Application to become a member ofInternational Safe Community Network

Make Our Community “Safe Community Matsubara”
with Bond

May 2013

Matsubara City Safe Community
Steering Committee

Index
Chapter 1

Overview of Matsubara City ............................................................................. 1

1.

Geography, Population, and Households ................................................................... 22.

Industry, Culture, Education, and Medical Care........................................................ 5

Chapter 2

Safe Community Initiatives ............................................................................... 7

1.

Background of initiatives ........................................................................................... 7

2.

Progress of our initiatives .......................................................................................... 8

Chapter 3

Current Situations of Deaths and Injuries Due to External Causes ............ 91.

Current Situations of Deaths ...................................................................................... 9(1) Causes of deaths (Including diseases) .............................................................. 9(2) Change in number of deaths due to unintentional causes and suicide ............. 10(3) Causes of deaths by age group due to unintentional causes and suicide ......... 11

2.

Current Situations of Injuries .................................................................................... 12(1) Causes of citizens’ injuries, according to questionnaire survey ...................... 12(2) Current situations of injuries based on ambulance call-outs ........................... 13(3) Child injury ...................................................................................................... 16(4) Elderly injuries ................................................................................................ 20(5) Labor-related injuries ...................................................................................... 21(6) Injuries due to traffic accident ......................................................................... 23(7) Injuries due to athletics accident ..................................................................... 25(8) Assault-related injuries .................................................................................... 27(9) Injuries due to self-harming behavior .............................................................. 29(10) Injuries caused by disaster ............................................................................... 31

3.

Setting Priority Subjects Based on Community Diagnosis....................................... 33

Chapter 4

Initiatives Based on Seven Indicators .............................................................. 34

Indication 1 An infrastructure based on partnership and collaborations, governed by across- sector group that is responsible for safety promotion in their community ..... 34(1) Promotion system of Safe Community activities ............................................ 34(2) Promotion and education activities of Safe Community ................................. 37
Indication 2 Long-term, sustainable programs covering genders and all ages, environments,and situations ............................................................................................................ 39(1) Entire picture of prevention programs ............................................................. 39(2) Major prevention activities .............................................................................. 40

Indication 3 .... Programs that target high-risk groups and environments, and programs that
promote safety for vulnerable groups ....................................................................... 45(1) Outline of high-risk groups and programs ....................................................... 45
Indication 4 Programs that are based on the available evidence ...................................... 49(1) Programs for each priority subject................................................................... 49
Indication 5 Programs that document the frequency and causes of injuries .................... 73(1) Organization and functions of Injury Surveillance Committee ....................... 73(2) Perspective of external injury assessment ....................................................... 73(3) Data configuring external injury investigation ................................................ 74(4) Planning of continuous data collection ............................................................ 75(5) History of External Injury Investigation and Assessment Meetings ............... 75
Indication 6 Evaluation measures to assess their programs, processes and the effects ofchange ....................................................................................................................... 76(1) Progress control of Safe Community programs............................................... 76(2) Evaluation indicators for initiatives on each priority subject .......................... 77
Indication 7 Ongoing participation in national and international Safe Communities
networks .................................................................................................................... 84(1) Participation in the domestic network ............................................................. 84(2) Participation in the international network........................................................ 85
Chapter 5

Long-term Prospects of Safe Community Programs ..................................... 86

1.

Long-term indicators................................................................................................. 86

2.

Programs to maintain long-term programs ............................................................... 86

Chapter 1

Overview of Matsubara City

Matsubara City is located almost in the center of Osaka Prefecture, adjacent to two
ordinance-designated cities: Osaka City across the Yamato River in the north, and Sakai City inthe southwest.
On February 1, 1955, two towns and three villages were merged and started as a new garden citywith a population of about 36,000. As the City is located near Osaka, and has convenienttransport links to the center of Osaka, its population rapidly increased during the 1970s. It has
now grown into a residential town with a population of over 124,000.
The City also has long had a very extensive transportation network, which now includes the
Hanshin Expressway running in a north-south direction through the center of the city area, theKinki Expressway in a south-north direction in the east part of the City, the Hanwa Expressway,and the Nishi-Meihan Expressway running to the east. In addition, an improvement work is now
in progress for the Yamatogawa Route of the Osaka Prefectural Expressway along the YamatoRiver, and thus the City continues its further development as the regional traffic hub forsouthern Osaka.

Matsubara City

Osaka Pref.

Osaka Pref.

Matsubara City Emblem
Two pine needles after the name of place “Matsubara” are designed in a two-circle
pattern. The pattern was chosen from several entries submitted by citizens, andsymbolizes the firm bond of five towns and villages formed by municipalization on
February 1, 1955.
City tree: Pine tree (matsu)
Appreciated as an auspicious symbol of long life and integrity and regarded as theruler of all kinds of trees. Selected after an ancient poem that described this place as“Matsubara (pine field)” of Tajihi where pine trees grow” and that became the originof the present place name.

City flower: Rose (bara)
Together with the city tree of “pine (matsu),” the city flower of “rose (bara)” wasalso chosen after the City name “Matsu-bara,” with the aim to open Matsubara City
to the world with a tree originating in Japan, and a flower originating in the West.

1

1. Geography, Population, and Households■ Geography
The city of Matsubara covers an area of 16.66 km2, extending about 5.8 km from east to west and about
5.1 km from north to south. It is located on a plateau landform with a gentle slope from south to north,from its highland of about 35 m to its lowland of about 10 m above the lowest water level of Osaka Bay.
①Yamato River②Matsubara City Office③Tannan intersection④Cross-section surface⑤Nishiyoke River⑥Higashiyoke River

Fig. 1-1

Landform of Matsubara City
Source: Citizens Safety Section, Matsubara City

Japan is an earthquake-prone country. As its geographical feature, the city of Matsubara is also surrounded
by a number of fault lines including the Uemachi fault zone in the west, the Ikoma fault zone in the east,and the Median Tectonic Line fault zone in the south.

①Yamasaki fault zone
②Kyoto-Nishiyama fault zone
③Arima-Takatuki fault zone
④Rokko-Awaji fault zone
⑤Osaka Bay fault zone
⑥Uemachi fault zone
⑦Ikoma fault zone
⑧Median Techno Line fault
zone⑨Hanaore fault zone
⑩Biwako-Seigan fault zone
⑪Nara Basin Eastern Rim fault

①

②
⑨
⑩
⑪

③

⑦
⑥

④

⑧

⑤

Fig. 1-2

Matsubara City

Active faults in and around Osaka Prefecture
Source: Osaka Pref.

2

■ Population
While the populations of the country and of Osaka Prefecture are on a gradual increase, the population of
Matsubara City has shown a decrease each year after its peak in 1985. The number of registered foreigners
has also been on a decreasing trend, with some fluctuations.

Indices ofincrease-decrease rates

115
110
105
100
95
90
85
80

1980
100
100
100

Matsubara
Osaka
NationFig. 1-3

1985
100.4
102.3
103.4

1990
100.1
103.1
105.6

1995
99.0
103.8
107.3

2000
97.6
103.9
108.4

2005
93.7
104.1
109.1

2010
91.7
104.6
109.4

Year

Indices of population increase-decrease rates (Base year 1980 = 100)
Source: National Census

Persons（人）

132,000

Persons（人）

2,300

131,085

Total population (Left scale)
総人口（左目盛り）

129,493130,000

Number of registered foreigners
外国人登録者数（右目盛り）

2,100(Right scale)

128,000
127,517

126,000

125,421124,000
1,495
122,000
120,000

1,900

126,814

124,498
1,418

1,390

1,369

1,338

1,298

1,700
1,500
1,300

1,100
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Year

Fig. 1-4

Changes in population (as of October 1, each year)
Source: Basic Resident Register and Alien Registration3

As for population changes in three age groups, while the juvenile population younger than 15 years old
and the productive population aged between 15 and 64 have decreased, the aged population of 65 years
and older has been showing an increase. Decreasing birthrates and aging of the population are in progress.
Persons

150,000
26.9%

22.3%

17.2%

15.0%

14.9%

14.6%

13.7%

66.7%

70.2%

73.9%

73.8%

70.5%

66.2%

62.2%

6.3%
1980
<15 years old 36,603

7.5%
1985
30,356

8.9%
1990
23,27411.2%
1995
20,19914.5%
2000
19,756

19.1%

24.0%

2005
18,615

2010
17,106

15‐64

90,644

95,789 100,217 99,228

93,31384,22077,48864<
Unknown

8,578
24

10,243
67

19,212281

24,34398

29,90595

100,000

50,0000

Fig. 1-5

12,100328

14,99436

Year

Population changes in 3 age groups
Source: National Census■ Households
The number of households is gradually increasing every year. While the numbers of the parents-children
households and households other than the nuclear family are decreasing, couple-only households andone-person households are increasing in number.
Persons

50,00040,00030,00020,00010,0000Parent-children household
Couple-only household
One-person household
Households other than
nuclear family
Others

55.3%
14.7%

50.6%

47.8%

45.4%

43.6%

17.3%

20.0%

20.9%

21.0%

18.5%
11.3%
1990
24,480
6,513
8,187

21.7%

22.5%

24.6%

27.0%

10.1%
1995
23,833
8,149
10,2479.3%
2000
23,265
9,734
10,933

8.6%
2005
21,948
10,107
11,925

7.6%
2010
21,451
10,336
13,268

5,021

4,756

4,500

4,171

3,733

52

155

201

228

386

Fig. 1-6

Year

Changes in household composition
Source: National Census

42. Industry, Culture, Education, and Medical Care
■ Industry
Among the total workforce population of Matsubara City, only 0.5% engages in the primary industry
while about 70% work in the tertiary industry. The City has a long history in production of wire meshes
and stamp compounds, where manufacturing is the largest category, accounting for 19.9%, followed bywholesale and retail businesses of 19.7%.
Table 1-1

Workforce Populations by Industry
Source: National Census (2010)

Category

Primary industry

Workforce population
258

0.5%

Agriculture

254

0.5%

Forestry3

0.0%

Fishery1

0.0%

13,968

28.9%

0

－

Construction

4,371

9.0%

Manufacturing

9,597

19.9%

34,05970.5%

Electricity/gas/heat supply/water utility

247

0.5%

Information/telecommunication

903

1.9%

Transport

3,024

6.3%

Wholesale/retail

9,508

19.7%

Finance/insurance

1,035

2.1%

Real estate

1,078

2.2%

Accommodation/food & beverage

3,030

6.3%

Education/study support

1,791

3.7%

Medical/welfare

5,844

12.1%

Service industry

6,364

13.2%

Public service

1,235

2.6%

MiningSecondary industry

Tertiary industry

Composition rate

■ Culture
Being located in a fertile region called the Kawachi Plain, this Matsubara City region already had people
living in the Paleolithic Age more than 10 thousand years ago, whose living has continued ceaselessly tothe present day. People’s living has been carried out in this region that historically served as the way-stop
between two big cities, Namba and Yamato, during the ancient times and as a place in proximity tocommercial towns, Sakai and Naniwa, during the middle ages and the early modern ages. The City area
still contains historical cultural properties that are considered living proof of those people.

5

Table 1-2

Designated/Registered Cultural Properties
Source: Regional Education Promotion Section, Matsubara City Government

Class of designation

Date ofregistration/designation

Name

National registered tangible cultural property

Nakayama House

March 2, 2004

National registered tangible cultural property

Tanaka House (located in Takaminosato)Aug. 3, 2006

National registered tangible cultural property

Tanaka House (located in Minami-shinmachi)

April 28, 2009

Prefecture designated tangible culturalproperty

Nunose Shrine (Main shrine, match wood chip)

Prefecture designated natural monument“Ibuki” tree of Raikoji Temple

June 1, 1981

City designated tangible cultural property

Dairinji Temple, eleven-faced wooden Goddess ofMercy statue

Feb. 3, 2009

City designated tangible cultural property

Nunose Shrine, wooden pictures of eight famousviews of Nunose

Feb. 3, 2009

Jan. 29, 2002

■ Education
Matsubara City houses the complete range of educational institutions, including 14 kindergartens, 15
elementary schools, 8 junior and 4 high schools, 1 vocational school, and 1 university.
Table 1-3

Educational Institutions (as of May 1, 2012)
Source: School Basic Survey

Kindergarten

Elementary school

Junior high school

High school

Vocational school

University

No. of schools

14

15

8

4

1

1

No. of pupils &students

1,918

6,709

3,675

4,455

797

4,997

■ Medical care
Matsubara City conducts health examinations, etc. for its residents at the City’s Public Health Center. The
City houses 8 hospitals, 89 general clinics, and 61 dental clinics.
Table 1-4

Numbers of Medical Institutions and Beds (as of October 1, 2010)
Source: Survey of Medical Institutions

Hospital
No. ofinstitutions
8

General clinic

Dental clinic

No. ofbeds

GeneralRecuperation

MentalNo. ofinstitutions

With beds

Without beds

1,226

683

321

222

89

5

84

6

No. ofbeds
62

No. of institutions
61

Chapter 2

Safe Community Initiatives

1. Background of initiatives
In March 2002, Matsubara City issued the “Matsubara Safe City-Planning Ordinance,” and efforts havebeen made jointly by the city government and local organizations toward realization of a local community
where its citizens can live in safety and security. Further, with the aim to protect citizens’ health and lives,
the City is actively addressing infectious disease threats by focusing on their prevention.
However, the City also is not an exception to the problem of rapidly decreasing birthrates and rising aging
population faced by Japan today. As shown in Figure 1-5 indicated previously, the problem is even more
pronounced here compared with the country’s average and Osaka Prefecture. Further, as Figure 2-1 below
shows, the participation rate of Neighborhood Community Associations have been gradually declining andweakened bonds within the community are posing a problem. While a great deal of interest is focused onsafety and security, in view the very diversified sense of value and needs of citizens, our society now facessome problems that cannot be addressed by the government alone.
The basic idea of Safe
Community was introduced as apossible means to address the
rapid changes of the society,weakened local communities,
and the diversified needs forsafety and security. Our efforts
have begun to study the concept
and method of Safe Community.

85%

82.0%

80.1%

80%

78.3%
77.1%

76.1%

74.3%

75%

73.0%
72.2%

71.7%

70%
65%
2004

2005

2006

2007

2008

2009

2010

2011

2012 Year

Fig. 2-1 Change in the household participation rate ofneighborhood community association
Source: Matsubara City (as of August 31, each year)

We have come to understand that, while the above problems can be appropriately addressed, ourinitiatives in Safe Community will also bring us the following two advantages:
First, “verification”.
Through our initiatives in Safe Community, we can continuously conduct “evaluation and verification of
the activities” that have been long focused on safety and security.
Second, “collaboration”. It enables the community, the specialized institutions, and the government todevelop effective activities based on more strengthened cooperation by sharing problems and information.
It is our intention to further develop, by joint efforts of citizens and the government, the city of Matsubara
into an attractive community that can satisfy and attract everyone through enrooting this mechanism forverification and collaboration, through building a safe and secure society, and through sustaining it
continuously.

7

2. Progress of our initiatives

Month/ Year

Major activities

Nov. 2010  Launched research and study on Safe Community
Mar. 2011  Promotion of Safe Community was officially put in the 4th Master Plan of Matsubara City.
Apr.  Set up Safe Community Subsection within Citizens Safety Section of the City Government.
May  Held a training workshop on Safe Community for the management level employees of the City Government
 Set up Matsubara City SC Promotion Headquarters (City government In-house organization)
 Announcement of launching Safe Community programs for the designation
 Registered as the “under preparation Safe Community” to the WHO Collaborating Center on Community
Safety Promotion
June  Participated in the on-site visit for Toshima Ward of Tokyo
July  Set up Matsubara City Safe Community Steering Committee

Community diagnosis

Aug.  Mounted a vertical banner at the City Office building Conducted a questionnaire survey on actual situations of injuries and safety/security
 Held a training workshop on Safe Community for the employees of the City Government
Oct.  Held a training workshop on Safe Community for the employees of the City Government
Nov.  Priority subjects was decided by the Safe Community Steering Committee Attended the meeting of the National Safe Community Promotion Local Government Network
Dec.  Set up task forces committees for each of the priority subjects

Task force activities Set up the Injury Surveillance Committee Participated in the symposium commemorating the designation of the JISC as Safe School
Certifying CenterFeb. 2012  Attended the on-site evaluation in Toshima City, Metropolitan Tokyo
May  Attended the on-site evaluation in Komoro City of Nagano Prefecture Attended the Minowa Town Safe Community Designation Ceremony in Nagano Prefecture Attended the on-site visit in Kameoka City of Kyoto Prefecture(for re-designation)
June  Participated in the Japan-Korea Joint Workshop on Safe Community held in Jeju Island, South Korea
Sept.  Co-hosted a JISC joint training workshop on Safe Community
Oct.  The pre-on site evaluation was conducted by the Asia Region SC Certifying Center (South Korea).
Nov.  Delivered presentations at the 6th Asian Regional Conference on Safe Communities Attended the Toshima City Safe Community Designation Ceremony in Tokyo
Dec.  Attended the Komoro City Safe Community Designation Ceremony in Nagano Prefecture Participated in the Safe Community Travelling Seminar in Minowa Town and Komoro City
Jan. 2013  Attended the on-site evaluation in Sakae Ward, Yokohama City of Kanagawa Prefecture
Feb.  Attended the Kameoka City Safe Community Re-designation Ceremony in Kyoto Prefecture
May  Submitted the application for designation to the Asia Region Certifying Center (South Korea)

8Chapter 3

Current Situations of Deaths and Injuries Due toExternal Causes

1. Current Situations of Deaths(1)

Causes of deaths (Including diseases)

About 1,000 people die each year in Matsubara City. As for causes of death by age group for the past 5
years, “unintentional external causes” falls within the top 5 causes of death for the age groups of 0-9 years
old, 15-54 years old, and 75-79 years old. Meanwhile, “suicide” ranks within the top 5 causes for the agegroup of 15-69 years old, suggesting this is a problem to be addressed.
Table 3-1

Ranking of Causes of Death by Age Group (2007-2011)
Source: Demographic statistics

Age

1st

2nd

0

Congenital anomaly,etc.

Perinatal disease

1-4

4th

5th

Respiratory disease, sudden infant death syndrome (SIDS), accident

Intestinal infection, endocrine metabolic disease, central nervous system disease, accident, other extrinsic causes

5-9
10 - 14

3rd

－

－

－

Infectious disease, cancer, other extrinsic causes

－

－

－

Cancer, accident
Congenital anomaly,etc.

15 - 19

Respiratory disease, accident, suicide－

20 - 24

SuicideCardiac disease, accident, murder

25 - 29

Suicide30 - 34

Suicide35 - 39

SuicideCancer40 - 44

SuicideCerebrovasculardiseaseCancer, cardiac disease

Accident

45 - 49

CancerCardiac disease

Cerebrovascular disease, suicide

Accident

50 - 54

CancerCardiac disease

Suicide55 - 59

CancerCardiac disease

SuicideCerebrovascular disease

Liver disease

60 - 64

CancerCardiac disease

CerebrovasculardiseaseLiver disease

Suicide65 - 69

CancerCardiac disease

Cerebrovasculardisease

SuicidePneumonia

70 - 74

CancerCardiac disease

CerebrovasculardiseasePneumonia

Respiratory disease

75 - 79

CancerCardiac disease

CerebrovasculardiseasePneumonia

Accident

80 - 84

CancerCardiac disease

Pneumonia

Cerebrovascular disease

Respiratory disease85 - 89

Cardiac disease

CancerPneumonia

Cerebrovascular disease

Respiratory disease

90 and overCardiac disease

Pneumonia

CancerCerebrovascular disease

Decrepitude

Accident

CerebrovasculardiseaseCancer, respiratory disease

Cardiac disease, cerebrovascular disease, others
Accident

9

Cardiac disease

Accident, others
Cerebrovascular disease,othersCerebrovascular disease, accident

(2)Change in number of deaths due to unintentional causes and suicide

The number of deaths in Matsubara City due to unintentional external causes and suicide has been
relatively stable at around 30 each year (Table 3-2). Although the death rate due to accident has beenremaining lower than the whole nation, except with some fluctuations from year to year, the average forthe past 10 years of Matsubara City stays higher than that of Osaka Prefecture. As for suicide, the averagefor the past 10 years of Matsubara City is slightly lower than those of Osaka Prefecture and of the whole
nation (Fig. 3-1). Further, it should be noted that a sharp increase in the national death rate caused byunintentional causes that occurred in 2011 was due to the effect of the Great East Japan Earthquake.
Table 3-2

Change in the Number of Deaths by Extrinsic Causes
Source: Demographic statistics
Number of deaths

Causes of death
2007
Accident

2008

2009

2010

2011

38 (31)26 (18)32 (20)31 (23)31 (23)

Traffic accident

2 (0)

8 (4)

7 (2)

5 (2)

5 (4)

Tumbling/falling

7 (7)

0 (0)

2 (2)

3 (3)

6 (5)

12 (11)6 (6)10 (7)

9 (9)

6 (4)

Suffocation

5 (3)

10 (7)

11 (7)

6 (5)

9 (7)

Exposure to smoke and fire

4 (3)

0 (0)

0 (0)

4 (1)

0 (0)

Intoxication by harmful substance

0 (0)

0 (0)

0 (0)

1 (0)

1 (0)

Other accident

8 (7)

2 (1)

2 (2)

3 (3)

4 (3)

Suicide24 (6)

32 (15)36 (16)22 (7)

34 (10)

Murder

1 (1)

0 (0)

0 (0)

1 (0)

0 (0)

Total

63 (38)58 (33)63 (36)54 (27)65 (33)Drowning & near-drowning* The figures in parentheses represent the number of persons aged 65 and over.

