Application to Become a Member of theInternational Safe Community Network by
the WHO Collaborating Centre on
Community Safety Promotion

March 2012
Komoro City, Nagano PrefectureTable of Contents
Chapter 1 Overview of Komoro City……………………………………………………….……1
1.1 Geographical feature ……………………………………………………………...2
1.2 Industry, education, culture and medical system ………………………………4
Chapter 2 Approach to Safe Community ……………………………………………………….9
2.1 Background …………………………………………………………………………92.2 Progress of Safe Community projects ………………………………………….10
Chapter 3 Situation of Deaths, Injuries and Accidents ………………………………….….11
3.1 Situation of deaths ……………………………………………………………………..11
3.2 Situation of injuries …………………………………………………………………….15
Chapter 4 Efforts for Safety Promotion and Injury Prevention Based on the Seven
Indicators …………………………………………………………………………………………..28
Indicator 1: An infrastructure based on partnership and collaboration, governed by across-sector group that is responsible for safety promotion .……………..28(1) Komoro City’s system to promote a safe community(2) The Safe Community Promotion Committee(3) Task forces and the Injury Surveillance Committee(4) Organizations within the city government(5) Support and collaboration of the Nagano Prefecture Police Department and the
Komoro City Police Station(6) Safe Community activities by other groups(7) Dissemination and awareness raising activities
Indicator 2: Long-term, sustainable programs covering genders and all ages,
environments and situations……………..………………………………….41(1) Measures for the safety promotion(2) Komoro City’s major prevention measures
Indicator 3: Programs that target high-risk groups and environments, and programs that
promote safety for vulnerable groups….…………………………………49(1) High-risk groups and their situation(2) Prevention measures for high-risk groupIndicator 4: Programs that are based on the available evidence ………….…………….61(1) Identifying problems based on locally collected data
(2) Measure for each problem①Traffic safety②Elderly safety③Children’s safety④Suicide prevention⑤Disaster prevention
Indicator 5: Programs that document the frequency and causes of injuries
continuously……………………………………………………………………81(1) Structure and function of the Injury Surveillance Committee(2) Degree of injuries and risks and record of injuries(3) Data for injury surveillance(4) Continuous data collection and analyses(5) Meetings of the Injury Surveillance Committee
Indicator 6:

Evaluation measures to assess the programs, process and the effects ofchange…………………………………………………………………………..85(1) Management of the Safe Community programs(2) Evaluation indicators for each major program①Traffic safety②Elderly safety③Children’s safety④Suicide prevention⑤Disaster prevention(3) Utilization of evaluation results
Indicator 7: Ongoing participation in national and international Safe Communities
networks…………………………………………………………………………96(1) Participation in domestic networks(2) Participation in international networks
Chapter 5 Komoro City’s long-range prospects for the Safe Community………………99
5.1 Long-term goal of Safe Community activities…………………………………………99
5.2 Programs to secure log-term activities………………………………………………..100

1. OVERVIEW OF KOMORO CITY
Komoro City is located in eastern Nagano prefecture and is geographically the center ofJapan about 130 kilometers from Tokyo. It spreads on the southern slope of Mt. Asama, one
of Japan’s major active volcanoes, and the Chikuma River goes through the center of the city.
In early days, Komoro developed as a castle town, where three major roads, Nakasendo,
Hokkokukaido and Koshukaido, met, eventually becoming a key transportation junction fortrading and then flourishing as a center of commerce. Reliable wholesalers in the area madegood reputations in and out of the area and helped Komoro become a major commercial town.
Komoro also has been committed to culture, attracting many cultural figures.
Transforming into a modern society along with improvements of transportation system,
Komoro is still a poetic castle town on a highland with unchanged landscapes and oldcustoms and atmosphere.

Komoro City
NaganoPrefecture

The City Emblem (Designated on April 1, 1954)
It is a symbol of Komoro which became a city in 1954 by incorporating
adjoining five cities harmoniously.
The City Tree, Plum (Designated on April 1, 1973)
Plum has been deeply associated with Komoro City. It has been in the mindof the people of Komoro as a symbol of education. Elegant plum flowers,
which finally blossom after enduring severe winter weather, symbolize abright future of developing Komoro City.
The City Flower, Komoro Sumire (Designated on April 1, 1973)
Komoro Sumire is one of the only two double flowered violets among 96
species of Japanese violets. It was found in the Kaioji shrine ground in
Aramachi, Komoro, at the end of the Taisho era (1912-1926). Komoro
Sumire is only found in the Komoro area and carefully taken care of by thepeople of Komoro.

11.1 GEOGRAPHICAL FEATURE◆

Population: 44,207 (Total of registrants in the Basic Resident Register and registeredforeigners as of January 1, 2012)◆

Number of households: 17,839 (Registrants in the Basic Resident Register as of January
1, 2012)◆

Area: 98.66 square kilometers (12.8 kilometers from east to west and 15.4 kilometersfrom north to south)◆

Altitude: 679.9 meters◆

East longitude: 138 degrees 25 minutes◆

North latitude: 36 degrees 19 minutes
Sources: Komoro census by household; Statistics of Komoro 2010

The population of Komoro City has been decreasing after peaking in 2000. Although the total
population of Japan is increasing, the population of Nagano prefecture has been declining
since 2000 and more so for that of Komoro. Given the fact that the number of households ofKomoro has been increasing even after 2000, it is obvious that the number of households withmore than one person has been decreased while the number of single-person households
has been increased.
Registered foreigners account for about 1.5 percent of the total population of Komoro in 2010.
Registered foreigners largely consist of 241 Thai (36.6 % ), 121 Chinese (18.4 %), 86
Filipinos (13.1 %), 76 Korean (11.5%) and 47 Brazilian (7.1 %).
Figure 1-1 Changes in the Number of Population and Households in Komoro City (person,
household)Source: Komoro Municipal Census 20102

Figure 1-2 Index of Population Changes (1990=100)

Source: National Census
In comparison of Komoro’s population by three-age group, productive-age population is lessthan that of the entire nation but more than that of Nagano prefecture, and aged population ismore than that of the whole nation. Child population and productive-age population have been
decreasing while aged population has been increasing. In 1990, aged population was lessthan child population. Aged population exceeded child population for the first time in 1995 andis twice as many as child population in 2010.
Figure 1-3 Comparison of Population by Age (3 Groups) (2010) (%)

Source: National Census

3

Figure 1-4 Trends in Komoro’s Population by three-age group

Aging index =(Population aged 65 and over÷Population aged under )15 ×100
Aged dependency ratio =(Population aged 65 and over÷Population aged 15 to 64)×100
Child dependency ratio =(Population aged under 15÷Population aged 15 to 64) ×100

Source: National Census

1.2 INDUSTRY, EDUCATION, CULTURE AND MEDICAL SYSTEM◆Industry
In Komoro, more people are employed in tertiary industries. The ratio of people working in
those industries has been increasing while that of people working in primary and secondary
industries has been decreasing. Among Industries, wholesalers and Retailers are dominantbecause of establishment of Joshinetsu Highway’s turnoff as well as Komoro’s history as acommercial center in the region. Although the primary industry has been declining, there arealso many farmers who still grow vegetables suitable for rather cool high plateaus.
Figure 1-5 Changes in Komoro’s Labor Population by Industry (person)

Source: National Census

4

Table 1-1 Composition Rate of Komoro’s Population by Industry (2005)
Category

Population

Ratio

Primary Industry

2,684

11.9

Agriculture

2,666

11.8

Forestry18

0.1

Fisheries-

Secondary Industry

7,249

Mining-32.2-

Construction

2,199

9.8

Manufacturing

5,050

22.4

Tertiary Industry

12,581

55.9

Electricity, Gas, Heat Supply and Water

144

0.6

Information and Communications

205

0.9

Transport

759

3.4

3,584

15.9

Finance and Insurance

344

1.5

Real Estate

152

0.7

Eating and Drinking Places, Accommodations

1,397

6.2

Medical, Health Care and Welfare

1,774

7.9

Education, Leaning Support

756

3.4

Compound Services

338

1.5

2,583

11.5

Government Not Elsewhere Classified

545

2.4

Industries Unable to Classify

57

Wholesale and Retail Trade

Services Not Elsewhere Classified-

Source: National Census◆Education
There are 9 nursery schools, 5 kindergartens, 6 elementary schools, 2 junior high schools, 2high schools and 1 specialized training college in Komoro.
For a long time, Komoro have practiced so called “Plum-blossom Education”. The spirit of theplum-blossom education is expressed by two poetic phrases: Bearing snow, plum blossoms
are beautiful; Exposed to frosts, maple leaves turn red. Two junior high schools have framedthese phrases on the wall.

5

Table 1-2 Schools in Komoro (As of May 1, 2011)
Category

SchoolStudent

Male

Kindergarten

5

770

387

383 Private

Elementary School

6

2,346

1,202

1,144

Higashi Elementary School

455

232

223 Municipal

Sakanoue Elementary School

403

191

212 Municipal

Negishi Elementary School

330

187

143 Municipal

Suimei Elementary School

359

175

184 Municipal

Chikuma Elementary School

135

62

73 Municipal

Minamigaoka Elementary School

664

355

309 Municipal

1,280

654

626

Komorohigashi Junior High School

745

367

378 Municipal

Ashihara Junior High School

535

287

248 Municipal

1,702

673

1,029

Komoro Commercial High School

615

266

349

Komoro High School

1,087

407

680 Prefectural

200

124

76

200

124

76 Prefectural

131

30

101

131

30

101 Private

Junior High School

2High School

2

School for Special Needs Education

1

Komoro School for the Disabled
Vocational School

1

Komoro Vocational School of Nursing

FemaleMemo

Prefectural includingNight High Schools

Sources: School Basic Survey; High School Directory; Situation of Education
Table 1-3 Nursery Schools in Komoro (As of April 1, 2011)
Nursery SchoolStudent

total

Memo

614

Misato Nursery School

83 Municipal

Ashihara Nursery School

47 Municipal

Misato Nursery School

43 Municipal

Minami Nursery School

96 Municipal

Chuo Nursery School

131 Municipal

Chikuma Nursery School

23 Municipal

Nishi Nursery School

46 Municipal

Sakura Nursery School

94 Private

Poppo-no-ie Nursery School

51 Private
By Welfare Division of Komoro City

6

◆Culture
There is evidence that people lived around the Komoro area 10,000 years ago. As centuries
roll by, Komoro began flourishing as a post town at the key transport junction. In Edo era(1603-1868), the Edo Shogunate assigned Komoro Domain. Due to its historic background,
Komoro holds many cultural assets.
Table 1-4 Cultural Assets in Komoro (As of January 1, 2011)
Classification by protection law

Qty.

National

Natural Treasure

1

National

Historic Site

1

National

Important Cultural Property

5 structures

National

Tangible Cultural Asset

3 structures

Prefectural Treasure

1 structure and 3 statues

Prefectural Historic Site

1

Prefectural Natural Treasure3

Prefectural Intangible Folk Cultural Heritage1
Source: Statistics of Komoro 2010

Komoro Catsle Sannomon

Nunobiki Shakusonji(National Important Cultural Asset)(National Important Cultural Asset)

Komoro Castle Otemon

Guardian Deity Festival in Mikageshinden(National Important Cultural Asset)(Prefectural Intangible Folk Cultural Asset)

7◆Hygiene and medical system
The Health Center of Komro City is in charge of hygiene.
The following tables show the numbers of medical facilities, beds and healthcare and medical
workers in Komoro City. There is a general hospital, which functions as a semi emergency
care and accepts patients not only from Komoro City but also from neighboring cities, towns
and villages. There is also a specialized training school where students are trained to beassistant nurses.
Table 1-5 Medical Facilities in Komoro (As of April 1, 2011)
Facilities

NumberHospitals
Clinics of Medical Practitioners

3
29

Dentists
Offices of Masseuses, Chiropractors,
Acupuncturists and Judo-orthopaedists
Pharmacies

20
34
20

Source: Statistics of Komoro 2010
Table 1-6 Beds in Komoro (As of April 1, 2011)
Hospital Beds

Number of Beds

Total Number of Beds
General Wards
Sanatorium Wards
Psychiatric Wards

770
462
48
260
Source: Saku Welfare and Health Office

Table 1-7 Healthcare and Medical Workers in Komoro (As of April 1, 2011)
Healthcare Professionals
Doctors
Dentists
Pharmacists
Midwives
Public Health Nurses
NursesAssistant Nurses
Dental Hygienists
Dental Technicians

Number
82
27
82
17
35
455
142
48
7
Source: Statistics of Komoro 20108

2. APPROACH TO SAFE COMMUNITY
2.1

BACKGROUND

With the recent changes in society, where people in a community have become less involved
each other and began feeling anxious and isolated, we are surrounded by various dangers
and anxieties such as traffic accidents, injuries by falls and such, suspicious approaches tochildren, bank transfer scams, incidents and accidents where elder people are victims,
violence by youth, DVs, suicides, deteriorating condition of public safety because of increasein street crimes, and so forth.
To improve each citizen’s satisfaction with safety and security by removing dangers andanxieties threatening safe living environments, it is necessary for all of the community’s
people involved in security measures to share the ideas and work together to resolve
problems comprehensively.
Based on the idea that living in a safe and secure community is all citizens’ wish, Komoro has
been working on many activities related to safe and security as a city’s priority policy. We
have been establishing LOHAS town Komoro based on the viewpoint that it is especially
important for issues of environment and health to promote environmental preservation andgood health continuously on a routine basis not to cope with problems when they happened.
We also believe that all people, with the diversification of their lifestyles, need to work together
to make a town comfortable to live for each person by doing what each person can do.
Therefore, we have continued to build a town where a community and its people work
together.
Through these activities, we came to know the Safe Community. We learned and understoodthat the Safe Community is an activity to work together with people of a community,
implement reasonable measures, and evaluate and review activities continuously.
Believing that the Safe Community activities should allow Komoro City to develop its existing
activities better and result in improving trust and involvement in the community and vitalizing
safety and people’s awareness, we decided to develop the activities with the motto “Let’s
make a community with smile and environment blended” in an effort to realize a community
where each citizen can feel happy as well as safe and secure in his/her daily life.

9

2.2

PROGRESS OF SAFE COMMUNITY PROJECTS
Date

Dec. 2009

Major Action
Mayor of Komoro City announced to the press about launching a study to be
designated as a member of the Safe Community Network
Started survey research on a Safe Community
Participated in Minowa Town’s Safe Community workshops

Jan. 2010

Visited Kameoka City and Atsugi City to learn their approaches to Safe
Community

Feb. 2010

Attended lectures on human rights enlightenment held by Sakae Ward in
Yokohama City

Mar. 2010

Attended the International Safe School designation ceremony of Ikeda
Elementary School attached to Osaka-Kyoiku University
Participated in the Asia-Pacific Region Safe School Promotion Forum
Mayor of Komoro City declared to obtain a membership of the WHO
International Network Safe Communities
Participated in the 19th International Safety Communities Conference in
Suwan, South Korea

April 2010

Held a workshop for all stuff of the city government

May 2010

Launched the Safe Community Research Committee of the city government
Placed a sing of declaration of efforts to be a member of Safe Communities in
the City Hall lobby

June 2010 Observed Safe Communities certifiers’ site-visit of Atsugi City
Established Safe Community Supporters Forum of the city government
July 2010

Participated in the Safe Communities Forum in Minowa Town
Participated in the Safe Communities Open Seminar held by the Architectural
Institute of Japan

Aug. 2010

Established the Komoro Safe Community Steering Committee

Sep. 2010

Put the city’s safe and secure community-building ordinance on books

Oct. 2010

Launched dialogues with all staff of each division of the city government

Nov. 2010

Participated and made a presentation in the International Symposium in Taipei,
TaiwanAttended the Safe Community designation joint ceremony in Taiwan
Attended the Safe Community designation ceremony of Atsugi City

Dec. 2010

Launched the Safe Community Working team of the city government

Feb.2011

Conducted a questionnaire survey about a safe and secure town-building

10

Established the taskforce committees on traffic safety, elderly safety, children’ssafety and suicide prevention
June 2011 The pre site-visit by the Safe Community certifiersParticipated in the People’s Security and Safety Festa in Toshima
July 2011

Participated in the Minowa Town Safe Community Forum

Sep. 2011

Participated and made a presentation in the 20th International Conference on
Safe Communities (in Falun, Sweden)

Oct. 2011

Held the Citizens’ Security and Safety Forum in Komoro

Nov. 2011

Established the Disaster Prevention Task force committee and theSurveillance Committee
Participated in the National Inaugural Meeting of the Safe Community
Promotion Municipalities Network

3. SITUATION OF DEATHS, INJURIES AND ACCIDENTS
3.1 SITUATION OF DEATHS(1) Causes of Deaths including diseases
Unintentional accidents and suicide are the leading causes of death for people aged
younger than 69 years old.
About 100 people died in Komoro every year. In the last five years, unintentional accidents
were the leading cause of death for ages 1 to 4, ages 15 to 19 and ages 20 to 24. Suicide was
the leading cause of death for ages 20 through 44 and the fifth leading cause of death among
45 to 69 for the last five years. It is obvious that unintentional injuries and suicide are ourchallenges.

