Top Banner
PROTECTING AND EMPOWERING CANADIANS TO IMPROVE THEIR HEALTH TUBERCULOSIS IN CANADA 2014 PRE-RELEASE
20

Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

Jul 23, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

PROTECTING AND EMPOWERING CANADIANS TO IMPROVE THEIR HEALTH

TUBERCULOSIS IN CANADA 2014PRE-RELEASE

Page 2: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP, INNOVATION AND ACTION IN PUBLIC HEALTH.

—Public Health Agency of Canada

Également disponible en français sous le titre : LA TUBERCULOSE AU CANADA 2014 – PRÉDIFFUSION

To obtain additional information, please contact:

Public Health Agency of CanadaAddress Locator 0900C2Ottawa, ON K1A 0K9Tel.: 613-957-2991Toll free: 1-866-225-0709Fax: 613-941-5366TTY: 1-800-465-7735E-mail: [email protected]

This publication can be made available in alternative formats upon request.

© Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2016

Publication date: March 2016

This publication may be reproduced for personal or internal use only without permission provided the source is fully acknowledged.

Suggested citation: Public Health Agency of Canada. Tuberculosis in Canada 2014—Pre-release. Ottawa (Canada): Minister of Public Works and Government Services Canada; 2016.

Cat.: HP37-5/1E-PDF ISSN: 2291-5206Pub.: 150257

Page 3: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

ITUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TUBERCULOSIS IN CANADA 2014PRE-RELEASE

Page 4: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

II TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

ACKNOWLEDGEMENTSThe 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).

Page 5: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

IIITUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TABLE OF CONTENTSACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PRELIMINARY FINDINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

NEW AND RE-TREATMENT CASES IN 2014 . . . . . . . . . . . . . . . . . . . . . . . . 1

GEOGRAPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SEX AND AGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ORIGIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

DIAGNOSTIC CLASSIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

TREATMENT OUTCOMES FOR 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CONCLUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

TABLE 1A: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (all cases)—Canada and provinces/territories: 2004–2014 . . . . . . . . . 5

TABLE 1B: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (males)—Canada and provinces/territories: 2004–2014 . . . . . . . . . . 6

TABLE 1C: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 (females)—Canada and provinces/territories: 2004–2014 . . . . . . . . . 7

TABLE 2: Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by age group—Canada: 2004–2014 . . . . . . . . . . . . . . . . . . . 8

TABLE 3: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 by age group—Canada and provinces/territories: 2014 . . . . . . . . . . 9

TABLE 4: Reported new active and re-treatment tuberculosis cases and incidence rate per 100,000 by origin—Canada and provinces/territories: 2014 . . . . . . . . . . . 10

TABLE 5: Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by main diagnostic classification—Canada: 2004–2014 . . . . . . . . . 12

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 . . 13

TABLE 7: Treatment outcome—Canada and provinces/territories: 2013 . . . . . . . . . . 14

Page 6: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

IV TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

Page 7: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

1TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

INTRODUCTIONActive 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.1

PRELIMINARY FINDINGSNEW AND RE-TREATMENT CASES IN 2014In 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.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).

i For more information and definitions of new and re-treatment TB disease, refer to Tuberculosis in Canada 2012 at www.phac-aspc.gc.ca/tbpc-latb/pubs/tbcan12/index-eng.php

Page 8: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

2 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

GEOGRAPHYIn 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 AGEBetween 2004 and 2014, with a few exceptionsii 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.

ORIGINForeign-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).

ii The ratio of males to females is more variable in provinces or territories with a low number of cases from year to year.

Page 9: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

3TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

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.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 CLASSIFICATIONActive 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 diseaseiii is also captured under the respiratory classification. Non-respiratory TB refers to all other disease sites.3 Between 2004 and 2014, respiratory disease accounted for 76% of all diagnosed TB cases in Canada; 24% were diagnosed with non-respiratory TB (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 2013At the time the data were reported to the 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;

iii A disease state characterized by pleuritis and pleural effusion, usually in an adolescent or young adult, but possibly in any age group, due to recent (within preceding 24 months) infection with M. tuberculosis complex.

Page 10: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

4 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

• 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.

CONCLUSIONData 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(1) Public Health Agency of Canada. Tuberculosis in Canada 2012. Ottawa (ON): Minister of Public

Works and Government Services Canada; 2015.

(2) Stop TB Partnership and World Health Organization. The Global Plan to Stop TB 2006–2015. Geneva (CH): WHO; 2006.

(3) Menzies R, Wong T. Canadian Tuberculosis Standards. 7th ed. Canadian Thoracic Society; and the Public Health Agency of Canada; 2013.

Page 11: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

5TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 1

A: R

epor

ted

new

act

ive

and

re-t

reat

men

t tu

ber

culo

sis

case

s an

d in

cid

ence

rat

e p

er 1

00,0

00 (a

ll ca

ses)

—C

anad

a an

d p

rovi

nces

/te

rrito

ries:

200

4–20

14†

RE

PO

RTI

NG

Y

EA

RC

AN

AD

AP

RO

VIN

CE

/TE

RR

ITO

RY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

Y.T.

N.W

.T.

Nvt

.

2004

Cas

es1,

612

71

810

219

699

144

7010

929

94

1032

Rat

e5.

01.

40.

70.

91.

32.

95.

612

.37.

03.

47.

212

.723

.110

7.2

2005

Cas

es1,

640

91

76

255

642

114

139

146

265

38

45

Rat

e5.

11.

70.

70.

70.

