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Sexually Transmitted Disease (STD) Surveillance Report, 2011

Sexually Transmitted Disease (STD) Surveillance Report, 2011. Minnesota Department of Health STD Surveillance System. www.health.state.mn.us/std. Introduction.

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Sexually Transmitted Disease (STD) Surveillance Report, 2011

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  1. Sexually Transmitted Disease (STD) Surveillance Report, 2011 Minnesota Department of Health STD Surveillance System www.health.state.mn.us/std

  2. Introduction • Under Minnesota law, physicians and laboratories must report all laboratory-confirmed cases of chlamydia, gonorrhea, syphilis, and chancroid to the Minnesota Department of Health (MDH) within one working day. • The MDH does not maintain statistics for other, non-reportable STDs (ex: herpes, HPV/genital warts). • This slide set describes trends in reportable STDs in Minnesota by person, place, and time. • Analyses exclude cases reported from federal and private prisons. STDs in Minnesota: Annual Review

  3. Introduction • STD surveillance is the systematic collection of data from cases for the purpose of monitoring the frequency and distribution of STDs in a given population. • STD surveillance data are used to detect problems, prioritize resources, develop and target interventions, and evaluate the effectiveness of interventions. STDs in Minnesota: Annual Review

  4. Interpreting STD Surveillance Data • Factors that impact the completeness and accuracy of STD data include: • Level of STD screening by healthcare providers • Individual test-seeking behavior • Sensitivity of diagnostic tests • Compliance with case reporting • Completeness of case reporting • Timeliness of case reporting • Increases and decreases in STD rates can be due to actual changes in disease occurrence and/or changes in one or more of the above factors. STDs in Minnesota: Annual Review

  5. Interpreting STD Surveillance Data • The surveillance system only includes cases diagnosed in conjunction with a positive laboratory test. Cases diagnosed solely on symptoms are not counted. • Surveillance data represent cases of infection, not individuals. A person with multiple infections in a given year will be counted more than once. • Caution is warranted when interpreting changes in STD numbers that can seem disproportionately large when the number of cases is small.

  6. Changes in Rate Calculations for 2011 This 2011 data release includes rates calculated using revised population estimates for the calendar years between 2000 and 2010 U.S. Censuses Previously published rates dating back to 2001 have been updated in this release Data from the 2010 U.S. Census, released in 2011 reflected substantial growth among populations of color and American Indians in MN. Populations with the greatest increase were Black or African American, Asian/Pacific Islander, and Hispanic/Latino.

  7. National Context STDs in Minnesota: Annual Review

  8. Chlamydia—Rates by State, United States and Outlying Areas, 2010 National Rate = 422.6 per 100,000 population Source: Centers for Disease Control & Prevention, Division of STD Prevention. 2010 Surveillance Slides.

  9. Gonorrhea—Rates by State, United States and Outlying Areas, 2010 Source: Centers for Disease Control & Prevention, Division of STD Prevention. 2010 Surveillance Slides. National Rate = 99.6 per 100,000 population

  10. Primary and Secondary Syphilis—Rates by State United States and Outlying Areas, 2010 National Rate = 4.5 per 100,000 population Source: Centers for Disease Control & Prevention, Division of STD Prevention. 2010 Surveillance Slides.

  11. Overview of STDs in Minnesota STDs in Minnesota: Annual Review

  12. STDs in MinnesotaRate per 100,000 by Year of Diagnosis, 2001-2011 * P&S = Primary and Secondary

  13. STDs in Minnesota:Number of Cases Reported in 2011 • Total of 19,547 STD cases reported to MDH in 2011: • 16,898 Chlamydia cases • 2,283 Gonorrhea cases • 366 Syphilis cases (all stages) • 0 Chancroid cases

  14. CHLAMYDIA STDs in Minnesota: Annual Review

  15. 2011 Minnesota Chlamydia Rates by County Kittson Roseau Lake of the Woods Marshall Koochiching Pennington Beltrami Cook Red Lake Polk Lake Clearwater St. Louis Itasca Norman Mahnomen Hubbard Becker Cass Clay Wadena Aitkin Carlton Rate per 100,000 persons Wilkin Otter Tail Crow Wing 0 - 75 Pine Todd Morrison 76 - 150 Grant Douglas Mille Lacs Kanabec Traverse 151 - 300 Benton Pope Stevens Stearns Isanti Big Stone > 300 Sherburne Chisago City of Minneapolis 848 City of St. Paul 795 Suburban# 271 Greater Minnesota 198 (728 cases missing residence information) Swift Anoka Wright Kandiyohi Meeker Washington Chippewa Ramsey Hennepin Lac Qui Parle McLeod Carver Yellow Medicine Renville Dakota Scott Sibley Lincoln Lyon Redwood Goodhue Nicollet Rice Le Sueur Wabasha Brown # 7-county metro area, excluding the cities of Minneapolis and St. Paul Murray Dodge Pipestone Cottonwood Blue Earth Steele Olmsted Waseca Winona Watonwan Rock Nobles Jackson Martin Faribault Fillmore Houston Freeborn Mower

