Application to the World Health Organization,
Collaboration Center on Community Safety
Promotion for the designation of

Kameoka, Kyoto, Japan

August2007

Contents
Chapter 1

Background ..................................................................................................... 1

1-1. Policies and Attitude to Safety ............................................................................................................................ 1
1-2. Goals ............................................................................................................................................................................... 2
1-3. Overview of Kameoka City ..................................................................................................................................... 2
1-4. Economics and industry .......................................................................................................................................... 4

Chapter 2

Feature of Injury ........................................................................................... 5

2-1. Causes of death ......................................................................................................................................................... 5
2-2. Current Condition of injuries ................................................................................................................................. 8
2-3. Traffic Injury................................................................................................................................................................. 9
2-4. Crime.............................................................................................................................................................................11
2-5. Suicide ..........................................................................................................................................................................14
2-6. Fire.................................................................................................................................................................................16

Chapter 3

Framework of safety promotion（Indicator 1） ................................18

3-1. System for implementation of Safe Community programs ......................................................................18
3-2. System for Safety promotion at neighborhood community level .......................................................................22
3-3. System to feedback the results of surveillances ........................................................................................23

Chapter 4 Programs and Activities for safety promotion（Indicator 2-5）....................................................................................................................................................24
4-1.Activities by age (Indicator 2) ..............................................................................................................................27
4-2. Activities in different circumstances (Indicator 2) .....................................................................................33
4-3. programs for high risk environment and groups (Indicator 3) ................................................................49
4-4. programs to record frequency & causes of injury (Indicator 4) ............................................................51
4-5. programs to evaluate effect of intervention and its process （Indicator 5） .................................... 53

Chapter 5 Involvement in Safe Community Network at International andNational levels（Indicator 6） ............................................................................................55
5-1.National level ...............................................................................................................................................................55
5-2. International level.....................................................................................................................................................55

Chapter 6 Experience and future plan for Safe Community .............................57
Appendix ................................................................................................................................... 1
1. Data for evaluation of effect of Safe Community program ............................................................................ 1
2. Injury Surveillance’s Manual ....................................................................................................................................... 4
3. Assessment Sheet for Injury Surveillance............................................................................................................ 7

1

Chapter 1

Background1-1. Policies and Attitude to Safety
1-1-1. National level
While Japan becomes one of advanced countries, relationship among people and bonds incommunities have become weaker than ever. As a result of weakness of relationship in
communities, people are now feeling less safe in various aspects in terms of accidents ofchildren and the elderly, violence, crimes, suicide.
These anxieties can be partly caused by the fact that number of death from accident or
suicide takes high rank of a cause-specific list. On top of that, declining birthrate and a
growing proportion of elderly people lead the National government to focus on protecting
children from accidents and elderly people from becoming in need of care by injuries suchas hip fractures. Moreover, over 30,000 people have committed suicide every year since
1990’s.

1-1-2. Prefecture level
In Kyoto Prefecture, since 2002 when the Governor of Kyoto Prefecture, Mr. Keiji Yamada
acceded at the present position, he has put his effort based on the phrase ‘Let’s develop
Kyoto with Safety and Hope’ as a core concept of his policies. Therefore, when Mayor
Yamada learned the concept of Safe Community in 2003, he adapted the concept of ‘Safe
Community’ to the existing programs for safety. For the first step with Safe Community, heappointed Kameoka City as a pilot area for Safe Community initiative to establish methodsof supporting all municipalities in Kyoto Prefecture to become safer places with the conceptof Safe Community.

1-1-3. City and community level
In 2001, Kameoka formulated the 3rd comprehensive plan for the next ten years. In the plan,‘improvement of Safety’ was focused as one of the main policies. Since then, various
programs for safety promotion have been conducted in collaboration with concernedbodies.
Since 2003 when the present mayor, Mr. Masataka Kuriyama assumed the present
position, he put high priority on policies of safety promotion with the concept of “Make
Kameoka where people communicate and co-operate each other in peace and harmony”.

1

As a result of efforts lead by the mayor, Kameoka became safer which was indicatedby declined number of injuries and accidents in 2003.
When he learned about the concept of Safe Community, he decided to apply it toexisting policies for comprehensive development of safety of Kameoka City. He declaredthat Kameoka City will put effort on safety promotion and become the first member of the
Safe Community network in Japan. Since then, Kameoka City has been working for safety
promotion based on the concept of ‘Safe Community’ with Kyoto Prefecture, its citizens,and concerned bodies in communities.

1-2. Goals
On the whole, medium-term goal of Kameoka Safe Community project is to decline 30%
from number of unintentional injuries in 2007, while each program has its own goal. This
goal was figured out based on a good result attained in one of Safe Communities.
Through working on safety promotion at community level, we will improve our social
capital and make our community a place where people feel safety.

1-3. Overview of Kameoka City
1-3-1. Location, size and accessibility
Kameoka City is located in the central region of Kyoto

Figure 1 Kameoka City

Prefecture. It shares the east borderline with Kyoto City,a capital of Kyoto Prefecture, and south and west

Kyoto Prefecture

borderlines with Osaka prefecture.
The size of the land area of the city is 224.90
square kilometer.
Kinki Area

Kameoka City has good accessibility form Kyoto
city (about 20 – 30 minutes) by Japan Rail (JR) line, andwith several roads such as National road “Route 9” andKyoto Citya highway which connects between North and South
parts of Kyoto Prefecture. Moreover, it takes only one
KameokaCityhour to cities in Osaka prefecture by JR line.
Therefore, Kameoka is a convenient place to live,
to work and to enjoy leisure activities.

2

Source; Kameoka City

!

1-3-2. Features of Population
1-3-2-1. Population
Because of the convenience based on good accessibility from big cities in Kyoto Prefecture
and Osaka Prefecture, population of the city has been growing. At the time of November,
2004, population hit 95,087 which is the third biggest population in Kyoto Prefecture.
However, for the last ten

been increasing as much as it
used to and is expected to start
decline in near future like othercommunities in Japan.
On the other hand, however,number of households has been
increasing

becauseoftrend

toward nuclear families. On top

Figure 2! number of population
100,000
100,000
90,00090,00080,00080,00070,00070,00060,00060,00050,00050,00040,00040,00030,00030,00020,00020,00010,00010,0000
0 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005
1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005
ｙｅａｒ
ｙｅａｒ
population
householdpopulation
householdpersons
persons

years, the population has not

Source; national census

of that, aging of population also causing downsizing of number of family member and more
old people live alone or with only their spouses. Therefore, number of family member has
been declining from 5.94 persons in 1950 to 2.90 in 2005.

1-3-2-2. Aging society
The ratio of population of over 65 years old out of total population takes 17.3%. It is mushlower than the average ratio of Kyoto Prefecture. However the ratio has been increasing by
0.5% every year for the last 6 years. Therefore, aging society is considered as one of themost serious issues to deal with.
With rapid increase of number of the elderly, more elderly have become under the
medical care or the long tern care insurance1. Considering baby boomers, it is expectedthat the number of those who require nursing care will be increased when the generation
become old. Therefore, keeping younger generation in good health is a mandatory
challenge.

1

Long tern care insurance is a system in which elderly can get support to live with dignity and independency.
Once they get insurance card after some assessment by government, 90% of the cost of care services will becovered by insurance which is run by national government.

3

Table 1 Ratio of the elderly out of total population (Kameoka City)
year

over 65 years oldover 75 years old

2000

14.3%

5.9%

2001

14.8%

6.3%

2002

15.4%

6.6%

2003

15.9%

6.9%

2004

16.4%

7.2%

2005

17.0%

2006
September17.3%

certified as being in need of care*
population

Ratio of population

1,667

12.3%

7.6%

2,453

15.4%

7.7%

2,553

15.5%

Source: Kameoka city

*In long term care system for the elderly, people need to be certified as being in need of carewhen they are provided with public care services.

1-4. Economics and industry
1-4-1. Agriculture
Kameoka has been a rice granary of Kyoto city for long period and it still grow 10% of whole
production of rice in Kyoto Prefecture.
Considering that people become more conscious about quality of agricultural product,
farmers have been working on improvement of Kyoto brand products and maintenance ofgood quality.

! ! !

1-4-2 Tourism
As for tourism, Kameoka is known for river rafting on the Hozu River and tram riding along
the river. It also has a good spa, Nanohana Onsen.
While over 1500,000 tourists visit to Kameoka every year, Kameoka is now developing
new programs to attract more tourists.

1-4-3. Industry
With advantage of abundant natural resources and good accessibility to big cities, Kameoka
City has developed textile industry, food manufacture industry, and lumbering industry.
Moreover, with development of roads and rail roads, advantage of its location has improved.
With consideration of factors above, 48 companies have moved into an industrial complex
in the city.

4

!
!

Chapter 2

Feature of Injury

2-1. Causes of death
2-1-1. Analyses of Population Survey Report
Among residents under 19 years old, unintentional accidents takes the top of acause-specific list. Among people who are between 20 and 44 years old, suicide hit the
top of the list. Among people over 45 years old, suicide still takes relatively high rank,
although malignant neoplasm and cardiac disorder rank higher.
Table 2 top5 out of causes of death in Kyoto Prefecture
Age

1st

2nd

3rd

4th

5th

0~4

congenitalabnormality

unintentional
accident

perinatal respiratory
distresssudden death

bleeding disordersof neonates andinfants

malignantneoplasm
unintentional
accident
unintentional
accident

unintentional
accident
malignantneoplasm

5~9
10~14
15~19
20~24

suicide25~29

suicide30~34

suicide35~39

suicide40~44

suicide

45~49
50~54
55~59
60~64
65+

malignantneoplasm
malignantneoplasm
malignantneoplasm
malignantneoplasm
malignantneoplasm

Sepsis, hernia, ileus
cardiac disease

unintentional
accident
malignantneoplasm

malignantneoplasm
malignantneoplasm
unintentional
accident

malignantneoplasm

unintentional
accident

suicidemalignantneoplasm
malignantneoplasm

cardiac diseasecardiac diseasecardiac diseasesuicidecardiac diseasesuicidecardiac diseasecardiac diseasecardiac disease

cerebrovasculardiseasecerebrovasculardiseasecerebrovasculardisease

Source: Population Survey Report (2005)

5

suicidecardiac disease

Pneumonia etc

cardiac disease

Pneumonia etc

cardiac disease

Pneumonia etc

cardiac disease
unintentional
accident
unintentional
accident
cerebrovasculardiseasecerebrovasculardiseasesuicidesuicidepneumonia

conceptionわdelivery㋪
puerperium
cerebrovasculardiseasehepatic disease
hepatic disease
unintentional
accident
unintentional
accident

alimentary
diseaserespiratory
disease!
Table 3 top 10 of cause of death

Cause of death

Total
TOP １st
１０
２nd
３rd
４th
５th
６th
７th
８th
９th
10th

Numberof death
2003-2005
1,904－
malignant neoplasm
cardiac disease
cerebrovascular disease
Pneumonia
unintentional accident

respiratory
diseasekidney failure
Suicidedecrepitude
COPD

Kameoka City
Average Number of
numberdeath forof death
100,000

proportion

Kyoto Prefecture
Number of proportion
death for
100,000

635

668

100.0%

838

100.0%

587
318
235
176
68

196
106
78
59
23

206
112
82
62
24

30.8%
16.7%
12.3%
9.2%
3.6%

254
140
98
85
25

30.3%
16.7%
11.7%
10.1%
3.0%

61

20

21

3.2%

49
49
48
28

16
16
16
9

17
17
17
9

2.6%
2.6%
2.5%
1.5%

0.0%
18
21
19
13

2.1%
2.5%
2.3%
1.6%

Source: Statistics of Kameoka CityAs seen above, suicide is a serious cause of death in all generations over 10 years old.
It is often said that suicide has strong co-relation with economic situation in Japan.
According to protracted recession, financial issues have become serious cause of suicide.
This trend is seen not only among over 50 years old. The number of suicide is increasing
among people in their 30’s and 40’s.
In Kameoka, as average, 635 people die every year. Out of the 365 people, 26 people(3.6%) are killed by traffic accidents, and 16 people (2.6 %) die from suicide.
Compared with a trend of death at Kyoto Prefecture, the ratio in Kameoka is slightly
low, but takes higher ratio in terms of occurrence of accidents.

