New report: Surveillance of STIs and Blood-Borne Viruses in South Australia, 2018

Communicable Disease Control Branch, SA Health, July 2019

In 2018, there were 8,556 new notifications of STI and BBV in South Australia. This represents a 3% increase in the number of new notifications compared to notifications received in 2017.

In 2018, there were 6,256 notifications of Chlamydia trachomatis (chlamydia) making this the most commonly notified STI in South Australia. The demographics of people diagnosed with chlamydia have remained relatively stable over the past five
years.

There were no notifications of donovanosis in 2018.

There were 1,288 notifications of gonorrhoea in 2018. The notification rate of gonorrhoea increased from 45 per 100,000 population in 2014 to 74 per 100,000 population in 2017 and 2018. The rate in the Aboriginal population was 813 per 100,000 population in 2018 compared to 55 per 100,000 population in the non-Indigenous population.

There were 203 notifications of infectious syphilis in 2018, the highest number of annual notifications in the past 10 years. The notification rate of infectious syphilis in 2018 was 11.7 per 100,000 population, more than double the rate in 2016 of 5.2 per 100,000 population. In 2018, 88% of notifications were in males, the majority being among men who have sex with men (MSM) (75%). Infectious syphilis remains high in the Aboriginal population. There were no notifications of congenital syphilis in 2018.

There were 39 new diagnoses of human immunodeficiency virus (HIV) infection in 2018. Thirty-two of the 39 notifications were in males (82%). In 2018, 63% of male cases reported male-to-male sex. Six females acquired their infection overseas and one in South Australia.

There were four notifications of newly acquired hepatitis B infection in 2018, below the five year average (2013-2017) of eight cases per year. There were no notifications in the Aboriginal population. There were 254 notifications of unspecified hepatitis B infection reported in 2018, a decrease compared to the five year average (2013-2017) of 325 cases per year. The notification rate has declined in the Aboriginal population over the past five years.

There were 41 notifications of newly acquired hepatitis C in 2018. Sixty-one per cent of cases were males, and 66% were aged 30 years and over. The notification rate of unspecified hepatitis C infection was 22.2 per 100,000 population in 2018, with a
total of 385 notifications in 2018 compared to 465 in 2017.

There were five new diagnoses of hepatitis D infection in 2018, below the five year average (2013-2017) of 9.8 cases per year.

 

Increased screening for syphilis and HIV in SA – new advice for clinicians (video)

SHINE SA,  

SHINE SA have released a short video resource for health professionals providing advice on the current syphilis outbreak in South Australia.

Syphilis is a sexually transmitted infection (STI). It presents a serious public health issue as it causes harm to the developing foetus and increases the transmission and acquisition of HIV.

The 5 minute video SA Syphilis Outbreak – Advice for Clinicians urges health professionals to be aware that syphilis is increasing rapidly in SA and that there is a need to respond with increased screening.

Stillbirth more frequent in women with HIV in UK than in general population

nam/aidsmap, 01 August 2017

The stillbirth rate among women living with HIV in the UK and Ireland from 2007 to 2015 was more than twice that of the general population, Graziella Favarato, presenting on behalf of the National Study of HIV in Pregnancy and Childhood (NSHPC), told participants at the 9th International AIDS Society Conference on HIV Science (IAS 2017) in Paris last week.

Most women originated from a sub-Saharan African country, accounting for 0.9% of stillbirths (71/7752) while stillbirth among women from Europe or westernised countries accounted for 0.4% (8/2004).

Sexual health in Australia’s tropical north

ABC Radio National Health Report, Monday 5 June 2017 5:45 PM

There are currently epidemics of syphilis and HIV in young Indigenous people in Cairns. These epidemics are out of control, and have crossed borders to to the Northern Territory, and in the case of syphilis, to Western Australia and South Australia as well.

But in better news, Cairns is a nation leader when it comes to clearing the region of hepatitis C, using drugs that became available in March 2016. For example, the local prison population is hepatitis C-free – the first Australian prison that can make that claim.

Guest:

Dr Darren Russell
Clinical Associate Professor, The University of Melbourne
Adjunct Associate Professor, James Cook University
Director of Sexual Health, Cairns Sexual Health Service

Syphilis Outbreak in Northern South Australia

SA Health, Communicable Disease Control Branch (CDCB),15/5/17

The Communicable Disease Control Branch (CDCB) has been closely monitoring infectious syphilis notifications in South Australia in light of a multi-jurisdictional outbreak of syphilis occurring across northern Australia. It appears that this outbreak has spread to South Australia, with sustained transmission occurring in Port Augusta, and there is the potential for spread to other regions of South Australia.

 

Pregnancy outcome statistics (SA)

Pregnancy Outcome Unit, SA Health: November 2016

The Pregnancy Outcome Unit undertakes statewide monitoring of pregnancy characteristics and outcomes to identify population groups most at risk and determine preventive interventions. This is undertaken through data collections.

Each year, the Pregnancy Outcome Unit publishes two annual reports.

Pregnancy Outcome in South Australia provides annual analyses on pregnancies, obstetric care and the health of newborn babies. Additionally, this report also contains information on abortion rates, home births, numbers of babies born by caesarian section in private and public hospitals and the percentage of women who smoke during pregnancy.

  • The latest report was released in November 2106, and covers the period 2014. Download 2014 report (PDF) here 
  • Previous reports back to 2001 can be found here