PRO/EDR> Streptococcus, group A – Canada (05): (ON) fatal, under-housed, IDU, comment

Strep — Canada
The strains associated with the under-housed/PWID [people who inject drugs] are emm types 74 and 81. There are 12 different emm-types in the community (emm1 is most common, about 10 cases) with no common epi-links, spread over time and place.
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Dr Barry Pakes MD, MPH, CCFP, FRCPC, PhD
Dr Gayane Hovhannisyan MD, MPH, PhD, FRCPC
Associate Medical Officers of Health
Middlesex London Health Unit
London, Ontario
Canada

[ProMED-mail thanks Dr Barry Pakes and Dr Gayane Hovhannisyan for

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