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The incidence of iGAS disease in Alberta, Canada, has increased from 2003 to 2017. This increase has been driven not by a single  type, but rather what has been observed is a collection of common and emerging  types associated with disease. In addition, it is also likely that societal factors are playing important roles in this increase as risk factors associated with marginalized populations (addiction, alcohol abuse, and drug use) were found to have increased during the survey period.

Increasing Rates of Invasive Group A Streptococcal Disease in Alberta, Canada; 2003–2017