alabama std reports - january through march 2021...2021/03/24 · alabama std reports - january...
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ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021
CHLAMYDIA REPORT 2018 2019 2020 JAN - MAR 2021
RACE/ETHNICITY Cases % Cases % Cases % Cases %
Black 12,157 41.4 11,791 39 8,857 137.0 2,264 32.4
White 3,997 13.6 3,992 13.3 3,024 12.6 781 11.2
Hispanic 556 1.9 651 2.2 514 563 133 1.9
Multi-race 158 0.5 209 0.7 200 0.8 20 0.3
Other/Unknown 12,528 42.6 13,399 44.6 11,327 47.3 3,781 54.2
Total 29,396 100.0 30,042 100.0 23,922 100.0 6,979 100.0
AGE (YEARS) Cases % Cases % Cases % Cases %
<10 95 0.3 40 0.1 44 0.2 13 0.2
10-14 232 0.8 248 0.8 180 0.8 62 0.9
15-19 9,514 32.4 9,253 30.8 7,039 29.4 1,978 28.3
20-24 11,163 38.0 11,443 38.1 9,082 38.0 2,704 38.7
25-29 4,807 16.4 5,017 16.7 4,127 17.3 1,166 16.7
30-34 1,861 6.3 2,047 6.8 1,795 7.5 580 8.3
35-39 847 2.9 1,018 3.4 831 3.5 231 3.3
40-44 397 1.4 438 1.5 387 1.6 133 1.9
45-54 347 1.2 407 1.4 301 1.3 82 1.2
55-64 103 0.4 107 0.4 108 0.5 23 0.3
≥65 30 0.1 24 0.1 28 0.1 7 0.1
Total 29,396 100.0 30,042 100.0 23,922 100.0 6,979 100.0
GENDER Cases % Cases % Cases % Cases %
Male 9,013 30.7 9,418 31.3 7,799 32.6 2,113 30.3
Female 20,285 69.0 20,562 68.4 16,056 67.1 4,829 69.2
Unknown 98 0.3 62 0.2 67 0.3 37 0.5
Total 29,396 100.0 30,042 100.0 23,922 100.0 6,979 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021
GONORRHEA REPORT 2018 2019 2020 JAN - MAR 2021
RACE/ETHNICITY Cases % Cases % Cases % Cases %
Black 6,222 48.0 6,385 46 6,094 47.5 1,489 40.4
White 1,820 14.0 2,007 14.5 1,786 13.9 429 11.7
Hispanic 133 1.0 117 0.8 135 1.1 27 0.7
Multi-race 75 0.6 141 1.0 126 1.0 21 0.6
Other/Unknown 4,704 36.3 5,193 37.5 4,675 36.5 1,716 46.6
Total 12,954 100.0 13,843 100.0 12,816 100.0 3,682 100.0
AGE (YEARS) Cases % Cases % Cases % Cases %
<10 39 0.3 13 0.1 24 0.2 4 0.1
10-14 85 0.7 75 0.5 80 0.6 20 0.5
15-19 2,911 22.5 2,871 20.7 2,659 20.7 790 21.5
20-24 4,171 32.2 4,400 31.8 4,051 31.6 1,187 32.2
25-29 2,597 20.0 2,855 20.6 2,617 20.4 735 20.0
30-34 1,312 10.1 1,520 11.0 1,413 11.0 422 11.5
35-39 790 6.1 887 6.4 838 6.5 236 6.4
40-44 452 3.5 528 3.8 475 3.7 129 3.5
45-54 408 3.1 471 3.4 419 3.3 111 3.0
55-64 150 1.2 185 1.3 188 1.5 35 1.0
≥65 39 0.3 38 0.3 52 0.4 13 0.4
Total 12,954 100.0 13,843 100.0 12,816 100.0 3,682 100.0
GENDER Cases % Cases % Cases % Cases %
Male 6,655 51.4 7,212 52.1 6,757 52.7 1,864 50.6
Female 6,262 48.3 6,613 47.8 6,027 47.0 1,798 48.8
Unknown 37 0.3 18 0.1 32 0.2 20 0.5
Total 12,954 100.0 13,843 100.0 12,816 100.0 3,682 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021
PRIMARY & SECONDARY SYPHILIS REPORT 2018 2019 2020 JAN - MAR 2021
RACE/ETHNICITY Cases % Cases % Cases % Cases %
Black 322 70.0 394 68 326 64.4 64 67.4
White 120 26.1 153 26.5 151 29.8 20 21.1
Hispanic 4 0.9 14 2.4 14 2.8 4 4.2
Multi-race 6 1.3 5 0.9 7 1.4 3 3.2
Other/Unknown 8 1.7 11 1.9 8 1.6 4 4.2
Total 460 100.0 577 100.0 506 100.0 95 100.0
AGE (YEARS) Cases % Cases % Cases % Cases %
<10 0 0.0 0 0.0 0 0.0 0 0.0
10-14 1 0.2 28 4.9 0 0.0 0 0.0
15-19 38 8.3 139 24.1 26 5.1 8 8.4
20-24 121 26.3 145 25.1 99 19.6 18 18.9
25-29 111 24.1 97 16.8 111 21.9 18 18.9
30-34 70 15.2 47 8.1 82 16.2 17 17.9
35-39 54 11.7 45 7.8 54 10.7 8 8.4
40-44 16 3.5 51 8.8 36 7.1 12 12.6
45-54 31 6.7 17 2.9 64 12.6 7 7.4
55-64 14 3.0 8 1.4 24 4.7 5 5.3
≥65 4 0.9 0.0 10 2.0 2 2.1
Total 460 100.0 577 100.0 506 100.0 95 100.0
GENDER Cases % Cases % Cases % Cases %
