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Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

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Chlamydia — Rates by state: United States and outlying areas, 2004 Note: The total rate of chlamydia for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was per 100,000 population.

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Page 1: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 2: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Rates: United States, 1984–2004

Rate (per 100,000 population)

0

70

140

210

280

350

1984 86 88 90 92 94 96 98 2000 02 04

Note: As of January 2000, all 50 states and the District of Columbia had regulations requiring the reporting of chlamydia cases.

Page 3: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Rates by state: United States and outlying areas, 2004

Note: The total rate of chlamydia for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 316.7 per 100,000 population.

Rate per 100,000population

<=150.0150.1-300.0>300.0

VT 183.6 NH 134.8 MA 205.8 RI 319.8 CT 274.2 NJ 202.0 DE 361.3 MD 362.2

Guam 457.2

Puerto Rico 92.5 Virgin Is. 278.5

(n= 2)(n= 25)(n= 26)

295.8

609.4

300.8288.5

344.4 311.0

250.0

394.7

422.0

203.8

372.9 297.6

236.3

275.1157.1

485.7

161.8

409.2

229.3

654.7

373.7

284.2

301.2298.5

482.0

308.0

344.5

285.6

344.3

295.2

244.1

307.5

444.2

331.3

385.4

317.5

164.0

292.9

287.6

152.3

351.2

215.9

Page 4: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Rates by county: United States, 2004

Rate per 100,000population

<=150.0 (n= 1,415)

150.1-300.0 (n= 985)

>300.0 (n= 739)

Page 5: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Rates by region: United States, 1984–2004

Rate (per 100,000 population)

WestMidwestNortheastSouth

0

70

140

210

280

350

1984 86 88 90 92 94 96 98 2000 02 04

Page 6: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Rates by sex: United States, 1984–2004

Rate (per 100,000 population)

MenWomen

0

100

200

300

400

500

1984 86 88 90 92 94 96 98 2000 02 04

Page 7: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Age- and sex-specific rates: United States, 2004

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14 10.8

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

458.3

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

744.7

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

402.9

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

185.2

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

99.3

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

56.1

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

23.0

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

7.4

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

2.2

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

147.5

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14 132.0

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

2,761.5

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

2,630.7

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1,039.5

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

364.8

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

148.3

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

62.6

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

22.4

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

6.2

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

2.0

Men Rate (per 100,000 population) Women

Age3,000 2,400 1,800 1,200 600 0 0 600 1,200 1,800 2,400 3,000

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

486.2

Page 8: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity among 15- to 24-year-old women tested in family planning clinics by state: United States and outlying areas, 2004

Note: Includes states and outlying areas that reported chlamydia positivity data on at least 500 women aged 15-24 years screened during 2004.

SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention

Positivity (%)

<4.04.0-4.9>=5.0

VT 4.0 NH 4.0 MA 5.4 RI 6.4 CT 5.1 NJ 7.8 DE 6.5 MD 6.1 DC 3.9

Puerto Rico 5.9 Virgin Is. 14.9

(n= 3)(n= 10)(n= 40)

6.9

4.7

7.2 6.1

6.3 6.4

4.9

9.5

8.7

4.6

7.2 7.7

4.9

5.7 4.1

9.0

4.1

7.4

7.1

16.3

7.2

6.1

4.9 3.9

9.5

6.0

7.3

5.9

7.6

5.6

4.3

6.1

11.8

5.7

6.6

8.6

9.3

7.5

7.1

3.2

8.5

5.4

Page 9: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Trends in positivity among 15- to 24-year-old women tested in family planning clinics by HHS region, 1988–2004

Note: Annual positivity adjusted for changes in laboratory test method and associated increases in test sensitivity.

SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention

Region I

Region II

Region III

Region IV

Region V

Region VIRegion VII

Region VIII

Region IX

Region X

9.0

96

6.0

97

5.9

98

5.2

99

6.2

00

6.4

01

6.1

02

5.5

03

5.4

04

7.8

97

8.8

98

8.3

99

8.6

00

9.8

01

9.1

02

10.2

03

9.7

04

10.1

94

8.1

95

7.3

96

7.7

97

8.0

98

8.4

99

7.9

00

7.2

01

6.8

02

6.9

03

7.5

04

11.2

97

12.7

98

11.7

99

10.5

00

10.4

01

10.1

02

9.6

03

10.9

04

7.5

97

10.2

98

9.2

99

8.8

00

8.0

01

8.2

02

8.7

03

8.8

04

12.6

96

12.8

97

13.6

98

12.0

99

12.0

00

11.5

01

11.8

02

11.7

03

11.7

04

6.1

96

5.8

97

6.3

98

6.1

99

6.3

00

6.1

01

6.5

02

6.5

03

6.8

04

7.6

94

6.5

95

6.2

96

5.9

97

6.6

98

6.7

99

6.6

00

7.1

01

7.4

02

7.3

03

7.6

04

7.0

96

7.6

97

8.1

98

9.3

99

8.7

00

8.8

01

8.0

02

8.5

03

8.5

04

15.1

88

11.8

89

11.4

90

9.5

91

8.2

92

6.1

93

5.7

94

5.1

95

4.9

96

4.9

97

5.6

98

6.0

99

6.1

00

6.2

01

6.7

02

7.5

03

7.7

04

IV

VIIIX

IIIX

III

VI

VVIII

Page 10: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

GonorrheaSexually Transmitted Disease

Surveillance 2004

Division of STD Prevention

Page 11: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates: United States, 1970–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.

Rate (per 100,000 population)

Gonorrhea2010 Target

0

100

200

300

400

500

1970 73 76 79 82 85 88 91 94 97 2000 03

Page 12: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Reported cases by reporting source: United States, 1984–2004

Note: Prior to 1996, the STD clinic source of report corresponded to public (clinic) source of report, and the non-STD clinic category corresponded to private source of report. After 1996, as states began reporting morbidity data electronically, the specific source of report (i.e., STD clinic) began to be reported from an increasing number of states.

Cases (in thousands)

non-STD ClinicSTD Clinic

0

150

300

450

600

750

1984 86 88 90 92 94 96 98 2001 02 04

Page 13: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates by state: United States and outlying areas, 2004

Note: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 112.1 per 100,000 population. The Healthy People 2010 target is 19.0 cases per 100,000 population.

