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Tuberculosis in Canada 2012 - Pre-Release

Tuberculosis in Canada 2012 - Pre-Release: Introduction

Table 1

Reported new active and re-treatment tuberculosis cases and incidence rates
per 100,000 - Canada and provinces/territories: 2002-2012*
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.
2002 Cases 1667 9 1 9 11 288 716 98 89 128 287 0 4 27
Rate 5.3 1.7 0.7 1.0 1.5 3.9 5.9 8.5 8.9 4.1 7.0 0.0 9.6 93.7
2003 Cases 1631 7 3 6 12 257 693 127 91 110 305 1 12 7
Rate 5.2 1.3 2.2 0.6 1.6 3.4 5.7 10.9 9.1 3.5 7.4 3.2 28.2 23.9
2004 Cases 1613 7 1 8 10 219 700 144 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 1640 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 18.4 148.4
2006 Cases 1654 12 0 10 2 228 673 134 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 1576 7 0 7 5 229 680 103 106 112 278 3 15 31
Rate 4.8 1.4 0.0 0.7 0.7 3.0 5.3 8.6 10.6 3.2 6.5 9.2 34.4 99.2
2008 Cases 1641 8 0 5 5 240 600 141 95 167 300 8 13 59
Rate 4.9 1.6 0.0 0.5 0.7 3.1 4.6 11.7 9.4 4.6 6.8 24.2 29.8 186.6
2009 Cases 1658 22 1 8 11 196 629 156 93 176 294 4 12 56
Rate 4.9 4.3 0.7 0.9 1.5 2.5 4.8 12.8 9.0 4.8 6.6 11.9 27.5 174.0
2010 Cases 1586 8 1 10 10 210 643 132 80 134 241 6 11 100
Rate 4.6 1.6 0.7 1.1 1.3 2.7 4.9 10.7 7.7 3.6 5.3 17.3 25.1 304.7
2011 Cases 1617 8 3 9 5 217 658 116 82 170 258 4 13 74
Rate 4.7 1.6 2.1 0.9 0.7 2.7 4.9 9.3 7.8 4.5 5.6 11.3 29.4 220.6
2012 Cases 1686 4 1 8 5 266 608 138 92 196 282 1 6 79
Rate 4.8 0.8 0.7 0.8 0.7 3.3 4.5 10.9 8.5 5.1 6.1 2.8 13.8 234.4

* Case counts and rates reflected in this report may vary slightly from individual provincial/territorial annual reports as a result of variation in reporting requirements.

Cases and rates for 2012 are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.

Note: Rate calculations are based on estimated population figures derived from census data produced by Statistics Canada Demography Division.


Table 2

Reported new active and re-treatment tuberculosis cases and incidence rates
per 100,000 by age group - Canada: 2002 - 2012 *
Reporting year   CANADA Age group (years)
<1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75+ Age Unk.
2002 Cases 1667 11 43 45 211 314 264 202 162 199 216 0
Rate 5.3 3.4 3.1 1.1 4.9 7.3 5.0 4.4 5.2 9.2 11.9 -
2003 Cases 1631 7 34 41 198 332 277 207 154 178 203 0
Rate 5.2 2.1 2.5 1.0 4.6 7.7 5.3 4.4 4.7 8.1 10.8 -
2004 Cases 1613 6 33 45 198 324 272 198 167 177 193 0
Rate 5.0 1.8 2.4 1.1 4.6 7.5 5.3 4.1 4.9 8.0 10.0 -
2005 Cases 1640 10 38 71 254 279 278 212 142 168 188 0
Rate 5.1 2.9 2.8 1.8 5.8 6.4 5.4 4.3 4.0 7.5 9.5 -
2006 Cases 1654 10 46 51 261 253 287 201 158 168 219 0
Rate 5.1 2.9 3.3 1.3 5.8 5.8 5.7 4.0 4.3 7.4 10.7 -
2007 Cases 1576 12 33 53 200 254 285 209 160 152 218 0
Rate 4.8 3.3 2.4 1.4 4.4 5.7 5.7 4.0 4.2 6.5 10.4 -
2008 Cases 1641 8 30 51 205 297 279 231 166 170 204 0
Rate 4.9 2.1 2.1 1.3 4.5 6.6 5.7 4.4 4.2 7.1 9.5 -
2009 Cases 1658 10 34 46 232 297 295 234 177 142 191 0
Rate 4.9 2.6 2.3 1.2 5.1 6.4 6.2 4.4 4.3 5.7 8.7 -
2010 Cases 1586 9 27 39 201 282 273 213 176 149 217 0
Rate 4.6 2.4 1.8 1.0 4.4 6.0 5.8 3.9 4.1 5.8 9.6 -
2011 Cases 1617 15 33 40 215 296 251 222 167 172 206 0
Rate 4.7 4.0 2.2 1.1 4.7 6.2 5.4 4.1 3.8 6.4 8.9 -
2012 Cases 1686 9 49 53 238 294 266 233 153 177 214 0
Rate 4.8 2.4 3.2 1.4 5.2 6.1 5.7 4.3 3.4 6.2 9.1 -

* Case counts and rates reflected in this report may vary slightly from individual provincial/territorial annual reports as a result of variation in reporting requirements.

