Tuberculosis in Canada 2014: Pre-release
Table of Contents
List of tables
- Table 1A: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (all cases) – Canada and provinces/territories: 2004–2014
- Table 1B: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (males) – Canada and provinces/territories: 2004–2014
- Table 1C: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (females) – Canada and provinces/territories: 2004–2014
- Table 2: Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by age group - Canada: 2004–2014
- Table 3. Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 by age group – Canada and provinces/territories: 2014
- Table 4: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 by origin – Canada and provinces/territories: 2014
- Table 5. Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by main diagnostic classification - Canada: 2004–2014
- Table 6: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 by main diagnostic classification – Canada and provinces/territories: 2014
- Table 7: Treatment outcome – Canada and provinces/territories: 2013
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Related Topics
Acknowledgements
The Public Health Agency of Canada would like to acknowledge the provincial and territorial tuberculosis programs and their teams for their contribution to, and participation in, the Canadian Tuberculosis Reporting System (CTBRS).
Abbreviations
- AFR-High
-
Africa high HIV prevalence
- AFR-Low
-
Africa low HIV prevalence
- Alta.
-
Alberta
- AMR
-
American Region – Latin American countries
- B.C.
-
British Columbia
- CEUR
-
Central Europe
- EEUR
-
Eastern European Region
- EME
-
Established Market Economies
- EMR
-
Eastern Mediterranean Region
- Man.
-
Manitoba
- N.B.
-
New Brunswick
- N.L.
-
Newfoundland and Labrador
- N.S.
-
Nova Scotia
- Nvt.
-
Nunavut
- N.W.T.
-
Northwest Territories
- Ont.
-
Ontario
- P.E.I.
-
Prince Edward Island
- Que.
-
Quebec
- Sask.
-
Saskatchewan
- SEAR
-
South-East Asian Region
- WPR
-
Western Pacific Region
- Y.T.
-
Yukon
Introduction
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 to facilitate timely availability of national-level data on TB.
Tuberculosis in Canada 2014—Pre-release provides a brief, initial overview of the preliminary number of reported new active and re-treatment TB cases and corresponding incidence rates in Canada for the most recent reporting year. The data presented were extracted from the CTBRS on October 30, 2015. All provinces and territories had the opportunity to validate their data.
The data presented in this abbreviated report are provisional and subject to change in future publications of the Tuberculosis in Canada surveillance report series. Differences between the data published in this report and the data published in previous national, provincial, and territorial surveillance reports may be due to reporting delays or differences in when the data were extracted from the various surveillance databases. Where differences exist between this report and provincial or territorial reports, use the data from the provincial and territorial reports.
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 2014
In Canada, 1,568 cases of active TB disease were reported in 2014, representing a 5% decrease from the number of cases reported in 2013 and a corresponding decrease in the overall incidence rate of active TB disease from 4.7 per 100,000 to 4.4 per 100,000 (Table 1A).
Of the cases reported in 2014, 94% (1,468) were considered to be new cases in that the individuals diagnosed with TB had no documented evidence or history of previously diagnosed active tuberculosis (data not shown). Five percent (80) of the cases were reported as re-treatment cases, where individuals had a recorded history of a previous episode of TB disease.Footnote i For 1% of the cases reported in 2014, the history of previous TB disease was unknown. These relative percentages have remained consistent between 2004 and 2014 (data not shown).
Geography
In 2014, the TB incidence rates in the Atlantic provinces (New Brunswick, Newfoundland and Labrador, Nova Scotia, and Prince Edward Island), Ontario, and Quebec were below the Canadian rate of 4.4 per 100,000 population (Table 1A). The incidence rates in all other provinces and territories were higher than the Canadian rate. Between 2004 and 2014, Nunavut had the highest annual incidence rate. In 2014, the incidence rate for Nunavut was 229.6 per 100,000 population (Table 1A).
Sex and Age
Between 2004 and 2014, with a few exceptionsFootnote ii males accounted for a larger percentage of reported cases than females (Table 1B, Table 1C). In 2014, males accounted for 56% (884) of the reported cases, corresponding to an incidence rate of 5.0 per 100,000 population (Table 1B). In comparison, females accounted for 44% (684) of all reported cases for an incidence rate of 3.8 per 100,000 population (Table 1C).
