INFECTIOUS DISEASE PREVENTION AND CONTROL PROTECTING CANADIANS FROM ILLNESS TUBERCULOSIS IN CANADA 2013 PRE-RELEASE
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INFECTIOUS DISEASE PREVENTION AND CONTROL
P R O T E C T I N G C A N A D I A N S F R O M I L L N E S S
TUBERCULOSISIN CANADA 2013PRE-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 2013 – Prédiffusion
To obtain additional information, please contact:
Public Health Agency of CanadaAddress Locator 0900C2 Ottawa, ON K1A 0K9Tel.: 613-957-2991 Toll 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.
Suggested citation: Public Health Agency of Canada. Tuberculosis in Canada 2013 – Pre-release. Ottawa (Canada): Minister of Public Works and Government Services Canada; 2015
AcknowledgementThe 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).
© Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2015
Publication date: March, 2015
This publication may be reproduced for personal or internal use only without permission provided the source is fully acknowledged.
ISSN: 2291-5206 Cat.: HP37-5/1-2013E-PDF Pub.: 140449
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 1
INTRODUCTIONIn Canada, active tuberculosis (TB) disease is monitored at the federal level using the Canadian Tuberculosis Reporting System (CTBRS), a case-based surveillance system that maintains selected non-nominal data on people diagnosed with active TB disease. Provincial and territorial public health authorities voluntarily submit data on TB cases that meet the case definition for national-level surveillance to the CTBRS. Reports in the Tuberculosis in Canada – Pre-release series are published annually in order to facilitate timely availability of national level data on TB.
Tuberculosis in Canada 2013 – Pre-release provides a brief, initial overview of the preliminary number of reported active (new and re-treatment) TB cases and corresponding incidence rates in Canada for the most recent reporting year (2013). The data presented in this report were extracted from the CTBRS on September 30, 2014. All provinces and territories have reviewed and approved their data. The data presented in this abbreviated report are provisional
and subject to change prior to the release of Tuberculosis in Canada, a more comprehensive report that is published every three years.
Historical data presented in this report may vary from the data presented in previous national/provincial/territorial reports. Differences between the data published in this report and the data published in previous national/provincial/territorial surveillance reports may occur as a result of reporting delays or differences in the date the data were extracted from the various surveillance databases. Where differences exist between this report and recently published provincial or territorial reports, it is recommended that the data from the provincial and territorial reports be used.
Details on the CTBRS’s methods, including information on national TB case definitions, data collection, quality control, analysis and the classification and categorization of population subgroups are available in the Tuberculosis in Canada 2012 surveillance report.1
PRELIMINARY FINDINGSNew and Re-treatment Cases in 2013
In Canada, 1,640 new active and re-treatment TB cases were reported in 2013, for a corresponding incidence rate of 4.7 per 100,000 population (Table 1A). This is comparable to both the number of TB cases reported in 2012 (n = 1,699) and the incidence rate for 2012 (4.9 per 100,000 population). The annual number of reported TB cases and the corresponding annual incidence rates have remained relatively stable between 2003 and 2013.
In 2013, British Columbia, Ontario, and Quebec, which together make up 75% of the total Canadian population, continued to account for the majority of reported TB cases (68%) in Canada (Table 1A).
In 2013, the incidence rates in the Atlantic provinces (New Brunswick, Newfoundland and Labrador, Nova Scotia, and Prince Edward Island), Alberta, Ontario and Quebec were all equivalent to or below the Canadian rate of 4.7 per 100,000 population. No TB cases were reported
from Prince Edward Island in 2013. The incidence rates in all other provinces and territories were higher than the Canadian rate. Nunavut has consistently had the highest incidence rate; in 2013, the incidence rate was 143.3 per 100,000 population (Table 1A). The 2013 incidence rate was lower than the 2012 rate, at 230.5 per 100 000 population, and represented a difference of 29 fewer cases compared to 2012 (Table 1A). Between 2003 and 2013 there was little change in the overall distribution of cases by province or territory.
Similarly, there was little change in the overall distribution of cases by sex, age group, and diagnostic classification (Table 1B, Table 1C, Table 2 and Table 3). In 2013, males continued to account for a larger percentage of reported cases than females. Males accounted for 902 of the 1,640 reported cases (55% of the total number reported) which corresponds to an overall incidence rate of 5.2 per 100,000 population (Table 1B). In comparison, females accounted for 738 cases (45% of all reported cases) for a corresponding incidence rate of 4.2 per 100,000 population (Table 1C).
