North America
The French language has historically played a significant role in North America and now retains a distinctive presence in some regions. Canada is officially bilingual. French is the official language of the Province of Quebec, where 95% of the people speak it as either their first or second language, and it is co-official with English in the Province of New Brunswick. Other French-speaking locales include the Province of Ontario (the official language is English, but there are an estimated 600,000 Franco-Ontarians), the Province of Manitoba (co-official as "de jure" with English), the French West Indies and Saint-Pierre et Miquelon, as well as the US state of Louisiana, where French is also an official language. Haiti is included with this group based on historical association but Haitians speak both Creole and French. Similarly, French and French Antillean Creole is spoken in Saint Lucia and the Commonwealth of Dominica alongside English.
Chronic disease in Northern Ontario
The estimated area of Local Health Integration Network (LHIN) 13 is 400,000 square kilometres or approximately 40% of Ontario, with a population of 551,691. In LHIN 13, 17% of the population is 65 years of age or older, which is significantly higher than the provincial average of 14%. LHIN 13 is diverse with 24% of the population Francophone and 10% of the population First Nations (North East LHIN, 2009). The estimated area of LHIN 14 is 470,000 square kilometers or approximately 47% of Ontario, with a population of 234,599. In LHIN 14, 14.3% of the population is 65 years of age or older. LHIN 14 is diverse with 3.5% of the population Francophone and 19.8% First Nations (North West LHIN, 2009).