Cardiovascular Disease Morbidity, Mortality and Risk Factors Surveillance Information

Cardiovascular Disease Hospitalizations: Canada

• Percentage of hospitalizations due to all diagnoses, Canada, 2005/06
• Number and rate of hospitalizations due to CVD, by year, Canada, 1971/72-2005/06
• Number and rate of hospitalizations due to ischemic heart disease, by year, Canada, 1971/72-2005/06
• Number and rate of hospitalizations due to heart attack, by year, 1971/72-2005/06
• Number and rate of hospitalizations due to acute stroke, by year, Canada, 1979/80-2005/06

Cardiovascular Disease Deaths: Canada

• Number and percentage of the leading causes of death, Canada, 2004
• Rate of death due to selected CVD classifications, by sex and year, Canada, 1969-2004
• Rates of death due to CVD, by sex, province/territory, Canada, 2000-2004 (five year average)
• Rate of death due to ischemic heart disease, by sex and province/territory, Canada, 2000-2004 (five year average)
• Rate of death due to acute stroke, by sex and province/territory, Canada, 1979-2004

Risk Factors: Canada

• Percentage of the population age 12+ years who reported one or more risk factors, by age group, Canada, 2007
• Percentage of the population age 12+ years who reported specific risk factors for CVD, changes over time, Canada, 2000, 2005, and 2007
• Percentage of the population age 12+ who reported modifiable risk factors, by sex and income quintile, Canada, 2007
• Percentage of the population age 12+ years who reported modifiable risk factors, by sex and education, Canada, 2007

Cardiovascular Disease Hospitalizations: Canada

Percentage of hospitalizations due to all diagnoses*, Canada, 2005/06

* Excludes pregnancy and childbirth, and newborns.
Notes: - Hospitalizations are based on the most responsible diagnosis for the length of stay in hospital.
- Standardized to the 1991 Canadian population.
- Québec data not available in 2005/06.
Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Hospital Morbidity database (Canadian Institute for Health Information).

Number and rate of hospitalizations due to CVD*, by year, Canada, 1971/72-2005/06

* ICD-10-CA codes: I00-I99.
† Standardized to the 1991 Canadian population.
Notes: - Hospitalizations are based on the most responsible diagnosis for length of stay in hospital.
- The coding schemes for this condition changed in 1979 and 2001, and this may influence trends.
- Prior to 1993/94, only included the ten Canadian provinces. Nunavut data not available in 2002/03. Québec data not available in 2005/06.

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Hospital Morbidity database (Canadian Institute for Health Information).

Number and rate of hospitalizations due to ischemic heart disease*, by year, Canada, 1971/72-2005/06

* ICD-10-CA codes: I20-I25.
Notes: - Hospitalizations are based on the most responsible diagnosis for the length of stay in hospital.
- Standardized to the 1991 Canadian population.
- The coding schemes for this condition changed in 1979 and 2001, and this may influence trends.
- Prior to 1993/94, only included the ten Canadian provinces. Nunavut data not available in 2002/03. Québec data not available in 2005/06.

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Hospital Morbidity database (Canadian Institute for Health Information).

Number and rate of hospitalizations due to heart attack*, by year, Canada, 1971/72-2005/06

* ICD-10-CA codes: I21-I22.
Notes: - Hospitalizations are based on the most responsible diagnosis for the length of stay in hospital.
- Standardized to the 1991 Canadian population.
- The coding schemes for this condition changed in 1979 and 2001, and this may influence trends.
- Prior to 1993/94, only included the ten Canadian provinces. Nunavut data not available in 2002/03. Québec data not available in 2005/06.
Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Hospital Morbidity database (Canadian Institute for Health Information).

Number and rate of hospitalizations due to acute stroke*, by year, Canada, 1979/80-2005/06

* ICD-10-CA codes: I60, I61, I63, I64.
Notes: - Hospitalizations are based on the most responsible diagnosis for the length of stay in hospital.
- Standardized to the 1991 Canadian population.
- The coding schemes for this condition changed in 2001, and this may influence trends.
- Prior to 1993/94, only included the ten Canadian provinces. Nunavut data not available in 2002/03. Québec data not available in 2005/06.
Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Hospital Morbidity database (Canadian Institute for Health Information).

Cardiovascular Disease Deaths: Canada

Number and percentage of the leading causes of death, Canada, 2004

* Other ischemic heart disease = ischemic heart disease - heart attack.
† Cerebrovascular disease excludes transient ischemic attacks.
‡ Other CVD = circulatory disease – other ischemic heart disease – heart attack – cerebrovascular disease.
§ Other = all causes – [respiratory disease, all CVD, accidents/poisoning/violence, neoplasms, infectious diseases, and diabetes].
Note: - Total number of deaths from all causes = 226,584.

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Vital Statistics database (Statistics Canada).