Persons

50
45
40
35
30
25
20
15
10
5
0

Unintentional causes

SuicidePersons

35
30
25

30.3

28.8
23.7

27.5

24.5

20
19.8

17.6

20.7

15

25.0

10

Matsubara
Osaka Pref.
Whole nation

5
0

19.6

19.1

17.7
Matsubara
Osaka Pref.
Whole nation
Year

Year

Fig. 3-1

Change in death rate by accident/suicide (per 100,000 population)
Source: Demographic statistics

10

(3)

Causes of deaths by age group due to unintentional causes and suicide

The number of deaths due to accident peaks in the age group of 75-79 years old and higher around that age
group. In order to calculate death rate, the number of deaths in each age group is first divided by the
population of that age group. Next, this calculated value is converted to the death rate per 100,000
population. According to these calculated results, it is found that death rate due to accident has increased
with age. The major causes of deaths are tumbling/falling, drowning/near-drowning, and suffocation (Fig.
3-2, right). As for suicide, the numbers of deaths are high for males in the age groups of 35 to 39 and of 65
to 69 years old. The death rate per 100,000 population stands out distinctly in the age group of 65-79 years
old (Fig3-3 right).
Actual count

Persons

Traffic accident

35

Sufforcation

20

Smoke/Fire

5

Tumbling/Falling

350

Sufforcation

250
3 19

Poisoning

3
62
3
Others
1
4
4 4
4
1
1
3
4 2 6 61
6
6
3 1 1 1
2
1 2 1
1
2 1
3
1 1
1 1
1 1
2 3 2 2 6
1
3
2
2 1
2
1
1
1
1
1
1
1 1
1

84

Smoke/Fire

200

4

126

Drowing

300

Poisoning

150

2363
12
11 47
7 19
7119 126
8 25702237
151112
23

Others100
50
0051015202530354045505560657075808590-

051015202530354045505560657075808590-

032Drowing25

Traffic accident

400

Tumbling/Falling30

10( per 100,000 population )

450

40

15

Death rate

Persons( Total )

Age

Age

Fig. 3-2 Number of deaths and death rate due to external causes by age group and by cause(2007-2011)
Source: Demographic statistics

Actual count

Persons

18
16
14

Death rate

Persons( Total )( per 100,000 population )

80

Male

70

Female

60

12

Male
Female

50

10

40

8

30

6

20

4

10

0

0
051015202530354045505560657075808590-

051015202530354045505560657075808590-

2

AgeFig. 3-3

Age

Number of deaths and death rate due to suicide by age and by gender (2007-2011)
Source: Demographic statistics

11

2. Current Situations of Injuries(1)

Causes of citizens’ injuries, according to questionnaire survey

Injury conditions have been analyzed from the questionnaire survey conducted in 2011 (please see page74) on actual conditions of injuries and safety/security. Among the households with a family member aged
under 18, the households whose preschool/elementary school/junior high school children haveexperienced injuries that required treatment at a medical institution accounted for about 40%. Amongindividuals aged 18 years old and above, injury that required treatment at a medical institution has been
experienced at a higher rate among individuals aged 70 years old and above.
100%
Householdwithout injury
experience

80%
56.0%

56.7%

60.0%

60%

84.3%

40%
20%
0%

Fig. 3-4

44.0%

43.3%

Householdwith injury
experience

40.0%
15.7%

Pre-school child(n=72)

Elementary
school pupil(n=116)

Junior highschool student(n=70)High school
student
Vacational school
student(n=115)

Conditions of injuries experienced in the last 12 months by households with a family
member aged under 18
Source: Questionnaire for factual investigation of injuries and safety/security (2011)

50%
Hospitalized
40%
30%
20%
10%

Outpatient

Did not visit a physician

0.3%
0.6%
7.5%

1.1%
6.8%

0.7%

11.7%

9.5%

19.5%

21.9%

22.0%

18～29

30～39

40～49

0.7%
7.2%

1.6%

3.0%

12.7%

16.4%

18.0%

16.4%

16.9%

14.9%

50～59

60～69

70～79

80～

0%

Fig. 3-5

Age
Age

Conditions of injuries experienced in the last 12 months by individuals aged 18 years
old and above
Source: Questionnaire for factual investigation of injuries and safety/security (2011)

12

(2)

Current situations of injuries based on ambulance call-outs

In Japan it is not easy to collect injury related data from medical institutions. Therefore, to obtain data
which contain information on type and severity of injury, place of injury occurrence, age of injured personand so on with minimum cost, Matsubara city has been analyzing data of ambulance call-out asalternatives.
According to the ambulance call-out data of 2006-2011, in the city, there have been 1,500 to 1,800 people
transported by ambulance due to injuries every year. Among them, the injuries of the elderly aged over 65
years old has been increasing (Fig. 3-6). In 2011, as a total, 1,792 people were transported by theambulance. Among them, the age group 70-84 years old shows increase in the numbers of transportation(Fig. 3-7).
Persons

2,000
1,686
1,500

468

1,733
1,495

1,541

538

547

737

787

514

1,697

1,792

616

664

876

907

1,000
961

934

132
125

173
112

500

125
109
98
95
2006
2007
2008
2009
0～4yrs. old 5～14yrs. old 15～64yrs. old

0Fig. 3-6

119
112
102
93
2010
2011
Year
65yrs. old and over

Trend of number of persons transported by ambulance, by age group
Source: Ambulance call-out data

Persons160

Total:1,792

140
120

114
100

102

100
80
60

131137125
112
99 10997

88 87 100
68

72

59 60

Male
Female
Total

70
54

40
7

20

1

0

Age

Fig. 3-7

Number of persons transported by ambulance, by age group (2011)
Source: Ambulance call-out data13

According to the incident rate of each age group (the number of person transported by ambulance divided
by the population at each age group), the age group of 85-95 years old shows the highest rate.

9.0%
8.0%

Male

7.0%

Female

6.0%

Total

7.0%

5.2%

5.0%
3.5%

4.0%
3.0% 2.2%
2.0%
1.0%

2.3%
1.7%
1.4%
1.5%
1.2%
1.6% 1.3% 1.0% 1.1%
1.1%
1.1% 0.9% 0.9%
0.9%
1.0%

3.4%
2.8%

0.0%

Age

Fig. 3-8

Incidence rate of external injuries that resulted in ambulance call-out (1) (2011)
Source: Ambulance call-out data

According to the incident rate of injury indoor and outdoor by age group, the groups of 0-4 years old andover 75 years old are higher than other groups indoor and group of 15-19 years old is higher outdoor.
7.0%

7.0%

Indoor

6.0%

6.0%

5.0%

5.0%

4.0%

4.0%

3.0%

3.0%

2.0%

2.0%

1.0%

1.0%

0.0%

0.0%

Outdoor

Age

Fig. 3-9

Age

Incidence rate of external injuries that resulted in ambulance call-out (2) (2011)
Source: Ambulance call-out data14

As for ambulance call-outs by accident type, traffic accidents account for the highest proportion of
42.6% for all age groups, followed by 33.6% for tumbling/falling.
Among individuals aged 0-14 years old, traffic accident accounts for the most. Among individuals aged 65
years old and above, general injury caused by tumbling/falling accounts for about 63% (Fig.3-10).
As for injury-related ambulance call-outs by occurrence site, road/walkway accounts for 51.3% that was
the highest of all, followed by 32.4% of house. These two alone account for 83%. For the age groups of
0-14 years old and of 65 years old and above, house accounts for the highest proportion.
Sports Injury
Occupational
2.3%
Fire
Injury0.2%
Assault
3.2%
Water related
2.5%
0.1%
Self harm
4.0%

GeneralInjury(Expect
due totumbling/fall)
11.7%

1,792

RTA
42.6%

GeneralInjuriesTumbling/fall
33.6%

The General injuries (except due totumbling and falling) include accidental
ingestion, pulmonary aspiration,
contact/collision with a person/object,heat source such as fire and hot water,
pinched, caught, etc.

All ages
0-14 years old

65 years old and above

Total

1,792

221 (100.0%)664 (100.0%)

Traffic accident

763

76 (34.4%)

131 (19.7%)

General injury(tumbling/falling)601

61 (27.6%)

423 (63.7%)

General injury(except due to tumbling and falling)210

68 (30.8%)76 (11.4%)

Self-harming behavior

71

4 (1.8%)10 (1.5%)

Assault accident57

3 (1.4%)9 (1.4%)

Industrial accident

44

0 (0.0%)12 (1.8%)

Athletics accident

41

8 (3.6%)2 (0.3%)Fire

30 (0.0%)0 (0.0%)

Water accident

2

1 (0.5%)1 (0.2%)Natural disaster00 (0.0%)0 (0.0%)Fig. 3-10 Number of persons transported by ambulance (by type of accident) (2011)
Source: Ambulance call-out dataWork
place School
3.6% 2.2%

Parks
2.3%

Commercial
facility/resta
urant/ammu
sementfacility
3.9%

1,792

Train/ bus
station
0.6%
Others3.7%

Roard/
walkway
51.3%

House
32.4%

“Others” includes river, agricultural landsuch as rice field, and unknown places.

Fig. 3-11

All ages
0-14 years old

65 years old and above

Total

1,792

221 (100.0%)664 (100.0%)

Road/walkway

919

87 (39.4%)

235 (35.4%)

House

579

91 (41.2%)

331 (49.8%)

Commercial/drinking &eating/amusement facilities71

7 (3.2%)29 (4.4%)

Work place64

0 (0.0%)15 (2.3%)

School, etc.

40

13 (5.9%)

3 (0.5%)

Park, etc.

42

20 (9.0%)8 (1.2%)

Station/bus stop10

0 (0.0%)4 (0.6%)others67

3 (1.4%)39 (5.9%)

Number of persons transported by ambulance, by site of injury occurrence (2011)
Source: Ambulance call-out data

15

(3)

Child injury

As for the age group of 0-4 years old with a high incidence rate of external injuries that occurred indoors,a closer look by indoor site has revealed that most of the injuries occurred at their own home.
Persons

35

1

30
25

Commercial/dr
inking&eating/entertainment

2

20
31

15

Own home
21

10

1

5

7

9

3

4

0
2

0～1

Fig. 3-12

Age

Indoor sites of occurrences of external injuries for persons aged 0-4 years old (2011)
Source: Ambulance call-out data

From a closer look at the occurrence sites of injuries that occurred at home, the largest number of injuries
occurred in a living room.
Age

4

5

3

3

11 2

2

2

2

12

1 1 2 1

0～1

13

6

0

5

10

Living room
Kitchen/Dining room
Yeard

Fig. 3-13

15
Bed room
StairsUnknown

4

3
20

4

1 2
25

2
30

35

Persons

Bath room
Entrance

Specific sites of occurrence at home for persons aged 0-4 years old (2011)
Source: Ambulance call-out data

16

Among children aged 0-4 years old, the incidence rate of external injuries that occurred indoors is thehighest for children of 2 years old, accounting for 2.4%. As for causes of injuries, tumbling/falling is thehighest in rate for all ages.
3.0%
2.5%
2.0%
F
1.5% D
1.0%

n=72

2.4%
G
F
E

1.9%
G
C

E

C
B

Fig. 3-14

Cutting with a knife etc.

D Contact/colligion with aperson/object

0.9%

0.8%

F

D

B

A

A

2

A

3

4

C Heatsource such as fireand hot water
B Accidental
ingestion/pulmonary aspiration
A Tumbling/falling

0.0%
0～1

F

E Pinched/caught

B

A

Others

D

G
0.5%

G

Age

Incidence rates of external injuries that occurred indoors for persons aged 0-4 years
old(by cause) (2011)
Source: Ambulance call-out data

Further, as for the incidence rates of external injuries that occurred indoors for persons aged 0-4 years old,when they are grouped by type of injury/sickness, bruise/contusion accounted for a high proportion, while
suffocation caused by accidental ingestion, etc. also occurred.
3.0%

G Others
2.4%

2.5%
1.9%
2.0%
1.5%

G
F

G
F

F BurnE

E Poisoning

DC

D Sufforcation etc.

D
1.0%
0.5%

C
A
A

C

0.8%

0.9%

G

D
B

0～1

Fig. 3-15

2

B Born dislocation/sprain

C

A

A

3

4

0.0%

C Openwound/disconnection

A Bruise/contusion etc.
Age

Incidence rates of external injuries that occurred indoors for persons aged 0-4 years
old(by type of injury/sickness) (2011)
Source: Ambulance call-out data17

According to the questionnaire survey, injuries of elementary school and junior high school students occurred mostfrequently at school, which was then followed by road/walkway.
0%

20%

40%

60%

80%

100%
2.0%

Elementary school

49.0%

25.5%

15.7%
7.8%
6.3%

Jr. high school

56.3%

18.8%

15.6%

3.1%
SchoolFig. 3-16

Roard/walkway

Own home and its visinity

Park

OthersSite of external injury occurrence for elementary school & junior high school students
Source: Questionnaire for factual investigation of injuries and safety/security (2011)

As for the number of injury occurrences at school for elementary school and junior high school students
during 2006 to 2011, the number remained almost at around 600-800 per year for elementary schools andaround 500 for junior high schools.
Case

1,000

Elementary school pupil

864

Junior high school student

742

800
649
600

634
544

554

2006

2007

621

572

588

500

653
488

400
200
0

Fig. 3-17

2008

2009

2010

2011

FY

Number of external injury occurrences at elementary schools and junior high schools
Source: Matsubara City Education Board

18

As for persons of 15-19 years old with high incidence rate of external injuries that occurred outdoors,
details were closely looked by type of accident. Traffic accident accounted for the majority of theincidence rates, followed by that of athletics accident
2.5%
E General injury(except
tumbling/falling)

2.2%
D

2.0%

C
1.5%

1.5%

1.5%

D

B

1.1%
1.0% DD Assault

1.7%

B

B

C General
injury(tumbling/falling)

E
B

C
A

A

A

0.5%

B Sports injury

A

A RTA

A
0.0%
15

16

17

18

19 AgeFig. 3-18 Incident rates of external injuries that occurred outdoors for persons aged 15-19 years
old(by type of accident) (2011)
Source: Ambulance call-out data

Further, as for the incidence rates of external injuries that occurred outdoors for persons aged 15-19 years
old, when they are grouped by type of injury/sickness, bruise/contusion accounted for a high proportion,
followed by bone fracture.
2.5%
2.2%

E Others
D

2.0%

1.7%

B
1.5%

1.5%
1.1%
1.0%

D

E
B

C

A

0.5%

C
B

D

1.5%

E

E
B

D
C

D Openwound/disconnection
C Born dislocation/sprainB
B Bone fracture

AAA
A Bruise/contusion etc.

A
0.0%
15

16

17

18

19 AgeFig. 3-19 Incident rates of external injuries that occurred outdoors for persons aged 15-19 years
old(by type of injury/sickness) (2011)
Source: Ambulance call-out data

19

(4)

Elderly injuries

According to the ambulance call-out data, tumbling/falling accounts for 63.7% of all elderly injuries, ofwhich 45.8% has been caused by tumbling that occurred indoors. After this, traffic accident accounts for ahigh proportion.
Self-harming Assault
behavior
accident
1.5%
1.4%
Industrial
accident
1.8%
General injury(except due
to tumbling
and falling)
11.4%

Athletics
accident
0.3%

Water
accident
0.2%

General injury(tumbling/falling)
RTA(indoors)
19.7%
45.8%
General injury(tumbling/falling)(outdoors)
17.9%

Fig. 3-20

The general injuries(except due to tumbling
and falling) include
accidental ingestion,
pulmonary aspiration,
contact/collision with aperson/object, cuttingwith a knife etc., heatsource such as fire andhot water, pinched,caught, insect bite,animal bite, drowning inbath, and unknown.

n=664

Elderly injuries by type of accident (2011)
Source: Ambulance call-out data

From a closer look at the incidence rate of external injuries by type with the focus on tumbling/falling that ischaracteristic for elderly injuries, it is indicated an increase in the incidence rate with age and also occurrenceof bone fracture.
4.0%

3.4％

3.5%
D

3.0%

E

E Others

C
D Born dislocation/sprain

2.5%

B

2.0%

C Open wound/disconnection

1.5%
1.0%
0.5%
0.0%

D

1.0%
E
B

D

Total ofthe elderly

0.4％
B
65～74

A

B Bruise/contusion etc.

C
A

B

C

A

1.3％
E

A Bone fracture

A
75～84

85～

Age

Fig. 3-21 Incidence rates of external injuries caused by tumbling/falling that occurred indoors
for the elderly (by type of injury/sickness) (2011)
Source: Ambulance call-out data20

As for sites of occurrence, most of tumbling/falling cases that occurred indoors took place at own home.
4.0%

3.4％

3.5%

D

3.0%

D OthersC
C Work place, educational
facilities, etc.

2.5%
2.0%

1.3％
D

1.5%
1.0%

D

1.0%
B

0.5%

A

0.4％
A

0.0%
Total of theelderlyB

A Own home

A

B

65～74

B Commercial/drinking &eating/amusement facilities

A

75～84

85～

Age

Fig. 3-22 Incidence rates of external injuries caused by tumbling/falling that occurred indoors
for the elderly (by occurrence site) (2011)
Source: Ambulance call-out data

(5) Labor-related injuries
The number of persons transported by ambulance due to industrial disaster has remained almost constantat about 40 to 60 during 2006 to 2011 (Fig. 3-23). When we look at 2011 data by age group, the actual
number of cases was the highest for persons at the age of 60’s, while the incidence rate of external injury
was the highest for persons at the age of 20’s (Fig. 3-24).
Persons70

0.054%

60

0.052%
0.042% 0.044%

50

0.056% 0.06%
0.05%

0.037%

0.04%

40
30

0.03%
57
44

20

46

53
38

57

0.02%

Incidence rate ofexternal injury

0.01%

10
0
2006

Fig. 3-23

No. of persons
transported byamburance

2007

2008

2009

2010

0.00%
2011 Year

Change in the number of persons transported by ambulance due to industrial disaster*Incidence rate of external injury = No. of persons transported by ambulance / Total population of 15-79(Total population for age groups for which ambulance was called out)

Source: Ambulance call-out data

21

Persons

14
12
0.10%

10
8

0.06%

6

1

4
2
0

0.02%
1

1

5

3

0.14%

Female57 persons/year

Male

0.12%

Incidence rate ofexternal injury

0.10%
0.08%
0.08%
0.07%
0.08%
0.08%
0.06%
0.04% 3
0.06%
2
0.05%
0.05%
0.02%
1
1
0.02% 0.04%
1
6
5
5
5
0.02%
4
4
3
3
2
1
0.00%
Age

Fig. 3-24 Numbers of persons transported by ambulance and incidence rates of external injury
due to industrial disaster (by age group) (2011)*Incidence rate of external injury = No. of persons transported by ambulance/population of each age group

Source: Ambulance call-out data

Further by cause of external injury, injuries caused by fall and pinched/caught account for about a half ofthe total. By site of occurrence, factory/work site and building/construction site account for more than
80% of the total (Fig. 3-25). By type of injury/sickness, bruise/contusion, etc. account for 35.1%, whilebone fracture accounts for 21.1% (Fig. 3-27).
Falling

5

7

Pinched/caught

1 1

12

Flying/falling object
4

Tumbling
Electric shock

1

Collapse/destruction

1

Crashed

1

Crashing

1

Others1

Sales facility

1Company/office
Restaurant
Home

4
0

3
2

2

Building/construction site

1 1

6

Cutting/abrasion

Factory/work site

1

57 persons/year

1
5

10

Others15

PersonsFig. 3-25 Number of persons transported by ambulance due to industrial disaster(by cause and by occurrence site) (2011)
Source: Ambulance call-out data

22

Born
dislocati
on/sprain
3.5%

Serious
7.0%

57
Moderate
40.4% persons/year

Fig. 3-26

Burn
1.8%
Others14.0%

Bruise/contusion etc.
57
Open persons/year 35.1%

Poisoni
ng
5.3%

Mild
52.6%

By severity of injury/sickness

wound/
disconnection19.3%

Fig. 3-27

Bone
fracture
21.1%

By type of injury/sickness

Source: Both from ambulance call-out data (2011)* Severity of injury
Death: When death is confirmed in the initial medical examination
Serious: When inpatient hospital care of 3 weeks or more is required
Moderate : When inpatient hospital care is required but not as much as serious
Mild: When inpatient hospital care is not required(6)

Injuries due to traffic accident

The number of traffic accidents has been decreasing each year, which was 730 in 2011. Although thenumber of severely injured persons has been reduced to one sixth of that in 2007, the incidence rate ofMatsubara City per 100,000 population is higher than both the national level and the level of Osaka
Prefecture.
Persons（人）

180

Actualnumber
実数

死者数
重傷者数
899
発生件数
817
772 748 734
730
93
87
82
69
No. of deaths

Right side scale

150
120
90

No. of severely
injuredNo. of accidents

60
30
4
0

1

5

4

3

1,000

5

16

800

750

650

Per10万人あたり
100,000 population
Matsubara City

711

Osaka Pref.
Whole nation

651
615

600
600

598

589

590

550

200

500

0
2006 2007 2008 2009 2010 2011 Year

Fig. 3-28

Case

700

400

43

Left side scale

Case
（件）
1,200

2006 2007 2008 2009 2010 2011 Year

Change in the number of traffic accidents
Source: Police statistics

23

From a closer look at occurrence of traffic accidents based on ambulance call-out data, the number ofcall-outs due to accidents on a bicycle accounted for the highest proportion of 45%. By age group, theincidence rate of external injuries caused by bicycle ride is outstandingly high among children and theelderly in comparison with other vehicles.
Persons

5 persons
1%160
On a bicycle140

On a motorbike/motorized bicycle120

On a car

100

42
5%
164
21%

During walking

763

persons/year

Others

80

12

40
20
0

211
28%

43 20

60

341
45%

36 10

23

17 12
17 19

13 13 25 27

27
27
19
14 14
8
35
22
12
23
23
7
14
14
19 15 12 6 16
16 16 21
6
10 2
4
5 3
5 2 3 3 5 4 7
4 2 4 3
3
2 2 2

3
Age

Fig. 3-29

Occurrence of traffic accidents by age group (2011)
Source: Ambulance call-out data

Incidence rate of external injury
1.0%

On a bicycle
On a motorbike/motorized bicycle
On a carDuring walking
Others

0.8%
0.6%
0.4%
0.2%
0.0%

Age

Fig. 3-30

Incidence rate of external injuries due to traffic accident (by age group) (2011)
Source: Ambulance call-out data

24

(7)

Injuries due to athletics accident

The number of persons transported by ambulance due to injury occurred during sports activities hasremained almost constant at about 30 to 40 during 2006 to 2011, which however is on a slight increase.
Based on the 2011 data, the age groups with the largest number are 10’s and 20’s and injuries occurred
most frequently in school facilities such as a school ground and a gymnasium. As for types of sports, 2
sports including soccer (26.8%) and baseball (22.0%) alone accounted for a half of the total. As forseverity of injuries, mild case accounts for 80% and, by type of injuries, bruise/contusion, etc. account for
51.2% followed by 26.8 % of bone fracture.
Persons

50

Number of persons transported by ambulance
Incidence rate of external injury

40
0.021%

30

0.024%

0.04%
0.029%

0.033%
0.03%

0.025%
0.020%

0.02%
20
10

27

30

2006

2007

32

26

41

37

0.01%

0.00%

0
2008

2009

2010

2011 Year* Incidence rate of external injury＝No. of ambulance call-outs for each age group/population of that age group in Matsubara City

Fig. 3-31

Change in the number of persons transported by ambulance due to accidents during
athletics
Source: Ambulance call-out data

Persons20
0.27%
41 persons/year
18
16
4
14
12
0.11%
10
0.10%
8
1 14
6
0.03%
4
7
0.02% 6
0.01% 0.01%
2
2
1
1
1
0

0.30%

Female

0.25%

Male

0.20%
Incidence rateof external
injury

0.15%
0.10%

0.02%
0.01% 0.01% 0.01%
1
1
1

0.05%
1

0.00%

Age

Fig. 3-32

Numbers of persons transported by ambulance and incidence rates of external
injury due to accidents during athletics (by age group) (2011)
Source: Ambulance call-out data25

Otherathletic
facilities
2.4%

Schoolfacilities(gymnasium)
22.0%

During practice for
sports meeting
4.9%

Gymna
sium
9.8%
Athletic
Schoolfield
41
17.1% Persons/year facilities(athletic
field)
48.8%

