Invasive Bacterial Diseases in Northern Canada
2008

Invasive Bacterial Diseases in Northern Canada

Sample size: 381 publication Evidence: moderate

Author Information

Author(s): Degani Naushaba, Navarro Christine, Deeks Shelley L., Lovgren Marguerite

Primary Institution: Hospital for Sick Children, Toronto, Ontario, Canada

Hypothesis

How do invasive bacterial diseases affect northern populations in Canada?

Conclusion

The study found that invasive bacterial diseases, particularly caused by Streptococcus pneumoniae, remain a significant health issue in northern Canada, especially among aboriginal populations.

Supporting Evidence

  • Crude annual incidence rates of invasive Streptococcus pneumoniae decreased from 34.0/100,000 population (1999–2002) to 23.6/100,000 population (2003–2005).
  • Aboriginal populations had higher incidence rates of S. pneumoniae, Haemophilus influenzae, and group A streptococci compared to non-aboriginal populations.
  • Implementation of universal PCV7 programs was associated with a reduction in PCV7-preventable illness in children under 2 years of age.

Takeaway

This study looked at how serious bacterial infections affect people living in the northern parts of Canada, especially kids and older adults. It found that these infections are more common in aboriginal people.

Methodology

Data were collected through a population-based surveillance network, with cases defined as persons from whom an organism under surveillance is isolated from normally sterile sites.

Potential Biases

Potential biases include underreporting of cases and lack of complete vaccination coverage data.

Limitations

The number of reported cases is too small for detailed analysis, and the data may underestimate the true incidence of invasive bacterial diseases.

Participant Demographics

The study included a population of 132,956, with 59% identifying as aboriginal.

Statistical Information

P-Value

0.119

Statistical Significance

p = 0.119

Digital Object Identifier (DOI)

10.3201/eid1401.061522

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