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Suicide in Canada's immigrant population.

OBJECTIVES: This article compares suicide in the immigrant and Canadian-born populations. DATA SOURCES: The suicide data are from the Canadian Vital Statistics Data Base and the World Health Statistics Annual of the World Health Organization. The socio-demographic information used to determine denominators for suicide rates in Canada comes from the Census of Population. ANALYTICAL TECHNIQUES: Age-standardized suicide rates by sex and place of residence were calculated for the immigrant and Canadian-born populations, as were age- and sex-specific suicide rates. Three-year average rates, centred on census years 1991 and 1996, were used. A weighted data set based on 8 of the top 10 countries of birth for immigrants to Canada was created for international comparisons. Differences between rates were tested for statistical significance. MAIN RESULTS: Suicide rates for the immigrant population were about half those for the Canadian-born. Among immigrants, suicide rates increase with age; among the Canadian-born, suicide is a "younger" phenomenon. Although male suicide rates exceeded female rates in both populations, the difference was less pronounced among immigrants. The pattern of suicide among immigrants was more like that in their countries of origin than that of the Canadian-born population. Immigrants living in Toronto, Montréal and Vancouver had lower suicide rates than immigrants in other parts of Canada.

Age Factors↗

Imported giardiasis: impact of international travel, immigration, and adoption.

From the Swedish national database, regarding notified Giardia cases, we could for the period 1997-2003 identify 3,697 cases of travel-associated giardiasis, 4,151 cases in newly arrived immigrants and refugees, and 455 cases in internationally adopted children. These were compared with data sets on the number of international travelers, immigrants/refugees, and adopted children. The overall risk of being notified with giardiasis in returning travelers was 5.3 of 100,000, with the highest incidences in travelers from the Indian Subcontinent (628 of 100,000), East Africa (358 of 100,000), and West Africa (169 of 100,000). A large proportion of the travel-related cases were seen in persons with family roots in the country of infection-a risk group deserving special attention. The overall risk in immigrants and refugees was 1,180/100,000 with the highest risk in persons from Afghanistan (3,800 of 100,000) and Iraq (2,990 of 100,000). The incidence was highest among internationally adopted children (8,110 of 100,000), with geographical risks not entirely correlating to those in travelers and immigrants.

Adolescent↗

Tuberculosis case finding and treatment in Ethiopian immigrants to Israel, 1989-91.

In addition to the immigrants from Ethiopia who arrived in Israel during the period 1980-90, a particularly large number immigrated in 1991 including a concentrated group (Operation Solomon). The procedures and problems involved in tuberculosis case-finding and treatment in Ethiopia and in Israel are described. The prevalence rate of cases of active tuberculosis in those who immigrated in 1991 was 1.3/100 persons as compared with 1.9/100 in the 1984-85 immigration (Operation Moses). Among the 1991 immigrants the number of cases reported was 261. In 89% the site was pulmonary. After screening and treatment in Israel there were very few cases of relapse or death and few contact cases in the host population. Follow-up of case reporting from 1983 is updated and demonstrates that the majority of cases are detected and treated within 2-3 years of immigration. Since 1980, 771 cases of tuberculosis were reported in all immigrants from Ethiopia.

Antitubercular Agents↗