Application Report to Become a Member of
the International Safe Community Network
December 2012
【Revision, February 2013】

Sakae Ward,
City of Yokohama

Table of Contents
Why is Sakae Ward participating in Safe Community Activities?
Chapter 1

1Profile of Sakae Ward

（１）History of Sakae Ward2（２）Data on Sakae Ward3

Chapter 2 Seven Indicators and Sakae Ward’s Programs【Indicator１】An infrastructure based on partnership and collaborations, governed by across-sector group that is responsible for safety promotion in their community（１）Safe Community Promotion Organization（２）Educational Activites【Indicator ２】Long-term, sustainable programs covering genders and all ages,
environments, and situations（１）Safety and Security Programs in Sakae Ward
（２）Details of Programs【Indicator ３】Programs that target high-risk groups and environments, and programs
that promote safety for vulnerable groups（１）High-risk groups

15
19

20
21

27

（２）High-risk environment【Indicator ４】Programs that are based on the available evidence

29（１）Data used as evidence31（２）Programs for Each Theme
A Safe Children
B Safe Elderly
C Traffic Safety
D Sports and Leisure Safety
E Suicide Prevention
F Safety at Disaster
G Child Abuse Prevention【Indicator ５】Programs that document the frequency and causes of injuries

44
47
55
61
69
74
82
87

（１）Injury Surveillance Subcommittee

93（２）Basic Data
【Indicator ６】Evaluation measures to assess their programs, processes and the effects of change

95（１）Management of Program Progress97（２）Program Evaluation Method【Indicator ７】Ongoing participation in national and international Safe Communities networks

98（１）Participation in Japan Network

106（２）Participation in International Network

107

Sakae Ward’s Vision of Town Development and Our Prospects

108Why is Sakae Ward participating in Safe Community Activities?
In the past, children played energetically outdoors in nature. People in the community could easily talk to thechildren, and there was a “relation of faces” in the region. The regional community supported the children's’
growth and the region’s security. Japan has gone through a rapid economic growth, and today’s society haschanged greatly. Life has become more convenient, and there are fewer opportunities for children to play
freely outdoors, and for neighbors to talk to the children. It also seems like the warm gaze of parenting adults
has declined. On the other hand, our communities are manifested by serious problems such as child abuse
and an increase in suicides.
In June 2012, Sakae Ward announced the “Action Plan for Promoting Safe Community Activities”. To be
designated as a member of the Safe Community Network, we must identify the region’s challenges. The
community, related agencies and administration must work together to create effective programs. We
enacted a five-year action plan to be promoted with our ward residents. The Sakae Ward application for
designation and reports have been prepared based on that Action Plan. Our Action Plan clearly indicates that
“outreach”, in which all ward residents are promoters of Safe Community Activities is essential, and that wemust carry out “Process Management”, in which each programs and its results are shared by all and revised
as necessary.
Our Action Plan is titled “Aiming for a Community Overflowing with Children’s Smiles”, and clearly states
what type of community Sakae Ward hopes to achieve through these Safe Community Activities. We believethat our safety and security lies within a regional community supported by people. At Sakae Ward, thecommunity residents hold various seasonal activities participated by many people. A new regional
community appropriate for the current times is growing, and we believe that it will lead to the safety andsecurity of the people living in Sakae Ward. We hope that our ring of regional community will continue togrow by incorporating the Safe Community organization.
A community that together gently and warmly watches over each child’s growth. That type of community
should be pleasant for anyone to live in. We hope to transform Sakae Ward into a “Community Overflowing
with Children’s Smiles” through these Safe Community activities.
<Background of Action Plan Enactment>
March 2010

Officially announced start of activities at International Safe Community
Conference (Suwon, South Korea)

June to September 2010

Set Sakae Ward Safe Community Steering Committee and eightsubcommittees

June 2011

Receive interim on-site evaluation by Safe Community Certifying
CentreMarch 2012

Prepared and published Action Plan (Draft)

March to April 2012

Held seminars to explain Action Plan (Draft) and collected opinions.
(Seven explanation meetings, 16 explanations to various groups, 34
times of collecting opinions, etc.)

June 2012

Action Plan enacted1Chapter 1 Profile of Sakae Ward
(1) History of Sakae Ward
As can be seen with various ruins from the Paleolithic Period, this history of the Yokohama City area,
including Sakae ward, goes back about 20,000 years. Until the end of the Edo era, this was a quiet village of
only several hundred houses. Half were involved in agriculture, and the other half in fishing. However, when
Commodore Perry of the US Navy came with his black boats and Japan opened up, a foreign settlement wasestablished in Yokohama. The city grew rapidly as it was the first place in Japan to be exposed to Westernculture.
While Yokohama developed rapidly, the flatlands of the Sakae area remained as rice paddies until the 1920s.
There were only small hamlets in the foothills near the flat bogs . However, in the 1930s many militaryfacilities were built, such as the first navy fuel depot in Kosugaya. Many large-scale factories emerged along
the Kashio River from around this time. The rice paddies along the river transformed into industrial districts,
and the population started to increase.
During the 1960s to 1970s, large-scale residential development took place in the hilly part of the area. The
satoyama (patches of country side forest), with their flat bogs, greatly transformed into a residential area withlines of houses. When the Negishi Line opened (and Hongodai Station opened) in 1973, development of the
Hongodai Area accelerated. With this increase in population through development, Sakae Ward was madeofficial in 1986.
After the birth of Sakae Ward, the transportation network was organized with new bus routes, etc. Various
facilities for ward residents, such as the Sakae Hall, Sakae Sports Center and community centers, and welfare
facilities such as the Community Care Plaza and work facilities for persons with disabilities were opened,
bringing future development to the ward and changing the ward into the current Sakae Ward.

2

(2) Data on Sakae ward
◆ Location and area

Sakae ward is an administrative ward (Note 1) in Yokohama City, which is the next largest metropolitan area
following Tokyo. Located in the southern area of Yokohama City, Sakae Ward has a population of
approximately 125,000 people and area of 18.55 km2. This makes it one of the smallest wards in the city.
Sakae Ward is about 20 to 30 minutes by train from the center of Yokohama, and about 50 minutes from
Tokyo Station. Geographically, it extends long to the west and east. The symbol river, the Itachi River, runs
east to west through the ward. The Kashio River runs south to north on the east side of the ward.
Yokohama City has a population of about 3,690,000 people, and is located in the approximate center ofJapan. It is one of eighteen ordinance-designated cities in Japan, and is comprised of eighteen administrative
wards. (See 1-2 page 2.)(1) Administrative ward
The wards (special wards) in Tokyo are independent self-governing bodies, and have approximately thesame functions as a municipality. The ward mayor is elected through election, and the ward has a council.
On the other hand, a ward (administrative ward) in an ordinance-designated city is part of the City Hall’s
internal organization. The ward director general is appointed by the mayor from the city employees, andthere is no council.

Fig. 1-1

Location of Yokohama City

Fig. 1-2

3

Location of Sakae ward

<Reference: Mechanism of Japan’s Local Governments>
Table 1-1 Types of local public bodies
Prefectural areas

Ordinary local
authorities

Municipalities

Designated city

Requirement:

Population of 500,000 or more, and designated by cabinet orderCore city

Requirement:

Population of 300,000 or more, and designated by cabinet order if
appliedSpecial city

Requirement:

Population of 200,000 or more, and designated by cabinet order if
applied

Other cities

Requirement:

Population 50,000 or more

Towns and villages
Special local
authorities

Special wards
OthersTable 1-2 Main duties of Yokohama City (designated city)*
Prefectural areas

 Establishment of child consultation center Management of national and prefectural
highways and roads outside of designated area in city
 Services provided by city with Health Department
 Public assistance (handled by city, and by towns and villages
with welfare office) Long-term care insurance services
 National health services* Excerptfrom materials related to Safe Community Fire department and emergency services
 Construction and management of municipal roads and bridges

Designated city Management of grade-one rivers andgrade-two rivers within designated area
 Installation and management of high schools
 Police (criminal investigations, drivers’
licenses)Fig. 1-3. Organization in Yokohama city
Mayor

Deputy Mayor (3)Ward administration office (18)

Liaison Council on Sakae Ward Safe Community Activities
Services handled by Ward Office* Crisis control
 Town planning
 Activities within neighborhood
association
 Traffic safety Crime prevention
 Sports promotion
 Collaboration of communityand schools
 Regional welfare
 Welfare for senior citizens
 Welfare for disabled persons
 Welfare for children Public assistance Management of roads andrivers* Excerpt from materials related to Safe
Community

Policy Bureau

Health and Social Welfare
BureauCivic Affairs Bureau

Environmental Planning
BureauChild and Youth Bureau

Housing andArchitecture Bureau

Climate Change Policy
Headquarters

Urban Development Bureau

Hospital Administration
BureauGeneral Affairs Bureau

Road and Highway Bureau

Election Administration
Commission Secretariat

Finance Bureau

Port and Harbor Bureau

Personnel Commission
Secretariat

Culture and Tourism Bureau

Office of Accounting

Audit and Inspection
Commission Secretariat

Economic Affairs Bureau

Water Works Bureau

Resources and Waste
Recycling Bureau

Transportation Bureau

City Council

4

Fire Bureau
Board of Education
Secretariat◆ Population and Number of Households

Sakae Ward’s population is approximately 125,000, and has declined three years consecutively. On the other
hand, the number of households has increased, so the number of persons per household has dropped. (Fig.
1-4) When looking at the types of households, it is apparent that one-person households and couple
households are increasing. (Fig. 1-5)
Table 1-3 Population, Number of Households, Number of Persons Per Household and Population Density(as of October 1, 2010)
Population(persons)
Sakae Ward

Number of household(households)

124,866

Yokohama City
Nationwide

Number of persons
per household(persons)

50,345Population density(persons/km2)

2.48

6,749.5

3,688,773

1,583,889

2.33

8,433.8

128,057,352

51,950,504

2.46

343.4
(National census)(household)(person)

1 6 0 00 0

2 .7
2 .6 5
2 .6
2 .5 52 .5
2 .4 52 .4
2 .3 52 .3

1 2 0 00 0
8 0 0 00
4 0 0 00
0
2001

2003

2005

2007

2009

2011

N u m be r o f h o us e ho l ds
P o p ul a ti o n
N u m be r o f p e rs o ns pe r h o us e ho l d(Yokohama Population News)

Fig. 1-4 Transition of population, number of households and number of persons per household(household)60,000One‐person hous ehold

50,000

Hous ehold incl uding non‐rel ati ves

40,000

Hous eholds other than
nuclear fa mi lies

30,000

Woman and child

20,000

Ma n a nd chi ld

10,000

Couple a nd chi ld

0
1995
2000
2005
2010
（ n=42417) （ n=43331） （ n=46755） （ n=50157）

Fig. 1-5 Transition of types of households

5

Only couple(National census）

The number of births in Sakae Ward has been steady numbering around 1000. (Fig. 1-6) Based on "Population
Projection for Japan", it is anticipated that the population will drop to approximately 90,000 people in 2050. (Fig.
1-7)

Table 1-4 Total Fertility Rate (FY2010)
Yokohama City

Sakae Ward
Total fertility rate

1.26

1.30

Nationwide
1.39(Statistics and Information Department, Minister's Secretariat, Ministry of Health, Labour and Welfare)(people)(Policy Bureau Statistic Information Section)

Fig. 1-6

Transition of number of births(people)(Policy Bureau, Policy Section)

Fig. 1-7 Population projections

6◆ Aging of Population

The proportion of the elderly out of the whole population in Sakae Ward has increased rapidly, and in
FY2009 exceeded the national average.
(Fig. 1-8)
Table 1-5 Population by Age (as of October 1, 2010)
Sakae Ward

Yokohama City

Nationwide

Average age (years)

45.2

43.4

45.0

Young population (0 to 14 years) (%)

13.3

13.3

13.2

Working age population (15 to 64 years) (%)

62.4

66.6

63.8

Aging population (65 years and older) (%)

24.3

20.1

23.0
(National census)

(%)
26.0
24.0
22.0
18.5

20.0

19.5

19.1

16.5
15.5

15.7
15.0

23.1

22.7

20.7

18.2
17.2
16.0

17.3

16.6

23.4
20.0

19.7

19.2

18.6

18.0

24.2

23.7

22.9

21.7

19.4

18.0
16.0

21.5

20.8

20.0

22.1

Sakae Ward

14.0

Yokohama City

12.0

Japan

10.0
2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

(Policy Bureau Statistic Information Section)
Fig.1-8 Transition in the proportion of the elderly◆ Foreign residents

The foreign population in Sakae Ward makes up approx. 0.8% of Sakae Ward’s population. The prominent
nationalities are China, South Korea, North Korea, Philippines and Vietnam. (Fig. 1-9)
the UnitedStates
4%

China
38%

Vietnam7%
Philippines
10%

the UnitedStates2%

Others17%
the UnitedStates3%

Others
22%
China
43%

Brazil4%
Philippines
9%

South Korea
and North
Korea
24%

Sakae Ward (n=1,045)

South Korea
and North
Korea
19%

Peru
3%

South Korea
and North
Korea
26%

Nationwide (n=2,078,480)(Ministry of Justice)Fig. 1-9 Number of registered foreign residents by nationality (as of December 31, 2011)
7

China
33%

Philippines
10%

Brazil10%

Yokohama City (n=77,295)(Yokohama City Statistics Portal Site)

Others16%◆ Demographics

The numbers of transfers in and out of Sakae Ward are both on the decline. (Fig. 1-10) The ratio of daytime
population in regard to nighttime population is the lowest in Yokohama City, showing that the population
shifts out of the ward during the daytime. (Fig. 1-11)(%)(people)12,000140.0

10,000

120.0

8,000

100.0

6,000

80.0

4,000

60.0

2,000

40.0

0

20.0

120.6
90.4
73.5

0.0
Sakae Ward
Transfers in

Yokohama CityTokyo
(reference)

Transfers out(National census)(Policy Bureau Statistic Information Section)

Fig. 1-10 Transition in social increase

Fig. 1-11 Ratio of daytime and nighttime
population (2007)◆ Housing

Large-scale residential development was carried out in Sakae Ward during the 1960s to 1970s. The
households that transferred in at that time settled, so the length of residence is long. (Table 1-6) Many of theresidents are houses, and the proportion of homeownership is high. (Table 1-7, Fig. 1-12)
Table 1-6 Length of Residence (as of October 1, 2010)
Yokohama City (%)

Sakae Ward (%)
From birth
Number of migrants
Length of residence atcurrent address by
migrant

Nationwide (%)

7.4

7.8

12.1

88.6

84.0

81.7

Less than 1 year

5.8

6.5

6.0

1 year or more, less than 5 years

17.5

18.7

16.7

5 years or more, less than 10 years

18.6

16.8

13.4

10 years or more, less than 20 years

16.7

18.6

16.6

20 years or more

30.1

23.4

29.0
(National census)

Table 1-7 Homeownership rate, and area per person(as of October 1, 2008)
Homeownership rate

Area per person

Sakae Ward

64.3%

11.91 m2

Yokohama City

57.6%

11.48 m2

Nationwide

61.2%

12.83 m2

Japan

55%

Yokohama City

36%

Sakae
Ward

(Residence and land statistics survey)

42%

61%

49%

0%

20%

48%

40%

60%

Stand-alone house

Row house

Cooperative residence

Others80%(Residence and land
statistics survey)

Fig. 1-12 Types of housing
8100%

◆ Parks and greeneryGreenery in Sakae Ward has rapidly decreased due to large-scale development that went on until the 1970s.
However, we still have abundant nature in the eastern area. The green covering ratio (Note 2) is 41.8%,
which is the second highest in the city. (Table 1-8)
(Note 2) Green covering ratio
A method of understanding the total amount of greenery. The ratio of land covered by green as seen in anaerial photo.
Table 1-8 Park and Greenery Ratio (as of September 30, 2011)Parks(locations)

Area
(ha)

Park area per person(ha)Green covering ratio

Sakae Ward

124

59.0

4.73

41.8

Yokohama City

2,575

1726.3

4.72

29.8(Environment Planning Bureau, Park and Greenery Management Section)

9◆ Region’s characteristics

Sakae Ward has one train station in the center of the ward. There is a terminal station at the southeast
boundary, and many younger people live around the train stations. The ward has many bus routes providing a
convenient means of transportation for ward residents. There are generous green lands at the southeast areaof the ward. A favorable residential area is formed, but there are some areas that need improvements to thetraffic convenience, and the aging population is increasing. (Fig. 1-13, Fig. 1-14, Fig. 1-15)

LegendProportion of those
65 years of age and
older
~10%
10～15％
15～20％
20～25％
25～30％
30％~(Sakae Ward Policy Promotion Section)

Fig. 1-13 Proportion of the elderly by neighborhood associations (2007)

LegendCitizen’s Forest,park,etc

LegendWalking distance from train
station (1 km/15 minute walk)
Walking distance from bus
station (300 m/5 minute walk)
Areas requiring improvements for traffic
convenience(More than 1 km from station or 300 m fromaccessible bus stop
Railway(stations)Green landRiver,lake,retarding basin
Walking trails(promenades,hiking course,etc)(Sakae Ward Policy Promotion Section)(Sakae Ward Policy Promotion Section)

Fig. 1-15 Green lands and parks, etc., in Sakae Ward
Fig. 1-14 Walking distances from train station and bus
stops

10

◆ Industry

Sakae Ward has the lowest number of workers in Yokohama City. The labor force participation rate (Note 3)
is also lowest in the city. (Table 1-9, Table 1-10, Table 1-11)
By industry, the ratio of service industries is the highest. There are several large-scale factories in thewestern section of the ward, so the number of employees is the highest in the manufacturing industries,
followed by wholesales/retail sales, medicine and welfare. (Fig. 1-16)(Note 3) Labor force participation rate
Indicates the percentage of employed persons and persons wanting employment within the population age 15
and higher.
* Labor force participation rate = labor force ÷ population age 15 and older x 100
Table 1-9 Number of Business and Workers (as of July 1, 2009)
Number of businesses(percentage)
Sakae Ward
Yokohama City

Number of workers(percentage)

2,467 (2.0%)

27,196 (1.7%)

123,277 (100.0%)

1,552,882 (100.0%)(General economic survey)

Table 1-10 Labor Force Participation Rate and Unemployment Rate
Yokohama City

Sakae Ward

Nationwide

Labor force participation rate (%)

54.0

56.7

61.2

Unemployment rate (%)

5.7

5.5

6.4
(National census)

Table 1-11 Proportion of Workers Age 15 and Higher Per Industry
Sakae Ward

Yokohama
City

Nationwide

Primary industry (agriculture, forestry, fishing)

0.5%

0.5%

4.0%

Secondary industry (mining, construction, manufacturing)

22.0%

19.6%

23.7%

Tertiary industry (wholesales/retail sales, medicine/welfare, service industry, etc.)

75.1%

74.8%

66.5%

Unclassifiable industries

2.4%

5.1%

5.8%

(National census)

Ratio of businesses

Ratio of workers
Manufactur
ing industry
18%

Serviceindustry
22%

Others32%

Others38%n=27,196

n=2,467
Medicine,
welfare11%

Wholesales, retail sales
22%

Lodgingandrestaurant
services
8%

Construction13%Medicine,
welfare18%

Wholesales, retail sales
18%(General economic survey)

Fig. 1-16 Ratio of businesses and workers (as of July 1, 2009)11

◆ Education

Sakae Ward has 12 kindergartens, 10 nursery schools, 14 elementary schools, 8 junior high schools, 4 seniorhigh schools and one special support school. (Table 1-12)
The number of students enrolling in the first grade has declined since its peak in the 1980s, and the total
number of elementary schools had dropped through merging and closing schools in 2007. (Fig. 1-17)
Table 1-12
Class

Educational Institutions (as of November 1, 2011)

Number of schools

Total number of students

12

2,126

Kindergarten

Total number of students per school
177.2

Nursery school

10

1,101

110.1

Elementary school

14

7,027

501.9

Jr. high school

8

3,131

391.4

Sr. high school

4

3,642

910.5

Special support school

1

186

186.0

(Results of basic survey on Kanagawa Prefecture schools)（Population）
2,500

1,983
2,000

1,437

1,500

1,027

961

1995

2000

1,000

1,185

1,100

500
0
1985

1990

2005

2010

(Results of basic survey on Kanagawa Prefecture schools)

Fig. 1-17

Transition of number of students enrolling in first grade◆ Health and Medicine

Sakae Ward has 2 hospitals, 72 general clinics and 49 dental offices. There is a designated emergency
hospital in the approximate center of the ward that accepts patients from Sakae ward and neighboring cities
and wards. (Table 1-13)
Table 1-13

Number of Medical Facilities, Beds and Medical Personnel (2008)

Medical facilities(locations)
Hospitals

Number of beds
(beds)
2

General ward beds

Physicians(people)455

Doctors

144

General clinics

72

Long-term care beds

18

Dentists

54

Dental offices

49

Psychiatric ward beds

106

Pharmacists

138(Basic statistics on community medicine)12◆ Welfare (physically challenged children/adults, welfare recipient)

Table 1-14 shows the situation of disability certificates issued for physically challenged, mentally challenged
and intellectually challenged people in Sakae Ward.
The proportion of welfare recipients to the total population is lower than the national and Yokohama City
average, but is on the increase as it is throughout Yokohama and Japan.
Table 1-14 Situation of disability certificates issued(end of FY2011)

Fig. 1-18 Transition in the proportion of welfare
recipients（Number of people）

Sakae Ward

Yokohama City

3,039

91,605

Number of physicallychallenged people
Number of intellectuallychallenged people

742

Number of mentallychallenged people

723

（‰）

1,450
26.5

1,400
1,350

23.0

22.6

1,300

20,807

30.0

24.0

25.0
16.4

17.8

14

14.1

14.6

1,150

9.8

9.8

9.9

11.0

11.2

1,100

1,224
2006

1,216
2007

1,239
2008

1,374
2009

1,401
2010

1,250

35.0

29.0

20.0
15.0

1,200

20,912(Yokohama City Statistics)

10.0
5.0
0.0

Number of persons receving public assistance in Sakae Ward
Proportion of welfare recipients in Sakae Ward
Proportion of welfare recipients in Yokohama City
Proportion of welfare recipients in Japan(Sakae Ward Public Assistance Section,
National Institute of Population and Security Research)◆ CrimeThe number of criminal offenses occurring per thousand people in Sakae Ward is low compared tonationwide levels, and is on the decline. (Fig. 1-19)
When looking at types of crime, noninvasive crimes (bicycle thefts, etc.) are the highest. (Table 1-15)

Table 1-15 State of Criminal Offenses by Crime
Type (2011)（cases）

18
16

14.9

14.2

13.4

14

Crime type
12.4

11.6

12
10

7.6

8

7.1

6.6

6.2

6
4
2
0
2007

2008

2009
Japan

2010

10

Violent offenses (assault injury, etc.)

55

Thefts5.6

2011

Number of cases

Serious crime (murder, robbery, etc.)
Invasive thefts

49

Non-invasive thefts

453Intellectual crimes (scams, etc.)

42

Moral offenses (rape, etc.)

10

Others (property damage, etc.)

84

Total

703
(Sakae Police Department)

Sakae word

（Data from Sakae Police Station and the Police White Paper）

Fig. 1-19 Number of criminal offenses (per 1,000 people)

13◆ Nature and Culture

It is said that people have been living in the current Sakae Ward area for close to 20,000 years. Many ruins
can still be seen. Sakae Ward also has abundant reserves of nature, especially along the Itachi River and the
Yokohama Nature Observation Forest, etc. Many sculptures have been installed along the Itachi River,giving the ward residents a chance to experience art.
<Temples and shrines>
There are many old temples and shines in Sakae
Ward, some dating back as far as the Kamakura era.

