Quarterly report on sexually transmitted infections - Quarter 1, 2001

Quarterly report on sexually transmitted infections - Quarter 1, 2001 Item type Authors Rights Report National Disease Surveillance Centre (NDSC) National Disease Surveillance Centre Downloaded 7-Jul-2018 19:18:18 Link to item http://hdl.handle.net/10147/45153 Find this and similar works at - http://www.lenus.ie/hse

\ Quarterly Report on Sexually Transmitted Infections Quarter 1 2001 Report by Lisa Domegan, Sarah Jackson & Mary Cronin The National Disease Surveillance Centre 03 February 2003 The data in this report is provisional and will not be regarded as final until all returns are received and data has been validated

Introduction Fourteen sexually transmitted infections (STIs) are currently notifiable in Ireland: ano-genital warts, candidiasis, chancroid, Chlamydia trachomatis, genital herpes simplex, gonorrhoea, granuloma inguinale, infectious hepatitis B, lymphogranuloma venereum, molluscum contagiosum, non-specific urethritis, Pediculosis pubis, syphilis and trichomoniasis. Aggregate data is collected quarterly from STI clinics including diagnosis, age group, and sex. The number of STIs notified by quarter, health board, age group and sex for quarter 1 (Q1) 2001 are presented in this report. Rates per 100,000 population are based on the 1996 population census and are reported in appendix A. It should be noted that cases of infectious hepatitis B that are sexually transmitted may also be reported through the weekly infectious disease report by NDSC. NDSC would like to thank all those who provided data for this report, particularly the STI Clinics and the Departments of Public Health Summary The total number of notified STIs has increased by 6.93% in Q1 2001, compared to the same quarter in 2000. The three most common notified STIs in Q1 2001 were ano-genital warts, C. trachomatis and non-specific urethritis. The highest increases recorded during Q1 2001, compared to Q1 2000 were for syphilis, gonorrhoea and genital herpes simplex. Notified STIs for Quarter 1 2001 In Q1 2001, 2377 cases of STIs were notified in Ireland, compared to 2223 during the same quarter in 2000 (table 1), representing a 6.93% increase in STI notifications. Notified cases of ano-genital warts, chancroid, C. trachomatis, genital herpes simplex, gonorrhoea, infectious hepatitis B, molluscum contagiosum and syphilis all increased during Q1 2001, compared to Q1 2000. Significantly, notified cases of syphilis increased by 24.5 fold. Notified cases of candidiasis, non-specific urethritis, P. pubis and trichomoniasis decreased, whilst no cases of granuloma inguinale or lymphogranuloma venereum were notified during Q1 2001. The cumulative rate per 100,000 population for all notified STIs increased in Q1 2001 to 65.55 per 100,000; compared to 61.31 per 100,000 in Q1 2000 (figure 1 & appendix A table 9). Table 1: Notified sexually transmitted infections for Q1 2001 and Q1 2000 Sexually Transmitted Infection Quarter 1 2001 Quarter 1 2000 Increase/ Decrease % Increase/ Decrease Ano-Genital Warts 1060 953 107 11.23 Candidiasis 222 317-95 -29.97 Chancroid 1 0 1 Chlamydia Trachomatis 375 309 66 21.36 Genital Herpes Simplex 97 75 22 29.33 Gonorrhoea 86 54 32 59.26 Granuloma Inguinale 0 0 0 0.00 Infectious Hepatitis B 7 0 7 Lymphogranuloma Venereum 0 0 0 0.00 Molluscum Contagiosum 35 33 2 6.06 Non-Specific Urethritis 400 425-25 -5.88 Pediculosis Pubis 30 37-7 -18.92 Syphilis 49 2 47 2350.00 Trichomoniasis 15 18-3 -16.67 Total 2377 2223 154 6.93 Quarterly STI Report NDSC Page 2 Quarter 1 2001

