Mt. Waddington Health Network Presentation to the Vancouver Island Health Authority Overview Introduction to Mt. Waddington Health network Mt. Waddington Health Indicators Health Network Achievements Health Network Activities Health Network Future Planning opportunities Thank you for supporting us Ongoing Recognition of Mt. Waddington as highest priority area for the Health Authority Continuing collaboration with us to address health issues Providing necessary resources to support the Health Network Mt. Waddington Region Geographic Characteristics Huge geography (1/3 of island by area) Dispersed population/very low density 10 First Nations communities 4 municipalities and 4 electoral areas Demographics 2005 population estimate: 14,056 4.3% growth by 2010 (14,654) Very young population – Average age: 35 vs. 42 for Health Authority 74% under age 50 Significant Aboriginal Population (at least 20%, probably higher) Mt. Waddington Health Network exists to… Participate in decisions related to & impacting on health in Mt. Waddington – Provide community input to action which improves the health of our citizens. Mt. Waddington Health Network is… A mechanism for organizations (e.g. VIHA) to have ongoing relationships with the broader community regarding health. A grassroots movement. It has an open membership - any person or organization can participate. Supportive of broadening understanding of the determinants of health. Mt. Waddington Health Network membership includes… Citizens First Nations and Aboriginal citizens Municipalities Education Community agencies Youth Seniors/Elders Mt. Waddington Regional District Vancouver Island Health Authority Mt. Waddington Health Network Relationship & Communication (2/2) First Nations Hospital Bands Auxiliaries Aboriginal Citizens Health & Social Service Clubs Agencies Municipalities Mt. Waddington Community Citizens Mt. Waddington Regional District Health Network Aboriginal Health Vancouver Island Services Health Authority Education Elders Community Seniors Community Health-Related Services Engagement Community Functions Committees Health Network Firsts… We are the first community to have a formal relationship with VIHA. We have a history of knowing how to participate in & make decisions concerning health of North Island residents. We have shown the work that can be accomplished by a Health network Mt. Waddington Health Network Steering Committee The Health Network is supported by a Steering Committee that: provides the communication, logistical, & executive leadership functions; and is a subset of the members of the Health Network and reflects its constituents. Meets monthly to receive input from the community and to move the issues forward to a positive outcome. Mt. Waddington Health Network Relationship & Communication (1/2) Community Mt. Waddington Engagement Health Network Functions Executive Steering Committee Functions Mt. Waddington British Columbia First Nations Health Vancouver Island Regional Hospital Union of Authorities Health Authority District Municipalities Mt. Waddington Health Status Here is some of the latest information on Mt. Waddington Health Status indicators Mt. Waddington Risk Factors TheseIndicators direct the Health networks focus Premature Mortality Life Life Expectancy at Birth expectancy 2.5 years PYLL All Causes less than BC average PYLL Natural causes PYLL Accidental Causes PYLL Smoking related PYLL Drug induced PYLL Alcohol related PYLL Suicide/Homicide -40 -20 0 20 40 60 80 100 120 140 160 % Variation from BC Rate Child Health Very high rates Teen Pregnancy of teen pregnancy, Low Birth Weight infant mortality, maternal Preterm Births smoking and Infant Mortality child respiratory Maternal Smoking hospitalizations Preschool Physical Development Vulnerability Injury & Poisoning Hospitalizations Respiratory Hospitalizations 0 50 100 150 200 250 % Variation from BC Rate Infant Mortality is Decreasing Infant Mortality Rate, Previous Three Years by HSDA 14 12 10 8 6 4 2 0 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 19 19 19 19 19 19 19 19 19 19 19 20 20 20 20 20 20 20 20 South Vancouver Island (41) Central Vancouver Island (42) North Vancouver Island (43) Healthy Development High levels of family Preschool Emotional Development Vulnerability violence Preschool Social Development Vulnerability Child Abuse Spousal Assault Children in Care Serious Juvenile Crime Children on Income Assistance -50 0 50 100 150 200 250 300 350 400 450 % Variation from BC Rate Education Levels of Preschool Language Development Vulnerability educational performance below the Preschool Communication Skills Vulnerability provincial average Grade 4 & 7 Below Standard in Reading Grade 4 & 7 Below Standard in Writing Grade 10 English Exam Non-Completion Rate 18 Year Olds Who Did Not Graduate Adults Without High School Completion 0 10 20 30 40 50 60 % Variation from BC Rate Economic Security Family Average Family Income incomes close to provincial Low Income Families average but Income Assistance Dependence high rates of EI dependency Employment Insurance Dependence and poor housing Low Income Seniors quality Housing Rental Costs Home Ownership Costs Dwellings