Aoki Shrine[Itachi River Promenade]Seasonal flowers including cherry
blossoms in Spring, and various wild
birds can be observed from the Itachi
River Promenade. This area is loved bymany ward residents as a wonderfulwalking course.

Taya Gorei Shrine
Prefectural Road Ofuna
Railway station Yabe Line

Katsura-cho Totsuka EndoLine
Farthest north
Hongodai 5-chome, 38
Loop Line No. 3

Totsuka-Ofuna Line

Konandai
Farthest west:
Taya-cho 2039-1

Kashio River

Maioka Kamigo Line

Hongodai

Kamakura Kaido Road
Farthest east
Kamigocho 852

Sakae Ward Office
Lowest point: 8.7 m
Kasama 1-chome 11

Itachi River
Ofuna
Harajuku Mutsuura Line

<Sculptures>
Twelve pieces of winning work from a sculpture
exhibit held to commemorate the 10th
anniversary of Sakae Ward are installed along
the area from Hongodai Station to around theWard Hall, and along the Itachi River.

Highest point 156.7 m
Kamigo-cho 852

Farthest south
Kamigo-cho 1565-1[Yokohama Nature Observation Forest]
Here is a place where citizens canexperience nature. Many types of living
things can be observed in this forest.

GREEN GREEN CIRCLE

Into the universe

14

Chapter 2Seven Indicators and Sakae Ward’s Programs【Indicator１】An infrastructure based on partnership and collaborations, governed by a cross-sector
group that is responsible for safety promotion in their community(1) Safe Community Promotion Organization
Sakae Ward’s safe community activities are carried out by the “ Sakae Ward Safe Community Steering
Committee”, a comprehensive promotion organization comprised of the related agencies including thecommunity, various groups, police and fire stations. Eight “ Subcommittees”, with respective themes, havebeen set as a subordinate organization. Individual subcommittees work to strengthen collaboration between
organization groups and to share information on respective programs. The Steering Committee secretariat is
located at the Sakae Ward Office General Affairs Section. The subcommittee secretariats are set at the Ward
Office departments that are deeply related to each theme.
A “ Injury Surveillance Subcommittee” is also set to analyze data and verify results, etc.
The “ Safe Community Promotion Committee” is set at the Sakae Ward Office, and a “ Liaison Councilof Safe Community Activities” is set at the Yokohama City Hall. These committees organize the exchange of
information regarding Sakae Ward safe community activities between each department, and also provide aplace to share information. (Fig. 2-1-1)

Steering Committee

Fig. 2-1-1 Promotion organization15

(1) Safe Community Steering Committee
A council, including representatives of the neighborhood associations, various groups, Ward Hall, Police
Station and Fire Station, etc., is set as a body to comprehensively promote the Safe Community programs.
The Council sets the Safe Community Activity Policy, etc., and works to comprehend the progress of all
programs while strengthening collaboration with each subcommittee.
◆ Organization
24 groups, 24 members
Chair: Sakae Ward Director General
Sub-chair : Sakae Ward Neighborhood Association
chief, Sakae Police Station chief, Sakae
Police Department chief
Members : Each neighborhood association chief,
representatives from various groups,
representative from medical institutions,subcommittee chairs◆ Number of meetings
About three times a year(2) Subcommittees
Subcommittees are set so that related agencies can work together on programs for each theme. Each
subcommittee works to share information and confirm the progress of various programs, verifies the effect ofprograms, and exchanges opinions to make improvements. The following three subcommittees also function
as existing committees.
 Senior Citizen Safety Task Force Subcommittee
Joint Committee on Wandering Senior Citizen SOS Network and Senior Citizen Abuse Prevention
 Traffic Safety Task Force Subcommittee
Sakae Ward Traffic Safety Task Force Committee Board Violence and Abuse Prevention Task Force Subcommittee
Sakae Ward Child and Home Support Consultation Service Related Agency Liaison Council and Sakae
Ward Child Abuse Prevention Liaison Council◆ Subcommittee Organization (◎indicates chair)
Subcommittee nameMembers

Child Safety Task Force Educational institution, etc.
Subcommittee(4 persons)Community activity groups,etc.
(5 persons)Senior Citizen Safety
Task Force
Subcommittee

Person with relevant
experience and knowledge(1 person)
Administrative agency, etc.
(2 persons)Community activity groups,etc.
(5 persons)◎Sakae Ward Elementary School Principals Association
Sakae Ward Middle School Principals Association
Yokohama City Private Kindergarten Association Sakae Branch Office
Sakae Ward Nursery School Principals Liaison Council
Sakae Ward PTA Liaison Council
Sakae Ward Children’s Association Liaison Council
Sakae Ward Hamakko/Kids Liaison Council
Child Rearing Support Group Liaison Council
Juvenile Officer Liaison Council
Yokohama City University, Graduate School of Medicine, Departmentof Community Health Nursing

Sakae Police Station
Sakae Fire Station◎Sakae Ward Senior Club Association
Sakae Ward Social Welfare Council
Sakae Ward Local welfare/child care commissioner
Sakae Ward Volunteer/Citizen’s Activities Groups Section
Sakae Care Network

16

Traffic Safety Task
Force Subcommittee

Sports and Leisure
Safety Task Force
Subcommittee

Medical institutions, etc.
(2 persons)Yokohama Sakae Kyosai Hospital
Sakae Seijinkai Hospital

Welfare facilities, etc.
(8 persons)Community activity groups,etc.
(5 persons)Welfare institution for the elderly (special nursing home for theelderly) in the ward
Community Care Plaza in the ward(6)Community Activity Center for People with Midlife Disabilities
Sakae Police Station(2)Sakae Fire Station
Sakae Ward Administration(2)◎Sakae Traffic Safety Association Permanent Council(3)Sakae Traffic Safety Mother’s Club
Sakae Ward Silver Leader Liaison Club

Private corporations, etc.
(2 persons)Sakae Association of Safe Driving Administrators
Sakae Public Works Safety Committee

Community activity groups,
etc.
(12 persons)◎Sakae Ward Sports Association (4)Sakae Ward Physical Training Committee Liaison Council(2)Sakae Ward Youth Counselor Committee(2)Sakae Ward Refreshing Sports Promotion Committee(2)Sakae Sports Club Steering Committee(2)◎Yokohama City University Graduate School of Medicine

Administrative agency, etc.
(5 persons)Suicide Prevention Task Person with relevant
Force Subcommittee
experience and knowledge(1 person)
Community activity groups,
etc.
(3 persons)Sakae Ward Shopping District Association
Sakae Ward Welfare Officer Children’s Committee
Sakae Ward Healthcare Activities Promotion Committee

Medical institutions, etc.
(2 persons)Sakae Ward Medical Association
Yokohama Sakae Kyosai Hospital

Administrative agency, etc.
(2 persons)Sakae Police Station
Sakae Fire Station
Sakae Ward Lifestyle Support Center for the Mentally Challenged
Community General Support Center Liaison Council

Welfare facilities, etc.
(2 persons)
Disaster Safety Task
Force Subcommittee

Community activity groups,etc.
(7 persons)

Educational institution, etc.
(2 persons)Violence and Abuse
Prevention Task Force
Subcommittee

Administrative agency, etc.
(12 persons)Community activity groups,
etc.
(9 persons)

Medical institutions, etc.
(4 persons)
Educational institution, etc.
(11 persons)◎Steering Committee Liaison Council at the Sakae Ward Community
Disaster Prevention Base(2)Sakae Fire Volunteers
Sakae Ward Fire Brigade Liaison Council
Sakae Ward Flood Control Measures Liaison Council
Sakae Ward Council of Social Welfare
Fire Prevention Association
Sakae Ward Elementary School Principals Association
Sakae Ward Middle School Principals Association
Sakae Police Station
Sakae Ward Administration Office(6)Child Consultation Center
Board of Education Secretariat(4)◎Sakae Ward Child Welfare Committee
Sakae Ward Welfare Officer, Children’s Committee
Sakae Ward Healthcare Activities Promotion Committee
Sakae Ward Youth Guidance Counselors Committee
Sakae Ward PTA Liaison Council
Sakae Ward Children’s Association Liaison Council
Sakae Ward Council of Social Welfare
Sakae Ward Child Rearing Support Group Liaison Council
Community Support Center for child rearing
Sakae Ward Medical Association
Yokohama Sakae Kyosai Hospital(2)Totsuka, Yokohama Habitation Centers for Children
Sakae Ward Middle School Principals Association(2)Sakae Ward Elementary School Principals Association(2)Elementary School Nurse Research Society(2)Middle School Nurse Research Society(2)Sakae Branch of the Yokohama Kindergarten Association
Sakae Ward Nursery School Principals Liaison Council (2)17(3) Injury Surveillance Subcommittee
An Injury Surveillance Subcommittee was set to provide expertise data analysis and verification of program
effects, etc. Sakae Ward’s Safe Community programs are evaluated from a perspective of actual effect, etc.,from a third-party and expertise standpoint.
Until FY2011, mainly the data providers were members. These members deliberated about data collection
and analysis. Since FY2012, the committee has been organized of persons with expertise experience andknowledge to deliberate how to utilize the achieved data onto each subcommittee’s programs and the Ward’s
policies.
◆ Injury Surveillance Subcommittee
Up to FY2011

Administrative agency, etc. ◎Health and Social Welfare Bureau, City of Yokohama(8 persons)Sakae Police Station
Sakae Fire Station
Fire Bureau, City of Yokohama
Institute of Public Health, City of Yokohama
Sakae Ward Administration Office (3)From FY2012

Person with relevant
experience and knowledge(2 persons)

Otsuma Women’s University, Department of Human Life Sciences
Yokohama City University, Graduate School of Medicine, Department ofCommunity Health Nursing

Medical institutions, etc.
(3 persons)Sakae Ward Medical Association, Sakae Dental Association, Yokohama
Sakae Kyosai Hospital

Person with relevant
experience and knowledge(5 persons)◎Otsuma Women’s University, Department of Human Life Sciences
Yokohama National University, Department of Architecture
Yokohama City University, Graduate School of Medicine, Department ofCommunity Health Nursing
Meiji Gakuin University, Department of Social Work
Yokohama City University, Association of International Arts and Science(4) Safe Community Promotion Committee
This committee has been set to organize the exchange of information within the Sakae Ward Office, and also
provide a place to share information.
◆ Organization
All Ward Office section managers and higher level employees

21 persons◆ Number of meetings
About once to twice a month(5) Liaison Council of Safe Community Activities
This liaison council has been set to organize the exchange of information with each department involved
with the Yokohama City Hall Safe Community activities, and also provide a place to share information.
◆ Organization
Section Managers of each related department at City Hall, etc.
◆ Number of meetings
About once to twice a year

18

18 members (See section 1-2, page 4)

(2) Educational Activities
We have been making an effort with educational activities to spread the Safe Community activities
throughout the Ward.
(1) Increase in awarenessa. Banners
Banners have been hung on the front wall of the Sakae Ward
Hall and in the plaza in front of JR Hongodai Stationb. Flags
Flags have been put up at 110 places around the Ward
including at neighborhood associations, facilities used byward residents, and elementary and jr. high schoolsc. Printing of Safe Community Promotion logo mark on public
use envelops
d. Ward employee nametags and name cards
The logo mark is printed on nametags and name cards usedby Ward employees
e. Preparation and distribution of promotional materials
 Art set (300 sets) Letter opener (400 pieces) Hand towels (4,200 pieces)f. Campaign
 Campaign in front of Hongodai Station(November 18, 2010, December 16, 2011)
g. Exhibits at events, etc.
 Ward Resident Festival (November 5, 2011) New Year Celebration (January 5, 2012) Road Race Tournament (January 8, 2012)
 Spring Traffic Safety Festival in Kasama (April 15, 2012)
 Summer Traffic Accident Prevention Campaign (July 16, 2012) Community Center Festival(May 19 and 20, September 8, 2012)

New Year Celebration

Promotional materials

Summer Traffic Accident
Prevention Campaign(2) Introduction of Safety Promotion Activities
Safety promotion activities are introduced through various public information material.
a. Gazette Yokohama (Special edition published twice a year)
b. Cable TV JCN “Daily Yokohama” (Weekly)c. “Kashiogawa” corporate gazette (Monthly)d. Town Newse. Kanagawa Newspaper (February 10 to 12, 2012)
f. Sakae Ward website
h. Leaflets (5000 copies)
Gazette Yokohama, Town News
Safe Community special

19【Indicator ２】Long-term, sustainable programs covering genders and all ages, environments, andsituations(1) Safety and Security Programs in Sakae Ward
The programs being held in Sakae Ward to improve safety and security are summarized according to age,environment and situation.
The alphabetic characters and numbers listed in Table 2-1-1 correspond to “(2) Details of Programs”.
All programs are targeted to both genders.
Table 2-2-1

Safety and Security Programs in Sakae Ward (Summary)Age groupChild
Age 0 to 14

Youth
Age 15 to 24

Adult
Age 25 to 64

A⑨⑭
Home

D①

F⑭

F⑭

F⑭

Senior citizen
Age 65 and older
E①②③④⑤⑥⑦
F⑭

A②④⑥⑦⑬
SchoolC③
F②

Accident

WorkplaceSports/leisureA①⑤⑦⑧⑨

B①②④

B①④

B①③④

C①②③④⑤⑥

C①②⑥

C①②⑥

C①②③⑥

A②③④⑥⑪

A⑪

A⑪

A⑪

H③

H③

H③

H③

Hospital

H②

H②

H②

H②

Disaster

F②③⑥⑦⑧⑨⑪⑫⑬⑭

F①③④⑤⑥⑦⑧⑨⑪⑬⑭

F①④⑤⑥⑦⑧⑨⑪⑬⑭

F①④⑤⑥⑦⑧⑨⑩⑪⑬⑭

SuicideG①③④

G①②③④⑤

G①②③④⑤

G①②③④

Violence/abuse

D①②③④⑤⑥⑦⑧ D①②③④⑤⑥⑦⑧ D①②③④⑤⑥⑦⑧
D①②③④⑥⑦⑧⑨⑨⑨Traffic

Other public places

Intentional factors

H①

B①②④

20

(2) Details of Programs
The programs we have to resolve community issues are listed below.
Programs for people at high-risk are indicated with a circle in the High Risk field.

A. Safe children* Sakae Ward Office is involved with all programs and is not listed.
Program

Details

Implemented by*

Creating a comfortable community(1)

Participation in community
Increasing the opportunity for elementary andactivities and volunteer activities jr. high school students to participate incommunity festivals and volunteer activities.

Neighborhood associations, elementary/jr.
high schools(2)

Watching children commuting to Children are watched as they go to and comehome from school.
and from school by community
residents

Neighborhood associations, elementary/jr.
high schools(3)

Provision of Child Dial 110
Houses

PTA Liaison Council

Places (homes) are provided so children canseek refuge in the event of an emergency.

Creating an environment where children can play energetically(4)Greenery of school yards andparks

The administration is promoting greenery inschoolyards, kindergarten yards and parks tocreate an environment where children canplay safely. These areas are maintained andcontrolled by community residents.

Neighborhood associations, nurseryschools, elementary/jr. high schools(5)

Health promotion using nature

Programs to encourage healthy children are
carried out using nature in the ward.

Neighborhood associations, nurseryschools, kindergartens, elementary/jr.
high schools(6)Management and inspection offacilities and playgroundequipment

Facilities and playground equipment at parks
and schools, etc., are managed and inspected.

nursery schools, kindergartens,
elementary/jr. high schools

Improvement of children’s physical fitness and exercise performance, and improvement of life styles(7)

Physical strength improvement
programs

Physical strength improvement programs forchildren are carried out at elementary/jr. highschools.

elementary/jr. high schools(8)Special exercise classes

Exercise programs are carried out at nurseryschools, etc., to teach children how to
exercise.

Sports Associations, nursery schools,
kindergartens, Parenting Support Group
Committee(9)Danger prediction training

Trainings are carried out so that children learn Children's Association Liaison Council,
how to predict and avoid danger.
Youth Guidance Counselor Council(10)

Improvement of Food Habits

Food education seminars are held to help
children improve their food habits.

Food Habits Improvement Promotion
Member, elementary/jr. high schools

Creating a community to protect children from crime(11)

Crime prevention patrol

Communities are patrolled to protect children
from crime, and to prevent delinquency

Neighborhood associations, Crime
Prevention Association, voluntary fire
corp, volunteer probation officers,
women's groups for rehabilitation, Youth
Guidance Counselor Council,
elementary/jr. high schools(12)Child Safety Mail

Information on crimes, such as suspicious
people, is sent by e-mail.

Police Station(13)

Cyber classes

Seminars are held at schools, etc., to prevent
damage from cyber crimes.

Police Station, Youth Guidance Counselor
Council

Leaflets to education on
preventing child accidents

Leaflets listing information on accidents that
often occur at home are distributed.

(14)

21

High risk

B. Safe Sports and Leisure* Sakae Ward Office is involved with all programs and is not listed.
Details

Implemented by*(1)

Increasing participants insports events

Program

Sports events such as road races, etc., areheld and ward residents are encouraged toparticipate.

Groups on the Sports and Leisure Safety Task
Force, Children's Association Liaison Council,
Association of Traffic Safety, National Councilof Mothers for Traffic Safety, high schools(2)Sports activities for children

A full range of sports activities are held forchildren.

Groups on the Sports and Leisure Safety Task
Force, Children's Association Liaison Council,
elementary/jr. high schools(3)Sports activities for seniorcitizens

Various sports events, such as walking,which senior citizens can easily participate
in are held.

Groups on the Sports and Leisure Safety Task
Force, Association of Senior Citizens(4)

Seminars and one-point
Advice on preventing injuries is given atadvice on preventing injuries sports events, etc.
during events

High risk

Sports Associations, Sports Promoter Liaison
Council

C. Safe traffic* Sakae Ward Office is involved with all programs and is not listed.
Program

Details

Implemented by*(1)

Preparation of traffic safetymap

A map listing hazard spots, such as traffic
accidents, has been prepared. These areused during educational activities for
persons watching children (mimamori) andsenior citizens.

Association of Traffic Safety, National Councilof Mothers for Traffic Safety, Safe Driving
Administrator Committee, Neighborhood
associations, School Zone Task Force
Committee, elementary schools, School Zone
Task Force Committee, nursery schools, Police
Station(2)

Traffic safety campaign

Traffic safety is publicized.

Association of Traffic Safety, National Councilof Mothers for Traffic Safety, Police Station(3)

Traffic safety classes

Traffic safety classes are held for children
and senior citizens.

Association of Traffic Safety, Silver Leader
Liaison Council, Police Station(4)

Bicycle Helmet Promotion
for toddlers and school
childrenUse of bicycle helmets is promoted throughhandbills and campaigns.

Association of Traffic Safety, elementary
schools(5)Child seat seminar

Child seat seminars are held for guardians.

Association of Traffic Safety, National Councilof Mothers for Traffic Safety, Police Station(6)

Maintenance of roadenvironment

Road environment has been modified by using Neighborhood associations, School Zone Task
colored pavement or sidewalks in road
Force Committee, Police Station
shoulders in areas with high rate of accidents.

22

High risk

D. Violence and Abuse Prevention (Child Abuse)* Sakae Ward Office is involved with all programs and is not listed.
Program

Details

Implemented by*High risk

Creating a climate to support parenting in community(1)

Hello Baby Visits

Homes with an infant up to 4 months old
are visited to provide parenting advice andinformation.

Welfare Officer, Children’s Committee,
Healthcare Activities Promotion Committee(2)

Parenting seminars

Seminars regarding parenting are held.

Parenting support groups

Training of staff to support parenting(3)

Parenting supporters

Seminars to train parenting supporters are
held.

Parenting support groups(4)

Parenting support network

A network of parenting supporters isestablished to provide information andprovide opportunities for consultations.

Parenting support groups

Creating organization to distribute information(5)

Community Center for Child A place for parents with infants and toddlers Community Center for Child Rearing
Rearing
to meet is managed. Parents can consult andreceive information here.

(6)

Distribution of information
Information on consulting services andthrough website and gazettes parenting are provided through the Ward’s
website and gazettes.
○(7)

Advertisement of Yokohama Telephone services specializing in abuse areChildren Abuse Hotline
advertised in the gazette.

(8)Child Abuse Prevention
Liaison Council

Meetings to help identify and handle childabuse at an early stage are held.

(9)

Daycare services

Daycare services, including the organization Parenting support groups, nursery schoolsof nursery schools and temporary daycare
for infants and toddlers have been
increased.

23Child Consultation Center, elementary/jr. highschools, Board of Education Secretariat, medical
institutions○

E. Safe elderly* Sakae Ward Office is involved with all programs and is not listed.
Program

Details

Implemented by*High risk(1)

Classes and seminars forpreventing long-term care

Activities to promote senior citizens
voluntarily prevent long-term care aresupported.

Community Care Plaza(2)

Genki Station (fall prevention
program)Community residents hold voluntarylong-term care prevention activities, and theadministration supports these activities.

Neighborhood associations(3)

Physical strength improvement
and brainpower improvement
program

Sakae War’s original long-term careprevention program has been created is
promoted.

Neighborhood associations(4)

Dementia supporters

Seminars to help ward residents increase
understanding toward dementia are held.

Community Care Plaza(5)

Community watching overactivity network

Senior citizens are watched over with mealdelivery services, etc. so that senior citizens
needing assistance can be identified andsupported at an early stage.

Community Care Plaza, NPO, volunteer
groups○(6)

Wandering Senior Citizen SOS
Network

Senior citizens with dementia and theirfamilies are supported.

Community Care Plaza, District Social
Worker and Child Welfare Worker
Council, Social Welfare Committee○(7)

Care-needing Senior Citizen
Supporter Liaison Council

Liaison meetings are held for workers fromlong-term care insurance businesses andmedical institutions, etc.

Community Care Plaza, long-term careinsurance businesses, medical
institutions○

24

F. Safety at Disaster* Sakae Ward Office is involved with all programs and is not listed.
Program

Details

Implemented by*High risk

Securing and training personnel to help in community disaster prevention(1)

Voluntary fire corps

Voluntary fire corps are advertised at events,
etc., to increase members.

(2)

Disaster prevention classes

Elementary schools, voluntary fire corps,
Disaster prevention seminars are held forelementary school students, our future disaster Fire Station
prevention personnel.

(3)Life-saving classes

Lifesaving trainings are held for jr. high andsr. high students.

Jr. high schools, sr. high schools, highschools, voluntary fire corp, Fire Station(4)

Disaster prevention license
leaders

Seminars are held to increase the number ofcommunity residents who can handle disasterprevention equipment stored at community
disaster bases.

Neighborhood associations, Steeringcommittee liaison council at the sakae
ward community disaster prevention base,Fire Station(5)

Volunteer Center

A center to accept volunteers from outside theWard in the event of a disaster will be started
up and management training will be held.

Social Welfare Committee, Disaster
Volunteer Network(6)

Drills at Community disasterprevention bases

Community residents have opened anevacuation center, and are being training to
run it.

Steering committee liaison council at the
sakae ward community disasterprevention base, Neighborhood
associations, elementary/jr. high schools,
voluntary fire corp, Fire Station

Neighborhood associations, voluntary fire
corp, Fire Station

Extensive disaster prevention publicity(7)

Disaster prevention fieldseminars

Administration employees, etc., hold field
Neighborhood associations, Fire Station
seminars to enhance community awareness on
disasters.

(8)

Using mobile devices

Information on disasters is swiftly announced
using e-mails and twitter, etc.

(9)

Hazard maps

A map listing hazardous spots in the event ofan earthquake, floods or landslides, etc., andshowing evacuation sites will be prepared anddistributed.

Support of people requiring
assistance in event of disasterA system will be set up to find persons
requiring assistance in the community, and toenable safe evacuation of these persons in theevent of a disaster.

Neighborhood associations(10)

Preparation for water damage(11)

Measures and training for water
disasters

Evacuation and lifesaving skills will bepracticed, etc., in preparation for flooding or
landslides, etc., that could occur during
torrential rains.

