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HealtHy CHiCago

STI/HIV SurVeIllance reporT

Fall 2011

City of Chicago Mayor Rahm emanuel

Chicago Department of Public Health Bechara Choucair, M.D., Commissioner

Suggested Citation: Chicago Department of Public Health. STI/HIV Surveillance Report, 2011. Chicago, IL: City of Chicago; November, 2011 Contributors and editors for this issue: Nanette Benbow Jesse Blumenstock Margaret Eaglin Charmaine Murray Irina Tabidze Stephanie Townsell Christopher Brown, Assistant Commissioner Division of STI/HIV Surveillance, Epidemiology and Research Section Chicago Department of Public Health

Table of Contents
Overview ............................................................................................................................................................... 1 Table 1. STI and HIV Infection Rates by Race/Ethnicity, Chicago................................................................ 1 HIV Trends ............................................................................................................................................................. 2 Figure 1. People Living and Diagnosed with HIV Infection, 1992-2009 ..................................................... 2 Table 2. AIDS Cases by Year of Diagnosis and Selected Characteristics, 2003-2009 ..................................3 Table 3. HIV Infections by Year of Diagnosis and Selected Characteristics, 2003-2009 ..............................4 Table 4. HIV Infection Diagnoses in 2009: by Selected Characteristics......................................................5 Table 5. People Living with HIV Infection in 2009: by Selected Characteristics ........................................6 Table 6. 2009-2010 Average Annual HIV Infection Diagnoses by Community Area ...................................7 Figure 2. 2009-2010 Average Annual HIV Infection Diagnoses Rate by Community Area ........................8 Table 7. People Living with HIV Infection by Community Area, 2009 ........................................................9 Figure 3. HIV Infection Prevalence Rate by Community Area, 2009 .......................................................10 STI Trends ............................................................................................................................................................ 11 Table 8. Trends in Gonorrhea Cases by Selected Characteristics, 2003-2010 ..........................................11 Table 9. Reported Gonorrhea Cases by Community Area Community Area, 2010 ..................................12 Figure 4. Gonorrhea Rate (per 100,000) by Community Area, 2010 ...................................................... 13 Table 10. Trends in Chlamydia Cases by Selected Characteristics, 2003-2010 .........................................14 Table 11. Reported Chlamydia Cases by Community Area, 2010 ............................................................ 15 Figure 5. Chlamydia Rate (per 100,000) by Community Area, 2010 ........................................................16 Table 12. Trends in Primary/Secondary Syphilis Cases by Selected Characteristics, 2010 .......................17 Table 13. Reported Primary and Secondary Syphilis Cases by Community Area, 2010 ...........................18 Figure 6. Reported Primary and Secondary Syphilis Case Rate by Community Area, 2010 ....................19

Technical Notes.................................................................................................................................................... 20 Appendix A - List of Acronyms .............................................................................................................................21

STI/HIV Chicago

Fall 2011

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DearResidents,
Thisyearmarksthe30thyearthatHIVandAIDShavebeenapartofourlives.HIVpreventionand treatmenteffortsthroughoutChicagohaveledtoa40%reductioninthenumberofHIVinfections since2000.ThedeclineisdueinparttocollaborativeeffortsbetweentheChicagoDepartmentof PublicHealth(CDPH)andmanylocalandnationalcommunitypartners.Weareallcommittedto preventing the spread of HIV, early detection of the virus in people living with HIV, and the provisionofacomprehensivesystemofprevention,careandsupportservices.Alloftheseefforts work together to reduce the burden of disease in Chicago and help ensure those living with HIV enjoylong,productiveandhealthylives. Today,thereare20,391peopleinChicagolivingwithHIV.AsaCity,whilewehavecomealongway in the prevention and treatment of HIV and AIDS, there is still work to be done. Chicago is faced withthesamechallengesobservednationally,suchasracialdisparitiesandayoungerpopulation affectedbyHIVandsexuallytransmittedinfections(STI). ThroughtheframeworksetforthintheHealthyChicagoPublicHealthAgendareleasedearlierthis year,theCDPHwillremaincommittedtoworkingwithcommunitypartnerstoprovideHIVandSTI education,testing,diagnosis,treatmentandsupporttoallofourresidentsinneedofservices.HIV preventionisoneofthetopprioritiesoutlinedintheHealthyChicagoagendaandoneofthemain goals of the National HIV/AIDS Strategy. CDPH will continue to be a leader in HIV and STI education,prevention,andtreatmenttoimprovethehealthandwellbeingofallChicagoans. ThisreportprovidesadetailedpictureofHIV,AIDSandSTIsinChicago,alongwithinsightsintoour successesandthechallengeswefaceinthefuture.UsingtheHealthyChicagoPublicHealthAgenda asablueprint,weareenhancingoureffortstotrackthesediseases,developingnewpreventionand treatmentinterventionstrategies,reinvigoratingourexistingprogramsandservices,andstepping up our policy initiatives to make structural changes to the existing service delivery systems throughoutChicago.By2020,HealthyChicagosgoalistoreducethenumberofnewreportedcases ofHIV by25percent.Togetherwithourcommunitypartners,wecanachievethisgoalmaking Chicagoahealthiercityforresidentsineveryneighborhood.

BecharaChouciar,M.D. CommissionerofPublicHealth

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Overview
Chicago, like most other large urban areas, has signicantly higher rates of diagnosis of HIV and other sexually transmitted infections than the country overall. Chicagos 2009 HIV infection prevalence rate of 756.5 per 100,000 population is nearly three times greater than the national rate of 276.5 per 100,000. In 2009/2010 there were similar rates of AIDS and primary and secondary (P&S) syphilis diagnoses in Chicago and a higher rate of HIV infection. HIV and STI infections are prevalent among the same risk groups and have been reported to enhance the acquisition and transmission of one another. In 2010, 57% of men who have sex with men (MSM) who were diagnosed with P&S syphilis were co-infected with HIV. Coinfection analysis with other STIs shows that within two years of an HIV diagnosis, 1 in 13 persons acquired an STI. Both nationally and locally there are considerable racial/ ethnic disparities in STI/HIV rates. In Chicago, non-Hispanic (NH) Blacks have an AIDS case rate that is four times greater than that of NH Whites, an HIV infection diagnosis rate three times higher and an HIV infection prevalence rate twice that of NH Whites. Hispanics have a considerably lower prevalence rate than NH Whites and NH Blacks and a slightly higher AIDS diagnosis rate than NH Whites. Compared to the U.S. the HIV prevalence rate is higher in Chicago for all race/ethnicity groups but the magnitude of dierence varies. Most notable is the dierence for NH Whites who have a prevalence rate ve times greater than that of the US.

Table 1. STI and HIV Infection Rates by Race/Ethnicity, Chicago (as of 8/25/2011)
Diagnosed/Reported Cases AIDS No. Rate* Race/Ethnicity*** NH Black NH White Hispanic NH Other Chicago United States 393 99 122 34 649 34,247 45.1 11.6 15.7 17.9 24.1 HIV Infection No. 644 211 184 53 1,092 Rate* 73.8 24.7 23.6 27.9 40.5 Gonorrhea No. 5,267 402 333 96 7,892 Rate* 603.8 47.0 42.8 50.6 292.8 Chlamydia No. Rate* P & S Syphilis No. 402 152 92 29 686 Rate* 46.1 17.8 11.8 15.3 25.4 4.5 HIV Prevalence Chicago No. Rate* United States** No. 315,468 215,720 115,203 N/A N/A 663,084 Rate 979.9 131.3 369.2 N/A N/A 276.5

14,672 1,682.0 1,185 2,838 465 25,288 138.6 364.4 245.1 938.1

10,696 1,226.2 5,406 3,461 816 20,391 N/A 632.5 444.4 430.1 756.5 N/A

11.2 42,959

17.4 309,341

191.5 1,307,893

426.0 13,774

2009 Diagnoses for HIV and AIDS; 2010 Reported Cases for STIs. *Rate per 100,000 population using 2010 U.S. Census Bureau Population figures. **Centers for Disease Control and Prevention. HIV Surveillance Report, 2009; vol 21, pg. 50. Prevalence rate per 100,000 population.*** NH = non-Hispanic. HIV infection diagnosis and prevalence represents people with HIV at any stage of disease through 08/25/2011.