Between 2004 and 2014, TB incidence rates have remained stable or have declined slightly across age groups (Table 2). The most noticeable decrease in incidence rates has been in the 65 to 74 year age group, from a high of 8.0 per 100,000 population in 2004 to a low of 4.9 per 100,000 population in 2014.
In 2014, individuals aged 25 to 34 years represented the largest percentage of reported cases at 18% (283) (Table 2). However, older adults (75 years and over) had the highest disease burden with an incidence rate of 9.3 cases per 100,000 population. Children between 5 and 14 years old had the lowest incidence rate at 0.8 cases per 100,000 population.
Origin
Foreign-born individuals and Canadian-born Aboriginal people continued to be disproportionately represented among reported cases of TB in 2014 (Table 4). Data on origin were available for 99% (1,551) of the 1,568 cases reported in 2014. The foreign-born population, which represented approximately 22% of the total Canadian population in 2014, accounted for 69% (1,073) of reported cases of known origin with an incidence rate of 13.7 per 100,000 population. Canadian-born Aboriginal people made up 4% of the total Canadian population in 2014 but accounted for 21% (318) of reported cases of known origin, with a corresponding incidence rate of 20.4 per 100,000 population. Canadian-born non-Aboriginal people accounted for the lowest percentage of reported cases at 10% (160), for an incidence rate of 0.6 per 100,000 population (Table 4)
The distribution of TB cases across origin groups varied by province and territory. In 2014, the majority (92%) of the foreign-born cases reported were from Alberta, British Columbia, Ontario and Quebec. However, 85% of the Canadian-born Aboriginal cases were from Manitoba, the territories, Saskatchewan and Quebec (Table 4).
Canadian-born Aboriginal people comprise three distinct populations: First Nations, Inuit, and Métis. In 2014, of the 318 reported Canadian-born Aboriginal cases, 57% (181) were First Nations, 37% (119) were Inuit and 6% (18) were Métis (Table 4). The incidence rate among the Métis was 3.2 per 100,000 population, which was lower than the overall Canadian incidence rate of 4.4 per 100,000 population. By comparison, the incidence rate among First Nations, at 19.3 per 100,000 population, was about four times the overall Canadian rate. The highest incidence rate, however, was among the Inuit, at 198.3 per 100,000 population (Table 4).
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 Organization.Reference 2 Individuals born in the Western Pacific region countries accounted for the highest percentage of reported foreign-born cases in Canada (44%) (Table 4). Of these cases, 78% were from China and the Philippines (data not shown). However, the highest incidence rate, at 40.5 per 100,000 population, was observed for individuals born in the regions of Africa with a high HIV prevalence (AFR-High) (Table 4), with the greatest percentage (30%) from Ethiopia (data not shown).
Diagnostic Classification
Active TB disease is classified as either respiratory or non-respiratory. Respiratory TB includes pulmonary TB, TB of the pleura, and TB of intrathoracic or mediastinal lymph nodes, larynx, nasopharynx, nose and sinuses. Primary diseaseFootnote iii is also captured under the respiratory classification. Non-respiratory TB refers to all other disease sites.Reference 3 Between 2004 and 2014, respiratory disease accounted for 76% of all diagnosed TB cases in Canada; 24% were diagnosed with non-respiratory tuberculosis (Table 5). The percentage of cases diagnosed with pulmonary disease increased from 60% in 2004 to 69% in 2014 (Table 5). Peripheral lymph node TB remained the second most frequently reported diagnostic site.
Pulmonary TB, including TB of the lungs and conducting airways, accounted for the majority (69%) of reported cases in 2014 (Table 6). Across all provinces and territories, pulmonary disease was the most frequently reported diagnostic classification. Overall, 2% of reported cases were diagnosed with primary TB. However, 10% of the cases reported from Manitoba and 8% of those from Nunavut were diagnosed with primary TB.
