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STI notifications from CIDR - 2014 Version 2.0 18 th February, 2015
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v2.0 18/02/2015 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 2 nd February, 2015, and were correct at the time of publication.
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These slides present provisional data on Sexually Transmitted Infections (STIs) notified to HPSC in 2014 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 a more detailed report on the epidemiology of STIs for 2014 will be produced in the coming months. 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 and Hepatitis B 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. v2.0 18/02/2015
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Table 1: STI notifications by disease, 2013 and 2014 (CIDR data only) v2.0 18/02/2015 1.An outbreak of LGV centred in Dublin is currently being investigated. For further information see http://ndsc.newsweaver.ie/epiinsight/13f78gewgqd?a=1&p=48371552&t=17517774 http://ndsc.newsweaver.ie/epiinsight/13f78gewgqd?a=1&p=48371552&t=17517774 2.The Irish case definition for syphilis changed on 1st Jan., 2014, and from this date, syphilis notifications include early (infectious) syphilis only. Cases reported weekly are provisional numbers which may change following clinical review. Direct comparison of 2014 syphilis notification data with 2013 syphilis notification data (which includes non infectious cases) is not valid. STI 20142013 % change 2013 -2014 N%N Chancroid 00.00 Chlamydia trachomatis infection 6,70768.76,261+7.1 Gonorrhoea 1,33613.71,293+3.3 Granuloma inguinale 00.00 Herpes simplex (genital) 1,25412.81,136+10.4 Lymphogranuloma venereum (LGV) 1 350.45+600.0 Syphilis 3393.5552NA 2 Trichomoniasis 931.075+24.0 Total 9,764100.09,322 -
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Figure 1: STI notifications by gender and disease, 2014 (CIDR data only) v2.0 18/02/2015
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Table 2: STI notifications by age group and disease, 2014 (CIDR data only) v2.0 18/02/2015 ChlamydiaGonorrhoea Herpes simplex (genital) LGVSyphilisTrichomoniasis <15 yrs1325000 15-19 yrs742139154037 20-24 yrs2,68743033623919 25-34 yrs2,5495214281513427 35-44 yrs517157206129520 45-54 yrs133698854314 55-64 yrs4217281192 65+ yrs917062 Unknown1502002 Total6,7071,3361,2543533993
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v2.0 18/02/2015 Figure 2: STI notifications by age group and disease, 2014 (CIDR data only)
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v2.0 18/02/2015 Figure 3: STI notifications by month and disease, 2014 (CIDR data only)
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Table 3: STI notifications by mode of transmission* and disease, 2014 (CIDR data only) v2.0 18/02/2015 Mode of transmission GonorrhoeaLGVSyphilis N%N%N% Heterosexual 1007.500.04312.6 MSM 28921.61954.315746.2 Unknown 916.800.0185.3 Not specified 85664.11645.712135.7 Total 1,336100.035100.0339100.0 *Mode of transmission is collected for gonorrhoea, LGV and syphilis only. Following data validation more complete data should be available later in 2015.
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Table 4: Notification rate per 100,000 population by disease & HSE area #, 2014 (CIDR data only) v2.0 18/02/2015 # 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 (genital) LGVSyphilisTrichomoniasis East213.159.145.12.115.42.9 Midlands73.37.18.50.01.4 Midwest117.315.321.40.04.72.9 North East76.96.115.40.21.82.0 North West113.86.67.70.01.93.5 South East97.49.618.20.01.40.8 South153.119.324.10.06.41.4 West126.021.820.00.03.10.2 National146.229.127.30.87.42.0
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Table 5: STI notifications by disease and patient type**, 2014 (CIDR data only) v2.0 18/02/2015 **Hospital Outpatient includes GUM/STI clinics ChlamydiaGonorrhoea Herpes simplex (genital) LGVSyphilisTrichomoniasis ED patient1772016 GP patient1,73037323125339 Hospital day patient720000 Hospital inpatient3699336 Hospital outpatient1,2296812322826728 Other832224031 Unknown383207550148 Not Specified3,22235206185 Total6,7071,3361,2543533993
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Table 6: Chlamydia notifications by age group and gender, 2014 (CIDR data only) v2.0 18/02/2015 Age group (yrs.)MaleFemaleUnknownTotal 0-14211013 15-191685695742 20-241,0651,609132,687 25-341,3231,213132,549 35-443431704517 45-5499331133 55-64347142 65+8109 Unknown510015 Total3,0473,623376,707
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Table 7: Gonorrhoea notifications by age group and gender, 2014 (CIDR data only) v2.0 18/02/2015 Age group (yrs.)MaleFemaleUnknownTotal 0-141102 15-1992470139 20-243241033430 25-34467522521 35-44144130157 45-54663069 55-64134017 65+1001 Unknown0000 Total1,10822351,336
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Table 8: Herpes simplex (genital) notifications by age group and gender, 2014 (CIDR data only) v2.0 18/02/2015 Age group (yrs.)MaleFemaleUnknownTotal 0-141405 15-19111430154 20-24582771336 25-341262993428 35-44691352206 45-543751088 55-64622028 65+2507 Unknown1102 Total31193761,254
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Table 9: LGV notifications by age group and gender, 2014 (CIDR data only) v2.0 18/02/2015 Age group (yrs.)MaleFemaleUnknownTotal 0-140000 15-190000 20-242002 25-341500 35-441200 45-545005 55-641001 65+0000 Unknown0000 Total3500
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Table 10: Syphilis notifications by age group and gender, 2014 (CIDR data only) v2.0 18/02/2015 Age group (yrs.)MaleFemaleUnknownTotal 0-140000 15-192103 20-24327039 25-34118160132 35-448510095 45-54403043 55-641900 65+5106 Unknown0000 Total301380339
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Table 11: Trichomoniasis notifications by age group and gender, 2014 (CIDR data only) v2.0 18/02/2015 Age group (yrs.)MaleFemaleUnknownTotal 0-140000 15-190707 20-240190 25-340270 35-440200 45-540140 55-641102 65+1102 Unknown0202 Total291093
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