Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008)
Abstract Background The Children's Hospital of Eastern Ontario (CHEO) provides services to children in Baffin Island, through the Baffin Island Pediatric Health Initiative. Tuberculosis (TB) remains a major public health problem in that region. The objective of our study was to describe the ori...
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ftbiomed:oai:biomedcentral.com:1471-2431-10-102 2023-05-15T15:35:12+02:00 Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) Clark, Michael Hui, Charles 2010-12-30 http://www.biomedcentral.com/1471-2431/10/102 en eng BioMed Central Ltd. http://www.biomedcentral.com/1471-2431/10/102 Copyright 2010 Clark and Hui; licensee BioMed Central Ltd. Research article 2010 ftbiomed 2011-01-23T00:34:38Z Abstract Background The Children's Hospital of Eastern Ontario (CHEO) provides services to children in Baffin Island, through the Baffin Island Pediatric Health Initiative. Tuberculosis (TB) remains a major public health problem in that region. The objective of our study was to describe the origin and clinical characteristics of patients with TB disease at CHEO, since the inception of the Baffin Island Pediatric Health Initiative. Methods All charts with a discharge diagnosis of TB disease during the first 10 years of the Baffin Island program were reviewed. Patients meeting a pre-determined case definition were included in analyses. A standard medical record abstraction form was used for patient data collection. Results Twenty patients met our case definition. Seven (35%) were Canadian-born children from Baffin Island. Seven resided in Ontario, 4 in Quebec, and 2 were visiting from other countries. All 7 children residing in Ontario were born in African countries. Endothoracic disease occurred in 16 patients (80%), including 9 with primary pulmonary TB, and 3 with sputum smear positive "adult-type" disease. Extrathoracic disease was present in 6 children (30%), including 3 with CNS disease. Three children had disease in 2 separate sites. Conclusions While Baffin Island makes up 1% of the hospital catchment population, they contributed 35% of TB patients, and the only TB death. While TB in foreign-born children is due in part to epidemics abroad, the problem in Baffin Island is a reflection of disease burden and transmission within Canada. Article in Journal/Newspaper Baffin Island Baffin BioMed Central Baffin Island Canada |
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Abstract Background The Children's Hospital of Eastern Ontario (CHEO) provides services to children in Baffin Island, through the Baffin Island Pediatric Health Initiative. Tuberculosis (TB) remains a major public health problem in that region. The objective of our study was to describe the origin and clinical characteristics of patients with TB disease at CHEO, since the inception of the Baffin Island Pediatric Health Initiative. Methods All charts with a discharge diagnosis of TB disease during the first 10 years of the Baffin Island program were reviewed. Patients meeting a pre-determined case definition were included in analyses. A standard medical record abstraction form was used for patient data collection. Results Twenty patients met our case definition. Seven (35%) were Canadian-born children from Baffin Island. Seven resided in Ontario, 4 in Quebec, and 2 were visiting from other countries. All 7 children residing in Ontario were born in African countries. Endothoracic disease occurred in 16 patients (80%), including 9 with primary pulmonary TB, and 3 with sputum smear positive "adult-type" disease. Extrathoracic disease was present in 6 children (30%), including 3 with CNS disease. Three children had disease in 2 separate sites. Conclusions While Baffin Island makes up 1% of the hospital catchment population, they contributed 35% of TB patients, and the only TB death. While TB in foreign-born children is due in part to epidemics abroad, the problem in Baffin Island is a reflection of disease burden and transmission within Canada. |
format |
Article in Journal/Newspaper |
author |
Clark, Michael Hui, Charles |
spellingShingle |
Clark, Michael Hui, Charles Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) |
author_facet |
Clark, Michael Hui, Charles |
author_sort |
Clark, Michael |
title |
Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) |
title_short |
Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) |
title_full |
Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) |
title_fullStr |
Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) |
title_full_unstemmed |
Children from Baffin Island have a disproportionate burden of tuberculosis in Canada: data from the Children's Hospital of Eastern Ontario (1998-2008) |
title_sort |
children from baffin island have a disproportionate burden of tuberculosis in canada: data from the children's hospital of eastern ontario (1998-2008) |
publisher |
BioMed Central Ltd. |
publishDate |
2010 |
url |
http://www.biomedcentral.com/1471-2431/10/102 |
geographic |
Baffin Island Canada |
geographic_facet |
Baffin Island Canada |
genre |
Baffin Island Baffin |
genre_facet |
Baffin Island Baffin |
op_relation |
http://www.biomedcentral.com/1471-2431/10/102 |
op_rights |
Copyright 2010 Clark and Hui; licensee BioMed Central Ltd. |
_version_ |
1766365495932485632 |