Excellent care, for everyone, everywhere, every time. islandhealth

May 17, 2017

Mayor Alice Finall & Council District of 1620 Mills Road North Saanich, BC uu MAY232(1!71_i V8L559 DISTRICTOF NORTHSAANIGH 1620 MILLSROAD Dear Mayor Finall & Council: NORTHSAANICHBC V8L559

Re: Local Health Area Profiles

Each year Island Health synthesizes available information released provincially and supplements by some information from Island Health. The Local Health Area (LHA)Profiles have been central to the Medical Health Officer report to your community in the past few years.

Please find with this communication, the 2015 LHAprofile. Notable is while released in 2017, the profiles do not include the 2016 census information. While the data elements are similar, the format for the profiles has changed considerably. The profiles can also be found at http://www.viha.ca/mho/stats/lha profiles. htm.

Should you have any questions, would like to discuss the health profile, or identify any material that appears incorrect, please feel free to contact either our office or Melanie Rusch ([email protected]).

Please feel free to contact our office at any time on matters of mutual interest.

Yours in Health, ACTION D,CouncilAgenda Info Pk (F C ReadingFile C StaffRecommendation Richard S. Stanwick, MD, MSc, FRCPC,FAAP Chief Medical Health Officer i%wr

Murray Fyfe, MD, MSc, FRCPC Dee Hoyano, MD, FRCPC Medical Health Officer Medical Health Officer

Office of the Chief Medical Health Officer #430 - 1900 Richmond Avenue Tel: 250-519-3406 Fax: I 250-519-3441 Victoria, BC V8R4R2 Canada viha.ca r • —- ———-——————•-—•- —‘ *--— ‘. I ( :‘ I : ; 1 ;: ‘-I j .. - I ‘ ) I

! i I 2 I : , ft LJL _-.. Local Health Area Profile 2015

Gteater Victoria LHA is one of 14 LFIAs in Island Health and is located in Island Health’s South Island Health Service Delivery Area (HSDA). The LHA is at the southern tip of the South Island HSDA. It is 107.9 square kilometres and borders two other LFIAs: Sooke and Saanich. The City of Victoria, capital of , is located within this LHA. Greater Victoria is linked to three major highways:

Highway 1, Highway 14, and Highway 17. It is approximately half an hour from Sidney, one hour from Duncan, and one and a half hours from . Victoria has more than 50 bus routes, a handyDART service, an international harbour with float plane service, and ferry routes to Seattle and Port Angeles.

islandhealth An accompanying Interpretation Guide has been created to assist with the interpretation of indicators. The Interpretation Guide should be read with the profiles.

These profiles are not intended to be used for detailed planning or analysis. Asthey are updated on an annual basis, there may be more current data available. Ifyou are intending to use these profiles for health planning purposes, or ifyou have questions or notice a discrepancy, please contact: Melanie Rusch ([email protected]) 2041 2 14.1% 26.7% 27.7% for to 2011 28.7% groups, Victoria Greater 2036 Groups than 43.7 around the 12.6%18.1% 12.1% 19.4% 15.2% age 25.2% 29.0% expected but BC total compared of the

BC. Greater 0 up Victoria Age 2016) population Greater 75+ of in - than lower by age information. in Health is growth represented and 2026 makes Health’s 13.8% 13.3% 16.3% 24.3% 32.3% 5.4% the more higher Victoria living Aboriginal According to average Island which and 65-74 for as population population and than Island of Victoria an (PEOPLE 0 1 the of 2016 9.5% people 11.1% 15.7% 27.1% 36.6% Greater LHA 75+ population that in with Health Age Island Health lower (23%) 775,500. of of page the the is Greater population 65+ of than BC, on themselves 6, people) 3.8% Island this 9 the The Health Percent expected years, 201 than in 61 Average of BC 42.0 is average, of 20 Groups younger years; summary (17%). (222, Island 2l% 6.6% older Census, On years. is population identified As 10 75+ 65-74 0-19 20-44 45-64 Age next growth the U next

Demographics / 61- most the Over 80% 60% 40% 20Y0 120% 100% 0% Area Loc*4 the Victoria NI NI Demographics over Hh and Hflh 75+ Health I H,W.t Mp IId Greater and years, decline. LOa 7.9% tI CD 10 to r by 2037 2039 : NI In °0 ‘ Lfl next 2035 65-74 Population expected increase • 2033 See to are Area N Over the Victoria 2031

Population I Population Years 2029 double. groups Greater Total 45-64 expected LocalHealth 61- (12.6%). U is age Calendar than r r ‘- C’1 BC 64 2025 2027 to Estimated more and 2023 45 to 2016 population 20-44 and 2021 • from (1O.6%) 2019 A.* expected is Victoria’s Change H..Kh 2017 Health the 20-44 L.I 0-19 OK 50K . Percent 100K 150K 250K 200K

300K 0 Greater Island Victoria while 0 C H Education the See there Social Compared of secondary While unemployment — Social higher, play, Access employment expectancies environments Income 0 are social available Social we is directly support the and to a can supports Support higher median adequate Determinants education; to and the decrease community insurance. than linked Island and networks proportion rates percentage Employment household are those recreational income, to Health in high not these these Greater who and of supports available, school of Health gaps of and affordable social connected income are . low Percent lone oppormmties Victoria 20 BC, and well-off. graduation income and

summary

determinants liii parent measures 19.1 U Low a improve in of Children higher connectedness Social housing, Population communities Greater - 19.0 are ci . Income persons By families lower, on rates influence proportion 17.2 such ci working the C page Victoria healthy of with come health 18.5 are is as and and L) Children Determinants Low health. lower lone Low 1 contribute of . also Youth measure

1 IiHiii upstream our 20.4 a a Income food, for particular and is higher lower of Income parent higher health and similar among People the more 16.4 s wellbeing (2011 education, 0 percentage adult percentage in to to 16.2 families and U and information Low to Census) 2010 populations children who individual improve Adults Island population have wellbeing. i Income based of are c early and our of 16.1 shown of and less Health, on the Q the and population. seniors seniors childhood on after-tax should of youth. well-off conditions L) in Low population Health the population a Seniors Greater the steady Health i Income living above living low-in- be Compared lone-parent have inequities development, considered. S increase in Victoria alone alone. topics. is health. poorer which receiving may to — since household have all Island or health While In highlight healthy people avoidable income Greater 2006. completed Health and specific income live, work regions shorter assistance Victoria, inequalities and work measures post- is BC, where life and or 3 4 and an lower youth grow (%) 32.5 in across pre- early had Health summary of to and can 30.2 language, the increasing population. used Lone-parent Families 25.9 during Island children in youth Health is the to

children iI11 of during adulthood. (% 47.7 of and of proportion consistently environments been emotional, families the 48.0 into has has >30% Income) health Housing spending Renters mothers Indicators Instrument Mfordability healthy compared children kindergarten 45.3 Health supporting the While as in all information.

physical, i and to Victoria Determinants 23.0 (% and of transition supporting that more and Youth so Household supporting vulnerabilities (social, years Social >30% critical Income) Housing spending Health Greater for Owners Affordability is 23.8 period, Development 2 way See supportive learn vulnerability vulnerability with 1 and

of 6.6111

of ! 2009, Selected includes Early domains communication). BC. thrive page grow, Repairs 6.9 (%) since and five on Child and children development levels Creating and to measure equitable post-natal The This Needing Dweffings 7.2 Major 0 10 50 ° 20 40 3 0 -3 0 2015 domains

