Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...

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Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...
Initial Analysis of
Socio-Demographic
Indicators for
COVID-19 Cases
Sharlene Sedgwick Walsh and
Dr. Hsiu-Li Wang
Committee of the Whole Meeting
November 17, 2020
Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...
Key Messages

• Our local findings show a significant disproportionate impact of
  COVID-19 on individuals who identify as a visible minority, as
  black, who have a before tax income of less than $50,000 and
  whose first language is not English or French

• These findings are in line with what has been seen in other
  jurisdictions such as Toronto, Ottawa, and Hamilton
Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...
Key Messages

• These findings underscore the need for a greater collective,
  community response for groups and neighbourhoods
  disproportionately impacted.

• To aid in the collective response, Public Health will be playing an
  active role in bringing together community, health care and
  governmental partners to work alongside impacted communities
  on equity, the determinants of health and access to supports for
  COVID infection.
Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...
Data Collection &
Limitations

• This analysis is based on data from 682 Waterloo Region COVID-
  19 cases reported between July 17-October 21, 2020 (socio-
  demographic data was not collected from cases prior to July 17)

• Many cases are missing data on these socio-demographic risk
  factors, which significantly limits the reliability and generalizability
  of the results
       Missing information occurs for a variety of reasons. Further work is being done
        to improve the collection of this information
Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...
Limitations

