Syphilis - Syphilis Sexually Transmitted Disease...

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Unformatted text preview: Syphilis Sexually Transmitted Disease Surveillance 2003 Division of STD Prevention Syphilis — Reported cases by stage of infection: United States, 1941–2003 Cases (in thousands) 600 P&S Early Latent Total Syphilis 480 360 240 120 0 1941 46 51 56 61 66 71 76 81 86 91 96 2001 Primary and secondary syphilis — Reported cases by reporting source: United States, 1984–2003 Cases (in thousands) 50 non-STD Clinic STD Clinic 40 30 20 10 0 1984 86 88 90 92 94 96 98 2001 Note: Prior to 1996, the STD clinic source of report corresponded to public (clinic) source of report, and the non-STD clinic category corresponded to private source of report. After 1996, as states began reporting morbidity data electronically, the specific source of report (i.e., STD clinic) became available from an increasing number of states. 02 Primary and secondary syphilis — Rates: United States, 1970–2003 and the Healthy People 2010 target Rate (per 100,000 population) 25 P&S Syphilis 2010 Target 20 15 10 5 0 1970 73 76 79 82 85 88 91 94 97 Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. 2000 03 Primary and secondary syphilis — Rates by state: United States and outlying areas, 2003 1.4 0.0 0.6 0.3 1.4 0.9 1.1 0.3 0.3 3.0 0.0 0.4 0.6 0.6 1.3 0.6 3.7 3.0 0.9 3.4 0.9 1.7 0.8 0.1 1.1 1.8 3.8 Guam 0.6 1.1 0.8 1.9 2.3 2.5 0.2 1.5 2.1 3.1 0.9 2.0 0.9 5.7 1.8 2.3 1.4 6.8 3.0 4.1 0.2 VT NH MA RI CT NJ DE MD 2.5 3.9 Rate per 100,000 population <=0.2 0.21-4.0 >4.0 1.1 Puerto Rico 5.2 Virgin Is. 2.7 Note: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 2.5 per 100,000 population. The Healthy People 2010 target is 0.2 case per 100,000 population. (n= 5) (n= 44) (n= 4) Primary and secondary syphilis — Rates by county: United States, 2003 Rate per 100,000 population <=0.2 (N= 2,538) 0.3-4.0 (N= 446) >4.0 (N= 156) Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. Primary and secondary syphilis — Rates by region: United States, 1981–2003 and the Healthy People 2010 target Rate (per 100,000 population) 50 West Midwest Northeast South 2010 Target 40 30 20 10 0 1981 83 85 87 89 91 93 95 97 99 Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. 2001 03 Primary and secondary syphilis — Rates by sex: United States, 1981–2003 and the Healthy People 2010 target Rate (per 100,000 population) 25 Male Female 2010 Target 20 15 10 5 0 1981 83 85 87 89 91 93 95 97 99 Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. 2001 03 Primary and secondary syphilis — Rates by race and ethnicity: United States, 1981–2003 and the Healthy People 2010 target Rate (per 100,000 population) 150 White Black Hispanic Asian/Pac Isl Am Ind/AK Nat 2010 Target 120 90 60 30 0 1981 83 85 87 89 91 93 95 97 99 Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. 2001 03 Primary and secondary syphilis — Male-to-female rate ratios: United States, 1981–2003 Male-Female rate ratio 10:1 8:1 6:1 4:1 2:1 0 1981 83 85 87 89 91 93 95 97 99 2001 03 Primary and secondary syphilis — Age- and sex-specific rates: United States, 2003 Men Rate (per 100,000 population) 12.0 9.6 7.2 4.8 2.4 0.0 0.0 1.4 6.0 7.9 9.7 11.8 8.9 4.4 1.5 0.2 4.2 Age 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-54 55-64 65+ Total Women 0.0 2.4 4.8 0.1 1.7 2.4 1.9 1.6 1.6 1.2 0.6 0.1 0.0 0.8 7.2 9.6 12.0 Congenital syphilis — Reported cases for infants <1 year of age and rates of primary and secondary syphilis among women: United States, 1970–2003 P&S rate (per 100,000 population) CS cases (in thousands) 20 7.5 Kaufman Criteria 16 6.0 CDC Surveillance Definition 12 8 4.5 3.0 P&S Syphilis 4 1.5 Congenital Syphilis 0 0.0 1970 75 80 85 90 95 2000 Note: The surveillance case definition for congenital syphilis changed in 1988. Congenital syphilis — Rates for infants <1 year of age: United States, 1981–2003 and the Healthy People 2010 target Rate (per 100,000 live births) 125 Cong. Syphilis 2010 Target 100 75 50 25 0 1981 83 85 87 89 91 93 95 97 99 Note: The Healthy People 2010 target for congenital syphilis is 1.0 case per 100,000 live births. The surveillance case definition for congenital syphilis changed in 1988. 2001 03 ...
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