Victoria _•__. •••E::_: of of at more to both on or Determinants lower to look Greater get Greater a lower modes 2013 (EDI) owners shelter. to • to the one time spending is and on and of percentage Greater on repairs. however, active summary shelter home in renters, BC, 4$% transit) of on spent Social lower average major For Health housing Health is a using and 2011 shelter; with Health of is of the Development percentage public on of vulnerable BC. income percent Island Island households need Health reports income I and Health to There in higher their cycling, income similar 2009 A employed, of children family Island a Childhood affordability Island similar Health (45%). to are Transportation their to information. 30% Determinants population of household’s BC (walking, Early households who a multiple Island . and minutes). than Victoria, measure more preschool of of Social 3(YYo minutes, 2007 similar to than to and 6 (20 of compared is for Victoria those 1 IBC See 1 more than is 1 BC way much Greater 50 20 higher U j40

0 30 0 than Among spend Greater page Housing arc crowded Victoria One compared transportation Percent 1T1OfC percentage how For work. work Victoria illicit information motor hospitalizations See compared Island Island Crime serious lower have Health etlinterventions. dental Child 0 cJ . z . - c NC C C c cJ D Mental Social drug-related been hospitalization compared Health Health vehicle violent and per 0 2 4 - 1 5 3 6 and Determinants to increasing 4.4 Health 1,000 C3 c\1 BC on BC; average. overall theft 4.9 crime Cl c Substance the over are to Children however, hospitalizations BC 5 ‘- C1 Disease above lower Island and 5 time, and has rates across 5.6 Rates Alcohol non-cannabis of lower 5.8 non-cannabis than topics. elhand Health and & for and Health Greater of the Youth Island Use injury/poisoning hospitalization have the rm rates crime Disorder and 4.4 province are Island summary 5.8 Victoria aged been cS1 ,1- © © tobacco-related Health higher. BC. drug Social Cl Lfl drug Hospitalizations 0 eeal decreasing. generally over Health 5.9 to \ CC1 © (serious offences) has on offences 24 43 o mental for Greater C C’1 the page and years higher average, 4.2 Cl past Determinants crime, for 5.3 1 © ‘- C- than Victoria 2 five rates respiratory for 5.2 Lfl C’ diseases while the years. 5.2 more \ of Greater and Greater disease disorders —C j: ,%

II I z I . Victoria I I S Tobacco, I I C Victoria in it)

Greater ::

2O+13C

200 : :: 0 5 0 5 50 of among had per © N( (N (N (N © c’ 1tri, S . ,- !E!!:!!::!z:!::!:*!, IE!E!1EEIE!EIEE;2EIEEE!E1EEE! Alcohol Age also Health Greater Island lower 1,000 - (N C\1 Victoria children Child Standardized saw © © © C\i Lfl Health hlrnaged Children rates Victoria and an (N © C\1 - Hospitalizations have increase, Ifficit and of © © © © © ifl C\1 N (N children •Island been youth Rate N( (N (N (N C © \ 00 Drug -II:t:F--I r although 1 0 similar per Health (ages to Use hospitalized © C 00 © 14 100,000 Hospitalization years 0 to (N C1 © - Q rates to Island • 4years) 24 N( N(N (N (N (N ‘- c-i - I Greater remain for r ,- - - Victoria © © ‘- (N C1 - 5 Cr) fl (N - 6 flu flu I-fl Health been ‘ C\1 •1— fl1 are has S flu \ © c) flu BC. See there 5.0 15.9 53.1 73.9 Victoria 303.2 269.1 and flu Q Cl \Q fl however, Victoria

. .

Health . N- N N ‘—i (N ‘—

Greater

. . BC; for Expectancy - C Island \D Greater than rate Life than N 00 c c lower 81.7 78.7 3.7 52.5 77.3 32.4 212.2 280.5 mortality higher and so 70 80 $0 70 70 5, -1 Health .

1

.

infant . .

Victoria

. . Health overall,

Life Status 201 Life Births The 2011-2015 in Greater BC Island Island Health Expectancy Life Expectancy Male

Expectancy Female

. . . Live topics. births mothers. 3.7 Island live 75.3 57.6

22.2 Health 1,000 such Statistics, 320.6 241.1 these to over) on ,000 . Per Victoria chronic 1 Greater Victona life Birth . and

of

. . years. BC

similar .

per . measures the is 2011-2015, 5.0 Greater to 82.4 years In in of information Health (35 includes prevalence Victoria similar mortality. whole. reaching more older a Island years to as for expectancy expectancy Births Greater 35 remains under 13 mortality, decade, population life Mortality life births pre-mamre and BC a Birth over the page past province infant years rate for and of years, rise had on more the the and Sections Cesarean Mothers Pre-term Infant Low 20 Mothers Weight to 30 birth for status over past Victoria mortality summary expectancy, the overall health continued life Life Expectancy

The 0 Status proportionately increasing Greater expectancy Over has as disease, The ischaemic Alzhiemer’s Status Chronic Ratios mftuen%a, lower Victoria for due than The disease, steadily 0 mortality to all-cause expected, than summary by respiratory declining and, is disease cause heart as similar expected. and well in rates; age-standardized as particular, disease can prevalence on other as over are to disease, a page be deaths Island complete deaths dementia time. found See are Depression Asthma Disorders Mood Diabetes Osteoarthritis Pulmonary Chronic Hypertension Ischemic Alzhierner’s Heart Chronic Other 1 3 ischaemic and, lower. Health due rates Health for due Deaths Failure & on Dementia list mortality in more Obstructive Kidney to Anxiety Heart is to for page Disease particular, of motor All Disease higher Status and falls heart Greater due Standardued information. Disease rates Disease 15. BC and rate vehicle to Chronic summary in and disease, rates shown circulatory Greater suicides. pneumonia Victoria for and accidents Greater Disease Mortality are below . on . . Per . Victoria, • . • BC has • • . are Deaths higher page Health system 1,000 & been Prevalence generally are 21 182.6 120.7 are 64.t) 62.1 61.5 53.$ 18.0 16.9 14.1 14 8.5 Individuals age-standardized while Island < -

I : : similar Rates

prevalence • 110 120 • Status 5t) 60 • 70 $0 • • • • • • • Health (2014/15) 2007-2011 to Mortality . B •BC 246.2 173.7 129.7 Island Island Greater 68.6 47.3 61.2 54.1 19.1 16.5 12.6 for of COPD, comparability Greater Health Health (Age 2008-2012

Victoria . . . • Standardized • • • • • • cardiovascular Victoria and 2009-2013 252.9 166.4 121.4 BC 63.2 51.4 52.8 21.9 39.0 15.7 11.3 across rates. Rate regions. 2010-2014 disease Prevalence per 10,000) See and 2011-2015 I Icaith of 7 8 2016 Victoria 2016 —I Health

- : : 1 2015 Greater

Island U . •BC 2015 Service 10,000)

by : I I I - 10,000) 2014 per Cases per Cases Rate 2014 • .