Male 375 81.5 459 79.5 395 78.1 71 74.7
Female 85 18.5 118 20.5 111 21.9 24 25.3
Unknown 0 0.0 0 0.0 0 0.0 0 0.0
Total 460 100.0 577 100.0 506 100.0 95 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021
EARLY LATENT SYPHILIS REPORT 2018 2019 2020 JAN - MAR 2021
RACE/ETHNICITY Cases % Cases % Cases % Cases %
Black 299 67.6 311 65 300 68.0 46 57.5
White 117 26.5 137 28.8 109 24.7 24 30.0
Hispanic 8 1.8 13 2.7 23 5.2 6 7.5
Multi-race 11 2.5 5 1.1 5 1.1 3 3.8
Other/Unknown 7 1.6 9 1.9 4 0.9 1 1.3
Total 442 100.0 475 100.0 441 100.0 80 100.0
AGE (YEARS) Cases % Cases % Cases % Cases %
<10 0 0.0 0 0.0 0 0.0 0 0.0
10-14 0 0.0 0 0.0 0 0.0 0 0.0
15-19 35 7.9 22 4.6 24 5.4 0 0.0
20-24 106 24.0 114 24.0 91 20.6 20 25.0
25-29 97 21.9 109 22.9 111 25.2 24 30.0
30-34 69 15.6 71 14.9 77 17.5 17 21.3
35-39 44 10.0 55 11.6 49 11.1 4 5.0
40-44 27 6.1 32 6.7 32 7.3 2 2.5
45-54 45 10.2 40 8.4 32 7.3 8 10.0
55-64 18 4.1 29 6.1 22 5.0 5 6.3
≥65 1 0.2 3 0.6 3 0.7 0 0.0
Total 442 100.0 475 100.0 441 100.0 80 100.0
GENDER Cases % Cases % Cases % Cases %
Male 339 76.7 347 73.1 312 70.7 59 73.8
Female 103 23.3 128 26.9 129 29.3 21 26.3
Unknown 0 0.0 0 0.0 0 0.0 0 0.0
Total 442 100.0 475 100.0 441 100.0 80 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021
LATE LATENT SYPHILIS REPORT 2018 2019 2020 JAN - MAR 2021
RACE/ETHNICITY Cases % Cases % Cases % Cases %
Black 209 61.3 272 63 304 68.8 55 62.5
White 102 29.9 115 26.6 109 24.7 27 30.7
Hispanic 14 4.1 26 6.0 19 4.3 4 4.5
Multi-race 5 1.5 5 1.2 4 0.9 2 2.3
Other/Unknown 11 3.2 14 3.2 6 1.4 0 0.0
Total 341 100.0 432 100.0 442 100.0 88 100.0
AGE (YEARS) Cases % Cases % Cases % Cases %
<10 0 0.0 0 0.0 0 0.0 0 0.0
10-14 0 0.0 0 0.0 0 0.0 0 0.0
15-19 20 5.9 26 6.0 27 6.1 1 1.1
20-24 49 14.4 61 14.1 63 14.3 12 13.6
25-29 68 19.9 81 18.8 85 19.2 17 19.3
30-34 61 17.9 78 18.1 72 16.3 13 14.8
35-39 30 8.8 38 8.8 51 11.5 12 13.6
40-44 25 7.3 49 11.3 28 6.3 9 10.2
45-54 47 13.8 55 12.7 57 12.9 14 15.9
55-64 29 8.5 38 8.8 44 10.0 9 10.2
≥65 12 3.5 6 1.4 15 3.4 1 1.1
Total 341 100.0 432 100.0 442 100.0 88 100.0
GENDER Cases % Cases % Cases % Cases %
Male 239 70.1 286 66.2 298 67.4 57 64.8
Female 102 29.9 146 33.8 144 32.6 31 35.2
Unknown 0 0.0 0 0.0 0 0.0 0 0.0
Total 341 100.0 432 100.0 442 100.0 88 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021CHLAMYDIA CASES 2018 2019 2020 JAN - MAR 2021
NORTHERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Colbert 237 4.8 323 5.9 304 6.7 56 5.0Cullman 209 4.3 194 3.5 182 4.0 59 5.3Franklin 93 1.9 122 2.2 101 2.2 21 1.9Jackson 109 2.2 132 2.4 122 2.7 29 2.6
Lauderdale 411 8.4 435.4 455 8.3 460.0 431 9.5 435.7 90 8.0Lawrence 86 1.8 100 1.8 83 1.8 19 1.7Limestone 410 8.3 339 6.2 274 6.0 71 6.3Madison 2502 50.9 693.0 2857 52.1 766.1 2262 49.7 606.6 540 48.3Decion 71 1.4 88 1.6 55 1.2 16 1.4
Decshall 252 5.1 329 6.0 277 6.1 76 6.8Morgan 478 9.7 475 8.7 412 9.1 135 12.1Winston 53 1.1 65 1.2 49 1.1 7 0.6
Total 4911 100.0 459.1 5479 100.0 512.2 4552 100.0 425.6 1119 100.0
EAST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Autauga 286 5.1 325 6.0 298 7.7 95 7.4Bullock 130 2.3 75 1.4 72 1.9 17 1.3
Chambers 239 4.3 240 4.4 134 3.4 53 4.1Coosa 75 1.3 90 1.7 54 1.4 18 1.4Elmore 410 7.3 455 8.4 289 7.4 112 8.8
Lee 836 14.9 517.3 734 13.5 446.1 531 13.7 322.7 191 14.9Lowndes 101 1.8 92 1.7 78 2.0 22 1.7Macon 230 4.1 222 4.1 134 3.4 44 3.4
Montgomery 2736 48.8 1207.2 2583 47.5 1140.5 1862 47.9 822.1 584 45.6Russell 349 6.2 457 8.4 346 8.9 94 7.3
