Early Syphilis in the Buffalo Region, New York State Number of Cases in 2014 Compared to 2010‐2013 average Age‐Adjusted Rate: Syphilis Cases per 100,000 Residents, 2014 Erie No infections in 2010‐2014 No new infections 2014 Less than previous average 7.6 NYS Excl NYC 7.0 Chautauqua 3.5 Cattaraugus Up to 50% increase 50% to 100% increase More than doubled Infections in 2014; not 2010‐2013 3.0 Niagara Dots represent ZIP Codes with early syphilis infections in 2014 2.2 Genesee 76% of New Yorkers support condom availability in High Schools 1.8 85% of syphilis cases are among men who have sex with men New Infections by Year Statewide 4000 Buffalo Region 3000 2000 33 1000 0 75 57 2 2000 4 4 2002 5 14 13 2004 2006 41 PrEP does not protect from STDs Condoms and screening are important 18 15 16 12 24 2008 2010 2012 Syphilis increases risk of HIV transmission two to five fold 2014 Sources: NYSDOH Bureau of STD Prevention and Epidemiology [email protected] and 2014 Behavioral Risk Factor Surveillance System Early Syphilis in the Rochester Region, New York State Number of Cases in 2014 Compared to 2010‐2013 average Age‐Adjusted Rate: Syphilis Cases per 100,000 Residents, 2014 Livingston No infections in 2010‐2014 No new infections 2014 Less than previous average 10.2 Monroe 7.7 NYS Excl NYC 7.0 Wayne Up to 50% increase 50% to 100% increase More than doubled Infections in 2014; not 2010‐2013 3.4 Ontario Dots represent ZIP Codes with early syphilis infections in 2014 1.9 Chemung 76% of New Yorkers support condom availability in High Schools 1.3 85% of syphilis cases are among men who have sex with men New Infections by Year Statewide 4000 Rochester Region 3000 48 2000 1000 0 1 2000 3 9 2002 68 PrEP does not protect from STDs Condoms and screening are important 24 20 23 27 29 26 15 17 20 27 2004 2006 2008 2010 2012 Syphilis increases risk of HIV transmission two to five fold 2014 Sources: NYSDOH Bureau of STD Prevention and Epidemiology [email protected] and 2014 Behavioral Risk Factor Surveillance System Early Syphilis in Central New York Number of Cases in 2014 Compared to 2010‐2013 average Age‐Adjusted Rate: Syphilis Cases per 100,000 Residents, 2014 Onondaga 13.3 Cortland 13.0 Tompkins No infections in 2010‐2014 No new infections 2014 Less than previous average 9.8 Lewis 8.0 NYS Excl NYC 7.0 Tioga 6.5 Madison 6.4 Oswego 4.2 Jefferson 4.0 Broome 3.8 Chenango 2.6 Oneida 2.5 St Lawrence 2.2 Herkimer 1.9 Up to 50% increase 50% to 100% increase More than doubled Infections in 2014; not 2010‐2013 Dots represent ZIP Codes with early syphilis infections in 2014 76% of New Yorkers support condom availability in High Schools 85% of syphilis cases are among men who have sex with men New Infections by Year Statewide 4000 Central NY 110 3000 57 2000 1000 Syphilis increases risk of HIV transmission two to five fold 8 5 8 13 6 PrEP does not protect from STDs Condoms and screening are important 22 28 27 13 21 20 15 12 0 2000 2002 2004 2006 2008 2010 2012 2014 Sources: NYSDOH Bureau of STD Prevention and Epidemiology [email protected] and 2014 Behavioral Risk Factor Surveillance System Early Syphilis in the Albany Region, New York State Number of Cases in 2014 Compared to 2010‐2013 average Age‐Adjusted Rate: Syphilis Cases per 100,000 Residents, 2014 Greene 14.6 Montgomery No infections in 2010‐2014 No new infections 2014 Less than previous