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Ministry of Health
TABLE 38
STANDARDIZED MORTALITY RATIO
BY LOCAL HEALTH AREA
DEATHS DUE TO SELECTED
MEDICALLY TREATABLE DISEASES
BRITISH COLUMBIA, 1993-1997 AND 1998

  1993 - 1997 1998
  Observed     Observed Expected     95% Confidence Interval
Local Health Area Deaths SMR (p) Deaths Deaths SMR (p) Lower   Upper
001 Fernie 1 0.41   - 0.47 -   - - -
002 Cranbrook 2 0.52   1 0.73 1.37   0.02 - 7.62
003 Kimberley - -   1 0.27 3.75   0.05 - 20.85
004 Windermere - -   1 0.27 3.68   0.05 - 20.49
005 Creston - -   1 0.37 2.72   0.04 - 15.14
006/007 Kootenay Lake/Nelson - -   1 0.86 1.17   0.02 - 6.48
009 Castlegar 4 1.87   - 0.39 -   - - -
010 Arrow Lakes 1 1.18   - 0.16 -   - - -
011 Trail 6 1.84   - 0.59 -   - - -
012/013 Grand Forks/Kettle Valley 3 1.40   - 0.40 -   - - -
014 Southern Okanagan 3 1.03   - 0.53 -   - - -
015 Penticton 11 1.85   - 1.08 -   - - -
016 Keremeos 1 1.32   - 0.14 -   - - -
017 Princeton - -   - 0.16 -   - - -
018 Golden 1 0.88   - 0.22 -   - - -
019 Revelstoke - -   - 0.25 -   - - -
020 Salmon Arm 4 0.81   2 0.95 2.10   0.24 - 7.57
021 Armstrong-Spallumcheen 1 0.67   - 0.28 -   - - -
022 Vernon 5 0.57   - 1.65 -   - - -
023 Central Okanagan 17 0.79   2 4.15 0.48   0.05 - 1.74
024 Kamloops 13 0.82   7 3.02 2.31   0.93 - 4.77
025 100 Mile House 3 1.14   1 0.50 2.01   0.03 - 11.16
026 North Thompson - -   - 0.15 -   - - -
027 Cariboo-Chilcotin 8 1.86   1 0.82 1.22   0.02 - 6.80
028 Quesnel 6 1.50   2 0.76 2.64   0.30 - 9.54
029 Lillooet 1 1.38   - 0.13 -   - - -
030 South Cariboo 3 2.42   1 0.23 4.40   0.06 - 24.49
031 Merritt 3 1.71   1 0.33 3.04   0.04 - 16.93
032 Hope 2 1.49   - 0.24 -   - - -
033 Chilliwack 9 0.93   - 1.83 -   - - -
034 Abbotsford 10 0.67   3 2.89 1.04   0.21 - 3.03
035 Langley 18 1.12   7 3.09 2.27   0.91 - 4.67
036 Surrey 53 1.09   8 9.48 0.84   0.36 - 1.66
037 Delta 11 0.69   3 2.94 1.02   0.21 - 2.98
038 Richmond 16 0.65   1 4.89 0.20   0.00 - 1.14
040 New Westminster 14 1.81   1 1.54 0.65   0.01 - 3.61
041 Burnaby 20 0.70   3 5.45 0.55   0.11 - 1.61
042 Maple Ridge 9 0.85   2 2.08 0.96   0.11 - 3.46
043 Coquitlam 20 0.74   2 5.38 0.37   0.04 - 1.34
044 North Vancouver 23 1.11   4 3.89 1.03   0.28 - 2.63
045 West Vancouver-Bowen Is. 5 0.59   1 1.51 0.66   0.01 - 3.69
046 Sunshine Coast - -   2 0.79 2.53   0.28 - 9.14
047 Powell River 4 1.22   1 0.60 1.66   0.02 - 9.23
048 Howe Sound 2 0.52   - 0.82 -   - - -
049 Bella Coola Valley 1 2.13   - 0.09 -   - - -
050 Queen Charlotte - -   - 0.16 -   - - -
051 Snow Country 1 6.22   - 0.03 -   - - -
052 Prince Rupert 9 3.25 * - 0.50 -   - - -
053 Upper Skeena 5 6.65 * - 0.14 -   - - -
054 Smithers 2 0.79   - 0.50 -   - - -
055/093 Burns Lake/Eutsuk 1 0.90   - 0.21 -   - - -
056 Nechako 5 2.01   - 0.48 -   - - -
057 Prince George 20 1.30   3 2.93 1.03   0.21 - 3.00
059 Peace River South 9 2.14   1 0.78 1.27   0.02 - 7.09
060 Peace River North 3 0.75   2 0.77 2.59   0.29 - 9.35
061 Greater Victoria 29 0.96   7 5.64 1.24   0.50 - 2.56
062 Sooke 7 0.87   1 1.53 0.65   0.01 - 3.64
063 Saanich 5 0.52   2 1.77 1.13   0.13 - 4.08
064 Gulf Islands - -   - 0.45 -   - - -
065 Cowichan 6 0.76   1 1.49 0.67   0.01 - 3.72
066 Lake Cowichan 3 2.99   - 0.19 -   - - -
067 Ladysmith 5 1.99   2 0.46 4.32   0.48 - 15.58
068 Nanaimo 11 0.81   2 2.58 0.77   0.09 - 2.80
069 Qualicum 5 0.82   1 1.17 0.86   0.01 - 4.77
070 Alberni 4 0.78   1 0.94 1.06   0.01 - 5.91
071 Courtenay 6 0.66   1 1.74 0.57   0.01 - 3.20
072/084 Campbell River/V.I. West 8 1.17   1 1.31 0.76   0.01 - 4.25
075 Mission 8 1.52   2 1.01 1.98   0.22 - 7.16
076 Agassiz-Harrison 1 0.88   - 0.23 -   - - -
077 Summerland 3 1.74   1 0.31 3.20   0.04 - 17.78
078 Enderby 2 1.80   1 0.22 4.60   0.06 - 25.60
080 Kitimat 1 0.49   - 0.37 -   - - -
081 Fort Nelson - -   - 0.16 -   - - -
083 Central Coast 4 15.08 + 1 0.05 18.79   0.25 - 104.53
085 Vancouver Island North 3 1.28   - 0.43 -   - - -
087/094 Stikine/Telegraph Creek - -   - 0.05 -   - - -
088 Terrace 4 1.21   1 0.63 1.59   0.02 - 8.82
092 Nishga - -   1 0.05 18.96   0.25 - 105.50
161 Vancouver City Centre 20 1.55   2 2.72 0.74   0.08 - 2.65
162 Vancouver Downtown E. Side 32 4.06 * 7 1.57 4.45 * 1.78 - 9.18
163 Vancouver North East 8 0.58   5 2.66 1.88   0.61 - 4.38
164 Vancouver West Side 11 0.59   - 3.52 -   - - -
165 Vancouver Midtown 16 1.27   2 2.46 0.81   0.09 - 2.93
166 South Vancouver 16 0.89   5 3.40 1.47   0.47 - 3.43
039 VANCOUVER TOTAL 106 1.26 * 21 16.33 1.29   0.80 - 1.97
  N.S. - -   - - -   -   -
  PROVINCIAL TOTAL 590 -   113 - -   -   -

