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Sexually Transmitted Disease Surveillance 2013 Division of STD Prevention.

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Presentation on theme: "Sexually Transmitted Disease Surveillance 2013 Division of STD Prevention."— Presentation transcript:

1 Sexually Transmitted Disease Surveillance 2013 Division of STD Prevention

2 Gonorrhea — Rates of Reported Cases by Year, United States, 1941–2013

3 Gonorrhea — Rates of Reported Cases by Sex, United States, 1993–2013

4 Gonorrhea — Rates of Reported Cases by Region, United States, 2004–2013

5 Gonorrhea — Rates of Reported Cases by State, United States and Outlying Areas, 2013 NOTE: The total rate of reported cases of gonorrhea for the United States and outlying area (Guam, Puerto Rico, and Virgin Islands) was 104.9 per 100,000 population.

6 Gonorrhea — Rates of Reported Cases by County, United States, 2013

7 Gonorrhea — Rates of Reported Cases by Age and Sex, United States, 2013

8 Gonorrhea — Rates of Reported Cases Among Women Aged 15–44 Years by Age, United States, 2004–2013

9 Gonorrhea — Rates of Reported Cases Among Men Aged 15–44 Years by Age, United States, 2004–2013

10 Gonorrhea — Rates of Reported Cases by Race/Ethnicity, United States, 2009–2013 * AI/AN = American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 39 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats during 2009–2013.

11 Gonorrhea — Reported Cases by Reporting Source and Sex, United States, 2004–2013

12 Gonorrhea — Percentage of Reported Cases by Sex and Reporting Sources, United States, 2013 *HMO=health maintenance organization; HD=health department NOTE: Other includes: Drug Treatment, Tuberculosis Clinic, Correctional Facility, Laboratory, Blood Bank, Labor and Delivery, Prenatal Care, National Job Training Program, School-based Clinic, Mental Health Provider, Other Hospital, Indian Health Service, Military, and HIV Counseling and Testing Site.

13 Estimated Proportion MSM*, MSW*, and Women Among Gonorrhea Cases † by Site, STD Surveillance Network (SSuN), 2013 *MSM=men who have sex with men; MSW=men who have sex with women only. †Estimate based on weighted for analysis of data obtained from interviews (n=3,121) conducted from a random sample of reported cases of gonorrhea during January to June 2013. ‡California data excludes San Francisco County (shown separately).

14 Gonorrhea — Proportion of STD Clinic Patients* Testing Positive by Age, Sex, and Sexual Behavior, STD Surveillance Network (SSuN), 2013 *Only includes patients tested for gonorrhea. † MSM=men who have sex with men; MSW=men who have sex with women only. NOTE: Six jurisdictions (Birmingham, Chicago, Denver, Hartford/New Haven, New Orleans and Richmond) contributed data from January through June 2013 and the remaining jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) contributed data for all of 2013.

15 Location of Participating Sentinel Sites and Regional Laboratories, Gonococcal Isolate Surveillance Project (GISP), United States, 2013 NOTE: Austin is a regional laboratory only.

16 Neisseria gonorrhoeae — Percentage of Isolates with Elevated Ceftriaxone Minimum Inhibitory Concentrations (MICs) (≥0.125 μ g/ml), Gonococcal Isolate Surveillance Project (GISP), 2006–2013

17 Neisseria gonorrhoeae — Percentage of Isolates with Elevated Cefixime Minimum Inhibitory Concentrations (MICs) (≥0.25 μ g/ml), Gonococcal Isolate Surveillance Project (GISP), 2006–2013 *Isolates not tested for cefixime susceptibility in 2007 and 2008.

18 Neisseria gonorrhoeae — Distribution of Azithromycin Minimum Inhibitory Concentrations (MICs), (Gonococcal Isolate Surveillance Project (GISP), 2009–2013

19 Neisseria gonorrhoeae — Percentage of Isolates, with Penicillin, Tetracycline, and/or Ciprofloxacin Resistance, Gonococcal Isolate Surveillance Project (GISP), 2013 NOTE: PenR=penicillinase-producing Neisseria gonorrhoeae and chromosomally-mediated penicillin-resistant N. gonorrhoeae; TetR=chromosomally- and plasmid-mediated tetracycline-resistant N. gonorrhoeae; and QRNG=quinolone-resistant N. gonorrhoeae.

20 Primary Antimicrobial Drugs Used to Treat Gonorrhea Among Participants, Gonococcal Isolate Surveillance Project (GISP), 1988–2013 NOTE: For 2013, “Other” includes no therapy (0.9%), azithromycin 2g (1.7%), and other less frequently used drugs (<0.1%).


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