Treatment Outcomes for 2013
At the time the data were reported to Public Health Agency of Canada (PHAC), details on treatment outcome were available for 97% (1,612) of all reported cases of active TB disease in 2013 (Table 7). Of the cases for which treatment outcome data were available:
- 82% (1,353) were cured or had completed treatment;
- 8% (126) died before or during treatment;
- 1% (20) moved outside of Canada before completing treatment;
- 1% (15) were reported as other (non-compliant, refused treatment, discontinued due to pregnancy, transfer to another province or reason was unspecified);
- 1% (17) absconded or were lost to follow-up;
- <1% (8) stopped treatment due to an adverse reaction;
- <1% (1) was reported as treatment failure; and
- 4% (72) were reported as treatment ongoing.
Conclusion
Data from 2014 indicated a 5% decrease in the total number of cases of active TB disease in Canada relative to the number reported in 2013. Ongoing monitoring is needed to determine if this change indicates a declining trend. Overall, no changes were noted in the distribution of cases by age group and sex. Foreign-born individuals continued to account for the majority of reported TB cases in 2014. The incidence rate per 100,000 population was highest among Canadian-born Aboriginal people and in particular within the Inuit population where the incidence rate was 45 times higher than the overall Canadian rate. Pulmonary TB remained the most commonly reported site of disease in 2014, and available treatment outcome data for cases reported in 2013 indicated that 82% 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 2014 will be presented in the next iteration of the Tuberculosis in Canada surveillance report.
References
Tables
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. | |||
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 | 148.3 | |
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 | 1,642 | 8 | 0 | 5 | 5 | 240 | 598 | 141 | 97 | 167 | 300 | 8 | 14 | 59 |
Rate | 4.9 | 1.6 | 0.0 | 0.5 | 0.7 | 3.1 | 4.6 | 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 | 1,700 | 4 | 1 | 8 | 5 | 271 | 618 | 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 | 13.7 | 230.4 | |
2013 | Cases | 1,651 | 13 | 0 | 8 | 3 | 240 | 634 | 166 | 86 | 187 | 257 | 2 | 4 | 51 |
Rate | 4.7 | 2.5 | 0.0 | 0.8 | 0.4 | 2.9 | 4.7 | 13.1 | 7.8 | 4.7 | 5.6 | 5.5 | 9.1 | 143.9 | |
2014 | Cases | 1,568 | 7 | 3 | 7 | 5 | 208 | 577 | 135 | 86 | 217 | 231 | 4 | 4 | 84 |
Rate | 4.4 | 1.3 | 2.1 | 0.7 | 0.7 | 2.5 | 4.2 | 10.5 | 7.6 | 5.3 | 5.0 | 11.0 | 9.2 | 229.6 | |
