National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention 2013 Data

Chlamydia — Rates of Reported Cases by Sex, United States, 1994–2014 NOTE: As of January 2000, all 50 states and the District of Columbia have regulations that require the reporting of chlamydia cases Fig 1. SR, Pg 8

Chlamydia — Rates of Reported Cases by Region, United States, 2005– Fig 2. SR, Pg 81

Chlamydia — Rates of Reported Cases by State, United States and Outlying Areas, 2014 NOTE: The total rate of reported cases of chlamydia for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was per 100,000 population Fig 3. SR, Pg 9

Chlamydia — Rates of Reported Cases by County, United States, Fig 4. SR, Pg 9

Chlamydia — Rates of Reported Cases by Age and Sex, United States, Fig 5. SR, Pg 10

Chlamydia — Rates of Reported Cases by Race/Ethnicity, United States, 2010–2014 NOTE: Includes 43 states reporting race/ethnicity data in Office of Management and Budget compliant formats during 2010– Fig 6. SR, Pg 10

Chlamydia — Reported Cases by Reporting Source and Sex, United States, 2005– Fig 7. SR, Pg 11

Chlamydia — Percentage of Reported Cases by Sex and Selected Reporting Sources, United States, 2014 * 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 Fig 8. SR, Pg 11

Chlamydia — Proportion of STD Clinic Patients* Testing Positive by Age, Sex, and Sexual Behavior, STD Surveillance Network (SSuN), 2014 * Only includes patients tested for chlamydia. † MSM = men who have sex with men; MSW = men who have sex with women only. NOTE: Includes the six jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) that contributed data for all of Fig 9. SR, Pg 12

Chlamydia — Prevalence Among Persons Aged 14–39 Years by Sex, Race/Ethnicity, or Age, National Health and Nutrition Examination Survey, 2007–2012 NOTE: Error bars indicate 95% confidence intervals. SOURCE: Torrone E, Papp J, Weinstock H; Centers for Disease Control and Prevention (CDC). Prevalence of Chlamydia trachomatis genital infection among persons aged years —United States, MMWR Morb Mortal Wkly Rep Sep 26;63(38): Fig 10. SR, Pg 12

Chlamydia — Prevalence Among Sexually-Active Women Aged 14–39 Years by Race/Ethnicity and Age, National Health and Nutrition Examination Survey, 2007–2012 NOTE: Error bars indicate 95% confidence intervals. SOURCE: Torrone E, Papp J, Weinstock H; Centers for Disease Control and Prevention (CDC). Prevalence of Chlamydia trachomatis genital infection among persons aged years —United States, MMWR Morb Mortal Wkly Rep Sep 26;63(38): Fig 11. SR, Pg 13

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Gonorrhea — Rates of Reported Cases by Year, United States, 1941– Fig 12. SR, Pg 19

Gonorrhea — Rates of Reported Cases by Sex, United States, 1994– Fig 13. SR, Pg 19

Gonorrhea — Rates of Reported Cases by Region, United States, 2005– Fig 14. SR, Pg 20

Gonorrhea — Rates of Reported Cases by State, United States and Outlying Areas, 2014 NOTE: The total rate of reported cases of gonorrhea for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was per 100,000 population Fig 15. SR Pg 20

Gonorrhea — Rates of Reported Cases by County, United States, Fig 16. SR, Pg 21

Gonorrhea — Rates of Reported Cases by Age and Sex, United States, Fig 17. SR, Pg 21

Gonorrhea — Rates of Reported Cases Among Women Aged 15–44 Years by Age, United States, 2005– Fig 18. SR. Pg. 22

Gonorrhea — Rates of Reported Cases Among Men Aged 15–44 Years by Age, United States, 2005– Fig 19. SR, Pg 22

Gonorrhea — Rates of Reported Cases by Race/Ethnicity, United States, 2010–2014 NHOPI = Native Hawaiians/Other Pacific Islanders. NOTE: Includes 43 states reporting race/ethnicity data in Office of Management and Budget compliant formats during 2010– Fig 20. SR, Pg 23