Rate per 100,000population

<=19.019.1-100.0>100.0

VT 13.9 NH 10.3 MA 47.5 RI 75.8 CT 82.2 NJ 77.5 DE 109.4 MD 150.6

Guam 69.7

Puerto Rico 6.9 Virgin Is. 68.9

(n= 8)(n= 25)(n= 20)

182.3

87.4

72.8151.8

85.0 67.1

109.2

181.7

94.9

7.5

162.8 110.6

42.4

93.367.0

234.4

16.1

172.4

58.4

248.6

161.6

9.6

65.9137.3

69.7

97.6

180.7

17.4

179.0

126.8

36.6

90.9

221.1

39.8

145.1

110.2

25.6

116.0

45.8

49.3

92.3

11.8

Page 14: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates by county: United States, 2004

Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.

Rate per 100,000population

<=19.0 (n= 1,330)

19.1-100.0 (n= 1,139)

>100.0 (n= 670)

Page 15: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates by region: United States, 1981–2004 and the HealthyPeople 2010 target

Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.

Rate (per 100,000 population)

WestMidwestNortheastSouth2010 Target

0

120

240

360

480

600

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 16: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates by sex: United States, 1981–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.

Rate (per 100,000 population)

MaleFemale2010 Target

0

120

240

360

480

600

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 17: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates by race and ethnicity: United States, 1981–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.

Rate (per 100,000 population)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat2010 Target

0

500

1,000

1,500

2,000

2,500

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 18: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Age- and sex-specific rates: United States, 2004

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-145.8

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

252.9

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

430.6

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

302.1

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

178.6

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

124.5

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

89.6

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

48.1

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

17.0

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

4.1

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

110.2

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14 36.9

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

610.9

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

569.1

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

269.7

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

114.2

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

60.3

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

32.9

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

11.7

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

2.5

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

0.6

Men Rate (per 100,000 population) Women

Age750 600 450 300 150 0 0 150 300 450 600 750

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

116.7

Page 19: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Age-specific rates among women 10 to 44 years of age:United States, 1981–2004

Rate (per 100,000 population)

10-1415-1920-2425-2930-3435-3940-44

0

300

600

900

1,200

1,500

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 20: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Age-specific rates among men 10 to 44 years of age:United States, 1981–2004

Rate (per 100,000 population)

10-1415-1920-2425-2930-3435-3940-44

0

400

800

1,200

1,600

2,000

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 21: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Positivity among 15- to 24-year-old women tested in family planning

clinics by state: United States and outlying areas, 2004

*States/areas reported gonorrhea positivity data on less than 500 women aged 15-24 years during 2004. Note: Includes states that reported gonorrhea positivity data on at least 500 women aged 15-24 years screened during 2004 except for Maine, which submitted gonorrhea positivity data for April-December 2004, and Minnesota which submitted gonorrhea positivity data for January-March and July-December 2004.

SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers forDisease Control and Prevention

Positivity (%)

See*<1.01.0-1.9>=2.0

VT 0.3 NH 0.2 MA RI CT 0.6 NJ 1.5 DE MD DC 0.9

Puerto Rico 0.2 Virgin Is. 3.2

(n= 12)(n= 24)(n= 11)(n= 6)

1.1

0.1

1.4

1.0 0.3

0.5

2.1

0.9

1.4 0.9

0.4

0.7 0.6

2.0

0.1

1.8

0.9

3.0

1.0

0.7

0.4 0.9

1.0

0.5

1.7

0.72.0

0.8

1.3

0.8

1.1

0.3

4.2

0.2

Page 22: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonococcal Isolate Surveillance Project (GISP) — Location of participating clinics and regional laboratories: United States, 2004

STD ClinicsClinics and Regional Labs

Birmingham Phoenix

Long Beach Los Angeles

Orange Co. San Diego

San Francisco Denver

Miami

Atlanta

Honolulu Tripler AMC

Chicago

New Orleans

Baltimore

Detroit Minneapolis

St. Louis Las Vegas

Albuquerque Greensboro

Cincinnati

Cleveland

Oklahoma City

Portland

Philadelphia

Dallas

Seattle

Page 23: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonococcal Isolate Surveillance Project (GISP) — Penicillin and tetracycline resistance among GISP isolates, 2004

Note: PPNG=penicillinase-producing N. gonorrhoeae; TRNG=plasmid-mediated tetracycline-resistant N. gonorrhoeae; PPNG-TRNG=plasmid-mediated penicillin- and tetracycline-resistant N. gonorrhoeae; PenR=chromosomally mediated penicillin resistant N. gonorrhoeae; TetR=chromosomally mediated tetracycline-resistant N. gonorrhoeae; CMRNG=chromosomally mediated penicillin- and tetracycline-resistant N. gonorrhoeae.

SusceptiblePPNGTRNGPPNG/TRNGPenRTetRCMRNG

84.1%

0.6%

3.4%0.5%1.1%

6.1%

4.3%

Page 24: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonococcal Isolate Surveillance Project (GISP) — Percent of Neisseria gonorrhoeae isolates with resistance or intermediate resistance to ciprofloxacin,

1990–2004

Note: Resistant isolates have ciprofloxacin MICs ≥ 1 µg/ml. Isolates with intermediate resistance have ciprofloxacin MICs of 0.125 - 0.5 µg/ml. Susceptibility to ciprofloxacin was first measured in GISP in 1990.

Percent

ResistanceIntermediate resistance

0.0

2.0

4.0

6.0

8.0

10.0

1990 91 92 93 94 95 96 97 98 99 2000 01 02 03 04

Page 25: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonococcal Isolate Surveillance Project (GISP) — Percent of Neisseria gonorrhoeae isolates with resistance to ciprofloxacin by sexual behavior,

2001–2004

Percent Ciprofloxacin Resistant

HeterosexualMen who have sex with men (MSM)

0

5

10

15

20

25

2001 2002 2003 2004

Page 26: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

SyphilisSexually Transmitted Disease

Surveillance 2004

Division of STD Prevention

Page 27: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Syphilis — Reported cases by stage of infection: United States, 1941–2004

Cases (in thousands)

P&SEarly LatentTotal Syphilis

0

120

240

360

480

600

1941 46 51 56 61 66 71 76 81 86 91 96 2001

Page 28: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Reported cases by reporting source:United States, 1984–2004

Cases (in thousands)

non-STD ClinicSTD Clinic

0

10

20

30

40

50

1984 86 88 90 92 94 96 98 2001 02 04

Note: Prior to 1996, the STD clinic source of report corresponded to public (clinic) source of report, and the non-STD clinic category corresponded to private source of report. After 1996, as states began reporting morbidity data electronically, the specific source of report (i.e., STD clinic) began to be reported from an increasing number of states.

