APPENDIX I
2 WHR Overview Comparison of Health Outcomes Comparing Rate per Chronic Disease, Cancer Communicable Diseases Health Conditions and Chronic Diseases Infant & Maternal Health Injury Mental Health Quality of Life Cancer Incidence - Breast (Females) CCM 1992-2001 1.3 1.2 Cancer Incidence - Large Intestine (Females) CCM 1992-2001 0.4 0.4 Cancer Incidence - Large Intestine (Males) CCM 1992-2001 0.4 0.4 Cancer Incidence - Lung (Females) CCM 1992-2001 0.6 0.5 Cancer Incidence - Lung (Males) CCM 1992-2001 0.8 0.8 Cancer Incidence - Prostate (Males) CCM 1992-2001 1.3 1.4 Chlamydia Notifiable Diseases On-Line, Health Canada, 2004 2.5 1.5 Gonorrhea Notifiable Diseases On-Line, Health Canada, 2004 0.6 0.2 Hepatitis B (Acute Cases) Notifiable Diseases On-Line, Health Canada, 2004 0.0 0.0 New Cases of Hepatitis C Notifiable Diseases On-Line, Health Canada, 2004 0.6 0.6 Tuberculosis Notifiable Diseases On-Line, Health Canada, 2004 0.1 0.1 Acute Myocardial Infarction (AMI) MCHP,2003 1996-2000 2.1 2.3 Arthritis/Rheumatism CCHS, Canada 2003 168.0 168.0 Asthma CCHS, Canada 2003 89.0 84.0 BMI > 30.0 CCHS 2003 165.0 149.0 Cancer Incidence Females CCM 1992-2001 4.5 4.4 Cancer Incidence Males CCM 1992-2001 4.9 4.9 Chronic Pain - Prevents Most Activites CCHS, Canada 2000/2001 31.0 29.0 Chronic Pain - Severe pain CCHS, Canada 2000/2001 22.0 26.0 Diabetes CCHS, Canada 2003 54.0 46.0 High Blood Pressure CCHS, Canada 2003 139.0 144.0 Hypertension Treatment MCHP,2003 1998-2000 222.8 224.4 Stroke MCHP,2003 1996-2000 1.5 1.8 Total Respiratory Morbidity MCHP,2003 1999-2000 131.6 123.8 Infant Mortality Canadian Perinatal Health Report 6.2 5.1 Low Birth Weight WRHA; Canada, CANSIM Table 102-4005 2000/01;2001 56.0 55.0 One-year Childhood Immunization MCHP, 2003 1998-1999 863.8 829.5 Pre-term Birth MCHP,2003 1996-2000 75.3 76.0 Seven-year Childhood Immunization MCHP, 2003 1992-1993 751.1 732.7 Teen Pregnancy (Females Ages 15-19) MCHP,2003 1996-2000 64.3 61.4 Two-year Childhood Immunization MCHP, 2003 1997-1998 736.8 707.4 All Injury Death ; Health Canada, 2000/01, 1999 0.4 0.5 All Injury Hospitalization ; Health Canada, 2000/01 2000-2002, 2000/01 7.3 8.0 Injuries in past 12 months and sought medical attention CCHS, Canada 2003 95.0 80.0 Self-inflicted Injury Hospitalization ; Health Canada, 2000/01 2000-2002, 2000/01 0.5 0.8 Suicide ; Health Canada, 2000/01, 1999 0.1 0.1 Unintentional Injury Death ; Health Canada, 2000/01, 1999 0.2 0.3 Unintentional Injury Hospitalization ; Health Canada, 2000/01 2000-2002, 2000/01 6.2 6.8 Anti-depressant Use MCHP,2003 