Gonorrhea — Reported Cases by Reporting Source and Sex, United States, 2005– Fig 21. SR, Pg 23

Gonorrhea — Percentage of Reported Cases by Sex and Reporting Sources, United States, 2014 * 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 Fig 22. SR, Pg 24

Gonorrhea — Estimated Proportion of 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 analysis of data obtained from interviews (n=3,121) conducted among a random sample of reported gonorrhea cases during January to June ‡ California data excludes San Francisco County (shown separately) Fig 23. SR, Pg 24

Gonorrhea — Proportion of STD Clinic Patients* Testing Positive by Age, Sex, and Sexual Behavior, STD Surveillance Network (SSuN), 2014 * Only includes patients tested for gonorrhea. † MSM = men who have sex with men; MSW = men who have sex with women only. NOTE: Includes the six jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) that contributed data for all of Fig 24. SR, Pg 25

Location of Participating Sentinel Sites and Regional Laboratories, Gonococcal Isolate Surveillance Project (GISP), United States, 2014 NOTE: Austin is a regional laboratory only Fig 25. SR, Pg 25

Neisseria gonorrhoeae — Percentage of Isolates with Elevated Ceftriaxone Minimum Inhibitory Concentrations (MICs) (≥0.125 μ g/ml), Gonococcal Isolate Surveillance Project (GISP), 2006 – Fig 26. SR, Pg 26

Neisseria gonorrhoeae — Percentage of Isolates with Elevated Cefixime Minimum Inhibitory Concentrations (MICs) (≥0.25 μ g/ml), Gonococcal Isolate Surveillance Project (GISP), 2006 – 2014 *Isolates not tested for cefixime susceptibility in 2007 and Fig 27. SR, Pg 26

Neisseria gonorrhoeae — Distribution of Azithromycin Minimum Inhibitory Concentrations (MICs), (Gonococcal Isolate Surveillance Project (GISP), 2010– Fig 28. SR, Pg 27

Neisseria gonorrhoeae — Percentage of Isolates, with Penicillin, Tetracycline, and/or Ciprofloxacin Resistance, Gonococcal Isolate Surveillance Project (GISP), 2014 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 Fig 29. SR, Pg 27

Primary Antimicrobial Drugs Used to Treat Gonorrhea Among Participants, Gonococcal Isolate Surveillance Project (GISP), 1988–2014 NOTE: For 2014, “Other” includes clinical trial study drugs (2.9%), azithromycin 2g (1.9%), no therapy (0.7%), and other less frequently used drugs (0.1%) Fig 30. SR, Pg 28

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Syphilis — Reported Cases by Stage of Infection, United States, 1941– Fig 31. SR, Pg 33

Primary and Secondary Syphilis — Reported Cases by Sex and Sexual Behavior, 27 Areas*, 2007–2014 *27 states reported sex of partner data for 70% of reported cases of primary and secondary syphilis for each year during 2007–2014. † MSM = men who have sex with men; MSW = men who have sex with women only Fig 32. SR, Pg 33

Primary and Secondary Syphilis — Rates of Reported Cases by Sex and Male-to-Female Rate Ratios, United States, 1990– Fig 33. SR, Pg 34

Primary and Secondary Syphilis — Rates of Reported Cases by Region, United States, 2005– Fig 34. SR Pg 34

Primary and Secondary Syphilis—Rates of Reported Cases by State, United States and Outlying Areas, 2013 NOTE: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 6.4 per 100,000 population Fig 35. SR, Pg 35

Primary and Secondary Syphilis — Rates of Reported Cases by County, United States, 2014 * In 2014, 1,942 (61.8%) of 3,142 counties in the United States reported no cases of primary and secondary syphilis Fig 36. SR, Pg 35

Primary and Secondary Syphilis — Rates of Reported Cases by Age and Sex, United States, Fig 37. SR, Pg 36

Primary and Secondary Syphilis — Rates of Reported Cases Among Women Aged 15–44 Years by Age, United States, 2005– Fig 38. SR, Pg 36