  16. Chlamydia Infections by Residence at Diagnosis Minnesota, 2011 Total Number of Cases = 16,898 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area.

  17. Chlamydia Rates by GenderMinnesota, 2001-2011

  18. Chlamydia Rates by AgeMinnesota, 2001-2011

  19. Age-Specific Chlamydia Rates by Gender Minnesota, 2011

  20. Chlamydia Rates by Race/Ethnicity Minnesota, 2001-2011 2011 rates compared with Whites: Black = 11x higher American Indian = 4x higher Asian/PI = 2x higher Hispanic = 3x higher * Persons of Hispanic ethnicity can be of any race.

  21. Chlamydia Rates by Race/Ethnicity Minnesota, 2001-2011 * Persons of Hispanic ethnicity can be of any race.

  22. GONORRHEA STDs in Minnesota: Annual Review

  23. 2011 Minnesota Gonorrhea Rates by County Kittson Roseau Lake of the Woods Marshall Koochiching Pennington Beltrami Cook Red Lake Polk Lake Clearwater St. Louis Itasca Norman Mahnomen Hubbard Becker Cass Clay Crow Wing Wadena Aitkin Carlton Rate per 100,000 persons Wilkin Otter Tail 0 - 10 Pine 11 - 29 Todd Morrison Grant Douglas Kanabec 30 - 100 Mille Lacs Traverse Benton > 100 Stevens Pope Stearns Isanti Big Stone Chisago Sherburne City of Minneapolis 211 City of St. Paul 132 Suburban# 30 Greater Minnesota 14 (91 cases missing residence information) Swift Anoka Kandiyohi Wright Meeker Washington Chippewa Ramsey Lac qui Parle Hennepin McLeod Carver Yellow Medicine Renville Dakota Scott Sibley Lincoln Lyon Redwood Goodhue Nicollet Rice Le Sueur Wabasha Brown # 7-county metro area, excluding the cities of Minneapolis and St. Paul Murray Blue Earth Cottonwood Steele Dodge Olmsted Pipestone Winona Watonwan Waseca Rock Nobles Jackson Martin Faribault Fillmore Houston Freeborn Mower

  24. Gonorrhea Infections in Minnesotaby Residence at Diagnosis, 2011 Total Number of Cases= 2,283 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area.

  25. Gonorrhea Rates by GenderMinnesota, 2001-2011

  26. Gonorrhea Rates by AgeMinnesota, 2001-2011

  27. Age-Specific Gonorrhea Rates by GenderMinnesota, 2011

  28. Gonorrhea Rates by Race/Ethnicity Minnesota, 2001-2011 2011 rates compared with Whites: Black = 26x higher American Indian = 6x higher Asian/PI = 0x higher Hispanic = 2x higher * Persons of Hispanic ethnicity can be of any race.

  29. Gonorrhea Rates by Race/Ethnicity Minnesota, 2001-2011 * Persons of Hispanic ethnicity can be of any race.

  30. SYPHILIS STDs in Minnesota: Annual Review

  31. Syphilis Rates by Stage of Diagnosis Minnesota, 2001-2011 * P&S = Primary and Secondary

  32. 2011 Minnesota Primary & Secondary Syphilis Rates by County Kittson Roseau Lake of the Woods Marshall Koochiching Pennington Beltrami Cook Red Lake Polk Lake Clearwater St. Louis Itasca Norman Mahnomen Hubbard Becker Cass Clay Crow Wing Wadena Aitkin Carlton Wilkin Otter Tail Rate per 100,000 persons Pine Todd Morrison Grant Douglas 0 – 0.2 Mille Lacs Kanabec Traverse 0.21 – 1.0 Benton Stevens Pope Stearns Isanti Big Stone > 1.0 Chisago Sherburne Swift Anoka City of Minneapolis 15.2 (58 cases) City of St. Paul 4.9 (14 cases) Suburban# 2.4 (52 cases) Greater Minnesota 0.5 (13 cases) Kandiyohi Wright Meeker Chippewa Washington Hennepin Lac qui Parle Ramsey McLeod Carver Yellow Medicine Renville Dakota Scott Sibley Lincoln Lyon Redwood Goodhue Le Sueur Nicollet Rice Wabasha Brown # 7-county metro area, excluding the cities of Minneapolis and St. Paul Pipestone Murray Cottonwood Steele Dodge Olmsted Winona Blue Earth Waseca Watonwan Rock Nobles Jackson Martin Faribault Fillmore Houston Freeborn Mower

