TABLE 45
STANDARDIZED MORTALITY RATIO
BY LOCAL HEALTH AREA
DRUG-INDUCED DEATHS
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 |
0.10 |
+ |
- |
2.17 |
- |
|
- |
- |
- |
| 002 |
Cranbrook |
10 |
0.67 |
|
2 |
3.26 |
0.61 |
|
0.07 |
- |
2.21 |
| 003 |
Kimberley |
2 |
0.36 |
|
1 |
1.18 |
0.85 |
|
0.01 |
- |
4.73 |
| 004 |
Windermere |
2 |
0.39 |
|
- |
1.19 |
- |
|
- |
- |
- |
| 005 |
Creston |
6 |
0.86 |
|
2 |
1.50 |
1.33 |
|
0.15 |
- |
4.80 |
| 006/007 |
Kootenay Lake/Nelson |
9 |
0.52 |
* |
2 |
3.77 |
0.53 |
|
0.06 |
- |
1.92 |
| 009 |
Castlegar |
3 |
0.37 |
|
3 |
1.76 |
1.70 |
|
0.34 |
- |
4.97 |
| 010 |
Arrow Lakes |
1 |
0.32 |
|
- |
0.69 |
- |
|
- |
- |
- |
| 011 |
Trail |
7 |
0.54 |
|
3 |
2.67 |
1.12 |
|
0.23 |
- |
3.28 |
| 012/013 |
Grand Forks/Kettle Valley |
5 |
0.66 |
|
2 |
1.64 |
1.22 |
|
0.14 |
- |
4.40 |
| 014 |
Southern Okanagan |
3 |
0.31 |
+ |
2 |
2.14 |
0.93 |
|
0.10 |
- |
3.37 |
| 015 |
Penticton |
13 |
0.56 |
* |
3 |
4.85 |
0.62 |
|
0.12 |
- |
1.81 |
| 016 |
Keremeos |
1 |
0.39 |
|
- |
0.57 |
- |
|
- |
- |
- |
| 017 |
Princeton |
4 |
1.30 |
|
- |
0.67 |
- |
|
- |
- |
- |
| 018 |
Golden |
- |
- |
|
- |
1.06 |
- |
|
- |
- |
- |
| 019 |
Revelstoke |
2 |
0.35 |
|
- |
1.18 |
- |
|
- |
- |
- |
| 020 |
Salmon Arm |
10 |
0.58 |
|
2 |
3.97 |
0.50 |
|
0.06 |
- |
1.82 |
| 021 |
Armstrong-Spallumcheen |
1 |
0.18 |
|
- |
1.24 |
- |
|
- |
- |
- |
| 022 |
Vernon |
29 |
0.87 |
|
8 |
7.25 |
1.10 |
|
0.48 |
- |
2.18 |
| 023 |
Central Okanagan |
39 |
0.47 |
* |
9 |
18.75 |
0.48 |
* |
0.22 |
- |
0.91 |
| 024 |
Kamloops |
71 |
1.18 |
|
16 |
13.45 |
1.19 |
|
0.68 |
- |
1.93 |
| 025 |
100 Mile House |
9 |
1.01 |
|
4 |
2.06 |
1.95 |
|
0.52 |
- |
4.98 |
| 026 |
North Thompson |
2 |
0.64 |
|
- |
0.69 |
- |
|
- |
- |
- |
| 027 |
Cariboo-Chilcotin |
8 |
0.47 |
* |
- |
3.78 |
- |
|
- |
- |
- |
| 028 |
Quesnel |
7 |
0.45 |
* |
1 |
3.52 |
0.28 |
|
0.00 |
- |
1.58 |
| 029 |
Lillooet |
3 |
1.00 |
|
- |
0.63 |
- |
|
- |
- |
- |
| 030 |
South Cariboo |
1 |
0.22 |
|
1 |
0.97 |
1.03 |
|
0.01 |
- |
5.71 |
| 031 |
Merritt |
12 |
1.76 |
|
2 |
1.50 |
1.34 |
|
0.15 |
- |
4.82 |
| 032 |
Hope |
6 |
1.23 |
|
2 |
1.03 |
1.94 |
|
0.22 |
- |
7.00 |
| 033 |
Chilliwack |
39 |
1.00 |
|
11 |
8.56 |
1.28 |
