Tuberculosis in Canada 2013: Pre-Release

Introduction

In Canada, active tuberculosis (TB) disease is monitored at the federal level using the Canadian Tuberculosis Reporting System (CTBRS), a case-based surveillance system that maintains selected non-nominal data on people diagnosed with active TB disease. Provincial and territorial public health authorities voluntarily submit data on TB cases that meet the case definition for national-level surveillance to the CTBRS. Reports in the Tuberculosis in Canada - Pre-release series are published annually in order to facilitate timely availability of national level data on TB.

Tuberculosis in Canada 2013 - Pre-release provides a brief, initial overview of the preliminary number of reported active (new and re-treatment) TB cases and corresponding incidence rates in Canada for the most recent reporting year (2013). The data presented in this report were extracted from the CTBRS on September 30, 2014. All provinces and territories have reviewed and approved their data. The data presented in this abbreviated report are provisional and subject to change prior to the release of Tuberculosis in Canada, a more comprehensive report that is published every three years.

Historical data presented in this report may vary from the data presented in previous national/provincial/territorial reports. Differences between the data published in this report and the data published in previous national/provincial/territorial surveillance reports may occur as a result of reporting delays or differences in the date the data were extracted from the various surveillance databases. Where differences exist between this report and recently published provincial or territorial reports, it is recommended that the data from the provincial and territorial reports be used.

Details on the CTBRS's methods, including information on national TB case definitions, data collection, quality control, analysis and the classification and categorization of population subgroups are available in the Tuberculosis in Canada 2012 surveillance report.Reference 1

Preliminary Findings

New and Re-treatment Cases in 2013

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Public Health Agency of Canada

Date Published: 2015-03-23

Related Topics

In Canada, 1,640 new active and re-treatment TB cases were reported in 2013, for a corresponding incidence rate of 4.7 per 100,000 population (Table 1A). This is comparable to both the number of TB cases reported in 2012 (n = 1,699) and the incidence rate for 2012 (4.9 per 100,000 population). The annual number of reported TB cases and the corresponding annual incidence rates have remained relatively stable between 2003 and 2013.

In 2013, British Columbia, Ontario, and Quebec, which together make up 75% of the total Canadian population, continued to account for the majority of reported TB cases (68%) in Canada (Table 1A).

In 2013, the incidence rates in the Atlantic provinces (New Brunswick, Newfoundland and Labrador, Nova Scotia, and Prince Edward Island), Alberta, Ontario and Quebec were all equivalent to or below the Canadian rate of 4.7 per 100,000 population. No TB cases were reported from Prince Edward Island in 2013. The incidence rates in all other provinces and territories were higher than the Canadian rate. Nunavut has consistently had the highest incidence rate; in 2013, the incidence rate was 143.3 per 100,000 population (Table 1A). The 2013 incidence rate was lower than the 2012 rate, at 230.5 per 100 000 population, and represented a difference of 29 fewer cases compared to 2012 (Table 1A). Between 2003 and 2013 there was little change in the overall distribution of cases by province or territory.

Similarly, there was little change in the overall distribution of cases by sex, age group, and diagnostic classification (Table 1B, Table 1C, Table 2 and Table 3). In 2013, males continued to account for a larger percentage of reported cases than females. Males accounted for 902 of the 1,640 reported cases (55% of the total number reported) which corresponds to an overall incidence rate of 5.2 per 100,000 population (Table 1B). In comparison, females accounted for 738 cases (45% of all reported cases) for a corresponding incidence rate of 4.2 per 100,000 population (Table 1C).

In 2013, individuals aged 25 to 34 years old represented the largest percentage of reported cases at 16%. However, the highest incidence rate was observed for those aged 75 years or older, at 9.3 per 100,000 population. In 2013, 7% of reported cases were less than 15 years of age (Table 4).

