LocalHealthAreaProfile

VANCOUVERISLANDWEST LocalHealthAreaProfile (VIWest)LocalHealthArea(LHA)isoneof14LHAsinandis locatedin snorthservicedeliveryarea(hsda).theviwestlhais approximately5,619squarekilometers.itsitsatthesouthwesterntipofthenorthhsda,and isborderedbythreeotherlhas:alberni-clayoquot,greatercampbelriverandvancouver North.VIWesthasveryfew highways,andmanycommunitiesaremoreeasilyreachedbyboatthan bycar.highway28extendsasfarasgoldriver.viwestisapproximatelyanhourandahalfdrive from CampbelRiver,andthreehoursfrom PortAlice.ThereisnopublictransitavailableinVIWest. July2018 AnaccompanyingInterpretationGuidehasbeencreatedtoassistwiththeinterpretationofindicators. TheInterpretationGuideshouldbereadwiththeprofiles. Theseprofilesarenotintendedtobeusedfordetailedplanningoranalysis.Astheyareupdatedonanannualbasis,theremaybemorecurrent dataavailable.ifyouareintendingtousetheseprofilesforhealthplanningpurposes,orifyouhavequestionsornoticeadiscrepancy,please contact:maritiaguly(maritia.guly@viha.ca). 1of22

PopulationandDemographics Asof,theLHArepresented.03% (2,105people)of stotalpopulationof793,180. AccordingtotheCensus,27.3% ofpeoplelivinginthe LHAidentifiedthemselvesasAboriginal comparedto7.6% acrossand5.9% in. Additionaly,1.1% ofpeoplelivinginthe areaidentifiedthemselvesasavisibleminority,comparedto 9.6% acrossand30.3% in. Onaverage,thepopulationofisolderthan thatofand,withanaverageageof44.8years. The75+agegroupmakesuparound7.7% ofthepopulationwhich islowerthan(10%)and(8%).currently,the largestpopulationgroupisbetweentheages45and64years. Thepopulationisexpectedtoincreaseby2.0% to2,148overthenext10years;thisislowerthanthegrowth expectedfor(8.7%)and(10.8%).thegreatestgrowthisexpectedinthe75+agegroupwhichisexpectedtomore thandouble(from 162to454)overthenext20years.The65-74yearagegroupisexpectedtoincreaseovertheshortterm andthen declinewhilethe45-64agegroupisexpectedtodeclinesteadily.the0-19yearagegroupisexpectedtodeclineintheshortterm and thenincreasewhilethe20-44yearagegroupisexpectedinincreasesteadily.seethepopulationanddemographicssummaryonpage 10formoreinformation. AverageAge() EstimatedTotalPopulation - 800 41.7 44.6 44.8 Population 600 400 PopulationPyramid-- 200 90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 01-04 <1 100 50 00 50 100 % Diff inpopulationfrom 0 EstimatedPopulationChange - 100% 0% 2019 2021 2023 2025 2027 2029 2031 2033 2035 2037 2039 2041 MalePopulation FemalePopulation 0-19 20-44 45-64 65-74 75+ 2of22

DeterminantsofHealth Accesstoadequateincome,affordablehousing,healthyfood,education,healthyenvironmentsandrecreationalopportunitiesinfluenceour healthandwelbeing.peoplewhoarelesswel-off generalyhavepoorerhealthandshorterlifeexpectanciesthanthosewhoarewel-off.by workingupstream toimprovetheconditionsinwhichalpeoplelive,workandplay,wecandecreasethesegapsandimprovethehealthand welbeingofourpopulation. IncomeandEmployment Themedianhouseholdincomeforwas$51,980in,lowerthanthemedianhouseholdincomeof$69,979and s$65,735.theproportionofpersonswhoaremembersofalow incomehouseholdishigheracrossalagegroupscomparedto andexceptforseniors,whichishigherthanbutlowerthan.unemploymentratesin arehigher(seepage11). PercentofPopulationwithLow Incomein2015basedonafter-taxlow-incomemeasure(Census) Low IncomeChildren(<6years) Low IncomeChildrenandYouth (<18) Low IncomeAdults(18to64) Low IncomeSeniors(65+) PercentofSelectedPopulation 30 25 20 15 10 17.7 19.6 2 18.4 19.2 30.6 14.9 14.7 24.4 14.9 14.1 11.7 5 0 Education HighSchoolCompletionRatewithin6yearsofGrade8Enrolment Highschoolcompletionrateshavebeenincreasingoverthelastten yearsbutarelowerthantheratesforand.also, accordingtothecensus,andalowerproportionofthevancouver Westadultpopulationhavecompletedpost-secondaryeducation. PopulationAged25to64withPost-SecondaryCertificate, DiplomaorDegree(%) 63.9 63.7 49.7 PercentofStudents 90 80 70 60 50 40 30 20 10 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2013-2015-3of22

DeterminantsofHealth SelectedHouseholdIndicators Housing Onewaytomeasureaffordabilityofhousingistolookat how muchofahousehold sincomeisspentonshelter. BothrentersandhomeownersintheVancouver Westregionspendmorethan30% oftheirincomeon shelterthanintherestofor.thereisa higherpercentageofcrowded familyhouseholdsin comparedtobut lowerthan(seepage11).thepercentageof householdsinneedofmajorrepairs(e.g.,defective electricalwiring)isalsohigher. PercentofPopulation 50 40 30 20 10 DwelingsNeeding MajorRepairs(%) 6.3 6.2 13.5 HousingAffordability Owners(% spending >30% ofincome) 20.7 17.2 13.8 HousingAffordability Renters(% spending >30% ofincome) 43.3 45.0 31.2 0 EarlyChildhoodDevelopmentand DeterminantsofChildandYouthHealth Creatingsupportiveandhealthyenvironmentsinan equitablewaysothatalchildrenandyouthcangrow and thriveiscriticaltothehealthofthepopulation.this includessupportingmothersduringthepre-and post-natalperiod,supportingfamiliesduringearly developmentyears,andsupportingchildrenandyouthto grow,learn,andtransitionintoadulthood. TheLHAhasahigherpercentageof lone-parentfamilies.however,lone-parentfamiliesin havealowermedianhousehold incomethanthoseinand. 2015Dolars 70K 60K 50K 40K 30K MedianHouseholdandLone-ParentIncome,andPercentageof Lone-ParentFamilies(Census) Medianhousehold Medianlone-parent totalincome($) familyincome($) 7K 65.7K 52.0K 50.9K48.4K 40.2K Health Lone-parent Families(%) 26 22 EarlyChildhoodDevelopmentInstrument(EDI) PercentofPreschoolChildrenVulnerableon EDI:Vulnerableon>1Domains 20K 10K 0K Vancouver West 23 % KindergartenChildren 55 50 45 40 35 30 25 20 15 10 5 2004-20072007-20092009-20112011-20132013- TheEarlyDevelopmentInstrument(EDI)isusedtomeasure vulnerabilityinkindergartenchildrenacrossfivedomains(social, physical,emotional,language,andcommunication).increasesinthe EDIrateareanegativeindicatorofchildhealthanddecreasesarea positiveindicator.foroveral,vulnerabilityhas increasedbetween2007/2009and/.vancouver Westhadhigherlevelsofvulnerabilityascomparedto and.althoughedidatawasavailablefor in,itshouldbenotedthatdatawasnotavailableinsome previousyearsforthislhaduetoinsufficientsamplesizes. 4of22