|
0.64 |
- |
2.30 |
| 034 |
Abbotsford |
45 |
0.71 |
* |
10 |
13.95 |
0.72 |
|
0.34 |
- |
1.32 |
| 035 |
Langley |
36 |
0.56 |
* |
6 |
14.38 |
0.42 |
* |
0.15 |
- |
0.91 |
| 036 |
Surrey |
165 |
0.82 |
* |
45 |
45.01 |
1.00 |
|
0.73 |
- |
1.34 |
| 037 |
Delta |
30 |
0.49 |
* |
5 |
13.03 |
0.38 |
* |
0.12 |
- |
0.90 |
| 038 |
Richmond |
50 |
0.53 |
* |
11 |
21.70 |
0.51 |
* |
0.25 |
- |
0.91 |
| 040 |
New Westminster |
87 |
2.44 |
* |
7 |
7.96 |
0.88 |
|
0.35 |
- |
1.81 |
| 041 |
Burnaby |
108 |
0.90 |
|
21 |
26.09 |
0.80 |
|
0.50 |
- |
1.23 |
| 042 |
Maple Ridge |
23 |
0.51 |
* |
5 |
9.94 |
0.50 |
|
0.16 |
- |
1.17 |
| 043 |
Coquitlam |
64 |
0.57 |
* |
13 |
25.34 |
0.51 |
* |
0.27 |
- |
0.88 |
| 044 |
North Vancouver |
55 |
0.66 |
* |
15 |
17.71 |
0.85 |
|
0.47 |
- |
1.40 |
| 045 |
West Vancouver-Bowen Is. |
25 |
0.89 |
|
2 |
6.01 |
0.33 |
|
0.04 |
- |
1.20 |
| 046 |
Sunshine Coast |
12 |
0.79 |
|
1 |
3.42 |
0.29 |
|
0.00 |
- |
1.63 |
| 047 |
Powell River |
10 |
0.82 |
|
5 |
2.63 |
1.90 |
|
0.61 |
- |
4.43 |
| 048 |
Howe Sound |
7 |
0.38 |
* |
3 |
4.52 |
0.66 |
|
0.13 |
- |
1.94 |
| 049 |
Bella Coola Valley |
1 |
0.52 |
|
- |
0.44 |
- |
|
- |
- |
- |
| 050 |
Queen Charlotte |
3 |
0.78 |
|
- |
0.80 |
- |
|
- |
- |
- |
| 051 |
Snow Country |
2 |
2.98 |
|
- |
0.11 |
- |
|
- |
- |
- |
| 052 |
Prince Rupert |
20 |
1.64 |
|
2 |
2.48 |
0.80 |
|
0.09 |
- |
2.91 |
| 053 |
Upper Skeena |
3 |
0.88 |
|
1 |
0.75 |
1.33 |
|
0.02 |
- |
7.40 |
| 054 |
Smithers |
1 |
0.09 |
+ |
- |
2.48 |
- |
|
- |
- |
- |
| 055/093 |
Burns Lake/Eutsuk |
5 |
1.13 |
|
- |
0.96 |
- |
|
- |
- |
- |
| 056 |
Nechako |
3 |
0.29 |
+ |
1 |
2.31 |
0.43 |
|
0.01 |
- |
2.41 |
| 057 |
Prince George |
48 |
0.74 |
* |
9 |
14.16 |
0.64 |
|
0.29 |
- |
1.21 |
| 059 |
Peace River South |
4 |
0.22 |
+ |
2 |
3.78 |
0.53 |
|
0.06 |
- |
1.91 |
| 060 |
Peace River North |
8 |
0.46 |
* |
3 |
3.82 |
0.79 |
|
0.16 |
- |
2.30 |
| 061 |
Greater Victoria |
181 |
1.37 |
* |
41 |
27.73 |
1.48 |
* |
1.06 |
- |
2.01 |
| 062 |
Sooke |
20 |
0.61 |
* |
4 |
7.15 |
0.56 |
|
0.15 |
- |
1.43 |
| 063 |
Saanich |
13 |
0.38 |
* |
5 |
7.54 |
0.66 |
|
0.21 |
- |
1.55 |
| 064 |
Gulf Islands |
3 |
0.39 |
|
- |
1.75 |
- |
|
- |
- |
- |
| 065 |
Cowichan |
