Sexually transmitted disease data from Public Health England 2016 covering south east England

1. Annual Epidemiological
Spotlight on STIs in the South
East:
2016 data
Field Epidemiology Services, South East

2. Summary of 2016 data for South East residents
• Over 51,600 new STIs diagnosed
• New STI diagnosis rate: 595 diagnoses per 100,000 population
• Diagnoses of gonorrhoea fell by 18% from 2015 to 2016, but syphilis
diagnoses rose by 29%
• Chlamydia detection rate in those aged 15-24 was 1,486 per 100,000 pop.
(aim = 2,300)
• 12% of new STI diagnoses were in MSM, 79% of syphilis, 52% of
gonorrhoea (GUM clinic diagnoses only)
• 15-24 year olds accounted for 53% of new STI diagnoses
• White ethnic group has the highest numbers of new STIs (88% of total)
• 1% of new STI diagnoses are in black Caribbeans, however they have the
highest rate (1,858 per 100,000 pop.)
• 85% percent of new STI diagnoses are in people born in the UK.
2 Annual Epidemiological Spotlight on STIs in the South East: 2016 data

3. Figure 1: New STI diagnosis per 100,000 population by PHE centre
of residence, 2016
3 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
1,355.3
757.5
673.5
663.0
662.6
620.9
602.2
595.1
523.4
0.0
200.0
400.0
600.0
800.0
1,000.0
1,200.0
1,400.0
1,600.0
London North West Yorkshire
and
Humber
West
Midlands
North East South
West
East
Midlands
South East East of
England
Rateper100,000population

4. Figure 2: Number of diagnoses of the five main STIs: South East
residents, 2012-2016
4 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
Any increase in gonorrhoea diagnoses may be due to the increased use of highly sensitive nucleic acid amplification tests (NAATs) and additional screening of extra-genital
sites in MSM.
Any decrease in genital wart diagnoses may be due to a moderately protective effect of HPV-16/18 vaccination.
Any increase in genital herpes diagnoses may be due to the use of more sensitive NAATs.
Increases or decreases may also reflect changes in testing practices.
251 690
2,161
3,005
4,588 4,532
10,991
9,136
23,366 23,774
0
5,000
10,000
15,000
20,000
25,000
30,000
2012 2013 2014 2015 2016
Numberofdiagnoses
Syphilis Gonorrhoea Genital Herpes Genital Warts Chlamydia (CTAD)

5. Figure 3: Diagnosis rates of the five main STIs:South East residents,
2012-2016
5 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
Any increase in gonorrhoea diagnoses may be due to the increased use of highly sensitive nucleic acid amplification tests (NAATs) and additional screening of extra-genital
sites in MSM.
Any decrease in genital wart diagnoses may be due to a moderately protective effect of HPV-16/18 vaccination.
Any increase in genital herpes diagnoses may be due to the use of more sensitive NAATs.
Increases or decreases may also reflect changes in testing practices.
3.0
7.925.5
34.6
54.2 52.2
129.7 105.2
275.8
273.7
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
2012 2013 2014 2015 2016
Rateper100,000population
Syphilis Gonorrhoea Genital Herpes Genital Warts Chlamydia (CTAD)

6. Table 1: Percentage change in new STI diagnoses: South East
residents
6 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
Please see notes for Figure 3.
2012-2016 2015-2016
New STIs 51,695 -6% -3%
Syphilis 690 175% 29%
Gonorrhoea 3,005 39% -18%
Chlamydia 23,774 2% 2%
Genital Herpes 4,532 -1% -2%
Genital Warts 9,136 -17% -7%
% change
2016Diagnoses

7. Figure 4: Rate of new STIs per 100,000 residents by age group in
the South East, 2016
7 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
4000.0 3000.0 2000.0 1000.0 0.0 1000.0 2000.0 3000.0 4000.0
15-19
20-24
25-34
35-44
45-64
Rate per 100,000 population
Agegroup(years)
Male Female

8. Figure 5: Rates by ethnicity per 100,000 population of South East
residents diagnosed with a new STI: 2016
8 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
496.2 1,858.0 1,517.1 529.8
0.0
500.0
1,000.0
1,500.0
2,000.0
2,500.0
White Black Caribbean Black African Other BME
Rateper100,000population

9. Table 2: Proportion of South East residents diagnosed with a new
STI by ethnicity: 2016
9 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
Ethnic group Number
Percentage excluding
unknown
White 37,850 88%
Black Caribbean 589 1%
Black African 1,127 3%
Other BME 3,450 8%
Unknown 8,679

10. Figure 6: Proportions of South East residents diagnosed with a
new STI by world region of birth: 2016
10 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD
85%
7%
3% 1%
4%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
UK EU excl. UK Sub-Saharan Africa Caribbean/C & S
America
Other country
Percentage

11. Figure 7: Diagnoses of the five main STIs among MSM in specialist
SHCs: South East residents, 2012-2016
11 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD
GUMCAD started in 2009. Reporting of sexual orientation is less likely to be complete for earlier years, so rises seen may be partly artefactual.
Any increase in gonorrhoea diagnoses may be due to the increased use of highly sensitive nucleic acid amplification tests (NAATs) and additional screening
of extra-genital sites in MSM.
Any decrease in genital wart diagnoses may be due to a moderately protective effect of HPV-16/18 vaccination.
Any increase in genital herpes diagnoses may be due to the use of more sensitive NAATs.
Any increase or decrease may reflect changes in testing.
186
539
969
1,543
837
1,183
149 178
409
437
0
500
1,000
1,500
2,000
2,500
2012 2013 2014 2015 2016
Numberofdiagnoses
Syphilis Gonorrhoea Chlamydia Genital Herpes Genital Warts

12. Table 3: Percentage change in new STI diagnoses inMSM diagnosed
in specialist SHCs: South East residents
12 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD
Please see notes for Figure 6.
2012-2016 2015-2016
New STIs 4,978 34% -11%
Syphilis 539 190% 27%
Gonorrhoea 1,543 59% -27%
Chlamydia 1,183 41% -2%
Genital Herpes 178 19% -5%
Genital Warts 437 7% 5%
Diagnoses 2016
% change

13. Figure 8a: Rate of new STI diagnoses per 100,000
population among South East residents by upper tier local
authority of residence: 2016
13 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
1,390
1,223
977
901
716
665
613
597
534
531
489
486
481
477
475
461
403
385
0.0
200.0
400.0
600.0
800.0
1,000.0
1,200.0
1,400.0
1,600.0
Rateper100,000population
PHEC rate (595.1) England rate (749.7)

14. Figure 8b: Rate of new STI diagnoses (excluding
chlamydia diagnoses in persons aged 15-24 years) per
100,000 population aged 15-64 years among South East
residents by upper tier local authority of residence: 2016
14 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
1,387
1,060
949
836
742
723
721
679
624
595
593
546
536
527
500
490
461
433
0.0
200.0
400.0
600.0
800.0
1,000.0
1,200.0
1,400.0
1,600.0
Rateper100,000population
PHEC rate (647.2) England rate (795.4)

15. Figure 9: Chlamydia detection rate per 100,000 population
aged 15-24 years in the South East by upper tier local
authority of residence: 2016
15 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
PHE recommends that local areas should be
working towards achieving a chlamydia detection
rate of at least 2,300 per 100,000 among
individuals aged 15 to 24 years.
2,308
2,198
2,187
1,878
1,788
1,754
1,651
1,646
1,450
1,324
1,212
1,197
1,182
1,097
1,082
1,042
995
854
0.0
500.0
1,000.0
1,500.0
2,000.0
2,500.0
3,000.0
Rateper100,000populationaged15-24years

16. Figure 10: Rate of gonorrhoea diagnoses per 100,000
population in the South East by upper tier local authority
of residence: 2016
16 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD
142
76
62
56
46
41
39
36
33
31
31
30
25
24
24
21
14
14
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
Rateper100,000population

17. Figure 11: Map of new STI rates per 100,000 residents
by upper tier local authority in the South East: 2016
17 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Source: Public Health England, GUMCAD and CTAD
Kent
(486.2)
Hampshire
(474.9)
Oxfordshire
(665.2)
Surrey
(533.7)
West
Sussex
(612.9)
East
Sussex
(531)
Buckinghamshire
(476.9)
West
Berkshire
(385.2)
Isle
of
Wight
(460.6)
Medway
(715.8)2
3
5
Brighton
and
Hove
(1389.9)
7
6
4
1
Map produced using PHEGIS. Contact GIS Team, ERD/MRA, Porton Down. 01980-616937 or gis@phe.gov.uk
Contains Ordnance Survey data © Crown copyright and database right 2014.
Contains National Statistics data © Crown copyright and database right 2014.
New STIs
Rate per 100,000 pop.
No diagnoses
<500
>=500 and <750
>=750 and <1000
>=1000 and <2000
2000+
1 - Reading (900.8)
2 - Wokingham (403.3)
3 - Windsor & Maidenhead (488.8)
4 - Slough (597.0)
5 - Bracknell Forest (480.7)
6 - Southampton (1222.7)
7 - Portsmouth (977.1)

18. Table 4: Number of diagnoses of new STIs by PHEC of
residence, data source and data subset: 2016
18 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Specialist
SHCs
Non-
specialist
SHCs
East Midlands 19,559 685 7,920 28,164
East of England 25,814 350 7,009 33,173
London 97,545 2,150 17,857 117,552
North East 14,036 39 3,315 17,390
North West 36,794 717 16,828 54,339
South East 41,059 1,003 9,633 51,695
South West 24,257 726 8,985 33,968
West Midlands 31,124 132 6,872 38,128
Yorkshire and Humber 25,685 866 9,755 36,306
GUMCAD
CTAD* TotalPHEC of residence
Source: Public Health England, GUMCAD and CTAD

19. Table 5: Number of diagnoses of the 5main STIs in the
South East by STI, data source and data subset: 2016
19 Annual Epidemiological Spotlight on STIs in the South East: 2016 data
Specialist
SHCs
Non-
specialist
SHCs
Syphilis 682 8 690
Gonorrhoea 2,926 79 3,005
Chlamydia 14,141 9,633 23,774
Genital Herpes 4,350 182 4,532
Genital Warts 8,790 346 9,136
5 main STIs
GUMCAD
CTAD* Total
Source: Public Health England, GUMCAD and CTAD