Flood Control Liaison Council,
Neighborhood associations, voluntary fire
corps, private companies, Fire Station(12)

Emergency clothed-swimmingclasses

Emergency clothed-swimming classes areheld for elementary schools in preparation for
sudden increase in water levels in rivers.

Elementary schools, Fire Station

Fire prevention(13)

Patrols to prevent arsons

Patrols are carried out to prevent arsons.

Neighborhood associations, voluntary fire
corps, Fire Station(14)

Promotion of residential smoke
detectors installation

Events and campaigns are used to alert people
to install residential smoke detectors.

Neighborhood associations, Fire Station

25○

G. Suicide prevention* Sakae Ward Office is involved with all programs and is not listed.
Program

Details(1)

Preparation and distribution ofleaflets and educational material

Leaflets and educational materials are
distributed at events, etc. to increase Ward
resident understanding on suicide prevention.

Suicide Prevention Task Force
Subcommitte

Implemented by*(2)

Training of Gatekeepers

Seminars are held to train all Ward residents
as gatekeepers.

Suicide Prevention Task Force
Subcommitte(3)

Advertising of consulting
services

Information on consulting services for people
with worries will be advertised with leaflets,
etc.

○

(4)

Operation of life support center

Life support and consultation, and community Social welfare corporationexchange activities are held to promoteindependence of mentally challenged people
and help them return to society.

○(5)

Sakae Ward Mental HealthSupport Network

Seminars to review cases and exchange
information, etc., are held for mental healthspecialists.

○

Medical institutions, welfare facilities

High risk

H. Other Programs
Program

Details

Implemented by(1)

Labor monitoring

In accordance with labor related laws,
workplaces are visited to confirm that laws,
etc., to be complied with, and to improve
work conditions.

Labor Standards Inspection Office(2)

Monitoring of medical
institutions

In accordance with medical laws, hospitals
and clinics are instructed to carry out
appropriate management.

Yokohama City

(3)

Maintenance and management of Roads, rivers and waterways are maintainedroads, rivers and parks
and repaired, etc., and the region’s parks androadside trees are maintained and managed.

26

Yokohama City, Sakae WardHigh risk

【Indicator ３】Programs that target high-risk groups and environments, and programs that promote
safety for vulnerable groups(1) High-risk groups(1) Target people
In Sakae Ward, the following high-risk groups have been set.
i) Children subject to violenceii) Senior citizens subject to violenceiii) People at risk of injury due to intentional factors such as self-inflicted injuriesiv) Persons requiring assistance in event of disaster(2) Data on high-risk groupsi) Children subject to violence
The number of known new cases of child abuse is increasing in Sakae Ward. (Fig. 2-3-1) Consultations
regarding parenting from mothers who feel uncertainties toward their parenting skills are also on the rise.
(Table 2-3-1)（cases）

28

30
25
20
20
15

16

15
10
5
0
FY2008FY2009FY2010FY2011（Sakae Ward Child and Home Disturbance Support Section）

Fig. 2-3-1

Number of known new cases of child abuse
Table 2-3-1

Number of Consultations Regarding Children
2008 FY

2009 FY

2010 FY

2011 FY

Sakae Ward

2,031

2,405

2,359

2,553

[Reference] Population age 14 and younger

16,491

16,570

16,54916,535* Excerpt from “Report on Social Welfare Administration and Services” issued by the Ministry of Health, Labourand Welfare Vital, Health and Social Statistics Division* Population is the value as of January 1 of each year.
(Sakae Ward Child and Home Disturbance Support Section, Yokohama City Statistics Portal Site)27ii) Senior citizens subject to violence
The number of known cases of senior citizen abuse in Sakae Ward has increased by five-fold in five years.
(Fig. 2-3-2)（Cases）（Sakae Ward Senior Citizen Support Section）

Fig. 2-3-2 Number of known cases of senior citizen abuse
Table 2-3-2 Senior Citizen (65 years and older) Population

Sakae Ward

2007

2008

2009

2010

2011

24,78526,23827,787

29,11530,368* As of January 1 of each year
Yokohama City Statistics Portal Siteiii) People at risk of injury due to intentional factors such as self-inflicted injuries
The number of deaths from suicide is the 7th cause of death in Sakae. When looked at by age, it is theprimary cause of death in the 15 to 39 years age group. (Refer to Table 2-4-1 on page 31, 2-4-2 on page 32.)iv) Data on persons requiring assistance in event of disaster
There are approximately 4,000 people in the Ward living at home who cannot evacuate by themselves in theevent of a disaster. (These include senior citizens requiring aid, disabled persons, infants and toddlers,pregnant women, foreign residents, etc.)(3) Programs for high-risk groups
Details on the programs for high-risk groups are explained in the programs for each theme.
i) Child abuse prevention (Refer to pages 87 to 92)ii) Safe elderly (Refer to pages 55 to 60)iii) Suicide prevention (Refer to pages 74 to 81)iv) Safety at disaster (Refer to pages 82 to 86)

28

(2) High-risk environment
In Sakae Ward, isolation or “situation in which relations with family and neighbors is extremely weak” is set
as a high-risk environment.
The OECD 2005 report points out Japan as a country in which people have the least contact with people
other than family members. (Fig. 2-3-3). In the 2007 White Paper on National Life, it was found that
relations even between family members have weakened as more parent generations live apart from theirmarried children’s generation. (Fig. 2-3-4)
Problems such as child abuse and senior citizen abuse are apparent among these social changes. In today’s
regional communities, it is becoming harder to receive assistance from family members or neighbors.
Furthermore, the concept that child rearing and care-giving are to be covered by family members is still
prominent. It is thought that child rearing and care-giving amid a situation where support cannot be
anticipated from people in the area causes stress and leads to abuse, etc. In recent years, solitary deaths inwhich the deceased is not found for some time after death have become social problems.
Looking at the situation of households in Sakae Ward, while the number of persons in each household is
dropping, the number of one-person households, households with only aged couples, and single parent (bothmother and father) households are increasing. (Fig. 2-3-5) In other words, it is apparent that the number ofhouseholds that cannot request assistance for care-giving or parenting from family members is increasing.
As explained in the previous chapter, the number of known new cases of child abuse and senior citizen abuse
is increasing. We have various programs in place to resolve this issue in the community. In these programs,
community residents and the administration collaborate to support parenting families and care-giving forsenior citizens. Details on the programs are explained in “Child abuse prevention” (refer to pages 84 to 88)
and “Safe elderly” (refer to pages 54 to 59).

Japan

MexicoCzechoslovak

Portugal

FranceItaly
AustriaSouth Korea
FinlandSpain
20 nations of OECD

CanadalIceland

Belgium

Britain

GreeceGermany

Denmark
United States

Irelandl
Netherlands（Society at a Glance 2005）

Fig. 2-3-3 Persons who have rarely or never spend time with friends, colleagues or others in social groups29

(year)1. Prepared from Ministry of Health, Labour and Welfare “White Paper on National Life” (FY2005)
2. Percentage of “parents living with married children” when types of households for persons 65 years and older
are categorized into “single-person households”, “parents only household”, “parents living with married
children”, “parents living with single children”, “living with other relatives”, and “living with non-relatives”.

(White Paper on National Life, 2007)
Fig. 2-3-4 Transition of cohabitant rate of parent generation and married children’s generation(households)
25,00020,22920,00017,76615,00010,000

5,000

0
1995

2000

2005

2010

Husband, wife and child
Single-family (senior citizen)
Single-family (other than senior citizen)
Only husband & wife (senior citizen)
Only husband & wife (other than senior citizen)
Mother and child
Father and child(National Census)
Fig. 2-3-5 Transition of number of household according to family type (Sakae Ward) (Unit: Household)30

【Indicator ４】Programs that are based on the available evidence(1) Data used as evidence(1) Mortality data (Vital statistics)
Every year in Sakae Ward, 32 people die of “accidents” and 25 people die of “intentional self-harm”.
(Five-year average) (Table 2-4-1)
Table 2-4-1 Number of deaths in Sakae Ward by cause (2006 to 2010)
Sakae Ward
Annualaverage(people)Yokohama City

Order

Cause of death

Number ofdeaths(people)Death rate
Composition(per 100,000
ratio
people)Number ofdeaths(people)Annualaverage(people)1st

Malignant growths

1455

291

230

2nd

Heart disease(excluding high bloodpressure)

555

111

3rd

Cerebrovascular disease

407

4th

Pneumonia

5th

Death rate
Composition(per 100,000
ratio
people)

34.5

41578

8316

227

33.0

88

13.1

18650

3730

102

14.8

81

64

9.6

12950

2590

71

10.3

399

80

63

9.5

11731

2346

64

9.3

Old age

174

35

28

4.1

3886

777

21

3.1

6th

Accidents

161

32

26

3.8

4504

901

25

3.6

7th

Intentional self-harm

123

25

19

2.9

3648

730

20

2.9

(Vital statistics)

In regards to “accidents”, the transition of death rate from 1999 is lower than the national average, but is on
the rise in recent years. (Fig. 2-4-1)
Fig. 2-4-1 Transition of“accidents” death rate
(Comparison of national
figures, Yokohama Cityand Sakae Ward)* Comparison of 3-year
moving average
Per 100,000 people

Accidents
35
30

32

31

31

25
23
20

20

20

19

15

31
28
26

23
20
Sakae Ward

10

Yokohama
City
National

50(Vital statistics)

1999~2001

2002~200431

2005~2007

2008~2010

The death rate by “intentional self-harm” has not changed much from 1999. (Fig. 2-4-2)* Comparison of 3-year moving average: Per 100,000 people

Intentional self-harm

35
30
25
20
15

24
21
19

24
21
18

24
20
19

24
21
19

Sakae Ward

10

Yokohama City

5

National0
1999~2001

2002~2004

2005~2007

2008~2010(Vital statistics)

Fig. 2-4-2 Transition of “intentional self-harm” death rate
(Comparison of national figures, Yokohama City and Sakae Ward)

Summary of mortality data (Vital statistics)
 The rate of deaths by accidents is lower than national and Yokohama City levels, but has been on therise in recent years, and exceeded Yokohama City’s level.
 Succeeds among younger generations were the leading cause of death.

32

Looking at the order of deaths in Sakae Ward according to age group, “accidents” are within 5th place inalmost all age groups.
“Intentional self-harm” was the leading cause of death in the 15 to 39 years age group. “Intentional
self-harm” is a serious social problem in Japan where there are more than 30,000 suicides each year. Sakae
Ward is facing similar problems. (Table 2-4-2)
Table 2-4-2 Order of deaths in Sakae ward according to age group, and numbers of deaths (2006 to 2010)
1st

2nd

3rd

4th

5th

Age 0

Congenital malformation and chromosomal
abnormalities (6)Illnesses occurring during perinatal period

Ages 1 to 4

Malignant growths (1), Cerebrovascular disease (1)Age 5 to 9

Accident (3)Age 10 to 14

Malignant growths (3)Accident (2)Age 15 to 19

Intentional self-harm (9)Accident (2), Malignant growths (2)Age 20 to 24

Intentional self-harm(10)

Accident (3)Malignant growths (1)Age 25 to 29

Intentional self-harm(19)

Accident (5)Malignant growths (3)Age 30 to 34

Intentional self-harm(12)

Malignant growths (7)Accident (5)Heart disease (2)Cerebrovasculardisease (1)Age 35 to 39

Intentional self-harm(13)

Malignant growths (6)Accident (2), Cerebrovascular disease (2)Heart disease (1),Pneumonia (1)Age 40 to 44

Malignant growths (14)Intentional self-harm (10), Heart disease (10)

Cerebrovascular disease(6)

Accident (2)Age 45 to 49

Malignant growths (18)

Cerebrovascular disease Intentional self-harm(8)(7)

Heart disease (6)Accident (2)Age 50 to 54

Malignant growths (48)Intentional self-harm(8)Heart disease (5), Cerebrovascular disease (5)Age 55 to 59

Malignant growths (85)Heart disease (21)Intentional self-harm (11), Cerebrovascular disease
Accident (5)(11)

Age 60 to 64

Malignant growths (136)Heart disease (23)Intentional self-harm (12), Cerebrovascular disease
Accident (1)(12)

Age 65 to 69

Malignant growths (224)Heart disease (44)

Cerebrovascular disease
Accident (10)(26)

Intentional
self-harm (9),Pneumonia (9)Age 70 to 74

Malignant growths (221)Heart disease (54)

Cerebrovascular disease
Pneumonia (32)(36)

Accident (13)

Age 75 to 79

Malignant growths (242)

Cerebrovascular disease
Heart disease (70)(76)

Pneumonia (40)

Accident (27)

Age 80 to 84

Malignant growths (222)Heart disease (99)

Pneumonia (77)

Cerebrovascular disease(58)

Accident (21)

Age 85 to 89

Malignant growths (134)Heart disease (104)Pneumonia (76)

Cerebrovascular disease(66)

Accident (25)

90 years andolder

Pneumonia (133)

Old age (114)Heart disease (112)

Cerebrovascular disease(100)

Malignant growths(87)

Accident (1), Malignant growths (1),Heart disease (1), Pneumonia (1)Accident (3)(Vital statistics)

33

Table 2-4-3 Data on deaths in Sakae Ward (2006 to 2010)Ages
0 to 14

Item

Accidents

Age group

2006

2007

2008

2009

2010

Total

Transport accidents

2

0

0

0

0

2

Falls

0

0

0

0

0

0

Accidental drowning and submersion

0

0

0

1

1

2

Accidental threats to breathing

0

0

0

1

1

2

Exposure to smoke, fire and flames

0

0

0

0

0

0

Accidental poisoning by and exposure to noxious substances

0

0

0

0

0

0

Other accidents

Ages
15 to 24

Accidents

Total number of accidents
Intentional self-harmAssault

Accidents
Accidents

0

0

2
0
0

6
0
0

1

0

0

1

2

4

0

0

0

0

0

Accidental drowning and submersion

0

0

0

0

0

0

Accidental threats to breathing

0

0

0

0

0

0

Exposure to smoke, fire and flames

0

0

0

0

0

0

Accidental poisoning by and exposure to noxious substances

0

0

0

0

0

0

0

0

0

1

0

1

1
8
0

0
0
0

0
7
0

2
1
0

2
3
0

5
19
0

Transport accidents

2

0

4

2

3

11

Falls

2

2

4

0

0

8

Accidental drowning and submersion

1

0

0

3

3

7

Accidental threats to breathing

2

0

0

1

1

4

Exposure to smoke, fire and flames

0

0

0

1

0

1

Accidental poisoning by and exposure to noxious substances

0

0

2

0

0

2

0

0

1

0

0

1

7
18
0

2
13
0

11
19
0

7
10
0

7
18
0

34
78
0

Transport accidents

1

3

3

1

3

11

Falls

5

8

5

4

7

29

Accidental drowning and submersion

6

5

4

9

13

37

Accidental threats to breathing

5

7

7

4

4

27

Exposure to smoke, fire and flames

0

0

0

1

0

1

Accidental poisoning by and exposure to noxious substances

0

0

2

0

0

2

Total number of accidents
Intentional self-harmAssault

Other accidents
Total number of accidents
Intentional self-harmAssault

Accidents

0
2
0
0

0

Other accidents

Total

0
0
0
0

Falls

Total number of accidents
Intentional self-harmAssault

65 years and
older

0
0
0
0

Transport accidents

Other accidents

Ages
25 to 64

0
2
0
0

2

2

2

3

2

11

19
5
1

25
5
0

23
5
0

22
6
0

29
5
0

118
26
1

28

Transport accidents

6

3

7

4

8

Falls

7

10

9

4

7

37

Accidental drowning and submersion

7

5

4

13

17

46

Accidental threats to breathing

7

7

7

6

6

33

Exposure to smoke, fire and flames

0

0

0

2

0

2

Accidental poisoning by and exposure to noxious substances

0

0

4

0

0

4

2

2

3

4

2

13

Total number of accidents

29

27

34

33

40

163

Intentional self-harmAssault

31
1

18
0

31
0

17
0

26
0

123
1

Other accidents(Vital statistics)

34

(2) Injury Data (emergency transport records)
Sakae Ward uses emergency transport records to understand the situation of injuries.
* The total number of cases follows data from the Sakae Fire Station, and details on injuries follows datafrom the Yokohama City Fire Station.
<General>◆ Number of emergency transport cases
Of all emergency transport cases handled by the Sakae Fire Station, approximately 30% were for injuries.
(Fig. 2-4-3)
5000
4000
3000

33.7％

32.3％

30.5％

30.7％

31.5％

66.3％

67.7％

69.5％

69.3％

68.5％

2006
(n=4269)2007(n=4260)

2008(n=4095)

2009(n=4211)2010(n=4381)

2000
1000
0

Sudden illness

injuryFig. 2-4-3 Transition of number of emergency transports◆ Number of emergency transport cases for injuries
The number of emergency transport cases for injuries in the ward shifts between about 1,200 and 1,400
cases a year. In 2010, there were 1,279 cases. (Fig. 2-4-4) Looking at the number of emergency transport
cases per 100,000 people, Sakae Ward had the second lowest number of cases in Yokohama City. (Fig.
2-4-5)(2010, per 100,000 people)

Fig. 2-4-4 Transition of emergency transport cases

Fig. 2-4-5 Number of emergency transport cases by ward35

◆ Age groups
Looking at the number of emergency transport cases for injuries by age group, the proportion of the 65
and higher age group was high compared to the population composition ratio, and was low for the 25 to
64 age group.
(Fig. 2-4-6)
100%

4%

90%

24%

80%

41%

70%
60%
50%

Unknown

54%

40%

65 years and older

35%

30%

Ages 25 to 64

20%
10%
0%

9%

9%

Ages 15 to 24

13%

12%

Ages 0 to 14

Population
n=126,575(as of September 30,
2010)

Number of
emergencytransport cases
n=1,279（Emergency transport data）(2010)(救急搬送データ)

Fig. 2-4-6 Comparison of emergency transport cases and population composition ratio◆ Place of occurrence
Looking at the place of occurrence, the proportion of injuries occurring at home was the highest at 41%,
followed by roads at 39% and public entrances at 15%. (Fig. 2-4-7)

n=
1279

Fig. 2-4-7

Place of occurrence (2010)36

◆ Types of injuries
When looked at by type of injuries, the proportion of falls was highest at 40%, followed by transport
accidents at 29%. (Fig. 2-4-8) When the type of injuries was looked at by age group, the percentage offalls for 65 and older citizens was especially high at 68%. Conversely, the proportion of transport
accidents was highest for the 15 to 64 age group, and the proportion of falls was low. (Fig. 2-4-9)
100%
work-related
injuries
2%

sportsinjuries
2%

90%
other
4%

80%

9%
31%

70%
60%

Selfinflectedinjuries
5%(Others)
Collisions 6%
Suffocation 1%
Transport
Drowning1%,
etc. accidents

Falls
40%

n=

40%
30%
20%

Generalinjuries(other thanfalls)
18%

29%

Falls

15%

General injuries (other thanfalls)
Transport accidents

68%
26%

50%

1279

20%
16%

Self-inflected injuries

50%
45%

work-related injuries
sports injuries

36%

18%

10%

10%

0%
0 to 14(n=151)

１5 to 24(n=111)

25 to 64(n=446)65years orolder(n=524)(Emergency
transport data）（Emergency transport data）

Fig. 2-4-8

Types of injuries (2010)

Fig. 2-4-9

Types of injuries by age group (2010)◆ Severity of injuries
Minor injuries make up approximately 60% of injuries. (Fig. 2-4-10)

n=
1279

Fig. 2-4-10
Severity of injuries (2010)

Summary of injury data (emergency transport records)
 The number of emergency transport cases was second lowest in the city. (per 100,000 people)
 The proportion of senior citizens is highest among all cases.
 The place of occurrence was highest at “home”(41%), and “Roads”(39%) were high.
 The proportion of “falls” and “transport accidents” was highest for types of injuries. In the 65 years
and older, “falls” accounted for 68% of injuries.
 In severity of injuries, approximately 60% were mild injuries.

37

<According to field>◆ Children’s injuries
By type of injuries for the 0 to 14 year age group, the proportion of injuries caused by falls was highest up
to age 4. Conversely, the proportion of falls drops from age 5, and instead the proportion of transport
accidents is higher. (Fig. 2-4-11)100%
others90%
80%

Assault
25%

70%
40%

60%

40%

48%

42%
46%

41%

40%
11%

18%

11%

17%

49%

59%

55%

60%

52%
40%

Fire

20%

53%

20%
10%

Self-inflected injuries

22%

24%

23%

50%

30%

27%

20%

21%

28%

34%

31%

44%

18%

Collision
Falls

0%

Age:

Accidental threats tobreathing
Drowning

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
(n=66) (n=97) (n=83) (n=81) (n=66) (n=42) (n=59) (n=51) (n=55) (n=60) (n=50) (n=30) (n=45) (n=38) (n=32)

Transport accidents（Emergency transport data）

Fig. 2-4-11 Types of injuries (Age 0 to 14, 2006 to 2010)◆ Senior citizen injuries
In types of injuries, the proportion of falls is high, and especially for ages 75 and older accounts for 77%
of injuries. (Fig. 2-4-12, 2-4-13)（Emergency transport data）
Drowning
0.8%

Accidental
threats tobreathing
4.1%

Ohters17.2%

Collision
1.3%
Accidental
threats tobreathing
2.3%

n=
793
Transport
accidetns
23.0%

Ohters9.4%（Emergency transport data）

Collision
0.9%

Transport
accidetns
7.0%

Falls
55.6%

Fig. 2-4-12 Types of injuries for ages 65 to 74(2006 to 2010)

Drowning
2.1%

n=
1584
Falls
76.5%

Fig. 2-4-13 Types of injuries for ages 75 andolder (2006 to 2010)38

◆ Traffic injuries
The proportion of injuries with bicycles was high for the 0 to 14 age group, and with motorcycles for the
15 to 25 age group. (Fig. 2-4-14)

Fig. 2-4-14 Details by age group (2006 to 2010)39

◆ Sports injuries
The number of sports injuries shifts between 30 and 40 cases a year. (Fig. 2-4-15)
In the details by age group from the population composition ratio, the ratio for age 24 and younger ishigher. (Fig. 2-4-16)
More than 70% of injuries are minor injuries, but there were 41 moderate injuries and two serious cases.
(Fig. 2-4-17)(Cases）
45
40
35
30
25
20
15
10
5
0
2006

2007

Ages 0 to 14
Ages 25 to 64

2008

2009

Ages 15 to 24
65 years and older

2010(Emergency
transport data）

Fig. 2-4-15 Number of cases (2006 to 2010)
100%

4%

90%
80%

24%
35%

70%

54%

Serious1%9%Moderate
25%

60%
50%
40%

33%

30%
20%
10%

28%

n=164

13%

0%
Number of cases（n=164）

Ages 0 to 14
Ages 25 to 64

Population
composition ratio(n=126,575)(as of September 30, 2010)
Ages 15 to 24
65 years and older（救急搬送データ、国勢調査）(Emergency transport data, National census）

Fig. 2-4-16 Proportion of injury occurrence by age
group and population composition ratio(2006 to 2010)

Mild
74%
(Emergency transport data）

Fig. 2-4-17 Severity of injuries (2006 to 2010)40

◆ Self-inflicted injuries
In all age groups, the percentage of women is highest, accounting for 60% of all cases. (Fig. 2-4-18)
Among men, the proportion of strangulation and suffocation is highest, and among women, theproportion of self-inflicted injury by drugs is highest, accounting for about half of all cases. (Fig. 2-4-19)
100%

Unknown
1%

9%

90%

23%

80%

24%

70%

Male
37%

16%

60%

n=
271

17%

Others50%
40%

Female62%

Unknown

42%

Cutting instrument
Strangulation/suffocation

30%
49%

20%
10%

Drugs
18%

0%
Female(n=142)(Emergency transport data）

Fig. 2-4-18 Cases by male and female(2006 to 2010)

Male(n=79)(Emergency transport data）

Fig. 2-4-19 Methods of self-inflicted injury by male andfemale (2006 to 2010)41

◆ Work-related injuries
There are about 15 to 35 cases of work-related injuries in Sakae Ward each year. (Table 2-4-4)
The rate of occurrence per 100,000 people is lower than the Yokohama City average. (Fig. 2-4-20) In
regards to Severity of injury and wounds, mild injuries and moderate injuries account for 90% of all
injuries. (Fig. 2-4-21)

Table 2-4-4 Transition of number of work-related injuries
Number ofoccurrences

2006

2007

2008

2009

2010

29 cases

33 cases

23 cases

16 cases

28 cases（Cases）

40.0

Death
2%

35.2

35.0

31.2

35.0
25.0

Unknown3%

Severe
1%

29.4

30.0

(Emergency
transport data)

25.3
26.5
23.4

22.4

20.0

Serious
5%

18.5

15.0

12.8

10.0

n=129

Mild
44%

5.0

Minor
45%

0.0
2006

2007

2008

Yokohama City

2009

2010

Sakae Ward

(Emergency transport data, Yokohama City Statistics portal site)(Emergency transport data)

Fig. 2-4-20 Number of work-related injuries(per 100,000 people)

Fig. 2-4-21 Severity of injuries (2006 to 2010)42

(3) Sakae Ward Data
◆ Disaster prevention
According to ward resident surveys, the proportion of ward residents who answered that they had no
preparation for disasters greatly changed before and after the Great East Japan Earthquake. (Fig. 2-4-22)
On the other hand, just under 60% of ward residents knew the location of their community disasterprevention base, and just under 50% of ward residents had participated in disaster prevention drills. (Fig.
2-4-23, Fig. 2-4-24)
No
Before earthquake

respons
6%

After earthquake

Portable ratio, flashlight

74.3%

52.5%

Drinking water

47.6%

Emergency food

39.8%

15.3%

Medical supplies/first‐aid
supplies
Measures to prevent
furniture from falling over

34.8%
28.3%

Storage of water in bathtub

27.1%
25.0%

Fig. 2-4-23

Haven’t
participated, anddon’t plan
to in thefuture
15%

9.1%
2.9%

Preparation of
7.3%
emergency contact… 2.2%
6.2%

Done almost nothing
0.0%

20.1%

20.0%

40.0%

Yes
58%

(FY2010 Sakae Ward
resident awareness survey）

31.4%
28.8%

Discussions with neighbors

n=1,390

51.5%

39.1%

Family discussions
about evacuation

Do not
know
36%

61.0%

60.0%

80.0%

n=861 (Multiple answers permitted）(FY2011 Sakae Ward resident survey）

Fig. 2-4-22 Preparations for disasters (Comparison
before and after the earthquake)

Do you know your community
disaster prevention base?