2 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASE
In 2013, individuals aged 25 to 34 years old represented the largest percentage of reported cases at 16%. However, the highest incidence rate was observed for those aged 75 years or older, at 9.3 per 100,000 population. In 2013, 7% of reported cases were less than 15 years of age (Table 4).
Foreign-born individuals and Canadian-born Aboriginal people continued to be disproportionately represented among reported cases of TB in 2013. Data on origin was available for 1,611 (98%) of the 1,640 cases reported in 2013. The foreign-born population, which represented approximately 22% of the total Canadian population in 2013, accounted for 71% of reported cases of known origin (n = 1,146), with a corresponding incidence rate of 14.8 per 100,000 population. Canadian-born Aboriginal people made up 4% of the total Canadian population in 2013 but accounted for 19% (n = 309) of reported cases of known origin, with a corresponding incidence rate of 19.9 per 100,000 population. Canadian-born non-Aboriginal people accounted for the lowest percentage of reported cases at 10% (n = 155) with a corresponding incidence rate of 0.6 per 100,000 population (Table 5).
The distribution of TB cases across origin groups varied by province and territory. In 2013, the majority of cases (> 60%) reported by Alberta, British Columbia, Ontario, and Quebec were foreign-born. Canadian-born Aboriginal people accounted for the majority (> 65%) of reported cases in Manitoba and Saskatchewan. In the territories (Northwest Territories, Nunavut, and Yukon), almost all (98%) reported cases were Canadian-born Aboriginal people (Table 5).
Canadian-born Aboriginal people comprise three distinct populations: First Nations, Inuit and Métis people. In 2013, of the 309 reported Canadian-born Aboriginal cases, 200 (65%) were First Nations, 91 (29%) were Inuit and 18 (6%) were Métis. The incidence rate among the Métis was 3.3 per 100,000 population, which was lower than the overall Canadian incidence rate of 4.7 per 100,000 population. By comparison, the incidence rate in First Nations, at 21.8 per 100,000 population, was almost five times the overall Canadian rate. The highest incidence rate, however, was in the Inuit population, at 154.2 per 100,000 population (Table 5).
Based on their country of birth, foreign-born cases were grouped into one of nine epidemiological regions as defined by the STOP-TB Partnership/World Health Organization.2 Individuals born in the Western Pacific region countries accounted for the highest percentage of reported foreign-born cases in Canada (42%). Of these cases, 75% were from China and the Philippines. However, the highest incidence rate, at 48.5 per 100,000 population, was observed for foreign-born individuals from the AFR-High region, primarily Ethiopia (Table 5).
Active TB disease is classified as either respiratory or non-respiratory. Respiratory TB includes pulmonary TB, TB of the pleura, the intrathoracic or mediastinal lymph nodes, or of the larynx, nasopharynx, nose or sinuses. Primary diseasei is also captured under the respiratory classification. Non-respiratory TB refers to all other disease sites3 As in recent years, 77% of cases were diagnosed with respiratory TB and 23% with non-respiratory TB in 2013 (Table 3, Table 6). Pulmonary TB, including TB of the lungs and conducting airways, accounted for the majority (67%) of reported cases in 2013 (Table 6).
i 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.
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 3
Treatment Outcomes for 2012
Partial or complete treatment outcome data were available for 1,614 (95%) of the 1,699 reported cases of active TB disease in 2012. Of the remaining cases, treatment was reported as on-going for 72 and treatment outcome data were unknown for 12 (Table 7).
Of the 1,614 cases reported in 2012 for which treatment outcome data were available:
• 1,409 (87%) were reportedly cured or had completed treatment;
• 128 (8%) died before or during treatment;
• 26 (2%) moved outside of Canada before completing treatment;
• 24 (1%) had absconded or were lost to follow-up;
• 7 (0.4%) cases stopped treatment due to an adverse reaction, and
• 1 case reported treatment failure.
For the remaining 20 cases (1%) for which treatment outcome data were available, the treatment outcome was reported as “other.” Of these, seven cases were non-compliant with the prescribed treatment regimen and no further information was available for the remaining 13 cases.
CONCLUSIONAs in 2012, preliminary data from 2013 indicate that there were no notable changes in the number of reported cases of TB or in the overall incidence rate in Canada. Similarly, no changes were noted in the distribution of cases by province or territory, or by age group and sex. Foreign-born individuals continued to account for the majority of reported TB cases, and the incidence rate per 100,000 population remained highest among Canadian-born Aboriginal people. Pulmonary TB remained the most commonly reported site of disease in 2013, and available treatment outcome data for cases reported in 2012 indicated that 87% of cases had been cured or had completed treatment.