|
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. | |||
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 | 176.0 | |
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 | 886 | 3 | 0 | 3 | 3 | 130 | 311 | 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 | 300.5 | |
2013 | Cases | 903 | 7 | 0 | 6 | 0 | 127 | 344 | 98 | 47 | 99 | 138 | 1 | 3 | 33 |
Rate | 5.2 | 2.7 | 0.0 | 1.3 | 0.0 | 3.1 | 5.2 | 15.6 | 8.4 | 4.9 | 6.1 | 5.4 | 13.4 | 179.9 | |
2014 | Cases | 884 | 4 | 2 | 6 | 2 | 134 | 324 | 64 | 50 | 120 | 131 | 1 | 2 | 44 |
Rate | 5.0 | 1.5 | 2.8 | 1.3 | 0.5 | 3.3 | 4.8 | 10.0 | 8.8 | 5.7 | 5.7 | 5.4 | 9.0 | 232.0 | |
|
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. | |||
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 | 123.2 | |
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 | 756 | 5 | 0 | 2 | 2 | 110 | 287 | 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 | 706 | 3 | 0 | 2 | 2 | 121 | 280 | 64 | 28 | 77 | 100 | 0 | 3 | 26 |
Rate | 4.0 | 1.1 | 0.0 | 0.4 | 0.5 | 3.0 | 4.1 | 10.2 | 5.2 | 4.0 | 4.4 | 0.0 | 14.1 | 155.1 | |
2013 | Cases | 748 | 6 | 0 | 2 | 3 | 113 | 290 | 68 | 39 | 88 | 119 | 1 | 1 | 18 |
Rate | 4.2 | 2.2 | 0.0 | 0.4 | 0.8 | 2.8 | 4.2 | 10.7 | 7.1 | 4.5 | 5.2 | 5.6 | 4.7 | 105.3 | |
2014 | Cases | 684 | 3 | 1 | 1 | 3 | 74 | 253 | 71 | 36 | 97 | 100 | 3 | 2 | 40 |
Rate | 3.8 | 1.1 | 1.3 | 0.2 | 0.8 | 1.8 | 3.6 | 11.0 | 6.5 | 4.8 | 4.3 | 16.8 | 9.3 | 227.0 | |
|
Reporting year | Total | Age group | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
<1 | 1–4 | 5–14 | 15–24 | 25–34 | 35–44 | 45–54 | 55–64 | 65–74 | 75+ | |||
2004 | Cases | 1,612 | 6 | 33 | 45 | 198 | 323 | 272 | 198 | 167 | 177 | 193 |
Rate | 5.0 | 1.8 | 2.4 | 1.1 | 4.5 | 7.5 | 5.3 | 4.1 | 4.9 | 8.0 | 10.1 | |
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 | 9.6 | |
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 | 10.8 | |
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 | 1,642 | 8 | 30 | 50 | 204 | 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 | 13 | 33 | 40 | 216 | 297 | 251 | 224 | 168 | 173 | 206 |
Rate | 4.7 | 3.5 | 2.2 | 1.1 | 4.7 | 6.3 | 5.4 | 4.1 | 3.8 | 6.4 | 9.1 | |
2012 | Cases | 1,700 | 9 | 50 | 54 | 239 | 296 | 269 | 234 | 155 | 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 | 1,651 | 13 | 38 | 61 | 209 | 269 | 244 | 238 | 189 | 169 | 221 |
Rate | 4.7 | 3.4 | 2.5 | 1.6 | 4.5 | 5.6 | 5.2 | 4.5 | 4.1 | 5.6 | 9.3 | |
2014 | Cases | 1,568 | 11 | 31 | 32 | 195 | 283 | 233 | 214 | 188 | 154 | 227 |
Rate | 4.4 | 2.9 | 2.0 | 0.8 | 4.2 | 5.8 | 4.9 | 4.1 | 4.0 | 4.9 | 9.3 | |
