Quarterly Surveillance Report
Vol. 2, No. 1, July 1996
Contents
HIV Infection in South Australia
Hepatitis C Surveillance in South Australia
Hepatitis B Surveillance in South Australia
Genital Chlamydial Infection in South Australia
Gonococcal Infection in South Australia
Syphilis in South Australia
List of Tables
Table 1.1 HIV infection detected in South
Australia 1985 - 1995. Exposure category by sex
Table 1.2 HIV infection detected in South
Australia 01/01/96 - 31/03/96.
Exposure category by sex
Table 1.3 HIV infection detected in South
Australia 01/01/96 - 31/03/96.
Testing history by age at diagnosis of HIV
infection
Table 1.4 Number of HIV antibody tests by
laboratory and sex 01/01/96 - 31/03/96
Table 1.5 Characteristic of newly diagnosed
infection (Australian HIV Surveillance Report
April 1996)
Table 1.6 World AIDS Cases (W.H.O.)
Table 2.1 Medical notifications for
individuals who tested hepatitis C antibody positive
for the first time
during the period 01/01/96 - 31/03/96. Exposure category by sex.
Table 2.2 Individuals who tested positive for
hepatitis C infection for the first time.
Age group by sex
Table 2.3 Newly acquired infections in the
previous 12 months. Exposure
category by sex.
Table 2.4 Laboratory screening for hepatitis C
infection by sex. 01/01/96 - 31/06/96
Table 3.1 Acute cases of hepatitis B infection
during the period 01/01/96 - 31/03/96.
Risk category by sex.
Table 3.2 Acute cases of hepatitis B infection
during the period 01/01/96 - 31/03/96.
Age group by sex
Table 3.3 Individuals who tested hepatitis B
surface antigen positive for the first time
during the period 01/01/96 -
31/03/96. Race by sex.
Table 3.4 Laboratory screening for hepatitis B
Surface antigen by sex. 01/01/96 - 31/03/96
Table 4.1 Genital chlamydial infection in South Australia 1989 - 1995.
Year of diagnosis by sex.
Table 4.2 Genital chlamydial infection in South Australia 01/01/96 -
31/03/96.
Age group by sex
Table 4.3 Laboratory testing for genital chlamydia in South Australia
01/01/96 - 31/03/96
Table 5.1 Gonococcal infection in South Australia 1989 - 1995. Year of
diagnosis by sex.
Table 5.2 Gonococcal infection in South Australia 01/01/96 - 31/03/96.
Age group by sex
Table 6.1
Syphilis in South Australia 1989 -
1995. Year of diagnosis by sex
HIV INFECTION IN SOUTH AUSTRALIA
HIV Infection 1985 - 1995
There have been 602 individuals diagnosed with HIV
infection, 558 (93%) in males and 44 (7%) in females (Table
1.1). Of the males diagnosed, 75% (418) reported male to male sexual
contact, 9% (52) reported injecting drug use and 5% (26) reported both
risk factors. Injecting drug use was reported by 50% (22) of the women
diagnosed with HIV infection and 38% (17) reported heterosexual
transmission.
HIV Infection 01/01/96 - 31/03/96
Eleven men have been diagnosed with HIV infection in the
first quarter of this year. Of the 11 men, 8 reported male to male sexual
contact as their risk factor and 1 male reported heterosexual contact (Table
1.2). Five men (Table 1.3) reporting male to male sexual contact had
acquired their infection in the preceding 12 months (defined by a negative
HIV antibody test in the preceding 12 months prior to diagnosis).
Laboratory Screening For HIV Infection 01/01/96 - 31/03/96
There have been 20341 screening tests performed, 8759
(43%) tests were performed on males, 11312 (56%) on females and 17 tests
were performed on individuals whose sex was unknown (Table 1.4).
