Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

Document Type

Article

Publication Date

3-25-2021

Publication Title

Disaster Medicine and Public Health Preparedness

DOI

10.1017/dmp.2021.78

ISSN

1938-744X

Abstract

Objective:

This study aimed to investigate coronavirus disease (COVID-19) epidemiology in Alberta, British Columbia, and Ontario, Canada.

Methods:

Using data through December 1, 2020, we estimated time-varying reproduction number, R t , using EpiEstim package in R, and calculated incidence rate ratios (IRR) across the 3 provinces.

Results:

In Ontario, 76% (92 745/121 745) of cases were in Toronto, Peel, York, Ottawa, and Durham; in Alberta, 82% (49 878/61 169) in Calgary and Edmonton; in British Columbia, 90% (31 142/34 699) in Fraser and Vancouver Coastal. Across 3 provinces, R t dropped to ≤ 1 after April. In Ontario, R t would remain < 1 in April if congregate-setting-associated cases were excluded. Over summer, R t maintained < 1 in Ontario, ~1 in British Columbia, and ~1 in Alberta, except early July when R t was > 1. In all 3 provinces, R t was > 1, reflecting surges in case count from September through November. Compared with British Columbia (684.2 cases per 100 000), Alberta (IRR = 2.0; 1399.3 cases per 100 000) and Ontario (IRR = 1.2; 835.8 cases per 100 000) had a higher cumulative case count per 100 000 population.

Conclusions:

Alberta and Ontario had a higher incidence rate than British Columbia, but R t trajectories were similar across all 3 provinces.

Comments

Creative Common License - CCCreative Common License - BY

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Copyright

See the publisher's copyright and reuse policies.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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