1999-2000 60.3 56.4 Depression - Probable Risk CCHS, Canada 2000/2001 77.0 71.0 Hospitalization for Mental Health Disorders CIHI, 2004 2000/01 5.9 6.3 Suicide ; Health Canada, 2000/01, 1999 0.1 0.1 Activity Limitation CCHS, Canada 2003 244.0 243.0 Functional Health (Moderate or severe) CCHS, Canada 2000/2001 194.0 186.0 One or more Two-Week Disability Days CCHS, Canada 2003 191.0 170.0 Psychological Distress (Life Stress) CCHS, Canada 2003 685.0 638.0 Self-Esteem (Low) CCHS, Canada 2000/2001 109.0 115.0 Self-Rated Health (Fair/Poor) CCHS, Canada 2003 106.0 113.0 WHR Agestandardized rate per 100 000 Comparing Agestandardized rate per 100 000 Deaths Unintentional Injury ICD-9: E800-E929,excl.E870-879. Statstics Canada, 2003 1996-1998 21.9 27 Suicide ICD-9: E950-E959. Statstics Canada, 2003 1996-1998 10.4 12.4 All Cancers ICD-9: 140-208. Statstics Canada, 2003 1996-1998 190.1 184.1 Colorectal Cancer ICD-9: 153-154. Statstics Canada, 2003 1996-1998 20.3 19.1 Female Breast Cancer ICD-9: 174 Statstics Canada, 2003 1996-1998 31.3 27.5 Lung Cancer ICD-9: 162. Statstics Canada, 2003 1996-1998 50 49.3 Prostate Cancer ICD-9: 185. Statstics Canada, 2003 1996-1998 28.2 28.6 All Circulatory ICD-9: 390-459. Statstics Canada, 2003 1996-1998 251.6 239.2 Cerebrovascular Disease ICD-9: 430-438. Statstics Canada, 2003 1996-1998 50.6 47.1 Ischaemic Heart Disease ICD-9:410-414. Statstics Canada, 2003 1996-1998 143.1 131.6 All Other Circulatory Disease ICD-9: 390-409, 415-429, 439-459. Statstics Canada, 2003 1996-1998 57.9 60.5 All Respiratory ICD-9: 460-519. Statstics Canada, 2003 1996-1998 55.5 61 Pneumonia & Influenza ICD-9: 480-487. Statstics Canada, 2003 1996-1998 22.7 24.3 AIDS ICD-9: 042-044. Statstics Canada, 2003 1996-1998 1.5 2.6 Total Mortality ICD-9: 001-799, E800-E999. Statstics Canada, 2003 1996-1998 666 659.6
3 Overview Comparison of Health Outcomes WHR Rate per Mental Health St. James-Assiniboia 67.4 60.3 Assiniboine South 64.1 60.3 Fort Garry 53.2 60.3 St. Vital 61.1 60.3 St. Boniface 62.7 60.3 Anti-depressant Use MCHP,2003 1999-2000 Transcona 50.9 60.3 River East 58.4 60.3 Seven Oaks 56.9 60.3 Inkster 40.1 60.3 Point Douglas 62.6 60.3 Downtown 60.7 60.3 River Heights 75.9 60.3 St. James-Assiniboia 5.5 6.0 Assiniboine South 4.9 6.0 Fort Garry 3.8 6.0 St. Vital 4.4 6.0 St. Boniface 5.3 6.0 Mental Health Disorders Manitoba Health 2002/2003 Transcona 2.7 6.0 River East 4.8 6.0 Seven Oaks 4.0 6.0 Inkster 3.6 6.0 Point Douglas 8.9 6.0 Downtown 13.6 6.0 River Heights 6.4 6.0 St. James-Assiniboia 0.1 0.1 Assiniboine South 0.1 0.1 Fort Garry 0.1 0.1 St. Vital 0.1 0.1 St. Boniface 0.1 0.1 Suicide Transcona 0.1 0.1 River East 0.1 0.1 Seven Oaks 0.1 0.1 Inkster 0.1 0.1 Point Douglas 0.2 0.1 Downtown 0.2 0.1 River Heights 0.1 0.1