41
Volleyball
7.3%

By occurrence site

Softball12.2%

Fig. 3-34

Open wound/
disconnection
2.4%

Moderate
17.1%

Baseball22.0%

By type of sports

Others4.9%

Bonedislocation/
sprain14.6%

41
persons/year

Soccer26.8%

Persons/year

Basketball
7.3%

Fig. 3-33

Fig. 3-35

Others19.5%

41

persons/year

Mild
82.9%

Bone
fracture
26.8%

By severity of injury/sickness

Fig. 3-36

Bruise/contusion
,etc.
51.2%

By type of injury/sickness

Source: All from ambulance call-out data (2011)

26

(8)

Assault-related injuries

The number of crime occurrence in Matsubara City has been on a decrease each year. However, when thenumber per 100,000 population is compared with the levels of the whole nation and Osaka Prefecture, it isstill about 1.5 times higher than the national level. Further, as many as a half of criminal offences areaccounted for by street crimes (street mugging, car theft, motorbike theft, bicycle theft, snatch, stealingfrom vehicles, car parts theft, and vending machine theft).
Case

5,000

3,271 3,280
3,000
2,000

3,000

No. of criminal offenses
No. of street crimes

4,000

2,980

1,907 1,858

2,766

Per 100,000 population

Case

Actual count

2,588 2,613
2,373

2,500
2,000

2,444 2,447

1,571 1,466

1,206

1,000

2,212
1,962

1,977

1,500
1,000

1,171

Matsubara City
Osaka Pref.
Whole nation

500

0

0
2006 2007 2008 2009 2010 2011 Year

Fig. 3-37

2006 2007 2008 2009 2010 2011 Year

Change in the number of crime occurrences
Source: Police statistics

As many as 44 persons were transported by ambulance in 2011 due to assault-related injury such as
violence. Site where injuries occurred most frequently was own home, followed by road (Fig. 3-38).
Regarding injury severity, 93% of injuries were of mild severity (Fig. 3-39).
1, 1, 1,2% 2% 2%

Persons

14
12
10
8
6

Own home
Road
Commercial/drinking & eating
Work sitePark
Station/bus
OthersUnknown

3

4

3

2
0

1

1
1

1
1
1

1
1

1
1
1

2,
2,
5%
5%
6,
44
14% persons/year 20,
45%
11,
25%
4
3

3
1
1

1
1

1
1

1

1

1
1

1

2

1

1
1

1

Age

Fig. 3-38

Assault-related injuries by occurrence site and by age group (2011)
Source: Ambulance call-out data

27

Further it was checked based on the ambulance call-out data if the assault-related accidents in2011 involved alcohol drinking. From the checking, it was confirmed that hardly any of them
involved alcohol drinking.
with alcohol
drinking
2%

Moderate
7%44
persons/year

44
persons/year

Mild
93%

without alcohol
drinking
98%

Fig. 3-39 Proportions by severity of injury(2011)

Fig. 3-40 Proportions by with/without alcohol
drinking (2011)
Source: Ambulance call-out data

The number of consultations for child abuse/elderly abuse per 100,000 population is higher than those of
the whole nation and Osaka Prefecture.

per 100,000 population

Case

300

40

Matsubara City
Osaka Pref.
Whole nation

250

184

181

189

Matsubara City
Osaka Pref.
Whole nation

30

227

200
150

per 100,000 population

Case

186

18

20

33
27

19

100
10
7

50

FY

0

0
2007

2008

2009

2010

2007

2011 FY

Fig. 3-41 Change in the number of consultations
for child abuse
Source: Reported cases from the welfare administration

28

2008

2009

2010

2011 FY

Fig. 3-42 Change in the number ofconsultations
for elderly abuse
Source: Elderly Care Section of Matsubara City

(9)Injuries due to self-harming behavior

During 2006 to 2011, the number of persons transported by ambulance due to self-harming behavior(suicidal attempt) remained within the range of about 50-80, which is higher than the national level whencompared on a per-100,000-population basis. As for age groups based on the ambulance call-out data of
2011, the number of occurrence is high especially for women at the age of 30’s, where overdose of
sleeping pills, etc. and use of knife/sharp-edged tool are the more frequently used means. As for site ofoccurrence, own home accounted for the highest proportion of 84.5% (Figs. 3-45, 3-46).
Actual count

Persons120

80

0.061%

40
20

0.09%

0.057%

78

64

55

49

63

0.07%

50

0.06%

40

57

39

44

51

51

0.05%
71

0.04%

30

0.03%

20

0.02%

Matsubara City
Osaka Pref.

10

0.01%
0

62

60

0.08%

0.050%
0.050%
0.043%
0.038%

60

70

0.10%

Number of persons transported byambulance
Incidence rate of external injury

100

per 100,000 population

Persons

Whole nation

0

0.00%
2006 2007 2008 2009 2010 2011 Year2006 2007 2008 2009 2010 2011 Year

Fig. 3-43 Change in the number of persons transported by ambulance due to self-harming
behavior (2011)
Source: Ambulance call-out data

Persons

12

0.16% 0.12%
71 persons/year

10
0.11%

8
6 0.06%

0.05%

4
2
0

4

10
0.06%

6

1

2
1

Incidence rate ofexternal injury

3

3
1

3
1

1
1

0.12%

0.02%

0.01%4
1

0.08%

0.05%

0.04%
4 0.03%

2

0.14%
0.10%

5

5
3

0.16%

Male

0.07%
0.07%0.08%

1
3

0.18%

Female

2
2

1

0.06%

0.03% 0.04%
1

0.02%
0.00%
Age

Fig. 3-44 Numbers of persons transported by ambulance and incidence rates of external injury
due to self-harming behavior (by gender and by age group) (2011)
Source: Ambulance call-out data

29

Male

6

5

Female71 persons/year

10

2

20

22

2

4

～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～
Sleeping pill/analgesics

10

12

Cutting with knife/sharp-edged

12

3 1

Hanging/Strangling 11 2
Other drug/intoxication

1
Mild

9

Moderate

7

3

Falling/jumping 1 1 4

Serious

Others

Death

21
0

10

20

30

40

50 Persons

Fig. 3-45 Numbers of persons transported by ambulance due to self-harming behavior (byseverity of injury/sickness by gender; by severity of injury/sickness by means) (2011)
Source: Ambulance call-out data

18

Male

2 21

71 persons/year

42

Female1212～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～～
Own home

22

Sleeping pill/analgesics

14

Cutting with knife/sharp-edged
Hanging/Strangling

10

Other drug/intoxication

9

Falling/jumping

2 211

1
11

21

River

1

Road
Others3

Others0Commercial/eating &drinking/amusement facilities
Park

10

20

30

40

50

PersonsFig. 3-46 Numbers of persons transported by ambulance due to self-harming behavior (byoccurrence site by gender; by occurrence site by means) (2011)
Source: Ambulance call-out data

30

(10)
Injuries caused by disaster
When the number of fires that occurred during 2006 to 2011 in Matsubara City is compared with those in
the whole nation and Osaka Prefecture on a per-100,000-population basis, it is indicated that the number
started to show an increasing trend from 2010 after having shown a declining trend until 2009.
Persons

50
45
40
35
30
25
20
15
10
5
0

44

37
41
33

33

2006

2007

2008

2009

Matsubara City

Fig. 3-47

34

2010

2011 Year
Whole nation

Osaka Pref.

Change in the number of fire occurrences per 100,000 population
Source: White paper on fire defense/Fire-Defense Headquarters of Matsubara City

When the number of deaths and the injured due to fire in Matsubara City is compared with those in thewhole nation and Osaka Prefecture on a per-100,000-population basis, it is indicated that their results have
all remained nearly at the same level (Fig. 3-48). The number of deaths and the injured was especiallyhigh in 2010. The numbers in parentheses ( ) show the numbers of deaths. As for deaths by age group,
the proportion of the elderly aged 60 years old and above is high (Fig. 3-49).
Persons

18

14
(2)

16
14
12
10
8
6

9
(1) 8
(2)

9
8 (1) 8(3) (2)10(1) 8 8(1)(2)

2006

2007

2008

6
(1)

9
7
(1)
6
(1)
(0)

8
7
(1)
(1)

2009

2010

7 7
6 (1)(1)(0)

4
20Matsubara City

Fig. 3-48

Osaka Pref.

2011

Year

Whole nation

Change in the number of deaths and the injured due to fire per 100,000
population(2006-2011)
Source: White paper on fire defense/Fire-Defense Headquarters of Matsubara City

31

Unknown
4%

0-15
yrs.
old
4%

18:00
～
21:00
7%
12:00
21:00
～
～6:00
18:00 28 persons 43%
25%

Over
60 yrs.
old
25-59
53%
yrs. 28 persons
old39%

Fig. 3-49

6:00～
12:00
25%

Fire-related deaths by age group

Fig. 3-50

Fire-related death by timeof occurrence

Source: Both from Fire-Defense Headquarters of Matsubara City (Cumulative total for 1998-2011)

When the number of persons transported by ambulance due to water accident during 2006 to 2011 in
Matsubara City is compared on a per-100,000-population basis with those in the whole nation and Osaka
Prefecture, it is indicated that the results have remained nearly at the same level and the number of persons
is also very small (Fig. 3-51). Further, as for details of the water accidents that happened in 2011, thepersons transported by ambulance belonged to the age groups of 5-9 and 80-84, one each. Both accidents
occurred in rivers (Table 3-3).
Persons

3

2

2
1

2
1

1

1
0

0
2006

2007
Matsubara
City

2008
Osaka
Pref.

2009

2010
Whole nation2011 Year

Fig. 3-51 Change in persons transported by ambulance due to water accident per 100,000
population(2006-2011)
Source: Ambulance call-out data

Table 3-3 Details of Ambulance call-out Due To Water Accidents(By age group, by occurrence site) (2011)
Source: Ambulance call-out data
Age group

No. of persons transported
by ambulance

By occurrence site

5-9 years old

1

River

80-84 years old

1

River

32

3. Setting Priority Subjects Based on Community Diagnosis
Based on the results of Community Diagnosis on deaths and the injuries caused by unintentional causes aswell as suicides that had occurred to date, Matsubara City set the following subjects that should be
preferentially addressed for prevention of external injuries, and prevention activities have been
implemented for these.

Results obtained from Community Diagnosis

Set subjects

 The incidence rate of external injuries that occurred indoors and resulted inambulance call-out is high among children aged 0-4 years old next to the elderly.
(Fig. 3-9 on page 14)
 Among elementary school and junior high school students, many injuries occur at
school. (Fig. 3-16 & Fig. 3-17 on page 18)
 The number of consultations for child abuse of Matsubara City is higher than thoseof the whole nation and Osaka Prefecture. (Fig. 3-41 on page 28)(1) Safety of children The incidence rate of external injuries that resulted in ambulance call-out is higher
for the elderly than other age groups. The rate is especially high for injuries that
occurred indoors. (Fig. 3-8 on page 14, Fig. 3-9 on page 14)
 The number of consultations for elderly abuse of Matsubara City is higher than thoseof the whole nation and Osaka Prefecture. (Fig. 3-42 on page 28) About 43% of the total number of ambulance call-outs is for traffic accidents. (Fig.
3-10 on page 15) About 45% of the ambulance call-outs for traffic accidents involve a person on abicycle. (Fig. 3-29 on page 24)

 The crime rate of Matsubara City is higher than that of the whole nation. (Fig. 3-37
on page 27) About half of criminal offenses are street crimes. (Fig. 3-37 on page 27)(2) Safety of the elderly(3) Traffic safety(4) Crime prevention

 Suicide is the leading cause of the deaths due to extrinsic causes, and is the highest
ranking cause of death for the age group of 15-44 years old. (Table 3-1 on page 9)(5) Suicide prevention

 Topographically, Matsubara City is located in an area surrounded by a number ofactive faults and is susceptible to earthquake disaster. (Fig. 1-2 on page 2)
 Among deaths due to fire that occurred at ordinary times, the proportion of theelderly aged 60 years old and above is high. (Fig. 3-49 on page 32)

33(6) Safety at the time ofdisasterChapter 4

Initiatives Based on Seven Indicators

Indication 1

An infrastructure based on partnership and collaborations, governed by a crosssector group that is responsible for safety promotion in their community

duringSafetydisaster

Suicide prevention

Crime prevention

Traffic safety

Elderly safety② Task forces committees for priority subjects

Children’s safety③ Injury SurveillanceCommittee

Japan Institution for Safe Community(Safe Community Affiliate Support Center)① Matsubara City Safe Community Steering Committee④ Safe Community Promotion Headquarters(In-house organization)(1) Promotion system of Safe Community activities

Reflecting on City’s policies, providing information,
developing community-based activities*: Numbers in parentheses ( ) correspond to the following explanation of organizations.

① Matsubara City Safe Community Steering Committee
Matsubara City set up the “Matsubara City Safe Community Steering Committee” in July 2011 as theorgan for cross-sector promotion with the participation of the police and fire departments, administration,
as well as other groups that had been working on community safety and security activities.
■ Roles Deciding on the direction of Safe Community activity■ History of meetings

 Evaluation of the overall activity of Safe Community
 Promoting community-based Safe Community activity

2011
2012
2013

■ Composition
33 Groups 38 persons
Chair: Hirofumi Sawai, Matsubara City Mayor
Vice president : Osamu Kawanishi, President of Chamber ofCommerce and Industry of Matsubara City
Vice chair: Toshiaki Okada, President of the Federation of
Neighborhood Community Associations

34

July 26

1stNovember 12

2ndAugust 20

3rd

October 29

4thMarch 29

5th

② Task force Committees
Six task force committees were set up to address the priority subjects that were determined by Matsubara
City Safe Community Steering Committee based on the data on injuries.
Each task force is comprised of cross-sector members such as officers from administrative organs related
to each priority subject, and members from the groups that are implementing community activities, which
serves to plan and promote the initiatives for the subject as well as to discuss the evaluation/improvement
measures.
Table 4-1

Composition of Task Force Committees

Task force
Children’s safety(25 persons)

Elderly safety(15 persons)Traffic safety(18 persons)

Crime prevention(15 persons)Composition of members
Administrative organization,etc.
(11 persons)Matsubara Police Office, Osaka Pref. Tondabayashi Child Home Center, Osaka Pref.
Tondabayashi Juvenile Support Center, Matsubara City Government (Child Care
Support Section, Municipal Information Office, Welfare General Affairs Section,
Community Health Section, Education General Affairs Section, Education Promotion
Section, Regional Education Promotion Section, Juvenile Section)

Educational organization, etc.
(3 persons)Matsubara-Higashi Elementary School, Board of Directors of Public Nurseries, Boardof Directors of Public Kindergartens

Local organization, etc.
(11 persons)Safe City Planning Council, PTA Council, Council of Juvenile Advisors, Liaison
Council of Children Organization Development, Local Welfare & Children’s Care
Commissioners Meeting, Japan Junior Chamber, Relief and Rehabilitation Women
Association

Administrative organization,etc.
(6 persons)Community Comprehensive Support Center Tokushukai, Community Comprehensive
Support Center Social Welfare Council, Matsubara City Government (Elderly Care
Section, Welfare General Affairs Section, Disability Welfare Section)

Local organization, etc.
(9 persons)Safe City Planning Council, Federation of Senior Citizens' Clubs, Regional Women's
Organization Council, Local Welfare & Children’s Care Commissioners Meeting, NPO
Corporation Care Support Group "Matsubara-kai", Regional Welfare Committee

Administrative organization,etc.
(7 persons)Matsubara Police Office, Osaka Prof. Tondabayashi Civil Engineering Office,Matsubara City Government (Citizens Safety Section, City Planning Promotion Section,
Road Section, Education Promotion Section, Regional Education Promotion Section)

Local organization, etc.
(11 persons)Traffic Safety Association, Federation of Neighborhood Community Associations,
Federation of Senior Citizens' Clubs, Council of Juvenile Advisors, PTA Council

Administrative organization,etc.
(3 persons)Matsubara Police Office, Matsubara City Government (Citizens Safety Section, Road
Section)Local organization, etc.
(12 persons)Suicide prevention(14 persons)

Safety at disaster(28 persons)Workplace Crime Prevention Association, Crime Prevention Council, Federation of
Neighborhood Community Associations, Safe City Planning Council, Probation
Officers Association

Administrative organization,etc.
(7 persons)Community Comprehensive Support Center Tokushukai, Community Comprehensive
Support Center Social Welfare Council, Fujiidera Health Center, Matsubara City
Government (Office of Human Rights Culture, Disability Welfare Section, Community
Health Section, Industry Promotion Section)

Local organization, etc.
(7 persons)

Local Welfare & Children’s Care Commissioners Meeting, Chamber of Commerce andIndustry, Local Council on Promotion of Measures for Persons with Disabilities,
KOKORO-NET

Administrative organization,etc.
(10 persons)Osaka Prof. Tondabayashi Civil Engineering Office, Fire-Defense Headquarters,
Matsubara City Government (Citizens Safety Section, Welfare General Affairs Section,
Disability Welfare Section, Elderly Care Section, City Planning Promotion Section,
Park and Green Spaces Section, Building and Housing Section, Water/Sewerage
Services General Affairs Section)

Local organization, etc.
(18 persons)Liaison Council of Voluntary Disaster Prevention Organizations, Federation of
Neighborhood Community Associations, Red Cross Service Group, Safe City PlanningCouncil, Women's Fire Prevention Club, Federation of Senior Citizens' Clubs, Local
Council on Promotion of Measures for Persons with Disabilities, Local Welfare &Children’s Care Commissioners Meeting, Risk Management Council, Volunteer fire
corps

35

Table 4-2

Implementation of Task Force Committee Meetings

Date of meetingChildren’ssafetyElderly safety

Traffic safety

Crime
prevention

Suicideprevention

Safety at
disasterDec. 2011

1st meeting

1st meeting

1st meeting

1st meeting

1st meeting

1st meetingndndJan. 2012

2 meting

2 meting

2 meting

2 meting

2 meting

2nd meting

March 2012

3rd meeting

3rd meeting

3rd meeting

3rd meeting

3rd meeting

3rd meeting

May 2012

4th meeting

4th meeting

4th meeting

4th meeting

4th meeting

4th meeting

th

nd

th

nd

July 2012

5 meeting5 meeting5 meeting5 meeting5 meeting

5th meeting

Sept. 2012

6th meeting

6th meeting

6th meeting

6th meeting

6th meeting

6th meeting

Oct. 2012

7th meeting

7th meeting

7th meeting

7th meeting

7th meeting

7th meeting

Dec. 2012

8th meeting

8th meeting

8th meeting

8th meeting

8th meeting

8th meeting

9th meeting

9th meeting

10th meeting

10th meeting

th

th

nd

th

th

Jan. 2013

9 meeting
th

th

th

Feb. 2013

9 meeting

9 meeting

9 meetingMarch. 2013

10th meeting

10th meeting

10th meeting

10th meeting

Task force on children’s safety

Task force on elderly safety

Task force on traffic safety

Task force on crime prevention

Task force on suicide prevention

Task force on safety
at disaster③ Injury Surveillance Committee
The Injury Surveillance Committee was established with the aim of building a structure for surveillance of
external injuries and to promote building the evaluation system. See Indicator 5 (p73-75) for a detailed
explanation.
Table 4-3
Medical institutions

Composition of the Injury Surveillance Committee

Matsubara City Medical Association, Matsubara City Dental Association

Educational institutions

Hannan University

Specialized institutions

Japan Institution for Safe Communities

Administrative organs

Fujiidera Public Health Center, Matsubara Police Office, Fire Station Head Quarter,
Matsubara City Government (Community Health Section)36

④ Safe Community Promotion Headquarters (In-house organization)
The Safe Community Promotion Headquarters were established with the aim of establishing cross-sector
collaboration among organizations within City Government and to support each task force for its effective
SC activity.
■ Roles Discussion of the direction of Safe Community activity
 Discussion & coordination of implementation plans by sector■ Composition
Major, Deputy Mayor, School Superintendent,
Directors of administrative sectors (22 persons)Headquarters director: Mayor(2) Promotion and education activities of Safe Community
Matsubara City has been proactively carrying out promotional and educational activities of Safe
Community so that all community members can work together to promote Safe Community activities.
1) Use of horizontal & vertical banners and banner-flags
With the aim to widely diffuse the city-wide initiatives for Safe Community activity, Matsubara City
mounted horizontal and vertical banners at the main entrance of City Office and at the bicycle parking
area in front of Kawachi-Amami Station. Further, when the events on Safe Community and various
prevention activities are implemented, banner-flags with publicizing slogans are put up.

2) Enlightenment by posters in the trains and stations
Posters with catch copies on Safe Community are posted in the
trains and at four train stations in the city to inform people withthe concept of Safe community.

373) Distribution of promotional items
For the events and preventive activities of
Safe Community, promotional items
carrying the slogan are distributed to
publicize Safe Community.

4) Use of official envelopes
With the aim to promote Safe Community activity, theenvelopes on which information on SC activity is printed
have been made and used for official city mails.

5) PR activity by use of various media
The city’s PR brochure, website, and other media are utilized to promote SC activity among citizens.
Particularly notable is the city’s brochure, which has a column regarding Safe Community every month,where details of ongoing initiatives for the priority subjects, etc. are introduced.

6) Visiting lecturers program
With the intention to promote understanding of Safe
Community activity and of current situations of
injuries/accidents occurring in Matsubara City for raisingcooperation among citizens, the city has the lecture programwith lecturers visiting each local community. Since its start inNovember 2011, Safe Community activity has been
introduced to 6 organizations and 223 people in total by thisprogram to date.
7) Lecture meetings and symposiums
Safe Community activity has been publicized proactively at thelecture meetings held by the City Government and at lecture
meetings, symposiums, etc. held by local organizations. Since thestart of SC activity in FY 2011, a total of 7 events have been held,
gathering 1,916 participants in total.

38

Indication 2 Long-term, sustainable programs covering genders and all ages,
environments, and situations(1) Entire picture of prevention programs
Matsubara City has already been carrying out various initiatives for safety improvement, including
prevention activities by covering both genders, all age groups, and environments.
In the table below, the numerical value in the upper column for each environment/age group indicates thenumber of measures that have been taken. The typical measures taken for each corresponding purpose are
explained on the next page and after. The alphabet in the lower column each corresponds to the measuresof that alphabet on the next page and after.
Table 4-4

Number of Prevention Activities by Age Group and by Environment
Age groupChild
0-14 yrs. Old

Adolescent15-24 yrs. old

Adult
25-64 yrs. old

Elderly
65 yrs. old and above

7

7

8

20

A/B

B

B

B/C/D

5

5

G

G

18

12

12

12

F/H/I

I

I

I

7

7

7

7

J/K

J/K

J/K

J/K

8

8

8

8

L/M

L/M

L/M

L/M

42

30

26

28

N/O/P

O/P

O/P

C/P

10

11

11

10

Q/T

R/S/T

R/S/T

S/T

29

25

25

26

U/V/W

V/W

V/W

V/W

(1) Home Safety
16
Unintentional accident(2) School Safety
E/F(3) Work place Safety(4) Traffic Safety(5) Leisure/sports Safety

Intentional factor(6) Other public places
Safety(7) Violence/abuse
Prevention(8) Suicide Prevention(9) Safety at Disaster* The number of measures for each age group also includes the numbers of measures applying to all age groups andof measures applying to plural environments.
* Each measure, in principle, cover both genders.

