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Genital chlamydial infections in Norway. Hilde Kløvstad Norwegian Institute of Public Health 28.03.06. Challenges. Widespread infection 3-9% prevalence among young adults Asymptomatic Or mild or unspesific symptoms Complications But only a small proportion of untreated women
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Genital chlamydial infections in Norway Hilde Kløvstad Norwegian Institute of Public Health 28.03.06
Challenges • Widespread infection • 3-9% prevalence among young adults • Asymptomatic • Or mild or unspesific symptoms • Complications • But only a small proportion of untreated women • Young adults start earlier and have more sexual partners
Possibilities • Simpler and better diagnostics • Amplification methods • More test material: urine, tampons, swab • Self sampling possible • Simple and free one dose treatment • Increased awareness (more people get tested)
Number of tests positive for genital chlamydial infections in Norway, 1986 - 2005
Insidence rate for genital chlamydial infectionsin Northen Europe, 1999 - 2004
Norwegain surveillance of genital chlamydial infections (old system) • Aggregated data from laboratories (yearly) • Number of tests taken • Number of positive tests • 2004 • Information on age and sex 1/3 of the data
Prensent surveillance (from 2005) • Reports from laboratories x per year • Case defintion • One person with one or more positive test results for genital and anal chlamydial infection within a period of 60 days • Data collection • Date of sampling • Sex • Age • Municipality
Age and sex distribution genital chlamydial infections, Norway 2005
Infection control measuresgenital chlamdyial infections • Encoruage safe sex • Easy acess to knowledge on STI’s • Easy acces to condoms • Early diagnostics and treatment • Increased nr of people tested (easier access) • Simpler and better diagnostics • Self sampling • Simple and free one-dose treatment • Partner notification