The findings from this analysis are provisional and will likely change over time. Updated case counts and incidence rates for 2013 will be presented in the next iteration of the Tuberculosis in Canada surveillance report.
4 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASETA
BLE
1A
: 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
(all
case
s) –
Can
ada
and
pro
vinc
es/t
errit
orie
s:
2003
–201
3 *†
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
.
2003
Cas
es1,
631
73
612
257
693
127
9111
030
51
127
Rat
e5.
21.
32.
20.
61.
63.
45.
710
.99.
13.
57.
43.
228
.223
.9
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
8.4
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,
644
80
55
240
600
141
9716
730
08
1459
Rat
e4.
91.
60.
00.
50.
73.
14.
711
.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
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es1,
621
83
95
217
658
116
8317
026
14
1374
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e4.
71.
52.
11.
00.
72.
75.
09.
47.
84.
55.
811
.329
.921
6.4
2012
Cas
es1,
699
41
85
271
617
136
8919
528
61
680
Rat
e4.
90.
80.
70.
80.
73.
44.
610
.98.
25.
06.
32.
813
.823
0.5
2013
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es1,
640
130
83
237
624
169
8518
725
72
451
Rat
e4.
72.
50.
00.
90.
42.
94.
613
.47.
74.
65.
65.
49.
214
3.3
Ab
bre
viat
ions
: Alta
., A
lber
ta; B
.C.,
Brit
ish
Col
umb
ia; M
an.,
Man
itob
a; N
.B.,
New
Bru
nsw
ick;
N.L
., N
ewfo
und
land
and
Lab
rad
or; N
.S.,
Nov
a Sc
otia
; Nvt
., N
unav
ut; N
.W.T
., N
orth
wes
t Te
rrito
ries;
O
nt.,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
Terr
itory
.
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t Tu
ber
culo
sis
in C
anad
a su
rvei
llanc
e re
por
t.†
Sour
ce o
f den
omin
ator
val
ues
for
rate
cal
cula
tion:
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
, 200
3–20
13 U
pd
ated
pos
tcen
sal e
stim
ates
(A
cces
sed
201
4-03
-11)
.
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 5
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
es p
er 1
00,0
00 (m
ales
) – C
anad
a an
d p
rovi
nces
/ter
ritor
ies:
20
03–2
013*†
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
.
2003
Cas
es89
63
13
914
937
573
4664
158
19
5
Rat
e5.
71.
21.
50.
72.
44.
06.
212
.69.
34.
07.
76.
340
.732
.9
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
6.1
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
73
03
313
031
285
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
0.7
2013
Cas
es90
27
06
012
734
010
048
9913
81
333
Rat
e5.
22.
70.
01.
30.
03.
15.
115
.98.
64.
86.
15.
413
.417
9.1
Ab
bre
viat
ions
: Alta
., A
lber
ta; B
.C.,
Brit
ish
Col
umb
ia; M
an.,
Man
itob
a; N
.B.,
New
Bru
nsw
ick;
N.L
., N
ewfo
und
land
and
Lab
rad
or; N
.S.,
Nov
a Sc
otia
; Nvt
., N
unav
ut; N
.W.T
., N
orth
wes
t Te
rrito
ries;
O
nt.,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
Terr
itory
.
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t Tu
ber
culo
sis
in C
anad
a su
rvei
llanc
e re
por
t.†
Sour
ce o
f den
omin
ator
val
ues
for
rate
cal
cula
tion:
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
, 200
3–20
13 U
pd
ated
pos
tcen
sal e
stim
ates
(A
cces
sed
201
4-03
-11)
.
6 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASETA
BLE
1C
: 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
(fem
ales
) – C
anad
a an
d p
rovi
nces
/ter
ritor
ies:
20
03–2
013*†
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
.
2003
Cas
es73
54
23
310
831
854
4546
147
03
2
Rat
e4.
61.
52.
80.
60.
82.
95.
19.
29.
02.
97.
10.
014
.714
.2
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
3.3
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
75
02
211
028
856
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
es89
53
02
212
127
913
628
195
100
03
26
Rat
e5.
11.
10.
00.
40.
53.
04.
121
.65.
210
.24.
