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

Epidemiology of Sexually Transmitted Infections in North West England 2000 to 2004. North West Office. Matthew Ashton Public Health Intelligence Specialist HPA NW / Centre for Public Health. Thursday 14 th July 2005. Overview. Latest KC60 data Other infections Availability of data

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

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  1. 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

  2. Overview • Latest KC60 data • Other infections • Availability of data • STI Pilot

  3. 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

  4. 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

  5. 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

  6. A1A2 Primary and Secondary Syphilis • 281 diagnoses of syphilis in North West in 2004 • 33% increase on 2003, 280% increase on 2000

  7. 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

  8. B1B2 Uncomplicated Gonorrhoea • 2,589 diagnoses of gonorrhoea in 2004 • 9.7% decrease on 2003, 0.7% decrease on 2000

  9. B1B2 Uncomplicated Gonorrhoea • North West: 69% Male, of those 25% MSM, • Peak age groups 16 to 19, 20 to 24

  10. C4AC4C Uncomplicated Chlamydia • 14,305 diagnoses of chlamydia in North West in 2004 • 3.7% increase on 2003, 61.9% increase on 2000

  11. C4AC4C Uncomplicated Chlamydia • North West: 53% Women, 47% Men, of those 4% MSM, • Peak age groups 16 to 19, and 20 to 24

  12. 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

  13. 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

  14. 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

  15. C11A Anogenital Warts – first attack • North West: 54% Male, of those 6% MSM, • Peak age groups 16 to 19, 20 to 24

  16. 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

  17. 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

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

  19. 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

  20. STI Pilot example outputs

  21. 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

  22. Matthew Ashton Public Health Intelligence Specialist m.j.ashton@livjm.ac.uk

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