● このスライドは、非営利かつ個人的な目的に限り閲覧することができます。
The following presentation slides are shared with symposium participants exclusively for personal, noncommercial, educational purposes.
● このスライドの著作権は、講演の発表者本人に帰属します（図表等の引用箇所は除く）。如何なる国・地域においても、また紙媒体やインターネット・電子データなど形態に関わらず、スライドの全部または一部を無断で複製、転載、配布、送信、放送、貸与、翻訳、販売、変造、二次的著作物を作成すること等は、固く禁止します。
Copyright of these slides belongs to the presenter and/or the Radiation Medical Science Center for the
Fukushima Health Management Survey, Fukushima Medical University (except figures, tables, etc., cited fromother sources). It is strictly prohibited to reproduce, reprint, distribute, transmit, broadcast, loan, translate, sell,modify, and/or create derivatives of any slides, in any physical or electronic medium anywhere in the world.
● このスライド英語版は国際シンポジウム事務局による仮訳です。正本は日本語版となります。
The Japanese-language slides, as shown during the symposium presentation, best reflect the author’s intent.
English translations by the symposium secretariat should be regarded as provisional and for reference purposes
only.

2024年 福島県立医科大学『県民健康調査』国際シンポジウム
公立大学法人福島県立医科大学放射線医学県民健康管理センター
国際シンポジウム事務局（広報・国際連携室）✉ kenkani@fmu.ac.jp Tel: 024-581-5454(平日9～17時)
2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey
Secretariat of International Symposium
Office of Public Communications and International Cooperation, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University✉ kenkani@fmu.ac.jp, TEL: +81-24-581-5454 (Weekday, 9a.m. - 5 p.m. JST)Support for wide-area evacuees ofthe 3.11 Great East Japan Earthquake
and Nuclear Disaster

Fukushima Collaborative Revitalization Center(RENPUKU)

KATAHIRA Yoshinori
1【Topics】
１ About “Fukushima Collaborative Revitalization Center” (RENPUKU)
２ Support for wide-area evacuees
３ Consultation results
４ Things we can tell from the changes of the consultation details

５ Summary

Fukushima Collaborative Revitalization Center2

Self introduction

Fukushima Collaborative Revitalization Center

3

About“Fukushima Collaborative Revitalization Center”?
(RENPUKU)

Fukushima Collaborative Revitalization Center

4

About “Fukushima Collaborative Revitalization Center”
History of establishment
3.11 Great East Japan Earthquake
Support evacuees at evacuation shelters andtemporary housing individually

Support as individual NPO
Disabled persons, elderly persons, children and/orpersons who need special support

Needs of collaborative supportMomentum for establishment - aiming for self-sustaining recovery
with the cooperation of Fukushima University’s Disaster
Recovery Research Institute or other NPO groups’ volunteers

Our organization wasestablished to help
connect people andorganizations who tackle
Fukushima's problems
for accelerating recovery,
and creating new value.

Established as an intermediate
support organization in July 2011

Fukushima Collaborative Revitalization Center5

Vision ofFukushima

Aiming to realize “Mutual Collaborative Civil Society FUKUSHIMA,” through learning fromlessons and challenges raised by the Great East Japan Earthquake and the nuclear power plantaccident, various groups deepen their collaboration, and working to prevent and solve ongoingproblems, such as population decline, economic disparity, and social isolation

SupportNPOs
organizations

Administrations

Universities
REMPUKU

Revitalizationof localcommunity
becomesdifficult

Solving social
problems
becomes difficult

Business

Companies
Social Welfare
CouncilCollapsed Local Community
Local associations of neighborhood,
women, farmers, fisherman etc.

Support to revitalize local communities collapsed by the disasteras an intermediate support organization
Fukushima Collaborative Revitalization Center6Coordination Project for Disaster-Affected People
We work together with various entities supporting recovery of
the affected areas and people to promote and accelerate therevitalization of Fukushima, and provide continuous andneeds-based support for each individual resident.

In addition, we also implement coordination projects tostrengthen connections among organizations and supporters.
This includes provision of related information, and proposing
new programs to government authorities.

Fukushima Collaborative Revitalization Center7

Support project for community leaders
We also provide comprehensive support
such as recruitment, training or programs topromote the formation of a human network
involved with community activities, for local
community leaders including members of theCommunity-Reactivating Cooperator Squador reconstruction support workers.

