Syphilis and STDs in Bexar County

Transcription

1 Syphilis and STDs in Bexar County Anil T. Mangla, MS, PhD, MPH, FRIPH Assistant Director of Health Contributors: Cara J. Hausler, MPH (Senior Epidemiologist STD/HIV/TB) Cameron Warner (Epidemiology Analysis) Syphilis Update to the Community June 23, 215 1

2 STDs in Bexar County

3 Chlamydia Cases, Bexar County, 25-21* 12, Cases 2 per. Mov. Avg. (Cases) 1, Chlamydia Cases 8, 6,, 7, 7,59 8,5 8,89 1, 11,55 11,828 11,9 11,3 1,233 2, * There was a 1% decrease in the number of chlamydia cases from 213 (11,3) to 21 (1,233). There was a 38% increase in the number of chlamydia cases from 25 (7,) to 21 (1,233). 213 Cases in Bexar County - ranked #11 of all US counties Source: local and central STD*MIS data, ranking from CDC * 21 Preliminary Data 3

4 Gonorrhea Cases, Bexar County, 25-21*, 3,5 Cases 2 per. Mov. Avg. (Cases) 3, Gonorrhea Cases 2,5 2, 1,5 1, 2,18 2,562 2,65 2,898 3,1 3,52 3,7 3,365 2,96 2, * There was a 2% decrease in the number of gonorrhea cases from 213 (2,96) to 21 (2,898). (1 year) There was a 33% increase in the number of gonorrhea cases from 25 (2,18) to 21 (2,898). (9 years) 213 Cases in Bexar County - ranked #13 of all US counties Source: local and central STD*MIS data, ranking from CDC * 21 Preliminary Data

5 Syphilis in Bexar County

6 Syphilis Cases, Bexar County, 213 Cases (all stages) N = 1,69 17 to 27 1 to 1 5 to 9 3 to 1 to 2 Source: local STD*MIS data 6

7 Primary & Secondary Syphilis Cases Primary & Secondary Syphilis Cases, Bexar County, 25-21* Cases per. Mov. Avg. (Cases) * There was a 2% decrease in the number of P&S syphilis cases from 213 (291) to 21 (221). There was a 71% increase in the number of P&S syphilis cases from 25 (129) to 21 (221). 213 Cases in Bexar County - ranked #9 of all US counties Source: local and central STD*MIS data, ranking from CDC * 21 Preliminary Data 7

8 Primary and Secondary Syphilis Rates, 2-21* Rates (Cases per 1, Population) Bexar County Texas US '5 '6 '7 '8 '9 '1 '11 '12 '13 '1* 213: Bexar County s rate of P&S syphilis was 3. times higher than the Texas and the US rate. Source: local and central STD*MIS data * 21 Preliminary Data, using 213 population 8

9 Congenital Syphilis Cases and Rates In Texas Most Highly Populated Counties, 213 County 213 Cases County 213 Rates* Harris 25 Bexar 6.7 Bexar 17 Harris 37.1 Tarrant 7 Tarrant 25.3 Dallas 6 Dallas 15.5 *Rate Per 1, Live Births; 212 Live Births Used For Calculation of 213 rate. Source: Texas DSHS STD*MIS 9

10 Congenital Syphilis Cases, Bexar County, 2-215* Congenital Syphilis Cases Cases 2 per. Mov. Avg. (Cases) '5 '6 '7 '8 '9 '1 '11 '12 '13 '1* '15* There was a 7% decrease in the number of Congenital syphilis cases from 213 to 21. There was a 2% increase in the number of Congenital syphilis cases from 2 to Source: local and central STD*MIS data * Preliminary data for 21, 215 (first 5 months) 1

11 Congenital Syphilis Rates, 2-21* Rates of Cases per 1, Live Births Bexar County Texas US Healthy People 22 Target * 213: Bexar County s rate of P&S syphilis was 3.6 times higher than the Texas rate and 7.3 times higher than the US rate. 9.1 Source: local and central STD*MIS data * 21 Preliminary Data, using 213 population 11

12 Hospital Methodist Hospitals (2) Baptist Hospitals ()** University Hospital Congenital Syphilis Cases by Hospital, by, Bexar County # of Cases in 212 (n = 18 infants) % total in 212 # of Cases in 213 (n = 17 infants) % total in 213 # of Cases in 21* (n = 1* infants) % total in 21* # of Cases as of May 215* (n = 3* infants) % total as of May 215* 6 33% 7 1% 2 2% 1 33% 22% 7 1% 2 2% 1 33% 5 28% 1 6% % 1 33% Santa Rosa Hospitals 2 11% 1 6% 1 1% (2) Southwest Gen. Hosp. Lackland Air Force Base 1 6% 1 6% 5 5% % % % Methodist Hospital; Metropolitan Methodist Hospital ** Baptist-N. Central; Baptist-NE, Baptist-DT; Baptist-St. Luke s Christus Santa Rosa-DT, Christus Santa Rosa Westover Hills * 21 & 215 Local Preliminary Data as of 6/22/215 Source: Local STD*MIS 12

13 Number of Infants Prevention of Congenital Syphilis, Bexar County, Number of healthy infants born to mothers who were successfully treated for syphilis infection (3 days prior to delivery) in reported year N = 119 Source: local STD*MIS 13

14 Congenital Syphilis Cases, Bexar County Congenital Syphilis (CS) Cases by of Birth, Bexar County and Primary and Secondary (P&S) Syphilis Rates for Bexar County, Texas and the United States, 23 21* Congenital syphilis Bexar cases P&S P&S syphilis Bexar Bexar rate rate P&S P&S syphilis syphilis Texas Texas rate rate P&S P&S syphilis syphilis US US rate rate ' ' '5 '5 '6 '6 '7 '7 '8 '8'9 '9 '1 '11 '12 '13 '1* '1 '11 '12 '13 '1* '15* P&S Syphilis Rates per 1, Population * = Preliminary CS case data for January 1 June 22, 215 Source: Data extracted from local STD*MIS database, Texas and CDC reports, using ACS population estimates 1

15 Anil T. Mangla, MS, PhD, MPH, FRIPH Assistant Director Cara J. Hausler, MPH Senior Epidemiologist STD/HIV/TB

16 Syphilis Cases by Stage, Bexar County, 23-21* Syphilis Cases 1,2 1, Primary /Secondary Early Latent Late/Late Latent Congenital ' '5 '6 '7 '8 '9 '1 '11 '12 '13 '1* 92 total Source: local and central STD*MIS data 16 * 21 Preliminary Data