Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 Influenza in First Nations communities in three provinces of Canada
Identifieur interne : 000638 ( Pmc/Checkpoint ); précédent : 000637; suivant : 000639Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 Influenza in First Nations communities in three provinces of Canada
Auteurs : Michael E. Green [Canada] ; Sabrina T. Wong [Canada] ; Josée G. Lavoie [Canada] ; Jeff Kwong [Canada] ; Leonard Macwilliam [Canada] ; Sandra Peterson [Canada] ; Guoyuan Liu [Canada] ; Alan Katz [Canada]Source :
- BMC Public Health [ 1471-2458 ] ; 2013.
Abstract
Early reports of the 2009 A/H1N1 influenza pandemic (pH1N1) indicated that a disproportionate burden of illness fell on First Nations reserve communities. In addition, the impact of the pandemic on different communities may have been influenced by differing provincial policies. We compared hospitalization rates for pneumonia and influenza (P&I) attributable to pH1N1 influenza between residents of First Nations reserve communities and the general population in three Canadian provinces.
Hospital admissions were geocoded using administrative claims data from three Canadian provincial data centres to identify residents of First Nations communities. Hospitalizations for P&I during both waves of pH1N1 were compared to the same time periods for the four previous years to establish pH1N1-attributable rates.
Residents of First Nations communities were more likely than other residents to have a pH1N1-attributable P&I hospitalization (rate ratio [RR] 2.8-9.1). Hospitalization rates for P&I were also elevated during the baseline period (RR 1.5-2.1) compared to the general population. There was an average increase of 45% over the baseline in P&I admissions for First Nations in all 3 provinces. In contrast, admissions overall increased by approximately 10% or less in British Columbia and Manitoba and by 33% in Ontario. Subgroup analysis showed no additional risk for remote or isolated First Nations compared to other First Nations communities in Ontario or Manitoba, with similar rates noted in Manitoba and a reduction in P&I admissions during the pandemic period in remote and isolated First Nations communities in Ontario.
We found an increased risk for pH1N1-related hospital admissions for First Nations communities in all 3 provinces. Interprovincial differences may be partly explained by differences in age structure and socioeconomic status. We were unable to confirm the assumption that remote communities were at higher risk for pH1N1-associated hospitalizations. The aggressive approach to influenza control in remote and isolated First Nations communities in Ontario may have played a role in limiting the impact of pH1N1 on residents of those communities.
Url:
DOI: 10.1186/1471-2458-13-1029
PubMed: 24499143
PubMed Central: 3840629
Affiliations:
- Canada
- Manitoba, Ontario
- Kingston (Ontario), Toronto, Winnipeg
- Université Queen's, Université de Toronto, Université du Manitoba
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sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name><affiliation wicri:level="4"><nlm:aff id="I10">Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Peterson, Sandra" sort="Peterson, Sandra" uniqKey="Peterson S" first="Sandra" last="Peterson">Sandra Peterson</name><affiliation wicri:level="1"><nlm:aff id="I4">Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Guoyuan" sort="Liu, Guoyuan" uniqKey="Liu G" first="Guoyuan" last="Liu">Guoyuan Liu</name><affiliation wicri:level="4"><nlm:aff id="I2">Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario</wicri:regionArea><orgName type="university">Université Queen's</orgName><placeName><settlement type="city">Kingston (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Katz, Alan" sort="Katz, Alan" uniqKey="Katz A" first="Alan" last="Katz">Alan Katz</name><affiliation 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to 2009 pandemic A/H1N1 Influenza in First Nations communities in three provinces of Canada</title><author><name sortKey="Green, Michael E" sort="Green, Michael E" uniqKey="Green M" first="Michael E" last="Green">Michael E. Green</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Family Medicine and Public Health Sciences, Queen's University, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Family Medicine and Public Health Sciences, Queen's University, Kingston, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario</wicri:regionArea><orgName type="university">Université Queen's</orgName><placeName><settlement type="city">Kingston (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Wong, Sabrina T" sort="Wong, Sabrina T" uniqKey="Wong S" first="Sabrina T" last="Wong">Sabrina T. Wong</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Nursing and Centre, University of British Columbia, Vancouver, BC, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Nursing and Centre, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Lavoie, Josee G" sort="Lavoie, Josee G" uniqKey="Lavoie J" first="Josée G" last="Lavoie">Josée G. Lavoie</name><affiliation wicri:level="1"><nlm:aff id="I5">School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>School of Health Sciences, University of Northern British Columbia, Prince George, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name><affiliation wicri:level="4"><nlm:aff id="I6">Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I7">Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Institute for Clinical Evaluative Sciences, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I8">University Health Network, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University Health Network, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I9">Public Health Ontario, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Public Health Ontario, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name><affiliation wicri:level="4"><nlm:aff