19
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
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