Page 29: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates: United States, 1970–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.

Rate (per 100,000 population)

P&S Syphilis2010 Target

0

5

10

15

20

25

1970 73 76 79 82 85 88 91 94 97 2000 03

Page 30: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates by state: United States and outlying areas, 2004

Note: The total rate of P&S syphilis for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 2.8 per 100,000 population. The Healthy People 2010 target is 0.2 case per 100,000 population.

Rate per 100,000population

<=0.20.21-4.0>4.0

VT 0.2 NH 0.4 MA 1.8 RI 2.4 CT 1.3 NJ 1.7 DE 1.1 MD 6.9

Guam 0.0

Puerto Rico 4.7 Virgin Is. 4.6

(n= 7)(n= 39)(n= 7)

3.7

1.2

2.8 1.7

3.8 1.4

4.3

6.3

0.6

1.8

3.1 1.0

0.2

0.9 1.1

7.4

0.2

1.9

0.5

2.0

1.6

0.4

0.4 1.8

4.4

3.8

2.3

0.0

2.1

0.7

0.8

1.0

2.8

0.0

2.2

3.7

0.6

1.6

2.4

0.2

0.5

0.6

Page 31: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates by county: United States, 2004

Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population. In 2004, 2,488 (79.3%) of 3,139 counties in the U.S. reported no cases of P&S syphilis.

Rate per 100,000population

<=0.2 (n= 2,493)

0.3-4.0 (n= 472)

>4.0 (n= 174)

Page 32: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates by region: United States, 1981–2004and the Healthy People 2010 target

Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.

Rate (per 100,000 population)

WestMidwestNortheastSouth2010 Target

0

10

20

30

40

50

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 33: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates by sex: United States, 1981–2004and the Healthy People 2010 target

Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.

Rate (per 100,000 population)

MaleFemale2010 Target

0

5

10

15

20

25

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 34: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates by race and ethnicity: United States,1981–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.

Rate (per 100,000 population)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat2010 Target

0

30

60

90

120

150

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 35: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Male-to-female rate ratios: United States, 1981–2004

Male-Female rate ratio

0

2:1

4:1

6:1

8:1

10:1

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 36: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Age- and sex-specific rates: United States, 2004

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-140.0

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1.8

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

7.0

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

9.7

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

10.8

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

12.4

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

10.6

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

4.6

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1.9

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

0.4

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

4.7

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14 0.1

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1.5

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

3.0

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

2.0

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1.6

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1.5

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

1.3

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

0.6

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

0.2

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

0.0

Men Rate (per 100,000 population) Women

Age12.0 9.6 7.2 4.8 2.4 0.0 0.0 2.4 4.8 7.2 9.6 12.0

Total 65+55-6445-5440-4435-3930-3425-2920-2415-1910-14

0.9

Page 37: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Age-specific rates among women 10 to 44 years of age: United States, 1981–2004

Rate (per 100,000 population)

10-1415-1920-2425-2930-3435-3940-44

0

15

30

45

60

75

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 38: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Age-specific rates among men 10 to 44 yearsof age: United States, 1981–2004

Rate (per 100,000 population)

10-1415-1920-2425-2930-3435-3940-44

0

15

30

45

60

75

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 39: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Congenital syphilis — Reported cases for infants <1 year of age and rates of primary and secondary syphilis among women: United States, 1970–2004

Note: The surveillance case definition for congenital syphilis changed in 1988.

Kaufman Criteria

CDC SurveillanceDefinition

P&S rate (per 100,000 population) CS cases (in thousands)

P&S Syphilis

CongenitalSyphilis

0

4

8

12

16

20

1970 75 80 85 90 95 20000.0

1.5

3.0

4.5

6.0

7.5

Page 40: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Congenital syphilis — Rates for infants <1 year of age: United States, 1981–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for congenital syphilis is 1.0 case per 100,000 livebirths. The surveillance case definition for congenital syphilis changed in 1988.

Rate (per 100,000 live births)

Cong. Syphilis2010 Target

0

25

50

75

100

125

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 41: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Other SexuallyTransmitted Diseases

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 42: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chancroid — Reported cases: United States, 1981–2004

Cases (in thousands)

0

1

2

3

4

5

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 43: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Genital herpes — Initial visits to physicians’ offices: United States, 1966–2004

Visits (in thousands)

0

60

120

180

240

300

1966 69 72 75 78 81 84 87 90 93 96 99 2002

Note: The relative standard error for these estimates range from 45% to 60%.SOURCE: National Disease and Therapeutic Index (IMS Health)

Page 44: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Genital warts — Initial visits to physicians’ offices: United States, 1966–2004

Note: The relative standard error for these estimates range from 40% to 60%.SOURCE: National Disease and Therapeutic Index (IMS Health)

Visits (in thousands)

0

80

160

240

320

400

1966 69 72 75 78 81 84 87 90 93 96 99 2002

Page 45: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Trichomoniasis and other vaginal infections in women — Initial visits to physicians’ offices: United States, 1966–2004

Note: The relative standard error for these estimates range from 16% to 30% and for othervaginitis estimates range from 30% to 60%.SOURCE: National Disease and Therapeutic Index (IMS Health)

Visits (in thousands)

TrichomoniasisOther Vaginitis

0

900

1,800

2,700

3,600

4,500

1966 69 72 75 78 81 84 87 90 93 96 99 2002

Page 46: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

STDs in Women and Infants

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 47: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Rates among women by state: United States and outlying areas, 2004

Note: The total chlamydia infection rate among women in the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 480.7 per 100,000 female population.

Rate per 100,000population

<=300.0300.1-500.0>500.0

VT 273.3 NH 193.7 MA 294.3 RI 448.6 CT 412.0 NJ 326.8 DE 510.3 MD 566.5

Guam 759.0

Puerto Rico 160.9Virgin Is. 408.0

(n= 8)(n= 26)(n= 19)

503.3

851.9

462.3 449.2

497.6 455.9

396.5

628.8

640.9

316.5

558.6 451.5

348.1

451.1 239.4

758.4

229.0

636.2

334.1

1016.6

558.0

416.4

433.2 441.8

722.1

453.7

559.2

380.3

517.5

462.7

340.0

435.0

748.2

474.5

543.2

517.3

232.3

441.5

417.5

227.0

503.2

329.4

Page 48: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates among women by state: United States and outlying areas, 2004

Note: The total gonorrhea infection rate among women in the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 115.0 per 100,000 female population.