id="I10">Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Peterson, Sandra" sort="Peterson, Sandra" uniqKey="Peterson S" first="Sandra" last="Peterson">Sandra Peterson</name><affiliation wicri:level="1"><nlm:aff id="I4">Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Guoyuan" sort="Liu, Guoyuan" uniqKey="Liu G" first="Guoyuan" last="Liu">Guoyuan Liu</name><affiliation wicri:level="4"><nlm:aff id="I2">Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario</wicri:regionArea><orgName type="university">Université Queen's</orgName><placeName><settlement type="city">Kingston (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Katz, Alan" sort="Katz, Alan" uniqKey="Katz A" first="Alan" last="Katz">Alan Katz</name><affiliation wicri:level="4"><nlm:aff id="I10">Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="I11">Departments of Family Medicine and Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Family Medicine and Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Early reports of the 2009 A/H1N1 influenza pandemic (pH1N1) indicated that a disproportionate burden of illness fell on First Nations reserve communities. In addition, the impact of the pandemic on different communities may have been influenced by differing provincial policies. We compared hospitalization rates for pneumonia and influenza (P&I) attributable to pH1N1 influenza between residents of First Nations reserve communities and the general population in three Canadian provinces.</p></sec><sec><title>Methods</title><p>Hospital admissions were geocoded using administrative claims data from three Canadian provincial data centres to identify residents of First Nations communities. Hospitalizations for P&I during both waves of pH1N1 were compared to the same time periods for the four previous years to establish pH1N1-attributable rates.</p></sec><sec><title>Results</title><p>Residents of First Nations communities were more likely than other residents to have a pH1N1-attributable P&I hospitalization (rate ratio [RR] 2.8-9.1). Hospitalization rates for P&I were also elevated during the baseline period (RR 1.5-2.1) compared to the general population. There was an average increase of 45% over the baseline in P&I admissions for First Nations in all 3 provinces. In contrast, admissions overall increased by approximately 10% or less in British Columbia and Manitoba and by 33% in Ontario. Subgroup analysis showed no additional risk for remote or isolated First Nations compared to other First Nations communities in Ontario or Manitoba, with similar rates noted in Manitoba and a reduction in P&I admissions during the pandemic period in remote and isolated First Nations communities in Ontario.</p></sec><sec><title>Conclusions</title><p>We found an increased risk for pH1N1-related hospital admissions for First Nations communities in all 3 provinces. Interprovincial differences may be partly explained by differences in age structure and socioeconomic status. We were unable to confirm the assumption that remote communities were at higher risk for pH1N1-associated hospitalizations. The aggressive approach to influenza control in remote and isolated First Nations communities in Ontario may have played a role in limiting the impact of pH1N1 on residents of those communities.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Jain, S" uniqKey="Jain S">S Jain</name></author><author><name sortKey="Kamimoto, L" uniqKey="Kamimoto L">L Kamimoto</name></author><author><name sortKey="Bramley, A" uniqKey="Bramley A">A Bramley</name></author><author><name sortKey="Schmitz, Am" uniqKey="Schmitz A">AM Schmitz</name></author><author><name sortKey="Benoit, Sr" uniqKey="Benoit S">SR Benoit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="La Ruche, G" uniqKey="La Ruche G">G La Ruche</name></author><author><name sortKey="Tarantola, A" uniqKey="Tarantola A">A Tarantola</name></author><author><name sortKey="Barboza, P" uniqKey="Barboza P">P 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24499143</article-id><article-id pub-id-type="pmc">3840629</article-id><article-id pub-id-type="publisher-id">1471-2458-13-1029</article-id><article-id pub-id-type="doi">10.1186/1471-2458-13-1029</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 Influenza in First Nations communities in three provinces of Canada</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Green</surname><given-names>Michael E</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>michael.green@dfm.queensu.ca</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Wong</surname><given-names>Sabrina T</given-names></name><xref ref-type="aff" rid="I3">3</xref><xref ref-type="aff" rid="I4">4</xref><email>Sabrina.Wong@nursing.ubc.ca</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Lavoie</surname><given-names>Josée G</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>Josee.Lavoie@unbc.ca</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Kwong</surname><given-names>Jeff</given-names></name><xref ref-type="aff" rid="I6">6</xref><xref ref-type="aff" rid="I7">7</xref><xref ref-type="aff" rid="I8">8</xref><xref ref-type="aff" rid="I9">9</xref><email>jeff.kwong@utoronto.ca</email></contrib><contrib contrib-type="author" id="A5"><name><surname>MacWilliam</surname><given-names>Leonard</given-names></name><xref ref-type="aff" rid="I10">10</xref><email>Leonard_MacWilliam@cpe.umanitoba.ca</email></contrib><contrib contrib-type="author" id="A6"><name><surname>Peterson</surname><given-names>Sandra</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>speterson@chspr.ubc.ca</email></contrib><contrib contrib-type="author" id="A7"><name><surname>Liu</surname><given-names>Guoyuan</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>liuguoy@queensu.ca</email></contrib><contrib contrib-type="author" id="A8"><name><surname>Katz</surname><given-names>Alan</given-names></name><xref ref-type="aff" rid="I10">10</xref><xref