The Life Course Approach to Analyzing and Visualizing Niagara s Top Health Issues
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1 The Life Course Approach to Analyzing and Visualizing Niagara s Top Health Issues 1
2 Lifecourse Theory Today s experiences and exposures affect tomorrow s health; Health trajectories are particularly affected during critical or sensitive periods which should not be missed; Biologic, physical, and social environments strongly affects the capacity to be healthy; and While genetics can offer both protection and risk factors, inequality in health reflects more than genetics and personal choice. 2
3 3
4 Why examine data across the Lifespan?
5 YEARS TO LIFE LIFE TO YEARS 5
6 The data EMS transports (Frequency, EMS data ) Infectious disease (Rate per 100,000 iphis ) All ED visits AND ED Injuries (Rate per 100,000; IntelliHealth ) Hospital discharges (Rate per 100,000; IntelliHealth ) Mortality (Rate per 100,000; IntelliHealth ) Chronic disease behaviours (Percent; Snapshots PHO ) Self reported chronic disease (Percent; Snapshots PHO ) 6
7 Top Five EMS Transports to EDs in Niagara ( ) Niagara <1 Resp. Distress Seizure/Post Ictal 1-4 Seizure/Post Ictal General Illness/ Weakness General Illness/ Weakness General Illness/ Weakness General Illness/ Weakness General Illness/ Weakness Seizure/Post Ictal Behaviour/ Psychiatric Behaviour/ Psychiatric Behaviour/ Psychiatric Abdominal Pain NYD Resp. Distress 7 General Illness/ Weakness Resp. Distress Soft Tissue Pain/ /Edema Soft Tissue Pain/ /Edema Alcohol Intoxication Abdominal Pain NYD Behaviour/ Psychiatric Abdominal Pain NYD Resp. Distress Resp. Distress Other Medical/ Soft Tissue Pain/ /Edema Behaviour/ Psychiatric Syncope Soft Tissue Pain/ /Edema Soft Tissue Pain/ /Edema Soft Tissue Pain/ /Edema Soft Tissue Pain/ /Edema Abdominal Pain NYD GI Problems/Pain/ Vomiting/Nausea Soft Tissue Pain/ /Edema Newborn/Neonatal Other Medical/ Resp. Distress Seizure/Post Ictal Drug Overdose Seizure/Post Ictal GI Problems/Pain/ Vomiting/Nausea Ischemic Chest Pain GI Problems/Pain/ Vomiting/Nausea Abdominal Pain NYD GI Problems/Pain/ Vomiting/Nausea
8 Top Five Emergency Department Visit Diagnoses in Niagara ( ) Niagara < Acute Upper Resp. Infections Acute Upper Resp. Infections Acute Upper Resp. Infections Wrist & Hand Injuries Wrist & Hand Injuries Digestive/ Abdominal S & S Digestive/ Abdominal S & S Exam/ Investigation Exam/ Investigation Lens Disorders Circulatory/ Respiratory S & S General S & S Middle Ear & Mastoid Head Injuries Acute Upper Resp. Infections Digestive/ Abdominal S & S Wrist & Hand Injuries Wrist & Hand Injuries Circulatory/ Respiratory S & S Lens Disorders Circulatory/ Respiratory S & S Other Forms of Heart 8 Other Acute Lower Resp. Infections Middle Ear & Mastoid Head Injuries Head Injuries General S & S Int. Inf. Middle Ear & Mastoid Ankle & Foot Injuries Acute Upper Resp. Infections Acute Upper Resp. Infections Circulatory/ Respiratory S & S Digestive/ Abdominal S & S Circulatory/ Respiratory S & S Exam/ Investigation General S & S Digestive/ Abdominal S & S Head Injuries Head Injuries Head Injuries Acute Upper Resp. Infections Wrist & Hand Injuries Digestive/ Abdominal S & S General S & S Other Urinary System Wrist & Hand Injuries Elbow & Forearm Injuries Ankle & Foot Injuries Ankle & Foot Injuries Ankle & Foot Injuries General S & S Benign Neoplasms Digestive/ Abdominal S & S Lens Disorders