40.
014
.115
5.3
2013
Cas
es73
86
02
311
028
469
3788
119
11
18
Rat
e4.
22.
20.
00.
40.
82.
74.
110
.86.
74.
45.
25.
54.
710
4.9
Ab
bre
viat
ions
: Alta
., A
lber
ta; B
.C.,
Brit
ish
Col
umb
ia; M
an.,
Man
itob
a; N
.B.,
New
Bru
nsw
ick;
N.L
., N
ewfo
und
land
and
Lab
rad
or; N
.S.,
Nov
a Sc
otia
; Nvt
., N
unav
ut; N
.W.T
., N
orth
wes
t Te
rrito
ries;
O
nt.,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
Terr
itory
.
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t Tu
ber
culo
sis
in C
anad
a su
rvei
llanc
e re
por
t.†
Sour
ce o
f den
omin
ator
val
ues
for
rate
cal
cula
tion:
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
, 200
3–20
13 U
pd
ated
pos
tcen
sal e
stim
ates
(A
cces
sed
201
4-03
-11)
.
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 7
TAB
LE 2
: 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
age
gro
up –
Can
ada:
200
3-20
13*†
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+
2003
Cas
es1,
631
734
4119
833
227
720
715
417
820
3
Rat
e5.
22.
12.
51.
04.
67.
75.
34.
44.
78.
110
.8
2004
Cas
es1,
612
633
4519
832
327
219
816
717
719
3
Rat
e5.
01.
82.
41.
14.
67.
55.
34.
14.
98.
010
.0
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.
5
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
.7
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,
644
830
5120
529
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
1433
4021
629
625
122
416
817
320
6
Rat
e4.
73.
72.
21.
14.
76.
35.
44.
13.
86.
49.
1
2012
Cas
es1,
699
950
5423
929
626
923
415
417
821
6
Rat
e4.
92.
43.
31.
45.
26.
25.
84.
43.
46.
39.
3
2013
Cas
es1,
640
1437
5920
726
524
623
518
916
822
0
Rat
e4.
73.
72.
41.
64.
55.
55.
24.
44.
15.
69.
3
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t Tu
ber
culo
sis
in C
anad
a su
rvei
llanc
e re
por
t.†
Sour
ce o
f den
omin
ator
val
ues
for
rate
cal
cula
tion:
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
, 200
3–20
13 U
pd
ated
pos
tcen
sal e
stim
ates
(A
cces
sed
201
4-03
-11)
.
8 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASETA
BLE
3: R
epor
ted
new
act
ive
and
re-t
reat
men
t tu
ber
culo
sis
case
s an
d in
cid
ence
rat
es p
er 1
00,0
00 b
y m
ain
dia
gno
stic
cla
ssifi
catio
n –
Can
ada:
200
3-20
13*†
MA
IN D
IAG
NO
STIC
C
LASS
IFIC
ATI
ON
RE
PO
RTI
NG
YE
AR
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Res
pir
ato
ry
Pri
mar
y‡C
ases
7994
106
9164
5961
6348
6264
Rat
e0.
20.
30.
30.
30.
20.
20.
20.
20.
10.
20.
2
Pul
mo
nary
§C
ases
992
965
982
1,13
21,
034
1,14
71,
125
1,04
21,
099
1,14
61,
105
Rat
e3.
13.
03.
03.
53.
13.
53.
33.
13.
23.
33.
1
Oth
er
resp
irat
ory
**
Cas
es63
9011
385
9478
9710
283
9792
Rat
e0.
20.
30.
40.
30.
30.
20.
30.
30.
20.
30.
3
No
nres
pir
ato
ry
Mili
ary
Cas
es12
1415
1011
1412
1113
814
Rat
e0.
00.
00.
00.
00.
00.
00.
00.
00.
00.
00.
0
Cen
tral
ner
vous
sy
stem
Cas
es26
1920
1622
1114
2421
2227
Rat
e0.
10.
10.
10.
00.
10.
00.
00.
10.
10.
10.
1
Per
iphe
ral l
ymp
h no
des
Cas
es24
725
124
219
220
218
220
719
822
220
417
4
Rat
e0.
80.
80.
80.
60.
60.
50.
60.
60.
60.
60.
5
Oth
er††
Cas
es16
917
916
212
714
815
313
814
613
515
916
4
Rat
e0.
50.
60.
50.
40.
50.
50.
40.
40.
40.
50.
