Scotland s Sexual Health Information, SSHI 21 Health Protection Scotland Slide Set
Data on positive diagnoses of selected STIs, including HIV, are reported from all microbiological laboratories throughout Scotland These include data on: Age, Gender, NHS board of diagnosis/treatment
Chlamydia trachomatis infection The following slides present the data based on the laboratory positive reports of Chlamydia trachomatis (genital chlamydia) received by Health Protection Scotland.
Genital chlamydia infection in Scotland, 2-29 14 12 1 Number 8 6 4 2 2 21 22 23 24 25 26 27 28 29 Year Women - All Men - All Women - GUM Men - GUM
Genital chlamydia infection in Scotland, by age and gender, 2-29 5 45 4 35 3 35 25 N u m b e r 3 25 2 Num ber 2 15 15 1 5 1 5 2 21 22 23 24 25 26 27 28 29 2 21 22 23 24 25 26 27 28 29 Year 15-19 2-24 25-34 35-44 > 45 Year 15-19 2-24 25-34 35-44 >45 women Data source: laboratory reports men
Rates of diagnosis of genital chlamydia in men and women by NHS board, Scotland, 29 NHS board Glsgw & Clyde Forth Valley Tayside Lothian Dmfr & Gall SCOTLAND Grampian Fife Lanarkshire Borders Highland Orkney Ayr & Arran Western Isles Women Men 5 1 15 2 25 3 35 4 45 5 55 6 65 7 75 8 Rate per 1, Data source: laboratory reports. The denominator is the male and female population aged 15-64 from the mid-year population data for 29 available from GROS These data are based on laboratory reports by NHS board of diagnoses and treatment.
Rates of diagnosis of genital chlamydia in those aged less than 25 by gender and NHS board, Scotland, 29 NHS board Dmfr & Gall Glsgw & Clyde Forth Valley Lothian Tayside Borders Lanarkshire Grampian Fife Highland Ayr & Arran Women Orkney Men Western Isles 25 5 75 1 125 15 175 2 225 Rate per 1,
Chlamydia trachomatis infection The following slides present data on chlamydia testing. The data on testing are currently collected from the laboratories using a proforma. These data are used to inform the NHS QIS Sexual Health Services Standards and the Key Clinical Indicator: What is the proportion of the population within each NHS Board having a chlamydia test and the proportion of those tests which are positive. The data are analysed by gender and stratified by age. http://www.isdscotland.org/isd/541.html
Chlamydia testing in Scotland, 25-29 Number of tests 225 2 175 15 125 1 75 5 25 Women Men Women <25 Men <25 25 26 27 28 29 Year Data source: chlamydia testing laboratories
Rates of chlamydia testing in those aged 15-24 by gender and NHS board, 29 Rate per 1 women Rate per 1 men 4 35 3 25 2 15 1 5 Rate per 1 Ayr&Arran Borders Dumfr&Gall Fife Forth Valley Grampian Grtr Glsgow&Clyde Highland Lanarkshire Lothian Tayside NHS board of testing Data source: chlamydia testing laboratories
Number of chlamydia tests and proportion positive in men and women by five-year age band, 29 7 14 25 16 Number of tests 6 5 4 3 2 1 Total tests Proportion positive 12 1 8 6 4 2 Proportion positive Num ber of tests 2 15 1 5 Total tests Proportion positive 14 12 1 8 6 4 2 Prop ortion p ositive 15-19 2-24 25-29 3-34 35-39 4-44 45-49 5+ 15-19 2-24 25-29 3-34 35-39 4-44 45-49 5+ Age group Age group Women Men Data source: chlamydia testing laboratories
Neisseria gonorrhoeae The following slides present the data based on the laboratory positive episodes of Neisseria gonorrhoeae (gonorrhoea) received by Health Protection Scotland.
Laboratory reports of episodes of gonorrhoea by gender, Scotland 2-29 12 1 Men Women Total 8 Number 6 4 2 1999 2 21 22 23 24 25 26 27 28 29 Year Data source: Laboratory reports
Episodes of gonorrhoea infection in Scotland, by age and gender, 2-29 12 3 1 25 8 2 N u m b e r 6 4 N u m b e r 15 1 2 2 21 22 23 24 25 26 27 28 29 Year 5 2 21 22 23 24 25 26 27 28 29 Year 15-19 2-24 25-34 35-44 >45 15-19 2-24 25-34 35-44 >45 women men Data source: laboratory reports
Rates of diagnosis of gonorrhoea by gender and NHS board, Scotland, 29 Glsgw & Clyde Lothian NHS board Tayside SCOTLAND Grampian Lanarkshire Fife Forth Valley Highland Dmfr & Gall Ayr & Arran Borders Men Women 5 1 15 2 25 3 35 4 45 5 55 6 65 Rate per 1, Data source: laboratory reports The denominator is the male and female population aged 15-64 from the mid-year population data for 29 available from GROS These data are based on laboratory reports by NHS board of diagnoses and treatment.