STI/HIV Chicago

Fall 2011

HIV Trends
There are currently 20,391 people living with HIV infection in Chicago. Estimating that 20% of people infected with HIV are unaware of their status, there could be over 25,000 people living with HIV in the city. AIDS diagnoses have declined considerably since the peak in the mid-1990s. The number of diagnosed AIDS cases increased slightly between 1998 and 2002 before steadily declining through 2009 (see Figure 1). From 1999 when HIV reporting began, the number of HIV infection diagnoses (which include new HIV diagnoses regardless of stage of the disease) was highest in 2001. Since then, the number of HIV diagnoses has been declining steadily. Overall, between 2000 and 2009, the number of HIV infections has declined 40%, from 1,830 in 2000 to 1,092 in 2009. The number of deaths among people living with HIV declined markedly in the late 1990s and have continued to decline, falling below 400 in 2008. Because there continue to be new HIV infection diagnoses every year and persons infected with HIV are living longer, the number of people living with HIV infection continues to increase every year. . Expanded testing initiatives citywide have contributed to more timely identication of HIV, thus reducing the number of late HIV infection diagnoses dened as an HIV and AIDS diagnosis within the same year. .

Figure 1. People Living and Diagnosed with HIV Infection, Chicago, 1992-2009 (as of 8/25/2011)
22,000 2,000
Living with HIV Infection AIDS Diagnoses HIV Inf Diagnoses Deaths Among PLWHA Late HIV Diagnosis

Number of People Livin with HIV Infection ng

20,000 18,000 16,000 14,000 12,000

1,800

Number of Diagn noses or Deaths

1,600 1,400 1,200 1,000 1 000

10,000 8,000 6,000 4,000 2,000 0


1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

800 600 400 200 0

Year

STI/HIV Chicago

Fall 2011

Table 2. AIDS* Cases by Year of Diagnosis and Selected Characteristics, Chicago, 2003-2009 (as of 8/25/2011)
Year of Diagnosis Characteristic Sex Male Female Race/Ethnicity** Non-Hispanic Black Non-Hispanic White Hispanic Non-Hispanic Other Transmission Group Male Sex w/Male Injection Drug Use MSM and IDU Heterosexual Other Age <13 13-19 20-29 30-39 30 39 40-49 50-59 60+ Total 9 120 323 326 110 33 921 1.0 13.0 35.1 35.4 11.9 3.6 100.0 12 93 257 303 99 34 798 1.5 11.7 32.2 38.0 12.4 4.3 100.0 6 125 283 292 140 39 886 0.7 14.1 31.9 33.0 15.8 4.4 100.0 14 121 200 252 129 37 755 1.9 16.0 26.5 33.4 17.1 4.9 100.0 8 98 195 202 103 36 643 1.2 15.2 30.3 31.4 16.0 5.6 100.0 18 130 186 245 122 32 734 2.5 17.7 25.3 33.4 16.6 4.4 100.0 16 140 166 206 96 25 2.5 21.6 25.6 31.7 14.8 3.9

2003 No. % 693 228 75.2 24.8

2004 No. % 609 189 76.3 23.7

2005 No. % 696 190 78.6 21.4

2006 No. % 586 169 77.6 22.4

2007 No. % 499 144 77.6 22.4

2008 No. % 561 173 76.4 23.6

2009 No. % 496 153 76.4 23.6

590 146 149 36 436 213 76 193 -

64.1 15.9 16.2 3.9 47.3 23.1 8.3 21.0 -

477 152 143 26 403 190 53 148 -

59.8 19.0 17.9 3.3 50.5 23.8 6.6 18.5 -

500 194 155 37 454 189 56 182 -

56.4 21.9 17.5 4.2 51.2 21.3 6.3 20.5 -

449 134 136 36 380 161 48 163 -

59.5 17.7 18.0 4.8 50.3 21.3 6.4 21.6 -

385 120 104 34 345 127 34 134 -

59.9 18.7 16.2 5.3 53.7 19.8 5.3 20.8 -

452 122 131 29 376 146 39 167 5

61.6 16.6 17.8 4.0 51.2 19.9 5.3 22.8 0.7

393 99 122 34 349 111 30 148 -

60.6 15.3 18.8 5.2 53.8 17.1 4.6 22.8 -

649 100.0

Note: Groups may not total 100% due to rounding. Cells representing 1-4 person(s) are marked with a dash (-). * All persons diagnosed with AIDS, from the beginning of the epidemic through 08/25/2011. ** NH = non-Hispanic. Men who have sex with men and inject drugs. Age at time of diagnosis. Includes perinatal transmission, blood transfusion and hemophilia.

Table 2

Since 2003, the number of AIDS cases has declined by nearly 30%, from 921 AIDS diagnoses in 2003 to 649 diagnoses in 2009. The decline ocurred in both males and females but males continue to represent three out of every four AIDS diagnoses.

However, men who have sex with men continue to rep-

resent the largest percentage of AIDS diagnoses, accounting for more than half of all cases in 2009. In 2009, one out of every four people diagnosed with AIDS were under the age of 30. The trend in annual number of AIDS diagnoses diered by age group. From 2003 to 2009, those aged 30-39 and 40-49 experienced the largest decline (48% and 37%, respectively). Slight increases were observed in the number of annual AIDS cases among those diagnosed between the ages of 2029 (17% increase). As a result of these varying trends, there has been a shift in the age distribution of AIDS cases. Specically, from 2003 to 2009, the percent of persons aged 30-39 decreased from 35% to 26% while the percent of 20-29 year olds increased from 13% in 2003 to 22% in 2009.

All racial/ethnic groups in Chicago experienced a de-

crease in the number of annual AIDS diagnoses. However, NH Blacks continue to be disproportionately affected by AIDS. In 2009, NH Blacks accounted for 61% of AIDS diagnoses while NH Whites and Hispanics represented 15% and 19% of the diagnoses, respectively.
While the number of annual AIDS cases has declined

across all transmission groups, the largest decline occurred among injection drug users (IDU). From 2003 to 2009, the number of cases due to IDU fell by 48%.

