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COUNTY COUNCIL & Local Community

Coiste um Fhorbairt Pobail Áitiúil Chill Dara Kildare Local Community Development Development Committee (LCDC) Committee

KILDARE CENSUS 2016 PROFILE HEALTH

All-Island Research Observatory An tIonad Breathnaithe um Thaighde Uile-Éireann

health cover.indd 1 05/06/2018 15:57 CENSUS 2016 PROFILE - HEALTH

Kildare_CensusProfile_HealthDisability.indd 2 01/06/2018 12:33:03 Kildare 2016 Census Profile Contents

HEALTH Indicator 1 General Health - Summary, 2016 (Source: CSO & AIRO) 8 Indicator 2 General Health - Very Good, 2016 (Source: CSO & AIRO) 9 Indicator 3 General Health - Good, 2016 (Source: CSO & AIRO) 11 Indicator 4 General Health - Fair, 2016 (Source: CSO & AIRO) 13 Indicator 5 General Health - Bad, 2016 (Source: CSO & AIRO) 15 Indicator 6 General Health - Very Bad, 2016 (Source: CSO & AIRO) 17 Indicator 7 Disability - Summary, 2016 (Source: CSO & AIRO) 20 Indicator 8 Disability - Total Population with a Disability, 2016 (Source: CSO & AIRO) 21 Indicator 9 Disability - Male Population with a Disability, 2016 (Source: CSO & AIRO) 23 Indicator 10 Disability - Female Population with a Disability, 2016 (Source: CSO & AIRO) 25 Indicator 11 Disability - Disabilities by Type, 2016 (Source: CSO & AIRO) 27 Indicator 12 Medical Cards, 2017 (Source: PCRS, CSO & AIRO) 29 Indicator 13 Suicides Per 100,000 Population, 2016 (Source: CSO Vital Stats) 30 Indicator 14 Suicides by Age, 2015 (Source: CSO Vital Stats) 31 Indicator 15 Self-Harm Presentations - Males, 2016 (Source: NSRF, AIRO & CSO) 32 Indicator 16 Self-Harm Presentations - Females, 2016 (Source: NSRF, AIRO & CSO) 33 Indicator 17 Health Services - GPs, 2017 (Source: AIRO, HSE/Health Atlas & CSO) 34 Indicator 18 Health Services - Health Centres, 2017 (Source: AIRO, HSE/Health Atlas & CSO) 35 Indicator 19 Health Services - Pharmacies, 2017 (Source: AIRO, HSE/Health Atlas & CSO) 36 Indicator 20 Health Services - Dentists, (Source: AIRO, HSE/Health Atlas & CSO) 37 Indicator 21 Health Services - Nursing Homes, 2017 (Source: AIRO, HSE/Health Atlas & CSO) 38 Indicator 22 Treatment of Alcohol Abuse, 2015 (Source: AIRO, NDTRS & CSO) 39 Indicator 23 Treatment of Drug Abuse, 2015 (Source: AIRO, NDTRS & CSO) 40 Appendix 1 Definition of Comparative Geographies 41

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In 2015 (KCC) and Kildare Local Community Development Committee (LCDC) worked with the All-Island Research Observatory (AIRO) to prepare a socio economic base- line report based on Census 2011 and other data sets. This report was used to inform the develop- ment of the Kildare Local Economic and Community Plan 2016-2021 (LECP). The following presents one of six reports which updates the original baseline study. It is based on Census 2016 data and other relevant data sets and has also been designed to allow easy comparison with key regional evidence baselines produced by AIRO on behalf of the Eastern and Midland Regional Assembly (see EMRA RSES).

Whilst these reports focus on the key economic, community and environmental indicators and pro- vide a certain amount of context relating to each indicator, it is highly recommended that it is not used in isolation to the other data initiatives that Kildare County Council have developed with its re- search partner, AIRO at University. AIRO hosts a detailed census GIS mapping module for Kildare Local Authorities on its website and contains hundreds of statistical variables at the Electoral Division (ED) and Small Area (SA) level. All data and mapping results are also available through the Kildare DataHub via www.kildarelcdc.ie.

This section explores data relating to the health status of the Kildare population as well as data re- lating to the nature and extent of disabilities within the community. It also provides a profile of health services throughout the county along with a selection of related indicators which assist in developing clear picture of health and care in Kildare.

Data in this report is presented across a range of comparative geographies, from National level through to Small Area (neighbourhood). For more details on the comparative geographies used in this report see Appendix 1 for details.

Key Facts

1. Census 2016 outlines that 63.1% of Kildare’s population report their health status as ‘Very Good’. This is higher than both the State and regional figures and is the third highest rate in the State. A further 26.4% reported their health as ‘Good’, while 6.8% reported their health as ‘Fair’.

2. Relative to other local authorities, Kildare does not have very high rates of its population with ‘Very Bad’ or ‘Very Bad Health’. At 1.7%, a total of 2,527 of the resident population in Kildare have ‘Bad’ - the 6th lowest rate in the State health and 0.2% or 549 have ‘Very Bad’ health - the 7th lowest rate in the State.

3. There are 27,768 people in Kildare with a disability, being the sixth highest number in the State and the fourth lowest relative to population size. Since 2011, there has been an increase of 13% or 3,399. This increasing trend is also evident at the State level where numbers increased by 13%. The male population in Kildare accounted for 49.4% (13,719) of the population with a disability and the female population accounted for 50.5% (14,049).

4. Of those with a disability, the most common were ‘chronic illness’ (17.1%), ‘substantial phys- ical limitation’ (13.1%), ‘difficulty in going outside home’ (9.4%) and ‘difficulty in participating in activ- ities’ (12.4%). The least common reported disability was “blindness/impaired vision” (2.9%). Kildare has higher than average rates of ‘Intellectual disability’ (4.1%), ‘Difficulty learning, remembering or concentrating’ (9.4%), ‘Physical or emotional conditions’ (6.9%), ‘Other disability including chronic illness’ (17.1%) and ‘Difficulty in working or attending school/college’ (11.9%).

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5. In 2017, there were 69,358 eligible persons in the Kildare/West Wicklow (LHO) with a Medi- cal Card. The Kildare West Wicklow Local Health Area recorded the 6th highest number of eligible persons with a medical card in the State.

6. There were 21 deaths by suicide in Kildare in 2016. The rate of death by suicide in Kildare was 9.4 persons per 100,000 population, higher than the State (8.4) average (399 recorded suicides). Of the recorded suicides in Kildare* a much higher rate of instances recorded in the older age cohorts of age 45 to 54 (19.9) and age 55 and over (13.8). Both rates were considerably higher than the State equivalent figures of 13.9 and 10.2 respectively (* based on 2015 data).

7. Female self-harm hospital presentations in the Kildare/West Wicklow Local Health Office (LHO)exceeded the State average in 2016. The Kildare/West Wicklow LHO recorded a rate of 240 per 100,000 female population, the 6th highest rate in the State (229). Male presentations (171) were marginally below the State (184) average and ranked as the 11th highest rate per 100,000 male population.

8. There are low levels of GP practices in Kildare. In total, there are 81 GP practices in Kildare, this number equates to a rate of 0.36 practices per 1,000 population, considerably lower than the State (0.41) and EMRA (0.42) averages and higher than the Eastern Strategic Planning Area (SPA) (0.32) average.

9. There are low levels of HSE listed Health Centres in Kildare. In total, there are 17 HSE listed Health Centres in Kildare, this number equates to a rate of 0.08 centres per 1,000 population, lower than the State (0.16) and Eastern SPA (0.09) averages and in line with the EMRA (0.08) average.

10. There are 23 Nursing Homes in Kildare which is the equivalent of 1.05 facilities per 1,000 pop- ulation aged 65+. This figure is higher than the State (0.91), EMRA (0.79) and Eastern SPA (0.98) averages. Since 2015, the number of Nursing Homes in Kildare (23) has remained unchanged. In contrast, according to Census 2016, between 2011 and 2016 there has been a 32% increase in the population aged 65+.

11. Kildare has relatively low rates of alcohol and drug addiction. In 2015 Kildare recorded 182 persons or a rate of 8.2 persons per 10,000 population in treatment for alcohol addition, the 4th low- est rate in the State. For the same period Kildare had a rate of 7.2 persons per 10,000 population in treatment for drug addition. The majority of treatment was provided for three drug types: Opiates (49.1%), Cannabis (30.4%) and Cocaine (14.3%). Due to reporting issues, the numbers reflected in the NDTRS are not consistent with the figures known to access services in Kildare

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CENSUS 2016 PROFILE – GENERAL HEALTH

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State Kildare

59.4% Very Good

63.1%

27.6% Good

26.4%

8.0% Fair

6.8%

1.3% Bad

1.1%

0.3% Very Bad

0.2%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

Figure 1: General Health Summary, 2016 (Source: CSO & AIRO) A question on general health was first introduced in Census 2011 and asked respondents to select one of five categories ranging from very good to very bad. Self-perceived health provides a well validated and widely used measure of actual health, despite its subjective nature.

The naturally observed phenomenon of failing health with age is clearly reflected in the census results. Look- ing at health over a lifespan (in the State), almost 4 in 5 of the 15-19 age group (79%) felt they had very good health, by 40-44 years this had fallen to 58.6 per cent and by 65-69 years was down to 31.3 per cent. In those aged 85 years and over, just under 1 in 10 (9.6%) perceived they had very good health. The projected increase in elderly population (65plus) in Kildare and the State between now and 2031. With numbers expected to increase in the region of 50% there will be an increase in numbers with ‘Bad’ and ‘Very Bad’ health as the average population age increases.