39(2) Major prevention activities
Some of the major prevention activities now being carried out in Matsubara City are introduced here.
1) Safe home
A: Enlightenment of prevention of infant accident at home
TargetParents of infant

Objective

Outline of activity

Preventing infant’s
accident at home

Through using group guidance/brochures/
panels and various opportunities such as
4-month health check, to raise awareness of
prevention of accidents frequently occurs for
infants (accidental ingestion, falling, etc.).

Party implementing/concerned
Matsubara City Government

B: Emergency call system
TargetCitizens in all age
groups (incl. severely
disabled persons, etc.)

Objective

Outline of activity

Early confirmation of To lend out emergency call device and pendantsafety of severely
type portable emergency call units to be worn
disabled people
on the body to the elderly and severely disabled
persons who are difficult to make emergency
call.

Party implementing/concerned
Local Welfare & Children’s
Care Commissioners
Meeting, Fire Station,
Matsubara City Government

C: Stay-at-home (hikikomori) prevention program
TargetElderly

Objective

Outline of activity

Safety of the elderly
living alone

In order to safety confirmation and isolation
prevention, members of Senior Citizens’ Club
regularly visit single-life elderly persons andbedridden elderly persons.

Party implementing/concerned
Matsubara City Federationof Senior Citizens' Clubs

D: Municipality SOS network of aged wanderers in Minami Kawachi area
TargetElderly

Objective

Outline of activity

Early discovery andensuring of securityof aged wanderers

When an aged person becomes missing due towandering, etc., the missing person’s
characteristics are supplied based on
information from family to the collaborative
organizations (a total of 63 organs including
neighboring 9 municipalities, public facilities
within the City, and elder care homes) to leadto early discovery.

40

Party implementing/concerned
Elder care homes within theCity, Neighboring 9
municipalities, Matsubara
City Government

2) Safe school
E: Safety-school support program for public elementary schools
TargetElementary school
pupilsObjective
Preventing criminal
damages caused bysuspicious person
inside the elementary
schoolOutline of activity

Party implementing/concerned

As school safety measures, to station a guard at Matsubara City Government
the school gate to check/meet/respond tovisitors, thus preventing entry of a suspicious
person.

F: Child watch activity on the way to & from school
TargetElementary school
pupilsObjective

Outline of activity

Preventing traffic
accidents andcriminal damages ofchildren on the way
to & from school

In order to ensure safety on their way to &from school, to watch children by standing at
hazard-prone spots such as intersections.

Party implementing/concerned
Neighborhood Community
Association, PTA,
Matsubara City Federationof Senior Citizens' Clubs,
Matsubara City Government3) Safety at work
G: Osaka Zero-Danger Initiatives
TargetWorkers

Objective
Preventing industrial
accidents

Outline of activity

Party implementing/concerned

To hold lecture meetings, etc. on industrial
Osaka Labor Bureau, Labor
health during the National Safety Week and the Standards Inspection Office,National Industrial Health Week
private business4) Safe traffic
H: Services to encourage the purchasing of bicycles with child seats for safety carrying two infants
TargetInfants

Objective

Outline of activity

Preventing damages
due to traffic
accidents on abicycleTo increase awareness of traffic safety andprevent traffic accident by promoting bicycles
that meet the safety standard to carry two
infants. A half of the purchase price issubsidized (maximum 50,000 yen).

Party implementing/concerned
Matsubara City Government

I: Traffic safety campaign
TargetCitizens in all age
groupsObjective
Promoting traffic
safety awareness

Outline of activity
In collaboration of the Matsubara City
Federation of Senior Citizens’ Clubs and the
Police Office, to conduct enlightenment
activity on 15th every month, by calling for
traffic safety at 4 stations in the City.

41

Party implementing/concerned
Matsubara City Federationof Senior Citizens' Clubs,
Matsubara Police Office

5) Leisure and sport safety
J: Training session for sports safety
TargetCitizens in all age
groupsObjective

Outline of activity

Preventing accidents
in sports

To hold training sessions by inviting a sports
doctor as a lecturer.

Party implementing/concerned
Matsubara Sports
Association, Matsubara City
Government

K: Children’s amusement park improvement program and inspection of play equipment in parks
TargetCitizens in all age
groups(Park users)

Objective
Preventing accidents
in a park

Outline of activity

Party implementing/concerned

To conduct periodical inspection of playground Specific contractor,
equipment by a special contractor and to
Matsubara City Government
maintain children’s amusement parks that canmeet the standards in consideration of safety,
comfort, and user-friendliness.

6) Safe public places & others
L: Installation of AED and training sessions for emergency and critical care
TargetCitizens in all age
groupsObjective

Outline of activity

Life-saving for the
injured and the sickTo enable prompt life-saving activities by
installing AED in all public facilities and someconvenience stores in the City and to train themembers chosen from among citizens withcorrect cardio-pulmonary resuscitation andfirst-aid treatment so that they can serve as
helpful “Bystander” at casualty sites until
patients are brought to the medical institution.

Party implementing/concerned
Volunteer fire corps,
Federation of Women’s Fire
Prevention Clubs, Schools,
Fire Station Headquarter,
Matsubara City Government

M: Agricultural facilities improvement program
TargetCitizens in all age
groupsObjective

Outline of activity

Preventing accidents
in agricultural
facilities

With the aim to improve environment and toprevent disasters, to provide subsidies forconstruction/renovation of agricultural facility(water storage reservoir, etc.) carried out by
agriculture-related organizations (Irrigation
Associations, Land Improvement Districts,etc.).

42

Party implementing/concerned
Irrigation Associations in
Matsubara City, Land
Improvement District of
Miyake –cho( in Matsubara
City), Matsubara City
Government

7) Prevention of violence, abuse, and crime
N: Hello Baby program
TargetObjective

Parents of infants

Preventing childabuse

Outline of activity
By visiting families with a baby before 4months of age, by listening to parents’ worries
and problems, and by giving information &advice for supporting child care, to prevent
isolation of families with a baby so that soundenvironment is secured for baby care.

Party implementing/concerned
Local Welfare & Children’s
Care Commissioners
Meeting, Matsubara City
Government

O: Mother and child lifestyle support facility
TargetObjective

Outline of activity

Single mother family,
DV victims, etc.
(female)Securing life ofmother-child families
and protecting DV
victims

With the aim to protect mother without spouseand her children and DV victims, to receive
them in a temporary shelter, to furnish welfare
support for mother & child, and to giveassistance for their self-relianceParty implementing/concerned
Mother and child lifestylesupport facility, Matsubara
City Government

P: Subsidized program for installation/maintenance of security lighting
TargetCitizens in all age
groupsObjective
Crime prevention

Outline of activity

Party implementing/concerned

With the aim to deter crimes by lighting up
Neighborhood Community
streets, to subsidize a part of installation
Association, Matsubara City
cost/electricity expense of security lighting that Government
is managed by neighborhood community
associations.

8) Suicide prevention
Q: Educational counseling
TargetElementary/junior highschool students & theirparents

Objective

Outline of activity

Party implementing/concerned

Preventing children’s By conducting educational counseling andOsaka Prefecture Education
bullying
stationing school counselors to address
Board, Matsubara City
educational and mind/body problems ofGovernment
children/students, to carry out consultation activity
for children/students and parents. Educationalcounseling service of Matsubara City Education
Support Center is also available when needed.

R: Youth counseling and self-reliance support seminar
TargetObjective

Outline of activity

Adolescents/adults withproblem such as school
refusal, NEET, andstay-at-home(hikikomori)

Preventing suicide

Aiming at promoting social participation andself-reliance of targeted persons, to support thetargeted persons as well as their families

43

Party implementing/concerned
Kurumi-kai Yao, Osaka
Prefectural Government,
Fujiidera Health Center,
Social Welfare Council,
Matsubara City Government

S: Consumer affairs consultation project
TargetObjective

Borrowers having
difficulty withrepayment

Preventing suicide

Outline of activity

Party implementing/concerned

Aiming to prevent suicidal attempt triggered by
Matsubara City Government
multiple debts problems, to introduce appropriate
consultation organs, to conduct debt consultation
services, and to support for self-reliance.

T: Health education and health counseling
TargetObjective

Citizens in all age
groupsPreventing suicide

Outline of activity
To conduct health education and healthconsultation regarding suicide prevention.

Party implementing/concerned
Matsubara City Government9) Safety during disaster
U: Disaster prevention picture exhibition
TargetElementary school
pupilsObjective

Outline of activity

Party implementing/concerned

Promoting awareness To increase interest in disaster prevention among Schools, Matsubara Cityof disaster prevention children and to publicize awareness of disaster
Government
prevention while endeavoring to diffuse disasterprevention knowledge among citizens.

V: Matsubara City general disaster prevention drill
TargetObjective

Outline of activity

Citizens in all age
groupsPreventing disasterdamages andimproving responsive
ability to disasters

In order to respond to the assumed damages
caused by possible occurrence of a large-scale
natural disaster, to implement a practical drill
once a year jointly by many relatedorganizations such as neighborhood
community associations and voluntary disasterprevention groups.

Party implementing/concerned
Neighborhood Community
Association, Liaison Council of
Voluntary Disaster Prevention
Organizations, Volunteer fire corps,
Women's Fire Prevention Club,
Matsubara City Medical
Association, Private clinics,
Matsubara City Red Cross Service
Group, Matsubara City Crime
Prevention Council, Self Defense
Force, Matsubara Police Office,Osaka City Government, Fire
Station Headquarter, Matsubara
City Government

W: Disaster prevention drill organized by Local Network Project Council
TargetCitizens in all age
groupsObjective
Improving local
ability to prevent
disasters

Outline of activity
With the aim to reinforce the support systemwith neighborhood community associations in
the region and to increase awareness of
disaster prevention among elementary school
children, to hold a disaster prevention drill at
the schools on the Sunday Parents Visit Day.

44

Party implementing/concerned
Neighborhood Community
Association, Liaison Council of
Voluntary Disaster Prevention
Organizations, Volunteer fire corps,
Women's Fire Prevention Club,
Matsubara City Red Cross Service
Group, Fire Station Headquarter,
Schools, Matsubara City
Government

Indication 3 Programs that target high-risk groups and environments, andprograms that promote safety for vulnerable groups(1) Outline of high-risk groups and programs
Matsubara City considers the following groups to be high-risk groups: (1) Non-Japanese residents, (2)Abused children, women and elderly people (3) People with physical or other disabilities, (4) Residents
living along the rivers the Yamato River and others. The background and programs for these are explained
below.
1) Non-Japanese residents1)-1 Background of positioning as high-risk group
Looking at the transition in numbers of registered non-Japanese residents, it appears the population is
on the decline. As of October 1, 2012, 1,298 non-Japanese were residing in Matsubara City. While it isdifficult to understand the trends of injury among non-Japanese residents by analyzing existing data,
preventive programs are being carried for all residents of Matsubara City, regardless of nationality.
However, various programs have been implemented as it is possible that there will be problems within
daily lives due to a difference in language, culture and customs.
Table 4-5 Number of Registered
Non-Japanese Residents by
Nationality

Persons
（人）

1,800

男
Male
Female
女

1,600
1,400
1,200
1,000

726 681687 658 668 707 654 654
637 617

800
600
400

769 775 731 723 722 740 715 745 701 681

200
0

Source: Resident registration
As of March 31, 2013

Nationality

Registered persons(persons)

South Korea
China
Philippines
ThailandBrazilNorth Korea
Vietnam
Others

535
506
49
40
38
24
16
73

Year

Fig. 4-1

Transition of non-Japanese residents by gender(As of October 1 of each year)
Source:Resident registration1)-2 Programs for non-Japanese residents
a. Interpretation and translation support
Since June 2003, interpretation and translations support services have been available tonon-Japanese residents living in Matsubara City. Interpreters and translators are dispatched toanswer needs such as “I don’t understand what’s being said at City Hall or the Hospital”, or “Weneed documents in our native language.” We are attempting to provide non-Japanese residents withaccurate information on the government and region so that they may live safely without worries.

45

b. International Plaza “Momen” (Japanese language reading/writing class)
The International Plaza “Momen” is a place where non-Japanese residents living in Matsubara Citycan come and relax. People having trouble with the Japanese language or those looking for friends
can come and meet volunteers from the area, and learn Japanese in a fun environment. This plaza
provides not only a means to learn Japanese, but a place to become involved with the region,
resolve anxiety from living in a foreign country, and get information for a living worry-free.
2) Abused children, women and elderly peopleChildren and elderly people subject to abuse are explained in Indicator 4 (pages 49 to 72). Here, wewill explain women who are subject to abuse.
2)-1 Background of positioning as high-risk group
People who are subject to abuse, in general, tend not speak out about their own condition and rather,tend to suffer by themselves. Further, as it is difficult to know their conditions from the outside, so wehave positioned these people as a high-risk group, and have implemented preventative programs.
There were a total of 202 consultations about DV in the past four years. Most of these were fromwomen. There were a total of 16 cases of temporary protection implemented due to the urgency of theconsultation.

Table 4-6

Number of DV Consults Per Year
Source: Matsubara City Human Rights Section

Total

Total
From person
being abused

FY 2008
FY 2009
FY 2010
FY 2011
Average
Ratio

Female

Male

18
16
37
33
99
85
48
46
50.5
45
100% 89.1%

1
0
0
0
0.25
0.5%

Action in respect to consult

From otherperson

1
4
14
2
5.25
10.4%

18
37
99
48
50.5
100%

46

Temporary
protection

Referral toother agency

Advice/guidance

Provision of
information

0
4
8
4
4
7.9%

5
4
17
7
8.25
16.3%

6
16
60
28
27.5
54.5%

7
13
14
9
10.75
21.3%

2)-2 Programs for women subject to abuse
a. Women’s consultations
Expert counselors listen to the women’s problems, and give information according to each situation.
The counselors also give advice to help the consultant increase their self-esteem.
b. Mother and child lifestyle support facility
Mothers and children as well as women who need emergency evacuation from a spouse’s violence,
etc., are temporarily protected in a public, etc., protection facility.
3) People with physical or other disabilities3)-1 Background of positioning as high-risk group
The number of persons with disabilities in Matsubara City (hereafter, disabled persons) is increasing
each year. As of March 31, 2012, there were approx. 6,700 disabled persons living in Matsubara City.
It is difficult to understand the trends of injury among disabled persons by analyzing existing data.
However, such disabled persons are more susceptible to damage by having difficulties in movement or
by not having accurate knowledge of the situation at home, in public locations, or during disaster. Thus,
preventive programs have been implemented.
Persons

5,200
4,991
4,844
5,000
5,040
4,800
4,542
4,832
4,600
4,375
4,294
Physically disabled
4,645
4,400
身体障害者
person
4,439
4,200
4,345
Mentally retarded
4,000
知的障害者
person1,200
990
Mentally disabled
896 949
精神障害者
person
1,000
780 806 838759
726
705 694
800
600
664
400
542 583 633
576
553
485
442
411 468200
02003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Year

Fig. 4-2

Transition of disabled persons (As of March 31 of each year)
Source: Matsubara City Disability Welfare Section3)-2 Programs for disabled persons
a. Bodily function improvement training project for persons with physical disabilities
Strength-improvement training is provided to persons with a Disability Certificate to help them
maintain and improve their body function for daily life. An emphasis is made to ensure safety intheir daily lives.

47

b. Service for providing information on fire safety, etc.
An effort is made to ensure safety for households of only disabled persons or similar households byphoning of faxing information regarding fires in the neighborhood.
4) Residents living near the river including Yamato River and others4)-1 Background of positioning as high-risk group
During the typhoon and heavy rains in 1982, flooding of the
Nishiyoke River and Imaido River and backwater from the
Yamato River caused many cases of flooding. Fortunately, nolives were lost, but 1,963 homes were subject to serious damage
with flooding above floor level. Subsequently, rain water pumpfacilities were installed, and the riverbanks, etc., were modified
and there has been no serious water damage. However, theYamato River, etc., could still overflow in the event of heavy
rains, so residents along the Yamato River, etc., have been
positioned as a high-risk group, and preventive programs havebeen implemented.

Damage from the typhoon andheavy rain in August 19824)-2 Programs for residents along Yamato Rivera. “Hazard Map for Each Town in its Entirety”
Information regarding flooding, including flooding depths based on flooding
predictions and evacuation sites, etc., as Flooding Related Signs within thecommunity. These signs aim to enhance awareness regarding flooding, and toincrease knowledge on flooding depths and evacuation sites, etc. This willlead to safe and smooth evacuation activities in the event of a disaster, andwill help to minimize damage from flooding.

b. Local disaster prevention drill
The town and neighborhood fire prevention organizations carry out practical disaster prevention
drills in each neighborhood to confirm the necessary actions for emergencies, and help to prevent
increased damage.
c. Yamato River flood prevention drill and general drill of Osaka Prefecture regional disasterprevention
Practical drills of flood control methods, etc., are carried out with the Kinki Regional Development
Bureau, Osaka prefecture, cities neighboring the Yamato River, community residents andcommunities participating. This drill was recently held in 2011.

48

Indication 4 Programs that are based on the available evidence(1) Programs for each priority subject
Matsubara City has set a cross-sectional task force for each of the six priority subjects, and is carrying out
preventive programs through cooperation. The organization of each task force is given on page 35. In thissection, as programs based on available evidence, the programs for each subject pinpointed from existingdata and a factual survey on injury, safety and security, are explained for each task force.

1) Children’s Safety[Subject 1]
More than half of injuries to children in the 4 years and younger group are occurred at own home. Of
these, most occur in the living room. (Fig. 3-12, Fig. 3-13 on page 16)[Subject 2]
Tumbling/falling was the main cause of injuries indoors by children in the 4 years and younger group.
(Fig. 3-14 on page 17)[Subject 3]
For preschoolers (ages 0 to 5), injuries at nursery school or kindergarten followed those sustained at homeor neighborhood. The main cases were tumbling/falling, and contact/collisions with person/objects.

0.8%

Own home andneighborhood

6.4%

9.6%

1.6%

Nurseryschool/kindergarten

4.0%

4.0%
1.6%

Roads/sidewalks

5.6%

Parks

0.8%

OthersOthers 1.6%

Fig. 4-3

2%

Contact/collision with aperson/objects
Burn
Traffic accident

0.8%

0%

Tumbling/falling

4%

6%

8%

n=125

10% 12% 14% 16% 18% 20%

Rate of injury among preschoolers according to place
Source: Questionnaires for factual investigation of injuries, safety/security (2011)49

[Subject 4]
About half of injuries to elementary school and junior high school students occurred at school. There
were approx. 680 cases/year at elementary schools, and approx. 550 cases/year at junior high schools.
(Fig. 3-16, Fig. 3-17 on page 18)[Subject 5]
The number of consultations regarding child abuse is higher than the national levels.
(Fig. 3-41 on page 28)[Subject 6]Approx. 40% of the respondents did nothing even when they heard about abuse.
39.6%

Did nothing in particular

35.2%

Consulted with friend/acquaintance
Consulted with school, etc.

6.5%

Consulted with City Hall, etc.

2.4%

Consulted with Child Home Center, etc.

1.4%

Consulted with Local Welfare/Child Counselor,
etc.

0.4%
14.5%

Others0.0%

Fig. 4-4

10.0%

n=266

20.0%

30.0%

40.0%

50.0%

Action when hearing about abuse (2009)

Source: Investigative report regarding Matsubara City's next-generation education[Subject 7]
Consultations from the community such as neighbors, acquaintances, family, relatives, child counselors
or the child being abused are still infrequent compared to public agencies.
Schools, etc.

25.3%

Municipalities

15.3%
14.9%

Neighbors/acquaintances

10.3%
10.0%

Child welfare facility, designated medical institution

Prefecture
Health Center or medical institution
Family/relative
Police, etc.
Child counselor
Child being abused

5.7%
3.9%
2.5%
0.4%
0%

n=281

Others

11.7%

0.0%

Fig. 4-5

10.0%

20.0%

30.0%

Ratio according to abuse consultation route (2011)
Source: Matsubara City Child Care Support Section50

[Subject 8]
When looking at the abuser, 72.6% of abuse is at the hands of the birth mother. The burden parenting
appears to be a major cause. The percent of preschool and elementary school parents who find it difficult
to obtain information on parenting support services, which can help reduce this burden, is high at 34%.
Unknown

Mother otherthan birthmotherFather
0.4%
Othersother than
20.3%
real father
1.1%

12.0%

Can
not say

n=281

Real father
5.7%

Easy toobtain2.0%

n=1,578

52.0%

Difficultto obtain

34.0%

Birth mother72.6%

Fig. 4-6

Ratio according to abuser (FY 2011)

Fig. 4-7 Easiness of obtaining information onparenting support services (2009)

Source: Matsubara City Child Care Support Section

Source: Investigative report regarding Matsubara
City's next-generation education[Subject 9]
Persons who are parents of preschool and elementary school children can consult with regarding
parenting tends to be parents, family, neighbors or acquaintances. There are few people seeking advice
from public agencies who provide expertise advice.

Family or
relative
親や家族
近隣・知人
Neighbor/acquaintance
School,etc.
学校等
育児書・インターネット
Parenting book/internet
Child
Support Center, etc.
子育て支援センター等
City市役所等
Hall, etc.
その他
Othersいない
Has no confidant
0Fig. 4-8

50
67
34
58
13
23
11
22
24
8
22

536

144

570
556

657

就学前児童
Preschooler

Elementary
小学生
school pupil
200

400

600

800 persons

Person to confide in about worries and anxiety regarding parenting (2009)
Source: Investigative report regarding Matsubara City's next-generation education

51

[Preventive measures for each subject]
Prevention target 1: Falls by preschoolers at own home, etc. (From Subject 1, 2, 3)■ There are many falls at own home, but safety measures are insufficient.
Measure (1)TargetPublication of safety Parents ofmeasures by means of 0 to 5 year olds
leaflets, etc.

Party implementing

Results

Matsubara City Medical
Association,
Pharmacist
Implemented from FY 2013
Association, Child Care
Support Center
Details of program

To provide parents with knowledge on safety at home, publish and leave leaflets at facilities including pediatrician, ear
doctor, dermatologist, pharmacy and child care support center, etc.

■ Most injuries sustained by preschoolers are caused by falls.
Measure (2)TargetImprovement of bodily Preschoolerfunctions

Party implementing

Results

Kindergarten, nursery school, Implemented at 9 public kindergartens andvarious related groups
7 public nursery schools in the city
Details of program

During kindergarten or nursery school hours, encourage children to use body parts usually not moved and entire body by
doing warm up exercises before playing outside, etc.

Prevention target 2: Injuries at school (From Subject 4)■ 40% of injuries sustained by elementary school children occur at school.
Measure (3)TargetParty implementing

Preparation of school Elementary school Matsubara
safety maps
pupil
Elementary School

Results

Higashi School map is currently being prepared(from FY 2012)

Details of program
A school safety map is being prepared. When a child is injured, he/she puts a mark on the map where the injury occurredto provide a visible indicator. This map is also used in Measure (4).