Rates of death due to selected CVD classifications*, by sex and year,  Canada, 1969-2004

* ICD-10-CA codes: I20-I25 (ischemic heart disease), I60-I69 (cerebrovascular disease excluding transient ischemic attacks), I21-I22 (heart attack), I50 (congestive heart failure).
Notes: - Standardized to the 1991 Canadian population.
- The coding schemes for this condition changed in 1979 and 2000, and this may influence trends.

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Vital Statistics database (Statistics Canada).

Rates of death due to CVD*, by sex and province/territory, Canada, 2000-2004 (five year average)

* ICD-10-CA codes: I00-I78.
Note: - Standardized to the 1991 Canadian population.

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Vital Statistics database (Statistics Canada).

Rates of death due to ischemic heart disease*, by sex and province/territory, Canada, 2000-2004 (five year average)

* ICD-10-CA codes: I20-I25.
Note: - Standardized to the 1991 Canadian population.
Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Vital Statistics database (Statistics Canada).

Rates of death due to acute stroke*, by sex, age group, and year, Canada, 1979-2004

* ICD-10-CA codes: I60, I61, I63, I64.
Note: - The coding schemes for this condition changed in 2000, and this may influence trends.
Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Vital Statistics database (Statistics Canada).

Risk Factors: Canada

Percentage of the population age 12+ years who reported one or more risk factors, by age group, Canada, 2007

Notes: - Risk factors include tobacco smoking - daily, physical inactivity - leisure time, inadequate consumption of vegetables and fruit, overweight or obese, stress - 'quite a bit' or 'extremely', high blood pressure, and diabetes.
- All data are for respondents age 12+ years except for overweight and obese (18+ years), and stress (15+ years).

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Canadian Community Health Survey (Statistics Canada).

Percentage of the population age 12+ years who reported specific risk factors for CVD, changes over time, Canada, 2000, 2005, and 2007

	Percentage (%)
	2000	2005	2007
GIRLS/WOMEN
Tobacco smoking – daily	18.5	12.3	14.3
Physical inactivity – leisure time	57.0	50.2	52.5
Inadequate consumption of vegetables and fruit	57.1	51.2	49.4
Less overweight (BMI 25 to <27)	11.7	12.1	12.6
More overweight (BMI 27 to <30)	14.3	14.1	14.7
Obese (BMI ≥30)	14.4	14.8	15.8
Life stress – ‘quite a bit’ or ‘extremely’	26.8	24.0	23.6
High blood pressure*	15.8	17.9	18.8
Diabetes	5.2	6.6	†
BOYS/MEN
Tobacco smoking – daily	21.4	17.7	16.4
Physical inactivity – leisure time	49.6	45.2	46.5
Inadequate consumption of vegetables and fruit	68.1	64.2	63.3
Less overweight (BMI 25 to <27)	18.2	18.9	18.6
More overweight (BMI 27 to <30)	21.6	22.7	22.2
Obese (BMI ≥30)	16.1	16.9	18.0
Life stress – ‘quite a bit’ or ‘extremely’	25.3	22.5	22.3
High blood pressure*	13.1	16.3	17.3
Diabetes	5.9	7.6	†
BOTH SEXES
Tobacco smoking – daily	19.9	15.0	15.3
Physical inactivity – leisure time	53.4	47.8	49.5
Inadequate consumption of vegetables and fruit	62.5	57.6	56.2
Less overweight (BMI 25 to <27)	15.0	15.5	15.6
More overweight (BMI 27 to <30)	18.1	18.5	18.5
Obese (BMI ≥30)	15.3	15.9	16.9
Life stress – ‘quite a bit’ or ‘extremely’	26.1	23.3	23.0
High blood pressure*	14.5	17.1	18.1
Diabetes	5.5	7.1	†

* In order for comparability across years, only one question is used to derive the prevalence, unlike other figures that use two questions to derive prevalence of high blood pressure.
† Data not available.
Note: - All data are for respondents age 12+ years except for current daily smoker (15+ years), overweight and obese (18+ years), stress (18+ years), high blood pressure (20+ years), and diabetes (20+ years).

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Canadian Community Health Survey (Statistics Canada), the Canadian Tobacco Use Monitoring Survey (Health Canada), and the National Diabetes Surveillance System, which was contributed by all provinces and territories as of October 31, 2007.

