) Children being abused and their guardians/parents(3) With respect to the consultations/phone calls received by the organizations inrelation to child abuses, meetings are held to make arrangement for
information exchange and to examine specific cases. Thus, the information isshared, and close cooperation is made to watch over the households that need
to be watched and to detect child abuses and make necessary actions at earlystages.
(4) Starting from November 2011, the retired personnel of the Children's
Counseling Center are invited as the advisors for abuse prevention(1) Experts etc., Toshima city government(2) City citizens and the personnel of the organizations in relation to child abuses(3) By inviting researchers, practical activists, etc. in relation to child abuses,
various types of lecturers are provided for the city citizens and the personnelof the organization related to child abuses to deepen understanding of childabuses.
(4) To have more city citizens participate and for them to have awareness anddeep understanding, the content of the lecturers should be reviewed. For the
next fiscal year, it is planned that experts are invited to host symposiums.

4,885 visits (parents
and children
playgroundconsultation)
218 visits bycounselors

1-3Hello-baby project

2-1
Watch-over services
by the abuse
prevention network

2-2
Lectures for relevantorganizations andcity citizens

73

1,592 visits

Meetings to makearrangement for
information exchange:
17 sessions
Meetings to examine
specific cases: 289
sessions

Lectures for the
relevant organizations
or city citizens: 8 sessions
 5,434 participants(9) Prevention of Domestic Violence (DV)Composition of the taskforce committee (19 members)
communityorganizations

Local welfare /childcare commissioners, lawyers, private-sector consultation organization, mother-childlife support facilities

Administrative
organizations

Tokyo School Children Consultation Center, police department, public health center, board of education,
Toshima city government (relevant sections in charge of senior welfare, welfare of the physicallydisabled, mother-child welfare, and livelihood welfare)

What to Prevent

Violence to the intimate Partners Such as Spouses

Reason to select what to prevent

Analysis of causes

challenges

The Toshima city has been active inmaking endeavors for the gender-equal
society.
1992: The Gender Equality Promotion
Center was established.
2002: The Gender-Equal City Declaration
was made.
2003: The Gender Equality Promotion
Ordinance was enforced.
According to the residents' attitude surveys,
the percentage of the persons without
experience of violence by partners was not
improving.

According to the residents' attitude survey, the ratio of
the persons who said they did not ask for consultation
was about 60%.

1Preventing DV
victims frombecoming
latent,preventing DVfrom getting
more serious

Fig.5-40 Experience of the violence bypartners
have suffered physical violence
haven't suffered physical violence
N/A
Aug.2009(n=591) 18.3%

70.4%

11.3%

Aug.2005(n=646) 14.3%

73.2%

12.5%

Dec.1998(n=560) 20.3%

66.1%

13.6%

0%

50%

100%

source; the residents' attitude survey with regard to thegender-equal society

The number of consultations about DV
dealt at the Gender Equality Promotion
Center has been increasing by about 4.2
times in the past five years.
Fig.5-41 The number of consultations
about DV(case)
190

180

170
150
130
110
84

90

“Didn’t ask” was about 60%
Asked for consultation
Aug.2009(n=108)29.3%

Aug.2005(n=92)

34.3%

7.6%

0%

51.1%

14.8%

46.3%

50%

12.0%
Didn't ask for consultation
although wanted
4.6%

Didn't want to ask for
consultation

N/A
100%

(Source: the residents' attitude survey with regard to the gender-equal society)According to the survey to the medical organizations in thecity (implemented in 2011 with 304 samples), what troubled
those when they encountered a case where DV wassuspected were: "I could not call the police because thepatient did not agree” was 32.9%, and "The patient was notaware of DV" was 28.2%.
According to the residents' attitude survey, more than 70%
said that the males were treated better with respect tosocially accepted ideas, custom practices, and social
conventions. This is because there still are the deep-rooted
ideas such as "housework and child nurturing are the jobs
for women" and "husbands work outside, wives manage
household."
Fig.5-43 "Do you think the genders are equal with respect tothe socially accepted ideas, custom practices, and social
conventions?"
Male is superior
to female

73.7%
77.1%

Male and femake
are equal

9.5%
6.3%

Female is moreaccorded than
male

6.2%
5.1%

Cannot answer

5.4%
4.5%

65

70
50

Fig.5-42 "Did you ask for consultation with somebody when
you were suffered from violence by your partner?"

43

44

2006

2007

6.1%
9.3%

N/A

30
2008

2009

2010

Source: Statistics on the consultations at the Gender
Equality Promotion Center

0%

50%

Aug. 2009(n=591)
Aug. 2005(n=646)
source: Residents' attitude survey with regard to thegender-equal society

74

100%

2
Improvementof awareness of
being anassailant or a
victim of DV

3
Extinction of
the acceptanceof thediscrimination
based on thegender on the
background ofDVoccurrences

Changes as a result of the endeavors of Safe Community (findings etc.)
The situation involved complex problems such as the grave realities of the victims of DV/date DV and child abuse wasreconfirmed through opinion exchanges and educational sessions. Based on this understanding, we picked up the problem ofchild abuse in household with DV, and further focused on this problem.
Through the exchanges of the opinions, we reminded ourselves of the fact that the DV problems can be easily found around us.
We felt that more educational sessions were necessary and that we should be ready for trying to reinforce the linkage with eachother in order to prevent the latent DV in the local area in advance from happening and in order to find out such DV at an earlystage.
Through the educational sessions, we reminded ourselves of the necessity to give support to the victims.

Countermeasure1

Consultation
about DV(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in
2010(1) National government, Tokyo Women's Consultation Center, Gender-Equality
Promotion Center(2) City citizens, DV victims(3) In the special consultation, lawyers, doctors, clinical psychologists, andThe consultation
cards available at:DV- 3 places
Date DV - 4 places

so forth provide consultation related to each special field. In the general
consultation, the counselors from the Gender-Equality Promotion
Center provide consultation about the various problems around women.
(4) More DV consultation cards and pamphlets will be distributed to theuniversities, high schools, and the like in the city based on therecognition that the counselors need their skills enhanced and that it isimportant to prevent DV in younger generations.
2

Prevention andenlightenment of
DV and Datingabuse(1) National government, Tokyo Women's Consultation Center, Gender-Equality
Promotion Center(2) City citizens, DV victims(3) The classes to learn about DV and to learn how to handle are provided.

As the endeavors to enlighten younger generations on the prevention,schools etc. provide educational sessions on human rights, and specificclasses are provided to schools etc.
(4) Further ingenuities to interest those who have no interest in DV(1) National government, Tokyo Women's Consultation Center, Gender-Equality
Promotion Center
Enlightenment of (2) City citizens
3-1

gender-equal
society(3) Classes are co-hosted with the city citizens and parties taking actions

3-2(1) Gender-Equality Promotion Center(2) DV-handling personnel (local welfare /childcare commissioner, lawyers

Promotion of theunderstanding by
the DV-handlingpersonnel

toward the gender-equal society. The classes to enhance and promote
the awareness of gender equality are held. Further, with the events forthe gender-equal society, the lectures to commemorate the declarationof the gender-equal city, and so forth, the endeavors are made toeliminate the acceptance of the gender discrimination deep-rooted in
the society.
(4) Further ingenuities to interest those who are not interested in thegender-equal society will be developed

from the Japan Legal Support Center, personnel from the mother-childlife support facilities, personnel from police departments, elementary
school children consultation offices, and the city government, etc.)(3) The basic knowledge about DV is learned from lawyers, experts, and soforth. Educational sessions are provided so that effective supports canbe given to the victims and the like.
(4) Information should be exchanged frequently and actively among theDV-handling personnel.