2-1-2. Current conditions of injuries and deaths by accidents
When we see changes in the number of death by gender in the last 10 years, male die twice as manyas female every year, which is the same trend of national average. (Figure 3)
Figure 3

death from accidents by gender

Number of death by gender（people）
Number of death by gender（people）
60
60
50
50
40
40
30
30
20
20
10
10
0
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Source; Statistics of Kameoka City

6

Total
Total
male
male
femalefemaleFigure 4

Injury and death by cause
Cause-specific Injury and Death
Cause-specific Injury and Death60
60

other inury
other inury
MurderMurderSuicideSuicideothersothersPoisonPoisonFire
Fire
Suffocation
Suffocation
Drowing
Drowing
Fall
Fall
Traffic Accident
Traffic Accident

50
50

case
case

40
40
30
30
20
20
10
10
0

0

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
year
year

Source; Statistics of Kameoka City

Suicide and traffic accident are the most common cause of death at all generations asmentioned previously.
The total number of the death has been declining since 2001. This trend comes as aresult from decline of death by traffic accidents (Figure4).
Figure 5 comparison of death by cause in the last ten years
compsition of death by cause in the last ten years
compsition of death by cause in the last ten years

MurderMurder
1.9%
1.9%

SuicideSuicide
38.2%
38.2%

other inury
other inury
5.6%
5.6%

Traffic
Traffic
Accident
Accident
28.3%
28.3%
Fall
Fall
8.7%
8.7%

othersothers
5.4%
5.4%

PoisonPoison0.9%
0.9%Fire Suffocation
Fire Suffocation
7.3%
1.2%
7.3%
1.2%

Drowing
Drowing
2.6%
2.6%

Source; Statistics of Kameoka City

Composition ratio of death in the last 10 years shows quite many people have diedfrom suicide and traffic accidents in the city (Figure 5). Suicide takes 38.2 %( 163 people)
which is the highest among 10 causes in the last 10 years. The second highest cause ofdeath is traffic accidents as 28.6% (121 people).Then, fall(8.7%) and unintentionalsuffocation (7.3%) follows.
By analyzing a trend of causes of death, it became clear that Kameoka needs to focus
especially on prevention of suicide and traffic accidents.

72-2. Current Condition of injuries
From statistical data of injured people who were transported to emergency rooms at
medical institution, the total number of the injured has not changes much in the last ten
years. The number of traffic accident hits the top of a list below, and general accident
follows. These injuries from accidents take over 80% of all injuries.
As for a trend of injuries, traffic accidents, injuries at work places, and injuries during
playing sports haven’t changed much in number. Despite small change in trend, people
tend to call for ambulances more often for less serious injuries than used to be. Therefore,
number of transportation of injured people has been increasing.
As for suicide attempts, its number have been slightly increasing, even though thenumber of the case is not so big. This is considered urgent, since people who haveattempted suicide tend to result in death more than other causes of death.
Table 4 cause of injuries (the injured at ambulance transportation) in Kameoka City
Year

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

Total

1,014

981

1,017

962

1,098

1,064

1,123

1,110

1,063

1,203

Fire

2

0

2

2

3

2

2

5

1

3

NaturalDisaster

0

0

0

0

0

0

0

0

0

0

Drawing

1

0

0

1

1

0

5

1

2

0

746

694

672

641

691

687

756

741

647

716

40

34

38

48

38

42

39

32

43

41

19

16

31

23

27

29

23

29

27

27

264

261

285

249

354

315

315

319

357

429

Violence

11

26

29

27

25

26

21

25

23

29

Self harm

11

18

19

23

15

22

25

20

24

27

Traffic
accidents
Accident
at work
Sport
Accident
Generalaccident

Source: Statistics of Kameoka City8

2-3. Traffic Injury
2-3-1. Death and injuries from traffic accidents
As seen at the Figure 6, number of death has declined since 2001, then started to growagain in 2004 and 2005. As mentioned earlier, Kameoka City has heavy traffic with several
arterial roads; including the Kyoto longitudinal expressway which connects the South andNorth parts of Kyoto, and National Road “Route 9”. There is also a road which is a shortcut
between the center of Osaka and the North part of Kyoto.
Number of accidents on these roads takes about 40% of the total number of traffic
accidents. On top of that, it should be taken notice that 40% of the injured by traffic
accidents are not residents of Kameoka City.
Figure 6 death and injuries from traffic accidents
Nu mber of
mber
acNu
cide
n ts ofac cide n ts
750

N umber of death

N umber of
14death14
750
700
Nu mbe r of de ath
700
mbe
r ofacde
athnts
650
NuNu
mbe
r of
cide
12
650
Nu mbe r of ac cide nts
12
600
600
550
10
550
10
500
500
450
8
450
400
8
400
350
6
350
300
6
300
250
4
250
200
4
200
150
150
2
100
2
100
50
050
0
0 19 95 1996 1 997 19 98 1999 2000 2001 2002 2003 200 4 2005
0
19 95 1996 1 997 19 98 1999 2000 2001 2002 2003 200 4 2005

Source; Kyoto Prefecture Police

Table 5! number of traffic accidents by kind or roads

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

4

8

7

3

5

8

11

9

6

2

5

238

240

259

253

267

283

309

276

268

289

305

50

35

40

32

44

34

51

43

53

42

50

0

0

0

0

0

0

0

0

0

0

0

82

71

91

70

84

104

89

105

82

73

94

191

159

177

148

160

173

222

204

192

200

200

Other roads

7

11

9

17

12

21

21

16

20

28

26

Total

572

524

583

523

572

623

703

653

621

634

680

Highways
National
Route
Prefecture Main
Road
City Maiｎ Road
Prefecture
general road
City generalroad

Source: Kyoto Prefecture Police office9!

2-3-2. Activities for prevention and effects by programs
Considering geographical characteristics mentioned previously, traffic safety is one of themost urgent issues in Kameoka City. Since the number of injured by accidents is transitional
based on the number of occurrence of accidents, accident prevention will contributes todecline of number of injuries.
Therefore, since a declaration of “safety with no traffic accidents” was made in 1975,
the city has been making effort for traffic safety, including improvement of traffic
environment and enhancing regulations in collaboration with Kyoto Prefecture and police
departments.
Figure 7

trend of injury and death of the elderly
death
death
（people）（people）
6

NumberNumber

140
140
120
120
100
100

6

65～69
65～69
70～79
70～79
80～
80～
NumberNumber

5
4

80
80

3

60
60

2

40
40
20
20

1

0

0

0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Source; Kyoto Prefecture Police

10

5
4
3
2
1
0

2-4. Crime
2-4-1. Robbery and violence crimes
The number of robbery hit the peak in 2004, while average number of robbery has been 5 to
6 every year. Average number of robbery for 1000,000 people in Kameoka in the last ten
years is 2.4, which is lower than 3.7, as the average number of the hole area of Kyoto
Prefecture. However, in a trend of increase of case of robbery, its number has grown 3
times in the last ten years.
As for violence crime, it keeps increasing in number, even after significant increase in
2000. However, proportion of crime for 100,000 people is little lower than the average of
Kyoto Prefecture. It may be result from activities to expel violence in the city.
Figure 8!trend of robbery（case）（case）
7
7
6
5
4
3
2
1
0

N u mb e r o f R o b b e ry
N u mb e r o f R o b b e ryother robberyother robberyrobbery on the street
robbery on the street
bicycle robbery
bicycle robbery
taxi robbery
taxi robberyother burglary
other burglary
other store burglary
other store burglary
convenience store burglary
convenience store burglarybank burglarybank burglary
housebreaking
housebreaking

6
5
4
3
2
1
0

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
1996 1997 1998 1999 2000
(year)2001 2002 2003 2004 2005
(year)

Source; Kyoto Prefecture Police
Figure 9 trend of violence crime
Number of violence crimes
Number of violence crimes（ cas e ）cas e ）
（70
70
60
60

50
50

threatthreatintimidation
intimidation
injuryinjuryviolence
violence
lethal weapons
lethal weapons

40
40

30
30

20
20

10
10

0
0 1996
1996

1997
1998 1999
2000 2001
2002 2003
2004 2005
1997
1998 1999
2000 2001
2002 2003
2004 2005(year)(year)

Source; Kyoto Prefecture Police112-4-2.!Street crime and break-in
In Kyoto Prefecture, number of street crime increased drastically in 2001, then has
decreased to the half in the following 4 years. The main reason of the trend of decrease iscaused by drop-off of the number of motor cycle thieves, thieves from cars, thieves fromvending machines as seen at Figure 10.
Figure 10 trend of street crime（case）（case）
1,800
1,800

Number of street crimes
Number of street crimes
dam age to property
dam age to property

1,600
1,600

stealing a parts
stealing a parts

1,400
1,400

stealing a bicycle
stealing a bicycle
stealing a m otorbike
stealing a m otorbike

1,200
1,200

stealing a car
stealing a car

1,000
1,000
800
800

intrusion upon vending
intrusion upon vendingm achinem achine
stealing
in the car

600
600

snatchsnatchstealing in the car

indecent assault
indecent assault

400
400

threatthreat200
200

robbery
robbery0
0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

(year)(year)

Source; Kyoto Prefecture Police

Number of break-in hit the highest in 2000, then turned to decreased. In 2005, thenumber was about a half from 2001. Intruder takes about half of total number of break-in.
Figure 11 trend of break-in（ case）
case）
（160
160

Number of break-in
Number of break-in

140
140
120
120
100
100

filching
filching
stealagestealage
thief
thief
burglary
burglary

80
80
60
60
40
40
20
20
0

0

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
(year)(year)

Source; Kyoto Prefecture Police

122-4-3.Activities for prevention and results
To stop increase of crimes in Kyoto Prefecture, Kyoto Prefecture Government set a bylaw
named “bylaw of development of community safety with no crime” in 2005. Under thisbylaw, residents, local governments and police have started various activities for safety
promotion.
Since crimes tend to happen more in urban areas such Osaka city and Kyoto city,
Kameoka which is located between two urban areas has possibility to be affected from thetrend. But Kameoka keeps relatively low crime rate and keeps declining the number ofcrimes.
This is the result from various activities lead by the present Mayor, Masaaka Kuriyama.
He has initiated programs to improve safety in communities as one of fundamental agendasof the city and has been working with police, and voluntary groups for crime prevention incommunities.

