a three year trend review of early syphilis cases for south carolina
TRANSCRIPT
A Three Year Trend Review
of Early Syphilis Cases
for South Carolina
Early Syphilis Cases by Race/Ethnicity
Race/Ethnicity
2007 2008 2009
White 66 66 67
Black 172 231 262
Hispanic/Other
12 18 27
Total 250 315 356
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Early Syphilis Cases by Gender
Gender 2007 2008 2009
Male(Percent MSM)
199 248 291
Female 51 67 65
Total 250 315 356
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Early Syphilis by Age Group
Age Gp 2007 2008 2009
10-14 0 0 1
15-19 12 24 37
20-24 40 58 71
25-29 32 50 55
30-34 34 28 46
35-39 25 40 33
40-44 44 41 43
45-49 26 28 32
50-54 17 32 12
55+ 20 14 26
Total 250 315 356 4
Early Syphilis by Provider Type1
ProviderType 2007 2008 2009
STD Clinic 40.80 40.32 35.39
Private MD 27.60 23.17 28.65
Corrections 9.60 9.84 10.39
Total 78.00 73.33 74.43
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1 The percentage of 100% of reported morbidity is indicated by year and provider for the major reporting provider types.
Early Syphilis w/HIV Co-infection1
Mode of Exposure 2007 2008 2009MSM/BI (Male) 55 97 116IDU 0 0 2MSM/BI/IDU 4 3 4Hetero 6 7 3NIR/Other (Maternal) 3 6 14
Total 68 113 1391 Co-Infection is defined as a Syphilis Diagnosis after an HIV/AIDS Diagnosis or a Syphilis Diagnosis less than/or up to one year before an HIV/AIDS Diagnosis.
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Early Syphilis w/HIV Co-infection1
1 Co-Infection is defined as a Syphilis Diagnosis after an HIV/AIDS Diagnosis or a Syphilis Diagnosis less than/or up to one year before an HIV/AIDS Diagnosis.
Race/Ethnicity 2007 2008 2009White, NH 18 24 32
Black, NH 48 87 106
Hispanic 0 0 0Other/Unknown 2 3 1
Total 68 114 139
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Current Syphilis Elimination Activities
• Targeted DIS Provider Visits
• Targeted DIS Laboratory Visits
• Follow Up Serologies (on selected persons/cases)
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Current/Future SE Activities
• Continued Building of Partnerships
• Community Outreach and Education
• Innovative Case Management Practices
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Success/Barriers• Success
– Morbidity (+/-)– Stakeholder(s) Investment in Activities
to Reduce Morbidity– Improved Capacities to Provide Early
Intervention
• Barriers– Gatekeeper Trust Issues– Technology (+/-)– Intelligence Transfer 10