Relative to other parts of the country, Kildare is a very healthy place with 9 out of every 10 respondents stating that their general health was either Good or Very Good. This is the 4th highest rate in the State.

According to the Census results, only 3,076 Kildare residents identified themselves as having Bad or Very Bad health. This equates to approximately 1.3% of the total population, the 7th lowest rate in the country. The graphic on the following page outlines this distribution within Kildare.

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Kildare Average (63.1) Count Population National State (2,827,544) 59.4% Regional Eastern and Midlands RA (1399,983) 60.1% Eastern (SPA) (427,585) 62.1% (SPA) (802,783) 59.6%

Local Authorities ildare (140,402) 63.1% Dublin City (308,076) 55.6% Dn aoghaire-Rathdon (142,996) 65.6% (167,663) 60.1% (184,048) 62.2% Meath (123,170) 63.1% iclo (88,984) 62.5% outh (75,029) 58.2% ( 8 Counties) (1230,368) 60.4%

Municipal (19,375) 60.2% Districts ildare/ebridge (31,754) 60.2% /eixlip (24,053) 64.2% Maynooth (33,083) 65.1% aas (32,137) 65.2%

Metro/interland Metropolitan ildare (40,553) 64.9% Hinterland ildare (99,849) 62.4%

rban/Rural rban ildare (101,283) 62.7% Rural ildare (39,119) 64.2%

Primary Economic Celbridge (13,176) 64.9% Growth Town ebridge (13,484) 59.3% ilcoc (4,147) 68.1% ilcullen (2,353) 63.4% eixlip (9,825) 63.4% Maynooth (9,611) 65.9% aas (13,299) 62.2%

Secondary Economic Growth Town Athy (5,365) 55.4% ildare (5,020) 58.1% District Employment Centre Monasterevan (2,538) 59.8% Local Employment Athgarvan (838) 71.3% Centres (Small Town) (928) 62.9% (4,604) 63.2% (969) 60.5% ill (2,235) 66.8% Prosperous (1,468) 62.9% Rathangan (1,646) 63.0% (3,905) 66.8%

Local Employment Allenood (586) 59.7% Centres (Village) (549) 62.9% (475) 59.9% Carragh (768) 79.5% (Or Blacood) (392) 52.5% ohnston (745) 74.1% ohnstonbridge (475) 69.5% ildangan (212) 66.9% Kilmeagueilmeage (656) 60.6% Straff an (577) 67.6% (437) 58.6% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Figure 2: General Health - Very Good, 2016

How is Kildare performing? 3 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Higher than Average Higher than Average

How is Kildare performing? 6 Local Authority Count Population 31 1 is the highest, 31 is the lowest

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Map 2: General Health - Very Good, 2016 According to Census 2016, the total population experiencing Very Good Health residing in Kildare is 140,042 and accounts for 63.1% of the total population. This rate is higher than the State (59.4%), EMRA (60.1%) and Eastern SPA (62.1%) averages. Relative to other local authorities, Kildare has the 6th highest number of its population experiencing Very Good Health in the State and this was the 3rd highest rate. The highest rates in the State are in Dún Laoghaire Rath- down (65.6%) and Meath (63.15%) and the lowest in Cork City (54.1%) and Dublin City (55.6%). Since 2011, there has been an increase of 6,226 (4.6%) of those experiencing Very Good Health in Kildare. At the Municipal District level, a considerable variation is evident with highest rates recorded in (65.2%), Maynooth (65.1%) and Celbridge/ (64.2%). In contrast, much lower rates are found in Kildare/Newbridge and Athy (both 60.2%). Across the settlement hierarchy the highest rates are recorded in Carragh (79.5%), Johnstown (74.1%), Athgarvan (71.3%), (68.1%) and (67.8%). The map provides an illustration of the rates for Very Good Health within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the north-eastern part of the county with further concentrations in across hinterland and rural areas.

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Kildare Average (26.4) Count Population National State (1,316,467) 27.6% Regional Eastern and Midlands RA (625,542) 26.9% Eastern (SPA) (183,991) 26.7% Dublin (SPA) (357,912) 26.6%

Local Authorities ildare (58,752) 26.4% Dublin City (151,007) 27.2% Dn aoghaire-Rathdon (53,093) 24.4% South Dublin (75,895) 27.2% Fingal (77,917) 26.3% Meath (51,649) 26.5% iclo (37,311) 26.2% outh (36,279) 28.1% ( 8 Counties) (541,903) 26.6%

Municipal Athy (8,697) 27.0% Districts ildare/ebridge (14,384) 27.3% Celbridge/eixlip (9,868) 26.3% Maynooth (13,121) 25.8% aas (12,682) 25.7%

Metro/interland Metropolitan ildare (16,138) 25.8% Hinterland ildare (42,614) 26.6%

rban/Rural rban ildare (43,263) 26.8% Rural ildare (15,489) 25.4%

Primary Economic Celbridge (5,327) 26.3% Growth Town ebridge (6,356) 27.9% ilcoc (1,465) 24.0% ilcullen (956) 25.8% eixlip (4,116) 26.5% Maynooth (3,775) 25.9% aas (5,889) 27.5%

Secondary Economic Growth Town Athy (2,718) 28.1% ildare (2,464) 28.5% District Employment Centre Monasterevan (1,174) 27.6% Local Employment Athgarvan (252) 21.4% Centres (Small Town) Castledermot (400) 27.1% Clane (1,978) 27.2% Derrinturn (448) 28.0% ill (862) 25.7% Prosperous (605) 25.9% Rathangan (677) 25.9% Sallins (1,514) 25.9% Local Employment Allenood (277) 28.2% Centres (Village) Ballymore Eustace (219) 25.1%

Carragh (167) 17.3% Coill Dubh (Or Blacood) (251) 33.6% ohnston (208) 20.7% ohnstonbridge (158) 23.1% ildangan (77) 24.3% Kilmeagueilmeage (316) 29.2% Straff an (194) 22.7% Suncroft (206) 27.6% 0% 5% 10% 15% 20% 25% 30% 35% 40% Figure 3: General Health - Good, 2016

How is Kildare performing? 28 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 5 Local Authority Count Population 31 1 is the highest, 31 is the lowest

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Map 3: General Health - Good, 2016 According to Census 2016, the total population experiencing Good Health residing in Kildare is 58,752 and ac- counts for 26.4% of the total population. This rate is lower than the State (27.6%), EMRA (26.9%) and Eastern SPA (26.7%) averages. Relative to other local authorities, Kildare has the 5th highest number of its population experiencing Good Health in the State and this was the 4th lowest rate. The highest rates in the State are in Mayo (30.2%) and Kerry (29.8%) and the lowest in Dún Laoghaire Rathdown (24.4%) and Wicklow (26.2%). Since 2011, there has been an increase of 2,754 (4.9%) experiencing Good Health in Kildare. At the Municipal District level, a small variation is evident with highest rates recorded in Kildare/Newbridge (27.3%), Athy (27%) and Celbridge/Leixlip (26.3%). Lower rates are found in Maynooth (25.8%) and Naas (25.7%). Across the settlement hierarchy the highest rates are recorded in Coill Dubh (Blackwood) (33.6%), Kilmeague (29.2%), Kildare (28.5%), Allenwood (28.2%) and Athy (28.1%). The map provides an illustration of the rates for Good Health within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the north-western part of the county with further concentrations in urban settlements. 12

Kildare_CensusProfile_HealthDisability.indd 12 01/06/2018 12:33:10 Kildare 2016 Census Profile Indicator 4: General Health - Fair, 2016

Kildare Average (6.8) Count Population National State (382,905) 8.0% Regional Eastern and Midlands RA (174,844) 7.5% Eastern (SPA) (49,926) 7.2% Dublin (SPA) (99,844) 7.4%

Local Authorities ildare (15,064) 6.8% Dublin City (47,005) 8.5% Dn aoghaire-Rathdon (13,879) 6.4% South Dublin (20,584) 7.4% Fingal (18,376) 6.2% Meath (13,037) 6.7% iclo (10,594) 7.4% outh (11,231) 8.7% ( 8 Counties) (149,770) 7.4%

Municipal Athy (2,673) 8.3% Districts ildare/ebridge (4,097) 7.8% Celbridge/eixlip (2,341) 6.2% Maynooth (3,003) 5.9% aas (2,950) 6.0%

Metro/interland Metropolitan ildare (3,752) 6.0% Hinterland ildare (11,312) 7.1%

rban/Rural rban ildare (10,767) 6.7% Rural ildare (4,297) 7.1%

Primary Economic Celbridge (1,158) 5.7% Growth Town ebridge (1,706) 7.5% ilcoc (314) 5.2% ilcullen (247) 6.7% eixlip (1,032) 6.7% Maynooth (813) 5.6% aas (1,437) 6.7%

Secondary Economic Growth Town Athy (980) 10.1% ildare (675) 7.8% District Employment Centre Monasterevan (324) 7.6% Local Employment Athgarvan (58) 4.9% Centres (Small Town) Castledermot (106) 7.2% Clane (371) 5.1% Derrinturn (118) 7.4% ill (182) 5.4% Prosperous (161) 6.9% Rathangan (196) 7.5% Sallins (291) 5.0% Local Employment Allenood (89) 9.1% Centres (Village) Ballymore Eustace (66) 7.6%