5
Unk
now
nC
ases
430
00
00
00
01
0
Rat
e0.
10.
00.
00.
00.
00.
00.
00.
00.
00.
00.
0
TOTA
LC
ases
1,63
11,
612
1,64
01,
653
1,57
51,
644
1,65
41,
586
1,62
11,
699
1,64
0
Rat
e5.
25.
05.
15.
14.
84.
94.
94.
74.
74.
94.
7
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t Tu
ber
culo
sis
in C
anad
a su
rvei
llanc
e re
por
t.†
Sour
ce o
f den
omin
ator
val
ues
for
rate
cal
cula
tion:
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
, 200
3–20
13 U
pd
ated
pos
tcen
sal e
stim
ates
(A
cces
sed
201
4-03
-11)
.‡ P
rimar
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).
§ Pul
mon
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
, 012
.1 a
nd 0
12.8
; IC
D-1
0 co
des
: A15
.4, A
15.6
, A15
.8, A
16.3
, A16
.5, A
16.8
).††
Oth
er in
clud
es t
uber
culo
sis
of t
he in
test
ines
, per
itone
um a
nd m
esen
teric
gla
nds,
bon
es a
nd jo
ints
, gen
itour
inar
y sy
stem
, ski
n, e
ye, e
ar, t
hyro
id, a
dre
nal a
nd s
ple
en.
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 9
TAB
LE 4
: Rep
orte
d n
ew a
ctiv
e an
d re
-tre
atm
ent t
uber
culo
sis
case
s an
d in
cid
ence
rate
s p
er 1
00,0
00 b
y ag
e g
roup
– C
anad
a an
d p
rovi
nces
/ter
ritor
ies:
201
3*†
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
es14
00
00
41
02
22
00
3
Rat
e3.
70.
00.
00.
00.
04.
50.
70.
013
.43.
74.
60.
00.
036
2.3
1-4
Cas
es37
10
00
125
85
41
00
1
Rat
e2.
45.
10.
00.
00.
03.
40.
912
.68.
61.
90.
60.
00.
030
.4
5-14
Cas
es59
10
00
1215
74
99
00
2
Rat
e1.
61.
90.
00.
00.
01.
51.
04.
53.
01.
92.
00.
00.
029
.2
15-2
4C
ases
207
40
00
2674
3514
2120
01
12
Rat
e4.
56.
60.
00.
00.
02.
64.
019
.69.
13.
93.
40.
014
.518
3.3
25-3
4C
ases
265
20
31
4494
2819
4323
00
8
Rat
e5.
53.
20.
02.
61.
14.
05.
216
.211
.76.
33.
70.
00.
013
3.0
35-4
4C
ases
246
10
00
3610
427
1626
260
010
Rat
e5.
21.
40.
00.
00.
03.
45.
716
.811
.94.
54.
20.
00.
022
2.0
45-5
4C
ases
235
20
10
2594
2613
2439
11
9
Rat
e4.
42.
40.
00.
70.
02.
04.
514
.58.
54.
15.
616
.615
.522
8.3
55-6
4C
ases
189
10
30
3062
215
2539
10
2
Rat
e4.
11.
20.
02.
10.
02.
73.
613
.63.
75.
46.
218
.70.
084
.7
65-7
4C
ases
168
00
01
1972
113
1841
01
2
Rat
e5.
60.
00.
00.
01.
32.
56.
311
.23.
77.
19.
80.
057
.921
7.9
75+
Cas
es22
01
01
129
103
64
1557
01
2
Rat
e9.
32.
90.
01.
41.
84.
911
.27.
25.
17.
717
.10.
010
7.8
613.
5
TOTA
LC
ases
1,64
013
08
323
762
416
985
187
257
24
51
Rat
e4.
72.
50.
00.
90.
42.
94.
613
.47.
74.
65.
65.
49.
214
3.3
Ab
bre
viat
ions
: Alta
., A
lber
ta; B
.C.,
Brit
ish
Col
umb
ia; M
an.,
Man
itob
a; N
.B.,
New
Bru
nsw
ick;
N.L
., N
ewfo
und
land
and
Lab
rad
or; N
.S.,
Nov
a Sc
otia
; Nvt
., N
unav
ut; N
.W.T
., N
orth
wes
t Te
rrito
ries;
O
nt.,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
Terr
itory
.*
2013
dat
a ar
e p
rovi
sion
al u
ntil
the
pub
licat
ion
of t
he n
ext
Tub
ercu
losi
s in
Can
ada
surv
eilla
nce
rep
ort.