ref-type="aff" rid="I11">11</xref><email>Alan_Katz@cpe.umanitoba.ca</email></contrib></contrib-group><aff id="I1"><label>1</label>Departments of Family Medicine and Public Health Sciences, Queen's University, Kingston, Ontario, Canada</aff><aff id="I2"><label>2</label>Centre for Health Services and Policy Research and Institute for Clinical Evaluative Sciences, Queen’s University, Kingston, Ontario, Canada</aff><aff id="I3"><label>3</label>School of Nursing and Centre, University of British Columbia, Vancouver, BC, Canada</aff><aff id="I4"><label>4</label>Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada</aff><aff id="I5"><label>5</label>School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada</aff><aff id="I6"><label>6</label>Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada</aff><aff id="I7"><label>7</label>Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada</aff><aff id="I8"><label>8</label>University Health Network, Toronto, Ontario, Canada</aff><aff id="I9"><label>9</label>Public Health Ontario, Toronto, Ontario, Canada</aff><aff id="I10"><label>10</label>Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada</aff><aff id="I11"><label>11</label>Departments of Family Medicine and Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada</aff><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>30</day><month>10</month><year>2013</year></pub-date><volume>13</volume><fpage>1029</fpage><lpage>1029</lpage><history><date date-type="received"><day>19</day><month>7</month><year>2013</year></date><date date-type="accepted"><day>28</day><month>10</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Green et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder>Green et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1471-2458/13/1029"></self-uri><abstract><sec><title>Background</title><p>Early reports of the 2009 A/H1N1 influenza pandemic (pH1N1) indicated that a disproportionate burden of illness fell on First Nations reserve communities. In addition, the impact of the pandemic on different communities may have been influenced by differing provincial policies. We compared hospitalization rates for pneumonia and influenza (P&I) attributable to pH1N1 influenza between residents of First Nations reserve communities and the general population in three Canadian provinces.</p></sec><sec><title>Methods</title><p>Hospital admissions were geocoded using administrative claims data from three Canadian provincial data centres to identify residents of First Nations communities. Hospitalizations for P&I during both waves of pH1N1 were compared to the same time periods for the four previous years to establish pH1N1-attributable rates.</p></sec><sec><title>Results</title><p>Residents of First Nations communities were more likely than other residents to have a pH1N1-attributable P&I hospitalization (rate ratio [RR] 2.8-9.1). Hospitalization rates for P&I were also elevated during the baseline period (RR 1.5-2.1) compared to the general population. There was an average increase of 45% over the baseline in P&I admissions for First Nations in all 3 provinces. In contrast, admissions overall increased by approximately 10% or less in British Columbia and Manitoba and by 33% in Ontario. Subgroup analysis showed no additional risk for remote or isolated First Nations compared to other First Nations communities in Ontario or Manitoba, with similar rates noted in Manitoba and a reduction in P&I admissions during the pandemic period in remote and isolated First Nations communities in Ontario.</p></sec><sec><title>Conclusions</title><p>We found an increased risk for pH1N1-related hospital admissions for First Nations communities in all 3 provinces. Interprovincial differences may be partly explained by differences in age structure and socioeconomic status. We were unable to confirm the assumption that remote communities were at higher risk for pH1N1-associated hospitalizations. The aggressive approach to influenza control in remote and isolated First Nations communities in Ontario may have played a role in limiting the impact of pH1N1 on residents of those communities.</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Canada</li></country><region><li>Manitoba</li><li>Ontario</li></region><settlement><li>Kingston (Ontario)</li><li>Toronto</li><li>Winnipeg</li></settlement><orgName><li>Université Queen's</li><li>Université de Toronto</li><li>Université du Manitoba</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Green, Michael E" sort="Green, Michael E" uniqKey="Green M" first="Michael E" last="Green">Michael E. Green</name></noRegion><name sortKey="Green, Michael E" sort="Green, Michael E" uniqKey="Green M" first="Michael E" last="Green">Michael E. Green</name><name sortKey="Katz, Alan" sort="Katz, Alan" uniqKey="Katz A" first="Alan" last="Katz">Alan Katz</name><name sortKey="Katz, Alan" sort="Katz, Alan" uniqKey="Katz A" first="Alan" last="Katz">Alan Katz</name><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name><name sortKey="Kwong, Jeff" sort="Kwong, Jeff" uniqKey="Kwong J" first="Jeff" last="Kwong">Jeff Kwong</name><name sortKey="Lavoie, Josee G" sort="Lavoie, Josee G" uniqKey="Lavoie J" first="Josée G" last="Lavoie">Josée G. Lavoie</name><name sortKey="Liu, Guoyuan" sort="Liu, Guoyuan" uniqKey="Liu G" first="Guoyuan" last="Liu">Guoyuan Liu</name><name sortKey="Macwilliam, Leonard" sort="Macwilliam, Leonard" uniqKey="Macwilliam L" first="Leonard" last="Macwilliam">Leonard Macwilliam</name><name sortKey="Peterson, Sandra" sort="Peterson, Sandra" uniqKey="Peterson S" first="Sandra" last="Peterson">Sandra Peterson</name><name sortKey="Wong, Sabrina T" sort="Wong, Sabrina T" uniqKey="Wong S" first="Sabrina T" last="Wong">Sabrina T. Wong</name><name sortKey="Wong, Sabrina T" sort="Wong, Sabrina T" uniqKey="Wong S" first="Sabrina T" last="Wong">Sabrina T. Wong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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