Profile of people in Counties Manukau DHB -analysis of Census 2006

Prepared by Ratana Walker

8 September 2010

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Wairarapa

Mid Central

Hutt Valley

Capital Coast

Nelson Marlborough

Hawke's BayWanganui

Lakes

Counties Manukau

Waikato

Waitemata

Taranaki

Otago

Southern

South Canterbury

West Coast

Canterbury

Tairawhiti

Bay of Plenty

Auckland

Northland

2006 CensusTotal NZ=4,027,500 with 7.8% growth

from 2001

District Health Boards

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DHB 1996 2001Change from

1996% change from 1996 2006

Change from 2001

% Change from 2001

2 Waitemata 394,209 429,753 35,544 9.0 481,611 51,858 12.1%

18 Canterbury 411,846 427,095 15,249 3.7 466,404 39,309 9.2%

4 Counties Manukau 341,790 375,540 33,750 9.9 433,083 57,543 15.3%

3 Auckland 346,302 368,028 21,726 6.3 404,619 36,591 9.9%

5 Waikato 312,918 317,763 4,845 1.5 339,192 21,429 6.7%

14 Capital and Coast 235,395 245,952 10,557 4.5 266,658 20,706 8.4%

7 Bay of Plenty 163,146 178,179 15,033 9.2 194,934 16,755 9.4%

20 Otago 176,478 170,931 -5,547 -3.1 179,397 8,466 5.0%

12 Midcentral 157,944 154,974 -2,970 -1.9 158,841 3,867 2.5%

10 Hawke's Bay 143,421 143,547 126 0.1 148,248 4,701 3.3%

1 Northland 137,064 140,136 3,072 2.2 148,440 8,304 5.9%

13 Hutt 132,591 131,859 -732 -0.6 136,104 4,245 3.2%

16 Nelson Marlborough 116,646 122,490 5,844 5.0 130,062 7,572 6.2%

21 Southland 107,589 103,173 -4,416 -4.1 106,824 3,651 3.5%

9 Taranaki 106,815 103,032 -3,783 -3.5 104,274 1,242 1.2%

6 Lakes 95,196 95,988 792 0.8 98,319 2,331 2.4%

11 Whanganui 67,851 63,600 -4,251 -6.3 62,208 -1,392 -2.2%

19 South Canterbury 54,324 52,776 -1,548 -2.8 53,880 1,104 2.1%

8 Tairawhiti 45,789 43,980 -1,809 -4.0 44,463 483 1.1%

15 Wairarapa 38,505 38,205 -300 -0.8 38,613 408 1.1%

17 West Coast 32,529 30,306 -2,223 -6.8 31,326 1,020 3.4%

New Zealand 3,618,348 3,737,307 118,959 3.3 4,027,500 290,193 7.8%

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2610

565

266 355 429

36168

0

500

1,000

1,500

2,000

2,500

3,000

European Mäori PacificPeoples

Asian NewZealander

Other NA

Ethnicity

Nu

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000s

)Total Respondents by Ethnicity

New Zealand 2006

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Other5.0%

New Zealander

9.3%

Pacific5.6%

Maori14.0%

European57.6%

Asian8.5%

Other4.6%

Pacific5.4%

Maori14.1%

European69.8%

Asian6.1%

2001 CensusTotal = 3,737,322

Pacific people=200,262

Population by EthnicityNew Zealand

2006 CensusTotal = 4,027,944

Pacific people=226,302

Note: These are number of people based on the prioritised definition

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Population by Ethnicity Auckland DHB, 2001 and 2006

Asian17.2%

Pacific11.9%

Maori7.9%

Other6.9%

European64.4%

Total 2001=367,740 Pacific people=43,632

Total 2006=404,607Pacific people=45,549

Asian22.6%

Pacific11.3%

Maori7.4%

Other7.1%

European64.4%

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Population by Ethnicity Counties Manukau DHB, 2001 and 2006

Asian11.3% Pacific

18.4%

Maori16.3%

Other6.1%

European64.4%

Total 2001=375,510 Pacific people=69,063

Total 2006=433,047Pacific people=82,905

Asian16.1% Pacific

19.1%

Maori15.5%

Other6.8%

European64.4%

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Pacific People by Culture GroupCounties Manukau DHB

Pacific Culture Groups CMDHB %

Samoan 47,601 47.3%

Cook Islands Maori 21,024 20.9%

Tongan 19,617 19.5%

Niuean 8,340 8.3%

Fijian 1,893 1.9%

Tokelauan 888 0.9%

Other Pacific 1,374 1.4%

Total Respondents 100,737 100.0%

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DHB Pacific 2001 Pacific 2006 Number Change % Change