Rate per 100,000population

<=19.019.1-100.0>100.0

VT 16.8 NH 8.3 MA 46.1 RI 85.7 CT 98.0 NJ 81.3 DE 121.1 MD 152.2

Guam 87.4

Puerto Rico 7.4 Virgin Is. 84.4

(n= 7)(n= 22)(n= 24)

158.2

107.5

64.1146.0

76.6 73.4

107.9

184.6

108.4

6.2

178.6 112.7

49.2

114.0 67.4

235.5

12.6

187.5

67.1

293.7

175.9

11.7

74.5128.9

78.7

98.0

172.7

22.7

189.9

138.8

31.7

98.7

235.2

46.3

144.7

111.9

22.7

123.8

40.0

50.7

106.8

15.7

Page 49: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates for women by state: United States and outlying areas, 2004

Note: The total rate of P&S syphilis among women in the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 0.9 per 100,000 female population.

Rate per 100,000population

<=0.20.21-4.0>4.0

VT 0.0 NH 0.0 MA 0.2 RI 1.8 CT 0.2 NJ 0.9 DE 0.2 MD 3.2

Guam 0.0

Puerto Rico 3.1 Virgin Is. 5.3

(n= 20)(n= 31)(n= 2)

2.2

0.0

1.5 1.3

0.4 0.3

1.1

1.0

0.0

1.6

0.9 0.2

0.1

0.5 0.3

5.3

0.0

1.2

0.1

1.3

0.4

0.2

0.5 0.7

3.8

0.3

1.1

0.0

1.0

0.5

0.1

0.3

1.2

0.0

1.1

1.6

0.3

0.2

0.2

0.1

0.1

0.4

Page 50: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Congenital syphilis — Rates for infants <1 year of age by state: United States and outlying areas, 2004

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) was 8.9 per 100,000 live births. The Healthy People 2010 target is 1.0 case per 100,000 live births.

Rate per 100,000live births

<=1.01.1-10.0>10.0

VT 0.0 NH 0.0 MA 0.0 RI 7.8 CT 0.0 NJ 11.3 DE 9.0 MD 13.6

Guam 0.0

Puerto Rico 17.1 Virgin Is. 0.0

(n= 21)(n= 18)(n= 14)

18.7

0.0

29.6 10.7

12.1 2.9

7.8

3.8

0.0

14.3

12.7 4.7

0.0

5.1 1.8

27.7

0.0

17.7

1.5

7.2

2.7

0.0

0.00.0

10.8

7.2

7.7

0.0

1.3

4.0

0.0

0.0

16.5

0.0

5.2

17.5

2.0

6.0

0.0

0.0

0.0

0.0

Page 51: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity in 15- to 24-year-old women tested in prenatalclinics by state: United States and outlying areas, 2004

Positivity (%)

See*<5.05.0-9.9>=10.0

VT NH MA RI CT NJ 14.1 DE MD 3.1 DC

Puerto Rico 9.6 Virgin Is. 17.6

(n= 26)(n= 3)(n= 18)(n= 6)

7.7

7.8

5.3

8.6 5.8

6.3

5.9 5.4

12.2

14.6

6.0

5.9 5.3

6.7

7.4 5.9

3.1

10.9

10.4

6.8

9.3

9.5 3.7

*States not reporting chlamydia positivity data in prenatal clinics. Note: Includes states and outlying areas that reported chlamydia positivity data on at least 100 women aged 15-24 years during 2004 (except for Pennsylvania which submitted data for January-September 2004 only).

SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers forDisease Control and Prevention

Page 52: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Positivity in 15- to 24-year-old women tested in prenatalclinics by state: United States and outlying areas, 2004

*States not reporting gonorrhea positivity data in prenatal clinics. Note: Includes states and outlying areas that reported gonorrhea positivity data on at least 100 women aged 15-24 years during 2004.

SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers forDisease Control and Prevention

Positivity (%)

See*<1.01.0-1.9>=2.0

VT NH MA RI CT NJ DE MD DC

Puerto Rico 0.2 Virgin Is. 3.5

(n= 32)(n= 12)(n= 5)(n= 4)

1.2

1.2

0.7

1.1 0.8

0.0

0.9 0.7

2.7

3.1

0.3

0.50.0

0.2 0.4

2.4

1.1

0.9

1.3

Page 53: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Ectopic pregnancy — Hospitalizations of women 15 to 44 years of age: United States, 1980–2003

Hospitalizations (in thousands)

0

20

40

60

80

100

1980 82 84 86 88 90 92 94 96 98 2000 02

Note: Some variations in 1981 and 1988 estimates may be due to changes in sampling procedures. The relative standard error for these estimates ranges from 8% to 12%. Data available through 2003.

SOURCE: National Hospital Discharge Survey (National Center for Health Statistics, CDC)

Page 54: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Pelvic inflammatory disease — Hospitalizations of women 15 to 44 years of age: United States, 1980–2003

Note: The relative standard error for these estimates of the total number of acute and chronic PID cases ranges from 6% to 18%. Data available through 2003.

SOURCE: National Hospital Discharge Survey (National Center for Health Statistics, CDC)

Hospitalizations (in thousands)

Acute, Unspec.Chronic

0

40

80

120

160

200

1980 82 84 86 88 90 92 94 96 98 2000 02

Page 55: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Pelvic inflammatory disease — Initial visits to physicians’ offices by women 15 to 44 years of age: United States, 1980–2004

Note: The relative standard error for these estimates ranges from 19% to 30%.

Visits (in thousands)

0

100

200

300

400

500

1980 82 84 86 88 90 92 94 96 98 2000 02 04

SOURCE: National Disease and Therapeutic Index (IMS Health)

Page 56: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

STDs in Adolescents and Young Adults

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 57: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Trends in positivity among 15- to 19-year-old women tested in family planning clinics by HHS regions, 1988–2004

Note: Trends adjusted for changes in laboratory test method and associated increases in test sensitivity. No data on laboratory test method available for Region VII in 1995 and Regions IV and V in 1996.

SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers forDisease Control and Prevention

Region I

Region II

Region III

Region IV

Region V

Region VIRegion VII

Region VIII

Region IX

Region X

10.3

96

7.3

97

6.9

98

6.2

99

7.0

00

7.3

01

6.5

02

5.9

03

5.7

04

10.5

97

11.7

98

10.1

99

11.0

00

12.4

01

11.7

02

12.9

03

12.5

04

12.8

94

10.3

95

9.1

96

9.4

97

9.7

98

10.1

99

9.4

00

8.7

01

8.3

02

8.3

03

9.1

04

13.8

97

14.9

98

13.5

99

12.4

00

12.3

01

12.2

02

11.8

03

13.0

04

9.5

97

12.1

98

10.9

99

10.2

00

9.2

01

9.4

02

9.9

03

10.1

04

15.5

96

15.7

97

16.2

98

14.4

99

14.2

00

13.9

01

14.4

02

13.9

03

14.1

04

7.7

96

7.1

97

7.4

98

7.2

99

7.5

00

7.2

01

7.5

02

7.3

03

7.9

04

9.0

94

7.4

95

7.0

96

6.5

97

7.2

98

7.3

99

6.9

00

8.0

01

8.4

02

7.8

03

7.8

04

8.2

96

9.7

97

10.0

98

10.6

99

10.4

00

10.3

01

9.0

02

9.5

03

10.0

04

17.8

88

14.4

89

13.5

90

11.7

91

10.2

92

7.7

93

7.0

94

5.8

95

5.8

96

5.7

97

6.4

98

6.8

99

6.9

00

7.1

01

7.6

02

8.7

03

9.0

04

IV

VIIIX

IIIX

III

VI

VVIII

Page 58: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity among women tested in family planning clinics byage group: Region X, 1988–2004

Percent

<18 Years18-19 Years20-24 Years25-29 Years30+ Years

0

3

6

9

12

15

1988 90 92 94 96 98 2000 02 04

Note: Women who met screening criteria were tested. Trends not adjusted for changes in laboratory test method and associated increases in test sensitivity in 1994 and 1999–2004.

SOURCE: Regional Infertility Prevention Projects: Region X Chlamydia Project

Page 59: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Prevalence among 16- to 24-year-old women entering the National Job Training Program by state of residence: United States and outlying areas, 2004

*Fewer than 100 women residing in these states/areas and entering the National Job Training Program were screened for chlamydia in 2004. Note: The overall chlamydia prevalence among female students entering theNational Job Training Program in 2004 was 10.3%.

Prevalence (%)

See*<10.010.0-14.9>=15.0

VT 4.4 NH MA 9.4 RI CT 10.8 NJ DE MD 13.7 DC

Puerto Rico 9.4 Virgin Is.

(n= 14)(n= 22)(n= 16)(n= 1)

17.3

13.2 11.2

8.2

11.2

10.0

10.6

6.5

14.1 9.5

11.5 8.1

14.3

9.7

11.9

14.3

10.1

5.1

5.5 9.7

7.7

9.2

5.3

12.8

9.0

4.6

9.3

9.1

6.5

14.3

7.3

13.7

8.2

9.8

Page 60: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Prevalence among 16- to 24-year-old men entering the National Job Training Program by state of residence: United States and outlying areas, 2004

*Fewer than 100 men residing in these states/areas and entering the National Job Training Program were screened for chlamydia in 2004. Note: The overall chlamydia prevalence among male students entering theNational Job Training Program in 2004 was 8.3%.

Prevalence (%)

See*<10.010.0-14.9>=15.0

VT 1.6 NH MA 4.7 RI CT 6.4 NJ 8.1 DE MD 10.4 DC 9.9

Puerto Rico 6.0 Virgin Is.

(n= 5)(n= 36)(n= 12)

12.8

6.9

5.7 9.2

4.6 5.1

8.3

13.0

5.5

3.7

8.9 10.7

2.8

7.7 9.7

12.2

0.8

10.9

5.4

11.2

8.1

4.1

6.7 6.3

6.3

8.5

9.8

2.3

12.7

8.9

2.6

6.7

10.4

3.3

12.5

10.5

3.4

11.7

4.5

7.8

5.8

Page 61: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Prevalence among 16- to 24-year-old women entering the National Job Training Program by state of residence: United States and outlying areas, 2004

*Fewer than 100 women residing in these states/areas and entering the National Job Training Program werescreened for gonorrhea by the national contract laboratory in 2004. Note: Many training centers test female students for gonorrhea using local laboratories; these results are not available to CDC. For this map, gonorrhea test results 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. The overall gonorrhea prevalence among female students entering the National Job Training Program in 2004 was 2.5%.

Prevalence (%)

See*<2.02.0-4.9>=5.0

VT 0.6 NH MA 2.2 RI CT 2.9 NJ DE MD 1.9 DC

Puerto Rico Virgin Is.

(n= 20)(n= 13)(n= 19)(n= 1)

3.8

1.6

1.4

2.8

3.6

1.4

1.0

4.3 2.4

3.1

4.0

3.6

0.9

3.0

3.2

0.0

1.8

1.3

3.1

0.7

6.4

2.6

0.9

1.8

4.3

2.7

2.2

3.6 2.3

Page 62: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Prevalence (%)

Puerto Rico 0.4

Virgin Is.

See*

<2.0

2.0-4.9

>=5.0

(n= 29)

(n= 21)

(n= 3)

VTNHMARICT 1.6NJ 0.6DEMDDC0.7

0.3

1.7

0.0

1.5

1.9

1.7

0.0

2.0

2.1

1.8

0.40.2

1.4

2.3

0.4

1.1

0.0

1.4

1.20.0

Gonorrhea — Prevalence among 16- to 24-year-old men entering the National Job Training Program by state of residence: United States and outlying areas, 2004

*Fewer than 100 men residing in these states/areas and entering the National Job Training Program werescreened for gonorrhea by the national contract laboratory in 2004. Note: Many training centers test male students for gonorrhea using local laboratories; these results are not available to CDC. For this map, gonorrhea test results 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. The overall gonorrhea prevalence among male students entering the National JobTraining Program in 2004 was 3.1%.