Tallapoosa 210 3.7 164 3.0 91 2.3 50 3.9Total 5602 100.0 792.6 5437 100.0 767.7 3889 100.0 549.1 1280 100.0
WEST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Bibb 141 4.6 121 4.5 101 5.3 41 5.9
Chilton 157 5.1 151 5.6 122 6.4 31 4.4Fayette 78 2.5 70 2.6 52 2.7 13 1.9Greene 94 3.1 95 3.5 75 3.9 24 3.4
Hale 224 7.3 175 6.5 126 6.6 36 5.2LaDec 38 1.2 49 1.8 25 1.3 18 2.6Perry 59 1.9 74 2.7 41 2.1 17 2.4
Pickens 121 3.9 120 4.4 59 3.1 21 3.0Sumter 153 5.0 135 5.0 70 3.7 18 2.6
Tuscaloosa 1820 59.3 875.8 1542 56.8 736.5 1121 58.6 535.5 432 61.9Walker 185 6.0 181 6.7 121 6.3 47 6.7Total 3070 100.0 706.8 2713 100.0 625.3 1913 100.0 440.9 698 100.0
JEFFERSON DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Jefferson 5298 100.0 803.7 4659 100.0 707.4 4654 100.0 706.7 1232 100.0
Total 5298 100.0 803.7 4659 100.0 707.4 4654 100.0 706.7 1232 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021NORTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %
Blount 186 5.9 236 6.4 152 5.8 47 6.3Calhoun 727 23.0 633.7 832 22.6 732.4 490 18.7 431.3 159 21.2
Cherokee 100 3.2 74 2.0 59 2.3 12 1.6Clay 92 2.9 76 2.1 52 2.0 15 2.0
Cleburne 38 1.2 35 1.0 28 1.1 6 0.8Dekalb 183 5.8 215 5.9 150 5.7 47 6.3Etowah 573 18.1 557.6 627 17.1 613.1 449 17.2 439.0 111 14.8
Randolph 132 4.2 126 3.4 85 3.2 25 3.3Shelby 480 15.2 224.7 600 16.3 275.6 541 20.7 248.5 162 21.6St. Clair 216 6.8 301 8.2 212 8.1 56 7.5
Talladega 436 13.8 544.6 552 15.0 690.2 400 15.3 500.1 111 14.8Total 3163 100.0 392.5 3674 100.0 453.9 2618 100.0 323.4 751 100.0
SOUTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Barbour 192 7.9 759.8 222 8.6 899.3 139 6.8 563.1 41 6.5Butler 193 7.9 207 8.1 142 6.9 52 8.3Coffee 308 12.7 593.7 332 12.9 634.3 233 11.3 445.1 74 11.8
Covington 158 6.5 159 6.2 127 6.2 49 7.8Crenshaw 96 3.9 110 4.3 65 3.2 16 2.5
Dale 328 13.5 666.3 280 10.9 569.4 266 12.9 541.0 81 12.9Geneva 118 4.8 107 4.2 93 4.5 32 5.1Henry 100 4.1 101 3.9 87 4.2 27 4.3
Houston 664 27.3 636.3 733 28.6 692.3 647 31.4 611.1 195 31.1Pike 277 11.4 832.7 316 12.3 954.3 260 12.6 785.2 61 9.7Total 2434 100.0 643.3 2567 100.0 677.4 2059 100.0 543.4 628 100.0
SOUTHWESTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Baldwin 655 35.1 308.0 751 34.9 336.4 689 42.1 308.6 213 40.8Choctaw 53 2.8 62 2.9 41 2.5 12 2.3Clarke 140 7.5 184 8.5 139 8.5 45 8.6
Conecuh 85 4.6 72 3.3 56 3.4 19 3.6Dallas 328 17.6 836.4 347 16.1 932.9 201 12.3 540.4 77 14.8
Escambia 195 10.4 255 11.8 181 11.1 48 9.2Decengo 95 5.1 150 7.0 92 5.6 32 6.1Monroe 126 6.7 115 5.3 107 6.5 31 5.9
Washington 98 5.2 77 3.6 67 4.1 18 3.4Wilcox 92 4.9 140 6.5 64 3.9 27 5.2Total 1867 100.0 459.0 2153 100.0 523.0 1637 100.0 397.7 522 100.0
MOBILE DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Mobile 3029 100.0 731.7 3359 100.0 812.9 2600 100.0 629.2 749 100.0Total 3029 100.0 731.7 3359 100.0 812.9 2600 100.0 629.2 749 100.0
STATE TOTAL Cases % Rate Cases % Rate Cases % Rate Cases %Alabama 29396 100.0 603.0 30042 100.0 612.7 23922 100.0 487.9 6979 100.0
Total 29396 100.0 603.0 30042 100.0 612.7 23922 100.0 487.9 6979 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021GONORRHEA CASES 2018 2019 2020 JAN - MAR 2021
NORTHERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Colbert 141 6.1 175 6.3 151 6.1 30 4.9Cullman 92 4.0 75 2.7 85 3.4 17 2.8Franklin 50 2.1 45 1.6 57 2.3 14 2.3Jackson 53 2.3 44 1.6 53 2.1 15 2.5