Needing Major Repair Older Housing -60 -40 -20 0 20 40 60 80 100 % Variation from BC Rate BC Wellness Survey 1 • Survey conducted through the Provincial Health Services Authority in 2005 • Mount Waddington chosen as location by VIHA • Sample of 741 split into two • 336 in Port Hardy/Port McNeil • 405 in rest of Mount Waddington Risk Factors: Body Weight • Mount Waddington residents more likely to be overweight and obese than the BC average Port Hardy and Port McNeil 24% higher Rest of Mt Waddington 44% higher • Does not appear to be due to lower levels of physical activity. Comparative data for Mt Waddington is hard to find but the data that exists suggests there is a relatively high level of physical activity • The problem of overweight and obesity appears to be more related to diet. Obesity rates are falling Percent of the Population Aged 18 and Over Who Are Overweight or Obese by HSDA 60 50 40 % 30 20 10 0 2003 2005 2007 South Central North Risk Factors: Smoking Mount Waddington has a high rate of smoking, relative to rest of the province- Port Hardy/Port McNeil 30% are current smokers Rest of Mount Waddington 27% are current smokers BC 18% are current smokers Smoking rates are falling Percent of the Population Aged 12 and Over Who Are Smokers by HSDA 30 25 20 % 15 10 5 0 2003 2005 2007 South Central North Exposure to ETS is Decreasing in the Home Percent of the Population Aged 12 and Over Who are Exposed to Second-Hand Smoke at Home by HSDA 9 8 7 6 5 4 3 2 1 0 2003 2005 2007 South Central North Risk Factors: Alcohol High mortality reflects past behaviour High rates of problem-drinking in North Health Services Delivery Area which includes Mt. Waddington Average rates of problem drinking in Mt. Waddington Heavy Drinking is Still High Percent of Population Aged 12 and Over Who Reported Heavy Drinking by HSDA 25 20 15 10 5 0 2003 2005 2007 South Central North Conclusions Mount Waddington has significant health problems – premature mortality, child health, mental health and addictions Risk factors Family violence Poor education performance EI dependency Housing quality Smoking and obesity (diet-related) The Health Network Goals Reduce/eliminate health status inequity Meet or exceed British Columbia health status rates Focus on the health risks that affect: ChildHealth and Youth Health Addiction and Mental Health Seniors / Elders Health Achievements… Ongoing Health network meetings This is the 7th Health Network Meeting Held in 6 different communities & reserves Membership over 120 Steering Committee is committed and meets monthly Provided information on Mt. Waddington Health issues at each meeting More Achievements… 1.The Mt. Waddington Bus System and the Volunteer Transportation Network July 2nd , The system was launched It is a 12 hour , 5 day week service. One of the buses is here today The Regional district of Mt. Waddington manages the system North Island Community Services Operates the system BC Transit runs the system and will provide funding in 2010 Has a Regional operating committee of stakeholders and participating communities and reserves More Achievements… Developed Partnership with BC Healthy Living Alliance Funding for the Community Community Development Leader, Sharon Gordon More programming to come Health Network Activities… We listen to the Health Concerns of the community We act to make the concerns known and plan with stakeholders action for improvements within the health system and within the community. We track action on issues until we get results Tracking Our Activities… Please review the tracking handout which gives the status of our activities There are a number of Issues which we need to continue to addressed Future Planning… Partnership with VIHA Planning around a rural services strategy. Development of a Seniors Advisory group Planned Brief on Cross-Trained Imaging and laboratory Technicians Providing recommendations on capital projects to Regional Hospital District More Future Planning… Participation in Evaluation Research relating the outcomes of the Health Network Participation with Community Futures on a Community development education Proposal Develop a sustainability plan for Mt. Waddington Health Network What we want from VIHA Strengthen our rural health services by: Sustaining a base of core functions that work for Mt. Waddington (Integrated Services Team): Focus on Health Promotion/Disease Prevention; Maintain our 5 local facilities as required to meet needs of our communities; More appropriate and coordinated access to specialized services elsewhere. Continue our good relationship Continue to provide support for the unique needs of Mt. Waddington What we want from VIHA… Finish the Authority wide discharge plan so it meets the needs of Rural People Take seriously the differences between rural and Urban and,with the Rural Services strategy provide more equitable services based on our unique rural and remote needs Don’t forget to get us our 11 care beds Questions and Discussion Thank you for the opportunity to share our story so far. We look forward to continuing our partnership with VIHA - as we strive to improve the health & well-being of Mt. Waddington citizens.