No
response
2%

n=
1,390
Haven’t
participated, buthope to in
the future
35%

Have
participated48%(FY2010 Sakae Ward
resident awareness survey）

Fig. 2-4-24 Have you participated in yourcommunity’s disaster prevention
drills?

Just under 50% of neighborhood associations have started programs to support the evacuation of persons
needing assistance. (Fig. 2-4-25)
Haven’tnotstudiedprograms
9%No
response
1%

Are
ave
startedstartedprogramprograms
46%
46%
n=89

Are
studying
programs
44%（Sakae Ward Welfare and Health Section）

Fig. 2-4-25 Situation of neighborhood association programs to support persons needing assistance (2011)43

(2) Programs for Each Subjects

Seven Subjects and Subcommittees
Seven subjects have been selected based on evidence data.

[Data](1) There have been six deaths in the last five years. (See page 34, Table 2-4-3)* Data on six deaths:
0 years (accidental threats to breathing) 1 case, ages 5 to 9 (transport accident, accidental threats tobreathing, drowning) 3 cases, ages 10 to 14 (transport accident, drowning) 2 cases(2) In types of injuries, falls were highest up to age 4. The proportion of transport accidents increased as age
increased. (See page 38, Fig. 2-4-11)

Safe children

Table 2-4-5 Summary of Challenges and Setting of Subjects[Data](1) Of the emergency transport cases, approximately 30% were traffic injuries, following falls. (See page 37,
Fig. 2-4-8)(2) In types of injuries, falls were highest up to age 4. The proportion of transport accidents increased as age
increased. (See page 38, Fig. 2-4-11) 【Relisting】[Challenges](1) The majority of injuries are caused by transport accidents.
(2) The majority of injuries to children are caused by transport accidents.

[Data](1) The number of sports injuries shifts between 30 and 40 cases a year. (See page 40, Fig. 2-4-15)
The 25 to 64 age group has the highest percentage of injuries. Compared to the population composition
ratio, the percentage of 15 to 24 year olds is highest. (See page 40, Fig. 2-4-16)[Challenges](1) There is not enough data to deliberate preventive measures.

44

Safe traffic[Challenges](1) There are insufficient programs to prevent falls.
(2) Senior citizen abuse is not prevented.

Sports and Leisure Safety[Data](1) Senior citizens accounted for the highest percentage of emergency transport cases. (See page 36, Fig.
2-4-6). The proportion of falls was high among senior citizens. (See page 38, Fig. 2-4-12, 13)(2) The number of known new cases of senior citizen abuse has increased.
(See page 28, Fig. 2-3-2)

Safe elderly[Challenges](1)(2) Detailed prevention actions for risks by age group are not in place.

[Data](1) Just under 60% of ward residents know the location of their community disaster prevention base, and justunder 50% of ward residents have participated in disaster prevention drills. (See page 43, Fig. 2-4-23, 24)(2) Just under 50% of neighborhood associations have started programs to support the evacuation of persons
needing assistance. (See page 43, Fig. 2-4-25)[Challenges](1) Only some of the ward residents participate in disaster prevention drills at the community disasterprevention bases.
(2) Programs to support the evacuation of persons needing assistance are not available in allneighborhoods.

[Data](1) The number of known new cases of child abuse is increasing. (See page 27, Fig. 2-3-1) Consultations
regarding parenting from mothers who feel uncertainties toward their parenting skills are also on the rise.
(See page 27, Table 2-3-1)[Challenges](1)There are insufficient programs to prevent child abuse across the whole community.

45

Suicide prevention
Safety in Disasters[Challenges](1) A system and network to take practical measures for the prevention of suicide need to be establishedand to conduct continuous activities.

Child abuse prevention[Data](1) Vital statistics regarding suicide: Suicide is the leading cause of death in the 15 to 39 age group. (See page
33, Table 2-4-2) The death rate is slightly lower than national levels, but is close to the data for all of
Yokohama City. (See page 32, Fig. 2-4-2)

Subcommittees for seven subjects have been set to resolve these challenges.
■ Seven subjects
1. Safe children(Child Safety Task Force Subcommittee) *1
2. Safe elderly(Senior Citizen Safety Task Force Subcommittee) *2
3. Traffic safety(Traffic Safety Task Force Subcommittee) *1
4. Sports and Leisure safety(Sports and Leisure Safety Task Force Subcommittee)
5. Suicide prevention(Suicide Prevention Task Force Subcommittee)
6. Safety in disasters(Disaster Safety Task Force Subcommittee)
7. Child abuse prevention(Violence and Abuse Prevention Task Force Subcommittee)*3*1 Child traffic injury is deliberated by the Traffic Safety Task Force Subcommittee.
*2 Senior citizen abuse is deliberated by the Senior Citizen Safety Task Force Subcommittee.
*3 The main focus of the Violence and Abuse Prevention Task Force Subcommittee is deliberation on childabuse.

The areas covered by each subcommittee are shown below.
Table 2-4-6 Subcommittees and Main Points of Deliberation

Age 0 to 14
years old
Age 15 to 24
years old

Safety indisasters

Safe traffic

Disaster Safety
Task Force
Subcommittee

Traffic Safety
Task Force
Subcommittee

Sports andleisure safety

Falls
prevention

Prevention ofabuse

Suicideprevention

Sports andLeisure Safety
Task Force
Subcommittee

Child Safety
Task Force
Subcommittee

Violence andAbuse
Prevention
Task Force
Subcommittee

SuicidePrevention
Task Force
Subcommittee

Age 25 to 64
years old
65 years andolder

Senior Citizen Safety Task Force
Subcommittee

46

A Safe children[Data](1) There have been six deaths in the last five years. (See page 34, Table 2-4-3)* Data on six deaths:
0 years (accidental threats to breathing) 1 case, ages 5 to 9 (transport accident, accidental threats tobreathing, drowning) 3 cases, ages 10 to 14 (transport accident, drowning) 2 cases(2) In types of injuries, falls were highest up to age 4. The proportion of transport accidents increased as age
increased. (See Fig. 2-4-11)[Challenges](1)(2) Detailed prevention actions for risks by age group are not in place.

The Child Safety Task Force Subcommittee has, as follows, further focused in on the key challenges andconducted measures based upon the data and the opinions of the subcommittee.

The Child Safety Task Force Subcommittee<Members>
Child Safety Task Force Educational institution, etc.
Subcommittee(4 persons)Community activity groups,etc.
(5 persons)◎Sakae Ward Elementary School Principals Association
Sakae Ward Middle School Principals Association
Yokohama City Private Kindergarten Association Sakae Branch
OfficeSakae Ward Nursery School Principals Liaison Council
Sakae Ward PTA Liaison Council
Sakae Ward Children’s Association Liaison Council
Sakae Ward Hamakko/Kids Liaison Council
Child Rearing Support Group Liaison Council
Juvenile Officer Liaison Council

others100%
90%

Assault

80%
25%

70%
40%

60%
40%

42%
41%

48%

0%

22%

46%
40%

11%

18%

11%

17%

49%

59%

55%

60%

52%

40%

Fire

20%

53%

20%
10%

Self-inflected injuries

20%
23%

50%
30%

27%

24%

44%

21%

28%

34%

31%

18%

0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
(n=66)(n=97)(n=83)(n=81)(n=66)(n=42)(n=59)(n=51)(n=55)(n=60)(n=50)(n=30)(n=45)(n=38)(n=32)

Fig. 2-4-11 Types of injuries (Age 0 to 14, 2006 to 2010) 【relisting】

Collision
Falls
Transport accidents（Emergency transport data）*“Traffic injuries” will be deliberated by the Traffic Safety Task Force Subcommittee.

47

Accidental threats tobreathing
Drowning

Since in emergency transport records, the majority of injuries to children under five years of age wasreported as being due to “falls,” we conducted a factual survey on injury.

Survey on Children’s Injuries◆ Infants: From injury reports (received from 4 municipal nursery schools between 2007 to 2009)
 Most injuries were to the “face”
 “Fall” was the highest cause of injuries
 There were no critical injuries
Leg
2%

Others3%

Others
16%

Head
5%
Arm
23%

Being
pulled
15%

n=61
Face
67%

n=45

Fall
47%

Collision
22%

Fig. A-1 Injured partFig. A-2 Cause of injury◆ Elementary and jr. high school students:
From the “Research Report 2012 (Factual survey on ward resident injuries)” based on a survey of 463 5thgraders and 365 second-year jr. high school students in Sakae Ward Experience of injury in past year:
Elementary students 88%, jr. high students 82%
 Details of injury:
There were many “scratches” and “cuts”. There were 21 (7%) fractures among elementary students and48 (17%) among jr. high students.
 Place of injury:
At elementary school, during “recess” and “physical education” was highest. At jr. high school, during“after-school sports activities” was highest.
 Situation of injury:“Carelessness” was highest for both elementary and jr. high school students.
0

20

40

60

Scratches

61.4
49.1
50.2

Cuts
25.5

Bruises
16.8

Sprains

11.8

Burns
6.5

Fractures
Pulled muscles,
strained muscles
Dislocation
Jammed finger
Peeled nail

80
68.6

1.6

35.4

25.3

20.6

17.3

10.1

0.6
4.3
3.7
2.2
0
1.4
Elementary school

Jr. high school

Fig. A-3 Details of injury (multiple answer accepted)
48

100

（％）

0

20

Duringafter‐school sports

4.3

21.7

（％）

10.9

On way homefrom school

28.6

18.9

7.2

At home

18.5

9
9.4
2.9

8.1
Elementary school

Fig. A-4

80

29.5

14.5

During physicaleducation
Traveling to prep
school or lessons

60
52.2

Recess

While playing

40

Jr. high school

Place of injury (multiple answers accepted)

Situation of injury (multiple answers accepted): Top three
Elementary school

Jr. high school

1stCarelessness (41%)

Carelessness (48%)

2nd

Running (38%)

Running (28%)

3rd

Rushing (20%)

Acting funny (16%)

From subcommittee’s opinions<Regarding injury>
・ Regarding “fall”, children do not put their hands out when they fall. That is because they do not know
how to fall well, and parents have not let them fall. They are inexperienced.
・ Injuries occur when there is no teacher in the area, such as during recess. Children must increase their
physical strength, and learn to move so that they do not get injured.
・ There are many careless injuries, such as a child playing baseball that swings his bat before checking
if there’s anyone in the area.
・ Children today tend to have less of a sense of danger. Improvements in the skills of those who instructand care for them are necessary, but children also need to learn to protect themselves.
・ To prevent incidents of injury, playing catch (usually with a baseball) is often prohibited in public
places such as parks. Children need places where they can play freely, in a carefree manner, using
their bodies and energy.

<Challenges identified from data and subcommittee’s opinions>(1) Many children cannot use their hands well when falling, and fall on their faces.
(2) Children cannot sense danger according to the situation, and cannot take preventive actions.
In addition, since the opinion that the “countermeasures regarding crimes and kidnappings by scarypersons are insufficient” was contributed in the subcommittee, we examined the results of the research
report regarding the current situation of children’s encounters with scary persons.
◆ Elementary and jr. high school students: form the Research Report 2012 (Factual survey on ward resident
injuries) Experience of encountering a scary person in past year:
Elementary students 30%, jr. high students 40%
 Place of encounter:“Near home” and “park” were high for elementary students, “Near school” was high for jr. highstudents.
49

 What did you do at encounter?:“Ran away” was highest for elementary students, “Did nothing” was highest for jr. high students.
0

20

40

60

（％）

38.7
35.6

Near home
Park

33.3

20
18

Near school
Near shops

4.5
4.4

While out

3.6

Near prep schoolor lessons

3.6
3

48.1

7.4

Others9.6

12.6

Elementary school

Jr. high school

Fig. A-5 Place of encounter with scary person (multiple answers accepted)

020

Ran away40

Ignored the person

39.6

100（％）

69.4

0.9
3
0

3

Asked adult in area for help

0.9
2.2

Asked for help at
Child Dial 111 House

0
1.5

Used crime‐prevention buzzer

0
0.7

Others

80

55.9

27.6

Did nothing
Screamed

60

3.6

13.4

Elementary school

Jr. high school

Fig. A-6 What did you do at encounter with scary person? (multiple answers accepted)

From subcommittee’s opinions<Regarding scary persons>・Not many children asked an adult in the area for help, but children do not normally ask people they do notknow for help anyway. If there were more people who they knew well in the community, they would
certainly be able to ask for help more easily.
・Not many children asked for help at a “Child Dial 110 House” but we have aimed to increase the number ofhouses registered in this system. It makes it appear that “many eyes are watching” and can assist in the aimof preventing crime.
・In the elementary schools in Sakae Ward, volunteer groups of local residents and parents to support thesafety management of the school are conducting activities to watch over children on the commute to andfrom school. We need to further reinforce this sort of cooperation regime between schools and thecommunity.

50

<Challenges identified from data and subcommittee’s opinions>(3) Children who still lack the ability to make judgments need the watchful eye of adults in the area and thesafe environments.

Summary of Challenges<Programs to resolve challenges>(1)
Special exercise classes:
Targeted for infants and toddlers(2)Danger prediction training:
Targeted for educators, elementary andjr. high school students(3)-1 Watching children commuting to andfrom school by community residents:
Targeted for elementary students(3)-2 Child Dial 110 Houses:
Targeted for elementary and jr. highschool students(3)-3 Greenery of school yards and parks<Challenge>(1) Many children cannot use their hands wellwhen falling, and fall on their faces.
(2) Children cannot sense danger according to
the situation, and cannot take preventive
actions.
(3) Children who still lack the ability to makejudgments need the watchful eye of adults
in the area and the safe environments.

Programs to resolve challenges(1) Special Exercise Classes
Currently, the Sports Association leads this project for 4 and 5-year olds enrolled at nursery schools. This
year, a program will be held for children between 4 and 1/2 years to 5 and 1/2 years will be carried out fivetimes. The children’s physical strength will be measured with five events (25m run, backwards crawl, 6m
jump with both legs, tennis ball throw, and standing long jump), and the effect will be measured.
Current achievements: A model program was held at four nursery schools in FY2011. During FY2012, theprogram will be held five times for children between 4 and 1/2 years and 5 and 1/2 years, and the effect will
be measured.
●Evaluation index
ProgramSpecial exercise classes

Step 1Children know how to use
their body well
Index
Number of children
joining the classes

Step 2
Step 3
Improve children’s physical Reduction of children’s injuries
strength
Index
Index
Number of children’s injuries Number of children’s injuriescaused by fallscaused by falls

Measurement method
Records of provider

Measurement method
Records of provider

51

Measurement method
Emergency transport records

(2) Danger prediction training
Danger prediction skills are taught to staffs at nursery schools, and to elementary and jr. high students so thatthey can learn how to protect themselves. This year, the Danger Prediction Training Seminar for childcare
staffs and teachers was held by the Child Safety Task Force Subcommittee.
*What is Danger prediction training?
Danger prediction training was originally formulated as a means of preventing work-related accidents inconsideration of the conditions at work sites. In Danger prediction training, meetings are held to point out
matters requiring confirmation on that day after confirming and identifying the potential risks in the day’s
activities.
Past records:
Danger Prediction Training Seminar (once a year, for nursery school employees)
Training to increase danger prediction skills (jr. high school)
Danger Production Training Seminar for childcare staffs and teachers (held in June 2012, 24

participants)●Evaluation index
ProgramDanger prediction training

Step 1

Step 2Children and adults in theChildren are taking actions
community (including
to avoid potential risks inparents) understand potential daily life.
risks in daily life.
Index
Index
Number of opportunities for Number of places known todanger prediction training, be hazardous
number of participants
Measurement method
Measurement method
Records of provider
Training participants survey

Step 3
Reduction of children’s injuries

Index
Number of children’s injuries

Measurement method
Emergency transport records<Building a safe environment>
In order to build a safe environment for children, we are upgrading and expanding the following measures,
which are being conducted in cooperation with their schools, families, and the community.
(3)-1 Watching children commuting to and from school by community residents
To increase school’s crime prevention, parents and community residents work as volunteers to watch over thechildren commuting to and from school, and to support safety control. This year, in collaboration with the
Traffic Safety Task Force Subcommittee, watching activities were stepped up.
Past records: 2,160 registered volunteers (FY2011)(3)-2 Child Dial 110 Houses“Child Dial 110 Houses” are a place where children can easily find refuge if they encounter a suspicious
person or if an emergency occurs on their way to and from school or while they are playing. The PTA
Liaison Council leads this program, and is working to increase the houses.
Past records: 2,134 registered houses (2010)(3)-3 Greenery of school yards and parks
In the elementary schools in Sakae Ward, we are working towards enhancing the greenery of schoolyards
by laying grass for the purpose of improving children’s physical strength. At Koyamadai Elementary School,
the greenery of the entire schoolyard has been enhanced by being laid with grass and programs to improvephysical capabilities that children can do while playing games and enjoying themselves are being conductedduring break times, etc.
Regarding enhancing the greenery of schoolyards by laying grass, while the advantage of a reduction ininjuries can be anticipated, the issues of cost and the difficulty in maintaining and managing it have been
pointed out. At schools which have had greenery enhanced in this manner, means are being used to involve52

local residents, such as having parents and community volunteers take on the responsibility of maintaining
and managing the grass. Since a cooperative regime involving the school, parents and local residents isrequired for the laying of the grass, at Sakae Ward, the Ward Office is also cooperating by providing
information, and the laying of grass is being proceeded with. In addition to schoolyards, in fiscal 2012,
laying of grass was also conducted in nursery schoolyards and parks.
The Case of Koyamadai Elementary School●Evaluation index
Program
Watching children bycommunity residentsChild Dial 110 Houses

Step 1
Parents and ward residents
understand the importanceof those activities.
Index
Number of activities

Greenery of school yards
and parks

Measurement method
Records of provider

Step 2
Parents and ward residents
participate in those activities
voluntarily
Index(1) Number of volunteers
for watching children(2) Number of registered“Child Dial 110
Houses”(3) Number of places
where grass has beenlaid
Measurement method
Records of provider

Step 3A safe environment for children
is established.
Index(1) Number of volunteers forwatching children(2) Number of registered“Child Dial 110 Houses”(3) Number of places where
grass has been laid

Measurement method
Records of provider

Assessment of Current Programs
 The Danger Prediction Training Seminar was held by the subcommittee. In addition to groups involved
with this subcommittee, other subcommittees (Sports and Leisure Task Force Subcommittee)
participated, allowing for cross-sector collaboration.

53

Plan to upgrade the current programs over the next 5 years◎Injury prevention
2013
Special exercise Conductclasses
continuously

Evaluation
index
Dangerprediction
training

2014

2015

2016

2017

Improve content, based on physical strength and motor
function measurements conducted before and after the
program.

Expand target ofclasses(Introduce into
private nurseryschools )Physical strength and motor function measurement values
Number of children’s injuries
2013
2014
2015
2016
2017
Conduct
continuously
Improve content, based on records of provider and interviews.

Conduct
continuously
Provide feedback to other subcommittee members and consider(Children’s
introduction to other groups.
Association)
Evaluation
Content of interviews
index
Number of children's injuries
・ Regarding injuries to children of school age, it was found that among elementary school students, most occur
during recess or during physical education classes, while among junior high school students, most occur
during after-school activities. Consideration is in progress regarding these points, in cooperation with theSports and Leisure Task Force Subcommittee. (Regarding collection and analysis of the necessary data, this isoccurring in cooperation with the Injury Surveillance Subcommittee).
◎Building a safe environment
2013
Watching over
Increase number
childrenof participants,
by community
Increase number
residents,of registeredChild Dial
Houses,110 Houses,
PromoteGreenery ofgreenery byschool yards
laying grass
and parks

2014

2015

2016

2017

Promote awareness through enhanced PR, etc.

Expand program based on cooperation among residents,
educational institutions and the ward office.

Evaluation
Number of volunteers for watching children, Number of registered “Child Dial 110 Houses”
index
Number of places where grass has been laid
<Target>three elementary
All (14)places where
schools
elementary
grass has beenschoolslaid◎Prevention of traffic injuries [see “Traffic Safety”]◎Intentional injury (bullying, violence etc.)
・ Proceed with consideration in cooperation with the Violence and Abuse Prevention Task Force
Subcommittee.
◎Safe children is an area in which cooperation among the subcommittees is particularly important, andtherefore, the Child Safety Task Force Subcommittee takes the main role and gather together information
regarding the programs of each subcommittee relation to children’s safety.

54

B Safe Elderly[Data](1) Senior citizens accounted for the highest percentage of emergency transport cases. (See page 36, Fig. 2-4-6).
The proportion of falls was high among senior citizens. (See page 38, Fig. 2-4-12, 13)(2) The number of known new cases of senior citizen abuse has increased.
(See page 28, Fig. 2-3-2)[Challenges](1) There are insufficient programs to prevent falls.
(2) Senior citizen abuse is not prevented.

The Senior Citizen Safety Task Force Subcommittee has studied the following issues.

