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Hamilton Niagara Haldimand Brant Regional Measures of Diabetes Burden in Ontario ICES 96 Hamilton Niagara Haldimand Brant LOCAL HEALTH INTEGRATION 4 NETWORK Diabetes Measures by Region Results / Diabetes Measures by Region / Hamilton Niagara Haldimand Brant LHIN ICES 97 EXHIBIT 4.1 Diabetes prevalence per 100 adults in the Hamilton Niagara Haldimand Brant LHIN (4), by subLHIN, on March 31, 2011 KEY FINDINGS 8 5 7 Toronto • For every 100 adults in the Hamilton NiagaraDiabetes Haldimand Prevalence Brant LHIN, thereRate were aboutPer 100nine Ontarianspeople living (2011), with in diabetes.Hamilton This prevalence Niagara (9.15 Haldimand per Guelph Mississauga 100) wasBrant slightly (4) lower LHIN, than by theSubLHIN 6 Ontario average (9.64 per 100). 3 6.18 - 8.00 Kitchener-Waterloo • The highest prevalence8.01 was - 9.00 in the New Credit and Six Nations subLHIN 9.01 - 10.00 (22.76 per 100). Higher levels of prevalence (above 1010.01 per 100)- 12.00 were Burlington also found in Brant and12.01 Brantford - 22.76 and Flamborough Burlington in Hamilton Urban Core.subLHIN boundary Hamilton Urban Core LHIN boundary Hamilton Dundas LHIN 4 Hamilton Outer Core Hamilton Ancaster Outer Core Stoney Creek St Catharines Brant and Brantford Brantford Glanbrook North West Niagara Niagara New Credit 4 and Six Nations East Niagara South Niagara PREVALENCE PER 100 ADULTS Haldimand and Norfolk 6.18 - 8.00 8.01 - 9.00 2 Simcoe 9.01 - 10.00 10.01 - 12.00 12.01 - 22.76 subLHIN boundary LHIN boundary 0 25 50 km LHIN 4 boundary Data sources: Ontario Diabetes Database; Registered Persons Database. Technical note: Adults were defined as those aged 20 years and older. Rates were age- and sex-standardized using the 2001 Ontario population of the same age as the standard population. Results / Diabetes Measures by Region / Hamilton Niagara Haldimand Brant LHIN ICES 98 EXHIBIT 4.2 Diabetes incidence per 100 adults in the Hamilton Niagara Haldimand Brant LHIN (4), by subLHIN, 2009/10 KEY FINDINGS 8 7 5 Toronto • For every 100 adults living in the 1-YearHamilton Diabetes Niagara Incidence Haldimand Rate Brant Per LHIN100 who Ontarians were free (2009/10), of diabetes inin MarchHamilton 2009, Niagaranearly one Haldimand was Guelph Mississauga diagnosedBrant (4) with LHIN, diabetes by SubLHIN in the 6 subsequent year. This incidence 3 0.61 - 0.80 rate (0.96 per 100) was nearly Kitchener-Waterloo identical to that0.81 for Ontario- 0.95 as a whole (0.97 per 0.96100). - 1.10 • Diabetes incidence1.11 was- 1.40 highest Burlington in the New Credit1.41 and - 2.79 Six Nations Flamborough Burlington subLHIN (2.75 persubLHIN 100). Above-boundary average rates (above 1.10 per 100) Hamilton Urban Core LHIN boundary Hamilton were also seen in Hamilton Urban Dundas Core and in HaldimandLHIN 4 and Norfolk. Hamilton Outer Core Hamilton Ancaster Outer Core Stoney Creek St Catharines Brant and Brantford Brantford Glanbrook North West Niagara Niagara New Credit 4 and Six Nations East Niagara South Niagara INCIDENCE PER 100 ADULTS Haldimand and Norfolk 0.61 - 0.80 0.81 - 0.95 2 Simcoe 0.96 - 1.10 1.11 - 1.40 1.41 - 2.79 subLHIN boundary LHIN boundary 0 25 50 km LHIN 4 boundary Data sources: Ontario Diabetes Database; Registered Persons Database. Technical note: Adults were defined as those aged 20 years and older. Rates were age- and sex-standardized using the 2001 Ontario population