1. STI notifications from CIDR - 2015 Version 1.0 14 th March, 2016

2. 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.

3. 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 http://www.hpsc.ie/hpsc/CIDR/ ). http://www.hpsc.ie/hpsc/CIDR/ 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 http://www.hpsc.ie/A-Z/HIVSTIs/SexuallyTransmittedInfections/Publications/STIReports/STIAnnualReports/ http://www.hpsc.ie/A-Z/HIVSTIs/SexuallyTransmittedInfections/Publications/STIReports/STIAnnualReports/ 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 http://www.hpsc.ie/A-Z/HIVSTIs/SexuallyTransmittedInfections/Publications/STIReports/EpisodicSTIReports/Other/ ). http://www.hpsc.ie/A-Z/HIVSTIs/SexuallyTransmittedInfections/Publications/STIReports/EpisodicSTIReports/Other/ HIV, hepatitis B and sexually transmitted enteric infections (STEI), such as shigellosis, are notified via CIDR and are reported separately (see www.hpsc.ie ) www.hpsc.ie 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

4. Table 1: STI notifications by disease, 2014 and 2015 (CIDR data only) v1.0 14/03/2016 Sexually transmitted infection 20152014 % change 2014 -2015 N%N Chancroid0-0 - Chlamydia trachomatis infection681570.16,693+1.8 Gonorrhoea1,30513.41,315-0.8 Granuloma inguinale0-0- Herpes simplex (genital)1,27513.11,234+3.3 Lymphogranuloma venereum (LGV)190.235-45.7 Syphilis (early infectious)2492.6204+22.1 Trichomoniasis580.692-37.0 Total9,721100.09,573+1.5

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

6. 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 yrs1713000 15-19 yrs633149133000 20-24 yrs2,72636335314010 25-34 yrs2,6085124321111018 35-44 yrs61219620935615 45-54 yrs163637533212 55-64 yrs3918471103 65+ yrs6323010 Unknown1100000 Total6,8151,3051,2751924958

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

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

9. 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 2016. Mode of transmission GonorrhoeaLGV Syphilis (early infectious) N%N%N% Heterosexual15712.000.03012.0 MSM36227.71368.420582.3 Other10.100.010.4 Unknown17313.300.0114.4 Not specified61246.9631.620.8 Total1,305100.019100.0249100.0

10. 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 East215.057.245.90.110.41.7 Midlands68.06.08.90.01.10.0 Midwest119.914.517.40.05.31.1 North East74.07.912.70.02.51.8 North West96.415.113.50.00.43.5 South East143.112.525.70.02.41.4 South126.012.318.10.04.40.2 West126.019.822.90.01.10.2 National148.528.427.80.05.41.3

11. 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 patient1447001 GP patient177444641913720 Hospital day patient610001 Hospital inpatient3217014 Hospital outpatient12437712601519815 Other11031231112 Unknown23748377219 Not specified33993182016 Total6815130512751924958

12. Table 6: Chlamydia notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs116017 15-19 yrs1364961633 20-24 yrs1,1161,60462,726 25-34 yrs1,4111,184132,608 35-44 yrs3802284612 45-54 yrs128332163 55-64 yrs354039 65+ yrs6006 Unknown64111 Total3,2293,559276,815

13. Table 7: Gonorrhoea notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs1001 15-19 yrs89600149 20-24 yrs277851363 25-34 yrs463490512 35-44 yrs176200196 45-54 yrs576063 55-64 yrs171018 65+ yrs3003 Unknown0000 Total1,08322111,305

14. Table 8: Herpes simplex (genital) notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs1203 15-19 yrs111211133 20-24 yrs582932353 25-34 yrs1372914432 35-44 yrs671420209 45-54 yrs3342075 55-64 yrs2126047 65+ yrs1211023 Unknown0000 Total34092871,275

15. Table 9: LGV notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs0000 15-19 yrs0000 20-24 yrs1001 25-34 yrs1100 35-44 yrs3003 45-54 yrs3003 55-64 yrs1001 65+ yrs0000 Unknown0000 Total1900

16. Table 10: Early infectious syphilis notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs0000 15-19 yrs0000 20-24 yrs355040 25-34 yrs10820110 35-44 yrs551056 45-54 yrs311032 55-64 yrs91010 65+ yrs1001 Unknown0000 Total239100249

17. Table 11: Trichomoniasis notifications by age group and gender, 2015 (CIDR data only) v1.0 14/03/2016 Age groupMaleFemaleUnknownTotal <15 yrs0000 15-19 yrs0000 20-24 yrs0100 25-34 yrs0180 35-44 yrs0150 45-54 yrs0120 55-64 yrs0303 65+ yrs0000 Unknown0000 Total0580