|
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 | 11 | 0 | 0 | 0 | 0 | 3 | 2 | 2 | 1 | 0 | 0 | 0 | 0 | 3 |
Rate | 2.9 | 0.0 | 0.0 | 0.0 | 0.0 | 3.4 | 1.4 | 12.4 | 6.5 | 0.0 | 0.0 | 0.0 | 0.0 | 340.1 | |
1-4 | Cases | 31 | 0 | 0 | 0 | 0 | 5 | 9 | 5 | 4 | 4 | 1 | 0 | 0 | 3 |
Rate | 2.0 | 0.0 | 0.0 | 0.0 | 0.0 | 1.4 | 1.6 | 7.8 | 6.7 | 1.9 | 0.6 | 0.0 | 0.0 | 88.7 | |
5-14 | Cases | 32 | 0 | 1 | 0 | 0 | 8 | 8 | 8 | 1 | 0 | 1 | 0 | 0 | 5 |
Rate | 0.8 | 0.0 | 6.3 | 0.0 | 0.0 | 1.0 | 0.5 | 5.0 | 0.7 | 0.0 | 0.2 | 0.0 | 0.0 | 70.2 | |
15-24 | Cases | 195 | 2 | 0 | 1 | 1 | 27 | 67 | 18 | 20 | 27 | 15 | 0 | 0 | 17 |
Rate | 4.2 | 3.4 | 0.0 | 0.9 | 1.1 | 2.7 | 3.6 | 10.0 | 13.1 | 5.0 | 2.5 | 0.0 | 0.0 | 259.4 | |
25-34 | Cases | 283 | 2 | 0 | 4 | 0 | 30 | 105 | 22 | 9 | 56 | 37 | 1 | 1 | 16 |
Rate | 5.8 | 3.2 | 0.0 | 3.5 | 0.0 | 2.7 | 5.7 | 12.4 | 5.4 | 8.0 | 5.9 | 19.3 | 13.5 | 256.2 | |
35-44 | Cases | 233 | 2 | 0 | 2 | 0 | 34 | 69 | 30 | 16 | 41 | 21 | 1 | 0 | 17 |
Rate | 4.9 | 2.9 | 0.0 | 1.7 | 0.0 | 3.1 | 3.8 | 18.4 | 11.5 | 6.8 | 3.4 | 18.3 | 0.0 | 366.0 | |
45-54 | Cases | 214 | 0 | 0 | 0 | 0 | 23 | 66 | 26 | 20 | 25 | 39 | 1 | 2 | 12 |
Rate | 4.1 | 0.0 | 0.0 | 0.0 | 0.0 | 1.9 | 3.2 | 14.6 | 13.4 | 4.3 | 5.7 | 17.4 | 31.0 | 301.7 | |
55-64 | Cases | 188 | 1 | 1 | 0 | 1 | 22 | 79 | 14 | 10 | 19 | 34 | 0 | 0 | 7 |
Rate | 4.0 | 1.2 | 4.7 | 0.0 | 0.9 | 1.9 | 4.5 | 8.9 | 7.1 | 3.9 | 5.3 | 0.0 | 0.0 | 288.5 | |
65-74 | Cases | 154 | 0 | 0 | 0 | 0 | 25 | 69 | 4 | 5 | 21 | 25 | 1 | 1 | 3 |
Rate | 4.9 | 0.0 | 0.0 | 0.0 | 0.0 | 3.1 | 5.8 | 3.9 | 5.9 | 7.8 | 5.7 | 37.2 | 52.7 | 296.7 | |
75+ | Cases | 227 | 0 | 1 | 0 | 3 | 31 | 103 | 6 | 0 | 24 | 58 | 0 | 0 | 1 |
Rate | 9.3 | 0.0 | 9.4 | 0.0 | 5.2 | 5.1 | 10.8 | 7.1 | 0.0 | 12.0 | 16.9 | 0.0 | 0.0 | 297.6 | |
Total | Cases | 1,568 | 7 | 3 | 7 | 5 | 208 | 577 | 135 | 86 | 217 | 231 | 4 | 4 | 84 |
Rate | 4.4 | 1.3 | 2.1 | 0.7 | 0.7 | 2.5 | 4.2 | 10.5 | 7.6 | 5.3 | 5.0 | 11.0 | 9.2 | 229.6 | |
|
Origin | Canada | Province/Territory | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N.L. | P.E.I. | N.S. | N.B. | Que. | Ont. | Man. | Sask. | Alta. | B.C. | NorthTable 4 footnote † | ||||
Canadian-born | First NationsTable 4 footnote ‡ | Cases | 181 | 0 | 0 | 0 | 0 | 4 | 7 | 83 | 49 | 15 | 19 | 4 |
Rate | 19.3 | 0.0 | 0.0 | 0.0 | 0.0 | 3.8 | 3.3 | 63.4 | 40.8 | 11.0 | 11.7 | 18.2 | ||
First Nations with status | Cases | 178 | 0 | 3 | 5 | 83 | 49 | 15 | 19 | 4 | ||||
Rate | 18.1 | 0.0 | 3.5 | 2.4 | 52.5 | 31.5 | 11.7 | 13.1 | 13.1 | |||||