13!

2-5. Suicide
2-5-1. Current situation of suicide and suicide attempt
While number of death from suicide has not changed much for the last ten years, numberof suicide attempt which is recorded at medical institutions has been gradually increasing
as seen at Figure 12. When looking the trend by gender, number of male exceeds threetimes to female. Breakdown by age shows that generations between 20 - 49 years old
maintain high in number.
Causes of suicide which were found in wills are listed at table 6. Health related
problems take about 40%, financial problems take about 30% and problems with theirfamilies take about 10%. Breaking down by age, health problems are the main reason forpeople over 50’s and financial problems are main reasons for people in 40’s and 50’s.
It is often pointed out that number of suicide relates to national economic condition.
Therefore, increase in number of suicide among in 40’s and 50’s might be affected from thepresent economic condition in Japan.
Figure 12 number of suicide and suicide attempt（people）（people）

NumberSuicideNumberofofSuicide
Suicideanan
Suicideattemptattempt

5050

total
total

4040

suicidesuicide3030

suicidesuicideattempt
attempt

2020
1010
00

1995
1995 1996
1996 1997
1997 1998
1998 1999
1999 2000
2000 2001
2001 2002
2002 2003
2003 2004
2004

Source; Statistics of Kameoka City

Figure 13 number of suicide by gender（pepole）（pepole）

Number of suicid by gender
Number of suicid by gender

25
25
20
20
15
15

total
total
male
male

10
10

femalefemale50

501995 1996 1997 1998 1999 2000 2001 2002 2003 2004
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Source; Statistics of Kameoka City14

2-5-2. Activities for prevention and result of effort
In 2006, the National government enforced a new law to prevent suicide. Based on the law,
Kyoto Prefecture set up a committee for suicide prevention and put into action.
Table 6! reason of suicide
Age

20～29

～19

Total

30～39

40～49

50～59

60～

Other

Total

170

-

976

-

1,409

-

1,651

-

2,791

-

3,351

-

12

10,360

17

10%

82

8%

168

12%

187

11%

209

7%

348

10%

0

1,011

48

28%

313

32%

452

32%

437

26%

906

32%

1989

59%

0

4,145

3

2%

177

18%

412

29%

700

42%

1247

45%

716

21%

0

3,255

5

3%

114

12%

143

10%

152

9%

200

7%

40

1%

0

654

love affair

15

9%

113

12%

95

7%

54

3%

27

1%

13

0%

0

317

Problems
at school

35

21%

31

3%

3

0%

0

0%

0

0%

1

0%

1

71

other

35

21%

97

10%

92

7%

75

5%

136

5%

185

6%

2

622

unknown

12

7%

49

5%

44

3%

46

3%

66

2%

59

2%

9

285

FamilyissuesHealthproblems
Financialproblems
Problems
at work

Source; National Police Agency

Kameoka City has been providing services including a counseling program at the city
hall and home visits by social workers to people with problems or worries about their lives.
Besides, Kyoto Prefecture also started support programs as counseling services forfamilies who lost their family members by suicides at mental health centers and Publichealth centers.

15

!

2-6. Fire
2-6-1. Current situation of fire
Number of fires varies between 20 and 30 every year as seen at figure 14. As for victims offire, 41 people have been injured and 17 have been killed in the last ten years. (Fig 15)
Figure 14 trend of fire in Kameoka City
Number of fire in Kameoka City (1996-2005)
Number of fire in Kameoka City (1996-2005)

buildingbuilding

case
case

35
35
30
30
25
25
20
20
15
15
10
10
5
5
0
0

forest &forest &
field
field
car
car
othersothers1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005year
Source; Statistics of Kameoka City
year

Figure 15 victim of firev ictimv ictim（people）（people）
80
80

victime of fire in the last ten years
victime of fire in the last ten years

death
death
injuryinjury（people）（people）
10
10
8

60
60

6
40
40

4

20
20
0

0

2

8
6
4

v ictimv ictim
death
death
inury
inury

2

0
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
1995 1996 1997 1998 1999 2000 2001 2002
2003 Statistics
2004 2005
Source;of Kameoka City

There seemed to be little relation between number of fire and number of victims fromfire. The number of victims is largely affected by environmental factors. Therefore,
extinction of fire at the early stages is very important, while it is needless to say that fire
prevention is most important.
The causes of fire are shown at the figure 16. Accidental fire takes about a half of thetotal. Main causes of accidental fire are bonfire (18 cases) and cigarettes (19 cases).
Moreover, case of arson takes 1/3 of total number. Considering that 91 cases of arson is
the greatest number among causes of fire, it is absolutely essential to prevent.

16

2-6-2 Activities for prevention and result of effort
The Kameoka fire department has been taking main roles of fire prevention in the city. They
also ask Volunteer Fire Corps in communities and police officers for straightening warning
patrols as well as providing educational activities to residents.
The Fire Corps are volunteer groups consisting of residents in communities. They workfor extinguish of fire, rescue victims from fire, and provide opportunity for fire education andtrainings.
By amendment of the building acts in 2006, all household are now obligated to equipwith fire alarms. Fire alarms are expected to be of help of fire prevention to the great extent.
Figure 16 cause of firecause of firecause of firecooking stov eoil heater 6
cooking stov eoil heater 6
1111
match 2
match 2
arson
arson
96
96

chimney 0chimney 0

playing with fire 8
othersplaying with fire 8
others77
accident firecigarette
77
accident fire
144
cigarette
traditional atov e 19
144
traditional atov e 19
3bonfireunknow n fire3
bonfire18
unknow n fire53
18
53
doubtful fire 0
doubtful fire 0

Source; Statistics of Kameoka City

17

Chapter 3

Framework of safety promotion（Indicator 1）

3-1. System for implementation of Safe Community programs
Kameoka City has been developing a system of safety promotion in collaboration with Kyoto
Prefecture as seen at the Figure 17.
The Kameoka Safe Community Promotion Council takes a leading role for Safe
Community activities at community level. Moreover, Kyoto Prefecture also has set a Safe
Community committee, Surveillance and evaluation Communities to support safe
community programs in Kameoka. With these organizations, universities, and researchers,a network for safety promotion is established. Detail is shown at the Fig.17.

Figure 17

system of development of Safe Community programs

Kyoto Safe Community Networkin collaboration with Kyoto prefecture, University,
Japanese Safety Promotion Society etc.
Corroboration

Safe Community
Committee

Corroboration

Dispatching advisers

Proposing program

Coordinating activities

Kyoto Safe Community
Promotion Committee
Corroboration

Corroboration

Kameoka Safe Community Promotion
CouncilKameoka City, residents, NGO, related organizations,
Medical institutions, universities, Kyoto prefecture

18㋪!Kyoto injury surveillance
committee㋪!Kameoka injury
surveillance council

3-1-1. Organizations in Kameoka City
3-1-1-1. Kameoka Safe Community promotion council!
In order to promote safety at community level, the Kameoka Safe Community promotion
council is set up. The committee consists of 28 member groups from various fields
the city.
<< Member organization of the council >>Kameoka Medical Association
Kameoka Hospital
Neighborhood community association
Council of early Childhoods education! ＆ Council of kinder garden
Council of Welfare Commissioner and Child Committee Member*Child Abuse prevention Network Association
Elderly Abuse prevention Network Association
Council of regional youth activities
Kameoka social welfare council
Acting committee of inclusive support centers for elderly Care
Steering committee of comprehensive support centers!
Kyoto Prefecture Safe Community Exploratory Committee
Kyoto Prefecture
Nantan district Development and Promotion Bureau
Nantan Public Health Center
Kyoto dounsel office for children
Mental health Center
Kameoka Police! Office
Kyoto Central Area Fire prevention Union!
Kameoka City
Photo 13-1-1-2.Committee of inspection of trend of
injury occurrence !
This committee is organized to inspect collected
data from medial institutions. The members of thiscommittee are listed as follows.

19

committee Meetingin<< Members of the committee>>
Kazuya!Ueda, director , Kameoka Public hospital
Kenji Tsukamoto, Vice director, Nantan Public hospital
Masaya Tanigaki, Counsellor, Fire Suppression Section, Kameoka Fire station
Kouki Hata, general manager of practice, Kameoka Shimizu Hospital
Takayuki Yosioka, Vice president of Kameoka medical association
Isamu Yamauch, manager of Planning Division, Kameoka City
Hideki Matano,maneger of Health Promotion Division, Kameoka City
Shouhei Yokota, Director, Nantan Public Health Center
Hideto Matuno, Director, Community Safety promotion office, Kyoto Prefecture!

3-1-2. Organizations to support Kameoka Safety Promotion project3-1-2-1. Kyoto Prefecture Safe Community Committee
In order to support safe community activities in Kameoka, Kyoto Prefecture Safe
Community Committee is organized. This committee consistsof not only academics, administrative officers, but also

Photo 2! Committee Meeting

individuals, members of non profit organization. This
committee takes a role of supporting bodies which work on
Safe Community initiatives and assesses and evaluates
results of Safe Community activities.

<< Members of Safe Community Exploratory Committee >>Yasuko Okayama, Professor, Kyoto prefectural Medical University
Yoshihide Sorimachi, MD, Towada Public Health Centere
Yutaka Honda, Professor, Ritsumeikan University
Noriyuki Watanabe, Professor, MD, Kyoto prefectural Medical University
Isamu Yamauchi, Manager of Department of Plan and Development,
Kameoka City20

3-1-2-2.Kyoto Prefecture Safe Community promotion Committee
This committee is organized to support safety promotion at community levels. The
committee consists of various divisions at Kyoto Prefecture government such as
departments of health, welfare, labor, fire, construction, education, police, commerce andso on. The committee has two kinds of meetings; meetings by directors of concerned
department and meetings by Kyoto Safety Promotion project members at each department,

3-1-2-3. Kyoto Injury Surveillance committee
This is a study group to analyze trend of injury from various aggregator data and study aboutmeasure for high risk group and environments. The members of this group are researchersat universities, members of Kyoto Safety Promotion project team.
In collaboration with committee of inspection of trend of injury occurrence, it takes arole of assessment about injury at communities.

