sti notifications from cidr - 2014 version 2.0 18 th february, 2015
TRANSCRIPT
STI notifications from CIDR - 2014
Version 2.018th February, 2015
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Acknowledgements
The Health Protection Surveillance Centre (HPSC) would like to thank all those who provided the data for this report, particularly the STI clinics,
the infectious disease surveillance staff within the departments of public health, the laboratories and GP clinics.
STI data were extracted from CIDR on 2nd February, 2015, and were correct at the time of publication.
These slides present provisional data on Sexually Transmitted Infections (STIs) notified to HPSC in 2014 via CIDR, the Computerised Infectious Disease Reporting system (for more information on CIDR, see http://www.hpsc.ie/hpsc/CIDR/).
Following data validation a more detailed report on the epidemiology of STIs for 2014 will be produced in the coming months. Detailed reports and trend data for previous years are available on the HPSC website at http://www.hpsc.ie/A-Z/HIVSTIs/SexuallyTransmittedInfections/Publications/STIReports/STIAnnualReports/
Please note: •STIs notified via CIDR since January 2013 are; chancroid, Chlamydia trachomatis, gonorrhoea, granuloma inguinale, herpes simplex virus (genital), lymphogranuloma venereum (LGV), syphilis and trichomoniasis. •Aggregate data on ano-genital warts (AGW) and non-specific urethritis (NSU) are reported to HPSC on a bi-annual basis from Departments of Public Health and are reported separately (see http://www.hpsc.ie/A-Z/HIVSTIs/SexuallyTransmittedInfections/Publications/STIReports/EpisodicSTIReports/Other/). •HIV and Hepatitis B are notified via CIDR and are reported separately (see www.hpsc.ie) •The Irish case definition for syphilis changed on 1st January, 2014, and from this date, syphilis notifications include early (infectious) syphilis only. Data reported here are provisional which may change following clinical review.
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Table 1: STI notifications by disease, 2013 and 2014 (CIDR data only)
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1. An outbreak of LGV centred in Dublin is currently being investigated. For further information see http://ndsc.newsweaver.ie/epiinsight/13f78gewgqd?a=1&p=48371552&t=17517774
2. The Irish case definition for syphilis changed on 1st Jan., 2014, and from this date, syphilis notifications include early (infectious) syphilis only. Cases reported weekly are provisional numbers which may change following clinical review. Direct comparison of 2014 syphilis notification data with 2013 syphilis notification data (which includes non infectious cases) is not valid.
STI2014 2013
% change 2013 -2014N % N
Chancroid 0 0.0 0 0.0
Chlamydia trachomatis infection 6,707 68.7 6,261 +7.1
Gonorrhoea 1,336 13.7 1,293 +3.3
Granuloma inguinale 0 0.0 0 0.0
Herpes simplex (genital) 1,254 12.8 1,136 +10.4
Lymphogranuloma venereum (LGV)1 35 0.4 5 +600.0
Syphilis 339 3.5 552 NA2
Trichomoniasis 93 1.0 75 +24.0
Total 9,764 100.0 9,322 -
Figure 1: STI notifications by gender and disease, 2014 (CIDR data only)
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Table 2: STI notifications by age group and disease, 2014 (CIDR data only)
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Chlamydia GonorrhoeaHerpes simplex
(genital)LGV Syphilis Trichomoniasis
<15 yrs 13 2 5 0 0 0
15-19 yrs 742 139 154 0 3 7
20-24 yrs 2,687 430 336 2 39 19
25-34 yrs 2,549 521 428 15 134 27
35-44 yrs 517 157 206 12 95 20
45-54 yrs 133 69 88 5 43 14
55-64 yrs 42 17 28 1 19 2
65+ yrs 9 1 7 0 6 2
Unknown 15 0 2 0 0 2
Total 6,707 1,336 1,254 35 339 93
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Figure 2: STI notifications by age group and disease, 2014 (CIDR data only)
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Figure 3: STI notifications by month and disease, 2014 (CIDR data only)
Table 3: STI notifications by mode of transmission* and disease, 2014 (CIDR data only)
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Mode of transmission
Gonorrhoea LGV Syphilis
N % N % N %
Heterosexual 100 7.5 0 0.0 43 12.6
MSM 289 21.6 19 54.3 157 46.2
Unknown 91 6.8 0 0.0 18 5.3
Not specified 856 64.1 16 45.7 121 35.7
Total 1,336 100.0 35 100.0 339 100.0
*Mode of transmission is collected for gonorrhoea, LGV and syphilis only. Following data validation more complete data should be available later in 2015.
