www.publichealth.columbus.gov

Sexually Transmitted Infections

Mysheika Williams Roberts, MD, MPHMedical Director

Assistant Health CommissionerColumbus Public Health

www.publichealth.columbus.gov

STIs in the US

• Over 1.7 million cases of chlamydia, gonorrhea and syphilis (primary and secondary) were reported to the CDC in 2012.

Chlamydia

2012: 456.7 per 100,000

0.7% increase from 2011

Gonorrhea

2012:107.5 per 100,000

4.1% increase from 2011

Syphilis2012:

5.0 per 100,000

11.1% increase from 2011

www.publichealth.columbus.gov

Chlamydia – Franklin County

• Young people (15-24) had the highest reported chlamydia rates.Age

• African Americans had 6.5 times higher chlamydia reported rates than Whites. Race

• Women had 2.0 times higher reported chlamydia rates of Men. Sex

In 2013, there were 8,110 cases reported (694.7 per 100,000).

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Chlamydia – Franklin County (2013)

Age

1%

24%

44%

21%

5%

3% 1% 1%

<1515-1920-2425-2930-3435-3940-4445+

Most Reported Chlamydia Infections Occur among 15-24 Year Olds

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Chlamydia – Franklin County (2013)

Disease Rates by Sex and Race(per 100,000)

1690.4Black

306.5White

1090.7Black

126.0White

Females Males

5.5 : 1.0 8.7 : 1.0

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Chlamydia – Franklin County

Number of Cases by Year

2005 2006 2007 2008 2009 2010 2011 2012 20130

100

200

300

400

500

600

700

800

www.publichealth.columbus.gov

Chlamydia – Franklin County, Ohio, U.S.

Disease Rates by Year (per 100,000)

2008 2009 2010 2011 2012 20130

100

200

300

400

500

600

700

800

642.5676.2

704.5

638.1 622.1

694.7

406.7 420.2443.7 456.6 462.0 461.3

398.1 405.3 423.6453.4 456.7

Franklin County Ohio US

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Gonorrhea – Franklin County

• Young people (15-24) had the highest reported gonorrhea ratesAge

• African Americans had 8.8 times higher reported gonorrhea rates than whites.Race

• There was no significant difference in gonorrhea rates between women and men.Sex

In 2013, there 2,991 cases reported(256.2 per 100,000).

www.publichealth.columbus.gov

Gonorrhea –Franklin County (2013)

Age

1%

24%

29%18%

11%

7%

4%6%

Most Reported Gonorrhea Infections Occur among 15-24 Year Olds

<1515-1920-2425-2930-3435-3940-4445+

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Gonorrhea –Franklin County (2013)

Disease Rates Sex by Race(per 100,000)

577.2Black

71.8White

790.4Black

82.2White

Females Males

8.0 : 1.0 9.6 : 1.0

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Gonorrhea – Franklin County

Number of Cases by Year

2005 2006 2007 2008 2009 2010 2011 2012 20130

500

1000

1500

2000

2500

3000

3500

4000

4500

www.publichealth.columbus.gov

Gonorrhea – Franklin County, Ohio, US

Disease Rates by Year (per 100,000)

2008 2009 2011 2012 20130

50

100

150

200

250

300

350307.8

255.6271.2

243.9256.2

143.6 139.3 143.2 145.1 144.3

110.798.1 100.2 104.2

Franklin County Ohio US

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Syphilis (Primary and Secondary)

Franklin County

• People between the ages of 25-29 had the highest reported rate of any age groupAge

• African Americans had syphilis rates 3.0 times higher than WhitesRace

• Males had 11.1 times higher the reported syphilis rates of femalesSex

In 2013, there were 162 confirmed cases reported (13.9 cases per 100,000).

www.publichealth.columbus.gov

Syphilis (Primary and Secondary) – Franklin County (2013)

Disease Rates by Sex (per 100,000)

26.0

2.3

11.1 : 1.0

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Syphilis (Primary and Secondary) – Franklin County (2013)

Age

1%

4%

21%

25%

9%

14%

8%

19%

Most Reported Syphilis Infections Occur among 25-29 Year Olds

<1515-1920-2425-2930-3435-3940-4445+

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Syphilis (primary and secondary) – Franklin County

Number of Cases by Year (per 100,000)

2008 2009 2010 2011 2012 20130

20

40

60

80

100

120

140

160

180

www.publichealth.columbus.gov

Syphilis (primary and secondary) – Franklin County, Ohio, U.S.

Disease Rates by Year (per 100,000)

2008 2009 2010 2011 2012 20130

2

4

6

8

10

12

14

16

11.2

9.6 9.4 9.6

12.1

13.9

3 3.2

4.6

8.3

9.9

3.84.4 4.6 4.5 4.5

5

Franklin County Ohio US

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HIV/AIDS

Franklin CountyNew Diagnoses (2012)

• There were 272 newly diagnosed cases of HIV infection (rate of 22.8 per 100,000)

Those age 20-24 had the highest rate of HIV (54.5)

66% were adult or adolescent males who reported having male-to-male sexual contact

African had reported incidence rates 3.7 times higher than Whites

Living with HIV (2011)• There were 3,760 people living

with HIV infection (rate of 314.5 per 100,000)

Those age 35-39 had the highest rate of HIV (846.9)

69% were adult or adolescent males who reported having male-to-male sexual contact

African Americans had prevalence rates 2.2 times greater than Whites

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Reported Persons Living with HIV – Franklin County (2011)

Age

5%

16%

20%

22%

21%

14%

3%

Percent of those Living with HIV

15-1920-2425-2930-3435-4445-5455+

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Reported Persons Living with HIV – Franklin County

Number of Cases by Year

2007 2008 2009 2010 20110

500

1000

1500

2000

2500

3000

3500

4000

www.publichealth.columbus.gov

Sources

• Local Statistics: Chlamydia, gonorrhea, and syphilis: Ohio Disease Reporting

System, Analysis by Office of Epidemiology, Columbus Public Health

HIV Source: Ohio Department of Health HIV/AIDS Surveillance Program. Data reported through December 31, 2013

• National Statistics for Chlamydia, Gonorrhea, and Syphilis:Sexually Transmitted Disease Surveillance 2012Centers for Disease Control and Prevention, January 2014www.cdc.gov/std/stats