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Sexually Transmitted Disease Surveillance 2010. Division of STD Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention. Sexually Transmitted Disease Surveillance 2010 Division of STD Prevention. Chlamydia. Chlamydia—Rates by Sex, United States, 1990–2010.

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Sexually transmitted disease surveillance 2010

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention


Chlamydia

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

Chlamydia


Chlamydia rates by sex united states 1990 2010

Chlamydia—Rates by Sex, United States, 1990–2010

Rate (per 100,000 population)

750

Men

625

Women

Total

500

375

250

125

0

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

Year

NOTE: As of January 2000, all 50 states and the District of Columbia have regulations that require the reporting of chlamydia cases.


Chlamydia rates by region united states 2001 2010

Chlamydia—Rates by Region, United States, 2001–2010

Rate (per 100,000 population)

500

400

300

200

West

Midwest

Northeast

100

South

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Chlamydia rates by state united states and outlying areas 2010

Chlamydia—Rates by State, United States and Outlying Areas, 2010

NOTE: The total rate of chlamydia for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 422.6 per 100,000 population.


Chlamydia rates by county united states 2010

Chlamydia—Rates by County, United States, 2010

Rate per 100,000

population

<300.0

(n = 1,962)

300.1–400.0

(n = 418)

>400.0

(n = 762)


Chlamydia rates by age and sex united states 2010

Chlamydia—Rates by Age and Sex, United States, 2010

Men

Rate (per 100,000 population)

Women

3,700

2,960

2,220

1,480

740

0

0

740

1,480

2,220

2,960

3,700

Age

774.3

3,378.2

15–19

1,187.0

3,407.9

20–24

25–29

598.0

1,236.1

30–34

309.0

530.9

153.2

35–39

220.1

40–44

91.3

94.7

45–54

39.3

32.8

10.9

55–64

9.3

65+

2.8

2.1

Total

233.7

610.6


Chlamydia rates by race ethnicity united states 2001 2010

Chlamydia—Rates by Race/Ethnicity, United States, 2001–2010

Rate (per 100,000 population)

1500

American Indians/Alaska Natives

Asians/Pacific Islanders

Blacks

1200

Hispanics

Whites

900

600

300

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Chlamydia cases by reporting source and sex united states 2001 2010

Chlamydia—Cases by Reporting Source and Sex, United States, 2001–2010

Cases (in thousands)

800

700

600

500

Non-STD Clinic, Men

Non-STD Clinic,

W

omen

400

STD Clinic, Men

300

STD Clinic,

W

omen

200

100

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Chlamydia percentage of reported cases by sex and selected reporting sources united states 2010

Chlamydia—Percentage of Reported Cases by Sex and Selected Reporting Sources, United States, 2010

Percentage

40

Private Physician/HMO*

STD Clinic

35

Other HD* Clinic

30

Family Planning Clinic

Emergency Room

25

20

15

10

5

0

Men

Women

*HMO = health maintenance organization; HD = health department.

NOTE: These categories represent 72.5% of cases with a known reporting source. Of all cases, 11.6% had a missing or unknown reporting source.


Sexually transmitted disease surveillance 2010

Chlamydia—Prevalence by Age Group and Race/Ethnicity, National Health and Nutrition Examination Survey, 1999–2002

Prevalence, %

16

Non-Hispanic Whites

Non-Hispanic Blacks

Mexican-Americans

12

8

4

0

14–19

20–29

30–39

Age

NOTE: Error bars indicate 95% confidence intervals.

SOURCE: Datta SD, Sternberg M, Johnson RE, Berman S, Papp JR, McQuillan G, et al. Gonorrhea and chlamydia in the United States among persons 14 to 39 years of age, 1999 to 2002. Ann Intern Med. 2007;147(2):89-96.


Sexually transmitted disease surveillance 2010

Chlamydia—Median State-specific Positivity Rates Among Women Aged 15–24 Years Tested in Family Planning Clinics, Infertility Prevention Project, United States, 1997–2010

Median State-Specific Positivity Rate, %

10

8

6

4

2

0

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

NOTE: As of 1997, all 10 U.S. Department of Health and Human Services (HHS) regions, which represent all 50 states, the District of Columbia, and outlying areas, reported chlamydia positivity data.


Sexually transmitted disease surveillance 2010

Chlamydia—Positivity Among Women Aged 15–24 Years Tested in Family Planning Clinics, by State, Infertility Prevention Project, United States and Outlying Areas, 2010

NOTE: Includes states and outlying areas that reported chlamydia positivity data on at least 500 women aged 15–24 years screened during 2010.


Sexually transmitted disease surveillance 2010

Chlamydia—Trends in Positivity Rates Among Women Aged 15–24 Years Tested in Family Planning Clinics, by U.S. Department of Health and Human Services (HHS) Region, Infertility Prevention Project, 2006–2010

* 2009 percent positivity for Region VI previously published in the 2009 Surveillance report has been corrected.