11

Table 3-1 Leading Causes of Death by Age (2006-2010)
Age
0
1～4

1st
Congenital Disorder

2nd

3rd

4th

5th

OthersUnintentional
Accidents

5～9
10～14
15～19

Unintentional
Accidents

20～24

Unintentional Accidents, Suicides, Heart Diseases

25～29

SuicidesM alignant Neoplasms, Respiratory Diseases,M ultiple Organ Failures

30～34

SuicidesUnintentional
Neoplasms

35～39

SuicidesM alignant Neoplasms, Others

Unintentional Accidents,Respiratory Diseases

40～44

SuicidesRespiratory Diseases, Heart Diseases

M alignant Neoplasms, Kidney Diseases, Others

45～49

M alignant Neoplasms

Unintentional Accidents, Cerebrovascular Diseases, Kidney Diseases Suicides, Others

50～54

Heart Diseases

M alignant Neoplasms

Others55～59

M alignant Neoplasms

Heart Diseases

Cerebrovascular Diseases, Others

60～64

M alignant Neoplasms

Heart Diseases

Others

SuicidesRespiratory Diseases,
Liver Diseases Ohters

65～69

M alignant Neoplasms

Respiratory Diseases

Heart Diseases

Cerebrovascular
Diseases

Suicides70～74

M alignant Neoplasms

Heart Diseases

Respiratory Diseases

Cerebrovascular
Diseases

Others75～79

M alignant Neoplasms

Respiratory Diseases

Heart Diseases

Cerebrovascular
Diseases

Others80～84

M alignant Neoplasms

Respiratory Diseases

Heart Diseases

Cerebrovascular
Diseases

Senility

85～89

Respiratory Diseases

Heart Diseases

M alignant Neoplasms

Cerebrovascular
Diseases

Others90～

Respiratory Diseases

Senility

Heart Diseases

M alignant Neoplasms

OthersAccidents,

MalignantHeart Diseases, Cerebrovascular Diseases

Suicides, Liver Diseases
Suicides,Diseases

Liver

Source: Mortality Statistics
Note: There were no deaths for ages 5 to 14 for the years 2006 through 2010.

12

(2) Trend of deaths from unintentional accidents and suicide
In comparison, the number of death from suicide remains high on average, although it was
lower than the national average number of death. On the other hand, the rate of death fromsuicide has varied, but been higher than that of the rate of both Japan and Nagano prefecture.

Table 3-2 Injury Deaths by Cause (2006-2010)
Leading Causes of Death

Number of deaths(persons,65 and older shown in parentheses)

2006

2007

2008

2009

2010

Unintentional Accidents

6(3)

5(4)

13(8)

14(12)

11(10)

Road Traffic Accidents

3(1)

1(0)

4(2)

5(5)

0

Falls

0

0

2(2)

2(1)

3(3)

Fatal and Nonfatal Drawings

1(1)

1(1)

0

1(1)

2(2)

Suffocations

2(1)

3(3)

3(3)

4(4)

5(4)

Others

0

0

4(1)

2(1)

1(1)

Homicide

0

0

0

1(1)

0

Total

6(3)

5(4)

13(8 )

15(13)

11(10)

Source: Mortality statistics

Unit: Actual number

Table 3-3 Trend of Death from Suicide (2006-2010)
Year

2006

2007

2008

2009

2010

Number

7

9

10

19

7
Source: Mortality Statistics

Figure 3-1 Trend of Deaths from Unintentional Accidents and Suicide(per 100,000 persons)

Source: Annual Health Report

13

Unit: Number per 100 thousand persons

(3) Situation of unintentional accidents and suicide by age
There are around 10 deaths from unintentional accidents every year. The older people get,the more people die from unintentional accidents. Falls, drawings and suffocations are theleading causes of deaths. There are also around ten deaths from suicide every year. Persons
over a wide age range from 20’s through 80’s have died from suicide.
Figure 3-2 Deaths from Unintentional Accidents by Age and Cause

Source: Mortality Statistics

Unit: Actual Number

Figure 3-3 Death from Suicide by gender (1999-2008)

Source: Mortality Statistics

14

Unit: Actual number

3.2 SITUATION OF INJURIES(1) Situation of injuries based on the number of persons taken to emergency
rooms
As medical facilities in Japan do not have a common surveillance system, Komoro City
analyzed the situation of injuries and accidents based on the data of the persons taken to
hospital by ambulance and the police data.
In 2011, total 446 persons were taken to hospital by ambulance because of injuries andaccidents occurred in Komoro City.
Older people age 65 and older accounted for 46.1%, the highest rate of all numbers. In thisage group, the number of those age 75 and older was especially high.
More persons were injured inside than outside. The number of injuries was high among those
aged 0-4 and 70 and older.
Figure 3-4 Persons Taken to Hospital by Ambulance

Source: Data by Komoro Fire Station
Figure 3-5 Accidents Rate ended up emergency transportation

Source: Data by Komoro Fire Station

15

According to the data by type of accidents based on its own classification, the leading causesof admission to hospital by ambulance for all ages are falls (37.0%), followed by traffic
accidents (35.2%), self-harm (2.9%), work related injuries (2.5 %) and sport-related injuries(1.8%). Falls account for about 60 % of all causes for aged persons, and sport-related injuries
and all other injuries except falls account for slightly higher percentage for persons age 0-14
than for all ages.
Figure 3-6 Causes of Injuries

Source: Komoro Fire Station’s emergency transportation data
The leading causes of injuries ended up emergency transportation to hospital are falls(30.5%), followed by traffic accidents by bicycles, motor vehicles and motorcycles and on
pedestrians (35%). Falls account for 51.0%, more than half of causes, among persons age 65
and older.
Figure 3-7 Causes of Injuries

Source: Komoro Fire Station’s emergency transportation data

16

The leading types of injuries ended up emergency transportation to hospital for all ages arebruises/contusions (25.8%), followed by fracture (20.2%). Fracture is the leading type of injury
for persons aged 65 and older.
Figure 3-8 Nature of Injuries

Source: Komoro Fire Station’s emergency transportation data

On the street is the leading place of injuries for all ages, accounting for 40.1%, followed byinside the home (36.1%). For persons aged 65 and older, however, more than half, or 53.4%,of all injuries occurred at home, more than on the street.
Figure 3-9 Place of Occurrence

Source: Komoro Fire Station’s emergency transportation data
Note: *Welfare Facilities: Nursing homes for the elderly**Others include workplaces, rice fields and fields.

17

(2) Children’s injuries
Among children aged 0-4, whose injury occurrence rate is higher than that of all other age
groups, injury occurrence rates of those aged 0-1 and 3 are higher. Aspiration and accidental
ingestion are the leading causes of injuries for those aged 0-1, and falls are the leading cause
of injuries for those aged 3.
Figure 3-10 Rates and Causes of Injuries of Aged 4 and Younger

Source: Komoro Fire Station’s emergency transportation data
As for injuries by nature, suffocation and aspiration are the leading cause among those aged
0-1, abrasion and dissection are the leading causes for those aged 2-3 and burs only
occurred for those aged 3.
Figure 3-11 Rate and Nature of Indoor Injuries for Children Aged 4 and Younger

Source: Komoro Fire Station’s emergency transportation data18

Among children aged 15-19 whose rate of injuries occurred outside is relatively highcompared with other age groups, the injury occurrence rate peaks at 18 years old when they
begin driving. Motorcycle riding is the leading cause of injuries among those aged 16-18 andmotor vehicle driving is the leading cause of injuries among those aged 18-19.
Figure 3-12 Rates and Causes of Outdoor Injuries for Children Aged 15-19

Source: Komoro Fire Station’s emergency transportation data

As for nature of injuries, bruises and fractures are the leading causes for all ages.
Figure 3-13 Rates and Nature of Outdoor Injuries for Children Aged 15-19

Source: Komoro Fire Station’s emergency transportation data19

(3) Work-related injuries
Approximately 40 to 60 injuries occurred at work places every year. According to the data on
workplace injuries by Komoro Labor Standards Office, 138 injuries that require 4 and moredays off occurred at business facilities in Komoro City between 2009-2011. Falls from higher
level account for 16 % of the leading causes of workplace injuries, followed by struck andcaught by or against object (15%) and falls (12%).
Figure 3-14 Number of Work-related Accidents

Source: Work-related injuries data by Komoro Labor Standards Office

Figure 3-15 Causes of Work-related Accidents

Source: Work-related injuries data by Komoro Labor Standards Office20

(4) Elderly injuries
Among elderly persons who were taken to hospital by ambulance, falls and downfalls/slip
drop account for 60.7 % the leading causes of injuries, followed by motor vehicle driving andwalking (13.1 %).
Figure 3-16 Causes of injuries ended up emergency transportation to hospital

Source: Komoro Fire Station’s emergency transportation data
Agreeing with the idea of the Safe Community, Komoro Kosei General Hospital collected andanalyzed data on injuries of persons aged 65 and older who visited there for injuries between
April 1, 2010 and March 1, 2011.
Among them, women account for about 60 percent. The rate of injuries occurred outside of
the house and facility is the highest, or 46 %, followed by 34 % for inside of the house. Falls
account for about 50 % of the causes for a hospital visit.
Figure 3-17 Numbers and rates of Injury visit by Sex

Total
595

Source: Komoro Kosei General Hospital

21

Figure 3-18 Place of Injury

Source: Komoro Kosei General Hospital
Note:
1.

Inside refers “inside the home”:

2.

Outside refers places other than “inside the home” and “inside the facility”:

3.

Inside the facility refers “inside the facility for older people”:

4.

Unknown refers “place not specified”.

Figure 3-19 Causes of injury visits to hospital

Source: Komoro Kosei General Hospital

22Note:
1. Farm work accidents include all injuries occurred while working at farm. (Falls and fall
slip are classified as farm work injuries if happened while working at farm):
2. Work-related accidents include all injuries occurred while working at workplace except
farm. Falls and fall slip are classified as workplace injuries if happened while working at
workplace):
3. Other accidents while working include all injuries occurred during working at places otherthan farm and workplace, such as cutting grass, moving things, doing domestic work andso forth:
4. Unintentional injuries are other injuries than falls and fall slip:
5. Unknown means obvious injuries but not specified.
(5) Injuries caused by traffic accidents
Traffic accidents are the second leading causes of injuries for all ages according to the
Komoro Police Station. Closely analyzed police data show that in 2008 the number of deathfrom traffic accidents in Komoro City was less than those of both Japan and Nagano
prefecture but from 2009 through 2011 it became rather higher. Although total number oftraffic accidents has been decreasing, the percentage of injuries of aged persons was high in2009 and 2010, accounting for more than 30 %.
Figure 3-20 Trend of Deaths from Traffic Accidents (per 100,000 persons)

Source: National Police Department

23

Figure 3-21 Trend of Death from Traffic Accidents in Komoro City (actual number)

Source: National Police Department
For elderly persons, around twilight (between 17:00 and 19:00) is the time when traffic
accidents occur most, followed by daytime.
Table 3-4 Traffic Accidents among Aged Persons by Time of Injury in Komoro City
18

19

20

21

22

23

～

～

～

～

～

～

1

2

3

4

5

6

2009
2010
1
2011
Average 0.3

1
1
0.6

～

17

～

16

～

15

～

14

～

13

～

12

～

11

～

10

～

9

～

8

～

7

～

6

～

5

～

4

～

3

～

2

～

1

～

0

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

5
3
1
3
0.3 1.3 3.6

9
6
3
6

3
5
7
5

5
3
5
4
6
4
5
1
6
5
9
6 10 5
7
8
1
4
4
3
3
4.3 5.6 3.6 5.6 5.3 5.6 4.3

5
8
8
7

6
12
2
6.6

4
1
1
2

3
1

2

3
1

2
1
1
0.6 1.3

Source: Accidents data by Komoro Police Station
Among car-to-car accidents, the percentage of rear-end collision is high. Distracting driving(driving looking at non-traffic sights) caused most of rear-end collisions.
Table 3-5 Car-to-Car Accidents in Komoro City

2009
2010
2011

Total

Rear-end
Collisions

Collisions at
anIntersection

While
Turning a
CornerHead-onCollisions

While
Passing
Other Car(s)Others

207
203
197

106
106
115

48
54
38

22
17
17

7
12
8

7
1
5

17
13
14

Source: Accidents data by Komoro Police Station

24

Table 3-6 Number and Causes of Rear-end Accidents

Total Percentage

2009
2010
2011

106
106
115

Lost inThought

45.2％
46.2％
52.5％

Distracting
Distracting Not Making
Driving
Driving
sure of(Looking at(Looking at behaviors of Incorrect
nontrafficOperation
nontrafficotherrelatedrelated drivers/pedesightssights inside) strianoutside)

20
10
13

36
30
38

28
33
34

13
14
19

5
6
5

Skidding

Others

0
4
2

4
9
4

Source: Accidents data by Komoro Police Station(6) Intentional injuries
The number of crimes occurred in Komoro City has been decreasing after peaking in 2002,
less than that of both Japan and Nagano prefecture.
Table 3-7 Gross Number of Recognized Criminal Law Crimes
2005 2006 2007 2008 2009 2010 2011
408
434
437
351
367
294
308
per 100,000 Persons 1,301.0 1,219.1 1,100.6 1,570.2 1,627.6 1,370.0 1,031.3 896.7 955.1 966.1 776.5 818.7 668.2 702.5
Komoro City

1998
599

1999
564

2000
508

2001
722

2002
747

2003
628

2004
472

Total

Nagano Prefecture 28,173 29,252 32,110 34,764 34,054 31,974 29,822 26,753 22,902 21,422 21,105 20,164 18,295 17,707
per 100,000 Persons 1,272.1 1,318.2 1,449.6 1,565.8 1,536.5 1,443.3 1,346.8 1,218.2 1,046.1 981.7 971.0 933.1 850.0 825.8

Japan

2,033,546 2,165,626 2,443,470 2,735,612 2,853,739 2,790,136 2,562,767 2,269,293 2,050,850 1,908,836 1,818,023 1,703,044 1,585,856 1,480,765

per 100,000 Persons 1,623.6 1,726.5 1,945.2 2,172.7 2,264.7 2,212.0 2,031.1 1,798.1 1,625.7 1,513.9 1,443.5 1,335.6 1,254.8 1,171.7

