Summary of Sexually Transmitted Diseases in South
Australia in 1999
Note: The
full epidemiologic report of STD Statistics in South Australia in 1999
is
available for download in Adobe Acrobat (pdf) format.
South Australia
Clinic 275
Clinic 275 contact tracing
In 1999, 1017 (73/100000) cases of chlamydia,
237 (17/100000) cases of gonorrhoea and 16 (1/100000) cases of syphilis were
detected in South Australia (Table 1).
In the same period, 22 individuals were
notified with HIV infection, 11 individuals were notified with AIDS and nine
individuals died of an AIDS defining illness (Table 2).
During 1999, medical notifications of
hepatitis C infection included 82 incident cases (newly acquired cases).
Hepatitis B medical notifications in 1999 included 15 acute cases (Table
2).
Table 1: Summary
statistics: Sexually transmitted diseases in South Australia, 1999
|
Disease |
1990 |
1991 |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
|
No. |
Rate/105 |
|
Chlamydia |
1341 |
1064 |
936 |
756 |
727 |
769 |
1025 |
1056 |
1059 |
1017 |
73 |
|
Gonorrhoea |
173 |
198 |
164 |
147 |
158 |
252 |
288 |
322 |
229 |
237 |
17 |
|
Syphilis |
78 |
70 |
97 |
63 |
51 |
40 |
37 |
31 |
23 |
16 |
1 |
Table 2: Summary statistics: Blood
borne diseases in South Australia, 1999
|
Blood Borne Diseases |
1989 |
1990 |
1991 |
1992 |
1993 |
1994 |
1995 |
1996 |
1997 |
1998 |
1999 |
|
HIV cases |
73 |
63 |
45 |
34 |
56 |
35 |
32 |
46 |
37 |
34 |
22 |
|
AIDS cases |
33 |
27 |
41 |
37 |
43 |
52 |
35 |
38 |
28 |
22 |
11 |
|
AIDS deaths |
13 |
19 |
22 |
31 |
36 |
36 |
39 |
29 |
10 |
17 |
9 |
|
Hepatitis B (acute) |
50 |
35 |
28 |
22 |
35 |
38 |
26 |
20 |
18 |
16 |
15 |
|
Hepatitis C (incident) |
- |
- |
- |
- |
- |
- |
34 |
31 |
52 |
73 |
86 |
The most common infection diagnosed at Clinic
275 continues to be genital warts (20% male, 11% female) (Figure
1). Other common conditions in males were urethral irritation (5%),
balanitis (4%), NSU (3%) and chlamydia (3%). In females, conditions included
candida vaginitis (12%), bacterial vaginosis (6%), chlamydia (3%) and genital
herpes (3%) (Figure 1). A high proportion of clients
attending Clinic 275 had no illness (43% male, 45% female) (Figure
1). Overall there were 13511 clinic attendances in 1999 (Table
3).
Figure 1:
Distribution of illness detected in male and female clients at Clinic 275, 1999

Table 3: Summary of
diagnoses made on clients attending Clinic 275 during 1999.
Specific diagnoses
by number of clients, episodes and sex.
