Epidemiology of Sexually Transmitted Infections in North West England 2000 to 2004

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Epidemiology of Sexually TransmittedInfections
in North West England2000 to 2004

• North West Office

Matthew Ashton Public Health Intelligence
Specialist HPA NW / Centre for Public Health
Thursday 14th July 2005
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Overview

• Latest KC60 data
• Other infections
• Availability of data
• STI Pilot

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Background Information

• Routine surveillance of STIs (KC60)
• Quarterly returns submitted by GUM Clinics
• Aggregated data by condition, sex, and age
  group
• Limited facility for analysis of data
• Data not collected from other sources
• GUM clinics resources issue
• But good source of information for trend
  analysis

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Total diagnoses for North West Region, 2004

• 76,214 diagnoses of all infections in 2004 (209
  a day)
• 4 increase on 2003, 31 increase on 2000

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Total diagnoses by SHA area, 2004

• Cheshire Merseyside 27,941 infections in 2004
• 77 diagnoses a day
• 6.3 ? on 2003, 38.8 ? on 2000
• Cumbria Lancashire 17,781 infections in 2004
• 49 diagnoses a day
• 8.9 ? on 2003, 37.2 ? on 2000
• Greater Manchester 29,489 infections in 2004
• 81 diagnoses a day
• 4.0 ? on 2003, 17.1 ? on 2000

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A1A2 Primary and Secondary Syphilis

• 281 diagnoses of syphilis in North West in 2004
• 33 increase on 2003, 280 increase on 2000

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A1A2 Primary and Secondary Syphilis

• North West 96 Male, of those 50 MSM,
• Peak age groups 20 to 24, 25 to 34, and 35 to 44

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B1B2 Uncomplicated Gonorrhoea

• 2,589 diagnoses of gonorrhoea in 2004
• 9.7 decrease on 2003, 0.7 decrease on 2000

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B1B2 Uncomplicated Gonorrhoea

• North West 69 Male, of those 25 MSM,
• Peak age groups 16 to 19, 20 to 24

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C4AC4C Uncomplicated Chlamydia

• 14,305 diagnoses of chlamydia in North West in
  2004
• 3.7 increase on 2003, 61.9 increase on 2000

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C4AC4C Uncomplicated Chlamydia

• North West 53 Women, 47 Men, of those 4
  MSM,
• Peak age groups 16 to 19, and 20 to 24

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C10A Anogenital Herpes Simplex first attack

• 2061 diagnoses of herpes in North West in 2004
• 8.8 increase on 2003, 20.3 increase on 2000

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C10A Anogenital Herpes Simplex first attack

• North West 64 Women, 36 Men, of those 7
  MSM,
• Peak age groups 16 to 19, 20 to 24

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C11A Anogenital Warts first attack

• 10,290 diagnoses of warts in North West in 2004
• 1.2 increase on 2003, 16.5 increase on 2000

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C11A Anogenital Warts first attack

• North West 54 Male, of those 6 MSM,
• Peak age groups 16 to 19, 20 to 24

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Summary

• Region with highest number of diagnoses outside
  of London and the South East
• Highest number of GUM clinics per region
  outside of London and the South East
• Higher regional rates of Chlamydia, Gonorrhoea,
  Syphilis, and Warts than UK rates
• Regional rate of increase higher than rate of
  increase for UK
• Epidemiology of each infection varies
  considerably

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Other infections

• Lymphogranuloma Venereum (LGV)
• 113 cases reported to enhanced surveillance in
  UK
• 3 reported so far from North West (all
  Manchester cases)
• all cases MSM, 81 HIV positive, 16 Hep C
  positive
• 95 white, 90 symptomatic (of which 95
  anorectal)
• Hepatitis A
• Anecdotal evidence of increases in MSM in the
  region
• Hepatitis B
• Sexual transmission is key factor

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Availability of Data

• Sexually Transmitted Infections Data Selector
• (www.nwpho.org.uk/kc60)

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STI Pilot

• Pilot to collect dissagregated data from GUM
  clinics in NW
• Looking at feasibility and added value
• 3 clinics currently participating, 2 years
  worth of data
• Data items collected include ethnicity,
  nationality, sexual orientation, date of
  attendance/diagnosis, and PCT of residence
• Report on pilot out in August / September
• If successful, and if funding can be obtained,
  look to extend across the whole of the North West
  region

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STI Pilot example outputs
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Acknowledgments

• GUM Clinics in the North West
• Regional Sexual Health Task Group
• Regional Sexual Health Networks
• Health Protection Agency North West
• Health Protection Agency Centre for Infections
• Sexual Health Team, Centre for Public Health

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Matthew Ashton Public Health Intelligence
Specialist m.j.ashton_at_livjm.ac.uk