Komoro City
Homicide
Assault
InjuryPopulation

0
0
0
1
0
0
0
0
2
0
1
1
0
0
0.00 0.00 0.00 2.17 0.00 0.00 0.00 0.00 4.40 0.00 2.21
2.2
0.0
0.0
Nagano Prefecture
22
13
17
12
16
15
21
8
24
24
11
8
19
10
per 100,000 Persons
0.99 0.59 0.77 0.54 0.72 0.68 0.95 0.36 1.10 1.10 0.51 0.37 0.88 0.47
Japan
1,388 1,265 1,391 1,340 1,396 1,452 1,419 1,392 1,309 1,199 1,297 1,094 1,067 1,051
per 100,000 Persons
1.11 1.01 1.11 1.06 1.11 1.15 1.12 1.10 1.04 0.95 1.03 0.86 0.84 0.83
Komoro City
0
0
3
3
1
2
0
0
5
5
2
5
8
7
per 100,000 Persons 0.00
0.00 6.50 6.52 2.18 4.36 0.00 0.00 11.00 11.05 4.42 11.15 18.18 15.97
Nagano Prefecture
57
25
78
97
80
85
87
108
219
565
570
484
434
396
per 100,000 Persons
2.57 1.13 3.52 4.37 3.61 3.84 3.93 4.92 10.00 25.89 26.23 22.40 20.16 18.47
Japan7,367 7,792 13,225 16,928 19,442 21,937 23,691 25,815 31,002 31,966 31,641 29,638 29,593 29,237
per 100,000 Persons
5.88 6.21 10.53 13.44 15.43 17.39 18.78 20.45 24.57 25.35 25.12 23.24 23.42 23.13
Komoro City
10
3
2
5
8
11
5
8
9
8
5
5
3
8
per 100,000 Persons 21.72
6.48 4.33 10.87 17.43 24.00 10.93 17.58 19.81 17.69 11.06 11.15 6.82 18.25
Nagano Prefecture
195
192
293
327
273
288
283
248
257
285
273
214
221
195
per 100,000 Persons
8.80 8.65 13.23 14.73 12.32 13.00 12.78 11.29 11.74 13.06 12.56 9.90 10.27 9.09
19,476 20,233 30,184 33,965 36,324 36,568 35,937 34,484 33,987 30,986 28,291 26,464 26,547 25,832
Japan
per 100,000 Persons 15.55 16.13 24.03 26.98 28.83 28.99 28.48 27.32 26.94 24.58 22.46 20.75 21.01 20.44
46,041 46,262 46,158 45,982 45,897 45,840 45,766 45,499 45,440 45,235 45,205 44,827 43,997 43,843
Komoro City
per 100,000 Persons

Nagano Prefecture 2,214,721 2,219,028 2,215,168 2,220,208 2,216,360 2,215,352 2,214,356 2,196,114 2,189,177 2,182,190 2,173,492 2,160,873 2,152,449 2,144,344

Japan

125,252,000

125,432,000

125,612,633

125,908,000

126,008,000

126,139,000

126,176,000

126,204,902

126,154,000

126,085,000

125,947,000

127,510,000

126,381,728

126,381,728

Source: National Police Department

25

Figure 3-22 Number of Recognized Criminal Law Crimes (per 100,000 Persons)

Source: National Police Department(7) Self-harm injuries
There were 67 self-harm incidents (suicide attempts) ended up being transported to hospitalby ambulance between 2009 and 2011. By age, the percentage of those in their 20’s and 30’s
is higher than those of other age group, and by sex, the percentage of female is higher thanmale. By severity of injuries, among persons in their 20’s and 30’s the percentage of mild
injuries is higher, and among persons in their 50’s the percentage of acute injuries is higher
and the rate of deaths tends to be high accordingly.
Figure 3-23 Self-harm by age and gender-

Source: Komoro Fire Station’s emergency transportation data

26

Figure 3-24 Self-harm by age groups and the severity

Source: Komoro Fire Station’s emergency transportation data
Figure 3-25 Means of Self-harm & Nature of Self-harmNote: *”Others” includes self-burning and entering a mountain** “Unknown” is injuries not known because
Source: Komoro Fire Station’s emergency transportation data27

4. EFFORTS FOR SAFETY PROMOTION AND INJURY PREVENTION BASED ON
SEVEN INDICATORSINDICATOR 1: AN INFRASTRUCTURE BASED ON PARTNERSHIP AND COLLABORATION,
GOVERNED BY A CROSS-SECTOR GROUP THAT IS RESPONSIBLE FOR SAFETY PROMOTION(1) Komoro City’s system to promote Safe Community movement
Figure 4-1 Chart of Komoro City’s Safe Community Promotion System

Komoro Safe Community
Steering Committee
SurveillanceCommittee
Komoro Safe
Community

Taskforce committees forPlanning Teamprioritized issues

Supporters Forum
City
Governments

Committee of Disaster Preparedness

Safe Community

Committee of Suicide Prevention

Working teamCommittee of Children’s Safety

Safe Community

Committee of Elderly Safety

Committee of Safe Traffic

Komoro・Reflect to city policies
・enplanement of activities/programs for citizens
・information provision・hosting study sessions

28

In order to promote the Safe Community activities continuously, Komoro City revised city’ssafe and secure community-building ordinance, adding the following sentences to it for the
first time in Japan: Komoro City intends to become a Safe Community; it stipulates toestablish the Safe Community Steering Committee; it promotes the S + PDCA cycle throughthe Safe Community Steering Committee .
The Safe Community Steering Committee, which includes the city government, the Police
Office, the Fire Station, region’s Medical Association and medical facilities, community
members, and other groups, is a core of Komoro City’s safe community promotion system.
Five taskforce committees under the Safe Community Steering Committee utilize
interventions in the priority problems, based on safety diagnosis by the SurveillanceCommittee.
The Surveillance Committee provides each task force the data on injuries and advises on
evaluation indexes, as well as analyzes the data.
Task Forces set up and practice programs on top priorities for Komoro City’s safe and securecommunity-building which are defined by the Surveillance Committee. They also evaluate
their measures and regularly report their ongoing activities to the Safe Community Steering
Committee
The Safe Community Planning Team and the Safe Community Working Team within the city
government carry out liaison and coordination among the Safe Community promotion
organizations, plan and manage meetings of task forces, and discuss how to implement
measures. Aiming to promote Safe Community activities and support overall activities, theyalso recruit city government officials as supporters and organize the Supporters Forum.
As outlined above, Komoro City established the cross-sectional system to promote safe
community activities continuously.

29

(2) Safe Community Steering Committee
Figure 4-2 Cross Sectoral Collaboration◆ Function
・Developing an overall plan for Safe Community activities and implementing action plans
・Promoting Safe Community activities throughout the city
◆ StructureMembers: 35 organizations/groups, 35 persons (See P.103)
Chairperson: Tsutom Serizawa, Mayor of Komoro City
Vice Chairman: Shoji Mitsuishi, Chief of Komoro Police Station
Vice Chairman: Yasuhide Katagiri, Chairman of the Conference of Neighborhood
association Heads◆ History of meetings
2010
2011

2012

Aug. 17First meeting

Oct. 26

Second meeting

May 17

Third meeting

June 6Forth meeting (Pre site-visit)

Aug. 18

Fifth meeting

Jan. 18

Sixth meeting (Joint conference with taskforces)

Feb. 23

Seventh meeting30

(3) Task forces and the Surveillance Committee
Under Komoro City’s Safe Community Steering Committee, there are five task forces, whichplan programs, promote and evaluate activities, and explore better measures.
Table 4-1 Structure of Task Forces(Note: ◎ represents Chairman; ○ represents Vice Chairman; Figures indicate the number of members)Name of Task

Member of Task Force

Force
Traffic

Administrative Division Chief, Traffic Policy Division of Komoro Police

Safety (12)organs (4)Station; Advisor on Anticrime Activities of Komoro
Police Station; Division Chief, Living & Environment
Division of Komoro City; Division Chief, Construction
Division of Komoro City

PrivateManager, Komoro Branch of JR BUS KANTO, Co.;

companies

Manager, Komoro Sales Office of Chikuma Bus, Co;(3)

Chairman, Komoro Taxi Association

Community◎Chairman, Council of Crossing Guards; Member,action groups

Council of Crossing Guards; Director-General, Traffic(5)

Safety Association; ○Director, Women’s Group of
Traffic Safety Association; Chief, Komoro Branch of
Association of Safe Driving Administrators

Elderly Safety

Administrative Advisor on Anticrime Activities of Komoro Polisce(10)organs (4)Station; ○Division Chief, Senior Citizens’ Welfare
Division of Komoro City; Director-General, Social
Welfare Council; Chairman, Community General
Support Center

Medical

Director, Local Healthcare Cooperation Office offacilities (3)Komoro Kosei General Hospital; Member,
Komoro-Kitasaku Society of Clinical Pharmacy; Vice
Chairman, Association of Long-term Insurance
Operators

Community◎Accounting Audit, Federation of Golden Age

action groups

Clubs; Chairman, Council for Local welfare / childcare(3)

commissioners & Elderly Welfare; Vice Chairman,
Council for Local welfare / childcare commissioners &Elderly Welfare

31Children’s

Administrative Division Chief, Community Safety & Criminal Affairs

Safety (15)organs (6)Division of Komoro Police Station; Advisor on Anticrime
Activities of Komoro Police Station; Division Chief,
Welfare Division of Komoro City; Assistant Division
Chief, Child and Youth Support & Education;
Director-General, Social Welfare Council; Honcho,
Social Welfare Council

Educational◎Chairman, Association of Elementary and JuniorInstitutions (5) High School Principals; ○Chairman,
Kindergarten Federation; Chairman, Association of
Public and Private Nursery Principals; Principal,
Komoro Commerce High School; Teacher, Komoro
High School
Community

Chairman, PTA Federation; Chairman, Child Welfare

action groups

Division of Council for Welfare Volunteers; Chairman,(4)

Juvenile Guidance Committee; Chairman, Federation ofYouth Development Association

SuicideAdministrative Deputy Division Chief, Community Safety Division ofPrevention (14 )organs (6)Komoro Police Office; Advisor on Anticrime Avtivities ofKomoro Police Office; Head Health Nurse, Saku Healthand Welfare Office; Division Chief, Public Health
Division of Komoro City; Director-General, Komoro
Social Welfare Council; Chairman, Community General
Support Center

Medical◎Vice Chairman, Komoro Branch of

facilities (3)Komoro-Kitasaku Medical Association; ○Director,
National Hospital Organization KomoroKogen
Hospital; Member, Komoro-Kitasaku Society of ClinicalPharmacy

Community

Nurse, Study Group on Industrial Nursing; Nursing

action groups

Teacher, Nursing Committee; Director, Health(5)

Promotion Committee; Director, Local welfare /childcare commissioners Committee; Center President,
Multifunctional Center for Mentally Disabled32

Disaster

Administrative Director Komoro Labor Standard Office; Division Chief,

Prevention (14 )organs (5)Security Division of Komoro Police Station; Deptey
Commanding Officer, Komoro Fire Station; Division
Chief, General Affairs Division of Komoro City; Staff,
Komoro Social Welfare Council

Community◎Chairwoman, Liaison Conference among

action groups

Women’s Group; ○Deputy Chairman, Conference(9)of Neighborhood association Heads; Vice Captain,
Fire Company; Branch Manager, Komoro Branch of
JA-SAKUASAMA; Director, Chamber of Commerce andIndustry; Former Director, Junior Chamber;
Administrative Manager, Tourism Association;
Chairman, PTA Federation; President, Women’s
Network

Aiming at building an injury surveillance system and an evaluation system, we establishedthe Surveillance Committee which includes experts as well. Its detailed description is in
Indicator 4 on page **.
Table 4-2 Members of the Surveillance Committee(Note: ◎ represents Chairman; ○ represents Vice Chairman; Numbers represent the numberof members)

Administrative organs (3 )Advisor on Anticrime Activities of Komoro Police Station;
Chief of Firefighters of Komoro Police Station; Division
Chief, General Affairs Division of Komoro City

Medical facilities (2 )Vice Chairman, Komoro Branch of Komoro-Kitasaku
Medical Association; Division chief, Information
Management /division of Komoro Kosei General HospitalSpecialized institutions (2 )◎Senior assistant professor, Department of preventive
Medicine and Public Health, Shinshu University Schoolof Medicine : ○Assistant professor, Department of
Public Health, Tokyo University Graduate School of
Medicine33

Traffic Safety

Elderly Safety

Children’s Safety

Suicide Prevention

Disaster Prevention

Surveillance committee(4) In house organizations of the city government① Planning Team of the Komoro City Safe Community
The Planning Team was established in order to ensure a cross-sectional collaboration within
the city government and explore how to implement measures.
◆ Function
・Developing action plans by section
・Exploring and adjusting action plans within the city government◆ StructureMembers: Deputy Mayor and Division Chiefs of the city government◆ Number of meetings already held: 7

Meeting of the Working Team
② Working Team of the Komoro City Safe Community
The Working Team was established in order to carry out liaison and coordination among city
government divisions, plan and manage meetings of task forces, and smoothly conduct safe
community activities.

34◆ Function
・Sorting out agendas of projects by division and preparing rough plans for specific activities
・Coordinating project execution plans of related divisions within the city government
・Planning and managing meetings of each task forces
・Preparing application documents related to receiving a Safe Community designation◆ Structure:・Members: Division Chief of General Affairs Division and other division chiefs, assistantdivision chiefs and division staff in charge
・Chairman: Division Chief of General Affairs Division◆ Number of meeting held: 6③ The Safe Community Supporter ForumThe Conference consists of city government workers who are recruited to provide logistic
support for safe community activities regardless their work in charge.
◆ Role:・PR for the Safe Community
・Overall support for the Safe Community activities◆ Members:
Volunteers among the city government workers (36 people)◆ Past activities
・Meetings on PR activities for the Safe Community
・Promotion activity during the city festival
・Participation in a study-visit to Atsugi City・Participation in Toshima Safety/Security Festa 2011
・Participation in Minowa Town Safety Community Forum・Attendance at a designation ceremony and a commemoration symposium at the JISC ISS
Certifying Center(5) Support and Cooperation of the Nagano Prefecture Police Department and the
Komoro City Police Station① Nagano Prefecture Police Department
Recognizing that the Safe Community activities are an effective way of promoting a safe andsecure community, the Nagano Prefecture Police Department adopted the idea of the Safe
Community as an agenda and holds lectures and study sessions in order to disseminate theSafe Community activities throughout Nagano Prefecture.

35

In September 2010, the Nagano Prefecture Police Department also established the Safe
Community Support Committee in the Department so that it can effectively support the Safe
Community activities of Komoro City and Minowa Town in both hard and soft aspects.
Specifically, in April 2011, it put advisors to anticrime activities in the Komoro Police Stationand the Ina Police Station, which exercise jurisdiction over Minowa Town, in order tocooperate closely, supporting the Safe Community activities of these two communities.

Meeting of the Safe Community

Safe Community study sessions

Support Committee② Komoro City Police Station
Chief of the Komoro Police Station became Vice Chairman of the Safe Community Steering
Committee. In addition, police officers of the Komoro Police Station and an advisor sent by
the Nagano Prefecture Police Department as well, participate in related task forces. It also
provides data necessary to the Safe Community activities.
Being necessary to cooperate with each other inside the Komoro Police Station, it establishedthe Support Committee of Safe Community Movement, and holds study sessions, giving
support to Komoro City’s Safe Community activities in every way.
The Komoro Police Station support Komoro City’s Safe Community activities as described
below:
・Provision of data on crimes, traffic accidents and suicides
・Assistance of installing security light and camera for the Council of Komoro-Interchange
Industrial Park・Creation of two educational DVD, “Crusaders Furikomasenger NEXT” and “Crusaders
Furikomasenger SPIRITS”, to crusade against bank transfer scam・Support for “Safe and Secure Energy Supply Campaign” by Toshin Branch of Nagano Toshi
Gas Co. Ltd.
・Public education by placing a symbol of the Komoro City’s Safe Community activity on
anticrime posters
・Installation of blue LED lights on Komoro Ohashi to discourage suicide36

Crusaders Furikomasenger

Energy Supply Campaign

Installation of Blue LED Light(6) Safe community activities by other groups① Local welfare / childcare commissioner Committee
The Local welfare / childcare commissioner Committee
supports the idea of the Safe Community and joined
each task force as well as the Safe Community Steering
Committee.
Because action plans of the Local welfare / childcarecommissioner Committee accord with those of the Safe
Community activities, it is working with the emphasis on
joining the Safe Community programs.

