1. Annual trends update: HIV, Hepatitis and STIs among MSM in Ireland (to the end of 2017) June 2018

2. Note: 2017 data are provisional
Acknowledgements
We would like to sincerely thank all who provided data for this update;
The National MSM Outbreak Response group and Epidemiology subgroup
The National Virus Reference Laboratory (NVRL)
Microbiology Laboratories
Departments of Public Health
Consultants in Infectious Disease/Genitourinary Medicine
STI clinics
GPs and all other clinicians involved
More detailed reports on HIV and STIs in Ireland can be found at
Note: 2017 data are provisional

3. Overall trends in HIV Notifications stable between 2015 and 2017

4. HIV trends by risk group MSM account for approximately half of new notifications

5. HIV: Previously diagnosed abroad Proportion diagnosed abroad increasing (2017 incomplete)

6. HIV trends by region of birth Number of notifications stable in Irish born MSM

7. Summary of HIV Overall number of HIV notifications stable since 2015
MSM the group most affected by HIV in Ireland
Large proportion of MSM diagnosed with HIV in Ireland were previously diagnosed abroad (40% in 2017)
Majority are transferring their care and are virally suppressed at time of diagnosis in Ireland
Majority of MSM diagnosed with HIV are born abroad

8. Hepatitis A among MSM
Reports of increased numbers of hepatitis A cases in MSM in a number of European countries since mid-2016
No cases of hepatitis A in MSM in Ireland in 2016
20 cases (30% of all hepatitis A cases) identified in 2017

9. Hepatitis A among MSM

10. Hepatitis C among MSM
Reports of increased numbers of MSM being diagnosed with hepatitis C since late 2015
67% HIV positive at time of HCV diagnosis
Number of cases among MSM decreased in 2017

11. Hepatitis C among MSM
*Gonorrhoea, syphilis, chlamydia, lymphogranuloma venereum or genital herpes simplex in the same year as hepatitis C notification or in the year prior to hepatitis C notification
2016 provisional data

12. Early infectious syphilis (EIS): Summary 2017
2017 provisional data
Early infectious syphilis (EIS): Summary 2017
Increase in EIS notifications during 2017 (n=401) versus (n=305), however data are not comparable as the sensitivity of reporting increased in July 2016
MSM continue to be the group most affected, accounting for 88% of EIS notifications in 2017 (similar to 2016)
2017 provisional data

13. Recent trends in EIS among males
2017 provisional data
Recent trends in EIS among males
*Laboratory criteria for notifying EIS were updated, increasing the sensitivity of reporting, from 01st July 2016 onwards
2017 provisional data

14. 2017 provisional data
EIS: Summary 2017
Large proportion (34%) of MSM diagnosed with EIS are HIV positive (similar to 2016)
Majority (51%) of MSM diagnosed with EIS were born in Ireland (25% originate from Latin America; 18% from Eastern, Central or Western Europe and 6% from other regions)
2017 provisional data

15. Overall trends in gonorrhoea
Rates of gonorrhoea notifications increasing in recent years

16. Trends in gonorrhoea by risk group
Proportion of cases among MSM stabilising

17. Summary of gonorrhoea
Overall number of gonorrhoea notifications is increasing Number of gonorrhoea notifications among MSM is high but remained stable in 2017 Antibiotic resistant gonorrhoea is an international concern - Establishment of Irish committee to monitor situation

18. Overall trends in LGV 128 cases notified 96% notified as MSM
Where known, 72% of patients were HIV positive

19. Trends in LGV by region of birth
Over 50% of cases among Irish-born MSM

20. Summary of LGV
Overall low number of cases -Mainly HIV positive MSM -Number of notifications decreased in 2017 The majority of cases were among Irish-born MSM, followed by those born in Latin America and Central/Eastern Europe

21. STEI among MSM
Sexually transmitted enteric infections are an emerging issue among MSM Shigella was historically travel-associated and food/water-borne Sexually transmitted Shigellosis among MSM has been reported in recent years - Outbreaks/clusters associated with HIV+ MSM in Ireland

22. Overall trends in Shigellosis

24. Summary: HIV and STIs among MSM
Overall HIV notifications remaining stable
High proportion previously diagnosed abroad and majority of previously positive group are virally suppressed
Hepatitis A among MSM decreased at end of 2017
Hepatitis C among MSM decreased in 2017
Syphilis proportion of MSM unchanged in 2017 compared to 2016
Gonorrhoea numbers among MSM remain high but did not increase in 2017
LGV decreased in 2017
STEIs like Shigellosis are an emerging issue among MSM