30 Rate per 100,000 Population 25 20 15 10 5 0 Ano-Genital Warts Candidiasis Chancroid Chlamydia Trachomatis Genital Herpes Simplex Gonorrhoea Granuloma Inguinale Infectious Hepatitis B Lymphogranuloma Venereum Molluscum Contagiosum Non-Specific Urethritis Pediculosis Pubis Syphilis Trichomoniasis Q1 2001 Q1 2000 Figure 1: Notified sexually transmitted infections per 100,000 population for Q1 2001 & Q1 2000 Notified STIs by Health Board for Quarter 1 2001 Notified cases of STIs by health board are presented in table 2. It is important to note that STI surveillance is mainly clinic based. At the time these notifications were made there were no STI clinics in the MHB and NEHB. For Q1 2001, 52.25% of all STI notifications were in the ERHA, 0% in the MHB, 10.43% in the MWHB, 0% in the NEHB, 7.70% in the NWHB, 10.10% in the SEHB, 11.02% in the SHB and 8.50% in the WHB. Notified STIs by Age Group for Quarter 1 2001 Notified cases of STIs by age group (years) are presented in table 3. Five percent (129) of notified cases of STIs in Q1 2001 were 0 to 19 years old, 30.92% (735) were 20 to 29, 8.67% (206) were 30 to 39 and 2.52% (60) were aged over 40 years of age. Data represented in table 3 should be interpreted with caution, as the age group data for 52.46% (1247) of cases notified during Q1 2001 was unknown. Rates are presented in appendix A table 10. Quarterly STI Report NDSC Page 3 Quarter 1 2001

Sexually Transmitted Infection Table 2: Notified sexually transmitted infections by health board for Q1 2001 ERHA MHB MWHB NEHB NWHB SEHB SHB WHB Total Ano-Genital Warts 514 0 112 0 83 100 146 105 1060 Candidiasis 113 0 16 0 13 18 17 45 222 Chancroid 1 0 0 0 0 0 0 0 1 Chlamydia Trachomatis 202 0 41 0 19 48 38 27 375 Genital Herpes Simplex 66 0 6 0 3 6 14 2 97 Gonorrhoea 50 0 13 0 5 11 5 2 86 Granuloma Inguinale 0 0 0 0 0 0 0 0 0 Infectious Hepatitis B 6 0 0 0 0 0 1 0 7 Lymphogranuloma Venereum 0 0 0 0 0 0 0 0 0 Molluscum Contagiosum 18 0 1 0 3 8 3 2 35 Non-Specific Urethritis 210 0 51 0 54 46 32 7 400 Pediculosis Pubis 11 0 5 0 2 2 4 6 30 Syphilis 39 0 2 0 1 1 2 4 49 Trichomoniasis 12 0 1 0 0 0 0 2 15 Total 1242 0 248 0 183 240 262 202 2377 Table 3: Notified sexually transmitted infections by age group (years) for Q1 2001 Sexually Transmitted Infection 0-19 20-29 30-39 40+ Unknown Total Ano-Genital Warts 68 370 84 22 516 1060 Candidiasis 18 52 25 13 114 222 Chancroid 0 0 0 0 1 1 Chlamydia Trachomatis 19 129 23 2 202 375 Genital Herpes Simplex 2 18 6 5 66 97 Gonorrhoea 4 20 9 3 50 86 Granuloma Inguinale 0 0 0 0 0 0 Infectious Hepatitis B 0 0 1 0 6 7 Lymphogranuloma Venereum 0 0 0 0 0 0 Molluscum Contagiosum 0 10 5 2 18 35 Non-Specific Urethritis 16 119 43 11 211 400 Pediculosis Pubis 2 10 6 1 11 30 Syphilis 0 5 3 1 40 49 Trichomoniasis 0 2 1 0 12 15 Total 129 735 206 60 1247 2377 Quarterly STI Report NDSC Page 4 Quarter 1 2001

Notified STIs by sex for Quarter 1 2001 During Q1 2001, the majority of all cases of notified STIs were amongst males [53.05% (1261)] whilst 46.61% (1108) were amongst females (table 4). Data was not available for 8 cases. Figure 2 represents the percentage of male and female cases for each of the notifiable STIs, during Q1 2001. The majority of cases of ano-genital warts, gonorrhoea, infectious hepatitis B, molluscum contagiosum, non-specific urethritis, P. pubis and syphilis were amongst males. The majority of cases of candidiasis, chancroid, C. trachomatis, genital herpes simplex and trichomoniasis were amongst females. Rates are presented in appendix A, table 11. Table 4: Notified sexually transmitted infections by sex for Q1 2001 Sexually Transmitted Infection Male Female Unknown Total Ano-Genital Warts 537 523 0 1060 Candidiasis 43 178 1 222 Chancroid 0 1 0 1 Chlamydia Trachomatis 183 191 1 375 Genital Herpes Simplex 35 59 3 97 Gonorrhoea 60 25 1 86 Granuloma Inguinale 0 0 0 0 Infectious Hepatitis B 6 1 0 7 Lymphogranuloma Venereum 0 0 0 0 Molluscum Contagiosum 25 10 0 35 Non-Specific Urethritis 310 89 1 400 Pediculosis Pubis 17 13 0 30 Syphilis 39 10 0 49 Trichomoniasis 6 8 1 15 Total 1261 1108 8 2377 10 0 80 Percentage of STIs 60 40 20 0 Ano-Genital Warts Candidiasis Chancroid Chlamydia Trachomatis Genital Herpes Simplex Gonorrhoea Granuloma Inguinale Infectious Hepatitis B Lymphogranuloma Venereum Molluscum Contagiosum Non-Specific Urethritis Pediculosis Pubis Syphilis Trichomoniasis Total Male Female Unknow n Figure 2: Percentage of notified sexually transmitted infections by sex for Q1 2001 Quarterly STI Report NDSC Page 5 Quarter 1 2001