83.

45.

19.

714

.04.

46.

39.

418

.414

8.3

2006

Cas

es1,

653

120

102

227

673

134

8713

132

03

648

Rat

e5.

12.

40.

01.

10.

33.

05.

311

.38.

83.

87.

59.

313

.915

5.8

2007

Cas

es1,

575

70

75

229

680

103

105

112

278

315

31

Rat

e4.

81.

40.

00.

70.

73.

05.

38.

710

.53.

26.

59.

234

.698

.7

2008

Cas

es1,

642

80

55

240

598

141

9716

730

08

1459

Rat

e4.

91.

60.

00.

50.

73.

14.

611

.89.

54.

66.

924

.232

.318

5.0

2009

Cas

es1,

654

221

811

196

629

156

9017

629

44

1255

Rat

e4.

94.

30.

70.

91.

52.

54.

812

.98.

74.

86.

711

.927

.816

8.7

2010

Cas

es1,

586

81

1010

210

643

131

8113

424

16

1110

0

Rat

e4.

71.

50.

71.

11.

32.

64.

910

.77.

73.

65.

417

.325

.429

9.8

2011

Cas

es1,

621

83

95

217

658

116

8317

026

14

1374

Rat

e4.

71.

52.

11.

00.

72.

75.

09.

47.

84.

55.

811

.329

.921

6.4

2012

Cas

es1,

700

41

85

271

618

136

8919

528

61

680

Rat

e4.

90.

80.

70.

80.

73.

44.

610

.98.

25.

06.

32.

813

.723

0.4

2013

Cas

es1,

651

130

83

240

634

166

8618

725

72

451

Rat

e4.

72.

50.

00.

80.

42.

94.

713

.17.

84.

75.

65.

59.

114

3.9

2014

Cas

es1,

568

73

75

208

577

135

8621

723

14

484

Rat

e4.

41.

32.

10.

70.

72.

54.

210

.57.

65.

35.

011

.09.

222

9.6

AB

BR

EV

IATI

ON

S: A

lta.,

Alb

erta

; B.C

., B

ritis

h C

olum

bia

; Man

., M

anito

ba;

N.B

., N

ew B

runs

wic

k; N

.L.,

New

foun

dla

nd a

nd L

abra

dor

; N.S

., N

ova

Scot

ia; N

vt.,

Nun

avut

; N.W

.T.,

Nor

thw

est

Terr

itorie

s;

Ont

., O

ntar

io; P

.E.I.

, Prin

ce E

dw

ard

Isla

nd; Q

ue.,

Que

bec

; Sas

k., S

aska

tche

wan

; Y.T

., Yu

kon.

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

004–

2014

Up

dat

ed

pos

tcen

sal e

stim

ates

(Acc

esse

d 2

015–

03–1

1).

Page 12: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

6 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 1

B: R

epor

ted

new

act

ive

and

re-t

reat

men

t tu

ber

culo

sis

case

s an

d in

cid

ence

rat

e p

er 1

00,0

00 (m

ales

)—C

anad

a an

d p

rovi

nces

/te

rrito

ries:

200

4–20

14†

RE

PO

RTI

NG

Y

EA

RC

AN

AD

AP

RO

VIN

CE

/TE

RR

ITO

RY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

Y.T.

N.W

.T.

Nvt

.

2004

Cas

es84

74

17

911

836

970

3852

157

22

18

Rat

e5.

41.

61.

51.

52.

43.

26.

012

.07.

73.

27.

612

.58.

911

6.2

2005

Cas

es90

85

04

314

535

366

7471

152

26

27

Rat

e5.

72.

00.

00.

90.

83.

95.

711

.315

.04.

27.

312

.326

.617

1.7

2006

Cas

es88

23

07

012

236

179

5063

162

34

28

Rat

e5.

51.

20.

01.

50.

03.

25.

813

.410

.23.

67.

718

.217

.817

6.0

2007

Cas

es86

43

02

413

135

162

6257

163

212

15

Rat

e5.

31.

20.

00.

41.

13.

45.

610

.512

.53.

27.

712

.053

.392

.4

2008

Cas

es88

63

03

313

031

185

4689

161

510

40

Rat

e5.

41.

20.

00.

70.

83.

44.

914

.39.

14.

97.

529

.544

.624

1.7

2009

Cas

es91

712

03

411

934

487

4693

169

48

28

Rat

e5.

54.

70.

00.

71.

13.

15.

414

.58.

95.

07.

723

.236

.016

5.8

2010

Cas

es86

56

05

612

033

571

4276

123

48

69

Rat

e5.

12.

30.

01.

11.

63.

15.

211

.78.

04.

05.

522

.636

.039

9.8

2011

Cas

es88

25

24

213

932

657

4588

157

18

48

Rat

e5.

21.

92.

80.

90.

53.

55.

09.

38.

44.

67.

05.

535

.827

1.1

2012

Cas

es99

41

16

315

033

872

6111

818

61

354

Rat

e5.

80.

41.

41.

30.

83.

75.

111

.611

.26.

08.

25.

413

.430

0.5

2013

Cas

es90

37

06

012

734

498

4799

138

13

33

Rat

e5.

22.

70.

01.

30.

03.

15.

215

.68.

44.

96.

15.

413

.417

9.9

2014

Cas

es88

44

26

213

432

464

5012

013

11

244

Rat

e5.

01.

52.

81.

30.

53.

34.

810

.08.

85.

75.

75.

49.