The Senior Citizen Safety Task Force Subcommittee＜Members＞
Senior Citizen Safety
Task Force
Subcommittee

Person with relevant
experience and knowledge(1 person)

Yokohama City University, Graduate School of Medicine, Departmentof Community Health Nursing

Administrative agency, etc.
(2 persons)Sakae Police Station
Sakae Fire Station◎Sakae Ward Senior Club Association
Sakae Ward Social Welfare Council
Sakae Ward Local welfare/child care commissioner
Sakae Ward Volunteer/Citizen’s Activities Groups Section
Sakae Care Network
Yokohama Sakae Kyosai Hospital
Sakae Seijinkai Hospital

Community activity groups,etc.
(5 persons)

Medical institutions, etc.
(2 persons)Welfare facilities, etc.
(8 persons)Welfare institution for the elderly (special nursing home for theelderly) in the ward
Community Care Plaza in the ward(6)Community Activity Center for People with Midlife Disabilities* The subcommittee also acts as the Joint Committee on Wandering Senior Citizen SOS Network andSenior Citizen Abuse Prevention .
<Summary of Subcommittee’s Opinions>Risks faced by senior citizens
 Senior citizens often have osteoporosis. If they trip and fall on a step, carpet, cord or paper, etc., theyeasily fracture their hip, and become bedridden.
 Senior citizens can lose consciousness while taking a bath, and this can lead to drawing. This can beprevented by heating the room, etc.
55

 The movement of an older person’s esophagus and respiratory tracts can be sluggish, and senior citizens
easily choke on rice cakes.
 People do not know how to approach senior citizens who do not want relations with people in theneighborhood.
Wandering senior citizens
 A person with dementia, walking along a highway, was not found in time. It would be better if people in
the area would notify the authorities faster.
 It is hard to help people as caregivers often do not want neighbors to know they are carrying for a family
member with dementia.
 It would be good to create a network in which neighbors become aware of the matter in the early stagesof dimension, and advice could be given from specialists.
Senior citizen abuse As a supporter, recognizing the care-givers stress at an early stage and providing help before the sense of
burden becomes to heavy would be good.

The following types of programs were carried out based on the opinions received at the subcommittee.

I. Programs to Prevent Falls▼ Challenges identified from Fall Prevention Seminar (program sponsored by Ward Office) The total number of participants has increased, but the actual number of members has not increased.
The same people are taking the seminar repeatedly.
 80% of the seminar participants are women.
 The number of voluntary groups sponsored by ward residents to continue the program has increased
after the seminars.
Table B-1

Records on Fall Prevention Seminars
FY2010Details

Site

FY2011

Number oftimes

Total No. ofparticipants

Actualparticipants

Number oftimes

Total No. ofparticipants

Actualparticipants

Muscle training

Ward Office, Community Care
Plaza

36

593

135

40

1076

236

Exercise programsother than the above

Ward Office, Community Care
Plaza, neighborhood halls, etc.

87

1028

385

106

1270

115

Voluntary groupsupport seminar after
muscle training

Ward Office

15

324

14

684

[Details of seminar participants (FY2011)]
Gender: Male 20%, female 80% Ages: 65 to 74 years 62%, 75 years and older 38%[Number of voluntary groups] 3 groups (FY2009), 6 groups (FY2010), 7 groups (FY2011)56

▼ Transition of certification of long-term care ratio The level is lower than the Yokohama City average, but is increasing yearly in the same manner as the
city.
18.0%
17.0%
16.0%

16.2%
15.7%
15.0%

15.2%

15.0%
14.0%
13.0%

Yokohama City

13.1%

Sakae Ward

12.7%
12.1%

12.2%

2009

2010

12.0%
11.0%
10.0%
2011

2012

(Sakae Ward Senior Citizen Support Section)
Fig. B-1

Transition of certification of long-term care ratio<Challenge>
To increase the number of senior citizens (especially men) who voluntarily exercise so they do not requirelong-term care.
<Program>
Genki Station
This is a fall prevention program voluntarily held by ward residents. The program has been held
continuously at a pace of once a week. The program includes exercise and other matters related to preventing
to be in need of long-term care.
 Target: Senior citizens 65 years and older
 Place of activity: Neighborhood halls, etc.
 Role of Ward Office:Dispatch instructors and public health nurses for a set period when the station is started.
 Past records: Two places in ward
● Evaluation index
Program
Genki Station (FallPrevention Program)

Step 1
Step 2
Step 3
Program participants(1) Increase the number ofSuppress certification ofunderstand the importance of stations
long-term care ratio
fall prevention activities(2)Increase the number ofparticipants
Index
Index
Index
Awareness of fall prevention (1) Nnumber of stations
Certification of long-term careprogramratio(2) Number of participants(especially male, 75 years
and older)Measurement method
Measurement method
Measurement method
Program participants survey Records of provider
Sakae ward data57

II. Programs to Prevent Senior Citizen Abuse▼ Challenges identified from situation of senior citizen consultations in Sakae ward (details of 30 cases
received in FY2011)
 Among consultations on abuse, many were regarding physical abuse.
 Most of the abused victims were women, and the ratio of dementia was high. Most abusers were men(sons, husbands).
 In many cases, the caregiver tried to hide the parent with dementia from neighbors. This increased thecare-giving stress.
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

<Abuse victim>
 Gender: 6 male, 24 female
 Age: 11 persons ages 65 to 74, 10 persons ages 75 to
84, 9 persons ages 85 and higher
 Nursing care level: Independent - 0 persons, support
required (1/2) - 3 persons, care required (1 to 5) - 19
persons, in application stage - 1 person, haven’t
applied for care - 7 persons
 Of the 30 persons, 21 had dementia

63%30%
Physicalabuse(19 cases)

Psychologicalabuse(9 cases)

23%

17%

0%

Neglect(7 cases)

Economicabuse(5 cases)

Sexualabuse(0 cases)<Abuser>
 12 sons, 8 husbands, 7 daughters, 3 wives, 1 sister orbrother * Note

* Note:In some cases, there were two abusers
so the total is 31 persons.

（Sakae Ward Senior Citizen Support Section）

Fig. B-2 Details of consultations (Details of 30 cases, some overlapping, FY2011)<Challenges>
The support for senior citizens with dementia and their families (especially men) is insufficient.
<Programs>
1. Watching activities
Community regional groups providing services such as meal delivery carry out activities to notify
consultation services when they recognize a change in the server users.
 Target:Senior citizens living alone, senior citizen couples, homes of senior citizen parents and disabled child,etc.
 Role of Ward Office: Issuance of subsidies, dispatch of nurses, support of those needing support● Evaluation index
Program
Step 1
Mimamori (watching over) Ward residents know
activities for persons andMimamori activities
households needing support

Index
Number of ward residents
participating in the events
held by Mimamori groups

Measurement method
Records by MimamorigroupsStep 2(1)The participants ofMimamori activities has
increased(2)The areas providing
Mimamori activities has
increased
Index(1) Number of servers
providing Mimamori
activities(2)Number of areas
providing Mimamori
activities
Measurement method
Records by Mimamorigroups58

Step 3
Early discovery of difficult casessuch as abuse

Index
Number of known difficult casessuch as abuse, etc.

Measurement method
Records of Sakae Ward Office,
etc.

2.

Dementia Supporters
Typically, sufferers of dementia are discriminated (due to thought of as insane or abnormal, etc.), andfamily members refuse to recognize the situation or try to hide the fact. The idea that family members
should be the caregivers is still accepted, there are cases of abuse caused by care-giving stress(including abandonment of care).
Various seminars to train dementia supporters are held voluntarily by ward residents at Senior Clubs
and voluntary sessions, in order to change this awareness found throughout society and to create acommunity where family members do not feel stress. These activities can be further spread if the Ward
Office, etc., supports these dementia supporters.
Table B-2
ProviderDementia Supporter Seminars (FY2011)

Administration

Residents

Schools

Companies

Care-giving services

Total

Number of seminars

2

14

1

1

1

19

Number of participants

340

604

115

5

41

1,105

Number of dementia supporters: 2,497 persons (end of March 2012)●Evaluation index
ProgramDementia supporters

Step 1Through educational(1)
activities like seminars, ward
residents understand(2)
dementia
Index
Dementia awareness(evaluation by seminar
participants)
Measurement method
Seminar participants survey

Step 2
Step 3
Increase in number of
Early discovery of difficult cases
dementia supporters
such as abuse
Dementia supporters arecarrying out voluntaryseminar
Index
Index(1) Number of supporters
Number of known difficult casessuch as abuse, etc.
(2) Number of seminars,
seminar participants
Measurement method
Measurement method
Records of provider
Records of Sakae Ward Office,
etc.

59

Assessment of Current Programs By effectively applying the community spirit that is Sakae Ward’s strength, a mechanism for Genki
Station was successfully established.
 Education on dementia and abuse is being conducted, and the understanding of citizens is growing.
 Through expansion of community networks via subcommittee meetings, face-to-face relationships havebeen created.

Plan to upgrade the current programs over the next 5 years◎Fall prevention
Education andraisingawarenessamong ward
residents

2013
・ Seminar on
fall prevention
・ Explanation
meetings of
Genki Station

2014

2015

2016

2017

Review content of educational activities and expand participation

Genki Station(Fall prevention
program)
Evaluation
index

Increase numberof participants

Mimamori(watching over)activities for
persons andhouseholds
needing support

ExpandMimamori(watching over)activities

Evaluation
index<Target>Areas
conducting
Mimamori(watching over)activities

Number of supporters,
Number of areas providing Mimamori activities
2 areas7 areas (entire
ward area)

Continue activities centered on neighborhood associations, invite people
to participate (In particular, men and senior citizens over 75 )Number of station areas and participantsCertification of
long-term careratio
<Target>6 areas10 areas
14 areas
Continue
Sakae Ward data
Number of(entire ward
(increase
Genki Stationarea)
number ofareas
participants)◎Prevention of abuse of the elderly (Building a local network)
2013
2014
2015
2016
2017
Dementia
Spreadsupporters
awareness
・ Increase the number of groups hosting seminars (in additionabout
to ward resident groups and the ward office, invite
dementia
participation from schools and private companies that haverarely participated until now to host seminars)
・Dementia
・ Improve content based on questionnaire surveys
supporter
seminars

・ Increase the number of participants in activities (mutual watchingover activities by residents)
・ Increase Mimamori groups responsible for providing links toadministrative offices (Welfare Officer Children’s Committee
members, volunteer groups, and life line businesses)
・ Build communication centers for people involving those activities(in cooperation between Mimamori groups and the ward office)60

C

Traffic Safety[Data](1) Of the emergency transport cases, approximately 30% were traffic injuries, following falls. (See page 37, Fig. 2-4-8)(2) In types of injuries, falls were highest up to age 4. The proportion of transport accidents increased as age increased. (See page38, Fig. 2-4-11)[Challenges](1) The majority of injuries are caused by transport accidents.
(2) The majority of injuries to children are caused by transport accidents.

The Traffic Safety Task Force Subcommittee＜Members＞
Traffic Safety Task
Force Subcommittee

Community activity groups,etc.
(5 persons)Sakae Police Station(2)Sakae Fire Station
Sakae Ward Administration(2)◎Sakae Traffic Safety Association Permanent Council(3)Sakae Traffic Safety Mother’s Club
Sakae Ward Silver Leader Liaison Club

Private corporations, etc.
(2 persons)Sakae Association of Safe Driving Administrators
Sakae Public Works Safety Committee

Administrative agency, etc.
(5 persons)

The Traffic Safety Task Force Subcommittee has, as follows, further focused in on the key challenges andconducted measures based upon the data and the opinions of the subcommittee.
＜The Situation of Road Traffic in Sakae Ward:Sakae Ward Traffic Safety Map>
Two urban beltways (curving lines
marked in blue and green) pass across theWard and are linked together by fivearterial roads. These roads are extremely
congested at morning and evening peaktimes, and there is an influx of traffic
seeking to avoid this congestion which
passesthroughnarrowroads
inresidential areas.
Major traffic injuries usually occur
along the arterial roads, but it is clear that
traffic injuries are also occurring across awider scope throughout the entire Ward
area.

環状3号線

環状4号線

61

From the emergency transport records◆Details of traffic injuries
The details of injured persons are motorbike riders 37%, passenger car occupants 24%, bicycle riders 22%, andpedestrians 14%. (Please see Fig. C-1.)
Fig. C-1 Details of traffic injuries (2006 to 2010)
others3%pedestrians
14%
motorbike
37%

N ＝
2108

bicycle riders
22%

passenger car
occupants
24%<Challenges identified from data>(1) Traffic injuries are occurring all over the Ward area, including on residential and community roads. Moreover,the majority involve motorbike riders, passenger car occupants and bicycle riders.
◆ Children’s injuries
From cases of emergency transport records, it can be seen from the breakdown of traffic injuries involving
children that among children over seven years of age over 50% involve bicycle riders. (See Fig. C-2.)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

35%

29%

33%
62% 36%

33%

86%
41%

44%

27%

24%

53%

Others

57% 61% 68%
75% 70%77%
90%

Passenger car occupant
Motorcycle rider

23%

Bicycle rider
Pedestrian（Emergency transport data）

Fig. C-2

Traffic injuries involving ages 14 and younger (2006 to 2010)<Challenges identified from data>(2) The majority of injuries to children (over seven years of age) involve bicycle riders.

62From subcommittee’s opinions
・ From police statistics, it can be seen from the purpose of travel (for bicycle riders and pedestrians only) at
the time of traffic injuries involving children that in most cases the purpose of travel is to commute to andfrom school. (29%; see Fig. C-3.) A program is necessary to prevent traffic injuries during the commute to
and from school, as well as to prevent injuries involving bicycle riders. (In Sakae Ward, all children walk toand from school.)・ In order to make children obey traffic rules and manners, parents and other adults around children need toprovide a good example. In addition, it is necessary to identify the hazardous spots in the Ward and toprotect children from traffic injuries.
・ Sakae Ward benefits from the active voluntary contributions of fit and healthy elderly persons. We would
appreciate the participation of elderly members of the community in activities to watch over children andassist in taking responsibility to ensure traffic safety.
Visit
6%
Play
11%

Others7%

Commute to
and fromschool
29%

n=122

Walk
22%
Shopping
25%

Fig. C-3(Sakae Police Station)

Sakae police station traffic accident statistics

Children (15 years and younger) injury data: purpose of travel (2005 to 2009)* Extracted from traffic injuries involving children (315 cases) which specified the purpose of travel.
<Challenges identified from subcommittee’s opinions>(3) The majority of traffic injuries involving children occur during the commute to and from school.
*In Sakae Ward, all children walk to school.
(4) The adults around children need to identify and be aware of the hazardous spots in the Ward, and to makechildren observe traffic rules and manners.

Summary of challenges<Challenge><Programs to resolve challenges>(1) Traffic injuries are occurring throughout theentire Ward area, including on residential andcommunity roads. Moreover, the majority of
injuries involve motorbike riders, passenger car
occupants and bicycle riders.

(1)-1Traffic safety map preparation and(1)-2

distribution
Campaigns and educational activities(2)-1

Hamakko Traffic Safety Class(2) The majority of injuries to children (overseven years of age) involve bicycle riders.

(2)-2Education to promote use of bicycle(3) The majority of traffic injuries involving
children occur during the commute to andfrom school.

(3)(4)

helmets*In Sakae Ward, all children walk to school.
(4) The adults around children need to identify
and be aware of the hazardous spots in theWard, and to make children observe traffic
rules and manners.

63

Measures for school zones

Programs to resolve challenges(1)-1 Traffic safety map preparation and distribution (from 2010)
In FY2010, a traffic safety map listing places of frequent traffic accidents (including close calls) in the ward
was prepared based on information received from the Sakae Police Station.
The main aim is to conduct education and awareness raising activities directed at local residents (pedestrians)
regarding hazardous spots.
This map was distributed to ward residents by neighborhood associations, to promote caution.
<Features of the map>
・Prepared for each primary school area
・Create data by utilizing the geographic information system (GIS)→information can be added on accident locations, risky locations, school commuting routes, etc.
→Various types of output is possible depending on the scope of distribution and use
This map will be revised roughly every two years, and in the next revision, in order to grasp the location of
hazardous spots which need to be improved on by the schools and the ward office, it is planned to include on
it the location of past traffic injuries, as well as commuting routes to schools, and meeting places forcommuting to school in groups. From then onward, with each revision, it will be possible to ascertain overtime whether the hazardous spots have been improved and what the effects of the improvements have been.
●Evaluation index
Program
Preparation and distributionof traffic safety map

Step 1
Ward residents understandhazardous spots

Step 2
Ward residents are taking
actions to avoid hazards

(1)
(2)

Index
Number of traffic safety
maps distributed

Index
Number of ward residents
knowing hazardous spots

Measurement method
Records of provider

Measurement method
Survey

(1)
(2)

(1)
(2)

Step 3
Reduction of transport
accidents
Reduction of injuries anddeaths from transport
accidents
Index
Number of cases
Number of injuries anddeaths from transport
accidents
Measurement method
Police statistics
Emergency transport
records, vital statistics(1)-2 Campaigns and educational activities
Educational activities to raise awareness targeting pedestrians, drivers and bicycle users are being conducted all
the year around. Efforts are being made to link the program with other events and other ideas are being used togather together more participants, such as by displaying traffic safety maps in event venues.
● Traffic Safety Festival in Kasama（April 2012, 1,000 participants）
Held together with allied neighborhood associations from 2012 with the aim to increase participation

64

Main achievements in 2011
Number of participants
Bicycle Manner Improvement Promotion Month (May)
Spring Traffic Safety Festival

450 persons

Bicycle Manner Improvement Campaign

150 persons

Motorcycle Traffic Accident Prevention Promotion Month, Motorcycle Gang Abolishment Promotion Month (June)
Motorcycle Accident and Motorcycle Gang Abolishment Campaign

700 persons

Summer Traffic Accident Prevention Campaign (July)
Summer Accident Prevention Campaign

500 persons

Meeting of Working Cars

1,250 persons“Motorcycle Day” Campaign (August)

50 persons

Abandoned Bicycle and Motorcycle Clean Campaign (October)

350 persons(2)-1 Hamakko Traffic Safety Class
Hands-on type traffic safety classes, which cover simulations of actual hazards such as collisions,entanglements and blind spots, are held for all elementary students. Children experience the proximity andthreat of accidents, and learn how to walk and ride bicycles correctly while protecting themselves. Throughthe cooperation of the Traffic Safety Committee, Police and community volunteers, a program that matches
the community and schools’ characteristics is provided. (Held at 14 elementary schools each year)●Evaluation index
Program
Hamakko Traffic Safety
Classes for elementary
school students

Step 1
Step 2Through the classes, children Children are observing
understand traffic rules and traffic rules and manners
manners including thecorrect way to ride bicycle
Index
Percentage of children who
have correct knowledge
regarding traffic rules andmanners
Measurement method
Class participants survey

Step 3(1) Reduction of transport
accidents(2) Reduction of injuries anddeaths from transport
accidents involving children
Index
Index
Causes of transport accidents (1) Number of cases
involving children(2) Number of injuries anddeaths from traffic accidents
involving children
Measurement method
Measurement method
Police statistics(1) Police statistics(2) Emergency transport
records, vital statistics

65

(2)-2 Education to promote use of bicycle helmets
In Japan, the wearing of bicycle helmets by children is an effort obligation, and the usage rate in Sakae Wardis low (*). In FY2011, an original leaflets with benefits was prepared for Sakae Ward, and distributed to allelementary students in Sakae Ward. By taking this leaflet to a bicycle shop in Sakae Ward, they can receive a
discount on a helmet and have their bicycle inspected for free.
* Bicycle helmet usage rate (Sakae Ward): From the Research Report 2012 (Factual survey on ward resident
injuries)
Elementary school 7.9% (n=366), jr. high school 2.7% (n=338)
Target: All preschoolers and elementary students living in Sakae Ward
Role of Ward Office : Preparation of leaflets (four bicycle shops cooperated with the benefits)●Evaluation index
Program
Step 1
Education to promote use of Children and parents
bicycle helmets
understand importance ofwearing helmet
Index
Number of leaflets
distributed
Measurement method
Records of provider

Step 2
Increase in number ofchildren wearing helmets

Step 3
Reduction of injuries and deaths
from transport accidents
involving children

Index
Index
Number of children wearing Number of injuries and deaths
helmets
from transport accidents
involving children
Measurement method
Measurement method
SurveyEmergency transport records,
vital statistics(3)(4) Measures for school zones
A radius of approx. 500 m around an elementary school is set as a school zone. Parents and community
volunteer provide watchful eyes while the children are commuting to and from school. The aim of the school
zone measure is to educate and raise awareness among drivers, and to increase the sense of participation of
local people in the community in building a safe environment. The school, parents, Police Station and Ward
Office hold a meeting each year to review and improve the traffic rules in the school zone, and to inspect andservice safety facilities.
An example of an
improvement madeto a hazardous area
in a school zone66

● Evaluation index
ProgramMeasures for school zones

Step 1
Parents and ward residents
understand the hazardous
spots in school zones

Step 2(1) Parents and ward
residents are carryingout voluntary watchingactivities in schoolzones(2) Hazardous spots in theschool zone have been
maintenance
Index
Index
Number of parents and ward (1) Number of watching
residents who understand theactivity participants
hazardous spots in school(2) Number of maintained
zones
areas
Measurement method
Measurement method
Records of provider
Records of provider

Step 3
Reduction of transport accidents
involving children during thecommute to and from school

(1)
(2)

(1)
(2)

Index
Number of cases
Number of injuries anddeaths from traffic accidents
involving children
Measurement method
Police statistics
Emergency transport
records, vital statistics

Assessment of Current Programs
 As a subcommittee program, a declaration to promote traffic rules and manners was prepared to ensure
safety while children commute to and from school. The Safe Community Steering Committee haspromoted this action to committees other than the Traffic Safety Task Force Subcommittee, and has
distributed the declaration. The sharing of information and collaboration between subcommittees is active.

67

Plan to upgrade the current programs over the next 5 years◎ Raise awareness among ward residents
2013
2014
2015
2016
2017
Campaigns andIncrease the number
educationalof participants
Review content and location of educational activities
activities(in cooperation
with neighborhood
associations)Traffic safety
Revise traffic safety
Revise map
Revise map
map preparation map (add school
based on data
based on data
and distribution
commuting routes
and opinions
and opinions
and meeting points
from subcommittee
fromfor group
subcommittee
commuting)・Check whether
・Identify hazardous
hazardous spots
spots
have been improved
・Make on GIS・Update and utilize
Evaluation index Number of campaign participants
Number of transport accidents◎ Safe Children (Reduce number of bicycle rider traffic injuries, including close calls)
2013
2014
2015
2016
2017
Hamakko Traffic Conduct
Safety Classes
continuously
Improve observance of traffic rules and manners and teachfor elementary(hold in all
how to ride bicycles correctly
school students
elementary schools）
Education to
Educate parents ofConduct
Conduct
promote use ofpreschoolers
questionnaire survey
questionnaire
bicycle helmets(in cooperation withat nursery schools
surveyatnursery schools andnurserykindergartens)
schools
Evaluation index Percentage of preschoolers riding on parents’ bicycles wearing bicycle helmets
Number of emergency transport cases<Target>50%
70%
Percentage ofparents riding
bicycles with
their children
wearing helmets◎Safe Children (Reduce number of traffic injuries during the commute to and from school, including close calls)
2013
2014
2015
2016
2017
Measures for
Watching overConduct traffic safety instruction in combination with watching
school Zones
activities (byover activities
schools, parents(Education of children and drivers to promote traffic safety)
and residents)

Evaluationindex

Establish traffic
restrictions and make
Reflect inimprovements oftraffic
hazardous spots
safety map(road management
officers and traffic
management
officers)
Number of participants in watching over activities
Number of locations where improvements to hazardous spots have been madeNumber of traffic injuries during the commute to and from school

68

Ｄ Sports and Leisure Safety[Data](1) The number of sports accidents shifts between 30 and 40 cases a year. (See page 40, Fig. 2-4-15)
The 25 to 64 age group has the highest percentage of injuries. Compared to the population composition ratio,
the percentage of 15 to 24 year olds is highest. (See page 40, Fig. 2-4-16)[Challenges](1) There is not enough data to deliberate preventive measures.

