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Cases are reported to public health officials by physicians or laboratories serving regions under surveillance; this includes patients managed outside of the region. Unconfirmed cases are not included. Standardized case report forms are completed in the region by trained communicable disease officers and include demographic, clinical, vaccination, and risk factor information. For the vaccine-preventable diseases (caused by S. pneumoniae, Hib, and N. meningitidis), details on the type of vaccine received are not currently available; however, information on the number of doses received is available.

2%, 8 of 44 cases with outcome data). Two (40%) of 5 Figure. Age distribution of surveillance population and cases of infection with group B streptococci (GBS), group A streptococci (GAS), Haemophilus influenzae, and Streptococcus pneumoniae in the Canadian circumpolar region. gov/eid • Vol. 14, No. 1, January 2008 37 INTERNATIONAL POLAR YEAR Table 5. Crude annualized incidence of Streptococcus pneumoniae, Haemophilus influenzae, GAS, and GBS by ethnicity in the Canadian circumpolar region, 1999–2005* Incidence/100,000 population/ year (no.

Pneumoniae, and these data are forwarded to the Arctic Investigations Program (AIP) of the Centers for Disease Control and Prevention (CDC) in Anchorage, Alaska, the coordinating center for ICS. Population distribution and land area vary widely among participating regions. Populations range from ≈57,000 persons in Greenland to >5 million persons in Finland. Land areas range from 102,968 km2 for Iceland to 4,506,600 km2 for northern Canada (Table 1). Regions with the largest land areas (Alaska, Greenland, and northern Canada) have populations scattered in remote, small communities often not connected by road to urban centers.

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