Lauderdale 135 5.8 143.0 235 8.5 237.6 246 10.0 248.7 47 7.7Lawrence 46 2.0 57 2.1 30 1.2 14 2.3Limestone 214 9.2 193 7.0 143 5.8 30 4.9Madison 1158 49.7 320.7 1485 53.6 398.2 1285 52.0 344.6 341 55.7Decion 36 1.5 45 1.6 25 1.0 4 0.7
Decshall 168 7.2 127 4.6 142 5.7 40 6.5Morgan 223 9.6 248 9.0 237 9.6 54 8.8Winston 13 0.6 40 1.4 17 0.7 6 1.0
Total 2329 100.0 217.7 2769 100.0 258.9 2471 100.0 231.0 612 100.0
EAST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Autauga 96 3.9 131 5.3 128 6.5 38 6.3Bullock 68 2.8 51 2.1 26 1.3 10 1.7
Chambers 122 5.0 113 4.6 86 4.3 25 4.2Coosa 30 1.2 51 2.1 36 1.8 7 1.2Elmore 259 10.5 227 9.2 149 7.5 47 7.8
Lee 323 13.1 199.9 289 11.7 175.6 243 12.3 147.7 80 13.4Lowndes 38 1.5 32 1.3 45 2.3 11 1.8Macon 109 4.4 96 3.9 75 3.8 16 2.7
Montgomery 1189 48.4 524.6 1230 50.0 543.1 990 50.0 437.1 306 51.1Russell 118 4.8 181 7.4 161 8.1 39 6.5
Tallapoosa 107 4.4 60 2.4 42 2.1 20 3.3Total 2459 100.0 347.9 2461 100.0 347.5 1981 100.0 279.7 599 100.0
WEST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Bibb 66 6.1 58 5.4 74 6.7 15 4.0
Chilton 71 6.6 56 5.2 54 4.9 21 5.6Fayette 29 2.7 36 3.3 18 1.6 14 3.7Greene 30 2.8 38 3.5 40 3.6 8 2.1
Hale 73 6.8 98 9.1 65 5.9 29 7.7LaDec 17 1.6 13 1.2 16 1.5 6 1.6Perry 33 3.1 29 2.7 16 1.5 10 2.7
Pickens 50 4.6 38 3.5 34 3.1 15 4.0Sumter 47 4.3 53 4.9 31 2.8 7 1.9
Tuscaloosa 579 53.6 278.6 581 53.7 277.5 696 63.4 332.4 233 62.1Walker 86 8.0 82 7.6 54 4.9 17 4.5Total 1081 100.0 248.9 1082 100.0 249.4 1098 100.0 253.1 375 100.0
JEFFERSON DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Jefferson 2819 100.0 427.6 2428 100.0 368.7 2805 100.0 425.9 730 100.0
Total 2819 100.0 427.6 2428 100.0 368.7 280 100.0 425.9 730 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021NORTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %
Blount 74 5.5 86 5.6 87 6.6 15 4.5Calhoun 303 22.6 264.1 374 24.2 329.2 263 20.0 231.5 70 20.9
Cherokee 32 2.4 41 2.6 36 2.7 7 2.1Clay 27 2.0 36 2.3 30 2.3 8 2.4
Cleburne 19 1.4 16 1.0 17 1.3 6 1.8Dekalb 65 4.8 54 3.5 63 4.8 16 4.8Etowah 340 25.3 330.9 287 18.5 280.6 199 15.1 194.6 58 17.3
Randolph 37 2.8 46 3.0 73 5.5 7 2.1Shelby 166 12.4 77.7 195 12.6 89.6 204 15.5 93.7 57 17.0St. Clair 96 7.1 112 7.2 95 7.2 39 11.6
Talladega 184 13.7 229.8 301 19.4 376.4 250 19.0 312.6 52 15.5Total 1343 100.0 166.7 1548 100.0 191.2 1317 100.0 162.7 335 100.0
SOUTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Barbour 140 12.8 554.0 139 11.1 563.1 92 7.9 372.7 22 5.9Butler 62 5.7 67 5.4 69 5.9 27 7.2Coffee 142 12.9 273.7 138 11.0 263.7 141 12.2 269.4 37 9.9
Covington 64 5.8 76 6.1 51 4.4 25 6.7Crenshaw 31 2.8 38 3.0 31 2.7 10 2.7
Dale 167 15.2 339.3 176 14.1 357.9 169 14.6 343.7 44 11.8Geneva 60 5.5 57 4.6 63 5.4 20 5.4Henry 37 3.4 49 3.9 42 3.6 19 5.1
Houston 316 28.8 302.8 373 29.8 352.3 364 31.4 343.8 138 37.0Pike 78 7.1 234.5 139 11.1 419.8 138 11.9 416.7 31 8.3Total 1097 100.0 290.0 1252 100.0 330.4 1160 100.0 306.1 37 100.0
SOUTHWESTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Baldwin 218 33.5 102.5 233 29.4 104.4 244 35.2 109.3 94 41.4Choctaw 10 1.5 30 3.8 15 2.2 8 3.5Clarke 43 6.6 64 8.1 56 8.1 17 7.5
Conecuh 24 3.7 31 3.9 23 3.3 3 1.3Dallas 119 18.3 303.5 136 17.2 365.6 124 17.9 333.4 46 20.3
Escambia 86 13.2 83 10.5 82 11.8 14 6.2Decengo 38 5.8 57 7.2 49 7.1 16 7.0Monroe 46 7.1 51 6.4 40 5.8 12 5.3
Washington 45 6.9 41 5.2 30 4.3 11 4.8Wilcox 22 3.4 66 8.3 31 4.5 6 2.6Total 651 100.0 160.1 792 100.0 192.4 694 100.0 168.6 227 100.0