Sexually transmitted disease surveillance 2010

Chlamydia—Percentage of Nucleic Acid Amplification Tests Used Among Women Aged 15–24 Years Tested in Family Planning Clinics, by U.S. Department of Health and Human Services (HHS) Region, Infertility Prevention Project, 2006–2010

Percentage

Percentage

Percentage

Percentage

100

100

100

100

80

80

80

80

60

60

60

60

40

40

40

40

20

20

20

20

0

0

0

0

06

07

08

09

10

06

07

08

09

10

06

07

08

09

10

06

07

08

09

10

Region I

Region II

Region III

Region IV

Percentage

Percentage

Percentage

Percentage

100

100

100

100

80

80

80

80

60

60

60

60

40

40

40

40

20

20

20

20

0

0

0

0

06

07

08

09

06

07

08

09

10

06

07

08

09

10

06

07

08

09

10

10

Region V

Region VI

Region VII

Region VIII

Percentage

Percentage

100

100

80

80

60

60

40

40

20

20

0

0

06

07

08

09

10

06

07

08

09

10

Region IX

Region X


Gonorrhea

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

Gonorrhea


Gonorrhea rates united states 1941 2010

Gonorrhea—Rates, United States, 1941–2010

Rate (per 100,000 population)

500

400

300

200

100

0

1941

1946

1951

1956

1961

1966

1971

1976

1981

1986

1991

1996

2001

2006

Year


Gonorrhea rates by sex united states 1990 2010

Gonorrhea—Rates by Sex, United States, 1990–2010

Rate (per 100,000 population)

400

Men

Women

Total

300

200

100

0

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

Year


Gonorrhea rates by region united states 2001 2010

Gonorrhea—Rates by Region, United States, 2001–2010

Rate (per 100,000 population)

300

West

Midwest

250

Northeast

South

200

150

100

50

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Gonorrhea rates by state united states and outlying areas 2010

Gonorrhea—Rates by State, United States and Outlying Areas, 2010

NOTE: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 99.6 per 100,000 population.


Gonorrhea rates by county united states 2010

Gonorrhea—Rates by County, United States, 2010

Rate per 100,000

population

<19.0

(n = 1,408)

19.1–100.0

(n = 1,107)

>100.0

(n = 627)


Gonorrhea rates by age and sex united states 2010

Gonorrhea—Rates by Age and Sex, United States, 2010

Men

Rate (per 100,000 population)

Women

750

600

450

300

150

0

0

150

300

450

600

750

Age

253.4

570.9

15–19

421.0

560.7

20–24

241.3

226.3

25–29

146.5

107.5

30–34

85.1

48.2

35–39

64.2

23.8

40–44

45–54

34.1

9.0

1.9

11.0

55–64

2.4

0.5

65+

94.1

106.5

Total


Gonorrhea rates by age among women aged 15 44 years united states 2001 2010

Gonorrhea—Rates by Age Among Women Aged 15–44 Years, United States, 2001–2010

Rate (per 100,000 population)

Age Group

1,000

30–34

15–19

35–39

20–24

40–44

800

25–29

600

400

200

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Gonorrhea rates by age among men aged 15 44 years united states 2001 2010

Gonorrhea—Rates by Age Among Men Aged 15–44 Years, United States, 2001–2010

Rate (per 100,000 population)

Age Group

750

30–34

15–19

35–39

20–24

40–44

600

25–29

450

300

150

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Gonorrhea rates by race ethnicity united states 2001 2010

Gonorrhea—Rates by Race/Ethnicity, United States, 2001–2010

Rate (per 100,000 population)

600

500

400

American Indians/Alaska Natives

300

Asians/Pacific Islanders

Blacks

Hispanics

200

Whites

100

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Gonorrhea cases by reporting source and sex united states 2001 2010

Gonorrhea—Cases by Reporting Source and Sex, United States, 2001–2010

Cases (in thousands)

200

Non-STD Clinic, Men

Non-STD Clinic, Women

STD Clinic, Men

160

STD Clinic, Women

120

80

40

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Gonorrhea percentage of reported cases by sex and selected reporting sources united states 2010

Gonorrhea—Percentage of Reported Cases by Sex and Selected Reporting Sources, United States, 2010

Percentage

35

Private Physician/HMO*

STD Clinic

30

Other HD* Clinic

Family Planning Clinic

25

Emergency Room

20

15

10

5

0

Men

Women

* HMO = health maintenance organization; HD = health department.

NOTE: These categories represent 69.5% of cases with known reporting source. Of all cases, 13.2% had a missing or unknown reporting source.


Sexually transmitted disease surveillance 2010

STD Surveillance Network­­ (SSuN)—Proportion of MSM,* MSW,* and Women Among Interviewed† Gonorrhea Cases by Site, 2010

Percentage

MSM

100

MSW

Women

80

60

40

20

0

San

Francisco

California‡

Colorado

Louisiana

Virginia

Philadelphia

New

York City

Connecticut

Washington

Chicago

Alabama

Baltimore

* MSM = men who have sex with men; MSW = men who have sex with women only.

