STI, BBV and HIV Epidemiology Update Period Ending 2 nd Quarter 2020 Byron Minas and Kellie Mitchell Communicable Disease Control Directorate Department of Health
Number of chlamydia, gonorrhoea, unspecified hepatitis B & unspecified hepatitis C notifications in WA by time period 14,000 11,477.0 Time period comparison 11,498 Infection 11,170 5 year mean 2018/2019 12,000 Chlamydia Comparable Comparable Gonorrhoea 25% increase Comparable 10,000 Number of notifications Hepatitis B (unsp.) 15% decrease Comparable Hepatitis C (unsp.) 17% decrease 8% decrease 8,000 6,000 3,884 3,755 3,099.8 4,000 960.6 2,000 524.0 873 800 449 446 0 Chlamydia Gonorrhoea Hepatitis B (Unspecified) Hepatitis C (Unspecified) Infection 5 yr mean 2018/2019 2019/2020 2
Number of infectious syphilis, newly acquired hepatitis B & newly acquired hepatitis C notifications in WA by time period 700 627 Time period comparison Infection 5 year mean 2018 600 Infectious syphilis Doubled 20% increase 523 Hepatitis B (new acq.) Comparable 47% decrease 500 Number of notifications Hepatitis C (new acq.) Comparable 12% increase 400 314.4 300 136.0 200 127 113 100 24.6 30 16 0 Infectious syphilis Hepatitis B (Newly acquired) Hepatitis C (Newly acquired) Infection 5 yr mean 2018/2019 2019/2020 3
Number of STI and COVID-19 notifications in WA by time period 1,400 80 Number of chlamydia, gonorrhoea and COVID-19 Number of infectious syphilis notifications 70 1,200 60 1,000 50 notifications 800 40 600 30 400 20 200 10 0 0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2018 2019 2019 2020 Year and month Chlamydia Gonorrhoea COVID-19 Infectious syphilis 4
STI testing rate, notification rate and test positivity in WA by time period Chlamydia and gonorrhoea Infectious syphilis Testing rate per 1,000 population Testing rate per 1,000 population 250 700 50 30 45 600 Notification rate per 100,000 population Notification rate per 100,000 population 25 200 40 Test positivity per 1,000 tests Test positivity per 1,000 tests 500 35 20 150 30 400 25 15 300 100 20 10 15 200 50 10 5 100 5 0 0 0 0 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 2018 2019 2020 2018 2019 2020 Year and quarter Year and quarter Testing rate per 1,000 pop. Test positivity per 1,000 tests Notification rate per 100,000 pop. Testing rate per 1,000 pop. Test positivity per 1,000 tests Notification rate per 100,000 pop. 5
Infectious syphilis testing rate, notification rate and test positivity in WA by time period Metro area Non-metro area Testing rate per 1,000 population Testing rate per 1,000 population 60 50 50 25 45 45 Notification rate per 100,000 population 50 Notification rate per 100,000 population 40 40 20 Test positivity per 1,000 tests Test positivity per 1,000 tests 35 35 40 30 30 15 30 25 25 20 20 10 20 15 15 10 10 5 10 5 5 0 0 0 0 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 2018 2019 2020 2018 2019 2020 Year and quarter Year and quarter Testing rate per 1,000 pop. Test positivity per 1,000 tests Notification rate per 100,000 pop. Testing rate per 1,000 pop. Test positivity per 1,000 tests Notification rate per 100,000 pop. 6
Proportion of infectious syphilis notifications by area, exposure category and time period 100% 1% 1% 5% 5% 8% 10% 1% 5% 16% 90% 2% 4% 4% 80% 43% Proportion of notifications 47% 48% 49% 53% 70% 67% 60% 2% 87% 81% 76% 67% 2% 50% 78% 7% 61% 5% 15% 7% 5% 40% 3% 12% 15% 30% 6% 3% 43% 20% 40% 39% 33% 32% 24% 10% 17% 18% 13% 13% 11% 10% 0% 2014/2015 2015/2016 2016/2017 2017/2018 2018/2019 2019/2020 2014/2015 2015/2016 2016/2017 2017/2018 2018/2019 2019/2020 Metro Non-metro Area and time period Male hetero MSM Male unknown Female 7
Proportion of infectious syphilis notifications diagnosed during pregnancy by area and time period 100% 90% 80% Proportion of notifications 70% 74% 60% 78% 82% 88% 89% 91% 91% 92% 94% 96% 50% 100% 100% 40% 30% 20% 26% 10% 22% 18% 12% 11% 9% 9% 8% 6% 4% 0% 0% 0% 2014/2015 2015/2016 2016/2017 2017/2018 2018/2019 2019/2020 2014/2015 2015/2016 2016/2017 2017/2018 2018/2019 2019/2020 Metro Non-metro Area and time period Pregnant Not pregnant/unknown 8
Epi curve of infectious syphilis notifications among Aboriginal people in outbreak regions in WA, January 2011 to June 2020 25 Kimberley Pilbara Goldfields Outbreak commenced in the Goldfields 20 Number of notifications 15 Outbreak commenced in the Outbreak Pilbara commenced in the Kimberley 10 5 0 Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Mar May 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Year and month 9
HIV 10
Number of HIV notifications in WA from 2015/16 to 2019/20 11
Crude HIV notification rate in WA by sex from 2015/16 to 2019/20 12
Number of HIV notifications in WA by exposure category from 2015/16 to 2019/20 13
Number of male HIV notifications in WA by exposure category from 2015/16 to 2019/20 14
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