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CDC: Chlamydia Rates in the Cleveland-Elyria-Mentor Area Increase 32.3% in 2005
The CDC reports new STD rankings and trends in sexually transmitted diseases for 2005.
The Centers for Disease Control and Prevention in Atlanta has released a report, "Sexually Transmitted Disease Surveillance 2005". The report is a detailed overview of national trends and rates for STDs.
The report can be accessed at the CDC STD Surveillance Site.
Some of the highlights of regional importance were gleaned and posted below. (Defintion: MSA is a metropolitan statistical area used in regional disease surveillance and census reporting.)
Chlamydia:
Ohio ranks 11th in the nation by rate per 100,000 population at 382.3 per 100,000, reflecting almost 44,000 cases reported in 2005. (See Table 2 in the report.) This reflected an 11.2% increase in infection rates from 2004. (Table 3.) Infection rates from 2004 to 2005 increased 9.6% and 11.6% among Ohio women and men, respectively. States in the Midwest reported an 4.5% increase in Chlamydia infection rates.
After a 7.2% rate decrease in 2004, the reported Chlamydia infection rate in 2005 for Cleveland-Elyria-Mentor MSA increased 32.3 % to 413.8 per 100,000 (some 9,181 cases reported.). A similar increase occurred in the Cinci-Middletown MSA (up 8.4% to 414.9 per 100K). Unfortunately, our regional increase was so large that our regional rates are effectively the same as in the Cinci-Middletown MSA. The national average for 2005 is 352.2 per 100,000 of those MSAs reporting.
By gender, Chlamydia infection rates for the Cleveland-Elyria-Mentor MSA increased 2.7% among women and 4.2% for men.
The majority of Chlamydia infections continue to occur among young adults. 34.4% and 36.9% of Chlamydia infections reported nationally in 2005 were among those age 15-19 and 20-24, respectively, at the time of infection. Similar percentages occurred in previous years. (See Table 9 in CDC report.) In Cleveland, 39% , and 33% of cases reported in 2004 were age 15-19 and 20-24, respectively. (Source: Ohio Department of Health and the Cleveland Department of Public Health.)
These national rates among those 15-24 are greatest among Blacks and Hispanics. (See Tables 10A and 10B.) Rates continue to increase among Black females, with nearly one in every 11 Black females age 15-19 and 1 on every 13 age 20-24 reported Chalmydia infections in 2005. Rates in Cleveland in
Gonorrhea:
Ohio ranks 5th in the nation by rate per 100,000 population at 183.1 per 100K, reflecting nearly 21,000 cases reported in 2005.
Cuyahoga County is ranked 7th in the nation for reported gonorrhea infections with 4214 cases, or a rate of 311.9 per 100K.
After a drop in 2004, the reported gonorrhea infection rate in 2005 for Cleveland-Elyria-Mentor MSA increased 3.8 % to 217.2 cases per 100,000, or 4,641 cases. A larger rate increase occurred in the Cinci-Middletown MSA (up 13.6% to 190.8 per 100K). The national average for 2005 is 128.8 cases per 100,000 of those MSAs reporting.
Increases in the identification of gonorrhea infections that harbor drug resistant strains have been made in many major cities in the East Coast and Midwest. The prevalence of gonorrhea strains resistant to ciprofloxacin (a quinolone deriviative) have increased in Cleveland 2.8% in 2005 and 0.3% in 2004, and in Cinicinnati by 1% in 2005 and 0.3% in 2004. Some West Coast major cities report double-digit percent increases in these drug resistant strains. Overall, nearly 20% of samples collected from a selection of clinics nationwide showed some form of drug resistant gonorrhea strains. STD clinics in Cleveland are among those cities where samples were collected.
Primary and secondary syphilis:
Ohio ranks 22nd in the nation by rate per 100,000 pop.(1.8 per 100K) with 211 cases reported in 2005.
Franklin County is the only Ohio county listed by CDC among counties and independent cities. Its 103 cases for 2005 ranks Franklin County 22nd in the nation for primary and secondary syphilis (9.5 per 100K)
The reported infection rate of primary and secondary syphilis for Cleveland-Elyria-Mentor MSA decreased from 1.9 per 100,000 in 2004 to 1.0 per 100,000 in 2005. The 2005 rate in the Cinci-Middletown MSA was 1.2 per 100K. The national average for 2005 is 4.5 cases per 100,000 of those MSAs reporting.
