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House of Commons Hansard
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Sexually Transmitted Diseases: Essex
09 March 2010
Volume 507
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To ask the Secretary of State for Health how many (a) males and (b) females were diagnosed with (i) syphilis, (ii) gonorrhoea, (iii) Chlamydia (uncomplicated), (iv) herpes (first incidence), (v) genital warts (first incidence), (vi) HIV/AIDS, (vii) trichomonas vaginalis and (viii) non-specific urethritis in (A) the Mid-Essex Hospital Trust area and (B) Essex in each of the last three years. [321301]

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Data are only available on the number of diagnoses of sexually transmitted infections (STIs) in genitourinary medicine (GUM) clinics by strategic health authority (SHA). Table 1 gives the number of diagnoses for syphilis, gonorrhoea, Chlamydia (uncomplicated), herpes (first incidence), HIV, trichomoniasis, non-specific urethritis in the East of England SHA between 2006 and 2008, the latest date for which figures are available.

Table 2 gives data for the number of new HIV diagnoses in Essex County and Mid Essex Primary Care Trust (PCT) between 2006 and 2008 the latest date for which figures are available.

In addition to STIs diagnosed in GUM clinics, the National Chlamydia Screening programme (NCSP) provides Chlamydia screening to asymptomatic people under the age of 25 in England. The NCSP was launched in 2003 when a phased implementation programme started. Table 3 includes the number of diagnoses of Chlamydia in patients between the ages of 15-24 years in Mid Essex, North East Essex and West Essex PCTs between 2006 to 2009, the latest date for which figures are available.

Table 1: Number of new HIV diagnoses from all services and sexually transmitted infection (STI) diagnoses in genitourinary medicine (GUM) clinics and in the National Chlamydia Screening programme (NCSP) in East of England, by sex: 2006-09 (calendar year)

Service

STI

Year

Male

Female

Total1

Diagnostic Services

HIV

2006

254

293

547

Diagnostic Services

HIV

2007

275

244

519

Diagnostic Services

HIV

2008

239

232

471

Diagnostic Services

HIV

2009

n/a

n/a

n/a

GUM clinics

Syphilis (primary and secondary)

2006

72

9

81

GUM clinics

Syphilis (primary and secondary)

2007

59

10

69

GUM clinics

Syphilis (primary and secondary)

2008

55

16

71

GUM clinics

Syphilis (primary and secondary)

2009

n/a

n/a

n/a

GUM clinics

Gonorrhoea (uncomplicated)

2006

560

279

839

GUM clinics

Gonorrhoea (uncomplicated)

2007

539

260

799

GUM clinics

Gonorrhoea (uncomplicated)

2008

519

306

825

GUM clinics

Gonorrhoea (uncomplicated)

2009

n/a

n/a

n/a

GUM clinics

Genital herpes (first incidence)

2006

641

1,093

1,734

GUM clinics

Genital herpes (first incidence)

2007

608

1,275

1,883

GUM clinics

Genital herpes (first incidence)

2008

705

1,370

2,075

GUM clinics

Genital herpes (first incidence)

2009

n/a

n/a

n/a

GUM clinics

Genital warts

2006

3,483

3,209

6,692

GUM clinics

Genital warts

2007

3,690

3,457

7,147

GUM clinics

Genital warts

2008

3,825

3,508

7,333

GUM clinics

Genital warts

2009

n/a

n/a

n/a

GUM clinics

Trichomoniasis

2006

16

290

306

GUM clinics

Trichomoniasis

2007

13

286

299

GUM clinics

Trichomoniasis

2008

14

308

322

GUM clinics

Trichomoniasis

2009

n/a

n/a

n/a

GUM clinics

Non-specific urethritis

2006

7,438

948

8,386

GUM clinics

Non-specific urethritis

2007

7,651

776

8,427

GUM clinics

Non-specific urethritis

2008

7,530

625

8,155

GUM clinics

Non-specific urethritis

2009

n/a

n/a

n/a

GUM clinics

Chlamydia (uncomplicated)

2006

3,745

4,557

8,302

GUM clinics

Chlamydia (uncomplicated)

2007

4,519

5,215

9,734

GUM clinics

Chlamydia (uncomplicated)

2008

4,787

5,291

10,078

GUM clinics

Chlamydia (uncomplicated)

2009

n/a

n/a

n/a

NCSP

Chlamydia

2006

267

1,132

1,399

NCSP

Chlamydia

2007

488

1,235

1,724

NCSP

Chlamydia

20082

1,171

3,637

4,835

NCSP

Chlamydia

2009

2,189

5,574

7,796

1 Total includes those with unknown/unspecified sex. Therefore the sum of male and female diagnoses might not equal the total number of diagnoses.

2 NCSP data for 2008 include non NCSP non GUM information reported for the period 1 April 2008 - 31 December 2008.

Notes:

New HIV Diagnoses data:

1. Numbers will rise as further reports are received.

2. Diagnoses are from reports received to end December 2009.

3. Patients may live with HIV for many years before they are diagnosed. Therefore new diagnosis data do not necessarily reflect recently acquired infections.