023

2.0

AB

BR

EV

IATI

ON

S: A

lta.,

Alb

erta

; B.C

., B

ritis

h C

olum

bia

; Man

., M

anito

ba;

N.B

., N

ew B

runs

wic

k; N

.L.,

New

foun

dla

nd a

nd L

abra

dor

; N.S

., N

ova

Scot

ia; N

vt.,

Nun

avut

; N.W

.T.,

Nor

thw

est

Terr

itorie

s;

Ont

., O

ntar

io; P

.E.I.

, Prin

ce E

dw

ard

Isla

nd; Q

ue.,

Que

bec

; Sas

k., S

aska

tche

wan

; Y.T

., Yu

kon.

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

004–

2014

Up

dat

ed

pos

tcen

sal e

stim

ates

(Acc

esse

d 2

015–

03–1

1).

Page 13: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

7TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 1

C: R

epor

ted

new

act

ive

and

re-t

reat

men

t tu

ber

culo

sis

case

s an

d in

cid

ence

rat

e p

er 1

00,0

00 (f

emal

es)—

Can

ada

and

pro

vinc

es/

terr

itorie

s: 2

004–

2014

RE

PO

RTI

NG

Y

EA

RC

AN

AD

AP

RO

VIN

CE

/TE

RR

ITO

RY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

Y.T.

N.W

.T.

Nvt

.

2004

Cas

es76

53

01

110

133

074

3257

142

28

14

Rat

e4.

71.

10.

00.

20.

32.

75.

312

.56.

43.

66.

813

.038

.497

.5

2005

Cas

es73

24

13

311

028

948

6575

113

12

18

Rat

e4.

51.

51.

40.

60.

82.

94.

68.

113

.04.

65.

36.

49.

612

3.2

2006

Cas

es77

19

03

210

531

255

3768

158

02

20

Rat

e4.

73.

50.

00.

60.

52.

74.

99.

27.

44.

07.

40.

09.

713

4.2

2007

Cas

es71

14

05

198

329

4143

5511

51

316

Rat

e4.

31.

50.

01.

00.

32.

55.

16.

88.

53.

25.

36.

314

.410

5.5

2008

Cas

es75

65

02

211

028

756

5178

139

34

19

Rat

e4.

51.

90.

00.

40.

52.

84.

49.

310

.04.

46.

318

.619

.112

3.8

2009

Cas

es73

710

15

777

285

6944

8312

50

427

Rat

e4.

33.

81.

41.

01.

81.

94.

311

.38.

54.

65.

60.

019

.117

1.9

2010

Cas

es72

12

15

490

308

6039

5811

82

331

Rat

e4.

20.

81.

41.

01.

02.

34.

69.

87.

43.

25.

311

.814

.319

2.6

2011

Cas

es73

93

15

378

332

5938

8210

43

526

Rat

e4.

31.

11.

41.

00.

81.

94.

99.

57.

14.

44.

617

.323

.615

7.7

2012

Cas

es70

63

02

212

128

064

2877

100

03

26

Rat

e4.

01.

10.

00.

40.

53.

04.

110

.25.

24.

04.

40.

014

.115

5.1

2013

Cas

es74

86

02

311

329

068

3988

119

11

18

Rat

e4.

22.

20.

00.

40.

82.

84.

210

.77.

14.

55.

25.

64.

710

5.3

2014

Cas

es68

43

11

374

253

7136

9710

03

240

Rat

e3.

81.

11.

30.

20.

81.

83.

611

.06.

54.

84.

316

.89.

322

7.0

AB

BR

EV

IATI

ON

S: A

lta.,

Alb

erta

; B.C

., B

ritis

h C

olum

bia

; Man

., M

anito

ba;

N.B

., N

ew B

runs

wic

k; N

.L.,

New

foun

dla

nd a

nd L

abra

dor

; N.S

., N

ova

Scot

ia; N

vt.,

Nun

avut

; N.W

.T.,

Nor

thw

est

Terr

itorie

s;

Ont

., O

ntar

io; P

.E.I.

, Prin

ce E

dw

ard

Isla

nd; Q

ue.,

Que

bec

; Sas

k., S

aska

tche

wan

; Y.T

., Yu

kon.

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

004–

2014

Up

dat

ed

pos

tcen

sal e

stim

ates

(Acc

esse

d 2

015–

03–1

1).

Page 14: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

8 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 2

: Rep

orte

d ne

w a

ctiv

e an

d re

-tre

atm

ent t

uber

culo

sis

case

s an

d in

cide

nce

rate

s pe

r 100

,000

by

age

grou

p—C

anad

a: 2

004–

2014

RE

PO

RTI

NG

Y

EA

RTO

TAL

AG

E G

RO

UP

<1

1–4

5–14

15–2

425

–34

35–4

445

–54

55–6

465

–74

75+

2004

Cas

es1,

612

633

4519

832

327

219

816

717

719

3

Rat

e5.

01.

82.

41.

14.

57.

55.

34.

14.

98.

010

.1

2005

Cas

es1,

640

1037

7125

428

027

821

214

216

818

8

Rat

e5.

12.

92.

71.

85.

86.

55.

44.

34.

07.

59.

6

2006

Cas

es1,

653

1046

5026

125

328

720

115

816

821

9

Rat

e5.

12.

93.

31.

35.

85.

85.

74.

04.

37.

410

.8

2007

Cas

es1,

575

1233

5320

025

428

420

916

015

221

8

Rat

e4.

83.

32.

41.

44.

55.

85.

74.

04.

26.

