“Burden” of disease is another important indicator of both health status and the health care needs of a population. Burden refers to each person’s risk of having the condition, as well as the number of people affected by the condition

• See Measuring the impact of a condition upon a population for details

Two main conditions used in this study - diabetes and injury - are known to be significant problems among First Nations.

Definitions:(validated by comparisons with surveys & clinical data)

• Diabetes - having at least 2 ambulatory physician visits primarily for diabetes or at least 1 hospitalization with a diagnostic code for diabetes within three years; really a measure of treatment for diabetes

• Injuries - hospitalizations for at least one day due to an injury; 4 groups - violence (by others or to self), falls, motor vehicle, drowning; included hospitalizations lasting one day or longer due to an injury (indicated by the presence of one of the ICD-9-CM E-Codes on the hospital record)

•Newborn hospitalizations with E-Codes & brain deaths were excluded