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Sexually Transmitted Disease (STD) Surveillance Report, 2008

Sexually Transmitted Disease (STD) Surveillance Report, 2008. Minnesota Department of Health STD Surveillance System. www.health.state.mn.us/std. Introduction.

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Sexually Transmitted Disease (STD) Surveillance Report, 2008

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  1. Sexually Transmitted Disease (STD) Surveillance Report, 2008 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. National Context STDs in Minnesota: Annual Review

  7. United States: State-Specific Chlamydia Rates, 2007(National Rate = 370.2 per 100,000) SOURCE:Centers for Disease Control & Prevention, Division of STD Prevention. 2007 Surveillance Slides.

  8. United States: State-Specific Gonorrhea Rates, 2007(National Rate = 118.9 per 100,000) STDs in Minnesota: Annual Review SOURCE:Centers for Disease Control & Prevention, Division of STD Prevention. 2007 Surveillance Slides.

  9. United States: State-Specific P&S Syphilis Rates, 2007(National Rate = 3.8 per 100,000) STDs in Minnesota: Annual Review SOURCE:Centers for Disease Control & Prevention, Division of STD Prevention. 2007 Surveillance Slides.

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

  11. STDs in MinnesotaRate per 100,000 by Year of Diagnosis, 1998-2008 * P&S = Primary and Secondary.

  12. STDs in Minnesota:Number of Cases Reported in 2008 • Total of 17,650 STD cases reported to MDH in 2008: • 14,350 Chlamydia cases • 3,036 Gonorrhea cases • 263 Syphilis cases (all stages) • 0 Chancroid cases

  13. CHLAMYDIA STDs in Minnesota: Annual Review

  14. Chlamydia Infections by Residence at Diagnosis Minnesota, 2008

  15. Chlamydia Rates by GenderMinnesota, 1998-2008

  16. Chlamydia Rates by AgeMinnesota, 1998-2008

  17. Age-Specific Chlamydia Rates by Gender Minnesota, 2008

  18. Chlamydia Rates by Race/Ethnicity Minnesota, 1998-2008

  19. Chlamydia Rates by Race/Ethnicity Excluding BlacksMinnesota, 1998-2008

  20. GONORRHEA STDs in Minnesota: Annual Review

  21. Gonorrhea Infections in Minnesotaby Residence at Diagnosis, 2008

  22. Gonorrhea Rates by GenderMinnesota, 1998-2008

  23. Gonorrhea Rates by AgeMinnesota, 1998-2008

  24. Age-Specific Gonorrhea Rates by GenderMinnesota, 2008

  25. Gonorrhea Rates by Race/Ethnicity Minnesota, 1998-2008

  26. Gonorrhea Rates by Race/Ethnicity Excluding BlacksMinnesota, 1998-2008

  27. Prevalence of QRNG in Minnesota by Mode of Transmission, 2002 - 2008 †

  28. SYPHILIS STDs in Minnesota: Annual Review

  29. Syphilis Rates by Stage of Diagnosis Minnesota, 1998-2008

  30. Primary & Secondary Syphilis Infections in Minnesota by Residence at Diagnosis, 2008

  31. Primary & Secondary Syphilis Rates by GenderMinnesota, 1998-2008

  32. Primary & Secondary Syphilis Rates by AgeMinnesota, 1998-2008

  33. Age-Specific Primary & Secondary Syphilis Rates by Gender, Minnesota, 2008

  34. Primary & Secondary Syphilis Cases by RaceMinnesota, 2008

  35. Primary & Secondary Syphilis Rates by Race/EthnicityMinnesota, 1998-2008

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

  37. Chlamydia Disproportionately Impacts Youth

  38. Gonorrhea Disproportionately Impacts Youth

  39. Characteristics of Adolescents & Young Adults†Diagnosed With Chlamydia or Gonorrhea in 2008

  40. Characteristics of Adolescents & Young Adults† Diagnosed With Chlamydia or Gonorrhea in 2008

  41. Chlamydia Rates Among Adolescents & Young Adults†by Gender in Minnesota, 1998-2008

  42. Chlamydia — Positivity Rates by Age and Gender MIPP† Clinics, 2002-2008

  43. Chlamydia Cases Among Adolescents and Young Adults† by Gender and Race, Minnesota, 2008

  44. Chlamydia Rate Among Adolescents and Young Adults† by Race, Minnesota, 2008 Numbers above bars indicate female to male rate ratio

  45. Chlamydia — Positivity Rates Among 15-24 Year-olds by Race MIPP† Clinics, 2003-2008

  46. Gonorrhea Rates Among Adolescents & Young Adults†by Gender in Minnesota, 1998-2008

  47. Gonorrhea — Positivity Rates by Age and Gender MIPP† Clinics, 2003-2008

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