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Analytics and Performance Reporting Branch

Epidemiology and Surveillance Unit

2020-Jul-15 15:09






COVID-19 in First Nations People (all Alberta)

Note: This report includes First Nations people living on and off reserve.

Highlights

Cases

Summary

  • There are 300 laboratory-confirmed, and 13 probable cases.



Figure 1: COVID-19 cases in First Nations people by day and case status. Recovered is based on the assumption that a person is recovered 14 days after a particular date (see data notes tab), if they did not experience severe outcomes (hospitalized or deceased).



Figure 2: Cumulative COVID-19 cases in First Nations people by route of suspected acquisition. Only includes COVID-19 cases where case report forms have been received. Suspected community refers to cases where there is no known epi-link, setting or travel where the person may have acquired infection. This includes cases where the investigation is still ongoing.



Figure 3: COVID-19 cases in First Nations people by day and case status. Probable cases include cases where the lab confirmation is pending.



Characteristics

Summary

  • The median age range is 30 years (0-90)
Number and rate of COVID-19 cases in First Nations people by age group

Figure 4: Number and rate of COVID-19 cases in First Nations people by age group



COVID-19 cases in First Nations people by age group and gender

Figure 5: COVID-19 cases in First Nations people by age group and gender



Symptoms

Table 1. Symptoms reported among COVID-19 cases
Symptom Count Percent
Cough 132 49.1
Other 88 32.7
Headache 85 31.6
Chills 79 29.4
Sore Throat 74 27.5
Difficulty Breathing 50 18.6
Malaise 46 17.1
Runny Nose 46 17.1
Asymptomatic 45 16.7
Fever 42 15.6
Pain 34 12.6
Nasal Congestion 32 11.9
Myalgia 27 10
Diarrhea 22 8.2
Nausea 20 7.4
Chest Pain 15 5.6
Vomiting 13 4.8
Decreased Appetite 12 4.5
Sneezing 10 3.7
Irritability/Confusion/Altered Mental State 8 3
Dizziness 8 3
Tachypnea 5 1.9
Abnormal Lung Asculation 4 1.5
Anorexia 3 1.1
Pharyngeal Exudate 3 1.1
Conjunctivitis 2 0.7
Arthralgia 1 0.4
Prostration 1 0.4
Encephalitis 0 0
Hypotension 0 0
Nose Bleed 0 0
Seizures 0 0
Total Cases With Symptom Data Available 269
Note:
Symptom prevalence based on enhanced case report forms.



Severe outcomes

Summary

  • Average age for COVID cases not hospitalized is 31 years, (range: 0-87)
  • Average age for COVID cases hospitalized is 49 years, (range: 19-90)
  • Average age for COVID cases hospitalized with an ICU stay is 53 years, (range: 29-88)
  • Average age for COVID cases that died is 67 years, (range: 34-81)
Rate of total hospitalizations, ICU admissions, and deaths among COVID-19 cases in First Nations people

Figure 6: Rate of total hospitalizations, ICU admissions, and deaths among COVID-19 cases in First Nations people



Total hospitalizations, ICU admissions and deaths (ever) among COVID-19 cases in First Nations people by age group. Each ICU admission is also included in the total number of hospitalizations.This is based on totals rather than current hospitalizations and ICU admissions.

Figure 7: Total hospitalizations, ICU admissions and deaths (ever) among COVID-19 cases in First Nations people by age group. Each ICU admission is also included in the total number of hospitalizations.This is based on totals rather than current hospitalizations and ICU admissions.



Geospatial

Summary

  • The percent of cases from the Calgary Zone is 39%

Figure 8: Cumulative COVID-19 cases in First Nations people by zone and date reported to Alberta Health. Cases without a postal code or incorrect postal codes are labelled as unknown.



Figure 9: Rate of COVID-19 cases (per 100,000 population) in First Nations people and by zone



Table 2. COVID-19 cases in First Nations people by zone
Zone Count Percent
Calgary Zone 122 39
Central Zone 3 1
Edmonton Zone 44 14
North Zone 76 24
South Zone 65 21
Unknown 3 1
All 313 100



Laboratory testing

Figure 10: People tested for COVID-19 in First Nations people by day. Note: data for the current day are incomplete.



Table 3. COVID-19 testing in First Nations people
Number (n)
Test volume 31,908
People tested 24,833



Table 4. People tested for COVID-19 in First Nations people by zone
Zone Count Percent
Calgary Zone 5,470 22
Central Zone 2,289 9
Edmonton Zone 5,170 21
North Zone 6,389 26
South Zone 5,185 21
Unknown 330 1
All 24,833 100



People tested for COVID-19 in First Nations people by age group and gender

Figure 11: People tested for COVID-19 in First Nations people by age group and gender



Table 5. People tested for COVID-19 in First Nations people by age group and gender
  Gender  
  Female Male Unknown All
Age Count Percent Count Percent Count Percent Count Percent
Under 1 year 112 0 123 0 0 0 235 1
1-4 years 427 2 455 2 0 0 882 4
5-9 years 552 2 591 2 2 0 1,145 5
10-19 years 1,451 6 1,236 5 1 0 2,688 11
20-29 years 2,436 10 2,140 9 1 0 4,577 18
30-39 years 2,517 10 2,102 8 2 0 4,621 19
40-49 years 2,184 9 1,620 7 0 0 3,804 15
50-59 years 1,962 8 1,450 6 0 0 3,412 14
60-69 years 1,233 5 890 4 0 0 2,123 9
70-79 years 549 2 403 2 0 0 952 4
80+ years 241 1 153 1 0 0 394 2
Unknown 0 0 0 0 0 0 0 0
All 13,664 55 11,163 45 6 0 24,833 100
Note:
Count represents the number of people tested



Figure 12: Cumulative and daily test positivity rate for COVID-19 in First Nations people.



Figure 13: Positivity rate for COVID-19 in First Nations people by zone.

Data notes

Data sources

Each COVID-19 case is assigned a First Nations status if they are on the cumulative First Nations Status Registry. The First Nations Status Registry is a listing of all Alberta Health Care Insurance Plan (AHCIP) registrants who have ever been associated with a First Nations group number since 1983. Furthermore, if an individual without ever showing a First Nations group number is on an AHCIP account for which the main registrant has had a First Nations group number at some point since 1983, the individual is also placed on the First Nations Status registry.

The Provincial Surveillance Information system (PSI) is a laboratory surveillance system which receives positive results for all Notifiable Diseases and diseases under laboratory surveillance from Alberta Precision Labs (APL). The system also receives negative results for a subset of organisms such as COVID-19. The system contains basic information on characteristics and demographics such as age, zone and gender.

Recovered is based on the assumption that a case is recovered 14 days after a particular date. For confirmed cases, we used specimen collected date and for probable cases, this is the date reported to Alberta Health.

Information such as hospitalizations and ICU admissions are received through enhanced case report forms sent by Alberta Health Services (AHS).

Disclaimer

The content and format of this report are subject to change. Cases are under investigation and numbers may fluctuate as cases are resolved. Data included in the interactive data application are up-to-date as of midday of the date of posting.