I : Rate . 2013 Inpatient Inpatient :__ Care ______2013 2012 Standardized Care Victoria Standardized Health 0 0 0 Acute 40 20 20 40 40 20 40

(Age Use Acute (Age Greater BC Island - - - -

2012 • Care Care Care Care 0 o 60 80 40 200 300 (excl. Utilization Surgical Psychiatry Utifization Acute Dementia) Acute Utilization Medical Maternity Acute Utilization

Acute Service 2 C) 331.8 the 2016 page —:O Visits in _-._-A7fl Island and rates and the and Urgency

for Health on and to Sensitive for for Greater 75 years Centre treated . similar Health 75 Higher Care J. be 2015 aged iowcr wouldn’t psychiatry has Care of summary emergency/urgent compared admissions can Island are those and 3) as of topics. admissions) — or for that Urgent than 2 Percent similar, EZZ Victoria . rates 1, population Ambulatory these maternity, and Utilization and 2014 are and Victoria available on for . the for lower (mpatient — lower . is Greater rates (CIAS for conditions overall Victoria Service rates - rate and hospitalization Health Greater area, and LHA 69.3 289.0 in both Emergency Population k______.,r_.__•_____k______A .— services are 2013 admissions Health information Greater Island .. if (ASCS) require 000

services,

. • overall service . 1 rates, lower admission See care services. Victoria 0 0 more hospitalization By 20 60 40 are per 100 300 200 400 visit hospitalization both for acute 6 icaith.

Unscheduled 0 Rate 1 over, I Conditions care surgerical CoifliflUflity necessarily While Hospital Victoria. Greater over. of medical BC, The V V C oil C 0 •0 L) 0 0’1 0 Health Service Use The majority of hospital visits for both emergency/urgent care and acute care visits made by the Greater Victoria population are to the RoyalJubilee Hospital and Victoria General Hospital. Service Use By Facility - 2015/16 Emergency and Urgent Care Acute Inpatient Care

VGH - 34.9°/o Victoria General Hospital RJH - 51.2° Royal JUl)ilee Hospital t:

VGH - 47.2°/o RJH - 59.2/ Victoria General Ro al Jubilee Hospital Hospital

There is a higher number of home care clients per 1,t)t)t)people aged 75 and over for Greater Victoria compared to Island Health; however, the number of home support clients per I ,t)OOaged 75 and over is slightly lower. See I Ieahh Service Utilization summary on page 16 for more information on these topics. Home Care and Home Support Clients Home Care Visits Rate per 1,000 Population Age 75 and Over Rate per 1,000 Population Age 75 and Over 2014 2015 2016 2014 2015 2016 210.7 2,574.9 207.3 2,455.7 2,396.t) 193.2__ 188.4 2,340.0 2,219.4 Home Home Care Care Clients - Visits - 75+ 75+

Home Support Hours Rate per 1,000 Population Age 75 and Over

HO1T1t Support Hours - 75+

1Island Greater Island Greater Island Greater Island Greater Island Greater Island Greater Health Victoria Health Victoria Health Victoria Health Victoria Health Victoria Health Victoria

9

10

Island Indexed Health to

0.0 0.5 1.0 1.5 2.0

Age Average (People 2016) 43.7 44.9 42.0

Percent ofthe growth age

group 75+ population

50.0 60.1 next in 54.5 10 years

:4

Percent of growth 65-74 the group age

population 33.3 10 next in years 33.7 20.4

• * • • .

Percent

growth the of

45-64 age -3.0 population group • -7.4 10 in years next .8 . 1

.

• *

Percent

growth the of 20-44

-4.7 group age population 8.8

9.0

10 next in years

• , . . .

Percent

the of growth age 9 0-1 group population 8.5

years next in 7.6 1 10 12.

• .

... (%) Population aged and 75 over 9.5 . • 9.8 7.5

Population

aged 65-74(%)

.1 I I 9.9 13.2 1

‘ •

(

(%) Population 45-64 aged 27.1 29.2 . 28.1

)

(%) Population aged 20-44

36.6

29.7 34.7 *;:t

• ‘ •

Projection •

4

Population aged

(li) 0-19

1 1 5.7 8.2 9.9 1 .

* .

Population

,

.

+

Total

Population population

and

between growth

and 2016 2026

7.9 10.6 . 12.6

. ‘. iI 1

(

Population (%)

to migrating the area in 5 last 20.3 years 20.4 21.1

• Immigrants

Migration and Immigrant

population (%) 5.5 19.3

1 27.6 .

*4

• Population aged and 15 who over are (%) separated divorced or .1 1 9.4 12.2

Population

aged 15 (%) who and widowed over are 6.6 6.4 5.5 . . .

Population aged over and 15 (%) who are 30.7 single, 24.5 never married 27.2

• * J

Population aged and 15 over who common-law are 10.3 10.6 %) 8.6 ‘

• Marital Population Status aged and 15 (%) who over are married 40.2 47.5 49.2

• •

Population

private in households with (%) Aboriginal Identity 3.8 6.6

. 5.4 .

(%)

Visible minority population 14.1

7.6 27.3

• • •

Population where language most spoken often 6.3 at is home 3.3 not 5.4 (%) English 1 or French

Demographics

) Age Median and Age of Population 43.2 46.4 .9 41

Description

Victoria Health

Indicator Description

. .

BC

. .

Sub-group

. . Greater . Island

Population Demographics and Summary

indicates of h range the other IA LI values the dark and gray shading s shows 0% ± Island the I from value. Iealth I

by

Health;

red

identifies

results worse

than

sadHealth. Island Island Health’s shown value is the black dotted which line, always is at h centre the of chart. the Light

encompassing gray shading small grey circles

The

chart

below how shows

various

indicators

for

LHA this

with compare rest the of Health. Island This result LHA’s for indicator each show is with a large circle. identifies Green results

better

than Island

• .

LHA LI-TA

Better

than

Island

Health

Worse LHA

than

Health Island Rate, BC when available Other Range • LHAs Island Health Value with ±10% . LI-IA • LIlA Better than Island Health • LHA Worse than Island Health • BC Rate, when available Range • Other LHAs Island Health Value with ±10% The chart below shows how various indicators for this LHA compare with the rest of Island Health. This LHA’s result for each indicator is show with a large circle. Green identifies results better than Island Health; red identifies results worse than Island Flealth. Island Flealth’s value is shown by the black dotted line, which is always at the centre of the chart. Light gray shading encompassing small grey circles indicates the range of other LI-IA values and the dark gray shading shows s ±10% from the Island Flealth value. Social Determinants of Health Summary

Sub-group . . . Greater Island . Indicator Description . . BC Description Victoria Health Education Population aged 25 to 64 with post secondary certificate, diploma or degree (%) 71 .0 64.8 648 Grade 12 completion among students entering Grade 12 for the first time (%) (2yr Agg) 79.6 76.0 80.5 ( Students completing high school within six years of enrollment in Grade 8 (%) (2yr Agg) 87.4 76.6 83.3 S •*

Employment Population aged 15 and over who are unemployed (%) 6.6 7.4 7.8 ...... t...... o -- Health Behaviours Alcohol consumption (litres of absolute alcohol sold per person, 1L58 standard drinks) 10.1 10.9 9.0 ., Household Persons aged 65 years and over who are living alone (%) 35.4 27.6 25.7 Lone-parent family households (% of census families with children) 32.5 30.2 25.9 4.. Private households with multiple families (%) 1 .2 1 .5 2.9 ..,,, ..... Private households with 6 or more persons (%) 1 .3 1 .7 3.3 .*....

Dweflmgs rated as needing major repairs by renter or owner (%) 6.6 6.9 7.2 •- Private households that are owner-occupied (%) 56.5 71 .6 70.0 •1-

Income Median lone-parent family income ($) 46,412.0 40,914.0 42,610.0 .*..j’. - Median household total income ($) 55,570.0 57,420.0 60,333.0 ... .

