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Show Infectious Diseases Primary and Secondary Syphilis (ICD-9=091-092, ICD-10=A51) Compiled by Jennifer Ha 2002 Utah Primary and Secondary Syphilis Cases: 9 Syphilis is a sexually transmitted disease caused by the bacterium Treponema Pallidum. In its primary stage, the bacterium produces a painless sore on the infected patient. Those who go untreated will move into the secondary stage of the disease and experience rashes, hair loss, nausea, and weight loss. A steady decline in the rate of primary and secondary syphilis has occurred throughout the United States in the last 10 years (Tables 1). Utah has maintained a much lower rate of syphilis than the nation (Figure 1). The rate of males with primary or secondary syphilis has been slightly higher than ¦ females, both in Utah and in the United States (Table 2). Current projects such as the National Plan to Eliminate Syphilis from the United States are concentrated on geographic areas with disproportionately high levels of syphilis. Table 1. Incidence of Primary and Secondary Syphilis, Utah and U.S., 1990-2000. Incidence (per 100,000) Year Utah U.S. Utah/U.S. 1990 0.5. 20.3 0.02 1991 0.6 17.0 0.04 1992 0.5 13.3 0.04 1993 0.5 10.3 0.05 1994 0.6 7.9 0.08 1995 0.2 6.3 0.03 1996 0.1 4.3 0.02 1997 0.2 3.2 0.06 1998 0.2 2.6 0.08 1999 0.1 2.4 0.04 2000 0.2 2.2 0.09 2001 0.3 2.5 0.12 Table 2. Incidence of Primary and Secondary Syphilis by Gender, Utah and U.S., 1990-2000. Males Females (per 100,000) (per 100,000) Year Utah U.S. Utah U.S. 1990 0.6 23.5 0.3 17.3 1991 0.8 19.2 0.3 14.9 1992 0.9 14.5 0.1 12.2 1993 0.6 11.2 0.4 9.4 1994 0.8 8.4 0.4 7.5 1995 0.4 6.8 0.0 5.8 1996 0.3 4.6 0.0 4.0 1997 0.3 3.6 0.2 2.9 1998 0.4 3.0 0.0 2.2 1999 0.2 2.9 0.0 2.0 2000 0.1 2.7 0.1 1.8 Figure 1. Incidence of Primary and Secondary Syphilis, Utah and U.S., 1990-2000. © 25.0 -, °- 20.0 - ° 15.0 - • 10.0 - £ 5.0 0.0 •Utah U.S. 1990 1991 1992 1993 1994 1995 1996 Year 1997 1998 1999 2000 2001 Sources: Centers for Disease Control and Prevention (September 1994-2001). Sexually Transmitted Disease Surveillance 1993-2000. Atlanta, GA: U.S. Department of Health and Human Services. Utah Department of Health. Indicator-based information system for public health, indicator: Syphilis. [Online] http://healfn.utah.g.(>v/ibis-ph/ index tree.html. Attained 8/2/2003. Utah's Health: An Annual Review Volume DC |