510

.5

2008

Cas

es1,

642

830

5020

429

828

123

116

617

020

4

Rat

e4.

92.

12.

11.

34.

56.

75.

84.

44.

27.

19.

6

2009

Cas

es1,

654

1033

4623

229

729

423

217

714

219

1

Rat

e4.

92.

62.

31.

25.

16.

56.

24.

34.

35.

78.

8

2010

Cas

es1,

586

927

3920

128

227

221

417

614

921

7

Rat

e4.

72.

41.

81.

04.

46.

15.

84.

04.

15.

89.

8

2011

Cas

es1,

621

1333

4021

629

725

122

416

817

320

6

Rat

e4.

73.

52.

21.

14.

76.

35.

44.

13.

86.

49.

1

2012

Cas

es1,

700

950

5423

929

626

923

415

517

821

6

Rat

e4.

92.

43.

31.

45.

26.

25.

84.

43.

46.

39.

3

2013

Cas

es1,

651

1338

6120

926

924

423

818

916

922

1

Rat

e4.

73.

42.

51.

64.

55.

65.

24.

54.

15.

69.

3

2014

Cas

es1,

568

1131

3219

528

323

321

418

815

422

7

Rat

e4.

42.

92.

00.

84.

25.

84.

94.

14.

04.

99.

3

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

004–

2014

Up

dat

ed

pos

tcen

sal e

stim

ates

(Acc

esse

d 2

015–

03–1

1)

Page 15: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

9TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 3

: Rep

orte

d ne

w a

ctiv

e an

d re

-tre

atm

ent t

uber

culo

sis

case

s an

d in

cide

nce

rate

per

100

,000

by

age

grou

p—C

anad

a an

d pr

ovin

ces/

terr

itorie

s: 2

014†

AG

E G

RO

UP

CA

NA

DA

PR

OV

INC

E/T

ER

RIT

ORY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

Y.T.

N.W

.T.

Nvt

.

<1

Cas

es11

00

00

32

21

00

00

3

Rat

e2.

90.

00.

00.

00.

03.

41.

412

.46.

50.

00.

00.

00.

034

0.1

1–4

Cas

es31

00

00

59

54

41

00

3

Rat

e2.

00.

00.

00.

00.

01.

41.

67.

86.

71.

90.

60.

00.

088

.7

5–14

Cas

es32

01

00

88

81

01

00

5

Rat

e0.

80.

06.

30.

00.

01.

00.

55.

00.

70.

00.

20.

00.

070

.2

15–2

4C

ases

195

20

11

2767

1820

2715

00

17

Rat

e4.

23.

40.

00.

91.

12.

73.

610

.013

.15.

02.

50.

00.

025

9.4

25–3

4C

ases

283

20

40

3010

522

956

371

116

Rat

e5.

83.

20.

03.

50.

02.

75.

712

.45.

48.

05.

919

.313

.525

6.2

35–4

4C

ases

233

20

20

3469

3016

4121

10

17

Rat

e4.

92.

90.

01.

70.

03.

13.

818

.411

.56.

83.

418

.30.

036

6.0

45–5

4C

ases

214

00

00

2366

2620

2539

12

12

Rat

e4.

10.

00.

00.

00.

01.

93.

214

.613

.44.

35.

717

.431

.030

1.7

55–6

4C

ases

188

11

01

2279

1410

1934

00

7

Rat

e4.

01.

24.

70.

00.

91.

94.

58.

97.

13.

95.

30.

00.

028

8.5

65–7

4C

ases

154

00

00

2569

45

2125

11

3

Rat

e4.

90.

00.

00.

00.

03.

15.

83.

95.

97.

85.

737

.252

.729

6.7

75+

Cas

es22

70

10

331

103

60

2458

00

1

Rat

e9.

30.

09.

40.

05.

25.

110

.87.

10.

012

.016

.90.

00.

029

7.6

TOTA

LC

ases

1,56

87

37

520

857

713

586

217

231

44

84

Rat

e4.

41.

32.

10.

70.

72.

54.

210

.57.

65.

35.

011

.09.

222

9.6

AB

BR

EV

IATI

ON

S: A

lta.,

Alb

erta

; B.C

., B

ritis

h C

olum

bia

; Man

., M

anito

ba;

N.B

., N

ew B

runs

wic

k; N

.L.,

New

foun

dla

nd a

nd L

abra

dor

; N.S

., N

ova

Scot

ia; N

vt.,

Nun

avut

; N.W

.T.,

Nor

thw

est

Terr

itorie

s;

Ont

., O

ntar

io; P

.E.I.

, Prin

ce E

dw

ard

Isla

nd; Q

ue.,

Que

bec

; Sas

k., S

aska

tche

wan

; Y.T

., Yu

kon.

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

004–

2014

Up

dat

ed

pos

tcen

sal e

stim

ates

(Acc

esse

d 2

015–

03–1

1).

Page 16: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

10 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 4

: Rep

orte

d ne

w a

ctiv

e an

d re

-tre

atm

ent t

uber

culo

sis

case

s an

d in

cide

nce

rate

per

100

,000

by

orig

in—

Can

ada

and

prov

ince

s/te

rrito

ries:

201

4

OR

IGIN

CA

NA

DA

PR

OV

INC

E/T

ER

RIT

ORY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

No

rth†

Can

adia

n-b

orn

Firs

t N

atio

ns‡

Cas

es18

10

00

04

783

4915

194

Rat

e19

.30.

00.

00.

00.

03.

83.

