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Trends in STIs and HIV in MSM in Australia  Overview of the Swiss consensus statement Professor Andrew Grulich   National Centre in HIV Epidemiology and Clinical Research,  UNSW, Sydney
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine STI case surveillance  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chlamydia in men aged 30-49 years by year and state/territory
Gonorrhoea in urban men by year and State/Territory
Gonorrhoea in men aged 30-49 years by year and State/Territory
Infectious syphilis in men by year and State/Territory
Syphilis enhanced surveillance data, NSW ,[object Object],[object Object],[object Object],[object Object],[object Object]
Syphilis sentinel surveillance, Victoria Victorian Primary Care Network for Sentinel Surveillance on BBVs and STIs* Syphilis Report 1: April – December 2006
From 2007/08 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research data from pH and HIM Jin et al, STI 2007
Summary  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Trends in HIV prevalence Sample is men aged 30-49 recruited at non-clinic sites. Declining HIV seroprevalence gay men aged < 50 in Sydney
Summary  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Swiss statement: what happened?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
What does the statement say? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The data from Ugandan heterosexuals  Quinn T et al. NEJM 2000 342, 921-929.
Limitations of the available data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
..so what is the state of the science? ,[object Object],[object Object],[object Object],[object Object]

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