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Syphilis Sexually Transmitted Disease Surveillance 2003. Division of STD Prevention. Syphilis — Reported cases by stage of infection: United States, 1941–2003. Primary and secondary syphilis — Reported cases by reporting source: United States, 1984–2003. - PowerPoint PPT Presentation
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Syphilis
Sexually Transmitted Disease Surveillance 2003
Division of STD Prevention
Syphilis — Reported cases by stage of infection: United States, 1941–2003
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
Primary and secondary syphilis — Reported cases by reporting source: United States, 1984–2003
Cases (in thousands)
non-STD ClinicSTD Clinic
0
10
20
30
40
50
1984 86 88 90 92 94 96 98 2001 02
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) became available from an increasing number of states.
Primary and secondary syphilis — Rates: United States, 1970–2003 and the Healthy People 2010 target
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
Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.
Primary and secondary syphilis — Rates by state: United States and outlying areas, 2003
Note: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 2.5 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 1.5 MA 2.1 RI 3.1 CT 0.9 NJ 2.0 DE 0.9 MD 5.7
Guam 0.6
Puerto Rico 5.2 Virgin Is. 2.7
(n= 5)(n= 44)(n= 4)
2.5
0.2
3.4 1.9
3.7 0.9
3.9
6.8
1.1
1.1
3.0 0.8
0.4
0.9 0.8
4.1
0.6
2.5
0.9
1.4
1.1
0.0
0.6 0.6
3.8
3.0
1.8
0.3
1.7
1.8
1.4
1.3
2.3
0.3
2.3
3.0
0.6
1.1
1.4
0.1
0.3
0.0
Primary and secondary syphilis — Rates by county: United States, 2003
Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.
Rate per 100,000population
<=0.2 (N= 2,538)
0.3-4.0 (N= 446)
>4.0 (N= 156)
Primary and secondary syphilis — Rates by region: United States, 1981–2003 and the Healthy People 2010 target
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
Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.
Primary and secondary syphilis — Rates by sex: United States, 1981–2003and the Healthy People 2010 target
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
Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.
Primary and secondary syphilis — Rates by race and ethnicity: United States,1981–2003 and the Healthy People 2010 target
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
Note: The Healthy People 2010 target for P&S syphilis is 0.2 case per 100,000 population.
Primary and secondary syphilis — Male-to-female rate ratios: United States, 1981–2003
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
Primary and secondary syphilis — Age- and sex-specific rates: United States, 2003
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
1.4
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
6.0
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
7.9
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
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
11.8
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
8.9
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
4.4
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
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
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
4.2
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 0.1
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
1.7
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
2.4
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
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
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
1.6
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
1.2
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
0.6
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
0.1
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
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
0.8
Congenital syphilis — Reported cases for infants <1 year of age and rates of primary and secondary syphilis among women: United States, 1970–2003
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 2000
0.0
1.5
3.0
4.5
6.0
7.5
Note: The surveillance case definition for congenital syphilis changed in 1988.
Congenital syphilis — Rates for infants <1 year of age: United States, 1981–2003 and the Healthy People 2010 target
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
Note: The Healthy People 2010 target for congenital syphilis is 1.0 case per 100,000 live births. The surveillance case definition for congenital syphilis changed in 1988.