Foreign-born individuals and Canadian-born Aboriginal people continued to be disproportionately represented among reported cases of TB in 2013. Data on origin was available for 1,611 (98%) of the 1,640 cases reported in 2013. The foreign-born population, which represented approximately 22% of the total Canadian population in 2013, accounted for 71% of reported cases of known origin (n = 1,146), with a corresponding incidence rate of 14.8 per 100,000 population. Canadian-born Aboriginal people made up 4% of the total Canadian population in 2013 but accounted for 19% (n = 309) of reported cases of known origin, with a corresponding incidence rate of 19.9 per 100,000 population. Canadian-born non-Aboriginal people accounted for the lowest percentage of reported cases at 10% (n = 155) with a corresponding incidence rate of 0.6 per 100,000 population (Table 5).

The distribution of TB cases across origin groups varied by province and territory. In 2013, the majority of cases (> 60%) reported by Alberta, British Columbia, Ontario, and Quebec were foreign-born. Canadian-born Aboriginal people accounted for the majority (> 65%) of reported cases in Manitoba and Saskatchewan. In the territories (Northwest Territories, Nunavut, and Yukon), almost all (98%) reported cases were Canadian-born Aboriginal people (Table 5).

Canadian-born Aboriginal people comprise three distinct populations: First Nations, Inuit and Métis people. In 2013, of the 309 reported Canadian-born Aboriginal cases, 200 (65%) were First Nations, 91 (29%) were Inuit and 18 (6%) were Métis. The incidence rate among the Métis was 3.3 per 100,000 population, which was lower than the overall Canadian incidence rate of 4.7 per 100,000 population. By comparison, the incidence rate in First Nations, at 21.8 per 100,000 population, was almost five times the overall Canadian rate. The highest incidence rate, however, was in the Inuit population, at 154.2 per 100,000 population (Table 5).

Based on their country of birth, foreign-born cases were grouped into one of nine epidemiological regions as defined by the STOP-TB Partnership/World Health OrganizationReference 2. Individuals born in the Western Pacific region countries accounted for the highest percentage of reported foreign-born cases in Canada (42%). Of these cases, 75% were from China and the Philippines. However, the highest incidence rate, at 48.5 per 100,000 population, was observed for foreign-born individuals from the AFR-High region, primarily Ethiopia (Table 5).

Active TB disease is classified as either respiratory or non-respiratory. Respiratory TB includes pulmonary TB, TB of the pleura, the intrathoracic or mediastinal lymph nodes, or of the larynx, nasopharynx, nose or sinuses. Primary diseaseReference i is also captured under the respiratory classification. Non-respiratory TB refers to all other disease sitesReference 3. As in recent years, 77% of cases were diagnosed with respiratory TB and 23% with non-respiratory TB in 2013 (Table 3, Table 6). Pulmonary TB, including TB of the lungs and conducting airways, accounted for the majority (67%) of reported cases in 2013 (Table 6).

Treatment Outcomes for 2012

Partial or complete treatment outcome data were available for 1,614 (95%) of the 1,699 reported cases of active TB disease in 2012. Of the remaining cases, treatment was reported as on-going for 72 and treatment outcome data were unknown for 12 (Table 7).

Of the 1,614 cases reported in 2012 for which treatment outcome data were available:

  • 1,409 (87%) were reportedly cured or had completed treatment;
  • 128 (8%) died before or during treatment;
  • 26 (2%) moved outside of Canada before completing treatment;
  • 24 (1%) had absconded or were lost to follow-up;
  • 7 (0.4%) cases stopped treatment due to an adverse reaction, and
  • 1 case reported treatment failure.

For the remaining 20 cases (1%) for which treatment outcome data were available, the treatment outcome was reported as "other." Of these, seven cases were non-compliant with the prescribed treatment regimen and no further information was available for the remaining 13 cases.

Conclusion

As in 2012, preliminary data from 2013 indicate that there were no notable changes in the number of reported cases of TB or in the overall incidence rate in Canada. Similarly, no changes were noted in the distribution of cases by province or territory, or by age group and sex. Foreign-born individuals continued to account for the majority of reported TB cases, and the incidence rates per 100,000 population remained highest among Canadian-born Aboriginal people. Pulmonary TB remained the most commonly reported site of disease in 2013, and available treatment outcome data for cases reported in 2012 indicated that 87% of cases had been cured or had completed treatment.