Note: Medically Treatable Diseases based on Charlton's definition (see glossary - Medically Treatable Diseases).
*Statistical testing indicates that observed deaths are significantly different from the expected deaths (p<0.05, two tailed).
+ Denotes significance based on less than 5 deaths. SMR - Standardized Mortality Ratio.
LHA 039 Vancouver Total may include unspecified Vancouver addresses.
N.S. - Not Stated. Non-residents are excluded.

FIGURE 22
STANDARDIZED MORTALITY RATIO
BY LOCAL HEALTH AREA
DEATHS DUE TO SELECTED
MEDICALLY TREATABLE DISEASES
BRITISH COLUMBIA, 1993-1997

SMR by Local Health Area, Deaths Due to Selected Medically Treatable Diseases

Note: SMR - Standardized Mortality Ratio. Refer to Figure 1 to clarify geographical location of Local Health Areas.

HIGHLIGHTS TO TABLE 38/FIGURE 22
  • The deaths identified as medically treatable (see Glossary) occurred across the province, although the numbers were relatively small in Local Health Areas (LHAs) outside the lower mainland. In 1998, Vancouver Downtown East Side was the only LHA with a Standardized Mortality Ratio (SMR) for medically treatable diseases that was statistically significant (4.45), and 34 LHAs had no deaths in this category. The small number of deaths from medically treatable diseases in any individual year limits the scope for analysis.

  • Over the 1993-1997 period, the SMRs were statistically significant and high in three LHAs. The ratios for these LHAs were (with number of medically treatable deaths in parentheses):

    053Upper Skeena6.65(5)
    162Vancouver Downtown E. Side4.06(32)
    052Prince Rupert3.25(9)

  • Vancouver Downtown East Side was the only LHA with a Standardized Mortality Ratio (SMR) for medically treatable diseases that was statistically significant in both 1998 and the 1993-1997 period.

  • There were no LHAs that had a statistically significant and low SMR for medically treatable diseases in 1998 or during the 1993-1997 period.

  • There were 13 LHAs that had no deaths from medically treatable diseases in the 1993-1997 period.