Summary of Sexually Transmitted Diseases in South
Australia in 1998
Note: The
full epidemiologic report of STD Statistics in South Australia in 1998
is
available for download in Adobe Acrobat (pdf) format.
In 1998 there were 1047 (71/100 000)
cases of chlamydia, 255 (15/100 000) cases of gonorrhoea and 23 (1/100 000) cases of
syphilis (see Summary statistics) detected in South Australia.
In 1998, 33 individuals were notified
with HIV infection, 11 individuals were notified with AIDS and 17 individuals died of an
AIDS defining illness (see Summary statistics).
During 1998, medical notifications of Hepatitis C
infection included 71 incident cases. Hepatitis B medical notifications in 1998 included
16 acute cases (see Summary statistics).
South Australia Summary Statistics
| Sexually
Transmitted Diseases |
|
|
|
|
|
|
|
|
|
1998 |
1989 |
1990 |
1991 |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
No. |
Rate/105 |
| Chlamydia |
1616 |
1361 |
1070 |
943 |
762 |
733 |
774 |
1038 |
1052 |
1046 |
71 |
| Gonorrhoea |
213 |
173 |
199 |
165 |
152 |
160 |
255 |
290 |
323 |
225 |
15 |
| Syphilis |
87 |
83 |
69 |
98 |
63 |
57 |
45 |
40 |
31 |
23 |
1 |
|
Blood
Borne Diseases
|
1988 |
1989 |
1990 |
1991 |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
| HIV cases |
48 |
74 |
63 |
46 |
34 |
56 |
37 |
31 |
45 |
35 |
33 |
| AIDS cases |
27 |
32 |
27 |
41 |
36 |
42 |
50 |
34 |
38 |
24 |
11 |
| AIDS deaths |
12 |
13 |
18 |
22 |
31 |
35 |
35 |
38 |
29 |
9 |
17 |
| Hepatitis B (acute) |
43 |
50 |
35 |
28 |
22 |
35 |
38 |
26 |
20 |
18 |
16 |
| Hepatitis C (incident) |
- |
- |
- |
- |
- |
- |
- |
34 |
31 |
51 |
71 |
Clinic 275
The most common infection diagnosed at
Clinic 275 continues to be genital warts (19% male, 11% female) (Fig 1).
Common conditions in males were NSU (3%), balanitis (4%), urethral irritation (5%) and
chlamydia (3%) and in females candidiasis (11%), bacterial vaginosis (6%), chlamydia (3%)
and genital herpes (3%) (Fig 1). A high proportion of clients
attending Clinic 275 had no illness (45% male, 46% female) (Table 1).
Overall there were 15286 clinic attendances in 1998 (see Clinic
275 summary
statistics).
Contact Tracing at Clinic 275
Clinic 275 followed up 248 cases of
chlamydial infection. Of these, contact tracing was effective in detecting 30 new cases in
males and 31 in females, with a yield of 2.0 contacts per male index case and 2.1 contacts
per female index case (Table 2). Of the 61 new cases detected, 8
individuals were examined within 2 days of being contacted (Table 3).
For gonorrhoea 4 new cases were detected
in contacts of males examined while no cases were detected in contacts of females examined
for gonorrhoea (Table 2). Ten males and two females had pre-existing
disease.
Figures

Table 1 Summary of diagnoses
made on clients attending Clinic 275 during 1998.
Specific diagnoses by number of clients, episodes and sex.
Male Episodes |
| Diagnosis |
1 |
2 |
3 |
4 |
5+ |
*Total |
| No illness |
1812 |
303 |
73 |
20 |
5 |
|
| HIV+ve |
2 |
3 |
- |
- |
- |
5 |
| GC |
28 |
8 |
2 |
- |
1 |
39 |
| Syphilis |
2 |
- |
- |
- |
- |
2 |
| Herpes |
93 |
14 |
1 |
2 |
- |
110 |
| Chlamydia |
149 |
12 |
1 |
- |
- |
162 |
| NSU |
116 |
29 |
4 |
- |
1 |
150 |
| Warts |
567 |
218 |
86 |
33 |
13 |
|
| Trichomoniasis |
- |
- |
- |
- |
- |
- |
| Crabs |
77 |
17 |
6 |
5 |
1 |
106 |
| Scabies |
9 |
1 |
1 |
- |
- |
11 |
| Molluscum |
133 |
35 |
7 |
5 |
5 |
|
| Urethral irritation |
228 |
29 |
8 |
3 |
1 |
|
| Balanitis |
154 |
23 |
9 |
2 |
- |
188 |
| Non STD illness |
401 |
60 |
23 |
5 |
3 |
|
| Uncertain |
41 |
13 |
2 |
- |
- |
56 |
| Other |
1 |
- |
- |
- |
- |
1 |
| *Total |
3813 |
765 |
223 |
75 |
30 |
|
| *Total Male Episodes |
|
|
|
|
|
4641 |
Female Episodes |
| Diagnosis |
1 |
2 |
3 |
4 |
5+ |
*Total |
| No illness |
1292 |
214 |
53 |
14 |
5 |
|
| HIV+ve |
1 |
- |
- |
- |
- |
1 |
| GC |
5 |
- |
- |
- |
- |
5 |
| Syphilis |
2 |
1 |
- |
- |
- |
3 |
| Herpes |
81 |
15 |
7 |
- |
- |
103 |
| Chlamydia |
101 |
10 |
- |
- |
- |
111 |
| Warts |
249 |
75 |
29 |
9 |
5 |
|
| Trichomoniasis |
8 |
- |
- |
- |
- |
8 |
| Candidiasis |
270 |
61 |
23 |
14 |
1 |
|
| Crabs |
15 |
2 |
1 |
- |
- |
18 |
| Scabies |
2 |
- |
- |
- |
- |
2 |
| Molluscum |
31 |
8 |
2 |
1 |
- |
42 |
| Bacterial vaginosis |
176 |
28 |
8 |
2 |
- |
214 |
| Non STD illness |
190 |
48 |
9 |
2 |
3 |
|
| Uncertain |
51 |
9 |
6 |
1 |
- |
67 |
| Other |
19 |
10 |
3 |
1 |
1 |
|
| Suspected pregnancy |
155 |
59 |
14 |
1 |
1 |
|
| *Total |
2648 |
540 |
155 |
45 |
16 |
|
| *Total Female Episodes |
|
|
|
|
|
3171 |
Grand
Total* Episodes 7812 |
* since an episode of care may result in multiple
diagnoses, total diagnoses exceed total episodes.
Table 2: Chlamydia and
gonorrhoea contact tracing analysis - Clinic 275, 1998.
Cases by sex.
| |
Chlamydia |
Gonorrhoea |
Male |
Female |
Male |
Female |
No. |
% |
No. |
% |
No. |
% |
No. |
% |
|
Cases |
114 |
|
84 |
|
30 |
|
2 |
|
| Contacts |
|
|
|
|
|
|
|
|
| Elicited |
230 |
201 |
181 |
215 |
59 |
196 |
2 |
100 |
| Located |
132 |
116 |
121 |
144 |
20 |
67 |
2 |
100 |
| Locating index |
|
57 |
|
67 |
|
34 |
|
100 |
| Contacts infected |
|
|
|
|
|
|
|
|
| Existing |
49 |
|
35 |
|
10 |
|
2 |
|
| New cases |
30 |
|
31 |
|
4 |
|
- |
|
Table 3. New cases of chlamydial
and gonococcal infection identified by Clinic 275, 1998.
Days taken to examine contacts by
sex.
| |
Chlamydia |
Gonorrhoea |
| Days |
Male |
Female |
Total |
Male |
Female |
Total |
|
0-2
|
5 |
3 |
8 |
2 |
- |
2 |
|
3-7
|
11 |
11 |
22 |
1 |
- |
1 |
|
8-14
|
6 |
11 |
17 |
- |
- |
- |
|
> 14
|
8 |
6 |
14 |
1 |
- |
1 |
| Total |
30
|
31
|
61
|
4 |
- |
4 |
| Diagnoses
(1998) |
Male |
Female |
Total |
| Gonorrhoea |
39 |
5 |
44 |
| Syphilis |
2 |
3 |
5 |
| Herpes |
110 |
103 |
213 |
| Chlamydia |
162 |
111 |
273 |
| Non-specific urethritis |
150 |
na |
150 |
| Warts |
917 |
367 |
1284 |
| Trichomoniasis |
- |
8 |
8 |
| Candidiasis |
na |
369 |
369 |
| Crabs |
106 |
18 |
124 |
| Scabies |
11 |
2 |
13 |
| Molluscum contagiosum |
185 |
42 |
227 |
| Bacterial vaginosis |
na |
214 |
214 |
| Balanitis |
188 |
na |
188 |
| No illness |
2213 |
1578 |
3791 |
| HIV |
5 |
1 |
6 |
|
Total clinic attendances
|
9150 |
6136 |
15286
|
| Total Clients seen |
3604 |
2474 |
6078 |
na: not applicable
More STD Statistics
|