Mothers smokingduringpregnancyhasbeenshowntohavenegativeeffectsforbothmotherandthebaby.ratesofsmokingduring pregnancyhavebeendecreasingoverthepast8years;however,acrossoveral,rateshavebeenmuchhigherthanfor.inthe LHA,amuchhigherpercentageofmotherssmokedduringpregnancythaninor. Ratesofchildrenandyouthincarehavedecreasedoverthepast4years;however,acrossoveral,rateshavebeenmuchhigher thanfor.duetosmalnumbersandprivacyconcerns,therateofchildrenandyouthincareisnotreportablefor.see thedeterminantsofhealthsummaryonpage12formoreinformation. HealthyBehavioursandBuiltEnvironment 2009-2013 2010-2011-2015 2012-0 5 10 15 20 25 Percent 24.6 22.0 11.8 10.5 8.5 7.3 PercentofPregnantWomenwhoReportedSmokingatAnyTime DuringCurrentPregnancy(5yearaggregate) 2015 0 5 10 15 Rateper1,000ChildrenandYouth 14.6 12.5 9.0 7.6 ChildrenandYouthinCareper1,000ChildrenandYouth Y 2006 2007 2008 2009 2010 2011 2012 2013 2015 0 2 4 6 8 10 12 Litres 11.6 10.9 10.6 11.5 9.0 9.4 AlcoholConsumption (litresofabsolutealcoholsoldperperson,1l=58standarddrinks) Preferenceforhealthybehaviourssuchashealthyeating, exercise,reductionofsmokingandalcoholconsumption,and socialconnectionscontributetoahealthierlife.manyofthe healthybehaviourindicatorsareavailablethroughthecanadian CommunityHealthSurvey(CCHS)butthedataisnotavailableat thelhalevel.amonglha-levelavailabledata,substanceusein thelha,particularlyalcohol consumptionpercapita,ishigherthanthe average,but lowerthan's.therateofalcohol-related hospitalizationsishigherthan's,butlowerthan Health's.Tobacco-relatedhospitalizationsarehigherthan 'sand's,buttherateofilicitdrug-related hospitalizationsislower. Amongthosewhoareemployed,ahigherpercentageofthe populationinthelhareportsusing activemodesoftransportation(walking,cycling,publictransit) togettowork.seethedeterminantsofhealthsummaryon pages11and12formoreinformation. 23.9 19.6 22.4 EmployedPopulationAged15andOverWalking,Bikingor BusingtoWork(%) DeterminantsofHealth 5of22

Thehealthstatusofthepopulationincludesmeasuressuchaslifeexpectancy,infantmortality,prevalenceofchronicdisease, mortalityandprematuremortality. BirthStatistics TheoveralbirthratefortheLHAislower thanand;however,thereareproportionately fewerbirthstoolder(35yearsandover)mothersandmoreto youngermothers(20yearsandyounger).therateoflow birth weightbabiesishigherthantheandrate,and therateofpre-term births(thosebornatlessthan37weeks)is alsohigher. *Itisimportanttonotethatcautionshouldbeexercisedwhendealing withasmalnumberofcasesasanincreaseordecreasemayindicate random variationratherthanasignificantchangeinrates. MortalityStatistics Mortalityrateshavedecreasedsteadilyoverthelast5years.The age-standardizedal-cause mortalityrateforthevancouver WestLHAislowerthanandrates;in addition,mostcause-specificmortalityratesarelowerthan and.seethehealthstatussummaryonpage14 forcause-specificmortalityrates. 1992-1996 1994-1998 1996-2000 1998-2002 2000-2004 2002-2006 2004-2008 2006-2010 2008-2012 2010-2011-2015 BirthRate 0 2 4 6 8 10 12 12.9 8.3 11.1 8.4 12.6 9.6 BirthStatistics LiveBirthsper1,000Population (1992-1996to2011-2015) InfantMortality* Stilbirths Mothersunder20 years Low BirthWeight Pre-term Births CesareanSections Mothers35years andover 3.8 3.0 8.7 10.8 146.7 28.7 19.9 8 53.0 58.0 93.3 79.3 76.4 386.7 285.4 325.6 93.3 218.6 246.6 BirthStatistics Per1,000LiveBirths 2008-2012 2009-2013 2010-2011-2015 2012-50 55 60 65 70 AgeStandardizedRateper10,000 54.6 71.5 67.0 Mortality(AgeStandardizedRateper10,000) HealthStatus 6of22