• Mapping limitations
      Many neighbourhoods had to be excluded due to cases
Initial Analysis of Socio-Demographic Indicators for COVID-19 Cases - Sharlene Sedgwick Walsh and Dr. Hsiu-Li Wang Committee of the Whole Meeting ...
Race category
Visible minorities make up a large
proportion of COVID-19 cases
Race category
The proportion of cases that identify as a
visible minority, and as Black, is much higher
than would be expected from the Census
Percentile of COVID-19 Cases Who are a Visible Minority by
Neighbourhood, July 17-Oct 21, 2020, Waterloo Region, n=429
Per cent of COVID-19 Cases Who are a Visible Minority by
Neighbourhood, July 17-Oct 21, 2020, Waterloo Region, n=429
                           Neighbourhood name                       Per cent of Cases Who are a Visible Minority
                           Vanier/Rockway                                               94.4%
                           Central Preston                                              92.9%
                           West Waterloo                                                92.3%
                           Doon/Pioneer Park                                            92.0%
                           Highland West                                                90.9%
                           Grand River/Stanley Park/Chicopee                            78.8%
                           Alpine/Laurentian                                            75.0%
                           Southwest Kitchener                                          75.0%
                           Victoria Hills/Cherry Hill/ KW Hosp                          75.0%
                           Country Hills                                                73.3%
                           South East Galt                                              70.0%
                           Forest Heights/Forest Hill/Lakeside                          66.7%
                           Downtown Kitchener and Area                                  60.0%
                           Columbia/Lakeshore                                           58.8%
                           Beechwood                                                    57.1%
                           Shades Mills                                                 55.6%
                           North Galt/Elgin Park                                        53.3%
                           Frederick/Rosemount/Auditorium                               50.0%
                           Lang's Farm/Industrial                                       42.9%
                           Central Waterloo                                             40.0%
                           Westmount                                                    33.3%
                           Galt City Centre/South Galt                                  28.6%
                           Woolwich Rural North                                         16.7%
                           Hespeler                                                      0.0%
                           Ayr                                                            NR
                           Baden                                                          NR
                           Blair                                                          NR
                           Bridgeport/Breithaupt/Mt Hope                                  NR
                           Eastbridge/Lexington                                           NR
                           Elmira                                                         NR
                           Hidden Valley/Pioneer Tower                                    NR
                           Lakeshore North/Conservation                                   NR
                           Lincoln/Dearborn                                               NR
                           New Dundee/Mannheim                                            NR
                           New Hamburg                                                    NR
                           North Cambridge                                                NR
                           North Dumfries/Beverly                                         NR
                           North Wilmot                                                   NR
                           Southwood/South West Galt                                      NR
                           St. Jacobs                                                     NR
                           Wellesley Rural North                                          NR
                           Wellesley Rural South                                          NR
                           Wellesley Village                                              NR
                           Westvale                                                       NR
                           Woolwich Rural East                                            NR
                'NR' = not reportable; percentages based on less than 5 cases are suppressed to protect personal health information
Household income group
The highest proportion of cases are in
the lowest income group
Household income group
Cases are highest in the lowest income
groups compared to the Census
Percentile of COVID-19 Cases with
Per cent of COVID-19 Cases with
Household size
The largest proportion of cases live in
households of 2-4 people
Household size
Proportion of cases among households of
5+ people is higher than would be
expected from the Census
Percentile of COVID-19 Cases with Household Size of 5+
people by Neighbourhood, July 17-Oct 21, 2020, Waterloo
Region, n=484
Percentile of COVID-19 Cases with Household Size of 5+
people by Neighbourhood, July 17-Oct 21, 2020, Waterloo
Region, n=484      Neighbourhood name   Per cent of Cases with Household Size of 5+
                           Southwest Kitchener                                                       86.4%
                           Highland West                                                             78.6%
                           Alpine/Laurentian                                                         47.4%
                           Lang's Farm/Industrial                                                    44.4%
                           Grand River/Stanley Park/Chicopee                                         44.1%
                           Vanier/Rockway                                                            43.2%
                           West Waterloo                                                             42.9%
                           Doon/Pioneer Park                                                         41.4%
                           Columbia/Lakeshore                                                        41.2%
                           Victoria Hills/Cherry Hill/ KW Hosp                                       39.4%
                           Shades Mills                                                              37.5%
                           Forest Heights/Forest Hill/Lakeside                                       35.7%
                           Country Hills                                                             35.3%
                           Bridgeport/Breithaupt/Mt Hope                                             25.0%
                           Beechwood                                                                 22.2%
                           North Galt/Elgin Park                                                     21.4%
                           Central Preston                                                           20.0%
                           Central Waterloo                                                          18.2%
                           Westmount                                                                 16.7%
                           Woolwich Rural North                                                      16.7%
                           Frederick/Rosemount/Auditorium                                            8.3%
                           Downtown Kitchener and Area                                               7.7%
                           South East Galt                                                           7.1%
                           Galt City Centre/South Galt                                               0.0%
                           Hespeler                                                                  0.0%
                           Ayr                                                                        NR
                           Baden                                                                      NR
                           Blair                                                                      NR
                           Eastbridge/Lexington                                                       NR
                           Elmira                                                                     NR
                           Hidden Valley/Pioneer Tower                                                NR
                           Lakeshore North/Conservation                                               NR
                           Lincoln/Dearborn                                                           NR
                           New Dundee/Mannheim                                                        NR
                           New Hamburg                                                                NR
                           North Cambridge                                                            NR
                           North Dumfries/Beverly                                                     NR
                           North Wilmot                                                               NR
                           Southwood/South West Galt                                                  NR
                           St. Jacobs                                                                 NR
                           Wellesley Rural North                                                      NR
                           Wellesley Rural South                                                      NR
                           Wellesley Village                                                          NR
                           Westvale                                                                   NR
                           Woolwich Rural East                                                        NR
                       'NR' = not reportable; percentages based on less than 5 cases are suppressed to protect personal health information
Childhood language
A large proportion of cases speak
English or French, followed by Arabic
and Somali
Childhood language
Cases amongst non-official language
speakers are higher than expected
compared to the Census
Percentile of COVID-19 Cases that Speak non-official
Childhood Language by Neighbourhood, July 17-Oct 21, 2020,
Waterloo Region, n=436
Per cent of COVID-19 Cases that Speak non-official Childhood
Language by Neighbourhood, July 17-Oct 21, 2020, Waterloo
                  Neighbourhood name          Per cent of Cases that Speak Non-Official Childhood Language
Region, n=436     Galt City Centre/South Galt                             85.7%
                               Woolwich Rural North                                               83.3%
                               Central Waterloo                                                   78.9%
                               Hespeler                                                           77.8%
                               Westmount                                                          66.7%
                               South East Galt                                                    63.6%
                               Lang's Farm/Industrial                                             55.6%
                               Columbia/Lakeshore                                                 51.5%
                               North Galt/Elgin Park                                              50.0%
                               Shades Mills                                                       43.5%
                               Alpine/Laurentian                                                  40.0%
                               Frederick/Rosemount/Auditorium                                     40.0%
                               Beechwood                                                          37.5%
                               Bridgeport/Breithaupt/Mt Hope                                      37.5%
                               Grand River/Stanley
                               Park/Chicopee                                                      27.3%
                               Country Hills                                                      26.7%
                               Forest Heights/Forest Hill/Lakeside                                25.0%
                               Southwest Kitchener                                                20.0%
                               Vanier/Rockway                                                     19.4%
                               Downtown Kitchener and Area                                        18.2%
                               West Waterloo                                                      15.4%
                               Doon/Pioneer Park                                                  13.0%
                               Central Preston                                                    12.5%
                               Victoria Hills/Cherry Hill/ KW Hosp                                10.7%
                               Highland West                                                       0.0%
                               Ayr                                                                  NR
                               Baden                                                                NR
                               Blair                                                                NR
                               Eastbridge/Lexington                                                 NR
                               Elmira                                                               NR
                               Hidden Valley/Pioneer Tower                                          NR
                               Lakeshore North/Conservation                                         NR
                               Lincoln/Dearborn                                                     NR
                               New Dundee/Mannheim                                                  NR
                               New Hamburg                                                          NR
                               North Cambridge                                                      NR
                               North Dumfries/Beverly                                               NR
                               North Wilmot                                                         NR
                               Southwood/South West Galt                                            NR
                               St. Jacobs                                                           NR
                               Wellesley Rural North                                                NR
                               Wellesley Rural South                                                NR
                               Wellesley Village                                                    NR
                               Westvale                                                             NR
                               Woolwich Rural East                                                  NR
                             'NR' = not reportable; percentages based on less than 5 cases are suppressed to protect personal health information
Key Learnings

•   COVID-19 affects more:
        people of colour
        people living with low income
        people living in larger households
        people whose first language is not English or French
•   Addressing the social determinants of health, that underlie the increased
    risk of COVID, is not under the control of a single organization. The need
    for a greater collective, community response is imperative.
•   This is an initial analysis of the data. Public Health will continue to
    improve our data collection processes and will provide an update early in
    2021 that will include a sample size of approximately six months
Next Steps

• Current demographic questions do not ask people if they identify
  as Indigenous, Metis or Inuit
      Have initiated a conversation to seek permission to include this in future data
       collection
• Initiating work on application to PHAC
      Safe Voluntary Isolation Site Program
• Meeting with Community Leaders
      Identify key priorities to help prevent further spread of COVID-19
• Connecting with Waterloo Region Peer Program
      Sites are in operation and have identified needs in their communities that we
       will work to help them address
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