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More informa�on is available upon request from Interior Health’s Strategic Informa�on Department. Inquiries and comments should be addressed to:
Glenn Kissmann, Corporate Director Strategic Informa�on glenn.kissmann@interiorhealth.ca or 1-250-469-7070 Ext. 12659.
Local Health Area Profile 2019This profile provides an overview of the Nelson Local Health Area population in the areas of:
Population Health | Health & Social Status | Acute Care| Home & Community Care | Health Characteristics
The health indicators provided within this document are based on a conceptual framework developed by the Canadian Institute for Health Information (CIHI). This framework reflects the principle that health is not determined solely by medical care, but by a range of individual and population, social, and economic factors.
The Interior Health Strategic Information Department produces a number of utilization and service reports. In addition to this Local Health Area Profile (LHA), 1) Health Service Delivery Area (HSDA), 2) Interior Health Authority, and 3) Facility profiles can be found on the Interior Health website at:
www.interiorhealth.ca/AboutUs/QuickFacts/PopulationLocalAreaProfiles/Pages/default.aspx
Nelson
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Population Health
| 2Nelson
Population Health statistics provide information about past, present, and future demographics, with breakdowns by age, sex, and geographic region. These indicators include population counts, growth rates and densities, as well as vital statistics relating to births and deaths.
Nelson
Trail
Castlegar
Grand Forks
Arrow Lakes
Kettle Valley
Kootenay Lake
27,136
20,404
14,590
9,047
4,786
3,591
3,379
Table 1: Population Density, 2019
Figure 1: Population by Local Health Area in the Kootenay Boundary HSDA, 2019
Table 2: Projected Population Growth, 2019 - 2024
Table 3: Life Expectancy, 2015 - 2019
Table 1: Popula�on density represents the number of people living
within one square kilometre. Lower densi�es indicate more rural areas
which typically have lesser access to health services, while those living
in urbanized areas with higher popula�on densi�es typically have
greater access to health services. The Interior Health popula�on
density is 4 people per Sq. Km.
Source: Summary Sta�s�cs, PEOPLE 2019, BC Stats
Table 2: Popula�on growth rates project the change in size of each
age group over the next five years. These projec�ons reflect a
forecas�ng model that accounts for the trends in migra�on,
employment, and past popula�on change.
Source: PEOPLE 2019, BC Stats
Figure 1: This graph compares Local Health Area Popula�ons within the Kootenay Boundary Health Service Delivery Area.
Source: PEOPLE 2019, BC Stats
23%
All Ages 5.7%
38%
12%
65+
75+
85+
Population
4,813
6
27,136
Area (Sq. Km)
Pop. Density per Sq. Km
Nelson
British Columbia 838085
83 79 81
Male Average Female
Table 3: Life expectancy can be viewed as a gauge of popula�on health. It measures average lifespan from birth, of persons currently residing in a
par�cular health region. In some cases, N/A values indicate limited data availability due to small popula�ons.
Source: Demography and Popula�on Sta�s�cs, BC Stats, March 2020
N/AN/AN/A
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Arrow Lakes
Castlegar
Grand Forks
Kettle Valley
Kootenay Lake
Nelson
Trail
84
83
84
84
85
81
84
Arrow Lakes
Castlegar
Grand Forks
Kettle Valley
Kootenay Lake
Nelson
Trail
59
45
58
60
58
45
47
0%
20%
40%
60%
80%
100%
Year
Perc
ent o
f Pop
ulat
ion
2000 2010 2020 2030 2040
Figure 2: Age Demographic Trends, 1991 - 2041
Ages 0 - 17
Ages 18 - 44
Ages 45 - 64
Ages 65+
BC: 42
Figure 3: Median Age and Median Age at Death, 2018
BC: 80
Median Age Median Age at Death
Figure 3: Median age (MA) and median age at death (MAD) indicate the age of a popula�on compared to life expectancy in Local Health Areas. For BC
in 2018, the MA was 42 and the MAD was 80. Median age at death varies by up to seven years depending on place of residence. This could be due to
dispari�es in health, social, and economic condi�ons.
Source: Summary Sta�s�cs, PEOPLE 2018, BC Stats
Population HealthPopulation Health information comes from Population Extrapolation for Organizational Planning with Less Error (PEOPLE), provided by BC Stats. This information includes estimates of past populations (1976 - 2018) and projections for the future populations (2019 - 2041) based on migration, employment, and growth trends.