Cases and rates for 2012 are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.

Note: Rate calculations are based on estimated population figures derived from census data produced by Statistics Canada Demography Division.


Table 3

Reported new active and re-treatment tuberculosis cases and incidence rates
per 100,000 by age group – Canada and provinces/territories: 2012*
Age group (years)   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 9 0 0 0 0 2 3 0 1 2 1 0 0 0
Rate 2.4 0.0 0.0 0.0 0.0 2.3 2.1 0.0 6.8 3.8 2.3 0.0 0.0 0.0
1-4 Cases 49 0 0 0 1 19 7 7 7 2 2 0 0 4
Rate 3.2 0.0 0.0 0.0 3.3 5.3 1.2 10.8 12.0 1.0 1.1 0.0 0.0 130.8
5-14 Cases 53 0 0 0 0 11 15 4 4 10 3 0 0 6
Rate 1.4 0.0 0.0 0.0 0.0 1.4 1.0 2.5 3.0 2.2 0.7 0.0 0.0 88.0
15-24 Cases 238 0 0 0 0 51 75 33 18 21 24 0 0 16
Rate 5.2 0.0 0.0 0.0 0.0 5.1 4.1 18.2 11.8 4.0 3.9 0.0 0.0 253.5
25-34 Cases 294 0 0 4 0 47 114 25 19 45 25 0 0 15
Rate 6.1 0.0 0.0 3.5 0.0 4.3 6.1 14.5 12.4 7.0 3.9 0.0 0.0 275.3
35-44 Cases 266 1 1 0 0 34 97 27 13 36 41 0 2 14
Rate 5.7 1.5 5.4 0.0 0.0 3.2 5.2 16.9 10.1 6.4 6.7 0.0 33.4 319.2
45-54 Cases 233 0 0 1 1 26 85 20 12 21 49 0 0 18
Rate 4.3 0.0 0.0 0.7 0.8 2.1 4.0 11.0 8.0 3.7 6.9 0.0 0.0 492.2
55-64 Cases 153 1 0 0 1 20 54 11 7 18 35 0 1 5
Rate 3.4 1.2 0.0 0.0 0.9 1.8 3.2 7.1 5.4 4.1 5.6 0.0 22.3 240.6
65-74 Cases 177 1 0 0 0 28 70 8 5 22 38 1 3 1
Rate 6.2 2.0 0.0 0.0 0.0 3.9 6.6 8.5 6.3 9.2 9.6 40.8 173.1 124.1
75+ Cases 214 1 0 3 2 28 88 3 6 19 64 0 0 0
Rate 9.1 3.0 0.0 4.2 3.5 4.9 9.7 3.5 7.5 9.9 19.1 0.0 0.0 0.0
Unknown Cases 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rate - - - - - - - - - - - - - -
TOTAL Cases 1686 4 1 8 5 266 608 138 92 196 282 1 6 79
Rate 4.8 0.8 0.7 0.8 0.7 3.3 4.5 10.9 8.5 5.1 6.1 2.8 13.8 234.4

* Case counts and rates reflected in this report may vary slightly from individual provincial/territorial annual reports as a result of variation in reporting requirements.

Cases and rates for 2012 are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.

Note: Rate calculations are based on estimated population figures derived from census data produced by Statistics Canada Demography Division.