② Conference of City District (neighborhood communities) Heads
With a view not only to understand a system andactivities of the Safe Community and but also todisseminate safe community activities, theConference of Neighborhood association Heads made a
study-visit to an antecede Atsugi City. Inviting the person
in charge from Kameoka City and former Chair of
Shino-cho neighborhood association in kameoka aslecturers, it also hosted a lecture meeting.
It has been deploying energetic activities of safe andsecurity in their communities with a motto “SafeCommunity activities start out in local communities”.

37

③ Komoro Municipal Library
In accordance with a suicide prevention month, Komoro
Municipal Library is engaging in an educational activity inorder to improve awareness of preventing suicide,setting up an area in the library with “books supporting
people’s heart and life”. In this corner, there are books
from titled Suicide and Depression to a variety of books
such as a photo book collecting cats’ paw pads“ andsome picture books as “books which sooth your feelingwhen you are tired”, “books which might change yourpersonality a little”, and others.

④ Nagano Automobile Dealers Association
Finding Komoro City’s Safe Community activities, theassociation donated vests to the city in the name of
supporting volunteer activities and the operation of “Safeand Secure community-building”. Donated vests areused at the events held by groups, which are members of
the Komoro City Safe Community Steering Committee,
to publicize Safe Community activities.

(7) Dissemination and awareness raising activities
Involving many citizens, Komoro City is operating Safe Community activities and making
efforts of dissemination and awareness raising activities.

① Activities to raise awareness of a Safe Communitya. Placing a sign of declaring to become a member of
the Safe Community Network.
We placed a sign of declaration of our efforts ofbecoming a Safe Community in the foyer of both themain building and the west building of the City Hall inorder to disseminate the efforts of Safe Community
activities.

38

b. Publicly soliciting a symbol for disseminating Safe
Community activities
At the start of a campaign for becoming a member ofInternational Safe Community Network, we publicly
solicited a symbol loved by citizens and good for put out
the information to the world in order to use fordisseminating Komoro City’s Safe Community activities.
The Komoro City Safe Community Steering Committee
selected the symbol from 83 applications from thecitizens. The symbol is used for disseminating Safe
Community activities by putting it on the workshop
circulars and city government staffs’ name cards.

c. Placing educational posters
Educational posters with the catch copy and symbol
have been placed in public facilities such as the City Halland the Community Center, where many people comeand go.

d. Printing city’s official envelope
City’s official envelopes with a symbol and explanation of
the Safe Community activities printed on it are used for
mailing documents of the city so that Safe Community
activities are disseminated in and out of the city.
e. City officials’ nametags
Putting a symbol on a name tag wore by city officials
make them conscious about the activities and also letvisitors to the City Hall know about the Safe Community
better.
f. Providing uchiwa (Japanese fan) for anticrime
public education
In time for the Citizens’ Festival, uchiwas for the purposeof anticrime public education were made and provided to
festival’s participants and spectators.

39

② Promotion of Safe Community activities
a. Conducting a public relations campaign throughvarious media
We operate public relations campaign throughnewsletters and programs in order to disseminate Safe
Community activities.

b. Hosting symposia for the citizens
To make more people understand the Safe Community
and involve in its activities, the city has hosted symposia
and lectures for the citizens. Five of such events havealready been held and there were gross total 1208
participants between April 1, 2010 and February 23,
2012.
c. Exhibiting posters
During a symposium or a lecture for the citizens, posters
of ongoing safe and security promotion activities are
displayed at the site.

d. Hosting study sessions and workshops forvarious groups
For the purpose of disseminating the Safe Community
activities and promoting secure and safe
community-building activities, we actively host study
sessions and workshops for the citizens and groups thatare interested in the Safe Community activities. Gross
total 47 groups and 858people have participatedbetween April 1, 2010 and March 3, 2012.

40

INDICATOR 2: LONG-TERM, SUSTAINABLE PROGRAMS COVERING GENDERS AND ALL AGES,ENVIRONMENTS AND SITUATIONS(1) Measures for the Safety Promotion
Komoro City has been making great efforts to improve safety, implementing safety promotion
measures covering both sexes and all ages and environments.
The following table lists up all measures by situation and age. One major measure from eachcategory is explained below this table.

Table 4-3 Reference Chart of Prevention Measures(Upper column shows the number of programs and an alphabet in each lower column
correspondents to each measure explained below the table.)
Age Group (years)
Children

Young

AdultsAged(0-14)

Adults(25-64)(65 andOver)(15-24)
Unintentional

Home

Accidents

4

4

4

19

a

m

m

m, u, v

Schools, Nursery

10

Schoolsb

Workplace4tTransportation

Intentional

5

8

7

10

c, d

n, o

n, o

n, o, w

Recreation,

2

2

2

3

SportsefffOther Public

4

3

3

3

Spaces

f, g

f, g

f, g

f, g

Suicide

2

4

5

10

h

p, q

p, q

p, q, x

12

4

3

3

I, j, k

k

k

y

6

7

7

9

l

l, r, sl, r, sl, r, s

CausesViolence, Abuse

Disasters

Note:1. Measures for eave age group also include those for all ages
2. All measures are for both sexes.

41(2) Komoro City’s major prevention measuresa. Health and safety education for parents
TargetPurposeMeasures

Audience

Organization in
ChargeParents ofPrevention ofProvide information to Municipal

Medical Association,

infants

infants’ injuries

Health Center (health service for

Dental Association,

and accidents at mother and child), Children’s
home

Police Station,

Center (safety education) andKomoro City

other child related facilities,

government

disseminate and promote the wayof dealing with accidents, urge tochange behaviors.
b. Returning from school in a group with help of PTA
TargetPurposeMeasures

Organization in

Audience

ChargeElementary

Prevention of

PTA and community residents lead PTA, Community

Schoolcrimes tochildren in group from school tochildrenchildren on thehome several times a year.

residents, Schools

way to homefrom schoolc. Traffic and bicycle safety education for school children
TargetPurposeMeasures

Organization in
ChargeAudience
Elementary Traffic accident

Police officers teach traffic rules

Traffic safety related

schoolprevention ofrelated how to cross the road, how Organization andchildrenelementary

to raid bicycle with demonstrationgroups such as
Police Station,school children

schools42

d. Safe road map to and from school
TargetPurposeMeasures

Audience

Organization in
ChargeElementary

Prevention ofMark dangerous points along

Elementary andand junioraccidents ofthe commuting routes to andjunior high school

high school

elementary andfrom school in each school

students, schools,

students

junior high school

district on the map and share

PTA, neighborhood

students

the information with teachers

associations

and parents
e. Inspection of playground and play equipment
TargetPurposeMeasures

Audience

Organization in
ChargeChildren who Prevention ofCity government workers

Specialized

use parks

accidents ofperform a visual check andbusiness, Komoro

andchildren who use

make sure of working condition

City I

playgroundplaygroundof playground equipment while

equipment

equipment

patrolling a park. Technicians
give routine inspections, too.

f. AED and Emergency Aid Training
TargetPurposeMeasures

Organization in
ChargeAudience
GeneralLifesaving at the

Learn how to use AED and first

Police Station,

citizens

public facilities

aid manual from Fire Station

Komoro City

experts

government

and public
facilityusers

g. Anticrime Patrol by vehicles with revolving blue lightTargetPurposeMeasures

AudienceAll
Citizens

Organization in
ChargeCrime prevention

To deter crimes, Komoro city

Komoro City

workers patrol the city by

government

vehicles with revolving blue lightattached on it.

43

h. Hureai (Interaction) Telephone Komoro
TargetPurposeMeasures

Organization in

Audience

ChargePupils andPrevention of

Set up hotlines with which children

students

young people’s

can make a direct call to talk theiraged

misbehavior,problems with a education

under 18

withdrawal andcoordinator.

and theirsuicideKomoro City

parentsi. Welfare Experience Learning
TargetPurposeMeasures

Organization in

Audience

ChargeElementary Development ofand juniormutualhigh school understanding
students

Students experience eye mask

Schools, Social

and wheel chair; Interacting with

Welfare Council

the disabled, the elderly and adults

and bullying

in the community, they learn

prevention

Diverse ways of life and develop
ability to live.

j. Distribution of Anticrime Alarm to School Children
TargetPurposeMeasures

Organization in

Audience

ChargeNew

Prevention ofProvide anticrime buzzers donated Komoro City

pupilscrimes to children

by private groups to all new pupils

government,on the way to andof elementary schools in Komoro

elementary schools

from schoolCity

k. Emergency Temporary Protection of Mother and Children
TargetPurposeMeasures

Organization in

Audience

ChargeMothers

Protection of

Temporarily protect mothers with

Assistant andwith theirmothers with their

their child(ren) and women who

protection facilities,

child(ren)child(ren) andneed emergency escape from their Health and Welfare

andwomen frompartners at public facilities

women

violence

Office, Komoro City
government

44

l. Integrated Disaster Drill
TargetPurposeMeasures

Organization in

Audience
All citizens

ChargePrevention of

Komoro City government,

Neighborhood

injuries fromorganizations related to disasterassociations,disasterprevention and community

Medical Association,

residents conduct joint emergency Police Station, Firedrills to improve understanding of

Station, Volunteer

disaster prevention measures andfire company,

ability to take action.

Komoro City
governmentm. Emergency Calling System for the Disabled (Peace of Mind Telephone)
TargetPurposeMeasureOrganization in

Audience

ChargeDisabled

Security for

Get a help quickly at emergency

Fire Station,

person,disabled persons

such as accidents and diseases

Komoro City

and

inside the houseinside the house by using radio

government

communications

person
who livesalone

n. Experience Learning of Skidding
TargetPurposeMeasures

Organization in

Audience
Drivers

ChargeMotor schools,

Prevention ofDriving on the artificially madeaccidents on theslippery roads, drivers gain skills to private company

icy/snowy street

predict and react dangerous
situations.

45

o. Road Safety Training for Drivers
TargetPurposeMeasures

Organization in

Audience
DriverChargeTraffic accident

During Traffic Safety Period inMotor schools,

prevention

spring and in fall, police officers

Police Office,teach drivers traffic rules to

Komoro City

disseminate and promote traffic

government

safety knowledge.
p. Lecture on Depression
TargetPurposeMeasures

Organization in

Audience
All citizens

ChargeSuicideHolding lectures on depression to

Nursing careprevention

improve understanding ofagencies, Komoro

depression and promote earlyCity government

detection and early treatment.
q. Loan for Emergency Aid
TargetPurposeMeasures

Organization in

Audience

ChargeNeedy

Relief of urgent

Loan living expenses to a needySocial Welfare

persons

and temporary

persons so that they can beCouncil, Komoro

difficulties ofrelieved from temporary poverty

City government

needy persons

and rebuild theirr lifer. Disaster Prevention Peace-of-Mind Notification Mail
TargetPurposeMeasures

Organization in

Audience
All citizens

ChargePortal website of theOffer information

Delivering information on disaster

about disaster(related volcanoes and weather) to Committee of Mt.

prevention

those registered on portal website
of Committee of Mt. Asama Club,
call attention to disasters.

46

Asama Club,s. Support to Make Mutual Support Map in Time of Disaster
TargetPurposeMeasures

Organization in

Audience

ChargeNeighborhood Build up a rescue Aiming at making a community

Neighborhoodand escapewhere people help each other at

associations,system for thethe emergency, make a map withSocial Welfare

time of disasters

dangerous areas, evacuation

Council,Komoro

and educate

spots and places with

City government

about disasterassistance-need persons on it,

prevention

and promote awareness on

associations

disasters.
t. Projects for National Safety Week and Industrial Health Week
TargetPurposeMeasures

Audience

Organization in
ChargeEmployees ofPrevention ofDuring National Safety Week,

Labor Standards

businesswork-related

invite scholars and experts as

Office, Federation

establishment injuries

lecturers and hold a lecture and/or of Labor Standards

in Komoro

study course

Association,
Komoro City

City

government
u. Friendly Visit Project
TargetPurposeMeasures

Audience

Organization in
ChargeAged persons Security for

Local welfare/childcare

Local

who live

aged persons

commissioner confirm the safety of

welfare/childcare

alone

who live

aged persons, providing drinking

commissioners ,alonewater and talking with.

Komoro City
government

47

v. Hatsuratsu (Healthy and Vigorous) Nursing Care Prevention Class
TargetPurposeMeasures

Organization in

Audience
Aged person

ChargeCare

Coach aged persons not certified

Social Welfare

prevention

long-term care prevention exercises socouncilfor agedthat they do not have to get long-term

personcare, let those people interact with eachotherw. Subsidiary for Location Information of Wondering Aged Person
TargetPurposeMeasureOrganization in

Audience

ChargeAged person

Accident

Subsidize service fee for locating

Komoro City

who wonder

prevention

wondering aged person by using PHS

government

because ofof

network

dementia

wonderingold person

x. Measures for Withdrawal and Depression
TargetPurposeMeasures

Organization in

Audience

ChargeAssessing the problem comprehensively,

Social Welfare

prevention

health nurses and clinical nurses give

Council, Komoro

of theadvice and direction to suicidal elderly soCity government

elderly

as to have an independent life.

Aged persons Suicide

y. Counseling Program for Dementia Prevention
TargetPurposeMeasures

Organization in

Audience

ChargeAged persons Prevention

Psychiatrists and health nurses advise old

Medical
Association,

andof abusing

people who are worried about dementia

caretakers

the elderly

and caretakers and coach them how to see Komoro City
doctor or how to deal with.

48

government

INDICATOR 3: PROGRAMS THAT TARGET HIGH-RISK GROUPS AND ENVIRONMENTS, AND
PROGRAMS THAT PROMOTE SAFETY FOR VULNERABLE GROUPS(1) High-risk groups and their situation
In Komoro City, high risk and vulnerable groups are being defined as ①foreign residents, ②
children, women and old adults who are abused, ③persons with psychological disorder,developmental disorder and other handicap, and ④climbers to Mt. Asama. Allover situationsof those high-risk groups are described below.