|
Male episodes |
| Diagnosis |
1 |
2 |
3 |
4 |
5+ |
*Total diagnoses |
|
No illness |
1457 |
152 |
24 |
5 |
- |
1853 |
|
HIV +ve |
5 |
- |
- |
- |
- |
5 |
|
Gonorrhoea |
32 |
1 |
- |
- |
- |
34 |
|
Syphilis |
5 |
- |
- |
- |
- |
5 |
|
Herpes |
100 |
8 |
- |
1 |
- |
120 |
|
Chlamydia |
115 |
3 |
- |
- |
- |
121 |
|
NSU |
128 |
3 |
- |
- |
- |
134 |
|
Warts |
419 |
118 |
39 |
17 |
9 |
885 |
|
Trichomoniasis |
1 |
- |
- |
- |
- |
1 |
|
Crabs |
50 |
2 |
- |
- |
- |
54 |
|
Scabies |
13 |
- |
- |
- |
- |
13 |
|
Molluscum contagiosum |
93 |
15 |
1 |
- |
1 |
131 |
|
Urethral irritation |
207 |
8 |
1 |
1 |
- |
230 |
|
Balanitis |
178 |
4 |
2 |
- |
- |
192 |
|
Non STD illness |
426 |
28 |
1 |
- |
- |
485 |
|
Uncertain |
86 |
1 |
- |
- |
- |
88 |
|
Other |
8 |
- |
- |
- |
- |
8 |
| Total * |
3323 |
343 |
68 |
24 |
10 |
4359 |
| Total male episodes*
4131 |
|
Female Episodes |
|
Diagnosis |
1 |
2 |
3 |
4 |
5+ |
*Total diagnoses |
|
No illness |
1164 |
98 |
19 |
3 |
- |
1429 |
|
HIV+ve |
- |
- |
- |
- |
- |
- |
|
Gonorrhoea |
10 |
- |
- |
- |
- |
10 |
|
Syphilis |
2 |
- |
- |
- |
- |
2 |
|
Herpes |
80 |
3 |
- |
- |
- |
86 |
|
Chlamydia |
78 |
2 |
2 |
- |
- |
88 |
|
Warts |
201 |
45 |
7 |
7 |
2 |
350 |
|
Trichomoniasis |
9 |
- |
- |
- |
- |
9 |
|
Candida vaginitis |
304 |
27 |
3 |
- |
- |
367 |
|
Crabs |
9 |
- |
- |
- |
- |
9 |
|
Scabies |
6 |
- |
- |
- |
- |
6 |
|
Molluscum contagiosum |
33 |
2 |
- |
- |
- |
37 |
|
Bacterial vaginosis |
182 |
11 |
- |
- |
- |
204 |
|
Post coital contraception |
136 |
16 |
3 |
- |
- |
177 |
|
Non STD illness |
214 |
13 |
- |
- |
- |
240 |
|
Uncertain |
84 |
4 |
- |
- |
- |
92 |
|
Other |
36 |
- |
- |
- |
- |
36 |
|
*Total |
2548 |
221 |
34 |
10 |
2 |
3142 |
|
*Total female episodes
2912 |
|
*Grand total episodes
7043 |
*since an episode of care may result in
multiple diagnoses, total diagnoses exceed total episodes
Contact tracing at Clinic 275
Clinic 275 followed up 191 cases of chlamydial
infection. Of these, contact tracing was effective in detecting 27 new cases in
contacts of males and 11 in contacts of females, with a yield of 1.5 contacts
per male index case and two contacts per female index case (Table
4). Of the 38 new cases detected, ten individuals were examined within two
days of being contacted (Table 5).
Clinic 275 followed up 36 cases of gonorrhoea.
Six new cases were detected in contacts of males examined, while no cases were
detected among contacts of females cases (Table 4). Six
contacts had been diagnosed prior to being located.
Table 4: Chlamydia and gonorrhoea contact
tracing analysis - Clinic 275, 1999.
Cases by sex.
| |
Chlamydia |
Gonorrhoea |
| Male |
Female |
Male |
Female |
|
No. |
% |
No. |
% |
No. |
% |
No. |
% |
|
Cases |
118 |
|
73 |
|
29 |
|
7 |
|
|
Contacts |
|
|
|
|
|
|
|
|
|
Elicited |
181 |
153 |
146 |
200 |
26 |
90 |
21 |
300 |
|
Located |
104 |
88 |
87 |
119 |
10 |
34 |
7 |
100 |
|
Locating index |
|
57 |
|
60 |
|
38 |
|
33 |
|
Contacts infected |
|
|
|
|
|
|
|
|
|
Existing |
39 |
|
34 |
|
1 |
|
5 |
|
|
New cases |
27 |
|
11 |
|
6 |
|
- |
|
Table 5: New cases of chlamydial and
gonococcal infection identified by
Clinic 275, 1999. Days taken to examine
contacts by sex.
| |
Chlamydia |
Gonorrhoea* |
|
Days |
Male |
Female |
Total |
Male |
|
0-2 |
7 |
3 |
10 |
5 |
|
3-7 |
8 |
4 |
12 |
1 |
|
8-14 |
8 |
1 |
9 |
- |
|
Over 14 |
4 |
3 |
7 |
- |
|
Total |
27 |
11 |
38 |
6 |
No
female cases identified
More STD Statistics
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