<< Members of Injury Surveillance study group >>Misaka Kimura, Professor, Kyoto Prefectural Medical University
Yoko Shiraishi, Manager, Mature Life Institute
Tomoki Nakaya, associate professor , Ritsumeikan University
Ryozo Matsuda, associate professor , Ritsumeikan University
Mitutani Tomoko, reader, Kyoto Prefectural Medical University

3-1-3. “Safe Community” project promotion network“Safe Community” project promotion network is organized to make network among the 5committees and other organization described above. Moreover, network of Safe Community
in Japan is now expanding in many fields. And more, the Japanese Association of Safety
Promotion is now under preparation of its operation.

21!

3-2. System for Safety promotion at neighborhood community level
In Japan, Neighborhood Community Associations have been taking important roles inneighborhood communities. This associations consist from residents who live inneighborhoods called ‘Chou(町)’ or ‘Aza（字）’. There are currently about 19 Neighborhood
Community Associations in Kameoka. The Neighborhood Community Associations aretaking some parts of public services and provide opportunities to community members forworking together to solve problems in their communities. And more, they are supporting
communication among residents.
Therefore, the Neighborhood Community Associations are considered indispensableorganizations to promote safety at community level in collaboration with Kameoka City
governments. In some neighborhood communities, workshops by residents have been
conducted to make an action plan for Safety Promotion. At workshops, residents discussed
about problems in their communities, goals and strategies of safety promotion. (photo 3,4)
Figure 18

Kameoka Safe Community

Kameoka Safe Community Council
Safe Community Promotion Team
（Cross sectional Organization in Kameoka City）

Neighborhood Community
Association
Traffic Safety
Committee

Traffic Accident㋪Council of illegal

bicycle parking
prevention･ Conference oftraffic safety･ Council of traffic
safetyDisaster Prevention
Committee

Crime Prevention
Committee

Prevention! activities
Fall, Drowning,
Violence,
Disaster, Fire so onChild Abuse

Welfare Commissioner
and Child Committee
memberSuicide, Poison,
PDSD㋪Council of Nation

Raising the awarenessof safety㋪Council of violence ㋪Council of life safety Dangerous Object Safety
Protection
eradication･ Comprehensive
Association
Sport Club･ Council of Disaster ･ Network of Crime･ Food Hygiene Association
Prevention
Prevention･ Council of Health･ Improvement Diet
･ Volunteers Fire Corps Committee
and medical matter promotion council･ Local Voluntary for ･ School Safety･ Investigation･ Council of youth matter
Disaster Prevention
Committee
Committee of･ Council of regional
Association･ Network of Neighbor Vaccination
youth activities
Damage･ Conference of
Watch･ Child moral education･ Council of Welfare
School Safety･ Child Abusepromotion committee
Network Association Commissioner and ･ Council of social Welfare
Child Committee･ Elderly Abuse･ Disabled Person Policy
Network Association member
promotion committee･ Disabled ChildrenChild and Family Support Network
protection committee
Steering committee of comprehensive
support centers

22

Photo 3! Workshop by community members at a pilot neighborhood community

3-2-1.Activities in a pilot community, Shino - Cho Community
In a pilot Community of Shino-cho neighborhood community, community members havedecided to form a committee to promote safety at neighborhood community level after theyexperienced work shops for safety promotion as seen at photo 3.
They had the first meeting on Aug. 9th. At the meeting, residents had agreement
about further activities for improvement of safety in the community. Now on, they are goingto make an action plan for safety promotion in their community.

3-3. System to feedback results of surveillances
In order to reflect results of the surveillance to improvement of Safe Community activities,
two committees are organized; the committee of inspection of trend of injury occurrence at
Kameoka City and the Injury Surveillance Committee at Kyoto prefecture.
Data from injury surveillance is analyzed by the Injury Surveillance Committee and theCommittee of inspection of trend of injury occurrence discusses about how to reflect theresults of the analysis to improvement of safety of Kameoka City.
Detail of the system is explained under the “4-4. programs to record frequency & causes
of injury (Indicator 4)”

23

Chapter 4

Programs and Activities for safety
promotion（Indicator 2-5）

4-1.Programs by age
Kameoka City

Kyoto Prefecture

1. 0-14 years old
a. Community Social Workers andChild Committee members

Othercommunity
members
Police,community members

b. Child House #110, #110 cars+c. Safety Kids program
2. 15-24, 25-64 years old
a. Mapping Traffic accidents
b. Seat beltsc. Suicide prevention
3. Over 65 years old
a. Nantan Physical Exercise
b. Programs at Health Centerc. Programs to prevent to be inneed of care

+

+

+
+

+
+

+
+

+

community members++

National
Government

Kameoka City

Kyoto Prefecture

Other

policepolice4-2.Activities in different circumstances
1. Homesa. programs at Health Centerb. Activities by Community Social
Workers
2. Traffic Accidents
a. Bylaw for Safe cycling
b. Cycling Contest+++

c. Safe Walking Zone+++
community
membersd. Fundamental Frame Plan for
Traffic Barrier Free
3. Safe Work Placea. Mental Health for workers
4. Safe Schoola. Bullying prevention
b. Safe environment at school
5. Safety at leisure and sports
a. Mountain rescuec. Cycling contest
6. Violence prevention
a. Child abuseb. Elderly abusec. Domestic Violence

Police+National
Government

+
+
+
+

+

+
+
+
+
+

24

+
+
+
+

+
+

Kameoka City
7. Suicide prevention
a. Liaison Council ofcountermeasure for suicide
b. Kyoto telephone hotline
c. Support of people who lost theirfamily member by suicide
8. Disaster prevention
a. Disaster prevention information
mailing systemb. Patrols for disaster prevention
c. Disaster drill
9. Crime prevention
a. Crime prevention map
b. Crime prevention committee

Kyoto Prefecture

Other

+
+
+

+
+
+

+

+
Kameoka Fire officepoliceNeighborhood
community

10. Fire prevention
a. Volunteer Fire Corps

Neighborhood
communityb. Fire detector /alarmc. Campaign for fire prevention
11. dissemination of emergency first aid treatment
a. AED( automatic external defibrillator)+c. First aid training+

Kameoka Fire office
Kameoka Fire office+
Kameoka Fire office

4-3.Programs for high risk environment and groups
Kameoka City
1. Traffic accident of the elderly

Kyoto Prefecture

policeCommunity members
Kameoka Fire officeCommunity members
Volunteer groups
Community members
police+2. Fire prevention for the elderly wholive alone
3.Improvement of safety for children

Other

+

4-4. Program to record frequency and cause of injury
Kameoka City
1. Surveillance system at medical
institutes
2. Data at ER
3. Equates for citizens

Kyoto Prefecture

Other

+

4. Other data

+

25

+

+

4-5. Program to evaluate effect of intervention and process
Kameoka City

Kyoto Prefecture

+

+

+

+

1. Evaluation of the effect ofintervention
2. Evaluation of the process ofintervention

26

Other

4-1. Activities by age (Indicator 2)
4-1-1. 0 -14 years old
a. Community Social workers and Child Committee members

Kameoka City

Community Social workers and Child Committee members are part time civil-service
workers who belong to Kyoto Prefecture. They work voluntarily to support community
members by providing information about social services and making arrangements between
residents in trouble and appropriate service providers or organizations.
Senior members of Child Committee are mainly taking a role of social work for children,
such as supporting maternal and child health, child-support programs in communities.
At the present, they visit households which have new born babies. Because of spreadof the nuclear families, many mothers worry about raising their babies or they aresometimes not prepared enough for their new family members. Therefore, Senior membersof Child Committee provide information about parenting and accidents prevention throughhome visit with new mothers.
However, it is becoming more difficult to find families with new born babies because ofprivacy protect policy. Therefore, they now providing support at a health center when thecenter has child health check-up for 4 ,11 and 18 months old babies.
At the Health Check up, they have communication with mothers to build up relationshipwith mothers and give advices on injury prevention.

b. Child House #110, #110 cars for child protection

Kameoka City

In Japan, it becomes more serious problem that more children are victims of crimes. In thiscircumstance, there is a movement to protect children by residents in communities. In 1997,
a system called “Child House #110” (since thenumber “110” is a phone number of police inJapan, so the number stands for help inemergency) started. When school kids get in any
trouble on the way between their homes andschools, they can jump into houses which haveplaques of “Child House #110” at front doors.
The plaques of “Child House #110” are27

Photo 4 “#110 car for child protection”

distributed to houses, stores and offices where usually there are people during day time.
There are currently 721 “Child House #110” in the city.
Besides, there are 100 “#110 cars for child protection”, since November 2003. These
cars are public vehicles owned by Kameoka City. Administration officers on “#110 car forchild protection” pay attention on children’s safety during they drive. Moreover, they
designated cars and motorcycles at post offices as “#110 car for child protection” or “#110
motorcycles for child protection” as well.
Cabs in the city are going to be designated as #110 cars in near future as well.

c. Safety Kids Programs Kyoto Prefecture
By the Development and Promotion Bureau of Nantan district, Safety Kids program has been
conducted. This program has been developed to raise awareness of safety and provide
children with training of accident prevention & disaster prevention, establish safety culture.
In this program, school children at grade 5 are designated as Nantan Safety Kids after
lectures and training about fire prevention, disaster prevention and first aid. Moreover, theyattend at trainings of disaster prevention held by the self disaster prevention associations,and become to take a role of disaster prevention activities in their communities.

Photo 5 Training of the “Safety Kids” program28!

4-1-2.15-24, 25-64 years old
a. Mapping Traffic accidents

Kyoto Prefecture police

In order to prevent traffic accident, it is important to know where accidents occur frequently.
Therefore, the Kyoto police headquarters make maps, which show where traffic accidents
tend to happen frequently.（Fig. 19）
The maps are uploaded on their website so that anyone can access to the map, andprint it out. The maps can be used to traffic accident prevention activities at community
levels as well as individual level.
Beside the maps shown at Fig 19, there are other kinds of maps which show types andtimes of accidents.

Figure 19 a map of traffic accidents in Kameoka⇕ Dots on the map show accidents
which happened in January andFebruary 2007.

Source; Kyoto Prefecture Police

29!

b. Seat belts (police Office)Every year, there are victims of car accidents which could have been prevented, if they wore
seat belts.
Therefore, campaigns have been conducted for promote wearing seatbelts. As aresult of effort by police, the ratio of wearing seat belts among drivers has been increasing.
From now, campaign of wearing seat belts is going to be enhanced for passengers seats.
Figure 20 Ratio of drivers who wear seat belts Kyoto and all Japan
100%
100%

着用率
着用率

90%
90%
80%
80%
70%
70%

Driver Kyoto

運転者(京都）
Passenger
Kyoto)
運転者(京都）助手席(京都）Driver(Japan)
助手席(京都）
運転者（全国）
Passenger(Japan)
運転者（全国）助手席(全国）助手席(全国）

60%
60%
50%
50%

2002
2002

2003
2003

c. Suicide prevention

2004

Year
2004

年度
年度

2005
2005

2006
2006

Source; Japan Automobile Federation

Kyoto Prefecture, Kameoka City

Kyoto Prefecture and Kameoka City provide free consultation services for people who haveproblems about mental health such as depression, and survivors.
There are currently counseling services for mental problems provided by 4organizations;- KOKORO consultation service;counseling services are provided face to face or by telephone at Mental health Center
by Kyoto Prefecture- Counseling Service for Kameoka Residents;
counseling service is provided to all residents at city hall of Kameoka City
- Consultation Service for Worries;
community Social workers provide consultation services about questions and problems onsocial services.
- Telephone Hot Line;
This telephone service is provided nation wide by a non government organization.
Volunteer counselors provide counseling services by telephone and Kyoto Prefecture
government supports their activities.