01 Northland 2,943 3,702 759 25.8%

02 Waitemata 30,420 35,190 4,770 15.7%

03 Auckland 47,619 50,166 2,547 5.3%

04 Counties Manukau 76,890 92,982 16,092 20.9%

05 Waikato 9,528 10,626 1,098 11.5%

06 Lakes 3,327 3,651 324 9.7%

07 Bay of Plenty 3,033 3,714 681 22.5%

08 Tairawhiti 1,140 1,299 159 13.9%

09 Taranaki 1,056 1,365 309 29.3%

10 Hawke's Bay 4,722 5,271 549 11.6%

11 Whanganui 1,215 1,353 138 11.4%

12 Midcentral 3,879 4,605 726 18.7%

13 Hutt 10,161 11,745 1,584 15.6%

14 Capital and Coast 21,099 21,954 855 4.1%

15 Wairarapa 807 849 42 5.2%

16 Nelson Marlborough 1,221 1,686 465 38.1%

17 West Coast 186 282 96 51.6%

18 Canterbury 8,268 10,476 2,208 26.7%

19 South Canterbury 348 444 96 27.6%

20 Otago 2,574 3,021 447 17.4%

21 Southland 1,353 1,584 231 17.1%

99 Area outside District Health Board 9 6 -3 -33.3%

Total 231,798 265,974 34,176 14.7%

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DHB Pacific People %

4 Counties Manukau 92,982 35.0%

3 Auckland 50,166 18.9%

2 Waitemata 35,190 13.2%

14 Capital and Coast 21,954 8.3%

13 Hutt 11,745 4.4%

5 Waikato 10,626 4.0%

18 Canterbury 10,476 3.9%

10 Hawke's Bay 5,271 2.0%

12 Midcentral 4,605 1.7%

7 Bay of Plenty 3,714 1.4%

1 Northland 3,702 1.4%

6 Lakes 3,651 1.4%

20 Otago 3,021 1.1%

16 Nelson Marlborough 1,686 0.6%

21 Southland 1,584 0.6%

9 Taranaki 1,365 0.5%

11 Whanganui 1,353 0.5%

8 Tairawhiti 1,299 0.5%

15 Wairarapa 849 0.3%

19 South Canterbury 444 0.2%

17 West Coast 282 0.1%

99 Area outside DHB 6 0.0%

Total respondents 265,974 100.0%

Pacific People by DHB

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Population Change by age group

NZ 2006 2001 Change % Change

0-14 867,573 847,740 19,833 2.3

15-24 571,182 505,065 66,117 13.1

25-64 2,093,598 1,934,079 159,519 8.2

65+ 495,591 450,438 45,153 10.0

Total 4,027,944 3,737,322 290,622 7.8

CMDHB 2006 2001 Change % Change

0-14 112,110 99,942 12,168 12.2

15-24 65,121 53,754 11,367 21.1

25-64 217,701 189,168 28,533 15.1

65+ 38,115 32,646 5,469 16.8

Total 433,047 375,510 57,537 15.3

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Population Change by age groupPacific People

NZ 2006 2001 Change % Change

0-14 75,531 69,615 5,916 8.5

15-24 40,707 35,421 5,286 14.9

25-64 100,131 87,738 12,393 14.1

65+ 9,933 7,488 2,445 32.7

Total 226,302 200,262 26,040 13.0

CMDHB 2006 2001 Change % Change

0-14 29,352 25,479 3,873 15.2

15-24 14,808 11,982 2,826 23.6

25-64 35,391 29,214 6,177 21.1

65+ 3,354 2,388 966 40.5

Total 82,905 69,063 13,842 20.0

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Population Pyramid by AgeNew Zealand 2006

5 3 1 1 3 5

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

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Population Pyramid by AgeCounties Manukau DHB, 2006

5 3 1 1 3 5

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

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% Population

Male Female

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8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

Maori

Population Pyramid by EthnicityCounties Manukau DHB, 2006 Census

8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

European/NZer

8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

e

% Population

Male Female

Pacific People

8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Ag

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% Population

Male Female

Asian

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Age Structure by Ethnicity Counties Manukau DHB, 2006

0%

20%

40%

60%

80%

100%

65+ 14.8 2.9 4 5 7.3 8.8

25-64 55.3 41.4 42.7 53.8 51.9 50.3

15-24 11.5 18 17.9 17.9 15.7 15

0-14 18.4 37.7 35.4 23.2 25.1 25.9

European Maori Pacific Asian Others Total

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Health Status

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Number of deaths by Age groupCounties Manukau, 2003–2007

