Lyme Disease in Canada

Tularemia is a zoonosis caused by F. tularensis, a slow-growing, fastidious, aerobic, gram-negative coccobacillus.1–4 Infections caused by F. tularensis remain uncommon in Canada. Tularemia was added to the Canadian list of notifiable diseases in 1930; it was removed in 1982 and then added back to the list in 2002.5 Between 2003 and 2019, only 157 reported cases of tularemia were reported in Canada, with the number of cases ranging between 5 and 22 per year (about 9 cases reported annually on average).5 Human tularemia cases have been reported in all Canadian provinces.