SectionSection B: B: Profile National Western and DistrictCape Province Profiles 18 Western Cape Province Cape Town Metropolitan Municipality (CPT) The City of Cape Town Metropolitan municipality is situated on the southern peninsula of the Western Cape Province.a The City of Cape Town Metropolitan Municipality incorporates eight health sub-districts, namely: Cape Town Eastern, Cape Town Northern, Cape Town Southern, Cape Town Western, Khayelitsha, Klipfontein, Mitchell’s Plain and Tygerberg. Cities/Towns: Athlone, Atlantis, Belhar, Bellville, Blackheath, Blouberg, Blue Downs, Brackenfell, Cape Point, Cape Town, Delft, Durbanville, Elsies Rivier, Fish Hoek, Goodwood, Gordon’s Bay, Grassy Park, Guguletu, Hout Bay, Khayelitsha, Kommetjie, Kraaifontein, Kuils River, Langa, Macassar, Matroosfontein, Melkbosstrand, Milnerton, Mitchells Plain, Muizenberg, Noordhoek, Nyanga, Parow, Philadelphia, Philippi, Robben Island, Scarborough, Simon’s Town, Sir Lowry’s Pass, Somerset West, Southern Suburbs, Strand, Table View Area: 2 446km² Population (2019)b: 4 194 178 DistrictDistrict % percentagepopulation by ag epopulation-gender group cbyom page-genderared to South Af rgroupica compared to South Africa WC, Cape Town MM (CPT) 2000/01 2010/11 2020/21 South Africa % of total population [Male | Female] - lines South Africa % of total population [Male | Female] - lines South Africa % of total population [Male | Female] - lines AgeGrp 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 65+ 2.0% 3.0% 2.1% 3.1% 2.8% 4.0% 60-64 years 1.2% 1.3% 1.7% 1.6% 2.0% 55-59 years 1.5% 1.8% 1.7% 2.1% 2.1% 2.5% 50-54 years 2.0% 2.5% 2.2% 2.7% 2.5% 2.8% 45-49 years 2.5% 2.9% 2.8% 3.2% 3.2% 3.1% 40-44 years 3.1% 3.7% 3.3% 3.6% 3.7% 3.6% 35-39 years 3.8% 4.2% 4.1% 3.9% 4.6% 4.3% 30-34 years 4.1% 4.5% 4.5% 4.3% 5.1% 4.8% 25-29 years 4.7% 4.7% 5.2% 5.0% 4.6% 4.5% 20-24 years 4.5% 4.7% 5.1% 5.1% 3.9% 3.8% 15-19 years 4.8% 4.9% 4.1% 4.1% 3.5% 3.5% 10-14 years 4.9% 4.9% 3.8% 3.6% 4.0% 3.9% 05-09 years 4.6% 4.5% 4.0% 3.8% 4.1% 4.0% 00-04 years 4.5% 4.3% 4.8% 4.6% 4.0% 3.8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% 8% 6% 4% 2% 0% 2% 4% 6% 8% District % of total population [Male | Female] - bars District % of total population [Male | Female] - bars District % of total population [Male | Female] - bars Sex Gender (ZA) female female (ZA) male male (ZA) Burden of disease profile For the percentage of deaths by broad cause, deaths are classified into four groups, namely: (i) injuries; (ii) non- communicable diseases; (iii) HIV and TB; and (iv) communicable diseases together with maternal, perinatal and nutritional conditions. Data are given by gender and age group for the period 2012–2017. The second part of the graph shows the 10 leading single causes of death within each age group and by gender for 2012–2017. a Available from: https://municipalities.co.za/overview/6/city-of-cape-town-metropolitan-municipality. b Mid-year Population Estimates 2019, Stats SA. 481 Section B: NationalProfile Western and District Cape ProfilesProvince Percentage of deaths by broad cause and leading causes, 2012–2017 WC, Cape Town MM: CPT, 2012 - 2017 Percentage of AgeGrp Female Male deaths by