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Endemic Knowledge-Tuberculosis

The overall incidence of TB in Canada is 4.8 per 100,000 population; but the incidence among those born outside of Canada is 14.4 per 100,000 population. Among those with active TB in Canada, over 1 in 6 were diagnosed with active TB within 2 years of arrival to Canada. ITPs hailing from these countries are accustomed to the clinical management as well as the cultural sensitivities required to encourage patient buy-in and participation in managing their illness.

Endemic Knowledge-Tuberculosis

Tuberculosis:
Prevalence in Canada: The rate of active tuberculosis in Canada is among the lowest in the world. Canada experienced a steady decrease in the rate of tuberculosis between the 1940s and 1980s. Since then, the annual rates have remained about the same. In 2021, the rate of active tuberculosis in Canada was 4.8 per 100,000 population.
The incidence of Tuberculosis among people born outside of Canada is 14.4 per 100.000 population, and among people with active TB who were born outside of Canada, 81% were born in high burden TB countries and over 1 in 6 were diagnosed with active TB within 2 years after arrival to Canada.
Between 2012 and 2021 the number of new cases per year ranged from 1,615 to 1,921, however the incidence remained relatively stable (from 4.6 per 100,000 to 5.1 per 100,000).
Prevalence in source country:
In 2022, eight countries accounted for more than two thirds of global TB cases: India (27%), Indonesia (10%), China (7.1%), the Philippines (7.0%), Pakistan (5.7%), Nigeria (4.5%), Bangladesh (3.6%) and the Democratic Republic of the Congo (3.0%)
Commentary: (this is where we write why ITPs can help)

Disease: Tuberculosis (DONE)
Prevalence in Canada:
The rate of active tuberculosis (TB) in Canada is one of the lowest globally. From the 1940s to the 1980s, Canada saw a significant drop in TB cases. Since then, the annual rates have stayed relatively stable. In 2021, the rate was 4.8 cases per 100,000 people.
However, TB rates are higher among individuals born outside of Canada, with an incidence rate of 14.4 cases per 100,000. Among those with active TB, 81% were from high TB burden countries, and over one in six were diagnosed within two years of arriving in Canada.
Between 2012 and 2021, the number of new TB cases each year ranged from 1,615 to 1,921, with incidence rates remaining stable between 4.6 and 5.1 cases per 100,000 people.
Prevalence in Source Countries:
In 2022, eight countries accounted for more than two-thirds of global TB cases: India (27%), Indonesia (10%), China (7.1%), the Philippines (7.0%), Pakistan (5.7%), Nigeria (4.5%), Bangladesh (3.6%), and the Democratic Republic of the Congo (3.0%).
Based on https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/annual-report-parliament-immigration-2023.html,
Here are just the percentages for the Permanent Residents Admitted in 2022 by Top 10 Source Countries:
India: 27%
China: 7%
Afghanistan: 5%
Nigeria: 5%
Philippines: 5%
France: 3%
Pakistan: 3%
Iran: 3%
United States of America: 2%
Syria: 2%
Total Top 10 Countries: 63%
All Other Countries: 37%


Commentary:
Internationally Trained Physicians (ITPs) can be crucial in tackling TB in Canada. Many TB cases in Canada are among immigrants from countries with high TB rates. ITPs, who often have experience dealing with TB in their home countries, bring essential skills and understanding to the Canadian healthcare system. They can help with early detection and treatment of TB in immigrant communities, educate patients about TB, and develop effective public health strategies for diverse populations. Additionally, ITPs can overcome language barriers and build trust with patients, leading to better adherence to TB treatment and reducing the spread of the disease.

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