A REPORT ON THE HEALTH OF BRITISH COLUMBIANS PROVINCIAL HEALTH OFFICER’S ANNUAL REPORT 2002 The Health and Well-being of People in British Columbia Ministry of Health Planning Office of the Provincial Health Officer THE HEALTH AND WELL-BEING OF PEOPLE IN BRITISH COLUMBIA PROVINCIAL HEALTH OFFICER’S ANNUAL REPORT 2002 REPORT ON THE HEALTH OF BRITISH COLUMBIANS Ministry of Health Planning Office of the Provincial Health Officer Copies of this report are available from: Office of the Provincial Health Officer B.C. Ministry of Health Planning 4th Floor, 1515 Blanshard Street Victoria, B.C.V8W 3C8 Telephone: (250) 952-1330 Facsimile: (250) 952-1362 and electronically (in a .pdf file) from: http://www.healthplanning.gov.bc.ca/pho/ Suggested citation: British Columbia. Provincial Health Officer. (2003). Report on the Health of British Columbians. Provincial Health Officer’s Annual Report 2002. The health and well-being of people in British Columbia. Victoria, B.C.: Ministry of Health Planning. National Library of Canada Cataloguing in Publication Data Main entry under title: Provincial Health Officer’s annual report. –- 1992- Annual At head of title: A report on the health of British Columbians. Some issues also have a distinctive title. None issued for 1993. ISSN 1195-308X = Provincial Health Officer’s annual report 1. Health status indicators - British Columbia - Periodicals. 2. Public health - British Columbia – Statistics - Periodicals. I. British Columbia. Provincial Health Officer. II. Title: Report on the health of British Columbians. RA407.5.C3B74 614.4’2711 C93-092297-2 Highlights Ministry of Health Planning Victoria, B.C. November 26, 2003 The Honourable Sindi Hawkins Minister of Health Planning Madam: I have the honour of submitting the Provincial Health Officer’s Annual Report for 2002. P.R.W.Kendall, MBBS, MSc, FRCPC Provincial Health Officer i PROVINCIAL HEALTH OFFICER’S ANNUAL REPORT 2002 Table of Contents Table of Contents Highlights.....................................................................................................................................................................................................ix Chapter 1: Introduction ...............................................................................................................................................................................1 Linking past actions to future progress...................................................................................................................................................1 Update on health indicators.....................................................................................................................................................................2 Data sources.............................................................................................................................................................................................3 Other health indicator developments.......................................................................................................................................................4 Health goals framework compared to New Era Commitments...............................................................................................................7 Performance targets and monitoring.......................................................................................................................................................8 Chapter 2: Health Status ............................................................................................................................................................................11 Well-being ..............................................................................................................................................................................................12 General health ........................................................................................................................................................................................14 Health conditions...................................................................................................................................................................................16 Deaths.....................................................................................................................................................................................................23 Chapter 3: Goal 1-Living and Working Conditions.................................................................................................................................29 Employment...........................................................................................................................................................................................30 Income....................................................................................................................................................................................................35 Participation and social integration ......................................................................................................................................................41 Housing .................................................................................................................................................................................................45 Chapter 4: Goal 2-Individual Capacities, Skills and Choices.................................................................................................................49 Healthy child development.....................................................................................................................................................................51 Learning opportunities..........................................................................................................................................................................57 Healthy choices.......................................................................................................................................................................................60 Independent living.................................................................................................................................................................................71 Chapter 5: Goal 3-Physicial Environment................................................................................................................................................75 Air...........................................................................................................................................................................................................77 Water ......................................................................................................................................................................................................83 Food .......................................................................................................................................................................................................88 Land and soil..........................................................................................................................................................................................92 Sustainability..........................................................................................................................................................................................93 Chapter 6: Goal 4-Health Services ............................................................................................................................................................97 Accessibility............................................................................................................................................................................................99 Doing the right things right .................................................................................................................................................................109 Improving health..................................................................................................................................................................................123 Chapter 7: Goal 5-Aboriginal Health......................................................................................................................................................127 Health status.........................................................................................................................................................................................129 Factors affecting health........................................................................................................................................................................133 iii PROVINCIAL HEALTH OFFICER’S ANNUAL REPORT 2002 Table of Contents Chapter 8: Goal 6-Disease and Injury Prevention ................................................................................................................................139 Non-communicable diseases ...............................................................................................................................................................140 Communicable diseases.......................................................................................................................................................................150