STD-Data-Syphilis-AllStages-Slides..pptx

sífilis travalho

1. Syphilis by Stage Total Syphilis Primary & Secondary Syphilis Early Syphilis Congenital Syphilis California STD Surveillance 2018

2. Total Syphilis California STD Surveillance 2018

3. Total Syphilis (all stages) California Incidence Rates, 1913 – 2018 Rev. 7/2019

4. Syphilis Incidence Rates by Stage California, 1990 – 2018 Rev. 7/2019

5. Neurosyphilis Case Count and Percent of All Syphilis Cases California Project Area*, 2009-2018 * California Project Area (CPA) excludes Los Angeles and San Francisco. Rev. 9/2019

6. Ocular Syphilis Case Count and Percent of All Syphilis Cases California Project Area*, 2009-2018 * California Project Area (CPA) excludes Los Angeles and San Francisco. Note: Trends in ocular syphilis should be interpreted with caution due to inconsistent data collection of eye-related symptoms over time and data systems. As of 2013, all CPA jurisdictions were using the state’s CalREDIE system for all syphilis stages. Rev. 9/2019

7. Primary & Secondary Syphilis California STD Surveillance 2018

8. Primary & Secondary Syphilis, California versus United States Incidence Rates, 1941 – 2018 Rev. 10/2019

9. Primary & Secondary Syphilis Incidence Rates by County, California, 2018 Rev. 7/2019

10. Primary & Secondary Syphilis Cases by County, California, 2018 Rev. 7/2019

11. Ranking of County Primary & Secondary Syphilis Rates California, 2018 (with 95% Confidence Intervals*) * Confidence intervals were calculated using exact Clopper -Pearson method; excludes counties with no cases. Note: Rates are per 100,000 population. Source: California Department of Public Health, STD Control Branch Rev. 7/2019

12. Primary & Secondary Syphilis among Females of Childbearing Age (15-44), Incidence Rates by County, California, 2018 Rev. 7/2019

13. Primary & Secondary Syphilis among Females of Childbearing Age (15-44), Cases by County, California, 2018 Rev. 7/2019

14. Primary & Secondary Syphilis, Cases by Gender* California, 1996 – 2018 * MSM = Men who have sex with men only; MSM&W = Men who have sex with men and women Rev. 7/2019

15. Primary & Secondary Syphilis, Incidence Rates by Region California, 2009–2018 Rev. 7/2019

16. Number of Primary & Secondary Syphilis Cases by Region, Sexual Orientation, and Year, California, 2009–2018 MSM=Men who have sex with men only, MSUnk =Men of unknown sexual orientation MSM&W=Men who have sex with men and women, MSW=Men who have sex with women only Rev. 7/2019

17. Primary & Secondary Syphilis, Incidence Rates by Gender California, 1990 – 2018 Rev. 7/2019

18. Primary & Secondary Syphilis Incidence Rates by Gender and Age Group (in years) California, 2018 Rev. 7/2019

19. Primary & Secondary Syphilis Incidence Rates for Females by Age Group (in years) California, 2009–2018 Rev. 7/2019

20. Primary & Secondary Syphilis Incidence Rates for Males by Age Group (in years) California, 2009–2018 Rev. 7/2019

21. Primary & Secondary Syphilis Incidence Rates by Gender and Race/Ethnicity California, 2018 AI/AN = American Indian/Alaskan Native, A/PI = Asian/Pacific Islander Rev. 7/2019

22. Primary & Secondary Syphilis, Female Incidence Rates by Race/Ethnicity and Age Group (in years), California, 2018 Note: American Indian/Alaska Native and Asian/Pacific Islander, and race-specific data for ages 0-14 are suppressed as per agency Data De-Identification Guidelines (DDG). Rev. 7/2019

23. Primary & Secondary Syphilis, Male Incidence Rates by Race/Ethnicity and Age Group (in years), California, 2018 Note: American Indian/Alaska Native and Asian/Pacific Islander, and race-specific data for ages 0-14 are suppressed as per agency Data De-Identification Guidelines (DDG). Rev. 7/2019

24. Primary & Secondary Syphilis Incidence Rates for Females by Race/Ethnicity California, 2009–2018 Note: AI/AN = American Indian/Alaska Native, A/PI = Asian/Pacific Islander. Race/ethnicity “Not Specified” ranged from 0% to 8.9% of cases for females in any given year. Rev. 7/2019

25. Primary & Secondary Syphilis Incidence Rates for Males by Race/Ethnicity California, 2009–2018 Note: AI/AN = American Indian/Alaska Native, A/PI = Asian/Pacific Islander. Race/ethnicity “Not Specified” ranged from 2.2% to 9.6% of cases for males in any given year. Rev. 7/2019

26. HIV Status among Primary & Secondary Syphilis Cases Men who Have Sex with Men* California, 2018 * Includes men who have sex with men only and men who have sex with men and women. Note: N does not include HIV status unknown or refused to state: 287 cases in 2018. Rev. 7/2019

27. Percent of Interviewed Primary & Secondary Syphilis Cases who Reported Meeting Sex Partners at Specified Venues, among Men who Have Sex with Men*, California, 2009 – 2018 * Includes men who have sex with men only and men who have sex with men and women. Rev. 7/2019

28. Percent of Interviewed Primary & Secondary Syphilis Cases who Reported Meeting Sex Partners at Specified Venues, among Men who Have Sex with Women, California, 2009 – 2018 Rev. 7/2019

29. Percent of Interviewed Primary & Secondary Syphilis Cases who Reported Meeting Sex Partners at Specified Venues, among Females, California, 2009 – 2018 Note: Excluded Bathhouses/Sex Clubs as all but two years were 0%. Rev. 7/2019

30. Percent of Interviewed Primary & Secondary Syphilis Cases who Reported Methamphetamine Use, by Sexual Orientation*, California, 2009 – 2018 * MSM=Men who have sex with men only MSW=Men who have sex with women only MSM&W=Men who have sex with men and women Rev. 7/2019

31. Primary & Secondary Syphilis Incidence Rates for Males by Gender of Sex Partners* California, 2013–2018 Note: American Community Survey (ACS) data from 2009-2013: % MSM = 5.7% † * MSM = Men who have sex with men only and men who have sex with men and women † Grey et al. Estimating the Population Sizes of Men Who Have Sex With Men in US States and Counties Using Data From the American Community Survey. 2016. JMIR Public Health Surveillance . https://publichealth.jmir.org/2016/1/e14/ Rev. 10/2019

32. Early Syphilis California STD Surveillance 2018

33. Early Syphilis*, California versus United States Incidence Rates, 1941 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 10/2019

34. Early Syphilis*, Incidence Rates by County California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

35. Early Syphilis*, Cases by County California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

36. Ranking of County Early Syphilis* Rates California, 2018 (with 95% Confidence Intervals † ) * Includes primary, secondary, and early non-primary non-secondary syphilis. † Confidence intervals were calculated using exact Clopper -Pearson method; excludes counties with no cases. Note: Rates are per 100,000 population. Source: California Department of Public Health, STD Control Branch Rev. 7/2019

37. Early Syphilis*, Incidence Rates by County and Gender California, 2018 FEMALES MALES * Includes primary, secondary, and early non-primary non-secondary syphilis. Note: Different scales are displayed for female versus male rate ranges. Rev. 7/2019

38. Early Syphilis* among Females of Childbearing Age (15-44), Incidence Rates by County, California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

39. Early Syphilis* among Females of Childbearing Age (15-44), Cases by County, California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

40. Early Syphilis*, Incidence Rates by Region California, 2009–2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

41. Number of Early Syphilis* Cases by Region, Sexual Orientation, and Year, California, 2009–2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. MSM=Men who have sex with men only, MSUnk =Men of unknown sexual orientation MSM&W=Men who have sex with men and women, MSW=Men who have sex with women only Rev. 7/2019

42. Early Syphilis*, Cases by Gender † California, 1996 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. † MSM = Men who have sex with men only; MSM&W = Men who have sex with men and women. Rev. 7/2019