The Sports and Leisure Safety Task Force Subcommittee has studied the following issues.

The Sports and Leisure Safety Task Force Subcommittee＜Members＞
Sports and Leisure
Safety Task Force
Subcommittee

Community activity groups,
etc.
(12 persons)◎Sakae Ward Sports Association (4)Sakae Ward Physical Training Committee Liaison Council(2)Sakae Ward Youth Counselor Committee(2)Sakae Ward Refreshing Sports Promotion Committee(2)Sakae Sports Club Steering Committee(2)<Summary of Subcommittee’s Opinions>Sports and Recreational Activities in Sakae Ward The range of recreational activities is broad, and difficult to grasp just with this subcommittee.
 Original health promotion activities are held by the neighborhood activities, health activities promotersand senior clubs. Information from these activities should be collected.
 How about sharing event programs with other groups?
Injury Prevention
 There is little data related to injuries occurring during sports and leisure.
 When looking at places of sports activities, there are few cases that ambulances are called to transport
injured persons. Most often, the injured person is taken to the hospital in a personal car.
 Safety measures are implemented by each group, so it is difficult to grasp the entire situation.
 Not all instructors know how to properly stretch. There are many people involved in sports as a hobby.
Not all instructors are qualified.
 Should the inspections and manuals used by each group be reviewed?
Others It is necessary to understand the situation in Sakae Ward regarding the relation of daily exercise habits,
health promotion and the prevention of long-term care.

69

The following survey was conducted to collect data for reviewing preventive actions.

Factual survey regarding injuries◆ Survey by subcommittee (conducted in FY2010)<Outline of survey>
Details of survey; Cases of injuries occurring during activities in the past five years
Method of survey: Groups participating in the subcommittee contacted participants and collected response
Number of returned surveys: 179 cases
Results
 The cause of injuries included insufficient warm up exercises (30%), lack of exercise, fatigue and aging(28%).

100%
17%

90%
80%
70%
60%

46%

50%
40%

65 years andolder(n=24)

Female38%

Ages 25 to 64(n=65)

n=141

Ages 15 to 24
(n=2)

1%

Male
62%

30%
20%

35%

Ages 0 to 14(n=50)

10%0%

Fig. D-1

Age of injured people

Fig. D-2

Male to female ratio of injured people

Environmental
8%
Insufficient warm up
exercise30%

Spontaneous
16%

n=141

Insufficient technique18%

Fig. D-3

Insufficient exercise,fatigue, aging
28%

Cause of injury

70

<Challenges identified from data>(1) Based on the survey conducted by the subcommittee, the main causes of injuries during sports
activities were 1. Insufficient warm up exercises, and 2. Insufficient daily exercise, fatigue, aging,etc.
(2) In the survey conducted by the subcommittee, there is almost no information on the age group (15 to
24 years) that had the highest rate of emergency transport.

Summary of Challenges<Programs to resolve challenges>(1)-1 Holding of prevention seminars andprovision of one-point advice during
events(1)-2 Improvement of ward residents’physical strength and physical fitness<Challenge>(1) Based on the survey conducted by thesubcommittee, programs are needed tohandle 1. Insufficient warm up exercises,
2. Insufficient daily exercise, fatigue,
aging, and 3. Insufficient skills, etc.

Programs to Resolve Challenges(1)-1 Holding of prevention seminars and provision of one-point advice during events
Groups in the subcommittee will hold prevention seminars to prevent various sports injuries. In addition, that
information will be provided as one-point advice to promote caution during warm-up exercises at various
events sponsored by the groups.
Target: Subcommittee member groups and participants of events sponsored by the groups
Past records
Injury prevention seminar held in FY2011
Group nameSports Association
Physical Training Committee
Liaison Council
Youth Counselor Committee

Refreshing Sports Promotion
Committee
Sakae Sports Club Steering
Committee

Seminar name

Dates

Seminar for the group members

March 10, 2012

No. of participants

Other achievements

55 persons

Helped in preventing injuries during sports
activities by each group

Seminar for the group members June 12, 2011

64 persons

Helped in preventing injuries during sports
activities held by seven districts in the ward

Seminar for the group members July 3, 2011
January 29, 201258 persons
63 persons

Participants learned about “stretching” as a means
to prevent injuries, and applied this to activities ineach district.

Seminar for the group members

July 24, 201119 persons

Details of the seminar on preventing children’s
sports injuries were applied during events in each
district

Sports Safety Seminar

January 28, 201214 persons

Applied to injury prevention safety measures inprograms where a total of 120 members
participated.

Achievements of main events held in ward during FY2011 and results regarding prevention
Group name

Dates

No. ofparticipants

Sakae Ward Resident Road Race Tournament

January 8, 2012

1200 persons

Helped in preventing injuries during sports activities by
each group.

Sports and Recreation Festival

October 10, 2011

5476 persons

Helped in preventing injuries during sports activities heldby seven districts in the ward.

71

Achievements

● Evaluation index
ProgramHolding of injury prevention
seminars and provision of
one-point advice during
eventsStep 1
Subcommittee groupmembers understand theimportance of preventing
sports injuries
Index
Knowledge regarding
prevention of sports injuries
Measurement method
Reports from each group

Step 2
Step 3
Group members are carrying Number of injuries during sports
out voluntary educationaland competition decreases
activities
Index
Number of seminars andnumber of participants
Measurement method
Reports from each group

Index
Sports injuries
Measurement method
Emergency transport records(1)-2 Improvement of ward residents’ physical strength and physical fitness
Critical injuries during sports activities will be prevented by improving the ward residents’ general physicalstrength and physical fitness.
The number of people involved with sports will be increased through main ward events (Road Race Tournament,
Sports Festivals, etc.) as well as events for children sponsored by children’s associations and youth counselors,and events for senior citizens sponsored by neighborhood associations and senior clubs.
Target: Ward residents
Past records
Achievements of main events held in ward during FY2011 ( Improvement of physical strength and physical fitness)
Event name

Dates

No. of participants

Sakae Ward Resident Road Race Tournament

January 8, 2012 (Sunday)

Sakae Ward Resident Sports Festival

November 3, 2011 (Thursday, National holiday)

More than 1,000 people

1,200 persons

Sports and Recreation Festival

October 10, 2011 (Monday, National holiday)

5,476 persons● Evaluation index
Program
Events and opportunities forward residents to enjoy
sportsStep 1
Ward residents understandthe importance of sports
Index
Number of sports events,
number of participants
Measurement method
Providers records

Step 2
Ward residents enjoy sports
voluntarily
Index
Number of ward residents
enjoy sports once in a week
and more
Measurement method
Survey72

Step 3
Increase in number of ward
residents enjoy sports
Index
Number of ward residents enjoy
sports once in a week and more
Measurement method
SurveyAssessment of Current Programs
 Establishment of the subcommittee has given sports related groups, which were active independently, achance to meet and share information.
 A Survey on Injuries during sports activities by ward residents was carried out.
 Members of each group spread the information and skills they gained at seminars through the area.

Plan to upgrade the current programs over the next 5 years◎ Creation of opportunities for sports and leisure, and prevention of injury
2013
2014
2015
2016
2017
Events andExpandopportunities for opportunities
・ Mutually cooperate among various organizations such as
ward residents
and participants
neighborhood associations, senior clubs and children’s
to enjoy sports
associations, etc. to expand opportunities for sports and leisureactivities such as sports events, radio calisthenics, and walking
events etc.
・ Regarding the above, enhance PR centered on thesubcommittee and increase participants.
Holding of
prevention
seminars andprovision of
one-point advice
during events

Provideone-point advice
during events(as necessary)

Evaluation
index

Number of sports events and participants
Number of seminars and participants

As opportunities for sports and leisure activities increase,provide one-point advice during events

Hold
prevention
seminars
continuously

73

Number ofsports injuries

E Suicide Prevention[Data](1) Vital statistics regarding suicide: Suicide is the leading cause of death in the 15 to 39 age group. (See page 33,
Table 2-4-2) The death rate is slightly lower than national levels, but is close to the data for all of Yokohama
City. (See page 32, Fig. 2-4-2)[Challenges](1) A system and network to take practical measures for the prevention of suicide need to be established andto conduct continuous activities.

A subcommittee was started to approach practical and effective suicide prevention.

Suicide Prevention Task Force Subcommittee＜Members＞
Suicide Prevention Task Person with relevant
Force Subcommittee
experience and knowledge(1 person)◎ Yokohama City University Graduate School of Medicine

Community activity groups,
etc.
(3 persons)Sakae Ward Shopping District Association
Sakae Ward Welfare Officer Children’s Committee
Sakae Ward Healthcare Activities Promotion Committee

Medical institutions, etc.
(2 persons)Sakae Ward Medical Association
Yokohama Sakae Kyosai Hospital

Administrative agency, etc.
(2 persons)Sakae Police Station
Sakae Fire Station
Sakae Ward Lifestyle Support Center for the Mentally Challenged
Community General Support Center Liaison Council

Welfare facilities, etc.
(2 persons)

Data was collected since there was very little data to use as evidence for the program.

74

Understanding the Actual Conditions of Suicide Victims
1. Actual conditions of suicide victims (Sakae Police Station)
80 yearsand older

1

4

70s

8

Unknown
1%

5

60s

13

50s

3

8

Self‐
employed,familybusiness
3%

7
Male

40s

13

30s

14

20s

6

10s

4
0

1

Female94(persons)

1
5

Employed
person,salariedperson
20%

10

15

20

25

Fig. E-1 Number of suicides by age group and gender(Total in 2007 to 2011)

Unemployed
76%

Fig. E-2 Number of suicides by occupation(Total in 2007 to 2011)

2. Actual state of persons transported by ambulance because of self-inflicted injuries (Sakae Fire Station)
80 yearsand older

Others(transport
rejected,
unclear, etc.)
6%

1
5

70s

11

5

60s

15

15

50s

Death
25%

16

6

Mild
29%

Male
40s

20

27

30s

14

20s

18

10s

Female48

Severe
6%

47

5 4
0

20

40

60

Serious6%80(persons)

Fig. E-3 Number of suicides by age group and gender(Total in 2006 to 2010)

Fig. E-4 Ratio by severity(Total in 2006 to 2010)<Challenges>
Based on the above foundation data:I.

The detailed state of high-risk persons and high-risk areas must be grasped in detailed.

II. Programs that comply with the primary and tertiary prevention of suicide.

The following programs were implemented to resolve the above challenges.

75

Moderate28%

I. Detailed Investigation of Actual Condition for Implementation of Programs
Foundation data has been collected, but based on the foundation investigation, detailed data regarding healthand welfare will be collected from the Police Station, Fire Station and ward. This data will be applied tounderstand the trends of high-risk persons and graph high-risk areas, etc., and to clarify the target of
implemented activities. The evaluation index given below was applied for this task.
● Evaluation index
Purpose

Short-term goal

Mid-term goal

Long-term goal

Clarify the actual state ofpeople at high risk forsuicideUnderstand the state of suicides
in the ward each year, and theemergency transport state ofself-inflicted injury victims.

Through chronologicalinvestigations, identify thesituations and hot spots ofsuicide in the ward, persons athigh risk of suicide, and highrisk areas

By chronologically diagnosing
the area, establish a community
suicide prevention measurespolicy, and verify theeffectiveness.

Index

Index

Index

Various investigations andstatistics for each year

Cumulative values ofinvestigations and statistics foreach year

Measurement method
Various investigations andcollection of statistics for eachyear

Transition of chronologicalinvestigation and statistics

Measurement method

Measurement method

Chronological analysis ofvarious investigations andsurveys

Chronological analysis ofvarious investigations andsurveys76

II. Programs for Prevention Activities
Programs and activities complying with the three stages of suicide prevention: primary (preliminary
prevention), secondary (intervention) and tertiary (postvention, family support) are being promoted.
1) Programs for primary prevention(1) The challenges of primary prevention have been set as follows. The evaluation index shown
below is applied.
● Challenges
Increase correct knowledge among ward residents.
● Evaluation index
Purpose

Short-term goal

Mid-term goal

Long-term goal

Provide education on theThrough educational(1) Heartful Supporters are(1) Heartful Supporters areunderstanding of suicide
activities, the ward residents’participating in educational
carrying out voluntary
problems, persons at high-risk have a deeper understanding
activities
educational activities
of suicide, and on the necessity of suicide problems and(2) Ward residents have a(2) Ward residents have aof suicide prevention
persons at high-risk of suicide
deeper understanding ofdeeper understanding ofsuicide problems andsuicide problems andpersons at high-risk of
persons at high-risk ofsuicide.
suicide.
Index
Number of leaflets
distributed, Number of panel
exhibits

Index

Number of leaflets distributed, Number of leaflets distributed,
Number of panel exhibits
Number of panel exhibits

Measurement method
Records of providers

Index

Measurement method
Records of providers

Measurement method
Records of providers(2) The following programs have been carried out based on the challenges and indexes.
i) A leaflet was prepared following advice from experts, and was distributed.
[Achievements] Total number of distributed leaflets: 7,000 copies (at end of Sept. 2012)ii) An educational poster was prepared and posted.
[Posting places] Ward Office, medical institutions, train stations, drugstores, convenience
stores, etc.
[Achievements] 197 posters (at end of September 2012)iii) Panel exhibition and introduction of suicide-prevention-related books were conducted in thelibrary.
iv) Leaflets and bookmarks listing consultation sevices were prepared and distributed.
[Achievements] Total number of distributed leaflets: 3,650 copies (at end of Sept.2012)(3) Assessment of Current Programsi) Sakae Ward prepared educational leaflets and goods for the first time. These were prepared incooperation with subcommittees.
ii) Educational activities were started during the Suicide Prevention Month. Educational activities
were also held during various events held in the ward such as the Ward Resident Festival.
(4) Future plans
Opportunities and methods of education will be adjusted to educate as many ward residents as
possible.

772) Compound programs for primary prevention and secondary prevention(1) The challenges of compound programs for primary and secondary prevention have been set
as follows. The evaluation index shown below is applied.
● Challenges
To train “gatekeepers” who work to prevent suicides.
● Evaluation index 1
PurposeTrain gatekeepers for
suicide prevention
measures.

Short-term goal

Mid-term goal

Long-term goal

(1) The target of basic(1) Basic seminars have been
Basic seminars are held, andseminars has increased.
held and evaluated, and the
Sakae Heartful Supporters haveprogram has been brushed up. (2) There are more Sakae
been trained.
Heartful Supporters, and(2) There are more Sakae
the ward residents have aHeartful Supporters, and the
deeper understanding ofward residents have a deeper
suicide problems andunderstanding of suicide
persons at high risk ofproblems and persons at highsuicide.
risk of suicide.
Index

Index

Index

Types and numbers of target
groups, number of seminar
participants, rate of correctknowledge regarding suicide
measures (compared before
and after seminar), evaluationof seminar by seminar
participants.

Types and numbers of target
groups, number of seminar
participants, rate of correctknowledge regarding suicide
measures (compared before andafter seminar), evaluation ofseminar by seminar participants.

Types and numbers of target
groups, number of seminar
participants, rate of correctknowledge regarding suicide
measures (compared before
and after seminar), evaluationof seminar by seminar
participants.

Measurement method

Measurement method

Measurement method

Records from providers,tabulation and analysis ofseminar surveys

Records from providers,Records from providers,tabulation and analysis of seminar tabulation and analysis ofseminar surveys
surveys●Evaluation index 2
Purpose

Short-term goal

Mid-term goal

Long-term goal

Effective intervention topersons at high risk ofsuicideSuicide prevention measures,and seminars related to mental
health, communication skills,
intervention and collaboration
methods (skill up seminars) are
held.

Skill up seminars are held
continuously, and lead toappropriate consultations andinterventions to high-risk persons.

The target of skill up seminartargets has increased, and leadto appropriate consultations
and interventions to high-risk
persons.

Index

Index

Index

Types and numbers of target
groups, number of seminar
participants, evaluation ofseminar by seminar
participants, experience inhandling consultations

Types and numbers of target
groups, number of seminar
participants, evaluation ofseminar by seminar participants,
experience in handlingconsultations

Types and numbers of target
groups, number of seminar
participants, evaluation ofseminar by seminar
participants, experience inhandling consultations

Measurement method

Measurement method

Measurement method

Records from providers,tabulation and analysis ofseminar surveys

Records from providers,Records from providers,tabulation and analysis of seminar tabulation and analysis ofseminar surveys
surveys78

(2) The following programs have been carried out based on the challenges and indexes.
i) The Sakae Heartful Supporter (*) training seminar program was developed.
* To make gatekeepers a close presence, they have been named “Sakae Heartful Supporters”.
ii) Basic seminars have been held to increase understanding of suicide prevention, and to train
supporters with the knowledge to lead persons at risk to consultation services.
[Achievements] 535 persons (end of September 2012)iii) Skill up seminars have been held to provide supporters with the communication skills
necessary to provide consultations and support to persons at high risk.
[Achievements] 31 persons (end of September 2012)(3) Assessment of Current Programsi) The 2-step seminar system including the basic seminar for learning skills, and the skill up
seminar for learning communication skills, was developed originally by Sakae Seminar withthe cooperation of the subcommittee chair (suicide prevention countermeasures expert).
ii) The rate of correct answers regarding knowledge on suicide countermeasures was compared
before and after the seminar. The effect of the seminar was apparent with a 72.3% pre-seminarcorrect rate and 86.6% post-seminar rate.
iii) The number of Sakae Heartful Seminars has steadily increased.
iv) The persons participating in seminars and becoming Sakae Heartful Seminars has expandedfrom members of Welfare Officer Children’s Committee and Healthcare Activities Promotion
Committee to ward employees, care managers, barbers and beauticians.
(4) Future schedulei) Seminars will be held for occupations that deal with persons at high-risk such as police officers,
fire Station employees and pharmacists.
ii) Seminar participants will be surveyed about their activities, and a follow-up seminar will beconsidered.

793) Compound programs for primary, secondary and tertiary prevention(1) The challenges of compound programs for primary, secondary and tertiary prevention havebeen set as follows. The evaluation index shown below is applied.
● Challenges
Support for persons at high risk will be promoted by increasing specialist knowledge and skills in dealing
with these high-risk people, and creating a network. Specialists will be supported and cared for by providing
opportunities for learning and promoting peer-support between specialists.
● Evaluation index
PurposeEffective intervention topersons at high risk ofsuicideShort-term goal

Mid-term goal

A network is provided to(1) A network meetingintervene with and support
convenes periodically, andpersons at high risk of suicide.
leads to appropriate
consultations andintervention of persons athigh risk(2) Cases of consultation andintervention are identified,
and feedback has been
given

Long-term goal
(1) A network meeting convenes
periodically, and leads toappropriate consultations andintervention of persons at highrisk(2) Cases of consultation andintervention are identified,
and feedback has been given

Index

Index

Index

Number of network meetings
held

Number of network meetings
held, number of handledconsultations and details

Number of network meetings
held, number of handledconsultations and details, numberof suicides and self-inflictedinjuries transported

Measurement method

Measurement method

Measurement method

Records from providers

Records from providers,Records from providers,tabulation of consultations from tabulation of consultations fromeach provider
each provider, analysis of suicide
related actions, and types andnumber of consultations(2) Based on the challenges and indexes, the following programs will be carried out.
Specialists from various areas in the ward will meet to study suicide prevention measures andmatters about mental health, to hold reviews for difficult cases, and to share valuable information.
Through this, they will increase their knowledge and skills. By holding these meetings periodically,a personal network of specialists will be created.
(3) Assessment of Current Programs
There are no cases of a community working network, with citizen collaboration of focusing on
suicide prevention measures, in Sakae Ward or Yokohama City.
(4) Future schedulei) The 1st Network Seminar will be held in October 2012.
ii) Medical institutions will be approached to increase the number of network participants.
iii) Seminars will be held at medical institutions.

80Plan to upgrade the current programs over the next 5 years◎Ascertain situation
2013
Data collection
Survey on a
and analysis
single-year basis

2014

2015
2016
2017
Identify high-risk
Verifypersons andeffectiveness ofhigh-risk areas
the program
Data
Vital statistics, emergency transport records, police statistics, etc.
◎Educate and raise awareness of ward residents
2013
2014
2015
2016
2017
Educational
activities
Review content and location of educational activities
・Promotion ofsuicidepreventionmonth・Events atward residents
festival etc.
Evaluation index Percentage of ward residents who have a deeper understanding of suicide issues(Ward resident survey)<Target>Increase
Increase
Increase
Increase◎Foster Gate keepers
2013
2014
2015
2016
2017
Basic seminars
・Increase number ofseminar participants
・Improve training
Program・Foster gate keepers
Participation ofGate keepers
gate keepers in
conduct
educational
educational
activities
activities
voluntarily
Evaluation
Number of seminar participants
index
Correct knowledge of seminar participants (compared before and after seminars)<Target>518 people
600 people
1,200 people
Number of
seminarparticipants◎Support for high-risk persons
2013
2014
2015
2016
2017
Skill up・Conduct skill up
・Continuously
・Increase the number
seminars
Seminars
conduct skill upof skill up seminars
seminars
Network for・Build network
・Hold regular・Counseling andhigh-risk
network meetings
response for
persons
high-risk persons,verify results ofinterference
Support for・Examine
・Build a system to・Construct thepersons who
support for persons
system to support
attempt suicide
who attempt suicide
for persons who(in cooperation withattempt suicide
Fire Station)
Evaluation
Number of network meetings
Number of network meetings
Number ofindex
Number of handled consultations intentional self-harmand details

81

F Safety at Disaster[Data](1) Just under 60% of ward residents know the location of their community disaster prevention base, and just under 50% of ward
residents have participated in disaster prevention drills. (See page 43, Fig. 2-4-23, 24)(2) Just under 50% of neighborhood associations have started programs to support the evacuation of persons needing assistance.
(See page 43, Fig. 2-4-25)[Challenges](1) Only some of the ward residents participate in disaster prevention drills at the community disasterprevention bases.
(2)Programs to support the evacuation of persons needing assistance are not available in all neighborhoods.

The Disaster Safety Task Force Subcommittee has studied the following issues.

Disaster Safety Task Force
Subcommittee＜Members＞
Disaster Safety Task
Force Subcommittee

Community activity groups,etc.
(7 persons)

Educational institution, etc.
(2 persons)◎Steering Committee Liaison Council at the Sakae Ward Community
Disaster Prevention Base(2)Sakae Fire Volunteers
Sakae Ward Fire Brigade Liaison Council
Sakae Ward Flood Control Measures Liaison Council
Sakae Ward Council of Social Welfare
Fire Prevention Association
Sakae Ward Elementary School Principals Association
Sakae Ward Middle School Principals Association<Summary of subcommittee’s opinions>◎ Disaster prevention drills
 Residents are reluctant to participate in drills held at community disaster prevention bases.
 Schools were requested to participate in drills held at community disaster prevention bases, but therequests were rejected.
 Depending on the base, student participation is a part of school activities.
 The Ward Office must actively publicize preparations for disasters, etc.
 Drills to accept disaster-relief volunteers must be held by the administration, volunteer groups andrelated agencies.
◎ Assistance-requiring persons
 Private information is a problem, but in some cases, it is necessary to exceed that boundary.
 Instead of leaving this matter to communities, the Ward Office must confirm the details of the programand provide appropriate instruction.
 Welfare facilities must deliberate evacuation and support methods, and strengthen their programs to
support persons requiring assistance on a daily basis.
* Opinions received from the Liaison Council at the Community Disaster Prevention Base have been added.