First Nations with status - on reserve | Cases | 103 | 0 | 0 | 3 | 57 | 28 | 10 | 5 | 0 | ||||
Rate | 20.0 | 0.0 | 0.0 | 3.1 | 59.2 | 36.8 | 13.1 | 7.3 | 0.0 | |||||
First Nations with status - off reserve | Cases | 68 | 0 | 0 | 1 | 26 | 21 | 5 | 12 | 3 | ||||
Rate | 14.5 | 0.0 | 0.0 | 0.9 | 42.0 | 26.3 | 9.6 | 15.7 | 23.2 | |||||
First Nations with status - unknown | Cases | 7 | 0 | 0 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 2 | 1 | |
Rate | ||||||||||||||
First Nations, non-status | Cases | 3 | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | |
Rate | ||||||||||||||
InuitTable 4 footnote § | Cases | 119 | 4 | 0 | 0 | 0 | 31 | 1 | 0 | 0 | 0 | 0 | 83 | |
Rate | 198.3 | 80.0 | 0.0 | 0.0 | 0.0 | 238.5 | 33.3 | 0.0 | 0.0 | 0.0 | 0.0 | 237.1 | ||
MétisTable 4 footnote § | Cases | 18 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 15 | 1 | 1 | 0 | |
Rate | 3.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 1.1 | 25.4 | 0.8 | 1.1 | 0.0 | ||
Total AboriginalTable 4 footnote § | Cases | 318 | 4 | 0 | 0 | 0 | 35 | 8 | 84 | 64 | 16 | 20 | 87 | |
Rate | 20.4 | 18.2 | 0.0 | 0.0 | 0.0 | 21.9 | 2.3 | 37.7 | 35.8 | 6.3 | 7.8 | 140.3 | ||
Non-Aboriginal | Cases | 160 | 1 | 1 | 2 | 3 | 53 | 49 | 7 | 4 | 15 | 23 | 2 | |
Rate | 0.6 | 0.2 | 0.7 | 0.2 | 0.4 | 0.8 | 0.5 | 0.8 | 0.5 | 0.5 | 0.8 | 4.3 | ||
Total Canadian-born | Cases | 478 | 5 | 1 | 2 | 3 | 88 | 57 | 91 | 68 | 31 | 43 | 89 | |
Rates | 1.7 | 1.0 | 0.7 | 0.2 | 0.4 | 1.2 | 0.6 | 8.5 | 6.6 | 0.9 | 1.3 | 82.1 | ||
Foreign-born (by epidemiological region) | AFR-High | Cases | 100 | 0 | 0 | 2 | 0 | 20 | 40 | 4 | 4 | 27 | 3 | 0 |
Rate | 40.5 | 0.0 | 0.0 | 119.8 | 0.0 | 53.5 | 33.9 | 49.8 | 103.9 | 62.6 | 9.1 | 0.0 | ||
AFR-Low | Cases | 28 | 0 | 0 | 0 | 1 | 11 | 5 | 3 | 1 | 6 | 1 | 0 | |
Rate | 20.3 | 0.0 | 0.0 | 0.0 | 263.8 | 13.5 | 12.7 | 147.7 | 122.0 | 67.9 | 24.3 | 0.0 | ||
AMR | Cases | 42 | 0 | 0 | 0 | 0 | 25 | 13 | 1 | 0 | 0 | 3 | 0 | |
Rate | 4.6 | 0.0 | 0.0 | 0.0 | 0.0 | 11.1 | 2.5 | 3.6 | 0.0 | 0.0 | 5.4 | 0.0 | ||
EEUR | Cases | 11 | 0 | 0 | 0 | 0 | 2 | 7 | 0 | 0 | 0 | 2 | 0 | |
Rate | 3.0 | 0.0 | 0.0 | 0.0 | 0.0 | 2.6 | 3.5 | 0.0 | 0.0 | 0.0 | 5.3 | 0.0 | ||
EME & CEUR | Cases | 34 | 0 | 0 | 0 | 0 | 3 | 22 | 0 | 0 | 2 | 7 | 0 | |
Rate | 1.3 | 0.0 | 0.0 | 0.0 | 0.0 | 0.9 | 1.6 | 0.0 | 0.0 | 0.8 | 1.6 | 0.0 | ||
EMR | Cases | 101 | 0 | 0 | 0 | 0 | 10 | 62 | 3 | 3 | 19 | 4 | 0 | |
Rate | 12.8 | 0.0 | 0.0 | 0.0 | 0.0 | 5.5 | 14.1 | 33.1 | 38.2 | 24.9 | 6.1 | 0.0 | ||
SEAR | Cases | 279 | 1 | 0 | 2 | 0 | 10 | 160 | 6 | 2 | 44 | 54 | 0 | |
Rate | 31.9 | 90.4 | 0.0 | 70.4 | 0.0 | 21.0 | 30.2 | 34.9 | 25.8 | 49.9 | 30.6 | 0.0 | ||