Primary and Secondary Syphilis — Rates of Reported Cases Among Men Aged 15–44 Years by Age, United States, 2005– Fig 39. SR, Pg 37

Primary and Secondary Syphilis — Rates of Reported Cases by Race/Ethnicity, United States, 2010–2014 NHOPI = Native Hawaiians/Other Pacic Islanders. NOTE: Includes 44 states reporting race/ethnicity data in Office of Management and Budget compliant formats during 2010–2014 (see Section A1.5 in the Appendix) Fig 40. SR, Pg 37

Primary and Secondary Syphilis — Reported Cases* by Stage, Sex, and Sexual Behavior, 2014 *Of the reported male cases of primary and secondary syphilis,18.8% were missing sex of sex partner information. †MSW=men who have sex with women only; MSM=men who have sex with men Fig 41. SR Pg 38

Primary and Secondary Syphilis — Reported Cases* by Sex, Sexual Behavior, and Race/Ethnicity, United States, 2014 *Of the reported male cases of primary and secondary syphilis, 18.8% were missing sex of sex partner information; 3.3% of reported male cases with sex of sex partner data were missing race/ethnicity data. † MSW = men who have sex with women only; MSM = men who have sex with men Fig 42. SR, Pg 38

Primary and Secondary Syphilis — Reported Cases by Sex, Sexual Behavior, and HIV Status (Positive or Negative), 26 Areas*, 2014* *26 states reported both sex of sex partner and HIV status for 70% of reported cases of primary and secondary syphilis during † MSW = men who have sex with women only; MSM = men who have sex with men Fig 42. SR, Pg 38

Primary and Secondary Syphilis — Reported Cases by Reporting Source and Sex, United States, 2005– Fig 44. SR 39

Primary and Secondary Syphilis — Percentage of Reported Cases* by Sex, Sexual Behavior, and Selected Reporting Sources, 2014* 2014-Fig 45. SR Pg 40 * Of all primary and secondary syphilis cases, 6.7% had a missing or unknown reporting source. Among all cases with a known reporting source the reporting source categories presented represent 62.0% of cases; 38.0% were reported from sources other than those shown. † HMO = health maintenance organization; MSM = men who have sex with men; MSW = men who have sex with women only.

Congenital Syphilis — Reported Cases by Year of Birth and Rates of Primary and Secondary Syphilis Among Women, United States, 2005–2014 * CS=congenital syphilis; P&S=primary and secondary syphilis Fig 45. SR Pg 39

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Chancroid — Reported Cases by Year, United States, 1981– Fig 47. SR Pg 45

Human Papillomavirus — Cervicovaginal Prevalence of High-Risk and Low-Risk Types Among Women Aged 14–59 Years by Age Group, National Health and Nutrition Examination Survey, 2003–2006 *HPV = human papillomavirus. NOTE: Error bars indicate 95% confidence interval. Both high-risk and low-risk HPV types were detected in some females. SOURCE: Hariri S, Unger ER, Sternberg M, Dunne EF, Swan D, Patel S, et al. Prevalence of genital human papillomavirus among females in the United States, the National Health and Nutrition Examination Survey, 2003–2006. J Infect Dis 2011;204(4):566– Fig 48. SR Pg 45

Human Papillomavirus — Cervicovaginal Prevalence of Types 6, 11, 16 and 18 Among Women Aged 14–59 Years by Age Group and Time Period, National Health and Nutrition Examination Survey, 2003–2006 and 2007–2010 NOTE: Error bars indicate 95% confidence interval. SOURCE: Markowitz LE, Hariri S, Lin C, Dunne EF, Steinau M, McQuillan G, et al. Reduction in human papillomavirus (HPV) prevalence among young women following HPV vaccine introduction in the United States, National Health and Nutrition Examination Surveys, 2003–2010. J Infect Dis 2013;208(3):385– Fig 49. SR Pg 46

Genital Warts—Initial Visits to Physicians’ Offices, United States, 1966–2013 NOTE: The relative standard errors for genital warts estimates of more than 100,000 range from 18% to 23%. SOURCE: National Disease and Therapeutic Index, IMS Health, Integrated Promotional Services™. IMS Health Report, 1966–2013. The 2014 data were not obtained in time to include them in this report Fig 50. SR Pg 46