4 Income Inequality Difference in median income comparing males and females aged 15 and over 9,164.0 12,177.0 12,003.0 ••.-*4.

Low income in 2010 based on after-tax low income measure (%) 15.6 . 15.2 16.4 e,.. • • Low income in 2010 based on after-tax low-income measure, ages less than 1$ years (%) 16.4 20.4 1 8.5 .

Low income in 20 10 based on after-tax low-income measure, ages less than 6 years (%) 1 7.2 1 9.0 19.1 ..

Low income in 2010 based on after-tax low-income measure, , . S •1 ages 18 to 64 years (%) 1 6.1 1 5.4 16.2 •

Low income in 2010 based on after-tax low-income measure, ages 65 years and over (%) 1 1.8 1 1.1 13.9 * . . . ,. . Households (owned) spending more than 30°/i ofincome on housing (%) 23.0 21.1 23.8 Households (rented) spending more than 30% ofincome on housing (%) 47.7 48.0 45.3 Income Supports Population on Income Assistance (%) 1 .6 1 .8 1.9 *...*. •t. a. Population aged 15 and over on Employment Insurance (%) 1 .0 1 .4 1.5 *.• +* Morbidity Alcohol-related hospitalizations (age-standardized rate per 100,000) 565.8 596.6 496.3 .• ..

Ifficit drug-related hospitalizations (age-standardized rate per 100,000) ..** 129.4 1 12.3 115.0 ..1. ••‘

Tobacco-related hospitalizations (age-standardized rate per 100,000) 504.4 554.0 538.8 ** Transportation Median duration of commute to work among employed population aged I 5 and over 1 5.8 1 5.7 20.4 ..•*.

Employed ‘ population aged 15 and over walking, biking or busing to work (%) 37.1 22.0 23.1 ....e,*... ,, . 0.0 0.5 1.0 1.5 2.0 Indexed to Island Health

11

12

Indexed to Health Island

0.0 0.5 1.0 1.5 2.0

• .

Children

and Need Youth ofProtection in

(rate per 1,000 23.6 children 1$) 0 aged 29.6 to 20.4

. •

and youth -

: (

. • • Children Care Youth and (rate in Protecting 1,000 per children children 7.8 0 aged 8.0 13.0 18) to

r

,

Kindergarten EDI:

rated children vulnerable as 25.0 one on 28.5 or domains, 28.6 more commun.. excluding

• *.

.•• •

Kindergarten EDT: children as rated vulnerable 28.0 (%) on .1 or one 31 more 32.2 domains •

Kindergarten EDI: . children vulnerable as rated

for communication 1 .0 development 1 .9 1 1 14.2 (Vo)

• • :

• • Kindergarten EDI: children vulnerable as rated for 6.0 language (%) development 9.0 9.4 *

(

EDI: Kindergarten children as vulnerable rated (%) 5.0 for emotional development 1 6.6 1 1 6.1

. Kindergarten EDI: • • rated children as vulernable for social 13.0 (%) development 14.7 5.7 1

(

EDI: . ‘ Kindergarten ‘ children rated Early

as Development vulnerable for 14.0 physical

development 16.2 14.8

(/o) . .

Non-Cannabis Drug

(rate Offences 1,000 per population 219.6 154.8 170.3

••••• •

•••

• Motor Vehicle

Theft (rate ••

1,000 per • ••

population) 1.9 3.6 2.1

• • •

• •

of Number Serious

Police Crimes per Officer 7.0 5.7 4.7 • .

Serious Crime (rate 1,000

population) per

8.4

‘.• 7.7 10.1

• • • •

(.

Serious Violent Crime Crime (rate

1,000 population) per

3.0 2.2 3.1

. .

(

Pregnant women who reported smoking at any during time

(%) current pregnancy .

0.8 1 7.0 7.7 Agg . (5yr .

hospitalizations Cld Dental Surge (rate aged 1,000 per 5.8 to 0 9.5 -(2yr 14) A) 7.0 -

Child hospitalizations Respiratory Dis. (rate 9.4 aged 1,000 per

0.4 to 0 8.8 1 d) 14)

2rAgg) (2yr -

. -

(•4.

Child Hospitalizations Injury/Poisoning (rate 1,000 per to 0 aged 4.3

14) 5.1 Agg) 4.4

(2yr - -

Child/Youth Mental

& Diseases

Disorders Hospitalizations

(rate 1,000 aged per 5.9 5.2 0 24) to 5.8

. *

Youth Mental & Diseases Disorders

Hospitalizations (rate 1,000 per aged 8.5 15-24) 10.3 10.8

.

Child Child Diseases Health Mental & Disorders Hospitalizations (rate per 1,000 2.8 0-14) aged 2.0 1.5

Description

Victoria

Health .

.

Indicator Description . .

BC . . .

Sub-group Greater Island

the indicates range

other of LIlA and values the gray shading dark s shows the from I{ealth Island value. ±10%

Health; red

identifies results worse than Health. Island Island Health’s value by shown is the dotted black which line, always is the at the of centre chart.

Light gray encompassing shading small grey circles

The

chart below shows how various indicators this LHA for compare the with of rest Island Health. This LHA’s for result mthcator each show is a with hrge Green circle. identifies results hnIsland than better

• .

Better LHA

than Island LI-IA Health

LHA Worse than Island Health BC Rate, Other Range available when • LHAs sadHealth Island Value with ±10% . LHA • LHA Better than Island Health • LHA Worse than Island Health • BC Rate, when available Range • Other LHAs fl Island Health Value with ±10% The chart below shows how various indicators for this LHA compare with the rest of Island Health. This LHA’s result for each indicator is show with a large circle. Green identifies results better than Island Health; red identifies results worse than Island Health. Island Health’s value is shown by the black dotted line, which is always at the centre of the chart. Light gray shading encompassing small grey circles indicates the range of other LI-IA values and the dark gray shading shows s ± 1 O% from the Island I-Iealth value. Health Status Summary Information

Sub-group . . . Greater Island Indicator Description . . BC Description Victoria Health

Births Live Birth Rate (rate per 1,000 population) 8.3 * • 2.4 9.6 • • Stillbirths (rate per 1,000 births) 7. 1 8.5 10.7 • • ‘ Infant Mortalir deaths offants under 1 year of age (rate per 1,000 live births) - 5.0 3.7 3.7 . ..

* • Low Weight Births - less than 2,500 grams (fate per 1,000 live births) 53.1 52.5 57.6

Cesarean Sections (rate per 1,000 live births) 303.2 280.5 320.6 a” 4 (

Pre-term Births - gestational age less than 37 weeks (fate per 1,000 live births) 73.9 77.3 75.3 ‘ • ( I •

Mothers under 20 - live births to mothers under 20 years ofage (rate per 1,000 live births) 15.9 32.4 22.2 • • .

