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This edition of the B.C. Vital Statistics Agency's Quarterly Digest contains the standard vital event tables for the final quarter of 2002 (October 1- December 31) and for year-end 2002.
The year-end data contained in this publication will not necessarily be consistent with those data presented in the forth-coming Vital Statistics 2002 Annual Report. The reason for these potential discrepancies is that the Agency's research files are continually updated and data that are not produced simultaneously reflect "snapshots" of provincial vital event data at different points in time.
For the same reason, totals compiled by adding the figures from successive quarters will not correspond exactly to year-end figures.
Finally, the reader should keep in mind the effect of small fluctuations on certain health status indicators. The impact of these changes on small numbers of events can create artificially exaggerated trend lines.
As usual, the fourth quarter report contains an index of articles that have been published in the Quarterly Digest in the past.
The most recent of these articles appeared in the second quarter report of 2002, but they are no longer a regular feature of this publication. We will attempt to produce high quality original research reports addressing issues of interest to British Columbians on a periodic basis and reader suggestions for future research articles are welcomed. Your support and input into the production of this publication are always appreciated.
| R.J. Danderfer | Terry Tuk |
| Chief Executive Officer | Manager |
| British Columbia | Information and Resource |
| Vital Statistics Agency | Management Branch |
| HA 01 Interior HSDA 11 East Kootenay LHA 01 Fernie 02 Cranbrook 03 Kimberley 04 Windermere 05 Creston 18 Golden HSDA 12 Kootenay Boundary LHA 06/07 Kootenay Lake/Nelson 09 Castlegar 10 Arrow Lakes 11 Trail 12/13 Grand Forks/Kettle Valley HSDA 13 Okanagan LHA 14 Southern Okanagan 15 Penticton 16 Keremeos 21 Armstrong-Spallumcheen 22 Vernon 23 Central Okanagan 77 Summerland 78 Enderby HSDA 14 Thompson Cariboo LHA 19 Revelstoke 20 Salmon Arm 24 Kamloops 25 100 Mile House 26 Cariboo-Chilcotin 29 Lillooet 30 South Cariboo 31 Merritt HA 02 Fraser |
HSDA 22 West Fraser LHA 40 New Westminster 41 Burnaby 42 Maple Ridge 43 Coquitlam HSDA 23 Central Fraser LHA 35 Langley 36 Surrey 37 Delta HA 03 Vancouver Coastal HA 04 Vancouver Island |
HSDA 42 Central Vancouver Island LHA 67 Ladysmith 68 Nanaimo 69 Qualicum 70 Alberni 71 Courtenay 66 Lake Cowichan HSDA 43 North Vancouver Island LHA 72 Campbell River 84 Vancouver Island West 85 Vancouver Island North HA 05 Northern |
Volume 1 - Number 1 & 2 - October 1991
Volume 1 - Number 3 - January 1992
Volume 1 - Number 4 - April 1992
Volume 2 - Number 1 - July 1992
Volume 2 - Numbers 2 & 3 - November 1992
Volume 2 - Number 4 - February 1993
Volume 3 - Number 1 - May 1993
Volume 3 - Number 2 - August 1993
Volume 3 - Number 3 - November 1993
Volume 3 - Number 4 - May 1994
Volume 4 - Number 1 - June 1994
Volume 4 - Number 2 - August 1994
Volume 4 - Number 3 - November 1994
Volume 4 - Number 4 - February 1995
Volume 5 - Number 1 - May 1995
Volume 5 - Number 2 - August 1995
Volume 5 - Number 3 - November 1995
Volume 5 - Number 4 - March 1996
Volume 6 - Number 1 - July 1996
Volume 6 - Number 2 - October 1996
Volume 6 - Number 3 - January 1997
Volume 6 - Number 4 - April 1997
Volume 7 - Number 1 - July 1997
Volume 7 - Number 2 - October 1997
Volume 7 - Number 3 - January 1998
Volume 7 - Number 4 - May 1998
Volume 8 - Numbers 1 & 2 - December 1998
Volume 8 - Number 3 - March 1999
Volume 8 - Number 4 - August 1999
Volume 9 - Numbers 1 & 2 - October 1999
Volume 9 - Number 3 - March 2000
Volume 9 - Number 4 - June 2000
Volume 10 - Number 1 - October 2000
Volume 10 - Numbers 2& 3 - December 2000
Volume 10 - Number 4 - July 2001
Volume 11 - Number 1 - September 2001
Volume 11 - Number 2 - October 2001
Volume 11 - Number 3 & 4 - May 2002
Volume 11 - Number 3 & 4 - May 2002
Volume 11 - Number 3 & 4 - May 2002
Volume 11 - Number 3 & 4 - May 2002
Volume 12 - Number 2 - December 2002
Topics in progress/planned
Alcohol-Related:
This category includes all deaths considered as being directly or indirectly
related to alcohol as indicated by inclusion by the certifier of selected
alcohol identifying conditions anywhere on the death record (including
"lifestyle" field). It should be noted that where alcohol
is an indirect cause of death (i.e. not UCOD) and the direct underlying
cause of death falls within one of our selected causes (e.g. motor vehicle
accidents), then this death may be counted in both columns. That is,
not all of "alcohol-related" are exclusive. This category
includes ICD-10 codes: F100-F109, K700-K709, O993, P043, O354, Q860,
G312, G621, G721, I426, K292, K860, X45, X65, Y14, T510-T512, T519.