Genital Warts—Prevalence per 1000 Person-Years Among Participants in Private Health Plans Aged 10–39 Years by Sex, Age Group, and Year, 2003–2010 SOURCE: Flagg EW, Schwartz R, Weinstock H. Prevalence of anogenital warts among participants in private health plans in the United States, 2003–2010: potential impact of human papillomavirus vaccination. Am J Public Health. 2013;103(8):1428– Fig 51. SR Pg 47

Genital Warts—Prevalence Among STD Clinic Patients by Sex, Sex of Partners, and Site, STD Surveillance Network (SSuN), 2014 *MSM=men who have sex with men; MSW=men who have sex with women only. NOTE: Includes the six jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) who contributed data for all of Fig 52. SR Pg 47

Genital Herpes—Initial Visits to Physicians’ Offices, United States, 1966–2013 NOTE: The relative standard errors for genital herpes estimates of more than 100,000 range from 19% to 23%. SOURCE: National Disease and Therapeutic Index, IMS Health, Integrated Promotional Services™. IMS Health Report, 1966–2013. The 2014 data were not obtained in time to include them in this report Fig 53. SR Pg 48

Herpes Simplex Virus Type 2—Seroprevalence Among Non-Hispanic Whites and Non-Hispanic Blacks by Sex and Age Group, National Health and Nutrition Examination Survey, 1988–1994, 1999–2002, 2003–2006, and 2007–2010 NOTE: Error bars indicate 95% confidence interval. SOURCE: Fanfair RN, Zaidi A, Taylor LD, Xu F, Gottlieb S, Markowitz L. Trends in seroprevalence of herpes simplex virus type 2 among non-Hispanic blacks and non-Hispanic whites aged 14 to 49 years — United States, 1988 to Sex Transm Dis. 2013;40(11):860– Fig 54. SR Pg 48

Trichomoniasis and Other Vaginal Infections Among Women—Initial Visits to Physicians’ Offices, United States, 1966–2013 NOTE: The relative standard errors for trichomoniasis estimates range from 16% to 21% and for other vaginitis estimates range from 8% to 13%. SOURCE: National Disease and Therapeutic Index, IMS Health, Integrated Promotional Services™, IMS Health Report, 1966–2013. The 2014 data were not obtained in time to include them in this report Fig 55 SR Pg 49

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Chlamydia — Rates of Reported Cases Among Women by State, United States and Outlying Areas, 2014 NOTE: The total rate of reported cases of chlamydia among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was per 100,000 female population Fig A. SR Pg 56.

Gonorrhea — Rates of Reported Cases Among Women by State, United States and Outlying Areas, 2014 NOTE: The total rate of reported cases of gonorrhea among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was per 100,000 female population Fig B. SR Pg 56

Primary and Secondary Syphilis — Rates of Reported Cases Among Women by State, United States and Outlying Areas, 2014 NOTE: The total rate of primary and secondary syphilis among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 1.2 per 100,000 female population Fig C. SR, Pg 57.

Congenital Syphilis — Rates of Reported Cases by Year of Birth and State, United States and Outlying Areas, 2014 NOTE: The total rate of congenital syphilis for infants by year of birth for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 11.5 per 100,000 live births Fig D, SR, Pg 57.

Pelvic Inflammatory Disease — Initial Visits to Physicians’ Offices by Among Women Aged 15–44 Years, United States, 2004–2013 NOTE: The relative standard errors for these estimates are 16%–23%. SOURCE: National Disease and Therapeutic Index, IMS Health, Integrated Promotional Services™, IMS Health Report, 2004–2013. The 2014 data were not obtained in time to include them in this report Fig E. SR Pg 58.