of the same age as the standard population. Results / Diabetes Measures by Region / Hamilton Niagara Haldimand Brant LHIN ICES 99 EXHIBIT 4.3 Number, per 10,000 adults with diabetes, who had at least one hospitalization or emergency department visit for hyper- or hypoglycemia in the Hamilton Niagara Haldimand Brant LHIN (4), by subLHIN, 2006/07–2010/11 KEY FINDINGS 8 5 7 Toronto • Overall, for every 100 adults living with diabetes in the Hamilton Niagara 5-YearHaldimand Rate of Brant Hospitalizations LHIN on March and31, Guelph Mississauga Emergency2006, approximately Department six had Visits at least for Hyper-one hospitalizationor Hypoglycemia or emergency per 10,000 6 department visit for hyper- or 3 Ontarians with Diabetes (2006-2011), hypoglycemia in the subsequent five Kitchener-Waterloo inyears. Hamilton This rate Niagara (565 per Haldimand 10,000 adultsBrant with (4) diabetes)LHIN, by was SubLHIN higher 272 - 400 than the provincial average (486 Burlington per 10,000). 401 - 500 Burlington • Rates varied 501by nearly - 600 two-fold Flamborough across subLHINs.601 - 700The highest Hamilton Urban Core rates were found701 - in 1001 New Credit Hamilton Dundas Hamilton Outer Core and Six NationssubLHIN (1,001 boundary per 10,000) and in Hamilton Urban Core (814 Hamilton LHIN boundary Ancaster Outer Core Stoney per 10,000). Creek St Catharines LHIN 4 Brant and Brantford Brantford Glanbrook North West Niagara Niagara New Credit 4 and Six Nations East Niagara NUMBER PER 10,000 ADULTS South Niagara WITH DIABETES Haldimand and Norfolk 272 - 400 401 - 500 2 Simcoe 501 - 600 601 - 700 701 - 1001 subLHIN boundary LHIN boundary 0 25 50 km LHIN 4 boundary Data sources: National Ambulatory Care Reporting System; Canadian Institute of Health Information Discharge Abstract Database; Ontario Diabetes Database. Technical note: Adults were defined as those aged 20 years and older. Rates were age- and sex-standardized using the same-aged population in the Ontario Diabetes Database on March 31, 2006 as the standard population. Results / Diabetes Measures by Region / Hamilton Niagara Haldimand Brant LHIN ICES 100 EXHIBIT 4.4 Number, per 10,000 adults with diabetes, who had at least one hospitalization or emergency department visit for skin and soft tissue infection or foot ulcer in the Hamilton Niagara Haldimand Brant LHIN (4), by subLHIN, 2006/07–2010/11 KEY FINDINGS 8 7 5 Toronto • For every 100 adults living with 5-Yeardiabetes Rate inof the Hospitalizations Hamilton Niagara and EmergencyHaldimand Department Brant LHIN Visits in March for 2006,Skin Guelph Mississauga and Softmore Tissue than seven Infection had at or least Foot one Ulcer hospitalization or emergency Per 10,000 Ontarians with Diabetes 6 department visit for a skin and soft 3 (2006 – 2011), in Hamilton Niagara tissue infection or foot ulcer during Kitchener-Waterloo Haldimandthe subsequent Brant (4) five LHIN, years. by ThisSubLHIN rate (711 per 10,000277 adults - 450 with diabetes) was higher than451 the- 630 provincial Burlington average (618631 per -10,000). 