sti nd annual report 2013

7/24/2019 STI ND Annual Report 2013

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Alberta Health

Notifiable Sexually Transmitted Infections &

Human Immunodeficiency Virus

2013 Annual Report

Surveillance and Assessment Branch

February 2015


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Alberta Health, Surveillance and AssessmentSTI and HIV 2013 Annual Report February 2015

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Table of Contents

Executive Summary ................................................................................................................. 1

Introduction .............................................................................................................................. 2

Figure 1:

Number of Notifiable STIs and Other Notifiable Diseases reported in Alberta,

2005 to 2013 ....................................................................................................... 2

Chlamydia ................................................................................................................................. 3

Figure 1.1: Number of Chlamydia Cases and Crude Rate (per 100,000) in Alberta by

Gender, 2005 to 2013 ......................................................................................... 3

Figure 1.2: Number of Chlamydia Cases and Age-Specific Rate (per 100,000) by Gender

in Alberta, 2013 (n=15,825) ................................................................................. 4

Figure 1.3: Chlamydia Crude Rate (per 100,000) by Alberta Health Zone, 2013 ................... 5

Figure 1.4: Number of Chlamydia Cases in Alberta by Ethnicity (Self-defined), 2005 to 2013 6

Figure 1.5: Number of Sexual Partners Identified by Newly Diagnosed Chlamydia Cases in

Alberta, 2011 to 2013 .......................................................................................... 7

Gonorrhea ................................................................................................................................ 8

Figure 2.1: Number of Gonorrhea Cases and Crude Rate (per 100,000) in Alberta by

Gender, 2005 to 2013 ......................................................................................... 8

Figure 2.2: Number of Gonorrhea Cases and Age-Specific Rate (per 100,000) by Gender in

Alberta, 2013 (n=1,973) ...................................................................................... 9

Figure 2.3: Gonorrhea Crude Rate (per 100,000) by Alberta Health Zone, 2013 .................10

Figure 2.4: Number of Gonorrhea Cases in Alberta by Ethnicity (Self-defined), 2005 to 2013

..........................................................................................................................11

Figure 2.5: Number of Sexual Partners Identified by Newly Diagnosed Gonorrhea Cases in

Alberta, 2011 to 2013 .........................................................................................12

Infectious Syphilis ..................................................................................................................13

Table 3: Number of Infectious Syphilis Cases by Stage in Alberta, 2005 to 2013 ..................13

Figure 3.1: Number of Reported Infectious Syphilis Cases and Crude Rate (per 100,000) in

Alberta by Gender, 2005 to 2013 .......................................................................14

Figure 3.2: Number of Infectious Syphilis Cases and Age-Specific Rate (per 100,000) by

Gender in Alberta, 2013 (n=120) ........................................................................15

Figure 3.3: Infectious Syphilis Crude Rate (per 100,000) by Alberta Health Zone, 2013 ......16

Figure 3.4: Number of Infectious Syphilis Cases in Alberta by Ethnicity (Self- defined), 2005

to 2013 ...............................................................................................................17

Figure 3.5:

Number of Sexual Partners Identified by Newly Diagnosed Infectious SyphilisCases in Alberta, 2011 and 2013 .......................................................................18

HIV............................................................................................................................................19

Figure 4.1: Number and Crude Rate (per 100,000) of Newly Diagnosed HIV Cases in Alberta

by Gender, 2005 to 2013 ...................................................................................19

Figure 4.2: Number of Newly Diagnosed HIV Cases and Age-Specific Rate (per 100,000) by

Gender in Alberta, 2013 (n=255) ........................................................................20

2015 Government of Alberta

i


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Figure 4.3: Newly Diagnosed HIV Crude Rate (per 100,000) by Alberta Health Zone, 2013 21

Figure 4.4: Number of Newly Diagnosed HIV Cases in Alberta by Ethnicity (Self-defined), ..22

2005 to 2013 ......................................................................................................22

Figure 4.5a:Proportion of Newly Diagnosed HIV Cases in Alberta by Risk Exposure Category

among Females, 2005 to 2013 ...........................................................................23

Figure 4.5b:

Proportion of Newly Diagnosed HIV Cases in Alberta by Risk Exposure Categoryamong Males, 2005 to 2013 ...............................................................................24

Figure 4.6: Number of Newly Diagnosed HIV Cases in Alberta by Encountered Risk

Selection and Gender in Alberta, 2010 to 2013 ..................................................25

Figure 4.7: Number of Newly Diagnosed HIV Cases Co-Infected With Hepatitis B and/or

Hepatitis C in Alberta, 2008 to 2013 ...................................................................26

Figure 4.8: Number of Newly Diagnosed HIV Cases Infected with and Timing of Chlamydia,