30

4-1-3.Over 65 years old
a. Nantan Physical Exercise

Kyoto Prefecture, Kameoka City

In 2004, Nantan Physical Exercise was put into practice by Nantan Public Health Center incollaboration with Kameoka City and Inclusive Support Centers for Elderly Care as a pilot
project.
This program provides elderly people with physical trainings to prevent to become incare needed condition. This exercise has been spreadamong elderly by exercise leaders, who are registered

Photo 6!Nantan Exercise

as volunteer staff after training.
Since 2005, 246 leaders have been registered.
This exercise consists of 3 parts; basic exercise, power
up exercise, and supportive exercise. Pamphlets arealso distributed to explain about check points of theexercise and provide check a list to prevent injury at home.

b. Programs at Health Center

Kameoka City

The Health Center provides health check to residents who are over 30 years old. Whenpeople find some decline in physical function, they can take various programs such as
physical exercise described previously.
Besides the Nantan exercise program, there are more programs as follows;- Kameoka Health Campus;
lectures about health. After taking 4 lectures, people get certificate as Kameoka Health
Leaders. They will take a role of contribution to promote health condition in communities.
- Walking lessons;lessons to learn how to walk properly and get tostart exercise. There are a beginner!class and anintermediateclass.

In

the

Beginnerclass,

participants walk 2 km three times and in theIntermediate class, participants walk 5km threetimes.(photo 6)

31

Photo 7 walking lessons

- Exercise in the water;
exercise in a swimming pool. The elderly can enjoy exercise with less loading by buoyancy
of water. (Photo 7!left)-Training lessons to improve muscle strength;!Simple work out which consists of stretching exercise, aerobic exercise, machine training(photo 7 right). This training aims to improve sense of balance as well as muscle strength.

Photo 8 exercise in water! ! ! !

machine exercise

c. Programs to prevent to be in need of care National Government, Kyoto
Prefecture, Kameoka City
Under the system for elderly care insurance called long term care insurance, programs forprevention of being in need of care have been developed.
Programs for prevention of being in need of care include programs to improve muscle
strength, programs for nutrient modification, programs to improve oral health.
In Kameoka, these programs are operated at 3 Inclusive Support Centers for Elderly
Care. At these centers, every elderly who are assessed as need of support to prevent to bein need of care can get his/her own care plan based on previous assessment. Then,appropriate services and exercise programs are arranged in his/her custom-made plan bycare management specialists.
!
!
!
!

32

4-2. Activities in different circumstances (Indicator 2)
4-2-1. Homesa. Programs at Public Health Center (Kameoka City)
The Health Centers provide various programs of health promotion and injury prevention. As
for injury prevention of small children at homes, there are two classes for parent-to-be tolearn about healthy and safe environment for children.
Nurses at the center also visit with households with new born babies to check up healthof mothers and babies, assess environment for babies, then give advices to prevent injuries.
Especially in order to prevent injuries of babies and toddlers at homes, it is important toprevent accidental ingestion is indispensable. Therefore, nurses give advices and provide
information about accidental ingestion of cigarettes, detergent, and cosmetics.
More over, at home visit or health check up at the Public Health center, nurses pay
special attention on signs of child abuse, since it is now brought to light that child abuse arecaused by mothers’ worry about parenting.

b. Activities by community Social workers (Kyoto Prefecture)
As part time civil-service workers employed by Kyoto Prefecture, community social workers
provide various services on volunteer bases. They support improvement of wellbeing ofresidents in communities by the following activities;- provide information about social services- introduce appropriate services and organization

It is especially hard to comprehend health condition and life style of elderly who live
alone, since they tend to seclude themselves in their houses. Therefore, Community Social
workers visit them with fire department officers or social workers at Inclusive Support
Centers for Elderly Care to get information and check their health condition and prevent
them to become victims at natural disasters or fires.

33

4-2-2. Traffic Accidents
a. Bylaw for safe cycling (Kyoto Prefecture)
Bicycle is one of the most popular transportation for all generations. However, because oflack of knowledge about traffic rules for cycling, awareness of safety, and inadequate
environment for cycling in cities, there are problems related to bicycle such as increase of
traffic accidents.
Therefore, Kyoto Prefecture has been working to make a new bylaw of bicycles forsafety promotion and traffic accident prevention in the summer of 2007.
The bylaw consists of three principles;
1. Safety promotion for cycling
2. Enhancement of establishment of system to promote safety
3. Enhancement of right use of bicycle as transportation

Previous to this, a Cycling Festival was held in Kameoka City. At the festival, cycling
helmets were distributed to children for promotion of wearing helmets on bicycles. A boothof “Safe Community” was also set up to raise awareness of injury prevention especiallyamong children.
Photo 9! Cycling Festival

34

b. Cycling contest (National government, Kyoto government)
At the national level, cycling contests have been held to improve knowledge and skill of safe
cycling. Participants of this contest are elementary school kids, since it is important to getenough knowledge and skills for safe cycling at early stages of their lives.
Kameoka City has been active about safe cycling and sends groups of representatives
from elementary schools to this national cycling contest every year.
This contest consists of two parts; knowledge and skills. At the first day, participants
answer questions. On the second day, their cycling skills were examined.
As a result of their effort, the representatives of Chiyogawa Elementary School won thefirst prize at the Kyoto regional tournament and ranked 9th at the national tournament in2005. More over, they won the first prize at the national contest in 2006 and 2007.
Photo 10! cycling festival

c. Safe Walking Zone

National Government, Kyoto Prefecture, Kameoka City

National Police Agency and Ministry of Land, Infrastructure and Transport have beenworking on safety promotion by setting up “safe walking zone” where roads are more humanoriented than car oriented.
Based on the movement at national level, Kyoto Prefecture decided to set up “SafeWalking Zone”. An area around Kameoka Station is set up as one of pilot zones. Police
offices, Civil engineering division of Kyoto Prefecture, and Kameoka City are working to
make the area a human-friendly area in collaboration.
In the “Safe Walking Zone”, traffic safety has been promoted by improvement of
hardware such as intersections, side walks, setting-up of traffic lights and so on incollaboration with departments of road management at National, Prefectural and35

municipality levels and departments of traffic managements at Prefecture, Police andmunicipality.
In this project, there are 3 main programs.
- Car road management;- Zone management- Side work management

Before developing a strategy for this project, characteristics of the area in terms ofgeography and traffic accidents are examined. On top of that, in order to identify which
factors make resident worry, surveillance was conducted to residents in the area. The resultof the surveillance was reflected to an accident map which shows where and what people
need to be aware of (Fig. 21).
Figure 21 Map shows spots where residents feel unsafe

Source; Kameoka City
Photo 11 Improvement of road

BeforeImage of improvement

Present

d. Fundamental Framework/Master Plan for Traffic Barrier Free (Kameoka City)On March 2004 when renovation of JR(Japan Rail) Kameoka station started, Kameoka City
made a framework plan of traffic barrier-free.
In this framework plan, basic concept is defined as “Make community a place where36anyone can come and go in safety and comfort”, and 4 basic policies are determined asfollows.
-As a gate of Kameoka City, make the station comfortable and accessible to anyone-Develop barrier-free zones in and around the station-Develop trains and buses to be easy of access with the concept of barrier free
- Nurture humanity by eliminating obstacles which delineate vulnerable people

This plan has been put into practice since 2004 and is planed to achieve to the goals
by the year of 2010.
The target area of this project is set within about 1km from the Kameoka station, since
the area is considered to be a zone where seniors and people with impairments can easily
access.
Within the area, infrastructure development including setting up barrier-free side walks,escalators, lifts, and information board for blinded people is focused on.
Figure 22 Image of area around new Kameoka Station

Source; Kameoka City

It should be also highlighted that residents around the area involved in a process ofmaking the plan. For example, the plan reflects maps on which elementary school children
had drawn dangerous spots and pointed out information about hazards from residents in thearea (Photo 12).
Photo 12barrier free education at elementary school37!

4-2-3. Safe work placea. Mental health for workers

Kyoto Prefecture

It is obvious that over work and instable work situation affect on mental health to great extent.
Therefore Kyoto Prefecture Government has been working on improvement of measures ofmental health at work, based on policies of National Government.
At Kyoto Prefecture, training workshops have been conducted to administrative
officers and employees of companies who are in charge of mental health. At the workshops,
they learn form NPO (Non Profit Organization) groups which are working on suicide
prevention and industrial physicians.

b. Work Place Safety among personal business, including agriculture and forestry
Based on the Industrial Safety and Health Law, most part of work place safety is employers’
responsibility, Therefore, employers have to be responsible to maintain and improve safe
environment to prevent injuries or accidents at work places.
Although many aspects of work place safety are secured based on the Industrial Safety
and Health Law, however, it is still hard to ensure safety at work places among workers in
the agriculture and forestry industry. Workers in these fields are working mostly on personal
business base. Therefore, they need to be more responsible for their safety on their own.
Considering these situation, a working
Photo 13 lecture of work place Safetygroup of occupational safety was set up on
November 16, 2007. This working groupconsists from Kameoka City, physicians,
ChamberofCommerce,

agricultural

cooperative, forestry cooperative and otherrelated organizations.
At the first meeting of the working
groups, various experiences and problems
such

as

mentalhealthproblems

areintroduced to improve occupational safety in Kameoka City.

38

4-2-4. Safe schoola. Bullying prevention

Kyoto Prefecture

Kyoto Prefecture has been providing schools with counselors as there is increasing numberof students who commit suicide because of bullying.
It is important to establish a system to provide teachers with opportunity to gain
knowledge and skill and counseling services to deal with bullying, since it is very importantto find bullying and take immediate action at an early stage of bullying.
Counselors are now deployed at all junior high schools and 15 high schools in theprefecture.
Moreover, training seminars about ‘counseling mind’ are provides to school teachers.
Although counseling about bullying needs special knowledge and skill, teachers can learn atleast about ‘counseling mind’ such as how to respect, understand sympathetically, which
are very important when they talk with students. For teachers who currently worry aboutbullying, counseling services are also provided by clinical psychotherapists.

b. Safe environment at school (Kameoka City)
After experience of tragic accidents and crimes at schools, safety at school is now a big
issue in the Japanese Society. Therefore, programs for safer school have been put into
practice.
For example, the Committee of Safe School is organized to make safe environment for
students by finding hazards and checking up equipments at schools. The Committee also
has workshop at which safety of equipments is examined.