WPR | Cases | 474 | 1 | 2 | 1 | 1 | 32 | 199 | 26 | 8 | 87 | 114 | 3 | |
Rate | 24.7 | 70.5 | 97.1 | 13.1 | 20.7 | 23.5 | 22.9 | 36.5 | 28.6 | 34.7 | 20.9 | 125.7 | ||
Unknown | Cases | 4 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | |
Total Foreign-bornTable 4 footnote ** | Cases | 1,073 | 2 | 2 | 5 | 2 | 114 | 509 | 44 | 18 | 186 | 188 | 3 | |
Rate | 13.7 | 17.6 | 23.5 | 8.3 | 6.0 | 10.2 | 12.5 | 20.5 | 20.6 | 22.5 | 13.8 | 36.1 | ||
Unknown | Cases | 17 | 0 | 0 | 0 | 0 | 6 | 11 | 0 | 0 | 0 | 0 | 0 | |
TotalTable 4 footnote †† | Cases | 1,568 | 7 | 3 | 7 | 5 | 208 | 577 | 135 | 86 | 217 | 231 | 92 | |
Rate | 4.4 | 1.3 | 2.1 | 0.7 | 0.7 | 2.5 | 4.2 | 10.5 | 7.6 | 5.3 | 5.0 | 78.8 | ||
|
Main diagnostic classification | Reporting year | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | |||
Respiratory | PrimaryTable 5 footnote ‡ | Cases | 94 | 106 | 91 | 64 | 59 | 61 | 63 | 48 | 62 | 65 | 37 |
Rate | 0.3 | 0.3 | 0.3 | 0.2 | 0.2 | 0.2 | 0.2 | 0.1 | 0.2 | 0.2 | 0.1 | ||
PulmonaryTable 5 footnote § | Cases | 965 | 982 | 1,132 | 1,034 | 1,146 | 1,125 | 1,042 | 1,099 | 1,149 | 1,125 | 1,089 | |
Rate | 3.0 | 3.0 | 3.5 | 3.1 | 3.4 | 3.3 | 3.1 | 3.2 | 3.3 | 3.2 | 3.1 | ||
Other respiratoryTable 5 footnote ** | Cases | 90 | 113 | 85 | 94 | 78 | 97 | 102 | 83 | 96 | 90 | 86 | |
Rate | 0.3 | 0.4 | 0.3 | 0.3 | 0.2 | 0.3 | 0.3 | 0.2 | 0.3 | 0.3 | 0.2 | ||
Nonrespiratory | Miliary | Cases | 14 | 15 | 10 | 11 | 14 | 12 | 11 | 13 | 8 | 12 | 11 |
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 | 19 | 20 | 16 | 22 | 11 | 14 | 24 | 21 | 22 | 27 | 19 | |
Rate | 0.1 | 0.1 | 0.0 | 0.1 | 0.0 | 0.0 | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | ||
Peripheral lymph nodes | Cases | 251 | 242 | 192 | 202 | 181 | 207 | 198 | 222 | 204 | 180 | 198 | |
Rate | 0.8 | 0.8 | 0.6 | 0.6 | 0.5 | 0.6 | 0.6 | 0.6 | 0.6 | 0.5 | 0.6 | ||
OtherTable 5 footnote †† | Cases | 179 | 162 | 127 | 148 | 153 | 138 | 146 | 135 | 159 | 152 | 128 | |
Rate | 0.6 | 0.5 | 0.4 | 0.5 | 0.5 | 0.4 | 0.4 | 0.4 | 0.5 | 0.4 | 0.4 | ||
Unknown | Cases | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Rate | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | ||
Total | Cases | 1,612 | 1,640 | 1,653 | 1,575 | 1,642 | 1,654 | 1,586 | 1,621 | 1,700 | 1,651 | 1,568 | |
Rate | 5.0 | 5.1 | 5.1 | 4.8 | 4.9 | 4.9 | 4.7 | 4.7 | 4.9 | 4.7 | 4.4 | ||
|
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 | 37 | 0 | 0 | 0 | 0 | 5 | 6 | 13 | 4 | 1 | 1 | 0 | 0 | 7 |
Rate | 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.1 | 0.0 | 1.0 | 0.4 | 0.0 | 0.0 | 0.0 | 0.0 | 19.1 | ||