Carragh (22) 2.3% Coill Dubh (Or Blacood) (73) 9.8% ohnston (42) 4.2% ohnstonbridge (33) 4.8% ildangan (20) 6.3% Kilmeagueilmeage (66) 6.1% Straff an (45) 5.3% Suncroft (70) 9.4% 0% 2% 4% 6% 8% 10% 12% Figure 4: General Health - Fair, 2016

How is Kildare performing? 28 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 8 Local Authority Count Population 31 1 is the highest, 31 is the lowest 13

Kildare_CensusProfile_HealthDisability.indd 13 01/06/2018 12:33:11 Kildare 2016 Census Profile Indicator 4: General Health - Fair, 2016

Map 4: General Health - Fair, 2016 According to Census 2016, the total population experiencing Fair Health residing in Kildare is 15,064 and accounts for 6.8% of the total population. This rate is lower than the State (8%), EMRA (7.5%) and Eastern SPA (7.2%) averages. Relative to other local authorities, Kildare has the 8th highest number of its population experiencing Fair Health in the State and this was the 4th lowest rate. The highest rates in the State are in Cork City (10%) and Mayo (9.9%) and the lowest in Fingal (6.2%) and Dún Laoghaire Rathdown (6.4%). Since 2011, there has been an increase of 1,271 (9.2%) experiencing Fair Health in Kildare. At the Municipal District level, a considerable variation is evident with highest rates recorded in Athy (8.3%) and Kildare/Newbridge (7.8%). In contrast, much lower rates found in Maynooth (5.9%), Naas (6%) and Cel- bridge/Leixlip (6.2%). Across the settlement hierarchy the highest rates are recorded in Athy (10.1%), Coill Dubh (Blackwood) (9.8%), Suncroft (9.4%), Allenwood (9.1%) and Kildare (7.8%). The map provides an illustration of the rates for Fair Health within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the western part of the county and distributed between urban settlements and rural areas. 14

Kildare_CensusProfile_HealthDisability.indd 14 01/06/2018 12:33:14 Kildare 2016 Census Profile Indicator 5: General Health - Bad, 2016

Kildare Average (1.1) Count Population National State (62,697) 1.3% Regional Eastern and Midlands RA (30,272) 1.3% Eastern (SPA) (8,126) 1.2% Dublin (SPA) (17,936) 1.3%

Local Authorities ildare (2,527) 1.1% Dublin City (9,152) 1.7% Dn aoghaire-Rathdon (2,173) 1.0% South Dublin (3,502) 1.3% Fingal (3,109) 1.1% Meath (2,019) 1.0% iclo (1,632) 1.1% outh (1,948) 1.5% ( 8 Counties) (26,062) 1.3%

Municipal Athy (456) 1.4% Districts ildare/ebridge (732) 1.4% Celbridge/eixlip (351) 0.9% Maynooth (458) 0.9% aas (530) 1.1%

Metro/interland Metropolitan ildare (565) 0.9% Hinterland ildare (1,962) 1.2%

rban/Rural rban ildare (1,837) 1.1% Rural ildare (690) 1.1%

Primary Economic Celbridge (176) 0.9% Growth Town ebridge (327) 1.4% ilcoc (43) 0.7% ilcullen (39) 1.1% eixlip (152) 1.0% Maynooth (100) 0.7% aas (293) 1.4%

Secondary Economic Growth Town Athy (178) 1.8% ildare (140) 1.6% District Employment Centre Monasterevan (59) 1.4% Local Employment Athgarvan (08) 0.7% Centres (Small Town) Castledermot (13) 0.9% Clane (57) 0.8% Derrinturn (24) 1.5% ill (29) 0.9% Prosperous (30) 1.3% Rathangan (27) 1.0% Sallins (49) 0.8% Local Employment Allenood (11) 1.1% Centres (Village) Ballymore Eustace (08) 0.9%

Carragh (00) Coill Dubh (Or Blacood) (17) 2.3% ohnston (04) 0.4% ohnstonbridge (05) 0.7% ildangan (04) 1.3% Kilmeagueilmeage (10) 0.9% Straff an (08) 0.9% Suncroft (16) 2.1% 0% 1% 1% 2% 2% 3% Figure 5: General Health - Bad, 2016

How is Kildare performing? 26 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 6 Local Authority Count Population 31 1 is the highest, 31 is the lowest 15

Kildare_CensusProfile_HealthDisability.indd 15 01/06/2018 12:33:14 Kildare 2016 Census Profile Indicator 5: General Health - Bad, 2016

Map 5: General Health - Bad, 2016 According to Census 2016, the total population experiencing Bad Health residing in Kildare is 2,527 and ac- counts for 1.1% of the total population. This rate is lower than the State (1.3%), EMRA (1.3%) and Eastern SPA (1.2%) averages. Relative to other local authorities, Kildare has the 6th highest number of its population experiencing Bad Health in the State and this was the 6th lowest rate. The highest rates in the State are in Cork City (1.8%) and (1.7%) and the lowest in Dún Laoghaire Rathdown (1%) and Cork County (1%). Since 2011, there has been an increase of 253 (11.1%) experiencing Bad Health in Kildare. At the Municipal District level, a considerable variation is evident with highest rates recorded in Athy (1.4%) and Kildare/Newbridge (1.4%). In contrast, lower rates are found in Maynooth (0.9%), Celbridge/Leixlip (0.9%) and Naas (1.1%). Across the settlement hierarchy the highest rates are recorded in Coill Dubh (Blackwood) (2.3%), Suncroft (2.1%), Athy (1.8%), Kildare (1.6%) and Derinturn (1.4%). The map provides an illustration of the rates for Bad Health within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the mid-western part of the county and distributed between urban settle- ments and rural areas. 16

Kildare_CensusProfile_HealthDisability.indd 16 01/06/2018 12:33:17 Kildare 2016 Census Profile Indicator 6: General Health - Very Bad, 2016

Kildare Average (0.2) Count Population National State (13,738) 0.3% Regional Eastern and Midlands RA (6,706) 0.3% Eastern (SPA) (1,762) 0.3% Dublin (SPA) (4,085) 0.3%

Local Authorities ildare (549) 0.2% Dublin City (2,054) 0.4% Dn aoghaire-Rathdon (533) 0.2% South Dublin (803) 0.3% Fingal (695) 0.2% Meath (395) 0.2% iclo (385) 0.3% outh (433) 0.3% ( 8 Counties) (5,847) 0.3%

Municipal Athy (93) 0.3% Districts ildare/ebridge (160) 0.3% Celbridge/eixlip (87) 0.2% Maynooth (101) 0.2% aas (108) 0.2%

Metro/interland Metropolitan ildare (143) 0.2% Hinterland ildare (406) 0.3%

rban/Rural rban ildare (391) 0.2% Rural ildare (158) 0.3%

Primary Economic Celbridge (33) 0.2% Growth Town ebridge (74) 0.3% ilcoc (06) 0.1% ilcullen (14) 0.4% eixlip (47) 0.3% Maynooth (17) 0.1% aas (63) 0.3%

Secondary Economic Growth Town Athy (28) 0.3% ildare (21) 0.2% District Employment Centre Monasterevan (19) 0.4% Local Employment Athgarvan (04) 0.3% Centres (Small Town) Castledermot (08) 0.5% Clane (14) 0.2% Derrinturn (03) 0.2% ill (05) 0.1% Prosperous (03) 0.1% Rathangan (10) 0.4% Sallins (08) 0.1% Local Employment Allenood (03) 0.3% Centres (Village) Ballymore Eustace (02) 0.2%

Carragh (00) Coill Dubh (Or Blacood) (02) 0.3% ohnston (01) 0.1% ohnstonbridge (01) 0.1% ildangan (00) Kilmeagueilmeage (02) 0.2% Straff an (01) 0.1% Suncroft (02) 0.3% 0% 0% 0% 0% 0% 1% 1% Figure 6: General Health - Very Bad, 2016

How is Kildare performing? 25 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 7 Local Authority Count Population 31 1 is the highest, 31 is the lowest

17

Kildare_CensusProfile_HealthDisability.indd 17 01/06/2018 12:33:18 Kildare 2016 Census Profile Indicator 6: General Health - Very Bad, 2016

Map 6: General Health - Very Bad, 2016 According to Census 2016, the total population experiencing Very Bad Health residing in Kildare is 549 and accounts for 0.2% of the total population. This rate is lower than the State, EMRA and Eastern SPA (all 0.3%) averages. Relative to other local authorities, Kildare has the 7th highest number of its population experiencing Very Bad Health in the State and this was the 7th lowest rate. The highest rates in the State are in Cork City (0.4%) and Dublin City (0.4%) and the lowest in Meath (0.2%) and Cork County (0.2%). Since 2011, there has been an increase of 94 (20.6%) experiencing Very Bad Health in Kildare. At the Municipal District level, a small variation is evident with highest rates recorded in Athy (0.3%) and Kildare/Newbridge (0.3%). Marginally lower rates are found in Maynooth (0.2%), Celbridge/Leixlip (0.2%) and Naas (0.2%). Across the settlement hierarchy the highest rates are recorded in Castledermot (0.5%), Monas- terevan (0.4%), (0.4%), Rathangan (0.4%) and Coill Dubh (Blackwood) (0.3%). The map provides an illustration of the rates for Very Bad Health within and across the Kildare Small Areas (SAs). There is a mixed distribution of throughout the county with high rates recorded in urban settlements and rural areas. 18

Kildare_CensusProfile_HealthDisability.indd 18 01/06/2018 12:33:20 Kildare 2016 Census Profile

CENSUS 2016 PROFILE – DISABILITY

19

Kildare_CensusProfile_HealthDisability.indd 19 01/06/2018 12:33:20 Kildare 2016 Census Profile Indicator 7 Disability - Summary, 2016

State Kildare

13.5%

Total

12.5%

13.8%

Female

12.5%

13.2%

Male

12.4%

0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% Figure 7: Population with a Disability Summary, 2016 (Source: CSO & AIRO)

There are 27,768 people in Kildare with a disability, being the sixth highest number in the State and the 4th lowest relative to population size. Since 2011, there has been an increase of 13% or 3,399. This increasing trend is also evident at the State level where numbers have also increased by 13%. The male population in Kildare accounted for 49.4% (13,719) of the population with a disability and the female population accounted for 50.5% (14,049). The graphic above details the difference between the total, male and female rate of disability between Kildare and the State. For all three categories the rates are lower than the State average. Of those with a disability, the most common were ‘chronic illness’ (17.1%), ‘substantial physical limitation’ (13.1%), ‘difficulty in going outside home’ (9.4%) and ‘difficulty in participating in activities’ (12.4%). The least common reported disability was “blindness/impaired vision” (2.9%). Kildare has the fourth lowest rate of reported disability in the country.