Pelvic Inflammatory Disease – Trends in Lifetime Prevalence of Treatment Among Sexually Experienced Women Aged Years by Race/Ethnicity, National Survey of Family Growth, 1995, 2002, 2006–2010 SOURCE: Leichliter, Jami, Chandra Anjani, Aral SO. Correlates of Self-Reported Pelvic Inflammatory Disease Treatment in Sexually Experienced Reproductive-Aged Women in the United States, 1995, 2002, 2006–2010. Sex Transm Dis. 2013;40(5): Fig F, SR, Pg 58.

Ectopic Pregnancy — Rates Among Commercially Insured Pregnant Women Aged 15–44 Years by Age, 2003–2013 SOURCE: MarketScan Commercial Claims and Encounters Database, Truven Health Analytics, Ann Arbor, MI, Fig G. SR Pg 59

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Chlamydia – Rates of Reported Cases Among Women 15–24 Years of Age by State, United States and Outlying Areas, 2014 NOTE: Rates for Guam and the Virgin Islands were calculated by using the 2010 population estimates Fig H. SR Pg 62

Gonorrhea—Rates of Reported Cases Among Women Aged 15–24 Years of Age by State, United States and Outlying Areas, 2014 NOTE: Rates for Guam and the Virgin Islands were calculated by using the 2010 population estimates Fig I. SR Pg 62.

Chlamydia—Prevalence Among Women Aged 16–24 Years Entering the National Job Training Program by State of Residence, United States and Outlying Areas, 2013 *Fewer than 100 women who resided in these states/areas and entered the National Job Training Program were screened for chlamydia in Fig J. SR Pg 63.

Chlamydia—Prevalence Among Men Aged 16–24 Years Entering the National Job Training Program by State of Residence, United States and Outlying Areas, 2013 *Fewer than 100 men who resided in these states/areas and entered the National Job Training Program were screened for chlamydia in Fig K. SR Pg 63.

Gonorrhea—Prevalence Among Women Aged 16–24 Years Entering the National Job Training Program, by State of Residence, United States and Outlying Areas, 2013 * Fewer than 100 women who resided in these states/areas and entered the National Job Training Program were screened for gonorrhea in NOTE: Many training centers use local laboratories to test female students for gonorrhea; these results are not available to CDC. For this map, gonorrhea test results for students at centers that submitted specimens to the national contract laboratory were included if the numbers of gonorrhea tests submitted was greater than the 90% of the number of chlamydia tests submitted Fig L. SR Pg 64.

Gonorrhea—Prevalence Among Men Aged 16–24 Years Entering the National Job Training Program, by State of Residence, United States and Outlying Areas, 2013 *Fewer than 100 men who resided in these states/areas and entered the National Job Training Program were screened for gonorrhea in NOTE: Many training centers use local laboratories to test female students for gonorrhea; these results are not available to CDC. For this map, gonorrhea test results for students at centers that submitted specimens to the national contract laboratory were included if the numbers of gonorrhea tests submitted was greater than the 90% of the number of chlamydia tests submitted Fig M. SR Pg 64.

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Chlamydia — Rates of Reported Cases by Race/Ethnicity and Sex, United States, 2014 *AI/AN=American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 48 states reporting race/ethnicity data in Office of Management and Budget compliant formats in Fig M. SR Pg 69

Gonorrhea—Rate Ratios* by Race/Ethnicity, United States, 2010–2014 *Rate ratios are calculated as the rate of reported gonorrhea cases per 100,000 population for a given racial or ethnic minority population divided by the rate of reported gonorrhea cases per 100,000 population for non-Hispanic whites. Any population with a lower rate of reported cases of gonorrhea than the non-Hispanic white population will have a rate ratio of less than 1:1. † Y-axis is log scale. ‡ AI/AN = American Indians/Alaska Natives; NHOPI = Native Hawaiian/ Other Pacific Islanders. NOTE: Includes 43 states reporting race/ethnicity data in Office of Management and Budget compliant formats during 2010– Fig O. SR Pg 69

Gonorrhea — Rates of Reported Cases by Race/Ethnicity and Sex, United States, 2014 *AI/AN=American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 48 states reporting race/ethnicity data in Office of Management and Budget compliant formats in Fig P. SR Pg 70