† SSuN interviews conducted from a randomly selected patient population with gonorrhea (n = 3,446).

‡ California data excludes San Francisco.


Sexually transmitted disease surveillance 2010

Gonorrhea—Positivity Among Women Aged 15–24 Years Tested in Family Planning Clinics, by State, Infertility Prevention Project, United States and Outlying Areas, 2010

* States/areas not meeting minimum inclusion criteria.

NOTE: Includes states and outlying areas that reported positivity data on at least 500 women aged 15–24 years who were screened during 2010.


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Location of Participating Sentinel Sites and Regional Laboratories, United States, 2010


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Distribution of Minimum Inhibitory Concentrations (MICs) to Ceftriaxone Among GISP Isolates, 2006–2010

Percentage

100

2006

2007

2008

80

2009

2010

60

40

20

0

0.015

0.03

0.06

0.125

0.25

<0.008

MICs (µg/ml)


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Distribution of Minimum Inhibitory Concentrations (MICs) to Cefixime Among GISP Isolates, 2006 and 2009–2010

Percentage

100

2006

2009

80

2010

60

40

20

0

<0.015

0.03

0.06

0.125

0.25

0.5

MICs (µg/ml)

NOTE: Isolates were not tested for cefixime susceptibility in 2007 and 2008.


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Distribution of Minimum Inhibitory Concentrations (MICs) to Azithromycin Among GISP Isolates, 2006–2010

Percentage

40

2006

2007

2008

30

2009

2010

20

10

0

0.06

0.125

0.25

0.5

1

2

4

8

16

<0.03

MICs (µg/ml)


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Percentage of Neisseria gonorrhoeae Isolates with Resistance or Intermediate Resistance to Ciprofloxacin, 1990–2010

Percentage

20

Resistance

Intermediate Resistance

15

10

5

0

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

NOTE: Resistant isolates have ciprofloxacin minimum inhibitory concentrations (MICs) >1 µg/ml. Isolates with intermediate resistance have ciprofloxacin MICs of 0.125–0.5 µg/ml. Susceptibility to ciprofloxacin was first measured in GISP in 1990.


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Penicillin, Tetracycline, and Ciprofloxacin Resistance Among GISP Isolates, 2010

6.9%

2.0%

0.6%

1.8%

2.9%

Susceptible

9.4%

PenR

TetR

3.5%

QRNG

72.8%

PenR/TetR

PenR/QRNG

TetR/QRNG

PenR/TetR/QRNG

NOTE: PenR = penicillinase producing Neisseriagonorrhoeaeand chromosomally mediated penicillin-resistant N. gonorrhoeae; TetR = chromosomally and plasmid mediated tetracycline-resistant N. gonorrhoeae; and QRNG = quinolone-resistant N. gonorrhoeae.


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Drugs Used to Treat Gonorrhea Among GISP Participants, 1988–2010

Percentage

100

Other

Tetracyclines

Penicillins

Ofloxacin

80

Ciprofloxacin

60

Cefixime

Ceftriaxone 250 mg

40

20

Spectinomycin

Ceftriaxone 125 mg

Other Cephalosporins

0

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

Year

NOTE: For 2010, “Other” includes no therapy (1.2%), azithromycin 2 g (1.7%), and other less frequently used drugs.


Syphilis

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

Syphilis


Syphilis reported cases by stage of infection united states 1941 2010

Syphilis—Reported Cases by Stage of Infection, United States, 1941–2010

Cases (in thousands)

600

Primary and Secondary

500

Early Latent

Total Syphilis

400

300

200

100

0

1941

1946

1951

1956

1961

1966

1971

1976

1981

1986

1991

1996

2001

2006

Y

ear


Primary and secondary syphilis rates by sex and male to female rate ratios united states 1990 2010

Primary and Secondary Syphilis—Rates by Sex and Male-to-Female Rate Ratios, United States, 1990–2010

Rate (per 100,000 population)

Rate Ratio (log scale)

16:1

25

Male Rate

Female Rate

20

Total Rate

8:1

Male-to-Female Rate Ratio

15

4:1

10

2:1

5

1:1

0

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

Year


Primary and secondary syphilis rates by region united states 2001 2010

Primary and Secondary Syphilis—Rates by Region, United States, 2001–2010

Rate (per 100,000 population)

10

West

Midwest

8

Northeast

South

6

4

2

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Primary and secondary syphilis rates by state united states and outlying areas 2010

Primary and Secondary Syphilis—Rates by State, United States and Outlying Areas, 2010

NOTE: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 4.5 per 100,000 population.