Note: For the purpose of this report a disabled person has been classified as someone who responded ‘yes’ to any of the 7 categories in question 16 on long-lasting conditions or ‘yes’ to any of the four categories in question 17 on difficulties on the Census 2016 form.

20

Kildare_CensusProfile_HealthDisability.indd 20 01/06/2018 12:33:21 Kildare 2016 Census Profile Indicator 8: Population with a Disability, 2016

Kildare Average (12.5) Count Population National State (643,131) 13.5% Regional Eastern and Midlands RA (305,015) 13.1% Eastern (SPA) (87,501) 12.7% Dublin (SPA) (177,164) 13.1%

Local Authorities ildare (27,768) 12.5% Dublin City (81,502) 14.7% Dn aoghaire-Rathdon (27,266) 12.5% South Dublin (36,426) 13.1% Fingal (31,970) 10.8% Meath (22,608) 11.6% iclo (19,244) 13.5% outh (17,881) 13.9% ( 8 Counties) (264,665) 13.0%

Municipal Athy (4,778) 14.8% Districts ildare/ebridge (7,178) 13.6% Celbridge/eixlip (4,358) 11.6% Maynooth (5,935) 11.7% aas (5,519) 11.2%

Metro/interland Metropolitan ildare (7,180) 11.5% Hinterland ildare (20,588) 12.9%

rban/Rural rban ildare (19,903) 12.3% Rural ildare (7,865) 12.9%

Primary Economic Celbridge (2,289) 11.3% Growth Town ebridge (3,029) 13.3% ilcoc (593) 9.7% ilcullen (450) 12.1% eixlip (1,807) 11.7% Maynooth (1,569) 10.8% aas (2,710) 12.7%

Secondary Economic Growth Town Athy (1,657) 17.1% ildare (1,203) 13.9% District Employment Centre Monasterevan (659) 15.5% Local Employment Athgarvan (122) 10.4% Centres (Small Town) Castledermot (180) 12.2% Clane (769) 10.6% Derrinturn (209) 13.0% ill (350) 10.5% Prosperous (328) 14.1% Rathangan (323) 12.4% Sallins (531) 9.1% Local Employment Allenood (139) 14.2% Centres (Village) Ballymore Eustace (104) 11.9% Ballitore (119) 15.0% Carragh (68) 7.0% Coill Dubh (Or Blacood) (132) 17.7% ohnston (81) 8.1% ohnstonbridge (85) 12.4% ildangan (32) 10.1% Kilmeagueilmeage (111) 10.3% Straff an (77) 9.0% Suncroft (177) 23.7% 0% 5% 10% 15% 20% 25% Figure 8: Population with a Disability, 2016

How is Kildare performing? 28 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 6 Local Authority Count Population 31 1 is the highest, 31 is the lowest 21

Kildare_CensusProfile_HealthDisability.indd 21 01/06/2018 12:33:21 Kildare 2016 Census Profile Indicator 8: Population with a Disability, 2016

Map 8: Population with a Disability, 2016 According to Census 2016, the total population with a disability residing in Kildare is 27,768 and accounts for 12.5% of the total population. This rate is lower than the State (13.5%), EMRA (13.1%) and Eastern SPA (12.7%) averages. Relative to other local authorities, Kildare has the 6th highest number of its population with a disability in the State and this was the 4th lowest rate. The highest rates in the State are in Cork City (18.1%) and Wexford (15.1%) and the lowest in Fingal (10.8%) and Meath (10.6%). Since 2011, there has been an increase of 3,399 (13.9%) with a disability in Kildare. At the Municipal District level, a considerable variation is evident with highest rates recorded in Athy (14.8%) and Kildare/Newbridge (13.6%). In contrast, lower rates are found in Naas (11.2%), Celbridge/Leixlip (11.6%) and Maynooth (11.7%). Across the settlement hierarchy the highest rates are recorded in Suncroft (23.7%), Coill Dubh (Blackwood) (17.7%), Athy (17.1%), Monasterevan (15.5%) and Ballitore (15%). The map provides an illustration of the rates for total disability within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the western part of the county and distributed between urban settlements and rural areas. 22

Kildare_CensusProfile_HealthDisability.indd 22 01/06/2018 12:33:24 Kildare 2016 Census Profile Indicator 9: Male Population with a Disability, 2016

Kildare Average (12.4) Count Population National State (311,580) 13.2% Eastern and Midlands RA (145,762) Regional 12.7% Eastern (SPA) (43,003) 12.6% Dublin (SPA) (82,848) 12.6%

Local Authorities ildare (13,719) 12.4% Dublin City (37,883) 13.9% Dn aoghaire-Rathdon (12,425) 11.9% South Dublin (17,432) 12.8% Fingal (15,108) 10.4% Meath (11,150) 11.5% iclo (9,402) 13.4% outh (8,732) 13.7% ( 8 Counties) (125,851) 12.6%

Municipal Athy (2,421) 15.0% Districts ildare/ebridge (3,533) 13.5% Celbridge/eixlip (2,193) 11.8% Maynooth (2,875) 11.3% aas (2,697) 11.1%

Metro/interland Metropolitan ildare (3,456) 11.2% Hinterland ildare (10,263) 12.9%

rban/Rural rban ildare (9,736) 12.2% Rural ildare (3,983) 12.9%

Primary Economic Celbridge (1,189) 11.8% Growth Town ebridge (1,470) 13.1% ilcoc (274) 9.3% ilcullen (212) 11.9% eixlip (874) 11.4% Maynooth (702) 9.8% aas (1,288) 12.3%

Secondary Economic Growth Town Athy (836) 17.7% ildare (617) 14.3%

District Employment Centre Monasterevan (312) 15.1%

Local Employment Athgarvan (65) 11.4% Centres (Small Town) Castledermot (94) 13.0% Clane (367) 10.2% Derrinturn (100) 12.8% ill (163) 10.1% Prosperous (174) 14.9% Rathangan (160) 12.6% Sallins (279) 9.6%

Local Employment Allenood (68) 14.1% Centres (Village) Ballymore Eustace (49) 11.6% Ballitore (62) 15.5% Carragh (41) 8.0% Coill Dubh (Or Blacood) (69) 19.1% ohnston (46) 8.9% ohnstonbridge (38) 11.2% ildangan (11) 7.5% Kilmeagueilmeage (52) 9.9% Straffan (35) 8.6% Suncroft (89) 23.8% 0% 5% 10% 15% 20% 25% Figure 9: Male Population with a Disability, 2016

How is Kildare performing? 25 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 6 Local Authority Count Population 31 1 is the highest, 31 is the lowest 23

Kildare_CensusProfile_HealthDisability.indd 23 01/06/2018 12:33:24 Kildare 2016 Census Profile Indicator 9: Male Population with a Disability, 2016

Map 9: Male Population with a Disability, 2016 According to Census 2016, the total male population with a disability residing in Kildare is 13,719 and accounts for 12.4% of the total male population. This rate is lower than the State (13.2%), EMRA (12.6%) and Eastern SPA (12.6%) averages. Relative to other local authorities, Kildare has the 6th highest number of its male population with a disability in the State and this was the 7th lowest rate. The highest rates in the State are in Cork City (17.4%) and Wexford (15.2%) and the lowest in Fingal (10.4%) and Monaghan (11.5%). At the Municipal District level, a considerable variation is evident with highest rates recorded in Athy (15%) and Kildare/Newbridge (13.5%). In contrast, lower rates are found in Naas (11.1%), Maynooth (11.3%) and Cel- bridge/Leixlip (11.8%). Across the settlement hierarchy the highest rates are recorded in Suncroft (23.8%), Coill Dubh (Blackwood) (19.1%), Athy (17.7%), Ballitore (15.5%) and Monasterevan (15.1%). The map provides an illustration of the rates for male disability within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the western part of the county and distributed between urban settlements and rural areas.