Page 63: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

STDs in Racial and Ethnic Minorities

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 64: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity among women tested in family planning clinics by race and ethnicity: Region X, 1988–2004

Percent

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat

0

3

6

9

12

15

1988 90 92 94 96 98 2000 02 04

Note: Women who met screening criteria were tested. Annual race/ethnicity-specific positivity not adjusted for changes in laboratory test method and associated increases in test sensitivity in 1994, and 1999–2004.

SOURCE: Regional Infertility Prevention Projects: Region X Chlamydia Project

Page 65: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates by race/ethnicity and sex, 2004

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White26.2

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

670.3

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

64.9

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

19.4

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

79.0

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

110.2

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White 40.0

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

592.5

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

78.2

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

23.2

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

155.3

Men Rate (per 100,000 population) Women

Race750 600 450 300 150 0 0 150 300 450 600 750

Total

AI/AN

Asian/PI

Hispanic

Black

White

116.7

Page 66: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates among 15- to 19-year-old females by race and ethnicity:United States, 1981–2004

Rate (per 100,000 population)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat

0

1,400

2,800

4,200

5,600

7,000

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 67: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Rates among 15- to 19-year-old males by race and ethnicity:United States, 1981–2004

Rate (per 100,000 population)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat

0

1,400

2,800

4,200

5,600

7,000

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 68: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates by race/ethnicity and sex: United States, 2004

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White3.1

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

14.1

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

5.5

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

2.3

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

3.5

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

4.7

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White 0.3

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

4.3

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

0.7

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

0.2

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

2.9

Men Rate (per 100,000 population) Women

Race15.0 12.0 9.0 6.0 3.0 0.0 0.0 3.0 6.0 9.0 12.0 15.0

Total

AI/AN

Asian/PI

Hispanic

Black

White

0.8

Page 69: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates among 15- to 19-year-old females by race and ethnicity: United States, 1981–2004

Rate (per 100,000 population)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat

0

50

100

150

200

250

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 70: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Primary and secondary syphilis — Rates among 15- to 19-year-old males by race and ethnicity: United States, 1981–2004

Rate (per 100,000 population)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat

0

25

50

75

100

125

1981 83 85 87 89 91 93 95 97 99 2001 03

Page 71: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Congenital syphilis — Rates among infants <1 year of age by mother’s race and ethnicity: United States, 1991–2004 and the Healthy People 2010 target

Note: The Healthy People 2010 target for congenital syphilis is 1.0 case per 100,000 live births. Less than 5% of cases had missing race/ethnicity information and were excluded.

Rate (per 100,000 live births)

WhiteBlackHispanicAsian/Pac IslAm Ind/AK Nat2010 Target

0

90

180

270

360

450

1991 92 93 94 95 96 97 98 99 2000 01 02 03 04

Page 72: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

STDs in Men Who Have Sex with Men

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 73: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

MSM Prevalence Monitoring Project — Syphilis serologic reactivity among men who have sex with men, STD clinics, 1999–2004

*Data not reported in 2004.

7.4

2000

15.8

2001

10.4

2002

14.0

2003

3.7

1999

3.2

2000

7.1

2001

8.9

2002

10.4

2003

10.8

2004

4.1

1999

3.9

2000

3.5

2001

3.6

2002

5.5

2003

7.0

2004

1.5

2000

1.5

2001

3.7

2002

4.7

2003

5.7

2004

6.7

2001

10.3

2002

16.6

2003

14.0

2004

3.5

2000

4.3

2001

7.0

2002

8.5

2003

9.7

2004

3.4

2000

4.4

2001

5.9

2002

6.9

2003

9.5

2004

13.1

1999

6.9

2000

8.7

2001

12.1

2002

13.4

2003

13.0

2004

10.3

2002

10.2

2003

10.6

2004

Seattle, WA

San Francisco, CA

Long Beach, CA*

Denver, CO Houston, TX Chicago, IL

District of Columbia

Philadelphia, PA

New York City, NY

Page 74: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

MSM Prevalence Monitoring Project — Gonorrhea positivity* among men who have sex with men, STD clinics, 1999–2004

*Includes testing at all anatomic sites.†Data not reported in 2004.

10.6

2000

16.9

2001

15.5

2002

16.9

2003

13.0

1999

18.4

2000

17.7

2001

16.7

2002

14.3

2003

15.6

2004

16.5

1999

11.7

2000

13.3

2001

19.2

2002

15.3

2003

15.4

2004

14.2

2000

13.6

2001

18.0

2002

13.0

2003

11.9

2004

19.3

2001

22.8

2002

17.5

2003

13.2

2004

22.4

2000

19.0

2001

12.5

2002

14.0

2003

11.4

2004

12.4

2000

10.7

2001

11.6

2002

10.1

2003

13.7

1999

18.9

2000

20.7

2001

17.8

2002

18.2

2003

17.3

2004

15.9

2002

19.5

2003

15.8

2004

Seattle, WA

San Francisco, CA

Long Beach, CA†

Denver, CO Houston, TX Chicago, IL

District of Columbia†

Philadelphia, PA

New York City, NY

Page 75: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

MSM Prevalence Monitoring Project — Test positivity for gonorrhea, chlamydia, and HIV among men who have sex with men, by race/ethnicity, STD clinics, 2004

*Excludes persons previously known to be HIV-positive.

Median positivity

WhiteBlackHispanic

0

5

10

15

20

25

Urethralgonorrhea

Rectalgonorrhea

Pharyngealgonorrhea

Urethralchlamydia

HIV*

Page 76: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

MSM Prevalence Monitoring Project —Positivity for gonorrhea and chlamydia among men who have sex with men, by HIV status, STD clinics, 2004

Median positivity

HIV-positiveHIV-negative or unknown

0

5

10

15

20

25

Urethralgonorrhea

Rectalgonorrhea

Pharyngealgonorrhea

Urethralchlamydia

Page 77: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonococcal Isolate Surveillance Project (GISP) — Percent of urethral Neisseria gonorrhoeae isolates obtained from men who have sex with men attending STD

clinics, 1988–2004

Percent

0

5

10

15

20

25

1988 90 92 94 96 98 2000 02 04

Page 78: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonococcal Isolate Surveillance Project (GISP) — Percent of Neisseria gonorrhoeae isolates obtained from men who have sex with men attending

STD clinics, 2001–2004

Note: Not all clinics participated in GISP for the last 4 years. Clinics include: ALB=Albuquerque, NM; ATL=Atlanta, GA; BAL=Baltimore, MD; BHM=Birmingham, AL; CHI=Chicago, IL; CIN=Cincinnati, OH; CLE=Cleveland, OH; DAL=Dallas, TX; DEN=Denver, CO; DTR=Detroit, MI; HON=Honolulu, HI; LAX=Los Angeles, CA; LBC=Long Beach, CA; LVG=Las Vegas, NV; MIA=Miami, FL; MIN=Minneapolis, MN; GRB=Greensboro, NC; NOR=New Orleans, LA; OKC=Oklahoma City, OK; ORA=Orange County, CA; PHI=Philadelphia, PA; PHX=Phoenix, AZ; POR=Portland, OR; STL=St Louis, MO (only has data through 2003); SDG=San Diego, CA; SEA=Seattle, WA; SFO=San Francisco, CA; and TRP=Tripler Army Medical Center, HI (does not provide sexual risk behavior data).