Gonorrhea, or Infectious Syphilis in Alberta, 2005 to 2013 .................................27

Figure 4.9: Number of Newly Diagnosed HIV Cases and Crude Rate (per 100,000) of First

Nations vs. Non-First Nations in Alberta by Year of Diagnosis, 2005 to 2013 .....28

Figure 4.10:Crude Rate of Newly Diagnosed HIV Cases for First Nations (per 100,000) in

Alberta by Sex and Year of Diagnosis, 2005 to 2013 .........................................29


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Executive Summary

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Introduction

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Chlamydia

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Figure 1.2: Number of Chlamydia Cases and Age-Specific Rate (per 100,000) by Genderin Alberta, 2013(n=15,825)

?G4 \= V$1 6$)& (?G P$1$ ,8()#

+,"6,%',)% WHKeX ?? 6,%$% (< 63/,8B7', P'&3

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Gonorrhea

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Figure 2.2: Number of Gonorrhea Cases and Age-Specific Rate (per 100,000) by Gender in Alberta,2013 (n=1,973)

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Figure 2.3: Gonorrhea Crude Rate (per 100,000) by Alberta Health Zone, 2013

;()(113$, 1,&$% 7'>4>>> V$1%()%9

R) =>?G4 &3$ #()(113$, 1,&$ ') &3$:78()&() ^()$ P,% &P'6$ 3'#3$1&3,) &3$ 1,&$ ') &3$ +,/#,1B ^()$WH@9> 6,%$% V$1 ?>>4>>> 5%9 G=9G6,%$% V$1 ?>>4>>>4 1$%V$6&'5$/BX9

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Cases Rates Cases Rates Cases Rates Cases Rates

North 283 64.3 316 70.6 512 111.5 514 108.4

Edmonton 484 41.3 691 58.1 860 70.4 813 64.0

Central 106 23.6 119 26.3 142 31.0 127 27.1

Calgary 279 20.1 345 24.4 506 34.8 490 32.3

South 30 10.4 25 8.6 42 14.4 29 9.8

ALBERTA 1,182 31.7 1,496 39.5 2,062 53.0 1,973 49.0

2012 2013Health Zone

2010 2011


10


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Figure 2.4: Number of Gonorrhea Cases in Alberta by Ethnicity (Self-defined), 2005 to 2013

513

807 829687

477 352

548

757 755

139

160 132

153

90

48

112

125 100452

603 616693

636

547

560

794706

50

63 4252

46

39

51

76

90

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2005

(n=1,181)

2006

(n=1,666)

2007

(1,657)

2008

(n=1,635)

2009

(n=1537)

2010

(n=1,000)

2011

(n=1,294)

2012

(n=1,789)

2013

(n=1,674)

NumberofCases

Caucas ian Black Aboriginal Asian Other

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11


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Figure 2.5: Number of Sexual Partners Identified by Newly Diagnosed Gonorrhea Cases in Alberta,2011 to 2013

" % & ' ( # ) #

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12


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Infectious Syphilis

D)$ (< &3$ (/7$%& %$F",//B &1,)%8'&&$7 ')


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Figure 3.1: Number of Reported Infectious Syphilis Cases and Crude Rate (per 100,000) in Albertaby Gender, 2005 to 2013

2005 2006 2007 2008 2009 2010 2011 2012 2013Female Cases 55 67 73 100 91 56 28 20 24

Male Cses 91 148 174 143 189 122 68 108 96

Female Rate 3.4 4.0 4.2 5.7 5.0 3.0 1.5 1.0 1.2

Male Rate 5.4 8.5 9.7 7.8 10.1 6.4 3.5 5.5 4.7

0

2

4

6

8

10

12

0

50

100

150

200

250

300

Rate(per100,0

00)

NumberofCases

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Figure 3.2: Number of Infectious Syphilis Cases and Age-Specific Rate (per 100,000) by Gender inAlberta, 2013 (n=120)

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Figure 3.3: Infectious Syphilis Crude Rate (per 100,000) by Alberta Health Zone, 2013

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Figure 3.5: Number of Sexual Partners Identified by Newly Diagnosed Infectious Syphilis Cases inAlberta, 2011 and 2013

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18


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HIV

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Figure 4.2: Number of Newly Diagnosed HIV Cases and Age-Specific Rate (per 100,000) by Genderin Alberta, 2013 (n=255)

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Figure 4.3: Newly Diagnosed HIV Crude Rate (per 100,000) by Alberta Health Zone, 2013

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Figure 4.4: Number of Newly Diagnosed HIV Cases in Alberta by Ethnicity (Self-defined),2005 to 2013