4 Injury All Injury Death All Injury Hospitalization Self-inflicted Injury Hospitalization Suicide Unintentional Injury Death Unintentional Injury Hospitalization 2000-2002 2000-2002 2000-2002 St. James-Assiniboia 0.4 0.4 Assiniboine South 0.3 0.4 Fort Garry 0.2 0.4 St. Vital 0.4 0.4 St. Boniface 0.3 0.4 Transcona 0.3 0.4 River East 0.4 0.4 Seven Oaks 0.3 0.4 Inkster 0.3 0.4 Point Douglas 0.7 0.4 Downtown 0.7 0.4 River Heights 0.5 0.4 St. James-Assiniboia 6.9 7.3 Assiniboine South 6.7 7.3 Fort Garry 5.2 7.3 St. Vital 5.7 7.3 St. Boniface 6.5 7.3 Transcona 4.8 7.3 River East 6.5 7.3 Seven Oaks 5.5 7.3 Inkster 5.4 7.3 Point Douglas 11.2 7.3 Downtown 13.1 7.3 River Heights 7.9 7.3 St. James-Assiniboia 0.3 0.5 Assiniboine South 0.3 0.5 Fort Garry 0.4 0.5 St. Vital 0.4 0.5 St. Boniface 0.6 0.5 Transcona 0.3 0.5 River East 0.4 0.5 Seven Oaks 0.3 0.5 Inkster 0.4 0.5 Point Douglas 0.8 0.5 Downtown 0.9 0.5 River Heights 0.5 0.5 St. James-Assiniboia 0.1 0.1 Assiniboine South 0.1 0.1 Fort Garry 0.1 0.1 St. Vital 0.1 0.1 St. Boniface 0.1 0.1 Transcona 0.1 0.1 River East 0.1 0.1 Seven Oaks 0.1 0.1 Inkster 0.1 0.1 Point Douglas 0.2 0.1 Downtown 0.2 0.1 River Heights 0.1 0.1 St. James-Assiniboia 0.3 0.2 Assiniboine South 0.2 0.2 Fort Garry 0.1 0.2 St. Vital 0.2 0.2 St. Boniface 0.2 0.2 Transcona 0.1 0.2 River East 0.2 0.2 Seven Oaks 0.2 0.2 Inkster 0.2 0.2 Point Douglas 0.4 0.2 Downtown 0.4 0.2 River Heights 0.3 0.2 St. James-Assiniboia 6.3 6.2 Assiniboine South 6.2 6.2 Fort Garry 4.7 6.2 St. Vital 5.1 6.2 St. Boniface 5.5 6.2 Transcona 4.3 6.2 River East 5.7 6.2 Seven Oaks 5.0 6.2 Inkster 4.4 6.2 Point Douglas 8.3 6.2 Downtown 9.9 6.2 River Heights 7.0 6.2
5 Infant and Maternal Health Fertility (Females Ages 15-49) 1998-1999 Pre-term Birth MCHP,2003 1996-2000 Seven-year Childhood Immunization MB Health Hospital Abstract MB Health Hospital Low Birth Weight 2002/2003 Abstract One-year Childhood Immunization Teen Pregnancy (Females Ages 15-19) MCHP, 2003 MCHP, 2003 MB Health Hospital Abstract 2002/2003 1992-1993 2002/2003 St. James-Assiniboia 48.1 57.0 Assiniboine South 38.9 57.0 Fort Garry 47.7 57.0 St. Vital 48.9 57.0 St. Boniface 52.2 57.0 Transcona 52.7 57.0 River East 55.1 57.0 Seven Oaks 55.0 57.0 Inkster 69.7 57.0 Point Douglas 91.3 57.0 Downtown 81.4 57.0 River Heights 46.9 57.0 St. James-Assiniboia 33.3 57.9 Assiniboine South 63.6 57.9 Fort