Table
1.1 HIV infection detected in South Australia 1985-1995.
Exposure
category by sex.
|
|
MALE
|
FEMALE
|
TOTAL
|
|
EXPOSURE CATEGORY
|
No
|
%
|
No
|
%
|
No
|
%
|
| Homosexual contact |
418
|
75
|
0
|
0
|
418
|
69
|
| Homosexual contact/IDU |
26
|
5
|
0
|
0
|
26
|
4
|
| Heterosexual contact |
22
|
4
|
17
|
38
|
39
|
7
|
| IDU |
52
|
9
|
22
|
50
|
74
|
12
|
| Blood products |
7
|
1
|
2
|
5
|
9
|
2
|
| Other |
2
|
|
2
|
5
|
4
|
1
|
| Unknown |
31
|
6
|
1
|
2
|
32
|
5
|
|
TOTAL
|
558
|
|
44
|
|
602
|
|
Table 1.2 HIV infection detected in
South Australia
1 January - 31 March 1996. Exposure category by sex.
| |
MALE |
| EXPOSURE CATEGORY |
No
|
| Homosexual contact |
8
|
| Heterosexual contact |
2
|
| Homosexual/IDU contact |
1
|
| TOTAL |
11
|
Table 1.3 HIV infection detected in South Australia
1 January 1996
- 31 March 1996.
Testing history by age of diagnosis of HIV infection.
| |
AGE |
TOTAL |
| TESTING HISTORY |
25 - 29
|
30 - 39
|
>39
|
|
| No previous test |
2
|
1
|
1
|
4
|
| Previous 12 months |
1
|
4
|
0
|
5
|
| 12 - 24 months |
2
|
0
|
0
|
2
|
| TOTAL |
5
|
5
|
1
|
11
|
Table 1.4 Number of HIV antibody tests by laboratory and sex,
1 January 1996 - 31 March 1996
| |
MALE |
FEMALE |
UNKNOWN |
TOTAL |
| LABORATORY |
No
|
%
|
No
|
%
|
No
|
%
|
No
|
| IMVS |
6160
|
70
|
6839
|
61
|
270
|
100
|
13269
|
| Private |
1932
|
22
|
3270
|
29
|
0
|
|
5202
|
| Hospitals |
690
|
8
|
1246
|
10
|
0
|
|
1936
|
| TOTAL |
8782
|
|
11355
|
|
270
|
|
20407
|
Table 1.5 Characteristic of newly diagnosed
infection
(Australian H.I.V Surveillance Report April 1996)
Characteristics of cases of newly diagnosed HIV infection 1986-1995
Number of cases, mean age, and percent of total cases for each year by
sex, state/territory, and exposure category.
(Australian HIV Surveillance Report Vol 12, Number 2 April 1996)
| |
1986 |
1987 |
1988 |
1989 |
1990 |
1991 |
1992 |
1993 |
1994 |
1995 |
| TOTAL CASES |
2624 |
2773 |
1711 |
1604 |
1398 |
1400 |
1160 |
1030 |
944 |
827 |
| Males (%) 1 |
95.8 |
96.1 |
94.7 |
94.8 |
92.7 |
94.0 |
92.0 |
92.7 |
91.3 |
91.0 |
| |
| MEAN AGE |
|
| Males |
31 |
32 |
33 |
33 |
32 |
33 |
35 |
34 |
35 |
34 |
| Females |
32 |
32 |
31 |
28 |
30 |
30 |
33 |
31 |
30 |
29 |
| |
| STATE/TERRITORY (%) |
|
|
ACT
|
1.2 |
0.8 |
0.7 |
0.7 |
1.0 |
0.6 |
1.3 |
0.6 |
1.5 |
2.1 |
|
NSW
|
72.8 |
75.1 |
68.1 |
59.2 |
56.0 |
57.2 |
54.6 |
51.6 |
45.1 |
53.4 |
|
NT
|
0.3 |
0.6 |
0.2 |
0.4 |
0.6 |
0.4 |
0.5 |
0.9 |
0.8 |
0.1 |
|
Qld
|
5.8 |
5.1 |
7.1 |
10.1 |
10.5 |
11.2 |
13.2 |
14.4 |
18.3 |
14.3 |
|
SA
|
2.1 |
2.4 |
2.8 |
4.6 |
4.6 |
3.3 |
2.9 |
5.4 |
3.8 |
3.6 |
|
Tas
|
0.0 |
0.2 |
0.1 |
0.9 |
0.6 |
0.4 |
0.9 |
0.4 |
0.2 |
0.2 |
|
Vic
|
13.5 |
12.8 |
16.9 |
20.3 |
21.8 |
22.0 |
22.1 |
22.0 |
23.2 |
20.1 |
|
WA
|
4.2 |
3.1 |
4.1 |
3.9 |
4.9 |
4.9 |
4.5 |
4.7 |
7.1 |
6.2 |
| |
| EXPOSURE CATEGORY (%)
2 |
|
| Male homo/bisexual contact |
