The Hong Kong STD/AIDS update is a composite report on HIV/AIDS. reporting and STI caseload statistics published 3 monthly.

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1 Centre for Health Protection, Department of Health Vol. 16 No. 4 Quarter The Hong Kong STD/AIDS update is a composite report on HIV/AIDS reporting and STI caseload statistics published 3 monthly. The current issue has the updated information up to December SPP Surveillance Team: Dr. Kenneth CHAN Ms SL CHENG Correspondence to: Special Preventive Programme, Centre for Health Protection, Department of Health c/o Red Ribbon Centre, 2/F Wang Tau Hom Jockey Club Clinic, 200 Junction Road East, Kowloon, Hong Kong Tel: (852) Fax: (852) aids@dh.gov.hk

2 List of Tables / Figures Page no. 1 Number of HIV/AIDS reported Table 1.1 Summary table on the reported number of HIV/AIDS Chart 1.1 Number of HIV/AIDS reported 2 Gender distribution of reported HIV/AIDS Table 2.1 Gender distribution of reported HIV Chart 2.1 Gender distribution of reported HIV by quarter Chart 2.2 Gender distribution of reported HIV by year Table 2.2 Gender distribution of reported AIDS Chart 2.3 Gender distribution of reported AIDS by quarter Chart 2.4 Gender distribution of reported AIDS by year 3 Ethnicity of reported HIV/AIDS Table 3.1 Distribution of ethnicity of reported HIV Chart 3.1 Distribution of ethnicity of reported HIV Table 3.2 Distribution of ethnicity of reported AIDS Chart 3.2 Distribution of ethnicity of reported AIDS 4 Age distribution of reported HIV/AIDS Table 4.1 Age distribution of reported HIV Chart 4.1 Age distribution of reported HIV Chart 4.2 Age group & gender of total reported HIV Table 4.2 Age distribution of reported AIDS Chart 4.3 Age distribution of reported AIDS Chart 4.4 Age group & gender of total reported AIDS 5 Exposure categories of reported HIV/AIDS Table 5.1 Exposure categories of reported HIV Chart 5.1 Exposure categories of reported HIV Table 5.2 Exposure categories of reported AIDS Chart 5.2 Exposure categories of reported AIDS

3 Page no. 6 Ratio (heterosexual : homosexual / bisexual) of sexually acquired HIV infection in men Table 6.1 Table 6.2 Ratio of sexually acquired infection in men with reported HIV/AIDS (heterosexual : homo / bisexual) by quarter Ratio of sexually acquired infection in men with reported HIV/AIDS (heterosexual : homo / bisexual) by year 7 Injecting drug users in reported HIV/AIDS Table 7.1 Table 7.2 Injecting drug users in reported HIV/AIDS Number of injecting drug user in reported HIV/AIDS by year 8 Source of referral of reported HIV/AIDS Table 8.1 Source of referral of reported HIV Chart 8.1 Source of referral of reported HIV Table 8.2 Source of referral of reported AIDS Chart 8.2 Source of referral of Reported AIDS 9 Distribution of AIDS defining illnesses Table 9.1 Distribution of AIDS defining illness of reported AIDS Chart 9.1 AIDS defining illness of total reported AIDS Chart 9.2 AIDS defining illness of reported AIDS by year 10 Reported sexually transmitted infections (STIs) diagnosed in Social Hygiene Service Table 10.1 Summary table on the reported STIs diagnosed in Social Hygiene Service 11 Gender distribution of reported STIs Table 11.1 Table 11.2 Gender distribution of selected STI reported by Social Hygiene Service Gender distribution of reported STI by clinic 12 Clinic distribution Chart 12.1 Chart 12.2 Number of male client reported in Q by clinic Number of female client reported in Q by clinic

4 1. Number of HIV/AIDS reported Table 1.1 Summary table on the reported number of HIV/AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) HIV AIDS HIV AIDS HIV AIDS HIV AIDS Sex Male ,857 1,010 Female Ethnicity/race Chinese , Non Chinese , Asian White Black Others (to be cont d)

5 Table 1.1 (cont d) This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) HIV AIDS HIV AIDS HIV AIDS HIV AIDS Age at diagnosis Adult ,785 1, Child (age 13 or less) Exposure category Heterosexual , Homosexual , Bisexual Injecting drug use Blood / blood product infusion Perinatal Undetermined (to be cont d)

6 Table 1.1 (Cont d) This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) HIV AIDS HIV AIDS HIV AIDS HIV AIDS Source of referral Public hospitals / clinics / laboratories , Private hospitals / clinics / laboratories , Social Hygiene Clinics AIDS service organisations (AIDS Unit + NGOs) Hong Kong Red Cross Blood Transfusion Service Drug rehabilitation services Total ,832 1,185

7 Chart 1.1 Number of HIV/AIDS reported No. of cases 140 AIDS HIV Year

8 2. Gender distribution of reported HIV/AIDS Table 2.1 Gender distribution of reported HIV This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Male ,857 Female Total ,832

9 Chart 2.1 Gender distribution of reported HIV by quarter Female Male No. of cases Year

10 Chart 2.2 Gender distribution of reported HIV by year No. of cases Male Female Year

11 Table 2.2 Gender distribution of reported AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Male ,010 Female Total ,185

12 Chart 2.3 Gender distribution of reported AIDS by quarter Female Male No. of cases Year

13 Chart 2.4 Gender distribution of reported AIDS by year No. of cases Male Female Year

14 3. Ethnicity of reported HIV/AIDS Table 3.1 Distribution of ethnicity of reported HIV This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Chinese ,202 Non Chinese ,630 Asian White Black Others Total ,832

15 Chart 3.1 Distribution of ethnicity of reported HIV No. of Cases Non-Chinese Chinese Year

16 Table 3.2 Distribution of ethnicity of reported AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Chinese Non Chinese Asian White Black Others Total ,185

17 Chart 3.2 Distribution of ethnicity of reported AIDS No. of Cases Non-Chinese Chinese Year

18 4. Age distribution of reported HIV/AIDS Table 4.1 Age distribution of reported HIV This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Adult ,785 Child (age 13 or less) Total ,832

19 Chart 4.1 Age distribution of reported HIV No. of cases Child (age 13 or less) Adult Year

20 Chart 4.2 Age group & gender of total reported HIV No. of cases < >=60 Unknown Age group Femlae Male

21 Table 4.2 Age distribution of reported AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Adult , Child (age 13 or less) Total ,185

22 Chart 4.3 Age distribution of reported AIDS No. of cases Child (age 13 or less) Adult Year

23 Chart 4.4 Age group & gender of total reported AIDS No. of cases < >=60 Age group Female Male

24 5. Exposure categories of reported HIV/AIDS Table 5.1 Exposure categories of reported HIV This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Heterosexual , Homosexual ,283 Bisexual Injecting drug use Blood / blood product infusion Perinatal Undetermined Total ,832

25 Chart 5.1 Exposure categories of reported HIV No. of Cases Undetermined Perinatal Blood contact Injecting drug use Bisexual Homosexual Heterosexual Year

26 Table 5.2 Exposure categories of reported AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Heterosexual Homosexual Bisexual Injecting drug use Blood / blood product infusion Perinatal Undetermined Total ,185

27 Chart 5.2 Exposure categories of reported AIDS No. of Cases Undetermined Perinatal Blood contact Injecting drug use Bisexual Homosexual Heterosexual Year

28 6. Ratio (heterosexual : homosexual / bisexual) of sexually acquired HIV infection in men Table 6.1 Ratio of sexually acquired infection in men with reported HIV/AIDS (heterosexual : homo / bisexual) by quarter This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) HIV 0.3 : : : : 1 AIDS 0.6 : : : : 1

29 Table 6.2 Ratio of sexually acquired infection in men with reported HIV/AIDS (heterosexual : homo / bisexual) by year HIV 1.9 : : : : : : : : : : : AIDS 5.3 : : : : : : : : : : : 1

30 7. Injecting drug users in reported HIV/AIDS Table 7.1 Injecting drug users in reported HIV/AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) HIV (% of reported HIV) (3.9%) (2.5%) (4.2%) (6.1%) AIDS (% of reported AIDS) (14.3%) (0.0%) (0.0%) (4.1%)

31 Table 7.2 Number of injecting drug user in reported HIV/AIDS by year HIV (% of reported HIV) AIDS (% of reported AIDS) (5.2%) (3.8%) (5.2%) (9.3%) (9.9%) (15.5%) (10.4%) (9.7%) (3.8%) (3.9%) (6.1%) (1.7%) (1.9%) (0.0%) (6.1%) (1.6%) (15.1%) (11.4%) (9.4%) (2.6%) (3.8%) (4.1%)

32 8. Source of referral of reported HIV/AIDS Table 8.1 Source of referral of reported HIV This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Public hospitals / clinics / laboratories , Private hospitals / clinics / laboratories ,075 Social Hygiene Clinics AIDS service organisations (AIDS unit + NGOs) Hong Kong Red Cross Blood Transfusion Service Drug rehabilitation services Total ,832

33 Chart 8.1 Source of referral of reported HIV No. of Cases Drug rehabilitation services Hong Kong Red Cross Blood Transfusion Service AIDS service organisations (AIDS Unit + NGOs) Social Hygiene Clinics Private hospitals / clinics / laboratories Public hospitals / clinics / laboratories Year

34 Table 8.2 Source of referral of reported AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Public hospitals / clinics / laboratories Private hospitals / clinics / laboratories Social Hygiene Clinics AIDS service organisations (AIDS unit + NGOs) Hong Kong Red Cross Blood Transfusion Service Drug rehabilitation services Total ,185

35 Chart 8.2 Source of referral of Reported AIDS No. of Cases Drug rehabilitation services Hong Kong Red Cross Blood Transfusion Service AIDS service organisations (AIDS Unit + NGOs) Social Hygiene Clinics Private hospitals / clinics / laboratories Public hospitals / clinics / laboratories Year

36 9. Distribution of AIDS defining illnesses Table 9.1 Distribution of AIDS defining illness of reported AIDS This quarter Last quarter Same quarter last year Cumulative (Oct - Dec 2010) (Jul - Sep 2010) (Oct - Dec 2009) ( ) Pneumocystis carinii pneumonia Mycobacterium tuberculosis Other fungal infections Penicilliosis Cytomegalovirus diseases Non-TB mycobacterial infections Kaposi's sarcoma Others Total ,185

37 Chart 9.1 AIDS defining illness of total reported AIDS Non-TB mycobacterial infections, 28, 2.4% Kaposi's sarcoma, 27, 2.3% Pneumocystis carinii pneumonia, 465, 39.2% Format: [ ADI; Number; % ] Cytomegalovirus diseases, 53, 4.5% Others, 92, 7.8% Penicilliosis, 94, 7.9% Other fungal infections, 104, 8.8% Mycobacterium tuberculosis infection, 322, 27.2%

38 Chart 9.2 AIDS defining illness of reported AIDS by year No. of cases Others Kaposi's sarcoma Non-TB mycobacterial infections Cytomegalovirus diseases Penicilliosis Other fungal infections Tuberculosis Pneumocystis carinii pneumonia Year

39 10. Reported sexually transmitted infections (STIs) diagnosed in Social Hygiene Service Table 10.1 Summary table on the reported STIs diagnosed in Social Hygiene Service This quarter (Oct - Dec 2010) Last quarter (Jul - Sep 2010) Same quarter last year (Oct - Dec 2009) In year Syphilis Primary Secondary Early latent Late latent Late (cardiovascular / neuro /ocular) Congenital (early) Congenital (late) Syphilis total ,032 (to be cont d)

40 Table 10.1 (Cont d) This quarter (Oct - Dec 2010) Last quarter (Jul - Sep 2010) Same quarter last year (Oct - Dec 2009) In year 2010 Gonorrhoea Non-gonococcal urethritis (Male) ,350 Non-specific genital infection (Female) , Genital wart ,771 Herpes genitalis Pediculosis pubis Trichomonas Genital ulcer Chancroid / Lymphogranuloma venereum Others ,104 Total 2,935 3,178 3,239 12,344

41 11. Gender distribution of reported STIs Table 11.1 Gender distribution of selected STI reported by Social Hygiene Service This quarter (Oct - Dec 2010) Last quarter (Jul - Sep 2010) Same quarter last year (Oct - Dec 2009) In year Primary Syphilis Male (M) Female (F) M:F 10.0 : : : : 1 Gonorrhoea Male (M) Female (F) M:F 6.8 : : : : 1 NGU / NSGI * Male (M) ,350 Female (F) ,988 M:F 1.2 : : : : 1 (to be cont d)

42 Table 11.1 (Cont d) This quarter (Oct - Dec 2010) Last quarter (Jul - Sep 2010) Same quarter last year (Oct - Dec 2009) In year 2010 Genital wart Male (M) ,266 Female (F) M:F 2.1 : : : : Herpes genitails Male (M) Female (F) M:F 1.8 : : : : 1 * NGU = Non-gonococcal urethritis NSGI = Non-specific genital infection

43 Table 11.2 Gender distribution of reported STI by clinic This quarter (Oct - Dec 2010) Last quarter (Jul - Sep 2010) Same quarter last year (Oct - Dec 2009) In year 2010 Male Female Male Female Male Female Male Female Chai Wan Wan Chai , Yau Ma Tei ,202 3,182 Yung Fung Shee Tuen Mun Fanling ITC * Total 1,587 1,348 1,761 1,417 1,792 1,447 6,779 5,565 Remark: # Lek Yuen Clinic was closed since April * Venereal Diseases Clinics in Fanling ITC was commenced operation in part-time basis on by appointment only.

44 12. Clinic distribution Chart 12.1 Number of male client reported in Q by clinic Wan Chai, 348, 21.9% Tuen Mun, 137, 8.6% Format : [ Clinic ; Number ; % ] Chai Wan, 35, 2.2% Fangling ITC, 132, 8.3% Yung Fung Shee, 204, 12.9% Yau Ma Tei, 731, 46.1%

45 Chart 12.2 Number of female client reported in Q by clinic Wan Chai, 199, 14.8% Chai Wan, 49, 3.6% Format : [ Clinic ; Number ; % ] Fangling ITC, 132, 9.8% Tuen Mun, 136, 10.1% Yung Fung Shee, 101, 7.5% Yau Ma Tei, 731, 54.2%

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