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Continuing Education Meeting: Update on Syphilis, Gonorrhea, and Chlamydia Jan-Jun 2002

Continuing Education Meeting: Update on Syphilis, Gonorrhea, and Chlamydia Jan-Jun 2002. STD TRENDS IN HOUSTON. Liz Lee Senior Epidemiologist Bureau of Epidemiology Houston Department of Health and Human services August 14th, 2002. STD’s in Houston/Harris County. Syphilis Gonorrhea

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Continuing Education Meeting: Update on Syphilis, Gonorrhea, and Chlamydia Jan-Jun 2002

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  1. Continuing Education Meeting:Update on Syphilis, Gonorrhea, and Chlamydia Jan-Jun 2002 STD TRENDS IN HOUSTON Liz Lee Senior Epidemiologist Bureau of Epidemiology Houston Department of Health and Human services August 14th, 2002

  2. STD’s in Houston/Harris County • Syphilis • Gonorrhea • Chlamydia

  3. SYPHILIS In Houston/Harris County, Jan-Jun 2002

  4. Syphilis - Treponema pallidum

  5. Syphilis Stages of Main Concern • Focus on Primary and Secondary Stage • INFECTIOUS! • Infection within one year period (Early Latent Stage) is also of concern: • Indicates MISSED infectious syphilis cases • Syphilis in Pregnancycongenital syphilis

  6. Primary and secondary syphilis — Reported rates: United States,1970–2000 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.

  7. Primary and secondary syphilis — Rates by gender: United States,1981–2000 and the Healthy People year 2010 objective

  8. Primary and secondary syphilis — Rates by race and ethnicity: United States, 1981–2000 and the Healthy People year 2010 objective

  9. Primary and secondary syphilis — Rates by state: United States and outlying areas, 2000 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.

  10. Harris County is among the 28 counties that account for over 50% of infectious syphilis cases in US Harris County

  11. Syphilis in Houston/Harris County Alarm of potential outbreak among MSM population! MSM=“Men who have sex with men”

  12. Syphilis in Houston/Harris County *No decrease in number of cases seen at the citywide level! *MSM cases continuing to increase!

  13. Outbreak Level Citywide for Infectious (P&S) Syphilis in Houston/Harris • June 2002, Citywide: • 14 cases of infectious (P&S) syphilis • Exceeds outbreak threshold • 64% (9 of 14) cases were MSM cases • Urgent need to work with MSM community to provide education and screening services!

  14. P&S Rate, CitywideJan-Jun in 2001 v. 2002rates per 100,000 No change in rate! Healthy people 2010 goal: 0.2/100,000 per year

  15. P&S Rate, CitywideJan-July in 2001 v. 2002rates per 100,000 Increase in rate!

  16. Increase in Males Decrease in Females Rates of Infectious (P&S) Syphilis by Gender(rates per 100,000)

  17. Shift in Age Group: 20-29 y.o.  30-39 y.o. Rates of Infectious (P&S) Syphilis by Age Groups(rates per 100,000)

  18. Highest rate in Blacks Largest increase in Whites Rates of Infectious Syphilis (P&S) by Race/Ethnicity(rates per 100,000)

  19. Highest increase in White Males Highest rate in Black Males Rates of infectious (P&S) Syphilis by Race and Gender(rates in 100,000)

  20. Increasing Syphilis and HIV Co-Infection Rates

  21. Rates of MSM P&S Syphilis by Zip Code Area, in Houston/Harris County, Jan-Jun 2001 Rates: MSM, P&S J-J 2001

  22. Rates of MSM P&S Syphilis by Zip Code Area, in Houston/Harris County, Jan-Jun 2002

  23. Congenital syphilis — Rates for infants <1 year of age: United States, 1981–2000 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.

  24. Congenital Syphilis in Houston/Harris(rates per 100,000) Healthy People 2010 Objectives: 1 per 100,000!

  25. *Highest rate in Blacks *Rate as of June already exceeds 2001 levels Congenital Syphilis by Race/Ethnicity(rate per 100,000)

  26. Gonorrhea In Houston/Harris County, Jan-Jun 2002

  27. Jan-Jun 2001 2559 cases reported 75/100,000 Jan-Jun 2002 2464 cases reported 72/100,000 4% Decrease in Gonorrhea Healthy People 2000 goal: 100/100,000 per year

  28. Highest rate among African-Americans Increase among Asians Gonorrhea Rates by Race/Ethnicity*rates per 100,000

  29. 77004, 77021, 77033

  30. Distribution of Gonorrhea by Provider

  31. Chlamydia In Houston/Harris County, Jan-Jun 2002

  32. Jan-Jun 2001 5497 cases reported 162/100,000 Jan-Jun 2002 5522 cases reported 162/100,000 No Change in Number of Chlamydia Cases Reported(<1% decline)

  33. Largest proportion among 14-19 y.o.

  34. 77088 77033

  35. Distribution of Reported Chlamydia by Provider

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