Notified sexually transmitted infections by quarter and year The total number of notified STIs decreased by 1.3% in Q1 2001, compared to Q4 2000 (table 5). However, the total number of notified STIs for Q1 2001 reached the highest recorded level for the first quarter (Q1) since 1995, increasing from 1122 in 1995 to 2377 in 2001, an increase of 111.9% (table 6) 1. It is also significant that the total number of STIs notified in Q1 2001 is 6.69% higher than the total number of STIs notified in all 4 quarters in 1989 (table 7) 2. In Q1 2001, the number of notified ano-genital warts cases reached the highest level recorded for a single quarter 1 (tables 5 & 6). Notified candidiasis cases have reached the lowest level recorded for a single quarter 1. Notified cases of C. trachomatis have increased significantly since Q1 1999, particularly when the first quarter (Q1) is compared from 1995 to 2001 (table 6 & figure 3). Genital herpes simplex notified cases also increased during Q1 2001, following a decrease during 2000. Gonorrhoea and infectious hepatitis B notified cases have steadily increased since Q2 2000. Nonspecific urethritis notified cases have decreased to their lowest level since Q4 1999. The number of notified cases of P. pubis is higher in Q1 1999, 2000 and 2001 than for previous years. Notified cases of trichomoniasis decreased in Q1 2001, following a decrease in Q4 2000; however, were higher than for the first quarter in 1995 to 1999. The number of notified syphilis cases has increased rapidly since Q1 2000; primarily due to an outbreak of syphilis amongst men who have sex with men in Dublin. This is against a low incidence of syphilis throughout the 1990s, which in 1999 reached its lowest levels in 10 years. In response to this increase the Director of Public Health in the Eastern Regional Health Authority (ERHA) established an outbreak control team in October 2000. An enhanced surveillance system was introduced by NDSC to capture data on all syphilis cases from January 2000. The enhanced surveillance data for syphilis is not presented in this report. 1 Quarterly STI data is only available from Q1 1995. 2 Annual STI data is only available from 1989. Table 5: Notified sexually transmitted infections by quarter from Q1 1999 to Q1 2001 Sexually Transmitted Infection Q1 1999 Q2 1999 Q3 1999 Q4 1999 Q1 2000 Q2 2000 Q3 2000 Q4 2000 Q1 2001 Ano-Genital Warts 762 905 671 711 953 952 832 998 1060 Candidiasis 269 263 273 300 317 262 272 244 222 Chancroid 0 0 0 1 0 3 5 8 1 Chlamydia Trachomatis 169 295 152 253 309 346 310 378 375 Genital Herpes Simplex 94 53 38 90 75 50 74 70 97 Gonorrhoea 21 55 59 40 54 50 96 90 86 Granuloma Inguinale 0 0 1 0 0 0 0 0 0 Infectious Hepatitis B 2 0 0 0 0 0 5 10 7 Lymphogranuloma Venereum 0 0 2 0 0 0 0 0 0 Molluscum Contagiosum 23 29 10 21 33 37 21 27 35 Non-Specific Urethritis 243 389 304 329 425 385 404 512 400 Pediculosis Pubis 35 25 21 32 37 38 25 38 30 Syphilis 2 1 1 2 2 7 21 16 49 Trichomoniasis 10 15 9 13 18 15 27 18 15 Total 1630 2030 1541 1792 2223 2145 2092 2409 2377 Quarterly STI Report NDSC Page 6 Quarter 1 2001