The findings from this analysis are provisional and will likely change over time. Updated case counts and incidence rates for 2013 will be presented in the next iteration of the Tuberculosis in Canada surveillance report.

Tables

TABLE 1A - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 (all cases) - Canada and provinces/territories: 2003-2013 Table 1a - Footnote * Table 1a - Footnote
REPORTING YEAR CANADA PROVINCE/TERRITORY
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nvt.
2003 Cases 1,631 7 3 6 12 257 693 127 91 110 305 1 12 7
Rate 5.2 1.3 2.2 0.6 1.6 3.4 5.7 10.9 9.1 3.5 7.4 3.2 28.2 23.9
2004 Cases 1,612 7 1 8 10 219 699 144 70 109 299 4 10 32
Rate 5.0 1.4 0.7 0.9 1.3 2.9 5.6 12.3 7.0 3.4 7.2 12.7 23.1 107.2
2005 Cases 1,640 9 1 7 6 255 642 114 139 146 265 3 8 45
Rate 5.1 1.7 0.7 0.7 0.8 3.4 5.1 9.7 14.0 4.4 6.3 9.4 18.4 148.4
2006 Cases 1,653 12 0 10 2 227 673 134 87 131 320 3 6 48
Rate 5.1 2.4 0.0 1.1 0.3 3.0 5.3 11.3 8.8 3.8 7.5 9.3 13.9 155.8
2007 Cases 1,575 7 0 7 5 229 680 103 105 112 278 3 15 31
Rate 4.8 1.4 0.0 0.7 0.7 3.0 5.3 8.7 10.5 3.2 6.5 9.2 34.6 98.7
2008 Cases 1,644 8 0 5 5 240 600 141 97 167 300 8 14 59
Rate 4.9 1.6 0.0 0.5 0.7 3.1 4.7 11.8 9.5 4.6 6.9 24.2 32.3 185.0
2009 Cases 1,654 22 1 8 11 196 629 156 90 176 294 4 12 55
Rate 4.9 4.3 0.7 0.9 1.5 2.5 4.8 12.9 8.7 4.8 6.7 11.9 27.8 168.7
2010 Cases 1,586 8 1 10 10 210 643 131 81 134 241 6 11 100
Rate 4.7 1.5 0.7 1.1 1.3 2.6 4.9 10.7 7.7 3.6 5.4 17.3 25.4 299.8
2011 Cases 1,621 8 3 9 5 217 658 116 83 170 261 4 13 74
Rate 4.7 1.5 2.1 1.0 0.7 2.7 5.0 9.4 7.8 4.5 5.8 11.3 29.9 216.4
2012 Cases 1,699 4 1 8 5 271 617 136 89 195 286 1 6 80
Rate 4.9 0.8 0.7 0.8 0.7 3.4 4.6 10.9 8.2 5.0 6.3 2.8 13.8 230.5
2013 Cases 1,640 13 0 8 3 237 624 169 85 187 257 2 4 51
Rate 4.7 2.5 0.0 0.9 0.4 2.9 4.6 13.4 7.7 4.6 5.6 5.4 9.2 143.3