82

The experience of the Great East Japan Earthquake on March 11, 2011 showed us the weaknesses inour disaster prevention training and disaster prevention manuals.
● Current situation of Sakae Ward, Yokohama City
Table F-1 Estimate of damages at current point
Building damage
Type of damage

Genroku-era type
Kanto Earthquake

Earthquake inNorth Tokyo Bay

Major earthquake in
Nankai TroughDamage from shaking(No. of complete or partial destruction buildings)

3,462

18

100

Damage from liquefaction(No. of complete or partial destruction buildings)

109

0

39

Damage from steep slopes(No. of complete or partial destruction buildings)

6

0

0

Winter, 5 a.m.
Wind speed 6 m/s

47

1

0

Winter, 18 p.m.
Wind speed 6 m/s

206

9

0

0

0

0

Genroku-era type
Kanto Earthquake

Earthquake inNorth Tokyo Bay

Major earthquake in
Nankai TroughBuilding damage(No. of buildings
destroyed by fire)

Estimated time /wind speed

Building damage (tsunami, flooding)

Human casualties
Type of damage

De aths Injuries Serious injuries De aths I n j u r i e s Serious injuries De ath s Injuries Serious injuries

Damage from shaking

5 a.m.

42

646

55

0

4

0

0

18

0

12 p.m. (noon)

24

391

34

0

3

0

0

11

0

18 p.m.

28

436

37

0

3

0

0

12

0

5 a.m.

1

2

0

0

0

0

0

0

0

18 p.m.

4

8

2

0

1

0

0

0

0

Damage from fire

Conditions of scenario earthquake: (epicenter, scale, intensity in city areas)
 Genroku-era type Kanto Earthquake : Sagami Bay, magnitude 8.1, intensity 5+ to 7
 Earthquake in North Tokyo Bay: Tokyo Bay, magnitude 7.3, intensity 4 to 6+

 Major earthquake in Nankai Trough : Nankai Trough, magnitude 9, intensity 5- to 5+
The disaster bases in Sakae ward, their functions and details of the training that should be conducted aresummarized below.
Table F-2

Disaster Bases and details of drills

Disaster base, organization

Role

Facility

Number of facilities

Neighborhood
Voluntary disaster prevention
disaster prevention organization setup inorganizationneighborhood association units

Neighborhood
association
hall

89

Community
residents

Disaster prevention drill(once a year) Confirmation of safety Fire extinguishing drill First-aid, etc.

Community
Temporary evacuation center
disaster prevention when homes are uninhabitable

Elementary/jr.
high schools

20

Community
residents,

Training for opening andoperating base (twice a year)

83

Operator

Details of drills

baseDisaster-relief
volunteer center

Opened in the event of alarge-scale disaster. Coordinate
the acceptance of volunteers
and dispatch to places needing
volunteers.

Special evacuation Evacuation center for seniorcentercitizens and disabled persons
for whom evacuating tocommunity disaster prevention
base is difficult

administration,
persons affiliatedwith school(Evacuees in theevent of disaster) Initial stage, medium stage,
final stage
 Handling persons requiring
assistance Handling volunteers

Sakae Library1Social Welfare
Council(secretariat)
volunteers

Volunteer coordination

Welfarefacility, etc.

19

Facility operator,
etc.

Disaster prevention training(once a year) Evacuation drill
 Notification drill Early fire extinguishing
drills

The challenges for Sakae Ward were identified based on the above programs.
<Programs to resolve challenges>(1) Carry out practical drills incorporating
lessons learned from the Tohoku
Earthquake.

<Challenges>(1) Drills at the community disasterprevention bases focus on confirming
safety and fire extinguishing skills. Drills
to open and operate base are practiced atonly some bases.
(2) Only a few neighborhood associations
have started programs to support persons
needing assistance in the event of adisaster.

(2) Carry out evacuation drills, including
persons needing assistance in the event ofdisasters

Programs to Resolve Challenges(1) Carry out practical drills incorporating lessons learned from the Tohoku Earthquake.
Community disaster prevention bases will hold drills taking the following points into consideration.
 Training to open and operate a base with community residents and schools, etc., working together
 Training for long-term operation of base (from initial stages to shift to temporary housing) Operation considering persons needing assistance Operation considering the acceptance of volunteers● Providers:
Neighborhood association, Liaison Council at the Community Disaster Prevention Base, schools,
companies, voluntary fire corps, Social Welfare Council, disaster-relief volunteer network, special
evacuation center operators, Ward Office● Achievements of community disaster prevention base drills: 2,447 persons have participated at drills
conducted at 11 bases (end of September 2012)● Evaluation index
ProgramCarry out practical drills at
community disasterprevention bases

Step 1
Improve ward resident’s
disaster prevention
awareness and knowledge
Index

Step 2
Number of participants incommunity disasterprevention base drills has
increased
Index

84

Step 3
Number of victims at the time ofa disaster is suppressed

IndexRate of ward residents who
know the community
disaster prevention base’s
location and role
Measurement method
Ward resident survey

Number of participants incommunity disasterprevention base drills

Number of victims at the time ofa disaster

Measurement method
Records of providers

Measurement method
Vital statistics(2) Carry out evacuation drills, including persons requiring assistance in the event of disasters
Community resistances confirm the safety of persons requiring assistance in the neighborhood and support
evacuations. The neighborhood association collaborates with the Ward Office to prepare a list of persons
requiring assistance and a manual, and perform evacuation drills.
● Targets:
Persons who cannot evacuate on their own (senior citizens requiring long-term care, disabled persons,etc.)● Achievements:
46% of neighborhood associations have started programs to support evacuation of persons requiring
assistance (end of FY2011)●Evaluation index
ProgramCarry out evacuation drills,
including persons needing
assistance in the event ofdisasters

Step 1Neighborhood associations
understand the importance of
supporting persons requiring
assistance
Index
Number of seminars to
explain a program to support
persons requiring assistance,
number of seminar
participants
Measurement method
Records of providers

Step 2
Most neighborhood
associations have a program
to support persons requiring
assistanceIndex
Rate of neighborhood
associations that have started
programs to support persons
requiring assistance

Step 3
Number of victims at the time ofa disaster is suppressed

Measurement method
SurveyMeasurement method
Vital statistics

Index
Number of victims at the time ofa disaster<Reference> Yokohama City’s Support Policy
The following policy has been established to prevent persons from crushing to death should theirwooden-structure home collapse.
◆ Evaluation of earthquake resistance, subsidies to improve earthquake resistanceYokohama City provides evaluations of earthquake resistance for free, and provides subsidies to improvea structure’s earthquake resistance◆ Disaster prevention bed and earthquake resistant shelter installation subsidy
Yokohama City provides subsidies

Assessment of Current Programs
 In March 2012, a disaster prevention seminar was held with a lecturer from Ishinomaki City, Miyagi
Prefecture, an area which was hit hard during the Great East Japan Earthquake. Exchanges have continued
since then providing valuable information from the affected areas.
 A report on Ishinomaki was given in the Gazette Yokohama to provide information to almost all ward
residents.
 The Liaison Council at the Community Disaster Prevention Base, school personnel and the Social Welfare
Council joined the Disaster Prevention Task Force Subcommittee, and collaboration with the community
was promoted centering around the community disaster prevention bases.

85

Plan to upgrade the current programs over the next 5 years◎Improvement of community disaster prevention
2013
2014
Enhance of【Ward Office】
ward residents’spirit of
PR to educate and raise awarenessself-help and(Gazette, delivery seminars)
mutualassistance

2015

2016

2017

Review program
based on resultsof ward resident
awarenesssurvey【Ward residents】
Register for disaster information emails, stockpile on foods for emergency use, measures
to prevent falling of furniture, earthquake proofing of houses etc.

【Neighborhood associations】
・ Enhance neighborhood disaster prevention organizations (information collection,
stockpiles)
・ Programs to support of persons needing assistance (identify persons needing assistance,
examine methods of evacuation, conduct drills)
collaborate

Enhancecommunity
disasterprevention basedrills

Evaluation
index<Target>Number ofparticipants indrillsPercentage ofneighborhood
associations
making efforts
to support ofpersons needing
assistancecollaborate

collaborate

collaborate

collaborate

Conduct practical community disaster prevention base drills
・Increase number of participants in drills (participation of neighborhood associations, schools,
welfare institutions, private companies etc.)
・Conduct drills including evacuation of persons needing assistance・Manage regime to accept volunteers

Percentage of ward residents who have made preparations for a disaster (survey of ward
residents)
Number of participants in drills, content of drills
10,000 people

20,000 people

50,000 people

46.1% of allneighborhood
associations

60% of allneighborhood
associations

90% of allneighborhood
associations

86

Ｇ. Child Abuse Prevention[Data](1) The number of known new cases of child abuse is increasing. (See page 27, Fig. 2-3-1) Consultations
regarding parenting from mothers who feel uncertainties toward their parenting skills are also on the rise.
(See page 27, Table 2-3-1)[Challenges](1) There are insufficient programs to prevent child abuse across the whole community.

The Violence and Abuse Prevention Subcommittee has studied the following issues.

Violence and Abuse Prevention Task Force Subcommittee＜Members＞
Violence and Abuse
Prevention Task Force
Subcommittee

Administrative agency, etc.
(12 persons)Community activity groups,
etc.
(9 persons)

Medical institutions, etc.
(4 persons)
Educational institution, etc.
(11 persons)Sakae Police Station
Sakae Ward Administration(6)Child Consultation Center
Board of Education Secretariat(4)◎Sakae Ward Child Welfare Committee
Sakae Ward Welfare Officer Children’s Committee
Sakae Ward Healthcare Activities Promotion Committee
Sakae Ward Youth Counselor Committee
Sakae Ward PTA Liaison Council
Sakae Ward Children’s Association Liaison Council
Sakae Ward Council of Social Welfare
Sakae Ward Child Rearing Support Group Liaison Council
Community Support Center for child rearing
Sakae Ward Medical Association
Yokohama Sakae Kyosai Hospital(2)Totsuka, Yokohama Habitation Centers for Children
Sakae Ward Middle School Principals Association(2)Sakae Ward Elementary School Principals Association(2)Elementary School Nurse Research Society(2)Middle School Nurse Research Society(2)Sakae Branch of the Yokohama Kindergarten Association
Sakae Ward Nursery School Principals Liaison Council (2)* The subcommittee also functions as the Sakae Ward Child and Home Support Consultation Service
Related Agency Liaison Council and Sakae Ward Child Abuse Prevention Liaison Council.
<Summary of Subcommittee’s Opinions>
Situations which were difficult to handle
 Even if it is thought that there may be a problem in the home, it is difficult for persons (other thanspecialist agencies) to step into the home’s problems.
 Children stand up for their parents, and parents try to hide the truth. It is difficult to grasp the actual
situation.
 When a staff member tries to listen to the family, the relation with the parent worsens.
 (After consulting with a specialist agency), the child closes their mind and doesn’t communicate.
87 The staff handling a matter is stressed after consulting a difficult family.
 There are more cases where a staff member doesn’t know whether to notify the situation to a specialist
agency, such as when a child is receiving psychological abuse from parents’ fights.
 Staff members don’t know how to handle the situation when it is thought that there is a problem with thegrandparents.
Solutions The Ward Office and Child Welfare Committee should share information on problem homes.
 If the problem cannot be resolved at school, assistance from other agencies should be requested.
 Homes that are difficult to handle should be handled by a team.
 The staff member handling the situation should receive advise from a specialist agency.
 The matter should not be left up only to the school, but should be handled with various agencies sharing
responsibilities.
Other opinions
 An environment where the children themselves can issue an SOS and consult easily must be created.
 Instead of “How do we deal with the situation in front of us?” measures that allow parents to have hope
are required. This can be done by strengthening a medical organization to deal with parent’s anxieties,
depression and mental disorders.
 A program that allows the younger generation, who will eventually become parents, to interact withchildren and understand a parent’s feelings. Through this develop an interaction to reduce the risk ofabuse.
 Places for parents to meet are operated within the community, but there are few concerns with parents whocome here. We believe there is a risk with the parents who do not come to such places. We feel that ouractivities are not helping to prevent abuse.
 A survey conducted in another district showed that there are few cases of “delinquency”. Creating places
for exchange within an area that can be accessed by stroller, and creating an organization that supports
parenting by the entire community may be effective.

Yokohama City Data
<Details of numbers of newly-recognized cases>
Physical abuse accounts for 40% of cases, psychological abuse for 30%, and neglect for 30%.
Fig. G-1 Details of abuse

SexualPhysical abuse
身体的虐待
39%
39%

0%

20%

Neglect
ネグレクト
28%
28%

40%

性的虐待
Abuse
2%
2%

60%

Psychological
心理的虐待
abuse
30% 30%80%

100%

Yokohama city data88Information parties vary, including police, schools, and neighbors.
Fig. G-2 Number of cases by route of recognition

Police
警察
27%
27%

0%

Schools
学校
18%
18%

20%

Neighbors,
MedicalHotlines
acquaintances
institutions
ホットライン（再計）
近隣・知人
医療機関
10%
9%
10%
9%
5%5%
Ward
OfficeFamily,relatives
Abusers
Other
区役所
家族・親戚
虐待者本人
その他
themselves
13%
9%
13%
9%
8%
2% 2%
8%

40%

60%

80%

100%

Yokohama city data

Although natural mothers are the abusers in over 50% of cases, abuse committed by natural fathers isincreasing.
Fig. G-3 Number of cases by abuser
Motherfigure other
実母以外の母
than 1%naturalNatural実父
father
37%
37%

0%

20%

Father figure other
実父以外の父
thannatural father
7%
7%

40%

Natural実母mother
53%
53%

60%

Other
その他
1%
1%

mother
1%

80%

100%

Yokohama city data

<Challenges identified from data>(1) Providing support is difficult because there is no definite pattern.
(Various approaches are necessary for prevention)(2) Expansion of knowledge and understanding of child abuse is critical.
(Community-oriented approach)(3) Support for parents is necessary. (Parent-oriented approach)

Summary of challenges<Challenge>(1) Providing support is difficult because there is no
definite pattern.
(Various approaches are necessary for prevention)(2) Expansion of knowledge and understanding of childabuse is critical. (Community-oriented approach)(3) Support for parents is necessary.
(Parent-oriented approach)89<Programs to resolve challenges>(1) Administrative activities and (2)(3)(2) Parenting supporters(3) Hello Baby Visits

Programs to resolve challenges(1) Administrative activities
The Sakae Ward Office has various activities intended to support parenting from the perinatal period. These
include home visits by specialists and counseling sessions and relaxation activities intended to ease anyanxiety toward parenting. The following activities are also promoted to support parents raising their children
at home.
◆ Nursery schools: Opening of schoolyard, lunch programs, storybook library, etc.
◆ Community Support Center for Child Rearing:
Facility to provide a place for parent and child exchange, parenting consultations, and training ofparenting supporters. Operated by social welfare service companies. Yokohama City has one facility per
ward.
◆ Infant and toddler temporary nursery:
Anyone can temporarily leave his or her child at the nursery for any reason for a small fee.

(2) Parenting Supporters
Seminars to deepen understanding on parenting, education the ward residents, and to create a network ofparenting support groups will be created with the collaboration of the Child Welfare Committee, Community
Support Center for Child Rearing. Ward residents participating in such activities will be included as
Parenting Supporters to create a community in which neighbors can easily talk to each other and create anenvironment in which parents feel that parenting is easy. (Training of Parenting Supporters will start from
December.)Target; Parenting support groups, ward residents
Past achievements:
Discussions by Child Welfare Committee, Community Support Center for Child Rearing and Ward
Office: 4 times
Parenting lecture: October
Parenting Supporter training seminar: 3 seminars scheduled form December● Evaluation index
ProgramParenting supporters
seminars

Step 1
Step 2
Seminar participants
Parenting supporters areunderstand the importance of carrying out voluntaryparenting support
educational activities
Index
Index
Rate of knowledge regarding (1) Number of seminars,
parenting support
seminar participants(2) Number of educational
activities, participants(5) Number of supporters
Measurement method
Measurement method
Seminar participants survey Records of provider

Step 3
Reduce parents feeling anxious
about parenting
Index
Number of new cases of childabuse

Measurement method
Yokohama city data

(3) Hello Baby Visits
Staff members visit mothers having a newborn (up to 4 months), and provide information. The Hello Baby
Visits are a government project, and in Sakae Ward the duties are entrusted to Child Welfare Committee,
Welfare Officer Children’s Committee. The aim is to create a connection between parenting parents andpeople in the community (Child Welfare Committee, etc.). The staff members aim to visit all target
households.
Target: Parents with newborns up to 4 months old (Only one visit is made)Past achievements:
Hello Baby visitors: 22 persons (end of September 2012)90

Number of persons receiving Hello Baby Visit : 759 persons (visit rate 72%) (end of FY2011)● Evaluation index
ProgramHello Baby Visits

Step 1Through the Hello Baby
Visits, the parents gain
information about parenting
services such as
consultations, temporary
nursery, etc
Index
Visit rate

Measurement method
Records of provider

Step 2The parents make use ofparenting services ifnecessary

Step 3
Reduce parents feeling anxious
about parenting

Index
Number of parenting
services that the parents
make use of
Measurement method
Records of provider

Index
Number of new cases of childabuse
Measurement method
Yokohama city data

Assessment of Current Programs
 The number of consultations to Child Services have increased, leading to early discover and support.
(Cases increased from 626 cases in FY2010 to 820 cases in FY2011.)
 Subcommittee members said they were reassured since staff members from the Ward Office and Child
Consultation Center participated in the subcommittee, they were able to ask for expertise advice whennecessary.
 Ward residents, in cooperation with the PTA Liaison Council and community Social Welfare Council, etc.,
have sponsored voluntary study seminars focusing on violence and abuse. Programs to think about andexecute “What the community can do” are increasing.

91

Plan to upgrade the current programs over the next 5 years◎ Educate and raise awareness among ward residents
2013
2014
2015
2016
Educational activities
Review content of educational activities and expand participation
・Promotion of childabuse prevention
month (November)Participation of・Ward resident
parenting supporters
festival, seminars, etc.

2017

Evaluation index
Number of leaflets and orange ribbons distributed◎ Educate and raise awareness (Expand parenting supporters)
2013
2014
2015
2016
2017
ParentingExpand seminar
supporter
participation
seminars
・Improvecontent of
seminarInteraction
Participation of
Seminar
Build a network
among seminarseminarparticipantsof child rearing
participants
participants in
conduct
support groups
educational
educational
activities
activities
voluntarily
Evaluation
Survey ofSurvey of seminar participants
indexseminarNumber of educational activities by parenting supporters
participants◎ Reduce the burden of persons caring for children
2013
2014
2015
2016
2017
Hello Baby
Conduct
Visitscontinuously
Examine content of information provided during visits based onrecords of providers
Training to improveskills of visitors
Evaluation
Visit rate
index
<Target>
72％
80％
80％
Visit rate
◎ Early response to high-risk persons
2013
2014
2015
2016
2017
Child abuse
Hold regularprevention
network meetings
liaison council
Collaborate
Interview andvisits by nursing
staff

Evaluation
index

・Use of EPDS
during visits
・Mental healthAppropriate support to high-risk persons
counseling bypsychologist
during pregnancy
Number of network meetings
Number of network meetings
Number of cases of counseling and response
Number of cases of counselingand response
Number of known new cases ofchild abuse92【Indicator ５】Programs that document the frequency and causes of injuries(1) Injury Surveillance Subcommittee(1) Subcommittee organization [Relisting]Up to FY2011

Administrative agency, etc. ◎Health and Social Welfare Bureau, City of Yokohama(8 persons)Sakae Police Station
Sakae Fire Station
Fire Bureau, City of Yokohama
Institute of Public Health, City of Yokohama
Sakae Ward Administration Office (3)From FY2012

Person with relevant
experience and knowledge(2 persons)

Otsuma Women’s University, Department of Human Life Sciences
Yokohama City University, Graduate School of Medicine, Department ofCommunity Health Nursing

Medical institutions, etc.
(3 persons)Sakae Ward Medical Association, Sakae Dental Association, Yokohama
Sakae Kyosai Hospital

Person with relevant
experience and knowledge(5 persons)◎Otsuma Women’s University, Department of Human Life Sciences
Yokohama National University, Department of Architecture
Yokohama City University, Graduate School of Medicine, Department ofCommunity Health Nursing
Meiji Gakuin University, Department of Social Work
Yokohama City University, Association of International Arts and Science(2) Role of Subcommittee
The Injury Surveillance Subcommittee covers the following five roles.
（１） Collection and analysis of data
・ To conduct collection and analysis of basic data (see p. 90-1) and to provide information to thesubcommittees.
・ To collect new data and propose surveys with the aim of ascertaining the cause of injuries.
（２） Community diagnosis
・ Identified issues based on collected data at the time of the launch of the Sakae Ward Safe Community
Activities and cooperated in the selection of challenges and the establishment of subcommittees.
（３） Evaluation
・ To receive reports regarding self-evaluation for each program from other subcommittees.
・ To conduct evaluations of programs of each other subcommittee from the perspective of a specialist andas a third party, and to offer advice to them.
・ To gather together the results of evaluations and report back to the Sakae Ward Safe Community Steering
Committee.
（４） Verification of Effects
・ To continuously collect and analyze data, in order to grasp change over time.
・ To conduct verification of effects based on evaluation indicators (long-term goals) and to report back toeach subcommittee and the Sakae Ward Safe Community Steering Committee.
（５） Proposals for Sakae Ward Safe Community Activities
・ To offer advice regarding the entire activities of Sakae Ward, taking the above into consideration.

93

The division of roles between the Injury Surveillance Subcommittee and each other subcommittee is as follows.

(3) Plan to upgrade the current programs over the next 5 years
2013

2014

2015

Data collection andanalysis

2016

2017

Data collection
Conduct survey

Evaluation andverification ofeffects

Data collection

Data collection

Data collection

Data collection

Data collection& analysis& analysis& analysis& analysis& analysis

Evaluation

Evaluation

Evaluation

Self-evaluat
ion/Reportresults

Advice Self-evaluati
on/Report
results

AdviceSelf-evalua
tion/Reportresults

AdviceEvaluation
Self-evalua
tion/Reportresults

AdviceVerification
Self-evaluatio
n/Report
results

Upgrade and expand on the programs of each subcommittee

94

Advice(2) Basic Data
In Sakae Ward, the following data is continuously collected and analyzed to chronologically understand thecurrent situation and challenges.
(1) Existing datai) Vital statistics
This survey covers all births, deaths, marriages, divorces and stillborns as stipulated by the laws of the country.
This data is used for comparison with the country, and as long-term index for programs in Sakae Ward.
ii) Emergency transport records
These statistics are provided from the Yokohama City Fire Station.
Since it is difficult to collect medical information in Sakae Ward, the emergency transport records areused for injury data. This data is especially valuable for understanding the situation of sports injuries andwork-related injuries, which are not recorded in vital statistics.
iii) Ward resident awareness survey, ward resident survey
These surveys are conducted each year by Sakae ward to grasp changes in ward residents’ awareness andactions of daily life and to understand their needs.
This survey does not focus on injuries, but it is used as an index to track changes in ward residents'
awareness and actions, including of knowledge of disaster prevention, interactions with neighbors, andparticipation in volunteer activities, etc.
iv) Police statistics
These statistics provide information on traffic injuries, suicides and crime in the ward.