75

DV classes - 2 sessions
37 participants
Date DV discussions 2 times
56 participants

Classes: 18 sessions
2431 participants in
total
Events in thegender-equal society
week1040 participants in
total
Lecture incommemoration of thedeclaration of thegender-equal city
121 participants
Exchange and sharing
information by
relevant personals
Meeting: 1 times
Participants: 24
persons
Study session in 2010:
2 times
57 participants(10) Prevention of Suicides and Depressions
Composition of the taskforce committee(19 members)
Communityorganizations

Toshima City Medical Association, Local Life Support Center, local welfare /childcare commissioner
association, social welfare council

Administrative
organizations

Labor standards office, police department, Tokyo Mental Health and Welfare Center, Toshima City
government( Divisions in charge of Public Repations,Genfer-equity, Industry, Community Welfare,
Senior welfare, Support of child nurturing)

What to Prevent: Suicides of the Middle-aged Generation and Attempted Suicides by the YouthReason to select what to prevent
The mortality of suicide in Toshima city
is as high as those of Japan and Tokyo.
The suicide is the number one cause of
the deaths of the persons at the ages
from 15 to 44 years old.
Fig.5-44 Suicide death ratio incomparison with Japan and Tokyo

(%)
35
30

Analysis of causes
The causes and motives
Chainsof Risk Factors of Suicide
自殺危機要因の連鎖
of suicides come from awide range of
Bad businessChange incondition（2010 年版自殺白書）
environments and events
workplaceenvironment
such as economic issues,
Overwork
Illness
daily-life issues, andLoss of job or
The human
health issues.
unemployme
relations ofnt
In addition, the ratio ofworkplaceDebt
the persons living alone
Family rift
Hardships of life
is larger than that of theentire nation.
Depression

25
20

Suicides Book 2010)(Source: Suicide White

15
2006

2007

Japan

2008

2009

Tokyo

2010

Toshima City

Source: Suicide Analysis Group, Economic and Social ResearchInstitute, Cabinet Office, Government of Japan

Fig.5-43 Suicide death ratio according
to age group
(%)
80.0

Fig.5-46 Suicides and their living partners comparison
between the city and the nation
Toshima

52.9%

Japan

1
Opportunities
to getconsultation
are necessary
for those whohave various
types ofproblems andworries.
Different
consultation
desks should
work incooperation toprevent the
chain ofproblems.

44.3%

27.8%

No
Yes
N/A

70.3%

0%

60.0

Challenges

50%

100%
(statistics by the police department)

40.0
20.0
0.0
<20 20～ 30～ 40～ 50～ 60～ 70～ 80<Male(Toshima)
Female(Toshima)
Male(National Avarage)
Female(National Avarage)

Fig.5-45 Unintentional or suicide
death according to age group

While there are a bit number of suicides among those in their 20's
and 30's, the ratio of suicides attempts is also extremely high.
Considering that, among the suicides, 17% have attempted suicides
before; attempted suicides may lead to another attempt of suicide.
Fig.5-47 Severity of injury according to age group
50

40
30

0%

50-59 yrs old

100%

suicide

17

10
5
3

0
cancer
48-49 yrs old

30-39 yrs old

unintentional
accident
cerebrovascular

女

35

20
11

8

男
9

5

8

8

9

6

4
0

3
1

-19 20-29 30-39 40-49 50-59 60-69 70-79 80-

Fig.5-48 Suicide attemptYescardiac disease
others

17.1%

34.3%

No

48.6%

N/A

20 -29 yrs old

0%

20%

40%

76

60%

80%

100%

2
Attempted
suicidesshould notlead toanother
attempt ofsuicide.

Challenges as a result of the endeavors for the Safe Community (findings etc.)
Each unit was able to make specific endeavors to support the persons having difficulty in their living. The information on th econtent of such support was exchanged and introduced to each consultation organization. The information on the persons
having risk of suicide is exchanged among relevant units in charge. [Information exchange between the local health service
and the industrial sectors]

Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in 2010

(1) Medical association, Local Life Support Center, Labor Standards Office, Tokyo
Mental Health and Welfare Center, public health center, Toshima city
government(2) Persons with suicide risk factors (unemployment, life hardship, family dispute,mental and/or physical illness)(3) Distribution of the information on the consultation desks (distribution of thetable of the consultation desks, publication, etc.), periodical meetings byrelevant organizations and individuals (they also take roles of the taskforce
committee of Suicide prevention)(4) Creation and distribution of the suicide prevention procedure manual for the
personnel at the consultation desks of the Toshima city, announcement of theconsultation organizations for the bereaved of self-killing persons

Distribution of thetable of consultation
desks: 2,500 copies
Special city gazette:
10 thousand copies
Meetings by relevant
parties:
3 sessions (the result in
fiscal year 2011)(1) Tokyo Mental Health and Welfare Center, public health center(2) City citizens, the personnel in charge of health/welfare, the personnel of the
Toshima city government(3) Training courses are provided, so that residents working for suicide prevention
including the receptionists at consultation desks become to notice changes in
the people around them, talk to them, and listen to them to actuate necessary
consultation organizations and/or special consultations. Thus, the humanresources to support people trying to live are increased.
(4) Distributing information on measures for suicide prevention to the personnel at
the local medical facilities

Gatekeeper courses
10 sessions in total
321 participants intotal (the personnel
from the Community
Plaza,[Kumin-Hiroba], local welfare/childcarecommissioner
association, andgeneral citizens)(1) Medical association, Tokyo Mental Health and Welfare Center, public health
1-3
center, Toshima city government
Support for the(2) Patients of depression who haven’t had medical treatment or quitted to takemedicaltreatment
examination ofdepression etc. (the (3) Enlightenment of the importance of medical examinations at the early stage,
providing special consultations for patients and/or their family members whopatients yet to be
feel uneasiness in medical examinations, support for the reclusive seniors withtreated or yet tohigh depression risk
resume treatment)(4) Outreach program to provide medical treatment to the untreated patients,
Medical interviews with respect to depression on the occasions of laborers'
health inspections (law revision is scheduled)

Mental healthconsultation:
3,586 cases
Support for the
reclusive seniors withhigh depression risk:
798 cases

1-1
Publication of theconsultation deskand close linkage
with suchconsultation
services

1-2
Training ofgatekeepers

2-1
Mental healthpromotion for theyouth(1) Convenience stores, public health center(2) City citizens at the ages of around 20's and 30's etc.
(3) Distribution of the pamphlets related to the mental health self-management toconvenience stores (posters, message cards)(4) Close linkage with the NPO(non-profit- organization)s supporting younger
generations(1) Nippon Medical School Hospital, Tokyo Metropolitan Government Bureau of
2-2
Social Welfare and Public Health, public health center
Support for persons(2) The city citizens etc. who were transported to the Nippon Medical School
having attempted
Emergency and Critical Care Center from suicide attempt
suicide(3) Support is given to the city citizens who were transported by ambulance due tosuicide attempt so that medical treatment can be continuously given after
discharge from the hospital. In addition, close cooperation is made with
relevant consultation organizations to solve problems that caused the suicide
attempts.
(4) Close cooperation with the advanced-emergency-hospitals in the city

77

Distribution ofpamphlets:
500 copies

Support for the people
with experience ofsuicide attempt (since
fiscal year 2011)

(11) Early Detection of Cancers
We have been making the endeavors to unify the illness prevention and the injury prevention in the future. In
addition, many cases of suicides have illness as one of causes on its background, and the number one cause of thedeaths of the city citizens is cancer. Therefore, Toshima City has been working on cancer uniquely in relation to thesafe community.