84.7 |
86.3 |
83.7 |
81.2 |
79.9 |
79.2 |
75.1 |
76.8 |
73.4 |
73.1 |
| Male homo/bisexual contact
& IDU |
2.6 |
3.3 |
2.0 |
3.1 |
3.1 |
2.6 |
3.7 |
3.7 |
5.1 |
4.1 |
| Injecting drug use (female,
heterosexual) |
5.0 |
4.4 |
7.0 |
6.5 |
6.2 |
5.3 |
5.4 |
4.0 |
3.8 |
4.0 |
| Heterosexual contact |
1.8 |
3.0 |
5.2 |
6.9 |
9.2 |
10.9 |
13.8 |
14.5 |
15.4 |
17.7 |
| Haemophilia/coagulation
disorder |
4.0 |
1.7 |
0.7 |
0.3 |
0.1 |
0.2 |
0.2 |
0.0 |
0.1 |
0.0 |
| Receipt of blood
transfusion, blood components or tissue |
1.8 |
1.3 |
1.4 |
1.6 |
1.4 |
1.2 |
1.4 |
0.6 |
1.2 |
0.3 |
| Mother with/at risk of HIV
infection |
0.0 |
0.0 |
0.0 |
0.4 |
0.1 |
0.6 |
0.4 |
0.4 |
1.0 |
0.8 |
| Other/undetermined |
50.7 |
40.7 |
24.4 |
26.2 |
30.6 |
27.7 |
14.7 |
12.4 |
7.2 |
11.1 |
1. Proportion of mlaes amoung cases who sex was
reported
2. The "Other/undetermined" category was
excluded from the calculation of the percentage of cases attributed to
each exposure category
Table 1.6 World AIDS Cases (W.H.O.)
Cumulative AIDS Cases reported to World Health Organisation (W.H.O.) by
Continent and year. (W.H.O. Global programme on AIDS), based on reports
received up to 29/12/1994
| CUMULATIVE CASES |
| Year |
Africa |
Americas |
Asia |
Europe |
Oceania |
Totals |
| 1979 |
0 |
2 |
0 |
0 |
0 |
2 |
| 1980 |
0 |
185 |
1 |
17 |
0 |
203 |
| 1981 |
0 |
322 |
1 |
20 |
0 |
343 |
| 1982 |
2 |
1156 |
1 |
80 |
91 |
1330 |
| 1983 |
17 |
3352 |
8 |
295 |
6 |
3678 |
| 1984 |
207 |
6680 |
8 |
570 |
76 |
7541 |
| 1985 |
518 |
12682 |
27 |
1475 |
142 |
14844 |
| 1986 |
4108 |
21322 |
85 |
2416 |
269 |
28200 |
| 1987 |
13401 |
34562 |
150 |
9508 |
419 |
58040 |
| 1988 |
24605 |
45880 |
174 |
10774 |
590 |
82023 |
| 1989 |
37941 |
49360 |
289 |
14307 |
679 |
102576 |
| 1990 |
49301 |
69882 |
482 |
17251 |
758 |
137674 |
| 1991 |
77012 |
77641 |
833 |
18824 |
866 |
175176 |
| 1992 |
64899 |
97968 |
2052 |
20477 |
810 |
186206 |
| 1993 |
82182 |
96958 |
7376 |
21528 |
865 |
208909 |
| 1994 |
57471 |
60991 |
11718 |
21377 |
871 |
152428 |
| 1995 |
16486 |
47793 |
5454 |
11906 |
174 |
81813 |
| Total |
442735 |
659662 |
28630 |
154103 |
6680 |
1291810 |
HEPATITIS C SURVEILLANCE IN SOUTH AUSTRALIA
Hepatitis C Medical Notification 1 January 1996 - 31 March 1996
Laboratories reported 595 individuals who tested positive for Hepatitis
C infection in the first quarter of 1996, 533 (90%) individuals were
notified by medical practitioners. Of the 533 medical notifications
received, 206 (39%) individuals reported never having a test, 197 (37%)
had previously tested positive for Hepatitis C, 28 (5%) individuals
reported a previous negative test result and information on testing
history was unavailable for 102 (19%) individuals. Of the 28 individuals
with a previous negative test 4 were incident cases (defined by a negative
test or acute clinical illness in the preceding 12 months).
