Surveillance of Lyme disease
Learn about surveillance for Lyme disease in Canada. Also find out how many Lyme disease cases in humans have been reported.
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Canada's surveillance of Lyme disease
The Government of Canada engages in surveillance activities to capture the number of people with Lyme disease and the areas of greatest risk of acquiring Lyme disease in Canada. It does this in partnership with:
- provincial and territorial public health organizations
- health authorities
- other experts
Surveillance is done in 3 ways:
- reporting of human Lyme disease cases by provincial and territorial public health organisations
- surveillance to identify areas of greatest risk of acquiring Lyme disease in Canada by:
- voluntary submission of ticks collected from people and pets by doctors and vets (known as passive tick surveillance)
- studies in the field to collect ticks from the environment (known as active tick surveillance)
Health care professionals in Canada have a critical role to play in identifying confirmed and probable cases of Lyme disease. See the Information for health professionals on Lyme disease page for more information on:
- clinical manifestations
- laboratory testing
- treatment
- prevention
Reported number of Lyme disease cases
The Government currently has data for Lyme disease cases reported between 2009 and 2016:
- 2009: 144 cases
- 2010: 143 cases
- 2011: 266 cases
- 2012: 338 cases
- 2013: 682 cases
- 2014: 522 cases
- 2015: 917 cases
- 2016: 987 cases
*The 2016 Lyme disease cases are reported based on the recently updated Lyme disease case definition.
Report trends
In 2015, Lyme disease was reported by nine provinces: British Columbia, Alberta, Manitoba, Ontario, Québec, New Brunswick, Nova Scotia, Prince Edward Island and Newfoundland and Labrador. The number of cases reported in Canada increased more than six fold, from 144 in 2009 to 917 in 2015. The incidence has increased from 0.4 to 2.6 during the same period (see figure 1).
In 2015, over 91% of cases were reported from 3 provinces: Ontario, Nova Scotia and Québec. Surveillance in these three provinces indicates that populations of blacklegged ticks have become established and are continuously increasing and spreading (See figures 2 and 3). Nova Scotia recorded the highest incidence in Canada in 2015, 26.1 per 100 000 population, 10 times the national average (See figures 1 and 2).
Statistics
Note: All cases acquired in Alberta were acquired on travel outside of the province.
Figure 1 - Text description
Figure 1. Number and incidence of reported Lyme disease cases (confirmed and probable) by year in Canada, 2009-2015.
This is a bar chart with vertical bars showing the numbers of cases reported in each year, from left to right, from 2009 to 2015. The dark grey filled bars shows the total numbers of cases reported each year from 2009 to 2015. Above the filled bars is a solid black line with markers that displays the incidence per 100 000 person over each year from 2009 to 2015.
| Year | Number of cases | Incidence /100 000 person-year |
|---|---|---|
| 2009 | 144 | 0.4 |
| 2010 | 143 | 0.4 |
| 2011 | 266 | 0.8 |
| 2012 | 338 | 1.0 |
| 2013 | 682 | 1.9 |
| 2014 | 522 | 1.5 |
| 2015 | 917 | 2.6 |
The denominators used to calculate incidence are obtained from Statistics Canada.
Note: All the cases recorded for Alberta and Newfoundland and Labrador were acquired on travel outside the province.
Abbreviations: BC: British Columbia, AB: Alberta, MB: Manitoba, ON: Ontario, QC: Québec, NB: New Brunswick, NS: Nova Scotia, PE: Prince Edward Island, NL: Newfoundland.
Figure 2 - Text description
Figure 2. The numbers of probable, confirmed and incidence of reported Lyme disease cases by province of residence in Canada, 2015.