363

.440

.811

.011

.718

.2

Firs

t N

atio

ns

wit

h st

atus

Cas

es17

80

35

8349

1519

4

Rat

e18

.10.

03.

52.

452

.531

.511

.713

.113

.1

Firs

t N

atio

ns w

ith

stat

us—

on

rese

rve

Cas

es10

30

03

5728

105

0

Rat

e20

.00.

00.

03.

159

.236

.813

.17.

30.

0

Firs

t N

atio

ns w

ith

stat

us—

off

res

erve

Cas

es68

00

126

215

123

Rat

e14

.50.

00.

00.

942

.026

.39.

615

.723

.2

Firs

t N

atio

ns w

ith

stat

us—

unkn

ow

n

Cas

es7

00

00

31

00

02

1

Rat

e

Firs

t N

atio

ns, n

on-

stat

us

Cas

es3

00

00

12

00

00

0

Rat

e

Inui

t§C

ases

119

40

00

311

00

00

83

Rat

e19

8.3

80.0

0.0

0.0

0.0

238.

533

.30.

00.

00.

00.

023

7.1

Mét

is§

Cas

es18

00

00

00

115

11

0

Rat

e3.

20.

00.

00.

00.

00.

00.

01.

125

.40.

81.

10.

0

Tota

l Ab

ori

gin

al§

Cas

es31

84

00

035

884

6416

2087

Rat

e20

.418

.20.

00.

00.

021

.92.

337

.735

.86.

37.

814

0.3

No

n-A

bo

rig

inal

Cas

es16

01

12

353

497

415

232

Rat

e0.

60.

20.

70.

20.

40.

80.

50.

80.

50.

50.

84.

3

Tota

l Can

adia

n-b

orn

Cas

es47

85

12

388

5791

6831

4389

Rat

es1.

71.

00.

70.

20.

41.

20.

68.

56.

60.

91.

382

.1

Page 17: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

11TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 4

: Rep

orte

d ne

w a

ctiv

e an

d re

-tre

atm

ent t

uber

culo

sis

case

s an

d in

cide

nce

rate

per

100

,000

by

orig

in—

Can

ada

and

prov

ince

s/te

rrito

ries:

201

4

OR

IGIN

CA

NA

DA

PR

OV

INC

E/T

ER

RIT

ORY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

No

rth†

Can

adia

n-b

orn

Firs

t N

atio

ns‡

Cas

es18

10

00

04

783

4915

194

Rat

e19

.30.

00.

00.

00.

03.

83.

363

.440

.811

.011

.718

.2

Firs

t N

atio

ns

wit

h st

atus

Cas

es17

80

35

8349

1519

4

Rat

e18

.10.

03.

52.

452

.531

.511

.713

.113

.1

Firs

t N

atio

ns w

ith

stat

us—

on

rese

rve

Cas

es10

30

03

5728

105

0

Rat

e20

.00.

00.

03.

159

.236

.813

.17.

30.

0

Firs

t N

atio

ns w

ith

stat

us—

off

res

erve

Cas

es68

00

126

215

123

Rat

e14

.50.

00.

00.

942

.026

.39.

615

.723

.2

Firs

t N

atio

ns w

ith

stat

us—

unkn

ow

n

Cas

es7

00

00

31

00

02

1

Rat

e

Firs

t N

atio

ns, n

on-

stat

us

Cas

es3

00

00

12

00

00

0

Rat

e

Inui

t§C

ases

119

40

00

311

00

00

83

Rat

e19

8.3

80.0

0.0

0.0

0.0

238.

533

.30.

00.

00.

00.

023

7.1

Mét

is§

Cas

es18

00

00

00

115

11

0

Rat

e3.

20.

00.

00.

00.

00.

00.

01.

125

.40.

81.

10.

0

Tota

l Ab

ori

gin

al§

Cas

es31

84

00

035

884

6416

2087

Rat

e20

.418

.20.

00.

00.

021

.92.

337

.735

.86.

37.

814

0.3

No

n-A

bo

rig

inal

Cas

es16

01

12

353

497

415

232

Rat

e0.

60.

20.

70.

20.

40.

80.

50.

80.

50.

50.

84.

3

Tota

l Can

adia

n-b

orn

Cas

es47

85

12

388

5791

6831

4389

Rat

es1.

71.

00.

70.

20.

41.

20.

68.

56.

60.

91.

382

.1

OR

IGIN

CA

NA

DA

PR

OV

INC

E/T

ER

RIT

ORY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

No

rth†

Fore

ign-

bo

rn

(by

epid

emi-

olo

gic

al

reg

ion)

AFR

-Hig

hC

ases

100

00

20

2040

44

273

0

Rat

e40

.50.

00.

011

9.8

0.0

53.5

33.9

49.8

103.

962

.69.

10.

0

AFR

-Lo

wC

ases

280

00

111

53

16

10

Rat

e20

.30.

00.

00.

026

3.8

13.5

12.7

147.

712

2.0

67.9

24.3

0.0

AM

RC

ases

420

00

025

131

00

30

Rat

e4.

60.

00.

00.

00.

011

.12.

53.

60.

00.

05.

40.

0

EE

UR

Cas

es11

00

00

27

00

02

0

Rat

e3.

00.

00.

00.

00.

02.

63.

50.

00.

00.

05.

30.

0

EM

E &

CE

UR

Cas

es34

00

00

322

00

27

0

Rat

e1.

30.

00.

00.

00.

00.

91.

60.

00.

00.

81.

60.