Of the 336 individuals who tested positive for Hepatitis C infection
for the first time in 1996, 203 individuals (60%) reported past and/or
present history of injecting drug use, 32 (10%) reported blood
transfusion/blood products as their only risk factor, tattoos accounted
for 6% (20) and unknown exposure category accounted for 20% (71) of the
infections reported (Table 2.1).
A high proportion of individuals were aged between 30 - 39 years (45%
of men, 41% of women) (Table 2.2).
There have been 4 individuals who acquired the infection in the
preceding 12 months (defined by a negative hepatitis C test in the 12
months prior to diagnosis or diagnosed acute illness) (Table
2.3). None of the incident cases reported an acute illness involving
jaundice within the last 12 months.
There have been 14817 screening tests performed 7172 (48%) on males
7627 (51%) on females 18 tests were performed on individuals whose sex was
unknown (Table 2.4).
Table 2.1 Medical
notifications for individuals who tested hepatitis C antibody positive
for the first time during the period 01/01/96 - 31/03/96. Exposure
category by sex.
| |
MALE |
FEMALE |
TOTAL |
| EXPOSURE CATEGORY |
No |
% |
No |
% |
No |
% |
| IDU* |
155 |
63 |
48 |
53 |
203 |
60 |
| Blood transfusion/blood products |
19 |
8 |
13 |
14 |
32 |
10 |
| Tattoos |
18 |
7 |
2 |
2 |
20 |
6 |
| Other |
5 |
2 |
5 |
6 |
10 |
3 |
| Unknown |
48 |
20 |
23 |
25 |
71 |
21 |
| TOTAL |
245 |
|
91 |
|
336 |
|
*includes those individuals whose exposure category is
IDU, IDU/tattoos, IDU/tattoos/blood transfusion and IDU/blood transfusion.
Table 2.2 Individuals who
tested positive for hepatitis C infection for the first time. Age
group by sex.
| |
MALE |
FEMALE |
TOTAL |
| AGE GROUP |
No |
% |
No |
% |
No |
% |
| Under 10 |
0 |
|
1 |
1 |
1 |
|
| 10 - 19 |
3 |
1 |
4 |
4 |
7 |
2 |
| 20 - 29 |
68 |
28 |
21 |
23 |
89 |
26 |
| 30 - 39 |
110 |
45 |
37 |
41 |
147 |
44 |
| 40 - 49 |
50 |
20 |
12 |
13 |
62 |
19 |
| 50+ |
14 |
6 |
16 |
18 |
30 |
9 |
| TOTAL |
245 |
|
91 |
|
336 |
|
Table 2.3 Newly acquired
infections in the previous 12 months (defined by a negative test or
diagnosed sero-conversion in the last 12 months as reported on
notification form) by exposure category and sex.
| |
MALE |
FEMALE |
TOTAL |
| EXPOSURE CATEGORY |
No
|
No
|
No
|
| IDU |
1
|
0
|
1
|
| IDU/tattoos |
1
|
0
|
1
|
| Partner Positive |
0
|
1
|
1
|
| Tattoos |
1
|
0
|
1
|
| TOTAL |
3
|
1
|
4
|
Table 2.4 Laboratory
screening for hepatitis C infection by sex. 01/01/96 - 31/03/96
| |
Male |
Female |
Unknown |
Total |
| Laboratory |
No.
|
No.
|
No.
|
No.
|
| IMVS |
3807
|
3201
|
18
|
7026
|
| Private |
2546
|
3654
|
0
|
6200
|
| Hospitals |
843
|
822
|
0
|
1665
|
| Total |
7196
|
7677
|
18
|
14891
|
HEPATITIS B SURVEILLANCE IN SOUTH AUSTRALIA
As of the 16th January, 1996 the surveillance of Hepatitis B infection was
transferred from the Communicable Diseases Control Branch to STD
Services.