average 14.0 Albany 13.5 Schenectady 9.5 Rensselaer 8.3 Otsego 7.6 NYS Excl NYC Up to 50% increase 50% to 100% increase More than doubled Infections in 2014; not 2010‐2013 7.0 Schoharie 6.2 Fulton 5.9 Clinton Dots represent ZIP Codes with early syphilis infections in 2014 5.2 Columbia 4.7 Saratoga 76% of New Yorkers support condom availability in High Schools 3.8 Warren 1.9 85% of syphilis cases are among men who have sex with men New Infections by Year Statewide 4000 Albany Region 106 3000 2000 1000 0 1 2000 0 2 2002 7 18 21 22 2004 2006 31 43 2008 62 58 28 35 2010 Syphilis increases risk of HIV transmission two to five fold 40 2012 PrEP does not protect from STDs Condoms and screening are important 2014 Sources: NYSDOH Bureau of STD Prevention and Epidemiology [email protected] and 2014 Behavioral Risk Factor Surveillance System Early Syphilis in the Hudson Valley, New York State Number of Cases in 2014 Compared to 2010‐2013 average Age‐Adjusted Rate: Syphilis Cases per 100,000 Residents, 2014 Westchester No infections in 2010‐2014 No new infections 2014 Less than previous average 8.2 NYS Excl NYC 7.0 Dutchess 7.0 Rockland Up to 50% increase 50% to 100% increase More than doubled Infections in 2014; not 2010‐2013 5.4 Sullivan 4.6 Dots represent ZIP Codes with early syphilis infections in 2014 Orange 4.3 Ulster Putnam 2.9 76% of New Yorkers support condom availability in High Schools 0.8 85% of syphilis cases are among men who have sex with men New Infections by Year Statewide 4000 Hudson Valley 133 125 131 3000 2000 1000 84 81 84 81 37 60 17 18 29 93 57 PrEP does not protect from STDs Condoms and screening are important 37 0 2000 2002 2004 2006 Syphilis increases risk of HIV transmission two to five fold 2008 2010 2012 2014 Sources: NYSDOH Bureau of STD Prevention and Epidemiology [email protected] and 2014 Behavioral Risk Factor Surveillance System Primary & Secondary Syphilis in New York City (NYC) Primary & Secondary Syphilis Case Rates (per 100,000 Population) Overall and by Borough of Residence, 2014 30.2 Females 200 Year 2014 2013 2012 2011 2010 2009 2008 0 2007 2.5 400 2006 7.9 Males 2005 Queens 600 2004 13.3 800 2003 Brooklyn 1000 2002 15.5 Number of cases NYC Overall Staten Island 1200 19.8 2001 Bronx 1400 2000 Manhattan Primary & Secondary Syphilis Cases by Sex, NYC, 2000-2014 Early Syphilis in Nassau and Suffolk Counties, New York State Number of Cases in 2014 Compared to 2010‐2013 average Age‐Adjusted Rate: Syphilis Cases per 100,000 Residents, 2014 Nassau No infections in 2010‐2014 No new infections 2014 Less than previous average 10.9 Suffolk 7.9 NYS Excl NYC 7.0 Up to 50% increase 50% to 100% increase More than doubled Infections in 2014; not 2010‐2013 Dots represent ZIP Codes with early syphilis infections in 2014 76% of New Yorkers support condom availability in High Schools New Infections by Year Statewide 4000 Nassau and Suffolk 239 3000 89 92 2000 1000 0 128 116 58 5 2000 10 99 94 118 155 2004 2006 2008 2010 Syphilis increases risk of HIV transmission two to five fold 108 PrEP does not protect from STDs Condoms and screening are important 18 37 2002 85% of syphilis cases are among men who have sex with men 2012 2014 Sources: NYSDOH Bureau of STD Prevention and Epidemiology [email protected] and 2014 Behavioral Risk Factor Surveillance System
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