STI notifications from CIDR Version th March, 2016

v1.0 14/03/2016 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 18 th February, 2016, and were correct at the time of publication.

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 ). 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 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 ). HIV, hepatitis B and sexually transmitted enteric infections (STEI), such as shigellosis, are notified via CIDR and are reported separately (see ) 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. v1.0 14/03/2016

Table 1: STI notifications by disease, 2014 and 2015 (CIDR data only) v1.0 14/03/2016 Sexually transmitted infection % change N%N Chancroid0-0 - Chlamydia trachomatis infection , Gonorrhoea1, , Granuloma inguinale0-0- Herpes simplex (genital)1, , Lymphogranuloma venereum (LGV) Syphilis (early infectious) Trichomoniasis Total9, ,

Figure 1: STI notifications by gender and disease, 2015 (CIDR data only) v1.0 14/03/2016

Table 2: STI notifications by age group and disease, 2015 (CIDR data only) v1.0 14/03/2016 Age Group ChlamydiaGonorrhoea Herpes simplex (genital) Lymphogranuloma venereum Syphilis (early infectious) Trichomoniasis <15 yrs yrs yrs2, yrs2, yrs yrs yrs yrs Unknown Total6,8151,3051,

Figure 2: Distribution by age group of STI notifications, 2015 (CIDR data only) v1.0 14/03/2016

Figure 3: STI notifications by month and disease, 2015 (CIDR data only)

Table 3: STI notifications by mode of transmission* and disease, 2015 (CIDR data only) v1.0 14/03/2016 *Mode of transmission is collected for gonorrhoea, LGV and early infectious syphilis only. Following data validation more complete data should be available later in Mode of transmission GonorrhoeaLGV Syphilis (early infectious) N%N%N% Heterosexual MSM Other Unknown Not specified Total1,

Table 4: Notification rate per 100,000 population by disease & HSE area #, 2015 (CIDR data only) v1.0 14/03/2016 # 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. HSE areaChlamydiaGonorrhoea Herpes simplex LGV Syphilis (early infectious) Trichomoniasis East Midlands Midwest North East North West South East South West National

Table 5: STI notifications by disease and patient type**, 2015 (CIDR data only) v1.0 14/03/2016 **Hospital Outpatient includes GUM/STI clinics Patient typeChlamydiaGonorrhoea Herpes simplex (genital) LGV Syphilis (early infectious) Trichomoniasis ED patient GP patient Hospital day patient Hospital inpatient Hospital outpatient Other Unknown Not specified Total

Table 6: Chlamydia notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs yrs yrs1,1161,60462, yrs1,4111,184132, yrs yrs yrs yrs6006 Unknown64111 Total3,2293,559276,815

Table 7: Gonorrhoea notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs yrs yrs yrs yrs yrs yrs yrs3003 Unknown0000 Total1, ,305

Table 8: Herpes simplex (genital) notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs yrs yrs yrs yrs yrs yrs yrs Unknown0000 Total ,275

Table 9: LGV notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs yrs yrs yrs yrs yrs yrs yrs0000 Unknown0000 Total1900

Table 10: Early infectious syphilis notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs yrs yrs yrs yrs yrs yrs yrs1001 Unknown0000 Total

Table 11: Trichomoniasis notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs yrs yrs yrs yrs yrs yrs yrs0000 Unknown0000 Total0580