MOBILE DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Mobile 1165 100.0 281.4 1511 100.0 365.7 1290 100.0 312.2 430 100.0Total 1165 100.0 281.4 1511 100.0 365.7 1290 100.0 312.2 430 100.0
STATE TOTAL Cases % Rate Cases % Rate Cases % Rate Cases %Alabama 12954 100.0 265.7 13843 100.0 282.3 12816 100.0 261.4 3682 100.0
Total 12954 100.0 265.7 13843 100.0 282.3 12816 100.0 261.4 3682 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021PRIMARY & SECONDARY
SYPHILIS CASES 2018 2019 2020 JAN - MAR 2021
NORTHERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Colbert 8 9.4 19 15.6 14 12.3 13 13.7Cullman 3 3.5 5 4.1 0 0.0 0 0.0Franklin 0 0.0 5 4.1 15 13.2 47.8 11 11.6Jackson 0 0.0 1 0.8 1 0.9 0 0.0
Lauderdale 18 21.2 23 18.9 17 14.9 18.3 15 15.8Lawrence 2 2.4 5 4.1 5 4.4 4 4.2Limestone 1 1.2 6 4.9 6 5.3 5 5.3Madison 46 54.1 12.7 47 38.5 12.6 37 32.5 9.9 33 34.7Decion 0 0.0 1 0.8 2 1.8 2 2.1
Decshall 1 1.2 2 1.6 1 0.9 1 1.1Morgan 5 5.9 7 5.7 14 12.3 11.7 10 10.5Winston 1 1.2 1 0.8 2 1.8 1 1.1
Total 85 100.0 7.9 122 100.0 11.4 114 100.0 10.7 95 100.0
EAST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Autauga 6 5.9 3 2.5 6 7.1 1 5.3Bullock 2 2.0 1 0.8 0 0.0 0 0.0
Chambers 4 3.9 8 6.6 3 3.5 1 5.3Coosa 0 0.0 0 0.0 1 1.2 0 0.0Elmore 5 4.9 4 3.3 1 1.2 0 0.0
Lee 6 5.9 3.7 15 12.4 9.1 9 10.6 5.5 3 15.8Lowndes 1 1.0 1 0.8 1 1.2 0 0.0Macon 4 3.9 9 7.4 1 1.2 0 0.0
Montgomery 66 64.7 29.1 74 61.2 32.7 55 64.7 24.3 11 57.9Russell 8 7.8 4 3.3 5 5.9 3 15.8
Tallapoosa 0 0.0 2 1.7 3 3.5 0 0.0Total 102 100.0 14.4 121 100.0 17.1 85 100.0 12.0 19 100.0
WEST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Bibb 2 5.7 1 1.3 0 0.0 0 0.0
Chilton 1 2.9 0 0.0 1 1.6 0 0.0Fayette 0 0.0 0 0.0 4 6.5 1 20.0Greene 0 0.0 2 2.5 1 1.6 0 0.0
Hale 1 2.9 1 1.3 3 4.8 0 0.0LaDec 0 0.0 2 2.5 1 1.6 0 0.0Perry 0 0.0 1 1.3 2 3.2 0 0.0
Pickens 2 5.7 9 11.4 7 11.3 0 0.0Sumter 2 5.7 5 6.3 1 1.6 0 0.0
Tuscaloosa 26 74.3 12.5 58 73.4 27.7 37 59.7 17.7 4 80.0Walker 1 2.9 0 0.0 5 8.1 0 0.0Total 35 100.0 8.1 79 100.0 18.2 62 100.0 14.3 5 100.0
JEFFERSON DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Jefferson 109 100.0 16.5 90 100.0 13.7 85 100.0 12.9 5 100.0
Total 109 100.0 16.5 90 100.0 13.7 85 100.0 12.9 5 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021NORTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %
Blount 0 0.0 1 3.0 0 0.0 0 0.0Calhoun 0 0.0 2 6.1 2 9.1 1 12.5
Cherokee 0 0.0 0 0.0 0 0.0 0 0.0Clay 0 0.0 0 0.0 1 4.5 0 0.0
Cleburne 0 0.0 0 0.0 0 0.0 1 12.5Dekalb 1 9.1 2 6.1 0 0.0 0 0.0Etowah 0 0.0 6 18.2 2 9.1 0 0.0
Randolph 0 0.0 1 3.0 0 0.0 0 0.0Shelby 6 54.5 2.8 13 39.4 6.0 8 36.4 3.7 3 37.5St. Clair 1 9.1 4 12.1 7 31.8 2 25.0
Talladega 3 27.3 4 12.1 2 9.1 1 0.0Total 11 100.0 1.4 33 100.0 4.1 22 100.0 2.7 8 87.5
SOUTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Barbour 5 13.9 7 23.3 2 5.6 0 0.0Butler 2 5.6 1 3.3 1 2.8 1 11.1Coffee 3 8.3 2 6.7 4 11.1 0 0.0
Covington 1 2.8 0 0.0 3 8.3 0 0.0Crenshaw 0 0.0 0 0.0 0 0.0 0 0.0
Dale 1 2.8 5 16.7 4 11.1 1 11.1Geneva 0 0.0 0 0.0 1 2.8 0 0.0Henry 1 2.8 2 0.0 1 2.8 0 0.0
Houston 14 38.9 13.4 10 33.3 9.4 18 50.0 17.0 2 22.2Pike 9 25.0 3 10.0 2 5.6 5 55.6Total 36 100.0 9.5 30 93.3 7.9 36 100.0 9.5 9 100.0
SOUTHWESTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Baldwin 9 64.3 4.2 6 42.9 2.7 10 41.7 4.5 5 83.3Choctaw 0 0.0 3 21.4 0 0.0 0 0.0Clarke 1 7.1 0 0.0 3 12.5 0 0.0
Conecuh 0 0.0 0 0.0 2 8.3 0 0.0Dallas 1 7.1 2 14.3 4 16.7 1 16.7
Escambia 0 0.0 1 7.1 4 16.7 0 0.0Decengo 0 0.0 1 7.1 1 4.2 0 0.0Monroe 1 7.1 0 0.0 0 0.0 0 0.0