Garry 38.3 57.9 St. Vital 47.8 57.9 St. Boniface 62.9 57.9 Transcona 72.2 57.9 River East 55.7 57.9 Seven Oaks 47.7 57.9 Inkster 68.2 57.9 Point Douglas 71.8 57.9 Downtown 86.4 57.9 River Heights 33.0 57.9 St. James-Assiniboia 894.8 863.8 Assiniboine South 894.5 863.8 Fort Garry 864.8 863.8 St. Vital 900.4 863.8 St. Boniface 902.8 863.8 Transcona 919.6 863.8 River East 890.9 863.8 Seven Oaks 890.2 863.8 Inkster 861.8 863.8 Point Douglas 769.7 863.8 Downtown 796.0 863.8 River Heights 862.5 863.8 St. James-Assiniboia 75.0 75.3 Assiniboine South 71.0 75.3 Fort Garry 78.7 75.3 St. Vital 65.2 75.3 St. Boniface 69.3 75.3 Transcona 66.2 75.3 River East 74.7 75.3 Seven Oaks 76.9 75.3 Inkster 84.2 75.3 Point Douglas 84.2 75.3 Downtown 82.9 75.3 River Heights 66.9 75.3 St. James-Assiniboia 822.3 751.1 Assiniboine South 798.2 751.1 Fort Garry 782.8 751.1 St. Vital 857.0 751.1 St. Boniface 796.6 751.1 Transcona 790.6 751.1 River East 787.9 751.1 Seven Oaks 765.6 751.1 Inkster 735.4 751.1 Point Douglas 610.7 751.1 Downtown 633.7 751.1 River Heights 735.2 751.1 St. James-Assiniboia 45.0 52.1 Assiniboine South 18.6 52.1 Fort Garry 20.7 52.1 St. Vital 36.4 52.1 St. Boniface 35.9 52.1 Transcona 39.5 52.1 River East 47.9 52.1 Seven Oaks 44.2 52.1 Inkster 81.7 52.1 Point Douglas 129.4 52.1 Downtown 98.5 52.1 River Heights 38.4 52.1 continued on next page
6 Infant and Maternal Health Two-year Childhood Immunization MCHP, 2003 1997-1998 St. James-Assiniboia 780.8 736.8 Assiniboine South 763.4 736.8 Fort Garry 735.5 736.8 St. Vital 799.9 736.8 St. Boniface 781.7 736.8 Transcona 815.0 736.8 River East 752.4 736.8 Seven Oaks 774.9 736.8 Inkster 734.4 736.8 Point Douglas 608.2 736.8 Downtown 654.6 736.8 River Heights 746.0 736.8
7 Mortality: Leading Causes of Death No. 1 Cause of Deaths- Ischemic Heart Disease No. 2 Cause of Deaths- Cerebrovascular Disease No. 3 Cause of Deaths- Malignant Neoplasm of Digestive Organ No. 4 Cause of Deaths- Malignant Neoplasm of Respiratory Organ No. 5 Cause of Deaths- Other Forms of Heart Disease Premature Mortality Rate (PMR) MB Health, Vital MB Health, Vital MB Health, Vital MB Health, Vital MB Health, Vital Manitoba Vital St. James-Assiniboia 2.2 1.8 Assiniboine South 1.8 1.8 Fort Garry 0.9 1.8 St. Vital 1.7 1.8 St. Boniface 1.7 1.8 Transcona 1.2 1.8 River East 1.6 1.8 Seven Oaks 2.0 1.8 Inkster 1.0 1.8 Point Douglas 2.8 1.8 Downtown 2.1 1.8 River Heights 2.0 1.8 St. James-Assiniboia 0.8 0.7 Assiniboine South 0.6 0.7 Fort Garry 0.4 0.7 St. Vital 0.6 0.7 St. Boniface 0.6 0.7 Transcona 0.4 0.7 River East 0.8 0.7 Seven