TABLE 1B - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 (males) - Canada and provinces/territories: 2003-2013 Table 1b - Footnote * Table 1b - Footnote
REPORTING YEAR CANADA PROVINCE/TERRITORY
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nvt.
2003 Cases 896 3 1 3 9 149 375 73 46 64 158 1 9 5
Rate 5.7 1.2 1.5 0.7 2.4 4.0 6.2 12.6 9.3 4.0 7.7 6.3 40.7 32.9
2004 Cases 847 4 1 7 9 118 369 70 38 52 157 2 2 18
Rate 5.4 1.6 1.5 1.5 2.4 3.2 6.0 12.0 7.7 3.2 7.6 12.5 8.9 116.2
2005 Cases 908 5 0 4 3 145 353 66 74 71 152 2 6 27
Rate 5.7 2.0 0.0 0.9 0.8 3.9 5.7 11.3 15.0 4.2 7.3 12.3 26.6 171.7
2006 Cases 882 3 0 7 0 122 361 79 50 63 162 3 4 28
Rate 5.5 1.2 0.0 1.5 0.0 3.2 5.8 13.4 10.2 3.6 7.7 18.2 17.8 176.1
2007 Cases 864 3 0 2 4 131 351 62 62 57 163 2 12 15
Rate 5.3 1.2 0.0 0.4 1.1 3.4 5.6 10.5 12.5 3.2 7.7 12.0 53.3 92.4
2008 Cases 887 3 0 3 3 130 312 85 46 89 161 5 10 40
Rate 5.4 1.2 0.0 0.7 0.8 3.4 4.9 14.3 9.1 4.9 7.5 29.5 44.6 241.7
2009 Cases 917 12 0 3 4 119 344 87 46 93 169 4 8 28
Rate 5.5 4.7 0.0 0.7 1.1 3.1 5.4 14.5 8.9 5.0 7.7 23.2 36.0 165.8
2010 Cases 865 6 0 5 6 120 335 71 42 76 123 4 8 69
Rate 5.1 2.3 0.0 1.1 1.6 3.1 5.2 11.7 8.0 4.0 5.5 22.6 36.0 399.8
2011 Cases 882 5 2 4 2 139 326 57 45 88 157 1 8 48
Rate 5.2 1.9 2.8 0.9 0.5 3.5 5.0 9.3 8.4 4.6 7.0 5.5 35.8 271.1
2012 Cases 994 1 1 6 3 150 338 72 61 118 186 1 3 54
Rate 5.8 0.4 1.4 1.3 0.8 3.7 5.1 11.6 11.2 6.0 8.2 5.4 13.4 300.7
2013 Cases 902 7 0 6 0 127 340 100 48 99 138 1 3 33
Rate 5.2 2.7 0.0 1.3 0.0 3.1 5.1 15.9 8.6 4.8 6.1 5.4 13.4 179.1

TABLE 1C - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 (females) - Canada and provinces/territories: 2003-2013 Table 1c - Footnote * Table 1c - Footnote
REPORTING YEAR CANADA PROVINCE/TERRITORY
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nvt.
2003 Cases 735 4 2 3 3 108 318 54 45 46 147 0 3 2
Rate 4.6 1.5 2.8 0.6 0.8 2.9 5.1 9.2 9.0 2.9 7.1 0.0 14.7 14.2
2004 Cases 765 3 0 1 1 101 330 74 32 57 142 2 8 14
Rate 4.7 1.1 0.0 0.2 0.3 2.7 5.3 12.5 6.4 3.6 6.8 13.0 38.4 97.5
2005 Cases 732 4 1 3 3 110 289 48 65 75 113 1 2 18
Rate 4.5 1.5 1.4 0.6 0.8 2.9 4.6 8.1 13.0 4.6 5.3 6.4 9.6 123.3
2006 Cases 771 9 0 3 2 105 312 55 37 68 158 0 2 20
Rate 4.7 3.5 0.0 0.6 0.5 2.7 4.9 9.2 7.4 4.0 7.4 0.0 9.7 134.2
2007 Cases 711 4 0 5 1 98 329 41 43 55 115 1 3 16
Rate 4.3 1.5 0.0 1.0 0.3 2.5 5.1 6.8 8.5 3.2 5.3 6.3 14.4 105.5
2008 Cases 757 5 0 2 2 110 288 56 51 78 139 3 4 19
Rate 4.5 1.9 0.0 0.4 0.5 2.8 4.4 9.3 10.0 4.4 6.3 18.6 19.1 123.8
2009 Cases 737 10 1 5 7 77 285 69 44 83 125 0 4 27
Rate 4.3 3.8 1.4 1.0 1.8 1.9 4.3 11.3 8.5 4.6 5.6 0.0 19.1 171.9
2010 Cases 721 2 1 5 4 90 308 60 39 58 118 2 3 31
Rate 4.2 0.8 1.4 1.0 1.0 2.3 4.6 9.8 7.4 3.2 5.3 11.8 14.3 192.6
2011 Cases 739 3 1 5 3 78 332 59 38 82 104 3 5 26
Rate 4.3 1.1 1.4 1.0 0.8 1.9 4.9 9.5 7.1 4.4 4.6 17.3 23.6 157.7
2012 Cases 895 3 0 2 2 121 279 136 28 195 100 0 3 26
Rate 5.1 1.1 0.0 0.4 0.5 3.0 4.1 21.6 5.2 10.2 4.4 0.0 14.1 155.3
2013 Cases 738 6 0 2 3 110 284 69 37 88 119 1 1 18
Rate 4.2 2.2 0.0 0.4 0.8 2.7 4.1 10.8 6.7 4.4 5.2 5.5 4.7 104.9