Fukushima Collaborative Revitalization Center8Support project for wide-area evacuees
Under the contract with Fukushima Prefecture's "Consultation andExchange Support Project for Out-of-Prefecture Evacuees," we haveestablished "Livelihood Reconstruction Support Centers"(Consultation Counters) in cooperation with support groups

throughout Japan, now in operation. At each center, we provide
consultation services for evacuees and promote exchanges. Inaddition, we have set up "Consultation Room TOIRO" in the centerto provide updated information on Fukushima and consultationservices.

Fukushima Collaborative Revitalization Center9

Support for wide-area evacuees

Fukushima Collaborative Revitalization Center10

Transition of the Evacuation Zones
Date

Evacuation zone and orders

March 11, 2011

Evacuation order issued within the 3km radius

March 12, 2011

Evacuation order issued within the 20km radius

March 15, 2011

Indoor evacuation order issued within the 20 – 30km radius

April 22, 2011

Three categories of evacuation zone were established- Planned Evacuation Zone- Emergency Evacuation Preparation Zone
- Restricted Zone…
Fukushima Collaborative Revitalization Center

Source：Fukushima Prefecture
https://fukushima-10years-archives.jp/record/02/

11

Status of evacuation
Trends in the 避難者数推移
number of evacuees
180,000

160,000

140,000

120,000

100,000

80,00060,00040,00020,00002011.52012.52013.52014.52015.52016.5InFukushima

県内避難者

Fukushima Collaborative Revitalization Center2017.52018.5

OutsideFukushima

県外避難者

2019.52020.52021.52022.52023.5

Unknown
不明

12

【Consultation and Exchange Support Project】
・The centers are set up as places
where evacuees from Fukushima
Prefecture can gather information andseek advice on returning home andrebuilding their lives where they werebefore evacuation.
・There are 26 centers nationwide,and we organize consultation andexchange meetings periodically.
・We have set up "Consultation RoomTOIRO" in Fukushima Prefecture as
the base center.
Prefectures where Livelihood Reconstruction
Support Centers are in operation
Fukushima Collaborative Revitalization Center

13

Consultation results

Fukushima Collaborative Revitalization Center

14

Number相談件数
of consultations
2000

1800

1600

1400

1200

1000

800

600

40020002016

2017

Fukushima Collaborative Revitalization Center2018

2019

2020

20212022

15

Trend by age groups

90's
80's
90's

70's

80's

60's
70's

50's
60's

40's

50's

30's

40's

20's

30's

10's

20's
10's

FY2016FY2017

Fukushima Collaborative Revitalization Center

FY2018FY2019FY2020

FY2021

FY202216

Categories by consultation contents

Other
Other
ADR
ADR
Compensation
Compensation
Work
Work
Financial
Financial issues
issues
Education
Education
SupportSupport measures
measuresChildChild rearing
rearing
HealthHealthRelationships
Relationships
Livelihood
Livelihood
Housing
Housing

FY2016FY2016FY2017FY2017

Fukushima Collaborative Revitalization Center

FY2018FY2018FY2019FY2019FY2020
FY2020FY2021
FY2021

FY2022
FY202217

Trends in consultation contents
FY2016

・Consultation on housing due to termination of provisional housing (rent-free housing)・Thyroid Ultrasound Examination, radiation levels in Fukushima Prefecture, andconsultation on radiation concerns

・Consultation on housing for evacuees from evacuation-designated areas following thelifting of evacuation orders

FY2017

・Consultation on the worsening of financial conditions and insecurity due to terminationof rent-free housing and the increase in housing burden

・Consultation from evacuees who appear to have mental health issues

FY2018

・Consultation on property or residence before evacuation

Fukushima Collaborative Revitalization Center18FY2019

・ Consultation on relocation due to the termination of provisional period ofemergency temporary housing
・Consultation on damage caused by Typhoon No. 19 (Category 5 Hagibis)

FY2020・ Consultation on COVID-19 issues
・Counseling on difficult matters such as domestic violence or suicidal tendencies

・Consultation on COVID-19 issues.
FY2021

FY2022

・Consultation with older people

・Consultation with older people
・Consultation with living difficulties and povertyFukushima Collaborative Revitalization Center

19Things we can tell from the changes of theconsultation contents

Fukushima Collaborative Revitalization Center20

〇 Support needs change, along with the termination of support measures and/or thechanges in the living conditions of evacuees.
〇 As time goes by, the issues change from evacuation-derived issues to living issues.

The issues that evacuees are facing ….