STI/HIV Chicago

Fall 2011

Table 3. HIV Infections* by Year of Diagnosis and Selected Characteristics, Chicago, 2003-2009 (as of 8/25/2011)
Year of Diagnosis Characteristic Sex Male Female Race/Ethnicity Non-Hispanic Black Non-Hispanic White Hispanic Non-Hispanic Other Transmission Group Male Sex w/Male Injection Drug Use MSM and IDU Heterosexual Other Age <13 13-19 20-29 30-39 40-49 50-59 60+ Total
**

2003 No. % 1,220 381 909 365 272 55 874 292 92 334 7 40 305 570 478 161 44 1,601 76.2 23.8 56.8 22.8 17.0 3.4 54.6 18.2 5.7 20.9 0.4 2.5 19.1 35.6 29.9 10.1 27 2.7 100.0

2004 No. % 1,094 328 789 351 231 51 792 270 67 285 8 6 50 286 478 397 151 54 1,422 76.9 23.1 55.5 24.7 16.2 3.6 55.7 19.0 4.7 20.0 0.6 0.4 3.5 20.1 33.6 27.9 10.6 38 3.8 100.0

2005 No. % 1,086 275 730 361 221 49 785 223 63 283 7 6 45 311 422 378 154 45 1,361 79.8 20.2 53.6 26.5 16.2 3.6 57.7 16.4 4.6 20.8 0.5 0.4 3.3 22.9 31.0 27.8 11.3 33 3.3 100.0

2006 No. % 1,105 293 789 320 229 60 834 207 40 304 11 12 70 356 366 384 163 47 1,398 79.0 21.0 56.4 22.9 16.4 4.3 59.7 14.8 2.9 21.7 0.8 0.9 5.0 25.5 26.2 27.5 11.7 34 3.4 100.0

2007 No. % 927 255 677 263 188 54 713 179 42 236 10 6 61 305 324 294 145 47 1,182 78.4 21.6 57.3 22.3 15.9 4.6 60.3 15.1 3.6 20.0 0.8 0.5 5.2 25.8 27.4 24.9 12.3 4.0 40 100.0

2008 No. % 915 275 706 218 209 57 711 167 40 265 6 6 75 369 289 275 134 42 1,190 76.9 23.1 59.3 18.3 17.6 4.8 59.7 14.0 3.4 22.3 0.5 0.5 6.3 31.0 24.3 23.1 11.3 3.5 35

2009 No. % 861 231 644 211 184 53 676 135 23 231 7 7 60 365 253 264 108 35 78.8 21.2 59.0 19.3 16.8 4.9 61.9 12.4 2.1 21.2 0.6 0.6 5.5 33.4 23.2 24.2 9.9 3.2 32 100.0

100.0 1,092

Note: Groups may not total 100% due to rounding. Cells representing 1-4 person(s) are marked with a dash (-). * HIV infection diagnoses represents people newly diagnosed with HIV in a given year, at any stage of disease through 08/25/2011. ** NH = non-Hispanic. Men who have sex with men and inject drugs. Age at time of diagnosis. Includes perinatal transmission, blood transfusion and hemophilia.

Table 3
From 2003 to 2009, the number of HIV infection diagnoses fell from 1,601 to 1,092, representing a 32% decrease. The decline is observed for all race/ethnicity groups, with a 29% decline among Blacks, 42% among Whites and 32% among Hispanics. During this time period, the decline was sharper for females (39%) than males (29%) which resulted in a slight increase in the proportion of male HIV infection diagnoses. In 2009, males represented approximately eight of every ten diagnoses. The largest decline in the number of HIV infection diagnoses among transmission groups occurred among IDUs (54%). Consequently, from 2003 to 2009, the percentage of IDU cases overall dropped from 18% to 12%. In 2009, male-to-male sexual contact was the leading mode of transmission (62%), followed distantly by heterosexual contact (21%). There have been considerable dierences in HIV trends by age group. Between 2003 and 2009, the number of HIV infection diagnoses actually increased for those ages 13-19 and 20-29 (50% and 20%, respectively), while the older age groups all experienced declines. The largest decline (56%) was for those ages 30-39. Therefore, the proportion of cases under the age of 30 increased from 22% to 40%.

STI/HIV Chicago

Fall 2011

Table 4. HIV Infection Diagnoses* in 2009: Race/Ethnicity and Age by Sex and Mode of Transmission, Chicago (as of 8/25/2011)
Race/Ethnicity** NH Black Transmission Males Male Sex w/Male Injection Drug Use MSM and IDU Heterosexual Other Total Males Females Injection Drug Use Heterosexual Other Total Females All Male Sex w/Male Injection Drug Use MSM and IDU Heterosexual Other Total No. % NH Whi No. % Hispanic No. % NH Other No. % 13-19 No. % 20-29 No. % Selected Age Groups 30-39 No. % 40-49 No. % 50-59 No. % 60+ No. 10 11 6 27 % 36.0 42.0 22.0 100.0 No. 677 82 23 61 5 861 % 78.6 9.6 2.7 7.1 0.6 100.0 Total

337 74.0 183 91.0 123 78.0 56 12.0 10 5.0 13 8.0 13 3.0 7 4.0 42 9.0 - 15 9.0 5 1.0 456 100.0 201 100.0 157 100.0 39 21.0 144 76.0 188 100.0 6 58.0 10 100.0 9 33.0 18 67.0 27 100.0

33 84.0 39 100.0 5 100.0 33 74.0 6 14.0 5 11.0 44 100.0

44 97.0 276 89.0 167 82.0 148 77.0 - 10 3.0 10 5.0 21 11.0 6 2.0 6 3.0 6 3.0 - 14 5.0 17 8.0 13 7.0 45 100.0 308 100.0 203 100.0 192 100.0 12 79.0 15 100.0 5 8.0 53 92.0 57 100.0 9 18.0 40 80.0 50 100.0 21 29.0 47 65.0 72 100.0

34 42.0 30 37.0 11 14.0 81 100.0 12 45.0 15 55.0 27 100.0

5 56.0 8 100.0 10 15 10 35 27.0 43.0 29.0 100.0

53 22.9 170 73.6 231 100.0 677 135 23 231 7 1,092 62.0 12.4 2.1 21.2 0.6 100.0

337 52.0 183 87.0 123 67.0 95 15.0 13 6.0 22 12.0 13 2.0 7 4.0 185 29.0 9 4.0 7 1.0 644 100.0 211 100.0 184 100.0

44 73.0 276 76.0 167 66.0 148 56.0 34 31.0 - 14 4.0 20 8.0 41 16.0 42 39.0 6 2.0 6 3.0 6 2.0 12 20.0 67 18.0 57 22.0 59 23.0 26 24.0 60 100.0 365 100.0 253 100.0 264 100.0 108 100.0

Note: Groups may not total 100% due to rounding. Totals include people with missing risk. Cells representing 0-4 person(s) are marked with a dash (-). * HIV infection diagnoses represents people newly diagnosed with HIV in a given year, at any stage of disease through 08/25/2011. ** NH = non-Hispanic. Age at time of diagnosis. Men who have sex with men and inject drugs. Includes perinatal transmission, blood transfusion and hemophilia.

Table 4
While males account for 79% of all HIV infections, this percentage varies by race/ethnicity. Among NH Black diagnoses 71% are males, compared to 95% for NH White and 85% for Hispanic diagnoses. Among MSM who were diagnosed with HIV infection in 2009, 50% were NH Black, 27% were NH White and 18% were Hispanic. Male-to-male sexual contact is the leading mode of transmission for males diagnosed with HIV in 2009 for all race/ethnicity groups. Among NH White males, however, male-to-male sexual contact is the predominant mode of transmission (91% ). For NH Black males diagnosed with HIV, male-to-male sexual contact accounted for three quarters of all diagnoses and injection drug use (IDU) accounted for 12% of diagnoses. For Hispanic males diagnosed with HIV, male-to-male sexual contact accounted for 78% of all diagnoses and injection drug use (IDU) and heterosexual contact accounted for 8% and 9% respectively.
Heterosexual contact accounts for nearly 74% of all HIV

infection diagnoses among females for all race/ethnicity groups. While heterosexual contact is the leading mode of transmission for Hispanic women (67%), injection drug use is responsible for 33% of HIV transmissions. Adolescents and young adults up to 29 years of age represented 39% of HIV infections diagnoses in 2009. In this age group, male-to-male sexual contact is the predominant mode of transmission for males and heterosexual contact for females. People 50 and older represent 13% of 2009 HIV diagnoses. The leading mode of transmission in this age group is injection drug use, accounting for 34% of HIV diagnoses among women and 38% among men.