Proportion of gonococcal isolates that are resistant to ciprofloxacin by NHS board of diagnosis and treatment, 2 Grampian Lothian Fife Greater Glasgow & Clyde NHS board Forth Valley Lanarkshire Highland Dumfries & Galloway Ayrshire & Arran Tayside 1 2 3 4 5 6 7 8 % ciprofloxacin resistance Data source: laboratory reports from the Scottish Bacterial Sexually Transmitted Infection Reference Laboratory, SBSTIRL The data represent NHS boards where more than five isolates were reported in 29
Herpes simplex virus infection The following slides present the data based on the laboratory positive reports of Herpes simplex virus (genital herpes) received by Health Protection Scotland. Note that it is not possible to distinguish between a primary and a recurrent infection using the laboratory data, thus, these data reflect all cases that have been diagnosed with genital herpes. For data on first occurrence of genital herpes in the genitourinary medicine (GUM) clinic setting, please refer to the data on the ISD website available at: http://www.isdscotland.org/isd/497.html
Laboratory reports of genital herpes by gender, Scotland 2-29 2 18 16 Women Men 14 Number 12 1 8 6 4 2 2 21 22 23 24 25 26 27 28 29 Year Data source: Laboratory reports
Genital herpes infection in Scotland, by age and gender, 2-29 6 3 5 25 4 2 Num ber 3 Num ber 15 2 1 1 5 2 21 22 23 24 25 26 27 28 29 2 21 22 23 24 25 26 27 28 29 Year Year 15-19 2-24 25-34 35-44 >45 15-19 2-24 25-34 35-44 >45 women men Data source: laboratory reports
Rates of diagnosis of genital herpes by gender and NHS board, Scotland, 29 NHS board Dmfr & Gall Tayside Grampian Lothian Glsgw & Clyde Borders SCOTLAND Highland Ayr & Arran Fife Forth Valley Orkney Lanarkshire Shetland Western Isles Women Men 25 5 75 1 125 15 175 2 225 Rate per 1, Data source: laboratory reports. The denominator is the male and female population aged 15-64 from the mid-year population data for 29 available from GROS These data are based on laboratory reports by NHS board of diagnoses and treatment.
INFECTIOUS SYPHILIS The following slides present the data based on the reports of infectious syphilis received by Health Protection Scotland. This is an enhanced surveillance system, the National Enhanced Surveillance of Infectious Syphilis Scotland (NESISS), and both epidemiological and laboratory data are collected on all infectious cases.
Infectious syphilis by sexual orientation, Scotland, 22 29 225 2 175 Heterosexual Women Heterosexual Men MSM 15 Number 125 1 75 5 25 22 23 24 25 26 27 28 29 Year Data source: National Enhanced Surveillance of Infectious Syphilis in Scotland, NESISS
Location where syphilis infection was acquired, by sexual orientation, 29 1% Scotland Rest of UK Rest of Europe Rest of World Multiple locations Unknown 9% 8% Proportion (%) 7% 6% 5% 4% 3% 2% 1% % Heterosexual women Heterosexual men MSM Sexual orientation Data source: NESISS
Infectious syphilis among men who have sex with men by GUM clinic of diagnosis, Scotland, Jan 24 Dec 29 7 6 5 Number 4 3 2 1 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 24 25 26 27 28 29 Year & Quarter Greater Glasgow & Clyde Lothian Rest of Scotland Total Data source: NESISS
Proportion of MSM with infectious syphilis who are co-infected with HIV, 22-29 1% % HIV positive % HIV negative 8% Proportion (%) 6% 4% 2% % 22 23 24 25 26 27 28 29 Year Data source: NESISS
Proportion of MSM with infectious syphilis where oral sex is the likely route of transmission, 22-29 1% % Yes % No 8% Proportion (%) 6% 4% 2% % 22 23 24 25 26 27 28 29 Year Data source: NESISS
Infectious Syphilis in MSM, 29; no. of reported contacts No. of Contacts No. of cases reporting Total no. of contacts No. Traceable Contacts % Traced 1 to 4 89 177 114 64 5 to 9 12 71 26 37 1 to 19 7 75 15 2 2-29 2 45 5 11 Total 11 368 16 43 Data source: NESISS
HIV The following slides present data based on: (i) new reports of HIV infection and; (ii) data on those undergoing HIV testing received by Health Protection Scotland.
HIV Testing 45 4 35 3 GUM Non-GUM Total Number 25 2 15 1 5 1999 2 21 22 23 24 25 26 27 28 Year Data on individuals accepting named test in NHS Grampian, NHS Tayside, NHS Lothian, NHS Greater Glasgow& Clyde
HIV prevalence in different exposure categories, Scotland, 28 Group Setting Year % Positive IDU All Clinics 28.5 Heterosexual (UK Exposure) Heterosexual (African Exposure) All Clinics 28.1 All Clinics 28 7.3 Pregnant Women via Guthrie card 28.9 MSM All Clinics 28 3.1 Data source: Health Protection Scotland
HIV infected persons by transmission category and year of report, Scotland, 2-29 5 45 4 35 MSM Heterosexual contact IDU Other/under investigation Total Number 3 25 2 15 1 5 2 21 22 23 24 25 26 27 28 29 Year Data source: Health Protection Scotland
HIV diagnoses, AIDS registrations and deaths and individuals undergoing CD4 monitoring by year of report/death in Scotland, 1992-29 HIV/AIDS Reports & Deaths 5 45 4 35 3 25 2 15 1 5 Combination therapy available 1996 35 3 25 2 15 1 5 Individuals undergoing CD4 monitoring 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 24 25 26 27 28 29 Year HIV diagnoses AIDS registrations Deaths AIDS deaths CD4 Persons monitored Data source: Health Protection Scotland