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Rainy River Integrated District Network For Health Profile – Rainy River Integrated District Network May 2012 North West LHIN RLISS du Nord-Ouest Health Profile for Rainy River Integrated District Network (IDN) Introduction This profile is one of a series of five profiles for each of the proposed Integrated District Networks (IDN)s. Three of the five IDN areas correspond to three of four current sub-LHIN planning areas – Rainy River District, City of Thunder Bay (and surrounding area) and Thunder Bay District (excluding city of Thunder Bay and surrounding area). The fourth and fifth proposed IDNs are formed from the current Kenora District sub-LHIN planning area. The Northern IDN is proposed to encompass Sioux Lookout and all First Nations communities north of Sioux Lookout. The remaining part of Kenora District (including Red Lake, Kenora and Dryden) will be referred to as Kenora District IDN. The map illustrates the North West LHIN’s current sub-LHIN planning areas showing communities that have acute care hospitals. Figure 1: Map of the North West LHIN The Rainy River District sub-LHIN planning area of the North West LHIN corresponds exactly to the Rainy River District Census Division (CD). Moving forward, it is proposed that the area will be referred to as the Rainy River Integrated District Network. Health Profile – Rainy River Integrated District Network (Draft) 2 North West LHIN RLISS du Nord-Ouest The following table presents some of the demographic characteristics of the IDN compared to the total North West LHIN population. Table 1: Population Characteristics, 2006 Census Rainy River Indicator North West LHIN District Total Population 21,565 235,090 % Age 65+ 16.1% 14.1% % Age 75+ 8.2% 6.8% % Aboriginal Identity 21.7% 19.2% % Francophone 1.7% 3.5% % Immigrant Population 7.4% 8.7% % Age 25+ completed post-secondary educ. 46.8% 50.8% Data Source: Statistics Canada. 2006 Census. Population Estimates and Projections The following table lists the census subdivisions (municipalities/communities) contained within Rainy River District and their respective population estimates for 2009. The list is in decreasing order of population size. Table 2: Population Estimates for Census Subdivisions (CSDs) in Rainy River IDN 2009 2009 Population CSD/Community Population CSD/Community Estimate Estimate FORT FRANCES 8227 NEGUAGUON LAKE 25D 263 ATIKOKAN 3297 MANITOU RAPIDS 11 234 RAINY RIVER DIST 1423 BIG GRASSY RIVER 35G 211 EMO 1311 RAINY LAKE 17A 180 LA VALLEE 1062 RAINY LAKE 26A 132 ALBERTON 979 SAUG-A-GAW-SING 1 102 RAINY RIVER 932 RAINY LAKE 18C 96 CHAPPLE 867 LONG SAULT 12 33 COUCHICHING 16A 692 BIG ISLAND MAINLD 93 10 DAWSON 610 RAINY LAKE 17B 5 MORLEY 489 AGENCY 1 0 LAKE OF THE WOODS 338 SEINE RIVER 23B 0 SEINE RIVER 23A 274 Rainy River IDN 21,767 Data Source: Population Estimates PHU County Municipality table, intellIHEALTH Ontario. There are no communities within Rainy River IDN designated under the French Language Health Services Act. Rainy River District accounts for 9 percent of the North West LHIN’s population and is expected to shrink by 3 percent over the next 10 years. Expected growth rates vary by age group. For example, the population aged 0 to 19 is expected to decrease by 11 percent over the next 10 years while the population of 65 to 79 year olds expected to increase by 34 percent. Health Profile – Rainy River Integrated District Network (Draft) 3 North West LHIN RLISS du Nord-Ouest Table 3: 10-Year Population Growth Forecast Age Group 2009 2019 10-year Growth 00-19 5,681 5,031 -11% 20-44 6,226 6,043 -3% 45-64 6,351 5,743 -10% 65-79 2,392 3,195 34% 80+ 1,117 1,163 4% Rainy River IDN Total 21,767 21,175 -3% NW LHIN Total 239,579 238,464 0% Source: PwC. Draft North West LHIN Blueprint Project Report. Oct 2011. Health Status and Health Outcomes Data from the Canadian Community Health Survey (CCHS) is only available at the Public Health Unit (PHU) or Local Health Integration Network (LHIN) level in Ontario. The Northwestern Health Unit (NWHU) area is the health region that best represents the Rainy River District. The NWHU area corresponds to the Rainy River District Census Division and that part of the Kenora District Census Division contained in the North West LHIN area. Table 4: Self-Reported Health Status, CCHS 2009/2010, age 12+ Northwestern North Indicator Health Unit ON West LHIN (NWHU) Perceived health as excellent or very good (%) 56.1 57.4 61.0 Perceived mental health as excellent or very good (%) 69.2 68.2 74.3 Perceived life stress, quite a lot (age 15+) (%) 22.5 21.8 24.0 Sense of community belonging, somewhat strong or 74.8 76.2 67.4 very strong (%) Life satisfaction – satisfied or very satisfied (%) 91.6 90.7 91.5 Source: Statistics Canada. 