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Gonorrhea Morbidity in West Virginia. Caroline A. Williams, MD, Director Division of STD, HIV/AIDS and Hepatitis Philadelphia, Pennsylvania June 16, 2009. Gonorrhea Cases in West Virginia By Gender, 2004 - 2008. - PowerPoint PPT Presentation
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West Virginia Office of Epidemiology and Prevention Services 1
Gonorrhea Morbidityin West Virginia
Caroline A. Williams, MD, Director
Division of STD, HIV/AIDS and Hepatitis
Philadelphia, Pennsylvania
June 16, 2009
West Virginia Office of Epidemiology and Prevention Services 2
Gonorrhea Cases in West VirginiaBy Gender, 2004 - 2008
473
428
479 505
423
420 462345
429321
0
100
200
300
400
500
600
700
800
900
1,000
2004 2005 2006 2007 2008
Cas
es
Male Female
n=893 n=773 n=941 n=934 n=744
West Virginia Office of Epidemiology and Prevention Services 3
Gonorrhea Cases in West VirginiaBy Age Group, 2004 - 2008
215167
212 216176
336
276303 320
283
154
146
187 186
148
74
80
88 83
48
104
97
142 119
81
8107 9100
100
200
300
400
500
600
700
800
900
1,000
2004 2005 2006 2007 2008
Cas
es
<15/Unk 15-19 20-24 25-29 30-34 35+
n=893 n=773 n=941 n=934 n=744
West Virginia Office of Epidemiology and Prevention Services 4
Gonorrhea Cases in West VirginiaBy Race/Ethnicity, 2004 - 2008
322286
399 344
258
119
86
108 135
81
405455401 434452
0
100
200
300
400
500
600
700
800
900
1,000
2004 2005 2006 2007 2008
Cas
es
White, NH Black, NH Other/Unk
n=893 n=773 n=941 n=934 n=744
West Virginia Office of Epidemiology and Prevention Services 5
Estimated % of Population and % of Reported Gonorrhea Cases, by Race/Ethnicity, West Virginia, 2008
54.4
34.7
0.9 9.91.83.5 1.1
93.5
0
10
20
30
40
50
60
70
80
90
100
White NH Black NH Hispanic Other/Unk
Per
cent
% Population % Cases
West Virginia Office of Epidemiology and Prevention Services 6
0.0
100.0
200.0
300.0
400.0
500.0
600.0
700.0
2004 2005 2006 2007 2008
Rat
e
White, NH Black, NH Hispanic Asian/PI AI/AN All Race/Eth
Gonorrhea Cases per 100,000 PopulationBy Race/Ethnicity, West Virginia, 2004 - 2008
West Virginia Office of Epidemiology and Prevention Services 7
Gonorrhea Cases in West VirginiaBy Age, Gender, and Race/Ethnicity, 2008
77
87 20 70
25
21
1617
636291
187
0
50
100
150
200
250
300
350
Female (15-24) Male (15-24) Female (25+) Male (25+)
Cas
es
White, NH Black, NH Other/Unk
n=289 n=170 n=127 n=150
West Virginia Office of Epidemiology and Prevention Services 8
Gonorrhea Casesin West Virginia, 2008State Total = 744
HANCOCK
BROOKE
OHIO
MARSHALL
WETZEL
TYLERPLEASANTS
WOOD
JACK-SON
RITCHIE
WIRT
ROANE
CAL-HOUN
MONONGALIA
MARION
TAYLORDODD-RIDGE
LEWISGILMER
PRESTON
BARBOUR TUCKER
UP-SHUR
RANDOLPH
HARRISON
MORGAN BERKELEY
JEFFERSON
MINERAL
HAMPSHIRE
GRANT
HARDY
PENDLETONBRAXTON
WEBSTER
POCAHONTASNICHOLAS
GREENBRIERFAYETTE
CLAYPUTNAM
KANAWHA
BOONE
MASON
CABELL
WAYNELINCOLN
MINGO LOGAN
McDOWELL
WYOMING
RALEIGH
MERCER
SUM-MERS MONROE 11 - 183
4 - 10
2 - 3
CASES
0 - 1
West Virginia Office of Epidemiology and Prevention Services 9
Gonorrhea Casesin West Virginia, 2007State Total = 934
0
9 - 258
3 - 8
1 - 2
CASES
HANCOCK
BROOKE
OHIO
MARSHALL
WETZEL
TYLERPLEASANTS
WOOD
JACK-SON
RITCHIE
WIRT
ROANE
CAL-HOUN
MONONGALIA
MARION
TAYLORDODD-RIDGE
LEWISGILMER
PRESTON
BARBOUR TUCKER
UP-SHUR
RANDOLPH
HARRISON
MORGAN BERKELEY
JEFFERSON
MINERAL
HAMPSHIRE
GRANT
HARDY
PENDLETONBRAXTON
WEBSTER
POCAHONTASNICHOLAS
GREENBRIERFAYETTE
CLAYPUTNAM
KANAWHA
BOONE
MASON
CABELL
WAYNELINCOLN
MINGO LOGAN
McDOWELL
WYOMING
RALEIGH
MERCER
SUM-MERS MONROE
West Virginia Office of Epidemiology and Prevention Services 10
Gonorrhea Cases and Rates per 100,000 PopulationRanked by Cases, West Virginia, 2008
County
Rankout of 55Counties Population
% of StatePopulation
Cumulative% of StatePopulation Cases
% of StateCases
Cumulative% of State
CasesRate/100K
Kanawha 1 191,018 10.5% 10.5% 183 24.6% 24.6% 95.8
Cabell 2 94,631 5.2% 15.7% 153 20.6% 45.2% 161.7
Berkeley 3 102,044 5.6% 21.4% 68 9.1% 54.3% 66.6
Raleigh 4 79,357 4.4% 25.7% 51 6.9% 61.2% 64.3
Mercer 5 61,500 3.4% 29.1% 41 5.5% 66.7% 66.7
Monongalia 6 88,221 4.9% 34.0% 27 3.6% 70.3% 30.6
Wood 7 86,204 4.8% 38.7% 27 3.6% 73.9% 31.3
Harrison 8 68,853 3.8% 42.5% 20 2.7% 76.6% 29.0
Fayette 9 46,341 2.6% 45.1% 18 2.4% 79.0% 38.8
Marion 10 56,496 3.1% 48.2% 15 2.0% 81.0% 26.6
Gonorrhea Ranked by Cases
West Virginia Office of Epidemiology and Prevention Services 11
Gonorrhea Cases and Rates per 100,000 PopulationRanked by Rate, West Virginia, 2008
County
Rankout of 55Counties Population
% of StatePopulation
Cumulative% of StatePopulation Cases
% of StateCases
Cumulative% of State
CasesRate/100K
Cabell 1 94,631 5.2% 5.2% 153 20.6% 20.6% 161.7
Kanawha 2 191,018 10.5% 15.7% 183 24.6% 45.2% 95.8
Mercer 3 61,500 3.4% 19.1% 41 5.5% 50.7% 66.7
Berkeley 4 102,044 5.6% 24.8% 68 9.1% 59.8% 66.6
Raleigh 5 79,357 4.4% 29.1% 51 6.9% 66.7% 64.3
Summers 6 13,017 0.7% 29.8% 8 1.1% 67.7% 61.5
Wirt 7 5,757 0.3% 30.2% 3 0.4% 68.1% 52.1
Fayette 8 46,341 2.6% 32.7% 18 2.4% 70.6% 38.8
Ohio 9 44,106 2.4% 35.1% 14 1.9% 72.4% 31.7
Wood 10 86,204 4.8% 39.9% 27 3.6% 76.1% 31.3
Gonorrhea Ranked by Rates
12
Gonorrhea Ratesper 100,000Population,
West Virginia, 2008
• Seven county rates higher than the 2008 West Virginia rate (41.0)
• One county rate higher than the 2007 U.S. rate (118.9)
0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0
WETZEL
TUCKER
ROANE
RITCHIE
PRESTON
POCAHONTAS
PLEASANTS
HAMPSHIRE
GILMER
CLAY
CALHOUN
BRAXTON
BARBOUR
NICHOLAS
BOONE
WYOMING
TAYLOR
J ACKSON
GRANT
MARSHALL
WAYNE
WEBSTER
RANDOLPH
MINERAL
TYLER
MORGAN
PENDLETON
HANCOCK
PUTNAM
HARDY
MINGO
MASON
MONROE
LINCOLN
LEWIS
J EFFERSON
McDOWELL
MARION
DODDRIDGE
LOGAN
GREENBRIER
HARRISON
UPSHUR
BROOKE
MONONGALIA
WOOD
OHIO
FAYETTE
WEST VIRGINIA
WIRT
SUMMERS
RALEIGH
BERKELEY
MERCER
KANAWHA
U.S.
CABELL
U.S.
WV
West Virginia Office of Epidemiology and Prevention Services 13
Strengths of West Virginia’sGonorrhea Control Program
• WV is considered a low-incidence state for chlamydia, gonorrhea, syphilis and HIV/AIDS
• All GC cases are initiated to the field
• Active partner notification for all GC cases
• APTIMA is the testing method for the WV Office of Laboratory Services
• Colleges/universities and correctional facilities, including juvenile centers, offer Ct/GC testing
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