1. Genital chlamydial infections in Norway Hilde Kløvstad Norwegian Institute of Public Health 28.03.06

2. Challenges Widespread infection –3-9% prevalence among young adults Asymptomatic –Or mild or unspesific symptoms Complications –But only a small proportion of untreated women Young adults start earlier and have more sexual partners

3. Possibilities Simpler and better diagnostics –Amplification methods –More test material: urine, tampons, swab –Self sampling possible Simple and free one dose treatment Increased awareness (more people get tested)

4. Number of tests positive for genital chlamydial infections in Norway, 1986 - 2005

5. Insidence rate for genital chlamydial infections in Northen Europe, 1999 - 2004

6. Norwegain surveillance of genital chlamydial infections (old system) Aggregated data from laboratories (yearly) –Number of tests taken –Number of positive tests 2004 –Information on age and sex 1/3 of the data

7. Prensent surveillance (from 2005) Reports from laboratories x per year Case defintion –One person with one or more positive test results for genital and anal chlamydial infection within a period of 60 days Data collection –Date of sampling –Sex –Age –Municipality

8. Age and sex distribution genital chlamydial infections, Norway 2005

9. Infection control measures genital chlamdyial infections Encoruage safe sex –Easy acess to knowledge on STI’s –Easy acces to condoms Early diagnostics and treatment –Increased nr of people tested (easier access) –Simpler and better diagnostics –Self sampling –Simple and free one-dose treatment Partner notification