Mothers 35 and over - live births to mothers aged 35 and over (rate per 1,000 live births) 269.1 212.2 241 .1 , • Life Expectancy Female Life Expectancy 84.3 84.1 84.6 Male Life Expectancy 80.4 80.2 80.6 (j Life Expectancy 82.4 82.2 82.6

Morbidity Alzhiemers Disease and Other Dementia - Prevalence (age-standardized rate per I ,000) 21 .9 1 9. 1 1 8.0 • • •• •

Asthma - Prevalence (age standardized rate per 1,000) 121 .4 129.7 120.7 . Chronic Kidney Disease Prevalence (age standardized rate per 1,000) 1 5.7 1 6.5 1 6.9 • Chronic Obstructive Pulmonary Disease Prevalence (age standardized rate per 1,000) - 51 .4 61 .2 62.1 ‘ • .1

Mood and Anxiety Disorders - Prevalence (age standardized rate per 1,000) 307.7 302.4 267.0 • 4

Depression - Prevalence (age standardized rate per 1,000) 252.9 246.2 21 8.5 •

Diabetes - Prevalence (age standardized rate per 1,000) 52.8 54.1 61 .5 • •

Heart Failure - Prevalence (age standardized rate per 1,000) 1 1 .3 12.6 14.1 •• • • • Hypertension - Prevalence (age standardized fate per 1,000) 1 66.4 173.7 1 82.6 • 4.. Ischemic Heart Disease - Prevalence (age standardized rate per 1,000) 39.0 47.3 53.8 • . Osteoarthritis Prevalence standardized fate - (age per 1,000) 63.2 68.6 64.0 (‘ 4..ø...

0.0 0.5 1.0 1.5 2.0 Indexed to Island Health

13

14

higher utilization category example, for with someone medium complex conditions chronic who also was — in hvmg would care residential counted be in Frail, the Residential Living category Care in

words,

everyone is placed one into categories, the of going from low rno or to utilization ihutilization high at life; of people end who may meet criteria the category more than for one placed be would into the

FIealth

a Matrix way is of categorizing population

the into different groups *The based their health on service utilization patterns. categories These

are exclusive mutually add pto up and 100% other in -

Island to Indexed Health

0.0 0.5 1.0 1.5 2.0

•4

Health Matrix: (%) Non-Users 12.7 12.0 14.5

Health Matrix: ..*. Living in ... with Community Paffiative (%)

Needs Care 0.7

0.6 0.4 *.

Health Matrix: Frail, Living (%) in Residential Care 1.3 1.0 0.8 ..

Health Matrix: (%) Cancer 1.3 1.5 1.3

Health Matrix: Frail, Living Community in

High with Complex (%) Conditions Chronic 0.7 0.7 0.6

,*.

Health High Matrix: Complex Chronic

(% Conditions 3.7 3.9 4.4

*

Health .4. Matrix: Frail, Community in Living (%) 0.6 0.5 0.4

Health

Maternity Matrix: Healthy & Newborns 2.0 2.0 2.2 .,. %)

..

Health Matrix: Severe Mental & Health Substance (%) Use • 2.2 1.9 1.7

1)1E.

.

Health Medium Matrix: Complex Chronic (%) Conditions 8.6 9.9 8.2

Health Matrix: Low 4) Complex Chronic Conditions (%) 26.2 7025.2 27.0

Health Matrix: Significant or Major Time-limited Health Needs & 0.6 (Child %) Youth, 0.7 0.6

Health Major Matrix: Significant

or Time-limited Health Needs 3.3 (Adults, 3.4 3.1

•,): 0/s)

Health Healthy Matrix: Health Population/Minor Episodic

Health (%) Needs Matrix* 36.1 34.4 37.0

. .,... ..-

Mortality (age standardized rate per 10,000) 68.0 69.1 67.0

•.i4::

.

Mortality due to unintentional injuries (age standardized rate 10,000) per 2.1 1.6

•.. Tobacco-related deaths (age-standardized rate per 100,000) 114.3 112.1 85.1

4•’• drug-related Illicit deaths (age-standardized rate per 8.8 100,000) 9.4 7.2

. Alcohol-related

Deaths deaths (age-standardized per rate 100,000) 34.4 37.3 24.6 ...a.

Description

Victoria Health

Indicator Description

BC

Sub-group

Greater Island

the indicates range of other LilA values and the gray dark shading s shows ±10% the from Health Island value.

identifies red Flealth;

results worse than Island Health. Island Health’s value shown is the by dotted black which line, is the at always of centre the chart. Light gray shading encompassing small grey circles

The

chart

below

shows

how

various

indicators for LHA this

compare the with of Ishad rest Health. LHA’s This for result indicator each show is a with large circle. Green idenfies results than better Island

• .

• • •

LHA

LHA

than Better Health Island

LHA

than Worse

Island Health

BC Rate, when available

Other Range LI-lAs Island Health Value with ±10% • . LilA • LHA Better than BC - significant • LilA Worse than BC - significant Is1and I-Iealth Range • OtherLH BCa1uewith±1O/o . LHA Better than BC — not significant • LHA Worse than BC - not significant The chart below shows how various indicators for this LI-IA compare with the rest of BC. This LilA’s result for each mdicator is show with a large circle. Green idennfies results better than BC; red identifies results worse than BC. BC’s value is shown by the black dotted hne, which is always at the centre of the chart. Light gray shading encompassing small grey circles indicates the range of other LHA values and the dark gray shading shows s ±1O% from the BC value.

Standardized Mortality Ratios Ratio of observed deaths over expected deaths based on provincial age-specific mortality rates.

Sub-group . . . Greater Indicator Description . . Island Health BC Description Victoria

Deaths compared All Causes of Death (Standardized Mortality Ratio) 1 .02 1 .03 1.00 re’. • to BC Cancer (Standardized Mortality Ratio) I .00 1 .05 1.00 ...1 PP.- ... Endocrine, Nutritional & Metabolic diieases (Standardized Mortality Ratio) I .05 1 .01 1.00 Diabetes (Standardized Mortality Ratio) 1 .04 1 .02 1.00 1• ...

Circulatory System (Standardized Mortality Ratio) 1 . 15 1 .07 1.00 ...... Iichaemic Heart Disease (Standardized Mortality Ratio) 1 . 1 5 1 .05 1.00 .4.. Cerebrovascular Disease (Standardized Mortality Ratio) 1 .02 1 .02 1.00 r Arteries, Arterioles & Capillaries (Standardized Mortality Ratio) 0.99 1 .00 1.00 ..i Respiratory System (Standardized Mortaliw Ratio) 0.82 0.94 1.00 Pneumonia & Influenza (Standardized Mortality Ratio) 0.56 0.85 1.00 Chronic Lung Disease (Standardized Mortality Ratio) 0.97 1 .01 1.00 Digestive System (Standardized Mortality Ratio) I .10 1 .07 1.00 i. i’Iotor Vehicle Accidents (Standardized Mortality Ratio) 0.48 0.90 1.00 . Accidental Falls (Standardized Mortality Ratio) 1 .30 1 .12 1.00 Suicide (Standardized Mortaliw Ratio) 1 .20 1 .21 1.00 ...4 Potential Years ofLife Lost (Standardized Mortality Ratio) I .02 1 .10 1.00 ......

0.0 0.5 I .0 1.5 2.0

Indexed to BC

fa .

15

16

Indexed Island to Health

0.0 0.5 1.0 1.5 2.0

Primary Care Population to attached physician at practice the (1Ys) level 78.9 76.3 76.8

MM Utilization

Island facilities Health

only

per (rate 31.8 1,000 population)

32.1 •‘•- -

4. 4

Psychiatry (Dementia excluded)

Care Acute Utilization (case per 7.2 rate 7.1 population) 1,000 7.3

*4**4 Ø 4 .44

Matermtv

Acute

Care Utilization (case per rate 8.1 ,000 1 population) 9.9 10.1

4

Surgical Acute Care Utilization

(case per rate ,000 I 8.1 population) 9.9 10.1

4

•.f.•.

