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Flashcards in STI rates Deck (7)
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1

Gonorrhea

70 per 10,000
- 73% b/w 15-29
Tairawhiti 4x estimated national rate
Increasing male gonorrhoea rates in Auckland (decreasing females)
Male site of specimen: urethral, penile, throat/anorectal (more in males)
Female site of specimen: cervix and vagina
2000 --> 2014 Increasing penicillin and ciprofloxacin resistance (1/2 popn will be resistant)
Slightly higher rates in Maori, but bulk still European

2

Penicillin and Ciprofloxacin resistance

increasing
2000 --> 2014 now 1/2 population resistant
- less able to cure gonnorohea

3

Chlamydia

Steady state (R0 = 1)
629 per 100,000
-83% of cases aged b/w 15-29
Often Asymptomatic
(decreased rates in 2013 due to methodology of data collection)
Gisborne: worst for gonorhoea
- increase in lakes district + Tarawhiti (poorly populated diffuse land with shearing gang)
More youth infected and at a younger age
chlamydia is a heterosexual disease --> but can also appear in gay men
Females: increasing use of primary care contraceptive services --> decreasing rates of chlamydia
vs. men who dont go to doctors
Main Europeans

4

What is the reason for decreasing chlamydia rates in woman?

Increased access of primary health care services re safe sex by females --> decreasing rates of chlamydia in auckland females

5

Syphyllis

R0 > 1 (increasing STI)
significant outbreak since 2013
Predominantly males --> slightly older age group --> gay males

6

Overall rates of genital warts

2013-14: decrease genital warts/herpes
5 year trend 36.8% decrease in case count of genital warts

7

Reasons for decreasing rate of genital warts

Herd immunity provided by woman getting HPV vaccination (gardical)
- soon will include boys funding --> as gay men are missing out on this protection