† So
urce
of d
enom
inat
or v
alue
s fo
r ra
te c
alcu
latio
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
003–
2013
Up
dat
ed p
ostc
ensa
l est
imat
es
(Acc
esse
d 2
014-
03-1
1).
10 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASETA
BLE
5: R
epor
ted
new
act
ive
and
re-t
reat
men
t tu
ber
culo
sis
case
s an
d in
cid
ence
rat
es p
er 1
00,0
00 b
y or
igin
– C
anad
a an
d p
rovi
nces
/ter
ritor
ies:
201
3*
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†
Canadian-bornFi
rst
Nat
ions
‡C
ases
200
00
00
49
110
5012
105
Rat
e21
.80.
00.
00.
00.
03.
94.
385
.342
.79.
06.
322
.7
Firs
t N
atio
ns w
ith
stat
usC
ases
197
00
00
49
110
5011
94
Rat
e20
.30.
04.
74.
470
.932
.78.
76.
313
.3
Firs
t N
atio
ns w
ith
stat
us—
On
rese
rve
Cas
es14
50
00
03
784
409
20
Rat
e28
.80.
05.
27.
389
.153
.912
.03.
00.
0
Firs
t N
atio
ns w
ith
stat
us—
Off
res
erve
Cas
es49
00
00
02
2610
27
2
Rat
e10
.60.
00.
01.
942
.712
.73.
99.
215
.7
Firs
t N
atio
ns w
ith
stat
us—
Unk
now
n
Cas
es3
00
00
10
00
00
2
Rat
e-
Firs
t N
atio
ns,
non-
stat
us
Cas
es3
00
00
00
00
11
1
Rat
e-
Inui
t §
Cas
es91
60
00
340
00
00
51
Rat
e15
4.2
120.
00.
00.
00.
026
1.5
0.0
0.0
0.0
0.0
0.0
150.
0
Mét
is §
Cas
es18
00
00
00
39
42
0
Rat
e3.
30.
00.
00.
00.
00.
00.
03.
415
.53.
52.
30.
0
Tota
l Ab
ori
gin
al §
Cas
es30
96
00
038
911
359
1612
56
Rat
e19
.924
.00.
00.
00.
023
.82.
651
.133
.16.
34.
791
.8
No
n-A
bo
rig
inal
Cas
es15
53
03
236
4212
312
420
Rat
e0.
60.
60.
00.
40.
30.
50.
51.
40.
40.
41.
40.
0
Ab
ori
gin
al s
tatu
s un
kno
wn
Cas
es1
00
00
10
00
00
0
Rat
e-
Tota
l Can
adia
n-b
orn
Cas
es46
59
03
275
5112
562
2854
56
Rat
e1.
71.
70.
00.
30.
31.
10.
511
.96.
10.
91.
752
.4
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 11
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†
Foreign-born
(by epidemiological region)A
FR-H
igh
Cas
es11
80
01
132
448
424
40
Rat
e48
.50.
00.
058
.210
5.7
86.2
37.7
100.
510
3.5
56.9
12.2
0.0
AFR
-Lo
wC
ases
261
00
012
81
03
10
Rat
e18
.958
3.2
0.0
0.0
0.0
14.8
20.4
47.8
0.0
34.7
24.1
0.0
AM
RC
ases
500
00
027
161
14
10
Rat
e5.
50.
00.
00.
00.
012
.23.
13.
718
.65.
61.
80.
0
EE
UR
Cas
es11
00
00
64
00
01
0
Rat
e3.
00.
00.
00.
00.
07.
92.
00.
00.
00.
02.
70.
0
EM
E &
CE
UR
Cas
es33
00
00
816
10
44
0
Rat
e1.
30.
00.
00.
00.
02.
41.
21.
50.
01.
60.
90.
0
EM
RC
ases
122
00
00
2364
20
249
0
Rat
e15
.60.
00.
00.
00.
012
.714
.822
.30.
032
.313
.90.
0
SEA
RC
ases
305
30
20
2216
810
631
630
Rat
e35
.426
6.1
0.0
70.6
0.0
46.6
32.0
58.9
78.6
36.0
36.0
0.0
WP
RC
ases
476
00
20
3022
721
1269
114
1
Rat
e25
.20.
00.
025
.90.