Medical Acute Care

Utilization (case rate ,000 1 per 31.5 population) 38.3 40.0

4 4

Ambulatory Care Sensitive conditions among 8.1 population aged 9.1 75 over and (Us)

aeSensitive Care Ambulatonr (%) conditions 4.3 5.0

4 4 •••*•4 44

a

Alternative

Level Days Care of standardized (age

,000 per 836.6 I rate 701.9 population 777.4 and aged 75

over)

-

4 4 4

..c.**. Alternative

Days Level Care of (age standardized 78.0 rate 79.3 ,000 I per 78.6 population)

4

Alternative Level Cases Care of (age standardized 17.0 rate 20.2 1,000 per population 32.7 aged 75 over) and

Alternative

Level

Cases Care of (age standardized 1.9 2.0 1,000 rate per

3.5 population)

...

. ...

.

Care Acute Inpatient Cases (age standardized 264.1 rate I per 285.4 ,000 population 300.9 aged and over) 75 Care

., Acute Hospital Care Inpatient Inpatient Cases (age standardized rate 1,000 per 72.3 population) 81.2 79.5

Acute Care standardized Cases Day (age per rate ,000 1 196.8 population aged 75 199.4 and 226.9 over)

Acute Hospital Care Cases Day Day Care standardized (age per ,000 rate 1 population) 83.6 86.4 89.1

Emergency Visits with (¾) CTAS of 3 2 1, for or 75+ population 78.3 77.4

Unscheduled Emergency Department •

Urgent or Care Centre visits 684.7 (rate for 778.2 per ,000 1 75+ • .5..

Emergency

with Visits CTAS (%) of 3 or 2 1,

70.9

67.0 . ...,

‘• •

Unscheduled Emergency Emergency Department •

or Urgent

Care Centre visits

331.8 1,000 (rate 448.6 per population ..

Home Support Hours per (rate 1,000 population

aged and 75

over) 34,122.6

29,243.1

.__ . .

Home Support Hours

per (rate 1,000 population) 4,512.7 4,165.8

•. .

C *

Home Support

Clients (rate 1,000 per population

.5 aged • and 94.9 over) 102.2

;bi C

Home Support Clients (fate per 1,000

population)

12.3

13.4

.

Home Care Clients

(fate 1,000 per population aged 75 over) and 214.5 185.0

•• .. .

Home Care Clients (fate 1,000 per population) 29.8 • 30.0

Residential Care Beds (rate 1,000 per population aged and 75 over) 94.8 72.7

......

Home Care Visits 1,000

(fate per population aged and 7 2,250.8 over) •

2,396.0

‘ . .‘

Continuing

Care

. . .

Complex Care Home Visits (rate ,000 per I population) 333.3 409.9

Description

Victoria

Health

. . Indicator

Description

BC

Sub-group

. Greater Island

Health Service Use Summary Information

sadHealth’s Island

is value

by shown

the

dotted black

which line,

is

the at always

the of centre

Light chart. shading

gray

encompassing circles grey small indicates of the range other LI-IA the values dark and shading gray shows ±lO% s

the from Island Health value.

The

below chart shows

various how

mdicators

for

LHA this

compare the

rest with

of

Island

Health.

This result IRA’s indicator each for show is large a with Green circle. results identifies better Island Health; than identifies red results worse Island Healch. than

• .

• •

LHA Better than LilA Island Health

LHA \Vorse Health than

Island

Rate, 3C when available Other Range LHAs Island Value Health • with ±10% Dis. Ideas, People aged Ideas, BC Average Child Percent growth smoking Child Social Statistics the (2yr of the 0-1 Immigrant 2011 Migration Population Population or and National Age often Median ( Marital Identity Population I I I ¾): 0 Population Child Population the divorced 9 20-44 last Statistics Agg): over (rate Census, 0 age and hospitalizations at Period Fiscal 45-64 to Health 2015, Mental of 5 growth Age home Age (%): group at - who Household years Determinants 24): per age Status Ministry the People Demographics population any aged (%): year age of - Version Calendar aged and National (People ending 1 group Ministry aged 65-74 People are is ,000 and Diseases (%): population time Population: of group not 1 Census, ending and married 2015, 5 65-74(%): the Immigrants 0-1 of aged and National Population population age during 2013-201 English Survey, 201 2015 201 Health - 9 75+ Household year (%): of population Dental Demographics Version over (%): group & 2016 0 6): Calendar Health 5, (%): to in Disorders age 201 National current Census, Version BC BC BC Calendar who or Household I-lealth next 14) 5 Surgery population of group 1 Census, in French Statistics Child/Youth 2t)15 Statistics Health Statistics - Child are Survey, next 1 in Health (2yr year Projection Population pregnancy 0 Calendar 2015 Household Ideas, next years: Flospitalizations population common-law year Agg): (rate 201 10 Calendar Hospitalizations Population (%): Ideas, Survey, - - - Calendar in 1 years: People 2011 Period 1 0 People People BC per Total Census, next Ministry years: year Mental (¾) Fiscal aged Population Statistics Data 1,000 Survey, BC Calendar year in 1 population 201 ending 201 (Syr 201 201 0 BC aged next year (%): 1 Statistics years: Calendar year 5 201 Diseases of 1 aged 6, (rate 5, 5, Agg): and Statistics Calendar 201 Calendar Census, - 45-64 10 Health - Version Sources Version 1 Population 2013-2015 ending Injury/Poisoning People year BC aged 0 per over years: 1 Perinatal to Population growth - year & Statistics (%): 2011 People 1,000 Population 14) Health 1 who - Calendar 201 Disorders 201 5 201 year 201 BC year People 201 and -(2yr BC 6 in 5 aged 5 5, between are Statistics Registry, 2t)1 ending 201 Child 1 Ideas, over Statistics f f Version private - Pregnant Agg): Population widowed aged Population 201 People 1 year 5, 0-14): Visible where Hospitalizations (rate Version who hospitalizations 5, Population Period 201 2016 1 Ministry - 201 households Version Period 5 2t)1 People Ministry - per 201 and 6 are women language People minority 1 (%): and 5 aged 5, aged 1 201 ending Percent single, over ,000 Population ending Version Census, of 201 201 Percent 2026: 5 migrating 20-44 of 2015, who 75 Health who aged with spoken 5, population 5 never Percent Health 2013-2015 (rate - and growth Version BC 2010-2015 Respiratory reported Version 201 Percent are Calendar (%): Aboriginal 0 growth over per Health aged to Statistics married most 5 to separated Flealth growth BC 14) of 1,000 area 2015 (¾): (%): 15 the of 2015 - year in 17 - 0 Data Sources Youth Mental Diseases & Disorders Hospitalizations (rate per 1,000 aged 15-24): Ministry of Health Health I Ideas, Fiscal year ending 2016

Crime Motor Vehicle Theft (rate per 1,000 population): BC Statistics, Avg 2009-201 1 2012 Non-Cannabis Drug 2009-201 1 2012 Number of Serious Crimes per Offences (rate per 1,000 population): BC Statistics, Avg f Police Officer: BC Statistics, Avg 2009-201 1 2012 Serious Crime (rate per 1,000 population): BC Statistics,

Avg 2009-2t)1 1 2012 Serious Violent Crime (rate per 1,000 population): BC Statistics, Avg 2009-201 1 2012

Early Development EDI: Kindergarten children rated as xrulernable for social development (%): Early Development Instrument, Wave ending 2015 EDI: Kindergarten children rated as vulnerable for communication development (%): Early Development Instrument, Wave ending 2015 EDI: Kindergarten children rated as vulnerable for emotional development (%): Early Development Instrument, Wave ending 2015 EDI: Kindergarten children rated as vulnerable for language development (%): Early Development Instrument, Wave ending 2t)l 5 EDI: Kindergarten children rated as vulnerable for physical development (%): Early Development Instrument, Wave ending 2015 EDI: Kindergarten children rated as vulnerable on one or more domains (%): Early Development Instrument, Wave ending 2015 EDT: Kindergarten children rated as vulnerable on one or more domains, excluding communication (¾): Early Development Instrument, Wave ending 2015 Education Grade 12 completion among students entering Grade 12 for the first time (%)(2yr Agg): Ministry of Education, Period ending 2013-201 5 Population aged 25 to 64 with post secondary certificate, diploma or degree (%): National Household Survey, Calendar year 201 1 Students completing high school within six years of enrollment in Grade 8 (%)(2yr Agg): ]\‘linistry of Education, Fiscal year ending 2013-2015 Employment Population aged 15 and over who are unemployed (%): National Household Survey, Calendar year 2011 Health Behaviours Alcohol consumption (litres of absolute alcohol sold per person, 1L58 standard drinks): AOD, Calendar Year 2014 Household Dwellings rated as needing major repairs by renter or owner (¾): National Household Survey, Calendar year 2011

Lone-parent family households (%of census families with chi1dren: Census, Calendar year 2011 Persons aged 65 years and over who are living alone (%): Census, Calendar year 201 1 Private households that are owner-occupied (%): National Household Survey, Calendar year 201 1 Private households with 6 or more persons (%): Census, Calendar year 201 1 Private households with multiple families (%): Census, Calendar year 2011 Income Median household total income ($):National Household Survey, Calendar year 2011 Median lone-parent family income ($):National Household Survey, Calendar year 2011

18 live births): 35 201 Mortality ending ending Cesarean National Health Employed Transportation per Development, Births Calendar Family Ministry Alcohol-related related Children Children drug-related Protecting Morbidity 2012 Population less Household Low Income tax low after-tax Difference housing Household Calendar Income 0 and 5 low-income births 1 income than ,000 income over 201 201 Development, hospitahations Population Vital Low (%): of low-income Household and and year 6 Sections - year children Supports to Inequality Status population 1 1 deaths years in aged Children Survey, Survey, -201 -201 measure (rate hospitalizations Weight Statistics, mothers in Youth Youth National median 201 children 201 Fiscal 2010 hospitalizations measure, 5 5 1 (%): per 1 5 1 of (rate aged on Calendar Fiscal and in in Births Mothers Live infants Survey, and year based (%): 1,000 measure, National under income Median End Income Households aged household Calendar Need Care per (age-standardlied 0 over Family and ages to Birth ending year National ofAugust live - 1,000 on 15 under 20 (rate 1 Calendar less (age-standardized of year on 8): 35 comparing duration less Assistance and ending after-tax Household ages youth years births): Rate Protection year (age-standardized Development, Employment Ministry and than 2014 live per 201 Survey, than 1 over (owned) Household 1 year (rate ending of 8 over births): 1 2014 1 2,500 year 201 ,000 to Vital of 1 low-income age walking, Children 8 Low males of rate of 64 per (%): 1 commute - Fiscal Survey, years 2011 (rate children live (rate spending grams age 2009-2013 Children Statistics, years Vital 1 per Households income BC Insurance rate ,000 Survey, Fiscal and births Data (rate per (%): year biking per and 1 rate Statistics, (¾): Calendar Statistics, (rate 00,000): per population) females to aged 1 measure, 1,000 per National ,000 more ending and year Youth to in Calendar per work Calendar National 100,000): or per (¾): mothers 2010 Sources 1,000 0 Mothers Family children busing ending 100,000): live (rented) to than CARBC, 1,000 year aged September among Calendar 201 in BC ages 1$): based Flousehold births): live : Care year Household Vital 30% year 1 201 CARBC, Development, 1 Statistics, to live aged 201 Ministry 5 65 aged 35 births): spending employed Low work CARBC, and 1 ending on Fiscal (rate 201 5 years of Statistics, births): year and Vital f 35 2012 0 after-tax Low income over: 1 income to Children per and Survey, (%): Fiscal over ending Vital of year and 4 201 Statistics, Survey, 1 more Low quarter income Vital Fiscal 8): Children 1,000 population National over National - over 1-2015 Calendar ending Statistics, Fiscal on year live low-income Ministry in 201 Calendar income than Statistics, and (rate housing 2010 children year Calendar (%): births average in ending 1-2015 Calendar year and Youth 2013 Household 201 30% Household per ending year based National Mothers aged of Calendar in ending to 0 year Family (%): 1,000 Children 2013 aged 2010 Calendar as of based measure, year ending mothers in Infant 1 year of on income 201 5 2011 Care National 0 and 20 based live Sept under 201 after-tax Survey, year on to 3 Survey, Tobacco- ending 1 2011- and 1 year over: 6 (rate 1 after- ages aged Illicit 2012 8): on on 20 19 - 20 Blue Care (%): Ratio, and (%): System Causes Ratio): year Fiscal drug- (%): and year Cancer Ratio): Matrix: Ratio): Lung Statistics, All People, 2011-2015 ending (age Mortality Needs Matrix Fiscal to Illicit Palliative 5 Chronic Fiscal 2013 and Significant Mortality Matrix People, Vital year Cerebrovascular Health (Standardized Mortality Conditions (Standardized Matrix: 3 or due Chronic Circulatory 2013 Mortality Blue ending Mortality with 1-201 and 5 5 Health Blue Community 201 People, Mortality Matrix ending 5 5 People, (%): year 201 in births): Complex 201 Major Health System Calendar (%): Chronic ending and 1-201 Diabetes -201 and year (Standardized Blue Matrix Mortality live 1 1-201 ending 5 Low (Standardized 201 2013 Episodic 5 Living year (Standardized Care ending Community ending 201 201 (%): 5 201 Blue (Standardized Calendar (Standardized Matrix: Matrix year 1,000 in Matrix Lost Cancer Conditions Complex Statistics, year 1-201 Frail, year Calendar -201 Use Fiscal Respiratory ending (%): ending 1 Matrix: per Blue ending ending Life Blue Fiscal ending 201 Health Suicide Lung Vital High Living 201 5 Accidents of year year %): Residential Fiscal Statistics, (rate Influenza year Chronic year (%): year Matrix: 5 5 Health in Calendar & -201 CARBC, Statistics, 1 Substance ending Vital Years 2015 Fiscal births): ending CARBC, Conditions 5 Population/Minor Matrix: Matrix: weeks Vehicle & Youth, 1-201 1-201 People, 201 Fiscal

Calendar Sources Vital Living year Health & 37 201 Calendar Calendar BC): year Complex 201 201 1,000 and Statistics, Newborns ending 100,000): Motor Health Health Health 00,000): CARBC, Pneumonia Potential Frail, Healthy than Chronic ending per 1 People, 0,000: (Child High per 2015 1 1 ending year

