Download STI notifications from CIDR - 2013 - Health Protection Surveillance

STI notifications from CIDR - 2015
Version 1.0
14th March, 2016
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 18th February, 2016,
and were correct at the time of publication.
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These slides present provisional data on Sexually Transmitted Infections (STIs) notified to HPSC in 2015
via CIDR, the Computerised Infectious Disease Reporting system (for more information on CIDR, see
http://www.hpsc.ie/hpsc/CIDR/).
Following data validation later in the year a more detailed report on the epidemiology of STIs for 2015
will be produced. 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, hepatitis B and sexually transmitted enteric infections (STEI), such as shigellosis, 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, 2014 and 2015 (CIDR data only)
2015
2014
N
%
N
% change
2014 -2015
0
-
0
-
Chlamydia trachomatis infection
6815
70.1
6,693
+1.8
Gonorrhoea
Granuloma inguinale
Herpes simplex (genital)
Lymphogranuloma venereum (LGV)
1,305
0
1,275
19
13.4
13.1
0.2
1,315
0
1,234
35
-0.8
+3.3
-45.7
249
2.6
204
+22.1
58
9,721
0.6
100.0
92
9,573
-37.0
+1.5
Sexually transmitted infection
Chancroid
Syphilis (early infectious)
Trichomoniasis
Total
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Figure 1: STI notifications by gender and disease, 2015 (CIDR data only)
4000
3500
Number of cases
3000
2500
2000
1500
1000
500
0
Chlamydia
Gonorrhoea
Herpes simplex
(genital)
Lymphogranuloma
venereum (LGV)
Early infectious
syphilis
Trichomoniasis
Male
3229
1083
340
19
239
0
Female
3559
221
928
0
10
58
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Table 2: STI notifications by age group and disease, 2015 (CIDR data only)
Age
Group
Herpes
Lymphogranuloma Syphilis
Chlamydia Gonorrhoea simplex
Trichomoniasis
(early
venereum
infectious)
(genital)
<15 yrs
17
1
3
0
0
0
15-19 yrs
633
149
133
0
0
0
20-24 yrs
2,726
363
353
1
40
10
25-34 yrs
2,608
512
432
11
110
18
35-44 yrs
612
196
209
3
56
15
45-54 yrs
163
63
75
3
32
12
55-64 yrs
39
18
47
1
10
3
65+ yrs
6
3
23
0
1
0
Unknown
11
0
0
0
0
0
6,815
1,305
1,275
19
249
58
Total
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Figure 2: Distribution by age group of STI notifications, 2015 (CIDR data only)
3000
2500
Number of cases
2000
1500
1000
500
0
<15 yrs
15-19 yrs
Chlamydia
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20-24 yrs
25-34 yrs
Gonorrhoea
35-44 yrs
45-54 yrs
55-64 yrs
Herpes simplex (genital)
65+ yrs
Figure 3: STI notifications by month and disease, 2015 (CIDR data only)
700
600
Number of cases
500
400
300
200
100
0
Jan.
Feb.
Chlamydia
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Mar.
Apr.
Gonorrhoea
May
Jun.
Jul.
Aug.
Herpes simplex (genital)
Sep.
Oct.
Nov.
Early infectious syphilis
Dec.
Table 3: STI notifications by mode of transmission* and disease, 2015 (CIDR data only)
Mode of
transmission
Gonorrhoea
LGV
Syphilis
(early infectious)
N %
N %
N %
Heterosexual
157 12.0
0 0.0
30 12.0
MSM
362 27.7
13 68.4
205 82.3
Other
1 0.1
0 0.0
1 0.4
Unknown
173 13.3
0 0.0
11 4.4
Not specified
612 46.9
6 31.6
2 0.8
1,305 100.0
19 100.0
249 100.0
Total
*Mode of transmission is collected for gonorrhoea, LGV and early infectious syphilis
only. Following data validation more complete data should be available later in 2016.
