5 yr averaged, age adjusted, mortality rates (as of 2014)

Transcription

1 age adjusted deaths per 1, people 5 yr averaged, age adjusted, mortality rates (as of 214) Top 4 cancers 5% of YK deaths Ischemic heart disease is almost ¾ of lower 48 heart disease, but less than half of YK YK has twice the injury deaths as compared to state, and almost 3x the national ra YK rate AK rate US rate

2 YK Delta 5 year Averaged # Deaths / yr 1 yr averaged for breast, kidney and urinary cancers and diabetes (as of 214)

3 Annual Proportion of deaths by cause, 214 YK Delta vs. all US 25. Remember YK Delta has 1,113 deaths per 1, vs 74 deaths/1, for US (higher death rate all cause) YK % US% Heart Disease Cancer Ischemic Heart Disease Lung Cancer Chronic Lung Dis. Unintentional Injuries Stroke Suicide 8

4 Percentage of deaths per year by cause of death from our Region (as of 214) this represents 7.1% of all deaths Cancer 5. Stroke Heart Disease 5.6 Chronic Lung DIsease CANCER Unintentional Injuries Suicide 8.8 Suicide Unintentional Injuries Heart Disease Chronic Lung Disease Stroke 15.1 Homicide 14.3 Diabetes 9

5 Urinary % Cancer Deaths, 5yr averaged, by cancer type breast, kidney and urinary 1 yr averaged (as of 214) All Other Cancers Lung Lung Cancer Colorectal Cancer Breast Cancer Kidney Cancer Colorectal Urinary Cancer Other Cancer 2.4 Kidney Breast

6 age adjusted deaths per 1, people yr averaged, age adjusted mortality as of 214 US Rates YK rate AK rate US rate Lung Cancer Colorectal Cancer Breast Cancer Kidney Cancer Urinary 12 Cancer

7 Cancer Screening 4 cancers account for 5% of cancer mortality on YK Delta Colorectal and Breast Cancer have effective screening tests Lung cancer preventable by decreasing smoking rates 1.% YK Delta Cancer Screening 9.% 8.% 7.% 6.% 5.% 57.7% 62% 5.6% 51.4% 81.7% 72.3% 4.% 3.% 34.3% 3.41% 2.% 1.%.% Mammogram Pap Smear Colonoscopy Tobacco Use Screening 212 GPRA 216 Adult Wellness 13

8 Cancer cases attributable to smoking as a proportion of all cancer cases, by cancer type, United Kingdom, 211 Lung 86% Laryngeal 79% Esophageal 65% Oral Cavity and Pharynx 65% Bladder 37% Kidney 24% Liver 23% Stomach 22% Colorectal 8% Cervical 7% Leukemia 6% 15

9 Age adjusted deaths per 1, people Unintentional Injury death Rates (5yr averaged) (national rates from 212 and 213) YK rate AK rate US rate Unintentional Injuries Drowning Motor Vehicle Accident 16

10 Age Adjusted rates per 1, people 16 Unintentional Injury Rates YK Delta 199 to yr averaged Unintentional Injuries YK Motor Vehicle Accidents YK Drowning YK

11 YK Injury Deaths Undetermined 2% Smoke & Fire 3% Poisoning 6% Breathing 2% Other 9% [CATEGO RY NAME] [PERCEN TAGE] Date from Alaska Native Injury Atlas: An Update, Excessive Cold 7% YK Injury Hospitalizations Motor Vehicle 3% Off-Road Vehicle 8% Drowning 19% Homicide 7% Struck By Person/Object 3% Natural and Environmental 3% Cut 5% Undetermined 1% Other 16% Suicide Attempt or Self Harm 18% Assault 12% Other Vehicle 3% All-Terrain Vehicle 6% Snowmachine 1% Falls 24% 18

12 5yr averaged, Age adjusted Suicide Rates as of 214 (US rates from 213 and 29) Teen Suicide rates approx. 2x the national average All suicide rates approx. 4.4x the national average YK rate AK rate US rate Suicide Teen Suicides (15-19) 2

13 25 Number of YK Delta Suicides by year # Suicides # Teen Suicides 21

14 # of children percentage vaccinated YK Delta Up to Date Immunization Rates month old children Active Clinical Pts months % w/ 4313*314 combo Patients who have received the 4:3:1:3*:3:1:4 combination (i.e. 4 DTaP, 3 Polio, 1 MMR, 3 or 4 HiB, 3 Hepatitis B, 1 Varicella, and 4 Pneumococcal), including contraindications and evidence of disease. NOTE: The only refusals included in this numerator ar 23

15 YK Delta Vaccination Rates >64 years of age % AC Pts >64w/Pneu movax % AC Pts >64 w flu vaccine HP 22 Goal for fllu and pneumovax 24

16 YK Delta 5 yr averaged Vascular Mortality average # deaths as of Heart Disease # Ischemic Heart # 4.4 Stroke # YK Delta 5 yr averaged Vascular disease mortality rates as of 214 Heart DIsease rate Ischemic Heart rate Stroke rate 26

17 1 Screening for Heart Disease Risk Factors % % 76.2% 81.7% 72.3% % 63.73% % %.2.1 Alcohol Use Screening Blood Pressure Measurement Body Mass Index Depression Screening Diabetes Screening Lipid Panel 212 GPRA 216 Adult Wellness Tobacco Use Screening 27

18 9% Screening for Heart Disease Risk Factors 8% 78.44% 76.2% 72.3% 7% 63.45% 63.73% 6% 5% 49.33% 4% 3% 27.1% 2% 1% % Alcohol Use Screening Blood Pressure Measurement Body Mass Index Depression Screening Diabetes Screening 216 Adult Wellness Lipid Panel Tobacco Use Screening 28

19 # of Diabetics User population/1 and % Diabetic Diabetes Rates on YK Delta Active Diabetic Pts User population/1 % w/ any DM DX

20 yr averaged YK Delta Births Births to Residents Teen Births (15-19) Young Teen Births (15-17)

21 yr averaged, Care within the first trimester percentages YK rate AK rate US rate

22 yr averaged, Low Birth Weight Rates YK rate AK rate US rate

23 yr averaged Pre-term delivery rates YK rate AK rate US rate

24 yr averaged Infant Mortality Rates YK rate AK rate US rate

25 16 Pregnancy Outcome Rates as of 214 (US infant mortality 213) Preterm Delivery Low Birth Wt Infant Mortality 37 YK rate AK rate US rate

26 yr averaged, YK Delta Pregnancy outcome rates as of Pre-term Delivery Infant Mortality Low Birth Weight

27 Percentage of Homes Served by System Type in YK Delta 216 Current YK Delta Water and Sewer Service (not including Bethel) Funded YK Delta Water and Sewer Service (not including Bethel) 4% 48% 27% 14% 58% 11% Piped Haul Honeybucket Piped Haul Honeybucket

28 Number of encounters ICD-9 Codes for Skin Infections YK Health Corporation, January 28 May Time (month, year)