0

EM

RC

ases

101

00

00

1062

33

194

0

Rat

e12

.80.

00.

00.

00.

05.

514

.133

.138

.224

.96.

10.

0

SEA

RC

ases

279

10

20

1016

06

244

540

Rat

e31

.990

.40.

070

.40.

021

.030

.234

.925

.849

.930

.60.

0

WP

RC

ases

474

12

11

3219

926

887

114

3

Rat

e24

.770

.597

.113

.120

.723

.522

.936

.528

.634

.720

.912

5.7

Unk

now

nC

ases

40

00

01

11

01

00

Tota

l Fo

reig

n-b

orn

**C

ases

1,07

32

25

211

450

944

1818

618

83

Rat

e13

.717

.623

.58.

36.

010

.212

.520

.520

.622

.513

.836

.1

Unk

now

nC

ases

170

00

06

110

00

00

Tota

l††C

ases

1,56

87

37

520

857

713

586

217

231

92

Rat

e4.

41.

32.

10.

70.

72.

54.

210

.57.

65.

35.

078

.8

AB

BR

EV

IATI

ON

S: A

FR-H

igh,

Afr

ica

high

HIV

pre

vale

nce;

AFR

-Low

, Afr

ica

low

HIV

pre

vale

nce;

Alta

., A

lber

ta; A

MR,

Am

eric

an R

egio

n—La

tin A

mer

ican

cou

ntrie

s; B

.C.,

Brit

ish

Col

umbi

a; E

EUR,

Ea

ster

n Eu

rope

an R

egio

n; E

ME,

Est

ablis

hed

Mar

ket E

cono

mie

s; C

EUR,

Cen

tral

Eur

ope;

EM

R, E

aste

rn M

edite

rran

ean

Regi

on; M

an.,

Man

itoba

; N.B

., N

ew B

runs

wic

k; N

.L.,

New

foun

dlan

d an

d La

brad

or;

N.S

., N

ova

Scot

ia; O

nt.,

Ont

ario

; P.E

.I., P

rince

Edw

ard

Isla

nd; Q

ue.,

Que

bec;

Sas

k., S

aska

tche

wan

; SEA

R, S

outh

-Eas

t Asi

an R

egio

n; W

PR, W

este

rn P

acifi

c Re

gion

.†

N

orth

incl

udes

Nor

thw

est

Terr

itorie

s, N

unav

ut a

nd Y

ukon

‡ SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N F

OR

FIR

ST N

ATI

ON

S O

N A

ND

OFF

RE

SER

VE

: Reg

iste

red

Ind

ian

Pop

ulat

ion,

Hou

seho

ld a

nd F

amily

Pro

ject

ions

200

9–20

34,

AA

ND

C, 2

012.

NO

TE: F

irst

Nat

ions

pop

ulat

ion

pro

ject

ions

are

onl

y av

aila

ble

for

the

Atla

ntic

reg

ion

whi

ch in

clud

e N

.L, N

.B.,

N.S

. and

PEI

com

bin

ed t

here

fore

onl

y on

e ra

te is

giv

en fo

r th

e en

tire

reg

ion.

§ SO

UR

CE

OF

DE

NO

MIN

ATO

RV

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N F

OR

INU

IT A

ND

TIS

AN

D T

OTA

L A

BO

RIG

INA

L: S

tatis

tics

Can

ada:

Pop

ulat

ion

Proj

ectio

ns b

y A

bor

igin

al Id

entit

y in

Can

ada,

20

06 t

o 20

31 ,C

atal

ogue

num

ber

91-

552-

X**

SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N F

OR

FO

RE

IGN

-BO

RN

PO

PU

LATI

ON

: Sta

tistic

s C

anad

a—C

usto

m T

abul

atio

n—20

11 N

atio

nal H

ouse

hold

Sur

vey.

†† S

OU

RC

E O

F D

EN

OM

INA

TOR

VA

LUE

S FO

R R

ATE

CA

LCU

LATI

ON

: Sta

tistic

s C

anad

a, D

emog

rap

hy D

ivis

ion,

Dem

ogra

phi

c Es

timat

es S

ectio

n, J

uly

Pop

ulat

ion

Estim

ates

, 201

4 U

pd

ated

pos

tcen

sal

estim

ates

(Acc

esse

d 2

015–

03–1

1).

Page 18: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

12 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 5

: Rep

orte

d n

ew a

ctiv

e an

d re

-tre

atm

ent

tub

ercu

losi

s ca

ses

and

inci

den

ce r

ates

per

100

,000

by

mai

n d

iag

nost

ic c

lass

ifica

tion—

C

anad

a: 2

004–

2014

MA

IN D

IAG

NO

STIC

CLA

SSIF

ICA

TIO

NR

EP

OR

TIN

G Y

EA

R

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Res

pir

ato

ry

Pri

mar

y‡C

ases

9410

691

6459

6163

4862

6537

Rat

e0.

30.

30.

30.

20.

20.

20.

20.

10.

20.

20.

1

Pul

mo

nary

§C

ases

965

982

1,13

21,

034

1,14

61,

125

1,04

21,

099

1,14

91,

125

1,08

9

Rat

e3.

03.

03.

53.

13.

43.

33.

13.

23.

33.

23.

1

Oth

er

resp

irat

ory

**

Cas

es90

113

8594

7897

102

8396

9086

Rat

e0.

30.

40.

30.

30.

20.

30.

30.

20.

30.

30.

2

No

n-

resp

irat

ory

Mili

ary

Cas

es14

1510

1114

1211

138

1211

Rat

e0.