Oaks 0.7 0.7 Inkster 0.5 0.7 Point Douglas 0.9 0.7 Downtown 0.7 0.7 River Heights 0.8 0.7 St. James-Assiniboia 0.7 0.6 Assiniboine South 0.4 0.6 Fort Garry 0.4 0.6 St. Vital 0.6 0.6 St. Boniface 0.7 0.6 Transcona 0.4 0.6 River East 0.6 0.6 Seven Oaks 0.7 0.6 Inkster 0.3 0.6 Point Douglas 0.8 0.6 Downtown 0.6 0.6 River Heights 0.7 0.6 St. James-Assiniboia 0.7 0.6 Assiniboine South 0.4 0.6 Fort Garry 0.4 0.6 St. Vital 0.6 0.6 St. Boniface 0.5 0.6 Transcona 0.5 0.6 River East 0.6 0.6 Seven Oaks 0.5 0.6 Inkster 0.4 0.6 Point Douglas 0.8 0.6 Downtown 0.7 0.6 River Heights 0.7 0.6 St. James-Assiniboia 0.6 0.4 Assiniboine South 0.4 0.4 Fort Garry 0.2 0.4 St. Vital 0.3 0.4 St. Boniface 0.4 0.4 Transcona 0.3 0.4 River East 0.4 0.4 Seven Oaks 0.4 0.4 Inkster 0.4 0.4 Point Douglas 0.7 0.4 Downtown 0.6 0.4 River Heights 0.6 0.4 St. James-Assiniboia 4.1 3.4 Assiniboine South 2.3 3.4 Fort Garry 2.1 3.4 St. Vital 3.1 3.4 St. Boniface 3.0 3.4 Transcona 2.9 3.4 River East 3.4 3.4 Seven Oaks 3.4 3.4 Inkster 2.7 3.4 Point Douglas 4.9 3.4 Downtown 4.8 3.4 River Heights 3.3 3.4
8 Communicable Disease Chlamydia CDC Unit, MB Health 1998-2002 Gonorrhea CDC Unit, MB Health 1998-2002 Hepatitis B Acute CDC Unit, MB Health 1998-2002 Hepatitis C CDC Unit, MB Health 1998-2002 Tuberculosis CDC Unit, MB Health 1998-2002 St. James-Assiniboia 1.4 2.5 Assiniboine South 1.6 2.5 Fort Garry 1.5 2.5 St. Vital 1.5 2.5 St. Boniface 1.5 2.5 Transcona 1.7 2.5 River East 2.1 2.5 Seven Oaks 1.7 2.5 Inkster 3.4 2.5 Point Douglas 5.8 2.5 Downtown 6.0 2.5 River Heights 2.0 2.5 St. James-Assiniboia 0.2 0.5 Assiniboine South 0.2 0.5 Fort Garry 0.3 0.5 St. Vital 0.1 0.5 St. Boniface 0.2 0.5 Transcona 0.1 0.5 River East 0.3 0.5 Seven Oaks 0.3 0.5 Inkster 0.7 0.5 Point Douglas 1.6 0.5 Downtown 1.7 0.5 River Heights 0.4 0.5 St. James-Assiniboia 0.0 0.0 Assiniboine South 0.0 0.0 Fort Garry 0.0 0.0 St. Vital 0.0 0.0 St. Boniface 0.0 0.0 Transcona 0.0 0.0 River East 0.0 0.0 Seven Oaks 0.0 0.0 Inkster 0.0 0.0 Point Douglas 0.0 0.0 Downtown 0.1 0.0 River Heights 0.0 0.0 St. James-Assiniboia 0.3 0.7 Assiniboine South 0.2 0.7 Fort Garry 0.3 0.7 St. Vital 0.3 0.7 St. Boniface 0.4 0.7 Transcona 0.2 0.7 River East 0.4 0.7 Seven Oaks 0.4 0.7 Inkster 0.7 0.7 Point Douglas 2.1 0.7 Downtown 2.3 0.7 River Heights 0.6 0.7 St. James-Assiniboia 0.0 0.1 Assiniboine South 0.0 0.1 Fort Garry 0.0 0.1 St. Vital 0.0 0.1 St. Boniface 0.0 0.1 Transcona 0.0 0.1 River East 0.0 0.1 Seven Oaks 0.1 0.1 Inkster 0.2 0.1 Point Douglas 0.2 0.1 Downtown 0.4 0.1 River Heights 0.0 0.1