■ Activities incorporated in measure (3) are used to maintain hazardous areas in the facility.
Measure (4)TargetParty implementing

School safety measure Elementary school Matsubara
activity
pupil
Elementary
Matsubara City

Results

HigashiSchool, Implemented from FY 2013

Details of programChildren organizations and various task forces are promoting activities related to cautions and safety measured based on
the results of measure (3), etc. This is ultimately linked to maintenance of hazardous situations along with the results ofmeasure (3).

52

Prevention target 3: Child abuse (From Subject 5, 6, 7, 8, 9)■ Few people consult or notify authorities even when they hear of abuse.
Measure (5)TargetEducational activities to All citizens
educate on child abuseproblemParty implementing

Results

Matsubara City Child Lectures
Care Support Section,
FY 2011 (4 lectures, total 167 participants)
Child and Home Center
FY 2012 (4 lectures, total 158 participants)
Details of program

Lectures, etc., on child abuse are held to teach citizens correct information regarding child abuse so that family andneighbors do not overlook signs of child abuse, etc.

■ Many people feel the burden of parenting is large, but find it difficult to obtain support andinformation regarding parenting so as to reduce their burden.
Measure (6)TargetPreparation
and Parents of children
distribution of leafletson child care support

Party implementing

Results

Matsubara City
Medical Association,
Matsubara City
Pharmacist
Association, Child
Care Support Center

Implemented from FY 2013

Details of program
Agencies providing child care support will collaborate and cooperate to share information. A leaflet, etc., regarding childcare support that matches the citizens’ needs will be prepared and distributed.

Changes and findings through Safe Community activities (newly started activities, etc.)● A sense of collaboration was established with various groups who have been involved with child safety throughrepeated meetings and programs.
● Facilities that previously had little communication with others, such as kindergartens and nursery schools, etc. are now
able to share information of their programs, and then utilized the information in their own programs.
● From FY 2013, a system to collect data related injuries occurring at school, etc. and treated by a medical institution has
been incorporated at all 15 schools, and collaboration between schools has increased.

532) Elderly Safety[Subject 1]
Elderly injuries caused by tumbling/falling are increasing. [Fig. 3-20 on page 20][Subject 2]
Homes are increasing the place where tumbling/falling occur indoors. [Fig. 3-22 on page 21][Subject 3]
Lack of exercise is increasingly the cause of tumbling/falling.
Persons

45
40
30

7

25

7

20
15
10
5
0

その他
Others

7

35

7

5
3
2
5

2
2
4

65～69

70～74

Fig. 4-91

病気によるもの
Illness
4
5
4
3

11

11

75～79

80～

Living environment
住環境によるもの
視力の低下
Decline in eyesight
運動不足
Lack of exercise
Age

Cause of tumbling/falling (2011)
Source: Questionnaires for factual investigation of injuries, safety/security[Subject 4]
The number of consultations regarding elder abuse (Fig. 3-42 on page 28) and the number of actually
abused people are both increasing.
Case

30

Matsubara City

24

Osaka Pref.
20

Whole nation
14
13

10

0
2007

Fig. 4-10

2008

2009

2010

2011 FY
FY

Transition of actual number of abuse victims (per population of 100,000)
Source: Elderly Care Section of Matsubara City

54

[Subject 5]More than half of the abuse victims have dementia.

Withdementia
54.2%
No
dementia
45.8%

Fig. 4-11

ｎ=83

Dementia patients among abuse victims (Statistics for FY 2007 to 2011)
Source: Elderly Care Section of Matsubara City

[Preventive measures for each subject]
Prevention target 1: Elderly injuries caused by tumbling/falling (From Subject 1, 2, 3)■ Homes are increasing the place where tumbling/falling occur indoors.
Measure (1)TargetImprovement in indoor Elder aged
environment
65 or older

Party implementing

Results

Local
welfare (FY 2012)
commissioner
Number of distributed pamphlets: 2,065 copies
Senior Citizens' Club
Details of program

Pamphlets showing examples of fall hazards in homes, and examples of strength training that elders can do on their own
were distributed at the “Friendship Salon” held in each neighborhood. Understanding on indoor hazards was increased.

■ Lack of exercise is increasingly the cause of tumbling/falling.
Measure (2)TargetExercise program for Elder aged
fall prevention
65 or older

Party implementing

Results

Matsubara City(FY 2011) Held 256 times
Community
Total of 2,034 persons participatedComprehensive
SupportCenterSenior Citizens' Club
Local
welfarecommissioner
Details of program

A program was carried out for senior citizens who have not yet received certification of long-term care needed in hopes ofimproving their physical ability and reducing the need for long-term care.

55

Prevention target 2: Elder abuse (From Subject 4, 5)■ The number of consultations regarding elder abuse and the number of actually abused people are bothincreasing.
Measure (3)TargetEarly
detectionof Elder aged
abuse, and network for 65 or older
proactive
measures(Sharing of information,
Mimamori(watching) activities)

Party implementing(FY 2010)
Community
Comprehensive
Support 2 districts
Center(FY 2011)
2 districts
Senior Citizens' Club
District welfare counselor (FY 2012)
Local
welfare 4 districts
commissioner
Social Welfare Council
NPO Corporation Care
Support Group “Matsubara
Family”

Results
549 persons visited
565 persons visited
946 persons visited

Details of program
Senior citizen watch and security check visits were made in each district. Places where senior citizens, who are easily
isolated, can easily visit were provided, and persons needing watching were identified.

■ More than half of the abuse victims have dementia.
Measure (4)TargetCorrect understanding All age groups
andawarenessofcognitive impairment
and abuse (Dementia
supporter
training
seminars, etc.)

Party implementing

Results

NPO Corporation Care (FY 2010)
Support Group “Matsubara 8 sessions 376 persons
Family”(FY 2011)
Community Comprehensive 13 sessions 562 persons
Support Center(FY 2012)
Social Welfare Council
15 sessions 534 persons
Details of program

Dementia supporter training seminars, etc., were carried out to educate and increase understanding on dementia.

Changes and findings through Safe Community activities (newly started activities, etc.)● By handing out pamphlets at meetings of senior citizens, etc. the community groups have worked to alert seniorcitizens of places where there are high risks of falling in homes, and to teach methods of increasing strength. The
number of people who understand ways of preventing falls and injury, and actually practicing those methods has
increased.
● Groups participating in the senior citizen Safety Task Force Committee have exchanged opinions to create a stronger
network for early detection and preventive measures of elder abuse.

563) Traffic safety[Subject 1]
45% of people transported by ambulance from a traffic accident were riding their bicycles when involvedin the accident. (Fig. 3-29 on page 24) In age groups, the rate of children and elderly was highest.
Persons

No. of persons injured whileriding bicycle (left)
Ratio to population (right)
0.31%
0.29%
0.36%
0.29%
0.25%

0.65%

50
40

0.40%
30
0.34%
0.30%
43
20
10

14

22 23

0.32%

0.70%
0.60%
0.50%
0.40%

0.18%
0.20%
0.18% 0.16%
36
0.16%
0.12%
25 27 27 2720
17
12 13 13
10 12

0.30%
0.20%
0.10%

0

0.00%
Age

Fig. 4-12 Number of persons injured while riding bicycle and transported by ambulanceaccording to age group, and ratio to population in each age bracket (2011)
Source: Ambulance call-out data

[Subject 2]
Bicycle riders are often the victims in an accident, but the percentage of riders who are breaking the law
is high (table 4-7). When persons who have never been in an accident are compared to those who havebeen in an accident, those who have never been in an accident are more likely to follow the rules.
(Fig. 4-13)
Table 4-7

Number of Cases According To Traffic Accident Perpetrator and Victim
Source: Police Statistics (2011)

Automobile

Motorbike

BicycleOther vehicle

Pedestrian

OthersTotal (cases)

638

74

4

0

0

16

732

Has broken law

47

143

188

1

24

15

418

Has not broken
law

211

27

47

0

27

0

312

Perpetrator

Victim* The perpetrator is the 1st party, and the victim is the 2nd party.

57

90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Travel travel onon road left side

PedestApparel2 peopleNight
Traffic
riantravelon biketime light lightpriorityprohibit

Biking
Biking
BikingInter- while on while
while
sectioncell
holding listening
phone umbrella to music

With no experienceof accident

48.3%

55.6%

71.8%

81.4%

56.9%

80.1%

85.3%

71.3%

82.1%

43.5%

78.1%

With experienceof accident

47.3%

58.2%

56.0%

71.4%

51.6%

75.8%

73.6%

49.5%

68.1%

27.5%

65.9%

Fig. 4-13

Rate of traffic accident experience and observation of rules (2011)
Source: Survey on bicycle use (Osaka Prefecture Ikuno High School)[Subject 3]
Many traffic accidents occurring to bicycle riders occur at intersections.
Table 4-8

Number of Bicycle Accident Incidents According To Road Type (2011)
Source: Police Statistics

Intersection

Near intersection

General road(at curve or turn)

General road(others)

Train crossing,bridge, tunnel, etc.

Total

134

8

4

92

0

238

[Subject 4]
In the age 0 to 4 group, the rate of injury to the head was high. However, the rate of child helmet usage
was extremely low at 14%.
Age

3.6%

1.8%

0 to 13(n=56)

41.1%

8.9%

Head

23.2%

21.4%

Face
Neck area

Of which 0 to 6
(n=26)

50.0%

15.4%

15.4%

19.2%

Upper limb
Truck

Of which 0 to 4
(n=14)

64.3%
0%Fig. 4-14

20%

21.4%
40%

60%

14.3%

80%

Lower limb

100%

State of head injury to child when riding bicycle (2011)
Source: Ambulance call-out data

58

Make
child
wear
helmet
14.0%

Know
18.2%

Do not
make
child
wear
helmet86.0%

Do not
know
81.8%

n=236

Fig. 4-15 Level of awareness regardingchild helmet use (2012)

Fig. 4-16

Rate of child helmet use (2012)
Source: Bicycle use survey (both)* In Japan, the parent has an obligation to make an effort to make children under the age of 13 to wear aprotective helmet when riding a bicycle.
[Preventive measures for each subject]
Prevention target 1: Accidents and injuries involving bicycles at hazard areas (From Subject 1, 3)■ Many traffic accidents occur at intersections.
Measure (1)Preparation
safety maps

TargetParty implementing

Resultsof Places where risk Matsubara Kotsu Co., Ltd., (FY 2012)of accidents is Kintetsu Driving School,Prepared in one junior high school district
high
Neighborhood associations,
PTA Council, Matsubara
Police Office, MatsubaraCity
Details of program

Identify the places where the risk of bicycle accidents is high.
Distribute the prepared map through schools and neighborhood associations, to alert people of hazard areas.

■ There are high risk areas where many accidents occur.
Measure (2)TargetImplementation of Roads
Safety measures forhazard areas

Party implementing

Results

Neighborhood associations, (FY 2012)
Road controller, Matsubara Traffic signs:
19 places
City
Road markings:
177 places
Maintenance of traffic safety measures such as
separation of sidewalk and road:6 places
Details of program

In addition to the current road markings and signs, road markings and signs will be installed at the places unidentified withmeasure (1) to increase caution.

59

Prevention target 2: Accidents and injuries involving children and elderly (Subjects 1, 2, 4)■ Many of the bicycle riders are involved in accidents after ignoring traffic rules.
Measure (3)TargetTraffic safety class Children
and training session
Elderly

Party implementing

Results

Matsubara Police Office, (FY 2012)
Elementary schools in city
Matsubara City
Total 13 times, total 4,992 participants
Junior high schools in city
Total 4 times, total 1,630 participantsHigh schools in city
Total 2 times, total 1,450 participants
Facilities for elderly
Total 13 times, total 536 participants
Details of program

At the traffic safety classes and seminars, participants are informed of rules and manners for riding bicycles. Knowledge
on safe bicycle use is increased. Special emphasis is placed on confirming safety at intersections.

■ Rate of child protective helmet use is low.
Measure (4)TargetEducational seminar Parents ofregarding helmet use preschoolers andElementary school
pupilsParty implementing
Nurserykindergartens

Results

schools, (FY 2012)
One kindergarten in city, 43 participants

Details of programFirst, the effect of wearing a protective helmet was conveyed to parents of preschoolers (the age group with highest injury
incident). Parents were educated to use protective helmets with their children.

Changes and findings through Safe Community activities (newly started activities, etc.)● A safety map for bicycle use was prepared to identify places where accidents involving bicycles occur easily. In
addition to places where accidents actually occurred, information was collected from taxi drivers, driving school
teachers and the neighborhood association, etc., to find hazards from the point of a vehicle driver, bicycle user andpedestrian, etc.
● The rate of bicycle accident cases was highest among high school students. However, there was no data to show how
the rules were not observed. A survey regarding bicycle use was carried out with the cooperation of a high school.
Based on the results of the experience of accident and rate of rule observance, traffic safety classes emphasizing safety
confirmation at intersections were carried out.
● Programs specializing in protective helmet use were not carried out in the past. However, data showed that the rate ofhead injury was high in traffic accidents involving children on bicycles, so educational activities were held at akindergarten to promote the use of helmets by children.

604) Crime prevention[Subject 1]
Street crime makes up about half of the criminal cases occurring each year. (Fig. 3-37 on page 27)[Subject 2]
The rate of street crime is particularly high in the areas covered by police boxes in front of stations.
Front of Kawachi-Amami Sta.
Front of Kawachi-matsubara Sta.
OkamachiTakaminosato
Oohorimachi
Shinmachi
Gadomachi
Miyake

276
248
143
142
131
123
120
92
0

50

100

150

200

250

300 Case

Fig. 4-17 Number of reported street crime cases according to police(Average for FY 2009 to FY 2011)
Source: Police Statistics[Subject 3]
The number of incidents involving children, such as strangers calling out to children, is on the increase.
(Fig. 4-18)[Subject 4]Many of the incidents involving children, such as strangers calling out to children, occur in the 14:00 to
20:00 time zone. (Fig. 4-19)
Case

Per 100,000

40

Case

14

35.6
36.6

30

10

24.0

8

20
10

12

12

18.5

15.9

Matsubara
City
Osaka Pref.

0
2008

2009

5.6

6

2010

2011

2012

4
2
0

2.2
0.2

1.4

2.2
1.2

5.8

1.4

0.4
Time

Year

Fig. 4-18 Transition of number of incidents Fig. 4-19 Number of incidents involving
involving children
children according to time zone
(Average for FY 2008 to 2012)
Source: Police Statistics

61

Source: Police Statistics

[Subject 5]
When looking at the time zone in which children from Matsubara City schools go home, schedules are
modified so that the children go home at the same time. However, in many cases the school ends at
different times for younger grades and older grades. In addition, the time that children go home can differ
depending on whether the child has after-school activities, etc.
Table 4-9

End of School Day for One School (2012)
Source: Board of Education

MondayTuesday

WednesdayThursdayFriday

1st grade

15:00

16:00

14:00

15:00

15:00

2nd grade

15:00

16:00

14:00

15:00

16:00

3rd grade

16:00

16:00

14:00

15:00

16:00

4th grade

16:00

16:00

15:00

16:00

16:00

5th grade

16:00

16:00

15:00

16:00

16:00

6th grade

16:00

16:00

15:00

16:00

16:00

[Preventive measures for each subject]
Prevention target 1: Street crime incidents (From Subject 1, 2)■ The rate of street crime is particularly high in the areas covered by police boxes in front of stations.
Measure (1)Installation of
security cameras

TargetParty implementing

Results

Streetsof Neighborhood associations, Total 101 cameras (as of April 1, 2013)
Matsubara City
AssociationofShop Data of map showing places where street crime
Owners, Matsubara Police occurs has already been prepared
Office, Matsubara City
Details of program

The neighborhood association and association of shop owners have installed security cameras. (The city has subsidized
some of the installation and service costs of cameras installed by the neighborhood association.) The cameras are installedbased on the places of street crime occurrence prepared by the task force. A Security Camera Installed sign is attached toeach security camera. However, increase the suppression effect in places with high levels of street crime, signs will be
posted at more visible places.

Prevention target 2: Crime involving children (From Subject 3, 4, 5)■ The incident of crimes involving children is especially high in the 14:00 to 18:00 when children gohome from schools.
Measure (2)TargetIdentify the usage of Child
the
child
watch activity
activity

Party implementing
watch Crime prevention
force members

Results

task A map showing hazard points on the schoolroute has been prepared for all 15 elementary
schools and applied to the child watch
activities. An investigation regarding schoolroute safety has been completed.

Details of program
Community volunteers watch the school route, etc., in the after-school hours during which children are easily caught up incrimes or traffic accidents. The state of those activities has been identified.

62

■ There are time zones that cannot be covered just by the child watch group activity.
■ Safety along school routes is covered by the child watch activities, but there are other places.
Measure (3)
Crime
class

TargetParty implementing

prevention Parents of elementary Schools
school children

Results
Carried out at all 15 schools from April 2013

Details of program
Homeroom teachers talk about crime prevention to parents after the school entrance ceremony and open school days. The
community will be asked to cooperate in preventing crimes involving children. The entire community will cooperate to
reduce damage.

■ Crimes involving children also occur after sunset (18:00 to 20:00)
Measure (3)TargetParty implementing

One House, One Gate Junior high school Community residents
Task force members
Lamp campaign
student
High school student

Results
 The community crime prevention members
patrolled the neighborhood and identified
places that are dark. (January to February
2013)
 This program is scheduled to be carried out ina model area (From April 2013)

Details of program
In areas where crimes involving children have occurred at night, community members will be asked to turn on theirentrance lights or outdoor lights to reduce the sense of uneasiness at night.

Changes and findings through Safe Community activities (newly started activities, etc.)● Regarding the installation of security cameras, the community and Police Office have cooperated to determine theinstallation places. The task force has marked where street crimes have occurred on a map. In cooperation with thebusiness district in front of Matsubara station, where the incident rate is particularly high, “Security Camera
Operating” signs have posted. The number of street crimes has decreased in areas around security cameras, and theeffect was confirmed.
● Regarding crimes involving children, a safety map has been prepared for all 15 elementary schools. It was confirmedthat this map has been utilized in child watch activities.
● There have been incidents of crimes involving children at night. The task force has identified places where crimes
involving children at night have occurred onto a map to identify hazard places. Areas where the One House, One Gate
Lamp campaign will be carried out have been decided. Activities will be carried out focusing on those areas.

635) Suicide prevention[Subject 1]
The number of suicides by men is higher than women. (Fig. 3-3 on page 11)
The numbers are especially high in the age 30 group, and the age 60 to 70 group.
Persons80
Matsubara Citymen
Osaka Pref.
men
Nation-wide
men

70
60
50
40

68.9
56.6
42.1

32.8

27.0

30

43.5

46.2

20
10
0

Fig. 4-20020yrs. and
20～
under

30～

40～

50～

60～

70～

80～

Age

Number of suicides by age per 100,000 people (Average for FY 2007 to 2011)
20yrs. andunder

Source: Demographic statistics[Subject 2]
The rate of self-harming behavior women is high in the age 20 to early 50s group.

Persons

180
160
140
120
100
80
60
40
20
0

169
Male

140 136

Female
111
93

43
26

55

69
49

86

71

74
54

36

36

48

25

45 46
36 32 29
31
31
25 25
18
16

Age

Fig. 4-21

Rate of self-harming behavior by men and women per 100,000 people (FY 2006 to 2011)
Source: Ambulance call-out data64

[Subject 3]
25% of respondents said that they had nowhere to seek advice when in trouble. The rate of persons
consulting with public agencies or medical institutions such as City Hall or the Osaka Pref. Fujiidera
Public Health Center is still very low.
No response
4%1%

Family

1%

3%
5%

7%

None
25%

39%

6%
n=318

n=318

Available
71%

Acquaintance/
friendWork
associate
Hospital
Local welfare
counselor
Public agency

38%

OthersNo response

Fig. 4-22 Availability of place toconsult when troubled

Fig. 4-23 Rate by place of consult whenavailable to person seeking advice

Source: Survey taken at suicide prevention task force seminar and panel exhibit (2012)[Subject 4]
77% of the respondents said they consult with family, acquaintances or friends. (Fig. 4-23)
Even if these persons are confided in, if they do not have expertise knowledge in the matter, they may
drive the person farther away.
29%
26%

Take the time to listen

ひたすら耳を傾けて聴く

Ask “Why they want to die”

「なぜそのように考えるのか」と理由を尋ねる

Refer to place where they can seek advice

17%

相談できるところを紹介する

Explain that “They must not die”

9%
7%
7%
4%

「死んではいけない」と説得する

Suggest “Go to the hospital”「とにかく病院に行ったほうがいい」と提案する

Encourage “Do your best to live”「がんばって生きよう」と励ます

Scold “Why are you thinking such stupid things”「バカなことを考えるな」と叱る

Do not listen, change topic

相談に乗らない、話題を変える

1%

0%

Fig. 4-24

10%

20%

30%

40%

How to handle the situation when close a person confide that he/she “wants to die”
Source: Survey taken at suicide prevention task force seminar and panel exhibit (2012)[Subject 5]
Although we can speculate on the cause of high suicide rate among elder males, there is no informationthat shows a clear cause. It is necessary to understand their feelings and state of life, etc.

65

[Subject 6]
28.1% of suicide victims have a history of attempts, and the possibility of re-attempting suicide is high.

Prior attempt
28.1%
0%

62.5%

20%

Fig. 4-25

40%

60%

9.4%
80%

No prior attempt100%

Unknown

Attempted suicides among suicide victims (2011)
Source: Cabinet Office survey[Preventive measures for each subject]
Prevention target 1: Suicides among men in 30s and senior citizens (From Subject 1, 3, 4)
Prevention target 2: Suicide attempters (From Subject 2, 3, 4)■ Many people have no one to confide in, and few people consult with public consulting agencies ormedical institutions.
Measure (1)TargetParty implementing

Results

and Person with worries, their Local welfare commissioner,
 Booklet introducing consulting services,of family,acquaintances Community Comprehensive
etc., was newly preparedand friends
Support Center, Matsubara  2,000 copies were distributed (FY 2012)
City

Publicity
expansion
consultation
services

Details of program
A booklet listing consulting agencies was prepared and distributed at various opportunities.
The booklet is distributed to participants of seminars about self-respect and suicide prevention, at community events, andother places where many people gather. While handing out the booklet, people are informed of the need to call out.

■ The rate of persons who confide in persons close to them, such as family or acquaintances, is high.
However, depending on the advice given, the person may be driven farther away.
Measure (2)Gatetraining

TargetParty implementing

Results

Keeper Family,acquaintances Local welfare commissioner, Seminars for citizens 3 times (97and friends, employees at Community Comprehensive participants)
consulting
agencies, Support Center, Medical City Hall information center employees 3
company management, institutions, Matsubara times (72 participants)
City
etc.
 Booklet about Gate Keepers published 2,000 copies distributed (FY 2012)
Details of program

Training of Gate Keepers, who can act appropriately when confined in by someone who wants to die, and can guide theperson on the required support (consulting agency), has been carried out at various places. In addition to training bylecturers, task force members have carried out seminars at hair dressers and restaurants. The necessity of Gate Keepers has
been promoted even to uninterested citizens at Citizen Seminars on Human Rights and various events. The goal is to train
360 persons a year.