24

Kildare_CensusProfile_HealthDisability.indd 24 01/06/2018 12:33:27 Kildare 2016 Census Profile Indicator 10: Female Population with a Disability, 2016

Kildare Average (12.5) Count Population National State (331,551) 13.8% Eastern and Midlands RA (159,253) Regional 13.5% Eastern (SPA) (44,498) 12.8% Dublin (SPA) (94,316) 13.7%

Local Authorities ildare (14,049) 12.5% Dublin City (43,619) 15.5% Dn aoghaire-Rathdon (14,841) 13.1% South Dublin (18,994) 13.3% Fingal (16,862) 11.2% Meath (11,458) 11.7% iclo (9,842) 13.6% outh (9,149) 14.0% ( 8 Counties) (138,814) 13.4%

Municipal Athy (2,357) 14.7% Districts ildare/ebridge (3,645) 13.7% Celbridge/eixlip (2,165) 11.5% Maynooth (3,060) 12.0% aas (2,822) 11.3%

Metro/interland Metropolitan ildare (3,724) 11.8% Hinterland ildare (10,325) 12.8%

rban/Rural rban ildare (10,167) 12.4% Rural ildare (3,882) 13.0%

Primary Economic Celbridge (1,100) 10.8% Growth Town ebridge (1,559) 13.5% ilcoc (319) 10.1% ilcullen (238) 12.3% eixlip (933) 11.9% Maynooth (867) 11.7% aas (1,422) 13.0%

Secondary Economic Growth Town Athy (821) 16.6% ildare (586) 13.6%

District Employment Centre Monasterevan (347) 15.9%

Local Employment Athgarvan (57) 9.4% Centres (Small Town) Castledermot (86) 11.4% Clane (402) 10.9% Derrinturn (109) 13.3% ill (187) 10.8% Prosperous (154) 13.2% Rathangan (163) 12.1% Sallins (252) 8.6%

Local Employment Allenood (71) 14.3% Centres (Village) Ballymore Eustace (55) 12.2% Ballitore (57) 14.5% Carragh (27) 5.9% Coill Dubh (Or Blacood) (63) 16.4% ohnston (35) 7.1% ohnstonbridge (47) 13.6% ildangan (21) 12.3% Kilmeagueilmeage (59) 10.6% Straffan (42) 9.5% Suncroft (88) 23.7% 0% 5% 10% 15% 20% 25% Figure 10: Female Population with a Disability, 2016

How is Kildare performing? 28 Local Authority National Eastern & Midlands % Population 31 1 is the highest, 31 is the lowest Lower than average Lower than average

How is Kildare performing? 7 Local Authority Count Population 31 1 is the highest, 31 is the lowest

25

Kildare_CensusProfile_HealthDisability.indd 25 01/06/2018 12:33:27 Kildare 2016 Census Profile Indicator 10: Female Population with a Disability, 2016

Map 10: Female Population with a Disability, 2016 According to Census 2016, the total female population with a disability residing in Kildare is 14,049 and ac- counts for 12.5% of the total female population. This rate is lower than the State (13.8%), EMRA (13.5%) and Eastern SPA (12.8%) averages. Relative to other local authorities, Kildare has the 7th highest number of its female population with a disability in the State and this was the 4th lowest rate. The highest rates in the State are in Cork City (18.7%) and Dublin City (15.5%) and the lowest in Fingal (11.2%) and Meath (11.7%). At the Municipal District level, a considerable variation is evident with highest rates recorded in Athy (14.7%) and Kildare/Newbridge (13.7%). In contrast, lower rates are found in Naas (11.3%), Celbridge/Leixlip (11.5%) and Maynooth (12%). Across the settlement hierarchy the highest rates are recorded in Suncroft (23.7%), Athy (16.6%), Coill Dubh (Blackwood) (16.4%), Monasterevan (15.9%) and Ballitore (14.5%). The map provides an illustration of the rates for female disability within and across the Kildare Small Areas (SAs). Highest rates are concentrated to the western part of the county and distributed between urban settle- ments and rural areas.

26

Kildare_CensusProfile_HealthDisability.indd 26 01/06/2018 12:33:30 Kildare 2016 Census Profile Indicator 11: Disabilities by Type, 2016

Kildare EMRA State

2.7% (9616) Blindness or a serious vision impairment 3.1% 3% 5.4% (9197) Deafness or a serious hearing impairment 5.6% 5.7%

A condition that substantially limits one or more 13.1% (7355) 14% basic physical activities 14.4% 4.1% (5769) An intellectual disability 3.6% 3.6%

Difficulty in learning, remembering or 9.4% (13233) 8.8% concentrating 8.6% 6.9% (5382) Psychological or emotional condition 7.2% 6.7% 17.1% (7319) Other disability, including chronic illness 16.8% 16.2%

Difficulty in dressing, bathing or getting around 7.4% (3198) 7.4% inside the home 7.7% 9.5% (10197) Difficulty in going outside home alone 9.9% 10.1% 11.9% (4222) Difficulty in working or attending school/college 11.2% 11.5% 12.4% (2112) Difficulty in participating in other activities 12.4% 12.5%

0 5 10 15 20

Figure 11: Disabilities by Type, 2016 (Source: CSO & AIRO) According to the 2016 Census, 27,768 people were classed as having a disability in Kildare. Among this population, 77,600 separate disabilities were recorded. Kildare has the 6th highest number of disabilities recorded of all local authorities along with the 6th highest number population recorded with a disability in the State. The most common disabilities in Kildare were: ‘Other disability, including chronic illness’ (17.1%), ‘Conditions that severely limits one or more basic physical activities’ (13.1%), ‘Difficulty in partaking in other activities’ (12.4%) and ‘Difficulty in working or attending school/college’ (11.9%). Relative to the State average, Kildare has higher rates of population with: ‘An Intellectual disability’ (4.1%), ‘Difficulty learning, remembering or concentrating’ (9.4%), ‘Physical or emotional condition’ (6.9%), ‘Other disability including chronic illness’ (17.1%) and ‘Difficulty in working or attending school/college’ (11.9%).

27

Kildare_CensusProfile_HealthDisability.indd 27 01/06/2018 12:33:30 Kildare 2016 Census Profile

CENSUS 2016 PROFILE – NON-CENSUS INDICATORS

28

Kildare_CensusProfile_HealthDisability.indd 28 01/06/2018 12:33:30 Kildare 2016 Census Profile Indicator 12: Medical Cards, 2017

Donegal (82,039) 50.9% Limerick (74,587) 48.3% Louth (56,064) 45.6% Wexford (65,647) 45.2% Mayo (58,952) 45.1% Longford / Westmeath (54,395) 43.5% /Kilkenny (56,374) 43.3% Roscommon (26,864) 41.9% Tipperary South (39,233) 41.7% Laois / Offaly (65,520) 41.7% Cork North Lee (75,078) 41.3% (52,454) 41.0% Cavan / Monaghan (53,664) 40.5% Dublin South West (62,087) 40.2% / Leitrim / West Cavan (39,538) 40.1% Dublin North Central (53,679) 39.7% Kerry (57,322) 39.4% Dublin West (56,553) 38.6% Clare (43,859) 37.4% Galway (92,970) 37.1% Wicklow (42,325) 35.7% Cork North (31,689) 35.4% Cork West (19,550) 34.6% Meath (59,839) 32.5% Kildare / West Wicklow (69,358) 30.4% Cork South Lee (57,409) 30.0% Dublin North West (60,252) 29.9% Dublin North (70,811) 29.0% Tipperary North/East Limerick (27,980) 26.0% Dublin South City (34,983) 25.0% Dublin South East (22,740) 18.9% Dun Laoghaire (19,975) 15.3% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%

Figure 12: % Eligible Persons with Medical Cards by Local Health Area, 2017 (Source: PCRS, CSO & AIRO) A General Medical Service (GMS) medical card provides the holder with access to GP services free of charge. The Primary Care Reimbursement Service publishes data regarding the number of persons that qualify for the GMS Medical Card. This data is published using the Local Heath Office (LHO) geography.

County Kildare is part of the Kildare/West Wicklow Local Health Area and in 2017 had 69,538 eligible persons with medical cards. This number accounts for 30.4% of the total population*.

Relative to other Local Health Areas, Kildare/West Wicklow has the 6th highest number of eligible persons with med- ical cards and the 8th lowest rate. The highest rates in the State are in Donegal (50.9%) and Limerick (48.3%) with the lowest in Dún Laoghaire (15.3%) and Dublin South East (18.9%).

* rates based on 2011 population.

29

Kildare_CensusProfile_HealthDisability.indd 29 01/06/2018 12:33:30 Kildare 2016 Census Profile Indicator 13: Rate of Suicides Per 100,000 Population, 2016

Carlow 19.3 (11) Cavan 15.8 (12) Kerry 14.9 (22) Cork City 13.5 (17) Clare 13.5 (16) Donegal 12.6 (20) Longford 12.2 (5) Wexford 12 (18) Laois 11.8 (10) Mayo 11.5 (15) Roscommon 10.8 (7) Sligo 10.7 (7) Offaly 10.3 (8) Kilkenny 10.1 (10) Monaghan 9.8 (6) Cork County 9.8 (41) Tipperary 9.4 (15) Leitrim 9.4 (3) Kildare 9.4 (21) Louth 9.3 (12) Westmeath 9 (8) Wicklow 7.7 (11) Waterford City and County 7.7 (9) Galway City 7.6 (6) Meath 7.2 (14) Galway County 7.2 (13) Limerick City and County 6.7 (13) Dublin City 5.6 (31) South Dublin 3.2 (9) Fingal 2.7 (8) Dún Laoghaire-Rathdown 0.5 (1) State 8.4 (399) 0.0 5.0 10.0 15.0 20.0 25.0

Figure 13: Suicides Per 100,00 Population, 2016 (Source: CSO & AIRO) The CSO Vital Statistics section provides annual data on the number of recorded suicides for each county. In 2016 there were 21 recorded suicides in Kildare. This figure equates to a rate of 9.4 suicides per 100,000 population. This rate is higher than the State (8.4), Eastern and Midlands Regional Assembly (5.9) and Eastern SPA (8.4) averages.

