Sexually Transmitted Diseases, Hepatitis C and HIV Epidemiology in North Dakota

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1 Sexually Transmitted Diseases, Hepatitis C and HIV Epidemiology in North Dakota Sarah Weninger, MPH HIV.STD.Viral Hepatitis Prevention Coordinator Great Plains Area Indian Health Service Public Health Training Conference August 5, MFMER slide-1

2 Chlamydia 2014 MFMER slide-2

3 Compared to 2014, Chlamydia Decreased by 6.8% in ,000 3,500 3,000 2,912 2,944 3,417 3,183 2,500 2,451 Number of Cases 2,000 1,500 1, Year 2014 MFMER slide-3

4 Each Year for the Past 5 Years, about 64% of all Chlamydia Cases were Female Male 36% Male 36% Female 64% Female 64% 2014 MFMER slide-4

5 6 in10 Chlamydia Infections are Between yrs Female Male 800 Number of Cases Age Group 2014 MFMER slide-5

6 Chlamydia Rates Decreased by 18.6% from 2014 to 2015 in American Indians American Indian / Alaskan Native Black / African American Asian White Cases Per 100, Year MFMER slide-6

7 Sioux County Reported the Highest Chlamydia Rate in MFMER slide-7

8 Interesting Chlamydia Facts in ND Diagnosing Facility: Chlamydia cases in 2015 diagnosed at: 59% at a private clinic/hospital; 25% at family planning/pregnancy clinics and 9% tribal/ihs facilities and 7% at other facilities. Treatment: Tribal IHS: 42 of 284 (14.8%) Reported as Not Treated All CT Cases: 108 (3.4%) Not treated Interviewed: 61% chlamydia cases were interviewed at IHS. All ND Chlamydia Cases Interviewed: 56 % Reminder: The NDDoH only interviews pregnant women, those diagnosed with PID and cases under 14 yrs. HIV Testing: 32.4% were tested for HIV at time of chlamydia diagnosis across ND 61.3% of chlamydia cases at IHS are tested for HIV 2014 MFMER slide-8

9 Gonorrhea 2014 MFMER slide-9

10 Gonorrhea has Increased 174% Over the Past 5 Years. Number of Cases Year 2014 MFMER slide-10

11 Compared to Chlamydia, a Higher Proportion of Gonorrhea Infections are Diagnosed Among Males Male 45% Male 45% Female 55% Female 55% 2014 MFMER slide-11

12 In 2015, Most Gonorrhea Cases Reported Among those Yrs Female Male Number of Cases Age Group 2014 MFMER slide-12

13 73% of Gonorrhea Cases are Diagnosed in Those < 30 Yrs. 140 Male Female Number of Cases < Age Group, Years 2014 MFMER slide-13

14 The Rate of Gonorrhea is 7X Higher Among Native Americans than the ND Rate. Cases Per 100, American Indian / Alaskan Native Black / African American Hispanic ( all races) Asian White Year MFMER slide-14

15 Rolette County has the Highest Rate of Gonorrhea in ND MFMER slide-15

16 Interesting GC Facts in ND Diagnosing Facility: Gonorrhea cases in 2015 diagnosed at: 56% at a private clinic/hospital; 22% at tribal/ihs facilities, 18% at family planning/pregnancy clinics and 4% at other facilities. Treatment: Tribal IHS: 29 of 154 (18.8%) Reported as Not Treated All GC Cases: 96 (13.9%) Not treated Interviewed: IHS: 48% gonorrhea cases were interviewed. All ND Gonorrhea Cases Interviewed: 64 % HIV Testing: All ND Gonorrhea Cases Tested for HIV: 38.7% 61.3% of gonorrhea cases at IHS are tested for HIV 2014 MFMER slide-16

17 Syphilis 2014 MFMER slide-17

18 Syphilis Continues to be a Concern in ND Primary, Secondary, Early Latent All Stages 51 Number of Cases Year 2014 MFMER slide-18

19 More Cases were Reported Among MSM in 2015 Compared to Male Female Number of Cases Year 2014 MFMER slide-19

20 American Indians and Black/African Americans have Syphilis Rates 10x Higher Than Whites American Indian / Alaskan Native Black / African American White Rate per 100, Year 2014 MFMER slide-20

21 10 Counties in N.D. Reported At Least One Syphilis Case in MFMER slide-21

22 HIV 2014 MFMER slide-22

23 ND has seen an Increase in Reported HIV/AIDS Diagnosis Since Number of Cases AIDS HIV Year Reported 2014 MFMER slide-23

24 The Incidence of HIV/AIDS in ND has Increased 154% since Number of Cases by Gender Year 2014 MFMER slide-24

25 The Average Age of Those Newly Diagnosed with HIV/AIDS was 34 Yrs in Number of Cases < Age Group, Years Age of HIV/AIDS Incident Cases Diagnosed in N.D MFMER slide-25

26 Rates of HIV/AIDS are Highest among Black/African Americans Rate per 100, American Indian / Alaskan Native Black / African American Hispanic (all races) Asian White Native Hawaiian / Pacific Islander Year 2014 MFMER slide-26

27 Half of Newly Diagnosed HIV/AIDS Cases were Born Outside of U.S. in Foreign Born US Born 2014 MFMER slide-27

28 Injection Drug Use is Not a Reported Risk Factor for Newly Diagnosed HIV/AIDS Cases Number of Cases Other/NRI MSM/IDU IDU Heterosexual MSM Year 2014 MFMER slide-28

29 7 Counties Reported At Least One New Case of HIV/AIDS in MFMER slide-29

30 As of December 31, 2015, There are 424 Individuals Living in ND with HIV/AIDS MFMER slide-30

31 Hepatitis C 2014 MFMER slide-31

32 Hepatitis C Cases have Increased by 96% since Number of Cases Year * Includes acute, chronic and resolved infections 2014 MFMER slide-32

33 More Males than Females are Diagnosed with Hepatitis C in ND Number of Cases Year Male Female 2014 MFMER slide-33

34 Hepatitis C is Most Often Diagnosed in Young Individuals in ND < Number of Cases Year 2014 MFMER slide-34

35 Native Americans have the Highest Rate of Hepatitis C in ND American Indian / Alaskan Native Black / African American White Hispanic ( all races) Rate Per 100, Year 2014 MFMER slide-35

36 Sioux County Reported the Highest Rate of Hepatitis C in ND in MFMER slide-36

37 Program Contact Information Sarah Weninger, MPH HIV.STD.Viral Hepatitis Prevention Coordinator Lindsey VanderBusch, MPH HIV.STD.TB.Viral Hepatitis Program Manager Dee Pritschet HIV Surveillance Coordinator MFMER slide-37

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