TABLE 2 - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by age group - Canada: 2003 - 2013 Table 2 - Footnote * Table 2 - Footnote
REPORTING YEAR TOTAL AGE GROUP
<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75+
2003 Cases 1,631 7 34 41 198 332 277 207 154 178 203
Rate 5.2 2.1 2.5 1.0 4.6 7.7 5.3 4.4 4.7 8.1 10.8
2004 Cases 1,612 6 33 45 198 323 272 198 167 177 193
Rate 5.0 1.8 2.4 1.1 4.6 7.5 5.3 4.1 4.9 8.0 10.0
2005 Cases 1,640 10 37 71 254 280 278 212 142 168 188
Rate 5.1 2.9 2.7 1.8 5.8 6.5 5.4 4.3 4.0 7.5 9.5
2006 Cases 1,653 10 46 50 261 253 287 201 158 168 219
Rate 5.1 2.9 3.3 1.3 5.8 5.8 5.7 4.0 4.3 7.4 10.7
2007 Cases 1,575 12 33 53 200 254 284 209 160 152 218
Rate 4.8 3.3 2.4 1.4 4.5 5.8 5.7 4.0 4.2 6.5 10.5
2008 Cases 1,644 8 30 51 205 298 281 231 166 170 204
Rate 4.9 2.1 2.1 1.3 4.5 6.7 5.8 4.4 4.2 7.1 9.6
2009 Cases 1,654 10 33 46 232 297 294 232 177 142 191
Rate 4.9 2.6 2.3 1.2 5.1 6.5 6.2 4.3 4.3 5.7 8.8
2010 Cases 1,586 9 27 39 201 282 272 214 176 149 217
Rate 4.7 2.4 1.8 1.0 4.4 6.1 5.8 4.0 4.1 5.8 9.8
2011 Cases 1,621 14 33 40 216 296 251 224 168 173 206
Rate 4.7 3.7 2.2 1.1 4.7 6.3 5.4 4.1 3.8 6.4 9.1
2012 Cases 1,699 9 50 54 239 296 269 234 154 178 216
Rate 4.9 2.4 3.3 1.4 5.2 6.2 5.8 4.4 3.4 6.3 9.3
2013 Cases 1,640 14 37 59 207 265 246 235 189 168 220
Rate 4.7 3.7 2.4 1.6 4.5 5.5 5.2 4.4 4.1 5.6 9.3

TABLE 3 - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by main diagnostic classification- Canada: 2003-2013 Table 3 - Footnote * Table 3 - Footnote
MAIN DIAGNOSTIC CLASSIFICATION REPORTING YEAR
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Respiratory PrimaryTable 3 - Footnote Cases 79 94 106 91 64 59 61 63 48 62 64
Rate 0.2 0.3 0.3 0.3 0.2 0.2 0.2 0.2 0.1 0.2 0.2
PulmonaryTable 3 - Footnote § Cases 992 965 982 1132 1034 1147 1125 1042 1099 1146 1105
Rate 3.1 3.0 3.0 3.5 3.1 3.5 3.3 3.1 3.2 3.3 3.1
Other respiratoryTable 3 - Footnote ** Cases 63 90 113 85 94 78 97 102 83 97 92
Rate 0.2 0.3 0.4 0.3 0.3 0.2 0.3 0.3 0.2 0.3 0.3
Nonrespiratory Miliary Cases 12 14 15 10 11 14 12 11 13 8 14
Rate 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Central nervous system Cases 26 19 20 16 22 11 14 24 21 22 27
Rate 0.1 0.1 0.1 0.0 0.1 0.0 0.0 0.1 0.1 0.1 0.1
Peripheral lymph nodes Cases 247 251 242 192 202 182 207 198 222 204 174
Rate 0.8 0.8 0.8 0.6 0.6 0.5 0.6 0.6 0.6 0.6 0.5
OtherTable 3 - Footnote †† Cases 169 179 162 127 148 153 138 146 135 159 164
Rate 0.5 0.6 0.5 0.4 0.5 0.5 0.4 0.4 0.4 0.5 0.5
Unknown Cases 43 0 0 0 0 0 0 0 0 1 0
Rate 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
TOTAL Cases 1,631 1,612 1,640 1,653 1,575 1,644 1,654 1,586 1,621 1,699 1,640
Rate 5.2 5.0 5.1 5.1 4.8 4.9 4.9 4.7 4.7 4.9 4.7