Table 6: Notified sexually transmitted infections for quarter 1 from 1995 to 2001 Sexually Transmitted Infection Q1 1995 Q1 1996 Q1 1997 Q1 1998 Q1 1999 Q1 2000 Q1 2001 Ano-Genital Warts 473 530 658 627 762 953 1060 Candidiasis 309 257 405 361 269 317 222 Chancroid 0 0 0 0 0 0 1 Chlamydia Trachomatis 65 109 121 156 169 309 375 Genital Herpes Simplex 41 42 74 67 94 75 97 Gonorrhoea 21 20 24 16 21 54 86 Granuloma Inguinale 0 0 1 0 0 0 0 Infectious Hepatitis B 1 2 1 0 0 2 0 7 Lymphogranuloma Venereum 0 0 0 1 0 0 0 Molluscum Contagiosum 15 5 26 23 23 33 35 Non-Specific Urethritis 162 166 254 267 243 425 400 Pediculosis Pubis 21 14 21 25 35 37 30 Syphilis 4 2 5 7 2 2 49 Trichomoniasis 9 7 14 10 10 18 15 Total 1122 1153 1603 1560 1630 2223 2377 400 Number of notified cases 350 300 250 200 150 100 50 0 Q1 1995 Q1 1996 Q1 1997 Q1 1998 Q1 1999 Q1 2000 Q1 2001 Quarter & Year Chlamydia Trachomatis Gonorrhoea Syphilis Figure 3: Number of notified cases of C. trachomatis, gonorrhoea and syphilis for quarter 1 from 1995 to 2001 Quarterly STI Report NDSC Page 7 Quarter 1 2001

Table 7: Notified sexually transmitted infections from 1989 to 2001 Sexually Transmitted Infection 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 1 Total Ano-Genital Warts 505 917 1089 1066 1432 1532 1972 2286 2514 2886 3049 3735 1060 24043 Candidiasis 688 1056 1257 1157 1400 1360 1271 1321 1521 1277 1105 1095 222 14730 Chancroid 2 0 0 2 0 2 3 1 1 0 1 16 1 29 Chlamydia Trachomatis 174 215 164 192 315 133 245 364 462 646 869 1343 375 5497 Genital Herpes Simplex 78 123 109 125 124 173 198 181 211 243 275 269 97 2206 Gonorrhoea 27 90 73 51 24 98 91 83 98 125 175 290 86 1311 Granuloma Inguinale 0 0 0 0 6 0 0 1 1 0 1 0 0 9 Infectious Hepatitis B 0 0 0 0 0 0 4 2 0 0 2 15 7 30 Lymphogranuloma Venereum 0 0 0 0 0 0 0 0 5 1 2 0 0 8 Molluscum Contagiosum 31 39 43 44 34 56 59 34 74 84 83 118 35 734 Non-Specific Urethritis 600 738 549 585 756 610 781 823 1034 1083 1265 1726 400 10950 Pediculosis Pubis 60 70 72 70 77 69 86 79 81 105 113 138 30 1050 Syphilis 12 19 20 20 8 11 11 17 16 15 6 46 49 250 Trichomoniasis 51 86 163 41 57 29 60 71 94 38 47 78 15 830 Total 2228 3353 3539 3353 4233 4073 4781 5263 6112 6503 6993 8869 2377 61677 1 2001 data is only for Q1 2001 Table 8: Notified sexually transmitted infections per 100,000 population from 1989 to 2001 1 Sexually Transmitted Infection 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2 Ano-Genital Warts 14.3 26.0 30.9 30.2 40.6 42.3 54.4 63.0 69.3 79.6 84.1 103.0 29.2 Candidiasis 19.5 29.9 35.7 32.8 39.7 37.5 35.1 36.4 42.0 35.2 30.5 30.2 6.1 Chancroid 0.1 0.0 0.0 0.1 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.4 0.0 Chlamydia Trachomatis 4.9 6.1 4.7 5.5 8.9 3.7 6.8 10.0 12.7 17.8 24.0 37.0 10.3 Genital Herpes Simplex 2.2 3.5 3.1 3.6 3.5 4.8 5.5 5.0 5.8 6.7 7.6 7.4 2.7 Gonorrhoea 0.8 2.6 2.1 1.5 0.7 2.7 2.5 2.3 2.7 3.5 4.8 8.0 2.4 Granuloma Inguinale 0.0 0.0 0.0 0.0 0.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Infectious Hepatitis B 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.1 0.0 0.0 0.1 0.4 0.2 Lymphogranuloma Venereum 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.1 0.0 0.0 Molluscum Contagiosum 0.9 1.1 1.2 1.3 1.0 1.5 1.6 0.9 2.0 2.3 2.3 3.3 1.0 Non-Specific Urethritis 17.0 20.9 15.6 16.6 21.4 16.8 21.5 22.7 28.5 29.9 34.9 47.6 11.0 Pediculosis Pubis 1.7 2.0 2.0 2.0 2.2 1.9 2.4 2.2 2.2 2.9 3.1 3.8 0.8 Syphilis 0.3 0.5 0.6 0.6 0.2 0.3 0.3 0.5 0.4 0.4 0.2 1.3 1.4 Trichomoniasis 1.5 2.4 4.6 1.2 1.6 0.8 1.7 2.0 2.6 1.1 1.3 2.2 0.4 Total 63.2 95.1 100.4 95.1 120.1 112.3 131.9 145.1 168.6 179.3 192.9 244.6 65.6 1 Rates for 1989 to 1993 were based on the 1991 population census; rates for 1994 to 2001 was based on the 1996 population census 2 2001 data is only for Q1 2001 Quarterly STI Report NDSC Page 8 Quarter 1 2001