Hepatitis B medical notification 1 January 1996 - 31 March 1996
During the first quarter of 1996, 76 Hepatitis B medical notifications
were received. Of these, 3 were acute cases of Hepatitis B infection
(Tables 3.1, 3.2), 16
were carriers of greater than twelve months duration and 57 were
individuals who tested surface antigen positive for the first time in this
quarter.
Of the 57 individuals who tested surface antigen positive for the first
time, the racial origin of a high proportion (67%) was reported as being
Asian (Table 3.3).
Table 3.4 shows the number of Hepatitis B
surface antigen tests performed by laboratories for this quarter.
Table 3.1
Acute cases of
hepatitis B infection during the
period 01/01/96 - 31/03/96. Risk
category by sex.
| |
MALE |
FEMALE |
TOTAL |
| Risk Category |
No
|
No
|
No
|
| IDU/Tattoos |
1
|
0
|
1
|
| Unknown |
1
|
1
|
2
|
| TOTAL |
2
|
1
|
3
|
Table 3.2 Acute cases of
hepatitis B infection during the period 01/01/96 - 31/03/96. Age group
by sex.
| |
MALE |
FEMALE |
TOTAL |
| Age Group |
No
|
No
|
No
|
| 10 - 19 |
0
|
1
|
1
|
| 30 - 39 |
1
|
0
|
1
|
| 50+ |
1
|
0
|
1
|
| TOTAL |
2
|
1
|
3
|
Table 3.3
Individuals who
tested hepatitis B surface antigen
positive for the first time during
the period
01/01/96 - 31/03/96. Race by sex.
| |
Male |
Female |
Total |
| Racial Origin |
No.
|
%
|
No.
|
%
|
No.
|
%
|
| Aboriginal |
1
|
3
|
2
|
9
|
3
|
5
|
| Asian |
20
|
57
|
18
|
82
|
38
|
67
|
| Caucasian |
11
|
31
|
1
|
5
|
12
|
21
|
| Other/Unknown |
3
|
9
|
1
|
4
|
4
|
7
|
| TOTAL |
35
|
|
22
|
|
57
|
|
Table 3.4
Laboratory
screening for hepatitis B surface antigen
by sex. 01/01/96 - 31/03/96
| |
Male |
Female |
Unknown |
Total |
| Laboratory |
No.
|
No.
|
No.
|
No.
|
| IMVS |
3924
|
4555
|
125
|
8604
|
| Private Lab |
900
|
2084
|
5427
|
8411
|
| Public Hospital |
787
|
2288
|
0
|
3075
|
| Total |
5611
|
8927
|
5552
|
20090
|
GENITAL CHLAMYDIAL INFECTION IN SOUTH
AUSTRALIA
Genital Chlamydial Infection 1989 - 1995
There have been 7178 cases of genital chlamydial infection notified
between 1 January 1989 and 31 December 1995 (Table 4.1). Of these 7178
cases, 2676 (37%) occurred in males and 4502 (63%) occurred in females (Table
4.1).
Genital Chlamydial Infection 1 January 1996 - 31 March 1996
Between 1 January 1996 and 31 March 1996, 202 cases of genital
chlamydial infection have been notified. 85% (171/202) of genital
chlamydia occurred in individuals aged under 30 years of age (Table
4.2).
5937 tests were performed on women and 1823 on men between 1 January
1996 and 31 March 1996 (Table 4.3). The yield
from testing was 37 cases/1000 men tested and 29 cases/1000 women tested.
Table 4.1
Genital
chlamydial infection in South Australia
1989 - 1995. Year of diagnosis
by sex.
| |
MALE |
FEMALE |
TOTAL |
| YEAR |
No
|
No
|
No
|
| 1989 |
541
|
1017
|
1558
|
| 1990 |
513
|
848
|
1361
|
| 1991 |
370
|
700
|
1070
|
| 1992 |
357
|
579
|
936
|
| 1993 |
295
|
462
|
757
|
| 1994 |
282
|
445
|
727
|
| 1995 |
318
|
451
|
769
|
| TOTAL |
2676
|
4502
|
7178
|
Table 4.2
Genital
chlamydial infection in South Australia
01/01/96 - 31/03/96. Age group
by sex.