TABLE 4 - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by age group - Canada and provinces/territories: 2013 Table 4 - Footnote * Table 4 - Footnote
AGE GROUP CANADA PROVINCE/TERRITORY
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nvt.
<1 Cases 14 0 0 0 0 4 1 0 2 2 2 0 0 3
Rate 3.7 0.0 0.0 0.0 0.0 4.5 0.7 0.0 13.4 3.7 4.6 0.0 0.0 362.3
1-4 Cases 37 1 0 0 0 12 5 8 5 4 1 0 0 1
Rate 2.4 5.1 0.0 0.0 0.0 3.4 0.9 12.6 8.6 1.9 0.6 0.0 0.0 30.4
5-14 Cases 59 1 0 0 0 12 15 7 4 9 9 0 0 2
Rate 1.6 1.9 0.0 0.0 0.0 1.5 1.0 4.5 3.0 1.9 2.0 0.0 0.0 29.2
15-24 Cases 207 4 0 0 0 26 74 35 14 21 20 0 1 12
Rate 4.5 6.6 0.0 0.0 0.0 2.6 4.0 19.6 9.1 3.9 3.4 0.0 14.5 183.3
25-34 Cases 265 2 0 3 1 44 94 28 19 43 23 0 0 8
Rate 5.5 3.2 0.0 2.6 1.1 4.0 5.2 16.2 11.7 6.3 3.7 0.0 0.0 133.0
35-44 Cases 246 1 0 0 0 36 104 27 16 26 26 0 0 10
Rate 5.2 1.4 0.0 0.0 0.0 3.4 5.7 16.8 11.9 4.5 4.2 0.0 0.0 222.0
45-54 Cases 235 2 0 1 0 25 94 26 13 24 39 1 1 9
Rate 4.4 2.4 0.0 0.7 0.0 2.0 4.5 14.5 8.5 4.1 5.6 16.6 15.5 228.3
55-64 Cases 189 1 0 3 0 30 62 21 5 25 39 1 0 2
Rate 4.1 1.2 0.0 2.1 0.0 2.7 3.6 13.6 3.7 5.4 6.2 18.7 0.0 84.7
65-74 Cases 168 0 0 0 1 19 72 11 3 18 41 0 1 2
Rate 5.6 0.0 0.0 0.0 1.3 2.5 6.3 11.2 3.7 7.1 9.8 0.0 57.9 217.9
75+ Cases 220 1 0 1 1 29 103 6 4 15 57 0 1 2
Rate 9.3 2.9 0.0 1.4 1.8 4.9 11.2 7.2 5.1 7.7 17.1 0.0 107.8 613.5
TOTALTable 4 - Footnote Cases 1,640 13 0 8 3 237 624 169 85 187 257 2 4 51
Rate 4.7 2.5 0.0 0.9 0.4 2.9 4.6 13.4 7.7 4.6 5.6 5.4 9.2 143.3

