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Research ArticleResearch

First Nations hepatitis C virus infections

Six-year retrospective study of on-reserve rates of newly reported infections in northwestern Ontario

Janet Gordon, Natalie Bocking, Kathy Pouteau, Terri Farrell, Gareth Ryan and Len Kelly
Canadian Family Physician November 2017; 63 (11) e488-e494;
Janet Gordon
Chief Operating Officer for the Sioux Lookout First Nations Health Authority in Ontario.
PND
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Natalie Bocking
Public health physician in the Sioux Lookout First Nations Health Authority.
MD MIPH CCFP FRCPC
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Kathy Pouteau
Community physician in Sioux Lookout.
MD MSc DTMH CCFP
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Terri Farrell
Medical Director for the Sioux Lookout First Nations Health Authority.
MB ChB DCH CCFP
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Gareth Ryan
Research intern in the Anishinaabe Bimaadiziwin Research Program in Sioux Lookout.
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Len Kelly
Research consultant for the Anishinaabe Bimaadiziwin Research Program.
MD MClSc FCFP FRRM
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  • For correspondence: lkelly@mcmaster.ca
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    Figure 1.

    Age-adjusted rates (per 100 000 population) of newly reported hepatitis C virus antibody-positive test results among First Nations patients living on reserve in SLFNHA communities by year (2010 to 2015) and corresponding rates in Canada and Ontario

    SLFNHA—Sioux Lookout First Nations Health Authority.

    Data from Public Health Ontario14 and Public Health Agency of Canada.15

  • Figure 2.
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    Figure 2.

    No. of reported hepatitis C virus antibody-positive cases by age group in First Nations communities serviced by the SLFNHA from January 1, 2010, to December 31, 2015

    SLFNHA—Sioux Lookout First Nations Health Authority.

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    Table 1.

    Newly reported HCV antibody-positive test results and rates per 100 000 in SLFNHA communities by year: The total no. of reported cases was 267.

    YEARON-RESERVE POPULATIONNO. OF CASESRATE PER 100 000 (95% CI)
    201018 5361556.6 (41.9 to 71.3)
    201119 07227235.5 (205.4 to 265.6)
    201219 50538169.9 (144.4 to 195.5)
    201320 07628113.1 (92.3 to 133.9)
    201420 46386364.7 (364.3 to 402.1)
    201520 90173324.2 (288.9 to 359.5)
    • HCV—hepatitis C virus, SLFNHA—Sioux Lookout First Nations Health Authority.

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    Table 2.

    Risk factors of individuals with HCV antibody-positive test results in SLFNHA communities: Patients often identified > 1 risk factor; there were 252 reported cases from 2011 to 2015.

    RISK FACTORN (%)
    Epidemiologic link to confirmed case30 (11.9)
    Had unsafe sex19 (7.5)
    Shared IVDU equipment218 (86.5)
    Other8 (3.2)
    Unknown17 (6.7)
    • HCV—hepatitis C virus, IVDU—intravenous drug use, SLFNHA—Sioux Lookout First Nations Health Authority.

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Canadian Family Physician: 63 (11)
Canadian Family Physician
Vol. 63, Issue 11
1 Nov 2017
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First Nations hepatitis C virus infections
Janet Gordon, Natalie Bocking, Kathy Pouteau, Terri Farrell, Gareth Ryan, Len Kelly
Canadian Family Physician Nov 2017, 63 (11) e488-e494;

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Janet Gordon, Natalie Bocking, Kathy Pouteau, Terri Farrell, Gareth Ryan, Len Kelly
Canadian Family Physician Nov 2017, 63 (11) e488-e494;
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