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Analytics and Performance Reporting Branch

Epidemiology and Surveillance Unit

2020-Aug-12 15:04






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 380 laboratory-confirmed, and 18 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 29 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 168 44
Other 124 32.5
Headache 113 29.6
Sore Throat 106 27.7
Chills 102 26.7
Malaise 87 22.8
Runny Nose 75 19.6
Asymptomatic 74 19.4
Nasal Congestion 66 17.3
Difficulty Breathing 63 16.5
Fever 59 15.4
Pain 46 12
Myalgia 45 11.8
Diarrhea 35 9.2
Nausea 32 8.4
Sneezing 30 7.9
Decreased Appetite 26 6.8
Chest Pain 23 6
Vomiting 20 5.2
Dizziness 14 3.7
Irritability/Confusion/Altered Mental State 11 2.9
Arthralgia 9 2.4
Conjunctivitis 6 1.6
Abnormal Lung Asculation 5 1.3
Anorexia 5 1.3
Tachypnea 5 1.3
Prostration 4 1
Pharyngeal Exudate 3 0.8
Encephalitis 0 0
Hypotension 0 0
Nose Bleed 0 0
Seizures 0 0
Total Cases With Symptom Data Available 382
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 48 years, (range: 19-90)
  • Average age for COVID cases hospitalized with an ICU stay is 51 years, (range: 20-88)
  • Average age for COVID cases that died is 72 years, (range: 34-88)
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 35%

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 141 35
Central Zone 11 3
Edmonton Zone 59 15
North Zone 107 27
South Zone 79 20
Unknown 1 0
All 398 100



Laboratory testing

Figure 10: People tested for COVID-19 in First Nations people by day.



Figure 11: Tests performed for COVID-19 in First Nations people by day.



Table 9. COVID-19 testing in First Nations people
Number (n)
Test volume 46,975
People tested 34,016



Table 10. People tested for COVID-19 in First Nations people by zone
Zone Count Percent
Calgary Zone 6,854 20
Central Zone 4,951 15
Edmonton Zone 6,936 20
North Zone 8,713 26
South Zone 6,094 18
Unknown 468 1
All 34,016 100



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

Figure 12: People tested for COVID-19 in First Nations people by age group and gender



Table 11. 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 132 0 136 0 0 0 268 1
1-4 years 632 2 690 2 0 0 1,322 4
5-9 years 907 3 933 3 1 0 1,841 5
10-19 years 2,258 7 1,978 6 2 0 4,238 12
20-29 years 3,365 10 2,971 9 0 0 6,336 19
30-39 years 3,418 10 2,838 8 2 0 6,258 18
40-49 years 2,882 8 2,144 6 0 0 5,026 15
50-59 years 2,502 7 1,865 5 0 0 4,367 13
60-69 years 1,573 5 1,148 3 0 0 2,721 8
70-79 years 664 2 502 1 0 0 1,166 3
80+ years 292 1 181 1 0 0 473 1
Unknown 0 0 0 0 0 0 0 0
All 18,625 55 15,386 45 5 0 34,016 100
Note:
Count represents the number of people tested



Figure 13: Cumulative and daily test positivity rate for COVID-19 in First Nations people.



Figure 14: 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.