GGRB28H3 Chapter : Week 9 Article 1.docx
Document Summary
The association of housing density, isolation, and tuberculosis in canadian first nations communities. Early 20th century; death rate from t. b. in first nations in canada was 700/100 000. Due to malnutrition, confinement on crowded reservations with poor sanitation, & lack of immunity to the tb bacillus. In 1999, rate was 10 times that of the overall canadian rate in 1997. Association has been recognized between overcrowded housing and t. b. incidence, paediatric tb, & tb mortality. T. b. incidence higher in communities which are isolated from health services. All forms of t. b. were included; pulmonary & extrapulmonary. Housing density expressed as the average number or persons per room (ppr) in a community, and household income is expressed in canadian dollars. Average housing density higher in first nations (f. n. ) (0. 7 ppr), than in non-aboriginal canadian population (0. 4 ppr) Tb rates highest in saskatchewan, then alberta and manitoba. The 3 provinces have highest average levels of housing density.