00.

00.

00.

00.

00.

00.

00.

00.

00.

00.

0

Cen

tral

ner

vous

sy

stem

Cas

es19

2016

2211

1424

2122

2719

Rat

e0.

10.

10.

00.

10.

00.

00.

10.

10.

10.

10.

1

Per

iphe

ral l

ymp

h no

des

Cas

es25

124

219

220

218

120

719

822

220

418

019

8

Rat

e0.

80.

80.

60.

60.

50.

60.

60.

60.

60.

50.

6

Oth

er††

Cas

es17

916

212

714

815

313

814

613

515

915

212

8

Rat

e0.

60.

50.

40.

50.

50.

40.

40.

40.

50.

40.

4

Unk

now

nC

ases

00

00

00

00

00

0

Rat

e0.

00.

00.

00.

00.

00.

00.

00.

00.

00.

00.

0

TOTA

LC

ases

1,61

21,

640

1,65

31,

575

1,64

21,

654

1,58

61,

621

1,70

01,

651

1,56

8

Rat

e5.

05.

15.

14.

84.

94.

94.

74.

74.

94.

74.

4

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

004–

2014

Up

dat

ed

pos

tcen

sal e

stim

ates

(Acc

esse

d 2

015–

03–1

1).

‡ Pr

imar

y in

clud

es p

rimar

y re

spira

tory

tub

ercu

losi

s an

d t

uber

culo

us p

leur

isy

in p

rimar

y p

rog

ress

ive

tub

ercu

losi

s (IC

D-9

cod

es 0

10.0

-010

.9; I

CD

-10

cod

es A

15.7

and

A16

.7).

§ Pu

lmon

ary

incl

udes

tub

ercu

losi

s of

the

lung

s an

d c

ond

uctin

g a

irway

s w

hich

incl

udes

tub

ercu

lous

fib

rosi

s of

the

lung

, tub

ercu

lous

bro

nchi

ecta

sis,

tub

ercu

lous

pne

umon

ia, t

uber

culo

us p

neum

otho

rax,

is

olat

ed t

rach

eal o

r b

ronc

hial

tub

ercu

losi

s, a

nd t

uber

culo

us la

ryng

itis

(ICD

-9 c

odes

011

-011

.9, 0

12.2

, 012

.3; I

CD

-10

cod

es A

15.0

-A15

.3, A

15.5

, A15

.9, A

16.0

-A16

.2, A

16.4

, A16

.9).

** O

ther

resp

irato

ry in

clud

es t

uber

culo

us p

leur

isy

(non

-prim

ary)

and

tub

ercu

losi

s of

the

intr

atho

raci

c ly

mp

h no

des

, med

iast

inum

, nas

opha

rynx

, nos

e (s

eptu

m),

and

sin

us (a

ny n

asal

) (IC

D-9

cod

es: 0

12.0

, 01

2.1

and

012

.8; I

CD

-10

cod

es: A

15.4

, A15

.6, A

15.8

, A16

.3, A

16.5

A16

.8).

†† O

ther

incl

udes

tub

ercu

losi

s of

the

inte

stin

es, p

erito

neum

and

mes

ente

ric g

land

s, b

ones

and

join

ts, g

enito

urin

ary

syst

em, s

kin,

eye

, ear

, thy

roid

, ad

rena

l, an

d s

ple

en.

Page 19: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

13TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 6

: Rep

orte

d n

ew a

ctiv

e an

d re

-tre

atm

ent

tub

ercu

losi

s ca

ses

and

inci

den

ce r

ate

per

100

,000

by

mai

n d

iag

nost

ic c

lass

ifica

tion–

– C

anad

a an

d p

rovi

nces

/ter

ritor

ies:

201

4†

MA

IN D

IAG

NO

STIC

CLA

SSIF

ICA

TIO

NC

AN

AD

AP

RO

VIN

CE

/TE

RR

ITO

RY

N.L

.P.

E.I.

N.S

.N

.B.

Que

.O

nt.

Man

.Sa

sk.

Alt

a.B

.C.

Y.T.

N.W

.T.

Nvt

.

Res

pir

ato

ry

Pri

mar

y‡C

ases

370

00

05

613

41

10

07

Rat

e0.

10.

00.

00.

00.

00.

10.

01.

00.

40.

00.

00.

00.

019

.1

Pul

mo

nary

§C

ases

1,08

95

23

515

838

194

5713

217

92

170

Rat

e3.

10.

91.

40.

30.

71.

92.

87.

35.

13.

23.

95.

52.

319

1.3

Oth

er

resp

irat

ory

**

Cas

es86

10

20

1131

95

157

00

5

Rat

e0.

20.

20.

00.

20.

00.

10.

20.

70.

40.

40.

20.

00.

013

.7

No

n-

resp

irat

ory

Mili

ary

Cas

es11

00

00

14

12

12

00

0

Rat

e0.

00.

00.

00.

00.

00.

00.

00.

10.

20.

00.

00.

00.

00.

0

Cen

tral

ner

vous

sy

stem

Cas

es19

00

00

28

02

41

01

1

Rat

e0.

10.

00.

00.

00.

00.

00.

10.

00.

20.

10.

00.

02.

32.

7

Per

iphe

ral

lym

ph

nod

es

Cas

es19

80

12

012

8613

1040

311

20

Rat

e0.

60.

00.

70.

20.

00.

10.

61.

00.

91.

00.

72.

74.

60.