Moreover, gates and fence are set up around school property and emergency call units
are provided to 18 elementary schools.
For injury prevention by national disaster such as earthquakes, seismic qualification
tests have been applied to school buildings.

39

4-2-5. Safety at sport and leisurea. Mountain Rescue Team at Kyoto Central Area Fire prevention Union!(Kameoka)
On July 1st, a team of Mountain rescue was formed in Kyoto Central Area Fire Prevention
Union. This is a first trial in Kyoto prefecture.
Behind of starting this rescue service, there is a trend that mountain climbing andwalking in forests have become popular among middle age and senior people. And more,
there is a fact to be considered that population of workers in forest industry is aging.
Therefore, establishment of mountain rescue service is an urgent issue in this area.
After a series of special training, ten members are now appointed to work for accident andinjury prevention in mountain and improve awareness of knowledge about mountainclimbing among residents.

Photo 14 Training of Mountain Rescue Team（above and left）

b. Cycling contest (National government, Kyoto government)
Detail is described at “b. cycling contest (National government, Kyoto government)” on
p.35.

40

4-2-6. violencea. Child abuse (Kyoto Prefecture, Kameoka City)
With trend toward the nuclear family, there are fewer parents can ask for help or advices
about raising children. Therefore many parents have worry how to raise their children. Since
this situation might be a cause of child abuse, a program of ‘nurturing peer’ training started
in 2005 and now there are 82 nurturing peers to support parents who are raising children.
Besides, Kameoka City has a counseling section for child abuse prevention so that
residents who might have possibility of abusing their children can visit and ask for help or
advice.
Kyoto Prefecture police also deal with problems among children and young people attheir youth support centers for 24 hours.

b. Elderly abuse (Kyoto Prefecture, Kameoka City)
As increase in number of elderly who are in need of care, elderly abuse becomes a serious
problem in the Japanese Society. Therefore, a new law to prevent elderly abuse wasenforced in April 2006.
As for elder abuse, physical, psychological, and sexual cruelties, and neglect of carehave been found. Some cases might be caused by care givers because of their enormous
tiredness and stress from care. Therefore, it is now considered important for care-givers toknow their capacity of providing care.
Kameoka City has counseling sections at 3 Inclusive Support Centers for Elderly Care.
The counselors at the centers work on prevention of elderly abuse and finding cased ofabuse at the early phase, if there is any abuse. For example, they provide check lists to findelderly abuse on their website. Moreover, the centers provide information to elderly people
with less competent of making decision because of dementia to prevent consumer-related
damage.

c. Domestic Violence (Kyoto Prefecture)
The Support centers against Domestic Violence are facilities where prefectures provide
counseling, temporarily evacuation, providing information for self-help and support for legal
proceeding.
At counseling desks at the centers, female counselors with special skills take various
cases in face to face or by telephone.

41Victims can be also evacuated at the centers for at most 2 weeks, when it is needed.
During their stay, they are provided with meals, counseling for setting up new independent
life, information about support systems and services.
They are also provided with information about laws and systems which regulate theirspouses or boyfriends who conduct violence to them by applying a ban of approach ordeportation order. According to situations, the centers take legal actions with police to help
DV victims.

4-2-7. Suicide
a. Liaison council of countermeasures for suicide (Kyoto Prefecture)
Kyoto Prefecture set up a liaison council of countermeasures for suicide in October 2006.
This council, which consists of organizations in various related fields, analyses factors
which are possible causes of suicide, discusses about effective measures, and evaluates
effects of programs.
As for Kameoka City, a council provides information and data on suicide to contributefor suicide prevention in Kameoka City.

b. Kyoto telephone hot line (Kyoto Prefecture, volunteer group)
The telephone hot line named ‘Kyoto Life Hotline’ started its operation in April 1982 andstarted 24 hour service in 1985. To maintain 24 hour service, about 180 volunteers work in
shifts. They answer about 75 calls every day (25,000 calls per year) .
What they are asked for counseling is usually complex and serious. For example,
people ask for help about loss of reason to live, layoff resulting from corporate downsizing,bullying and other issues related to their complicate life environments.
Kyoto Prefecture government is now providing financial support to the hot line
program.

c. Support of people who lost their family by suicide (Kyoto Prefecture, volunteer

group)
Kyoto Prefecture is supporting a volunteer group which operates a program called ‘ Kyoto
Heart Cafe’ which gives a program to heal sorrow of people who have lost their family
members by suicide.

42

At 2.5 hours meetings, participants share what they feel and think with other members.
When anyone feels uncomfortable with talking about personal issues to many people,
volunteer workers have time to listen to his or her feeling individually.

4-2-8. Disastera.!Disaster prevention information mailing system (Kameoka City)
It is very important to have accurate information about disasters when we are suffered fromnatural disasters such as earth quacks and typhoons. Therefore, Kameoka City provides its
residents with information about disasters by e-mail.
Once residents register their email addresses of their mobiles or personal computers
to the system, they receive information about warning on weather, earthquakes, andevacuation instructions.

b.! Patrol for disaster prevention (Kyoto Prefecture, Kameoka City and otherorganizations)Patrols for disaster prevention have been annually conducted in collaboration with
Kyoto Prefecture, Kameoka City Police, Kameoka fire department, and Volunteer Fire Corps.
They check areas such as around rivers, cliffs, and routes and sights for evacuation. Whenthey find places where are not safe, they discuss about emergency countermeasure andmake plans for research and budgetary request.
By conducting this patrol program together, authorities concerned with disasterprevention can share information and establishes relationship.
Photo 15

patrol for natural disaster prevention

43

c. Disaster drill(Kameoka City)
In order to raise awareness of importance of disaster prevention among residents andprovide concerned organizations with opportunities of trainings, Kameoka City conduct
emergency drills with residents at several places every year.

The drill consists of 3 steps;
Step 1 !Drill of conveying information in each neighborhood community
Step!2!!Neighborhood self-government associations and Volunteer Fire Corps in eachneighborhood community gather at evacuated sights, then conduct drills
including first extinction, rescue, procuring of drinkable water.
Step3!!At city level, an integrated exercise is conducted by residents including school
children, concerned organizations, private companies and self-defense force.
The exercise covers about 40 different activities.
Photo 16 disaster drill

4-2-9. Crimes
a. crime prevention map(Kyoto Prefecture Police)
In order to prevent crimes, it is important to know where crimes occur frequenｔｌy. Therefore,
Kyoto Prefecture police makes maps which show where and what kind of crimes happen ineach area. The map can be accessed at the web site of the Kyoto Prefecture Police.
The maps provide information about such as, bag-snatching, cycle and motor cycle
thieves, thieves from cars, and so on.

44

b. Crime prevention committee (Communities)
Crime prevention committees in neighborhood community associations take in charge ofsafety promotion in its community. Members of the committee work to prevent crimes andto raise awareness of risk of crime, among residents.
The committees also support police by patrolling communities and pay attentions on
school children on the way between their homes and schools.
Figure 23 crime prevention map

Source; Kyoto Prefecture Police

4-2-10.Fire
a. Volunteer Fire Corps

Communities

Fire service in Japan consists of three levels; Fire Headquarters, Fire Departments andVolunteer Fire Corps. And there are also volunteer bodies for fire and disaster prevention
companies to support the fire services in neighborhood communities.
Volunteer Fire Corps belong to the public fire services system, while most of themember has their own work. They work for safety in their communities as volunteers.

45

The fire and disaster prevention groups are organized with residents in eachneighborhood community. They support fire departments and Volunteer Fire Corps. Theirmain works are fire prevention, disaster prevention, collecting information about disasterand primary extinction, support of stopgap aid and so on.
There are 19 fire and disaster prevention groups in Kameoka City. Based on theprinciple “we protect our safety by ourselves”, they work for safety promotion incollaboration with the fire department and Volunteer Fire Corps.
Photo 17! drill for fire prevention by community residents

b. Fire detector /alarm (National Government, Kameoka City)
By a revision of law in 2004, it becomes obligated to have fire alarms at homes. Therefore,
when people build houses, they are now required to have fair alarms in houses. Moreover,since June of 2011, old houses will also have to set up fair alarms as well. Therefore,
Kameoka fire department distributes pamphlets to inform residents about alarms.

c.!Educational activity for fire prevention (Kameoka City)
The fire department has campaigns in spring, fall and the end of year. At the campaigns,
they alert stop smoking in bed, playing with fire as well as setting up fire alarms.

4-2-11. Dissemination of emergency first aid treatment
a. AED (automatic external defibrillator)(Kameoka City)
Kameoka City has been placing AEDs at offices of Volunteer Fire Corps which are far fromthe fire department.

46

The automated external defibrillator (AED) is a computerized medical device. An AED
can check a person’s heart rhythm and recognize a rhythm that requires a shock. Then, it
can advise the rescuer when a shock is needed. The AED uses voice prompts, lights andtext messages to tell the rescuer the steps to take.
Since AEDs are easy to use even for people without special knowledge and skills, more
AEDs are going to be placed at public facilities, stations, and gymnasiums in the city.

Photo 18 AED at a public placeb. First aid training for community members (Kameoka City)
With support from the fire department, Kameoka City provides training courses of first aids
which include operation of AEDs.
Attendants learn about first treatment such as CPR and operation of AED at a threehour class. After the lecture, attendants get certificates as citizen staff for first aid. In 2006,
1,318 people were certified as citizen staffs for first aid.
Beside this program, there is another training course in which residents can also learn
about CPR and operation of AEDs by lecture.
Photo 19!

CPR training47

4-2-12Sport Safety(Kameoka City)

In Kameoka City, 20 -30 people are transported to medical institutions because of sports
injury every year. Besides it, there are more cases of injury which are not as serious as to betransported to medical institutions at junior high schools and high schools. Considering thatmost injuries occurs during exercise classes or sport activities, Kameoka Athletic
Association, Kameoka junior High school Athletic union, Kameoka Elementary school
Athletic Union haven been providing the following activities for improvement of sport safety;

a. safety before sport activities- Training for instructors- Health check before sports activities- Safety check of sports environments such as athletic fields

b. safety during activities- Providing emergency systems (cf. AED )- Providing Safe environment for audience- Providing Safe environment for athletes(cf. safety education by specialists/instructors)c. other activities for safe sports- Education to teachers to improve awareness of safety during sports activities- Lectures to instructors about sport safety- Lectures about first aid and AED

Besides above, a working group of Sport Safety

Photo 20 Working Group for Sport Safety

was set up on November 16, 2007. This working
group consists of Kameoka City, Health Centre,
Physicians, academic specialists of Sport Safety,
and other related organizations.
At the first meeting, members of the working
group shared their experience and knowledge toimprove sport safety. Now on, not only safety ofsport activities but also other aspects such as good
health, right diet will be discussed, since they are related to sport safety to great extent.

48

!

