Notification, contact tracing

and GP testing data

at jurisdictional level

National notification data

Source: Annual Surveillance Report 2009, NCHECR

Notifications for MSM

Sources: Annual Surveillance Report 2009, NCHECR, South Eastern Sydney Illawarra and Sydney South West Area Health Services, NSW Health

67% 72%

For NSW (CS and SES) between Jan 2006 - Jun 2009 number of MSM with infectious syphilis was 852 of 1,016 males = 84%

Current collection

*In 2 PHUs which represents approx 60% of cases in males#Willing to collect retrospectively

Variable NSW VIC QLD WA SA NT# TAS ACT

MSM Yes* Yes  Yes Yes Yes  No  Yes Yes 

Symptoms Yes Yes  Yes  Yes Yes No Yes  Yes 

HIV status Yes* Yes Yes Yes Yes No No#  Yes 

Recommendation

Collate notification data on

MSM, symptoms and HIV status nationally

Contact tracing data

Current collection

Question on form NSW VIC QLD WA SA NT* TAS ACT

Has partner notification occurred? (Y/N) No Yes  No  Yes Yes No   No  No

Do you require assistance with partner notification? (Y/N) No Yes No No Yes No Yes No

Contact tracing details No No No  No  Yes No  Yes  Yes 

Reasons for test? Contact tracing option No Yes Yes  Yes  No No   Yes Yes 

Recommendation

Notification data on contact tracing is inconsistently collected and not

recommended for monitoring/evaluating contact tracing

GP testing data

Victorian Primary Care Network for Sentinel Surveillance on BBVs & STIs

• Testing data from four clinics with high MSM

• Linked to clinic collected risk behaviour data

• Time period: April 2006 – June 2008 (27 months)

Number of tests by HIV status

0

100

200

300

400

500

600

Apr-06 Jul-06 Oct-06 Jan-07 Apr-07 Jul-07 Oct-07 Jan-08 Apr-08

Nu

mb

er

of

sy

ph

ilis

te

sts

HIV negative HIV positive

n=10,633 n=6,311

52.9

26.3

11.5 9.49 7.412

71.7

0

10

20

30

40

50

60

70

80

1 2 3 <=4

Number of tests

%

HIV negative % HIV postitive %

Testing frequency

Single testers

>=4

Recommendation

Jurisdictions consider implementing

sentinel surveillance at GPs with

high MSM caseloads