1. A Three Year Trend Review of Early Syphilis Cases for South Carolina

2. Early Syphilis Cases by Race/Ethnicit y Race/ Ethnicity 200720082009 White66 67 Black172231262 Hispanic/ Other 121827 Total250315356 2

3. Early Syphilis Cases by Gender Gender200720082009 Male (Percent MSM) 199248291 Female516765 Total250315356 3

4. Early Syphilis by Age Group Age Gp200720082009 10-14001 15-19122437 20-24405871 25-29325055 30-34342846 35-39254033 40-44444143 45-49262832 50-54173212 55+201426 Total250315356 4

5. Early Syphilis by Provider Type 1 Provider Type 200720082009 STD Clinic 40.8040.3235.39 Private MD 27.6023.1728.65 Corrections 9.609.8410.39 Total78.0073.3374.43 5 1 The percentage of 100% of reported morbidity is indicated by year and provider for the major reporting provider types.

6. Early Syphilis w/HIV Co-infection 1 Mode of Exposure 200720082009 MSM/BI (Male) 5597116 IDU 002 MSM/BI/IDU 434 Hetero 673 NIR/Other (Maternal) 3614 Total68113139 1 Co-Infection is defined as a Syphilis Diagnosis after an HIV/AIDS Diagnosis or a Syphilis Diagnosis less than/or up to one year before an HIV/AIDS Diagnosis. 6

7. Early Syphilis w/HIV Co-infection 1 1 Co-Infection is defined as a Syphilis Diagnosis after an HIV/AIDS Diagnosis or a Syphilis Diagnosis less than/or up to one year before an HIV/AIDS Diagnosis. Race/Ethnicity 200720082009 White, NH 182432 Black, NH 4887106 Hispanic 000 Other/Unknown 231 Total68114139 7

8. Current Syphilis Elimination Activities Targeted DIS Provider Visits Targeted DIS Laboratory Visits Follow Up Serologies (on selected persons/cases) 8

9. Current/Future SE Activities Continued Building of Partnerships Community Outreach and Education Innovative Case Management Practices 9

10. Success/Barriers Success –Morbidity (+/-) –Stakeholder(s) Investment in Activities to Reduce Morbidity –Improved Capacities to Provide Early Intervention Barriers –Gatekeeper Trust Issues –Technology (+/-) –Intelligence Transfer 10