2011. Health Profile. Statistics Canada Catalogue no. 82-228-XWE. Ottawa. Released June 28 2011. http://www12.statcan.gc.ca/health-sante/82-228/index.cfm?Lang=E The perceived health status of NWHU area residents is very similar to that of the North West LHIN residents as a whole. Health Profile – Rainy River Integrated District Network (Draft) 4 North West LHIN RLISS du Nord-Ouest Table 5: Self-Reported Health Behaviours/Practices, CCHS 2009/2010, age 12+ Northwestern North Indicator Health Unit West ON (NWHU) LHIN Overweight or obese, age 18+ (%) 65.5 61.7 52.0 Pain or discomfort that prevents activities (%) 19.6 19.0 13.5 Current smoker; daily or occasional (%) 22.4 23.9 18.9 Heavy drinking (%) 22.2 20.9 15.9 Leisure-time physical activity; moderately active or active (%) 59.7 58.0 50.5 Regular medical doctor (%) 81.3 83.5 91.1 Contact with a medical doctor in the past 12 months (%) 77.4 79.3 82.2 Source: Statistics Canada. 2011. Health Profile. Statistics Canada Catalogue no. 82-228-XWE. Ottawa. Released June 28 2011. http://www12.statcan.gc.ca/health-sante/82-228/index.cfm?Lang=E The rates of heavy drinking, smoking and being overweight are similar between the NWHU area and the North West LHIN residents overall, but higher than provincial rates. The following table provides age-standardized rates of hospitalization and death for various diseases or conditions from the Statistics Canada Health Profiles. The hospitalization data is for fiscal year 2009/10 and the mortality data is for the calendar years 2005 to 2007 (average annual rate). Table 6: Hospitalization and Mortality Indicators – Health Profile, Statistics Canada Northwestern North West Indicator (age-standardized rate per 100,000 Health Unit ON LHIN population) (NWHU) Injury hospitalization 1084.0 861.0 406.0 Self-injury hospitalizations 184.0 156.0 58.0 Mental illness hospitalization rate 866.0 933.0 392.0 Ambulatory care sensitive conditions 579.0 538.0 280.0 Coronary artery bypass graft (CABG) 101.0 133.0 72.0 Percutaneous coronary intervention (PCI) 241.0 277.0 170.0 Total; all causes of death 699.0 629.1 521.8 All cancers; deaths 195.5 171.7 159.1 Circulatory diseases; deaths 182.7 182.4 155.6 Respiratory diseases; deaths 50.7 41.8 41.3 Unintentional injuries; deaths 51.2 39.4 23.4 Suicides and self-inflicted injuries; deaths 26.6 20.6 7.7 Source: Statistics Canada. 2011. Health Profile. Statistics Canada Catalogue no. 82-228-XWE. Ottawa. Released June 28 2011. http://www12.statcan.gc.ca/health-sante/82-228/index.cfm?Lang=E Hospitalization rates due to injury and mortality rates due to injuries and suicides are significantly higher in the NWHU area compared to the province and higher than in the North West LHIN as a whole. Health Profile – Rainy River Integrated District Network (Draft) 5 North West LHIN RLISS du Nord-Ouest Health Service Access and Utilization Atikokan General Hospital and three sites of the Riverside Health Care Facilities Inc. (located in Emo, Fort Frances and Rainy River) are the acute care hospitals located in the Rainy River IDN. No hospitals in Rainy River District have been identified for provision of French language services. The table below summarizes the 2009/10 admissions and inpatient days at Rainy River District’s hospitals. The table includes acute care admissions for mental health diagnoses, but excludes admissions to designated mental health beds. Table 7: Distribution of Acute Care Services in the Rainy River IDN Share of Share of Facility/Hospital Site Admissions Days District’s LHIN's Admissions Admissions Atikokan General Hospital 343 2,146 14% 1% Riverside Health Care Facility – Emo 76 560 3% 0% Riverside Health Care Facility – La Verendrye Hospital (Fort Frances) 1,888 7,862 78% 6% Riverside Health Care Facility – Rainy River 120 797 5% 0% Rainy River District Facilities Total 2,427 11,365 100% 8% Source: PwC. Draft North West LHIN Blueprint Project Report. Dec. 2011. The majority of inpatient acute care service in the Rainy River IDN is provided by the La Verendrye site of Riverside Health Care Facilities Inc. in Fort Frances (78%). In addition to acute care beds, there are a number of other inpatient bed types located in the acute care facilities in the Rainy River District. Table 8: Bed Types (as of Sept. 30, 2010) Inpatient Mental Newborn Hospital Acute CCC ELDCAP Rehab Health Bassinets ATIKOKAN General Hospital 11 8 2 22 Riverside Health Care Facility – La Verendrye Hospital (Fort 40 20 6 Frances) Riverside Health Care Facility – 3 12 Emo Riverside Health Care Facility – 3 21 Rainy River Rainy River District Total 57 28 8 55 Source: Web Enabled Reporting System (WERS); extracted Jan.
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