Appendix A Rates of sexually transmitted infections per 100,000 population -based on 1996 population census Table 9: Notified sexually transmitted infections per 100,000 population for Q1 2001 and Q1 2000 Sexually Transmitted Infection Quarter 1 2001 Quarter 1 2000 Increase / Decrease Ano-Genital Warts 29.23 26.28 2.95 Candidiasis 6.12 8.74-2.62 Chancroid 0.03 0.00 0.03 Chlamydia Trachomatis 10.34 8.52 1.82 Genital Herpes Simplex 2.68 2.07 0.61 Gonorrhoea 2.37 1.49 0.88 Granuloma Inguinale 0.00 0.00 0.00 Infectious Hepatitis B 0.19 0.00 0.19 Lymphogranuloma Venereum 0.00 0.00 0.00 Molluscum Contagiosum 0.97 0.91 0.06 Non-Specific Urethritis 11.03 11.72-0.69 Pediculosis Pubis 0.83 1.02-0.19 Syphilis 1.35 0.06 1.29 Trichomoniasis 0.41 0.50-0.09 Total 65.55 61.31 4.24 Table 10: Notified sexually transmitted infections per 100,000 population by age group (years) Q1 2001 Sexually Transmitted Infection 0-19 20-29 30-39 40+ Unknown Total Ano-Genital Warts 5.67 66.98 16.26 1.62 14.23 29.23 Candidiasis 1.50 9.41 4.84 0.96 3.14 6.12 Chancroid 0.00 0.00 0.00 0.00 0.03 0.03 Chlamydia Trachomatis 1.58 23.35 4.45 0.15 5.57 10.34 Genital Herpes Simplex 0.17 3.26 1.16 0.37 1.82 2.68 Gonorrhoea 0.33 3.62 1.74 0.22 1.38 2.37 Granuloma Inguinale 0.00 0.00 0.00 0.00 0.00 0.00 Infectious Hepatitis B 0.00 0.00 0.19 0.00 0.17 0.19 Lymphogranuloma Venereum 0.00 0.00 0.00 0.00 0.00 0.00 Molluscum Contagiosum 0.00 1.81 0.97 0.15 0.50 0.97 Non-Specific Urethritis 1.33 21.54 8.32 0.81 5.82 11.03 Pediculosis Pubis 0.17 1.81 1.16 0.07 0.30 0.83 Syphilis 0.00 0.91 0.58 0.07 1.10 1.35 Trichomoniasis 0.00 0.36 0.19 0.00 0.33 0.41 Total 10.76 133.06 39.88 4.42 34.39 65.55 Quarterly STI Report NDSC Page 9 Quarter 1 2001