STI/HIV Chicago

Fall 2011

Table 5. People Living with HIV Infection* in 2009: Race/Ethnicity and Age by Sex and Mode of Transmission, Chicago (as of 8/25/2011)
Race/Ethnicity** Transmission Group Males Male Sex w/Male Injection Drug Use MSM and IDU Heterosexual Other Total Males Females Injection Drug Use Heterosexual Other Total Females All Male Sex w/Male Injection Drug Use MSM and IDU Heterosexual Other Total Chicago NH Black No. % NH White No. % Hispanic No. % NH Other No. % 13-19 No. % 20-29 No. % Selected Current Age Groups 30-39 No. % 40-49 No. % 50-59 No. % 60+ No. % No. % Total

4,430 1,618 681 580 96

59.8 4,558 21.8 165 9.2 247 7.8 70 1.3 18

90.1 2,110 3.3 344 4.9 198 1.4 186 0.4 23

73.7 493 12.0 68 6.9 77 6.5 44 0.8 7

71.6 9.9 11.1 6.4 1.0 100.0 40.4 57.2 100.0 60.4 14.6 9.4 14.3 1.2 100.0

93 52

61.2 34.2

1,407 86.9 35 2.2 71 4.4 80 4.9 23 1.4 1,620 100.0 61 11.0 465 83.9 27 4.9 554 100.0 1,407 64.7 96 4.4 71 3.3 545 25.1 50 2.3 2,174 100.0

2,582 82.7 162 5.2 209 6.7 157 5.0 7 0.2 3,122 100.0 227 825 21.5 78.1 -

4,468 76.1 2,297 58.8 576 9.8 1,043 26.7 487 8.3 345 8.8 329 5.6 213 5.4 9 0.2 8 0.2 5,875 100.0 3,909 100.0 543 38.8 850 60.7 1,400 100.0 492 52.6 437 46.7 6 0.6 935 100.0

746 56.7 380 28.9 88 6.7 98 7.4 5 0.4 1,316 100.0 104 42.8 135 55.6 4 1.6 243 100.0 746 47.9 483 31.0 88 5.6 233 14.9 9 0.6 1,559 100.0

11,593 72.3 2,196 13.7 1,204 7.5 879 5.5 144 0.9 16,035 100.0 1,434 32.9 2,747 63.1 165 3.8 4,356 100.0 11,593 56.9 3,629 17.8 1,204 5.9 3,626 17.8 309 1.5 20,391 100.0

7,413 100.0 5,060 100.0 2,862 100.0 689 1,086 2,065 126 33.1 62.9 3.8 157 176 11 346 45.4 50.9 3.2 100.0 140 434 25 23.3 72.5 4.2 51 73 -

152 100.0 7 35 79 5.7 28.5 64.2

3,283 100.0 4,430 2,704 681 2,644 222

599 100.0 127 61.0 493 14.0 119 5.7 77 17.9 117 1.4 10

123 100.0 93 7 37 131 33.8 2.5 13.5 47.6

1,056 100.0 2,582 389 209 983 10 61.8 9.3 5.0 23.5 0.2

41.4 4,558 25.3 322 6.4 247 24.7 246 2.1 29

84.3 2,110 6.0 484 4.6 198 4.5 620 0.5 48

4,468 61.4 2,297 47.4 1,119 15.4 1,535 31.7 487 6.7 345 7.1 1,179 16.2 650 13.4 11 0.2 14 0.3 7,275 100.0 4,844 100.0

10,696 100.0 5,406 100.0 3,461 100.0 816

275 100.0

4,178 100.0

Note: Groups may not total 100% due to rounding. Cells representing 1-4 person(s) are marked with a dash (-). * People living with HIV infection at any stage of disease disease. ** NH = non-Hispanic. Age n 2009. Men who have sex with men and inject drugs. Includes perinatal transmission, blood transfusion and hemophilia.

Table 5
Of the 20,391 people living with HIV infection, 79% are men, 52% are NH Black, and 57% are MSM. Among NH Black men living with HIV infection, 60% were infected as a result of male-to-male sexual contact, and 22% as a result of injection drug use. As observed with HIV diagnoses, the majority of NH White men were infected primarily through male-to-male sexual contact (90%). Male-to-male sexual contact accounted for approximately 3 out of every four (74%) living HIV cases among Hispanic men. Overall, male-to-male sexual contact was the leading mode of transmission among males living with HIV infection (72%), while heterosexual transmission was the leading mode of transmission among women (63%). In both males and females living with HIV, IDU was the second leading mode of transmission (13% in males, 33% in females). Of all people living with HIV 12% are under the age of 30. In this age group, male-to-male sexual contact is the predominant mode of transmission for males and heterosexual contact for females. Nearly 33% of men and 27% of women living with HIV infection are currently over the age of 49. The leading mode of transmission in this age group is male-to-male sexual contact (58%) for men while for women it is both heterosexual contact (51%) and injection drug use (49%).

STI/HIV Chicago

Fall 2011

Table 6. 2009-2010 Average Annual HIV Infection Diagnoses by Community Area, Chicago (as of 8/25/2011)
Community Area 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard Average HIV Infections 33 10 55 6 6 62 9 16 15 7 10 5 22 25 18 43 7 9 19 22 17 7 7 6 7 11 11 Average HIV Infection Rate 60 13 97 15 17 65 14 20 29 13 13 13 30 43 21 43 39 41 35 61 21 18 24 28 36 48 62 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Community Area Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Ashburn Auburn Gresham Beverley Washington Mount Greenwood Morgan Park O'Hare Edgewater Chicago Total g
**

Average HIV Infections 9 5 14 39 14 5 16 6 16 11 7 2 12 3 16 27 18 23 7 21 4 2 54 991

Average HIV Infection Rate 76.8 19.5 52.0 77.4 45.1 44.2 51.3 43.4 35.9 35.4 15.4 9.6 27.0 7.5 28.8 74.6 58.7 70.5 17.0 43.1 17.5 10.5 95.5 36.8 17.4

39 Kenwood

42,959 U.S. Total Note: Use caution when interpreting data based on less than 20 events, rate/percent is unreliable. Number and rates are surpressed if count is <5. 2009-2010 average annual number of new HIV Infections. Rate per 100,000 population using 2010 U.S. Census Bureau population figures. Includes all persons with unknown/undetermined community area. **Centers for Disease Control and Prevention. HIV Surveillance Report, 2009; vol 21, pg. 20.

STI/HIV Chicago

Fall 2011

Figure 2. 2009-2010 Average Annual HIV Infection Diagnoses Rate by Community Area, Chicago (as of 8/25/2011)
1 2 12 10 76 11 14 15 17 21 18 19 20 22 16 5 6
41.4 - 65.2 65.3 - 96.7

13 4

77

HIV Diagnosis Rate


per 100,000
3
Small Numbers (Suppressed) 7.5 - 23.9 24.0 - 41.3

23 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard Kenwood 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Crossing Ashburn Auburn Gresham Beverly Washington Heights Mount Greenwood Morgan Park O'Hare Edgewater 26 27

24

28 29 31 30 59

32

33 34 60 35 36 58

41 42 43 45 46 48

57 63

61

37

38

39

56 64

62

40 68 69

65

66

67

70

71 44 47 72 73 49 50

52 51

74 75

53 55 54

16 Mi

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Fall 2011

Table 7. People Living with HIV Infection by Community Area, Chicago, 2009 (as of 8/25/2011)
Community Area 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard Prevalent Cases

Prevalence Rate 1,351.1 321.1 2,120.2 471.0 348.3 1,170.9 299.5 388.9 44.7 75.6 121.8 113.5 228.7 370.6 141.9 331.7 95.4 156.4 200.7 339.9 366.8 521.8 655.1 493.7 625.3 894.4 1,069.7 619.5 821.5 677.3 346.7 382.5 411.4 194.2 838.9 490.0 591.1 939.4 605.3 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77