0

Oth

er††

Cas

es12

81

00

019

615

624

101

01

Rat

e0.

40.

20.

00.

00.

00.

20.

40.

40.

50.

60.

22.

70.

02.

7

Unk

now

nC

ases

00

00

00

00

00

00

00

TOTA

LC

ases

1,56

87

37

520

857

713

586

217

231

44

84

Rat

e4.

41.

32.

10.

70.

72.

54.

210

.57.

65.

35.

011

.09.

222

9.6

AB

BR

EV

IATI

ON

S: A

lta.,

Alb

erta

; B.C

., B

ritis

h C

olum

bia

; Man

., M

anito

ba;

N.B

., N

ew B

runs

wic

k; N

.L.,

New

foun

dla

nd a

nd L

abra

dor

; N.S

., N

ova

Scot

ia; N

vt.,

Nun

avut

; N.W

.T.,

Nor

thw

est

Terr

itorie

s;

Ont

., O

ntar

io; P

.E.I.

, Prin

ce E

dw

ard

Isla

nd; Q

ue.,

Que

bec

; Sas

k., S

aska

tche

wan

; Y.T

., Yu

kon.

† SO

UR

CE

OF

DE

NO

MIN

ATO

R V

ALU

ES

FOR

RA

TE C

ALC

ULA

TIO

N: S

tatis

tics

Can

ada,

Dem

ogra

phy

Div

isio

n, D

emog

rap

hic

Estim

ates

Sec

tion,

Jul

y Po

pul

atio

n Es

timat

es, 2

014

upd

ated

pos

tcen

sal

estim

ates

. (A

cces

sed

201

5–03

–11)

.‡

Prim

ary

incl

udes

prim

ary

resp

irato

ry t

uber

culo

sis

and

tub

ercu

lous

ple

uris

y in

prim

ary

pro

gre

ssiv

e tu

ber

culo

sis

(ICD

-9 c

odes

010

.0-0

10.9

; IC

D-1

0 co

des

A15

.7 a

nd A

16.7

).§

Pulm

onar

y in

clud

es t

uber

culo

sis

of t

he lu

ngs

and

con

duc

ting

airw

ays

whi

ch in

clud

es t

uber

culo

us fi

bro

sis

of t

he lu

ng, t

uber

culo

us b

ronc

hiec

tasi

s, t

uber

culo

us p

neum

onia

, tub

ercu

lous

pne

umot

hora

x,

isol

ated

tra

chea

l or

bro

nchi

al t

uber

culo

sis,

and

tub

ercu

lous

lary

ngiti

s (IC

D-9

cod

es 0

11-0

11.9

, 012

.2, 0

12.3

; IC

D-1

0 co

des

A15

.0-A

15.3

, A15

.5, A

15.9

, A16

.0-A

16.2

, A16

.4, A

16.9

). **

O

ther

resp

irato

ry in

clud

es t

uber

culo

us p

leur

isy

(non

-prim

ary)

and

tub

ercu

losi

s of

the

intr

atho

raci

c ly

mp

h no

des

, med

iast

inum

, nas

opha

rynx

, nos

e (s

eptu

m),

and

sin

us (a

ny n

asal

) (IC

D-9

cod

es: 0

12.0

, 01

2.1

and

012

.8; I

CD

-10

cod

es: A

15.4

, A15

.6, A

15.8

, A16

.3, A

16.5

, A16

.8).

†† O

ther

incl

udes

tub

ercu

losi

s of

the

inte

stin

es, p

erito

neum

and

mes

ente

ric g

land

s, b

ones

and

join

ts, g

enito

urin

ary

syst

em, s

kin,

eye

, ear

, thy

roid

, ad

rena

l, an

d s

ple

en.

Page 20: Tuberculosis in Canada 2014 – Pre-release · case definition for national-level surveillance to the CTBRS. ... national-level data on TB. Tuberculosis in Canada 2014—Pre-release

14 TUBERCULOSIS IN CANADA 2014—PRE-RELEASE

TAB

LE 7

: Tre

atm

ent

outc

ome—

Can

ada

and

pro

vinc

es/t

errit

orie

s: 2

013

PR

OV

INC

E/

TER

RIT

ORY

TOTA

L

TRE

ATM

EN

T O

UTC

OM

E

Cur

e

Trea

tmen

t co

mp

lete

d

wit

hout

cu

ltur

e

Dea

th

dur

ing

tr

eatm

ent

Tran

sfer

red

Trea

tmen

t o

ngo

ing

Ab

sco

nded

Failu

re

Trea

tmen

t d

isco

ntin

ued

d

ue t

o

adve

rse

even

t

Oth

erU

nkno

wn

New

foun

dla

nd

and

Lab

rad

or

132

100

00

00

10

0

Pri

nce

Ed

war

d

Isla

nd0

00

00

00

00

00

No

va S

coti

a8

13

21

00

00

10

New

Bru

nsw

ick

30

30

00

00

00

0

Que

bec

240

3911

014

558

10

02

11

Ont

ario

634

052

059

614

80

10

26

Man

ito

ba

166

8664

120

03

01

00

Sask

atch

ewan

860

683

00

50

08

2

Alb

erta

187

4513

06

40

00

02

0

Bri

tish

C

olu

mb

ia25

74

219

274

00

02

10

Yuko

n2

02

00

00

00

00

No

rthw

est

Terr

ito

ries

43

01

00

00

00

0

Nun

avut

5131

132

00

01

31

0

CA

NA

DA

1,65

121

11,

142

126

2072

171

815

39