4-3. programs for high risk environment and groups (Indicator 3)
4-3-1.Traffic accident of the elderly (Kyoto Police, communities)
As the society ages, more senior people drive and tend to cause accidents. Therefore, a
new regulation was put into practice at renewal of their driving license. When people over 70
years old get their driving licenses re-issued, they are required to take lectures for safe
driving. Without taking the lessons, no one can get their license re-issued.
At the lectures, they get their body function examined. After the examination, they takeappropriate lessons for safe driving according to their body conditions.
Beside the lectures, police office sets up pilot areas for safe driving by senior drivers.
In pilot areas, safety promotion staff work for safety promotion by home visits to the elderly,
providing lectures for safe traffic.
In Kameoka City, Kameoka community was designated as a pilot area in 2004 and2005 and Shino community was designated in 2006 and 2007. In these pilot communities,
many activities have been conducted for safe traffic; lecturers about safety, distribution ofleaflets and safety promotion campaigns and so on.
Moreover, community members visit elderly people who live alone to give advice about
safe traffic and provide reflectors to keep them safe in the dark.
As a result of the effort in the Kameoka community, for example, the number of traffic
accidents declined to 146 in 2005 from 188 in 2004. The number of tragic injury declined
from 231 in 2004 to 179 in 2005. Since this is considered significant effect, Kameoka City
is going to continue this program and apply to other areas in the city.

4-3-2. Fire prevention of the elderly who live alone (Kameoka Fire office)According to data recorded at the fire department, most of victims of fire have been theelderly. All of people who were killed by fire were over 65 years old and they were killed
because they couldn’t escape fast enough from fire.
Therefore, Kameoka fire department has been conducting home visit to check fire
safety at home. They make advices about how to promote safety at home.

49!

4-3-3.improvement of safety for children (Kameoka City, Kyoto Police)‘Safety watch’ volunteer groups stand on roads in their communities to prevent crimes andtraffic accident against children on their way between school and home. The Safety Watch
consists of members of PTA, neighborhood community associations and senior clubs. They
work for child safety in collaboration with police officers.
These community members in uniform go out to keep their eyes on children’s safety
between their homes and schools. Through this activity, people become to know each otherand have more communication. It is considered that communication among community
members contributes to safety promotion at community level as well.
To support Safe Child activities at community level, a mailing service called ‘School
safety mailing system’ started in May 2005. Once people register their email address, they
can get information about crime and suspicious individuals not only from police but also
from resident reporters.
Since May 2005, with about 30,000 registrations, this mailing system has been
providing information about crimes and suspicious individuals. The information from themailing system has been used for safety education at various occasions.
More over, Kyoto Prefecture police provides various information about ‘safe children’on their web site. The information is plotted by number on a map as seen Fig 24. Dotsplotted on the map reflect a list of information about time, place and kind of crimes.

Photo 22!

Safety Watch for children

Figure 24 map for safe children50

4-4. programs to record frequency & causes of injury (Indicator 4)
Source; Kyoto Prefecture Police

In Kameoka City, programs of recording frequency and causes of injury are organized with
Kyoto Prefecture, as seen Fig.25.
Figure 25 system of recording frequency and cause of injuries

Recording injury data
【Medical Institutions and Fire Stations】

Universities
Research Institutions

Collecting data & analysis
ウPublic Health Centerェ
Providing result of data analysis【Public Health Center】

Evaluation

Program making for injury
prevention【City and Prefecture】

4-4-1.Surveilance system at medical institutions
Injury data is collected at the following medical facilities.

Table 7

Medical facilities in Kameoka City

Medical Institutions
Nantan Public Hospital
Kameoka Shimizu Hospital
Kameoka Hospital

specialty
Pediatric, surgery, orthopedic surgery, brain surgery,emergency, others
Surgery, orthopedic surgery, brain surgery, emergency,
othersPediatric, surgery, orthopedic surgery, emergency,
othersPediatric (7)orthopedic surgery (6)Surgery (2)Clinics (30)
Otology! (5)Ophthalmology! (2)Dental(8)51

A set of data have the following information about patients.
-gender-age-date and time
-place-situations when patient get injured-cause of injury-severity of injury-symptom of injury-injured parts of body

4-4-2.Data at ER
With support by Kameoka fire department, data of patients who are sent to medical facilities
by ambulances is collected and input into computers. Data contains the following
information;-Year, month, date-address of patient-weather-gender, age, occupation-types of accident-types of injury-place where accident occurred-severity of injury-time to arrive to the site

-JCS

-time to arrive to medical facilities-medical facility

-CPR

etc.

-overview of accident

4-4-3.enquates survey for citizens
To make Kameoka City safer, it is indispensable to grasp the current situation. Therefore,
questionnaire survey was conducted with Ritsumeikan University.
The questionnaire sheets were distributed to all households in February 2007. The
collection rate is about 25% (about 7200 samples). The result of this survey will be used forpolicy planning as well as evaluation of safety. The result is also going to be announced onnews letters which are published by Kameoka City or on their website.

52!

4-4-4. other data
Other data of injury or accident which is recorded by different divisions at local governments
will be also analyzed. (Detail about data is listed at Appendix)

4-5. programs to evaluate effect of intervention and its process（Indicator 5）
4-5-1. Evaluation of the effect of intervention
Effects of intervention will be evaluated based on output and outcome of safety promotion
activities. Before intervention, goal will be set for each activity, then, will be evaluated by
how much attain to the goals. Figureｓ below are examples of evaluation. Ratio of Seat belt
fastened as seen figure 26 is considered as one of outcome of interventions based on
scientific evidence.
As for Crime, it is not proven scientifically how much crime rate is affected by crime
prevention activities and it is assumed that other factors such as economic situation would
affect on it as well. Therefore, methods of evaluation will be developed by comparing trendsof output of intervention and crime ratio.
Besides objective safety, subjective safety is also important aspect. Therefore, howsafe residents feel in their communities can be an indicator of subjective safety. In order tosee improvement of subject safety, evaluation of data from questionnaires surveillance forresidents should be conducted every once a while.
Figure 26 Number of death and intervention programs
100%
100%
90%
90%

10
10
8
8
6
4
2
0

80%
80%
70%
70%

6
4

60%
60%

2
0

2000
2000

2001
2001

2002
2002

2003
2003

2004
2004

2005
2005

2006
2006

50%
50%

Pilot program for senior's safe
Pilot program for senior's safe

number of death
numberof death
ratio
of fastening
seat belt(driv er)
ratioofoffastening
fasteningseat
seatbeltbelt(driv
ratio(fronter)seat)
ratio of fastening seat belt (front seat)developing a map
developing
a map
which
shows where
which shows
where
redidents
feel unsafe
redidents feel unsafe

53

Ratio of fasten seat belt
Ratio of fasten seat belt

Number of death
Number of death

14
14
12
12

Figure 27 Crime and intervention programs
2,000
2,000
1,800
1,800
1,600
1,600
1,400
1,400
1,200
1,200
1,000
1,000
800
800
600
600
400
400
200
200
0
0

Number of
Number of
Safety Watch
Safety Watch
group ->
group ->

2000
2000

2001
2002
2001
2002

2003
2003

2004
2005
2006
2004
2005
2006
#110car#110car

20
20
18
18
16
16
14
14
12
12
10
10
8
8
6
6
4
4
2
2
0
0

Violence crime
Violence crime
Robbery
Robbery
Break-inBreak-inStreet crime
Street crime
Number of
Number of
Safety Watch
Safety Watch
group
group

School Safety
School Safety
e-mailin systeme-mailin system

4-5-2. Evaluation of the process of intervention
For process evaluation, process of activities forsafetypromotion

based

on

collaboration

among community members is evaluated. It isbecause there is correlation between feeling ofsafety and communication among community
members as seen at Figure28. From results of

Figure 28!relation between feeling of safety andlocal contact【 Feeling of safety & local contacts】【 Feeling of safety & local contacts】
0%
0%20% 40% 60% 80% 100%20% 40% 60% 80% 100%v ery safev ery safe

the survey about safety and communication
withneighbors,

it

can

be

estimatethat

improvement of activities in community boost
up feeling of safety.
Development of community communication

safe
safe
cannotcannotansw eransw er
not so safe
not so safe

brings up not only feeling of safety, but also
contributes to prevention of crime, domestic
violence, suicide through we need to improve by
establish bond among community members.

not safe at
not safe atall
all
help each otherhelp each other
greet
greet

hav e conv ersation
hav e conv ersation
rarely greet
rarely greet

As indicators, the followings are planed to be! Source; Questionnaire for residents in 2007!

measured by questionnaires;- Number of people who belongs to neighborhood self government association- Affection to communities- Communication with neighbors

54Chapter 5

Involvement in Safe Community
Network at International andNational levels（Indicator 6）

5-1.National level5-1-1. Involvement of Japanese Association of safety promotion
In Japan, there is a movement of forming the Japanese association of Safety Promotion.
Kyoto Prefecture and Kameoka City are contributing to the preparation of its first conferencein September 2007.
Once the association started its activities for improvement of safety promotion in
Japan, Kameoka City and Kyoto Prefecture will actively take roles to establish network of
Safe Communities.

5-1-2. Accepting study visits from other communities
Since Kameoka City and Kyoto Prefecture have been providing information about activities
for Safety promotion on the web sites, more municipalities learn about Safe Communityfrom the web sites and become interested in it.
Kameoka has accepted some site visits by municipalities and community groups.

5-2. International level5-2-1. The 14th international Safe Community Conference
Four people from Kyoto Prefecture government and three people from Kyoto prefectural
medical university attended at the 14th international Safe Community Conference in Bergen,
Norway in 2004.

5-2-2. The 3rd Asian Safe Community Conference
Two people from Kyoto Prefecture government and three people from Kyoto prefectural
medical university and one from Ritsumeikan University attended at the 3rd international
Safe Community Conference in Taipei, Taiwan in 2005.
They learned cross sectional structure of Safety promotion from cases in Taiwan.

55!

5-2-3 The 16Th International Safe Community Conference
Two from Kyoto Prefecture and one from Kameoka City attended at the 16th International
Safe Community Conference in Tehran, Iran in 2007.
They made a poster presentation about Safe Community approaches by Kameoka andKyoto Prefecture.

5-2-4. The Korean Safe Community Symposium In the Jeju Island
A poster presentation was made at Korean Safe Community symposium in Jeju in
November 2006.

5-2-5. Study visit to Safe Communities in Sweden and Finland
A project team was set up at Kyoto Prefecture. The team members studied about suicide
prevention and accident prevention of Children. They also made a study trip to Safe
Communities, Nakka and Katrineholm in Sweden and Hyuvinkka in Finland in 2006. During
the trip, they also visited to Karolinska Insutitutet to study about Safe Communities.

5-2-6 Hosting international Conference
In March 2008, Kameoka is going to host an international conference focusing on
surveillance for safety promotion with collaboration with Kyoto Prefecture, universities andrelated organizations.
At the conference, three topics will be focused on as follows;- Surveillance on safety based on Scientific/Academic approach- Surveillance for safety promotion at community level- Safety promotion activities based on research and surveillance56!