Percentage of the population age 12+ who reported modifiable risk factors, by sex and income quintile, Canada, 2007

	Income adequacy quintile percentage (%)
	Low	Lower middle	Middle	Upper middle	High
GIRLS/WOMEN
Tobacco smoking – daily	20.4	17.6	15.9	13.3	10.2
Physical inactivity – leisure time	60.8	57.0	53.6	46.4	39.3
Inadequate consumption of   vegetables and fruit	56.1	49.1	48.1	47.1	14.3
Less overweight (BMI 25 to <27)	12.5	12.6	11.9	13.7	12.2
More overweight (BMI 27 to <30)	14.7	15.6	14.3	14.0	13.5
Obese (BMI ≥30)	18.9	16.9	17.1	13.9	13.0
Life stress – ‘quite a bit’ or      ‘extremely’	25.1	21.7	22.2	25.3	26.5
High blood pressure	25.5	23.2	17.1	14.0	12.7
Diabetes	8.8	5.7	4.3	3.1	2.1*
BOYS/MEN
Tobacco smoking – daily	28.0	20.2	19.6	18.3	14.4
Physical inactivity – leisure time	54.2	52.7	47.9	42.8	38.0
Inadequate consumption of   vegetables and fruit	66.2	63.2	63.8	63.0	62.4
Less overweight (BMI 25 to <27)	16.1	18.5	17.2	18.5	22.7
More overweight (BMI 27 to <30)	17.3	20.2	24.4	23.5	24.6
Obese (BMI ≥30)	17.5	16.8	19.0	18.5	19.7
Life stress – ‘quite a bit’ or   ‘extremely’	22.7	19.9	21.0	20.4	25.2
High blood pressure	22.0	20.2	17.1	17.7	16.2
Diabetes	9.6	6.9	6.2	5.2	4.3
BOTH SEXES
Tobacco smoking – daily	23.5	18.9	17.8	15.9	12.6
Physical inactivity – leisure time	58.2	55.0	50.7	44.5	38.6
Inadequate consumption of   vegetables and fruit	60.2	55.8	55.9	55.6	53.1
Less overweight (BMI 25 to <27)	14.0	15.5	14.6	16.3	18.3
More overweight (BMI 27 to <30)	15.8	17.8	19.4	19.2	19.9
Obese (BMI ≥30)	18.4	16.9	18.0	16.4	16.9
Life stress – ‘quite a bit’ or     ‘extremely’	24.1	20.9	21.6	22.7	25.8
High blood pressure	24.2	21.7	17.1	15.9	14.7
Diabetes	9.1	6.3	5.2	4.2	3.3

* Marginal variance estimate – data should be interpreted with caution.
Note: - All data are for respondents age 12+ years except for overweight and obese (18+ years), stress (15+ years), and high blood pressure (20+ years).

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Canadian Community Health Survey (Statistics Canada).

Percentage of the population age 12+ years who reported modifiable risk factors, by sex and education, Canada, 2007

	Level of education completed percentage (%)
	Less than secondary	Secondary	Some post- secondary	Post- secondary
GIRLS/WOMEN
Tobacco smoking – daily	14.3	18.4	15.6	7.7
Physical inactivity – leisure time	55.8	56.1	49.0	50.0
Inadequate consumption of   vegetables and fruit	55.6	54.1	50.9	44.8
Less overweight (BMI 25 to <27)	13.8	13.0	11.0	12.3
More overweight (BMI 27 to <30)	20.6	15.1	13.7	13.3
Obese (BMI ≥30)	21.9	16.9	15.3	13.9
Life stress – ‘quite a bit’ or   ‘extremely’	18.6	20.6	25.1	25.7
High blood pressure	40.5	21.0	17.6	13.7
Diabetes	8.6	5.1	3.4*	3.8
BOYS/MEN
Tobacco smoking – daily	19.3	18.7	16.1	10.2
Physical inactivity – leisure time	46.1	50.8	42.1	45.8
Inadequate consumption of   vegetables and fruit	64.8	68.1	64.8	61.0
Less overweight (BMI 25 to <27)	16.7	17.0	16.6	19.9
More overweight (BMI 27 to <30)	21.7	21.9	19.2	22.8
Obese (BMI ≥30)	20.6	18.2	17.1	17.4
Life stress – ‘quite a bit’ or   ‘extremely’	17.0	19.0	17.7	24.7
High blood pressure	29.5	16.0	13.5	17.1
Diabetes	7.9	6.2	4.6	5.8
BOTH SEXES
Tobacco smoking – daily	17.0	18.5	15.8	8.9
Physical inactivity – leisure time	51.0	53.6	45.6	47.9
Inadequate consumption of   vegetables and fruit	60.1	60.7	57.7	52.7
Less overweight (BMI 25 to <27)	15.2	14.9	13.8	16.1
More overweight (BMI 27 to <30)	21.1	18.4	16.4	18.0
Obese (BMI ≥30)	21.3	17.5	16.2	15.7
Life stress – ‘quite a bit’ or   ‘extremely’	17.8	19.9	21.5	25.2
High blood pressure	35.2	18.6	15.6	15.4
Diabetes	8.2	5.6	4.0	4.8

* Marginal variance estimate – data should be interpreted with caution.
Note: - All data are for respondents age 12+ years except for tobacco smoking (15+ years), overweight and obese (18+ years), stress (15+ years), and high blood pressure (20+ years).

Source: Chronic Disease Surveillance Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, using data from the Canadian Community Health Survey (Statistics Canada) and the Canadian Tobacco Use Monitoring Survey (Health Canada).