Washington 0 0.0 1 7.1 0 0.0 0 0.0Wilcox 2 14.3 0 0.0 0 0.0 0 0.0Total 14 100.0 3.4 14 100.0 3.4 24 100.0 5.8 6 100.0
MOBILE DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Mobile 68 100.0 16.4 88 100.0 21.3 78 100.0 18.9 30 100.0Total 68 100.0 16.4 88 100.0 21.3 78 100.0 18.9 30 100.0
STATE TOTAL Cases % Rate Cases % Rate Cases % Rate Cases %Alabama 460 100.0 9.4 577 100.0 11.8 506 100.0 10.3 95 100.0
Total 460 100.0 9.4 577 100.0 11.8 506 100.0 10.3 95 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021EARLY LATENT
SYPHILIS CASES 2018 2019 2020 JAN - MAR 2021
NORTHERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Colbert 5 8.5 13 14.1 7 10.1 1 6.7Cullman 1 1.7 4 4.3 2 2.9 0 0.0Franklin 0 0.0 1 1.1 7 10.1 1 6.7Jackson 0 0.0 1 1.1 0 0.0 0 0.0
Lauderdale 4 6.8 24 26.1 9 13.0 9.7 2 13.3Lawrence 2 3.4 3 3.3 1 1.4 3 20.0Limestone 4 6.8 5 5.4 4 5.8 0 0.0Madison 37 62.7 10.2 33 35.9 8.8 26 37.7 7.0 4 26.7Decion 0 0.0 1 1.1 3 4.3 0 0.0
Decshall 1 1.7 2 2.2 5 7.2 2 13.3Morgan 3 5.1 4 4.3 5 7.2 1 6.7Winston 2 3.4 1 1.1 0 0.0 1 6.7
Total 59 100.0 5.5 92 100.0 8.6 69 100.0 6.5 15 100.0
EAST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Autauga 3 2.5 4 3.1 2 1.8 2 10.0Bullock 3 2.5 0 0.0 2 1.8 0 0.0
Chambers 4 3.4 3 2.3 2 1.8 1 5.0Coosa 0 0.0 0 0.0 0 0.0 0 0.0Elmore 11 9.3 9 6.9 9 8.3 1 5.0
Lee 16 13.6 9.9 24 18.5 14.6 13 11.9 7.9 2 10.0Lowndes 1 0.8 2 1.5 1 0.9 0 0.0Macon 5 4.2 5 3.8 4 3.7 0 0.0
Montgomery 63 53.4 27.8 74 56.9 32.7 59 54.1 26.1 11 55.0Russell 10 8.5 7 5.4 11 10.1 3 15.0
Tallapoosa 2 1.7 2 1.5 6 5.5 0 0.0Total 118 100.0 16.7 130 100.0 18.4 109 100.0 15.4 20 100.0
WEST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Bibb 1 2.6 1 2.5 0 0.0 0 0.0
Chilton 0 0.0 1 2.5 1 2.6 0 0.0Fayette 1 2.6 1 2.5 0 0.0 0 0.0Greene 1 2.6 0 0.0 0 0.0 2 20.0
Hale 1 2.6 4 10.0 3 7.9 2 20.0LaDec 0 0.0 0 0.0 0 0.0 0 0.0Perry 3 7.9 1 2.5 0 0.0 0 0.0
Pickens 2 5.3 4 10.0 1 2.6 1 10.0Sumter 0 0.0 1 2.5 2 5.3 0 0.0
Tuscaloosa 28 73.7 13.5 25 62.5 11.9 26 68.4 12.4 5 50.0Walker 1 2.6 2 5.0 5 13.2 0 0.0Total 38 100.0 8.7 40 100.0 9.2 38 100.0 8.8 10 100.0
JEFFERSON DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Jefferson 112 100.0 17.0 104 100.0 15.8 94 100.0 14.3 4 100.0
Total 112 100.0 17.0 104 100.0 15.8 94 100.0 14.3 4 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021NORTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %
Blount 1 2.0 1 2.4 2 4.3 1 12.5Calhoun 5 10.2 9 21.4 9 19.6 3 37.5
Cherokee 0 0.0 1 2.4 1 2.2 0 0.0Clay 1 2.0 0 0.0 0 0.0 0 0.0
Cleburne 0 0.0 0 0.0 1 2.2 1 12.5Dekalb 3 6.1 0 0.0 1 2.2 1 12.5Etowah 7 14.3 1 2.4 8 17.4 0 0.0
Randolph 3 6.1 4 0.0 0 0.0 0 0.0Shelby 17 34.7 8.0 18 42.9 8.3 18 39.1 8.3 0 0.0St. Clair 4 8.2 3 7.1 2 4.3 0 0.0
Talladega 8 16.3 5 11.9 4 8.7 2 25.0Total 49 100.0 6.1 42 90.5 5.2 46 100.0 5.7 8 100.0
SOUTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Barbour 1 4.0 5 20.8 1 3.2 0 0.0Butler 1 4.0 0 0.0 0 0.0 0 0.0Coffee 1 4.0 0 0.0 6 19.4 1 11.1
Covington 2 8.0 0 0.0 1 3.2 1 11.1Crenshaw 0 0.0 0 0.0 0 0.0 0 0.0
Dale 7 28.0 3 12.5 1 3.2 1 11.1Geneva 1 4.0 0 0.0 1 3.2 1 11.1Henry 1 4.0 1 4.2 5 16.1 0 0.0
Houston 11 44.0 10.5 12 50.0 11.3 14 45.2 13.2 4 44.4Pike 0 0.0 3 12.5 2 6.5 1 11.1Total 25 100.0 6.6 24 100.0 6.3 31 100.0 8.2 9 100.0
SOUTHWESTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Baldwin 4 33.3 1.9 2 13.3 0.9 7 38.9 3.1 1 25.0Choctaw 1 8.3 2 13.3 0 0.0 0 0.0Clarke 0 0.0 2 13.3 1 5.6 1 25.0
Conecuh 0 0.0 1 6.7 2 11.1 0 0.0Dallas 3 25.0 5 33.3 3 16.7 0 0.0