Chapter 6 Experience and future plan for Safe
Community
Stage

Year

Preparation

2003
2005

-

Implementation

2006
2007

-

Maturation

2008
2010

-

Activities
The present Mayor, Masataka Kuriyama started safety
promotion in collaboration with communities, since heassumed the position of the Mayor- Launch of safety promotion programs; Child safety car #100,
Safety mailing system, Safety Watch, Fundamental masterplan for traffic Barrie Free
- Study about ‘Safe Community’ with Kyoto Prefecture- Identify agenda and problems from statistics
Mayor, Kuriyama declared to put effort to become amember of Safe Community Network- Lunch of Intervention programs; Safety map, Safety Zone,
fall prevention program, and so on- Formed a project team for development of Safety
Promotion- Setting up of cross-spectral committees and study groups at
Prefectural level- Start an injury surveillance system- Launch of a cross-pectoral program for safety promotion ina pilot community in Kameoka- Launch of programs of evaluation and feedback- Participation at international conferences to provide andshare experience- Conduct Questionnaire surveillance- Host a symposium and workshop- Contribution to establishment of the Japanese Associationof Safety Promotion and its first annual meeting- ! Submission of an application for Safe Community
designation-

Expansion

2011-

Safe Community Designation and International Conference
Improvement of programs based on evaluation
Application a model of Safe Community initiative
developed in a pilot area to other neighborhood
communities in Kameoka
Share and distribute experience of Kameoka Safe
Community project Nationally and internationallyDevelopment of programs and activities for safety
promotion collaboration of all related actors in communities
Contribution to safety promotion Nationally andinternationallyRe-designation of Safe Community

57

Appendix
1. Data for evaluation of effect of Safe Community program
1-1. Data of Death
Contents
CommonTraffic Accident

Fall

Drowning

Suffocation

Fire

PoisonSuicideMurderNatural Disaster

Data

sourceCause-specific Injury and Death

Population Survey Report

Number of death by cause and age group

Population Survey Report

Fatalities

Population Survey Report

Fatalities by age group

Population Survey Report

Fatalities of Children of 14 yrs!and under

Statistics of Traffic

Fatalities of Elderly

Statistics of Traffic

Fatalities of bicycle accidents

Statistics of Traffic

Fatalities of pedestrians

Statistics of Traffic

Fatalities of motorcycle

Statistics of Traffic

Fatalities

Population Survey Report

Fatalities by age group

Population Survey Report

Fatalities

Population Survey Report

Fatalities by age group

Population Survey Report

Fatalities

Population Survey Report

Fatalities by age group

Population Survey Report

Fatalities

Population Survey Report

Fatalities by age group

Population Survey Report

Fatalities of fire

Statistics of Fire Station

Fatalities

Population Survey Report

Fatalities by age group

Population Survey Report

Number of suicide

Date of Police Office

Number of suicide by age group

Date of Police Office

Reason of suicide

Date of Police Office

Fatalities

Date of Police Office

Fatalities by age group

Date of Police Office

Fatalities

Statistics of Disaster

Fatalities by age group

Statistics of Disaster

Fatalities by kind of disaster

Statistics of Disaster1!

1-2. Date of Injury
Contents

CommonTraffic Accident

Fire

Industrial
AccidentData

sourceNumber of Injury

Injury surveillance

Number of inpatient

Injury surveillance

Number of injury by age group

Injury surveillance

Number of the injured at ambulancetransportation
Number of the injured Children of 14
and under

Record of ambulancetransportation
Injury surveillance
Record of ambulance!uransportation

Number of the injured

Statistics of Traffic

Number of the injured by age group

Injury surveillance. Record ofambulance transportation.

Number of the injured of Children of 14
and under

Statistics of Traffic

Number of the injured of Elderly

Statistics of Traffic

Number of the injured of bicycle
accidents

Statistics of Traffic

Number of the injured of pedestrians

Statistics of Traffic

Number of the injured of motorcycle

Statistics of Traffic

Number of the injured

Statistics of Fire

Number of the injured by age group
Number of the injured
Number of the injured by age group
Number of the injured

Sport
Number of the injured by age group
Number of the injured
Suicide Attempt
Number of the injured by age group
Number of the injured
Natural disaster
Number of the injured by age group
Number of the injured
Violence
Number of the injured by age group2

Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation
Injury surveillance
Record of ambulance!uransportation!

1-3. Other Data
Contents

Traffic AccidentsDatasourceNumber of Accidents

Statistics of Traffic

Number of Accidents by road

Statistics of Traffic

Number of Accidents of pedestrian

Statistics of Traffic

Number of Accidents of bicycle

Statistics of Traffic

Number of Accidents of motorcycle

Statistics of Traffic

Number of Accidents by Address of

Statistics of Traffic

the person concerned
Number of Accidents by age

Crime

Fire

Data of Police Office

Number of Break-in

Data of Police Office

Number of Robbery

Data of Police Office

Number of violence Crime

Data of Police Office

Number of fire

Statistics of Fire Station

Number of fire by reason

Statistics of Fire Station

Number of suffer from fire

Statistics of Fire Station

Number of building destroyed by fire

Statistics of Fire Station

Are of fire

Statistics of Fire Station
Data of Kyoto Prefecture
Data of Police Office

Number of elderly abuse

Data of Kyoto Prefecture

Number of domestic violence

Natural Disaster

Record of ambulance!uransportation

Number of Street Crime

Number of Child abuse
Violence

Injury surveillance

Data of Kyoto Prefecture
Data of Police Office

Number of house by destroyed by disaster

Statistics of Disaster

Number of place by destroyed by disaster

Statistics of Disaster

!
!
!
!

3

!

2. Injury Surveillance’s Manual
2-1. Outline of Injury Surveillance(1) Purpose
This surveillance’s purposes are to make a factor about the injury such as reasonsand placeclear, and to get data for consideration the way of injury prevention.

(2) The subject of surveillanceThis surveillance is conducted on the all injured who have treatment at
Collaborative medical institutions. But the subject is only the injured who get injured
in Kameoka City.

(3) The term of surveillanceThis surveillance start from April.2007. After conducting this surveillance, Kameoka
Injury Surveillance Committee (KISC) checks the way of surveillance and revises it
every year in order to conduct it continuously.

(4) Contents
It is following a questionnaire.
Contents of surveillance are discussed regularly at KISC.

(5) The way of filling a questionnaire
In principles, A member of staff fill in a questionnaire with asking question to theinjured.
Every kind of the staff is accepted to do that.

(6) The way of collecting questionnaires
A member of staff at Nantan Public Health Center visit all collaborative medical
institutions and collect questionnaires twice a month.

(7) Data processing and making date useful
Date processing is conducted by Nantan Public Health.
Kyoto Prefecture and Kameoka City analyze the collected date, and report a
result to KISC, Kameoka Safe Community Promotion Council (KSCPC), Koyoto Safe
Community Committee (KSCC).

4

!
The result of the analysis is used to find out the high risk groups and environments,
and improve injury prevention programs.
And more, residents and the concerned organization hold the information of
injury in common, in order to raise awareness of injury prevention.
==Collaborative medical institutions??
Medical institutions

Specialty

Area

Nantan Public Hospital

Pediatric, surgery, orthopedic
Aroundsurgery,
brain
surgery,City
emergency, others

Kameoka Shimizu Hospital

Surgery, orthopedic surgery,Aroundbrain surgery, emergency,
CityothersKameoka Hospital

Pediatric, surgery, orthopedic Aroundsurgery, emergency, othersCity

Abe otology clinic

Otology

Oiwake town

Pediatric

Minamitsutsujigaoka

Ishizaki clinic in Hatano

Pediatric

Hatana town

Inoue otology clinic

Otology

Shino town

Uehara clinic

Pediatric

Nisi town

Okuzawa ophthalmology clinic

Ophthalmology

Oi town

Kamadaclinicorthopedic surgery

Totsunuki Town

Sato clinic

Pediatric

Yoshikawa Town

Sato orthopedic surgery clinic

orthopedic surgery

Minamitsutsujigaoka

Uchida otology clinic

Otology

Kose Town

Shirabe orthopedic surgery clinic

orthopedic surgery
Pediatric

Oi town

Hayashi orthopedic surgery clinic

orthopedic surgery

Kose town

Higaki pediatric clinic

Pediatric

Shino town

Fujiwara pediatric clinic

Pediatric

Kose town

Betuin Clinic

Pediatric㋪orthopedic surgery

Nisibetuin Town

Mnami ophthalmology clinic

Ophthalmology

Shino town

Miyamae clinic

Surgery

Miyamae town

Morito orthopedic surgery clinic

orthopedic surgery

Chiyokawa town

Iino pediatricclinicandorthopedic

physiciansurgery

KameokaKameokaKameokasurgery orthopedic surgery
Surgery

Kawara town

Yoshitake surgery clinic

Surgery

Shino town

Yoshida otology clinic

OtologyOi town

Yoshimura clinic

Otology

Shino town

Yoshiokaclinicorthopedic

5

2-2. Matters to be attended to conduct an injury surveillance(1) Requesting the subject to conduct surveillance
Collaborative medical institutes have to let the subject know this surveillance byposter or announcement, and get the subject’s consent with attached leaflet.
Kyoto prefecture and Kameoka city have to let residents know this surveillancethrough announcement.

(2) Correspondence in the case of refusal
When the subject does not accept to cooperate in this surveillance, check aspace for inserting “uncooperative” and correct without filling in questionnaire(3) Protection of personal information
Don’t all act to identify.
Collaborative medical institutes have to take notice of keeping filledquestionnaires.

(4) Injury subject
Injury caused by Traffic accident (including bicycle, motorcycle), Fall, Stick, Hit,
Cut, Stab, Fire, Heat, Choking, Drowning, Poisoning, Bite, Electric shock, Lightning
damage, Violence, Gun shot, Self-Harm and so on(Example: condition of a patient)A cerebral contusion, a skull internal hemorrhage, a brain concussion, a blow,
dislocation, a sprain, a bone fracture, a cut wound, a laceration, an abrasion,a crush wound, a burn, an internal organs system wound (eyes, a nose, an ear,the oral cavity, respiratory organs, a heart, a blood vessel, the liver, pancreas,kidney, a bladder, a digestive organ, the sexual organs), heat stroke, others(5) Questionnaire! ! ! Questionnaire is as attached paper.

(6) The way of filling in questionnaire
It is as follows.

63. Assessment Sheet for Injury Surveillance<Front>7

8For Contact:
Kameoka City:
Hidekado Tanaka, Planning and Policy Division (surfing_ohana@yahoo.co.jp)
Kyoto Prefecture:
Naoya Hatta, Department of Planning and Environment (n-hatta10@pref.kyoto.lg.jp)
Technical support and advice:
Yoko Shiraishi, Manager, Mature Life Institute (yokomature@cyberoz.net)