broad <5 years 62% 4% 28% 6% 63% 4% 25% 8% causes and 5-14 24% 8% 35% 33% 18% 5% 29% 47% single leading 15-24 10% 39% 24% 27% 3%8% 9% 80% causes 25-64 6% 28% 60% 6% 4% 22% 49% 25% 65+ 7%2% 89% 3% 5%3% 87% 4% Total 10% 14% 71% 5% 7% 14% 57% 21% Broadcause Injury NCD Rank Female Male 1 Preterm birth complications (17.2%) Preterm birth complications (19.2%) HIV and TB 2 Lower respiratory infections (11.9%) Lower respiratory infections (11.4%) Comm_mat_peri_nut 3 Diarrhoeal diseases (9.2%) Diarrhoeal diseases (8.7%) s 4 Sepsis/other newborn infectious (6.0%) Birth asphyxia (6.9%) r Prov, District a 5 Birth asphyxia (6.0%) Sepsis/other newborn infectious (6.2%) WC, Cape Town MM: CPT e y 6 Congenital heart anomalies (5.5%) Congenital heart anomalies (5.5%) Show history 5 < 7 Other perinatal conditions (4.9%) Other perinatal conditions (4.4%) 8 Other respiratory (4.2%) Other respiratory (3.9%) Percentages are shown 9 Other congenital abnormalities (4.1%) Other congenital abnormalities (3.7%) according to all the deaths 10 Septicaemia (3.3%) HIV/AIDS (2.9%) within the age/gender 1 Road injuries (9.4%) Road injuries (9.7%) category of each box, 2 Fires, hot substances (9.4%) Drowning (9.7%) although only the leading 3 Accidental threats to breathing (5.4%) Fires, hot substances (9.4%) 10 causes are displayed. 4 HIV/AIDS (5.1%) Mechanical forces (6.7%) 4 5 Leukaemia (4.5%) Accidental threats to breathing (4.7%) 1 - 5 6 Cardiomyopathy (3.6%) Interpersonal violence (3.7%) 7 Tuberculosis (3.6%) Leukaemia (3.5%) 8 Mechanical forces (3.4%) HIV/AIDS (3.4%) 9 Meningitis/encephalitis (3.3%) Other unintentional injuries (2.7%) 10 Lower respiratory infections (2.5%) 1 HIV/AIDS (25.1%) Mechanical forces (33.8%) 2 Tuberculosis (14.4%) Interpersonal violence (33.4%) 3 Mechanical forces (6.4%) Accidental threats to breathing (4.8%) 4 Interpersonal violence (6.0%) Tuberculosis (4.6%) 4 2 5 Accidental threats to breathing (4.6%) Road injuries (3.6%) - 5 1 6 Fires, hot substances (3.8%) HIV/AIDS (3.3%) 7 Road injuries (3.2%) Fires, hot substances (2.0%) 8 Endocrine nutritional,blood, immune (2.2%) Lower respiratory infections (1.0%) 9 Other musculo-skeletal (2.1%) Drowning (0.9%) 10 Lower respiratory infections (2.1%) Other neurological conditions (0.7%) 1 HIV/AIDS (19.1%) HIV/AIDS (12.4%) 2 Tuberculosis (8.4%) Tuberculosis (9.9%) 3 Cerebrovascular disease (6.4%) Mechanical forces (9.3%) 4 Ischaemic heart disease (6.0%) Ischaemic heart disease (7.4%) 4 6 5 Breast (5.5%) Interpersonal violence (7.4%) - 5 2 6 Diabetes mellitus (4.7%) Trachea/bronchi/lung (5.8%) 7 Hypertensive heart disease (4.1%) Cerebrovascular disease (4.6%) 8 Trachea/bronchi/lung (3.6%) COPD (3.8%) 9 Cervix (2.8%) Hypertensive heart disease (2.7%) 10 COPD (2.5%) Accidental threats to breathing (2.6%) 1 Ischaemic heart disease (14.8%) Ischaemic heart disease (16.1%) 2 Cerebrovascular disease (12.5%) Cerebrovascular disease (9.3%) 3 Hypertensive heart disease (8.4%) Trachea/bronchi/lung (7.7%) 4 Diabetes mellitus (6.4%) COPD (6.9%) + 5 Trachea/bronchi/lung (5.0%) Prostate (5.9%) 5 6 6 COPD (4.6%) Hypertensive heart disease (4.7%) 7 Alzheimer’s and other dementias (4.2%) Diabetes mellitus (4.5%) 8 