0-143.6%

75+50.1%

65-7417.9%

15-242.1%

25-446.5%

45-6419.8%

Total deaths = 11,048

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Number of deaths by Age groupCounties Manukau, Jan 2003–Dec 2007

45-6435.0%

25-4415.2%

15-245.8% 65-74

18.4%75+

15.4%

0-1410.2%

Total Maori =1,559

0-148.0%

75+27.5%

65-7422.4%

15-242.6%

25-4410.1%

45-6429.5%

Total Pacific=1,755

0-145.8%

75+32.2%

65-7423.3%

15-242.3%

25-449.0%

45-6427.3%

Total Asian =600

45-6413.3%

25-443.5% 15-24

1.1%

65-7416.2%

75+65.0%

0-140.9%

Total European =7,079

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Potential Avoidable Mortality (PAM)

 Jan 2003-Dec 2007 Māori Pacific AsianEuropea

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Total Deaths, Age 0-74 1,319 1,273 407 2,478 33 5,510

Non-PAM 388 405 133 915 8 1,849

PAM 931 868 274 1,563 25 3,661

%PAM 70.6% 68.2% 67.3% 63.1% 75.8% 66.4%

One of the measures to estimate the potential to improve health. These are causes of death which theoretically can be avoided through preventive or curative intervention at the individual level. Depend on 1. accurate assignment of cause of death. 2. how to categorise each cause as avoidable and unavoidable. All deaths after age of 75 are considered unavoidable.

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Potential Avoidable Mortality (PAM)Counties Manukau, 2003-2007

PAM Total %

Ischaemic heart disease 759 20.7%

Malig neoplasm trachea, bronchus, lung 462 12.6%

Suicide 259 7.1%

Diabetes 257 7.0%

Colo-rectal cancer 216 5.9%

Chronic bronchitis and emphysema 197 5.4%

Motor vehicle crashes 196 5.4%

Breast cancer 186 5.1%

Intracerebral haemorrhage or occlusion 166 4.5%

Stomach cancer 97 2.6%

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Potential Avoidable Mortality (PAM)Maori, Counties Manukau, 2003-2007

PAM Maori %

Ischaemic heart disease 167 17.9%

Malig neoplasm trachea, bronchus, lung 141 15.1%

Suicide 85 9.1%

Diabetes 83 8.9%

Motor vehicle crashes 67 7.2%

Chronic bronchitis and emphysema 60 6.4%

Intracerebral haemorrhage or occlusion 27 2.9%

Breast cancer 25 2.7%

Stomach cancer 25 2.7%

Sudden infant death syndrome 23 2.5%

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Potential Avoidable Mortality (PAM)Pacific People, Counties Manukua, 2003-2007

PAM Pacific %

Ischaemic heart disease 195 22.5%

Diabetes 104 12.0%

Malig neoplasm trachea, bronchus, lung 84 9.7%

Intracerebral haemorrhage or occlusion 47 5.4%

Breast cancer 37 4.3%

Chronic bronchitis and emphysema 33 3.8%

Stomach cancer 31 3.6%

Colo-rectal cancer 29 3.3%

Nutritional deficits including anaemia 29 3.3%

Suicide 29 3.3%

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Potential Avoidable Mortality (PAM)Asian, Counties Manukau, 2003-2007

PAM Asian %

Ischaemic heart disease 50 18.2%

Diabetes 31 11.3%

Malig neoplasm trachea, bronchus, lung 26 9.5%

Intracerebral haemorrhage or occlusion 25 9.1%

Suicide 18 6.6%

Colo-rectal cancer 15 5.5%

Motor vehicle crashes 15 5.5%

Breast cancer 14 5.1%

Congenital cardiac, digestive, GU, musculoskeletal anomalies 8 2.9%

Stomach cancer 8 2.9%

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Potential Avoidable Mortality (PAM)European, Counties Manukau, 2003-2007

PAM European %

Ischaemic heart disease 343 21.9%

Malig neoplasm trachea, bronchus, lung 206 13.2%

Colo-rectal cancer 151 9.7%

Suicide 125 8.0%

Breast cancer 110 7.0%

Chronic bronchitis and emphysema 98 6.3%

Motor vehicle crashes 85 5.4%

Lip, melanoma, other skin cancer 78 5.0%

Intracerebral haemorrhage or occlusion 64 4.1%

Diabetes 37 2.4%

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Number of discharges by Age groupCounties Manukau, May 2009-April 2010