022
.226
.429
.943
.528
.221
.141
.6
Unk
now
nC
ases
50
00
00
40
00
10
Tota
l Fo
reig
n-b
orn
**C
ases
1,14
64
05
116
055
144
2315
919
81
Rat
e14
.833
.60.
08.
32.
914
.413
.620
.826
.619
.714
.711
.3
Unk
now
nC
ases
290
00
02
220
00
50
TOTA
L††C
ases
1,64
013
08
323
762
416
985
187
257
57
Rat
e4.
72.
50.
00.
90.
42.
94.
613
.47.
74.
65.
649
.2
Ab
bre
viat
ions
: AFR
-Hig
h, A
fric
a hi
gh
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 –
Latin
Am
eric
an c
ount
ries;
B.C
., B
ritis
h C
olum
bia
; EEU
R, E
aste
rn
Euro
pea
n Re
gio
n; E
ME,
Est
ablis
hed
Mar
ket
Econ
omie
s; C
EUR,
Cen
tral
Eur
ope;
EM
R, E
aste
rn M
edite
rran
ean
Reg
ion;
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; O
nt.,
Ont
ario
; P.E
.I., P
rince
Ed
war
d Is
land
; Que
., Q
ueb
ec; S
ask.
, Sas
katc
hew
an; S
EAR,
Sou
th-E
ast
Asi
an R
egio
n; W
PR, W
este
rn P
acifi
c Re
gio
n
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t ite
ratio
n of
the
Tub
ercu
losi
s in
Can
ada
surv
eilla
nce
rep
ort.
† N
orth
incl
udes
Nor
thw
est
Terr
itorie
s, N
unav
ut a
nd Y
ukon
.‡
Sour
ce o
f den
omin
ator
val
ues
for
rate
cal
cula
tion
for
Firs
t N
atio
ns o
n an
d o
ff re
serv
e: R
egis
tere
d In
dia
n Po
pul
atio
n, H
ouse
hold
and
Fam
ily P
roje
ctio
ns 2
009–
2034
, AA
ND
C, 2
012.
N
OTE
: Firs
t N
atio
ns p
opul
atio
n p
roje
ctio
ns a
re o
nly
avai
lab
le fo
r th
e A
tlant
ic re
gio
n th
at in
clud
es N
.L.,
N.B
., N
.S. a
nd P
.E.I.
com
bin
ed; t
here
fore
, onl
y on
e ra
te is
giv
en fo
r th
e en
tire
reg
ion.
§ So
urce
of d
enom
inat
or v
alue
s fo
r ra
te c
alcu
latio
n fo
r In
uit
and
Mét
is a
nd T
otal
Ab
orig
inal
: Sta
tistic
s C
anad
a: P
opul
atio
n Pr
ojec
tions
by
Ab
orig
inal
Iden
tity
in C
anad
a, 2
006
to 2
031,
Cat
alog
ue n
umb
er
91-5
52-X
.**
Sou
rce
of d
enom
inat
or v
alue
s fo
r ra
te c
alcu
latio
n fo
r fo
reig
n-b
orn
pop
ulat
ion:
Sta
tistic
s C
anad
a–C
usto
m T
abul
atio
n–20
11 N
atio
nal H
ouse
hold
Sur
vey.
††
Sou
rce
of d
enom
inat
or v
alue
s fo
r ra
te c
alcu
latio
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
013
Up
dat
ed p
ostc
ensa
l est
imat
es
(Acc
esse
d 2
014-
03-1
1).
12 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASETA
BLE
6: R
epor
ted
new
act
ive
and
re-t
reat
men
t tub
ercu
losi
s ca
ses
and
inci
denc
e ra
tes
per 1
00,0
00 b
y m
ain
diag
nost
ic c
lass
ifica
tion
–
Can
ada
and
prov
ince
s/te
rrito
ries:
201
3*†
MA
IN D
IAG
NO
STIC
C
LASS
IFIC
ATI
ON
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
.
Res
pir
ato
ry
Pri
mar
y‡C
ases
644
01
113
1410
39
30
15
Rat
e0.
20.
80.
00.
10.
10.
20.
10.
80.
30.
20.
10.
02.
314
.0
Pul
mo
nary
§C
ases
1,10
56
04
214
441
012
171
100
199
23
43
Rat
e3.
11.
10.
00.
40.
31.
83.
09.
66.
42.
54.
35.
46.
912
0.8
Oth
er
resp
irat
ory
**
Cas
es92
00
10
1523
171
1815
00
2
Rat
e0.
30.
00.