Escambia 2 16.7 0 0.0 2 11.1 0 0.0Decengo 0 0.0 2 13.3 1 5.6 1 25.0Monroe 0 0.0 0 0.0 0 0.0 0 0.0
Washington 1 8.3 1 6.7 0 0.0 1 25.0Wilcox 1 8.3 0 0.0 2 11.1 0 0.0Total 12 100.0 3.0 15 100.0 3.6 18 100.0 4.4 4 100.0
MOBILE DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Mobile 29 100.0 7.0 28 100.0 6.8 36 100.0 8.7 10 100.0Total 29 100.0 7.0 28 100.0 6.8 36 100.0 8.7 10 100.0
STATE TOTAL Cases % Rate Cases % Rate Cases % Rate Cases %Alabama 442 100.0 7.0 475 100.0 9.7 441 100.0 9.0 80 100.0
Total 442 100.0 7.0 475 100.0 9.7 441 100.0 9.0 80 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021LATE LATENT
SYPHILIS CASES 2018 2019 2020 JAN - MAR 2021
NORTHERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Colbert 3 4.3 6 8.1 9 12.3 4 25.0Cullman 4 5.7 1 1.4 2 2.7 0 0.0Franklin 1 1.4 4 5.4 5 6.8 0 0.0Jackson 4 5.7 2 2.7 1 1.4 0 0.0
Lauderdale 9 12.9 11 14.9 12 16.4 12.9 2 12.5Lawrence 1 1.4 3 4.1 1 1.4 2 12.5Limestone 3 4.3 4 5.4 1 1.4 3 18.8Madison 36 51.4 10.0 26 35.1 7.0 35 47.9 9.4 3 18.8Decion 1 1.4 1 1.4 0 0.0 0 0.0
Decshall 3 4.3 7 9.5 1 1.4 1 6.3Morgan 4 5.7 9 12.2 4 5.5 1 6.3Winston 1 1.4 0 0.0 2 2.7 0 0.0
Total 70 100.0 6.5 74 100.0 6.9 73 100.0 6.8 16 100.0
EAST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Autauga 1 2.0 1 1.1 3 3.7 1 5.9Bullock 1 2.0 1 1.1 1 1.2 0 0.0
Chambers 3 6.0 6 6.5 5 6.2 3 17.6Coosa 0 0.0 0 0.0 0 0.0 0 0.0Elmore 2 4.0 8 8.6 4 4.9 0 0.0
Lee 7 14.0 4.3 12 12.9 7.3 8 9.9 4.9 3 17.6Lowndes 0 0.0 1 1.1 2 2.5 0 0.0Macon 3 6.0 1 1.1 2 2.5 0 0.0
Montgomery 24 48.0 10.6 49 52.7 21.6 44 54.3 19.4 6 35.3Russell 9 18.0 13 14.0 10 12.3 3 17.6
Tallapoosa 0 0.0 1 1.1 2 2.5 1 5.9Total 50 100.0 7.1 93 100.0 13.1 81 100.0 11.4 17 100.0
WEST CENTRAL DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Bibb 1 7.1 0 0.0 0 0.0 0 0.0
Chilton 0 0.0 2 8.3 2 5.7 0 0.0Fayette 0 0.0 0 0.0 1 2.9 0 0.0Greene 1 7.1 1 4.2 0 0.0 0 0.0
Hale 1 7.1 0 0.0 3 8.6 0 0.0LaDec 0 0.0 0 0.0 2 5.7 0 0.0Perry 1 7.1 0 0.0 1 2.9 0 0.0
Pickens 2 14.3 1 4.2 2 5.7 1 16.7Sumter 1 7.1 0 0.0 2 5.7 0 0.0
Tuscaloosa 6 42.9 2.9 18 75.0 8.6 21 60.0 10.0 5 83.3Walker 1 7.1 2 8.3 1 2.9 0 0.0Total 14 100.0 3.2 24 100.0 5.5 35 100.0 8.1 6 100.0
JEFFERSON DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Jefferson 72 100.0 10.9 63 100.0 9.6 85 100.0 12.9 3 100.0
Total 72 100.0 10.9 63 100.0 9.6 85 100.0 12.9 3 100.0
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021NORTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %
Blount 1 4.3 0 0.0 0 0.0 0 0.0Calhoun 3 13.0 8 24.2 6 23.1 3 50.0
Cherokee 1 4.3 0 0.0 1 3.8 0 0.0Clay 1 4.3 0 0.0 0 0.0 1 16.7
Cleburne 0 0.0 1 3.0 1 3.8 0 0.0Dekalb 1 4.3 0 0.0 2 7.7 0 0.0Etowah 5 21.7 4 12.1 4 15.4 1 16.7
Randolph 2 8.7 0 0.0 1 3.8 0 0.0Shelby 3 13.0 1.4 8 24.2 3.7 6 23.1 2.8 1 16.7St. Clair 2 8.7 4 12.1 0 0.0 0 0.0
Talladega 4 17.4 8 24.2 5 19.2 0 0.0Total 23 100.0 2.9 33 100.0 4.1 26 100.0 3.2 6 100.0
SOUTHEASTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Barbour 3 6.7 0 0.0 3 7.5 0 0.0Butler 2 4.4 0 0.0 2 5.0 0 0.0Coffee 7 15.6 4 9.1 2 5.0 3 18.8
Covington 5 11.1 1 2.3 4 10.0 1 6.3Crenshaw 0 0.0 0 0.0 0 0.0 1 0.0
Dale 5 11.1 11 25.0 4 10.0 3 18.8Geneva 0 0.0 1 2.3 2 5.0 2 12.5Henry 3 6.7 0 0.0 1 2.5 0 0.0
Houston 14 31.1 13.4 23 52.3 21.7 17 42.5 16.1 4 25.0Pike 6 13.3 4 9.1 5 12.5 2 12.5Total 45 100.0 11.9 44 100.0 11.6 40 100.0 10.6 16 93.8
SOUTHWESTERN DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Baldwin 10 52.6 4.7 10 58.8 4.5 11 39.3 4.9 2 66.7Choctaw 1 5.3 1 5.9 0 0.0 1 33.3Clarke 0 0.0 1 5.9 1 3.6 0 0.0
