[medRxiv, 20 December 2024]

Background: Canadian notifiable disease surveillance provides data on the incidence of communicable diseases, dating back to the late 19th century. The Public Health Agency of Canada offers summaries of these data (from 1924–2022) through an online portal. These summaries provide historical context for Canadian health researchers, but lack information on intra-annual and inter-provincial patterns. Sub-annual and sub-national data can be found in published documents, or requested from archives of government agencies, but are only available in typewritten or handwritten hard copies. We digitized and collated these data sources to create a resource for epidemiology and public health.

Methods: We manually entered data from scans of hard copies into spreadsheets resembling the originals, facilitating accurate transcription through easier cross-checking. We developed open-source pipelines to harmonize these spreadsheets into CSV files that blend data across sources.

Results: We assembled and processed 1,631,380 incidence values from 1903–2021. Focusing on sub-annual and sub-national data and removing redundancy yielded 934,009 weekly, monthly, or quarterly incidence values broken down by province/territory, containing 139 diseases. We give two examples of sub-annual and sub-national patterns: strong annual cycles of poliomyelitis that peaked simultaneously across provinces, and spatially heterogeneous resurgence of whooping cough in the 1990s.

Interpretation: Canada’s history of infectious disease surveillance has produced a detailed record of sub-annual and sub-national disease incidence patterns that remains largely unexplored. This important record is now available as the Canadian Disease Incidence Dataset (CANDID), hosted on a publicly accessible website along with the pipelines used to create it and scans of the original sources.