# Section 2 to Section 4 Initiations by municipalities, companies and organizations

## Main points in the case studies

[Municipalities]
① 'Health map' was created based on the data obtained by special health checkups of about 500 thousand residents. Life-style related diseases in the prefecture are 'visualized' (Shizuoka Pref.)
② 'Life-style improvement project for children' for future 'prevention', and 'Brain activation points program' for the prevention of dementia (Matsumoto City, Nagano Pref.)
③ Medical expense analysis by building a database of medical prescriptions. Promotion of generic drugs (Approx. 500 million yen of cumulative drug cost reduction) and prevention of severe diabetes. (Kure City, Hiroshima Pref.)
④ More people received special health checkups by the efforts of health promotion 'health mileage', health checkups on Saturdays and free pick-ups and drop-offs, etc. (47.2 % in FY 2000 when the nationwide average was 33.7 %) (Fujieda City, Shizuoka Pref.)
⑤ 'Myoko low salt living campaign' was deployed in capturing the quantity of salt consumption of citizens, providing health education by age and promoting the healthiest teeth in Japan (Myoko City, Niigata Pref.)
[Companies]
① Health conditions are 'visualized' by 'Tanita's health programs' using its own equipment and the Internet, etc. (approx. 18,000 yen per person of medical costs reduction year-on-year in FY 2000) (Tanita Corporation)
② Medical prescriptions and health checkup data are analyzed to create a 'Yellow Paper' sent to people with high risks of 'Life-style related diseases' as a major health promotion measure. As a result, 80 % of people visited medical institutions to receive medical checkups (Headquarters of Daiwa Securities Group)
③ More dependents received specific health checkups stimulated by the appending of health checkup items (30.9 % in FY 1996 to 41.3 % in FY 2000). An individual can view his/her health condition on the web. The introduction of an evaluation mechanism on healthy people using a point system (Mutual Benefit Association for Tokyo Metropolitan Employees)
④ Employer, labor union and the health insurance association worked together to establish five goals including increasing the number of people who exercise regularly. A company-side approach was taken, led by the Executive Directors of HR, etc. in such ways as training employees as leaders (7.04 billion yen of insurance benefit reduction in nine years (estimation)) (Mitsubishi Electric, Co.)
[Organizations]
① Clinics were opened in half a year after the disaster in coordination with the communities. The 'Health and Life Revival Council in Ishinomaki district' was launched to conduct a survey via interviews of 20,000 households which were affected by the disaster, and a database was built based on the information. Information is shared among concerned parties to provide the elderly comprehensive support for health and living. (You-homeclinic Ishinomaki, Medical Corporation Tetsuyu)
② Health education is provided by sending instructors in coordination with the Board of Education and schools, with a focus on the importance of having a healthful life-style starting from childhood (Aichi Health Promotion Foundation)
③ The elderly sell handmade products and one-coin lunches (500 yen) by taking advantage of their skills. They enjoy business in a fun, stress free and worthwhile manner. The town government and Chamber of Commerce, etc. support the business, resulting in the stimulation of town activities (Deaimura Kurara)
④ 'JA Healthy 100 Years Project' was initiated in prioritizing efforts for 'Exercise' and 'Diet', etc., taking previous activities into consideration. Details of the project were distributed to the JA offices nationwide after the feasibility tests. Central Union of Agricultural Co-operatives (JA-Zenchu)
⑤ Child education in order to increase the number of people who receive cancer screening, a health class held during multiphase health screening, and additional optional screenings are implemented.