Vital Data 5 5 Health: Statistics, Calendar ending ending 5 5 less Matrix per year Calendar Statistics, Statistics, and (rate Healthy 201 per with rate 201 201 Mental year age Matrix: Matrix: year 5 Needs -201 & year Fiscal Vital rate Blue 100,000): ending 1-201 1 Complex Ratio): Island Vital Vital rate 201 Matrix 2011-2015 201 201 Fiscal %): Statistics, ending per Severe year ending ending Calendar Statistics, Health Health Health Stillbirths Ratio): Ratio, People, Blue Calendar Calendar Ratio): Ratio): rate year Medium Maternity Community Vital year year gestational ending 5 Mortality 5 5 Vital Fiscal - ending ending ending and People, in (Adults, (%): Matrix: 201 201 BC standardized -201 year Statistics, (age-standardized 1 Fiscal Fiscal year year year and Mortality Ratio): Mortality to (age-standardized Matrix: Matrix: Births 0,000): Calendar Mortality Mortality Statistics, Statistics, Matrix (age Living People, 1 201 Needs Time-limited Vital Health Fiscal ending ending 2015 deaths ): per and Matrix Vital Vital People, People, Blue (Standardizcd 5 Frail, deaths Non-Users Health Health Calendar Calendar Calendar BC year year (age-standardized Mortality ending Health injuries Pre-term rate Statistics, and and 201 (%): Blue People, 5 ending Falls (Standardized Matrix Ratio): Ratio): Significant (Standardized compared Matrix year 5 (Standardized (Standardized Fiscal Fiscal 2015 201 Matrix: Matrix: and (¾): deaths Vital or Health: year Statistics, Statistics, Statistics, Matrix Matrix ending Blue 1-201 Death Cancer

Tobacco-related

I

I 0 ending Conditions ending Fiscal (¾): Major year Needs Health Blue Blue Health I-Ieahh Matrix People, People, Time-limited (Standardized Island Mortality Ratio): Vital of Mortality Deaths Vital Vital standardized Disease Disease Deaths Calendar unintentional Accidental 2011-2015 related 201 Alcohol-related 0 Data Sources Life Expectancy Female Life Expectancy: BC Statistics, Calendar Year Range 201 1-2015 Life Expectancy: BC Statistics, Calendar Year Range 201 1-2015 Male Life Expectancy: BC Statistics, Calendar Year Range 2011-2015

Morbidity Alzheimer’s Disease and Other Dementia - Prevalence (age-standardized rate per 1,000): MoH - Chronic

Disease Registries, Fiscal year ending 2015 Asthma - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease Registries, Fiscal year ending 2015 Chronic Kidney Disease - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease Registries, Fiscal year ending 2015 Chronic Obstructive Pulmonary Disease - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease Registries, Fiscal year ending 2015 Depression - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease Registries, Fiscal

year ending 2015 Diabetes - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease

Registries, Fiscal year ending 2015 Heart Failure - Prevalence (age standardized rate per 1,000): Mofi - Chronic Disease Registries, Fiscal year ending 2015 Hypertension - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease Registries, Fiscal year ending 2015 Ischemic Heart Disease - Prevalence

(age standardized rate per 1,000): MoFI - Chronic Disease Registries, Fiscal year ending 2015 Mood and

Anxiety Disorders - Prevalence (age standardized rate per 1,000): MoR - Chronic Disease Registries, Fiscal

year ending 2015 Osteoarthritis - Prevalence (age standardized rate per 1,000): MoH - Chronic Disease Registries, Fiscal year ending 2015

Health Service Utilization

Complex Continuing Care Flome Care Clients (rate per 1,000 population aged 75 and over): Island Flealth - Ideas, Fiscal year ending 2016 Home Care Clients (rate per 1,000 popu1ation: Island Health - Ideas, Fiscal year ending 2016 Home Care Visits (rate per 1,000 population aged 75 and over): Island Health - Ideas, Fiscal year ending 2016 Home Care Visits (rate per 1,000 population): Island Health - Ideas, Fiscal I year ending 2016 Home Support Clients (rate per 1,00t) population aged 75 and over): Island Health - Ideas, Fiscal year ending 2016 lIome Support Clients (rate per 1,00t) population): Island Health - Ideas, Fiscal year ending 2016 Home Support Hours crateper 1,000 population aged 75 and over): Island I-Iealth - Ideas, Fiscal year ending 2016 Home Support Hours (rate per 1,000 population): Island Health - Ideas, Fiscal year ending 2016 Residential Care Beds (rate per 1,000 population aged 75 and over): Island Health - Ideas, Fiscal year ending 2016

Emergency Emergency Visits with CTAS of 1, 2 or 3 (%)for 75+ population: Island Health - Ideas, Fiscal year ending 2016 Emergency Visits with CTAS of 1, 2 or 3 %): Island Health - Ideas, Fiscal year ending 2016

Unscheduled Emergency Department or Urgent Care Centre visits (rate per 1,000 population): Island I-Iealth - Ideas, Fiscal year ending 2016 Unscheduled Emergency Department or Urgent Care Centre visits for 75+ (rate per 1,000 75+ population): Island Health - Ideas, Fiscal year ending 2016

21 22 of (rate (age year Care Health ending Fiscal Level only ending of 6 1,000 Cases Health year Health Fiscal Health 2015 Acute Ideas, 7 population): year 201 of ,000 of - of per 1 Care 201 facilities population): Fiscal Ideas, Ministry ,000 of Alternative per rate 1 Fiscal ending ending Health excluded) Ministry 1,000 6 Ministry per rate Ministry Ideas, ending over): year Health Level Health year Ideas, 201 per rate Island and year over): Fiscal Island rate Health Fiscal 75 standardized - Health (%): I-Iealth (Dementia and ending Fiscal population): of standardized population): Alternative (age (case 75 aged Ideas, over Health, Health year 6 standardized Flealth (age ,000 1,000 of of Ideas, aged I Days and - of Utilization 201 Ministry Psychiatry Fiscal (age per Health 75 per Cases Care Litifization population MRI rate Ministry of Health Ministry rate aged Ideas, Sources Cases ending Ministry 2016 Health Care 6 population 1,000 (case (%): of year Day Level over): 201 Inpatient population): 2016 Island ,000 : per Health I Acute ending level Data and Care ,000 (%) Care population Fiscal rate 1 per standardized 75 ending ending Ministry year population): Health Utilization per rate Medical Alternative (age Acute practice Acute of year Ideas, year aged among ,000 Fiscal 1 rate Care 6 6 the conditions Cases at per Fiscal Fiscal standardized 2016 2016 201 201 Health (case population): Ministry Acute Health, rate Care (age standardized population conditions Ideas, Ideas, ,000 Sensitive of 1 ending ending ending ending Health Care over): physician (age Island of 1,000 Cases per to Care Utilization year year year Maternity year and Level Health Health Sensitive per Care 75 rate Cases 7 standardized Care Fiscal Fiscal Fiscal Fiscal rate Ministry Care 201 attached Health Inpatient Day Health aged Care Inpatient Day (case (age population): of of Acute Ambulatory Alternative 2016 Ideas, Ideas, Ideas, Ideas, Care Care Days ending 1,000 6

6 0 Primary Utilization ending Surgical 201 Ilealth Ministry Population standardized Care per year 201 Health population Ambulatory Hospital Health Hospital population): Health Ministry Acute Acute