0%

50%

100%

'01 '02 '03 '04

% of Isolatesfrom MSM

BHM PHX

LBC LAX

ORA

SDG

SFO DEN

MIA

ATL

HON

TRP

CHI

NOR

BAL

DTR MIN

STL LVG

ALB

GRB

CIN

CLE

OKC

POR

PHI

DAL

SEA

Page 79: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

STDs in Persons Entering Corrections Facilities

Sexually Transmitted Disease Surveillance 2004

Division of STD Prevention

Page 80: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity by age, juvenile corrections facilities, 2004

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

121.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

3.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

4.7

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

6.6

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

8.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

7.9

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

8.9

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

6.1

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12 8.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

11.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

16.1

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

16.9

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

16.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

16.6

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

14.3

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

14.3

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

15.9

Note: Percent positivity is presented from facilities reporting > 100 test results.

Page 81: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity by age, adult corrections facilities, 2004

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<2010.7

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

9.7

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

6.1

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

4.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

1.9

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

6.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20 19.8

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

14.8

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

10.4

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

7.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

5.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

9.6

Note: Percent positivity is presented from facilities reporting > 100 test results.

Page 82: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Positivity by age, juvenile corrections facilities, 2004

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

120.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

0.4

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

0.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.4

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.3

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.4

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.4

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

1.4

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12 7.6

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

4.3

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

5.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

6.1

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

5.8

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

5.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

4.6

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

5.1

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

19

18

17

16

15

14

13

12

5.5

Note: Percent positivity is presented from facilities reporting > 100 test results.

Page 83: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Positivity by age, adult corrections facilities, 2004

Note: Percent positivity is presented from facilities reporting > 100 test results.

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<203.8

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

4.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

2.8

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

3.0

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

4.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

3.7

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20 9.5

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

6.9

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

5.9

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

5.1

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

4.2

Men Positivity (%) Women

Age22.0 17.6 13.2 8.8 4.4 0.0 0.0 4.4 8.8 13.2 17.6 22.0

Total

>=35

30-34

25-29

20-24

<20

5.7

Page 84: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity among men and women in juvenile corrections facilities, 2004

Note: The median positivity is presented from facilities reporting > 100 test results.*Includes Los Angeles and San Francisco.

State

Men Women

No. of Sites No. of Tests Median % Positivity (Range) No. of Sites No. of Tests Median % Positivity (Range)Alabama 0 0 0 2 399 19.4 (15.4-23.4)Arizona 3 4,758 6.5 (6.1-8.3) 4 1,975 15.7 (3.7-21.6)California* 20 29,815 3.8 (1.2-12.9) 20 12,582 12.8 (6.3-19.9)Connecticut 1 507 3.2 1 163 11.0Delaware 1 1,137 5.5 1 290 11.0Georgia 2 1,751 17.9 (8.3-27.5) 2 5,417 17.6 (8.8-26.5)Illinois 2 4,752 6.6 (4.5-8.7) 1 662 24.3Indiana 1 890 6.6 1 292 18.5Kentucky 4 819 4.6 (1.4-5.8) 2 393 6.1 (2.4-9.9)Maryland 5 2,375 3.8 (1.0-7.8) 1 450 18.9Massachusetts 2 944 5.5 (5.2-5.8) 1 310 12.6Michigan 3 504 6.8 (5.6-12.7) 1 133 24.1Nebraska 1 970 8.8 1 336 17.3Nevada 1 120 4.2 0 0 0New Jersey 2 2,011 8.6 (5.9-11.2) 1 223 25.1New Mexico 1 551 6.7 0 0 0New York 8 11,265 6.2 (1.5-10.1) 5 1,059 17.6 (5.2-24.3)North Dakota 1 175 6.9 0 0 0Ohio 1 802 13.6 1 231 24.7Oklahoma 3 536 10.3 (4.3-10.6) 1 148 23.6Oregon 3 1,883 4.3 (3.0-10.7) 2 323 11.1 (5.9-16.3)Pennsylvania 2 227 5.3 (4.3-6.3) 0 0 0South Carolina 1 353 9.6 1 178 11.8Texas 3 3,937 6.2 (2.4-11.1) 4 1,719 14.3 (5.0-24.2)Utah 2 794 4.4 (4.4-4.4) 1 187 19.3Virginia 1 632 10.0 0 0 0Washington 5 1,381 5.9 (1.3-8.1) 2 246 12.4 (7.3-17.5)Wisconsin 2 746 4.1 (3.1-5.1) 0 0 0Total 81 74,635 5.8 (1.0-27.5) 56 27,716 14.0 (2.4-26.5)

Page 85: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Chlamydia — Positivity among men and women in adult corrections facilities, 2004

Note: The median positivity is presented from facilities reporting > 100 test results.*Includes Los Angeles and San Francisco.

State

Men Women

No. of Sites No. of Tests Median % Positivity (Range) No. of Sites No. of Tests Median % Positivity (Range)Arizona 2 348 16.6 (13.1-20.1) 2 3,460 10.3 (8.7-12.0)California* 6 4,571 5.3 (3.4-6.3) 5 7,518 8.2 (5.7-19.2)Colorado 2 269 15.5 (14.4-16.7) 1 156 11.5Delaware 0 0 0 1 564 3.7Hawaii 0 0 0 2 313 11.5 (7.1-16.0)Illinois 3 9,008 10.2 (2.8-19.0) 4 13,200 8.7 (5.7-10.4)Iowa 1 364 14.3 2 635 5.0 (3.0-7.0)Massachusetts 3 2,724 7.7 (6.5-10.8) 2 1,245 4.8 (4.7-4.9)

Michigan 1 105 15.2 1 109 8.3Missouri 1 1,422 7.9 2 314 4.9 (4.0-5.7)Montana 0 0 0 1 162 1.2Nebraska 4 2,096 9.3 (6.6-16.6) 1 253 13.8Nevada 1 144 23.6 1 128 22.7North Dakota 1 592 5.6 0 0 0Oregon 1 132 15.9 1 179 8.4Texas 1 426 11.5 2 1,936 6.8 (4.4-9.1)Utah 1 110 30.0 0 0 0Washington 0 0 0 1 1,258 5.0West Virginia 2 988 4.1 (0.7-7.6) 0 0 0Wisconsin 5 5,661 12.5 (3.2-19.1) 3 1,320 1.9 (1.8-7.2)Total 35 28,960 10.2 (0.7-30.0) 32 32,750 7.2 (1.2-22.7)

Page 86: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Positivity among men and women in juvenile corrections facilities, 2004

Note: The median positivity is presented from facilities reporting > 100 test results.*Includes Los Angeles and San Francisco.

State

Men Women

No. of Sites No. of Tests Median % Positivity (Range) No. of Sites No. of Tests Median % Positivity (Range)Alabama 0 0 0 2 399 11.4 (10.5-12.3)California* 7 20,284 0.7 (0.4-0.9) 8 5,909 4.0 (0.7-6.3)Connecticut 1 511 0 1 164 1.2Delaware 1 820 1.2 1 205 3.4Georgia 2 1,748 10.0 (1.7-18.2) 2 5,410 5.7 (2.8-8.7)Illinois 2 4,754 2.0 (1.5-2.4) 1 663 10.4Indiana 1 891 0 1 294 0Kentucky 4 817 0.9 (0.5-2.2) 2 394 3.9 (1.0-6.9)

Maryland 5 2,368 0.5 (0-1.1) 1 448 5.1Michigan 2 379 3.7 (3.5-3.8) 1 133 5.3Nebraska 1 970 0.7 1 336 2.7New Jersey 2 2,014 1.6 (0.8-2.3) 1 222 9.9New Mexico 1 551 0.4 0 0 0New York 5 9,934 0.8 (0.5-1.4) 3 559 3.9 (3.9-4.1)Ohio 1 802 4.1 1 231 11.3Oklahoma 3 536 0.5 (0-3.6) 1 145 16.6Pennsylvania 1 114 0 0 0 0South Carolina 1 353 3.7 1 178 3.9Texas 2 2,457 1.3 3 898 6.4 (6.0-8.2)Utah 0 0 0 1 181 4.4Washington 5 1,381 0.2 (0-1.8) 2 246 3.5 (1.8-5.1)Wisconsin 2 743 0.8 (0-1.7) 0 0 0Total 49 52,427 0.8 (0-18.2) 34 17,015 4.5 (0-16.6)

Page 87: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Gonorrhea — Positivity among men and women in adult corrections facilities, 2004

Note: The median positivity is presented from facilities reporting > 100 test results.*Includes Los Angeles and San Francisco.

State

Men Women

No. of Sites No. of Tests Median % Positivity (Range) No. of Sites No. of Tests Median % Positivity (Range)California* 6 4,275 1.4 (0-5.0) 5 7,518 5.0 (1.5-7.1)Colorado 2 270 2.5 (1.9-3.0) 1 157 4.5Delaware 0 0 0 1 402 1.2Hawaii 0 0 0 2 313 5.0 (2.4-7.6)Illinois 3 9,011 3.0 (2.6-4.2) 4 13,235 5.7 (1.0-8.4)Iowa 1 364 0.8 2 635 2.1 (0.2-3.9)Missouri 1 1,421 1.8 2 313 1.9 (1.7-2.2)

Montana 0 0 0 1 162 0Nebraska 4 2,096 1.1 (0-3.7) 1 253 4.7Nevada 1 144 13.2 1 128 7.0Texas 1 271 5.2 2 1,452 3.6 (1.8-5.3)Utah 1 110 13.6 0 0 0Washington 0 0 0 1 1,258 0.6West Virginia 2 994 31.6 (29.4-33.8) 0 0 0Wisconsin 5 5,660 3.5 (0-7.4) 3 1,320 0.9 (0-3.9)Total 27 24,616 2.6 (0-33.8) 26 27,146 3.0 (0-8.4)

Page 88: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Syphilis — Positivity among men and women in juvenile corrections facilities, 2004

Note: The median positivity is presented from facilities reporting > 100 test results.*Includes Los Angeles and San Francisco.

State

Men Women

No. of Sites No. of Tests Median % Positivity (Range) No. of Sites No. of Tests Median % Positivity (Range)California* 3 14,349 0.5 (0.3-0.5) 3 3,269 0.7 (0.6-0.8)Pennsylvania 1 4,723 0 1 827 0Texas 1 34,866 2.4 1 8,798 5.1Total 5 53,938 0.5 (0-2.4) 5 12,894 0.7 (0-5.1)

Page 89: Chlamydia Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention

Syphilis — Positivity among men and women in adult corrections facilities, 2004

Note: The median positivity is presented from facilities reporting > 100 test results.*Includes Los Angeles and San Francisco.

State

Men Women

No. of Sites No. of Tests Median % Positivity (Range) No. of Sites No. of Tests Median % Positivity (Range)California* 1 1,262 4.3 1 595 3.9Maryland 1 14,984 2.2 1 3,583 10.0Massachusetts 1 3,442 1.3 1 528 1.9Mississippi 5 2,594 3.8 (2.6-5.9) 0 0 0North Carolina 7 16,997 2.9 (1.7-4.5) 7 3,611 8.3 (5.3-12.4)Ohio 3 30,131 0.6 (0.2-1.1) 3 5,012 1.4 (0-2.5)Pennsylvania 1 22,647 5.7 1 4,433 0.2

Tennessee 3 24,002 2.5 (2.0-4.2) 3 5,623 6.6 (1.2-19.0)Texas 1 63,768 3.3 1 19,210 7.3Wisconsin 1 1,252 1.8 1 711 5.2Total 24 181,079 2.7 (0.2-5.9) 19 43,306 5.3 (0-19.0)