Figure 2: Demographic trends over 50 years es�mate (1991-2018) and project (2019-2041) the fluctua�on of age groups within a popula�on. Overall
trends across Interior Health indicate a growth in the popula�on ages 65+ and a decline in the popula�on under age 45 between 1991 and 2041.
Source: PEOPLE 2019, BC Stats
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12/4/2020 Population - PG4
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1.0%
1.2%
1.9%
2.7%
4.8%
6.7%
8.2%
7.9%
6.8%
7.6%
7.8%
8.1%
6.7%
5.4%
4.5%
4.5%
5.2%
5.0%
4.1%
0.4%
1.0%
1.5%
2.5%
5.4%
7.9%
7.3%
7.9%
6.0%
7.7%
8.0%
6.8%
6.8%
5.7%
5.1%
5.9%
4.9%
4.8%
4.2%
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-9
0-4
Figure 4: SMR by Cause of Death, 2011 - 2015
Motor Vehicle Accidents
Unintentional Falls
Cerebrovascular Disease/Stroke
Alcohol-Related Deaths
Circulatory System
Ischaemic Heart Disease
Suicide
Diabetes Mellitus
Endocrine, Metabolic, Nutritional
Lung Cancer
All Cancer Sites
All Causes of Death
Smoking-Attributable Deaths
Chronic Lung Disease
Digestive System
Arteries/Arterioles/Capillaries
Drug-Induced Deaths
Medically Treatable Disease
Respiratory System
Inf luenza and Pneumonia
2.2
2.1
1.7
1.5
1.3
1.3
1.3
1.2
1.2
1.2
1.1
1.1
1.0
0.9
0.9
0.8
0.7
0.7
0.7
0.3
Figure 6: Popula�on pyramids are
commonly used by demographers to
iden�fy the age and gender make-up
of a popula�on. A pyramid with a
wide base indicates a younger
popula�on, while a top heavy
pyramid indicates an aging
popula�on with a longer life
expectancy. The la�er is becoming
more common in developed na�ons
with highly educated popula�ons.
Source: PEOPLE 2019, BC Stats
Figure 4: Standardized Mortality Ra�o (SMR) compares the number of
deaths that occurred in a geographic region to the expected number
of deaths in that region, based on provincial age specific mortality
rates. Rates greater than 1 indicate more deaths than expected,
while rates less than 1 indicate less deaths than expected.
Source: Table B - Mortality Sta�s�cs by Local Health Area, Bri�sh
Columbia 2011 - 2015, Annual Report 2015, BC Vital Sta�s�cs Agency
Figure 6: Population Pyramid, 2019
Female Male
| 4Nelson
Figure 5: The propor�on of children with up-to-date immuniza�ons at
2 years of age. For details visits: h�p://www.bccdc.ca/health-
professionals/data-reports/childhood-immuniza�on-coverage-
dashboard.
Source: Panorama, BC Centre for Disease Control
Figure 5: Up-to-date Immunizations at 2 Years, 2019
55%
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Table 4: Vulnerable Kindergarten Aged Children, 2011 - 2019
Table 4: The Early Development Instrument (EDI) is a ques�onnaire that measures the vulnerability of kindergarten aged children across five
domains including: Physical Health & Well Being, Social Competence, Emo�onal Maturity, Language & Cogni�ve Ability, and Communica�on Skills &
General Knowledge. Vulnerable kindergarten aged children refers to the propor�on of children who are iden�fied as vulnerable in one or more
domain(s). The EDI is reported in mul�-year waves between 2004 and 2019.
Source: Early Development Instrument, Human Early Learning Partnership, University of Bri�sh Columbia, Waves 5 - 7, 2011 - 2019
Health & Social StatusHealth & Social Status provides a snapshot of indicators that reflect health and environmental conditions experienced by people across Interior Health. Some key indicators measure early childhood vulnerabilities, low birth weight, and chronic disease prevalence which represents a growing economic and health care concern.
Interior Health
British Columbia
Nelson
Wave 52011 - 2013
Wave 62013 - 2016
Wave 72016 - 2019
33% 32% 33%
30% 30% 32%
25% 32% 31%
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
A lzh./Dem. (40+) Asthma COPD (45+ Years) Depression Diabetes Heart Failure Mood/Anxiety Dis.