TABLE 5 - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by origin - Canada and provinces/territories: 2013 Table 5 - Footnote *
ORIGIN CANADA PROVINCE/TERRITORY
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. NorthTable 5 - Footnote
Canadian-born First NationsTable 5 - Footnote Cases 200 0 0 0 0 4 9 110 50 12 10 5
Rate 21.8 0.0 0.0 0.0 0.0 3.9 4.3 85.3 42.7 9.0 6.3 22.7
First Nations with status Cases 197 0 0 0 0 4 9 110 50 11 9 4
Rate 20.3 0 0 0 0 4.7 4.4 70.9 32.7 8.7 6.3 13.3
First Nations with status - on Reserve Cases 145 0 0 0 0 3 7 84 40 9 2 0
Rate 28.8 0 0 0 0 5.2 7.3 89.1 53.9 12.0 3.0 0.0
First Nations with status - off Reserve Cases 49 0 0 0 0 0 2 26 10 2 7 2
Rate 10.6 0 0 0 0 0.0 1.9 42.7 12.7 3.9 9.2 15.7
First Nations with status - unknown Cases 3 0 0 0 0 1 0 0 0 0 0 2
Rate - - - - - - - - - - - -
First Nations, non-status Cases 3 0 0 0 0 0 0 0 0 1 1 1
Rate - - - - - - - - - - - -
InuitTable 5 - Footnote § Cases 91 6 0 0 0 34 0 0 0 0 0 51
Rate 154.2 120.0 0.0 0.0 0.0 261.5 0.0 0.0 0.0 0.0 0.0 150.0
MétisTable 5 - Footnote § Cases 18 0 0 0 0 0 0 3 9 4 2 0
Rate 3.3 0.0 0.0 0.0 0.0 0.0 0.0 3.4 15.5 3.5 2.3 0.0
Total AboriginalTable 5 - Footnote § Cases 309 6 0 0 0 38 9 113 59 16 12 56
Rate 19.9 24.0 0.0 0.0 0.0 23.8 2.6 51.1 33.1 6.3 4.7 91.8
Non-Aboriginal Cases 155 3 0 3 2 36 42 12 3 12 42 0
Rate 0.6 0.6 0.0 0.4 0.3 0.5 0.5 1.4 0.4 0.4 1.4 0.0
Aboriginal status unknown Cases 1 0 0 0 0 1 0 0 0 0 0 0
Rates - - - - - - - - - - - -
Total Canadian-born Cases 465 9 0 3 2 75 51 125 62 28 54 56
Rates 1.7 1.7 0.0 0.3 0.3 1.1 0.5 11.9 6.1 0.9 1.7 52.4
Foreign-born (by epidemiological region) AFR-High Cases 118 0 0 1 1 32 44 8 4 24 4 0
Rate 48.5 0.0 0.0 58.2 105.7 86.2 37.7 100.5 103.5 56.9 12.2 0.0
AFR-Low Cases 26 1 0 0 0 12 8 1 0 3 1 0
Rate 18.9 583.2 0.0 0.0 0.0 14.8 20.4 47.8 0.0 34.7 24.1 0.0
AMR Cases 50 0 0 0 0 27 16 1 1 4 1 0
Rate 5.5 0.0 0.0 0.0 0.0 12.2 3.1 3.7 18.6 5.6 1.8 0.0
EEUR Cases 11 0 0 0 0 6 4 0 0 0 1 0
Rate 3.0 0.0 0.0 0.0 0.0 7.9 2.0 0.0 0.0 0.0 2.7 0.0
EME & CEUR Cases 33 0 0 0 0 8 16 1 0 4 4 0
Rate 1.3 0.0 0.0 0.0 0.0 2.4 1.2 1.5 0.0 1.6 0.9 0.0
EMR Cases 122 0 0 0 0 23 64 2 0 24 9 0
Rate 15.6 0.0 0.0 0.0 0.0 12.7 14.8 22.3 0.0 32.3 13.9 0.0
SEAR Cases 305 3 0 2 0 22 168 10 6 31 63 0
Rate 35.4 266.1 0.0 70.6 0.0 46.6 32.0 58.9 78.6 36.0 36.0 0.0
WPR Cases 476 0 0 2 0 30 227 21 12 69 114 1
Rate 25.2 0.0 0.0 25.9 0.0 22.2 26.4 29.9 43.5 28.2 21.1 41.6
Unknown Cases 5 0 0 0 0 0 4 0 0 0 1 0
Total Foreign-bornTable 5 - Footnote ** Cases 1,146 4 0 5 1 160 551 44 23 159 198 1
Rate 14.8 33.6 0.0 8.3 2.9 14.4 13.6 20.8 26.6 19.7 14.7 11.3
Unknown Cases 29 0 0 0 0 2 22 0 0 0 5 0
TOTALTable 5 - Footnote †† Cases 1,640 13 0 8 3 237 624 169 85 187 257 57
Rate 4.7 2.5 0.0 0.9 0.4 2.9 4.6 13.4 7.7 4.6 5.6 49.2

