1 / 38

Sexually Transmitted Disease (STD) Surveillance Report, 2006

Sexually Transmitted Disease (STD) Surveillance Report, 2006. Minnesota Department of Health STD Surveillance System. Introduction. This slide set describes new cases of chlamydia, gonorrhea, and syphilis in Minnesota by person, place, and time.

fionn
Download Presentation

Sexually Transmitted Disease (STD) Surveillance Report, 2006

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Sexually Transmitted Disease (STD) Surveillance Report, 2006 Minnesota Department of Health STD Surveillance System

  2. Introduction • This slide set describes new cases of chlamydia, gonorrhea, and syphilis in Minnesota by person, place, and time. • The slides display data for cases diagnosed through 2006 and reported to the Minnesota Department of Health (MDH) STD Surveillance Program. • Data analyses exclude STD 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 the data include: • Level of STD screening and 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 factors described above. STDs in Minnesota: Annual Review

  5. Guidelines to Avoid Misuse of Data • Data represents information reported only for infections diagnosed among persons seeking/receiving care at public or private healthcare settings • Data presented in this slide set represent new, incident cases of infection, a person may have more than one infection within a given year • Caution is warranted when interpreting small increases and decreases in STD numbers that can seem disproportionately large when the number of cases in the previous year(s) is small

  6. National Context STDs in Minnesota: Annual Review

  7. United States: State-Specific Chlamydia Rates, 2005 300.1 VT 154.0 NH 141.7 171.1 258.9 262.8 MA 224.6 250.9 239.0 RI 302.5 200.9 371.4 332.7 350.4 CT 315.1 231.6 383.0 NJ 220.2 250.1 300.3 DE 408.5 291.8 313.6 382.3 MD 329.1 321.6 192.6 397.7 364.2 335.4 162.2 303.9 271.2 388.7 201.4 Guam 485.9 Rate per 100,000 365.1 391.2 380.5 370.2 population 444.3 309.1 435.8 380.1 377.7 <=150.0 (n= 2) 732.6 319.5 150.1-300.0 (n= 18) 381.5 664.4 434.7 >300.0 (n= 33) 249.3 Puerto Rico 95.4 Virgin Is. 216.0 SOURCE:Centers for Disease Control & Prevention, Division of STD Prevention. 2005 Surveillance Slides.

  8. United States: State-Specific Gonorrhea Rates, 2005 VT 9.7 NH 13.6 MA 39.5 RI 40.5 CT 78.5 NJ 65.8 DE 110.0 MD 126.6 95.7 70.1 Guam 63.8 Rate per 100,000 86.2 population 162.6 179.6 207.6 <=19.0 (n= 7) 19.1-100.0 (n= 25) 91.5 81.1 >100 (n= 21) 116.3 Puerto Rico 8.4 Virgin Is. 27.6 60.3 10.8 17.0 20.2 43.5 68.3 8.5 106.5 92.1 45.5 17.2 174.9 54.4 90.5 66.3 123.4 183.1 129.8 30.4 157.5 42.4 111.9 95.2 164.3 70.8 176.5 145.8 148.4 81.5 203.9 247.0 116.1 212.0 STDs in Minnesota: Annual Review SOURCE:Centers for Disease Control & Prevention, Division of STD Prevention. 2005 Surveillance Slides.

  9. United States: State-Specific P&S Syphilis Rates, 2005 STDs in Minnesota: Annual Review SOURCE:Centers for Disease Control & Prevention, Division of STD Prevention. 2005 Surveillance Slides.

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

  11. STDs in MinnesotaRate per 100,000 by Year of Diagnosis, 1996-2006† * P&S = Primary and Secondary.

  12. STDs in Minnesota:Number of Cases Reported in 2006 • Total of 16,428 STD cases reported to MDH in 2006: • 12,935 Chlamydia cases • 3,303 Gonorrhea cases • 190 Syphilis cases (all stages)

  13. CHLAMYDIA STDs in Minnesota: Annual Review

  14. 2006 Minnesota Chlamydia Rates by County Kittson Roseau Lake of the Woods Marshall Koochiching Pennington Beltrami Cook Red Lake Polk Lake Clearwater St. Louis Itasca Norman Mahnomen Hubbard Becker Cass Clay Wadena Aitkin Carlton Rate per 100,000 persons Wilkin Otter Tail Crow Wing 0 - 75 Pine Todd Morrison 76 - 150 Grant Douglas Mille Lacs Kanabec Traverse 151 - 300 Benton Pope Stevens Stearns Isanti Big Stone > 300 Sherburne Chisago City of Minneapolis 748 City of St. Paul 671 Suburban# 204 Greater Minnesota 158 (525 cases missing residence information) Swift Anoka Wright Kandiyohi Meeker Washington Chippewa Ramsey Hennepin Lac Qui Parle McLeod Carver Yellow Medicine Renville Dakota Scott Sibley Lincoln Lyon Redwood Goodhue Nicollet Rice Le Sueur Wabasha Brown # 7-county metro area, excluding the cities of Minneapolis and St. Paul Murray Dodge Pipestone Cottonwood Blue Earth Steele Olmsted Waseca Winona Watonwan Rock Nobles Jackson Martin Faribault Fillmore Houston Freeborn Mower

  15. Chlamydia Infections in Minnesotaby Residence at Diagnosis, 2006 Total Number of Cases = 12,935 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area.