This figure is a stacked bar graph with dark grey filled bars showing the numbers of confirmed cases and probable (upper light grey filled bars) Lyme disease cases reported by each province (from left to right, British Columbia, Alberta, Manitoba, Ontario, Quebec, New Brunswick, Nova Scotia, Prince Edward Island and Newfoundland and Labrador). The blue diamonds show the incidence of the disease in each province. The numbers of cases and incidence per province are detailed in the following table:
| Province | Case classification | Total | Incidence | |
|---|---|---|---|---|
| Confirmed | Probable | |||
| BC | 18 | 3 | 21 | 0.4 |
| AB | 14 | 0 | 14 | 0.3 |
| MB | 13 | 18 | 31 | 2.4 |
| ON | 359 | 67 | 426 | 3.1 |
| QC | 103 | 57 | 160 | 1.9 |
| NB | 11 | 2 | 13 | 1.7 |
| NS | 129 | 117 | 246 | 26.1 |
| PE | 2 | 2 | 4 | 2.7 |
| NL | 2 | 0 | 2 | 0.4 |
Lyme Disease Cases from 2009 to 2015
The numbers of cases and municipalities for which location of acquisition was reported are detailed in the following tables:
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | NA | NA |
| Ontario | 37 | 18 |
| Quebec | NA | NA |
| New Brunswick | NA | NA |
| Nova Scotia | 13 | 3 |
| Prince Edward Island | NA | NA |
| Newfoundland and Labrador | NA | NA |
| Total | 50 | 21 |
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | 4 | 2 |
| Ontario | 38 | 18 |
| Quebec | NA | NA |
| New Brunswick | NA | NA |
| Nova Scotia | 17 | 5 |
| Prince Edward Island | NA | NA |
| Newfoundland and Labrador | NA | NA |
| Total | 59 | 25 |
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | 7 | 4 |
| Ontario | 85 | 31 |
| Quebec | NA | NA |
| New Brunswick | 3 | 1 |
| Nova Scotia | 50 | 10 |
| Prince Edward Island | NA | NA |
| Newfoundland and Labrador | NA | NA |
| Total | 145 | 46 |
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | 12 | 3 |
| Ontario | 92 | 37 |
| Quebec | NA | NA |
| New Brunswick | 5 | 1 |
| Nova Scotia | 50 | 7 |
| Prince Edward Island | 2 | 1 |
| Newfoundland and Labrador | NA | NA |
| Total | 161 | 49 |
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | 19 | 9 |
| Ontario | 184 | 54 |
| Québec | NA | NA |
| New Brunswick | 1 | 1 |
| Nova Scotia | 151 | 13 |
| Prince Edward Island | NA | NA |
| Newfoundland and Labrador | NA | NA |
| Total | 355 | 77 |
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | 28 | 17 |
| Ontario | 144 | 45 |
| Québec | NA | NA |
| New Brunswick | 3 | 2 |
| Nova Scotia | 114 | 15 |
| Prince Edward Island | NA | NA |
| Newfoundland and Labrador | NA | NA |
| Total | 289 | 79 |
| Province | Number of cases | Number of municipalities |
|---|---|---|
| British Columbia | NA | NA |
| Alberta | NA | NA |
| Saskatchewan | NA | NA |
| Manitoba | 22 | 12 |
| Ontario | 323 | 74 |
| Québec | NA | NA |
| New Brunswick | 7 | 2 |
| Nova Scotia | 239 | 21 |
| Prince Edward Island | NA | NA |
| Newfoundland and Labrador | NA | NA |
| Total | 591 | 109 |
* Note that only those cases acquired in Canada, for Provinces that provide information on location of acquisition, are shown. The number of provinces that provide information on location of acquisition has increased over the years.
The data on location of acquisition are not available for cases reported in British Columbia, Saskatchewan and Quebec. Furthermore, cases reported in the provinces of Alberta, and Newfoundland and Labrador are travel related cases only.
Technical Notes
The data analyzed and presented in this report are provided by provincial public health authorities. The data represent cases reported to public health units within the frameworks of the different provincial notifiable diseases systems. The data are collected using the national case definition. Many provincial notifiable diseases systems are dynamic disease reporting systems that permit ongoing updates of data if new information becomes available. As such, data obtained from provincial notifiable disease systems represent a snap shot at the time of data extraction and may differ from previous or subsequent reports. As a result, data in this report may differ slightly from data displayed by provincial health authorities. Data on possible area of exposure and travel-acquired cases are provided by provinces that participate in the Lyme disease enhanced surveillance (LDES). The data are collected by the mean of a standardized form submitted to the Agency by the provinces through a password protected website.
Acknowledgments
The Public Health Agency of Canada (PHAC) would like to thank all the partners at provincial and regional levels across Canada who continuously contribute their data to the LDES for the purposes of data analysis at the national level
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