1. Presentation to: Presented by: Date: STD 2013 Data Update Georgia Legislative Black Caucus Michelle Allen 2/10/15

2. Georgia Reportable STDs Chlamydia Gonorrhea Syphilis Lymphogranuloma venereum (rarely reported) Chancroid (rarely reported)

3. Reportable STD cases in Georgia, 2009-2013

4. Georgia’s 2013 Rankings in the U.S. 1 st for Primary and Secondary Syphilis – Fulton ranked 6 th in the country, DeKalb ranked 19 th, Cobb ranked 59 th, Clayton ranked 67 th, Gwinnett ranked 68 th 6 th for Congenital Syphilis 8 th for Gonorrhea – Fulton ranked 28 th in the country, DeKalb ranked 64 th 9 th for Chlamydia – Fulton county ranked 59 th in the country Taken from CDC’s 2013 STD Surveillance Report

5. Reportable STD cases by age group in Georgia, 2009-2013

6. Reportable STD cases by race/ethnicity in Georgia, 2009-2013

7. Reportable STD cases by gender, 2009-2013

8. Reportable STD Rates by County for Georgia, 2013 STD Rate per 100,000 population

9. Syphilis Summary Primarily black, non-Hispanic males 20-29 years old In 2013, 80% of syphilis cases in men who were interviewed listed sex with men as one of their risk factors. In 2013, at least 50% of syphilis cases in males were co-infected with HIV.

10. Syphilis

11. Nationally Total number of reported syphilis cases in the country increased by 13.1% 2012-2013 Georgia ranked 1 st in the country By county, Fulton ranked 6 th in the country, DeKalb ranked 19 th, Cobb ranked 59 th, Clayton ranked 67 th, Gwinnett ranked 68 th

12. 16% increase

14. Syphilis cases by age group in Georgia, 2009-2013

15. Syphilis (all stages) cases by race/ethnicity in Georgia, 2009-2013

16. Congenital Syphilis

17. Nationally For the first time since 2008, reported gonorrhea cases in the country increased by 4% 2012-2013 Georgia ranked 6 th in the country (9 th last year)

19. Chlamydia

20. Nationally 1.5% decrease in chlamydia cases reported for the U.S. – First decrease seen since national reporting began (2000) Decreases could represent fewer infections or lower screening rates Georgia ranked 9 th in the country(8 th last year) By county, Fulton county ranked 59 th in the country

21. 6% decrease

22. Chlamydia cases by gender in Georgia, 2009-2013

23. Chlamydia cases by age group, Georgia 2009-2013

24. Gonorrhea

25. Nationally Reported gonorrhea cases in the U.S. decreased 0.6% overall 2012-2013 Historic low in 2009, then increased 8.2% 2009- 2013 New recommendation that all women under age 25 be screened annually for gonorrhea Georgia ranked 8 th in the country (5 th last year), By county, Fulton ranked 28 th in the country, DeKalb ranked 64 th

26. 10% decrease

27. Gonorrhea Cases by Age Group in Georgia, 2009-2013

28. Gonorrhea cases by race/ethnicity in Georgia, 2009-2013