Table 4

Reported new active and re-treatment tuberculosis cases and incidence rates
by origin – Canada and provinces/territories: 2012
Origin   CANADA Province/territory
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. North*
Canadian-born First Nations Cases 210 0 0 0 0 4 3 85 59 13 39 7
Rate 23.9 - - - - 4.8 1.6 66.0 47.8 10.5 25.1 29.1
First Nations with status Cases 202 0 0 0 0 2 3 84 59 11 36 7
Rate 21.3 - 2.4 1.5 55.4 39.4 8.9 25.5 23.8
First Nations with status - On reserve Cases 115 0 0 0 0 2 0 59 26 7 21 0
Rate 23.3 - - - 64.0 35.9 9.5 32.0 0.0
First Nations with status - Off reserve Cases 79 0 0 0 0 0 0 25 33 4 15 2
Rate 17.3 - - - 42.0 42.8 8.1 19.9 16.0
First Nations with status - Unknown Cases 8 0 0 0 0 0 3 0 0 0 0 5
Rate - - - - - - - - -
First Nations, without status Cases 8 0 0 0 0 2 0 1 0 2 3 0
Rate - - - - - - - - - - - -
Inuit Cases 160 1 0 0 0 75 2 1 0 2 0 79
Rate 262.2 18.3 0.0 0.0 0.0 588.6 101.1 219.3 0.0 143.8 0.0 214.0
Métis Cases 11 0 0 0 0 0 0 0 6 3 2 0
Rate 3.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 11.0 3.5 4.0 0.0
Total Aboriginal Cases 381 1 0 0 0 79 5 86 65 18 41 86
Rate 29.4 4.0 0.0 0.0 0.0 69.2 2.0 43.3 36.4 8.6 19.8 129.4
Non-Aboriginal Cases 169 3 0 5 4 43 54 7 6 22 25 0
Rate 0.7 0.6 0.0 0.6 0.6 0.6 0.6 0.8 0.7 0.8 0.8 0.0
Total Canadian-born Cases 550 4 0 5 4 122 59 93 71 40 66 86
Rates 2.0 0.8 0.0 0.6 0.6 1.8 0.6 8.9 7.1 1.3 2.1 82.5
Foreign-born Africa, High HIV Prevalence, (AFR High) Cases 103 0 0 1 0 17 41 5 2 30 7 0
Rate 40.8 0.0 0.0 51.7 0.0 40.2 33.9 53.3 44.3 84.0 20.2 0.0
Africa, Low HIV Prevalence, (AFR Low) Cases 31 0 0 0 0 13 10 0 0 6 2 0
Rate 22.3 0.0 0.0 0.0 0.0 16.4 23.9 0.0 0.0 79.1 44.7 0.0
American Region - Latin American Countries (AMR) Cases 49 0 0 0 0 27 10 0 2 4 6 0
Rate 5.2 0.0 0.0 0.0 0.0 11.7 1.8 0.0 39.7 5.7 9.6 0.0
Eastern Europe (EEUR) Cases 14 0 0 0 0 3 9 1 0 0 1 0
Rate 3.7 0.0 0.0 0.0 0.0 3.7 4.4 6.4 0.0 0.0 2.6 0.0
Established Market Economies (EME) and Central Europe (CEUR) Cases 44 0 0 0 0 5 29 2 0 2 6 0
Rate 1.7 0.0 0.0 0.0 0.0 1.4 2.1 2.8 0.0 0.8 1.2 0.0
Eastern Mediterranean (EMR) Cases 114 0 0 0 0 25 63 2 4 17 3 0
Rate 14.2 0.0 0.0 0.0 0.0 13.5 13.9 20.9 73.8 25.9 4.6 0.0
South-East Asia (SEAR) Cases 267 0 1 1 0 11 158 8 3 30 55 0
Rate 31.0 0.0 300.3 30.8 0.0 22.7 29.7 50.6 61.0 39.9 31.2 0.0
Western Pacific (WPR) Cases 458 0 0 1 1 34 201 26 7 67 121 0
Rate 23.4 0.0 0.0 11.3 12.7 24.2 22.8 39.9 31.8 29.4 20.4 0.0
Unknown Cases 8 0 0 0 0 3 4 1 0 0 0 0
Rate - - - - - - - - - - - -
Total Foreign-born Cases 1088 0 1 3 1 138 525 45 18 156 201 0
Rate 13.6 0.0 8.0 4.4 2.4 11.9 12.6 20.7 22.6 20.1 13.8 0.0
Unknown Cases 48 0 0 0 0 6 24 0 3 0 15 0
Total Cases Cases 1686 4 1 8 5 266 608 138 92 196 282 86
Rate 4.8 0.8 0.7 0.8 0.7 3.3 4.5 10.9 8.5 5.1 6.1 76.0

* North = Northwest Territories + Nunavut + Yukon.

Cases and rates for 2012 are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.

NOTE:
Provincial/territorial data are suppressed and reported in aggregate form if the P/T population denominator for the cell is less than 40. For the Atlantic Provinces (New Brunswick, Newfoundland and Labrador, Nova Scotia, and Prince Edward Island), the population figures for First Nations with status on and off reserve are available in aggregate only. The indicated rates for these groups are for the entire Atlantic region.
First Nations = First Nations with status + First Nations, non-status;
Total Aboriginal = First Nations + Inuit + Métis
First Nations with status = First Nations with status, on reserve + First Nations with status off reserve + First Nations with status - unknown;
Total Canadian Born = Total Aboriginal + Total non-Aboriginal;
Rate calculations are based on estimated population figures derived from census data produced by Statistics Canada Demography Division.