Community Area Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Ashburn Auburn Gresham Beverley Washington Mount Greenwood Morgan Park O'Hare Edgewater g Chicago Total

Prevalent Cases 119 110 217 457 223 55 198 13 61 220 36 49 25 144 25 8 35 11 76 25 56 179 19 64 24 33 203 253 245 239 82 291 36 95 10 71 9 1,091 20,391

Prevalence Rate 1,015.6 428.3 835.2 918.3 718.7 540.0 634.7 445.8 441.6 493.1 491.5 324.3 108.5 485.6 385.7 84.9 101.4 82.1 167.5 160.1 175.1 403.4 104.9 160.4 103.7 98.9 364.9 712.6 799.2 733.1 199.6 597.0 179.7 358.6 52.4 314.9 70.6 1,930.3 756.5

743 231 1,195 186 111 1,105 192 313 5 28 31 21 41 191 91 177 40 21 158 85 144 384 369 402 616 161 220 340 295 537 124 112 88 26 153 29 17 206 108

39 Kenwood

U.S. Total** 663,084 276.5 Note: Use caution when interpreting data based on less than 20 events, rate/percent is unreliable. Number and rates are surpressed if count is <5. People living with HIV infection represents people living with HIV at any stage of disease through 2009. Rate per 100,000 population using 2010 U.S. Census Bureau population figures. Includes all persons with unknown/undetermined community area. **Centers for Disease Control and Prevention. HIV Surveillance Report, 2009; vol 21, pg. 50. Prevalence rate per 100,000 population.

STI/HIV Chicago

Fall 2011

Figure 3. HIV Infection Prevalence Rate by Community Area, Chicago, through 2009 (as of 8/25/2011)
1 2 12 10 76 11 14 15 17 21 18 19 20 16 5 6 13 4 3 77

HIV/AIDS Prevalence
Rate per 100,000
44.7 - 228.7 228.8 - 540.0 540.1 - 838.9 839.0 - 1351.1 1351.2 - 2120.2

22

23 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard Kenwood 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Crossing Ashburn Auburn Gresham Beverly Washington Heights Mount Greenwood Morgan Park O'Hare Edgewater 27

24

26

28 29 31 30 59

32

33 34 60 35 36 58

39 41 42 43 45 46 48

57 63

61

37

38

56 64

62

40 68 69

67 65 66

70

71 44 47 72 73 49 50

52

74 75

51

53 55 54

3.5

14 Mi

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Sexually Transmitted Infections Trends


Table 8.Trends in Gonorrhea Cases by Selected Characteristics, Chicago, 2003-2010 (as of 8/25/2011)
Year of Report 2003 Characteristic Sex Male Female Race/Ethnicity* NH Black NH White NH Other Hispanic Unknown Age Less than 13 13-19 20-29 20-24 25-29 30-39 40-49 50+ Total** 6,039 6,082 49.8 50.2 5,007 5,928 45.8 54.2 4,709 5,179 47.6 52.4 4,859 4,994 49.3 50.7 4,570 4,818 48.7 51.3 5,121 5,388 48.7 51.3 5,023 5,983 45.6 54.4 3,623 4,248 45.9 53.8 No. % 2004 No. % 2005 No. % 2006 No. % 2007 No. % 2008 No. % 2009 No. % 2010 No. %

8,651 391 67 280 2,732

71.4 3.2 0.6 2.3 22.5

7,904 393 48 356 2,234

72.3 3.6 0.4 3.3 20.4

7,315 372 42 298 1,862

74.0 3.8 0.4 3.0 18.8

7,582 354 57 302 1,558

77.0 3.6 0.6 3.1 15.8

7,906 440 56 276 710

84.2 4.7 0.6 2.9 7.6

8,746 425 119 352 877

83.2 4.0 1.1 3.3 8.3

8,839 429 88 387 1,264

80.3 3.9 0.8 3.5 11.5

5,267 402 96 333 1,794

66.7 5.1 1.2 4.2 22.7

35 3,222 5,930 3,888 2,042 1,848 839 247

0.3 26.6 48.9 32.1 16.8 15.2 6.9 2.0

30 2,826 5,448 3,501 1,947 1,687 707 237

0.3 25.8 49.8 32.0 17.8 15.4 6.5 2.2

14 2,763 4,898 3,240 1,658 1,446 565 193

0.1 27.9 49.5 32.8 16.8 14.6 5.7 2.0

14 2,608 4,920 3,074 1,846 1,456 610 244

0.1 26.5 49.9 31.2 18.7 14.8 6.2 2.5

16 2,743 4,620 2,921 1,699 1,308 494 201

0.2 29.2 49.2 31.1 18.1 13.9 5.3 2.1

18 3,041 5,313 3,532 1,771 1,394 610 244

0.2 28.9 50.6 33.6 16.9 13.3 5.8 2.3

22 3,142 5,700 3,832 1,868 1,420 510 213

0.2 28.5 51.8 34.8 17.0 12.9 4.6 1.9

23 2,730 3,694 2,520 1,174 938 368 139

0.3 34.6 46.8 31.9 14.9 11.9 4.7 1.8

12,121 100.0

10,935 100.0

9,889 100.0

9,853 100.0

9,388 100.0

10,509 100.0

11,007 100.0

7,892 100.0

Note: Groups may not total 100% due to rounding. Cells representing 1-4 person(s) are marked with a dash (-). * NH = non-Hispanic. Age at time of diagnosis. **Includes cases with unknown sex or age.

Table 8
In 2010, gonorrhea cases decreased by 28.3% compared In 2010, the total number of reported cases for those

to 2009, after two years of increases. Decreases in the morbidity partially could be explained by implementation of the new STI Surveillance system and changes within the STI surveillance data submission from private as well as public providers.
Males and females are almost equally aected by gonor-

ages 20-24 was almost twice the number of reported cases for those 25-29 years of age. More than 67% of cases occurred among people younger than 25 years of age.

rhea (46% of males and 54% of females were diagnosed with gonorrhea in 2010). Nearly 67% of 2010 gonorrhea cases were NH Black. NH Whites comprised 5% and Hispanics comprised just 4% of total gonorrhea cases in 2010. Approximately 23% of cases were reported with unknown race/ethnicity making interpretation dicult.

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Table 9. Reported Gonorrhea Cases by Community Area Community Area, Chicago, 2010 (as of 8/25/2011)
Community Area 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard Gonorrhea Cases 104 39 77 24 20 118 35 73 20 23 33 5 45 14 15 68 207 76 579 123 118 139 266 50 22 24 19 13 54 30 18 105 46 Rate 189.1 54.2 136.6 60.8 62.8 125.0 54.6 90.7 38.8 35.9 61.8 11.9 57.1 56.0 38.2 92.4 367.5 93.3 587.7 683.3 573.7 253.3 740.7 63.1 61.5 82.0 88.8 97.1 296.1 506.9 625.9 478.8 257.8 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Community Area Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Ashburn Auburn Gresham Beverley Washington Mount Greenwood Morgan Park O'Hare Edgewater Gonorrhea Cases 84 33 129 243 145 29 129 16 49 255 35 51 12 185 28 14 6 12 9 11 170 19 14 235 276 300 206 83 310 19 116 59 0 79 Rate 716.9 128.5 496.5 488.3 467.3 284.7 413.5 548.7 354.8 571.5 477.8 337.5 52.1 623.9 432.0 40.6 44.8 26.5 57.6 34.4 383.1 47.6 42.0 422.4 777.4 978.7 631.9 202.0 636.0 94.8 437.9 261.7 0.0 139.8

7,892 292.8 g Chicago Total Note: Use caution when interpreting data based on 20 or fewer events, the rate/percent is unreliable. Number and rates are surpressed if count is <5. 39 Kenwood Rate per 100,000 population using 2010 population estimates. Includes all persons with unknown/undetermined community area.