1.8%
2.7%
2.5%
9.4% 12.6%
12.3%
6.4% 8.4%
5.8%
26.2%
29.7%
25.7%
5.9% 8.7%
9.2%
2.7%
3.0%
2.4%
30.7%
34.6%
31.4%
Figure 7: Chronic Disease Crude Prevalence Rates, 2017/18
Figure 7: Chronic diseases are long-term condi�ons that usually progress slowly over �me. The chronic diseases displayed above represents health
condi�ons affec�ng many Interior Health residents over one year of age unless indicated otherwise. As the Interior Health popula�on ages, the
prevalence of these diseases is expected to grow. The 2010 World Health Organiza�on (WHO) Global Status report on noncommunicable diseases
iden�fies primary risk factors including: tobacco use, harmful use of alcohol, raised blood pressure, physical inac�vity, raised cholesterol, obesity,
unhealthy diet, and raised blood glucose levels. Alzh./Dem. (40+): Alzheimer's/Demen�a (40+). Mood/Anxiety Dis: Mood/Anxiety Disorder.
Source: Chronic Disease Registry, Ministry of Health, 2017/18
| 5Nelson
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Figure 8: Low Birth Weight per 1,000 Live Births, 2009 - 2015
Figure 8: Low birth weight per 1,000 live births measures newborns weighing less than 2500 grams over a five year period. Low birth weight is an
important indicator of mortality, morbidity, and disability in infancy and childhood. Risk factors associated with low birth weight include: socio-
economic disadvantage, poor health and nutri�on of women during pregnancy, smoking while pregnant, consump�on of drugs and alcohol while
pregnant, and experiencing abuse while pregnant.
Source: Table A - Summary Sta�s�cs by LHA, Bri�sh Columbia, Annual Report 2013, 2014 & 2015, BC Vital Sta�s�cs Agency
2009-2013
2010-2014
2011-2015
35
40
39
Nelson
2009-2013
2010-2014
2011-2015
57
57
58
British Columbia
Interior Health2009-2013
2010-2014
2011-2015
54
54
54
Acute CareAcute Care indicators measure the quality of health care with regards to health service access, efficiency, and utilization. These indicators are often expressed as age standardized rates per 1,000 population. Age standardization facilitates comparisons of health care service use across a variety of geographic regions and accounts for differences in age distribution between populations.
0
200
400
600
2014/15 2015/16 2016/17 2017/18 2018/19
558505486514532
Nelson Target:
Figure 9: Acute/Rehab Days per 1,000 Population, 2014/15 - 2018/19
Kootenay Lake
Kootenay Boundary Regional
Kelowna General
BC Hospitals Outside IH
Out-of-Province Hospitals
50%
30%
11%
6%
1%
Figure 10: Inpatient Referral Patterns by Hospital, 2018/19
Figure 9: The age standardized Acute/Rehab days rate per 1,000
popula�on and target rates indicate whether an LHA is performing as
expected. Rates above the target tell us that residents of a given LHA
used inpa�ents days at a higher rate than targeted.
Source: Health Ideas Summary Reports, Ministry of Health | PEOPLE
2019, BC Stats
Figure 10: Inpa�ent referral pa�erns iden�fy which hospitals
residents from a given LHA visit most frequently (newborns
excluded). The length of the horizontal bars show the propor�on
of inpa�ents who travel from Nelson to each facility or region.
Note that totals may not add up to 100 percent as only the most
common hospitals are shown.Source: Discharge Abstracts Database (DAD), Ministry of Health,
2018/19
525
525
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Figure 11: Age Standardized Utilization Rates per 1,000 Population, 2016/17 - 2018/19
Figure 11: Age standardized u�liza�on rates are used to compare health care service use across geographic regions with varying demographic
profiles. These rates adjust for differences in age breakdowns of each (newborns excluded). They represent rates that would be observed if the
region’s popula�on experienced the same age specific u�liza�on rates as the en�re province. Note that the ED visits rate is not age standardized and
includes unscheduled visits to all ED’s within a given LHA.