Conecuh 1 5.3 1 5.9 2 7.1 0 0.0Dallas 2 10.5 2 11.8 4 14.3 0 0.0
Escambia 3 15.8 0 0.0 6 21.4 0 0.0Decengo 1 5.3 0 0.0 0 0.0 0 0.0Monroe 0 0.0 0 0.0 1 3.6 0 0.0
Washington 1 5.3 1 5.9 2 7.1 0 0.0Wilcox 0 0.0 1 5.9 1 3.6 0 0.0Total 19 100.0 4.7 17 100.0 4.1 28 100.0 6.8 3 100.0
MOBILE DISTRICT Cases % Rate Cases % Rate Cases % Rate Cases %Mobile 48 100.0 11.6 84 100.0 20.3 74 100.0 17.9 21 100.0Total 48 100.0 11.6 84 100.0 20.3 74 100.0 17.9 21 100.0
STATE TOTAL Cases % Rate Cases % Rate Cases % Rate Cases %Alabama 341 100.0 7.0 432 100.0 8.8 442 100.0 9.0 88 100.0
Total 341 100.0 7.0 432 100.0 8.8 442 100.0 9.0 88 100.0
Alabama Prenatal STD Testing
No Prenatal Care –Patient Presents at Delivery
Test(All test must be FDA approved) Initial Prenatal Visit Third Trimester Labor and Delivery (L&D)
Syphilis All pregnant women All pregnant women at 28-32 weeks gestation
All pregnant women
HIV All pregnant women not previously confirmed as HIV infected
All pregnant women at 28-32 weeks gestation not tested during pregnancy, or not previously confirmed as HIV infected
If not tested during pregnancy, or not previously confirmed as HIV infected
Chlamydia All pregnant women <30 years of age
All pregnant women <30 years of age not tested during pregnancy, or have signs and symptoms of Chlamydia
Gonorrhea All pregnant women <30 years of age
All pregnant women <30 years of age not tested during pregnancy, or have signs and symptoms of Gonorrhea
HBV All pregnant women All pregnant women not tested during pregnancy, or have signs and symptoms of hepatitis
HCV All pregnant women
Test Labor and Delivery
Syphilis All pregnant women
HIV All pregnant women not previously confirmed as HIV infected
Chlamydia All pregnant women
Gonorrhea All pregnant women
HBV All Pregnant women not tested during pregnancy or with signs or symptoms of hepatitis
Revised 3/24/21
ALABAMA STD REPORTS - JANUARY THROUGH MARCH 2021
Chlamydial Infection: Positive Test and Presumptive Treatment: Doxycycline 100 mg PO Twice Daily for 7 days During Pregnancy: Azithromycin 1 g PO as a Single Dose
Recommeded: Uncomplicated Gonococcal Infections: Persons Weighing <150 kg (300 lb): Ceftriaxone 500 mg IM as a single dosePersons Weighing ≥150 kg (300 lb): Ceftriaxone 1 g IM as a single dose
Alternative Regimens if Ceftriaxone is not Available:Gentamicin 240 mg IM as a single dose, PLUS Azithromycin 2 g PO as a Single Dose ORCefixime 800 mg PO as a single dose PLUSDoxycycline 100 mg PO Twice Daily for 7 Days, if Chlamydia test result is UnknownAzithromycin 1 g as a single dose, If pregnant
NOTE: Reliable Alternative Treatment for Pharyneal Gonorrhea not Available. For a True Ceftriaxone allergy, consult an infectious diseases specialist.
Primary, Secondary, Early Latent Syphilis: Benzathine penicillin G 2.4 mu IM as a single dose.
Alternative Regimen for TRUE Penicillin Allergy (Not During Pregnancy)Doxycycline 100 mg PO BID x 14 days ORTetracycline 500 mg PO QID x 14 days
Late Latent SyphilisBenzathine penicillin G 7.2 mu total as 3 doses of 2.4 mu IM each at 1-week intervals
Alternative Regimen for TRUE Penicillin Allergy (Not During Pregnancy)Doxycycline 100 mg PO BID x 28 days ORTetracycline 500 mg PO QID x 28 days
NOTE: Pregnant women with TRUE penicillin allergy should be desentized and treated with penicillin
CDC Treatment Guidelines: http://www.cdc.gov/std/tg2015/toc.htm
CDC RECOMMENDED AND ALTERNATIVE TREATMENT REGIMENS