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Figure 4. Gonorrhea Rate (per 100,000) by Community Area, Chicago, 2010 (as of 8/25/2011)
Gonorrhea Infection Rate per 100,000
No Cases Small numbers (suppressed)
9 2 12 10 76 11 13 4 14 15 17 21 18 19 20 22 16 5 6 3 77 1

11.9 - 139.8 139.9 - 383.1 383.2 - 587.7 587.8 - 978.7

23
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 ROGERS PARK WEST RIDGE UPTOWN LINCOLN SQUARE NORTH CENTER LAKE VIEW LINCOLN PARK NEAR NORTH SIDE EDISON PARK NORWOOD PARK JEFFERSON PARK FOREST GLEN NORTH PARK ALBANY PARK PORTAGE PARK IRVING PARK DUNNING MONTCLARE BELMONT CRAGIN HERMOSA AVONDALE LOGAN SQUARE HUMBOLDT PARK WEST TOWN AUSTIN WEST GARFIELD PARK EAST GARFIELD PARK NEAR WEST SIDE NORTH LAWNDALE SOUTH LAWNDALE LOWER WEST SIDE LOOP NEAR SOUTH SIDE ARMOUR SQUARE DOUGLAS OAKLAND FULLER PARK GRAND BOULEVARD KENWOOD WASHINGTON PARK 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 HYDE PARK WOODLAWN SOUTH SHORE CHATHAM AVALON PARK SOUTH CHICAGO BURNSIDE CALUMET HEIGHTS ROSELAND PULLMAN SOUTH DEERING EAST SIDE WEST PULLMAN RIVERDALE HEGEWISCH GARFIELD RIDGE ARCHER HEIGHTS BRIGHTON PARK MCKINLEY PARK BRIDGEPORT NEW CITY 56 WEST ELSDON GAGE PARK CLEARING 64 WEST LAWN CHICAGO LAWN WEST ENGLEWOOD ENGLEWOOD GREATER GRAND CROSSING ASHBURN AUBURN GRESHAM BEVERLY WASHINGTON HEIGHTS MOUNT GREENWOOD MORGAN PARK OHARE EDGEWATER

24

25 26 27 32

28

29 31 30 59 58 57 63 61 37 34 60

33

35 36 38 39 41 42 69

62

40 67 68

65

66

43

70

71

44

45 47 48

46

72

73 49 50 51 52

74

75

53 54 55

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Fall 2011

Table 10.Trends in Chlamydia Cases by Selected Characteristics, Chicago, 2003-2010 (as of 8/25/2011)
Year of Report 2003 Characteristic Sex Male Female Race/Ethnicity* NH Black NH White NH Other Hispanic Unknown Age Less than 13 13-19 20-29 20-24 25-29 30-39 40-49 50+ Total** 6,201 17,264 26.4 73.6 5,314 16,288 24.6 75.4 6,339 16,514 27.7 72.3 6,479 17,057 27.5 72.5 5,603 16,577 25.3 74.7 7,334 18,130 28.8 71.2 7,413 19,365 27.7 72.3 7,023 18,192 27.8 71.9 No. % 2004 No. % 2005 No. % 2006 No. % 2007 No. % 2008 No. % 2009 No. % 2010 No. %

14,409 731 132 1,877 6,317

61.4 3.1 0.6 8.0 26.9

14,004 832 171 1,914 4,682

64.8 3.9 0.8 8.9 21.7

14,704 926 174 2,135 4,915

64.3 4.1 0.8 9.3 21.5

15,859 881 8,194 2,203 4,376

67.4 3.7 34.8 9.4 18.6

15,905 1148 216 2,555 2,357

71.7 5.2 1.0 11.5 10.6

18,293 1,170 340 2,770 2,892

71.8 4.6 1.3 10.9 11.4

18,552 1,118 274 2,478 4,370

69.2 4.2 1.0 9.2 16.3

14,672 1,185 465 2,838 6,128

58.0 4.7 1.8 11.2 24.2

70 7,179 12,527 8,560 3,967 2,754 763 172

0.3 30.6 53.4 36.5 16.9 11.7 3.3 0.7

68 6,524 11,607 7,771 3,836 2,590 646 168

0.3 30.2 53.7 36.0 17.8 12.0 3.0 0.8

39 7,220 12,279 8,182 4,097 2,524 626 161

0.2 31.6 53.7 35.8 17.9 11.0 2.7 0.7

64 7,454 12,462 8,222 4,240 2,715 656 184

0.3 31.7 52.9 34.9 18.0 11.5 2.8 0.8

41 7,052 11,738 7,729 4,009 2,542 629 179

0.2 31.8 52.9 34.8 18.1 11.5 2.8 0.8

50 8,491 13,113 8,774 4,339 2,854 713 240

0.2 33.3 51.5 34.5 17.0 11.2 2.8 0.9

57 8,612 14,033 9,449 4,584 3,059 769 262

0.2 32.1 52.4 35.3 17.1 11.4 2.9 1.0

115 9,245 12,334 8,405 3,929 2,636 716 242

0.5 36.6 48.8 33.2 15.5 10.4 2.8 1.0

23,466 100.0

21,603 100.0

22,854 100.0

23,536 100.0

22,181 100.0

25,465 100.0

26,792 100.0

25,288 100.0

Note: Groups may not total 100% due to rounding. Cells representing 1-4 person(s) are marked with a dash (-). * NH = non-Hispanic. Age at time of diagnosis. **Includes cases with unknown sex or age.

Table 10
Three-quarters of Chlamydia reports are among females, As was the case with gonorrhea, most Chlamydia cases

both in Chicago and in the US overall. This sex disparity is likely a surveillance artifact resulting from the fact that screening guidelines target females almost exclusively, and reecting dierential patterns of health care utilization by women and men.
Overall, 86% of Chlamydia cases occurred in individuals

were in NH Blacks (58%). NH Whites and Hispanics comprised just 16% of cases. Again, note that race/ethnicity is missing for approximately 24% of cases making data interpretation dicult.

under the age of 30. Approximately 70% of cases were among persons less than 25 years of age.

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Table 11. Reported Chlamydia Cases by Community Area, Chicago, 2010 (as of 8/25/2011)
Community Area 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard Chlamydia Cases 291 138 160 81 49 214 116 269 5 21 29 12 24 120 143 157 46 28 303 94 139 303 677 291 1,743 340 402 537 842 426 185 88 72 48 167 87 44 335 Rate 529.2 191.8 283.9 205.1 153.8 226.8 180.9 334.2 44.7 56.7 114.0 64.8 133.8 232.8 223.0 294.2 109.7 208.6 384.8 375.8 354.0 411.7 1,202.0 , 357.4 1,769.3 1,888.8 1,954.6 978.5 2,344.6 537.3 517.2 300.5 336.6 358.4 915.7 1,470.1 1,529.9 1,527.7 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Community Area Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Ashburn Auburn Gresham Beverley Washington Mount Greenwood Morgan Park O'Hare Edgewater Chlamydia Cases 252 90 403 733 422 112 395 60 134 675 87 174 71 451 67 13 75 38 184 56 67 440 47 210 48 124 707 756 710 604 299 815 72 356 18 202 13 162 Rate 2,150.7 350.5 1,551.0 1,472.9 1,360.1 1,099.7 1,266.1 2,057.6 970.2 1,512.8 1,187.7 1,151.6 308.1 1,521.0 1,033.6 137.9 217.3 283.7 405.6 358.7 209.5 991.5 259.5 526.4 207.4 371.8 1,270.9 2,129.3 2,316.2 1,852.6 727.8 1,672.0 359.4 1,343.8 94.3 896.0 101.9 286.6

25,288 938.1 39 Kenwood 137 767.9 g Chicago Total Note: Use caution when interpreting data cased on 20 or fewer events, the rate/percent is unreliable. Number and rates are surpressed if count is <5. Rate per 100,000 population using 2010 population estimates. Includes all persons with unknown/undetermined community area.