Primary and secondary syphilis rates by county united states 2010

Primary and Secondary Syphilis—Rates by County, United States, 2010

Rate per 100,000

population

<0.2

(n = 2,167)

0.21–2.2

(n = 383)

>2.2

(n = 592)

NOTE: In 2010, 2,167 (69.0%) of 3,141 counties in the United States reported no cases of primary and secondary syphilis.


Primary and secondary syphilis rates by age and sex united states 2010

Primary and Secondary Syphilis—Rates by Age and Sex, United States, 2010

Men

Rate (per 100,000 population)

Women

25

20

15

10

5

0

0

5

10

15

20

25

Age

5.6

3.0

15–19

21.9

4.5

20–24

19.2

3.0

25–29

15.8

2.0

30–34

12.7

1.4

35–39

13.8

1.0

40–44

8.5

0.8

45–54

0.2

2.7

55–64

0.6

0.0

65+

7.9

1.1

Total


Primary and secondary syphilis rates by age among women aged 15 44 years united states 2001 2010

Primary and Secondary Syphilis—Rates by Age Among Women Aged 15–44 Years, United States, 2001–2010

Rate (per 100,000 population)

6

Age Group

15–19

30–34

5

20–24

35–39

25–29

40–44

4

3

2

1

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Primary and secondary syphilis rates by age among men aged 15 44 years united states 2001 2010

Primary and Secondary Syphilis—Rates by Age Among Men Aged 15–44 Years, United States, 2001–2010

Rate (per 100,000 population)

25

Age Group

30–34

15–19

20

35–39

20–24

40–44

25–29

15

10

5

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Primary and secondary syphilis rates by race ethnicity united states 2001 2010

Primary and Secondary Syphilis—Rates by Race/Ethnicity, United States, 2001–2010

Rate (per 100,000 population)

25

American Indians/Alaska Natives

Asians/Pacific Islanders

20

Blacks

Hispanics

Whites

15

10

5

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Primary and secondary syphilis reported cases by stage sex and sexual behavior united states 2010

Primary and Secondary Syphilis—Reported Cases* by Stage, Sex, and Sexual Behavior, United States, 2010

Cases

6,000

Primary

Secondary

5,000

4,000

3,000

2,000

1,000

0

Women

MSM†

MSW†

* Of the reported male cases of primary and secondary syphilis, 18.3% were missing sex of sex partner information.

† MSW = men who have sex with women only; MSM = men who have sex with men.


Sexually transmitted disease surveillance 2010

Primary and Secondary Syphilis—Reported Cases* by Sex, Sexual Behavior, and Race/Ethnicity,† United States, 2010

Cases

3,000

Whites

2,500

Blacks

Hispanics

Other

2,000

1,500

1,000

500

0

Women

MSM‡

MSW‡

* Of the reported male cases of primary and secondary syphilis, 18.3% were missing sex of sex partner information; 2.0% of reported male cases with sex of sex partner data were missing race/ethnicity data.

† No imputation was done for race/ethnicity.

‡ MSW = men who have sex with women only; MSM = men who have sex with men.


Primary and secondary syphilis reported cases by reporting source and sex united states 2001 2010

Primary and Secondary Syphilis—Reported Cases by Reporting Source and Sex, United States, 2001–2010

Cases (in thousands)

10

Non-STD Clinic, Men

Non-STD Clinic, Women

8

STD Clinic, Men

STD Clinic, Women

6

4

2

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Sexually transmitted disease surveillance 2010

Primary and Secondary Syphilis—Percentage of Reported Cases* by Sex, Sexual Behavior, and Selected Reporting Sources, 2010

Percentage

Correctional Facility

40

HIV Counseling and Testing Site

Private Physician/HMO†

35

STD Clinic

30

25

20

15

10

5

0

MSW†

Women

MSM†

* Of the reported male cases of primary and secondary syphilis, 18.3% were missing sex of sex partner information, and 2.7% of reported male cases with sex of sex partner data were missing source of information data.

† HMO = health maintenance organization; MSW = men who have sex with women only; MSM = men who have sex with men.


Sexually transmitted disease surveillance 2010

Congenital Syphilis—Reported Cases Among Infants by Year of Birth and Rates of Primary and Secondary Syphilis Among Women, United States, 2001–2010

CS* cases (in thousands)

P&S* rate (per 100,000 women)

0.8

4

CS Cases

P&S Rate

0.6

3

0.4

2

0.2

1

0.0

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

* CS = congenital syphilis; P&S = primary and secondary syphilis.


Other sexually transmitted diseases

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

Other SexuallyTransmitted Diseases


Chancroid reported cases united states 1981 2010

Chancroid—Reported Cases, United States, 1981–2010

Cases (in thousands)

5

4

3

2

1

0

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

2009

Year


Sexually transmitted disease surveillance 2010

Human Papillomavirus—Prevalence of High-risk and Low-risk Types Among Females Aged 14–59 Years, National Health and Nutrition Examination Survey, 2003–2006

Prevalence, %

60

Low-risk HPV*

High-risk HPV*

50

40

30

20

10

0

14–19

20–24

25–29

30–39

40–49

50–59

Age

* HPV = human papillomavirus.

NOTE: Error bars indicate 95% confidence intervals. Both high-risk and low-risk HPV types were detected in some females.

SOURCE: Hariri S, Unger ER, Sternberg M, Dunne EF, Swan D, Patel S, et al. Prevalence of genital HPV among females in the United States, the National Health and Nutrition Examination Survey, 2003–2006. J Infect Dis. 2011;204(4):566-73


Genital warts initial visits to physicians offices united states 1966 2010

Genital Warts—Initial Visits to Physicians’ Offices, United States, 1966–2010

Visits (in thousands)

500

400

300

200

100

0

1966

1969

1972

1975

1978

1981

1984

1987

1990

1993

1996

1999

2002

2005

2008

Year

NOTE:The relative standard errors for genital warts estimates of more than 100,000 range from 18% to 30%.

SOURCE: IMS Health, Integrated Promotional Services™. IMS Health Report, 1966–2010.


Sexually transmitted disease surveillance 2010

STD Surveillance Network (SSuN)—Genital Warts—Prevalence Among Sexually Transmitted Disease (STD) Clinic Patients by Sex, Sex of Partners, and Site, 2010

Percentage

15

MSM*

MSW*

Women

12

9

6

3

0

San

Francisco

Los

Angeles

Seattle

Denver

Chicago

New

Orleans

Birmingham

Baltimore

New York City

Hartford/New Haven

Richmond

Philadelphia

* MSM = men who have sex with men; MSW = men who have sex with women only.


Genital herpes initial visits to physicians offices united states 1966 2010

Genital Herpes—Initial Visits to Physicians’ Offices, United States, 1966–2010

Visits (in thousands)

400

350

300

250

200

150

100

50

0

1966

1969

1972

1975

1978

1981

1984

1987

1990

1993

1996

1999

2002

2005

2008

Year

NOTE: The relative standard errors for genital herpes estimates of more than 100,000 range from 18% to 30%.

SOURCE: IMS Health, Integrated Promotional Services™. IMS Health Report, 1966–2010.


Sexually transmitted disease surveillance 2010

Herpes Simplex Virus Type 2—Seroprevalence in Non-Hispanic Whites and Non-Hispanic Blacks by Age Group, National Health and Nutrition Examination Survey, 1976–1980, 1988–1994, 1999–2004, 2005–2008

Percentage

Percentage

100

100

Non-Hispanic Whites

Non-Hispanic Blacks

80

80

60

60

40

40

20

20

0

0

14–19

20–29

30–39

40–49

All Ages*

14–19

20–29

30–39

40–49

All Ages*

Age

Age

1976–1980

1988–1994

1999–2004

2005–2008

* Age-adjusted by using the 2000 U.S. Census civilian, non-institutionalized population aged 14–49 years as the standard.

NOTE: Error bars indicate 95% confidence intervals.


Sexually transmitted disease surveillance 2010

Trichomoniasis and Other Vaginal Infections—Women—Initial Visits to Physicians’ Offices, United States, 1966–2010

Visits (in thousands)

4,500

Trichomoniasis

Other Vaginitis

3,600

2,700

1,800

900

0

1966

1969

1972

1975

1978

1981

1984

1987

1990

1993

1996

1999

2002

2005

2008

Year

NOTE: The relative standard errors for trichomoniasis estimates range from 16% to 27% and for other vaginitis estimates range from 8% to 13%.

SOURCE: IMS Health, Integrated Promotional Services™, IMS Health Report, 1966–2010.


Stds in women and infants

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

STDs in Women and Infants


Chlamydia women rates by state united states and outlying areas 2010

Chlamydia—Women—Rates by State, United States and Outlying Areas, 2010

NOTE: The total chlamydial infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 605.8 per 100,000 female population.


Sexually transmitted disease surveillance 2010

Chlamydia—Positivity Among Women Aged 15–24 Years Tested in Prenatal Clinics, by State, Infertility Prevention Project, United States and Outlying Areas, 2010

* States/areas not meeting minimum inclusion criteria in prenatal clinics.

NOTE: Includes states and outlying areas that reported chlamydia positivity data on at least 100 women aged 15–24 years during 2010.


Gonorrhea women rates by state united states and outlying areas 2010

Gonorrhea—Women—Rates by State, United States and Outlying Areas, 2010

NOTE: The total gonorrhea infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 105.2 per 100,000 female population.


Sexually transmitted disease surveillance 2010

Gonorrhea—Positivity Among Women Aged 15–24 Years Tested in Prenatal Clinics, by State, Infertility Prevention Project, United States and Outlying Areas, 2010

* States/areas not meeting minimum inclusion criteria in prenatal clinics.

NOTE: Includes states and outlying areas that reported gonorrhea positivity data on at least 100 women aged 15–24 years during 2010.


Primary and secondary syphilis women rates by state united states and outlying areas 2010

Primary and Secondary Syphilis—Women—Rates by State, United States and Outlying Areas, 2010

NOTE: The total rate of primary and secondary syphilis among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 1.1 per 100,000 females.


Congenital syphilis infants rates by year of birth and state united states and outlying areas 2010

Congenital Syphilis—Infants—Rates by Year of Birth and State, United States and Outlying Areas, 2010

NOTE: The total rate of congenital syphilis for infants by year of birth for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 8.7 per 100,000 live births.


Pelvic inflammatory disease hospitalizations of women aged 15 44 years united states 2000 2009

Pelvic Inflammatory Disease—Hospitalizations of Women Aged 15–44 Years, United States, 2000–2009

Hospitalizations (in thousands)

75

60

45

Acute, Unspecified

Chronic

30

15

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year

NOTE: The relative standard errors for acute and unspecified pelvic inflammatory disease (PID) cases ranges from 8%–18%. The relative standard error for chronic PID cases ranges from 12%–28%. Data only available through 2009.

SOURCE: 2009 National Hospital Discharge Survey [Internet]. Atlanta: Centers for Disease Control and Prevention. Available from: http://www.cdc.gov/nchs/nhds/about/nhds.htm.


Sexually transmitted disease surveillance 2010

Pelvic Inflammatory Disease—Initial Visits to Physicians’ Offices by Women Aged 15–44 Years, United States, 2001–2010

Visits (in thousands)

250

200

150

100

50

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

NOTE: The relative standard errors for these estimates are 21.6%–30%.

SOURCE: IMS Health, Integrated Promotional Services™. IMS Health Report, 1966–2010.


Ectopic pregnancy hospitalizations of women aged 15 44 years united states 2000 2009

Ectopic Pregnancy—Hospitalizations of Women Aged 15–44 Years, United States, 2000–2009

Hospitalizations (in thousands)

50

40

30

20

10

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year

NOTE: The relative standard errors for these estimates are 10%–23%. Data only available through 2009.

SOURCE: 2009 National Hospital Discharge Survey [Internet]. Atlanta: Centers for Disease Control and Prevention. Available from: http://www.cdc.gov/nchs/nhds/about/nhds.htm.


Stds in adolescents and young adults

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

STDs in Adolescents and Young Adults


Sexually transmitted disease surveillance 2010

Chlamydia—Trends in Positivity Among Women Aged 15–19 Years Tested in Family Planning Clinics, by U.S. Department of Health and Human Services (HHS) Region, Infertility Prevention Project, 2006–2010

* 2009 percent positivity for Region VI previously published in the 2009 Surveillance report has been corrected.


Sexually transmitted disease surveillance 2010

Chlamydia—Prevalence Among Women Aged 16–24 Years Entering the National Job Training Program, by State of Residence, United States and Outlying Areas, 2010

* Fewer than 100 women who resided in these states/areas and entered the National Job Training Program were screened for chlamydia in 2010.


Sexually transmitted disease surveillance 2010

Chlamydia—Prevalence Among Men Aged 16–24 Years Entering the National Job Training Program, by State of Residence, United States and Outlying Areas, 2010

* Fewer than 100 men who resided in these states/areas and entered the National Job Training Program were screened for chlamydia in 2010.


Sexually transmitted disease surveillance 2010

Gonorrhea—Prevalence Among Women Aged 16–24 Years Entering the National Job Training Program, by State of Residence, United States and Outlying Areas, 2010

* Fewer than 100 women who resided in these states/areas and entered the National Job Training Program were screened for gonorrhea in 2010.

NOTE: Many training centers use local laboratories to test female students for gonorrhea; these results are not available to CDC. For this map, gonorrhea test results for students at centers that submitted specimens to the national contract laboratory were included if the number of gonorrhea tests submitted was greater than 90% of the number of chlamydia tests submitted.


Sexually transmitted disease surveillance 2010

Gonorrhea—Prevalence Among Men Aged 16–24 Years Entering the National Job Training Program, by State of Residence, United States and Outlying Areas, 2010

* Fewer than 100 men who resided in these states/areas and entered the National Job Training Program were screened for gonorrhea in 2010.

NOTE: Many training centers use local laboratories to test male students for gonorrhea; these results are not available to CDC. For this map, gonorrhea test results for students at centers that submitted specimens to the national contract laboratory were included if the number of gonorrhea tests submitted was greater than 90% of the number of chlamydia tests submitted.


Stds in racial and ethnic minorities

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

STDs in Racial and Ethnic Minorities


Chlamydia rates by race ethnicity and sex united states 2010

Chlamydia—Rates by Race/Ethnicity and Sex, United States, 2010

Rate (per 100,000 population)

Men

Women

Race/

Ethnicity

2,500

2,000

1,500

1,000

500

0

0

500

1,000

1,500

2,000

2,500

AI/AN*

276.4

898.7

A/PI*

59.7

167.2

Blacks

1,536.5

761.8

Hispanics

184.4

567.6

Whites

69.9

205.1

233.7

610.6

Total

* AI/AN = American Indians/Alaska Natives; A/PI = Asians/Pacific Islanders.


Gonorrhea rate ratios by race ethnicity united states 2001 2010

Gonorrhea—Rate Ratios* by Race/Ethnicity, United States, 2001–2010

Rate Ratio†

32:1

16:1

American Indians/Alaska Natives

Asians/Pacific Islanders

8:1

Blacks

Hispanics

4:1

2:1

1:1

1:2

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

* Rate ratios are calculated as the gonorrhea rate per 100,000 population for a given racial or ethnic minority population divided by the gonorrhea rate per 100,000 population for non-Hispanic whites. Any population with a lower rate of gonorrhea than the non-Hispanic white population will have a rate ratio of less than 1:1.

† Y-axis is log scale.


Gonorrhea rates by race ethnicity and sex united states 2010

Gonorrhea—Rates by Race/Ethnicity and Sex, United States, 2010

Rate (per 100,000 population)

Men

Women

Race/

Ethnicity

750

600

450

300

150

0

0

150

300

450

600

750

AI/AN*

77.0

133.5

A/PI*

17.1

14.0

Blacks

433.6

430.8

Hispanics

48.7

51.1

Whites

19.5

26.6

94.1

106.5

Total

* AI/AN = American Indians/Alaska Natives; A/PI = Asians/Pacific Islanders.


Gonorrhea rate ratios by race ethnicity and region united states 2010

Gonorrhea—Rate Ratios* by Race/Ethnicity and Region, United States, 2010

West

Rate Ratio†

Midwest

32:1

Northeast

South

16:1

8:1

4:1

2:1

1:1

1:2

1:4

Blacks

Hispanics

A/PI‡

AI/AN‡

* Rate ratios are calculated as the gonorrhea rate per 100,000 population for a given racial or ethnic minority population divided by the gonorrhea rate per 100,000 population for non-Hispanic whites. Any population with a lower rate of gonorrhea than the non-Hispanic white population will have a rate ratio of less than 1:1.

† Y-axis is log scale.

‡ A/PI = Asians/Pacific Islanders; AI/AN = American Indians/Alaska Natives.


Primary and secondary syphilis rates by race ethnicity and sex united states 2010

Primary and Secondary Syphilis—Rates by Race/Ethnicity and Sex, United States, 2010

Rate (per 100,000 population)

Men

Women

Race/

Ethnicity

35

28

21

14

7

0

0

7

14

21

28

35

AI/AN*

4.3

0.7

A/PI*

2.6

0.1

28.2

Blacks

6.4

Hispanics

8.5

0.5

Whites

4.0

0.3

1.1

7.9

Total

* AI/AN = American Indians/Alaska Natives; A/PI = Asians/Pacific Islanders.


Sexually transmitted disease surveillance 2010

Primary and Secondary Syphilis—Rates Among Females Aged 15–19 Years by Race/Ethnicity, United States, 2001–2010

Rate (per 100,000 population)

20

American Indians/Alaska Natives

Asians/Pacific Islanders

Blacks

15

Hispanics

Whites

10

5

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Sexually transmitted disease surveillance 2010

Primary and Secondary Syphilis—Rates Among Males Aged 15–19 Years by Race/Ethnicity, United States, 2001–2010

Rate (per 100,000 population)

30

American Indians/Alaska Natives

Asians/Pacific Islanders

25

Blacks

Hispanics

20

Whites

15

10

5

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year


Sexually transmitted disease surveillance 2010

Congenital Syphilis—Infants—Rates by Year of Birth and Mother’s Race/Ethnicity, United States, 2001–2010

Rate (per 100,000 live births)

50

American Indians/Alaska Natives

Asians/Pacific Islanders

40

Blacks

Hispanics

Whites

30

20

10

0

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Year

NOTE: Less than 1% of cases had missing maternal race/ethnicity information and were excluded.


Stds in men who have sex with men

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

STDs in Men Who Have Sex with Men


Sexually transmitted disease surveillance 2010

STD Surveillance Network (SSuN)—Gonorrhea and Chlamydia—Proportion of MSM* Testing Positive for Gonorrhea and Chlamydia, by Site, 2010

Percentage

Gonorrhea

30

Chlamydia

25

20

15

10

5

0

San

Francisco

Los

Angeles

Seattle

Denver

Chicago

New

Orleans

Birmingham

Baltimore

New York City

Hartford/New Haven

Richmond

Philadelphia

* MSM = men who have sex with men.