  16. Chlamydia Rates by GenderMinnesota, 1996-2006

  17. Chlamydia Rates by AgeMinnesota, 1996-2006

  18. Age-Specific Chlamydia Rates by Gender Minnesota, 2006

  19. Chlamydia Rates by Race/Ethnicity Minnesota, 1996-2006 * Persons of Hispanic ethnicity can be of any race.

  20. Chlamydia Rates by Race/Ethnicity Excluding BlacksMinnesota, 1996-2006 * Persons of Hispanic ethnicity can be of any race.

  21. GONORRHEA STDs in Minnesota: Annual Review

  22. 2006 Minnesota Gonorrhea Rates by County Kittson Roseau Lake of the Woods Marshall Koochiching Pennington Beltrami Cook Red Lake Polk Lake Clearwater St. Louis Itasca Norman Mahnomen Hubbard Becker Cass Clay Crow Wing Wadena Aitkin Carlton Rate per 100,000 persons Wilkin Otter Tail 0 - 10 Pine 11 - 29 Todd Morrison Grant Douglas Kanabec 30 - 100 Mille Lacs Traverse Benton > 100 Stevens Pope Stearns Isanti Big Stone Chisago Sherburne City of Minneapolis 331 City of St. Paul 224 Suburban# 42 Greater Minnesota 18 (142 cases missing residence information) Swift Anoka Kandiyohi Wright Meeker Washington Chippewa Ramsey Lac qui Parle Hennepin McLeod Carver Yellow Medicine Renville Dakota Scott Sibley Lincoln Lyon Redwood Goodhue Nicollet Rice Le Sueur Wabasha Brown # 7-county metro area, excluding the cities of Minneapolis and St. Paul Murray Blue Earth Cottonwood Steele Dodge Olmsted Pipestone Winona Watonwan Waseca Rock Nobles Jackson Martin Faribault Fillmore Houston Freeborn Mower

  23. Gonorrhea Infections in Minnesotaby Residence at Diagnosis, 2006 Total Number of Cases= 3,303 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area.

  24. Gonorrhea Rates by GenderMinnesota, 1996-2006

  25. Gonorrhea Rates by AgeMinnesota, 1996-2006

  26. Age-Specific Gonorrhea Rates by GenderMinnesota, 2006

  27. Gonorrhea Rates by Race/Ethnicity Minnesota, 1996-2006 * Persons of Hispanic ethnicity can be of any race.

  28. Gonorrhea Rates by Race/Ethnicity Excluding BlacksMinnesota, 1996-2006 * Persons of Hispanic ethnicity can be of any race.

  29. SYPHILIS STDs in Minnesota: Annual Review

  30. Syphilis Rates by Stage of Diagnosis Minnesota, 1996-2006 * P&S = Primary and Secondary

  31. 2006 Minnesota Primary &Secondary Syphilis Rates by County Kittson Roseau Lake of the Woods Marshall Koochiching Pennington Beltrami Cook Red Lake Polk Lake Clearwater St. Louis Itasca Norman Mahnomen Hubbard Becker Cass Clay Crow Wing Wadena Aitkin Carlton Wilkin Otter Tail Rate per 100,000 persons Pine Todd Morrison Grant Douglas 0 – 0.2 Mille Lacs Kanabec Traverse 0.21 – 1.0 Benton Stevens Pope Stearns Isanti Big Stone > 1.0 Chisago Sherburne Swift Anoka City of Minneapolis 7.6 City of St. Paul 1.4 Suburban# 0.5 Greater Minnesota 0.1 (2 cases missing residence information) Kandiyohi Wright Meeker Chippewa Washington Hennepin Lac qui Parle Ramsey McLeod Carver Yellow Medicine Renville Dakota Scott Sibley Lincoln Lyon Redwood Goodhue Le Sueur Nicollet Rice Wabasha Brown # 7-county metro area, excluding the cities of Minneapolis and St. Paul Pipestone Murray Cottonwood Steele Dodge Olmsted Winona Blue Earth Waseca Watonwan Rock Nobles Jackson Martin Faribault Fillmore Houston Freeborn Mower

  32. Primary & Secondary Syphilis Infections in Minnesota by Residence at Diagnosis, 2006 Total Number of Cases = 47 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (excluding Minneapolis), Ramsey (excluding St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties outside the seven-county metro area.

  33. Primary &Secondary Syphilis Rates by GenderMinnesota, 1996-2006

  34. Primary & Secondary Syphilis Rates by AgeMinnesota, 1996-2006

  35. Age-Specific Primary &Secondary Syphilis Rates by Gender, Minnesota, 2006

  36. Primary & Secondary Syphilis Cases by RaceMinnesota, 2006 Total Number of Cases = 47 *Includes persons reported with more than one race

  37. Primary & Secondary Syphilis Rates by Race/EthnicityMinnesota, 1996-2006 * Persons of Hispanic ethnicity can be of any race.

  38. Summary of STD Trends in Minnesota • From 1996 through 2006, the rates of chlamydia infection more than doubled; in 2006, the rates increased by 5%. • In 2006, the overall rates of gonorrhea and primary and secondary (P&S) syphilis infections decreased by 6% and 34%, respectively. • STD rates are highest in the cities of Minneapolis and Saint Paul. Chlamydia rates continue to increase in the suburbs with an increase of 9% in 2006. • Persons of color continue to be disproportionately affected by STDs. • In 2006, chlamydia and gonorrhea rates were highest among adolescents (15-19 year olds) and young adults (20-24 year olds). However, chlamydia rates increased the most among 25-29 year olds (15%). The rate of early syphilis also increased among 25-29 year olds by 36%. • Between 2005 and 2006, the number of early syphilis cases among women doubled (from 7 in 2005 to 14 in 2006); among men, the number of cases decreased by 18%.

More Related