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This R Project is similar to work being done at Niagara Region Public Health (NRPH), who themselves found the idea externally. The goal is to take deaths, emergency department (ED) visits, and hospitalizations data and combine it with population estimates data to look at what the major causes of morbidity and mortality are in the area. Specifically, we aggregate the linelist data by year, sex, and age group and construct curde rates. This can inform future work by highlighting priority populations or lead to further examinations of high impact diseases. We chose to remove 88 and 99 codes from the deaths data and R00-R99 and Z00-Z99 from the ED visits and hospitalizations data as they represent symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified and factors influencing health status and contact with health services, respectively. These are not issues that public health actions can overtly address or influence. Further, we only include causes with a count of 5 or more in any combination of year, sex, and age group as otherwise, the rates will be unstable. This project can be run by putting data into the ./data/raw folder and entering targets::tar_make() in the console. If there are issues, try entering targets::tar_destroy() and then targets::tar_make().
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