77 91

128

98 100 93 102 92 101

34

54

47

7144

4352 82

7441

54

36 42

3933

39

39 45

8

106 6

1416

9

12 14

86

14

99

0

50

100

150

200

250

300

2005(n=165)

2006(n=213)

2007(n=223)

2008(n=224)

2009(n=205)

2010(n=191)

2011(n=216)

2012(n=234)

2013(n=243)

NumberofCases

Caucasian Black Aborig inal Asian Other

M(&$- J3'% $F6/"7$% g")_)(P)h

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HIV Risk Exposure

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Figure 4.5a: Proportion of Newly Diagnosed HIV Cases in Alberta by Risk Exposure Categoryamong Females, 2005 to 2013

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005(65)

2006(74)

2007(68)

2008(81)

2009(69)

2010(56)

2011(70)

2012(69)

2013(77)

-&'.&/0()*+,&,

Other/ Unknown

Perinatal

NIR - Other

NIR - Heterosexual

MSM and IDU

MSM

IDU

Heterosexual - Partner at Risk

Heterosexual - Endemic

CIC/Out of Country*

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&( ?= V$16$)& ') =>?G9


23


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Figure 4.5b: Proportion of Newly Diagnosed HIV Cases in Alberta by Risk Exposure Category amongMales, 2005 to 2013

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2005(109)

2006(146)

2007(158)

2008(151)

2009(149)

2010(148)

2011(155)

2012(173)

2013(177)

-&'.&/0()*+,&,

Other/ Unknown

Perinatal

NIR - Other

NIR - Heterosexual

MSM and IDU

MSM

IDU

Heterosexual - Partner at Risk

Heterosexual - Endemic

CIC/Out of Country*

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24


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Figure 4.6: Number of Newly Diagnosed HIV Cases in Alberta by Encountered Risk Selection andGender in Alberta, 2010 to 2013

F M F M F M F M F M F M2008 2009 2010 2011 2012 2013

Sharing other drug paraphernalia 6 11 4 15 9 16 8 14 5 18 8 21

Sexual partner of intravenous drug user(IDU)

7 9 10 12 10 14 3 12 9 10 10 14

Sexual partner of a person withconfirmed or suspected HIV/AIDS

11 28 19 22 13 32 16 39 18 40 28 48

Sex trade worker 4 2 12 4 10 4 7 0 7 6 6 7

Patron of sex worker 0 5 0 9 0 13 0 13 0 19 0 25

0

20

40

60

80

100

120

"#$%&'()*+,&,

R) =>?G4 @\ 8,/$% P'&3 )$P/B '7$)&'


30/34


Figure 4.7: Number of Newly Diagnosed HIV Cases Co-Infected With Hepatitis B and/or Hepatitis Cin Alberta, 2008 to 2013

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5

10

15

20

25

30

35

40

45

50

NumberofCo-InfectedCases

M j J(&,/ )$P/B 1$V(1&$7 2RY 6,%$%

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31/34


Figure 4.8: Number of Newly Diagnosed HIV Cases Infected with and Timing of Chlamydia,Gonorrhea, or Infectious Syphilis in Alberta, 2005 to 2013

Before Same time After Before Same time After Before Same time After

2005 (N=174) 17 3 10 20 2 11 7 0 2

2006 (N=221) 20 4 12 12 0 7 13 2 1

2007 (N=226) 16 0 20 13 1 19 16 7 5

2008 (N=233) 19 2 18 24 2 35 17 2 4

2009 (N=218) 18 2 20 4 2 18 15 5 3

2010 (N=204) 12 4 28 8 4 24 2 2 6

2011 (N=225) 15 4 21 13 3 34 4 1 8

2012 (N=242) 11 4 30 8 6 18 2 3 4

2013 (N=255) 19 5 37 10 10 30 3 0 3

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HIV among First Nations in Alberta

Figure 4.9: Number of Newly Diagnosed HIV Cases and Crude Rate (per 100,000) of First Nationsvs. Non-First Nations in Alberta by Year of Diagnosis, 2005 to 2013

2005 2006 2007 2008 2009 2010 2011 2012 2013

FN Cases 37 43 33 37 31 29 35 31 38

Non-FN Cases 137 177 193 196 167 175 190 211 217

FN Rate 25.2 28.5 21.7 23.9 19.9 18.5 22.2 19.4 23.4

Non-FN Rate 4.3 5.4 5.7 5.7 4.7 4.9 5.2 5.7 5.6

0.0

4.0

8.0

12.0

16.0

20.0

24.0

28.0

32.0

0

30

60

90

120

150

180

210

240

Rates(per100,0

00)

NumberofCases

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28


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Appendix A: HIV Hierarchy

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sti nd annual report 2013

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