HEALTH2008 STATUS REPORT A Report of the Chief Medical Health Officer Saskatoon Health Region City of Saskatoon Legend Legend Census Metropolitan Area Core Neighborhoods (2001 Census) First Nations Reserve Hospital Hospital Beardy’s & Long Term Care Okemasis Duck Long Term Care Laird Lake One Arrow Domremy Primary Health Centre Health Centre Rosthern Public Health Office Waldheim Highway Wakaw Public Health Centre* Hepburn Alvena Hague St. Benedict Drop-in Child Health Clinic* Radisson Middle Lake Cudworth Public Health Centres include regular Child Health Clinics; Borden Pilger * Lake Lenore Drop-in sites offer clinics on a weekly basis Dalmeny Osler Aberdeen Vonda Spalding Langham Annaheim Prud’Homme Warman Martensville Bruno Humboldt Muenster Englefeld Asquith SASKATOON St. Gregor Meacham Vanscoy Watson Clavet Elstow Leroy Quill Lake Colonsay Wadena Viscount Royal University Allan Delisle Bradwell Hospital Whitecap Fishing Plunkett Lake Margo Jansen Zelma Lanigan Dundurn Wynyard Manitou Young Elfros Beach Drake Dafoe Watrous Hanley Nokomis Semans Govan Duval Strasbourg Bulyea Acknowledgements This report was made possible through Saskatoon Health Region’s Public Health Observatory (a department of Public Health Services) and the many contributions of staff, management and physicians in Public Health Services and across Saskatoon Health Region (SHR) as well as external agencies and individuals. The authors wish to thank individuals working in the following SHR departments and partner agencies for their contributions to this report. Contributions included provision of information, analysis and interpretation, and assistance with consultation sessions and communication of the report. We also wish to thank all the staff from Public Health Services and managers and directors from Community Services for their participation in our fall 2008 consultation sessions. Comments shared by Public Health Services staff are included throughout this report. Saskatoon Health Region Outside Saskatoon Health Region Chronic Disease Management and Renal Services City of Saskatoon, Environmental Services Continuing Care and Seniors Health Ducks Unlimited Canada Corporate and Public Affairs Health Quality Council Facilities and Engineering Services Ministry of Environment Home Care, Client Patient Access Services, Podiatry and Ministry of Health Palliative Care Saskatchewan Cancer Agency Infection, Prevention and Control Saskatoon City Police, COMPSTAT/Planning Unit Integrated Community Services University of Saskatchewan, School of Public Health, Maternal and Children’s Services and College of Medicine Mental Health and Addictions Organizational Development and Workforce Solutions Primary Health Services Public Health Services Representative Workforce Rural Health Services Strategic Health and Information and Planning Services Suggested Citation: Neudorf C., Marko J., Wright J., Ugolini C, Kershaw T., Whitehead S., Opondo J. Findlater R.(2009). Health Status Report 2008: A Report of the Chief Medical Health Offi cer. Saskatoon: Saskatoon Health Region. For More Information: Visit our website: http://www.saskatoonhealthregion.ca Cristina Ugolini, Manager Public Health Observatory Public Health Services Telephone: (306) 655-4480 Fax: (306) 655-4474 Email: [email protected] All errors and omissions are the responsibility of the authors. Photos courtesy of Boehmer Photography. Chapter 6 photo courtesy of Ducks Unlimited Canada. Chapter 8 photo courtesy of University of Saskatchewan School of Public Health 2008 HEALTH STATUS REPORT - Acknowledgements A Table of Contents Acknowledgements . A Letter from the Chief Medical Health Offi cer . 2 Chapter 1: Population of Saskatoon Health Region . 4 Population Size and Structure . 5 Projections for the Future . 7 Registered Indian Status Population . 8 Dependency Ratios . 9 Life Expectancy . 10 Immigration . .12 One Year Mobility . 13 Chapter 2: Reproductive and Infant Health . 16 Births . 17 Total Fertility Rate . 18 Age-specifi c Fertility Rates . 19 Teen Pregnancy . 20 Low Birth Weight . 22 High Birth Weight . 23 Infant Mortality . 24 Breastfeeding . 25 Chapter 3: Major Causes of Mortality and Morbidity . 28 Leading Causes of Hospitalization . 29 Leading Causes of Death . 31 Main Causes of Premature Mortality . 31 How Does Death Vary by Age . 32 Important Specifi c Causes of Death and Disability . 33 Mental Health . 42 Injuries . 44 Chapter 4: Communicable Disease . 52 Vaccine Preventable Disease . 54 Immunizations . 56 Gastrointestinal Illness . 60 Blood-borne Pathogens . 61 Human Immunodefi ciency Virus (HIV) . 63 Sexually Transmitted Infections . 66 2008 HEALTH STATUS REPORT - Table of Contents 2008 HEALTH STATUS REPORT - Table of Contents Other Communicable Diseases . 71 Chapter 5: Social Environment . 78 Income . 80 Poverty . 81 Family Structure . 83 Education . 84 Employment . 85 Housing . 86 Food Security . 90 Social Capital . 92 Quality of Life . 95 Chapter 6: Physical Environment . 98 Water . 100 Soil, Pesticide Use and Waste Generation . 106 Air Quality . 108 Urban Form and Sustainability . 110 Chapter 7: Health-Related Behaviours . 116 Self-reported Health . 118 Self-reported Mental Health . 119 Life Stress . 119 Smoking . 120 Alcohol Use . 122 Illicit Drug Use . 123 Injection Drug Use . 124 Gambling . 125 Healthy Eating . 126 Physical Activity . 127 Body Weight . ..