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Figure 5. Chlamydia Rate (per 100,000) by Community Area, Chicago, 2010 (as of 8/25/2011)

Chlamydia Infection Rate per 100,000


44.7 - 259.5 259.6 - 727.8
9 2 12 10 76 11 13 4 14 15 17 21 18 19 20 22 16 5 6 3 77 1

727.9 - 1360.1 1360.2 - 2344.6

23 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 ROGERS PARK WEST RIDGE UPTOWN LINCOLN SQUARE NORTH CENTER LAKE VIEW LINCOLN PARK NEAR NORTH SIDE EDISON PARK NORWOOD PARK JEFFERSON PARK FOREST GLEN NORTH PARK ALBANY PARK PORTAGE PARK IRVING PARK DUNNING MONTCLARE BELMONT CRAGIN HERMOSA AVONDALE LOGAN SQUARE HUMBOLDT PARK WEST TOWN AUSTIN WEST GARFIELD PARK EAST GARFIELD PARK NEAR WEST SIDE NORTH LAWNDALE SOUTH LAWNDALE LOWER WEST SIDE LOOP NEAR SOUTH SIDE ARMOUR SQUARE DOUGLAS OAKLAND FULLER PARK GRAND BOULEVARD KENWOOD WASHINGTON PARK 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 HYDE PARK WOODLAWN SOUTH SHORE CHATHAM AVALON PARK SOUTH CHICAGO BURNSIDE CALUMET HEIGHTS ROSELAND PULLMAN SOUTH DEERING EAST SIDE WEST PULLMAN RIVERDALE HEGEWISCH GARFIELD RIDGE ARCHER HEIGHTS BRIGHTON PARK MCKINLEY PARK BRIDGEPORT NEW CITY 56 WEST ELSDON GAGE PARK CLEARING 64 WEST LAWN CHICAGO LAWN WEST ENGLEWOOD ENGLEWOOD GREATER GRAND CROSSING ASHBURN AUBURN GRESHAM BEVERLY WASHINGTON HEIGHTS MOUNT GREENWOOD MORGAN PARK OHARE EDGEWATER

24

26

27

28

32

29 31 30 59 58 57 63 61 37 34 60

33

35 36 38 39 41 42 69

62

40 67 68

65

66

43

70

71

44

45 47 48

46

72

73 49 50 51 52

74

75

53 54 55

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Fall 2011

Table 12.Trends in Primary and Secondary Syphilis Cases by Selected Characteristics, Chicago, 2003-2010 (as of 8/25/2011)
Year of Report 2003 Characteristic Sex Male Female Race/Ethnicity NH Black NH White NH Other Hispanic Unknown Transmission Group Male sex w/Male Heterosexual Males Females Male unknown Age Less than 13 13-19 20-29 20-24 25-29 30-39 40-49 50+ Total**
*

2004 % 88.8 11.2 No. 250 47 % 84.2 15.8

2005 No. 380 38 % 90.9 9.1

2006 No. 266 29 % 90.2 9.8

2007 No. 311 20 % 94.0 6.0

2008 No. 398 27 % 93.6 6.4

2009 No. 530 31 % 94.5 5.5

2010 No. 602 84 % 87.8 12.2

No. 237 30

126 97 6 26 12

47.2 36.3 2.2 9.7 4.5

158 93 5 32 9

53.2 31.3 1.7 10.8 3.0

165 177 8 49 19

39.5 42.3 1.9 11.7 4.5

146 99 33 16

49.5 33.6 11.2 5.4

140 128 4 53 6

42.3 38.7 1.2 16.0 1.8

198 136 17 64 7

46.6 32.0 4.0 15.1 1.6

315 153 6 69 13

56.1 27.3 1.1 12.3 2.3

402 152 11 92 29

58.6 22.2 1.6 13.4 4.2

170 42 30 25

63.7 15.7 11.2 9.4

162 65 47 23

54.5 21.9 15.8 7.7

304 33 38 43

72.7 7.9 9.1 10.3

169 41 29 85

57.3 13.9 9.8 28.8

235 47 20 29

71.0 14.2 6.0 8.8

271 50 27 77

63.8 11.8 6.4 18.1

345 40 31 145

61.5 7.1 5.5 25.8

340 86 84 176

49.6 12.5 12.2 25.7

0 65 22 43 104 80 14

0.0 24.3 8.2 16.1 39.0 30.0 5.2

0 12 93 40 53 92 72 28

0.0 4.0 31.3 13.5 17.8 31.0 24.2 9.4

0 12 104 43 61 155 119 28

0.0 2.9 24.9 10.3 14.6 37.1 28.5 6.7

0 17 97 45 52 76 81 24

0.0 5.8 32.9 15.3 17.6 25.8 27.5 8.1

0 11 89 34 55 105 106 20

0.0 3.3 26.9 10.3 16.6 31.7 32.0 6.0

0 30 111 35 76 114 109 31

0.0 7.1 26.1 8.2 17.9 26.8 25.6 7.3

0 36 196 109 87 170 121 38

0.0 6.4 34.9 19.4 15.5 30.3 21.6 6.8

0 35 260 136 124 167 162 62

0.0 5.1 37.9 19.8 18.1 24.3 23.6 9.0

267 100.0

297 100.0

418 100.0

295 100.0

331 100.0

425 100.0

561 100.0

686 100.0

Note: Groups may not total 100% due to rounding. Cells representing 1-4 person(s) are marked with a dash (-). * NH = non-Hispanic. Age at time of diagnosis. **Includes cases with unknown sex or age.

Table 12
Between 2009 and 2010, primary and secondary (P&S)

syphilis cases increased by 23% (22% among NH Whites, 59% among NH Blacks and 13% in Hispanics). In 2010, the overwhelming majority of P&S syphilis cases were in men (88%), reecting the continuing syphilis epidemic among men who have sex with men (MSM). Between 2009 and 2010 the number of P&S syphilis cases in MSM slightly decreased (by 1.5%). However, 26% of the cases were reported as male with unknown gender of sex partner which, if known, could impact the magnitude of the MSM epidemic.

Between 2009 and 2010 the number of P&S syphilis cases among females and heterosexual males increased by 171% and 115%, respectively. In 2010, the highest proportion of P&S syphilis cases occurred in NH Blacks (59%) and in those ages 20-29 (38%). Since MSM sexual contact is the leading mode of HIV transmission in Chicago, syphilis and HIV share similar routes of transmission. Infection with either disease increases the likelihood of transmitting or acquiring the other from an infected partner. Overall, fty seven percent (194/340) of MSM patients diagnosed with P&S syphilis were co-infected with HIV.

