All SlidesSexually Transmitted Disease Surveillance 2008.ppt

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1、All Slides Sexually Transmitted Disease Surveillance 2008,Division of STD Prevention,Chlamydia Sexually Transmitted Disease Surveillance 2008,Division of STD Prevention,Chlamydia Rates: Total and by sex: United States, 19892008,Note: As of January 2000, all 50 states and the District of Columbia had

2、 regulations requiring the reporting of chlamydia cases.,Chlamydia Rates by region: United States, 19992008,Chlamydia Rates by state: United States and outlying areas, 2008,Note: The total rate of chlamydia for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 398.5 pe

3、r 100,000 population.,Chlamydia Rates by county: United States, 2008,Chlamydia Age- and sex-specific rates: United States, 2008,Chlamydia Rates by race/ethnicity: United States, 19992008,Chlamydia Cases by reporting source and sex: United States, 19992008,Chlamydia Prevalence by age group and race/e

4、thnicity from a national survey, 19992002,Note: Error bars indicate 95% confidence intervals.,SOURCE: National Health and Nutrition Examination Survey. Ann Intern Med 2007;Jul 17;147(2):89-96.,Chlamydia Median state-specific positivity among 15- to 24-year-old women tested in family planning clinics

5、: United States, 19972008,Note: As of 1997, all 10 DHHS regions, representing all 50 states, the District of Columbia, and outlying areas, reported chlamydia positivity data.,DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local an

6、d State STD Control Programs, Centers for Disease Control and Prevention,Chlamydia Positivity among 15- to 24-year-old women tested in family planning clinics by state: United States and outlying areas, 2008,Note: Includes states and outlying areas that reported chlamydia positivity data on at least

7、 500 women aged 15-24 years screened during 2008.DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State STD Control Programs, Centers for Disease Control and Prevention,Chlamydia Trends in positivity among 15- to 24-year-o

8、ld women tested in family planning clinics by HHS region, 20042008,DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State STD Control Programs, Centers for Disease Control and Prevention,Chlamydia Percent of tests that wer

9、e nucleic acid amplification tests (NAATs) in family planning clinics among 15- to 24-year-old women by DHHS region, 20042008,DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State STD Control Programs, Centers for Disease

10、 Control and Prevention,Gonorrhea Sexually Transmitted Disease Surveillance 2008,Division of STD Prevention,Gonorrhea Rates: United States, 19412008,Gonorrhea Rates: Total and by sex: United States, 19892008,Gonorrhea Rates by region: United States, 19992008,Gonorrhea Rates by state: United States a

11、nd outlying areas, 2008,Note: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 110.3 per 100,000 population.,Gonorrhea Rates by county: United States, 2008,Gonorrhea Age- and sex-specific rates: United States, 2008,Gonorrhea Age-specifi

12、c rates among women 15 to 44 years of age: United States, 19992008,Gonorrhea Age-specific rates among men 15 to 44 years of age: United States, 19992008,Gonorrhea Rates by race/ethnicity: United States, 19992008,Gonorrhea Cases by reporting source and sex: United States, 19992008,Gonorrhea Positivit

13、y among 15- to 24-year-old women tested in family planning clinics by state: United States and outlying areas, 2008,*States/areas not meeting minimum inclusion criteria. Note: Includes states and outlying areas that reported positivity data on at least 500 women aged 15-24 years screened during 2008

14、.DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State STD Control Programs, Centers for Disease Control and Prevention.,Gonococcal Isolate Surveillance Project (GISP) Location of participating sentinel sites and regional

15、 laboratories in the United States, 2008,Gonococcal Isolate Surveillance Project (GISP) Distribution of MICs to ceftriaxzone among GISP isolates, 20042008,Gonococcal Isolate Surveillance Project (GISP) Distribution of MICs to azithromycin among GISP isolates, 20042008,Gonococcal Isolate Surveillance

16、 Project (GISP) Percent of Neisseria gonorrhoeae isolates with resistance or intermediate resistance to ciprofloxacin, 19902008,Note: Resistant isolates have ciprofloxacin MICs 1 g/ml. Isolates with intermediate resistance have ciprofloxacin MICs of 0.125 - 0.5 g/ml. Susceptibility to ciprofloxacin

17、was first measured in GISP in 1990.,Gonococcal Isolate Surveillance Project (GISP) Penicillin, tetracycline, and ciprofloxacin resistance among GISP isolates, 2008,Note: PenR=penicillinase producing N. gonorrhoeae and chromosomally mediated penicillin-resistant N. gonorrhoeae; TetR=chromosomally and