Gonorrhea — Rate Ratios* by Race/Ethnicity and Region, United States, 2014 *Rate ratios are calculated as the gonorrhea rate per 100,000 population for a given racial or ethnic minority population divided by the gonorrhea rate per 100,000 population for non-Hispanic whites. Any population with a lower rate of gonorrhea than the non- Hispanic white population will have a rate ration of less than 1:1. † Y-axis is log scale. ‡ AI/AN=American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 48 states reporting race/ethnicity data in Office of Management and Budget compliant formats in Fig Q. SR Pg 70

Primary and Secondary Syphilis — Rates of Reported Cases by Race/Ethnicity and Sex, United States, 2014 *AI/AN=American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 49 states reporting race/ethnicity data in Office of Management and Budget compliant formats in Fig R. SR Pg 71

Primary and Secondary Syphilis — Rates of Reported Cases Among Females Aged 15–19 Years by Race/Ethnicity, United States, 2010–2014 *AI/AN=American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 44 states reporting race/ethnicity data in Office of Management and Budget compliant formats during 2010– Fig S. SR 71

Primary and Secondary Syphilis — Rates of Reported Cases Among Males Aged 15–19 Years, by Race/Ethnicity, United States, 2010–2014 *AI/AN=American Indians/Alaska Natives; NHOPI = Native Hawaiian/Other Pacific Islanders. NOTE: Includes 44 states reporting race/ethnicity data in Office of Management and Budget compliant formats during 2010– Fig T. SR Pg 72.

Congenital Syphilis — Rates of Reported Cases Among Infants, by Year of Birth and Mother’s Race/Ethnicity, United States, 2005–2014 *AI/AN = American Indians/Alaska Natives. NOTE: National Center for Health Statistics bridged race categories are presented to allow the display of data across several years. Cases missing maternal race/ethnicity information were excluded (< 1% of cases) Fig U. SR Pg 72

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

Gonorrhea and Chlamydia — Proportion of MSM* Attending STD Clinics Testing Positive for Gonorrhea and Chlamydia, STD Surveillance Network (SSuN), 2014 * Among men who have sex with men who were tested for gonorrhea and/or chlamydia. NOTE: Includes the six jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) that contributed data for all of Fig V. SR Pg. 75.

Primary and Secondary Syphilis and HIV — Proportion of MSM* Attending STD Clinics with Primary and Secondary Syphilis Who are Co-infected with HIV, STD Surveillance Network (SSuN), 2014 *MSM=men who have sex with men. NOTE: Includes the six jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) that contributed data for all of Fig W. SR, Pg. 73.

Proportion of MSM* Attending STD Clinics with Primary and Secondary Syphilis, Gonorrhea or Chlamydia by HIV Status †, STD Surveillance Network (SSuN), 2014 *MSM=men who have sex with men; P&S = primary and secondary syphilis; GC = gonorrhea; CT = chlamydia.. † Excludes all persons for whom there was no laboratory documentation or self-report of HIV status. ‡ GC urethral and CT urethral include results from both urethral and urine specimens. NOTE: Includes the six jurisdictions (Baltimore, Los Angeles, New York City, Philadelphia, San Francisco and Seattle) that contributed data for all of Fig X. SR. Pg. 76.

Neisseria gonorrhoeae — Percentage of Urethral Isolates Obtained from MSM* Attending STD Clinics, Gonococcal Isolate Surveillance Project (GISP), 1990–2014 *MSM=men who have sex with men 2014-Fig Y. SR. Pg. 76.

Neisseria gonorrhoeae — Percentage of Urethral Isolates with Elevated Ceftriaxone Minimum Inhibitory Concentrations (MICs) (≥0.125 μ g/ml) by Reported Sex of Sex Partner, Gonococcal Isolate Surveillance Project (GISP), 2007–2014 *MSM=men who have sex with men; MSW=men who have sex with women only Fig Z. SR. Pg. 75.

Sexually Transmitted Disease Surveillance 2014 Division of STD Prevention

For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA Telephone: CDC-INFO ( )/TTY: Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention