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1999 Epidemiologic Report (700 KB) 2007

Epidemiologic 

Report

 

Summary statistics of Sexually Transmitted Diseases in South Australia, 2004

Note: The full epidemiologic report of STD Statistics in South Australia in 2004 is available for download in Adobe Acrobat (pdf) format.

South Australia 

  Sexually Transmitted Diseases

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

Chlamydia

726

769

1025

1048

1049

1013

1006

1460

1806

1992

2425

Gonorrhoea

158

252

288

322

224

230

274

225

208

297

371

Syphilis

51

40

37

31

21

14

13

24

33

21

14

 

  Blood Borne Diseases

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

HIV cases

35

32

46

38

34

22

23

45

32

44

54

AIDS cases*

51

35

39

27

24

12

5

13

16

4

10

AIDS deaths*

35

38

29

8

16

6

6

9

9

7

8

Non AIDS deaths*

1

1

-

1

2

3

6

2

3

5

3

Hepatitis B (acute)

68

26

20

17

16

15

25

19

10

10

8

Hepatitis C (incident)

-

35

36

52

70

86

92

91

44

74

63

   *    Includes individuals whose HIV infection may have been diagnosed interstate

 

Clinic 275 - Summary statistics

Diagnoses (2004)

Male

Female

Total

No illness

2172

1601

3773

HIV

12

0

12

Gonorrhoea

67

8

75

Syphilis

11

3

14

Herpes

119

120

239

Chlamydia

331

218

548

NSU

91

na

91

Warts

1011

457

1468

Trichomoniasis

0

9

9

Candida vaginitis

na

235

235

Crabs

37

3

40

Scabies

7

1

8

Molluscum contagiosum

190

63

253

Bacterial vaginosis

na

229

229

Hepatitis B - acute

1

0

1

carrier  

16

7

23

Hepatitis C - incident

3

2

5

- new

4

1

5

- known

32

26

58

Urethral irritation

185

na

185

Balanitis

202

na

202

Post coital contraception

na

201

201

Non STD illness

466

176

642

Other/uncertain

34

43

77

Clinic attendances

9602

6176

15778

Episodes of care

4695

3165

7860

Individual clients

3658

2488

6146

New registrations

1821

1408

3229

   na: not applicable

 

Figure 1.1  Distribution of illnesses detected in male and female clients at Clinic 275, 2004

                            Male episodes (n=4695)

                             Female episodes (n=3165)

South Australia - Overview

In 2004, 2425 cases of chlamydia, 371 cases of gonorrhoea and 14 cases of syphilis were detected in South Australia (Summary statistics). 

In the same period, 54 individuals were notified with HIV infection and 10 individuals were notified with AIDS.  Of the 11 deaths notified, 8 were attributed to an AIDS defining illness (Summary statistics).

During 2004, 797 medical notifications of hepatitis C infection included 63 incident cases (acquired in the previous 12 months).  Hepatitis B medical notifications in 2004 included eight acute cases (Summary statistics). 

Clinic 275

The most common infection diagnosed at Clinic 275 continues to be genital warts (22% male, 15% female) (Figure 1.1).  Other common conditions in males were chlamydia (7%), balanitis (4%),urethral irritation (4%), NSU (2%), and genital herpes (2%).  In females, conditions included bacterial vaginosis (7%), candida vaginitis (7%), chlamydia (7%) and genital herpes (4%).  A high proportion of clients attending Clinic 275 had no illness (46% male, 51% female).  Overall there were 15778 clinic attendances in 2004 (Summary statistics).

 Contact tracing at Clinic 275

Clinic 275 followed up 409 cases of genital chlamydial infection.  Contact tracing was effective in detecting 60 new cases of chlamydia among the contacts of males, and 51 cases in contacts of females.  The yield of contacts per index case was 1.3 for both  male and  female cases (Table 1.2).  Of 111 new infections detected, 105 (96%) individuals were examined within 14 days of being contacted (Table 1.3).

 Clinic 275 followed up 48 cases of gonorrhoea.  Five new cases were detected in contacts of males examined, while no new cases were detected among contacts of female cases (Table 1.2). Six contacts had been diagnosed prior to being located.

 

Table 1.1   Summary of diagnoses made on clients attending Clinic 275 during 2004. 
                 Specific diagnoses by number of clients, episodes and sex.

Male episodes

Diagnosis

1

2

3

4

5+

*Total diagnoses

No illness

1675

195

26

8

-

2175

HIV

12

-

-

-

-

12

Gonorrhoea

59

4

-

-

-

67

Syphilis

11

-

-

-

-

11

Herpes

98

9

1

-

-

119

Chlamydia

299

13

2

-

-

331

NSU

86

1

1

-

-

91

Warts

533

138

43

9

7

1009

Trichomoniasis

-

-

-

-

-

-

Crabs

35

1

-

-

-

37

Scabies

7

-

-

-

-

7

Molluscum contagiosum

126

23

5

1

-

191

Urethral irritation

166

10

-

-

-

186

Balanitis

196

3

-

-

-

202

Non STD illness

428

16

2

-

-

466

Uncertain

30

-

-

-

-

30

Other

4

-

-

-

-

1

*Total

3765

356

81

22

9

4623

*Total male episodes 4695

Female episodes

Diagnosis

1

2

3

4

5+

Total diagnoses*

No illness

1278

129

14

6

-

1602

HIV

-

-

-

-

-

-

Gonorrhoea

8

-

-

-

-

8

Syphilis

3

-

-

-

-

3

Herpes

100

10

-

-

-

120

Chlamydia

207

6

-

-

-

219

Warts

255

53

23

5

3

465

Trichomoniasis

10

-

-

-

-

10

Candida vaginitis

217

9

-

-

-

235

Crabs

3

-

-

-

-

3

Scabies

1

-

-

-

-

1

Molluscum contagiosum

52

4

1

-

-

63

Bacterial vaginosis

176

24

2

-

-

230

Post coital contraception

165

15

2

-

-

201

Non STD illness

164

6

-

-

-

176

Uncertain

34

2

-

-

-

38

Other

5

-

-

-

-

5

*Total

2678

258

42

11

3

3617

*Total female episodes 3165

*Grand total episodes 7860

* since an episode of care may result in multiple diagnoses, total diagnoses exceed total episodes

 

Table 1.2   Chlamydia and gonorrhoea contact tracing analysis - Clinic 275, 2004.
                 Cases by sex.

 

Chlamydia

Gonorrhoea

Male

Female

Male

Female

No.

%

No.

%

No.

%

No.

%

Cases

227 

56

182

44

42

88

6

12

Contacts

 

 

 

 

 

     

     Elicited

301

133#

329

131#

47

111#

5

83#

     Located

281

 

206

 

26

 

4

 

     Locating index

 

93*

 

63*

 

53*

 

80*

Contacts infected

               

     Existing

79

 

51

 

3

 

3

 

     New cases

60

 

51

 

5

 

-

 

    #   Percentage compares the number of contacts elicited with number of index cases

    *   Percentage compares the number of contacts located with number of contacts elicited.

 

Table 1.3   New cases of chlamydial and gonococcal infection identified by Clinic 275, 2004. 
                 Days taken to examine contacts, by sex of index case.

 Days

Chlamydia

Gonorrhoea

Male

Female

Total

Male

 0-2

33

32

65

3

 3-7

19

11

30

-

 8-14

6

4

10

-

 >14

2

4

6

2

Total

60

51

111

5

*  No new cases were identified from female index cases of gonorrhoea.

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