STI rates

Question 1

Gonorrhea

Answer 1

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

Question 2

Penicillin and Ciprofloxacin resistance

Answer 2

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

Question 3

Chlamydia

Answer 3

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

Question 4

What is the reason for decreasing chlamydia rates in woman?

Answer 4

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

Question 5

Syphyllis

Answer 5

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

Question 6

Overall rates of genital warts

Answer 6

2013-14: decrease genital warts/herpes

5 year trend 36.8% decrease in case count of genital warts

Question 7

Reasons for decreasing rate of genital warts

Answer 7

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