Isolation from the local community and interrupted
connections among neighbors due to evacuation
Fukushima Collaborative Revitalization Center21

【Isolation from the local community】〇 Evacuees who are isolated from the local community tend not to be cared for in theirsurroundings even when they are in serious situations, and they also tend not to communicate
with others from themselves.
〇 Older people and people with mental health problems have difficulty obtaining necessary
information on their own, and that makes difficult for them to rebuild their lives on their own.

◆ Need to connect evacuees to government services as members ofa community.
◆ Multiple organizations and groups need to be involved andrespond to the situation by sharing their information and roles.

Fukushima Collaborative Revitalization Center22

Municipalities evacuate toMental
Health andWelfare
Center

Healthcare andWelfare
CenterMedicalinstitution

PrefecturalSocial
WelfareCouncil

Municipal
Social
WelfareCouncil

NPO &volunteer
groups

WelfareworkerCaremanager
Fukushima
Prefecture

Comprehensive
Support Center

ElderlyWelfare
Division

Affected
municipalities

Medicalinstitutes inhome town

PoliceEvacuees

Municipalities evacuate
fromSupporters

23
Fukushima Collaborative Revitalization Center【Multi-layered Support System Development Project】
・The project was launched as one of the new project reflecting revisions ofthe Social Welfare Act.
・The background of this project is that gaps have emerged among welfare
systems, policies, the support needs arising from the diversity andcomplexity of people's lives, and the difficulties they face.
・The concept is to build a system so that any and all support organizations
and community stakeholders throughout the municipality implement
integrated support together for consultation, participation and community
development, regardless of their attributes.
Sauce: Ministry of Health, Labour and Welfare
https://www.mhlw.go.jp/kyouseisyakaiportal/jigyou/

Fukushima Collaborative Revitalization Center24【Disaster case management】

Disaster case management is the effort to help
disaster- affected people to become self-reliant,and help to rebuild their livelihood by providing
continuous support to resolve their issues incooperation with related parties with specializedskills as needed.
Sauce: Cabinet Office, Government of Japan
https://www.bousai.go.jp/taisaku/hisaisyagyousei/case/index.html

Fukushima Collaborative Revitalization Center25

Summary

Fukushima Collaborative Revitalization Center26

・Latent problems of a local community may surface because of the loss ofsupport from communal functions by the collapse of communities due to theearthquake. This may cause various difficulties in resolving problems at theplace of evacuation.

・The framework for various types of collaboration on a regular basis isimportant. As to creating that framework, the multilayered support systemdevelopment project and the disaster case management movement arehelpful.
・We have been involved in the support of wide-area evacuations caused by
the 3.11 Great East Japan Earthquake and the nuclear disaster. We believethat we must take the lessons from this experience and disseminate what
we’ve learned for disaster preparedness.

Fukushima Collaborative Revitalization Center27

● このスライドは、非営利かつ個人的な目的に限り閲覧することができます。
The following presentation slides are shared with symposium participants exclusively for personal, noncommercial, educational purposes.
● このスライドの著作権は、講演の発表者本人に帰属します（図表等の引用箇所は除く）。如何なる国・地域においても、また紙媒体やインターネット・電子データなど形態に関わらず、スライドの全部または一部を無断で複製、転載、配布、送信、放送、貸与、翻訳、販売、変造、二次的著作物を作成すること等は、固く禁止します。
Copyright of these slides belongs to the presenter and/or the Radiation Medical Science Center for theFukushima Health Management Survey, Fukushima Medical University (except figures, tables, etc., cited fromother sources). It is strictly prohibited to reproduce, reprint, distribute, transmit, broadcast, loan, translate, sell,modify, and/or create derivatives of any slides, in any physical or electronic medium anywhere in the world.
● このスライド英語版は国際シンポジウム事務局による仮訳です。正本は日本語版となります。
The Japanese-language slides, as shown during the symposium presentation, best reflect the author’s intent.
English translations by the symposium secretariat should be regarded as provisional and for reference purposes
only.

2024年 福島県立医科大学『県民健康調査』国際シンポジウム
公立大学法人福島県立医科大学放射線医学県民健康管理センター
国際シンポジウム事務局（広報・国際連携室）✉ kenkani@fmu.ac.jp Tel: 024-581-5454(平日9～17時)
2024 Fukushima Medical University International Symposium on the Fukushima Health Management Survey
Secretariat of International Symposium
Office of Public Communications and International Cooperation, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University✉ kenkani@fmu.ac.jp, TEL: +81-24-581-5454 (Weekday, 9a.m. - 5 p.m. JST)