Gonorrhea in Utah 2004-2008

Rachel Herlihy, MD, MPHNovember 4, 2009

Gonorrhea RatesUtah, 2004-2008

2004 6012005 7272006 8952007 8272008 481

Gonorrhea Test Numbers & % Positive at Utah Public Health Lab

No of Positive Results & % Positivity at Utah Public Health Lab

Gonorrhea Cases by Gender

Gonorrhea by Race/Ethnicity and Sex2004-2008

Race/Ethnicity

Male FemaleCases (%) Rate Cases (%) Rate

White 1415(40%) 26.2 941(27%) 17.3

Hispanic 414 (12%) 53.0 333 (9%) 48.5

Black 189 (5%) 278.1 84 (2%) 155.9

Asian/PI 45 (1%) 27.8 43 (1%) 24.7

AI/AN 25 (1%) 33.9 38 (1%) 49.1

Total 2089(59%) 31.7 1442(41%) 22.1

Male Gonorrhea Cases by Race/Ethnicity

050

100150200250300350400

White Hispanic Black AI/AN Asian/PI

Num

ber o

f Cas

es

2004 2005 2006 2007 2008

Female Gonorrhea Cases by Race/Ethnicity

050

100150200250300350400

White Hispanic Black AI/AN Asian/PI

Num

ber o

f Cas

es

2004 2005 2006 2007 2008

Gonorrhea by Age Group and SexAgeGroup

Male FemaleCases (%) Rate Cases (%) Rate

0-14 3 (0%) 0.2 30 (1%) 1.8

15-19 207 (6%) 39.2 421 (12%) 78.2

20-24 649 (18%) 107.0 493 (14%) 80.6

25-29 476 (13%) 79.4 277 (8%) 49.2

30-35 240 (7%) 48.7 107 (3%) 22.9

35+ 514 (15%) 19.8 114 (3%) 4.3

Total 2089 (59%) 31.7 1442 (41%) 22.1

Male Gonorrhea Cases by Age Groups

Female Gonorrhea Cases by Age Groups

Male Gonorrhea Cases by Sex Partners

Gonorrhea Rates and Number of Casesby Local Health District, Utah, 2008

Utah State Rate = 17.3

Utah GC Control and Prevention

• Statewide concerns about GC since observed increase in cases over past few years

• Since 2006, LHD DIS have prioritized GC cases for interview, with increased emphasis on patient education, reinfection prevention, and partner services.

Percentage of Cases Interviewed

Partner Disposition

Utah GC Control and Prevention

• MMWR: Increases in Gonorrhea---Eight Western States—2000-2005 (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5610a4.htm)

• In May 2009, Utah launched its Catch The Answers Campaign (www.CatchTheAnswers.com)

• In 2009, Utah legalized EPT(http://le.utah.gov/~2009/htmdoc/hbillhtm/hb0017.htm)

Thanks!

Gonorrhea Cases by Race/Ethnicity and Sex, 2004-2008