45-6425.2%

25-4419.7%

15-248.7%

65-7412.7%

75+14.9%

0-1418.9%

Total discharges=67,594

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45-6428.9%

25-4425.2%

15-247.5%

65-7412.6%75+

7.7%

0-1418.1%

Total Asian =6,775

Number of discharges by Age groupCounties Manukau, May 2009 – April 2010

45-6425.0%

25-4423.3%

15-2412.5%

65-748.4%

75+2.6%

0-1428.3%

Total Maori=11,992

45-6422.8%

25-4422.6%

15-2411.1%

65-749.7%

75+5.8%

0-1428.0%

Total Pacific=17,500

45-6425.5%25-44

15.0%

15-246.2%

65-7416.0%

75+26.8%

0-1410.5%

Total European =28,668

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Potential Avoidable Hospitalisations (PAH)

 May 2009-April 2010 Māori Pacific Asian European OtherAll Eth

nic

Total Discharges aged 0-74 11,678 16,488 6,252 20,987 2,141 57,546

Non-PAH 7,304 9,896 4,366 15,414 1,594 38,574

PAH 4,374 6592 1886 5,573 547 18,972

%PAH 37.5% 40.0%30.2% 26.6% 25.5% 33.0%

Concept of avoidable can be extended from fatal to non fatal outcomes. A potential avoidable admission signals the occurrence of illness or injury that theoretically can be avoided through 1. Population based health promotion strategies. 2. Intervention through primary health care setting. Illness or injury after age of 75 are considered unavoidable.

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Potential Avoidable Hospitalisation (PAH)Counties Manukau, May 2009-April 2010

PAH Total %

24 Angina and chest pain 2319 12.2%

35 Cellulitis 1931 10.2%

27 b Respiratory infections - Pneumonia 1346 7.1%

18 Diabetes 1325 7.0%

30 Dental conditions 1128 5.9%

27 a Respiratory infections - Acute bronchiolitis 1117 5.9%

29 Asthma 1007 5.3%

21 ENT infections 941 5.0%

34 Kidney/urinary infection 858 4.5%

28 CORD 811 4.3%

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Potential Avoidable Hospitalisation (PAH)Maori, Counties Manukau, May 2009-April 2010

PAH Maori %

35 Cellulitis 559 12.8%

27 a Respiratory infections - Acute bronchiolitis 351 8.0%

24 Angina and chest pain 317 7.2%

29 Asthma 311 7.1%

27 b Respiratory infections - Pneumonia 309 7.1%

30 Dental conditions 284 6.5%

18 Diabetes 283 6.5%

21 ENT infections 252 5.8%

28 CORD 220 5.0%

34 Kidney/urinary infection 189 4.3%

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Potential Avoidable Hospitalisation (PAH)Pacific People, Counties Manukau, May 2009-April 2010

PAH Pacific %

35 Cellulitis 774 11.7%

27 a Respiratory infections - Acute bronchiolitis 633 9.6%

24 Angina and chest pain 628 9.5%

27 b Respiratory infections - Pneumonia 617 9.4%

18 Diabetes 510 7.7%

30 Dental conditions 420 6.4%

29 Asthma 391 5.9%

27 c Respiratory infections - Other 315 4.8%

34 Kidney/urinary infection 306 4.6%

21 ENT infections 281 4.3%

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Potential Avoidable Hospitalisation (PAH)Asian, Counties Manukau, May 2009-April 2010

PAH Asian %

24 Angina and chest pain 349 18.5%

18 Diabetes 176 9.3%

30 Dental conditions 140 7.4%

29 Asthma 109 5.8%

34 Kidney/urinary infection 107 5.7%

35 Cellulitis 100 5.3%

27 b Respiratory infections - Pneumonia 89 4.7%

10 a Myocardial infarction 87 4.6%

11 Gastroenteritis 66 3.5%

21 ENT infections 66 3.5%

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Potential Avoidable Hospitalisation (PAH)European, Counties Manukau, May 2009-April 2010

PAH European %

24 Angina and chest pain 920 16.5%

03 Skin cancers 500 9.0%

35 Cellulitis 470 8.4%

21 ENT infections 315 5.7%

27 b Respiratory infections - Pneumonia 298 5.3%

18 Diabetes 297 5.3%

10 a Myocardial infarction 275 4.9%

28 CORD 268 4.8%

30 Dental conditions 266 4.8%

34 Kidney/urinary infection 238 4.3%