Table 11: Notified sexually transmitted infections per 100,000 population by sex for Q1 2001 Sexually Transmitted Infection Male Female Unknown Total Ano-Genital Warts 29.83 28.64 0.00 29.23 Candidiasis 2.39 9.75 0.03 6.12 Chancroid 0.00 0.05 0.00 0.03 Chlamydia Trachomatis 10.17 10.46 0.03 10.34 Genital Herpes Simplex 1.94 3.23 0.08 2.68 Gonorrhoea 3.33 1.37 0.03 2.37 Granuloma Inguinale 0.00 0.00 0.00 0.00 Infectious Hepatitis B 0.33 0.05 0.00 0.19 Lymphogranuloma Venereum 0.00 0.00 0.00 0.00 Molluscum Contagiosum 1.39 0.55 0.00 0.97 Non-Specific Urethritis 17.22 4.87 0.03 11.03 Pediculosis Pubis 0.94 0.71 0.00 0.83 Syphilis 2.17 0.55 0.00 1.35 Trichomoniasis 0.33 0.44 0.03 0.41 Total 70.05 60.68 0.22 65.55 Table 12: Notified sexually transmitted infections per 100,000 population by quarter, Q1 1999 to Q1 2001 Sexually Transmitted Infection Q1 1999 Q2 1999 Q3 1999 Q4 1999 Q1 2000 Q2 2000 Q3 2000 Q4 2000 Q1 2001 Ano-Genital Warts 21.01 24.96 18.50 19.61 26.28 26.25 22.94 27.52 29.23 Candidiasis 7.42 7.25 7.53 8.27 8.74 7.23 7.50 6.73 6.12 Chancroid 0.00 0.00 0.00 0.03 0.00 0.08 0.14 0.22 0.03 Chlamydia Trachomatis 4.66 8.14 4.19 6.98 8.52 9.54 8.55 10.42 10.34 Genital Herpes Simplex 2.59 1.46 1.05 2.48 2.07 1.38 2.04 1.93 2.68 Gonorrhoea 0.58 1.52 1.63 1.10 1.49 1.38 2.65 2.48 2.37 Granuloma Inguinale 0.00 0.00 0.03 0.00 0.00 0.00 0.00 0.00 0.00 Infectious Hepatitis B 0.06 0.00 0.00 0.00 0.00 0.00 0.14 0.28 0.19 Lymphogranuloma Venereum 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 Molluscum Contagiosum 0.63 0.80 0.28 0.58 0.91 1.02 0.58 0.74 0.97 Non-Specific Urethritis 6.70 10.73 8.38 9.07 11.72 10.62 11.14 14.12 11.03 Pediculosis Pubis 0.97 0.69 0.58 0.88 1.02 1.05 0.69 1.05 0.83 Syphilis 0.06 0.03 0.03 0.06 0.06 0.19 0.58 0.44 1.35 Trichomoniasis 0.28 0.41 0.25 0.36 0.50 0.41 0.74 0.50 0.41 Total 44.95 55.98 42.50 49.42 61.31 59.15 57.69 66.44 65.55 Quarterly STI Report NDSC Page 10 Quarter 1 2001

Table 13: Notified sexually transmitted infections per 100,000 population for quarter 1 from 1995 to 2001 Sexually Transmitted Infection Q1 1995 Q1 1996 Q1 1997 Q1 1998 Q1 1999 Q1 2000 Q1 2001 Ano-Genital Warts 13.04 14.62 18.15 17.29 21.01 26.28 29.23 Candidiasis 8.52 7.09 11.17 9.96 7.42 8.74 6.12 Chancroid 0.00 0.00 0.00 0.00 0.00 0.00 0.03 Chlamydia Trachomatis 1.79 3.00 3.34 4.30 4.66 8.52 10.34 Genital Herpes Simplex 1.13 1.16 2.04 1.85 2.59 2.07 2.68 Gonorrhoea 0.58 0.55 0.66 0.44 0.58 1.49 2.37 Granuloma Inguinale 0.00 0.00 0.03 0.00 0.00 0.00 0.00 Infectious Hepatitis B 0.06 0.03 0.00 0.00 0.06 0.00 0.19 Lymphogranuloma Venereum 0.00 0.00 0.00 0.03 0.00 0.00 0.00 Molluscum Contagiosum 0.41 0.14 0.72 0.63 0.63 0.91 0.97 Non-Specific Urethritis 4.47 4.58 7.00 7.36 6.70 11.72 11.03 Pediculosis Pubis 0.58 0.39 0.58 0.69 0.97 1.02 0.83 Syphilis 0.11 0.06 0.14 0.19 0.06 0.06 1.35 Trichomoniasis 0.25 0.19 0.39 0.28 0.28 0.50 0.41 Total 30.94 31.80 44.21 43.02 44.95 61.31 65.55 Quarterly STI Report NDSC Page 11 Quarter 1 2001