| |
MALE |
FEMALE |
TOTAL |
| AGE GROUP |
No
|
No
|
No
|
| 15 - 19 |
5
|
33
|
38
|
| 20 - 24 |
30
|
60
|
90
|
| 25 - 29 |
21
|
22
|
43
|
| 30 - 34 |
2
|
11
|
13
|
| 35 - 39 |
3
|
4
|
7
|
| 40+ |
4
|
7
|
11
|
| TOTAL |
65
|
137
|
202
|
Table 4.3
Laboratory
testing for genital chlamydia in
South Australia 01/01/96 - 31/03/96.
| |
MALES |
FEMALES |
| LABORATORY |
No of tests |
No of positives |
No of tests |
No of positives |
| IMVS |
1107
|
22
|
2500
|
33
|
| Public Hospitals |
19
|
1
|
539
|
9
|
| Private Pathology |
697
|
45
|
2898
|
133
|
| TOTAL |
1823
|
68
|
5937
|
175
|
Gonococcal Infection 1989 - 1995
Between 1 January 1989 and 31 December 1995, 1297 cases of gonococcal
infection have been reported. Gonorrhoea infection occurred in 71%
(926/1297) of men and 29% (371/1297) of women (Table
5.1).
Gonococcal Infection 1 January 1996 - 31 March 1996
Between January 1996 and 31 March 1996, 36 cases of gonococcal
infection have been notified.
In males, cases occurred across a wide age range whilst in females all
cases notified were under 34 years of age (Table 5.2).
Table 5.1 Gonococcal
infection in South Australia 1989 - 1995.
Year of diagnosis by sex.
| |
MALE |
FEMALE |
TOTAL |
| YEAR |
No
|
No
|
No
|
| 1989 |
132
|
70
|
202
|
| 1990 |
121
|
52
|
173
|
| 1991 |
122
|
77
|
199
|
| 1992 |
119
|
45
|
164
|
| 1993 |
119
|
30
|
149
|
| 1994 |
113
|
45
|
158
|
| 1995 |
200
|
52
|
252
|
| TOTAL |
926
|
371
|
1297
|
Table 5.2
Gonococcal
infection in South Australia
01/01/96 - 31/03/96. Age group by sex.
| |
MALE |
FEMALE |
TOTAL |
| AGE GROUP |
No |
No |
No |
| 15 - 19 |
3
|
7
|
10
|
| 20 - 24 |
7
|
4
|
11
|
| 25 - 29 |
3
|
1
|
4
|
| 30 - 34 |
3
|
2
|
5
|
| 35 - 39 |
5
|
0
|
5
|
| 40+ |
1
|
0
|
1
|
| TOTAL |
22
|
14
|
36
|
SYPHILIS IN SOUTH AUSTRALIA
Syphilis 1989 - 1995
Between 1 January 1989 and 31 December 1995, 462 cases of infectious
syphilis (201 in males and 261 in females) have been notified (Table
6.1).
Syphilis 1 January 1996 - 31 March 1996
Five cases of infectious syphilis were notified during the reporting
period.
Table 6.1
Syphilis in
South Australia 1989-1985.
Year of diagnosis by sex
| |
MALE |
FEMALE |
TOTAL |
| YEAR |
No
|
No
|
No
|
| 1989 |
18
|
37
|
55
|
| 1990 |
31
|
51
|
82
|
| 1991 |
34
|
35
|
69
|
| 1992 |
50
|
48
|
98
|
| 1993 |
25
|
38
|
63
|
| 1994 |
22
|
29
|
51
|
| 1995 |
21
|
23
|
44
|
| TOTAL |
201
|
261
|
462
|
All data in this report are provisional and subject to future revision.
The STD Control Branch Quarterly Surveillance Report is produced by the
STD Control Branch, Public and Environmental Health Service, South
Australian Health Commission.
Postal address:
STD Control Branch
PO Box 6
Rundle Mall SA 5000
Australia
Telephone:+61 (8) 8226 6025
Facsimile:+61 (8) 82266560
Email:STD.Services@dhs.sa.gov.au
Contributors:
Dr Russell Waddell
Ms Tess Davey
Ms Julie Silvers
Ms Monica Winter
Desktop publishing:
Ms Tammy Wilson
Conversion to HTML:
Dr Christopher Miller
|