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STD Control Branch 1 Congenital Syphilis California STD Surveillance 2017

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Page 1: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch1

Congenital Syphilis

California STD Surveillance 2017

Page 2: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch2

Congenital SyphilisCalifornia Incidence Rates, 1940–2017

Rev. 7/2018

Page 3: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch3

Congenital Syphilis, California versus United StatesIncidence Rates, 1963–2017

Note: The Modified Kaufman Criteria were used through 1989. The CDC Case Definition (MMWR 1989; 48: 828) was used effective January 1, 1990.California data prior to 1985 include all cases of congenital syphilis, regardless of age.

Rev. 9/2018

Page 4: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch4

Congenital SyphilisIncidence Rates by County, California, 2017

Note: Rates are based on very small numbers of cases.

Rev. 7/2018

Page 5: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch5

Congenital SyphilisNumber of Cases by County, California, 2017

Rev. 7/2018

Page 6: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch6

Ranking of County Congenital Syphilis RatesCalifornia, 2017

(with 95% Confidence Intervals*)

* Confidence intervals were calculated using Poisson exact method; excludes counties with no cases.Note: Rates are per 100,000 live births.

Source: California Department of Public Health, STD Control Branch Rev. 7/2018

Page 7: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch7

Congenital SyphilisCases by Vital Status and Presence of Signs/Symptoms

California, 2008–2017

Note: Alive, no signs/symptoms includes alive with missing documentation on signs/symptoms.Of the 283 total cases, 233 alive with no signs, 14 alive with signs of CS, 36 stillbirth or neonatal death

Rev. 7/2018

Page 8: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch8

Congenital Syphilis StillbirthsCalifornia, 2011–2017

Rev. 7/2018

Page 9: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch9

Congenital SyphilisCalifornia, 1990–2017

Rev. 7/2018

Page 10: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch10

Congenital Syphilis versus Female Primary & Secondary SyphilisIncidence Rates, 1980–2017

Note: Congenital syphilis rates are per 100,000 live births; female P&S rates are per 100,000 female population.

Rev. 7/2018

Page 11: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch11

Early Syphilis* Incidence among Females of Childbearing Age (15-44) & Congenital Syphilis Incidence by County, California, 2017

Female Early Syphilis Rates

* Includes primary, secondary, and early latent syphilis.

Congenital Syphilis Rates

Rev. 7/2018

Page 12: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch12

Congenital Syphilis Cases versus Female Early Syphilis* Incidence Rates, California, 2008–2017

* Includes primary, secondary, and early latent syphilis.Rev. 7/2018

Page 13: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch13

Congenital Syphilis Cases versus Female Early Syphilis* Cases by Pregnancy Status

California, 2008–2017

* Includes primary, secondary, and early latent syphilis.Rev. 7/2018

Page 14: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch14

Congenital Syphilis Cases versus Females of Childbearing Age (15-44) Early Syphilis* Cases by Pregnancy Status

California, 2008–2017

* Includes primary, secondary, and early latent syphilis.Rev. 7/2018

Page 15: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch15

Congenital Syphilis Cases versus Female Syphilis* Cases by Pregnancy Status

California, 2008–2017

* Includes primary, secondary, early latent, and late latent/unknown duration syphilis.Rev. 7/2018

Page 16: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch16

Female Early Syphilis* and Congenital Syphilis CasesCalifornia, 2009–2017

* Includes primary, secondary, and early latent syphilis.

Rev. 7/2018

Page 17: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch17

Female Syphilis* and Congenital Syphilis CasesCalifornia, 2009–2017

* Includes primary, secondary, early latent , and late latent syphilis.

Rev. 7/2018

Page 18: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch18

Congenital SyphilisIncidence Rates by Race/Ethnicity of Mother

California, 2008–2017

Note: A/PI = Asian/Pacific Islander

Data excluded for Native American/Alaskan Native due to small numbers of cases causing unstable rates.

Rev. 7/2018

Page 19: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch19

Congenital SyphilisIncidence Rates by Race/Ethnicity of Mother

California, 2017

Note: Chart excludes Native American/Alaskan Native (0 cases)

Rev. 7/2018

Page 20: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch20

Congenital SyphilisNumber of Cases by Race/Ethnicity of Mother

California, 2017

Note: Chart excludes Native American/Alaskan Native (0 cases)

Rev. 7/2018

Page 21: Congenital Syphilis - Department of Public Health€¦ · Congenital Syphilis, California versus United States Incidence Rates, 1963–2017 Note: The Modified Kaufman Criteria were

STD Control Branch21

Congenital SyphilisIncidence Rates by Race/Ethnicity of Mother

California, 2017

Note: Chart excludes Native American/Alaskan Native (0 cases) and race/ethnicity unknown (23 cases)

Rev. 7/2018