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STD Surveillance 2001

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Gonorrhea Reported rates: United States, 1970 2001 and the Healthy People year ... Gonorrhea Age- and sex-specific rates: United States, 2001 ... – PowerPoint PPT presentation

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Title: STD Surveillance 2001


1
STD Surveillance 2001
  • Adapted from CDC
  • by Jill Gallin, CPNP
  • Assistant Professor of Clinical Nursing

2
  • The number of disease reported
  • does not equal the incidence

3
Factors affecting report data
  • Reporting systems
  • Laboratories
  • Providers
  • Information systems
  • Increase or decrease in screening
  • Sensitivity of diagnostic tests/ Ability to
    diagnose disease

4
ChlamydiaSexually Transmitted Disease
Surveillance 2001
  • Division of STD Prevention

5
Chlamydia Number of states that require
reporting of Chlamydia trachomatis infections
United States, 19872001
6
Chlamydia Reported rates United States,
19842001
7
Chlamydia Rates by state United States and
outlying areas, 2001
Note The total rate of chlamydia for the United
States and outlying areas (including Guam, Puerto
Rico and Virgin Islands) was 275.5 per 100,000
population.
8
Chlamydia Rates by region United States,
19842001
9
Chlamydia Rates by sex United States,
19842001
10
Chlamydia Age- and sex-specific rates United
States, 2001
11
Chlamydia Trends in positivity among 15-44 year
old women tested in family planning clinics by
HHS regions, 19882001
Note Trends adjusted for changes in laboratory
test method and associated increases in test
sensitivity. No data on laboratory test method
available for Region VII in 1995 and Regions IV
and V in 1996.SOURCE Regional Infertility
Prevention Program Office of Population Affairs
Local and State STD Control Programs Centers for
Disease Control and Prevention
12
GonorrheaSexually Transmitted Disease
Surveillance 2001
  • Division of STD Prevention

13
Gonorrhea Reported rates United States,
19702001 and the Healthy People year 2010
objective
Note The Healthy People 2010 (HP2010) objective
for gonorrhea is 19.0 cases per 100,000
population.
14
Gonorrhea Rates by region United States,
19812001 and the Healthy People year 2010
objective
15
Gonorrhea Rates by sex United States,
19812001 and the Healthy People year 2010
objective
16
Gonorrhea Rates by race and ethnicity United
States, 19812001 and the Healthy People year
2010 objective
17
Gonorrhea Age- and sex-specific rates United
States, 2001
18
Gonococcal Isolate Surveillance Project (GISP)
Location of participating clinics and regional
laboratories United States, 2001
Tripler AMC
19
Gonococcal Isolate Surveillance Project (GISP)
Penicillin and tetracycline resistance among GISP
isolates, 2001
Note PPNGpenicillinase-producing N.
gonorrhoeae TRNGplasmid-mediated tetracycline
resistant N. gonorrhoeae PPNG-TRNGplasmid-mediat
ed penicillin and tetracycline resistant N.
gonorrhoeae PenRchromosomally mediated
penicillin resistant N. gonorrhoeae
TetRchromosomally mediated tetracycline
resistant N. gonorrhoeae CMRNGchromosomally
mediated penicillin and tetracycline resistant N.
gonorrhoeae.
20
Gonococcal Isolate Surveillance Project (GISP)
Percent of Neisseria gonorrhoeae isolates with
resistance or intermediate resistance to
ciprofloxacin, 19902001
Note Resistant isolates have ciprofloxacin MICs
1 mg/mL. Isolates with intermediate resistance
have ciprofloxacin MICs of 0.125 - 0.5 mg/mL.
Susceptibility to ciprofloxacin was first
measured in GISP in 1990.
21
SyphilisSexually Transmitted Disease
Surveillance 2001
  • Division of STD Prevention

22
Syphilis Reported cases by stage of illness
United States, 19412001
23
Primary and secondary syphilis Reported rates
United States, 19702001 and the Healthy People
year 2010 objective
Note The Healthy People 2010 (HP2010) objective
for primary and secondary syphilis is 0.2 case
per 100,000 population.
24
Primary and secondary syphilis Rates by state
United States and outlying areas, 2001
Note The total rate of primary and secondary
syphilis for the United States and outlying areas
(including Guam, Puerto Rico and Virgin Islands)
was 2.2 per 100,000 population. The Healthy
People year 2010 objective is 0.2 per 100,000
population.
25
Primary and secondary syphilis Rates by region
United States, 19812001 and the Healthy People
year 2010 objective
26
Primary and secondary syphilis Rates by sex
United States, 19812001 and the Healthy People
year 2010 objective
27
Primary and secondary syphilis Rates by race
and ethnicity United States, 19812001 and the
Healthy People year 2010 objective
28
Primary and secondary syphilis Male to female
rate ratios United States, 19812001
29
Primary and secondary syphilis Age- and
sex-specific rates United States, 2001
30
Congenital syphilis Rates for infants of age United States, 19812001 and the Healthy
People year 2010 objective
Note The Healthy People 2010 (HP2010) objective
for primary and secondary syphilis is 0.2 case
per 100,000 population. The surveillance case
definition for congenital syphilis changed in
1988.
31
Other Sexually Transmitted DiseasesSexually
Transmitted Disease Surveillance 2001
  • Division of STD Prevention

32
Chancroid Reported cases United States,
19812001
33
Genital herpes Initial visits to physicians
offices United States, 19662001
SOURCE National Disease and Therapeutic Index
(IMS America, Ltd.)
34
Genital herpes simplex virus type 2 infections
Percent seroprevalence according to age in
NHANES II (1976-1980) and NHANES III (1988-1994)
Note Bars indicate 95 confidence
intervals. National Health and Nutrition
Examination Survey
35
Genital warts Initial visits to physicians
offices United States, 19662001
SOURCE National Disease and Therapeutic Index
(IMS America, Ltd.)
36
Nonspecific urethritis Initial visits to
physicians offices by menUnited States,
19662001
SOURCE National Disease and Therapeutic Index
(IMS America, Ltd.)
37
Trichomonal and other vaginal infections
Initial visits to physicians offices United
States, 19662001
SOURCE National Disease and Therapeutic Index
(IMS America, Ltd.)
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