primary and secondary (p&s) syphilis among men, new york city, 1999 - 2001 †

Primary and Secondary (P&S) Syphilis among Men,

New York City, 1999 - 2001†

†2001 data are preliminary.

STD Control Program

New York City Department of Health

Reported P&S Syphilis Case Rates, New York City, 1940 - 2001†

01020304050607080

1940

1945

1950

1955

1960

1965

1970

1975

1980

1985

1990

1995

2000

Year

Ra

te/1

00

,00

0

† 2001 data are preliminary.

* Based on date of report.

Reported P&S Syphilis, New York City,1996 - 2001†,

Rates by Gender

3.5

8.2

0.50123456789

Year

Rat

e/10

0,00

0

† 2001 data are preliminary

Males

Total

Females

Reported P&S Syphilis Among Men, New York City, 1997 – 2001† ,

Rates by Borough of Residence

0

2

4

6

8

10

1997 1998 1999 2000 2001

Year

Rat

e/10

0,00

0 Bronx

Brooklyn

Manhattan

Queens

Staten Is.

†2001 data are preliminary

Reported P&S Syphilis Among Men, New York City, 1999 - 2001† ,

Distribution by Race/Ethnicity

0

5

10

15

20

25

30

35

40

1999 2000 2001

Year

%

of

Mal

e C

ases

HispanicBlackWhiteAsian/PacOtherUnknown

†2001 data are preliminary

Reported P&S Syphilis, New York City, 1997- 2001†,

Distribution by Diagnostic Facility

36%

2%

62%

01020304050607080

Year

%

of

Rep

ort

ed C

ases

†2001 data are preliminary

PMDs/Hosps.

STD Clinics

Corrections

16%

27%

14%

43%

Reported P&S Syphilis Among Men,New York City, 2000 and 2001†,

by Self-Identified Sexual Orientation

11%

15%

39%

35%

2000 (N = 107) 2001 (N = 263)

MSM

MSM/MSF

No interview/Unk

MSFMSM

No Interview/Unk

MSF

MSM/MSF

†2001 data are preliminary

Reported P&S Syphilis, New York City, 1999 – 2001†,

Self-reported HIV‡ Positivity Among Men

16%

57%50%

53%60%

29%

0

10

20

30

40

50

60

70

Year

%

Po

sit

ivit

y

Among Men

Among MSM

†2001 data are preliminary

‡HIV positivity among male cases of known HIV Status

Outbreak Response: surveillance & epi activities

• Dedicated staff to syphilis

• Re-trained field staff interviewing

• Added behavioral info to case report form and

surveillance data

• Cases reviewed centrally and in field

• Case-control study

Outbreak Response: Increase awareness

of outbreak and access to services

• Persons at Risk

• Their Providers

• Community-Based Organizations (CBOs) which serve them

Providers

• Dear Colleague Letter

• NYC DOH Website Updates

• Prevention Training Center Collaboration

• CME Courses

• Grand Rounds

• Facilitated Case Reporting

Persons at Risk and CBOs

• Community Advisory Board

• Community Forums

• Press Releases

• Street Fairs

• Outreach Screening

• Media Campaign

AcknowledgementsNew York City Department of Health

STD Control Program

Andrea Meyers Steve Rubin Robert Baselice

Laura Neylans James Brown Jacques Mathieu

Office of Policy and Planning

Susan Resnick

Massachusetts Institute of Technology

Sarah Roszler

Centers for Disease Control and Prevention

Epidemiology and Surveillance Branch

Gabriela Paz-Bailey