4. Areas when presented are area of diagnosis and not of residence, there is evidence that a large proportion of individuals are diagnosed outside their PCT of residence.

5. Data are unavailable for 2009.

Source:

Health Protection Agency, New HIV diagnoses in the United Kingdom. Date of data: 31

December 2009

GUM data:

1. Data are only provided at the SHA level.

2. The data available from the KC60 statutory returns are for diagnoses made in GUM clinics only. Diagnoses made in other clinical settings, such as General Practice, are not recorded in the KC60 dataset.

3. The data available from the KC60 statutory returns are the number of diagnoses made, not the number of patients diagnosed.

4. The information provided has been adjusted for missing clinic data.

5. Data are unavailable for 2009.

Source:

Health Protection Agency, KC60 returns. Date of data: July 2009

NCSP data:

1. NCSP data consist of returns from the NCSP core dataset and non NCSP non GUM laboratory returns.

2. The NCSP has been phased in since 1 April 2003 with all 152 PCTs reporting data to the programme since March 2008. Non NCSP non GUM data have been collected since 1 April 2008 from laboratories in England and are reported to the NCSP. Therefore note that numbers of diagnoses have risen substantially as an increasing proportion of the target population have been tested.

3. Data are based on those aged 15-24 years inclusive.

4. Data are presented by PCT of residence and exclude those resident outside of England.

5. Data available from the NCSP are the number of diagnoses made and not the number of patients diagnosed.

6. Data presented are based on tests with confirmed positive diagnoses only.

Source:

The National Chlamydia Screening programme Core dataset. Date of data: 3 February 2010; Non NCSP non GUM data. Date of data: 03 March 2010

Table 2: Number of new HIV diagnoses from all services in Essex county and Mid Essex PCT, by sex: 2006-08 (calendar year)

Area

STI

Year

Male

Female

Total

Mid Essex

HIV

2006

7

12

19

Mid Essex

HIV

2007

16

13

29

Mid Essex

HIV

2008

7

5

12

Essex County

HIV

2006

76

99

175

Essex County

HIV

2007

83

91

174

Essex County

HIV

2008

51

63

114

Notes:

1. Numbers will rise as further reports are received.

2. Diagnoses are from reports received to end December 2009.

3. Patients may live with HIV for many years before they are diagnosed. Therefore new diagnosis data do not necessarily reflect recently acquired infections.

4. Areas when presented are area of diagnosis and not of residence, there is evidence that a large proportion of individuals are diagnosed outside their PCT of residence.

5. Mid Essex PCT includes hospitals in the Mid Essex Hospital Trust area.

6. Data are unavailable for 2009.

Source:

Health Protection Agency, New HIV diagnoses in the United Kingdom. Date of data: 31 December 2009

Table 3: Number of Chlamydia diagnoses outside of GUM within Essex county, by PCT and sex: 2006-09 (calendar year)

Area

STI

Year

Male

Female

Total1

Mid Essex

Chlamydia

2006

0

<5

<5

Mid Essex

Chlamydia

2007

5

12

17

Mid Essex

Chlamydia

20082

56

135

192

Mid Essex

Chlamydia

2009

210

334

544

North East Essex

Chlamydia

2006

<5

0

<5

North East Essex

Chlamydia

2007

<5

<5

7

North East Essex

Chlamydia

20082

162

301

465

North East Essex

Chlamydia

2009

237

524

763

South East Essex

Chlamydia

2006

31

193

224

South East Essex

Chlamydia

2007

87

190

277

South East Essex

Chlamydia

20082

106

354

462

South East Essex

Chlamydia

2009

149

418

569

South West Essex

Chlamydia

2006

9

22

31

South West Essex

Chlamydia

2007

26

93

119

South West Essex

Chlamydia

20082

85

283

373

South West Essex

Chlamydia

2009

140

408

549

West Essex

Chlamydia

2006

<5

<5

10

West Essex

Chlamydia

2007

6

32

38

West Essex

Chlamydia

20082

48

138

186

West Essex

Chlamydia

2009

47

201

251

1 Total includes those with unknown/unspecified sex. Therefore the sum of male and female diagnoses might not equal the total number of diagnoses.

Cells with numbers less than five and cells with the second lowest value where appropriate have been masked.

2 NCSP data for 2008 include non NCSP non GUM information reported for the period 1 April 2008-31 December 2008.

Notes:

1. NCSP data consist of returns from the NCSP core dataset and non NCSP non GUM laboratory returns.

2. The NCSP has been phased in since 1 April 2003 with all 152 PCTs reporting data to the programme since March 2008. Non NCSP non GUM data have been collected since 1 April 2008 from laboratories in England and are reported to the NCSP. Therefore note that numbers of diagnoses have risen substantially as an increasing proportion of the target population have been tested.

3. Data are based on those aged 15-24 years inclusive.

4. Data are presented by PCT of residence and exclude those resident outside of England.

5. Data available from the NCSP are the number of diagnoses made and not the number of patients diagnosed.

6. Data presented are based on tests with confirmed positive diagnoses only.

Source:

The National Chlamydia Screening programme core dataset. Date of data: 3 February 2010, Non NCSP non GUM data. Date of data: 3 March 2010.