Source: Health Ideas Summary Reports, Ministry of Health | Admissions Universe| PEOPLE 2019, BC Stats
2016/17
2017/18
2018/19
514
486
505
2016/17
2017/18
2018/19
11
13
13
2016/17
2017/18
2018/19
481
472
478
2016/17
2017/18
2018/19
223
153
192
2016/17
2017/18
2018/19
96
90
98
2016/17
2017/18
2018/19
4
3
4
2016/17
2017/18
2018/19
99
102
108
2016/17
2017/18
2018/19
26
26
28
Emergency Department Visits (Crude)
Acute/Rehab Days Rate
Surgical Daycare Cases
Alternate Level of Care Days
Inpatient Cases
Surgical Inpatient Cases
Cataract Surgical Cases
Hip and Knee Surgical Cases
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
Nels
on
Inte
rior H
ealth
Britis
h Co
lum
bia
2014/15 2015/16 2016/17 2017/18 2018/19
127
95 87
166
10188
223
10290
153
9683
192
10190
Figure 12: ALC Days per 1,000 Population, 2014/15 - 2018/19
Figure 12: Alternate Level of Care (ALC) refers to the �me that a pa�ent spends in hospital a�er their acute care needs have been met. These
pa�ents remain in hospital due to lack of other care op�ons. ALC days are an important measure of the appropriate use of acute care resources.
Source: Health Ideas Summary Reports, Ministry of Health | PEOPLE 2019, BC Stats
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Home & Community CareHome & Community Care indicators represent Long-Term Care and Home Health services provided by Interior Health. Home & Community Care offers a variety of at-home and community services to people with acute, chronic, palliative or rehabilitative health care needs. Interior Health supports the philosophy: at home, with appropriate supports, is the best place to recover from illness and injury, manage chronic conditions, and live out final days.
Indicator Drilldown 2016/17 2017/18 2018/19
Adult Day Service Clients
Adult Day Service Days
Assisted Living Clients
Assisted Living Days
Home Support Clients
Home Support Hours
Long-term Care Days
48
2,648
23
6,811
164
24,199
23,987
46
2,548
29
6,518
175
26,054
23,383
47
2,440
24
6,278
185
26,781
22,804
Indicator Drilldown
2016/17 2017/18 2018/19
Home Care Nursing Visits
Home Care Nursing Clients
Community Rehab Visits
Community Rehab Clients
Case Managed Visits
Case Managed Clients
178
16
36
10
119
16
194
17
37
10
98
15
187
18
45
10
87
17
Per 1,000 Population Per 1,000 Population Ages 75+
Table 5: Home & Community Care Quick Stats, 2016/17 - 2018/19
Table 5: Home & Community Care measures are based on the number of clients, visits, and days u�lized per 1,000 popula�on. Long-term care days
include convalescent, respite, end of life, and complex care. Home support rates include long-term, short-term, and end of life care.
Source: HCC Universe | PEOPLE 2019, BC Stats
Figure 13: Assisted Living, Long-Term Care, and Short Stay Beds per 1,000 Population Ages 75+, 2016/17 - 2018/19
Figure 13: All bed counts include permanent and temporary beds and reflect the population on ages 75+. Long-term care and short stay beds exclude
family care and group home beds. Long-term care and short stay beds include convalescent, respite, end of life, and flex beds.
Source: Long-Term Care Bed Inventory | PEOPLE 2019, BC Stats
Total
2016/17
2017/18
2018/19
91
90
88
Long-term Care and Short Stay
Assisted Living
2016/17
2017/18
2018/19
109
108
106
| 8Nelson
2016/17
2017/18
2018/19
18
18
18
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Health Characteristics
Health Characteristic indicators are derived from the Canadian Community Health Survey (CCHS), a cross-sectional survey about health status, health care utilization, and determinants of health. CCHS indicators are self-reported by survey respondents. In some cases, data quality is compromised by small sample sizes. This information is only available by the Health Service Delivery Area.
Nelson is in the Kootenay Boundary Health Service Delivery Area.
Body mass indexoverweight/
obese (Ages18+)
Has a regularhealthcare
provider
Health, very goodor excellent
Heavy drinking Mental health,very good or
excellent
Physical activity,less than 150min/wk (Ages
18+)
Smoking, daily oroccasional
31%
86%
59%
27%
59%
32%
17%
31%
82%
61%
23%
68%
37%
17%29
%
82%
60%
19%
67%
35%
13%
Kootenay Boundary Interior Health British Columbia
Figure 14: Health Characteristic Indicators, 2017 - 2018
Figure 14: Health Characteris�c Indicators provide self-reported informa�on about the health of the individuals aged 12+, unless stated otherwise.
The 'Fruit and Vegetable Consump�on, less than 5 servings' indicator is unavailable for 2017 - 2018.
Source: Canadian Community Health Survey 2017 - 2018, Table 105-0509, Sta�s�cs Canada
Kootenay BoundaryHealth Service Delivery Area
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