820 Burlington • Rates varied 821by nearly - 1050 2.5-fold across Flamborough subLHINs, ranging1051 - 1540from 474 per Hamilton Urban Core 10,000 in Ancaster to 1,133 per 10,000 Hamilton subLHIN boundary Dundas in New Credit and Six Nations. Hamilton Outer Core LHIN boundary Hamilton Ancaster Outer Core Stoney LHIN 4 Creek St Catharines Brant and Brantford Brantford Glanbrook North West Niagara Niagara New Credit 4 and Six Nations East Niagara NUMBER PER 10,000 ADULTS South Niagara WITH DIABETES Haldimand and Norfolk 277 - 450 451 - 630 2 Simcoe 631 - 820 821 - 1050 1051 - 1540 subLHIN boundary LHIN boundary 0 25 50 km LHIN 4 boundary Data sources: National Ambulatory Care Reporting System; Canadian Institute of Health Information Discharge Abstract Database; Ontario Diabetes Database. Technical note: Adults were defined as those aged 20 years and older. Rates were age- and sex-standardized using the same-aged population in the Ontario Diabetes Database on March 31, 2006 as the standard population. Results / Diabetes Measures by Region / Hamilton Niagara Haldimand Brant LHIN ICES 101 EXHIBIT 4.5 Number, per 10,000 adults with diabetes, who had at least one hospitalization for a cardiovascular condition in Hamilton Niagara Haldimand Brant LHIN (4), by subLHIN, 2006/07–2010/11 KEY FINDINGS 8 5 7 Toronto • Approximately one in 10 adults with 5-Yeardiabetes Rate of living Hospitalizations in the Hamilton for CardiovascularNiagara Haldimand Conditions Brant LHINPer in 10,0002006 Ontarians was hospitalized with Diabetes at least once Guelph Mississauga (2006 -for 2011), a cardiovascular in Hamilton condition Niagara in the 3 6 Haldimandensuing Brant five (4) years. LHIN, This by rateSubLHIN (1,005 per 10,000 adults with diabetes) was Kitchener-Waterloo higher than567 the - 760provincial average (888 per 10,000).761 - 880 • Rates varied881 by - 1020 more than Burlington 1.5-fold across1021 -subLHINs. 1200 The Flamborough Burlington highest rates1201 of - hospitalizations1446 for cardiovascular conditions were in Hamilton Urban Core subLHIN boundary Hamilton Hamilton Urban Core (1,270 per Dundas 10,000) andLHIN New boundary Credit and Six Hamilton Outer Core Nations (1,245LHIN per4 10,000). Hamilton Ancaster Outer Core Stoney Creek St Catharines Brant and Brantford Brantford Glanbrook North West Niagara Niagara New Credit 4 and Six Nations East Niagara NUMBER PER 10,000 ADULTS South Niagara WITH DIABETES Haldimand and Norfolk 567 - 760 761 - 880 2 Simcoe 881 - 1020 1021 - 1200 1201 - 1446 subLHIN boundary LHIN boundary 0 25 50 km LHIN 4 boundary Data sources: Canadian Institute of Health Information Discharge Abstract Database; Ontario Diabetes Database. Technical notes: Adults were defined as those aged 20 years and older. Rates were age- and sex-standardized using the same-aged population in the Ontario Diabetes Database on March 31, 2006 as the standard population. Cardiovascular conditions included myocardial infarction, stroke, congestive heart failure, unstable angina and transient ischemic attack. Results / Diabetes Measures by Region / Hamilton Niagara Haldimand Brant LHIN ICES 102 EXHIBIT 4.6 Number, per 10,000 adults with diabetes, who had a lower extremity amputation in the Hamilton Niagara Haldimand Brant LHIN (4), by subLHIN, 2006/07–2010/11 KEY FINDINGS 8 7 5 Toronto • In the Hamilton Niagara Haldimand Brant LHIN, nearly nine of every 1,000 adults with diabetes experienced a lower extremity Guelph Mississauga amputation5-Year Rate between of Lower 2006/07 Extremity and 3 6 Amputations2010/11. This ratePer (8910,000 per 10,000 Ontarians adultswith Diabeteswith diabetes) (2006 was - higher2011), thanin Kitchener-Waterloo theHamilton Ontario average Niagara (74 Haldimand per 10,000).
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