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Health Profile – Northern Integrated District Network (IDN) June 2012 North West LHIN RLISS du Nord-Ouest Health Profile for Northern 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 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 Kenora District sub-LHIN planning area of the North West LHIN corresponds to the Kenora District Census Division excluding four Indian Reserve Census Subdivisions which are part of the North East LHIN’s area – Attawapiskat, Fort Albany, Peawanuck and Marten Falls. Moving forward, it is proposed that this area be split into two separate Integrated District Networks - Kenora Integrated District Network and the Northern Integrated District Network. The Northern IDN would be comprised of Sioux Lookout, Pickle Lake and all First Nations communities north of Sioux Lookout while the Kenora IDN would be comprised of the remainder of the current Kenora District sub-LHIN area. Figure 2 illustrates the split of the Kenora District sub-LHIN area into the Kenora IDN and the Northern IDN. Health Profile – Northern Integrated District Network 2 North West LHIN RLISS du Nord-Ouest Figure 2: Map of the proposed Kenora and Northern Integrated District Networks The following table presents some of the demographic characteristics of the Kenora District sub-LHIN area compared to the total North West LHIN population. Table 1: Population Characteristics, 2006 Census Indicator Kenora District Kenora IDN Northern North West Sub-LHIN area IDN LHIN Total Population 64,465 43,712 20,753 235,090 % Age 65+ 11.1% 13.8% 5.7% 14.1% % Age 75+ 4.8% 6.0% 2.4% 6.8% % Aboriginal Identity 38.4% 21.8% 77.8% 19.2% % Francophone 2.5% 3.2% 1.0% 3.5% % Mother Tongue = Ojibway, Not 16.9% 4.3% 46.0% Oji-Cree or Cree Available % Immigrant Population 6.3% 6.1* 7.6* 8.7% Data Source: Statistics Canada. 2006 Census. Note: * Based on non-IR communities. Health Profile – Northern Integrated District Network 3 North West LHIN RLISS du Nord-Ouest Population Estimates and Projections The following table lists the census subdivisions (municipalities/communities) and their respective population estimates for 2009 contained within the Northern IDN. The list is in decreasing order of population size. Table 2: Population Estimates (2009 for Census Subdivisions (CSDs) in the Northern IDN 2009 2009 CSD/Community Population CSD/Community Population Estimate Estimate Sioux Lookout 5,234 Fort Severn 89 429 Pikangikum 14 2,080 Kingfisher Lake 1 414 Sandy Lake 88 1,838 Summer Beaver 364 Fort Hope 64 1,125 Wapekeka 2 352 Kitchenuhmaykoosib 84 (Big Trout Lake) 913 Osnaburgh 63B 349 Lac Seul 28 835 Kee-Way-Win 312 Weagamow Lake 87 700 Neskantaga 268 Kasabonika Lake 677 North Spirit Lake 263 Deer Lake 674 Muskrat Dam Lake 254 Webequie 633 Slate Falls 175 Pickle Lake 487 Wawakapewin 21 Wunnumin 2 487 Lansdowne House 0 Cat Lake 63C 478 MacDowell Lake 0 Bearskin Lake 459 Sachigo Lake 2 0 Poplar Hill 458 Wapekeka 1 0 Sachigo Lake 1 451 Wunnumin 1 0 Northern IDN 20,730 Data Source: Population Estimates PHU County Municipality table, intellIHEALTH Ontario. There are no communities within the Northern IDN designated under the French Language Services Act. The Kenora District sub-LHIN area accounts for 27 percent of the North West LHIN’s population and is expected to grow by 5 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 7 percent over the next 10 years while the population of 65 to 79 year olds expected to increase by 46 percent. Table 3: 2009 Age Distribution and 10-Year Population Growth Forecast for Kenora District Age Group Kenora IDN Northern IDN Kenora District 2009 % Pop in Age 2009 % Pop in 10-year Growth* Age Group Population Group Population Age Group (2009 – 2019) Estimate Estimate 00-19 11,182 25.2% 8,587 41.4% -7% 20-44 13,301 30.0% 7,498 36.2% 4% 45-64 13,791 31.1% 3500 16.9% 4% 65-79 4,600 10.4% 919 4.4% 46% 80+ 1,513 3.4% 226 1.1% 19% All Ages 44,387 100.0% 20,730 100.0% 5% Source: Population Data Tables, intellIHEALTH. Note: * Population projections are not available for the two Integrated District Networks in Kenora District due to the large number of small census subdivisions (communities) in these IDNs where reliable population projections are not available. Health Profile – Northern Integrated District Network 4 North West LHIN RLISS du Nord-Ouest The population in the Northern IDN has a much higher proportion of children and youth and a much lower proportion of seniors than Kenora IDN and the total North West LHIN population. 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 Kenora District sub-LHIN area and the two IDNs within Kenora District. 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. 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. Health Profile – Northern Integrated District Network 5 North West LHIN RLISS du Nord-Ouest 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 somewhat higher in the NWHU area compared to the North West LHIN overall and significantly higher than the province as a whole. Health Service Access and Utilization Sioux Lookout Meno Ya Win Health Centre is the only acute care hospital in the proposed Northern Integrated District Network area. It is designated as a Centre of Excellence for Aboriginal Health. The table below summarizes the 2009/10 admissions and inpatient days at hospitals in the Northern IDN.
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