Table 4: Notification rate per 100,000 population by disease & HSE area#, 2014 (CIDR data only)
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# East: Dublin, Kildare & Wicklow; Midlands: Laois, Longford, Offaly, & Westmeath; Mid-west: Clare, Limerick & N. Tipperary; North East: Cavan, Louth, Monaghan & Meath; North West: Donegal, Sligo & Leitrim; South East: Carlow, Kilkenny, S. Tipperary, Waterford & Wexford; South : Cork & Kerry; West: Galway, Mayo & Roscommon.
HSE area Chlamydia GonorrhoeaHerpes simplex
(genital)LGV Syphilis Trichomoniasis
East 213.1 59.1 45.1 2.1 15.4 2.9
Midlands 73.3 7.1 8.5 0.0 1.4 1.4
Midwest 117.3 15.3 21.4 0.0 4.7 2.9
North East 76.9 6.1 15.4 0.2 1.8 2.0
North West 113.8 6.6 7.7 0.0 1.9 3.5
South East 97.4 9.6 18.2 0.0 1.4 0.8
South 153.1 19.3 24.1 0.0 6.4 1.4
West 126.0 21.8 20.0 0.0 3.1 0.2
National 146.2 29.1 27.3 0.8 7.4 2.0
Table 5: STI notifications by disease and patient type**, 2014 (CIDR data only)
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**Hospital Outpatient includes GUM/STI clinics
Chlamydia GonorrhoeaHerpes simplex
(genital)LGV Syphilis Trichomoniasis
ED patient 17 7 2 0 1 6
GP patient 1,730 373 231 2 53 39
Hospital day patient 7 2 0 0 0 0
Hospital inpatient 36 9 9 3 3 6
Hospital outpatient 1,229 681 232 28 267 28
Other 83 22 24 0 3 1
Unknown 383 207 550 1 4 8
Not Specified 3,222 35 206 1 8 5
Total 6,707 1,336 1,254 35 339 93
Table 6: Chlamydia notifications by age group and gender, 2014 (CIDR data only)
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Age group (yrs.) Male Female Unknown Total
0-14 2 11 0 13
15-19 168 569 5 742
20-24 1,065 1,609 13 2,687
25-34 1,323 1,213 13 2,549
35-44 343 170 4 517
45-54 99 33 1 133
55-64 34 7 1 42
65+ 8 1 0 9
Unknown 5 10 0 15
Total 3,047 3,623 37 6,707
Table 7: Gonorrhoea notifications by age group and gender, 2014 (CIDR data only)
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Age group (yrs.) Male Female Unknown Total
0-14 1 1 0 2
15-19 92 47 0 139
20-24 324 103 3 430
25-34 467 52 2 521
35-44 144 13 0 157
45-54 66 3 0 69
55-64 13 4 0 17
65+ 1 0 0 1
Unknown 0 0 0 0
Total 1,108 223 5 1,336
Table 8: Herpes simplex (genital) notifications by age group and gender, 2014 (CIDR data only)
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Age group (yrs.) Male Female Unknown Total
0-14 1 4 0 5
15-19 11 143 0 154
20-24 58 277 1 336
25-34 126 299 3 428
35-44 69 135 2 206
45-54 37 51 0 88
55-64 6 22 0 28
65+ 2 5 0 7
Unknown 1 1 0 2
Total 311 937 6 1,254
Table 9: LGV notifications by age group and gender, 2014 (CIDR data only)
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Age group (yrs.) Male Female Unknown Total
0-14 0 0 0 0
15-19 0 0 0 0
20-24 2 0 0 2
25-34 15 0 0 15
35-44 12 0 0 12
45-54 5 0 0 5
55-64 1 0 0 1
65+ 0 0 0 0
Unknown 0 0 0 0
Total 35 0 0 35
Table 10: Syphilis notifications by age group and gender, 2014 (CIDR data only)
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Age group (yrs.) Male Female Unknown Total
0-14 0 0 0 0
15-19 2 1 0 3
20-24 32 7 0 39
25-34 118 16 0 132
35-44 85 10 0 95
45-54 40 3 0 43
55-64 19 0 0 19
65+ 5 1 0 6
Unknown 0 0 0 0
Total 301 38 0 339
Table 11: Trichomoniasis notifications by age group and gender, 2014 (CIDR data only)
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Age group (yrs.) Male Female Unknown Total
0-14 0 0 0 0
15-19 0 7 0 7
20-24 0 19 0 19
25-34 0 27 0 27
35-44 0 20 0 20
45-54 0 14 0 14
55-64 1 1 0 2
65+ 1 1 0 2
Unknown 0 2 0 2
Total 2 91 0 93