Composition of the taskforce committee(15 members)
Community
Organizations

Toshima City Medical Association, Toshima Health Examination Center

Administrative
organizations

Public health center, Toshima City government (relevant sections in charge of senior welfare andhealth)What to Prevent (1)Death from Cancer
Analysis of causes

Reason to select what to prevent
One of two males in Japan has cancer
in his life. So does one of threefemales in Japan.
In addition, cancer is the number one
cause of the deaths in Japan. Every
year, 300 thousand people or more diefrom cancer.
In Toshima City, 710 people diedfrom cancer in 2010 which takes
31.4% of the total deaths.
Fig.5-49 Ratio of the death causes in2010 (Japan)
Total death toll: 1,197,012

The mortality from cancer decreases as the ratio of cancer
screenings increases
Fig.5-51 Comparison between proportion of mammary cancer
screenings and the death ratio

45
40
35
30
25
20
15
10

45
40
35
30
25
20
15
10

死亡率rateMortality

Consulation
受診率 rate

Mortality
死亡率rateConsulation
rate
受診率

1975 1985 1990 1995 2000

1975 1985 1990 1995 2000

pneum
onia
9.9%

Source:Hiroshi Saito [System management of canser]

cancer
29.5%

others
34.4%

cerebrovascular
10.3%

Challenges

Japan has low cancer screening ratio compared to other nations.

cardiacdisease15.8%

Fig.5-50 Ratio of the death causes in2010(Toshima City)
Total death toll: 2,261

Fig.5-52 Screening ratio of mammary cancers and uterine cervix
cancers
breast
(%)
100
80
60
40
20
0

78.5
83.5
72.5
70.5

88.1
66.8

81.5

79.6
76.5

43.1

USA

England

Dutch

Australia

canceruterinecancer
40.6
33.6
24.5
23.8

New
Zealand

South
Korea

Japan

Source:OECD Health date 2009cancer
31.4%

others36.0%

Although the cancer screening ratio in the Toshima City improved
to the average of the 23 cities in MT, further improvement isnecessary in the cancer screening ratio.
Fig.5-53 Trend of canser screening
15.0%
10.3%

pneum
onia
8.9%

cerebrovascu
lar
9.2%

11.4%

12.0% 11.6%

11.8%

12.0%

10.0%

cardiacdisease
14.5%

5.0%

4.8%

4.1%

5.2%

5.4%

8.3%

23 citiesof MT
Toshima
City

0.0%
2005

2006

78

2007

2008

2009

2010

1
Early
detection by
improving
the ratio oftheapplicantsfor thecancerscreenings

Changes as a result of the endeavors of Safe Community (findings etc.)

For comprehensive and organized promotion of the countermeasures for cancer, Toshima City Cancer
Countermeasures Promotion Ordinance was enforced in 2011 which is the first in the 23 cities in MPT. The
ordinance has formulated the obligations of the city and the city citizens. As the implementation plan of thisordinance, Toshima City Cancer Countermeasures Promotion Plan was formulated to secure the continuous
endeavors.
Countermeasure(1) By whom, (2) To whom/which, (3) What, (4) Proposition for further improvement

Achievements in 2010

1-1
Expansion of thescope of the cancer
screenings andimprovement of themethod of
implementation(1) Toshima city government (2) City citizens(3) [Expansion of the Applicants]
Stomach cancer/ colorectal cancer screenings - 30 years old or higher;
uterine cervix cancer screening - women of 20 years old or higher at anage of an even number; mammary cancer screening - women of 40
years old or higher at an age of an even number; lung cancer screening 40 years old or higher; prostate cancer screening - men of 50 to 74 years
old (starting from fiscal year 2011)[Improvement of the Method of Implementation]
From fiscal year 2010, the colorectal cancer screening became available
at the health examination for the applicants of 40 years old or over.
(4) Establishment of implementation of the examination which make easierfor the city citizens to take such as providing examinations at weekends
and at nighttime, and so on

1-2
Hosting events topromoteapplications forcancer screenings(1) Toshima city government (2) City citizens(3) In fiscal year 2009, the Pink Ribbon Event was held in cooperation with
the Ministry of Health, Labor, and Welfare, inviting a famous mixed
voice chorus. In fiscal year 2010, the expansion and enlightenment of thescreenings was attempted by inviting entertainment personalities to theapplication-promoting events, by showing movies, by providing lectures,and so forth.
(4) Further ingenuities in the events to interest more younger generations

1-3
Distribution of thenotifications torecommend
applying forcancer screenings(1) Toshima city government (2) City citizens(3) The notifications to recommend applying for cancer screenings are sent
to the recipients meeting the following conditions:[Recipient] Subscribers to the National Health Insurance in the city - from 40 to
74 years old
 Subscribers to the Longevity Medical Insurance in the city - 75 years
old or higher
 Subscribers to employee insurances - from 40 to 70 years old at anage of a multiple of five(4) The notifications to recommend having cancer screenings will be sent to
all residents who should be applying for cancer screenings.

1-4
Distribution offree medical
examination
coupons andmedicalexamination
handbooks(1) Toshima city government (2) City citizens(3) Free coupon tickets for cancer screenings and the medical examination
handbooks are distributed to residents who should apply for them.
[Possible Applicants to Receive the Free Coupon Tickets and the
Medical Examination Handbooks]
 Uterine cervix cancer screening: city citizens (women at an age of 20,
25, 30, 35, and 40 years old)
 Mammary cancer screening: city citizens (women at an age of 40, 45,
50, 55, and 60 years old)
 Colorectal cancer screening: city citizens (40, 45, 50, 55, and 60 years
old)(4) The notifications of recommendation of applying for the women's cancer
screenings will be re-distributed to those who have not made application.

Period of cancer
screenings:
Stomach, colorectal
and lung cancers - all
the year around
Uterine cervix
cancer andmammary cancer
Mid May to January
The number ofapplicants for thecancer screenings:
Stomach cancer: 7,329
Colorectal cancer: 7,503
Uterine cervix
cancer
: 8,063
Mammary cancer: 5,562
Lung cancer: 6,522
Cancer screening
application-promoting
event:
3 times - 4385
participants
Implementation of
citizen assembly forcountermeasures ofcancer: 755
participants
Distribution of thenotifications torecommend applying
for cancer screenings
Possible applicants forthe city's specifichealth examinations
About 50 thousand
Possible applicants for
the Longevity Health
Examinations
About 25 thousand
Subscribers to
employee insurance:
About 14 thousands
Women's cancer
screenings
Uterine cervix
cancer:
About 11thousand
Mammary cancer:
About 8.5
thousand79

Indicator4

Programs that document the frequency and causes of injuries(1) Injury surveillance committee① Members
Ikebukuro Public Health Center, Division of Policy and Management in Toshima City Government
Toshima Medical Association
Toshima Fire Department, Ikebukuro Fire Department
Specialists in the field of safety promotion② Functions
1

Data collection and analysis

2

Community diagnosis

3

Sustaining injury surveillance

4

Evaluation

5

Technical assistance to other committees

To provide epidemiological analysis of injury data as wellas advices on data collection methods
To analyze injury data and suggest priority area of injury
prevention activities in the community
To establish and modify an injury surveillance to besustainableTo scrutinize the evaluation methods of injury prevention
activities in the community
To provide injury data and technical assistance to othercommittees(2) Injury surveillance at glance