TABLE 6 - Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by main diagnostic classification -- Canada and provinces/territories: 2013 Table 6 - Footnote * Table 6 - Footnote
MAIN DIAGNOSTIC CLASSIFICATION CANADA PROVINCE/TERRITORY
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nvt.
Respiratory PrimaryTable 6 - Footnote Cases 64 4 0 1 1 13 14 10 3 9 3 0 1 5
Rate 0.2 0.8 0.0 0.1 0.1 0.2 0.1 0.8 0.3 0.2 0.1 0.0 2.3 14.0
PulmonaryTable 6 - Footnote Cases 1,105 6 0 4 2 144 410 121 71 100 199 2 3 43
Rate 3.1 1.1 0.0 0.4 0.3 1.8 3.0 9.6 6.4 2.5 4.3 5.4 6.9 120.8
Other respiratoryTable 6 - Footnote § Cases 92 0 0 1 0 15 23 17 1 18 15 0 0 2
Rate 0.3 0.0 0.0 0.1 0.0 0.2 0.2 1.3 0.1 0.4 0.3 0.0 0.0 5.6
Nonrespiratory Miliary Cases 14 1 0 0 0 5 5 0 0 1 2 0 0 0
Rate 0.0 0.2 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
CNS Cases 27 0 0 0 0 1 18 2 1 3 2 0 0 0
Rate 0.1 0.0 0.0 0.0 0.0 0.0 0.1 0.2 0.1 0.1 0.0 0.0 0.0 0.0
Peripheral lymph nodes Cases 174 1 0 1 0 26 87 10 4 30 15 0 0 0
Rate 0.5 0.2 0.0 0.1 0.0 0.3 0.6 0.8 0.4 0.7 0.3 0.0 0.0 0.0
OtherTable 6 - Footnote ** Cases 164 1 0 1 0 33 67 9 5 26 21 0 0 1
Rate 0.5 0.2 0.0 0.1 0.0 0.4 0.5 0.7 0.5 0.6 0.5 0.0 0.0 2.8
TOTALTable 6 - Footnote †† Cases 1,640 13 0 8 3 237 624 169 85 187 257 2 4 51
Rate 4.7 2.5 0.0 0.9 0.4 2.9 4.6 13.4 7.7 4.6 5.6 5.4 9.2 143.3

TABLE 7 - Treatment outcome - Canada and provinces/territories: 2012
PROVINCE/TERRITORY TOTAL TREATMENT OUTCOME
Cure Treatment completed without culture Death during treatment Transferred Treatment ongoing Absconded Failure Treatment discontinued due to adverse event Other Unknown
Canada 1,699 328 1,081 128 26 72 24 1 7 20 12
Newfoundland and Labrador 4 1 2 1 0 0 0 0 0 0 0
Prince Edward Island 1 1 0 0 0 0 0 0 0 0 0
Nova Scotia 8 0 6 0 1 1 0 0 0 0 0
New Brunswick 5 2 1 1 0 1 0 0 0 0 0
Quebec 271 71 174 17 2 5 1 0 0 1 0
Ontario 617 0 464 50 13 63 9 0 0 11 7
Manitoba 136 64 62 5 3 1 0 0 0 1 0
Saskatchewan 89 75 0 7 0 0 7 0 0 0 0
Alberta 195 45 125 12 3 1 2 0 1 1 5
British Columbia 286 14 220 34 4 0 3 1 5 5 0
Yukon 1 0 1 0 0 0 0 0 0 0 0
Northwest Territories 6 3 2 1 0 0 0 0 0 0 0
Nunavut 80 52 24 0 0 0 2 0 1 1 0

References

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