15 |
0.50 |
* |
4 |
6.59 |
0.61 |
|
0.16 |
- |
1.55 |
| 066 |
Lake Cowichan |
2 |
0.53 |
|
1 |
0.83 |
1.20 |
|
0.02 |
- |
6.70 |
| 067 |
Ladysmith |
13 |
1.39 |
|
- |
2.02 |
- |
|
- |
- |
- |
| 068 |
Nanaimo |
63 |
1.17 |
|
13 |
11.86 |
1.10 |
|
0.58 |
- |
1.87 |
| 069 |
Qualicum |
16 |
0.77 |
|
2 |
4.80 |
0.42 |
|
0.05 |
- |
1.50 |
| 070 |
Alberni |
22 |
1.11 |
|
4 |
4.21 |
0.95 |
|
0.26 |
- |
2.43 |
| 071 |
Courtenay |
33 |
0.98 |
|
7 |
7.55 |
0.93 |
|
0.37 |
- |
1.91 |
| 072/084 |
Campbell River/V.I. West |
30 |
1.08 |
|
8 |
6.11 |
1.31 |
|
0.56 |
- |
2.58 |
| 075 |
Mission |
22 |
1.00 |
|
8 |
4.80 |
1.67 |
|
0.72 |
- |
3.28 |
| 076 |
Agassiz-Harrison |
5 |
1.03 |
|
1 |
1.12 |
0.89 |
|
0.01 |
- |
4.95 |
| 077 |
Summerland |
3 |
0.47 |
|
2 |
1.35 |
1.49 |
|
0.17 |
- |
5.36 |
| 078 |
Enderby |
3 |
0.73 |
|
2 |
0.93 |
2.14 |
|
0.24 |
- |
7.74 |
| 080 |
Kitimat |
2 |
0.25 |
+ |
3 |
1.69 |
1.77 |
|
0.36 |
- |
5.18 |
| 081 |
Fort Nelson |
2 |
0.51 |
|
- |
0.89 |
- |
|
- |
- |
- |
| 083 |
Central Coast |
2 |
1.77 |
|
- |
0.26 |
- |
|
- |
- |
- |
| 085 |
Vancouver Island North |
9 |
0.91 |
|
2 |
2.09 |
0.96 |
|
0.11 |
- |
3.45 |
| 087/094 |
Stikine/Telegraph Creek |
- |
- |
|
- |
0.26 |
- |
|
- |
- |
- |
| 088 |
Terrace |
6 |
0.43 |
* |
2 |
3.06 |
0.65 |
|
0.07 |
- |
2.36 |
| 092 |
Nishga |
2 |
1.75 |
|
- |
0.26 |
- |
|
- |
- |
- |
| 161 |
Vancouver City Centre |
171 |
2.55 |
* |
29 |
16.03 |
1.81 |
* |
1.21 |
- |
2.60 |
| 162 |
Vancouver Downtown E. Side |
331 |
8.68 |
* |
76 |
8.71 |
8.72 |
* |
6.87 |
- |
10.92 |
| 163 |
Vancouver North East |
77 |
1.32 |
* |
20 |
12.61 |
1.59 |
|
0.97 |
- |
2.45 |
| 164 |
Vancouver West Side |
41 |
0.52 |
* |
10 |
17.11 |
0.58 |
|
0.28 |
- |
1.08 |
| 165 |
Vancouver Midtown |
97 |
1.69 |
* |
18 |
12.52 |
1.44 |
|
0.85 |
- |
2.27 |
| 166 |
South Vancouver |
68 |
0.93 |
|
16 |
15.67 |
1.02 |
|
0.58 |
- |
1.66 |
| 039 |
VANCOUVER TOTAL |
804 |
2.15 |
* |
177 |
82.65 |
2.14 |
* |
1.84 |
- |
2.48 |
| |
N.S. |
10 |
- |
|
- |
- |
- |
|
- |
- |
- |
| |
PROVINCIAL TOTAL |
2,402 |
- |
|
529 |
- |
- |
|
- |
- |
- |
Note: * Statistical testing indicates that observed deaths are significantly different from the expected deaths (p<0.05, two tailed).