D e a thData from Tokyo
Medical Examiner’s
officeVital statistics

SevereEmergency Medical Services (EMS) records (Emergency Transport data)
Police statistics on crime and traffic accidents
Hospital/clinic-based injury surveillance

M o d e r at e

Nursery and primaryschool-based injury
surveillance
Questionnaire survey
among the elderly

Mild

Questionnaire survey
among children

Questionnaire
survey amongresidents

N e a r- m i ss

Questionnaire survey among people withdisabilities

Age group 0～14

Age group 15-64

Age group 65-

Police statistics (Criminal statistics, Traffic accident statistics)
Industrial accidents statistics
National Health Insurance data80

(3) Data sources① Official statistics
Vital statistics are the counts of vital events (live births, deaths,
Vital statistics
1

Source: Ministry of Heath,
Labor and Welfare

Statistics on solitary death(“Kodokushi”)
2
Source: Tokyo Medical
Examiner’s Officemarriages, divorces, and fetal deaths) occurred in Japanese living inJapan including the mortalities due to intentional and unintentional
injuries.
Solitary deaths (passing away alone at home, unnoticed by anyone) are
increasingly found in Japan due to shrinking community ties. Statistics
on solitary deaths include deaths of people aged 65 years and older living
alone which require the ascertainment of the cause of death by a medical
examiner.

3

Police statistics on crime andPolice statistics describe crime and traffic accidents, which will be

traffic accidents

analyzed using geographic information systems to plan our injury

Source: National Policeprevention activities.

Agency4

Industrial Accidents Statistics

Industrial Accidents Statistics involve deaths and leaves at least four days

Source: Ministry of Heath,due to occupational injuries.

Labor and Welfare
National Health Insurance data
5in Toshima City

National health insurance managed by Toshima City covers 32.9% of
total population in the city (87,465 residents) as of 2010. The data can beused to describe the trend of medical expenditure for injuries.

Source: Toshima City

② Emergency medical services (EMS) records

Table 5-8

EMS records on injuries in 2010

EMS records mainly cover pre-hospital

Mechanism of injuries

information collected by EMS personnel
who are dispatched to the scene of an
injury. Included in EMS records are all
persons transported to health facilities by
EMS. Injury surveillance using EMS
records would be sustainable as EMS

Total

n

%

4,581

100.0%

General injuries

2,802

61.2%

(Falls among general injuries)(1,937)(42.3%)

Traffic injuries

1,145

25.0%

Sports injuries

100

2.2%

Occupational injuries

97

2.1%

Fire-related injuries

26

0.6%

Water-related injuries

10

0.2%

Natural disasters

1

0.0%

Self-inflicted injuries

132

2.9%

Violence

268

5.9%

records are routinely collected andavailable at no cost.

81

③ Hospital/clinic-based and school-based injury surveillance
School-based injury surveillance based on existing school insurance
1

Primary school-based injury

records and the WHO injury surveillance guideline, has been conductedsurveillancesince June 2011 at Hoyu primary school which is currently in the processof applying for the certification of International Safe School.
School insurance-based injury surveillance based on the records of the
Injury and Accident Mutual Aid Benefit System (school insurance)

2

School insurance-based injury
surveillance

managed by National Agency for the Advancement of Sports and Health,has been implemented by Toshima City since the school year of 2010,
which covers all public primary and junior high schools in Toshima City.
In the school year of 2010 (from April 2010 to March 2011), 370 cases
were reported.

3

Nursery school-based injury

surveillance

School-based injury surveillance based on existing school insurance
records and the WHO injury surveillance guideline, has been conductedsince June 2011 at all nursery schools.
Feasibility study of hospital/clinic-based injury surveillance was4

Hospital/clinic-based injury

launched in October 2011 and will be evaluated in March 2012. The form

surveillance

used in this surveillance is based on the one used in the Canadian
Hospitals Injury Reporting and Prevention Program (CHIRPP).

82

④ Questionnaire survey
Questionnaire survey among residents
Overview

Contents

Conducted in June 2010

Perceived insecurity in daily life
Most severe injury experienced in the past one year
Place and mechanism of an injury

Residents aged 18 years and older
Random sample of 5000 residents
Response rate 40.8% (n=2040)

Questionnaire survey among the elderly
Overview

Contents

Conducted from May 2010 to February 2011
Resident aged 65 years and older, living alone orwith people aged 65 years or older

Injury experienced in the past one year
Falls at home
Burn, drowning, swallowing accident

All of 35,303 elderly people who met the criteria
mentioned above

Outdoor injuries
Perceived insecurity in daily life

Response rate: 34.3% (n=12108)

Questionnaire survey among children
Overview

Contents

Conducted in December 2010

Injury experienced in the current school year (from
April)

Children aged 0 to 5 years old at public nursery

Frequency of an injury experienced, necessity of
medical treatment for the injury
Mechanism, place and cause of injury

schools
2,367 guardians of children
Response rate: 74.9% (n=1,773)
Conducted in December 2010

Availability of a confidant
Frequency of bicycle use and helmet wearing
Injury in the current school year (from April)

1 Pupils (grade 2, 4, 6) in a selected class at all
public primary schools

Frequency of injury experienced, necessity of medical
treatment for injury
Mechanism, place and cause of injury

2057 guardians of pupils
Response rate: 56.6% (n=1165)
2 Students (grade 2) in a selected class at all public
junior high schools
895 students
Response rate: 42.3% (n=379)

Questionnaire survey among people with disabilities
Overview
Conducted in November and December 2010
2000 with physical disabilities
Response rate: 50.8% (n=1017)
500 with intellectual disabilities
Response rate: 55.8% (n=279)
500 with mental disorders
Response rate: 33.4% (n=167)723 with intractable diseases
Response rate: 61.4% (n=444)

Contents
Frequency of going out
Evacuation plan in emergency
Injury experienced in the past one year, mechanism andcause of injury
Perceived threat while going out
Satisfaction with public places in terms of barrier-freeenvironment83

(4) Future plan of sustainable injury surveillance/data collection
Data sources

2010

2011

2012

2013

2014

2015

2016

Vital statistics

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Statistics on solitary death (“Kodokushi”)

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Police statistics

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Industrial Accidents Statistics

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National Health Insurance data

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Primary school-based injury surveillance

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School insurance-based injury surveillance

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Nursery school-based injury surveillance

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Hospital/clinic-based injury surveillance●(1) Official statistics(2) EMS data
EMS data(3) Hospital/clinic-based and school-based injury surveillance

To be planed after a pilot phase(4) Questionnaire survey
Questionnaire survey among residents

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Questionnaire survey among the elderly

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Questionnaire survey among children
Questionnaire survey among people withdisabilities(5) Overview of injury surveillance committee
2011

January 25
May 22September 16
November 15
December 15*Regularly held every year

1st
2nd
3rd
4th
5th

84

Indicator5
1

Evaluation measures to assess their programs, processes and the effects
of change

Ongoing Management of the Safe Community Programs

Based on the various data collected from the injury surveillance, Toshima City runs the cycle
consisting of a plan (PLAN), implementation (DO), verification (CHECK), and improvement/modification (ACTION) to advance the safe community movement.