  33. Primary & Secondary Syphilis Infections in Minnesota by Residence at Diagnosis, 2011 Total Number of Cases = 139 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area.

  34. Primary & Secondary Syphilis Rates by GenderMinnesota, 2001-2011

  35. Primary & Secondary Syphilis Rates by AgeMinnesota, 2001-2011

  36. Age-Specific Primary & Secondary Syphilis Rates by Gender, Minnesota, 2011

  37. Primary & Secondary Syphilis Cases by RaceMinnesota, 2011 Total Number of Cases = 139 *Includes persons reported with more than one race

  38. Primary & Secondary Syphilis Rates by Race/EthnicityMinnesota, 2001-2011 * Persons of Hispanic ethnicity can be of any race.

  39. CHLAMYDIA AND GONORRHEA AMONGADOLESCENTS & YOUNG ADULTS (15-19 year olds) (20-24 year olds) STDs in Minnesota: Annual Review

  40. Chlamydia Disproportionately Impacts Youth Chlamydia Cases in 2011 (n = 16,898) MN Population in 2010 (n = 5,303,925)

  41. Gonorrhea Disproportionately Impacts Youth Gonorrhea Cases in 2011 (n = 2,283) MN Population in 2010 (n = 5,303,925)

  42. Characteristics of Adolescents & Young Adults†Diagnosed With Chlamydia or Gonorrhea in 2011 † Adolescents defined as 15-19 year-olds; Young Adults defined as 20-24 year-olds. * Total includes 5 cases diagnosed in transgendered persons

  43. Characteristics of Adolescents & Young Adults† Diagnosed With Chlamydia or Gonorrhea in 2011 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area. † Adolescents defined as 15-19 year-olds; Young Adults defined as 20-24 year-olds.

  44. Chlamydia Rates Among Adolescents & Young Adults†by Gender in Minnesota, 2001-2011 Rate=Cases per 100,000 persons based on 2000 U.S. Census counts. † Adolescents defined as 15-19 year-olds; Young Adults defined as 20-24 year-olds.

  45. Chlamydia — Positivity Rates by Age and Gender MIPP† Clinics, 2002-2011 † The Minnesota Infertility Prevention Project (MIPP) is a project funded by the CDC to provide STD testing and treatment to uninsured men and women ages 15-24. Participating clinics include STD, family planning, adolescent, and community clinics.

  46. Chlamydia Cases Among Adolescents and Young Adults† by Gender and Race, Minnesota, 2011 Males (n = 2,998) Females (n = 8,876) † Adolescents defined as 15-19 year-olds; Young Adults defined as 20-24 year-olds.

  47. Chlamydia Rate Among Adolescents and Young Adults† by Race, Minnesota, 2011 Rate=Cases per 100,000 persons based on 2000 U.S. Census counts. † Adolescents defined as 15-19 year-olds; Young Adults defined as 20-24 year-olds.

  48. Chlamydia — Positivity Rates Among 15-24 Year-olds by Race MIPP† Clinics, 2002-2011 † The Minnesota Infertility Prevention Project (MIPP) is a project funded by the CDC to provide STD testing and treatment to uninsured men and women ages 15-24. Participating clinics include STD, family planning, adolescent, and community clinics.

  49. Gonorrhea Rates Among Adolescents & Young Adults†by Gender in Minnesota, 2001-2011 Rate=Cases per 100,000 persons based on 2000 U.S. Census counts. † Adolescents defined as 15-19 year-olds; Young Adults defined as 20-24 year-olds.

  50. Gonorrhea — Positivity Rates by Age and Gender MIPP† Clinics, 2002-2011 † The Minnesota Infertility Prevention Project (MIPP) is a project funded by the CDC to provide STD testing and treatment to uninsured men and women ages 15-24. Participating clinics include STD, family planning, adolescent, and community clinics.

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