Potentialyearsoflifelost(PYLL),isameasureofpremature mortality(anestimateoftheaverageyearsapersonwouldhave livedifheorshehadnotdiedprematurely).thepyllinthe LHAforIschemicHeartDisease, lung/trachealcancersandmalignantneoplasmsarehigherthan theandpyll.acompletelistofpotentialyears oflifelostbycausecanbefoundonpage15. Lifeexpectancyhasbeenincreasingoverthelastfew decadesin bothoveraland;however,lifeexpectancyisnot reportableforduetopoordataquality. ChronicDisease Chronicdiseaseprevalenceratestendtobehigherforsome measuresandlowerforothersinthelha, incomparisonwiththeandrates.seethehealth Statussummaryonpage13formoreinformation. 1997-2001 2002-2006 2006-2010 2010-2011- 2015 FemaleLife Expectancy MaleLife Expectancy Life Expectancy 70 80 70 80 70 80 LifeExpectancy* Alzheimer'sDiseaseandOther Dementia HeartFailure ChronicKidneyDisease ChronicObstructivePulmonary Disease IschemicHeartDisease Diabetes Osteoarthritis Asthma Hypertension Depression Mood&AnxietyDisorders 257.4 206.6 200.8 154.0 99.4 83.1 75.6 60.1 20.4 20.5 8.9 338.4 275.4 214.0 129.2 92.7 70.1 62.2 62.4 21.7 18.1 21.9 300.1 245.5 226.4 122.3 86.7 80.9 71.5 62.0 22.5 19.9 20.7 ChronicDiseaseAgeStandardizedPrevalenceinPer1,000Individuals HealthStatus 7of22 *Completelifeexpectancydatamaynotbeavailable forallhasduetopoordataquality

Accesstohealthservicesalsodetermineshealthservice utilization.accesstohealthservicesalsodeterminestheuse ofhealthservices.accesstoprimarycareservicesplaysan importantroleintheuseofemergencydepartmentand inpatientservices.thepopulationattachedtophysiciansat thepracticeleveliscalculatedbytheministryofhealthand indicatesthepercentageofpopulationwhohavearegular physicianorregularphysicianpractice.alargerpercentage ofthepopulationhasaphysicianat thepracticelevel. Thereisalowerrateofhomecareandhomesupportclients over75yearsforthelhacompared to.whenwelookattherateofhomecare visitsandhomesupporthoursamongthose75yearsand over,theratesarelowerthan Health'srates.SeetheHealthServiceUsesummaryonpage 16formoreinformationonthesetopics. 2008 2009 2010 2011 2012 2013 2015 60 65 70 75 80 85 PercentAttached 80.7 83.3 81.8 78.6 79.5 76.5 PopulationAttachedtoPhysicianatthePracticeLevel(%) 2015 HomeCare Visits-75+ 0.29K 2.20K 0.20K 2.11K 0.22K 2.37K 0.44K 2.48K HomeCareVisits Rateper1,000Population 2015 HomeCare Clients-75+ Home Support Clients-75+ 11 175.4 79.6 176.3 72.6 181.9 136.7 185.6 2 107.7 26.5 105.0 32.3 101.5 57.6 101.5 HomeCareandHomeSupportClients Rateper1,000Population 2015 HomeSupport Hours-75+ 0K 5K 10K 15K 20K 25K 30K 3.4K 31.5K 27.3K 1.0K HomeSupportHours Rateper1,000Population HealthServiceUse 8of22

Theagestandardizedhospitalizationrate(inpatient admissions)forthelhapopulationis higherthantheandratesoveral,butlower forthepopulationaged75andover. HospitaladmissionratesforAmbulatoryCareSensitive Conditions(ASCS)-conditionsthatcanbetreatedinthe communityifservicesareavailableandwouldnot necessarilyrequirehospitalization havebeenhigherinthe LHA. Emergency/urgentcarevisitratesarehigherinVancouver Westthanin;however,therateof higherurgencyvisitsislower.healthserviceusageisbased onwheretheuserresidesratherthanwheretheserviceis provided.seethehealthserviceusesummaryonpage16 formoreinformationonthesetopics. 2013 2015 Inpatient CaseRate Inpatient CaseRate- 75+ 0 50 100 0 100 200 300 AcuteCareInpatientCases (AgeStandardizedRateper10,000) 2013 2015 ED/Urgent Care Utilization EDVisits- CTAS1,2 or3(%) 0 500 1000 1500 0 20 40 60 1,354 1,555 62 63 UnscheduledEmergencyandUrgentCareCentreVisits Rateper1,000PopulationandPercentofHigherUrgency (CanadianTriageandAcuityScale(CTAS)1,2or3) 2013 2015 1 2 3 4 5 6 7 8 9 10 11 12 13 PercentInpatientAdmissions 7.0 7.6 AmbulatoryCareSensitiveConditions (PercentofAdmissions) A HealthServiceUse 9of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. PopulationandDemographicsSummary Sub-group Time Description IndicatorDescription Period Population and Population Projection 10YearPopulationGrowth(%) - 2027 Populationaged0-19(%) 10.8 19.9 Health 8.7 18.0 Vancouver West 2.0 22.3 Populationaged20-44(%) 33.6 29.8 20.9 Populationaged45-64(%) 28.1 28.7 33.2 Populationaged65-74(%) 10.5 13.6 15.9 Populationaged75andover(%) 7.8 9.9 7.7 Percentgrowthofthe0-19agegrouppopulationin next10years 9.1 7.5 18.0 Percentgrowthofthe20-44agegrouppopulationin next10years 9.1 7.5 18.0 Percentgrowthofthe45-64agegrouppopulationin next10years 0.5-6.4-32.4 Percentgrowthofthe65-74agegrouppopulationin next10years 30.9 17.8 17.4 Percentgrowthofthe75+agegrouppopulationin next10years 54.5 60.3 117.3 AverageAge 41.7 44.6 44.8 Ageand MedianAgeofPopulation Demographics Populationwherelanguagespokenmostoftenat homeisnotenglishorfrench(%) 43.0 15.6 47.7 3.7 50.2 0.5 Visibleminoritypopulation(%) 30.3 9.6 1.1 PopulationinprivatehouseholdswithAboriginal Identity(%) 5.9 7.6 27.3 MaritalStatusPopulationaged15andoverwhoaremarried(%) 48.7 46.8 45.4 Populationaged15andoverwhoarecommon-law (%) 9.4 11.5 15.8 Populationaged15andoverwhoaresingle,never married(%) 27.2 24.5 22.1 Populationaged15andoverwhoarewidowed(%) 5.4 6.2 6.0 Populationaged15andoverwhoareseparatedor divorced(%) 9.3 11.1 10.7 Migrationand Immigrantpopulation(%) Immigrants 28.3 15.8 8.8 Populationmigratingtoareainthelast5years(%) 20.9 20.6 18.0 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 10of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. DeterminantsofHealthSummary Sub-group Time Description IndicatorDescription Period Education Populationaged25to64withpost-secondarycertificate, diplomaordegree(%) Grade12completionamongstudentsenteringGrade12 forthefirsttime(%)(2yragg) Studentscompletinghighschoolwithinsixyearsof enrolmentingrade8(%)(2yragg) - - 63.9 8 83.2 Health 63.7 73.8 76.6 Vancouver West 49.7 65.4 70.5 Employment Populationaged15andoverwhoareunemployed (%) 6.7 6.8 11.6 Health Behaviours Alcoholconsumption(litresofabsolutealcoholsoldper person,1l=58standarddrinks) 9.4 11.5 10.9 Household Lone-parentfamilyhouseholds(% ofcensusfamilieswith children) 25.5 22.0 23.2 Privatehouseholdswithmultiplefamilies(%) 3.0 1.5 2.3 Privatehouseholdswith5ormorepersons(%) 8.3 5.3 8.1 Dwelingsratedasneedingmajorrepairsbyrenteror owner(%) 6.3 6.2 13.5 Privatehouseholdsthatareowner-occupied(%) 68.0 69.1 82.6 Income Medianlone-parentfamilyincome($) 50,894.0 48,366.0 40,176.0 Medianhouseholdtotalincome($) 69,979.0 65,735.0 51,98 Income Inequality Differenceinmedianincomecomparingmalesandfemales aged15andover 12,817.0 12,10 12,474.0 Low incomebasedonafter-taxlow incomemeasure(%) 15.5 14.8 22.9 Low incomebasedonafter-taxlow-incomemeasure,ages lessthan18years(%) 18.4 19.2 30.6 Low incomebasedonafter-taxlow-incomemeasure,ages lessthan6years(%) 17.7 19.6 2 Low income basedonafter-taxlow-incomemeasure,ages 18to64years(%) 14.9 14.7 24.4 Low incomebasedonafter-taxlow-incomemeasure,ages 65yearsandover(%) 14.9 11.7 14.1 Households(owned)spendingmorethan30% ofincomeon housing(%) 20.7 17.2 13.8 Households(rented)spendingmorethan30% ofincomeon housing(%) 43.3 45.0 31.2 Income Supports PopulationonIncomeAssistance(%) 2012 1.9 1.8 Populationaged15andoveronEmploymentInsurance(%)2012 1.5 1.4 Morbidity Alcohol-relatedhospitalizations(age-standardizedrate per100,000) Ilicitdrug-relatedhospitalizations(age-standardizedrate per100,000) Tobacco-relatedhospitalizations(age-standardizedrate per100,000) Transportation EmployedPopulationAged15andOverWalking,Bikingor BusingtoWork(%) 512.5 132.4 529.5 22.4 647.6 125.8 542.5 19.6 552.9 79.3 550.1 23.9 0.5 1.0 1.5 2.0 ThisshowstherelativemagnitudeoftheLHAvalue comparedtothevalueforthatindicator. 11of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. DeterminantsofHealthSummary(Continued) Sub-group Time Description IndicatorDescription Period Health Vancouver West ChildHealth ChildMentalDiseases&DisordersHospitalizations (age-standardizedrateper1,000aged0-14) 1.6 1.9 YouthMentalDis.&DisordersHospitalizations (age-standardizedrateper1,000aged15-24) 11.3 11.9 Child/YouthMentalDis.&DisordersHosp. (age-standardizedrateper1,000aged0-24) 6.0 5.8 5.5 Childhospitalizations-Injury/Poisoning(rateper 1,000aged0to14)-(2yrAgg) 2015-4.5 5.4 Childhospitalizations-RespiratoryDis.(rateper 1,000aged0to14)-(2yrAgg) 2015-7.9 9.1 7.0 Childhospitalizations-DentalSurgery(rateper 1,000aged0to14)-(2yrAgg) 2015-7.1 9.5 16.9 Pregnantwomenwhoreportedsmokingatany timeduringcurrentpregnancy(%)(5yragg) 2012-7.3 10.5 22.0 Crime SeriousViolentCrime(rateper1,000population) 2012 3.1 2.2 SeriousCrime(rateper1,000population) 2012 10.1 7.7 NumberofSeriousCrimesperPoliceOfficer 2012 7.0 5.7 ThisscaleistherelativemagnitudeoftheLHAvaluecomparedtothevalueforthatindicator MotorVehicleTheft(rateper1,000population) 2012 3.6 2.1 Non-CannabisDrugOffences(rateper1,000 population) 2012 170.3 154.8 Early Development EDI:Kindergartenchildrenratedasvulnerablefor physicaldevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor socialdevelopment(%) 2013-2013- 14.8 15.7 16.2 14.7 34.0 28.0 EDI:Kindergartenchildrenratedasvulnerablefor emotionaldevelopment(%) 2013-16.1 16.6 28.0 EDI:Kindergartenchildrenratedasvulnerablefor languagedevelopment(%) 2013-9.4 9.0 25.0 EDI:Kindergartenchildrenratedasvulnerablefor communicationdevelopment(%) 2013-14.2 11.9 28.0 EDI:Kindergartenchildrenratedasvulnerableon oneormoredomains(%) 2013-32.2 31.1 57.0 EDI:Kindergartenchildrenratedasvulnerableon oneormoredomains,excludingcommunication(%) 2013-28.6 28.5 55.0 Protecting childrenand youth ChildrenandYouthinCare(rateper1,000children aged0-18) ChildrenandYouthinNeedofProtection(rateper 1,000childrenaged0-18) 7.6 27.7 12.5 39.2 37.8 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 12of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. HealthStatusSummary Sub-group Time Description IndicatorDescription Period Health Vancouver West Births LiveBirthRate(rateper1,000population) 2012-9.5 8.3 7.2 Stilbirths(rateper1,000births) 2012-10.8 8.7 InfantMortality-deathsofinfantsunder1yearof age(rateper1,000livebirths) 2012-3.0 3.8 Low WeightBirths-lessthan2,500grams(rateper 2012-1,000livebirths) 58.0 53.0 8 CesareanSections(rateper1,000livebirths) 2012-325.6 285.4 386.7 Pre-term Births-gestationalagelessthan37 weeks(rateper1,000livebirths) 2012-76.4 79.3 93.3 Mothersunder20-livebirthstomothersunder20 yearsofage(rateper1,000livebirths) 2012-19.9 28.7 146.7 Mothers35andover-livebirthstomothersaged 35andover(rateper1,000livebirths) 2012-246.6 218.6 93.3 Life Expectancy FemaleLifeExpectancy 2011-2015 84.6 84.1 MaleLifeExpectancy 2011-2015 80.6 80.2 LifeExpectancy 2011-2015 82.6 82.2 Morbidity Alzheimer'sDiseaseandOtherDementia- Prevalence(age-standardizedrateper1,000) 20.7 21.9 8.9 Asthma-Prevalence(age-standardizedrateper 1,000) 122.3 129.2 154.0 ChronicKidneyDisease-Prevalence (age-standardizedrateper1,000) 22.5 21.7 20.4 ChronicObstructivePulmonaryDisease- Prevalence(age-standardizedrateper1,000) 62.0 62.4 60.1 MoodandAnxietyDisorders-Prevalence (age-standardizedrateper1,000) 300.1 338.4 257.4 Depression-Prevalence(age-standardizedrateper 1,000) 245.5 275.4 206.6 Diabetes-Prevalence(age-standardizedrateper 1,000) 80.9 70.1 83.1 HeartFailure-Prevalence(age-standardizedrate per1,000) 19.9 18.1 20.5 Hypertension-Prevalence(age-standardizedrate per1,000) 226.4 214.0 200.8 IschemicHeartDisease-Prevalence (age-standardizedrateper1,000) 71.5 62.2 75.6 Osteoarthritis-Prevalence(age-standardizedrate per1,000) 86.7 92.7 99.4 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 13of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. HealthStatusSummary(Continued) Sub-group Time Description IndicatorDescription Period Health Vancouver West Deaths Alcohol-relateddeaths(age-standardizedrateper 100,000) 26.5 36.4 7.3 Ilicitdrug-relateddeaths(age-standardizedrate per100,000) 8.3 8.6 Tobacco-relateddeaths(age-standardizedrateper 100,000) 84.6 114.6 45.9 Mortalityduetounintentionalinjuries (age-standardizedrateper10,000) 2012-3.1 3.4 12.3 Mortality(age-standardizedrateper10,000) 2012-64.8 67.0 54.6 HealthMatrix* HealthMatrix:Healthy (%) 24.1 29.7 HealthMatrix:MinorConditions(%) 11.3 5.7 HealthMatrix:ModerateorMajorConditions(%) 2.6 2.2 HealthMatrix:Low ChronicConditions(%) 27.0 26.2 HealthMatrix:Medium ChronicConditions(%) 1 11.1 HealthMatrix:SevereMentalHealth&Substance Use(%) 1.9 1.3 HealthMatrix:Maternity&HealthyNewborns(%) 2.0 1.8 HealthMatrix:FrailinCommunity(%) 0.5 0.3 HealthMatrix:HighChronicw/oFrailty(%) 4.5 4.4 HealthMatrix:HighChronicw/Frailty(%) 0.7 0.5 HealthMatrix:Cancer(%) 1.6 1.3 HealthMatrix:FrailinResidentialCare(%) 1.0 HealthMatrix:EndofLife(%) 0.8 0.9 HealthMatrix:Non-Users(%) 12.0 14.6 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. *TheHealthMatrixisawayofcategorizingthepopulationintodifferentgroupsbasedontheirhealthserviceutilizationpatterns.Thesecategoriesaremutualy exclusiveandaddupto100% -inotherwords,everyoneisplacedintooneofthecategories,goingfrom low ornoutilizationtohighutilizationatendoflife;peoplewho maymeetthecriteriaformorethanonecategorywouldbeplacedintothehigherutilizationcategory forexample,someonewithmedium complexchronicconditions whowasalsolivinginresidentialcarewouldbecountedinthefrail,livinginresidentialcarecategory. FormoreinformationontheHealthMatrix,see https:/www2.gov.bc.ca/assets/gov/health/conducting-health-research/data-access/health_system_matrix_61_definitions.pdf 14of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. PotentialYearsofLifeLost(PYLL) Sub-group Time Description IndicatorDescription Period Health Vancouver West Potential YearsofLife Lost AlCausePotentialYearsofLifeLostrate(age standardizedper1,000) Cerebrovasculardiseases-PotentialYearsofLife Lostrate(agestandardizedper1,000) 2012-2012- 43.1 0.9 47.0 0.9 74.2 Chroniclowerrespiratorydiseases-Potential YearsofLifeLostrate(agestandardizedper1,000) 2012-0.8 0.8 0.4 Diabetes-PotentialYearsofLifeLostrate(age standardizedper1,000) 2012-1.2 1.1 3.7 Arteries,arteriolesandcapilaries-PotentialYears 2012- oflifelostrate(agestandardizedper1,000) 0.3 0.4 AccidentalFals-PotentialYearsofLifeLostrate (agestandardizedper1,000) 2012-0.4 0.5 Influenzaandpneumonia-PotentialYearsofLife Lostrate(agestandardizedper1,000) 2012-0.5 0.6 Suicide-PotentialYearsofLifeLostrate(age standardizedper1,000) 2012-3.2 3.8 Ischemicheartdiseases-PotentialYearsofLife Lostrate(agestandardizedper1,000) 2012-2.5 2.5 4.0 Endocrine,nutritionalandmetabolicdiseases- PYLLrate(agestandardizedper1,000) 2012-1.7 1.6 3.7 Circulatorysystem -PotentialYearsofLifeLost rate(agestandardizedper1,000) 2012-5.3 5.8 12.8 Lung/trachealCancer-PotentialYearsofLifeLost rate(agestandardizedper1,000) 2012-2.7 3.0 3.4 Malignantneoplasms-PotentialYearsofLifeLost rate(agestandardizedper1,000) 2012-13.3 14.5 17.6 Motorvehicleaccidents-PotentialYearsofLife Lostrate(agestandardizedper1,000) 2012-1.7 1.7 7.6 Diseasesoftherespiratorysystem -Potential YearsofLifeLostrate(agestandardizedper1,000) 2012-1.6 1.8 0.4 Diseasesofthedigestivesystem -PotentialYears oflifelostrate(agestandardizedper1,000) 2012-2.1 2.7 2.4 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 15of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. HealthServiceUseSummary Sub-group Time Description IndicatorDescription Period Health Vancouver West Complex Continuing Care HomeCareVisits(rateper1,000population) HomeCareVisits(rateper1,000populationaged 75andover) 438.3 2,477.7 104.4 438.8 ResidentialCareBeds(rateper1,000population aged75andover) 7 HomeCareClients(rateper1,000population) 30.8 26.8 HomeCareClients(rateper1,000populationaged 75andover) 185.6 136.7 HomeSupportClients(rateper1,000population) 13.5 5.7 HomeSupportClients(rateper1,000population aged75andover) 101.5 57.6 HomeSupportHours(rateper1,000population) 4,069.3 683.7 HomeSupportHours(rateper1,000population aged75andover) 27,306.1 3,381.3 Emergency UnscheduledEmergencyDepartmentorUrgent CareCentrevisits(rateper1,000population) 446.6 1,555.3 EmergencyVisitswithCTASof1,2or3(%) 67.8 62.9 UnscheduledEmergencyDepartmentorUrgent CareCentrevisitsfor75+(rateper1,00075+pop) EmergencyVisitswithCTASof1,2or3(%)for75+ population 783.1 78.3 3,177.3 71.4 HospitalDay Care AcuteCareDayCases(age-standardizedrateper 1,000population) 88.1 87.3 74.4 AcuteCareDayCases(age-standardizedrateper 1,000populationaged75andover) 209.7 227.0 166.7 PrimaryCare PopulationAttachedtoPhysicianatthePractice Level(%) 76.5 78.6 83.3 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 16of22

Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±10% from thevalue. HealthServiceUseSummary(Continued) Sub-group Time Description IndicatorDescription Period AcuteCareInpatientCases(age-standardizedrate Hospital per1,000population) InpatientCare AcuteCareInpatientCases(age-standardizedrate per1,000populationaged75andover) AlternativeLevelofCareCases(age-standardized rateper1,000population) AlternativeLevelofCareCases(age-standardized rateper1,000populationaged75andover) AlternativeLevelofCareDays(age-standardized rateper1,000population) AlternativeLevelofCareDays(age-standardized rateper1,000populationaged75andover) 78.9 301.2 3.7 35.2 78.2 761.1 Health 81.8 292.9 1.9 19.3 75.2 793.8 Vancouver West 93.7 253.9 13.3 93.9 AmbulatoryCareSensitiveconditions(%) 4.9 7.6 AmbulatoryCareSensitiveconditionsamong populationaged75+(%) MedicalAcuteCareUtilization(caserateper1,000 population) SurgicalAcuteCareUtilization(caserateper1,000 population) MaternityAcuteCareUtilization(caserateper 1,000population) Psychiatry(Dementiaexcluded)AcuteCare Utilization(caserateper1,000population) MRIUtilization-facilitiesonly(rate per1,000population) 39.1 20.7 10.5 7.4 10.7 38.7 24.3 10.2 7.2 32.1 5.7 55.1 29.8 13.7 11.8 19.5 0.5 1.0 1.5 2.0 Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 17of22

DataSources PopulationandDemographics PopulationandPopulationProjection PopulationandPopulationProjection:AverageAge(People):Statistics-Calendaryearending Percentgrowthofthe0-19 agegrouppopulationinnext10years:statistics-peopleversion Percentgrowthofthe20-44agegrouppopulationinnext 10years:Statistics-PeopleVersion Percentgrowthofthe45-64agegrouppopulationinnext10years:Statistics- PeopleVersion Percentgrowthofthe65-74agegrouppopulationinnext10years:Statistics-PeopleVersion Percentgrowthofthe75+agegrouppopulationinnext10years:Statistics-PeopleVersion Populationaged0-19(%): Statistics-PeopleVersion Populationaged20-44(%):Statistics-PeopleVersion Populationaged45-64(%): Statistics-PeopleVersion Populationaged65-74(%):Statistics-PeopleVersion Populationaged75andover(%): Statistics-PeopleVersion Totalpopulationgrowthbetweenand2026:Statistics-PeopleVersion AgeandDemographics MedianAgeofPopulation:Census,Calendaryear PopulationinprivatehouseholdswithAboriginalIdentity(%):National HouseholdSurvey,Calendaryear PopulationwherelanguagespokenmostoftenathomeisnotEnglishorFrench(%):Census, Calendaryear Visibleminoritypopulation(%):NationalHouseholdSurvey,Calendaryear MaritalStatus Populationaged15andoverwhoarecommon-law (%):Census,Calendaryear Populationaged15andoverwhoaremarried (%):Census,Calendaryear Populationaged15andoverwhoareseparatedordivorced(%):Census,Calendaryear Populationaged15andoverwhoaresingle,nevermarried(%):Census,Calendaryear Populationaged15andoverwhoare widowed(%):census,calendaryear MigrationandImmigrants Immigrantpopulation(%):NationalHouseholdSurvey,Calendaryear Populationmigratingtoareainthelast5years(%): NationalHouseholdSurvey,Calendaryear DeterminantsofHealth Education Grade12completionamongstudentsenteringGrade12forthefirsttime(%)(2yrAgg):MinistryofEducation,- Populationaged25to64withpost-secondarycertificate,diplomaordegree(%):NationalHouseholdSurvey,Calendaryearending StudentscompletinghighschoolwithinsixyearsofenrolmentinGrade8(%)(2yrAgg):MinistryofEducation,- Employment Populationaged15andoverwhoareunemployed(%):NationalHouseholdSurvey,Calendaryear HealthBehaviours Alcoholconsumption(litresofabsolutealcoholsoldperperson,1L=58standarddrinks):AOD,CalendarYear Household Dwelingsratedasneedingmajorrepairsbyrenterorowner(%):NationalHouseholdSurvey,Calendaryearending Lone-parentfamilyhouseholds(% ofcensusfamilieswithchildren):census,calendaryearending Privatehouseholdsthatare owner-occupied(%):nationalhouseholdsurvey,calendaryearending Privatehouseholdswith5ormorepersons(%):Census, Calendaryearending Privatehouseholdswithmultiplefamilies(%):Census,Calendaryearending Income Medianhouseholdtotalincome($):NationalHouseholdSurvey,Calendaryear Medianlone-parentfamilyincome($):National HouseholdSurvey,Calendaryear 18of22