18、 plasmid mediated tetracycline-resistant N. gonorrhoeae; QRNG=ciprofloxacin resistant N. gonorrhoeae.,Gonococcal Isolate Surveillance Project (GISP) Drugs used to treat gonorrhea in GISP patients, 19882008,Note: For 2008, “Other” includes no therapy (1.3%), azithromycin 2 g (1.2%), levofloxacin (0.0

19、2%), and other less frequently used drugs.,Syphilis Sexually Transmitted Disease Surveillance 2008,Division of STD Prevention,Syphilis Reported cases by stage of infection: United States, 19412008,Primary and secondary syphilis Rates: Total and by sex and male-to-female rate ratios: United States, 1

20、9892008,Primary and secondary syphilis Rates by region: United States, 19992008,Primary and secondary syphilis Rates by state: United States and outlying areas, 2008,Note: The total rate of P&S syphilis for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 4.5 per 100,

21、000 population.,Primary and secondary syphilis Rates by county: United States, 2008,Note: In 2008, 2,180 (69.3%) of 3,141 counties in the U.S. reported no cases of P&S syphilis.,Primary and secondary syphilis Age- and sex-specific rates: United States, 2008,Primary and secondary syphilis Age-specifi

22、c rates among women 15 to 44 years of age: United States, 19992008,Primary and secondary syphilis Age-specific rates among men 15 to 44 years of age: United States, 19992008,Primary and secondary syphilis Rates by race/ethnicity: United States, 19992008,Primary and secondary syphilis Reported cases*

23、 by stage and sexual orientation, 2008,*20% of reported male cases with P&S syphilis were missing sex of sex partner information.MSM denotes men who have sex with men.,Primary and secondary syphilis Reported cases* by sexual orientation and race/ethnicity, 2008,*20% of reported male cases with P 2%

24、of reported male cases with sex of partner data were missing race/ethnicity data. No imputation was done for race/ethnicity. MSM denotes men who have sex with men.,Primary and secondary syphilis Reported cases by reporting source and sex: United States, 19992008,Primary and secondary syphilis Percen

25、tage of reported cases* by sexual orientation and selected reporting sources, 2008,*20% of reported male cases with P 3% of reported male cases with sex of partner data were missing source of information data. MSM denotes men who have sex with men.,Congenital syphilis (CS) Reported cases for infants

26、 1 year of age and rates of primary and secondary syphilis among women: United States, 19992008,Other Sexually Transmitted Diseases Sexually Transmitted Disease Surveillance 2008,Division of STD Prevention,Chancroid Reported cases: United States, 19812008,Human papillomavirus (HPV) Prevalence of hig

27、h-risk and low-risk types among females aged 14 to 59 years of age reported from a national survey, 2003-2004,Note: Error bars indicate 95% confidence intervals. Both high-risk and low-risk HPV types were detected in some females.,SOURCE: National Health and Nutrition Examination Survey. JAMA 2007,

28、297;813-819. 2007, American Medical Association. All Rights reserved.,Genital warts Initial visits to physicians offices: United States, 19662008,Note: The relative standard error for genital warts estimates range from 18% to 30%.,SOURCE: IMS Health, Integrated Promotional Services, IMS Health Repor

29、t, 1966-2008 Hardcopy,Genital herpes Initial visits to physicians offices: United States, 19662008,Note: The relative standard error for genital herpes estimates range from 18% to 30%.,SOURCE: IMS Health, Integrated Promotional Services, IMS Health Report, 1966-2008 Hardcopy,Genital herpes Herpes si

30、mplex virus, type 2, seroprevalence in non-Hispanic whites and non-Hispanic blacks by age group reported from national surveys, 1976-1980, 1988-1994, 19992004,Note: Error bars indicate 95% confidence intervals. *Age-adjusted using the 2000 US Census civilian, noninstitutionalized population aged 14

31、to 49 years as the standard.,SOURCE: National Health and Nutrition Examination Survey. JAMA 2006, 296:964-973. 2006, American Medical Association. All Rights reserved.,Trichomoniasis and other vaginal infections in women Initial visits to physicians offices: United States, 19662008,Note: The relativ

32、e standard error for trichomoniasis estimates range from 16% to 27% and for other vaginitis estimates range from 8% to 13%.,SOURCE: IMS Health, Integrated Promotional Services, IMS Health Report, 1966-2008 Hardcopy,STDs in Women and Infants Sexually Transmitted Disease Surveillance 2008,Division of