Table 5

Reported new active and re-treatment tuberculosis cases and incidence rates per 100,000 by main diagnostic site - Canada: 2002-2012*
Main diagnostic site Reporting year
  2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Respiratory Primary Cases 88 79 94 106 91 64 59 62 63 48 60
Rate 0.3 0.2 0.3 0.3 0.3 0.2 0.2 0.2 0.2 0.1 0.2
Pulmonary Cases 1052 992 965 982 1132 1034 1146 1128 1041 1097 1137
Rate 3.4 3.1 3.0 3.0 3.5 3.1 3.4 3.3 3.1 3.2 3.3
Other respiratory§ Cases 53 63 90 113 85 94 78 97 102 83 97
Rate 0.2 0.2 0.3 0.4 0.3 0.3 0.2 0.3 0.3 0.2 0.3
Nonrespiratory Miliary Cases 9 12 14 15 10 11 14 12 11 13 8
Rate 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
CNS Cases 18 26 19 20 16 22 11 14 24 21 21
Rate 0.1 0.1 0.1 0.1 0.0 0.1 0.0 0.0 0.1 0.1 0.1
Peripheral lymph nodes Cases 240 247 251 242 192 203 181 207 198 220 204
Rate 0.8 0.8 0.8 0.8 0.6 0.6 0.5 0.6 0.6 0.6 0.6
Other** Cases 177 169 179 162 127 148 152 138 147 135 158
Rate 0.6 0.5 0.6 0.5 0.4 0.4 0.5 0.4 0.4 0.4 0.5
Unknown Cases 30 43 1 0 1 0 0 0 0 0 1
Rate 0.1 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
TOTAL†† Cases 1667 1631 1613 1640 1654 1576 1641 1658 1586 1617 1686
Rate 5.3 5.2 5.0 5.1 5.1 4.8 4.9 4.9 4.6 4.7 4.8

* Case counts and rates reflected in this report may vary slightly from individual provincial/territorial annual reports as a result of variation in reporting requirements.

Primary includes primary respiratory tuberculosis and tuberculous pleurisy in primary progressive tuberculosis, (ICD-9 codes 010.0-010.9; ICD-10 A15.7 and A16.7).

Pulmonary includes tuberculosis of the lungs and conducting airways, which includes tuberculous fibrosis of the lung, tuberculous bronchiectasis, tuberculous pneumonia, tuberculous pneumothorax, isolated tracheal or bronchial tuberculosis and tuberculous laryngitis; (ICD-9 codes 011-011.9, 012.2, 012.3; ICD-10 codes A15.0-A15.3, A15.5, A15.9, A16.0-A16.2, A16.4, A16.9). Included in the pulmonary counts are cases, regardless of ICD site designation (except for primary diagnosis) for which smear results and culture results were positive for sputum, bronchial wash and gastrointestinal wash regardless of ICD site designation (except for primary diagnosis).

§ Other respiratory includes tuberculous pleurisy (non-primary) and tuberculosis of: intrathoracic lymph nodes, mediastinum, nasopharynx, nose (septum), and sinus (any nasal) (ICD-9 codes: 012.0, 012.1 and 012.8; ICD-10 codes: A15.4, A15.6, A15.8, A16.3, A16.5, A16.8).

** Other includes tuberculosis of intestines, peritoneum and mesenteric glands, bones and joints, genitourinary system, skin, eye, ear, thyroid, adrenal and spleen.

†† Cases and rates for 2012 are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.

Note: Rate calculations are based on estimated population figures derived from census data produced by Statistics Canada Demography Division.