Breast (4.1%) Lower respiratory infections (3.3%) 9 Lower respiratory infections (3.8%) Colo-rectal (2.9%) 10 Colo-rectal (2.7%) Tuberculosis (2.4%) Rank Maternal conditions All other causes 1 Other maternal (31.4%) n=88 HIV/AIDS (31.8%) n=6 108 2 Indirect maternal (30.4%) n=85 Tuberculosis (12.3%) n=2 371 3 Hypertension in pregnancy (18.1%) n=51 Breast (3.9%) n=745 4 Abortion (12.4%) n=35 Cerebrovascular disease (3.4%) n=661 e l 9 a 4 5 Maternal haemorrhage (5.2%) n=15 Cervix (2.7%) n=516 - m 5 e 1 6 Maternal sepsis (2.4%) n=7 Interpersonal violence (2.4%) n=460 F 7 Mechanical forces (2.3%) n=448 8 Ischaemic heart disease (2.3%) n=437 9 Lower respiratory infections (2.3%) n=436 10 Diabetes mellitus (2.1%) n=399 482 SectionSection B: B: Profile National Western and DistrictCape Province Profiles Annual trends, 2015/16–2019/20 Cape Town: CPT Cape Town: CPT s g e n l i 12 12 6 i 39 f n o n r a l 80 8 80 P p 45 46 y l 20 TB DS client lost to i Couple year 10 10 m follow up rate [both 46 a protection rate [ | 70 25 70 F 20 sexes all ages | _ DHIS] 1 ETR/Tier.Net] _ 8 8 1 60 22 60 e r 7 7 a 12 c y r e 90 90 v 6 6 i 12 l TB DS death rate e Antenatal 1st visit d [both sexes all d coverage [female | n ages | 5 5 a DHIS] 17 26 ETR/Tier.Net] y 80 80 c n 19 a 4 4 5 4 n 18 4 g 4 e r P _ 90 90 2 13 13 _ 80 80 1 70 70 TB symptom 5 12 12 60 60 Delivery in 10 to 19 years and older 50 50 years in facility rate screened in facility 52 [female | DHIS] 11 11 rate [both sexes | 40 52 40 DHIS] 30 52 30 10 10 20 20 10 7 5 10 10 80 80 TB symptom child 48 Maternal mortality 100 100 under 5 years 60 60 in facility ratio screened in facility [female | DHIS] rate [both sexes | 48 13 DHIS] 15 40 40 4 10 12 50 17 50 50 t n 94 94 e 7 m 11 11 t a e r 92 92 12 12 t Adult with viral V Neonatal death in I load suppressed H rate 12 months facility rate [both _ 90 90 2 [both sexes 15+ sexes | DHIS] 10 10 _ 17 2 years | DHIS] 12 10 88 88 7 9 8 8 n 75 75 o i 9 t 12 11 a 90 90 s 9 i n 8 15 u Child with viral m Immunisation 16 load suppressed 70 14 70 m i under 1 year rate 12 months d l i coverage [both 80 80 [both sexes 0-14 h sexes | DHIS] C 11 years | DHIS] _ 3 _ 65 65 1 70 70 t n 32 e m t 65 65 a e r 35 t Death in facility Clients remaining d l 4 4 i on ART rate [both h under 5 years rate 60 60 C [both sexes | sexes all ages | _ 36 4 DHIS] DHIS] _ 1 2 2 5 6 7 7 55 55 4 7 36 6 3 3 C 26 12 26 U 21 18 24 24 Pneumonia case 2 2 Antiretroviral fatality under 5 effective coverage years rate [both [both sexes 0-14 22 22 sexes <5 years | years | DHIS-Tier] DHIS] 1 1 7 20 20 6 6 6 6 5 0 0 t n e 82 20 82 m t 40 40 a 31 e r t TB DS treatment 80 27 80 Antiretroviral 15 B 16 effective coverage T success rate [both _ [both sexes 15+ 1 sexes all ages | _ years | DHIS-Tier] 2 ETR/Tier.Net] 78 78 30 30 45 76 41 76 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 40 40 2 2 2 2 2 2 30 Y Y Y Y Y Y F F F F F F Antiretroviral 15 effective coverage 35 35 Measure Names Rank [both sexes all Prov av 1 41 ages | DHIS-Tier] 30 30 ZA av 45 Ind Value 25 25 5 6 7 8 9 0 1 1 1 1 1 2 0 0 0 0 0 0 2 2 2 2 2 2 Y Y Y Y Y Y F F F F F F 483 Section B: NationalProfile Western and District Cape ProfilesProvince Cape