Relative to other local authorities Kildare has the 13th highest rate of Suicides per 100,000 population, the highest rate in the Eastern SPA and the 4th highest rate in the Eastern and Midlands Regional Assembly . The lowest rates in the State are found in Dún Laoghaire Rathdown (0.5) and Fingal (2.7) and the highest in Carlow (19.3) and Cavan (15.8). A breakdown of suicides by broad age cohorts is covered in the next section.

30

Kildare_CensusProfile_HealthDisability.indd 30 01/06/2018 12:33:31 Kildare 2016 Census Profile Indicator 14: Rate of Suicides by Age, Per 100,000 Population, 2015

Kildare EMRA State

9 (20)

Total Suicides 6.3 (146)

8.9 (425)

13.8 (6)

Age 55 and Over 7.8 (40)

10.2 (117)

19.9 (6)

Age 45 to 54 10.7 (32)

13.9 (87)

5.2 (2)

Age 35 to 44 5.3 (20)

11.9 (89)

10.5 (6)

Age 15 to 34 8.3 (54)

10.7 (132)

0.0 5.0 10.0 15.0 20.0 25.0

Figure 14: Suicides Per 100,00 Population, 2015 (Source AIRO & CSO) According to the CSO Vital Statistics section, in 2015* there were 20 recorded suicides in Kildare. This figure equates to a rate of 9 per 100,000 population, higher than both the State (8.9) and Eastern and Midlands Regional Assembly (6.3) averages. The graphic above presents the number and rate of suicides across four age cohorts, 15 to 34, 35 to 44, 45 to 54 and 55 and over for Kildare, EMRA and the State for comparative analysis. Relative to the State average there are contrasting results. In the Age 55 and Over cohort, Kildare (13.8) has a con- siderably higher rate then the State (10.2) rate. The age cohort of 45 to 54 presents an even greater margin between Kildare (19.9) and the State (13.9). In contrast, the rate for the age 35 to 44 cohort in Kildare (5.2) is considerably lower than the State (11.9) average. The rate in Kildare (10.5) for the youngest age cohort of 15 to 34 year olds is broadly in line with the State (10.7) average. * suicides by age cohort data available for 2015 only. 31

Kildare_CensusProfile_HealthDisability.indd 31 01/06/2018 12:33:31 Kildare 2016 Census Profile Indicator 15: Self Harm - Males Per 100,000 Population, 2016

Person-based European age-standardised (number presentations) rate per 100,000 population State (3700) 184 Cork North Lee (222) 246 Tipperary South (108) 238 Dublin South West (173) 227 Carlow/Kilkenny (133) 211 Donegal (153) 201 Dublin West (146) 196 Kerry (124) 182 Longford/Westmeath (107) 176 Louth (105) 174 Cork South Lee (165) 171 Kildare/West Wicklow (192) 171 Dublin North Central (126) 169 Waterford (102) 168 Sligo/Leitrim/West Cavan (80) 167 Dublin North West (177) 167 Cavan/Monaghan (104) 163 Mayo (98) 159 Galway (194) 152 Meath (138) 152 Limerick (117) 150 Wexford (100) 148 Laois/Offaly (114) 148 Wicklow (81) 142 Dun Laoghaire (85) 137 Dublin South City (105) 137 Dublin North (158) 134 Tipperary North/East… 126 Cork West (31) 122 Cork North (50) 119 Clare (65) 117 Roscommon (26) 86 Dublin South East (52) 86 0 50 100 150 200 250 300

Figure 15: Male Self-Harm Presentations per 100,000 Population (Source AIRO, NSRF & CSO) The National Suicide Research Foundation (NSRF) records the numbers of those presenting to hospital following self- harm. The data is published as a rate per 100,000 population by gender. This data was made available to the research team by Local Health Office (LHO) wherein the Kildare/West Wicklow LHO covers the area. In 2016, 192 males in the Kildare/West Wicklow LHO area presented to hospital following self-harm - the 9th highest number in the State. This figure equates to a rate 171 males per total population which is lower than the State (184) average. Relative to other Local Health Offices, Kildare/West Wicklow recorded the 11th highest rate. Highest rates in the State were recorded in Cork North Lee (246 per 100,000 population) and Tipperary South (238 per 100’000 pop) with lowest rates found in Dublin South East and Roscommon both 86 per 100,000 population respectively.

32

Kildare_CensusProfile_HealthDisability.indd 32 01/06/2018 12:33:31 Kildare 2016 Census Profile Indicator 16: Self Harm - Females Per 100,000 Population, 2016

Person-based European age-standardised (number presentations) rate per 100,000 population State (4729) 229 Dublin South West (220) 287 Carlow/Kilkenny (164) 267 Limerick (201) 262 Dublin North West (244) 249 Dublin West (178) 243 Kildare/West Wicklow (264) 240 Dublin North (285) 239 Wicklow (135) 237 Cork North Lee (199) 227 Dublin North Central (160) 227 Waterford (135) 224 Meath (192) 222 Longford/Westmeath (135) 221 Laois/Offaly (163) 220 Tipperary South (95) 216 Louth (125) 208 Wexford (142) 207 Kerry (141) 206 Sligo/Leitrim/West Cavan (94) 205 Roscommon (56) 195 Galway (236) 193 Donegal (145) 193 Mayo (116) 192 Cork South Lee (184) 187 Tipperary North/East… 181 Dun Laoghaire (121) 180 Cavan/Monaghan (113) 179 Cork North (69) 167 Dublin South City (127) 162 Dublin South East (82) 143 Clare (78) 142 Cork West (36) 133 0 100 200 300 400

Figure 16: Female Self-Harm Presentations per 100,000 Population (Source AIRO, NSRF & CSO) The National Suicide Research Foundation (NSRF) records the numbers of those presenting to hospital following self- harm. The data is published as a rate per 100,000 population by gender. This data was made available to the research team by Local Health Office (LHO) wherein the Kildare/West Wicklow LHO covers the County Kildare area. In 2016, 264 females in the Kildare/West Wicklow LHO area presented to hospital following self-harm - the 2nd high- est number in the State, with Dublin North (285) the highest. This figure equates to a rate of 240 females per total population and is marginally higher than the State (229) average. Relative to other Local Health Offices, Kildare/West Wicklow recorded the 6th highest rate. Highest rates in the State were recorded in Dublin South West (289 per 100,000 population) and Carlow/Kilkenny (267) with lowest rates found in Cork West (133) and Clare with 142 per 100,000.

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Kildare_CensusProfile_HealthDisability.indd 33 01/06/2018 12:33:31 Kildare 2016 Census Profile Indicator 17: GPs per 1,000 Population, 2017

Count GPs Kildare facilities per 000 (0.36) National State (1,971) 0.41 Regional Eastern and Midlands RA (971) 0.42 Eastern (SPA) (218) 0.32 Dublin (SPA) (638) 0.47

Local Authorities ildare (81) 0.36 Dublin City (313) 0.56 Dn aoghaire-Rathdon (109) 0.50 South Dublin (109) 0.39 Fingal (107) 0.36 Meath (48) 0.25 iclo (44) 0.31 outh (45) 0.35 ( 8 Counties) (856) 0.42 Municipal Athy (11) 0.34 Districts ildare/ebridge (16) 0.30 Celbridge/eixlip (17) 0.45 Maynooth (16) 0.32 aas (21) 0.43

rban/Rural rban ildare (74) 0.46 Rural ildare (07) 0.12

Primary Economic Celbridge (08) 0.39 Growth Town ebridge (11) 0.48 ilcoc (01) 0.16 ilcullen (02) 0.54 eixlip (09) 0.58 Maynooth (08) 0.55 aas (14) 0.65

Secondary Economic Growth Town Athy (05) 0.52 ildare (01) 0.12 District Employment Centre Monasterevan (03) 0.71

Local Employment Athgarvan (00) 0.00 Centres (Small Town) Castledermot (01) 0.68 Clane (03) 0.41 Derrinturn (01) 0.62 ill (01) 0.30 Prosperous (01) 0.43 Rathangan (01) 0.38 Sallins (02) 0.34

Local Employment Allenood (00) 0.00 Centres (Village) Ballymore Eustace (00) 0.00 Ballitore (01) 1.26 Carragh (00) 0.00 Coill Dubh (Or Blacood) (00) 0.00 ohnston (01) 1.00 ohnstonbridge (00) 0.00 ildangan (00) 0.00 Kilmeagueilmeage (00) 0.00 Straffan (00) 0.00 Suncroft (00) 0.00 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4

Figure 17: GPs Per 1,000 Population, 2017 (Source AIRO & HSE) Based on analysis carried out by AIRO using data gathered from the HSE for 2017 there were 81 GP practices located in Kildare, the 8th highest number in the State. This figure equates to a rate of 0.36 practices per 1,000 population which is lower than State (0.41) and EMRA (0.42) averages and higher than the Eastern SPA (0.32) average. Relative to other local authorities, Kildare has the 14th lowest rate of GP practices per 1,000 population aged in the State. The lowest rates in the State are found in Meath (0.25) and Kilkenny (0.25) with the highest found in Cork City (0.73) and Galway City (0.64). At the Municipal District level, a considerable variation is evident with highest rates recorded in Celbridge/Leixlip (0.45) and Naas (0.43). In contrast, lower rates are found in Kildare/Newbridge (0.30) and Maynooth (0.32). Across the settlement hierarchy, KIlcock (0.16) and Kildare Town (0.12) have considerably lower rates than settle- ments of a comparable size. Both settlements record a single GP practice.