Table 6

Reported new active and re-treatment tuberculosis cases and incidence rates
per 100,000 by main diagnostic site – Canada and provinces/territories: 2012*
Main diagnostic site   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 Primary Cases 60 0 1 3 2 8 5 8 12 12 3 0 0 6
Rate 0.2 0.0 0.7 0.3 0.3 0.1 0.0 0.6 1.1 0.3 0.1 0.0 0.0 17.8
Pulmonary Cases 1137 4 0 4 3 207 365 97 53 116 216 1 4 67
Rate 3.3 0.8 0.0 0.4 0.4 2.6 2.7 7.7 4.9 3.0 4.7 2.8 9.2 198.8
Other respiratory§ Cases 97 0 0 0 0 11 26 14 7 18 14 0 1 6
Rate 0.3 0.0 0.0 0.0 0.0 0.1 0.2 1.1 0.6 0.5 0.3 0.0 2.3 17.8
Nonrespiratory Miliary Cases 8 0 0 0 0 2 3 0 0 1 2 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 0.0 0.0 0.0
CNS Cases 21 0 0 0 0 1 14 1 3 2 0 0 0 0
Rate 0.1 0.0 0.0 0.0 0.0 0.0 0.1 0.1 0.3 0.1 0.0 0.0 0.0 0.0
Peripheral lymph nodes Cases 204 0 0 1 0 16 116 11 5 32 23 0 0 0
Rate 0.6 0.0 0.0 0.1 0.0 0.2 0.9 0.9 0.5 0.8 0.5 0.0 0.0 0.0
Other ** Cases 158 0 0 0 0 21 79 7 11 15 24 0 1 0
Rate 0.5 0.0 0.0 0.0 0.0 0.3 0.6 0.6 1.0 0.4 0.5 0.0 2.3 0.0
Unknown Cases 1 0 0 0 0 0 0 0 1 0 0 0 0 0
Rate 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.0
TOTAL†† Cases 1686 4 1 8 5 266 608 138 92 196 282 1 6 79
Rate 4.8 0.8 0.7 0.8 0.7 3.3 4.5 10.9 8.5 5.1 6.1 2.8 13.8 234.4

* Case counts and rates reflected in this report may vary slightly from individual provincial/territorial annual reports as a result of variation in reporting requirements.

Primary includes primary respiratory tuberculosis and tuberculous pleurisy in primary progressive tuberculosis, (ICD-9 codes 010.0-010.9; ICD-10 A15.7 and A16.7).

Pulmonary includes tuberculosis of the lungs and conducting airways, which includes tuberculous fibrosis of the lung, tuberculous bronchiectasis, tuberculous pneumonia, tuberculous pneumothorax, isolated tracheal or bronchial tuberculosis and tuberculous laryngitis; (ICD-9 codes 011-011.9, 012.2, 012.3; ICD-10 codes A15.0-A15.3, A15.5, A15.9, A16.0-A16.2, A16.4, A16.9). Included in the pulmonary counts are cases, regardless of ICD site designation (except for primary diagnosis) for which smear results and culture results were positive for sputum, bronchial wash and gastrointestinal wash regardless of ICD site designation (except for primary diagnosis).

§ Other respiratory includes tuberculous pleurisy (non-primary) and tuberculosis of: intrathoracic lymph nodes, mediastinum, nasopharynx, nose (septum), and sinus (any nasal) (ICD-9 codes: 012.0, 012.1 and 012.8; ICD-10 codes: A15.4, A15.6, A15.8, A16.3, A16.5 A16.8).

** Other includes tuberculosis of intestines, peritoneum and mesenteric glands, bones and joints, genitourinary system, skin, eye, ear, thyroid, adrenal and spleen.

†† Cases and rates for 2012 are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.

Note: Rate calculations are based on estimated population figures derived from census data produced by Statistics Canada Demography Division.


Table 7

Reported treatment outcome status – Canada and provinces/territories: 2011*
Province/
territory
CANADA Treatment outcome
Cure Treatment completed without culture Death during treat-
ment
Transferred Treat-
ment ongoing
Absconded Failure Treatment discontinued due to adverse
event
Other Un-
known
Canada 1617 117 1003 134 27 87 5 0 2 16 226
Newfoundland and Labrador 8 1 6 1 0 0 0 0 0 0 0
Prince Edward Island 3 3 0 0 0 0 0 0 0 0 0
Nova Scotia 9 1 5 1 1 0 0 0 0 0 1
New Brunswick 5 3 2 0 0 0 0 0 0 0 0
Quebec 217 20 48 13 0 0 0 0 1 0 135
Ontario 658 0 495 50 14 79 1 0 0 5 14
Manitoba 116 27 76 11 1 1 0 0 0 0 0
Saskatchewan 82 0 61 11 0 3 2 0 0 5 0
Alberta 170 45 106 11 4 2 1 0 0 0 1
British Columbia 258 11 196 34 7 2 1 0 1 5 1
Yukon 4 0 4 0 0 0 0 0 0 0 0
Northwest Territories 13 6 4 2 0 0 0 0 0 1 0
Nunavut 74 0 0 0 0 0 0 0 0 0 74

* Outcome data reflect the outcomes reported as of June 2013. These data are provisional until publication of the Tuberculosis in Canada – 2012 annual report. These numbers will likely change.