Mt. Waddington Health Network

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					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.