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.

 

Liver cancer death rate rising: study

SBS News, 9/4/19

The rate of liver cancer deaths and diagnoses has increased substantially in the past three decades, yet researchers say little has been done to help Australians most at risk.

While it is considered a relatively rare type of cancer – nearly 2000 people were diagnosed in 2014 – the high mortality rate and increasing incidence of diagnosis has been concerning, researcher Barbara de Graaff says.

Rates were highest in the Northern Territory, mostly due to a higher prevalence of hepatitis B and C.

Cultural and linguistic diversity of people living with chronic hepatitis B

Cultural and linguistic diversity of people living with chronic hepatitis B in 2011–2016: changing migration, shifting epidemiology
Aust NZ J Public Health. 2018; 42:441-3; doi: 10.1111/1753-6405.12826
Abstract
Objective: To estimate the cultural and linguistic diversity in Australians currently living with chronic hepatitis B (CHB), the majority of whom were born overseas, and to identify trends in this diversity over time.
Methods: Estimates were generated by combining Australian census country of birth
information with seroprevalence data generated from antenatal serology linked with
surveillance notifications. The number of people living with CHB was assessed according to country of birth using the 2011 and 2016 censuses.
Results: The total number of Australian residents living with CHB increased by 20% between 2011 and 2016, substantially outpacing population growth. The most common country of birth continued to be China, with the number of Chinese-born Australians living with CHB increasing by 60% in the 5-year period. Decreased numbers were observed for people born in European countries.
Conclusions: The epidemiology of chronic hepatitis B in Australia has shifted over time due to changing migration patterns, with increases in many countries in the Asia-Pacific, African and Middle Eastern regions. 
Implications for public health: Interventions to improve the health of people living with CHB are imperative, and these up-to-date estimates identify priority groups and communities, which are constantly changing.

Surveillance of sexually transmitted infections and blood-borne viruses in South Australia, 2017

Communicable Disease Control Branch, SA Health, 2018

In 2017, there were 8,181 new notifications of STIs and BBVs in South Australia. This figure represents a 7% increase in the number of new notifications compared to notifications received in 2016, and a 14% increase compared to the five year average (2012-2016).

In 2017, there were 5,910 notifications of genital chlamydia making this the most commonly notified STI in South Australia.  The notification rate of chlamydia in 2017 was 343 per 100,000 population, and has been stable over the past five years.

There were no notifications of donovanosis in 2017.

There were 1,271 notifications of gonorrhoea in 2017. The notification rate of gonorrhoea increased from 45 per 100,000 population in 2014 to 74 per 100,000 population in 2017.

There were 158 notifications of infectious syphilis in 2017, the highest number of annual notifications in the past 10 years.

There were 60 new diagnoses of HIV infection in 2017. The notification rate of newly diagnosed HIV infection in 2017 was 3.5 per 100,000 population, above that in 2016 of 3.1 per 100,000 population. The notification rate in the Aboriginal population rose to 9.6 per 100,000 in 2017, up from 4.8 per 100,000 in 2016.

There were 11 notifications of newly acquired hepatitis B infection in 2017, above the five year average (2012-2016) of nine cases per year. There were 272 notifications of unspecified hepatitis B virus infection reported in 2017. The notification rate has declined in the Aboriginal population over the past five years.

There were 32 notifications of newly acquired hepatitis C in 2017. The majority of cases were males (75%). The notification rate of unspecified hepatitis C infection was 23 per 100,000 population in 2017.

There were 10 new diagnoses of hepatitis D infection in 2017, which is consistent with the five year average of 10 notifications per year.

 

 

 

 

Upcoming forum – Call me by any name: the facts on meth and Hep A, B and C

SAMESH & Hepatitis SA, August 2018

Crystal? Ice? Tina? Have questions about methamphetamines?

Want to know the facts? How to look after yourself and others?

Curious about hepatitis A, B or C? Want to know more about transmission and treatment?

Come to our community forum & have your questions answered by experts.

Speakers: Gary Spence & Michelle Spudic – from Hepatitis SA

FREE EVENT

Date: 30 August 2018
Time: 6.30 PM – 8 PM
Location: SAMESH, 57 Hyde Street Adelaide

RSVP Register at samesh-enquiries@samesh.org.au
or call (08) 7099 5300

Download flyer here: CMBAN_Poster

New stigma indicators reports for Zero Discrimination Day

Centre for Social Research in Health, 1 Mar 2018

In Australia, there are currently five national strategies addressing HIV, viral hepatitis, and STIs. 

A clear objective exists within each of the five strategies to “eliminate the negative impact of stigma, discrimination, and legal and human rights issues on people’s health”. However, until recently, there was no associated indicator to measure stigma and monitor the progress of these objectives.

The following reports outline the approach taken by CSRH to develop a stigma indicator and results from the first round of data collection in surveys of priority populations for these national strategies.

There are three reports: People with HIV and men who have sex with men, people with hepatitis C and people who inject, and health workers. The health workers report covers their attitudes to sexual orientation, injecting, sex work, HIV or hepatitis status in their patients.