Prevalence Rates of Chronic Conditions in Huron-Perth-Grey-Bruce Counties

50.0 Chronic Conditions 45.0

40.0 Percentage (%) of Overall Population 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 Obese (18+ Years, BMI>30) Arthritis Diabetes (Type 2 Diabetes Mellitus) High Blood Pressure (Hyperten sion) 21.4 20.8 17.4 17.0 Chronic Obstructiv e Pulmonar y Disease (COPD) 6.7 7.9 4.2 4.3 Huron-Perth Grey-Bruce Ontario Canada

Huron-Perth Grey-Bruce Ontario Canada

21.4 25.0 18.0 18.0

20.4 21.8 17.3 15.8

6.1 9.0 6.8 6.2

Statistics Canada. 2013. Health Profile. Statistics Canada Catalogue No. 82-228-XWE. Ottawa. Released April 15, 2013.

Living in Huron-Perth-Grey-Bruce Counties

100.0 90.0 80.0 Percentage (%) of Overall Population Dimensions of Life 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Perceived Health (Very Good or Excellent) 60.5 58.5 61.0 60.3 Perceived Mental Health (Very Good or Excellent) 76.6 74.0 74.3 73.9 Sense of Community Belonging Seniors (65 Years of Age and Over) Huron-Perth Grey-Bruce Ontario Canada

Huron-Perth Grey-Bruce Ontario Canada

74.0 74.8 67.4 65.4

15.7 19.0 12.7 12.9

Mortality Rates in Huron-Perth-Grey-Bruce Counties

200.0 180.0 160.0
Causes of Mortality

140.0

Per 100,000 Population 120.0

100.0 80.0 60.0 40.0 20.0 0.0

All Cancers (Colorectal, Lung, Breast, Prostate) Circulatory Diseases (e.g. Ischaemic Heart Disease, Cerebrovasc ular Disease) 171.7 184.8 155.6 157.3 Respiratory Diseases (e.g. Pneumonia, Bronchitis) Unintention al Injuries Huron-Perth Grey-Bruce Ontario Canada

Huron-Perth Grey-Bruce Ontario Canada

170.6 165.5 159.1 166.4

50.3 45.5 41.3 45.0

32.5 32.6 23.4 25.1

The three previous slides were provided by Statistics Canada. 2013. Health Profile. Statistics Canada Catalogue No. 82-228-XWE. Ottawa. Released April 15, 2013. http://www12.statcan.gc.ca/health-sante/82228/index.cfm?Lang=E

Stroke Mortality
Rate / 100,000 people
40.5 38.2 38.3

33.1 30.7 28.1

31.9

26.3

Ontario

Toronto

London

Perth

Huron

Bruce-Grey

Oxford

Lambton

Stats Canada: Health Profile, February 2011

Hospitalized MI Events
(Rate/100,000 people)
369

317

241 216 201 174 164 204

Ontario

Toronto

London

Perth

Huron

Bruce-Grey

Oxford

Lambton

Stats Canada: Health Profile, February 2011

The Artemis Study

Robert Petrella MD, PhD, FCFP, FACSM (Lawson Research Institute) Claudio Munoz MD, PhD (Gateway Rural Health Research Institute

Study Overview The overall objective of this project is to develop an improved knowledge base for evaluating the effectiveness of lifestyle modification strategies and multiple types of self-monitoring
devices in urban and rural using Study Methods 300 high-risk patients (150 rural, 150 urban)

technology !!!!

Study duration: 1 year

Outcomes: Changes in blood glucose, weight, blood pressure, intima-media thickening

Diabetes and Technology for Increased Activity (DaTA)

HealthAnywhere Database

Weight scale Pedometer

Blood Glucose Monitor w/ Bluetooth

Blackberry with HealthAnywhere app and data plan

Blood Pressure Monitor w/ Bluetooth

Results
The increased activity coincided with a decrease in blood glucose levels

Average Glucose Blood Levels

12.00 11.00 10.00 9.00 8.00 7.00 6.00 5.00 4.00 3.00 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69 71 73 Before Breakfast Night Time Linear (Night Time) Linear (Night Time)

mg/dL

Conclusion
The study confirmed the feasibility of using remote health monitoring technology as a means to monitor health parameters in chronic illness patients Patients tended to exercise more and their blood glucose values tended to improve as a result