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Kildare_CensusProfile_HealthDisability.indd 34 01/06/2018 12:33:31 Kildare 2016 Census Profile Indicator 18: Health Centres per 1,000 Population, 2017

Count ealth Centres Kildare facilities per 000 (0.08) National State (748) 0.16 Regional Eastern and Midlands RA (181) 0.08 Eastern (SPA) (60) 0.09 Dublin (SPA) (62) 0.05

Local Authorities ildare (17) 0.08 Dublin City (26) 0.05 Dn aoghaire-Rathdon (09) 0.04 South Dublin (12) 0.04 Fingal (15) 0.05 Meath (13) 0.07 iclo (17) 0.12 outh (13) 0.10 ( 8 Counties) (122) 0.06 Municipal Athy (05) 0.16 Districts ildare/ebridge (04) 0.08 Celbridge/eixlip (02) 0.05 Maynooth (04) 0.08 aas (02) 0.04

rban/Rural rban ildare (15) 0.09 Rural ildare (02) 0.03

Primary Economic Celbridge (01) 0.05 Growth Town ebridge (01) 0.04 ilcoc (01) 0.16 ilcullen (01) 0.27 eixlip (01) 0.06 Maynooth (01) 0.07 aas (00) 0.00

Secondary Economic Growth Town Athy (01) 0.10 ildare (01) 0.12 District Employment Centre Monasterevan (01) 0.24

Local Employment Athgarvan (00) 0.00 Centres (Small Town) Castledermot (01) 0.68 Clane (00) 0.00 Derrinturn (01) 0.62 ill (00) 0.00 Prosperous (00) 0.00 Rathangan (01) 0.38 Sallins (00) 0.00

Local Employment Allenood (00) 0.00 Centres (Village) Ballymore Eustace (01) 1.15 Ballitore (01) 1.26 Carragh (00) 0.00 Coill Dubh (Or Blacood) (00) 0.00 ohnston (00) 0.00 ohnstonbridge (01) 1.46 ildangan (00) 0.00 Kilmeagueilmeage (00) 0.00 Straffan (00) 0.00 Suncroft (00) 0.00 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 Figure 18: HSE Listed Health Centres Per 1,000 Population, 2017 (Source AIRO & HSE) Based on analysis carried out by AIRO using data gathered from the HSE for 2017 there were 17 HSE listed Health Centres located in Kildare, the 13th highest number in the State. This figure equates to a rate of 0.08 Health Centres per 1,000 population which is lower than State (0.16) and Eastern SPA (0.09) averages and in line with the EMRA (0.08) average. Relative to other local authorities, Kildare has the 8th lowest rate of Health Centres per 1,000 population in the State. The lowest rates in the State are found in Galway City (0.02) and Dún Laoghaire Rathdown (0.04) with the highest found in Cavan (0.4) and Donegal (0.4). At the Municipal District level, a considerable variation is evident with highest rate recorded in Athy (0.16). In con- trast, lower rates are found in Kildare/Newbridge (0.08), Maynooth (0.08), Naas (0.04) and Celbridge/Leixlip (0.05) .

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Kildare_CensusProfile_HealthDisability.indd 35 01/06/2018 12:33:31 Kildare 2016 Census Profile Indicator 19: Pharmacies per 1,000 Population, 2017

Count Pharmacies Kildare facilities per 000 (0.31) National State (1,722) 0.36 Regional Eastern and Midlands RA (796) 0.34 Eastern (SPA) (221) 0.32 Dublin (SPA) (460) 0.34

Local Authorities ildare (68) 0.31 Dublin City (241) 0.44 Dn aoghaire-Rathdon (78) 0.36 South Dublin (70) 0.25 Fingal (71) 0.24 Meath (52) 0.27 iclo (45) 0.32 outh (56) 0.43 ( 8 Counties) (681) 0.33 Municipal Athy (07) 0.22 Districts ildare/ebridge (18) 0.34 Celbridge/eixlip (13) 0.35 Maynooth (12) 0.24 aas (18) 0.37

rban/Rural rban ildare (67) 0.42 Rural ildare (01) 0.02

Primary Economic Celbridge (05) 0.25 Growth Town ebridge (14) 0.62 ilcoc (01) 0.16 ilcullen (02) 0.54 eixlip (07) 0.45 Maynooth (05) 0.34 aas (11) 0.51

Secondary Economic Growth Town Athy (04) 0.41 ildare (03) 0.35

District Employment Centre Monasterevan (02) 0.47

Local Employment Athgarvan (00) 0.00 Centres (Small Town) Castledermot (01) 0.68 Clane (03) 0.41 Derrinturn (01) 0.62 ill (01) 0.30 Prosperous (01) 0.43 Rathangan (01) 0.38 Sallins (03) 0.51

Local Employment Allenood (00) 0.00 Centres (Village) Ballymore Eustace (01) 1.15 Ballitore (00) 0.00 Carragh (00) 0.00 Coill Dubh (Or Blacood) (00) 0.00 ohnston (00) 0.00 ohnstonbridge (01) 1.46 ildangan (00) 0.00 Kilmeagueilmeage (00) 0.00 Straffan (00) 0.00 Suncroft (00) 0.00 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6

Figure 19: Pharmacies Per 1,000 Population, 2017 (Source AIRO & HSE) Based on analysis carried out by AIRO using data gathered from the HSE for 2017 there were 68 Pharmacies located in Kildare, the 7th highest number in the State. This figure equates to a rate of 0.31 Pharmacies per 1,000 popula- tions which is lower than State (0.36), EMRA (0.34) and Eastern SPA (0.32) averages. Relative to other local authorities, Kildare has the 5th lowest rate of Pharmacies per 1,000 population in the State. The lowest rates in the State are found in Fingal (0.24) and South Dublin (0.25) with the highest found in Cork City (0.49) and Westmeath (0.47). At the Municipal District level, a small variation is evident with highest rates recorded in Naas (0.37), Celbridge/Leix- lip (0.35) and Kildare/Newbridge (0.34). In contrast, lower rates are found in Maynooth (0.24) and Athy (0.22).

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Kildare_CensusProfile_HealthDisability.indd 36 01/06/2018 12:33:32 Kildare 2016 Census Profile Indicator 20: Dentists per 1,000 Population, 2017

Count Dentists Kildare facilities per 000 (0.18) National State (973) 0.20 Regional Eastern and Midlands RA (460) 0.20 Eastern (SPA) (122) 0.18 Dublin (SPA) (295) 0.22

Local Authorities ildare (40) 0.18 Dublin City (106) 0.19 Dn aoghaire-Rathdon (78) 0.36 South Dublin (62) 0.22 Fingal (49) 0.17 Meath (30) 0.15 iclo (30) 0.21 outh (22) 0.17 ( 8 Counties) (417) 0.21 Municipal Athy (03) 0.09 Districts ildare/ebridge (07) 0.13 Celbridge/eixlip (06) 0.16 Maynooth (07) 0.14 aas (17) 0.35

rban/Rural rban ildare (40) 0.25 Rural ildare (00) 0.00

Primary Economic Celbridge (03) 0.15 Growth Town ebridge (05) 0.22 ilcoc (01) 0.16 ilcullen (02) 0.54 eixlip (03) 0.19 Maynooth (03) 0.21 aas (13) 0.61

Secondary Economic Growth Town Athy (02) 0.21 ildare (02) 0.23 District Employment Centre Monasterevan (01) 0.24

Local Employment Athgarvan (00) 0.00 Centres (Small Town) Castledermot (00) 0.00 Clane (03) 0.41 Derrinturn (00) 0.00 ill (00) 0.00 Prosperous (00) 0.00 Rathangan (00) 0.00 Sallins (02) 0.34

Local Employment Allenood (00) 0.00 Centres (Village) Ballymore Eustace (00) 0.00 Ballitore (00) 0.00 Carragh (00) 0.00 Coill Dubh (Or Blacood) (00) 0.00 ohnston (00) 0.00 ohnstonbridge (00) 0.00 ildangan (00) 0.00 Kilmeagueilmeage (00) 0.00 Straffan (00) 0.00 Suncroft (00) 0.00 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7

Figure 20: Dentists Per 1,000 Population, 2017 (Source AIRO & HSE) Based on analysis carried out by AIRO using data gathered from the HSE for 2017 there were 40 Dentists located in Kildare, the 7th highest number in the State. This figure equates to a rate of 0.18 Dentists per 1,000 population which is lower than State (0.20) and EMRA (0.20) averages and in line with the Eastern SPA (0.18) average. Relative to other local authorities, Kildare has the 14th highest rate of Dentists per 1,000 population in the State. The lowest rates in the State are found in Laois (0.12) and Sligo (0.12) with the highest found in Cork City (0.49) and Galway City (0.37). At the Municipal District level, a considerable variation is evident with the highest rate recorded in Naas by some margin. In contrast, much lower rates are found in Athy (0.09), Kildare/Newbridge (0.13), Maynooth (0.14) and Cel- bridge/Leixlip (0.16).