9 Chronic Health Conditions Acute Myocardial Infarction (AMI) Asthma Diabetes Prevalence Hypertension Treatment MCHP,2003 Manitoba Health MB Health, Diabetes & Chronic Diseases Unit MCHP,2003 1996-2000 2001-2003 MB Health, Diabetes & Diabetes Incidence 1996-1999 Chronic Diseases Unit 1996-1999 1998-2000 St. James-Assiniboia 2.5 2.1 Assiniboine South 1.8 2.1 Fort Garry 1.2 2.1 St. Vital 1.9 2.1 St. Boniface 1.9 2.1 Transcona 2.1 2.1 River East 2.4 2.1 Seven Oaks 2.5 2.1 Inkster 1.7 2.1 Point Douglas 2.7 2.1 Downtown 1.8 2.1 River Heights 2.0 2.1 St. James-Assiniboia 74.0 73.4 Assiniboine South 68.7 73.4 Fort Garry 73.7 73.4 St. Vital 70.5 73.4 St. Boniface 65.3 73.4 Transcona 70.4 73.4 River East 68.6 73.4 Seven Oaks 78.7 73.4 Inkster 84.3 73.4 Point Douglas 88.2 73.4 Downtown 75.7 73.4 River Heights 70.1 73.4 St. James-Assiniboia 4.9 4.6 Assiniboine South 3.7 4.6 Fort Garry 3.7 4.6 St. Vital 3.8 4.6 St. Boniface 4.4 4.6 Transcona 5.2 4.6 River East 4.4 4.6 Seven Oaks 5.0 4.6 Inkster 4.3 4.6 Point Douglas 5.8 4.6 Downtown 5.5 4.6 River Heights 4.3 4.6 St. James-Assiniboia 50.9 45.2 Assiniboine South 37.4 45.2 Fort Garry 35.1 45.2 St. Vital 39.6 45.2 St. Boniface 42.5 45.2 Transcona 40.8 45.2 River East 43.6 45.2 Seven Oaks 50.1 45.2 Inkster 43.2 45.2 Point Douglas 59.2 45.2 Downtown 54.1 45.2 River Heights 43.0 45.2 St. James-Assiniboia 210.9 222.8 Assiniboine South 224.8 222.8 Fort Garry 222.1 222.8 St. Vital 225.7 222.8 St. Boniface 221.5 222.8 Transcona 223.7 222.8 River East 242.9 222.8 Seven Oaks 243.8 222.8 Inkster 204.3 222.8 Point Douglas 213.1 222.8 Downtown 204.8 222.8 River Heights 226.4 222.8 continued on next page
10 Chronic Health Conditions Overall Cancer Incidence Stroke Treatment MCHP,2003 1996-2000 Total Respiratory Morbidity MCHP,2003 MCHP,2003 1996-2000 1999-2000 St. James-Assiniboia 7.6 5.8 Assiniboine South 5.5 5.8 Fort Garry 4.8 5.8 St. Vital 5.4 5.8 St. Boniface 5.8 5.8 Transcona 4.8 5.8 River East 5.8 5.8 Seven Oaks 5.9 5.8 Inkster 4.0 5.8 Point Douglas 6.4 5.8 Downtown 5.4 5.8 River Heights 7.1 5.8 St. James-Assiniboia 1.7 1.5 Assiniboine South 1.2 1.5 Fort Garry 1.0 1.5 St. Vital 1.2 1.5 St. Boniface 1.3 1.5 Transcona 1.2 1.5 River East 1.7 1.5 Seven Oaks 1.5 1.5 Inkster 1.1 1.5 Point Douglas 2.2 1.5 Downtown 1.7 1.5 River Heights 1.7 1.5 St. James-Assiniboia 141.0 131.6 Assiniboine South 124.8 131.6 Fort Garry 107.1 131.6 St. Vital 122.4 131.6 St. Boniface 107.4 131.6 Transcona 137.3 131.6 River East 124.3 131.6 Seven Oaks 148.8 131.6 Inkster 143.3 131.6 Point Douglas 175.3 131.6 Downtown 142.5 131.6 River Heights 122.6 131.6