9 Niagara <1 Length of Gest./ Fetal Growth Prob Perinatal Resp./ Card. Disorder 1-4 Int. Inf. Influenza & Pneumonia 5-9 Int. Inf. Influenza & Pneumonia Top Five Hospital Discharge Diagnoses in Niagara ( ) Mood (Affective) Disorders Labour & Delivery Complications Labour & Delivery Complications Labour & Delivery Complications Ischaemic Heart Arthrosis Other Forms of Heart Other Forms of Heart of Appendix Mood (Affective) Disorders Fetus/amn. cavity & del. Problems Fetus/amn. cavity & del. Problems Arthrosis Ischaemic Heart Ischaemic Heart Ischaemic Heart 9 H & H Disorders of Fetus & Newborn Chronic Lower Resp. Chronic Lower Resp. Digestive/ Abdominal S & S of Appendix of Appendix Non-infl. Female GT Disorder Other Forms of Heart Other Forms of Heart Arthrosis Hip & Thigh Injuries General S & S General S & S of Appendix Int. Inf. Fetus/amn. cavity & del. Problems Knee & Lower Leg Injuries Gall, BT & Pancr. Disorders Comp. of Surg.& Med. Care NEC Chronic Lower Resp. Chronic Lower Resp. Chronic Lower Resp. Int. Inf. Other Urinary System Digestive/ Abdominal S & S Diabetes Mellitus Diabetes Mellitus Gall, BT & Pancr. Disorders of Appendix Other Intestinal Comp. of Surg.& Med. Care NEC Other Intestinal Influenza & Pneumonia
10 Top Five Causes of Death in Niagara ( ) Niagara <1 Congenital Malformation Not Reportable** Not Reportable** Not Reportable** Not Reportable** 1-4 Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** 5-9 Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** Not Reportable** Transport Accidents Intentional Self-Harm Not Reportable** Not Reportable** Not Reportable** Transport Accidents Accidental Poisoning Ischemic Heart Lung & Bronchus Cancer Ischemic Heart Ischemic Heart Accidental Poisoning Intentional Self-Harm 10 Intentional Self-Harm Transport Accidents Not Reportable** Breast Cancer Lung & Bronchus Cancer Liver Cirrhosis Breast Cancer Ischemic Heart Lung & Bronchus Cancer Dementia/ Alzheimer s Chronic Lower Resp. Infection Cerebrovascular Cerebrovascular Lymph, Blood & Related Cancer Dementia/ Alzheimer s Falls Not Reportable** Ischemic Heart Colon, Rectal & Anal Cancer Colon, Rectal & Anal Cancer Chronic Lower Resp. Infection Chronic Lower Resp. Infection
11 Top Five Causes of Death, Niagara Region ( ) 0< Ischemic Heart Chronic Lower Respiratory Infections Cerebrovascular Cirrhosis, Liver Transport Accidents Accidental Poisoning Dementia/ Alzheimer s Cancer of Lymph, Blood & Related Intentional Self-Harm Breast Cancer Falls Not Reportable Cancer of Lung & Bronchus Cancer of Colon, Rectum, Anus Congenital Malformation
12 Top Five Causes of Death, Niagara Region ( ) Rates per 100, < Ischemic Heart Chronic Lower Respiratory Infections Cerebrovascular Cirrhosis, Liver Transport Accidents Accidental Poisoning Dementia/ Alzheimer s Cancer of Lymph, Blood & Related Intentional Self-Harm Breast Cancer Falls Not Reportable Cancer of Lung & Bronchus Cancer of Colon, Rectum, Anus Congenital Malformation
13 Top Five Self Reported Conditions in Niagara ( ) Niagara Overweight and obesity Mood disorder Not Reportable** Not Reportable** Not Reportable** Overweight and obesity Anxiety disorder Asthma Mood disorder High blood pressure Overweight and obesity High blood pressure Mood disorder Anxiety disorder Asthma 65+ Overweight and obesity High blood pressure Diabetes Heart disease Asthma 13
14 Top Five Self Reported Behaviours in Niagara ( ) Niagara or less fruits and vegetables Inactive during leisure time Underage drinking Illicit drug use Cannabis use Exceeds LRADG 4 or less fruits and vegetables Inactive during leisure time Current smokers Illicit drug use or less fruits and vegetables Exceeds LRADG Inactive during leisure time Current smokers Illicit drug use 65+ Inactive during leisure time 4 or less fruits and vegetables Exceeds LRADG Current smokers Not Reportable** 14
15 The Ontario Marginalization Index (ON Marg) for Priority Planning Areas 15
16
17 Doing Business Differently Flexibility Transformative Opportunities Efficiency and Innovation Alternate Service Delivery
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