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Analytics and Performance Reporting Branch

Epidemiology and Surveillance Unit

2022-Mar-23 15:39






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 36901 laboratory-confirmed, and 754 probable cases.







Figure 1: 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 is 28 years (range: 0-100)





Table 1. COVID-19 cases 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 218 1 239 1 0 0 457 1
1-4 years 926 2 962 3 0 0 1,888 5
5-9 years 1,530 4 1,626 4 0 0 3,156 8
10-19 years 3,579 10 3,330 9 8 0 6,917 18
20-29 years 3,726 10 3,377 9 4 0 7,107 19
30-39 years 3,384 9 2,889 8 3 0 6,276 17
40-49 years 2,488 7 2,119 6 0 0 4,607 12
50-59 years 2,011 5 1,648 4 1 0 3,660 10
60-69 years 1,127 3 900 2 0 0 2,027 5
70-79 years 500 1 370 1 0 0 870 2
80+ years 215 1 149 0 0 0 364 1
Unknown 177 0 148 0 1 0 326 1
All 19,881 53 17,757 47 17 0 37,655 100



Severe outcomes

Summary

  • Average age for COVID cases not hospitalized is 29 years, (range: 0-100)
  • Average age for COVID cases hospitalized is 47 years, (range: 0-97)
  • Average age for COVID cases hospitalized with an ICU stay is 50 years, (range: 0-92)
  • Average age for COVID cases that died is 65 years, (range: 23-97)



Table 2 . Total Hospitalizations, ICU admissions and deaths (ever) among COVID-19 cases in First Nations people by age group
Age Group
Cases
Hospitalized
ICU
Deaths
Count Count Case rate Pop. rate Count Case rate Pop. rate Count Case rate Pop. rate
Total 37655 2909 7.7 66.7 628 1.7 14.4 321 0.9 7.4
Under 1 year 457 48 10.5 1701.5 7 1.5 248.1 0 0.0 0.0
1-4 years 1888 28 1.5 247.9 6 0.3 53.1 0 0.0 0.0
5-9 years 3156 12 0.4 78.2 0 0.0 0.0 0 0.0 0.0
10-19 years 6917 123 1.8 404.2 19 0.3 62.4 0 0.0 0.0
20-29 years 7107 396 5.6 1355.9 55 0.8 188.3 5 0.1 17.1
30-39 years 6276 505 8.0 2058.5 73 1.2 297.6 14 0.2 57.1
40-49 years 4607 438 9.5 2070.5 111 2.4 524.7 33 0.7 156.0
50-59 years 3660 493 13.5 2827.7 148 4.0 848.9 51 1.4 292.5
60-69 years 2027 426 21.0 4466.7 123 6.1 1289.7 85 4.2 891.2
70-79 years 870 289 33.2 7491.5 74 8.5 1918.2 79 9.1 2047.9
80+ years 364 140 38.5 10925.1 11 3.0 858.4 54 14.8 4214.0
Unknown 326 11 3.4 NA 1 0.3 NA 0 0.0 NA
Note:
Based on total hospitalizations and ICU admissions ever.
Row percent is out of the number of cases in each age group.
Each ICU admission is also included in the total number of hospitalization
Case rate (per 100 cases)
Population rate (per 100,000 population)



Figure 2: Number of current First Nations COVID patients in hospital, ICU and non-ICU



Vaccinations

Notes:

Currently, 12 (out of 27) First Nation Public Health Offices submit vaccination data to Alberta Health. For this report, people who received vaccines in those First Nations Public Health Offices or people who were identified as First Nations based on First Nations Registry were included. Additional aggregate doses reported by First Nations Inuit and Health Branch, Indigenous Services Canada, were included in the summary section and Table 2.

Summary

  • At least 291,427 doses of COVID vaccine were administered in the First Nations people

  • At least 145,919 (rate: 86.2%) First Nations people received at least one dose of COVID vaccine.

  • At least 116,798 (rate: 69.0%) First Nations people were fully vaccined of COVID vaccine.



Table 3. Count of people vaccinated by age group and # of doses in First Nations people by zone.
Calgary
Central
Edmonton
South
North
Alberta
Age group at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized
5-11 1393 510 522 139 1315 601 789 296 1366 407 5385 1953
12-19 3831 3705 2581 2182 4779 4274 1994 1804 5628 4620 18813 16585
20-34 6609 6303 3809 3353 9025 8163 3223 2945 9442 7982 32108 28746
35-49 5431 5613 3150 2899 7561 6982 2743 2633 8047 7295 26932 25422
50-64 4240 4465 2405 2278 5470 5235 2167 2143 6945 6646 21227 20767
65+ 1548 1657 953 946 2093 2088 1034 1065 3192 3120 8820 8876
12+ 21830 21872 12969 11687 29084 26847 11261 10651 33416 29770 108560 100827
5+ 23227 22384 13503 11828 30427 27455 12057 10948 34811 30187 114025 102802



Table 4. Percentage of population vaccinated by age group and # of doses in First Nations people by zone.
Calgary
Central
Edmonton
South
North
Alberta
Age group at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized at least 1 dose fully immunized
5-11 36.9% 13.5% 18.0% 4.8% 23.8% 10.9% 41.0% 15.4% 19.3% 5.8% 25.4% 9.2%
12-19 87.6% 84.8% 74.6% 63.1% 73.2% 65.4% 93.5% 84.6% 72.1% 59.2% 77.4% 68.2%
20-34 81.5% 77.7% 75.9% 66.8% 69.9% 63.3% 86.9% 79.4% 75.1% 63.5% 75.9% 67.9%
35-49 83.7% 86.6% 80.0% 73.6% 74.8% 69.0% 91.1% 87.4% 84.2% 76.3% 81.3% 76.8%
50-64 86.8% 91.4% 86.4% 81.9% 79.5% 76.1% 89.5% 88.6% 89.5% 85.7% 85.8% 84.0%
65+ 89.7% 96.1% 84.8% 84.2% 83.8% 83.6% 95.0% 97.9% 90.0% 88.0% 88.4% 88.9%
12+ 78.3% 78.5% 71.2% 64.2% 68.5% 63.3% 83.5% 79.0% 72.6% 64.7% 73.3% 68.1%
5+ 73.4% 70.7% 64.0% 56.0% 63.4% 57.2% 78.2% 71.0% 65.6% 56.9% 67.4% 60.8%

Exclude aggregate doses reported by First Nations Inuit and Health Branch, Indigenous Services Canada



Figure 3: COVID-19 vaccine administered in First Nations people by day.

Exclude aggregate doses reported by First Nations Inuit and Health Branch, Indigenous Services Canada

Geospatial

Summary

Figure 4: 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.

Table 5. COVID-19 cases in First Nations people by zone
Zone Count Percent
Calgary Zone 6,505 17
Central Zone 6,380 17
Edmonton Zone 8,113 22
North Zone 12,981 34
South Zone 3,669 10
Unknown 7 0
All 37,655 100



Laboratory testing

Figure 5: People tested for COVID-19 in First Nations people by day.



Figure 6: Cumulative and daily test positivity rate for COVID-19 in First Nations people.



Figure 7: 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.