Tuberculosis in Canada 2014: Pre-release

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Date published: 2016-03

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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

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 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.
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
 
Table 1B: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (males) – Canada and provinces/territories: 2004–2014 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.
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
 
Table 1C: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (females) – Canada and provinces/territories: 2004–2014 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.
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
 
Table 2: Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by age group - Canada: 2004–2014 Table 1 footnote
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
 
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 3 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 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
 
Table 4: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 by origin – Canada and provinces/territories: 2014
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
 
Table 5. Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by main diagnostic classification - Canada: 2004–2014 Table 5 footnote
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
 
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 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 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
 
Table 7: Treatment outcome – Canada and provinces/territories: 2013
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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