Data in related to various types of injuries(the data on indicator 4)

Taskforces for Prioritized Objectives(3) Planning and improvementof countermeasures

Injury Surveillance Committee(1) Community Safety diagnosis(4) Implementation of thecountermeasures(confirmation of the activity
indicators)(2) Identification ofproblems/challenges(5) Confirmation of the effect of
the countermeasures(confirmation of the changes
etc. in the awareness andactions with short-/mid-term
indicators)(5) Verification/development of
the assessment indicators(examination of the efficiency)(6) Confirmation of the effect of the countermeasures (confirmation of the changes of the injury
occurrences with the long-term indicators)

Safe Community Steering Committee

Safe Community Promotion
Headquarters (in-house unit)(7) Assessment of the whole Safe Community activities(8) Determination of the direction of the Safe Community activities(9) Creation and publication of yearly activity reports

Residents

International Committee,
Japan Institution of Safe
Communities

Community Plazas (Kumin-Hiroba)
Safe Community education and distributionof its information

Assessment by an external unit85

2

Assessment of Each Prioritized Challenges

The effects of the countermeasures for the prioritized challenges described in the indicator 3 areverified and improve according to the way described below.
Legend: (1) Means for confirmation (frequency)(2) Subject to be assessed(1) Prevention of the Injuries and Accidents of Children
What to Prevent (1)Injuries and Accidents of Infants at HomeCountermeasure

Indicator of the Short-/Mid-term EffectDiffusion andenlightenment of
injury prevention athome by using thechildren's accident
prevention center

Indicator:

The implementation ratio of thecountermeasures at home(prevention programs fordrowning in the bathtub, thecountermeasures for stumbling
and falling down)(1) Questionnaire survey (once in two to three years)(2) Guardians of the children at the ages of 0 to 5
Indicator:

The recognition of the children's
accident prevention center, theratio of the guardians having
collected information from thecenter(1) Questionnaire survey (once in two to three years)(2) Guardians of the children at the ages of 0 to 5

Indicator of the Long-term EffectIndicator:
The ratio of the children who have experienced
an injury that needs to be treated at a medical
facility(1) Questionnaire survey (once in two to three
years)(2) Children at the ages of 0 to 5
Indicator:
The number of accident at home with whichchildren are transported by ambulance(1) EMS Data (every year)(2) Children at the ages of 0 to 5

Indicator:
The number of children’s accidents at homethat required examination at a medical
Indicator:
The number of people who are
Projects to train
facilities
actually working on nurturing the (1) Statistics of the records of the Medical
human resources thatchildren in the local community
nurture the children
Association surveillance (every year)
after finishing the training
in the local(2) Children at the ages of 0 to 5
community(1) Questionnaire survey (every three years)(2) The participants who completed the course

What to Prevent (2)Countermeasure

Injuries and Accidents of Children at Children's Facilities (nursery schools,
after-school childcare facilities)
Indicator of the Short-/Mid-term EffectIndicator of the Long-term EffectEducation on safety
for children etc.

Indicator:

The changes in children's acts toavoid dangers(1) Periodical confirmation based on the observation
records by the personnel of the facility (every threemonths)(2) The children using a nursery school or anafter-school childcare facility

Indicator:
The number of accidents of the injury on a face
(1) Statistics of the accidents at nurseryschool/after-school childcare facility (every
year)(2) The children using a nursery school or anafter-school childcare facility

Inspection andcorrection from thepoint of view of
prevention

Indicator:

Indicator:
The number of accidents at children's facilities
in which a children was transported byambulance(1) EMS data (every year)(2) Children at the ages of 0 to 5

The number of findings facility/
equipment to be fixed and theratio of improvement(1) Statistics based on the report recording the locations
and the correction results of the dangers/faults at
facilities/accommodations that have been found in
the safety checks at such facilities etc. (every year)(2) The facilities/equipment with dangers/faults

86

Indicator:
The number of accidents at children's facilities
with which a child was examined at a medical
facility(1) Statistics of the Medical Association
surveillance records (every year)(2) Children at the ages of 0 to 5

(2) Safety of the seniors
What to Prevent (1)Fall of the Seniors
Indicator of the Short-/Mid-term Effect

Countermeasure
The exercise
programs to prevent
falling down

Indicator:

The physical ability of the participantsin the program(1) Exercise ability measurement (before and afterparticipating in the program and after a certain period)(2) The participants in the program

The programs todouble-check risk offall at home

Indicator:

The ratio of implementation ofenvironment improvement(1) Inspection of houses by lecturers (one month after the
program), interviews with respect to the content of
improvement (after a certain period)(2) The participants in the program

Indicator:
The rate of the barrier-free houses
Subsidy to thereforms of houses for (1) House/land statistics survey (every five years)
the seniors to live on (2) Houses
their own

What to Prevent (2)Indicator of the Long-term EffectIndicator:
The experiences of fall in the past oneyear(1) Questionnaire survey (every 3years)(2) The subjects of the evaluation of thedaily-life functions for the preventionof long-term cares
Indicator:
The ratio of injuries caused by fall
(1) Statistics of the emergency transport
by ambulance (every year)(2) People transported by ambulance at
the age of 65 or higher

Senior Abuses

Countermeasure

Indicator of the Short-/Mid-term Effect

The network project
for watch-over andmutual support

Indicator:

The number of cases in which
watch-over leads to consultation and/orintervention(1) Statistics of the projects of the seniors' general
consultation center (every year)② The subjects of the watch-over services

Diffusion andenlightenment inrelation to abuses

Indicator:

Senile dementia
prevention classes

Indicator:

The degree of understanding aboutelderly abuse by the citizens(1) Questionnaire survey (every three years)(2) The city citizens at the age of 18 or higher
The cognitive function index ofparticipants(1) The measurement of the effects (before and after theclasses and after a certain period)(2) The participants in the senile dementia prevention class87

Indicator of the Long-term EffectIndicator: The number of abuses(1) EMS data (every year)(2) The seniors having experienced
abuses(3) Safety of the Physically Disabled
What to Prevent

Injuries and Accidents of the Visually Disabled outdoor

Countermeasure

Indicator of the Short-/Mid-term EffectOn-street survey to report on the
point of view of the physicallydisabled
Barrier-free reforms focused on
the Ikebukuro Station district
Voice road guide service

Indicator:

The awareness about the easiness inwalking and about the dangerous
locations(1) Interviews and questionnaire surveys (after the start ofthe on-street survey by the visually disabled; every
year)(2) The visually disabled having participated in theinvestigation

Indicator of the Long-term EffectIndicator:
The ratio of the experiences of
injury outdoors by the visuallydisabled(1) Questionnaire survey (every
three years)(2) The visually disabled living in
the city

Indicator:

The coverage of the textured paving
blocks(1) Factual investigation (every year)(2) The areas in the vicinity of the Ikebukuro Station
Training to support the disabled

Indicator:

The degree of understanding of thedisabled and the willingness of
support them on streets"(1) Questionnaire survey (every three years)(2) The city citizens at the age of 18 or higher(4) Bicycle Safety
What to Prevent

Injuries and Accidents of Children and Seniors

Countermeasure

Indicator of the Short-/Mid-term EffectIndicator:

Changes in the rules/manners of using
New installation andbicycles at the locations requiring cautions
correction of thesigns, road paintings, (1) The fixed point observations before and after the improvementetc.
of the traffic safety environment(2) Bicycle users
Enlightenment
activities on streets
and implementationof the traffic safetyclasses

Indicator:

The degree of understanding of therules/manners of using bicycles(1) Questionnaire survey (city citizens: once every three years; theparticipants in the traffic safety class: after the completion of
the class)(2) The city citizens at the age of 18 or higher, the participants inthe traffic safety class

Diffusion andenlightenment of thebicycle helmets forchildren

Indicator:

The ratio of the children wearing bicycle
helmets(1) Questionnaire survey (every three years)(2) Infants and children at the age of 13 or lower and theirguardians

Indicator:
The awareness of the traffic safety findings
Creating maps formaps
traffic safety findings(1) Questionnaire survey (every three years)(2) The city citizens at the age of 18 or higher