(2) New datav) Factual survey of ward resident injuries.
This survey was carried out in FY2011 to 2012 by Sakae Ward with the cooperation of the Yokohama
City University School of Medicine. This survey aimed to understand the situation of injuries, including
close calls, and the causes related to injuries.
The main causes of injuries differ greatly according to age, so the survey items and investigation method
were changed according to mother and child, students, middle age and senior citizens.
Going forward, we plan to conduct the survey by deciding on a theme, taking into account the challenges
etc. of each subcommittee.
<Outline of Investigation>
 Purpose of research:
Provide advice for establishing injury surveillance system in Sakae Ward
 Target of research:
Four groups considering the vital statistics of Sakae Ward residents (senior citizens, students, motherand child, the middle-aged)
 Research method:
Senior citizens and students were surveyed in FY2011, mother and child, and middle age persons weresurveyed in FY2012) Mother and child:
Parents of infants/toddlers (4 months, 1.6 years, 3 years) subject to Infant Health Check.
Survey (anonymous, detention method) Students:
463 fifth graders from 5 elementary schools and 365 second graders from 3 jr. high schools in Sakae
Ward.
Survey (anonymous, detention method)

95




Middle age:
1,000 ward residents between the ages of 25 and 64 selected at random from basic resident register
Survey (anonymous, mail-in method)
Senior citizens:
1,000 ward residents between the ages 65 and older selected at random from basic resident register
Survey (anonymous, mail-in method)<Summary of basic data (1)>
Responsibleorganization
CountryNamei)Vital statistics

Frequency

Details of investigation
Death

InjuryEvery year○

Emergency transport records

Remarks
Transport accidents, falls, drowning,
accidental threats to breathing, fire,poisoning, intentional self-harm, assault

YokohamaCity

ii)

Sakae Wardiii) Ward resident awarenesssurveyEvery 5 years

Changes in ward resident awareness andactionsiii) Ward resident survey

Years other than above

Same as above

Sakae Police
Stationiv)

Police statistics

Every year

Sakae Wardv)

Factual survey on ward
resident injuries*

Every year○○

Transport accidents, falls, drowning,
accidental threats to breathing, fire,poisoning, intentional self-harm, assault○

Transport accidents, intentional self-harm ,
crime

○

Injuries including close calls, and factors
related to injury*A theme will be selected each year for “v) Factual survey on ward resident injuries,” and the survey conductedaccordingly.

96【Indicator ６】Evaluation measures to assess their programs, processes and the effects of change(1) Management of Program Progress
Each Subcommittee conducts a self-evaluation of the short-term and mid-term goals (step1.2) listed in theevaluation index, and reports those results to the Injury Surveillance Subcommittee.
The Injury Surveillance Subcommittee organizes the reports from each subcommittee, and evaluates themfrom an expert and objective viewpoint, and gives advice. The results are reported to the Safe Community
Steering Committee.
The Steering Committee takes this report, organizes the evaluation results, and discloses them to the ward
residents. After receiving designation, the results will be listed in the annual report presented to the Safe
Community Support Center.
Each subcommittee will modify its program based on their self-evaluation and advice from the Injury
Surveillance Subcommittee.
The Injury Surveillance Subcommittee continuously collects and analyzes the basic data listed in theprevious chapters, and evaluates the data mainly for the long-term goals (step3) listed in the evaluationindex.

Safety Community Support Center
ReportAdviceSafe Community Steering Committee
 Organizes evaluations
ReportProgram A
Program B
Program C

Summary of eachprogram

ReportSubcommittee
 Self-evaluation basedon evaluation index(short, mid-term goals)
 Improvements toprograms

Injury Surveillance
Subcommittee Expert evaluation basedon evaluation index(long-term goal) Advice to Subcommittees
 Data collection andanalysis

AdviceFig. 4-6-1 Management of Program Progress in Sakae Ward

97

Ward resident

Disclosure

(2) Program evaluation method [Relisting]Indexes and methods to evaluate the effect of each program has been set in the programs for each theme.
These are listed below.
Safe Community
Index

Step1 (Short-term goal)
Change in awareness, knowledge

Step2 (Mid-term goal)
Change in behavior, attitude

Step3 (Long-term goal)
Change in situation

A Child safety【Purpose】Reduction of children accidents and injuries
ProgramSpecial exercise classes

ProgramDanger prediction training

Step 1Children know how to use
their body well
Index
Number of children
joining the classes
Measurement method
Records of provider
Step 1

Step 2
Step 3
Improve children’s physical Reduction of children’s injuries
strength
Index
Number of children’s
injuries caused by falls
Measurement method
Records of provider
Step 2Children and adults in theChildren are taking actions
community (including
to avoid potential risks inparents) understand potential daily life.
risks in daily life.
Index
Index
Number of opportunities for Number of places known todanger prediction training, be hazardous
number of participants
Measurement method
Measurement method
Records of provider
Training participants survey

Index
Number of children’s injuriescaused by falls
Measurement method
Emergency transport records
Step 3
Reduction of children’s injuries

Index
Number of children’s injuries

Measurement method
Emergency transport records【Purpose】Building a safe environment
Program
Watching children bycommunity residentsChild Dial 110 Houses
Greenery of school yards
and parks

Step 1
Parents and ward residents
understand the importanceof those activities.
Index
Number of activities

Measurement method
Records of provider

Step 2
Step 3
Parents and ward residents
A safe environment for children
participate in those activities is established.
voluntarily
Index
Index
(1) Number of volunteers (1) Number of volunteers forfor watching children
watching children(2) Number of registered(2) Number of registered“Child Dial 110 Houses”“Child Dial 110 Houses”(3) Number of places(3) Number of places where
where grass has been laid
grass has been laid
Measurement method
Measurement method
Records of provider
Records of provider98

B Safe Elderly【Purpose】Suppress certification of long-term care ratio
Program
Genki Station (FallPrevention Program)

Step 1
Step 2
Step 3
Program participants(1) Increase the number ofSuppress certification ofunderstand the importance of stations
long-term care ratio
fall prevention activities(2)Increase the number ofparticipants
Index
Index
Index
Awareness of fall prevention (1) Number of stations
Certification of long-term careprogramratio(2) Number of participants(especially male, 75 years
and older)Measurement method
Measurement method
Measurement method
Program participants survey Records of provider
Sakae ward data

【Purpose】Early discovery of difficult cases such as abuse
Program
Step 1
Mimamori (watching over) Ward residents know
activities for persons andMimamori activities
households needing support

ProgramDementia supporters

Step 2
Step 3(1)The participants of
Early discovery of difficult cases
Mimamori activities has
such as abuseincreased(2)The areas providing
Mimamori activities has
increased
Index
Index
Index
Number of ward residents(1) Number of servers
Number of known difficult cases
participating in the events
providing Mimamori
such as abuse, etc.
held by Mimamori groups
activities(2)Number of areas
providing Mimamori
activities
Measurement method
Measurement method
Measurement method
Records by Mimamori
Records by Mimamori
Records of Sakae Ward Office,groupsgroupsetc.
Step 1
Step 2
Step 3Through educational(1) Increase in number of
Early discovery of difficult cases
activities like seminars, ward
dementia supporters
such as abuse
residents understand(2) Dementia supporters aredementia
carrying out voluntaryseminar
Index
Index
Index
(1) Number of supporters Number of known difficult cases
Dementia awareness(evaluation by seminarsuch as abuse, etc.
(2) Number of seminars,
participants)
seminar participants
Measurement method
Measurement method
Measurement method
Seminar participants survey Records of provider
Records of Sakae Ward Office,
etc.

99

C Traffic Safety【Purpose】Reduction of traffic accidents, injuries and deaths
Program
Preparation and distributionof traffic safety map

Step 1
Ward residents understandhazardous spots

Step 2
Ward residents are taking
actions to avoid hazards

Step 3(1) Reduction of transport
accidents(2) Reduction of injuries anddeaths from transport
accidents
Index
Index
Index
(1) Number of cases
Number of traffic safety
Number of ward residents
maps distributed
knowing hazardous spots(2) Number of injuries anddeaths from transport
accidents
Measurement method
Measurement method
Measurement method
Records of provider
Survey(1) Police statistics(2) Emergency transport
records, vital statistics
Program
Step 1
Step 2
Step 3
Hamakko Traffic Safety
Through the classes, children Children are observing(1) Reduction of transport
Classes for elementary
understand traffic rules and traffic rules and manners
accidents
school students
manners including the(2) Reduction of injuries andcorrect way to ride bicycle
deaths from transport
accidents involving children
Index
Index
Index
Percentage of children who Causes of transport accidents (1) Number of cases
have correct knowledge
involving children(2) Number of injuries andregarding traffic rules anddeaths from traffic accidents
manners
involving children
Measurement method
Measurement method
Measurement method
Class participants survey
Police statistics(1) Police statistics(2) Emergency transport
records, vital statistics
Program
Step 1
Step 2
Step 3
Increase in number of
Education to promote use of Children and parents
Reduction of injuries and deaths
bicycle helmets
from transport accidents
understand importance ofchildren wearing helmets
involving children
wearing helmet
Index
Number of leaflets
distributed

ProgramMeasures for school zones

Index
Index
Number of children wearing Number of injuries and deaths
helmets
from transport accidents
involving children
Measurement method
Measurement method
Measurement method
Records of provider
SurveyEmergency transport records,
vital statistics
Step 1
Step 2
Step 3
Parents and ward residents(1) Parents and ward
Reduction of transport accidents
understand the hazardous
residents are carrying
involving children during the
spots in school zones
out voluntary watching commute to and from school
activities in schoolzones(2) Hazardous spots in theschool zone have been
maintenance
Index
Index
Index
(1) Number of cases
Number of parents and ward (1) Number of watching
residents who understand theactivity participants(2) Number of injuries andhazardous spots in school(2) Number of maintained
deaths from traffic accidents
zones
areas
involving children
Measurement method
Measurement method
Measurement method
Records of provider
Records of provider(1) Police statistics(2) Emergency transport
records, vital statistics

100

D

Sports and Leisure Safety【Purpose】Reduction of accidents and injuries during sports and competition
ProgramHolding of prevention
seminars and provision of
one-point advice during
eventsStep 1
Subcommittee groupmembers understand theimportance of preventing
sports injuries
Index
Knowledge regarding
prevention of sports injuries
Measurement method
Reports from each group

Step 2
Step 3
Group members are carrying Number of accidents and injuries
out voluntary educational
during sports and competition
activities
decreases
Index
Number of seminars andnumber of participants
Measurement method
Reports from each group

Index
Sports and competition accidents
Measurement method
Emergency transport records【Purpose】Improvement of ward residents’ physical strength and physical fitness
Program
Events and opportunities forward residents to enjoy
sportsStep 1
Ward residents understandthe importance of sports
Index
Number of sports events,
number of participants
Measurement method
Providers records

Step 2
Ward residents enjoy sports
voluntarily
Index
Number of ward residents
enjoying sports once in aweek and more
Measurement method
Survey101

Step 3
Increase in number of ward
residents enjoying sports
Index
Number of ward residents
enjoying sports once in a week
and more
Measurement method
SurveyE Suicide prevention
Understanding detailed state to lead to practicePurpose

Short-term goal

Mid-term goal

Long-term goal

Through chronologicalinvestigations, identify thesituations and hot spots of suicidein the ward, persons at high risk ofsuicide, and high risk areas

By chronologically diagnosing
the area, establish a community
suicide prevention measurespolicy, and verify theeffectiveness.

Index

Index

Index

Various investigations andstatistics for each year

Cumulative values ofinvestigations and statistics foreach year

Clarify the actual state
Understand the state ofof people at high risk for suicides in the ward eachsuicideyear, and the emergency
transport state ofself-inflicted injury victims.

Measurement method

Measurement method

Various investigations andcollection of statistics foreach year

Chronological analysis of various
investigations and surveys

Transition of chronologicalinvestigation and statistics
Measurement method
Chronological analysis ofvarious investigations andsurveysPrimary prevention: Increase correct knowledge among ward residents.
Purpose

Short-term goal

Mid-term goal

Provide education on
the understanding ofsuicide problems,persons at high-risk ofsuicide, and on thenecessity of suicide
prevention

Through educational
activities, the ward
residents’ have a deeper
understanding of suicide
problems and persons at
high-risk of suicide(1) Heartful Supporters are
participating in educational
activities(2) Ward residents have a deeper
understanding of suicide
problems and persons at
high-risk of suicide.

Index

Index

Number of leaflets
distributed,
Number of panel exhibits

Number of leaflets distributed,
Number of panel exhibits

Measurement method
Records of providers

Measurement method
Records of providers

Long-term goal
(1) Heartful Supporters arecarrying out voluntary
educational activities(2) Ward residents have a
deeper understanding ofsuicide problems andpersons at high-risk ofsuicide.
Index
Number of leaflets distributed,
Number of panel exhibits
Measurement method
Records of providers

Primary and secondary prevention: Train “gatekeepers” who work to prevent suicides.
PurposeTrain gatekeepers for
suicide prevention
measures.

Short-term goal

Mid-term goal

Long-term goal

Basic seminars are held, and (1) Basic seminars have been held (1) The target of basic seminars
Sakae Heartful Supporters
and evaluated, and thehas increased.
have been trained.
program has been brushed up. (2) There are more Sakae(2) There are more Sakae HeartfulHeartful Supporters, and theSupporters, and the ward
ward residents have a deeper
residents have a deeper
understanding of suicide
understanding of suicide
problems and persons at
problems and persons at highhigh risk of suicide.
risk of suicide.
Index

Index

Types and numbers of target Types and numbers of target
groups, number of seminar groups, number of seminar
participants, rate of correct participants, rate of correctknowledge regardingknowledge regarding suicide
suicide measures
measures (compared before and(compared before and after after seminar), evaluation ofseminar), evaluation ofseminar by seminar participants.
seminar by seminar
participants.
Measurement method
Records from providers,

Measurement method

Index
Types and numbers of target
groups, number of seminar
participants, rate of correctknowledge regarding suicide
measures (compared before andafter seminar), evaluation ofseminar by seminar
participants.
Measurement method

Records from providers, tabulation Records from providers,102tabulation and analysis ofseminar surveys

and analysis of seminar surveys

Purpose

Short-term goal

Mid-term goal

Effective intervention
to persons at high riskof suicide

Suicide prevention measures,and seminars related tomental health,communication skills,
intervention andcollaboration methods (skill
up seminars) are held.

Skill up seminars are held
continuously, and lead toappropriate consultations andinterventions to high-risk
persons.

tabulation and analysis ofseminar surveys
Long-term goal
The target of skill up seminartargets has increased, and lead toappropriate consultations andinterventions to high-risk
persons.

Index

Index

Index

Types and numbers of target
groups, number of seminar
participants, evaluation ofseminar by seminar
participants, experience inhandling consultations

Types and numbers of target
groups, number of seminar
participants, evaluation ofseminar by seminar participants,
experience in handlingconsultations

Types and numbers of target
groups, number of seminar
participants, evaluation ofseminar by seminar participants,
experience in handlingconsultations

Measurement method

Measurement method

Measurement method

Records from providers,tabulation and analysis ofseminar surveys

Records from providers,tabulation and analysis ofseminar surveys

Records from providers,tabulation and analysis ofseminar surveys

Primary, secondary and tertiary prevention: Increase knowledge and skills of specialists who deal with high-risk
persons, and create a network to promote support of high-risk persons. Provide opportunities for specialists to learn,promoting peer-support between specialists, and thereby support and care for them.
Purpose

Short-term goal

Effective intervention to A network is provided topersons at high risk ofintervene with and support
suicidepersons at high risk ofsuicide.

Mid-term goal

Index
Number of network
meetings held

Long-term goal

(1) A network meeting convenes(1) A network meeting
periodically, and leads toconvenes periodically, andappropriate consultations andleads to appropriate
intervention of persons at highconsultations andriskintervention of persons athigh risk(2) Cases of consultation andintervention are identified, and (2) Cases of consultation andfeedback has been given
intervention are identified,
and feedback has been given
Index

Index

Number of network meetings held, Number of network meetings
held, number of handled
number of handled consultations
consultations and details,
and details
number of suicides andself-inflicted injuries
transported

Measurement method

Measurement method

Measurement method

Records from providers

Records from providers,tabulation of consultations fromeach provider

Records from providers,tabulation of consultations fromeach provider, analysis of
suicide related actions, andtypes and number ofconsultations

103

F Safety at Disaster【Purpose】Reduction the number of victims at the event of a disaster
ProgramCarry out practical drills at
community disasterprevention bases

ProgramCarry out evacuation drills,
including persons needing
assistance in the event ofdisasters

Step 1
Improve ward resident’s
disaster prevention
awareness and knowledge

Step 2
Number of participants incommunity disasterprevention base drills has
increased
Index
Index
Percentage of ward residents Number of participants in
who know the community
community disasterdisaster prevention base’s
prevention base drills
location and role
Measurement method
Measurement method
Ward resident survey
Records of providers
Step 1
Step 2Neighborhood associations
Most neighborhood
understand the importance of associations have a programsupporting persons requiring to support persons requiring
assistanceassistance
Index
Index
Number of seminars to
Percentage of neighborhood
explain a program to support associations that have started
persons requiring assistance, programs to support persons
number of seminarrequiring assistanceparticipants
Measurement method
Measurement method
Records of providers
Survey104

Step 3
Number of victims in the eventof a disaster is reduced

Index
Number of victims in the eventof a disaster

Measurement method
Vital statistics
Step 3
Number of victims in the eventof a disaster is reduced

Index
Number of victims in the eventof a disaster

Measurement method
Vital statistics

G

Child abuse prevention【Purpose】Reduction of new cases of child abuse
ProgramParenting supporter
seminars

ProgramHello Baby Visits

Step 1
Step 2
Seminar participants
Parenting supporters areunderstand the importance of carrying out voluntaryparenting support
educational activities
Index
Index
Level of knowledge(1) Number of seminars,
regarding parenting support
seminar participants(2) Number of educational
activities, participants(3) Number of supporters
Measurement method
Measurement method
Seminar participants survey Records of provider
Step 1
Step 2Through the Hello Baby
The parents make use of
Visits, the parents gain
parenting services if
information about parenting necessary
services such as
consultations, temporary
nursery, etc
Index
Index
Visit rate
Number of parenting
services that the parents
make use of
Measurement method
Measurement method
Records of provider
Records of provider

105

Step 3
Reduce parents feeling anxious
about parenting
Index
Number of new cases of childabuse

Measurement method
Yokohama city data
Step 3
Reduce parents feeling anxious
about parenting

Index
Number of new cases of childabuse
Measurement method
Yokohama city data【Indicator ７】Ongoing participation in national and international Safe Communities networks
Our past participation in Safe Community related conferences and events, and our upcoming schedule are listed
below.

(2) Participation in Japan Network

Date

Details

June 2010

Visited Atsugi, Kanagawa Prefecture for on-site evaluation

November 2010

Attended Citizen Security and Safety Festa 2010 in Atsugi (Atsugi City)
Attended Atsugi, Kanagawa Prefecture Safe Community designation ceremony

August 2011

Explained Sakae Ward’s programs at Kanagawa Prefecture Police Headquarters

September 2011

Explained Sakae Ward’s programs at Shizuoka City, Shizuoka Prefecture

November 2011

Attended Japan the Inaugural Conference of Safe Community Promotion Municipality Network (Atsugi,
Kanagawa Prefecture)

December 2011

Explained Sakae Ward’s programs at Suita City, Osaka

January 2012

Explained Sakae Ward’s programs at Senior Club Liaison Council in Kamakura, Kanagawa Prefecture

February 2012

Visited Toshima Ward, Tokyo for on-site evaluation

March 2012

Visited Komoro City, Nagano Prefecture for on-site evaluation
Attended Minowa-machi, Nagano Prefecture Safe Community designation ceremony
Participated in Safe Community Study Session (Osaka)

September 2012

Attended the 1st Safe Community Seminar (Matsubara City)

September 2012

Attended 2012 Citizen Security and Safety Forum in Komoro (Komoro City)106

(2) Participation in International Networks

Date

Details

March 2010

Attended the 19th International Conference on Safe Community (Suwon, South Korea)
Attended Taipei International Symposium on Safe Communities

April 2011

Attended Asia Safe Community Network traveling seminar (Taiwan)
Attended Taiwan International Symposium on Safe Communities (Taipei, Taiwan)

June 2011

Interim on-site evaluation by Safe Community Certifying Center (Sakae Ward, Yokohama City)

September 2011

Attended 20th International Safe Community Conference (Falun, Sweden)

December 2011

Attended JISC Safe School Certifying Center Commemoration Symposium (Osaka)

November 2012

Attended Asian Regional Conference on Safe Communities (Toshima City)<State of interim on-site evaluation>- 107 -

Sakae Ward’s Vision of Town Deveropment and Our Prospects
1. General Policy for Safe Community Activities
Sakae Ward has set its original plan based on Yokohama City’s general policy regarding safety. We will
apply this plan to carry out activities to improve safety in the future.
(1) Ward Administration Management Policy
Each fiscal year, the Ward Administration Management Policy, specifying the policy for the entire ward
administration, is established. The basic target for FY2012 is “Uniting our Hearts”, “Uniting our Power”, and“Working for Sakae Ward”.
Six policies have been set to achieve our goals: “Promoting a town resistant to disaster”, “Strengthening
parenting support”, “Increasing Safety and Security in Everyday Lives”, “Developing Town Vitalization”,“Preserving Bountiful Water and Greenery, and Environmental Actions”, “Promoting town development forthe community.
Our safe community activities are positioned as a vital pillar that connects these policies.
(2) Action Plan for Promoting Sakae Ward Safe Community Activities (Established June 2012)
Sakae Ward, which was the first to start Safe Community activities in Yokohama City, has established an
original action plan that reflects the opinions of the ward residents. With our mid-term goal set in FY2017,
five years away, we have prepared challenges in the community and programs to resolve those challenges.
Our plan is configured of seven themes which are urgent challenges in Sakae Ward: Child safety, Healthpromotion through sports, Traffic safety, Parenting support and prevention of child abuse, Elderly safety,
Disaster preparedness, and Suicide prevention.
Sakae Ward’s “Application Report to become a member of the International Safe Community Network” wasprepared based on this action plan. By establishing this action plan, we are ensuring that Safe Community
activities will be continued in Sakae Ward.
In addition to the above plan, in 2010 we enacted the “Town Development Action Plan”, which is the basic
concept of town development, and the “Second Community Welfare and Health Plan” to promote welfare
and health. These plans clearly layout our intentions to promote Safe Community activities. By establishingthese administrative plans and Safe Community organization, we will find resolutions to community
challenges, and promote safe and secure town development.
Regarding disaster prevention, which is one of the most important challenges in Japanese communities, wehave reviewed the Sakae ward Disaster Prevention Plan that was established in 1997. Learning from theGreat East Japan Earthquake that occurred on March 11, 2011, the expected damage from earthquakes in
Yokohama City has been greatly revised. Based on this we are setting disaster reduction targets, and we arerevising our plans while incorporating our ward residents‘ opinions to strengthen our system of self-help andcooperation. We believe this will be a major pillar of our future Safe Community activities.

108

2. Aiming for a community overflowing with children’s smiles
Acquiring Safe Community designation is merely a passing point. We must continue our programs to
improve community safety and security.
Sakae Ward has promoted safe community activities with seven themes set as urgent challenges. However,there are still many challenges in the community including unpredictable natural disasters, such as the Great
East Japan Earthquake, solitary deaths resulting from changes in society, and suicides among youths
resulting from bullying. We cannot resolve all of these issues within the community. However, we hope tocreate a better community by having each resident think about what they can do to help and take action.
In particular for children who will form the future’s society, we adults must convey a solid message. The SC
Action Plan forms that message. In this plan, children are thought of as a member of the community that will
promote safety and security programs.
The SC Action Plan is not a final version. For challenges that must be resolved with the community working
together, the ward residents and administration must think together and constantly make revisions. We hopeto create a safer and more secure community by having all persons in the community participating in these
Safe Community activities.

2012

Published
Basic Plan
(Draft) andcalled for
opinions

2013

2014

2015

2016

2017

2018

Establishment of next Action
Plan
Re-designation (scheduled)2011

Established Action Plan
Application for designation

Start of Safe Community activities
Setting of Steering Committee and subcommittees

2010

Received interim on-site
evaluation

Promotion of Safe Community Activities

SC Action Plan
(5-year plan from 2013 to 2017)109

Next Action Plan
(5-year plan)