Download Annual spotlight on sexually transmitted infections in the

Annual Epidemiological
Spotlight on STIs in the East
Midlands:
2015 data
Field Epidemiology Services, East Midlands
Summary of 2015 data for East Midlands residents
• Over 29,300 New STIs diagnosed
• New STI diagnosis rate: 633 diagnoses per 100,000 population
• Diagnoses of gonorrhoea fell by 1%, syphilis rose by 47% 2014 to 2015
• Chlamydia detection rate in those aged 15 to 24 was 1,835 per 100,000
pop. (aim = 2,300)
• Diagnoses in GUM: 8% of new diagnoses in MSM (68% of syphilis)
• 15 to 24 year olds accounted for 60% of New STI diagnoses
• 3% of New STI diagnoses are in black Caribbeans who also have the
highest rate (2,103 per 100,000 pop.)
• White ethnic group has the highest numbers of New STIs (85% of total)
• 90% of New STI diagnoses are in people born in the UK
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Figure 1: New STI diagnosis per 100,000 population by PHE centre
of residence, 2015
1,600.0
1,400.0
1,000.0
800.0
600.0
628.7
604.1
572.2
632.6
666.7
670.2
676.6
200.0
767.9
400.0
1,391.0
Rate per 100,000 population
1,200.0
South
West
South East
East of
England
0.0
London North West Yorkshire
and
Humber
West
North East
East
Midlands
Midlands
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Figure 2: Diagnoses of the five main STIs: East Midlands residents,
2011 to 2015
20,000
Number of diagnoses
18,000
16,000
15,957
15,415
14,000
12,000
10,000
8,000
6,000
4,000
2,000
0
5,663
4,846
2,191
1,960
229
2,348
1,079
171
2011
2012
2013
2014
Syphilis
Gonorrhoea
Chlamydia (pre-CTAD)
Genital Herpes
Genital Warts
Chlamydia (CTAD)
2015
Any increase in gonorrhoea diagnoses may be due to the increased use of highly sensitive nucleic acid amplification tests (NAATs) and additional screening of extra-genital
sites in MSM.
Any decrease in genital wart diagnoses may be due to a moderately protective effect of HPV-16/18 vaccination.
Any increase in genital herpes diagnoses may be due to the use of more sensitive NAATs.
Increases or decreases may also reflect changes in testing practices.
Due to changes in 2012 to the surveillance of chlamydia, comparisons to previous years are not robust.
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Figure 3: Diagnosis rates of the five main STIs: East Midlands
residents, 2011 to 2015
Rate per 100,000 population
450.0
400.0
350.0
351.7
332.4
300.0
250.0
200.0
150.0
100.0
50.0
0.0
104.5
124.8
51.7
23.8
3.8
2011
47.2
42.3
4.9
2012
2013
2014
2015
Syphilis
Gonorrhoea
Chlamydia (pre-CTAD)
Genital Herpes
Genital Warts
Chlamydia (CTAD)
Any increase in gonorrhoea diagnoses may be due to the increased use of highly sensitive nucleic acid amplification tests (NAATs) and additional screening of
extra-genital sites in MSM.
Any decrease in genital wart diagnoses may be due to a moderately protective effect of HPV-16/18 vaccination.
Any increase in genital herpes diagnoses may be due to the use of more sensitive NAATs.
Increases or decreases may also reflect changes in testing practices.
Due to changes in 2012 to the surveillance of chlamydia, comparisons to previous years are not robust.
Source: Public Health England, GUMCAD (level 3 services), CTAD, NCSP and laboratory chlamydia data.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Table 1: Percentage change in New STI diagnoses. East Midlands
residents
Diagnoses
New STIs
Syphilis
Gonorrhoea
Chlamydia
Genital Herpes
Genital Warts
2015
29,334
229
1,960
15,415
2,191
4,846
% change
2011-2015
2014-2015
-7%
34%
47%
82%
-1%
-10%
-7%
-8%
-14%
-2%
Please see notes for Figure 3.
Due to changes in 2012 to the surveillance of chlamydia diagnosed outside GUM, comparisons for chlamydia and for New STIs before and after 2012 are not
robust and, therefore, have not been presented.
Source: Public Health England, GUMCAD (level 3 services), CTAD, NCSP and laboratory chlamydia data.