Sexually transmitted disease surveillance 2010

STD Surveillance Network (SSuN)—Primary and Secondary Syphilis and HIV—Proportion of MSM* with Primary and Secondary Syphilis Who Are Co-infected with HIV, 2010

Percentage

100

90

80

70

60

50

40

30

20

10

0

San

Francisco

Los

Angeles

Seattle

Denver

Chicago

New

Orleans

Richmond

Baltimore

Philadelphia

New York City

Hartford/New Haven

* MSM = men who have sex with men.

NOTE: Includes sites that reported data on at least 5 MSM with P&S syphilis in 2010.


Sexually transmitted disease surveillance 2010

STD Surveillance Network (SSuN)—Proportion of MSM* Attending STD Clinics with Primary and Secondary Syphilis, Gonorrhea or Chlamydia by HIV Status, 2010

Percentage

20

HIV–†

HIV+

16

12

8

4

0

P&S syphilis

GC‡ urethral

GC pharyngeal

GC rectal

CT‡ urethral

CT rectal

* MSM = men who have sex with men.

† HIV negative status includes persons of unknown status for this analysis.

‡ GC urethral and CT urethral include results from both urethral and urine specimens.


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Percentage of Urethral Neisseria gonorrhoeae Isolates Obtained from MSM* Attending STD Clinics, 1990–2010

Percentage

30

25

20

15

10

5

0

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

Year

* MSM = men who have sex with men.


Sexually transmitted disease surveillance 2010

Gonococcal Isolate Surveillance Project (GISP)—Percentage of Urethral Neisseria gonorrhoeae Isolates Obtained from MSM* Attending STD Clinics, by Site, 2007–2010

MSM = men who have sex with men.

NOTE: Participating sites include ALB = Albuquerque, NM; ATL = Atlanta, GA; BAL = Baltimore, MD; BHM = Birmingham, AL; CHI = Chicago, IL; CIN = Cincinnati, OH; CLE = Cleveland, OH; DAL = Dallas, TX; DEN = Denver, CO; DTR = Detroit, MI; GRB = Greensboro, NC; HON = Honolulu, HI; KCY = Kansas City, MO; LAX = Los Angeles, CA; LVG = Las Vegas, NV; MIA = Miami, FL; MIN = Minneapolis, MN; NOR = New Orleans, LA; NYC = New York City, NY; OKC = Oklahoma City, OK; ORA = Orange County, CA; PHI = Philadelphia, PA; PHX = Phoenix, AZ; POR = Portland, OR; RIC = Richmond, VA; SDG = San Diego, CA; SEA = Seattle, WA; SFO = San Francisco, CA; and TRP = Tripler Army Medical Center, HI (does not provide sexual risk behavior data).


Stds in persons entering corrections facilities

Sexually Transmitted Disease Surveillance 2010

Division of STD Prevention

STDs in Persons Entering Corrections Facilities


Chlamydia positivity by age and sex juvenile corrections facilities 2010

Chlamydia—Positivity by Age and Sex, Juvenile Corrections Facilities, 2010

Men

Positivity

Women

20

16

12

8

4

0

0

4

8

12

16

20

Age

12

7.2

1.5

13

10.1

2.4

14

13.3

3.8

15

16.2

6.1

16

17.0

7.8

17

15.0

8.8

18

10.0

16.3

Total

6.9

15.3

NOTE: Positivity percentage is presented from facilities reporting more than 100 test results.


Chlamydia positivity by age group and sex adult corrections facilities 2010

Chlamydia—Positivity by Age Group and Sex, Adult Corrections Facilities, 2010

Men

Positivity

Women

20

16

12

8

4

0

0

4

8

12

16

20

Age

<20

11.7

15.3

20–24

9.6

10.5

25–29

5.5

5.9

30–34

3.9

4.6

>35

1.9

2.4

6.7

6.9

Total

NOTE: Positivity percentage is presented from facilities reporting more than100 test results.


Gonorrhea positivity by age and sex juvenile corrections facilities 2010

Gonorrhea—Positivity by Age and Sex, Juvenile Corrections Facilities, 2010

Men

Positivity

Women

20

16

12

8

4

0

0

4

8

12

16

20

Age

12

0.1

2.8

13

0.2

3.4

14

0.6

4.1

15

0.8

4.4

16

1.3

4.2

17

1.3

4.2

18

2.1

5.1

Total

1.1

4.2

NOTE: Positivity percentage is presented from facilities reporting more than 100 test results.


Gonorrhea positivity by age group and sex adult corrections facilities 2010

Gonorrhea—Positivity by Age Group and Sex, Adult Corrections Facilities, 2010

Men

Positivity

Women

20

16

12

8

4

0

0

4

8

12

16

20

Age

<20

1.6

3.7

20–24

1.4

2.5

25–29

0.8

1.9

30–34

0.7

1.0

>35

0.4

0.9

1.0

Total

1.9

NOTE: Positivity percentage is presented from facilities reporting more than 100 test results.


Sexually transmitted disease surveillance 2010

National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention

Division of STD Prevention


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