PulmonaryTable 6 footnote § | Cases | 1,089 | 5 | 2 | 3 | 5 | 158 | 381 | 94 | 57 | 132 | 179 | 2 | 1 | 70 | |
Rate | 3.1 | 0.9 | 1.4 | 0.3 | 0.7 | 1.9 | 2.8 | 7.3 | 5.1 | 3.2 | 3.9 | 5.5 | 2.3 | 191.3 | ||
Other respiratoryTable 6 footnote ** | Cases | 86 | 1 | 0 | 2 | 0 | 11 | 31 | 9 | 5 | 15 | 7 | 0 | 0 | 5 | |
Rate | 0.2 | 0.2 | 0.0 | 0.2 | 0.0 | 0.1 | 0.2 | 0.7 | 0.4 | 0.4 | 0.2 | 0.0 | 0.0 | 13.7 | ||
Nonrespiratory | Miliary | Cases | 11 | 0 | 0 | 0 | 0 | 1 | 4 | 1 | 2 | 1 | 2 | 0 | 0 | 0 |
Rate | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.1 | 0.2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | ||
Central nervous system | Cases | 19 | 0 | 0 | 0 | 0 | 2 | 8 | 0 | 2 | 4 | 1 | 0 | 1 | 1 | |
Rate | 0.1 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.1 | 0.0 | 0.2 | 0.1 | 0.0 | 0.0 | 2.3 | 2.7 | ||
Peripheral lymph nodes | Cases | 198 | 0 | 1 | 2 | 0 | 12 | 86 | 13 | 10 | 40 | 31 | 1 | 2 | 0 | |
Rate | 0.6 | 0.0 | 0.7 | 0.2 | 0.0 | 0.1 | 0.6 | 1.0 | 0.9 | 1.0 | 0.7 | 2.7 | 4.6 | 0.0 | ||
OtherTable 6 footnote †† | Cases | 128 | 1 | 0 | 0 | 0 | 19 | 61 | 5 | 6 | 24 | 10 | 1 | 0 | 1 | |
Rate | 0.4 | 0.2 | 0.0 | 0.0 | 0.0 | 0.2 | 0.4 | 0.4 | 0.5 | 0.6 | 0.2 | 2.7 | 0.0 | 2.7 | ||
Unknown | Cases | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Total | Cases | 1,568 | 7 | 3 | 7 | 5 | 208 | 577 | 135 | 86 | 217 | 231 | 4 | 4 | 84 | |
Rate | 4.4 | 1.3 | 2.1 | 0.7 | 0.7 | 2.5 | 4.2 | 10.5 | 7.6 | 5.3 | 5.0 | 11.0 | 9.2 | 229.6 | ||
|
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 | ||
Newfoundland and Labrador | 13 | 2 | 10 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Prince Edward Island | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Nova Scotia | 8 | 1 | 3 | 2 | 1 | 0 | 0 | 0 | 0 | 1 | 0 |
New Brunswick | 3 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Quebec | 240 | 39 | 110 | 14 | 5 | 58 | 1 | 0 | 0 | 2 | 11 |
Ontario | 634 | 0 | 520 | 59 | 6 | 14 | 8 | 0 | 1 | 0 | 26 |
Manitoba | 166 | 86 | 64 | 12 | 0 | 0 | 3 | 0 | 1 | 0 | 0 |
Saskatchewan | 86 | 0 | 68 | 3 | 0 | 0 | 5 | 0 | 0 | 8 | 2 |
Alberta | 187 | 45 | 130 | 6 | 4 | 0 | 0 | 0 | 0 | 2 | 0 |
British Columbia | 257 | 4 | 219 | 27 | 4 | 0 | 0 | 0 | 2 | 1 | 0 |
Yukon | 2 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Northwest Territories | 4 | 3 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Nunavut | 51 | 31 | 13 | 2 | 0 | 0 | 0 | 1 | 3 | 1 | 0 |
Canada | 1,651 | 211 | 1,142 | 126 | 20 | 72 | 17 | 1 | 8 | 15 | 39 |
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