1. STD Epidemiology in Texas 2012 1

2. Changes in STD Data Presentation Previous STD slide set data were presented using STD cases based on the report date We recreated STD data files from 2005-2012 using STD cases based on the diagnosis date A different source of population data (for denominators) was used to calculate rates Therefore, cases, rates and percentages from 2005 to 2011 may not be the same as those in previous STD slide sets 2

3. Population Data Used to Calculate Rates In previous slide sets, population data from 2011 and earlier used in rate calculations were from the Texas State Data Center (TSDC) TSDC population data did not break down the Other race category into minority racial groups The current 2012 STD Surveillance Report and slides use US Census Data from the National Center for Health Statistics, which has categories for Asian/Pacific Islander and American Indian/Alaskan Native These categories were combined to create an Other category due to the low rates of STDs in these populations 3

4. Chlamydia Cases: Texas, 1992-2012 4

5. 5 Chlamydia Rates by County, 2012 Total chlamydia cases N=124,649

6. Chlamydia Cases by Year: Texas, 2001-2012 6

7. Chlamydia Case Rates* Among Women by Race/Ethnicity: Texas, 1992-2012 7 *Cases per 100,000 population

8. Gonorrhea Cases: Texas, 1992-2012 8

9. 9 Gonorrhea Rates by County, 2012

10. Gonorrhea Case Rates* by Race/Ethnicity: Texas, 1992-2012 10 *Cases per 100,000 population

11. 11 Gonorrhea Cases by Age Group & Race/Ethnicity: Texas, 2012 Total gonorrhea cases, N=32,089 Note: Cases with unknown race not included in figure

12. Primary & Secondary Syphilis Cases: Texas, 1992-2012 12

13. 13 Primary & Secondary Syphilis Case Rates by County, 2012

14. Primary & Secondary Syphilis Case Rates* by Race/Ethnicity: Texas, 2000-2012 14 *Cases per 100,000 population

15. Primary & Secondary Syphilis Case Rates* by Year of Report and Sex: Texas, 2000-2012 15 *Cases per 100,000 population Female Male

16. Primary & Secondary Syphilis Cases by Sex and MSM*: Texas, 2005-2012 16 *Men who have sex with men; 2012 Texas P&S syphilis case total: N=1,636

17. Congenital Syphilis Cases and Rates*: Texas, 1992-2012 17 *Rates are per 10,000 live births

18. Summary From 2011 to 2012, total primary and secondary syphilis cases in Texas increased from 1,173 cases to 1,636 cases; transmission among MSM continues to drive this increase Chlamydia and gonorrhea case numbers are relatively stable; these STDs are most common among individuals aged 15-24 years Racial and ethnic disparities continue to exist for chlamydia, gonorrhea and P&S syphilis 18