88

Indicator of the Long-term EffectIndicator:
The number of accidents in relation
to the use of bicycles(1) Statistics by the police
department (every year)(2) Bicycle accidents
Indicator:
The number of occurrences of the
injuries caused by the use of
bicycles(1) EMS Data (every year)(2) Injuries caused by the use of
bicycles requiring transport byambulance

(5) Safety in the Commercial and Entertainment Districts (downtown areas)
What to Prevent

Injuries Caused by Crimes and Violence

Countermeasure
Installing security
camerasIndicator of the Short-/Mid-term Effect
The anxieties about the peace and order felt bypeople in the vicinity of the Ikebukuro Station(1) Questionnaire survey(2) City citizens, visitors
Indicator: The anxieties about the peace and order felt bypeople in the vicinity of the Ikebukuro Station(1) Questionnaire survey(2) City citizens, visitors
Indicator: The anxieties about the peace and order felt bypeople in the vicinity of the Ikebukuro Station(1) Questionnaire survey(2) City citizens, visitors
Indicator: The number of places where graffiti are seen
(1) The factual on-site investigations (every three years)(2) The places where graffiti are seen
Indicator: The anxieties about the peace and order felt bypeople in the vicinity of the Ikebukuro Station(1) Questionnaire survey(2) City citizens, visitors
Indicator:

Environment cleanup patrolling
activities
Graffiti prevention

Clean-up spited
chewed gum andthrown cigarettes

Indicator of the Long-term EffectIndicator:
The number of occurrences of violence
and injuries(1) Statistics by the police department(every year)(2) Violent and vicious crimes
Indicator:
The number of cases in which an injury
is inflicted by an assailant andtransport is made by ambulance(1) EMS Data (every year)(2) The victims transported byambulance as a result of an injury
inflicted by an assailant(6) School Safety
What to Prevent (1)Countermeasure
Creating and using
the injury
occurrence maps
(Hiyari Map)
Creating the safety
education
curriculums
Promoting themental education

Indicator of the Short-/Mid-term EffectIndicator::
Understanding of the factors of injuries(1) Questionnaire survey (every year)(2) All the students of Hoyu Elementary School

Indicator of the Long-term EffectIndicator:
The number of injuries in the school(1) The records of injuries and accidents
in the schools (every year)
Indicator::
The awareness and attitude to safety among (2) All the students of Hoyu Elementary
Schoolthe elementary school children(1) Questionnaire survey (every year)(2) All the students of Hoyu elementary school
Indicator::
The awareness and attitude to bullying
among the elementary school children(1) Questionnaire survey (every year)(2) All the students of Hoyu Elementary School
Indicator::
The number of occurrences of bullying(1) Questionnaire survey (every year)(2) All the students of Hoyu Elementary School

What to Prevent (2)Countermeasure
Providing thebicycle safetyclasses
The watch-overactivities in local
areas

Injuries in School Campus

Traffic Accidents by Bicycles

Indicator of the Short-/Mid-term EffectIndicator:
The ratio of wearing a bicycle helmet(1) Questionnaire survey (after participation in the class)(2) School children and their parents/guardians participating in
the bicycle safety class
Indicator:
The number of implementations of visits inthe watch-over activities(1) Interview survey (every year)(2) All the students of Hoyu Elementary School
Indicator:
The awareness and attitude to safety among
parents/guardians(1) Questionnaire survey (every year)(2) Hoyu Elementary School PTA

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Indicator of the Long-term EffectIndicator:
The number of occurrences of accidents
involving a bicycle outside the schools(1) Statistics summarizing the accidents
reports to the schools (every year)(2) The children of Hoyu Elementary
School(7-1) Prevention and prepadness of Earthquake Disasters (Community Development with Residents' Participation)
What to Prevent (1)Human Damages Caused by Buildings and/or Fences Falling down and Expansion ofFire
Indicator of the Short-/Mid-term Effect

Countermeasure
The development ofcommunity
participation disasterprevention

Indicator:
The ratio of the incombustible areas(1) Calculated from the indicators of the urban areas where
wooden buildings converge (every five years)(2) The incombustible areas

Expanding narrowroads/ alleys

Indicator of the Long-term EffectIndicator:
The number of deaths and injuriescaused by collapsed buildings and/or
fences and the expansion of fire at thetime of an epicentral earthquake at
metropolitan Tokyo

Indicator:
The earthquake-proof ratio of buildings
Promotion of theseismic diagnosis and Investigation of the house and land statistics (every five years)
reforms of houses.
The earthquake-proof buildings
Inspection of old
decaying fences andpromotion of theirreforms

Indicator:

The ratio of improvement of decaying old
fences etc.
Sampling survey (every three years) The fences regarded as
requiring improvement according to the survey in 2011(7-2) Prevention and prepadness of Earthquake Disasters (Disaster Preventing Activities by the Residents)
What to Prevent (2)Deaths and Injuries at the Occurrence of an Earthquake
Indicator of the Short-/Mid-term Effect

Countermeasure

The ratio of the implementation of thePromotion of keeping Indicator:
countermeasures to keep the furniture fromthe furniture etc.
tipping overfrom tipping over(1) Questionnaire survey (every three years)(2) City citizens
Indicator:

The degree of understanding of the safetymeasures indoors(1) Questionnaire survey (every three years)(2) City citizens
The drill for initial
reaction and theenrichment of thematerials andequipment

What to Prevent (3)Indicator:
The number of deaths and injuriescaused by earthquakes(2) The reports and statistics at thetime of disasters(2) The city citizens killed or injured

Indicator:

The number of participants in the disasterprevention drills(1) The summary of the disaster prevention drills (every year)(2) The number of participants in the drills

Deaths and Injuries at the Time of Evacuation
Indicator of the Short-/Mid-term EffectIndicator of the Long-term Effect

The number of the evacuation support
plans for the seniors etc.
(1) Statistics of the reports from the neighborhood associations
etc. (every year)(2) The number of evacuation support plans

Indicator:
The number of deaths and injuries ofthe seniors delaying in evacuation(1) The reports and statistics at thetime of a disaster(2) The seniors killed or injured

Countermeasure
Creating theevacuation support
plans for the seniors
etc.

Indicator of the Long-term EffectIndicator:

Indicator:
The degree of understanding of the
Diffusion andsuppression of simultaneous attempts to go
enlightenment of theback home
rules about behaviors(1) Questionnaire survey (every three years)(2) City citizens
Indicator:
The situations of linkage and cooperation
Embodiment of theamong offices etc.
measurements for thepeople with difficulty (1) The reports from offices etc. (every year)
in going back home(2) The number of temporary refuges and the quantity of stocked
supplies

90

Indicator:
The number of deaths and injuries
due to disturbance prevention aroundthe station(1) Statistics of the accidents having
caused deaths and injuries at thetime of a disaster(2) The deaths and injuries around thestation(8) Prevention of Child Abuses
What to Prevent

Child Abuses

Countermeasure

Indicator of the Short-/Mid-term EffectIndicator of the Long-term Effect

The degree of the understanding of theparenting method etc.
(1) Questionnaire survey (after implementation of the program)(2) The parents/guardians having participated in the program

Indicator:
The number of consultations andrepot by phone call about a childabuse (the number of serious cases)(1) Statistics of the operations inrelation to child abuses (every
year)(2) Cases of serious child abuses

Support to theenhancement of
parents' parenting
ability

Indicator:

Consultation at thechildren's householdsupport center

Indicator:

The awareness of the anxieties and burdenin parenting(1) The records of consultation (any time)(2) The Parents/guardians having made a consultation
Indicator:

The number of people who have been found
to require support, such as the people whohave difficulty in parenting(1) The records of consultation (any time), statistics of theoperations (every year)(2) The parents/guardians having made a consultation
The hello-baby
project

Indicator:

The awareness of the anxieties and burdenin parenting(1) Questionnaires about satisfaction in house visits (at the timeof infant health examinations)(2) The parents/guardians who have accepted a house visit
Indicator:

The number of people who have been found
to require support, such as the people whohave difficulty in parenting(1) Statistics on the number of people who need follow-ups(every month)(2) The households taken care by a public health nurse in chargeof a district
The watch-overservice by the abuse
prevention network

Indicator:

The examples studied by the network andthe number of pieces of efficient
information shared in the network(1) The minutes of the meetings of the network (any time)(2) The cases studied by the network and piece of efficient
information collected by the network

Indicator:
The degree of the understanding of child
Lectures for theabuse, the awareness where to report andrelevant
obligation of phone callsorganizations and thecity citizens(1) Questionnaire survey (after the implementation of the lecture)(2) The personnel of the relevant organizations and the city
citizens having participated in the lecture91

(9) Prevention of Domestic Violence (DV)
What to Prevent

Violence to the intimate Partner such as the Spouse

Countermeasure

Indicator of the Short-/Mid-term EffectIndicator of the Long-term Effect

The ratio of the people answering that theyknow the consultation organization(1) Statistics of the operation of the gender equality promotion center(every year)(2) The people who have made consultation including the city
citizens

Indicator:
The number of people who said
they experienced the violencefrom the spouse etc. in the past
five years(1) Questionnaire survey of theresidents' awareness (every
two year)(2) The city citizens at the age of
20 or higher

DV consultation

Indicator:

Indicator:
The degree of awareness of DV and date
Enlightenment andDV(intimate partner violence)
prevention of DV anddating abuse(intimate (1) Questionnaire survey (after the implementation of thepartner violence)
prevention/enlightenment class; for each class)(2) The participants in the prevention/enlightenment classes
Enlightenment of thegender-equality

Indicator:
The awareness about the gender-equality(1) Questionnaire survey (after the classes in relation to thegender-equal society; for each class)(2) The participants in the classes in relation to the gender-equality

Indicator:
The number of cases taken care by the DV
Promotion of
consultation desks of the city office inunderstanding by thecooperation with any other organization
DV-related personnel(1) Statistics of the operation of the gender equality promotion center(every year)(2) The cases dealt in cooperation(10) Prevention of Suicides and Depressions
What to Prevent

Suicides of Middle-aged People and Attempted Suicides by the Youth
Indicator of the Short-/Mid-term Effect

Countermeasure

Indicator::
The number of consultations at the consultation
Publication of thedesksconsultation desk andclose linkage with
(1) The outlook of each operation (once a year)
such consultation(2) The users of the consultation desks related to the causes andservices
attempt of suicides
Training ofgatekeepers

Indicator::

The degree of the understanding of the signalsof suicides and of the consultation
organizations related to the factors of suicides(1) Questionnaire survey (for each class)(2) The participants having finished the gatekeeper training course

Support to the
medical examinationof depression etc.

Indicator::

Mental healthpromotion for theyouth

Indicator:

Support for the
persons having
attempted suicide

Indicator:

Indicator of the Long-term EffectIndicator:
The number of suicides and theratio of suicides(1) Demographic statistics (once ayear)(2) Suicides by the city citizens

The number of cases in which a medical
treatment by a psychiatrist starts(1) Interview with the users of mental health consultation (threemonths after the consultation)(2) The users of the mental health consultation at the public healthcenter who are yet to be treated or are yet to resume the treatment
The ratio of the people who intentionally relieve
the stress(1) Questionnaire survey (every three years)(2) The city citizens at the age of 20 or higher
The number of the people being supported as aperson having attempted a suicide(1) Interview with the people being supported as a person having
attempted suicide (three months after a support)(2) The people supported by the public health center as a person who
has attempted suicide

92

Indicator:
The number of people who haveattempted suicide(1) EMS Data (once a year)(2) The people who aretransported by ambulance due
to self-harm in the city

(11) Early Detection of Cancers* About the early detection of cancers
This is one of the objectives uniquely tackled by the Toshima City in relation to the safe community as we are trying to unify ourendeavors to prevent illness and injuries in the future and as illness can be on the background of suicides. The number one causeof the deaths of the city citizens is cancer.

What to Prevent

Deaths from Cancers
Indicator of the Short-/Mid-term Effect

Countermeasure
Expansion of the scope of thecancer screenings andimprovement of the method of
implementation
Hosting events to promote
applications for cancer
screenings

Indicator:

The ratio of application for the cancer
screenings(1) Statistics of the operation by the public health center (every
year)(2) The applicants for the cancer screenings

Distribution of the notification torecommend applying for cancer
screenings
Distribution of free medical
examination coupons andmedical examination handbooks

93

Indicator of the Long-term
EffectIndicator:
The number of the deaths
from cancer and its ratio
against all the deaths(1) Demographic statistics(every year)(2) The deaths from cancer

Indicator6

Ongoing participating in national and international safe communities
network

Toshima City has been participating in the safe community network activities in and outside
Japan. By participating to the network nationally and internationally, communities can learn andshare various countermeasures for safety promotion, the injury prevention programs, etc.
from/with other designated safe communities.
To develop the movement of Safe Community in and outside Japan, Toshima City continues
interchanges with other Safe Communities as much as possible, learns from them, and publishes
the achievements of the city.
(1) Participation in the domestic network① Interchanges with Safe Communities
2010. May

Study visit of the safe school activities at Shimizu Elementary School, Atsugi City

June

Study visit of the SC on-site examination of Atsugi City

July

Injury surveillance study session of Atsugi City

July

October

Participation in "Safe Community Forum 2010" in Minowa Town
SC study session (Toshima City, Kyoto Prefecture, Kameoka City, Minowa Town, Komoro
City) [in Kyoto City]
SC study session (Toshima City, Minowa Town, Komoro City) [in Kyoto City]

NovemberParticipation in "Citizen Safety/Security Festa 2010" and presentation

NovemberParticipation in the national SC-promoting city mayors' summit [in Atsugi City]

July

2011. February

Participation in Atsugi City SC designation report study session

June

Hosting "Toshima Safety/Security Festa 2011"

July

SC study session (Toshima City, Kameoka City, Minowa Town, Komoro City)[in Kyoto City]

NovemberParticipation in Atsugi City SC designation anniversary study session② Acceptance of Study visits
2010. May

Minowa Town

AugustKita City, Tokyo

October

Kurume City

2011. January

Izumo City AssemblyAugustShizuoka City Assembly

Septembersuperintendent of the Board of Education, Ise City

October

Kagoshima City

October

Shizuoka City

December

Metropolitan Police Department

Community Safety Bureau Directer(2) Participation in the international network
2010. March
2011. April
June
September
September2012.Nobember

Participation in "19th International Conference on Safe Communities" and presentation withthe poster [in Suwon, Korea]
Participation in the SC traveling study tour and 2011 SC development conference [in Taiwan]
Examination by the SC Certifying Center (Korea) ( pre-on site examination)
Participation in "20th International Conference on Safe Communities" and presentation [inFalun, Sweden]
Study visit to SC designated city [Falun Sweden, Bergen Norway]
6th Asian Regional Conference on Safe Communities in Toshima (planned)

94

Participation in the 19th International Conference on Safe Communities (inParticipation in the SC traveling Study tour (in Taiwan) - Study visit of the SC

Suwon) - presentation with the poster about endeavors of Toshima City

designated communities in Taiwan

Hosting "Toshima Safety/Security Festa 2011"
Pre-on-site examination by the SC Asia Certifying Center (Korea)

Participation in the 20th International Conference on Safe Communities (in Falun, Sweden), presentation about "Prevention of the Earthquake
Disaster" - The city mayor and the 25 local residents participated, lectured by Professor Leif Svanstrom.

Study visit to Falun, Sweden, a SC designated city - observation of a nursing care

Study visit to Bergen, Norway, a designated city – discussion about safe

home for seniors with senile dementia

communities with the mayor

95

○Overview of site visit (Pre-onsite evaluation) by experts from the Certifying Center for
Safe Community (Korea)
In June 2011, Toshima received a two-day visit by a group of Safe Community experts consistingof the chair of the Safe Community Certifying Center in Korea and certifiers in Asia. Threeexperts learned about various activities and programs for safety promotion through presentations
site-visits in the communities.
June 10 (Friday), 2011
Toshima City HallSunshine observatory

Community Plaza(Kumin-Hiroba)
Explanation of-Senior Safety-Safety of Disabled-Community Plaza(Kumin-Hiroba)

Prevention of seismic
disaster

Injury surveillance

Hoyu E.S.

Ikebukuro Public health center
Presentation on-Injury Prevention of Children-Prevention of Child Abuse-Prevention of Suicide anddepression
On-site visit to Child -Accident
Prevention center

School Safety（Safe School）

Kumin-Hiroba
Nishi-ikebukuro
Safety in Commercial andEntertainment District*Participated to Clean-Up Patrol

June 11(Saturday), 2011
Kumin-Hiroba Kami-ikebukuro
Bicycle safety
Exhibition on Safe Community※Presentation on GIS

Ikebukuro daini E.S.

Labor &Welfare Hall

Disaster Drills

Comments and advices by theexperts

Experts (Safe Community Coordinators)
Prof. JoonPil Cho
Chair and Professor, Center for Community Safety Promotion(Safe(Korea)Community Certifying Center), Department of Emergency Medicine, School of
Medicine, Ajou University
Prof. Shumei Wang
-Associate Professor, School of Public Health, Fudan University (Shanghai,(China)China)-Coordinator/ Certifier, Safe Community Certifying Center (Korea)
Dr. ChoungAh Lee-Medical Doctor, Department of Emergency Medicine, School of Medicine,(Korea)Ajou University-Coordinator/ Certifier, Safe Community Certifying Center (Korea)○Summary of “Citizen Safety/Security Festa 2010”
As a halfway point on the way to the designation as Safe Community, in order to promotesustainable development of community safety, Toshima City conducted an event, Toshima
Safety& Security Festival, in collaboration with Japanese Society of Civic Safety.
June 11 (Saturday)14:00～18:00（Venue: Toshima Labor & Welfare Hall）
Themes and titles

Participants

Keynote Speech

Prescriptions for Safety in the Longevity Society

280#1 Working Session

Improvement of Safety in the Longevity Society

51#2 Working Session

Improvement of Safety on residential roads

32#4 Working Session

Improvement of Children’s Safety and School safety

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Workshop

Effective implementation of Safe Community movement
and Surveillance

23

96Column - Toshima Safety and Security Map Information System○Information Inputting/Sharing System
The local bodies and groups making endeavors for safety and security activities can input the information
about some specific themes such as dangerous sites in the city. Thus, they can share the information byusing the map on the system. It is not only from the personal computers. They can also use cell phones andsmart phones for their inputs. So they can update the information in real time on their walk around the city.
They can use this system for their workshops. Consequently, the local analyses of the local areas areadvanced efficiently. Communities can make the good use this system for activation of community
activities through efficient diagnose of safety in their neighborhoods and supporting safety promotion
activities by community groups.
Moreover, the information entry with this function is not limited to the local area. The information can be
publicized to the general public.
Inputting information

Inputting information[Comment] Cars can bumpinto bicycles when entering
the main road.

[Comment]
Bicycles are left on the
sidewalk.
Inputting information

Inputting information

Sharing the issues in○Providing Safety and Security Information - URL●Information on the AED Box Locations
The AED (automated external defibrillator)
locations in the city are shown on the map.
The information includes 155 public
facilities and 178 private facilities; that is,
334 locations in total. The specificlocations in the facilities and the available
time zones are shown.

http://www.sonicweb-asp.jp/toshima
Information on AED Location
Name

Toshima City Hall

Location

Beside the Taxation
Section, 1F lobby

Time zone
available

8:30 am - 5:15 pm

Address

1-18-1, Higashi
Ikebukuro, Toshima City

Child pad

Available

Bicycle accidents
Other accidents●Traffic Accident Information
The locations of the traffic accidents in 2010 areclassified into "Bicycle accidents" (444 accidents) and"Other accidents" (509 accidents) and shown on themap.
The information is accumulated from now on for theuse of traffic safety activities.

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Chapter 6Long-term Perspective of Toshima City
Safe Community

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1

Long-term Goals
Land Use, Urban Functions(1) Sharing the basic concept of Safe Community
The idea of Safe Community in which “injuries can be prevented by determining the causes” will
be shared with many city residents.
Cooperation between agencies responsible for the city’s safety, including the police and fire
departments, with hospitals, universities, community groups and Non-Profit- Organization(NPO) will be further developed.
(2) Comprehensive efforts for health and safety
By integrally promoting safety to prevent injuries and promoting health for better living, we will
aim to comprehensively enhance the residents’ QOL (Quality of Life).
(3) Enliveneding activities at community plazas (Kumin-Hiroba)“Community plazas (Kumin-Hiroba)” which act to create communities and function as a safe
community base will be set up throughout the city at an early stage. Management of the plazas
shall be enhanced with the resident’s independently.

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Programs for ensuring long-term activities

2(1) Positioning in the Basic Ordinance Related to Promoting Autonomy in Toshima CityIn April 2005, Toshima City enforced the “Basic Ordinance Related to Promoting Toshima City’s
Autonomy”. This ordinance clarifies the basic organization of the autonomy including thegovernment, council and community. This ordinance functions as a constitutional and long-term
model in Toshima City as a local government.
If Toshima City is designated as a member of the International Safe Community Network, acouncil resolution will be passed. The basic concept of “Safe Community Activities” shall bepositioned and programs for long-term continuance of these activities shall be declared in thisbasic ordinance.
(2) Positioning in Toshima City’s Basic Plan
“Safe Community” will be included in the “Basic Plan” (10-year plan) which indicates thelong-term vision and basic policies for urban planning in Toshima City. This plan will beinterlinked with various policies to promote Safe Community activities.
In the revised plan for fiscal 2011, Safe Community has been clearly positioned as a driving force
for “Safe and Creative Urban Planning”.
The basic plan will be revised once every five years. With this progressive management, we will
check the efforts and effect of Safe Community activities, and will lead to re-designation every
five years.

Positioning in basic ordinance and basic policy, and promotion of long-term Safe Community
activities
2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

 “Basic Ordinance related to Promoting Toshima City’s Autonomy”
Positioning Safe Community activities as long-term model for urban planning “Toshima City Basic Plan”
Management of Safe Community
activities

Designation

Revision

RevisionRe-designation

 Enhancement of Safe Community programs Comprehensive efforts for health and safety
 Invigoration of community plazas (Kumin-Hiroba)

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Re-designation

2025