Renfrew County and District Health Unit

         

Community Health Status Report

 Issue #12 – Mortality Update, December 2003

 SUMMARY

This report presents information on major causes of death and premature death in Renfrew County and District (RC&D) for the 2000 – 2002 period. It is the twelfth in a series of reports that present information related to the health status of residents in RC&D.

Life Expectancy

  • Life expectancy at birth for 2000 – 2002 continued an increasing trend in RC&D and in Ontario as a whole. However, life expectancy at birth remained significantly lower in RC&D than in Ontario as a whole, for both males (75.6 years) and females (81.1 years). Other health units in Eastern Ontario also had lower life expectancies than the provincial average except for Ottawa , which was higher.

Causes of Death

  • In 2000 - 2001, the average number of deaths per year was 924.
  • The top four causes of death in 2000 – 2001 were circulatory diseases (cardiovascular diseases - 41%, 383 deaths/year), neoplasms (cancers - 28%, 256 deaths/year), respiratory diseases (9%, 79 deaths/year) and external causes (injury and poisoning - 5%, 46 deaths/year).

Premature Death - Potential Years of Life Lost (PYLL) Rates

  • In 2000 – 2002, the PYLL rate due to all causes of premature death combined for RC&D males was significantly higher than both the provincial average and Peer Group E. For RC&D females, the total PYLL rate was significantly higher than in Ontario as a whole, but lower than in Peer Group E.
  • Premature death affects males and females differently. In RC&D, circulatory diseases, unintentional injuries and suicides were much greater causes of PYLL for males than for females.

Circulatory Diseases

  • Although age standardized mortality rates (ASMR) for circulatory diseases continued a declining trend, they also continued to be significantly higher in RC&D than both Ontario and Peer Group E in 2000 - 2002. (The ASMR for “all circulatory disease” was 257/100,000.)
  • PYLL rates for “all circulatory disease” and three components of this: “ischemic heart disease”, “cerebrovascular disease”, and “all other circulatory disease” were significantly higher in RC&D than in Ontario and Peer Group E in 2000 – 2002.

Cancers

·        ASMRs for “all cancer”, “colorectal cancer”, “female breast cancer” and “prostate cancer” in RC&D were similar to Ontario and Peer Group E in 2000 - 2002. (The ASMR for “all cancer” was 186/100,000.)

·        The ASMR for “lung cancer” was significantly higher in RC&D (53.6/100,000) than in Ontario as a whole, and this was due to a higher death rate in women.

·        As shown by PYLL rates, there was significantly more premature death in RC&D from “all cancer” and “lung cancer” than in Ontario as a whole. However, we had significantly less premature death from “colorectal cancer” and “female breast cancer” than Ontario , and less premature death than Peer Group E for “all cancer”, “colorectal cancer”, “female breast cancer” and “prostate cancer”.

Respiratory Diseases

  • The ASMR for “all respiratory diseases” was significantly higher in RC&D (56.4/100,000) compared to Ontario , but not significantly different from Peer Group E. ASMRs for “pneumonia and influenza”, and “bronchitis, emphysema and asthma” were similar in RC&D, Ontario and Peer Group E.
  • RC&D had significantly higher PYLL rates than Ontario and Peer Group E for “all respiratory disease” and “all other respiratory disease”.

Unintentional Injuries and Suicides

  • The ASMR for unintentional injuries was significantly higher in RC&D (33.4/100,000) than in Ontario as a whole (22.3/100,000) but similar to Peer Group E in 2000 – 2002.
  • The ASMR for suicides and self-inflicted injuries in RC&D (11.6/100,000) was not significantly different from Ontario or Peer Group E.
  • The PYLL rate for “unintentional injuries” in RC&D was higher than in Ontario but lower than Peer Group E in 2000 – 2002. The same pattern exists for “suicides and self-inflicted injuries.”
 

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