43. Early Syphilis* Cases by Sex and Gender of Sex Partners California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis; may not total 100% due to rounding. MSM=Men who have sex with men only and men who have sex with men and women MSW/ Unk =Men who have sex with women plus men of unknown sexual orientation Rev. 7/2019

44. Early Syphilis*, Incidence Rates by Gender California, 1990 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

45. Early Syphilis* Incidence Rates by Gender and Age Group (in years) California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

46. Early Syphilis* Incidence Rates for Females by Age Group (in years) California, 2009–2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

47. Early Syphilis* Incidence Rates for Males by Age Group (in years) California, 2009–2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

48. Early Syphilis* Incidence Rates by Gender and Race/Ethnicity California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. AI/AN = American Indian/Alaskan Native, A/PI = Asian/Pacific Islander Rev. 7/2019

49. Early Syphilis*, Female Incidence Rates by Race/Ethnicity and Age Group (in years), California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Note: American Indian/Alaska Native and Asian/Pacific Islander, and race-specific data for ages 0-14 are suppressed as per agency Data De-Identification Guidelines (DDG). Rev. 7/2019

50. Early Syphilis*, Male Incidence Rates by Race/Ethnicity and Age Group (in years), California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Note: American Indian/Alaska Native and Asian/Pacific Islander, and race-specific data for ages 0-14 are suppressed as per agency Data De-Identification Guidelines (DDG). Rev. 7/2019

51. Early Syphilis* Incidence Rates for Females by Race/Ethnicity California, 2009–2018 Note: AI/AN = American Indian/Alaska Native, A/PI = Asian/Pacific Islander. Race/ethnicity “Not Specified” ranged from 0% to 7.5% of cases for females in any given year. * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

52. Early Syphilis* Incidence Rates for Males by Race/Ethnicity California, 2009–2018 Note: AI/AN = American Indian/Alaska Native, A/PI = Asian/Pacific Islander. Race/ethnicity “Not Specified” ranged from 1.9% to 8.2% of cases for males in any given year. * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

53. HIV Status among Early Syphilis* Cases Men who Have Sex with Men † California, 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. † Includes men who have sex with men only and men who have sex with men and women. Note: N does not include HIV status unknown or refused to state: 585 cases in 2018. Rev. 7/2019

54. HIV PrEP Use among Early Syphilis* Cases HIV Negative Men who Have Sex with Men † California Project Area ‡ , 2018 * Early syphilis Includes primary, secondary, and early non-primary non-secondary syphilis. † Includes men who have sex with men only and men who have sex with men and women. ‡ California Project Area (CPA) excludes Los Angeles and San Francisco. Note: PrEP = Pre-exposure prophylaxis. N does not include PrEP status unknown or refused to state: 381 cases in 2018. Rev. 10/2019

55. Early Syphilis* Incidence Rates by Sex, Gender of Sex Partners † , and HIV Status, California, 2018 * Early syphilis Includes primary, secondary, and early non-primary non-secondary syphilis. † MSM includes men who have sex with men only and men who have sex with men and women. Rev. 10/2019

56. Percent of Interviewed Early Syphilis* Cases who Reported Meeting Sex Partners at Specified Venues, among Men who Have Sex with Men † , California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. † Includes men who have sex with men only and men who have sex with men and women. Rev. 7/2019

57. Percent of Interviewed Early Syphilis* Cases who Reported Meeting Sex Partners at Specified Venues, among Men who Have Sex with Women, California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

58. Percent of Interviewed Early Syphilis* Cases who Reported Meeting Sex Partners at Specified Venues, among Females, California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Note: Excluded Bathhouses/Sex Clubs as percent ranged from 0-0.4 per year. Rev. 7/2019

59. Percent of Interviewed Early Syphilis* Cases who Reported Methamphetamine Use, by Sexual Orientation † , California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. † MSM=Men who have sex with men only MSW=Men who have sex with women only MSM&W=Men who have sex with men and women Rev. 7/2019

60. Early Syphilis* Incidence Rates for Males by Gender of Sex Partners † California, 2013–2018 Note: American Community Survey (ACS) data from 2009-2013: % MSM = 5.7% ‡ * Includes primary, secondary, and early non-primary non-secondary syphilis. † MSM = Men who have sex with men only and men who have sex with men and women ‡ Grey et al. Estimating the Population Sizes of Men Who Have Sex With Men in US States and Counties Using Data From the American Community Survey. 2016. JMIR Public Health Surveillance . https://publichealth.jmir.org/2016/1/e14/ Rev. 10/2019

61. Congenital Syphilis California STD Surveillance 2018

62. Congenital Syphilis California Incidence Rates, 1940 – 2018 Rev. 7/2019

63. Congenital Syphilis, California versus United States Incidence Rates, 1963 – 2018 * The most recent national level data available. Note: The Modified Kaufman Criteria were used through 1989. The CDC Case Definition (MMWR 1989; 48: 828) was used effective January 1, 1990. California data prior to 1985 include all cases of congenital syphilis, regardless of age. Rev. 10/2019

64. Congenital Syphilis Incidence Rates by County, California, 2018 Note: Rates are based on very small numbers of cases. Rev. 7/2019

65. Congenital Syphilis Number of Cases by County, California, 2018 Rev. 7/2019

66. Ranking of County Congenital Syphilis Rates California, 2018 (with 95% Confidence Intervals*) * Confidence intervals were calculated using exact Clopper -Pearson method; excludes counties with no cases. Note: Rates are per 100,000 live births. Source: California Department of Public Health, STD Control Branch Rev. 7/2019

67. Congenital Syphilis Cases by Vital Status and Presence of Signs/Symptoms California, 2009–2018 Note: Alive, no signs/symptoms includes alive with missing documentation on signs/symptoms. Of the 329 total cases in 2018, 276 alive with no signs, 31 alive with signs of CS, 22 stillbirth or neonatal death Rev. 7/2019

68. Congenital Syphilis Stillbirths California, 2011–2018 Rev. 7/2019

69. Congenital Syphilis California, 1990–2018 Rev. 7/2019

70. Congenital Syphilis versus Female Primary & Secondary Syphilis Incidence Rates, 1980 – 2018 Rev. 7/2019

71. Early Syphilis* Incidence among Females of Childbearing Age (15-44) & Congenital Syphilis Incidence by County, California, 2018 Female Early Syphilis Rates Congenital Syphilis Rates * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

72. Congenital Syphilis Cases versus Female Early Syphilis* Incidence Rates, California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

73. Congenital Syphilis Cases versus Female Early Syphilis* Cases by Pregnancy Status California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

74. Congenital Syphilis Cases versus Females of Childbearing Age (15-44) Early Syphilis* Cases by Pregnancy Status California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

75. Congenital Syphilis Cases versus Female Syphilis* Cases by Pregnancy Status California, 2009 – 2018 * Includes primary, secondary, early non-primary non-secondary, and unknown duration or late syphilis. Rev. 7/2019

76. Female Early Syphilis* and Congenital Syphilis Cases California, 2009 – 2018 * Includes primary, secondary, and early non-primary non-secondary syphilis. Rev. 7/2019

77. Female Syphilis* and Congenital Syphilis Cases California, 2009 – 2018 * Includes primary, secondary, early non-primary non-secondary, and unknown duration or late syphilis. Rev. 7/2019

78. Congenital Syphilis Incidence Rates by Race/Ethnicity of Mother California, 2009–2018 Note: A/PI = Asian/Pacific Islander Data excluded for American Indian/Alaska Native due to small numbers of cases causing unstable rates. Rev. 7/2019

79. Congenital Syphilis Incidence Rates by Race/Ethnicity of Mother California, 2018 Note: Data excluded for American Indian/Alaska Native due to small numbers of cases causing unstable rates. Rev. 7/2019

80. Congenital Syphilis Number of Cases by Race/Ethnicity of Mother California, 2018 Note: Data excluded for American Indian/Alaska Native and unknown race/ethnicity due to small numbers of cases. Rev. 7/2019