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Table 13. Reported Primary and Secondary Syphilis Cases by Community Area, Chicago, 2010 (as of 8/25/2011)
Community Area 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Rogers Park West Ridge Uptown Lincoln Square North Center Lake View Lincoln Park Near North Side Edison Park Norwood Park Jefferson Park Forest Glen North Park Albany Park Portage Park Irving Park Dunning Montclare Belmont Cragin Hermosa Avondale Logan Square Humboldt Park West Town Austin West Garfield Park East Garfield Park Near West Side North Lawndale South Lawndale Lower West Side Loop Near South Side Armour Square Douglas Oakland Fuller Park Grand Boulevard P&S Syphilis Cases 32 9 56 6 56 12 12 0 0 5 16 16 9 55 15 8 18 12 5 0 15 Rate 58.2 12.5 99.4 15.2 59.3 18.7 14.9 0.0 0.0 12.7 21.7 28.4 11.1 55.8 83.3 38.9 32.8 33.4 23.4 0.0 68.4 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 Community Area Washington Park Hyde Park Woodlawn South Shore Chatham Avalon Park South Chicago Burnside Calumet Heights Roseland Pullman South Deering East Side West Pullman Riverdale Hegewisch Garfield Ridge Archer Heights Brighton Park McKinley Park Bridgeport New City West Elsdon Gage Park Clearing West Lawn Chicago Lawn West Englewood Englewood Gr. Grand Ashburn Auburn Gresham Beverley Washington Mount Greenwood Morgan Park O'Hare Edgewater P&S Syphilis Cases 6 7 11 30 15 8 0 10 0 9 0 5 0 6 13 11 26 11 7 9 0 43 Rate 51.2 27.3 42.3 60.3 48.3 25.6 0.0 22.4 0.0 30.4 0.0 11.0 0.0 13.5 23.4 31.0 84.8 33.7 14.4 34.0 22.2 76.1

39 Kenwood 686 25.4 Chicago Total g Note: Use caution when interpreting data cased on 20 or fewer events, the rate/percent is unreliable. Number and rates are surpressed if count is <5. Rate per 100,000 population using 2010 population estimates. Includes all persons with unknown/undetermined community area.

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Figure 6. Reported Primary and Secondary Syphilis Case Rate by Community Area, Chicago, 2010 (as of 8/25/2011)
P&S Syphilis Rates per 100,000
No Cases Small number (suppressed)
9 2 12 10 76 11 13 4 14 15 17 21 18 19 20 22 16 5 6 3 77 1

11.0 - 18.7 18.8 - 38.9 39.0 - 68.4 68.5 - 99.4

23 25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 ROGERS PARK WEST RIDGE UPTOWN LINCOLN SQUARE NORTH CENTER LAKE VIEW LINCOLN PARK NEAR NORTH SIDE EDISON PARK NORWOOD PARK JEFFERSON PARK FOREST GLEN NORTH PARK ALBANY PARK PORTAGE PARK IRVING PARK DUNNING MONTCLARE BELMONT CRAGIN HERMOSA AVONDALE LOGAN SQUARE HUMBOLDT PARK WEST TOWN AUSTIN WEST GARFIELD PARK EAST GARFIELD PARK NEAR WEST SIDE NORTH LAWNDALE SOUTH LAWNDALE LOWER WEST SIDE LOOP NEAR SOUTH SIDE ARMOUR SQUARE DOUGLAS OAKLAND FULLER PARK GRAND BOULEVARD KENWOOD WASHINGTON PARK 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 HYDE PARK WOODLAWN SOUTH SHORE CHATHAM AVALON PARK SOUTH CHICAGO BURNSIDE CALUMET HEIGHTS ROSELAND PULLMAN SOUTH DEERING EAST SIDE WEST PULLMAN RIVERDALE HEGEWISCH GARFIELD RIDGE ARCHER HEIGHTS BRIGHTON PARK MCKINLEY PARK BRIDGEPORT NEW CITY 56 WEST ELSDON GAGE PARK CLEARING 64 WEST LAWN CHICAGO LAWN WEST ENGLEWOOD ENGLEWOOD GREATER GRAND CROSSING ASHBURN AUBURN GRESHAM BEVERLY WASHINGTON HEIGHTS MOUNT GREENWOOD MORGAN PARK OHARE EDGEWATER

24

26

27

28

32

29 31 30 59 58 57 63 61 37 34 60

33

35 36 38 39 41 42 69

62

40 67 68

65

66

43

70

71

44

45 47 48

46

72

73 49 50 51 52

74

75

53 54 55

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Technical Notes
As the HIV epidemic and HIV reporting systems change, new opportunities arise to better describe the epidemic. Thus, in keeping with these changes we have a made a number of modications to STI/HIV Chicago. A description of the changes and other technical notes follow. 1) In January, 2006 Illinois transitioned from a code-based to a name-based HIV reporting system. To date, approximately 80% of previously reported code-based cases now have names and are in the new surveillance database (named eHARS) provided by the Centers for Disease Control and Prevention (CDC) in June, 2009. While eorts are still underway to ascertain names on code-based HIV cases, epidemiological analyses of HIV and AIDS in this section will be based only on name-based HIV cases in eHARS and thus prevalence numbers in this report may be smaller than those in previous reports. When interpreting data in this report, keep in mind that the eHARS database is updated continuously to reect the most current and complete information on people infected and newly diagnosed with HIV or AIDS, data in this report were up-to-date as of 8/25/11. 2) The HIV Infection Diagnosis data presented in this issue include 3 categories of diagnoses: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS. HIV cases include both laboratory-dened cases as well as HIV cases diagnosed by a physician without laboratory tests. AIDS represent a later stage in the HIV disease spectrum. Data from the HIV reporting system should be interpreted with caution. HIV surveillance reports may not be representative of all persons infected with HIV because not all infected persons have been tested. The guidelines for cell suppression used in this report try to balance data accessibility with condentiality and condence in the stability of the estimates published. Rates and percentages based on twenty or fewer cases can vary widely just by random chance even when there is no meaningful statistical dierence between measurements. Thus, the number and rate for categories with less than 5 cases are suppressed. 4) Report delay is dened as the interval between the date an HIV or AIDS case is diagnosed and the date the case is reported to the health department. Reporting delays are important when interpreting trends in case numbers and rates over time and especially, the most recent year of diagnosis. Almost 50% of HIV/AIDS cases were actually reported within the same calendar year in which they were diagnosed, and more than 85% of all cases are reported within two calendar years of diagnosis. In order to present the most complete data as possible, we will be presenting trend data through 2009, the year of diagnosis for which we believe data are close to 100% complete. Additional cases continue to be reported in subsequent years and new cases are identied through laboratory reporting and registry matches. Thus, the number of cases diagnosed for each year are subject to change as new information is received from any of the reporting sources. 5) For surveillance purposes, HIV and AIDS cases are counted only once in a hierarchy of modes of transmission. Persons with more than one reported mode of transmission are classied in the transmission mode rst in the hierarchy. The exception is men who have sex with men and also inject drugs, which has its own category. Persons whose transmission mode is classied as male-to-male sexual contact (MSM) include men who report sexual contact with other men and men who report sexual contact with both men and women. Persons whose mode of transmission is classied as heterosexual contact are persons who report specic heterosexual contact with a person with, or at increased risk for, HIV infection (e.g., an injection drug user). 6) Because many cases of HIV infection and AIDS are initially reported without a dened mode of transmission, we use multiple imputation to assign a mode of transmission for these cases. Multiple imputation is a statistical approach in which each missing mode of transmission is replaced with a set of plausible values that represent the uncertainty about the true, but missing, value. The plausible values are analyzed by using standard procedures, and the results from these analyses are then combined to produce the nal results. Multiple imputation is used by the Centers for Disease Control and Prevention (CDC) in their national HIV Surveillance Report.

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Appendix A - List of Acronyms


AIDS = Acquired Immunodeciency Syndrome ART = Anti-retroviral therapy CDC = Centers for Disease Control and Prevention HIV = Human Immunodeciency Virus IDU = Injection drug users IDU MSM = Men who have sex with men MSM MSM/IDU = Men with a history of injection drug use who have sex with men MSM/IDU NH = Non-Hispanic NH P & S = Primary and secondary syphilis STI = Sexually transmitted infection

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to find more information about Healthy Chicago, HiV and Sti programs contact the Chicago Department of Public Health: www.cityofchicago.org/health you can also connect with CDPH at: twitter: @ChiPublicHealth Facebook: http://www.facebook.com/ChicagoPublicHealth

chicago Department of public Health 333 S. State St., Suite 200 Chicago, il. 60604