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Kildare_CensusProfile_HealthDisability.indd 37 01/06/2018 12:33:32 Kildare 2016 Census Profile Indicator 21: Nursing Homes per 1,000 Population Aged 65+, 2016

Count Nursing omes Kildare facilities per 000 pop aged 65 (1.05) National State (578) 0.91 Regional Eastern and Midlands RA (221) 0.79 Eastern (SPA) (76) 0.98 Dublin (SPA) (109) 0.66

Local Authorities ildare (23) 1.05 Dublin City (49) 0.68 Dn aoghaire-Rathdon (24) 0.69 South Dublin (14) 0.45 Fingal (22) 0.81 Meath (19) 0.91 iclo (21) 1.13 outh (13) 0.81 ( 8 Counties) (185) 0.76 Municipal Athy (03) 0.82 Districts ildare/ebridge (06) 1.12 Celbridge/eixlip (04) 1.13 Maynooth (07) 1.55 aas (03) 0.61

rban/Rural rban ildare (11) 0.78 Rural ildare (12) 1.51

Primary Economic Celbridge (02) 1.52 Growth Town ebridge (00) 0.00 ilcoc (01) 2.99 ilcullen (00) 0.00 eixlip (01) 0.53 Maynooth (01) 1.14 aas (02) 0.90

Secondary Economic Growth Town Athy (02) 1.86 ildare (01) 1.46 District Employment Centre Monasterevan (00) 0.00

Local Employment Athgarvan (00) 0.00 Centres (Small Town) Castledermot (00) 0.00 Clane (01) 1.88 Derrinturn (00) 0.00 ill (00) 0.00 Prosperous (00) 0.00 Rathangan (00) 0.00 Sallins (00) 0.00

Local Employment Allenood (00) 0.00 Centres (Village) Ballymore Eustace (00) 0.00 Ballitore (00) 0.00 Carragh (00) 0.00 Coill Dubh (Or Blacood) (00) 0.00 ohnston (00) 0.00 ohnstonbridge (00) 0.00 ildangan (00) 0.00 Kilmeagueilmeage (00) 0.00 Straffan (00) 0.00 Suncroft (00) 0.00 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 Figure 21: Nursing Homes Per 1,000 Population Aged 65+, 2016 (Source AIRO & HSE) Based on analysis carried out by AIRO using data gathered from the HSE for 2016/17 there were 23 Nursing Homes located in Kildare, the 8th highest number in the State. This figure equates to a rate of 1.05 Nursing Homes per 1,000 population aged 65 years and over which is higher than State (0.91), EMRA (0.79) and Eastern SPA (0.98) averages. Relative to other local authorities, Kildare has the 11th highest rate of Nursing Homes per 1,000 population aged 65 years and over in the State. The lowest rates in the State are found in South Dublin (0.45) and Cork City (0.46) with the highest found in Roscommon (1.5) and Galway County (1.46). At the Municipal District level, a small variation is evident with highest rates recorded in Maynooth (1.55), Celbridge/ Leixlip (1.13) and Kildare/Newbridge (1.12). In contrast, lower rates are found in Naas (0.61) and Athy (0.82).

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Kildare_CensusProfile_HealthDisability.indd 38 01/06/2018 12:33:32 Kildare 2016 Census Profile Indicator 22: Treatment for Alcohol Abuse per 10,000 Population, 2015

State 15.99 (7616) Waterford 38.39 (446) Sligo 33.88 (222) Longford 29.11 (119) Kerry 25.73 (380) Wexford 25.51 (382) Donegal 24.81 (395) Leitrim 23.41 (75) Westmeath 23.21 (206) Tipperary 22.19 (354) Offaly 21.04 (164) Carlow 20.55 (117) Cork 18.14 (985) Kilkenny 14.11 (140) Louth 13.5 (174) Dublin 13.39 (1804) Limerick 13.34 (260) Cavan 13.13 (100) Monaghan 12.54 (77) Clare 11.61 (138) Wicklow 11.16 (159) Galway 10.89 (281) Laois 8.74 (74) Kildare 8.18 (182) Roscommon 7.75 (50) Mayo 7.59 (99) Meath 7.33 (143)

0 5 10 15 20 25 30 35 40 45

Figure 22: Treatment for Alcohol Abuse, 2015 (Source AIRO, NDTRS & CSO) The National Drug Treatment Reporting System (NDTRS) collects anonymous data about people in drug and alcohol treatment from general practitioners, low threshold services (that provide low-dose methadone or drop-in facilities only), outpatient and inpatient centres. In 2015, 182* persons in Kildare were recorded on the NDTRS database as undergoing treatment for Alcohol abuse, the 12th highest number in the State. This figure equates to a rate of 8.18 per 10,000 population which is almost half the State (15.99) average and is the 4th lowest rate of the 26 counties. The highest rates in the State were recorded in Waterford (38.39) and Sligo (33.22) with the lowest in Meath (7.33) and Mayo (7.59).

* Due to reporting issues, the numbers reflected in the NDTRS are not consistent with the figures known to access services in Kildare

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Kildare_CensusProfile_HealthDisability.indd 39 01/06/2018 12:33:32 Kildare 2016 Census Profile Indicator 23: Treatment for Drug Abuse per 10,000 Population, 2015

State 20.77 (9892) Waterford 34.34 (399) Dublin 30.45 (4103) Westmeath 30.3 (269) Carlow 27.23 (155) Wexford 26.25 (393) Tipperary 24.69 (394) Limerick 23.4 (456) Offaly 21.81 (170) Longford 21.04 (86) Cork 20.72 (1125) Kerry 20.58 (304) Louth 18.54 (239) Wicklow 17.55 (250) Clare 16.92 (201) Sligo 14.95 (98) Laois 14.52 (123) Kilkenny 14.51 (144) Roscommon 12.39 (80) Galway 10.5 (271) Kildare 7.24 (161) Donegal 6.91 (110) Meath 6.82 (133) Leitrim 5.31 (17) Mayo 4.6 (60) Cavan 4.33 (33) Monaghan 4.24 (26)

0 5 10 15 20 25 30 35 40

Figure 23: Treatment for Drug Abuse, 2015 (Source AIRO, NDTRS & CSO) The National Drug Treatment Reporting System (NDTRS) collects anonymous data about people in drug and alcohol treatment from general practitioners, low threshold services (that provide low-dose methadone or drop-in facilities only), outpatient and inpatient centres. In 2015, 161* persons in Kildare were recorded on the NDTRS database as undergoing treatment for Drug abuse, the 14th highest number in the State. This figure equates to a rate of 7.24 per 10,000 population which is almost one third of the State (20.77) average and is the 7th lowest of the 26 counties. The highest rates in the State were recorded in Waterford (34.34) and Dublin (30.45) with the lowest in Monaghan (4.24) and Cavan (4.33). The NDTRS database provides a breakdown of the type of drug treatment that is being provided. In Kildare, the ma- jority treatment provided in 2015 was for three drug types; Opiates (49.1%), Cannabis (30.4%) and Cocaine (14.3%).

* Due to reporting issues, the numbers reflected in the NDTRS are not consistent with the figures known to access services in Kildare 40

Kildare_CensusProfile_HealthDisability.indd 40 01/06/2018 12:33:32 Kildare 2016 Census Profile Appendix 1: Definition of Comparative Geographies

Definition of the Eastern and Midlands Regional Assembly (EMRA) Following on from the enactment of the Local Government Reform Act 2014 a number of changes were made to the regional structures in Ireland where the eight regional authorities were dissolved. Three new Regional Assemblies came into effect on 1st January 2015, namely the Southern Regional Assembly, the Eastern and Midland Regional Assembly and the Northern & Western Regional Assem- bly. EMRA performs a role of implementing strategic national and regional planning policy while ensuring strategic alignment with constituent local authorities and Strategic Planning Areas. EMRA, has twelve constituent local authorities split into three Strategic Planning Areas (See Eastern below) as follows: Dublin City, Dún Laoghaire Rathdown, Fingal, South Dublin, Kildare, Meath, Wick- low, Louth, Westmeath, Laois, Longford and Offaly.

Definition of the Eastern SPA (Strategic Planning Area) The Eastern Strategic Planning Areas is one of three SPAs that sit within the EMRA regional frame- work. Formerly the Mid-East region, the Eastern SPA has expanded in size and is now is comprised of local authorities: Kildare, Meath, Wicklow and Louth.

Definition of Dublin Metropolitan Area: The Dublin Metropolitan Area (DMA) is aligned with the National Planning Framework Appendix 3 (32) which states that in Dublin the Metropolitan Area is as set out in the NTA Transport Strategy for the GDA 2016-2035. The DMA is also aligned with the metropolitan area as set out in Regional Planning Guidelines for the 2010-22, which includes all of Dublin City Council, substantial parts of South Dublin and Dun Laoghaire Rathdown and certain DEDs in Fingal, Kildare, Meath and Wicklow.

Definition of Dublin Hinterland Area: The Dublin ‘Hinterland’ area is aligned with the Draft National Planning Framework, which defines city regions or urban hinterlands as those EDs where at least 15% of the workforce (Full POWCAR) are employed in the Dublin Metropolitan Area (NTA boundary). At Home workers are classed as having a work destination as within the ED that they reside.

Definition of urban/rural classification There are numerous definitions of ‘Urban’ and ‘Rural’ used within the planning sphere in Ireland. The outputs from this report align with the definition used for the National Planning Framework. This states that all settlements (unless within the immediate or ‘metro’ catchment of a city) with a popula- tion of less than 10,000 can be defined as ‘rural’ in character and every settlement with a population greater than 10,000 is defined as ‘urban’.

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Kildare_CensusProfile_HealthDisability.indd 41 01/06/2018 12:33:32 KILDARE COUNTY COUNCIL & Local Community

Coiste um Fhorbairt Pobail Áitiúil Chill Dara Kildare Local Community Development Development Committee (LCDC) Committee T: + 353 (0) 45 980200 W: www.kildarelcdc.ie

All-Island Research Observatory An tIonad Breathnaithe um Thaighde Uile-Éireann

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