33、STD Prevention,Chlamydia Rates among women by state: United States and outlying areas, 2008,Note: The total chlamydial infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 580.0 per 100,000 female population.,Chlamydia Positivity in 15- to 24

34、-year-old women tested in prenatal clinics by state: United States and outlying areas, 2008,*States/areas not meeting minimum inclusion criteria in prenatal clinics. Note: Includes states and outlying areas that reported chlamydia positivity data on at least 100 women aged 15 to 24 years during 2008

35、.DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State STD Control Programs, Centers for Disease Control and Prevention.,Gonorrhea Rates among women by state: United States and outlying areas, 2008,Note: The total gonorrh

36、ea infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 117.8 per 100,000 female population.,Gonorrhea Positivity in 15- to 24-year-old women tested in prenatal clinics by state: United States and outlying areas, 2008,*States/areas not meetin

37、g minimum inclusion criteria in prenatal clinics. Note: Includes states and outlying areas that reported gonorrhea positivity data on at least 100 women aged 15 to 24 years during 2008.DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs

38、, Local and State STD Control Programs, Centers for Disease Control and Prevention.,Primary and secondary syphilis Rates among women by state: United States and outlying areas, 2008,Note: The total rate of P&S syphilis among women in the United States and outlying areas (Guam, Puerto Rico, and Virgi

39、n Islands) was 1.5 per 100,000 female population.,Congenital syphilis Rates for infants 1 year of age by state: United States and outlying areas, 2008,Note: The total rate of congenital syphilis for infants 1 year of age for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands

40、) was 10.2 per 100,000 live births.,Pelvic inflammatory disease Hospitalizations of women 15 to 44 years of age: United States, 19972006,Note: The relative standard error for these estimates of the total number of acute unspecified PID cases ranges from 11.9% to 17.2%. The relative standard error fo

41、r these estimates of the total number of chronic PID cases ranges from 11% to 18%. Data only available through 2006.SOURCE: National Health Statistics Report, 2006 National Hospital Discharge Survey. 2008 July. Report Number 5. Atlanta: Centers for Disease Control and Prevention.,Pelvic inflammatory

42、 disease Initial visits to physicians offices by women 15 to 44 years of age: United States, 19992008,Note: The relative standard error for these estimates ranges from 21.6% to 29%.,SOURCE: IMS Health, Integrated Promotional Services, IMS Health Report, 1966-2008 Hardcopy,Ectopic pregnancy Hospitali

43、zations of women 15 to 44 years of age: United States, 19972006,Note: The relative standard error for these estimates is 14.2%. Data only available through 2006.SOURCE: National Health Statistics Report, 2006 National Hospital Discharge Survey. 2008 July. Report Number 5. Atlanta: Centers for Diseas

44、e Control and Prevention.,STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2008,Division of STD Prevention,Chlamydia Trends in positivity among 15- to 19-year-old women tested in family planning clinics by HHS region, 20042008,DATA SOURCE: Prevalence Monitoring Project

45、(Regional Infertility Prevention Projects), Office of Population Affairs, Local and State STD Control Programs, Centers for Disease Control and Prevention.,Chlamydia Prevalence among 16- to 24-year-old women entering the National Job Training Program by state of residence: United States and outlying

46、 areas, 2008,*Less than 100 women residing in these states/areas and entering the National Job Training Program were screened for chlamydia in 2008. SOURCE: National Job Training Program, Department of Labor (in collaboration with the Center for Disease Detection, San Antonio, Texas).,Chlamydia Prev

47、alence among 16- to 24-year-old men entering the National Job Training Program by state of residence: United States and outlying areas, 2008,*Less than 100 men residing in these states/areas and entering the National Job Training Program were screened for chlamydia in 2008. SOURCE: National Job Trai

48、ning Program, Department of Labor (in collaboration with the Center for Disease Detection, San Antonio, Texas).,Gonorrhea Prevalence among 16- to 24-year-old women entering the National Job Training Program by state of residence: United States and outlying areas, 2008,*Less than 100 women residing i

49、n these states/areas and entering the National Job Training Program were screened for gonorrhea by the national contract laboratory in 2008. Note: Many training centers test female students for gonorrhea using local laboratories; these results are not available to CDC. For this map, gonorrhea test r

50、esults for students at centers submitting specimens to the national contract laboratory were included if the number of gonorrhea tests submitted was greater than 90% of the number of chlamydia tests submitted.SOURCE: National Job Training Program, Department of Labor (in collaboration with the Center for Disease Detection, San Antonio, Texas).,