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Decline in reported GC morbidity in NYC

Decline in reported GC morbidity in NYC. Preeti Pathela ppathela@health.nyc.gov. Gonorrhea. Where do we stand?. NYC. NYC. NYC. US. US. Cases per 100,000 pop. US. Gonorrhea Rates: United States, 1970-2004 and the Healthy People 2010 target. -74%. -12%. Gonorrhea Rates by Sex:

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Decline in reported GC morbidity in NYC

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  1. Decline in reported GC morbidity in NYC Preeti Pathela ppathela@health.nyc.gov

  2. Gonorrhea Where do we stand? NYC NYC NYC US US Cases per 100,000 pop. US

  3. Gonorrhea Rates: United States, 1970-2004 and the Healthy People 2010 target -74% -12%

  4. Gonorrhea Rates by Sex: United States, 1981-2004 and the Healthy People 2010 target

  5. Gonorrhea Rates by Sex New York City, 1995-2005 Data based on cases reported to the NYC DOHMH

  6. Gonorrhea Rates by Provider Type: United States, 1984-2004

  7. Case rate (per 100,000 population) of Neisseria gonorrhea reported to the New York City DOHMH, with percent reported from Bureau of STD clinics, 2000-2005, by sex Data based on cases reported to the NYC DOHMH

  8. Provider types in NYC BSTDC Surveillance Database HIV Counseling & Testing STD Clinic Drug Treatment Family Planning Prenatal Other Clinic Private Physician Hospital Correctional Facility Laboratory Other Unknown

  9. N=6720 N=6330 N=5286 N=5507

  10. NYC DOHMH Reported female gonorrhea cases, by provider type 2002 - 2005 N=6646 N=6691 N=5544 N=5048

  11. Gonorrhea reported to the NYC DOHMH. Case rates (per 100,000 population) by age and sex*, full year 2004 Males Females N=5286 N=5544 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Age (years) Case rate /100,000 population * Excludes persons for whom age or sex information is missing.

  12. Male GC positivity by age BSTDC clinics, 2003-2005

  13. Female GC positivity by age BSTDC clinics, 2003-2005

  14. What is leading to the apparent decline in GC cases? • A true decline in GC • Changes in screening practices • Use of diagnostic tests with different sensitivities • Changes in reporting practices

  15. If decreases are true decreases… • How would this impact targeting of GC screening? • Could this impact manufacturers of tests (provision of Ct-only tests) for low GC prevalence areas?

  16. Thanks!

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