DataSources DeterminantsofHealth IncomeInequality Differenceinmedianincomecomparingmalesandfemalesaged15andover:NationalHouseholdSurvey,Calendaryearending Households(owned)spendingmorethan30% ofincomeonhousing(%):nationalhouseholdsurvey,calendaryearending Households(rented)spendingmorethan30% ofincomeonhousing(%):nationalhouseholdsurvey,calendaryearending Low incomebasedonafter-taxlow incomemeasure(%):nationalhouseholdsurvey,calendaryearending Low incomebasedon after-taxlow-incomemeasure,ages18to64years(%):nationalhouseholdsurvey,calendaryearending Low incomebasedon after-taxlow-incomemeasure,ages65yearsandover(%):nationalhouseholdsurvey,calendaryearending Low incomebased onafter-taxlow-incomemeasure,ageslessthan6years(%):nationalhouseholdsurvey,calendaryearending Low income basedonafter-taxlow-incomemeasure,ageslessthan18years(%):nationalhouseholdsurvey,calendaryearending IncomeSupports Populationaged15andoveronEmploymentInsurance(%):Statistics,4quarteraverageasofSept20122012 Populationon IncomeAssistance(%):Statistics,September2012 Morbidity Alcohol-relatedhospitalizations(age-standardizedrateper100,000):CISUR,Fiscalyearending Ilicitdrug-related hospitalizations(age-standardizedrateper100,000):cisur,fiscalyearending Tobacco-relatedhospitalizations (age-standardizedrateper100,000):cisur,fiscalyearending Transportation Employedpopulationaged15andoverwalking,bikingorbusingtowork(%):NationalHouseholdSurvey,Calendaryearending ChildHealth Childhospitalizations-DentalSurgery(rateper1,000aged0to14)-(2yrAgg):MinistryofHealthHealthIdeas,Periodending 2015- ChildHospitalizations-Injury/Poisoning(rateper1,000aged0to14)-(2yrAgg):MinistryofHealthHealthIdeas,Period ending2015- Childhospitalizations-RespiratoryDis.(rateper1,000aged0to14)-(2yrAgg):MinistryofHealthHealthIdeas, Periodending2015- ChildMentalDiseases&DisordersHospitalizations(IndirectAgeStandardizedrateper1,000aged0-14): MinistryofHealthHealthIdeas,Fiscalyearending Child/YouthMentalDiseases&DisordersHospitalizations(IndirectAge Standardizedrateper1,000aged15-24):MinistryofHealthHealthIdeas,Fiscalyearending Crime MotorVehicleTheft(rateper1,000population):Statistics,Avg2009-20112012 Non-CannabisDrugOffences(rateper1,000 population):statistics,avg2009-20112012 NumberofSeriousCrimesperPoliceOfficer:Statistics,Avg2009-20112012 SeriousCrime(rateper1,000population):Statistics,Avg2009-20112012 SeriousViolentCrime(rateper1,000population): Statistics,Avg2009-20112012 EarlyDevelopment EDI:Kindergartenchildrenratedasvulnerableforsocialdevelopment(%):EarlyDevelopmentInstrument,Waveending EDI: Kindergartenchildrenratedasvulnerableforcommunicationdevelopment(%):EarlyDevelopmentInstrument,Waveending EDI:Kindergartenchildrenratedasvulnerableforemotionaldevelopment(%):EarlyDevelopmentInstrument,Waveending EDI:Kindergartenchildrenratedasvulnerableforlanguagedevelopment(%):EarlyDevelopmentInstrument,Waveending EDI:Kindergartenchildrenratedasvulnerableforphysicaldevelopment(%):EarlyDevelopmentInstrument,Waveending EDI: Kindergartenchildrenratedasvulnerableononeormoredomains(%):EarlyDevelopmentInstrument,Waveending EDI: Kindergartenchildrenratedasvulnerableononeormoredomains,excludingcommunication(%):EarlyDevelopmentInstrument, Waveending ProtectingChildrenandYouth ChildrenandYouthinCare(rateper1,000childrenaged0to18):MinistryofChildrenandFamilyDevelopment,Fiscalyearending ChildrenandYouthinNeedofProtection(rateper1,000childrenaged0to18):MinistryofChildrenandFamilyDevelopment,Endof August 19of22

DataSources HealthStatus Births CesareanSections(rateper1,000livebirths):VitalStatistics,5yearaggregate2012- InfantMortality-deathsofinfantsunder 1yearofage(rateper1,000livebirths):VitalStatistics,5yearaggregate2012- LiveBirthRate(rateper1,000 population):vitalstatistics,5yearaggregate2012- Low WeightBirths-lessthan2,500grams(rateper1,000livebirths):Vital Statistics,5yearaggregate2012- Mothers35andover-livebirthstomothersaged35andover(rateper1,000live births):vitalstatistics,5yearaggregate2012- Mothersunder20-livebirthstomothersunder20yearsofage(rateper1,000 livebirths):vitalstatistics,5yearaggregate2012- Pre-term Births-gestationalagelessthan37weeks(rateper1,000live births):vitalstatistics,5yearaggregate2012- Stilbirths(rateper1,000births):VitalStatistics,5yearaggregate2012- LifeExpectancy FemaleLifeExpectancy:Statistics,CalendarYearRange2011-2015 LifeExpectancy:Statistics,CalendarYearRange 2011-2015 MaleLifeExpectancy:Statistics,CalendarYearRange2011-2015 Morbidity Alzhiemer'sDiseaseandOtherDementia-Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyear ending Asthma-Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyearending ChronicKidneyDisease-Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyearending ChronicObstructivePulmonaryDisease-Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyear ending Depression-Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyearending Diabetes-Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyearending HeartFailure- Prevalence(age-standardizedrateper1,000):MoH-ChronicDiseaseRegistries,Fiscalyearending Rateper1,000):MoH- ChronicDiseaseRegistries,Fiscalyearending IschemicHeartDisease-Prevalence(age-standardizedrateper1,000):MoH- ChronicDiseaseRegistries,Fiscalyearending MoodandAnxietyDisorders-Prevalence(age-standardizedrateper1,000):MoH -ChronicDiseaseRegistries,Fiscalyearending Osteoarthritis-Prevalence(age-standardizedrateper1,000):MoH-Chronic DiseaseRegistries,Fiscalyearending HealthServiceUtilization Deaths Alcohol-relateddeaths(age-standardizedrateper100,000):CISUR,Fiscalyearending Ilicitdrug-relateddeaths (age-standardizedrateper100,000):cisur,fiscalyearending Mortality(age-standardizedrateper10,000):VitalStatistics, Calendaryearending2012- Mortalityduetounintentionalinjuries(age-standardizedrateper10,000):VitalStatistics,Calendar yearending2012- Tobacco-relateddeaths(age-standardizedrateper100,000):CISUR,Fiscalyearending2013 Tobacco-relateddeaths(age-standardizedrateper100,000):CISUR,Fiscalyearending HealthMatrix HealthMatrix:Cancer(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:EndofLife(%):BlueMatrixandPeople, Fiscalyearending HealthMatrix:FrailinCommunity(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:Frail inresidentialcare(%):bluematrixandpeople,fiscalyearending HealthMatrix:Healthy (%):BlueMatrixandPeople,Fiscal yearending HealthMatrix:HighChronicw/Frailty(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:High Chronicw/oFrailty(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:Low ChronicConditions(%):BlueMatrixand People,Fiscalyearending HealthMatrix:Maternity&HealthyNewborns(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:Medium ChronicConditions(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:MinorConditions (%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:ModerateorMajorConditions(%):BlueMatrixandPeople,Fiscal yearending HealthMatrix:Non-Users(%):BlueMatrixandPeople,Fiscalyearending HealthMatrix:SevereMental Health&SubstanceUse(%):BlueMatrixandPeople,Fiscalyearending 20of22

