STIs in Central Ohio: Local, State & National Trends

STIs in Central Ohio: Local, State & National TrendsApril 17, 2019

Mysheika W. Roberts, MD, MPHHealth Commissioner • Columbus Public Health

@DrMRoberts

City of Columbus • Columbus Public Health

STIs in the U.S.

• Almost 2.3 million cases of chlamydia, gonorrhea and syphilis (primary and secondary) were reported to the CDC in 2017.

Chlamydia Gonorrhea Syphilis2017:

528.8 per 100,0002017:

171.9 per 100,0002017:

9.5 per 100,000

6.9% increase from 2016




ChlamydiaFranklin County, 2018

10,178 cases (787.8 per 100,000)

• Young people (15-24) had the highest reported chlamydia rates.Age

• African Americans had 6.0 times higher reported chlamydia rates than whites. Race

• Females had 1.6 times higher reported chlamydia rates than males.Sex


Chlamydia by AgeFranklin County, 2018; N=10,178

<151%

15-1927%

20-2436%

25-2919%

30-348%

35-394%

40-442%

45+3%

<1515-1920-2425-2930-3435-3940-4445+

Over 60% of reported chlamydia infections occur among those aged 15-24 years old.


Chlamydia by Sex and RaceRates per 100,000; Franklin County, 2018

1,946.0

1,331.0

365.7182.4

Females Males

African American

White

5.3 : 1.0 7.3 : 1.0

African American

White


Chlamydia – # of Cases by YearFranklin County & Central Ohio Region*

7,417 7,0907,856 8,088

9,212 9,722 9,41710,178

8,959 8,8799,629 9,960

11,19711,942 11,739 12,354

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2011 2012 2013 2014 2015 2016 2017 2018

Franklin County Central Ohio Region

*Includes Delaware, Fairfield, Franklin, Licking, Madison, Morrow, Pickaway, & Union counties


Chlamydia Rates by Year Franklin County, Ohio, United States (per 100,000)

629593

648 657

736769

729788

456 462 461 468 490522 529

453 453 444 452 475 495529

0100200300400500600700800900

2011 2012 2013 2014 2015 2016 2017 2018Franklin County Ohio United States


GonorrheaFranklin County, 2018

4,935 cases(382.0 per 100,000)

• Younger adults (20-24) had the highest reported gonorrhea rates.Age

• African Americans had 6.0 times higher reported gonorrhea rates than whites.Race

• Males had 1.6 times higher reported gonorrhea rates than females.Sex


Gonorrhea by AgeFranklin County, 2018; N=4,935

<151%

15-1913%

20-2424%

25-2923%

30-3413%

35-399%

40-446% 45+

11%<1515-1920-2425-2930-3435-3940-4445+

Nearly 50% of reported gonorrhea infections were among individuals aged 20-29 years old.


Gonorrhea by Sex and RaceRates per 100,000; Franklin County, 2018

664.6

1126.8

132.6 162.7

Females Males

African American

African American

White White

5.0 : 1.0 6.9 : 1.0


Gonorrhea – # of Cases by YearFranklin County & Central Ohio Region*

2,836 2,6022,947 2,853

3,228

4,253 4,4494,935

3,027 2,8593,215 3,203

3,667

4,7865,165

5,638

0

1,000

2,000

3,000

4,000

5,000

6,000

2011 2012 2013 2014 2015 2016 2017 2018


*Includes Delaware, Fairfield, Franklin, Licking, Madison, Morrow, Pickaway, & Union counties


Gonorrhea Rates by Year Franklin County, Ohio, United States (per 100,000)

241218

243 232258

336 344

382

145 143 144 138 143

177207

103 107 105 110 123145

172

0

100

200

300

400



Syphilis (Primary & Secondary)Franklin County, 2018

212 cases (16.4 per 100,000)

• People between the ages of 20-24 had the highest reported rate of any age group.Age

• African Americans had syphilis rates 2.7 times higher than whites.Race

• Males had reported syphilis rates 8.2 times higher than females.Sex


Syphilis by AgePrimary & Secondary, Franklin County, 2018; N=212

15-198%

20-2418%

25-2921%

30-3415%

35-3914%

40-448%

45+16%

15-1920-2425-2930-3435-3940-4445+

Most reported primary and secondary syphilis infections were among those aged 20-34 years old.


Syphilis Rates by Sex Rates per 100,000; Primary & Secondary; Franklin County, 2018

29.8

3.6

8.2 : 1.0


Syphilis - # of Cases by YearPrimary & Secondary; Franklin County & Central Ohio Region*

116149 158

230256

286322

212123

158 167

246276

315353

239

0

100

200

300

400

2011 2012 2013 2014 2015 2016 2017 2018


*Includes Delaware, Fairfield, Franklin, Licking, Madison, Morrow, Pickaway & Union counties


Syphilis Rates by Year Primary & Secondary; Franklin County, Ohio, U.S. (per 100,000)

9.8

12.5 13.0

18.720.5

22.624.9

16.4

3.9 3.7 3.84.8 4.9

6.27.2

4.5 5.0 5.5 6.37.4

8.69.5

0

5

10

15

20

25



Congenital Syphilis (2018)

• 8 congenital syphilis cases in Central Ohio* 88% of babies were asymptomatic.

71% of mothers received prenatal care.

Most mothers had early or late latent stage syphilis.



New Diagnoses of HIVFranklin County, 2017

• 238 newly diagnosed cases of HIV infection (incidence rate=18.4 per 100,000) Those age 25-29 had the highest rate of HIV

incidence (43.4 per 100,000).

69% of men newly diagnosed with HIV reported having male-to-male sexual contact.

African Americans had a reported incidence rate 4 times higher than whites.


New Diagnoses of HIVFranklin County, 2017; N=238

Females:IDU

3.8%Females:

Heterosexual contact18.1%

Females:Other/Unknown

1.3%

Males:MSM contact

49.6%

Males:IDU

3.4%

Males:MSM contact

& IDU3.4%

Males:Heterosexual

contact1.3%

Males:Other/Unknown

19.3%

By Sex of Case and Transmission Category*

*Transmission categories are mutually exclusive, hierarchical risk categories determined by the CDC and system calculated using sex at birth and risk factor history


Living with Diagnosed HIVFranklin County, 2017

• 5,149 people living with diagnosed HIV (prevalence rate = 398.5 per 100,000) Those age 50-54 had the highest prevalence

of HIV (1,085.9 per 100,000).

79% of men reported having male-to-male sexual contact.

African Americans had a prevalence rate 2.7 times greater than whites.


Living with Diagnosed HIVFranklin County, 2017; N=5,149

<150% 15-24

3%

25-3420%

35-4421%45-54

29%

55-6421%

65+6%

<15

15-24

25-34

35-44

45-54

55-64

65+

By Age Group


Reported Persons Living with HIV# of Cases by Year; Franklin County & Central Ohio Region*

4,511 4,712 4,811 4,985 5,149

5,078 5,282 5,404 5,580 5,766

0

1,000

2,000

3,000

4,000

5,000

6,000

2013 2014 2015 2016 2017




Sources• Franklin County and Central Ohio Region Statistics:

– Chlamydia, gonorrhea and syphilis: Ohio Disease Reporting System, Analysis by Office of Epidemiology, Columbus Public Health. Data current as of March 31, 2019.

– HIV: Ohio Department of Health HIV/AIDS Surveillance Program. Data reported through June 30, 2018.

• Ohio Statistics:– Chlamydia, gonorrhea and syphilis: Ohio Department of Health STD Surveillance

Program, Bureau of Infectious Diseases. Data reported through May 24, 2018.– HIV: Ohio Department of Health HIV/AIDS Surveillance Program. Data reported

through June 30, 2018.

• National Statistics:– Centers for Disease Control and Prevention. Sexually Transmitted Disease

Surveillance 2017 (www.cdc.gov/std/stats) & HIV Surveillance Report 2017 (http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html).


Questions?

Mysheika W. Roberts, MD, MPHHealth Commissioner • Columbus Public Health

@DrMRoberts

STIs in Central Ohio: Local, State & National Trends

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