① Foreign residents
Although the number of registered foreigners has been declining for the last few years, asmany as 659 registered foreigners live in Komoro City as of December 31, 2010. It is difficult
to analyze the trend of injuries of those people based on existing data. However, they musthave some difficulties living in a foreign country where language, culture and custom are alldifferent from theirs. They need to be taken care of.
Figure 4-3 Change in Registered foreigners’ population

Source: Statistics of Komoro

49

Table 4-4 Registered Foreigners by Country (As of Dec.31, 2010)

Enrolment(person)

Nationality

1st

241

Thailand2nd China

121

3rd

Philippines

86

4th

South Korea/North Korea

76

5th

Brazil47

6th

Indonesia

17

7th

Peru

16

8th

United Kingdom of Great Britain

8

9th

United States of America

4-

Other countries

43
Source: Statistics of Komoro② Children, women and old adults who are abused
In Komoro City, abusive incidents toward children, women and old adults occur several
dozens of times a year. Few abused persons talk about their situation to others and tend toconceal the problem. We need to work on the problem.
There were 121 consultations on children’s maltreatment for the last five years.
Figure 4-4 Number of Consultations on Protective Child Care

Source: Komoro City Board of Education

50

For the last four years, physical abuse and neglect were the major reasons for consultation.
Figure 4-5 Reasons for Consultation on Child Maltreatment

Source: Komoro City Board of Education
For the last four years, the child’s biological parent, especially biological mother, was the most
responsible to abuse.
Figure 4-6 Major Abusers in the Consultation

Source: Komoro City Board of Education

51

For the last four years, the number of consultations for the children of elementary school andyounger is predominantly large.
Figure 4-7 Maltreated children by age

Source: Komoro City Board of Education
For the last five years, there were 24 consultations on DV, all of which were from women.
Figure 4-8 Number of consultations on DV

Source: Welfare Division, Komoro City

52

The total number of incidents of abuse to the elderly over the last five years was 54.
Figure 4-9Number of Abuse to the Elderly

Source: Senior Citizens’ Division, Komoro City
③ Persons with psychological disorder, developmental disorder and other handicap
In Komoro City, the number of people with disabilities (hereinafter referred to as disabled
person) increases yearly. As of March 31, 2011, total 2,400 disabled persons live in the city. It
is difficult to identify the trend of injuries of those people from the existing data, but thedisabled seem to suffer substantial damage at the time of disaster because of the difficulty tomove or grip the situation, as the survey conducted by the Mainichi Newspapers shows thatthe victims with disabilities are twice as many as those of the physically unimpaired at the timeof the Great East Japan Earthquake. The disable must be taken care of.
Figure 4-10 Number of the Disabled

Source: Welfare Division, Komoro City53

④ Climbers to Mt. AsamaWith a recent increase in the number of climbers of Japanese mountains due tohealth-consciousness and the mountain climbing boom, people who do not have knowledge
and experience of mountain climbing began to climb a mountain. According to theMetropolitan Police Department, the number of mountain climbing accidents is increasing
because of low sense of responsibility such as poor preparation, impossible plan ignoring
weather condition and so forth.
As the bottom point of a trail up Mt. Asama, which is one of the 100 famous mountains inJapan, is located in Komoro City, many climbers come to the city. For the last 5 years, there
were more than 20,000 climbers in some year.
These people are considered as a high-risk group.
Figure 4-11 Number of climbers to Mt. Asama

Source: Council on Accident Prevention of Mt. Asama Climbers(2) Prevention measures for high-risk group
Measures for high-risk group are as follows:① Programs to help foreign residents
The following programs are designed to help foreign residents have a safer life by learning
Japanese customs and getting information.

54

Program

PurposeProgram Description

SupportLife support forCounseling service on

Service forforeign residents

livelihood and JapaneseForeignlanguage assistant for foreign

Residents

residents

Lead Organization
Komoro City

Japanese

Life support for

Conduct Japanese language

Volunteers citizens,

Languageforeign residents

classes by volunteers for

Komoro City

Classes byforeign residents of the city tovolunteers

help them learn Japanese goodenough to have a smooth daily
life.

International

Communication

Multicultural exchange between Volunteer group,

Exchangewith foreignforeign residents and Japanese schools. Komoro

Festival

residents

residents

International Festival Scene

55

City

② Programs for maltreated people
The following programs were established to improve the situation of maltreated people andmake those people have a safer life.
ProgramPurposeDescription of Program

Lead Organization

Support

Early detection

Judge urgency of each

Schools, Nursery

Network forand proper

maltreatment case, confirm theschools, Medical

Aid-requiring

protection ofsafety of the child, discussfacilities, Child

Childrenmaltreatedabout the case according to the

Guidance Centerchildrensituation and offer a proper
support

HureaiSee Chapter 4, Indicator 2 (2) h(Interaction)
Telephone
KomoroEmergency

See Chapter 4, Indicator 2 (2) k

TemporaryProtection ofMother andChildrenConference of

Early detection

Judge urgency of each

Police, Medical

Members inand proper

maltreatment case, confirm

facilities,

Charge ofprotection of

the safety of the person in

Community

Prevention ofmaltreated elderly question, discuss about theGeneral Support

Elderlycase according to the situation Cpenter, Komoro

Maltreatment

and offer a proper support

CounselingCity

See Chapter 4, Indicator 2 (2) yProgram for
Dementia
Prevention**Program to restrain the dementia case in which there is a risk of escalating into abuse by
understanding dementia and learning how to cope with it.

56

③ Programs for persons with psychological disorder, developmental disorder andother handicap
The following programs are for helping the disables live a safer life as a community member
without inconvenience.
a. Public consultation offices
About what

To whom to consult

Consultation, determination and guidance for

Saku Child Guidance Center

those age under 18(Residential care, and others)
About the mentally disabled and the intellectually Komoro City Welfare Office (Welfare
Section of Welfare Division)

disabled
1. Issue of disability certificate
2. Welfare services at home
3. Residential care
4. Others
About issue of mental disability certificate andKomoro City Welfare Office (Welfare

municipal payment of the regular hospital visit

Section of Welfare Division)

cost
About mental disorder

Komoro City government (Health andPrevention Office of Health Division)

About medical care for rearing disabled children

Saku Health and Welfare Officeunder 18 years old, medical care for specified
diseases, and mental disorder
About long-term care insurance

Komoro City government (Care Welfare
Office of Senior Citizens’ Welfare
Division)b. Other consultation offices
About consultation with, guidance of andLocal welfare commissioners and local

research on poor and needy persons and thosewelfare/childcare commissioners of

who need support for children, the disabled andeach district (Note: Welfare

the elderly

commissioner concurrently serves aslocal welfare/childcare commissioners )Response to consultation for children with

Saku Support Center for Persons withphysical, intellectual or mental disability

Disability

Consultation by the deaf of the daily life problems Deaf consultant of Nagano Association(marriage, home, and employment and so forth)57of the Deaf

Consultation on and guidance of child rearing

Local welfare/childcare commissioners ,problems at home, consultation on promoting

Supporters of maternal and child

child welfare and consultation on various

independent living

problems of single mother home
Multifunctional Center for the Mentally Disabled (Work-port Nogishi-no-oka)
Komoro City supports the mentally disabled, having established a multifunctional facility inorder to promote their rehabilitation, self-independence and participation in socioeconomic
activities, prevention of isolation from the society and the formation of communication.
The disabled commuting to this facility are helped to gain abilities of being independent andhaving a safe and secure life as a member of a community.

Source: Work-port Nogishi-no-oka

Source: Work-port Nogishi-no-oka

58Source: Work-port Nogishi-no-oka
Table 4-5 Users by Age Group
Program
B Type Support forContinuous Employment
Rehabilitation Service(Training for daily living)
Total

10’s

20’s

30’s

40’s

50’s

0

1

10

13

1

0

0

1

1

10

60’s and
older

Total

10

5

39

1

2

0

4

14

12

5

43

Source: Work-port Nogishi-no-oka
Activities of Multifunctional Center for the Mentally Disabled (Work-port Nogishi-no-oka
Because to participant in a job according to his/her own suitability and ability becomes the firststep to blend into society as well as the discovery of the joy and purpose of living for thedisabled, Multifunctional Center for the Mentally Disabled supports activities as follows:

Support for continuous employment (janitorial work)

59

Meeting between commuting disabled

Rehabilitation training (Farm wark)(to form communication)④ Programs for climbers to Mt. Asamaa. Consultation on mountain climbing during summer by the Council on Accident Preventionof Mt. Asama Climbers
Because there are many mountain climbers during the mountain climbing season in summer,
members of the Council on Accident Prevention of Mt. Asama Climbers consult with climbers
along the climbing trail and urge climbers to descend earlier than participated when theworsening weather is forecasted.
Activities: 32 times in 2009; 22 times in 2010; 20 times in 2011b. Inspection of climbing trails and rescue drills
The city government, Police Station, Fire Station, District Forrest Office, Ministry of theEnvironment, NPO organizations and others check the climbing trails and conduct rescue
drills three times a year in spring (before the climbing season) , fall and winter.
c. E-mail delivery service on advisory and warning
Weather advisory and information are e-mailed to the citizens and climbers registering on the
portal website of Committee of Mt. Asama Club. Tourism information can be seen on thewebsite, too.
Rescue drills

From the portal website of Committee of Mt. Asama Club60→

INDICATOR 4 PROGRAMS THAT ARE BASED ON AVAILABLE EVIDENCE(1) Identifying problems based on locally collected data
Along with a rapid aging population with low birthrates like the entire Japan, communities in
the region are becoming sparse, which makes it a challenge for Komoro City to maintain thecommunity itself.
Komoro City is working on the priority programs of injury prevention based on the available
local evaluation in an effort to rebuild trust and bond in the region.

Result from local diagnosis

Goals-More than 200 traffic accidents occurred yearly.
-The number of deaths per 100,00 persons from traffic①

accidents is higher than those of Nagano prefecture andTraffic Safety

nationwide.
-The seat belt usage is lower than those in othermunicipalities in Nagano prefecture.
The percentage of elderly persons exceeds 25%, or one infour persons, of the total population.

②

The number of persons aged 65 and older transported tohospital by ambulance is extremely high compared with

Elderly Safetythat of other age groups.
Among persons aged 5 and older transported to hospital byambulance or making an ambulatory visit to hospital, falls
were the leading cause, accounting for about half.
- Many elementary and junior high school children get
injured at school.

③- About half of children’s injuries at nursery schools,Children’s Safety

kindergartens, and elementary schools occur during a freeand School

activity time like a recess.

Safety- Many parents of preschool children are worried about
their children’s getting injured from falls/bumps, burns,
running out into the street suddenly and so forth.
Suicide is the leading cause of the death among age group20-44.
For the last 10 years, the average number of deaths fromsuicide accounts for 26 persons, exceeding that of Nagano
prefecture (24.3 persons) and nationwide (24.1 persons).

61④
SuicidePrevention

The starting point for a climb to Mt. Asama, one of active⑤

volcanoes in Japan and erupts once in a while, is located in

Disasterthe city

Prevention

The results of questionnaires of citizens show a highinterest in disaster prevention.

(2) Measures for each problem
Komoro City established a cross-sectional taskforce committees for each high-risk group
described in the previous page.
Each taskforce and its approach to the problems are detailed below.

① Traffic safety
The taskforce consists of 12 members.
Administrative organs

Komoro City government, Komoro Police Sutation

Private companies

JR BUS KANTO Co., Chikuma Bus Co., Komoro Tax
Association

Community

Komoro Traffic Safety Association, Komoro Branch ofgroups/organizations

Nagano Association of Safe Driving Administrators,
Komoro Council of Crossing guards

The problems have been identified based on data described in Chapter 3 (PP. 11-26), a site
map of traffic accidents having caused injuries or deaths, workshops, diagnosis of local traffic
survey, and the following data.
Table 4-6 Table 4-5 Seat-belt Use Rate
April 2007

April 2008

April 2009

April 2010

Driver’s seat

92.0％

96.1％

99.0％

98.0％

Front passenger seat

86.4％

88.4％

100％

88.2％

Backseat

N.A.

N.A.

66.7％

66.7％

Komoro’s rank by city*

18th

13th

5th

17th

Source: Nagano prefecture
Note: * The rank among 19 cities in Nagano prefecture

62

Agenda 1

Traffic accidents involved the elderly tend to increase while overall traffic
accidents tend to decrease. (Figure 3-22 on P. 22)

Agenda 2

Accidents caused by the elderly occur mostly around the twilight. (Table 3-4 on
P.23)

Agenda 3

Most accidents in the city are rear-end accidents. (Table 3-5 on P.23)

Agenda 4

Driver distraction is the leading cause of accidents. (Table 3-6 on P.23)

Agenda 5

The seat-belt use rate is low compared with that of other municipalities in
Nagano. (Table 4-5 displayed above)

Agenda 6

There are many bad-mannered drivers. (Table 4-5 displayed above and byworkshops)

Specific measuresa. Target problem: Accidents involving the elderly (Based on Agenda1)
Measures based on analysis of cause and consequence:◆Few elderly persons figure out his/her own athletic ability and ability to judge.
Measures

Organizations

Targets

Holding of traffic safety classes; Practice of a

Administrative

All seniors and“brain training of traffic” for the elderlyorgans, Community

Elderly drivers

Use of a car named Challenge; Hold traffic safetygroups/organizationsclasses, using a traffic safety experience car“Challenge” owned by Nagano Police Department
b. Target problem: Accidents at twilight, in the evening and at night (Based on Agenda 2)
The problem based on analysis of cause and consequence:◆Not many people wear reflective materials at night
Measures

Organizations

Targets- Promotion of wearing reflective materials

Administrative

Elderly(promotion of Pedestrian’s Three Flashingorgans, Community

pedestrians

Campaign: wearing, taking with and putting ongroups/organizations

shoes): Promote the use of reflective materials by
providing them to those who visit welfare facilities
for the elderly and/or hospital.

63◆Not many people grasp the nighttime visibility.
Measures

Organizations

Targets- Holding of traffic safety night classes:

Administrative

Elderly drivers,

Participants experience the difference oforgans, Private

Elderlynighttime visibility depending on the colors ofcompanies,

pedestrians

clothes and between with and without reflective

Community

materials.

groups/organizations

c. Target problem: Death from traffic accidents (Based on Agendas 3, 4, 5 and 6)
The problem based on analysis of cause and consequence:◆Seat-belt use rate is low and there are many bad mannered drivers.
Measures

Organizations

Targets

Education of seat-belt use: Conduct seat-belt

Administrative

Drivers

usage survey and instruct seat-belt use toorgans, Private

employees at business facilities in the city

companies,

Education of better driving manner: Publicize theCommunity

situation of bad traffic manners and conduct

groups/organizations

educational activities to improve them.
Changes with the efforts toward a safe community
To create a map marked with the site and type of every accident in the city revealed the realsituation of accidents, identifying the sites where more focused education is necessary thanthe ones currently focused.
Join of private companies with administrative organs and traffic safety groups makes
community’s traffic safety activities more cost effective.
Since most traffic accidents involve the elderly, the prevention activities require cooperationfrom Elderly Safety Taskforce, resulting in broader cross-sectional collaboration.

② Elderly safety
The taskforce consists of 9 members.
Administrative organs

Komoro City government, Police, Social Welfare Council,
Community General Support Center

Medical institutions

Komoro Kosei General Hospital, Komoro-Saku Society of ClinicalPharmacy, Komoro City Association of Long-term Insurance
Operators

64

Community

Komoro City Federation of Golden Age Club, Komoro City

groups/organizations

Council of Local welfare / childcare commissioners

The problems have been identified as described below, based on data described in Chapter 3(PP. 11-26), medical institutions’ external injury data, workshops, diagnosis of local survey
and data displayed below.
Figure 4-12 Major Causes Resulted in Need of Long-term Care (Nationwide)

Source: Ministry of Health, Labour and Welfare

Figure 4-13 Major Causes Resulted in Need of Long-term Care (Komoro City)

Source: Senior Citizens’ Welfare Division of Komoro City government

65

Table 4-7 Trend in Household by Presence of Persons Aged 65 and Older
2000

1995
Total

2005

2010

Ratio tothe total Total
population

Ratio tothe total Total
population

Ratio tothe total Total
population

Ratio tothe total
population

Total number of household

15,084100.00

16,234100.00

16,251100.0016,343100.00

Family household with persons aged 65

5,764

38.21

6,343

39.07

6,800

41.84

7,381

45.16

830

5.50

1,056

6.50

1,276

7.85

1,599

9.78

1-person household
Married couple household

1,257

8.33

1,551

9.55

1,706

10.50

1,661

10.16

Others

3,677

24.38

3,736

23.01

3,818

23.49

4,121

25.22

Source: National Census

Table 4-8 Anxiety of the Elderly over the Next 5 Years (Persons aged 65 and older)
n

%

1.

Falls inside the house

34

5.7%

2.

Falls while being away home

40

6.8%

3.

Traffic accidents

111

18.8%

4.

Accidents at nursery school, kindergarten and schools

2

0.3%

5.

Accidents while working on the farm

22

3.7%

6.

Accidents while working

5

0.8%

7.

Accidents while engaging leisure and sports

1

0.2%

8.

Injuries by assaults including bullying and maltreatment

2

0.3%

9.

Immobility from injury, aging, disability and disease

230

38.9%

10. Emotional distress by bullying and maltreatment

2

0.3%

11. Being involved in a crime

4

0.7%

12. Fire

42

7.1%

13. Natural disaster

26

4.4%

14. Family member’s suicide and self-injury

0

0.0%

15. Other0

0.0%

16. No answer

71

12.0%

17. Total

592

100.0%

Source: Questionnaire survey on Komoro City safe and secure community- building

66

Table 4-9 Participants in Care Prevention Classes
Number of target audience Participants Participation rate
2008

1143

49

4.20%

2009

1146

24

2.09%

2010

221

48

21.71%

Source: Senior Citizens’ Welfare Division of Komoro City government
Note: A sharp decline in the number of participants in 2010 was due to narrowing down thetarget audience.

Agenda 1

The number of persons aged 65 and older transported to hospital byambulance is extremely high compared with that of other age groups. (Figure
3-4 on P. 14)

Agenda 2

Among persons aged 65 and older transported to hospital by ambulance ormaking an ambulatory visit to hospital, falls were the leading cause,
accounting for about half. (Figures 3-7 onP.15 and Figure 3-19 on P.21)

Agenda 3

Among major causes resulted in long-term care, the rate of joint disease ishigh compared with other municipalities in Nagano prefecture. (Figures 4-12
and 4-13 on P. 57)

Agenda 4

The rate of elderly people living alone to total elderly population is increasing.
(Table 4-6 on P.58)

Agenda 5

There are many elderly people being worried about immobility from disease,
injury, etc. (Table 4-7 on P.58)

Agenda 6

Not many people are interested in care prevention. (Table 4-8 on P.58)

Specific measuresa. Target problem: Falls of the elderly (Based on Agendas 1, 2 and 6)
Measures based on analysis of cause and consequence:◆Control of physical inability of the elderly and betterment of general housing
Measures

Organizations

Exercise program for falls prevention: Hold a “Bones Administrativeand Muscles Saving Class”

organs, Medical

Program for checking risk-for-falls spots inside theinstitutions,house: Provide a check sheet of risk-for-falls spots

Community

inside the house.

groups/organizations

Financial aid for home modification for barrier free.

67

Targets
All elderly

b. Target problem: Joint disease of the elderly (Based on Agendas 3 and 6)
Measures based on analysis of cause and consequence:◆Joint disease is the leading cause of long-term care of the elderly.
Measures

Organizations

Targets- Exercise program for long-term care prevention:

Administrative

All elderly

Hold a long-term care prevention classes

organs, Medical
institutions,
Communitygroups/organizations

c. Target problem: Emergency response to the elderly living alone (Based on Agendas 4 and5)Measures based on analysis of cause and consequence:◆Contacts and medical histories of the elderly living alone are often unavailable at the time of
emergency.
Measures

Organizations

Targets

Administrative

The elderly

containing necessary information at the time oforgans, Community

living alone

emergency in the house of the elderly living alonegroups/organizations- Provision of a safe capsule: Puta capsuled. Target problem: Concerns of the elderly (Based on Agendas 4 and 5)
Measures based on analysis of cause and consequence:◆Concerns of the elderly are not well understood.
Measures

Organizations

Targets- Conduct questionnaire survey on everyday life

Administrative

All elderlyorgans, Community
groups/organizations
Changes with the efforts toward a safe community
Join of medical institutions with the taskforce brought out the injury trend of the elderly and led
to the decision to deploy programs more focused on falls prevention. What was discovered by
the collaboration of many groups, which made more information available, is that regularmeasures in one community are new in the other. As a result, much broader activities havebecome possible.

68

③ Children’s safety
The taskforce consists of 15 members.
Administrative organs

Komoro City government, Komoro City Board of Education,
Komoro Police, Social Welfare Council

Educational institutions

Komoro City Association of Elementary and Junior High School
Principals, Komoro City Association of Public and Private Nursery
School Principals, Komoro High School, Komoro Commerce HighSchoolCommunity

Komoro City PTA Federation, Komoro City Council for Localgroups/organizations

welfare/childcare commissioners , Juvenile Guidance Committee,
Federation of Youth Development Association

The problems have been identified as described below, based on data described in Chapter 3(PP. 11-26), data by mutual aid system of National Agency for the Advancement of Sports
and Health, diagnosis of local interview survey and the following data.
Figure 4-14Parents’ Concerns about Children’s Accidents and Injuries

Source: Komoro Center for Children

69

Figure 4-15Injury Record by Time of Injury

Source: Komoro City Board of Education
Note: Compiled 5-month injury records from three elementary schools in the city

Figure 4-16 Injury Records by Grade

Source: Municipal Suimei Elementary School
Note: The number of accidents by grade was surveyed at Suimei Elementary School in
April and September in 2011.

70

Agenda 1

Children aged 4 and younger transported to hospital by ambulance get injured
inside rather than outside. (Figure 3-5 on P.14)

Agenda 2

A school is the leading place of injuries for children aged 14 and younger taken
to the hospital by ambulance. (Figure 3-9 on P.16)

Agenda 3

Many parents of preschool children are worried about their children getting
injured from falls/bumps, burns, running out into the street suddenly. (Figure
4-14 on P.61)

Agenda4

About half of children’s injuries at nursery schools, kindergartens, andelementary schools occur during a free activity time like a recess. (Figure 4-15
on P.61)

Agenda5

Most injuries of the first graders occur at the beginning of the school year.
(Figure 4-16 displayed above)

Specific measuresa. Target problem: Preschooler’s injury inside the home (Based on Agendas 1 and 3)
Measures based on analysis of cause and consequence:◆Improvement of house condition and safety education to preschool children
Measures

Organizations

Targets

Dissemination of the causes and measures of

Administrative

Preschool

injuries inside the house: Create and provide

organs, Educationalchildren andeducational pamphlet about the number, causes

institutions,

their parents

and prevention measures of injuries inside theCommunity

house.

groups/organizations

Training of preschool children for predicting
danger: Hold safety classes for preschool children
mostly at the Center for Children
b. Target problem: Children’s injuries at school (Based on Agendas 2, 4 and 5)
Measures based on analysis of cause and consequence:◆Most injuries at school occur during recesses.
Measures

Organizations

Targets

Identification of the place of injuries at school: Mark

Administrative

Children,the site of each injury at school on a map and display organs,
Educationalit

Training of children for predicting danger: Hold safety institutionsclass for children with a lead of pupil council

71

Teachers andschool staff

Changes with the efforts toward a safe community
Through analyzing the situation of injuries occurred inside school properties, importance ofpromoting cross-organizational measures designed based on data has been recognized.
Safety measures will be improved by the safety education by having pupils and students learn
each other and solve problems as well as by teachers and parents teaching them.

④ Suicide prevention
The taskforce consists of 14 members.
Administrative organs

Komoro City government, Police, Saku Health and Welfare Office,Social Welfare Council, Community General Support Center

Medical institutions

Komoro-Kitasaku Medical Association, Komoro Kogen Hospital,
Komoro-Kitasaku Society of Clinical Pharmacy

Community

Study Group on Industrial Nursing, Komoro City Nursing

groups/organizations

Committee, Komoro City Health Promotion Committee, Komoro
City Local welfare / childcare commissioner Committee, Workport
Nogishi-no-oka

The problems have been identified as described below, based on data described in Chapter 3(PP. 11-26), workshops, diagnosis of survey and the following data.
Figure 4-17Causes of Suicide

Source: Nagano Prefecture Police Department

72

Note: The number by cause was compiled from suicide data in Nagano prefecture in 2010
and 2011.
Figure 4-18 Person(s) to ask for consolation when think about committing suicide ?

Source: Mental Health Survey by Public Health Division of Komoro City government
Note: The breakdown of 123 persons (among 386 respondents) who answered to havethought about suicide in Mental Health Survey
Figure 4-19 Person(s) to Have Talked to When Having Persistent Insomnia

Source: Mental Health Survey by Public Health Division of Komoro City government

73

Note: The breakdown of 386 respondents to Mental Health Survey in which multiple answers
were allowed
Figure 4-20 Reasons Why Not to Talk about Insomnia

Source: Mental Health Survey by Public Health Division of Komoro City government
Note: The breakdown of persons who answered not to talk to anybody in Figure 4-19

Agenda 1

The number of suicide among males aged 20’s – 60’s is higher than that forother age/gender groups. (Figure 3-3 on P.13)

Agenda 2

Health problem is the leading cause of suicide. (Figure 4-17 on P.64)

Agenda 3

Although there are various counseling offices, not many people use them.
(Figure 4-8 on P. 65)

Agenda 4

Many people think that nothing will change even if receiving a counsel at acounseling office. (Figure 4-9 on P.65 and Figure 4-20 on P. 66)

Agenda5

The suicidal situations, including risks and measures, of childhood are notobtained. (By workshops)

Specific measuresa. Target problem: Attempted suicides and depressed individuals (Based on Agendas 1, 2, 3
and 4

74

Measures based on analysis of cause and consequence:◆Counseling offices and counselors that persons with various problems can go as to talk to
as well as the problem solving collaboration among counseling offices and medical institutions
are necessary.
Measures

Organizations

Targets

Publicity of counseling offices and collaboration
among offices: Make and distribute a
flowchart of the way to inform counselingfacilities and the contents of counselingTraining gatekeepers: Hold gatekeeper training
courses to detect potential suicide early
Support of depression counseling: Hold lectureson the theme of depression

Administrative
Individuals withorgans, Medicalsuicide risk,
institutions,
General citizens
Communitygroups/organizations

b. Target problem: Children leaning towards suicide (Based on Agenda 5)
Measures based on analysis of cause and consequence:◆The suicidal situations, including risks and measures, of childhood are not obtained.
Measures
Organizations
Targets- Conduct of questionnaire survey on
emotional health among children

Administrative organs,
Medical institutions

Junior high and highschool students

Changes with the efforts toward a safe community
The common perception and understanding were arisen from exchanging information about
each division’s efforts to depression disease and the specific supporting measures to needy
persons as well as listening to lectures about depression. The efforts to connect eachdivision’s counseling office and bring persons with suicide-risks to a specialized counselingoffice as soon as possible will be made in suicide prevention acticities.
⑤ Disaster prevention
The taskforce consists of 14 members.
Administrative organs

Komoro City government, Komoro Police, Labor Standards Office,Social Welfare Council
Community
Komoro Conference of District Heads, Komoro Fire Company,
groups/organizations Komoro Chamber of Commerce and Industry, Komoro Junior
Chamber, Komoro Tourism Association, Liaison Conference
among Women’s Groups, Komoro PTA Federation, Komoro
Women’s Network
The problems have been identified as described below, based on existing data, workshops,
survey among citizens and the following data.

75

Distinctive natural disaster
Komoro City is located on the south slope of Mt. Asama, one of the most active volcanoes inJapan, facing a threat of volcanic disaster while receiving the bounties of a volcano.
Over thousands of years, Mt. Asama has repeated eruptions, from small and medium scale tolarge scale ones, including Great Tenin and Tenmei Eruptions. The number of dead andinjured has been recorded.
The challenge is that a volcanic disaster hits when people’s memory and awareness fadedaway because there is a very long span between eruptions. Therefore, it is difficult for people
to keep awareness pf being prepared for a disaster, which results in a lack of preparation fordisaster.
Figure 4-21 The Number of Mt. Asama’s Eruptions

Source: Japan Meteorological Agency
Mt. Asama has erupted about 4,900 times since 1911.
Dead and Injured from Mt. Asama’s major volcanic disasters:
1596 eruption:

Many people died by cinders.

1721 eruption:

11 people was killed by cinders.

1783 great eruption: Azuma pyroclastic flow, Kmahara debris flow and Ononshidashi
lava flow occurred. 1,492 people were killed.
1930 eruption: 6 people were killed by cinders and ash fall.
1941 eruption: One person was killed and one person was injured by cinders and ash fall.
1947 eruption: 9 people were killed by cinders and ash fall.
1950 eruption: One person was killed and 6 people were injured by cinders and ash fall.
1961 eruption: One per son was missing by cinders and ash fall.

76

Anticipated heavy damage from volcanic mudflow caused by melting snow
In August, 2011, anticipated heavy damage from volcanic mudflow caused by melting snow
was announced. It is a phenomenon that if middle scale eruption causes pyroclastic flow
when there is 50-centimeter accumulation of snow, mudflow would reach the city center in ashort time. If so, 6,381 households with 15,051 persons would get enormous damage.

The construction plan of Komoro City’s new city office building is in progress. Considering alesson from Great East Japan Earthquake on March 11, 2011 and anticipated damages fromvolcanic mudflow triggered by melting snow at the time of Mt. Asama’s eruption, the new city
government building, a disaster preparedness center, will be constructed at the site withalmost disaster free and high maneuverability. Safe and secure town-building is starting
based on the new concept.

77

Table 4-9 Safe and Security Activities to Be Promoted by the Entire City

1. Accident prevention at home
2. Promotion of traffic safety
3. Promotion of safety and security at nursery schools and schools
4. Suicide prevention
5. Promotion of safe and safety at workplace
6.Accident prevention in sports and leisure activities
7. Promotion of safety and security while working
8. Assault prevention
9. Crime prevention
10. Disaster prevention
11. Promotion of Children’s safety and security
12. Promotion of disabilities’ safe and security
13. Promotion of elderly safety and security
14. Juvenile delinquency prevention activities
15. Other
Total

ｎ

％

80
984
610
133
99
48
106
226
812
830
813
542
1003
289
20
6595

3.7%
46.1%
28.6%
6.2%
4.6%
2.2%
5.0%
10.6%
38.0%
38.9%
38.1%
25.4%
47.0%
13.5%
0.9%
0

Source: Komoro City’s Questionnaire Survey on Safe and Secure Town-building (General
Affairs Division of Komoro City gofernment)
Figure 4-22 Fire by Place/Property

Source: Komoro Fire Station

78

Figure 4-23 Structural Fire Losses and Fire Deaths

Source: Komoro Fire Station
Figure 4-24 Automatic Fire Alarm Installation

As of Nov. 2011
7882 houses were surveyed.
Source: Komoro Fire Station

79

Agenda 1

Preparation for natural disaster is required (Based on Figure 4-21 on P.68 andTable 4-9 on P. 70)

Agenda 2

Preparation for fire is required. Figure 4-22 on P.70 and Figures 4-23 and 4-24
on P.70)

Agenda 3

Most major accidents and injuries occur during working including working on
the farm. (Figure 3-15 on P. 19)

Specific measuresa. Target problem: Death and injury at the time of disaster (Based on Agenda 1)
Measures based on analysis of cause and consequence:◆Many people are worried about various disasters, but not many people prepare for them.
Measures

Organizations

Targets

Holding of disaster prevention classes: Hold

Administrative

Citizenslearning classes in disaster prevention such asorgans, Community

natural disaster prevention.

groups/organizations

Dissemination of anticipated damages at the timeof various disasters: Make a hazard map anddistribute it to each household◆Arrangement of a system for supporting evacuation
Measures

Organizations

Targets

Creation and use of a mutual support map with

Administration

Local

citizens: Using this map, conduct disasterorgans, Community

self-governing

prevention drills on a neighborhood community

groups/organizations

body, Peoplebasis.

who need a

Establishment and enhancement of voluntary

supportdisaster prevention organizations: Request a
district without a voluntary disaster prevention
organization to establish it; Conduct drills with thehelp of a volunteer disaster prevention
organization.
b. Target problem: Fire inside the house (Based on Agenda 2)
Measures based on analysis of cause and consequence:80◆The installation ratio of automatic fire alarms inside the house is low.
Measures

Organizations

Targets

Dissemination of fire alarms

Administrative

Citizens

Promotion of automatic fire alarm installation:organs, Community

Create and distribute educational pamphlets aboutgroups/organizations

fire preventionc. Target problem: Accidents at workplace (Based on Agenda 3)
Measures based on analysis of cause and consequence:◆Most major accidents and injuries occur during working including working on the farm.
Measures

Organizations

Targets

Trough safety control at workplace: Create andAdministrative

Workers

distribute a pamphlet about work-related accidents

organs, Community

and injuriesgroups/organizations

Holding of training classes of farm equipment
usage
Changes with the efforts toward a safe community
The challenge to disaster prevention was that preparation and activity for a disaster has notbeen permeated among citizens while the preparation was considered to be indispensable. In
addition to ongoing measures, the taskforce is making efforts on strengthen disasterprevention system by increasing the organizing rate of voluntary disaster prevention
organizations and reviewing the function of mutual support map

INDICATOR 5 PROGRAMS THAT DOCUMENT THE FREQUENCY AND CAUSES OF INJURIESCONTINUOUSLY(1) Structure and function of the Surveillance Committee① Structure of the Committee (7 members)
Administrative

Komoro City government, Komoro Police Station, Komoro Fire Station

organsMedical

Komoro-Kitasaku Medical Association, Komoro Kosei General Hospitalinstitution
Specializes

School of Medicine of SHINSHU UNIVERSITY, Graduate School of

institutions

Medicine and Faculty of Medicine of The University of Tokyo81

② Function of the committee
a. Collect and analyze data: Improvement of the surveying and recording methods, andunderstanding of the full picture of injuries and accidents
b. Establish a sustainable surveillance system: Selection of data for use and preparation ofsurveillance programs.
c. Diagnose data: Identification of populations at risk and priority problems.
d. Review the evaluating system: Overall evaluating methods and the evaluating methods
for individual measuree. Support activities by taskforce committees(2) Degree of injuries and risks and record of injuries
Because the integrated system of collecting and analyzing data to assess the overall injury
situation is not available in Japan, the Injury Surveillance Committee collects data fromvarious existing data and questionnaire surveys.
Figure 4-25 Structure of Injury Surveillance(3) Data for injury surveillance
Major data used for surveillance are ①existing statistics by administrative organs,②compiled data based on injury data of persons transported to hospital by ambulance,③compiled data based on data by medical institutions, ④compiled data based on therecords of mutual aid insurance benefit plan for Komoro municipal elementary and junior highschools, and ⑤questionnaire surveys on safe and secure community-building.

82

① Existing statistics by administrative organs
Vital Statistics

Gather and analyze data of deaths from diseases,(Yearly, Ministry of Health,unintentional accidents, suicide, etc., and grasp the trends

Labour and Welfare)and characteristics of causes of deaths from injuries.
The data are for Japanese and by area.

Police statistics

Gather and analyze data of crimes and accidents(Yearly, Police)

occurred in the city, and grasp the trend andcharacteristics of causes of them.
The data are compiled based on the sites of accidents,
including those of visitors to the city.

Statistics of work-related

Gather and analyze data of deaths and injuries with 4 andaccidents

more working day loss available in a report on industrial(Yearly, Ministry of Health,accidents conducted under Industrial Safety and Health

Labour and Welfare)

Act, and grasp the trends and characteristics ofwork-related injuries.

Statistics of national health

Analyze health insurance claims (the breakdown of

insurance

medical cost issued by medical facilities) for National(For 75 years old and younger,

Health Insurance, a social insurance run by municipalities,

Yearly, Komoro City)

and grasp the trend of medical costs of injuries.

② Aggregate data based on the number of emergency transportation to hospital(Yearly, Fire Station)
Data are compiled from the record of a response from an emergency call to Fire Station tohandover the person(s) in question to hospital to each accident and/or injury occurred in thecity, whether the person(s) taken to hospital is Komoro’s resident or not, that is a visitor(s) arecounted. Injuries serious enough to be taken to hospital are not accounted.

③ Aggregate data based on data of medical facilities (Yearly, Medical institutions in
the city)
Data are compiled in an integrated fashion from data of injuries of those who visit medical
institutions in the city. With a collaboration of medical institutions in the city, recording andaggregating all injury data regardless of its severity make it possible to grasp the trend andcharacteristics of the effect of injuries on citizens. Komoro Kosei General Hospital solely
collect and aggregate all data.

83

④ Compiled data based on the records of mutual aid insurance benefit plan for
Komoro municipal elementary and junior high school (Yearly)
Komoro City makes a database of information written in insurance benefit claims for injuries,
diseases and disabilities under school supervision submitted to the National Agency for the
Advancement of Sports and Health, using it to analyze the causes of injuries.

⑤ Questionnaire survey on safe and secure community-building (Every three years)
Questionnaire surveys on everyday concerns and the situation of accidents and injuries
occurred over last one year are conducted among randomly selected 4,000 residents of thecity. The previous survey was conducted in February 2010, getting 2008 valid responses, or
response rate 50.2 %.

(4) Continuous data collection and analyses
Data used for injury surveillance are aggregated and analyzed yearly to make the surveillancesystem sustainable in a ling-run as described below.
Table 4-10Continuous Data Collection Plan
Configuration surveillance data set

2011 2012 2013 2014 2015 2016

①Existing statistics by administrative organs

●

●

●

●

●

●

Vital Statistics

●

●

●

●

●

●

Police statistics

●

●

●

●

●

●

Statistics of work-related accidents

●

●

●

●

●

●

Statistics of national health insurance

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

②Aggregate data based on the number of emergency transportation tohospital (Yearly, Fire Station)③Aggregate data based on data of medical facilities (Yearly, Medical
institutions in the city)④Compiled data based on the records of mutual aid insurance benefit
plan for Komoro municipal elementary and junior high school (Yearly)⑤Questionnaire survey on safe and secure community-building (Every
three years)

84

●
●

●

(5) Meetings of the Surveillance Committee
The Committee analyzes all collected data described in ①－④ as well as advises on
conducting questionnaire surveys described in ⑤.
2011

Nov. 21

The 1st meeting

2012

Jan. 18

The 2nd meeting

Mar. 16

The 3rd meeting

INDICATOR 6 EVALUATION MEASURES TO ASSESS THE PROGRAMS, PROCESS AND THE
EFFECTS OF CHANGE(1) Management of the Safe Community programs
Komoro City pursues “Safe Community” by using the Plan-Do-Check-Act cycle based on
various existing data and data collected through injury surveillance.
Figure 4-21 Process of Safe Community Program< Each organization>
Data

Data

Data

Each taskforce committee

Collection③Planning of measures

Surveillance Committee④Intervention①Safety diagnosis⑤ Assessment of
performing indicators②Identification of problems⑥Short- and medium-term
assessment (Changes in⑥Development of Indicators

awareness and behaviors)

and test effectiveness⑦Lon-term assessment (injury data)

Komoro Safe Community Steering Committee⑨Determination of direction⑧Overall evaluation of SC

activities

of SC activities

Generation and submission ofa yearly reportpublication of the program

Report of activities andOutside evaluation by the Japan Institution for Safe Communities

85

(2) Evaluation indicators for each major program
Komoro City is working on each problem identified through local diagnosis by setting a shortand medium-term goal and a long-term goal for each problem. A goal and indicators for eachproblem are described below.
Each taskforce committee will change goals and indicators, if necessary, based on
evaluations in the process.

① Transport safety
a. Target measure: Accidents involving the elderly
Measures

Short- and medium termLong-term-Holding of traffic safety

Goal

Goal

classes

Senior’s better understanding of

Decrease in older drivers’-provide education

declining athletic ability andaccidents

program with a carability to judge due to aging andnamed “Challenge-Go”

increase in safe drivers among
the elderly.
Indicators

Indicators-The number of implementation

The number of accidentsof each measure and its

involving the elderly

participants-Assessment of senior’s
understanding of their athletic
ability and ability to judge due to
aging
Assessment method
Performance reports by the
person in charge, and interview
surveys86

Assessment method
Police data

b. Target problem: Accidents at twilight, in the evening and at night
MeasureShort- and medium termLong-term-Promotion of wearing

Goal

Goal

Better understanding of risks at

Decrease in older people’s

reflective materials-Holding of traffic safety twilight, in the evening and atnight classes
night, and increase in theaccidents at twilight, in theevening and at nightnumber of reflective material
wearers
Indicators

Indicators-The number of implementation

The number of accidentsof each measure and its

involving the elderly

participants- Assessment of the number ofreflective material wearers
Assessment method
Performance reports by the

Assessment method
Police data

person in charge, and thenumber of distributed pamphletsc. Target problem: Death from traffic accidents
Measures

Short- and medium termLong-term-Education of seat-belt

Goal

Goal

use

Increase in the seat-belt use rate Decrease in deaths from

-Education of betterand Decrease in the number ofdriving mannerbad-mannered drivers
Indicators

traffic accidents
Indicators-Seat-belt use rate

The number of deaths from

-The number of traffic mannertraffic accidents

breaches
Assessment method
Surveys on traffic safety

87

Assessment method
Police data

② Elderly Safety
Target problem: Falls of the elderly
Measures

Short- and medium termLong-term-Exercise program for

Goal

Goal

falls prevention

Understanding of risks andDecrease in injuries from

-Program for checking

unsafe actions as well as

falls through controllingrisk-for-falls spots

removal of risk factors ofphysical inability of theinside the housepotential falls and accidents inelderly and betterment of-Financial aid for home

the house

general housing, decrease

modification for barrierin the number of newly

freecertified persons of-Provision of a “Safelong-term care need, andcapsule”

cost containment of nursing
care businessIndicators

Indicators-The number of implementation

The number of olderof each measure and its

people’s injuries from falls

participants-The number of financial aid forhome modification for barrier
free
Assessment method

Assessment method

Performance reports by theStatistics based on data of

person in charge

emergency transportation tohospital and statistics by
medical institutions

88

b. Target problem: Joint disease of the elderly
Measures

Short- and medium termLong-term-Exercise program for

Goal

Goal

long-term care

Development of the knowledge

Decrease in the number of

preventionof getting healthy as well as the

newly certified persons ofhabit of activities learned bylong-term care need for joint

participating in healthy activities

diseases and cost
containment of nursing carebusiness

Indicators

Indicators-The number of implementation

The number of olderof each measure and its

people’s injuries from falls

participants-Awareness of various kinds ofprevention classes
Assessment method

Assessment method

Performance reports by theYearly report of theperson in charge andCommunity General Support

questionnaire surveys

Centerc. Target problem: Emergency response to the elderly living alone
Measures

Short- and medium termLong-term

Goal

Goal

Provision of a “Safecapsule”

Availability of contacts and

Rapid response to the

medical histories of the elderly

elderly at the time ofliving alone at the time of

emergency

emergency
Indicators

Indicators

The number of provided safe

The number of safe capsule

capsulesuse

Assessment method

Assessment method

Performance reports by theStatistics based on data of

person in charge

emergency transportation tohospital89

d. Target problem: Concerns of the elderly
Measures

Short- and medium termLong-term

Goal

Goal

- Conduct
questionnaire survey-Understanding of senior’s

Elimination of anxiety of theon everyday life

everyday life and finding theelderly

problems-Use of the survey results asbasic information for SC
activities
Indicators

Indicators-The number of extracted anxiety Changes from the situation
factors for the elderly

at the time of the first survey-The number of programs
projected based onquestionnaire surveys
Assessment method
Questionnaire surveys andAssessment method
Questionnaire surveys

reviews by the taskforce③ Children’s safety
a. Target problem: Preschooler’s injury inside the home
Measures

Short- and medium termLong-term-Dissemination of the

Goal

Goal

causes and measures

Development of each family’s

Decrease in the number ofof injuries

awareness of prevention as wellinjuries of preschool children

inside thehouse

as promotion of injury prevention at home

-Training of preschoolat homechildren for predicting
dangerIndicators

Indicators

Awareness of risky places and

The number ofbehaviorspreschoolers’ injuries athomeAssessment method

Assessment method

Determination of the level of

Statistics based on data ofunderstanding before and after

emergency transportation to

implementing the measures

hospital and statistics by
medical institutions

90

b.Target problem: Children’s injuries at school
Measures

Short- and medium termLong-term-Identification of the

Goal

Goal

place of injuries at

Recognition of places where are

Decrease in the number ofschooldangerous and likely to get

injuries at school and-Training of children for

injured, and being aware of

medical cost accordingly

predicting danger

his/her own behaviors
Indicators

Indicators

Awareness of dangerous places

The number of injuries atand behaviors

dangerous places

Assessment method

Assessment method

Determination of the level of

Statistics based on data ofunderstanding by questionnaire

emergency transportation tosurveys before and after

hospital, statistics byimplementing the measures

medical institutions, anddata by school healthcare
rooms

91

④ Suicide prevention
a. Target problem: Attempted suicides and depressed individuals
Measures

Short- and medium termLong-term-Publicity of counseling

Goal

Goal

offices and-Dissemination of counseling-Increase of consultation

collaboration among

offices by creating andnumbers

offices

distributing a flowchart-Early support for persons-Training gatekeepers-Holding of gatekeeper training

with suicide risk

courses-Decrease in the number of-Understanding of othersuicide s and suicide

counseling facilities and theirattempts

counseling contents bycollaborating each other
Indicators

Indicators-The number of distributed-The number offlowcharts

consultations-The number of implementation-The number of suicides andof gatekeeper training courses

suicide attempts

and their participants-The number ofcross-organizational meetings
and their participants
Assessment method

Assessment method

Performance reports by the

Population vital statistics,

person in charge

Police statistics, statistics
based on data of emergency
transportation to hospital,and statistics by medical
institutions

92

b. Target problem: Suicidal children
Measures

Short- and medium termLong-term

Goal

Goal

-Conduct ofquestionnaire survey

Use of the survey results as

Decrease in the number ofon emotional healthbasic information for the next

suicide s and suicide

among children

level of efforts

attempts

Indicators

Indicators

Sample number of questionnaire-The number of suicides andsurveyssuicide attempts

Assessment method
Questionnaire surveys

Assessment method
Population vital statistics,
Police statistics, statistics
based on data of emergency
transportation to hospital,and statistics by medical
institutions

93

⑤ Disaster prevention
Target problem: Death and injury at the time of disaster
Measures

Short- and medium termLong-term-Holding of disaster

Goal

Goal

prevention classes-Better understanding of disaster

Deterrence of the number of

prevention and acquisition of

victims at the time of a-Dissemination ofknowledge

disasteranticipated damages-Development of mutual aid at theat the time of various

time of disaster and mutualdisasters

assistance.
Indicators-Creation and use of amutual support map
with citizens

Indicators-The number of disaster

The number of victims at theprevention classes

time of a disaster-The distribution number of public
relation magazines and pamphlets-Establishment andenhancement ofvoluntary disasterprevention
organizations

about disaster damages-The number of districts which
create a mutual support map andits usages for disaster prevention
activities-The number of districts which
volunteer disaster prevention
organization and its usage fordisaster prevention activities
Assessment method

Assessment method

Performance reports by the

Population vital statistics,

person in charge

statistics based on data ofemergency transportation tohospital, and statistics by
medical institutions94

b. Target problem: Fire inside the house
Measures

Short- and medium termLong-term-Dissemination of fire

Goals

Goal(s)prevention-Better understanding of fire prevention-Promotion ofand acquisition of knowledge

automatic fire alarm-Increase of the automatic fire alarm

installation

installation rate
Indicators-The number of education activities

Decrease in fire

Indicators
The number of fire

related to fire prevention-The rate of automatic fire alarm
installation
Assessment method

Assessment
methodPerformance reports by the person in

Police statistics

charge and surveys on automatic fire
alarm installation rate by Fire Stationc.Target problem: Accidents at workplace
Measures

Short- and medium termLong-term

Goal

Goal

-Thorough safetycontrol at workplace

Better understanding of safety

Decrease in- Holding of training

management at workplace andaccidents atclasses of farmdissemination of the safe way to use farm workplaceequipment usage

equipment
Indicators

Indicators-The number of education activities

The number ofrelated to work related accidents

accidents at-The number of holding of training

workplaceclasses of farm equipment usage
Assessment method

Assessment
methodPerformance reports by the person in

Statistics of work

chargerelated accidents95

(3) Utilization of evaluation results
The evaluation results based on indicators for each measure are used as information todecide if changes necessary as well as basic data to decide the direction of activities of theKomoro City Safe Community Steering Committee. Komoro City will also report the progressof the activities and evaluation results through a once-a-year citizens’ forum and pass thebenefits of safe community activities onto the citizens.

INDICATOR 7 ONGOING PARTICIPATION IN NATIONAL AND INTERNATIONAL SAFECOMMUNITIES NETWORKS
Komoro City has actively participated in both domestic and international Safe Community
Networks activities, ensuring to share information on Safe Community activities. In order toexpand the Safe Community throughout the world, we will continue working on learning each
community’s efforts through interaction with domestic and international Safe Communities, aswell as letting them know results of our own Safe Community efforts.

(1) Participation in the domestic network① Interaction with domestic municipalities promoting Safe Community
Komoro City has been making efforts on promoting Safe Community by reference to efforts
on safety and security as well as efforts on injury prevention of other municipalities alreadydesignated or working on to be designated as a member of the International Network of Safe
Communities.
Date

Activities

Feb. 2010

Participated in Minowa Town’s Safe Community workshop

Mar. 2010-Attended International Safe School designation

ceremony of Ikeda

Elementary School attached to Osaka-Kyoiku University
Jun. 2010-Observed Safe Communities certifiers’ site-visit of Atsugi City

Jul. 2010-Participated in 2010 Minowa Town Safe Community Forum-Participated in Safe Communities Open Seminar held by the Architectural
Institute of Japan-Safe Community study session in Kyoto Prefecture (Komoro City, Kyoto
Prefecture, Kameoka City, Toshima City and Minowa Town)

Nov. 2010-Participated and made a presentation in 2010 Atsugi Safety/Security Festa-Attended the Safe Community designation ceremony of Atsugi City

96

Dec. 2010

-Safe Community study session in Kyoto Prefecture (Komoro City, Toshima
City and Minowa Town)

Mar. 2011-Information exchange meeting for Safe Community between Komoro City,
Minowa Town and Nagano Prefecture Police Department (Held in Komoro
City)Jun. 2011-Participated in Toshima Safety/Security Festa 2011

Jul. 2011-Participated in 2011 Minowa Town Safe Community Forum-Safe Community study session in Kyoto Prefecture (Komoro City, Kameoka
City, Toshima City and Minowa Town)

Nov. 2011-Participated in National Inaugural Meeting of the Safe Community
Promotion Municipalities Network

Dec. 2011-Safe Community study session in Kyoto Prefecture (Komoro City, Atsugi
City, Toshima City, Minowa Town and Kitamoto City)② Hosting of study visits
Date

Organization

Date

Organization

Jul. 2010

Kuki City Council

Oct. 2011

Head of Naegi Districtof Nakatsugawa City

Aug. 2010

Toyo University, Maebashi Institute of

Nov. 2011

Gujo City

Feb. 2012

Saku City

Technology
Jan. 2011

Kanagawa Prefectural Police
Headquarters(2) Participation in international networks
Komoro City has also actively participated in international network events such as
international conferences and designation ceremonies held both inside and outside of Japan,
sharing information on Safe Community activities as well as promoting Safe Community
already proved cases.
Date

Activities

Mar. 2010-Participated in Asia-Pacific Region Safe School Promotion in Ikeda City,
Osaka, Japan-Participated in 19th International Safety Communities Conference in Suwon,
South Korea

Oct. 2010-Participated and made a presentation in International Symposium on Safe
Communities in Taipei, Taiwan

97

-Attended Taiwan joint Safe Community designation ceremony in Taipei,
TaiwanJun. 2011-Pre site-visit to Komoro City by the Safe Community certifiers from the Safe
Community Certifying Center (Korea)

Sep. 2011-Participated and made a presentation in the 20th International Conference on
Safe Communities in Falun, Sweden

Dec.2011-JISC Anniversary Symposium and ICC(International Safe School) Certifying
Center Designation Ceremony in Osaka City, Japan

Nov. and-6th Asian Regional Conference on Safe Communities

Dec. 2012-Traveling Seminar jointly hosted by Komoro City, Toshima City and Minowa
Town

International Symposium on Safeth

19 International Safety Communities Conference in Suwon, South Korea

Communities in Taipei, Taiwan

Pre site-visit to Komoro City by the Safe
Community certifier of Safe Community

Taiwan joint Safe Community designation ceremony in Taipei, Taiwan

Toshima Safety/Security Festa 2011

Certifying Center (Korea)

Safe Community designation ceremony

20th International Conference on Safeof Atsugi City

Communities in Falun, Sweden98

5. KOMORO CITY’S LONG-RANGE PROSPECTS FOR THE SAFE COMMUNITY
5.1 LONG-TERM GOAL OF SAFE COMMUNITY ACTIVITIES(1) Sharing the basic Idea of Safe Community
Komoro City will continue making efforts to disseminate and raise awareness regarding thebasic idea of Safe Community that injuries and accidents are not something to happen bychance but to be preventable by determining their causes and share the idea with morecitizens.
We will also extend our safe community activities by strengthening cooperation between
organizations responsible to the community’s security such as the city government, police
station and fire station, schools, medical institutions, community groups/organizations andprivate groups.
(2) Effective utilization of injury and other data
We will implement evidence-based measures by statistically analyzing the data collected
through each field and organization and effectively using them at taskforces in order to solve
problems, passing the benefits of safe community activities onto the citizens.
(3) Promotion and activation of community activities
We will promote voluntary safety and security activities on a city’s district basis because each
district is a base of community building. We will also make efforts on spreading safety andsecurity activities throughout the city by making the districts cooperate, interchange and learn
each other.
(4) Collaboration with Safe Communities inside and outside Japan
We will actively participate in both domestic and international Safe Community Networks andshare information with each Safe Community member. Especially inside Japan emphasizing
on a network with Safe Communities already designated or working on to be designated, we
will make efforts on disseminating and spreading Safe Community activities throughout thenation as well as building up a cooperative system with an eye to disaster assistance throughsafe community activities.

99

5.2 PROGRAM TO SECURE LONG-TERM ACTIVITIES(1) Incorporation into the ordinance
In September, 2010, Komoro City revised city’s safe and secure community-building
ordinance, insetting “To become a Safe Community” into it for the first time in Japan. This
showed the city’s basic stance toward promoting with citywide cross-organizational activities
a community where each citizen can live safely and securely, and made it possible toestablish a sustainable system for years.

(2) Position in the city’s comprehensive plan
Setting the picture of the future that the city aim to and clarifying measures to realize it,
Komoro City has set a master plan as a guideline for promoting these measuressystematically as planned. Into its master concept (an 8-year span) which lay out long-term
vision and basic policy in Komoro City’s community building were inset the following: Building
a community where one can live a healthy and vigorous life; Building a community where one
can live easily, safely and securely; Building a community where citizens are first. A basic
plan has been made to realize the master concept, and then enforcement measures havebeen set as specific activities for the basic plan. Projects related to safe community activities
are incorporated into enforcement measures to promote activities.
The basic plan is planned to be revised in 2013, also incorporating “Building a community
where one can live a healthy and vigorous life” as a core of a safe community activities.
In the course of realizing the master plan, safe community activities will be assessed theirprogresses and effects, aiming at Safe Community Re-designation five years later.

100

Figure 5-1 Komoro City Master Plan

101

Long-term Promotion of Safe Community Activities by incorporating Safe
Community Building into an Ordinance and the Basic Plan

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

◆Komoro City Safe and Secure Community-Building

Aiming to realize a Safe Community, we continue the efforts over years.

◆KomoroRevision

Revision

Revision

City Basic
Plan

Designation

Re-designation

102

Re-designation

Members of Komoro Safe Community Steering Committee
1

Police Station

2

Labor Standards Office3

Saku Health and Welfare Office

4

City Council

5

Agricultural Committee

6

Conference of District Heads

7

Fire Station

8

Fire Company

9

Traffic Safety Association

10

Komoro Branch of Komoro-Kitasaku Medical Association

11

Komoro Branch of Komoro-Kitasaku Dentists Association

12

Komoro-Kitasaku Society of Clinical Pharmacy

13

Komoro Kosei General Hospital

14

Chamber of Commerce and Industry

15

Komoro Branch of JA-SAKUASAMA

16

Tourism Association

17

Junior Chamber

18

Council for Child Welfare Volunteers & Elderly Welfare

19

Association of Volunteer Probation Officers

20

Liaison Conference among Women's Groups

21

Association of Real Estate Agents

22

Land and House Investigator's Association of Nagano

23

Council of Crossing Guards

24

Social Welfare Council

25

Federation of Golden Age Clubs

26

Association of Long-term Insurance Operators

27

PTA Federation

28

Chamber of Commerce and Industry

29

Komoro High School

30

Komoro Commerce High School

31

Association of Public and Private Nursery Principals

32

Kindergarten Federation

33

Japan Institution for Safe Communities

34

Mayor of Komoro City

35

Superintendent of Education

103

List of figures and tables
Figure 1-1 Changes in the Number of Population and Households in Komoro City (person,
household) .............................................................................................................. 2
Figure 1-2 Index of Population Changes (1990=100) ..................................................... 3
Figure 1-3 Comparison of Population by Age (3 Groups) (2010) (%) .............................. 3
Figure 1-4 Trends in Komoro’s Population by three-age group ....................................... 4
Figure 1-5 Changes in Komoro’s Labor Population by Industry (person) ........................ 4
Figure 3-1 Trend of Deaths from Unintentional Accidents and Suicide(per 100,000
persons) ................................................................................................................ 13
Figure 3-2 Deaths from Unintentional Accidents by Age and Cause ............................. 14
Figure 3-3 Death from Suicide by gender (1999-2008) ................................................. 14
Figure 3-4 Persons Taken to Hospital by Ambulance ................................................... 15
Figure 3-5 Accidents Rate ended up emergency transportation ................................... 15
Figure 3-6 Causes of Injuries ....................................................................................... 16
Figure 3-7 Causes of Injuries ....................................................................................... 16
Figure 3-8 Nature of Injuries ......................................................................................... 17
Figure 3-9 Place of Occurrence .................................................................................... 17
Figure 3-10 Rates and Causes of Injuries of Aged 4 and Younger ............................... 18
Figure 3-11 Rate and Nature of Indoor Injuries for Children Aged 4 and Younger ........ 18
Figure 3-12 Rates and Causes of Outdoor Injuries for Children Aged 15-19 ................ 19
Figure 3-13 Rates and Nature of Outdoor Injuries for Children Aged 15-19 .................. 19
Figure 3-14 Number of Work-related Accidents ............................................................ 20
Figure 3-15 Causes of Work-related Accidents ............................................................ 20
Figure 3-16 Causes of injuries ended up emergency transportation to hospital ............ 21
Figure 3-17 Numbers and rates of Injury visit by Sex ................................................... 21
Figure 3-18 Place of Injury ........................................................................................... 22
Figure 3-19 Causes of injury visits to hospital............................................................... 22
Figure 3-20 Trend of Deaths from Traffic Accidents (per 100,000 persons) .................. 23
Figure 3-21 Trend of Death from Traffic Accidents in Komoro City (actual number) ..... 24
Figure 3-22 Number of Recognized Criminal Law Crimes (per 100,000 Persons) ........ 26
Figure 3-23 Self-harm by age and gender- ................................................................... 26
Figure 3-24 Self-harm by age groups and the severity............................................ 27

Figure 3-25 Means of Self-harm & Nature of Self-harm ................................................ 27
Figure 4-1 Chart of Komoro City’s Safe Community Promotion System ....................... 28
Figure 4-2 Cross Sectoral Collaboration ....................................................................... 30
Figure 4-3 Change in Registered foreigners’ population ............................................... 49
Figure 4-4 Number of Consultations on Protective Child Care ...................................... 50

104

Figure 4-5 Reasons for Consultation on Child Maltreatment ......................................... 51
Figure 4-6 Major Abusers in the Consultation ............................................................... 51
Figure 4-7 Maltreated children by age .......................................................................... 52
Figure 4-8 Number of consultations on DV ................................................................... 52
Figure 4-9Number of Abuse to the Elderly .................................................................... 53
Figure 4-10 Number of the Disabled ............................................................................. 53
Figure 4-11 Number of climbers to Mt. Asama ............................................................. 54
Figure 4-12 Major Causes Resulted in Need of Long-term Care (Nationwide).............. 65
Figure 4-13 Major Causes Resulted in Need of Long-term Care (Komoro City) ............ 65
Figure 4-14Parents’ Concerns about Children’s Accidents and Injuries ........................ 69
Figure 4-15Injury Record by Time of Injury ................................................................... 70
Figure 4-16 Injury Records by Grade............................................................................ 70
Figure 4-17Causes of Suicide ...................................................................................... 72
Figure 4-18 Person(s) to ask for consolation when think about committing suicide ?.... 73
Figure 4-19 Person(s) to Have Talked to When Having Persistent Insomnia ................ 73
Figure 4-20 Reasons Why Not to Talk about Insomnia ................................................. 74
Figure 4-21 The Number of Mt. Asama’s Eruptions ...................................................... 76
Figure 4-22 Fire by Place/Property ............................................................................... 78
Figure 4-23 Structural Fire Losses and Fire Deaths ..................................................... 79
Figure 4-24 Automatic Fire Alarm Installation ............................................................... 79
Figure 4-25 Structure of Injury Surveillance .................................................................. 82
Figure 5-1 Komoro City Master Plan........................................................................... 101

Table 1-1 Composition Rate of Komoro’s Population by Industry (2005) ........................ 5
Table 1-2 Schools in Komoro (As of May 1, 2011).......................................................... 6
Table 1-3 Nursery Schools in Komoro (As of April 1, 2011) ............................................ 6
Table 1-4 Cultural Assets in Komoro (As of January 1, 2011)......................................... 7
Table 1-5 Medical Facilities in Komoro (As of April 1, 2011) ........................................... 8
Table 1-6 Beds in Komoro (As of April 1, 2011).............................................................. 8
Table 1-7 Healthcare and Medical Workers in Komoro (As of April 1, 2011)................... 8
Table 3-1 Leading Causes of Death by Age (2006-2010) ............................................. 12
Table 3-2 Injury Deaths by Cause (2006-2010) ............................................................ 13
Table 3-3 Trend of Death from Suicide (2006-2010)..................................................... 13
Table 3-4 Traffic Accidents among Aged Persons by Time of Injury in Komoro City ..... 24
Table 3-5 Car-to-Car Accidents in Komoro City ............................................................ 24
Table 3-6 Number and Causes of Rear-end Accidents ................................................. 25

105

Table 3-7 Gross Number of Recognized Criminal Law Crimes ..................................... 25
Table 4-1 Structure of Task Forces .............................................................................. 31
Table 4-2 Members of the Surveillance Committee ...................................................... 33
Table 4-3 Reference Chart of Prevention Measures ..................................................... 41
Table 4-4 Registered Foreigners by Country (As of Dec.31, 2010) ............................... 50
Table 4-5 Users by Age Group ..................................................................................... 59
Table 4-6 Table 4-5 Seat-belt Use Rate ....................................................................... 62
Table 4-7 Trend in Household by Presence of Persons Aged 65 and Older ................. 66
Table 4-8 Anxiety of the Elderly over the Next 5 Years (Persons aged 65 and older) ... 66
Table 4-9 Participants in Care Prevention Classes ....................................................... 67
Table 4-10Continuous Data Collection Plan ................................................................. 84106