STI Surveillance in Northern Ireland 2019: Analysis of Data for Year 2018

This report presents an analysis of sexually transmitted infection (STI) surveillance data in Northern Ireland for the calendar year 2018. It includes trends in diagnoses, sexual health screens, new diagnoses of STIs, chlamydial infection diagnoses, referral sources of specimens, laboratory reports of chlamydia and gonorrhea, and rates of diagnosis by gender and age group from 2006 to 2018.

• STI
• Surveillance
• Northern Ireland
• Data Analysis
• Sexual Health

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1. STI surveillance in Northern Ireland 2019 An analysis of data for the calendar year 2018

2. STI surveillance in Northern Ireland An analysis of data for the calendar year 2018 http://www.publichealthagency.org/directorate-public-health/health- protection/sexually-transmitted-infections

3. Trends in diagnoses and sexual health screens made in Northern Ireland GUM Clinics, 2006-2018

4. Trends in new diagnoses of STIs in Northern Ireland GUM clinics, 2006-2018

5. Diagnoses of chlamydial infection in Northern Ireland, 2006-2018

6. Rates of diagnosis of chlamydial infection in Northern Ireland by gender and age group, 2006-2018 Rates have been recalculated from 2012 as a result of new coding within GUMC clinic

7. Referral source of genital Chlamydia trachomatis specimens, 20062018 Referral Source 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 TOTAL 720 (26.1) 894 (29.7) 979 (29.0) 1025 (30.3) 1124 (33.5) 1096 (34.3) 1207 (37.1) 1102 (35.2) 1093 (33.9) 1028 (35.8) 977 (32.8) 968 (33.5) 911 (29.7) GP Number (%) 13,124 Other 2,036 2,121 2,396 2,353 2,231 2,104 2,044 2,023 2,130 1,836 1,998 1,921 2,152 27,345 Total 2,756 3,015 3,375 3,378 3,355 3,200 3,251 3,125 3,223 2,864 2,975 2,889 3,063 40,469

8. Laboratory reports of genital Chlamydia trachomatis, by age and gender, 2006 2018

9. Diagnoses of gonorrhoea in Northern Ireland, 20062018

10. Rates of diagnosis of gonorrhoea in Northern Ireland, by gender and age group, 2006 2018 Rates have been recalculated from 2012 t as a result of new coding within GUMC clinic

11. Number of diagnoses of gonorrhoea by sexual orientation in Northern Ireland, 2006-2018

12. Neisseria gonorrhoeae antibiotic susceptibility reported activity for antibiotics, 2018 Susceptible Resistant Intermediate Total specimens Reported Antibiotics Number Percentage 305 1 385 214 169 68 Number 33 0 0 138 114 131 Percentage 8.7 0 0 39.2 38.5 38.8 Number 43 0 0 0 13 139 Percentage 11.3 0 0 0.0 4.4 41.1 Number 381 1 385 352 296 338 Percentage 100 100 100 100 100 100 Azithromycin Cefotaxime Ceftriaxone Ciprofloxacin Doxycycline Penicillin 80.1 100 100 60.8 57.1 20.1 Source: Regional Cosurv

13. Diagnoses of genital herpes in Northern Ireland, 20062018

14. Rates of diagnosis of genital herpes (first episode) in Northern Ireland, by age and gender, 2006 2018

15. Diagnoses of genital warts in Northern Ireland, 20062018

16. Rates of diagnosis of genital warts (first episode) in Northern Ireland, by age and gender, 2006 2018

17. Number of syphilis* diagnoses in Northern Ireland, by gender and sexual orientation, 2001-2018 *Primary, secondary & early latent syphilis

18. Age distribution of syphilis* diagnoses in Northern Ireland, by gender and sexual orientation, 2001 2018 *Primary, secondary & early latent syphilis

19. Stage of disease, by year of diagnosis, 2001-2018