Note: now excludes acute pancreatitis, and cirrhosis not specifically
identified as alcohol induced.
Assignment of Health Service Delivery Area (HSDA) and Health Authority (HA):
Cases are assigned to Health Service Delivery Areas and Health Authorities by the aggregation of appropriate LHAs.
Assignment of Local Health Area (LHA):
Allocation of LHA, in the case of births and deaths is based upon the
usual residence (by postal code) of the mother and deceased respectively.
Marriages are assigned to LHAs according to the place of event. Community
name, is used in the absence of postal code.
Elderly Gravida:
Any mother who was 35 years of age or older at the time of delivery
of a live born infant.
External Causes of Death:
Deaths due to environmental events, circumstances and conditions as
the cause of injury, poisoning, and other adverse effects. Broad categories
include accidents, suicide, medical or abnormal reactions (considered
accidents), homicide, legal intervention, misadventures (counted as
accident) and injury from war operations. Standard "Quarterly"
tables under this heading include deaths due to accidents, suicide,
homicide, and other. Accidents are subdivided by the following categories;
motor vehicle accidents (MVA) (ICD-10 V020-V049, V090-V092, V093, V120-V149,
V190-V196, V200-V249, V260-V349, V360-V449, V460-V549, V560-V649, V660-V749,
V760-V799, V803-V805, V820-V821, V823-V839, V840-V875, V877-V8999, Y850),
poisoning (X40-X49), falls (W00-W19), burns/fire (X00-X19), drowning
(V900-V909, V920-V929, W65-W74), other accidents (V010-V019, V050-V069,
V091, V099, V100-V119, V150-V189, V198-V199, V250-V259, V350-V359, V450-V459,
V550-V559, V650-V659, V750-V759, V800-V802, V806-V819, V822, V876, V910-V919,
V930-V949, V950-V978, V98-V99, W20-W64, W75-W99, X20-X39, X50-X59, Y40-Y849,
Y859, Y86, Y880-Y883). Suicide ICD-10 codes are X60-X84, Y870; homicide
(X85-Y09, Y871); "other [external]" consists of events of
undetermined intent, legal interventions, and operations of war (Y10-Y369,
Y890-Y899).
Note: the late effects of accidental poisoning, falls, and burns/fire are no longer identified separately for inclusion in these categories and are now part of "other accidents"). Trains are now considered motor vehicles in ICD-10 but for consistency, have been excluded from MVA counts to still be considered as "other transport".
Heart Disease:
Tables under this heading include deaths due to:
ICD-9:
The ninth revision of International Classification of Diseases,
World Health Organization, Geneva, 1977. An internationally used system
of approximately 12,000 four (and some three) digit numbers representing
a system of categories to which morbid entities are assigned according
to an established criteria. ICD provides a common basis of disease and
injury classification that facilitates storage, retrieval, and tabulation
of statistical data.
ICD-10:
The tenth revision of International Classification of Diseases and
Related Health Problems, World Health Organization, 1992. In use
beginning with year 2000, update of ICD-9 revised with alpha-numeric
system and increased code detail (approximately 18,000). The BC Vital
Statistics Agency and all their provincial counterparts utilize an ICD-10
that has been modified by the National Center for Health Statistics
(NCHS) for use in the classification and analysis of medical mortality
data in the United States (October, 1998).
Infant Deaths:
Deaths of children under one year of age.
Live birth:
The complete expulsion or extraction from its mother, irrespective of
the duration of the pregnancy, of a product of conception in which,
after the expulsion or extraction, there is:
Low Birth Weight:
Any liveborn infant weighing less than 2500 grams.
Neoplasms (ICD-10 C000-D489):
Although the vast majority of deaths in this category are due to malignant
cancer, also included are benign, in-situ, and unspecified "tumours".
Detailed ICD-10 breakdown used in "Neoplasm Deaths" tables
are;
Other Selected Death Statistics:
Tables under this heading include deaths due to:
Premature/Pre-term:
Any live born infant less than 37 weeks gestation at delivery.
Respiratory Disease Death Statistics:
Tables under this heading include deaths due to the following:
Standardized Mortality Ratio (SMR):
The ratio of the number of deaths occurring to residents of a geographical
area (e.g. LHA) to the expected number of deaths in that area based
on provincial age specific mortality rates.
Stillbirth:
The complete expulsion or extraction from its mother after at least
twenty weeks of pregnancy or after attaining a weight of at least 500
grams, of a product of conception in which, after expulsion or extraction,
there is no breathing, beating of the heart, pulsation of the umbilical
cord or unmistakable movement of voluntary muscle.
Teenage Mother:
Any mother who was age 19 or less at the time of delivery.
UCOD:
Underlying cause of death - based upon application of standard international
coding rules for determining sequential relationships of conditions
and diseases from immediate cause backwards to underlying cause.
The editorial staff would like to invite any researchers of health-related topics who wish to contribute an article or paper summary for publication in this Quarterly Digest to contact the Information and Resource Management Branch of the British Columbia Vital Statistics Agency. Articles should focus on health status issues in British Columbia. It is preferable that submissions be in "electronic media" format (e.g. Word, Word Perfect, Excel, Power Point, Corel, Pagemaker, etc.). Article presentation will be subject to space allowances and publishing deadlines.
Re: "Letters to the Editor", or mailing and distribution.
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