.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Figure 4: Rate of New STIs per 100,000 residents by age group in
the East Midlands, 2015
Age group (years)
45-64
Male
Female
35-44
25-34
20-24
15-19
4000.0 3000.0 2000.0 1000.0 0.0 1000.0 2000.0 3000.0 4000.0 5000.0
Rate per 100,000 population
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Figure 5: Rates by ethnicity per 100,000 population of East Midlands
residents diagnosed with a New STI, 2015
Rate per 100,000 population
2,500.0
2,000.0
1,500.0
1,000.0
500.0
489.8
2,102.9
1,410.2
528.1
White
Black Caribbean
Black African
Other BME
0.0
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Table 2: Proportion of East Midlands residents diagnosed with a New
STI by ethnicity, 2015
Ethnic group
White
Black Caribbean
Black African
Other BME
Unknown
Number
19,818
608
589
2,198
6,121
Percentage excluding
unknown
85%
3%
3%
9%
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Figure 6: Diagnoses of the five main STIs among men who have sex
with men (MSM) in GUM clinics: East Midlands residents, 2011 to 2015
700
605
Number of diagnoses
600
500
400
300
200
100
342
245
176
117
133
160
87
44
58
0
2011
Syphilis
2012
Gonorrhoea
2013
Chlamydia
2014
Genital Herpes
2015
Genital Warts
GUMCAD started in 2009. Reporting of sexual orientation is less likely to be complete for earlier years, so rises seen may be partly artefactual.
Any increase in gonorrhoea diagnoses may be due to the increased use of highly sensitive nucleic acid amplification tests (NAATs) and additional screening
of extra-genital sites in MSM.
Any decrease in genital wart diagnoses may be due to a moderately protective effect of HPV-16/18 vaccination.
Any increase in genital herpes diagnoses may be due to the use of more sensitive NAATs.
Any increase or decrease may reflect changes in testing.
Source: Public Health England, GUMCAD (level 3 services).
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
Table 3: Percentage change in New STI diagnoses in men who have
sex with men (MSM) diagnosed in GUM clinics. East Midlands
residents
Diagnoses
New STIs
Syphilis
Gonorrhoea
Chlamydia
Genital Herpes
Genital Warts
Please see notes for Figure 6.
2015
1,613
133
605
342
58
160
% change
2011-2015
2014-2015
73%
53%
244%
40%
32%
37%
Source: Public Health England, GUMCAD (level 3 services).
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
10%
45%
9%
-5%
35%
38%
Figure 7a: Rate of New STI diagnoses per 100,000
population among East Midlands residents by local authority
of residence, 2015
1,400.0
PHEC rate (632.6)
England rate (767.6)
1,000.0
800.0
600.0
0.0
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
376
482
490
558
573
683
704
200.0
881
400.0
1,245
Rate per 100,000 population
1,200.0
Figure 7b: Rate of New STI diagnoses (excluding
chlamydia diagnoses in persons aged 15 to 24 years)
per 100,000 population aged 15 to 64 years among
East Midlands residents by local authority of residence,
2015
1,200.0
PHEC rate (602)
England rate (814.9)
Rate per 100,000 population
1,000.0
800.0
600.0
400.0
0.0
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
390
441
478
508
593
697
710
713
1,040
200.0
PHE recommends that local areas should be
working towards achieving a chlamydia detection
rate of at least 2,300 per 100,000 among
individuals aged 15 to 24 years.
2,500.0
2,000.0
1,500.0
1,000.0
0.0
Source: Public Health England, GUMCAD (level 3 services) and CTAD.
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
1,087
1,540
1,541
1,653
1,820
1,889
2,010
2,162
500.0
2,191
Rate per 100,000 population aged 15-24 years
Figure 8: Chlamydia detection rate per 100,000 population
aged 15 to 24 years in the East Midlands by upper tier local
authority of residence, 2015
Figure 9: Rate of gonorrhoea diagnoses per 100,000 population in
the East Midlands by upper tier local authority of residence, 2015
160.0
120.0
100.0
80.0
11
60.0
0.0
Source: Public Health England, GUMCAD (level 3 services).
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data
21
21
28
45
46
57
20.0
62
40.0
128
Rate per 100,000 population
140.0
Figure 10: Map of New STI rates per 100,000 residents
by upper tier local authority in the East Midlands, 2015
Source: Public Health England, GUMCAD (level 3 services)
and CTAD
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Annual Epidemiological Spotlight on STIs in the East Midlands: 2015 data