00.
10.
00.
20.
21.
30.
10.
40.
30.
00.
05.
6
No
nres
pir
ato
ry
Mili
ary
Cas
es14
10
00
55
00
12
00
0
Rat
e0.
00.
20.
00.
00.
00.
10.
00.
00.
00.
00.
00.
00.
00.
0
Cen
tral
ner
vous
sy
stem
Cas
es27
00
00
118
21
32
00
0
Rat
e0.
10.
00.
00.
00.
00.
00.
10.
20.
10.
10.
00.
00.
00.
0
Per
iphe
ral
lym
ph
nod
es
Cas
es17
41
01
026
8710
430
150
00
Rat
e0.
50.
20.
00.
10.
00.
30.
60.
80.
40.
70.
30.
00.
00.
0
Oth
er ††
Cas
es16
41
01
033
679
526
210
01
Rat
e0.
50.
20.
00.
10.
00.
40.
50.
70.
50.
60.
50.
00.
02.
8
TOTA
LC
ases
1,64
013
08
323
762
416
985
187
257
24
51
Rat
e4.
72.
50.
00.
90.
42.
94.
613
.47.
74.
65.
65.
49.
214
3.3
Ab
bre
viat
ions
: Alta
., A
lber
ta; B
.C.,
Brit
ish
Col
umb
ia; M
an.,
Man
itob
a; N
.B.,
New
Bru
nsw
ick;
N.L
., N
ewfo
und
land
and
Lab
rad
or; N
.S.,
Nov
a Sc
otia
; Nvt
., N
unav
ut; N
.W.T
., N
orth
wes
t Te
rrito
ries;
O
nt.,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
Terr
itory
.
* 20
13 d
ata
are
pro
visi
onal
unt
il th
e p
ublic
atio
n of
the
nex
t ite
ratio
n of
the
Tub
ercu
losi
s in
Can
ada
surv
eilla
nce
rep
ort.
† So
urce
of d
enom
inat
or v
alue
s fo
r ra
te c
alcu
latio
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
013
upd
ated
pos
tcen
sal e
stim
ates
. (A
cces
sed
201
4-03
-11)
.‡
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).
§ P
ulm
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
). **
Oth
er re
spira
tory
incl
udes
tub
ercu
lous
ple
uris
y (n
on-p
rimar
y) a
nd t
uber
culo
sis
of t
he in
trat
hora
cic
lym
ph
nod
es, m
edia
stin
um, n
asop
hary
nx, n
ose
(sep
tum
), an
d s
inus
(any
nas
al)
(ICD
-9 c
odes
: 012
.0, 0
12.1
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.
TUBERCULOSIS IN CANADA 2013—PRE-RELEASE | 13
TAB
LE 7
: Tre
atm
ent
outc
ome
– C
anad
a an
d p
rovi
nces
/ter
ritor
ies:
201
2
TRE
ATM
EN
T O
UTC
OM
E
TOTA
LC
ure
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
tO
ther
Unk
now
n
CA
NA
DA
1,69
932
81,
081
128
2672
241
720
12
New
foun
dla
nd
and
Lab
rad
or4
12
10
00
00
00
Prin
ce E
dw
ard
Isla
nd1
10
00
00
00
00
Nov
a Sc
otia
80
60
11
00
00
0
New
Bru
nsw
ick
52
11
01
00
00
0
Que
bec
271
7117
417
25
10
01
0
Ont
ario
617
046
450
1363
90
011
7
Man
itob
a13
664
625
31
00
01
0
Sask
atch
ewan
8975
07
00
70
00
0
Alb
erta
195
4512
512
31
20
11
5
Brit
ish
Col
umb
ia28
614
220
344
03
15
50
Yuko
n1
01
00
00
00
00
Nor
thw
est
Terr
itorie
s6
32
10
00
00
00
Nun
avut
8052
240
00
20
11
0
14 | TUBERCULOSIS IN CANADA 2013—PRE-RELEASE
References
1. Public Health Agency of Canada. Tuberculosis in Canada 2012. Ottawa (ON): Minister of Public Works and Government Services Canada; 2014.
2. Stop TB Partnership and World Health Organization. The Global Plan to Stop TB 2006-2015. Actions for life. Towards a world free of tuberculosis. Geneva: WHO; 2006.
3. Menzies R, Wong T. Canadian Tuberculosis Standards. 7th ed. Canadian Thoracic Society and the Public Health Agency of Canada; 2013.
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