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Table 4: Notification rate per 100,000 population by disease & HSE area#, 2015 (CIDR data only)
HSE area
Chlamydia Gonorrhoea
Herpes
simplex
LGV
Syphilis
Trichomoniasis
(early infectious)
East
215.0
57.2
45.9
0.1
10.4
1.7
Midlands
68.0
6.0
8.9
0.0
1.1
0.0
Midwest
119.9
14.5
17.4
0.0
5.3
1.1
North East
74.0
7.9
12.7
0.0
2.5
1.8
North West
96.4
15.1
13.5
0.0
0.4
3.5
South East
143.1
12.5
25.7
0.0
2.4
1.4
South
126.0
12.3
18.1
0.0
4.4
0.2
West
126.0
19.8
22.9
0.0
1.1
0.2
National
148.5
28.4
27.8
0.0
5.4
1.3
# 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.
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Table 5: STI notifications by disease and patient type**, 2015 (CIDR data only)
Patient type
ED patient
GP patient
Hospital day patient
Hospital inpatient
Hospital outpatient
Other
Unknown
Not specified
Total
Herpes
Chlamydia Gonorrhoea simplex
(genital)
14
1774
6
32
1243
110
237
3399
6815
4
446
1
1
771
31
48
3
1305
**Hospital Outpatient includes GUM/STI clinics
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7
419
0
7
260
23
377
182
1275
Syphilis
LGV
(early
infectious)
Trichomoniasis
0
1
0
0
15
1
2
0
19
0
37
0
1
198
11
1
1
249
1
20
1
4
15
2
9
6
58
Table 6: Chlamydia notifications by age group and gender, 2015 (CIDR data only)
Age group
Male
Female
Unknown
Total
<15 yrs
11
6
0
17
15-19 yrs
136
496
1
633
20-24 yrs
1,116
1,604
6
2,726
25-34 yrs
1,411
1,184
13
2,608
35-44 yrs
380
228
4
612
45-54 yrs
128
33
2
163
55-64 yrs
35
4
0
39
65+ yrs
6
0
0
6
Unknown
6
4
1
11
3,229
3,559
27
6,815
Total
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Table 7: Gonorrhoea notifications by age group and gender, 2015 (CIDR data only)
Age group
Male
Female
Unknown
Total
<15 yrs
1
0
0
1
15-19 yrs
89
60
0
149
20-24 yrs
277
85
1
363
25-34 yrs
463
49
0
512
35-44 yrs
176
20
0
196
45-54 yrs
57
6
0
63
55-64 yrs
17
1
0
18
65+ yrs
3
0
0
3
Unknown
0
0
0
0
1,083
221
1
1,305
Total
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Table 8: Herpes simplex (genital) notifications by age group and gender, 2015 (CIDR data only)
Age group
Male
Female
Unknown
Total
<15 yrs
1
2
0
3
15-19 yrs
11
121
1
133
20-24 yrs
58
293
2
353
25-34 yrs
137
291
4
432
35-44 yrs
67
142
0
209
45-54 yrs
33
42
0
75
55-64 yrs
21
26
0
47
65+ yrs
12
11
0
23
Unknown
0
0
0
0
340
928
7
1,275
Total
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Table 9: LGV notifications by age group and gender, 2015 (CIDR data only)
Age group
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Male
Female
Unknown
Total
<15 yrs
0
0
0
0
15-19 yrs
0
0
0
0
20-24 yrs
1
0
0
1
25-34 yrs
11
0
0
11
35-44 yrs
3
0
0
3
45-54 yrs
3
0
0
3
55-64 yrs
1
0
0
1
65+ yrs
0
0
0
0
Unknown
Total
0
19
0
0
0
0
0
19
Table 10: Early infectious syphilis notifications by age group and gender, 2015 (CIDR data only)
Age group
<15 yrs
15-19 yrs
20-24 yrs
25-34 yrs
35-44 yrs
45-54 yrs
55-64 yrs
65+ yrs
Unknown
Total
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Male
Female
Unknown
Total
0
0
35
108
55
31
9
1
0
239
0
0
5
2
1
1
1
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
40
110
56
32
10
1
0
249
Table 11: Trichomoniasis notifications by age group and gender, 2015 (CIDR data only)
Age group
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Male
Female
Unknown
Total
<15 yrs
0
0
0
0
15-19 yrs
0
0
0
0
20-24 yrs
0
10
0
10
25-34 yrs
0
18
0
18
35-44 yrs
0
15
0
15
45-54 yrs
0
12
0
12
55-64 yrs
0
3
0
3
65+ yrs
0
0
0
0
Unknown
Total
0
0
0
58
0
0
0
58