+ Denotes significance based on less than five deaths.
LHA 039 Vancouver Total may include unspecified Vancouver addresses.
N.S. - Not Stated. Non-residents are excluded.
FIGURE 27
STANDARDIZED MORTALITY RATIO
BY LOCAL HEALTH AREA
DRUG-INDUCED DEATHS
BRITISH COLUMBIA, 1993-1997

Note: SMR - Standardized Mortality Ratio. Refer to Figure 1 to clarify geographical location of Local Health Areas.
HIGHLIGHTS TO TABLE 45/FIGURE 27
- In 1998, there were only three Local Health Areas (LHAs) with statistically significant and high Standardized Mortality Ratios (SMR) for drug-induced deaths. These three LHAs and their SMRs for drug-induced deaths in 1998 (number of drug-induced deaths in parentheses) were:
| 162 | Vancouver Downtown E. Side | 8.72 | (76) |
| 161 | Vancouver City Centre | 1.81 | (29) |
| 061 | Greater Victoria | 1.48 | (41) |
- Vancouver Downtown East Side, Vancouver City Centre, and Greater Victoria LHAs also had statistically significant and high SMRs in the five-year period from 1993 to 1997.
- In 1998, 22 LHAs had no drug-induced deaths and there were five LHAs with statistically significant and low SMRs (based on 5 or more deaths). These five LHAs and their SMRs for drug induced deaths in 1998 (number of drug-induced deaths in parentheses) were:
| 037 | Delta | 0.38 | (5) |
| 035 | Langley | 0.42 | (6) |
| 023 | Central Okanagan | 0.48 | (9) |
| 038 | Richmond | 0.51 | (11) |
| 043 | Coquitlam | 0.51 | (13) |
- There were six LHAs with statistically significant and high SMRs in the 1993-1997 period. The six LHAs and their SMRs (number of drug-induced deaths in parentheses) were:
| 162 | Vancouver Downtown E. Side | 8.68 | (331) |
| 161 | Vancouver City Centre | 2.55 | (171) |
| 040 | New Westminster | 2.44 | (87) |
| 165 | Vancouver Midtown | 1.69 | (97) |
| 061 | Greater Victoria | 1.37 | (181) |
| 163 | Vancouver North East | 1.32 | (77) |
- In the 1993-1997 period, 21 LHAs had statistically significant and low SMRs (based on 5 or more drug-related deaths). The LHAs with the five lowest SMRs (number of drug-induced deaths in parentheses) were:
| 048 | Howe Sound | 0.38 | (7) |
| 063 | Saanich | 0.38 | (13) |
| 088 | Terrace | 0.43 | (6) |
| 028 | Quesnel | 0.45 | (7) |
| 060 | Peace River North | 0.46 | (8) |
- Two LHAs had no drug-induced deaths in the 1993-1997 period. These were Golden and Stikine/Telegraph Creek. They also had no drug-induced deaths in 1998.