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A summary of tuberculosis in Canada, 2013
V Gallant1, M McGuire1, S Ogunnaike-Cooke1
1HIV/AIDS and Tuberculosis Section, Public Health Agency of Canada, Ottawa, ON.
Background:
The Public Health Agency of Canada (PHAC) monitors active TB disease through the national collaborative Canadian Tuberculosis Reporting System (CTBRS). PHAC uses TB surveillance data and reports to monitor progress towards achieving Canada's goal of preventing and controlling the transmission of TB, as outlined in Tuberculosis Prevention and Control in Canada-A Federal Framework for Action.
Objective:
To provide an overview of the preliminary number of reported active (new and re-treatment) TB cases and corresponding incidence rates in Canada for 2013.
Methods:
Provincial and territorial public health authorities voluntarily submit data to the CTBRS on an annual basis for all TB cases that meet the case definition for national-level surveillance. These data are analyzed by PHAC; the results of the analysis are validated by the supplying jurisdiction and are published annually as the Tuberculosis in Canada Pre-release series.
Results:
In Canada, 1,640 new active and re-treatment TB cases were reported in 2013 for an overall incidence rate of 4.7 per 100,000 population. There was little change from preceding years in the overall distribution of cases by sex and age group. Although individuals aged 25 to 34 years old represented the largest percentage of reported cases (16%), the highest incidence rate was observed for those aged 75 years or older. Incidence rates in British Columbia, Manitoba, Saskatchewan, Nunavut, and Northwest Territories were higher than the Canadian rate, with Nunavut showing the highest incidence rate. Foreign-born individuals continue to account for the majority of reported TB cases, but the incidence rate per 100,000 population remains highest among Canadian-born Aboriginal people.
Conclusion:
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 when compared with previous years' data. Similarly, no changes were noted in the distribution of cases by province or territory, age group or sex.
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