66

Prevention target 1: Suicide among senior citizen men (From Subject 1, Subject 5)■ The cause of high suicide rate among senior citizen men cannot be identified.
Measure (3)TargetUnderstand of elderly Senior citizens
people’s problems

Party implementing
Matsubara City

Results
Scheduled for FY 2013

Details of program
Carry out a survey regarding the awareness and situation of gender role awareness and meaning of one’s life, etc., andcollect information to provide more accurate prevention measures for senior citizens.

Prevention target 2: Suicide attempters (From Subject 2, 6)■ Suicide attempters are at a high risk of suicide.
Measure (4)TargetParty implementing

Results

Support for survivors of Persons who have Osaka Pref. Fujiidera Carried out from January 2013
suicide attempts
attempted suicide Public Health Center,and have been Police Office
notified by police
Details of program
If requested by the person who attempted suicide or by the family, the police will send the relevant information to the
Osaka Pref. Fujiidera Public Health Center in hopes to create a link for consultation or medical attention. The person’s
situation will be followed.

Changes and findings through Safe Community activities (newly started activities, etc.)● It is believed that men in their 30s are busy with work and parenting that they do not have the time to consult with aconsulting agency or medical institution. To create a bridge for consultations through the wife, a booklet listing
consulting services, etc., was distributed at child care support salons managed by NPOs. This has enabledcollaboration with new fields.
● Exchange of opinions by task force members has led to stronger cooperation between related agencies and consulting
services.
● As a new means to approach suicide attempters, support for suicide attempters has been started in collaboration with
the Police Office. This program will connect attempters with consulting services and medical institutions.
● Gate Keeper training was started in FY 2012. Initially, city hall employees, task force members and interested citizens
were trained. In FY 2013, the program is scheduled to focus on persons such as local welfare and child counselors andcompany managers who are involved with high-risk persons.

676) Safety during disasters[Subject 1]
People have a high sense of insecurity regarding natural disasters. An earthquake, which will bringserious damage, is anticipated, but the citizens are not ready.
Traffic accidents

79.6%

68.7%
64.5%

Natural disasters
Fires
Crime

63.1%

Falling when outdoors

52.1%

Accidents at work

41.6%

Accidents during

39.6%

Injuries from violence

37.2%
35.6%

Falling at home
Drowning

30.5%

0%

Fig. 4-26

20%

40%

60%

80%

100%

Anxiety toward accidents, crime and disasters
Source: Questionnaires for factual investigation of injuries, safety/security (2011)

Table 4-10

Earthquake in Which Most Damage Is Established (2007)
Source: Osaka Prefecture(2007), Chuo Disaster prevention meeting(2012)

Disaster name

① Uemachi fault zone earthquake② Nankai Trough Quake

Activity scale

Magnitude 7.5

Magnitude 9.0

Seismic intensity

6 weak to 6 strong

6 weakEstimated fatalities

150 persons

9,800 person in Osaka Pref.

Estimated injuries

1,400 persons

65,000 in Osaka Pref.

Refugees

17,700 persons

Under the calculation

Victims

61,000 persons

Under the calculation

Table 4-11

Probability of Earthquake Occurring in Next 30 years (2007)
Source: ① Osaka Prefecture(2007), ② Chuo Disaster prevention meeting(2012)

Disaster nameGreat Hanshin Awaji Earthquake(occurred on Jan. 17, 1995)

Probability of occurrenceLess than 1% to 8%

Type of earthquake

Local inland type68

Disaster name

① Uemachi fault zone earthquake

Probability of occurrence

2% to 3%

Type of earthquake

Local inland type

Disaster name② Nankai Trough Quake

Probability of occurrence

60~70%

Type of earthquake

Subduction Zone typeEmergency supplies prepared38%

Evacuation route/evacuation place
confirmed

32%

Furniture, etc., fixed or reinforced

26%

Participation in evacuation drills

8%

Through reading of disaster prevention
maps
Participation in voluntary disasterprevention organization
Means to prevent glass from scattering

6%4%

n = 758

3%0%

Fig. 4-27

Even the highest rate of
preparation is 50% or
less

10%

20%

30%

40%

Situation of self-preparedness toward earthquake disasters
Source: Questionnaires for factual investigation of injuries, safety/security (2011)[Subject 2]
Approx. 80% of deaths in an earthquake are caused by suffocation or crushing under homes that havecollapsed or furniture, etc., that has fallen over. Approx. 60% of injuries are caused by furniture, etc., thathas fallen over.
Falls
duringevacuation

Others14%Fire9%
n=6,39313%

Suffocation
crushing
77%

Collapseof home18%

Fig. 4-28 Cause of deaths in Great Hanshin
Awaji Earthquake(1995)

Others1%
Falling
objects9%

n=122

Tippingover offuniture
59%

Fig. 4-29 Cause of injuries in Great Hanshin
Awaji Earthquake(1995)

Source: Ministry of Health, Labor and Welfare

Source: Amagasaki Fire Department

69

[Subject 3]
Injuries sustained by disaster-challenged persons, such as elderly persons, being left behind are
anticipated.
Great Hanshin Awaji Earthquake (1995)

East Japan Great Earthquake (2011)Over
60 yrs.
Youngeroldthan 60 n=6,393
58%
yrs. old
42%

Fig. 4-30

OverYounger
60 yrs.
than 60 n=11,108
oldyrs. old
65%
35%

Fatalities from large-scale disaster by age group
Source: White Paper on Disaster Prevention (2011)

Table 4-12State of Senior Citizens, etc., Considered To Be Disaster-challenged in Matsubara City
(as of March 1, 2013)
Source: Matsubara City

Certified as needing
long-term care

Physically disabled persons

Mental/Nursing
booklet holders

Total(actual numbers)

1,718 persons

4,890 persons

1,663 persons

7,393 persons

Number of disaster-support requiring persons registered for safety confirmation

65 persons[Subject 4]
The rate of senior citizen fatalities is high even in fires at ordinary times. (Fig. 3-49 on page 32)[Preventive measures for each subject]
Prevention target 1: Fatalities in earthquake disasters (From Subject 1, 2)■ Peoples’ insecurity toward natural disasters is high, but self-preparedness is insufficient.
Measure (1)TargetLocal
disaster Matsubara
prevention drills
residents

Party implementing

Results

City Resident groups such as (FY 2012) 7 times
880 participants
voluntary disaster prevention (FY 2012) 14 times
1,976 participantsorganizations, Matsubara City, Disaster prevention drills at elementary school
Fire Defense Headquarters
3 schools
2,172 participants
Details of program

Practice skills needed for initial response when an earthquake occurs, etc. Use Safe Community as a starting point topromote stronger collaboration among the region’s community. Add towel program and neighbor calling program to
improve safety confirmation rate to other skills including fire extinguisher training and pump use training, etc.

70

■ Many fatalities and injuries from falling furniture, etc. are anticipated.
Measure (2)TargetEducation
about Matsubara
measures to prevent residents
furniture tipping over,etc.

Party implementing
City Citizen groups such as (FY 2011)neighborhood association, (FY 2012)
Matsubara City

Results
13 times
14 times

1,834 participants
766 participants

Details of program
At the visiting lectures on disaster prevention sponsored by the city, the importance of measures to prevent furniture fromtipping over and various methods fixing methods are introduced. This has led to an increase in measures to prevent
furniture from tipping over.
From FY 2013, study groups led by citizen groups such as neighborhood associations are held in addition to the seminars
held by the city. These groups aim to increase awareness on the necessity, and to educate the people.

Prevention target 2: Fatalities and injuries sustained by disaster-challenged persons, such as elderly
persons (From Subject 3, 4)■ When a large-scale disaster occurs, the possibility of fatalities and injuries sustained by disaster-challenged
persons, such as elderly persons, is high.
Measure (3)TargetParty implementing

Results

Community watch-over Disaster-challenged Neighborhood associations, (As of end of March 2013)activity
persons, such as District welfare counselor, Persons registered for safety confirmationelderly persons
Local
welfare65 persons
commissioner, Community Areas carry out watch-over activities
Comprehensive
Support
6 districts
Center, Citizen groups suchas senior citizen clubs,
Matsubara City
Details of program
In each area, the disaster-challenged persons including elderly and disabled persons who need watching will be grasped.
These persons will be informed about the safety confirmation registration policy and urged to register.
To promote programs led by the neighborhood, the task force has created a manual on preparing an organization to watch
the disaster-challenged persons, etc., requiring help to evacuate in the event of a disaster. The number of neighborhoods
providing this service will be increased.

71

■ The rate of senior citizen fatalities is high even in fires at ordinary times.
Measure (4)TargetParty implementing

Education
about Disaster-challenged Women’s fire
residential fire alarms persons, including prevention club,and raising awareness elderly
persons, Voluntary fire corps,ontheir Matsubara
City Matsubara City, Fire
maintenance/control
residents
Department
headquarters

Results
Installation rate 76.1% (as of June 2012) Educational activities such as fire prevention
events(FY 2011)
Gazette circulation
24 times
Posters distribution
1,000 copies
Preparation/distribution offire prevention gazette
3,600 copies
Street corner education activities
14 times
 Number of cases of assistance for seniorcitizens, etc.
(FY 2011)
35 cases(FY 2012)
5 cases

Details of program
Use fire prevention events and gazettes, etc., to alert people of the importance of installing and maintaining a residential
fire alarm, and reduce victims who can’t escape in time when fire occurs. Provide assistance to single-person elderly
households and households of disabled persons to purchase and install fire alarms.

Changes and findings through Safe Community activities (newly started activities, etc.)● Since starting programs for Safe Community, self-help, mutual-help programs have increased. From FY 2012, disasterprevention drills have been held at elementary schools on the Sunday open school days. Children and parents, who
until now have had few chances to participate in regional disaster prevention drills, have participated. Carrying thesedrills out at elementary schools, which are designated evacuation places, has strengthened the link between school andcommunity residents.
● At the regional disaster prevention drills, a towel program and neighbor calling program have been incorporated toincrease the safety confirmation efficiency and prevent victims who can’t escape in time. This has future increase thecommunity’s disaster prevention force.
● It has been confirmed that the two prevention activities above have a greater effect through the cooperation of thegroups participating in the safety task force in the event of a disaster.
● Following advice received from auditor Cho in the preliminary screening, we have investigated the disaster prevention
measures enacted by each medical institution. In addition, the institution participates as a member of the safety task
force during large-scale disaster drills held in cooperation with the Medical Association and medical institutions. In the
future, we will study disaster prevention drills held in collaboration with medical institutions.
*: Towel programThis program increases the safety confirmation work efficiency. When a large-scale disaster occurs, if there is no one in
the home requiring assistance, a towel is tied onto the entrance door or gate to indicate there is no need for safety
confirmation.

72

Indication 5 Programs that document the frequency and causes of injuries(1)

Organization and functions of Injury Surveillance Committee

1) Organization of Committee
Medical institutions

Matsubara City Medical Association,

Matsubara City Dental Association

Educational institutions

Hannan University

Specialized institutions

Japan Institution for Safe Communities

Administrative organs

Osaka Pref. Fujiidera Public Health Center, Matsubara Police Office, Fire Station
headquarter, Matsubara City Government (Community Health Section)

2) Functions of Committee
a. Collection and analysis of data
Improvement of investigation and documentation methods, comprehension of perspective of
injuries and accidents, etc.
b. District diagnosis
Extraction of high-risk groups and priority topics
c. Structuring of sustainable external injury investigation system
Selection of configuration data, proposal of external injury investigation plan, etc.
d. Review of assessment system
General assessment methods, individual theme assessment methods, etc.
e. Support of committee activities
Provision of external injury data, advice on setting assessment indicators, etc.
(2)

Perspective of external injury assessment1)-a Demographic statistics
Serious
injury1)-c Statistics related tooccupational injuries1)-d National Health Insurance
statistics
3) Records on payment ofdisaster aid

Moderate injury
Mild injury(Outpatient care at medical institution)

Mild injury(Not seen by medical institution)4) Survey investigation

Danger, close call experiences

Fig. 4-31

Perspective of external injury assessment

731)-b Police statistics

Degree of severity

Death2) Ambulance call-out data

In Japan, there is no unified data collection and analysis organization for comprehending an outline ofexternal injuries. Various existing data and surveys, etc., are used as shown below.

(3)Data configuring external injury investigation

In Matsubara City, mainly (1) existing statistics from government agencies, (2) tabulations based on
ambulance call-out data, (3) tabulation of records for mutual aid disaster insurance payment for public
elementary and Jr. high school, and (4) questionnaires for factual investigation of injuries, safety/security
are used for the investigations.
Legend (1) Frequency(2) Surveyor
1) Existing statistical data from governmental agencies
a. Demographic statistics [1. Annual, 2. Ministry of Health, Labor and Welfare]
Data regarding death from illness, unintentional accidents and suicide is tabulated and analyzed tounderstand the trends and characteristics of citizen deaths caused by external injury, etc. Thissurvey is taken in populated places, and targets Japanese nationals.
b. Police statistics [1. Annual, 2. Police]
Data regarding crime and traffic accidents, tabulated by the police is analyzed to understand thetends and characteristics of incidents in the city. Data is tabulated by place of occurrence, andincludes visitors from other areas.
c. Statistics of industrial accidents [1. Annual, 2. Ministry of Health, Labor and Welfare]
In accordance with Industrial Safety and Health Laws, data on deaths from laborer death reports andinjuries resulting in four or more days of absence from work are tabulated and analyzed tounderstand the trends and characteristics. Note that this data is from the Habikino Labor Standards
Inspection Office that covers Matsubara City and contains the data for six cities, two towns and one
village.
d. Statistics of national health insurance [1. Annual, 2. Matsubara City] (75 years old and younger)
This social insurance is managed by the local public bodies, and supplies medical aid and medical
fees, etc. Changes in medical costs for external injuries are grasped by analyzing the receipts(medical cost invoices received from medical institutions).

2) Ambulance call-out data [1. Annual, 2. Fire Department]This data records the dispatch of Fire Department paramedics in response to accidents and injuries in
the city, transport of the patient to a medical institution and handover to a doctor. This does not include
mild injuries determined to not require transport to a medical agency. Data is tabulated by place ofoccurrence, and includes visitors from other areas. This data is positioned as essential data forinvestigating external injuries in Matsubara City.

3) Records of application for mutual aid disaster insurance payment for public elementary and Jr.
high school [1. Annual, 2. Matsubara City]
When requesting payment for medical fees for injuries (injuries, illness, disability or death) of student
while under the management of the school, the information recorded in documents submitted to theJapan Sport Council is stored in Matsubara's original database, and used for analyzing causes.

744) Questionnaires for factual investigation of injuries, safety/security [1. Generally, once every three
years, 2. Matsubara City]
Randomly selected households are surveyed regarding anxiety felt during daily life and the state ofaccidents and injuries that have occurred in the past year. The last survey was held in August 2011. A
survey and individual record was sent to 1,000 households whose head of household was 20 years orolder. Valid responses were received from 379 households, and the response rate was 38.28%.
(4)

Planning of continuous data collection

The following data is collected and analyzed to create a sustainable system of data for external injury
surveillance.
Table 4-13

Continuous Data Collection Planning Table

Data configuring external injury investigation

2011

2012

2013

2014

2015

2016

2017

Demographic statistics

●

●

●

●

●

●

●

Police statistics

●

●

●

●

●

●

●

Statistics of industrial accidents

●

●

●

●

●

●

●

Statistics of national health insurance

●

●

●

●

●

●

●

(2) Statistics based on ambulance call-out data

●

●

●

●

●

●

●

(3) Tabulation of records for mutual aid disasterinsurance payment for public elementary and Jr.
high school

●

●

●

●

●

●

●

(4) Questionnaires for factual
injuries, safety/security●(1) Statistics data from government agencies

investigationof●(5) History of External Injury Investigation and Assessment Meetings
2011

December 13

1st meeting

February 21

2nd meeting

April 16

3rd meeting

July 19

4th meeting

October 28

5th meeting

April 16

6th meeting

2012

2013

75

●

Indication 6 Evaluation measures to assess their programs, processes and theeffects of change(1)Progress control of Safe Community programs

Matsubara City advances its Safe Community activity by following the PDCA cycle consisting of PLAN,
DO, CHECK, and ACTION.

(4)
Implement
initiatives[Do]

Japan Institution for Safe Communities(3)
Plan initiatives[Plan](6)
Evaluate
performance(Short-term)[Check 1](2)
Select subjects(1)
Diagnose safety

External
evaluation(5)
Evaluate
activities(8)
Evaluate
performance(Long-term)[Check 3]

External
injury data

Injury Surveillance Committee

Matsubara City Safe Community Steering Committee(7)
Evaluate
performance(Mid-term)[Check 2]

Each task force committee

Safe Community Promotion
Headquarters (internal organization)(9) Evaluation of the overall activity of Safe Community [Check 4](10) Deciding on the direction of Safe Community activity(11) Preparation and publication of the annual activity report

Local communities

Fig. 4-32

Progress of City’s Safe Community program (image drawing)

76

(2)

Evaluation indicators for initiatives on each priority subject

Matsubara City has been carrying out activities by setting the short, mid, and long-term objectives andindicators for the initiatives on each of the subjects that were identified from the regional diagnosis, etc.
The objectives and indicators for the initiatives of each task force are summarized below.
As the initiatives are advanced, changes, etc. in the objectives and indicators for the initiatives are
discussed by each task force according to the progress state.
1) Children’s safety
Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 1: Tumbling of preschool child
Measures

Short-term performance indicator

Mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Increase in awareness of Indicator title:
preventing
accidents Recognition degree of safety Practice degree of safety measures Number of accidents inside theinside the housemeasures inside the houseinside the househouse1) To increase prevention
1) To increase the number of1) To reduce injuries inside theawarenesshouse
households that work on safetymeasures inside the house2) Ambulance call-out data
2) Questionnaire survey(every year)2) Questionnaire survey(every year)(every year)
3) Parents with a preschool child
Questionnaire survey3) Parents with a preschool child(every 3 years)
3) Preschool children
Improvement of body Indicator title:(0-5 years old)
function (diffusion of Physical ability of infants
infant exercise)1) To improve physical ability2) Measurement of physical fitness
3) Preschool children

Prevention target 2: Injuries at school
MeasuresPreparation ofsafety maps

Short-term performance indicator

Mid-term performance indicator

Indicator title:
school Indicator title:
Recognition degree of hazardous Attentiveness to behavior
areas1) To increase attentiveness tobehavior
1) To increase recognition of
hazardous areas
2) Questionnaire survey(every year)2) Questionnaire survey(every year)
3) Students of Matsubara-Higashi3) Students of Matsubara-Higashi
Elementary School
Elementary School

School safety measures Indicator title:
activity (evocation of Improvement ratio of hazardous areasawareness by way of the 1) To improve defective and hazardous areas
elementary
school 2) Verification by way of reports on improvement, etc. (every year)
students’ council)
3) School facilities

77

Long-term performance indicator
Indicator title:
Number of injury occurrences atschool1) To reduce injuries at school2) Data from the Disaster Mutual
Aid payment data (every year)
3) Students of Matsubara-Higashi
Elementary School

Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 3: Child abuse
Measures

Short/mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Increasein Indicator title:
understanding/awarenessCorrect understanding of child Number of abuse cases that are Number of serious cases of childof child abuse
abuse and knowledge of emergency detected and responded in early abuse
contact, etc.
stages1) To reduce the number of1) To increase correct
1) To increase the number ofserious cases throughunderstanding of child abusecases that are detected andencouraging consultation &responded in early stages
reporting of child abuse
and knowledge of emergency
contact, etc.
2) City's project statistics
2) City's project statistics(every year)(every year)2) Questionnaire survey(every year)
3) Children of 0-15 years old3) Children of 0-15 years old3) All citizens
Preparation
and Indicator title:
distribution of leaflets on Satisfaction in child care support
child care support
1) To increase satisfaction in child care support2) Questionnaire survey (every year)
3) Parents with a child
Mail delivery

Indicator title:
Anxiety about child care1) To reduce anxiety about childcare2) Questionnaire survey(every year)
3) Parents with a child2) Elderly safety
Prevention target 1: Injury among the elderly caused by tumbling/falling
Measures

Short-term performance indicator

Mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Improvement of indoor Indicator title:
environment
Recognition degree of indoor Implementation rate of environment Number of injuries caused byhazardous areas
improvement
tumbling indoors
1) To increase people who
1) To increase people who have1) To reduce the number of
acknowledge risk factors thateliminated risk factors that canpeople transported by
can lead to tumbling indoors
lead to tumbling
ambulance due to tumblingindoors2) Questionnaire survey2) Questionnaire survey(every year)(every 3 years)2) Ambulance call-out data
(every year)
3) Participants in the gatherings,
3) Households with a person aged
etc. (65 years old and above)
65 years old and above3) Elderly aged 65 years old andabove
Indicator title:
Indicator title:
Exercise program for fall Indicator title:
prevention
Awareness of program participants
Physical ability of program Number of injuries caused byparticipants
tumbling
1) To increase percentage of
people who recognize necessity
1) To increase physical ability of1) To reduce the number ofof care preventive measures
the participants
people transported byambulance due to tumbling2) Questionnaire survey after2) Measurement of physical2) Ambulance call-out data
participating the program
fitness (before and after the(summary for one year)
class)(every year)
3) Participants in the class3) Participants in the class3) Elderly aged 65 years old and
above

78

Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 2: Elderly abuse
Measures

Short-term performance indicator

Mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Network
ofearly Indicator title:
detection and proactive Number of the elderly identified in Number of cases in which watching Number of abuse cases
measures (Information the area
led to abuse consultation
1) To reduce the number of abusesharing & elderly watch 1) To increase the number ofcases1) To increase the number ofactivity)elderly identified in the area
cases in which watching can2) Project statistics of the City/
lead to abuse consultation
2) Project statistics of the City/
Community Comprehensive
Support Center (every year)
Community Comprehensive2) Project statistics of the City/
Support Center (every year)
Community Comprehensive3) Elderly aged 65 years old andSupport Center (every year)3) Elderly aged 65 years old and
above
above
3) Elderly aged 65 years old andabove
Correct
understanding Indicator title:
andawarenessof Number of people who have understanding about cognitive impairment
cognitive
impairment 1) To increase the number of people with correct understanding about
and abuse (Training
cognitive impairment & abuseprogram for cognitive2) Questionnaire survey after implementation of the lecture program
impairment supporter)(every year)
3) Participants in the lecture program, etc.

Indicator title:
Percentage of abuse cases forwhich cognitive impairment isrelated1) To reduce the percentage ofabuse cases for which
cognitive impairment is related
2) Project statistics of the City/
Community Comprehensive
Support Center (every year)3) Elderly aged 65 years old andabove3) Traffic safety
Prevention target 1: Accident/injury involving a bicycle at a hazardous area
（Countermeasure）
Development of Safety Map(focusing on dangerous spots regarding to bicycle related accidents）（Goal）
Increase the number of neighborhood communities with collect information on dangerous spots, thendevelop mas

Measures

Short-term performance indicator

Mid-term performance indicator

Improvementof Indicator title:
hazardous
areas Number of improvements and measures carried out for hazardous areas(Measures taken for 1) To identify hazardous areas and carry out improvements and measureshazardous
areas 2) Number of cases improved and road markings/signboards installed for
identified by the safety
hazardous areas
maps)3) Areas where improvement and installation of roadmarkings/signboards were carried out

79Long-term performance indicator
Indicator title:
Number of hazardous areas
1) To reduce hazardous areas(accident-prone areas)
2) Number of hazardous areas
3) Police Office records
Records ofmaintenance/improvement
performed

Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 2: Accident/injury involving a child/elderly on a bicycle
Measures

Short-term performance indicator

Mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Traffic safety class and Indicator title:training
session Recognition degree of traffic Percentage of people who observe Number of accidents & injuries(Dissemination& rules/manners for bicycles
the traffic rules/manners for while on a bicycle
improvement of traffic 1) To increase people who havebicycles
1) To reduce accident/injury
rules/mannersforwhile on a bicycle
knowledge of traffic
1) To increase people who havebicycle)rules/manners for bicycles
knowledge of traffic2) Ambulance call-out datarules/manners for bicycles(every year)2) Questionnaire survey(every year)2) Questionnaire survey
Police statistics data
(every 3 years)(every year)
3) Participants in the traffic safety
training program3) Bicycle riders
3) Bicycle riders
Indicator title:
Training program for Indicator title:
Indicator title:
awareness of wearing a Recognition degree of importance Helmet wearing rate for preschool Number of cases of child’s headprotective helmet (To of helmets
injury due to traffic accident
childrenputahelmeton 1) To disseminate importance of1) To reduce the number of cases
1) To increase parents who put apreschool children)of child’s head injury
helmets among parents
helmet on their preschool-aged
child2) Ambulance call-out data
2) Questionnaire survey(every year)(every year)2) Questionnaire survey(every 3 years)
3) Bicycle riders
3) Parents with a preschool childOn-site survey at kindergarten(preschool children)3) Parents with a preschool child4) Crime prevention
Prevention target 1: Street crime victimization
Measures

Short/mid-term performance indicator

Installation of security Indicator title:camerasNumber of security cameras installed
1) To increase the number of security cameras installed
2) City’s project statistics (every year)
3) Matsubara City, Neighborhood Association

Long-term performance indicator
Indicator title:
Number of occurrences of street
crimes in the areas installed withsecurity cameras
1) To reduce the number ofoccurrences of street crime in
the areas installed with security
cameras2) Police Statistics(every year)
3) Street crimes
Indicator title:
Sense of security in the areas
installed with security cameras
1) To improve sense of securityof the areas installed withsecurity cameras2) Questionnaire survey(every 3 years)3) Citizens

80Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 2: Crime victimization of children
Measures

Short-term performance indicator

Mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Indicator title:
Recognition of necessity of child Implementation rate of child watch Number of crime victimizations ofchildrenwatch in community
in community
1) To reduce the number of crime1) To increase recognition rate of1) To increase implementation
victimizations of children
necessity of child watch inrate of child watch incommunitycommunity
2) Police Statistics (every year)2) Questionnaire survey2) Questionnaire survey
3) Crime victimizations of(every year)(every year)
children3) Parents
3) Parents
Indicator title:
One House, One Gate Indicator title:
Indicator title:
Number of crime victimizations ofLamp campaign
Total number of awareness raising Number of street lamps lighted
children occurring at nightleaflets distributed
1) To increase the number of1) To reduce the number of crime
street lamps lighted
1) To increase the total number ofvictimizations of children
awareness raising leaflets
occurring at night2) Counting the number of street
distributed
lamps lighted in the pilot areas
2) Police Statistics (every year)2) Counting the total number of3) The pilot areas
3) Crime victimizations ofleaflets distributed (every year)
children occurring at night3) Model area
Crime prevention class* As for “verification of child watch activity”, no specific indicator has been set. This is because safety ofschool commuting roads both on the way to and from school has been secured and the necessary
measures for other sites and time zones were identified.

5) Suicide prevention
Prevention target 1: Suicide of men in their 30’s and of elderly men
Prevention target 2: Suicide attempt
Measures

Short-term performance indicator

Mid-term performance indicatorLong-term performance indicator

Indicator title:
Indicator title:
Publicity and expansion Indicator title:of consultation services
Number and rate of suicides
Number of awareness raising Consultation channels
brochures distributed
1) To increase the number of1) To reduce the number and rate
consultations by channelof suicides
1) To increase the total number ofawareness raising brochures2) Demographic statistics
2) Confirmation of consultation
distributed
channels(every year)2) Counting the total number of3) Consultations from men in3) Suicides from men in their 30’s
brochures distributed based on
their 30’s and from elderly men
and from elderly men
the number of brochures
remaining undistributed
Indicator title:
3) Citizens
Number and rate of suicide
attempts
Indicator title:
Gatekeeper training
1) To reduce the number and rate
Level of understanding of trainees
of suicide attempts
1) To increase level of2) Ambulance call-out data
understanding on the roles(every year)2) Questionnaire survey (after
3) Persons transported bytraining course)
ambulance in the City due to3) Trainees of the course
self-harming behavior

81Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 3: Suicide attempt
Measures

Short-term performance indicator

Mid-term performance indicator

Support for survivors of Indicator title:
Indicator title:suicide attempts
Number of cases of counselingNumber of cases of individual
counseling1) To increase the number ofcases of counseling via Police
1) Continuation of individual
Officescounseling
2) Health center statistics
2) Health center statistics(every year)(every year)
3) Number of survivors of suicide
3) Number of counselees
attempts

Long-term performance indicator
Indicator title:
Number and rate of suicide
attempts
1) To reduce the number and rateof suicide attempts
2) Ambulance call-out data
(every year)
3) Persons transported byambulance in the City due toself-harming behavior

6) Safety at the time of disaster
Prevention target 1: Casualties caused by earthquake hazard
Measures

Short-term performance indicator

Mid-term performance indicator

Regional disaster drillLong-term performance indicator

Indicator title:
Indicator title:
Indicator title:
Recognition degree of initial Implementation rate of initial Anxiety of disasters
responses at the time of earthquake responses at the time of earthquake 1) To reduce the percentage ofdisasterdisasterhouseholds with anxiety ofdisasters
1) To increase recognition degree1) To increase implementationof initial responses at the time
rate of initial responses at the2) Citizen's questionnaire surveyof disastertime of earthquake disaster(every 3 years)2) Survey on recognition degree2) Citizen's questionnaire survey3) Citizens(every 3 years)
before and after participation in
the drill (every year)3) Citizens
Indicator title:
3) Citizens
Number of casualties caused byearthquake disasters
Education
about Indicator title:
Indicator title:
measures to prevent Recognition of necessity of Percentage of users of measures to 1) To decrease the number ofcasualties caused byfurniture tipping over, measures to prevent furniture prevent furniture tipping over, etc.
earthquake disasters
etc.
tipping over, etc.
1) To increase the percentage of2) Reports/statistics on disasters
1) To increase recognition ofusers of measures to prevent(Statistic Bureau of Ministry offurniture tipping over, etc.
necessity of measures toInternal Affairs andprevent furniture tipping over,2) Citizen's questionnaire survey
Communications (MIC), Fireetc.
(every 3 years)
and Disaster Management and2) Recognition survey among
3) Citizens
Agency (FDMA) of MIC, City
participants in the visiting
data)
lecturer program, etc.
3) Citizen casualties(every year)3) Citizens

82Legends

1) Objectives2) Method of checking3) Targets to be checked

Prevention target 2: Casualties of disaster vulnerable people such as the elderly due to escape failure
Measures

Short/mid-term performance indicator

Community watch-over Indicator title:
activity
Number of enrollment in the safety checking system
1) To increase the number of enrollment in the safety checking
system2) Counting the total number of enrollment (every year)3) Citizens and disaster vulnerable people such as the elderly

Long-term performance indicator
Indicator title:
Number of casualties of disaster vulnerable
people such as the elderly due to escapefailure at the time of earthquake disaster1) To decrease the number of casualties
of disaster vulnerable people such as
the elderly at the time of earthquake
disaster2) Reports/statistics on disasters (Statistic
Bureau of Ministry of Internal Affairs
and Communications (MIC), Fire andDisaster Management and Agency(FDMA) of MIC, City data)
3) Casualties of disaster vulnerable
people such as the elderly

Indicator title:
Education
about Indicator title:
residential fire alarms Installation rate & maintenance implementation rate of residential Number of casualties due to fire breaking
and raising awareness on fire alarms
out at ordinary times and at the time of
theirdisaster
1) Installation rate & maintenance implementation rate ofmaintenance/control
residential fire alarms
1) To reduce the number of casualties
due to fire breaking out at ordinary
2) Questionnaire survey of event participants (every year)
times and at the time of disaster
Questionnaire survey of citizens (every 3 years)
2) Reports/statistics on disasters (Statistic
3) Citizens in general, elderly persons, persons with disabilities
Bureau of Ministry of Internal Affairs
and Communications (MIC), Fire andDisaster Management and Agency(FDMA) of MIC, City data)
Fire-Prevention Annual Report(every year)3) Citizens casualties and disaster
vulnerable people such as the elderly

83Indication 7 Ongoing participation in national and international Safe
Communities networks
Matsubara City is working on promoting Safe Community through participating in the SC networks athome and abroad, and learning from the prevention activities, external injury investigation systems, etc. of
the cities that are designated Safe Communities.
Further, with the aim to develop Safe Community activity both at home and abroad, we will continuously
make efforts in deepening exchanges with other cities, learning from initiatives of other regions, anddisseminating information on the initiatives of Matsubara City.
(1)

Participation in the domestic network

1) Exchanges with other domestic SC promotion cities
Year/month

Details of exchange

May 2011

Visited Kameoka City of Kyoto Prefecture

June 2011

Attend the Pre-onsite evaluation in Toshima Ward of Tokyo

Nov. 2011

Attended the meeting of the National SC Promotion Local Government Network[Venue: Atsugi City] (1)Feb. 2012

Attended the on-site evaluation in Toshima Ward of Tokyo

May 2012

Attended the on-site evaluation in Komoro City of Nagano Prefecture

May 2012

Attended the Minowa Town Safe Community Designation Ceremony in Nagano Prefecture

May 2012

Attended the Pre-onsite evaluation in Kameoka City of Kyoto Prefecture

May 2012

Safe community training workshop(Kameoka City, Komoro City, Sakae Ward of Yokohama City, Kurume City, Matsubara City) [Venue:
Osaka City]

Nov. 2012

Attended the Toshima Ward Safe Community Designation Ceremony in Tokyo

Dec. 2012

Attended the Komoro City Safe Community Designation Ceremony in Nagano PrefectureJan. 2013

Attended the on-site evaluation in Sakae Ward, Yokohama City of Kanagawa Prefecture

Feb. 2013

Attended the Kameoka City Safe Community Re-designation Ceremony in Kyoto Prefecture (6)2) Visitors to Matsubara City
Year/monthGroup or organization who visited to Matsubara City

July 2011

Atsugi City

Nov. 2011

Ise City Education Board

Aug. 2012

Miyazaki Prefectural Assembly

Oct. 2012

Atsugi City, Komoro City, Kurume City, Kitamoto City, Chichibu City, Koka City (Attended thePre-onsite evaluation) (4)

84

(2)

Participation in the international network
Year/month

Details of participation

Dec. 2011

Participated in the symposium commemorating the designation of the JISC Safe School Certifying
Center [Osaka City]

June 2012

Participated in the Japan-Korea Joint Workshop on Safe Community held in Jeju Island, South Korea(2)

Sept. 2012

Co-hosted a JISC joint training workshop on Safe Community [Matsubara City] (3)Nov. 2012

Delivered a presentation at the 6th Asian Regional Conference on Safe Communities (5)(1) Meeting of the National Safe Community Promotion
Local Government Network [Venue: Atsugi City](2) Japan-Korea Joint Workshop on Safe Community heldin Jeju Island, South Korea(3) JISC joint training workshop on Safe Community[Matsubara City](4) Pre-onsite evaluation [Matsubara City](5) The 6th Asian Regional Conference on Safe
Communities(6) Kameoka City Safe Community Re-designation
Ceremony in Kyoto Prefecture85

Chapter 5Long-term Prospects of Safe Community Programs

1. Long-term indicators(1) Sharing the basic principles of Safe Community with citizens and involved groups
According to the Questionnaire for factual investigation of injuries and safety/security, carried out inAugust 2011, approximately 10% of respondents were aware of the Safe Community program. However,the program was still in its initial stages at the time.
We have continued promotional activities and various task force meetings to increase awareness of the
Safe Community program. The basic policy of Safe Community, “Injuries and accidents can be prevented
by eliminating their causes,” is now shared by many citizens and involved groups.
(2) Programs focusing on prevention
Safe Community programs focusing on preventing external injury and programs focusing on preventing
illnesses, such as various checkups and measures against contagious diseases, shall be promoted integrally
to enhance the citizens’ quality of life.
(3) Creating a co-learning culture
We will learn together by verifications that enhance the quality of our progress and with cooperation
through collaboration and exchange between citizens and involved parties. Through this we will enhance
the quality of safety and security programs.
(4)

Nurturing the next-generation to cover the future of Safe Community programs

The basic principles of Safe Community are introduced inelementary school auxiliary textbooks, and programs areincorporated in education. Crime prevention classes and traffic
safety classes are held at school, and disaster drills are held withthe community residents to nurture a new generation that will
cover the future of Safe Community.

(5) Structuring a Safe Community network in Japan and overseas
We systematically participate in the Safe Community network in Japan and overseas to share andcommunicate information. In Japan, we are strengthening our exchanges with Safe Community certified
municipalities, and municipalities preparing for designation, so that we may learn more.

2. Programs to maintain long-term programs
In Matsubara City, we have clarified the future image we are aiming for and the direction for realizing thisimage. We have enacted a master plan as our basic policy for promoting city planning in a systematic andorderly manner. In the 4th Master Plan of Matsubara City (plan period of 8 years) enacted in 2011,“Promotion of Safe Community” has been positioned as one of the basic objects, with its objectives set as“building a city where people can continue to live in safety”, “building a city where all citizens can live
healthy and safe lives”, and “building a city where government and citizens work together”. This conforms
86to the principles of Safe Community. By clearly setting “Promotion of Safe Community” as one of ourinitiatives, we will develop long-term Safe Community activities. As we carry out the plans, we will confirm
the programs and effect of the Safe Community activities, and will re-evaluate the program every five years.

Future city image: Energetic Matsubara continuing to take on challenges

Basic concept [8-year]
Basic target : Building a city where citizens can continue to live in safety
Basic policy : Protect and nurture an environment in which citizens can live safety andsecurely

Basic plan [8 years (Basically grasp and assess the results in four years)]
Basic policies: Creating a safe and secure community
Implemented policies : Promotion of Safe Community

Implementation plan [4-year]
Basic program: Safe Community promotion businessFig. 5-1

4th Master Plan of Matsubara City, First-term Implementation Plan System Diagram(Excerpt)

FY

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

Basic concept [8-year]

前期 Implementation plan [4-year]
Management of SC activities

後期 Implementation plan [4-year]

Fig. 5-2

Re-verification(Basically grasp and assess the resultsin four years)

Verification

Basic plan [8-year]

Positioning in Master Plan and promotion of Safe Community activities

87Form A

Application and checklist for the results of applications and site-visit(s)Matsubara City, Osaka, Japan
Column 1

Column 2

Questions to be answered by the community

Questions to be answered by the certifiers

Section A Community Overview

A.1 Briefly describe the community and its historical developmentArethedescriptions
sufficient?
Matsubara City is located almost in the center of Osaka □ yes
Prefecture, adjacent to two ordinance-designated cities: Osaka □ No.., If no!! What is
City across the Yamato River in the north, and Sakai City in the missing:southwest.
On February 1, 1955, two towns and three villages were merged
and started as a new garden city with a population of about
36,000. As the City is located near Osaka, and has convenienttransport links to the center of Osaka, its population rapidly
increased during the 1970s. It has now grown into a residential
town with a population of over 124,000. The City also has long
had a very extensive transportation network, which now includes
expressways and principal roads running east-west andnorth-south. Further, improvement works are now in progress for
the Yamatogawa Route of the Osaka Prefectural Expressway
along the Yamato River, and thus the City continues its further
development as the regional traffic hub for southern Osaka.
（More details are described in the attached report;P1～6）

A.2 Describe the strategy, ambitions, objectives and work in the Are the descriptions
community in regard to safety. It must be a higher level of safety than sufficient?
average for a community in the country or region.
□ yes□ No..,The 4th Master Plan of Matsubara City (plan period of 8 years) was If no!! What is missing:
jointly drawn up by the government and the citizens as a basic
policy, with the aim to carry out city planning in a systematic andorderly manner. One of the basic objectives Matsubara City set inthis was “building a city where people can continue to live insafety,” and Safe Community (SC) initiatives are being promoted
accordingly. Aiming to make Matsubara City a city that can satisfy
and attract people as a place where everyone can live in safety andsecurity, the government and citizens together with various local
1organizations are working to improve safety.
（For details, please see page 85～86 of the attached report）

A.3 How are the mayor (or similar function of the community) and the Are the descriptions
executive committee involved? Who is chairing the cross-sector group? sufficient? Is the mayor
involved?
SC activities are managed and promoted in a comprehensive □ yesmanner, for which the mayor of the City is acting as the chairman of □ no
the Matsubara City Safe Community Steering Committee.
Due to differences in political structure between Japan and Europe
or the US, there is no organization equivalent to the executive
committee. However, the Matsubara City Safe Community Steering
Committee takes charge of the cross-sectoral collaboration acrossthe organizational borders, while the Citizens Safety Section of theCity Government coordinates the collaboration within the CityIs the executive committee
involved?
□ yes
□ no
Who is chairing thecross-sectional group? □…………

Government.
(For details, please see page 33 of the attached report.)

A.4 Describe the injury risk-panorama in the community.

Is the risk-panorama
sufficiently described?
□ yes(1) Children• The frequency rate of accidents requiring ambulance call-out is □ No..,the second-highest among children aged between 0 and 4, next If no!! What is missing:to the elderly.
• Injuries occur at a high rate among elementary school and juniorhigh school students.
• The number of consultations for child abuse per 100 thousand
populations is higher than those of the whole nation and Osaka
Prefecture.
•(2) Elderly• The number of ambulance call-outs for the elderly aged 65 andover is higher than that for other age groups.
• The number of consultations for elderly abuse per 100 thousand
populations is higher than those of the whole nation and Osaka
Prefecture.

2(3) Traffic• About 43% of the total number of ambulance call-outs is for traffic
accidents.
• About 45% of the ambulance call-outs for traffic accidents involvea person on a bicycle.
(4) Crime• The crime rate per 100 thousand population is higher than that of
the whole nation.
• About half of criminal offenses are street crimes.
(5) Suicide• Suicide is the leading cause of the deaths due to extrinsic causes,
and is the highest ranking cause of death for the age group of
15-44.
(6) Disaster• Topographically, the community is located in an area surrounded
by a number of active faults and is susceptible to earthquake
disaster.
(For details, please see page 9-32.)

Section B Structure of the community
B.1 Describe the demographic structure of the community
The population of Matsubara City as of October 1, 2012 is 124,498,
which has been decreasing each year after its peak in 1985. With regard
to changes in population among the 3 age groups, while the productive
population aged between 15 and 64 has decreased, the aged populationof 65 years and older has been showing an increase. Decreasing
birthrates and aging of the population are in progress. Thus, the numberof ambulance call-outs for common injury of the elderly aged 65 andover and its rate are increasing every year.
（For details, please see page2～6.）

3

Is the demographic structure
and the different risks
sufficient described?
□ yes□ No..,
If no!! What is missing:Are the descriptions
sufficient?
Matsubara City is conducting prevention activities targeting all genders □ yes
and ages as well as environments. (For details, please see page 38-43 □ No..,
If no!! What is missing:of the Report.)
B.2 Describe the SC/IP at present and the plans for the future.

Especially, as for the priority subjects that were identified from theregional diagnosis, a taskforce Committee has been set up for eachpriority subject for which efforts have been made together with relatedorganizations. (For details, please see page 34-35 and 48-71.)
Matsubara City has also included SC promotion in the City’s 4th masterplan that defined basic policies for city planning. The basic concept ofthe master plan is reviewed for revision every 8 years, and executionplans are reviewed every 4 years. By clearly stating the SC promotion as
our policy, we intend to implement the Safe Community activities over along period of time, to confirm our initiatives and the effects of the Safe
Community activities in progress and management of the plan, and thus
to make ourselves eligible for the re-designation every 5 years.
（For details, please see page85～86.）

B.3 Describe the support for sustained injury prevention of the local Are the descriptions
politicians in the community and which parts of the program have been sufficient?
□ yesundertaken and/or supported by the regional government?
□ No..,
If no!! What is missing:SC activities are managed and promoted in a comprehensive manner,
for which the mayor of the City is acting as the chairman of the
Matsubara City Safe Community Steering Committee.
In addition, as a part of the support we receive from Osaka Prefecture,
we receive data on injuries, accidents, crimes, etc. from Matsubara
Police Station and Fujiidera Health Center, which also participate inpromoting our activities by sending committee members to the SC
Steering Committee, each taskforce Committee, and the Injury
Surveillance Committee.
（For details, please see page33～35.）4

B.4 Describe the strategic program concerning the safety promotion and Are the descriptions
sufficient?
injury prevention work, which has been formulated!
□ yes
Matsubara City has been carrying out various activities for safety and □ No..,
security such as safe & secure city planning, reinforcement of If no!! What is missing:comprehensive disaster-prevention measures, promotion of elderly
welfare, promotion of disability welfare, and the community’s child careand support. The specific plans are carried out and managed based on
the City’s 4th master plan which defines basic policies for city planning.
（For details, please see page85～86.）

B.5 Who is responsible for the management of the SP/IP program and Are the descriptions
where are they based in the local political and administrative sufficient?
organization?
□ yes□ No..,
If no!! What is missing:Mayor of Matsubara City
(Chairman of the Matsubara City SC Steering Committee)

B.6 Which is the lead unit for the SP/IP program?

Are the descriptions
sufficient?
SC Subsection of Citizens Safety Section, General Affairs Division, □ yes□ No..,
Matsubara City Government
If no!! What is missing:
Are the descriptions
sufficient?
Matsubara City has included SC promotion in the City’s 4th master plan □ yesthat defined basic policies for city planning. (The basic concept of the □ No..,master plan is reviewed for revision every 8 years, and execution plans If no!! What is missing:B.7 Is the Safe Communities initiative a sustained program or a project?

are reviewed every 4 years.) By clearly stating the SC promotion as ourpolicy, we intend to implement the Safe Community activities as along-term sustainable program.
（For details, please see page85～86.）

B.8 Are the objectives decided by the local politicians covering the Are the descriptions
whole community? Which are they?
sufficient?
□ yes
Objectives have been set in the Matsubara City 4th master plan □ No..,
If no!! What is missing:
formulated in 2011, targeting the whole city.
(For details, please see page85～86.）5

Are the descriptions
sufficient?
□ yes□ No..,
If no!! What is missing:

B.9 Who have adopted these objectives?
Hirofumi Sawai, Mayor of Matsubara City

B.10 How are the Safe Community objectives evaluated and to whom Are the descriptions
sufficient?
are the results reported?
□ yes
In the taskforce Committees that has been set up for each priority □ No..,
If no!! What is missing:subject, short-, mid-, and long-term performance objectives and indiceshave been set for each of the activities. These are used by eachtaskforce Committee to evaluate theshort and mid-term activities, andby the Injury Surveillance Committee to evaluate the long-term. The
evaluation results are reported to the City’s SC Steering Committee forinternal evaluation. Further, all the results are summarized into anannual report and submitted to JISC for external evaluation.
（For details, please see page75～82.）

B.11 Are economic incentives in order to increase safety used? If yes, Are the descriptions
how are they used?
sufficient?
□ yesWith rapid aging of the population, there is an increasing cost for nursing □ No..,
care insurance. The growth rate of the cost needed for maintaining the If no!! What is missing:nursing care insurance has been set as the index, which is used tomeasure the effectiveness of the care prevention program.
As for injuries occurring at school, insurance of the Japan Sports
Council’s mutual aid system applies to them. The medical fees coveredby this insurance have been set as the index, which is used to measure
the effectiveness of the injury prevention programs in schools, etc.
（For details, please see page76～77.）

B.12 Are there local regulations for improved safety? If so, describe Are the descriptions
themsufficient?
□ yes
In 2002, Matsubara City enacted the “Matsubara Safe City-Planning □ No..,
If no!! What is missing:
Ordinance.” It was defined in the ordinance that “in planning andimplementation of policies regarding citizens’ safety, it is the duty of thecity government to carry out city planning based on citizens’
participation.” It was further defined that “it is a role of citizens, withawareness of protecting their community by themselves, to work on
6

improvement of safety through participating in community activities
necessary for citizens’ safety such as regional crime prevention
activities, disaster drills, and traffic safety campaigns.”

Section C Indicator 1
1.1 Describe the cross-sector group responsible for managing, Are the descriptions
sufficient?
coordinating, and planning of the SP/IP program.
□ yes
As the propelling organization of Safe Community in Matsubara City, the □ No..,
If no!! What is missing:City Government has set up the Matsubara City SC Steering Committeethat consists of organizations from various fields related to safety andsecurity. This SC Steering Committee was set up in accordance with themunicipal utility ordinance that defined provision of auxiliary organs of
Matsubara City’s executive agency.
（For details, please see page33.）

1.2 Describe how the local government and the health sector are Are the descriptions
collaborating in the SC/IP work.
sufficient?
□ yes
The secretariat of the SC Steering Committee is placed in the Citizens □ No..,
If no!! What is missing:
Safety Section of the City Government, while the secretariats of thetaskforce Committees are served by each relevant section of the City
Government. With regard to the health category, the Elderly Care
Section and Child Care Support Section serve as the secretariats of therelevant taskforce Committees. In addition, the staff members of theCommunity Health Section, Disability Welfare Section, and Welfare
General Affairs Section participate in the relevant taskforce Committees
as their committee members. Further, the representatives from the
Fujiidera Health Center, a health organization of Osaka Prefecture, also
participate in the SC Steering Committee, the Injury SurveillanceCommittee and its taskforce Committee.（For details, please see page33
～35.）

7

1.3 How are NGOs: Red Cross, retirement organizations, sports Are the descriptionsorganizations, parent and school organizations involved in the SC/IP sufficient?
□ yes
work?
□ No..,
Various private and other organizations participate in the Matsubara City If no!! What is missing:
SC Steering Committee, the taskforce Committees, and the Injury
Surveillance Committee, which include administrative agencies, theFederation of Neighborhood Community Associations, the Chamber ofCommerce,

universities,

theMedical

Association,

theDentalAssociation, the Red Cross Service Group, the Federation of Senior
Citizens Clubs, PTA, and the Local Welfare Officer & Children’s
Committee Meeting.
（For details, please see page33～35.）

1.4 Are there any systems for ordinary citizens to inform about risk Are the descriptions
sufficient?
environments and risk situations they have found in the community?
□ yesPrimarily, the City’s PR brochures and website are utilized. We are also □ No..,
introducing our initiatives, etc. on Safe Community by carrying out If no!! What is missing:visiting lectures in communities and by collecting opinions and requests
from residents regarding risk environments and risk situations that arefound in daily life, thus mutually sharing information about hazardous
areas, etc. Further, by utilizing opportunities for people to gather such as
lecture meetings held by regional organizations and government, we
distribute the leaflets to introduce our initiatives, etc. on Safe
Community.
（For details, please see page36～37.）

1.5 Describe how the work is organized in a sustainable manner.

Are the descriptions
sufficient?
The SC promotion system of Matsubara City is organized centering on □ yes
the SC Steering Committee, which is the decision-making body □ No..,
comprised of cross-sectoral members. It is further provided with SC If no!! What is missing:
Promotion Headquarters as the internal promotion organization of theCity, the Injury Surveillance Committee to decide how to evaluate thestructure/work of the external injury investigation, and the taskforce
Committees comprised of cross-sectoral members for key issues of the8City, each of which work in cooperation within the established system to
implement the activities.
(For details, please see page 33-36.)
Further, for ensuring sustainability of SC promotion, the City’s 4th Master
Plan, which is the basic policy of the city-planning, has clearly stated its
inclusion.
（For details, please see page85～86.）

Section D Indicator 2
2.1 Describe the sustainable work in regard to SC/IP in following areasand how the different sectors including specific NGOs are involved in
the work.
1. Safe traffic
2. Safe homes and leisure times
3. Safe children
4. Safe elderly
5. Safe work 6. Violence prevention
7. Suicide prevention
8. Disaster preparedness and response
9. Safe public places
10. Safe hospitals 11. Safe sports
12. Safe water
13. Safe schools
Are some of these areas overseen by from other organizations and/or
agencies than from the community? How is the community involved?
Matsubara City has been conducting various programs and activities forsafety promotion and injury prevention. The followings are some ofsafety promotion programs in each field. Details are explained in thepage 38-43 of the report.
The alphabet in front of the program names match to those in the
explanation in the report (page 38-43).
1

Safe trafficF) Child watch activity on the way to & from schoolH) Services to encourage the purchasing of bicycles with child seats forsafely carrying two infantsI) Traffic safety campaign
2

Safety homes and leisure timesA) Accident prevention education at time of infant medical examinationsB) Emergency call systemC) Project to help with reclusive young people (hikikomori)D) Municipality SOS network of aged wanderers in Minami Kawachi areaK) Children’s amusement park improvement project and inspection of
9

Are the descriptions
sufficient?
□ yes□ No..,
If no!! What is missing:play equipment in parks
3

Safety of children

A) Accident prevention education at time of infant medical examinationsB) Emergency call system
E) Safety-school support project for public elementary schools
F) Child watch activity on the way to & from schoolH) Services to encourage the purchasing of bicycles with child seats forsafely carrying two infantsI) Traffic safety campaignJ) Training session for sport safetyK) Children’s amusement park improvement project and inspection ofplay equipment in parks
L) Installation of AED and training sessions for emergency and critical careM) Agricultural facilities improvement projectN) Hello Baby projectO) Mother and child lifestyle support facilityP) Subsidized project for installation/maintenance of security lightingQ) Educational counselingT) Health education and health counselingU) Disaster prevention picture exhibition
V) Matsubara City general disaster prevention drill
W)Disaster prevention drill organized by Regional Network Project Council
4

Safety of the elderlyB) Emergency call systemC) Project to help with reclusive young people (hikikomori)D) Municipality SOS network of aged wanderers in Minami Kawachi areaI) Traffic safety campaignJ) Training session for sports safety
K Children’s amusement park improvement project and inspection ofplay equipment in parks
L) Installation of AED and training sessions for emergency and critical careM) Agricultural facilities improvement projectP) Subsidized project for installation/maintenance of security lightingS) Consumer affairs consultation projectT) Health education and health counselingV) Matsubara City general disaster prevention drill
W)Disaster prevention drill organized by Regional Network Project Council
10

5

Safe workG) Osaka Zero-Danger Initiatives
6 Violence preventionC) Project to help with reclusive young people (hikikomori)N) Hello Baby projectO) Mother and child lifestyle support facilityP) Subsidized project for installation/maintenance of security lighting
7

Suicide preventionQ) Educational counselingR) Youth counseling and self-reliance support seminarS) Consumer affairs consultation projectT) Health education and health counseling
8

Disaster preparedness and responseU) Disaster prevention picture exhibition
V) Matsubara City general disaster prevention drill
W)Disaster prevention drill organized by Regional Network ProjectCouncil
9

Safe public places

L) Installation of AED and training sessions for emergency and criticalcareM) Agricultural facilities improvement project
10 Safe hospitals
Medical safety management measures are carried out at eachhospital.
11 Safe sports
J) Training session for sports safety
12 Safe waterM) Agricultural facilities improvement project
13 Safe schools
E) Safety-school support project for public elementary schools
F) Child watch activity on the way to & from school

2.2 Describe the work with genders, all ages and all environments and Are the descriptions
situations. Describe all activities like falls prevention and how the work sufficient?
is done□ yes□ No..,
Matsubara City is conducting prevention activities targeting all genders If no!! What is missing:and ages, as well as all environments.（For details, please see page38～71.）
11

Section E Indicator 3
3.1 Identify all high risk groups and describe what is being done toincrease their safety. Groups at risk are often:
1. Indigenous people
2. Low-income groups
3. Minority groups within the community, including workplaces
4. Those at risk for intentional injuries, including victims of crime andself-harm
5. Abused women, men and children
6. People with mental illness, developmental delays or other disabilities
7. People participating in unsafe sports and recreation settings 8.
Homeless
9. People at risk for injuries from natural disasters
10. People living or working near high- risk environments (for example,
a particular road or intersection, a water hazard etc.
11. People at risk due to religion, ethnicity or sexual preferences
Having identified the following groups as the high-risk groups,
Matsubara City is carrying out prevention activities for their protection.
(1) Non-Japanese residents
Registered foreigners account for approximately 1% (about 1,300
persons) of the total population of Matsubara City. As they may
encounter some difficulties in daily life due to different languages,
cultures, etc, the City provides the following services: Interpretation & translation support
 Japanese language reading/writing class(For details, please see pages 44-45 of the Report.)(2) Abused children, women, and elderly people
Matsubara City receives several dozens of requests for consultation
about abuse in a year. Abuse victims, in general, tend not to speak out
about their own conditions and rather tend to suffer by themselves.
Further, as it is difficult to know their conditions from the outside, the City
has been implementing the following services: Women’s consultation
 Mother and child lifestyle support facility(For details, please see pages 45-46 of the Report.)

12

Are the descriptions
sufficient?
□ yes□ No..,
If no!! What is missing:* As for child and elderly abuse, actions are taken by the taskforce
Committee. (For details, please see pages 52 and 55 of the Report.)(3) People with physical or other disabilities
In Matsubara City, there are about 6,700 persons with disabilities. As
they are more susceptible to damage by having difficulties in movement
or by not having accurate knowledge of the situation at home, in public
locations, or during a disaster, the City has been implementing thefollowing services: Bodily function improvement training project for persons with physicaldisabilities
 Service for providing information on fire safety, etc(For details, please see pages 46-47 of the Report.)(4) Residents living near a river including the Yamato River and others
The Yamato River runs north of Matsubara City. Although a large-scale
flood disaster is no longer likely to occur due to improvement in storm
sewage pumps and river improvement works, there still exists a risk ofriver flood of the Yamato River, etc. if record-breaking heavy rain should
occur. The City therefore has been implementing the following services: “Hazard Map for Each Town in its Entirety”
 Regional disaster prevention drill Yamato River flood prevention drill and general drill of Osaka
Prefecture for regional disaster prevention(For details, please see page 47 of the Report.)

Further, the City supports people in the low income group in accordancewith the national Public Assistance Act

3.2 Give examples of high risk environments
1. Describe how risk environments in the community are identified
2. Describe prioritized groups and/or environments
3. Are there specific programs for their safety in the community
4. Describe the timetable of the work
5. Are these groups involved in the prevention aspect of these programs?
River regions of the Yamato River, etc.
At the time of the typhoon and localized torrential downpour in 1982,
13

Are the descriptions
sufficient?
□ yes□ No..,
If no!! What is missing:flood damage occurred caused by overflowing of the Nishiyoke Riverand the Imaido River as well as backwater of the Yamato River. Although
there were luckily no casualties, 1,963 houses suffered from flooding toabove floor level and extensive damage was caused. Since then,although a large-scale flood disaster has become unlikely to occur due
to improvement in storm sewage pumps and river improvement works,
there still exists a risk of river flood of the Yamato River, etc. if
record-breaking heavy rain should occur. Therefore, the City has been
implementing the following services: “Hazard Map for Each Town in its Entirety”
 Regional disaster prevention drill
Held 1-2 times a year mainly by neighborhood community associations andvoluntary disaster prevention organizations.

 Yamato River flood prevention drill and general drill of Osaka
Prefecture for regional disaster prevention
Held once every three years with participation of the national government,
Osaka prefectural government, neighborhood cities/towns/villages, local
residents, business entities, etc.

 Distribution of the flood hazard map
Distributed by the City Office as needed(For details, please see page 47 of the Report.)* There are fault zones existing around Matsubara City and an ocean
trench lies undersea about 100 km to 150 km south of Japan, runningalmost in parallel with the Japanese islands. A risk of a large earthquakethat may be induced by them exists. Therefore, the entire city ofMatsubara is considered as being exposed to risk environments. Thissituation has been set as a priority City subject and the initiatives aretaken by the taskforce Committee.
（For details, please see page67～71.）

Section F Indicator 4
4.1 Describe the evidence-based strategies/programs that have been Are the descriptions
implemented for different age- groups and environments.
sufficient?
□ yes
By targeting various age groups and environments, Matsubara City has □ No..,
If no!! What is missing:
been implementing the following evidence-based programs. With regard
to the priority subjects, the taskforce Committees have been taking thefollowing initiatives:
1 Children’s safety14

Publication of safety measures by means of leaflets, etc.

Improvement of bodily functions

Preparation of school safety maps



School safety measure activity



Educational activity on child abuse problem

Preparation & distribution of leaflets on child care support

2 Elderly safety

Improvement in indoor environmentExercise program for fall prevention



Early detection of abuse, and network for proactive measures

Promote understanding and awareness of cognitive impairment and abuse

3 Traffic safetyPreparation of safety maps



Safety measures for hazardous areas

Traffic safety class and training sessionAwareness of the importance of wearing a protective helmet

4 Crime prevention


Installation of security camerasChild watch activity



One House, One Gate Lamp campaign

Crime prevention class

5 Suicide prevention


Publicity and expansion of consultation services



Gatekeeper training

Understanding of elderly people’s problems

Support for survivors of suicide attempts

6 Safety during disasterRegional disaster prevention drill



Education about measures to prevent furniture tipping over, etc.

Community watch-over activity



Education about residential fire alarms and raising awareness ontheir maintenance/control（For details, please see page48～71.）15

4.2 Has any contacts been established with ASCSCs , WHO CCCSP,
other scientific institutions, or knowledgeable organizations about thedevelopment and/or implementation of evidence-based strategies?
Which ones? What has been the extent of their counsel?

Are the descriptions
sufficient?
□ yes□ No..,
If no!! What is missing:Staff from JISC (Japan Institution for Safe Communities, an Affiliate SC
Support Center) participates in Matsubara City’s Injury SurveillanceCommittee as committee members, and also at its Steering Committee
and the taskforce Committees as advisors. Further, the entire SC activityof Matsubara City is subject to an external evaluation by JISC.
The Injury Surveillance Committee is participated in by members from
the Medical Association, the Dental Association, universities, healthcenters, fire stations, and police stations as its members, where data
analyses and evaluation of initiatives in terms of the long-term index are
implemented

Section G Indicator 5
5.1 What local data is used to determine the injury prevention
strategies? For example, registering injuries can be done at hospitals,
health centers, dentists, schools, care of the elderly organizations and the
local police. Household surveys can also be used for collection of data
about injuries and risk environments and risk situations. Whichmethods are used in the community?

Are the descriptions
sufficient?
□ yes□ No..,
If no!! What is missing:In order to determine the prevention strategies, the following external
injury data are gathered and analyzed according to their severity.
Data utilized include, for example, the demographic statistics fromMHLW (Ministry of Health, Labour and Welfare), the ambulance call-out
data from the fire stations, the police statistics from the police stations(suicide/traffic accident/crime), the statistics of industrial accidents fromthe Labor Standards Inspection Office, the record of applications for themutual aid disaster insurance for schools, and questionnaire results.
（For details, please see page72～74.）

5.2 Describe how data are presented in order to promote safety and Are the descriptions
prevent injuries in the community.
sufficient?
□ yes
As for various data, only the formed data or processed data usable for □ No..,16

the indices of the taskforce Committees are provided by the governing

If no!! What is missing:agencies and associations.
(Example)

Demographic statistics: Data that are gathered by MHLW based on
the City’s information are provided once every year by Fujiidera
Health Center.



Police statistics: Data that are gathered by the police department areprovided once every year.

Ambulance call-out data: Data that are gathered by the fire stations
are provided once every year.



Questionnaire for factual investigation of injuries and safety/security:
Results of the questionnaire survey that is conducted by the City
once every 3 years are provided.

（For details, please see page73～74.）

5.3 Describe how the community documents and uses knowledge about Are the descriptions
causes of injuries, groups at risk and risky environments. How does the sufficient?
community document progress over time?
□ yes□ No..,
Various data are collected by the Safe Community Subsection of the If no!! What is missing:
Citizens Safety Section, and the General Affairs Division of the City
Government, which are subject to analyses by the Injury SurveillanceCommittee and then submitted to each taskforce Committee. The
taskforce Committees set their challenges based on the data and utilize
them to measure the effectiveness of their initiatives.
（For details, please see page72～82.）17

Section H Indicator 6
6.1 How does your community analyze results from the injury data to Are the methods used
track trends and results from the programs? What is working well sufficient? Yes No..,and has given you good results. What are the plans to continue? What If no!, What is missing?
needs to be changed?
Data of external injuries are supplied to the Injury SurveillanceCommittee so that it can measure and evaluate the results of initiatives
that have been set by each taskforce Committee. The ambulancecall-out data, especially, are identified as an important data source about
external injuries as the data are identifiable by accident type, by place ofoccurrence, by age group of the injured, and by severity of
injury/disease. As for trends and results that cannot be obtained from theexisting data, questionnaire surveys are conducted for this purpose.
Further, by introduction of the computerized receipt system, the medical
fee payment statements of National Health Insurance have become
analyzable since July 2011. We will utilize this system to continue ouranalysis for checking the economic effect

Are the descriptions
sufficient?
Based on the short-, mid-, and long-term indices that are set for □ yes
initiatives for each priority subject, the taskforce Committees and Injury □ No..,
Surveillance Committee evaluate their initiatives and identify necessary If no!! What is missing:
6.2 Describe how the results from the program evaluations are used

improvements. Further, the results are reported to JISC for an external
evaluation, while they are utilized by SC Steering Committee as thebasic data to decide the direction of future activities.

6.3 Describe the changes in pattern of injuries, attitudes, behavior and Are the descriptions
knowledge of the risks for injuries as a result of the programs.
sufficient?
□ yes
Matsubara City has set the indices of the short-term (change in □ No..,knowledge, awareness), mid-term (change in attitude and behavior), If no!! What is missing:and long-term (change in state) for the initiatives of each taskforce
Committee and has been checking their effectiveness. For example, thefollowing changes have been observed:18

Regional disaster prevention drill(In FY2012, held at 3 elementary schools)
By holding a disaster prevention drill on the Sunday Parents Visit Day atthe elementary schools, we were able to have pupils and parents who
had not participated much before get involved. As a result, increased
awareness and knowledge of disaster prevention were observed.
 Awareness of the importance of wearing a protective helmet workshop(In FY2012, held at one kindergarten)
Held at a kindergarten, by taking the opportunity when parents got
together. As a result of this program on effectiveness and awareness ofwearing a protective helmet, about 90% of parents who had notpreviously put a helmet on their child started to do so thereafter, thus
indicating changes in awareness through our initiatives.

Section I Indicator 7
7.1 Describe how the community has joined in and collaborates in Are the descriptions
national and international safe community networks.
sufficient?
□ yes
Matsubara City has proactively joined in conferences, etc. held both at □ No..,
If no!! What is missing:home and abroad, and made presentations on our activities and studies.
At home, we have not only exchanged information with the local
governments that already acquired SC designation, but also haveco-hosted with JISC a joint training workshop on SC for the local
governments currently promoting SC, thus aiming to share information,etc. Further, by joining in the “National Safe Community Promotion Local
Government Network”, we have strived to further promote thecollaboration. （For details, please see page83～84.）

7.2 Will the designation ceremony coincide with any international
conference, seminar or other forms of international or national
exchange?
With the intention to introduce the SC activities of Matsubara City to thedomestic designated Safe Communities and the local governments
currently working on Safe Community designation, in addition to thedesignation ceremony, we are planning to hold a symposium on thesubject of suicide as well as poster exhibition, etc. that explains thesummary of each taskforce Committee’s activities.

197.3 Which already designated Safe Communities will be invited for the Are the descriptions
designation ceremony?
sufficient?
□ yes
We are inviting the domestic designated Safe Communities and the local □ No..,
If no!! What is missing:governments currently working on Safe Community designation.
thedescriptions
7.4 Which international conferences and national Safe Community Are
sufficient?
conferences has the municipality participated in?
□ yes□ No..,
Overseas
If no!! What is missing:Jun 2012 Participated in the Japan-Korea Joint Workshop on Safe
Community held in Jeju Island, South Korea, andparticipated in the on-site evaluation for SC
re-designation of Jeju Island
Sep 2012

Co-hosted a JISC joint training workshop on Safe
Community

Nov 2012

Delivered a presentation at the 6th Asian Regional
Conference on Safe Communities

Domestic
Nov 2011

Attended the meeting of the National Safe Community
Promotion Local Government Network

May 2012

Attended the Minowa Town Safe Community Designation
Ceremony in Nagano Prefecture

Nov 2012

Attended the Toshima Ward Safe Community Designation
Ceremony in Tokyo

Dec 2012

Attended the Komoro City Safe Community Designation
Ceremony in Nagano Prefecture

Feb 2013

Attended the Kameoka City Safe Community
Re-designation Ceremony in Kyoto Prefecture（For details, please see page83～84.）

7.5 In which Regional Network for Safe Communities is the community
a member or planning to seek membership? (Asian, European,
Pan-Pacific, African or Latin-American Regional Network for Safe
Communities)
Matsubara City is going to join the Asian Region Safe Community
Network.

20

Are the descriptions
sufficient?
□ yes□ No..
If no!! What is missing: