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Gonorrhea Sexually Transmitted Disease Surveillance 2005. Division of STD Prevention. Gonorrhea — Rates: United States, 1941–2005 and the Healthy People 2010 target. Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population. - PowerPoint PPT Presentation
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GonorrheaSexually Transmitted Disease
Surveillance 2005
Division of STD Prevention
Gonorrhea — Rates: United States, 1941–2005 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
1941 46 51 56 61 66 71 76 81 86 91 96 2001
Gonorrhea — Rates: Total and by sex: United States, 1986–2005 and the Healthy People 2010 target
Rate (per 100,000 population)
MaleFemaleTotal2010 Target
0
90
180
270
360
450
1986 88 90 92 94 96 98 2000 02 04
Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.
Gonorrhea — Rates by region: United States, 1996–2005 and theHealthy People 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
60
120
180
240
300
1996 97 98 99 2000 01 02 03 04 05
Gonorrhea — Rates by state: United States and outlying areas, 2005
Note: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico and Virgin Islands) was 114.2 per 100,000 population. The Healthy People 2010 target is 19.0 cases per 100,000 population.
Rate per 100,000population
Guam 63.8
Puerto Rico 8.4
Virgin Is. 27.6
<=19.0
19.1-100.0
>100
(n= 7)
(n= 25)
(n= 21)
VT 9.7NH 13.6MA 39.5RI 40.5CT 78.5NJ 65.8DE 110.0MD 126.6
207.6
91.5
86.2162.6
95.7 70.1
116.3
179.6
81.1
8.5
157.5 129.8
54.4
95.270.8
212.0
10.8
174.9
68.3
247.0
164.3
17.0
66.3123.4
81.5
92.1
176.5
20.2
183.1
148.4
43.5
90.5
203.9
45.5
145.8
116.1
30.4111.9
60.3
42.4
106.5
17.2
Gonorrhea — Rates by county: United States, 2005
Note: The Healthy People 2010 target for gonorrhea is 19.0 cases per 100,000 population.
Rate per 100,000population
<=19.0 (n= 1,303)
19.1-100.0 (n= 1,118)
>100.0 (n= 719)
Gonorrhea — Cases by reporting source and sex: United States, 1996–2005
Cases (in thousands)
non-STD Clinic Malenon-STD Clinic FemaleSTD Clinic MaleSTD Clinic Female
0
40
80
120
160
200
1996 97 98 99 2000 01 02 03 04 05
Gonorrhea — Rates by race/ethnicity: United States, 1996–2005
Rate (per 100,000 population)
WhiteBlackHispanicAsian/PIAI/AN
0
180
360
540
720
900
1996 97 98 99 2000 01 02 03 04 05
Gonorrhea — Age- and sex-specific rates: United States, 2005
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
6.0
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
35.2
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
261.2
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
624.7
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
436.8
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
581.2
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
306.5
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
277.7
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
176.4
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
116.5
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
126.9
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
62.3
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
90.8
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
34.0
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
49.2
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
12.2
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
17.1
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
2.5
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
4.2
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total
0.6
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total111.8
Men Rate (per 100,000 population) Women
Age750 600 450 300 150 0 0 150 300 450 600 750
10-1415-1920-2425-2930-3435-3940-4445-5455-6465+Total 119.4
Gonorrhea — Age-specific rates among women 15 to 44 years of age:United States, 1996–2005
Rate (per 100,000 population)
15-19 20-2425-29 30-3435-39 40-44
0
200
400
600
800
1,000
1996 97 98 99 2000 01 02 03 04 05
Gonorrhea — Age-specific rates among men 15 to 44 years of age:United States, 1996–2005
Rate (per 100,000 population)
15-19 20-2425-29 30-3435-39 40-44
0
150
300
450
600
750
1996 97 98 99 2000 01 02 03 04 05
Gonorrhea — Positivity among 15- to 24-year-old women tested in family planning
clinics by state: United States and outlying areas, 2005
*States/areas not meeting minimum inclusion criteria.Note: Includes states and outlying areas that reported gonorrhea positivity data on at least 500 women aged 15-24 years screened during 2005.
SOURCE: Regional Infertility Prevention Projects; Office of Population Affairs; Local and State STD Control Programs; Centers forDisease Control and Prevention
Positivity (%)
Puerto Rico 0.4
Virgin Is. 3.0
See*
<1.0
1.0-1.9
>=2.0
(n= 9)
(n= 21)
(n= 17)
(n= 6)
VT 0.1NH 0.4MARICT 0.8NJ 1.2DE 1.2MDDC 1.9
1.6
0.6
0.9 1.6
1.1 0.5
0.8
2.1
0.7
1.4 1.1
0.6
0.70.6
1.9
0.0
3.8
1.1
2.8
1.2
1.2
0.50.6
1.3
0.6
1.5
1.7
0.72.1
0.9
1.5
0.71.0
0.4
4.2
0.2
Gonococcal Isolate Surveillance Project (GISP) — Location of participating clinics and regional laboratories: United States, 2005
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
Las Vegas
Albuquerque
Greensboro
Cincinnati
Cleveland
Oklahoma City
Portland
Philadelphia
Dallas
Seattle
Gonococcal Isolate Surveillance Project (GISP) — Penicillin and tetracycline resistance among GISP isolates, 2005
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.
Gonococcal Isolate Surveillance Project (GISP) — Percent of Neisseria gonorrhoeae isolates with resistance or intermediate resistance to ciprofloxacin,
1990–2005
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
Resistant
Intermediate resistance
0.0
3.0
6.0
9.0
12.0
1990 91 92 93 94 95 96 97 98 99 2000 01 02 03 04 05
Gonococcal Isolate Surveillance Project (GISP) — Percent of Neisseria gonorrhoeae isolates with resistance to ciprofloxacin by sexual behavior,
2001–2005
Percent Ciprofloxacin Resistant
Heterosexual men
Men who have sex with men (MSM)
0
5
10
15
20
25
30
2001 2002 2003 2004 2005
