Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017

The incidence of invasive group A Streptococcus (iGAS) disease in the general population in Alberta, Canada, has been steadily increasing. To determine whether rates for specific populations such as First Nations are also increasing, we investigated iGAS cases among First Nations persons in Alberta...

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Main Authors: Gregory J. Tyrrell, Christopher Bell, Lea Bill, Sumana Fathima
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2021-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/27/2/20-1945_article
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author Gregory J. Tyrrell
Christopher Bell
Lea Bill
Sumana Fathima
author_facet Gregory J. Tyrrell
Christopher Bell
Lea Bill
Sumana Fathima
author_sort Gregory J. Tyrrell
collection DOAJ
description The incidence of invasive group A Streptococcus (iGAS) disease in the general population in Alberta, Canada, has been steadily increasing. To determine whether rates for specific populations such as First Nations are also increasing, we investigated iGAS cases among First Nations persons in Alberta during 2003–2017. We identified cases by isolating GAS from a sterile site and performing emm typing. We collected demographic, social, behavioral, and clinical data for patients. During the study period, 669 cases of iGAS in First Nations persons were reported. Incidence increased from 10.0 cases/100,000 persons in 2003 to 52.2 cases/100,000 persons in 2017. The 2017 rate was 6 times higher for the First Nations population than for non–First Nations populations (8.7 cases/100,000 persons). The 5 most common emm types from First Nations patients were 59, 101, 82, 41, and 11. These data indicate that iGAS is severely affecting the First Nations population in Alberta, Canada.
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spelling doaj.art-400a2d4d1a3645f1820c920b53efc5a02022-12-21T20:48:31ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592021-02-0127244345110.3201/eid2702.201945Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017Gregory J. TyrrellChristopher BellLea BillSumana FathimaThe incidence of invasive group A Streptococcus (iGAS) disease in the general population in Alberta, Canada, has been steadily increasing. To determine whether rates for specific populations such as First Nations are also increasing, we investigated iGAS cases among First Nations persons in Alberta during 2003–2017. We identified cases by isolating GAS from a sterile site and performing emm typing. We collected demographic, social, behavioral, and clinical data for patients. During the study period, 669 cases of iGAS in First Nations persons were reported. Incidence increased from 10.0 cases/100,000 persons in 2003 to 52.2 cases/100,000 persons in 2017. The 2017 rate was 6 times higher for the First Nations population than for non–First Nations populations (8.7 cases/100,000 persons). The 5 most common emm types from First Nations patients were 59, 101, 82, 41, and 11. These data indicate that iGAS is severely affecting the First Nations population in Alberta, Canada.https://wwwnc.cdc.gov/eid/article/27/2/20-1945_articleFirst Nationsinvasive group A streptococcus diseaseiGASStreptococcus pyogenesemm typehigh incidence
spellingShingle Gregory J. Tyrrell
Christopher Bell
Lea Bill
Sumana Fathima
Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017
Emerging Infectious Diseases
First Nations
invasive group A streptococcus disease
iGAS
Streptococcus pyogenes
emm type
high incidence
title Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017
title_full Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017
title_fullStr Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017
title_full_unstemmed Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017
title_short Increasing Incidence of Invasive Group A Streptococcus Disease in First Nations Population, Alberta, Canada, 2003–2017
title_sort increasing incidence of invasive group a streptococcus disease in first nations population alberta canada 2003 2017
topic First Nations
invasive group A streptococcus disease
iGAS
Streptococcus pyogenes
emm type
high incidence
url https://wwwnc.cdc.gov/eid/article/27/2/20-1945_article
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