DataSources HealthStatus PotentialLifeYearsLost AccidentalFals-PotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendaryearending2012- Al CausePotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendaryearending2012- Arteries, arteriolesandcapilaries-potentiallifeyearslostrate(agestandardizedper1,000):vitalstatistics,calendaryearending2012- Cerebrovasculardiseases-PotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendaryearending 2012- Chroniclowerrespiratorydiseases-PotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendar yearending2012- Circulatorysystem -PotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendar yearending2012- Diabetes-PotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendaryearending 2012- Diseasesofthedigestivesystem -PotentialLifeYearsLostrate(agestandardizedper1,000):VitalStatistics,Calendar yearending2012- Diseasesoftherespiratorysystem -PotentialLifeYearsLostrate(agestandardizedper1,000):Vital Statistics,Calendaryearending2012- Endocrine,nutritionalandmetabolicdiseases-PotentialLifeYearsLostrate(age standardizedper1,000):vitalstatistics,calendaryearending2012- Influenzaandpneumonia-PotentialLifeYearsLostrate (agestandardizedper1,000):vitalstatistics,calendaryearending2012- Ischemicheartdiseases-PotentialLifeYearsLost rate(agestandardizedper1,000):vitalstatistics,calendaryearending2012- Lung/trachealCancer-PotentialLifeYearsLost rate(agestandardizedper1,000):vitalstatistics,calendaryearending2012- Malignantneoplasms-PotentialLifeYearsLost rate(agestandardizedper1,000):vitalstatistics,calendaryearending2012- Motorvehicleaccidents-PotentialLifeYears Lostrate(agestandardizedper1,000):VitalStatistics,Calendaryearending2012- Suicide-PotentialLifeYearsLostrate(age standardizedper1,000):vitalstatistics,calendaryearending2012- ComplexContinuingCare HomeCareClients(rateper1,000populationaged75andover):-Ideas,Fiscalyearending HomeCareClients (rateper1,000population):-ideas,fiscalyearending HomeCareVisits(rateper1,000populationaged75and over):-ideas,fiscalyearending HomeCareVisits(rateper1,000population):-Ideas,Fiscalyear ending HomeSupportClients(rateper1,000populationaged75andover):-Ideas,Fiscalyearending HomeSupportClients(rateper1,000population):-Ideas,Fiscalyearending HomeSupportHours(rateper1,000 populationaged75andover):-ideas,fiscalyearending HomeSupportHours(rateper1,000population): Health-Ideas,Fiscalyearending ResidentialCareBeds(rateper1,000populationaged75andover):-Ideas, Fiscalyearending Emergency EmergencyVisitswithCTASof1,2or3(%)for75+population:-Ideas,Fiscalyearending EmergencyVisitswith CTASof1,2or3(%):-Ideas,Fiscalyearending UnscheduledEmergencyDepartmentorUrgentCareCentrevisits (rateper1,000population):-ideas,fiscalyearending UnscheduledEmergencyDepartmentorUrgentCareCentre visitsfor75+(rateper1,00075+population):-ideas,fiscalyearending HospitalDayCare AcuteCareDayCases(age-standardizedrateper1,000populationaged75andover):MinistryofHealthHealthIdeas,Fiscalyear ending AcuteCareDayCases(age-standardizedrateper1,000population):MinistryofHealthHealthIdeas,Fiscalyearending PrimaryCare Populationattachedtophysicianatthepracticelevel(%):MinistryofHealth,Fiscalyearending 21of22

DataSources HealthStatus HospitalInpatientCare AcuteCareInpatientCases(age-standardizedrateper1,000populationaged75andover):MinistryofHealthHealthIdeas,Fiscalyear ending AcuteCareInpatientCases(age-standardizedrateper1,000population):MinistryofHealthHealthIdeas,Fiscalyear ending AlternativeLevelofCareCases(age-standardizedrateper1,000populationaged75andover):MinistryofHealth HealthIdeas,Fiscalyearending AlternativeLevelofCareCases(age-standardizedrateper1,000population):Ministryof HealthHealthIdeas,Fiscalyearending AlternativeLevelofCareDays(age-standardizedrateper1,000populationaged75and over):ministryofhealthhealthideas,fiscalyearending AlternativeLevelofCareDays(age-standardizedrateper1,000 population):ministryofhealthhealthideas,fiscalyearending AmbulatoryCareSensitiveconditions(%):-Ideas, Fiscalyearending AmbulatoryCareSensitiveconditionsamongpopulationaged75+(%):-Ideas,Fiscalyear ending MaternityAcuteCareUtilization(caserateper1,000population):MinistryofHealthHealthIdeas,Fiscalyearending MedicalAcuteCareUtilization(caserateper1,000population):MinistryofHealthHealthIdeas,Fiscalyearending MRI Utilization-facilitiesonly(rateper1,000population):,Fiscalyearending Psychiatry(Dementia excluded)acutecareutilization(caserateper1,000population):ministryofhealthhealthideas,fiscalyearending Surgical AcuteCareUtilization(caserateper1,000population):MinistryofHealthHealthIdeas,Fiscalyearending 22of22