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Show Gonorrhea (ICD-9=,98 ICD-10=A54) Compiled by Adrianna C. Olnhausen and Jennifer Ha 2000 Utah Incidence: 11 per 100,000 Gonorrhea is a sexually transmitted disease caused by the bacterium Neisseria gonorrhoeae. Women infected with the disease will develop symptoms such as vaginal discharge, dysuria, and inter-menstrual uterine bleeding. Some men may experience penile discharge or painful urination, while others may display no symptoms at all. If left untreated, gonorrhea can lead to serious problems such as prostatitis, pelvic inflammatory disease, and even infertility. From 1975 to 1997, there was a 73.9% decrease in the rate of Gonorrhea throughout the United States. However, the 1998 to 2000 figures revealed a 9% rate increase. This shift can be attributed to increased screening, better diagnostic testing, and improved reporting. There are an estimated 800,000 new cases of gonorrhea in the United States per year. The U.S. rate remains the highest of any industrialized country and is roughly 50 times that of Sweden and 8 times that of Canada. The estimated annual cost of the disease and its ramifications is approximately $1.1 billion per year in the United States. 300 -, O 8 250 ^ g 200 - - 150 -\ w 100 - CD £ 50-O 0 •Utah Table 29. Gonorrhea Incidence, Utah and U.S., 1990-2000. Incidence (per 100,000) Year Utah U.S. Utah:U.S. 1990 23.0 277.4 0.08 1991 19.0 246.7 0.08 1992 21.4 197.1 0.11 1993 19.4 172.5 0.11 1994 16.8 165.7 0.10 1995 15.7 149.4 0.11 1996 13.7 123.2 0.11 1997 13.5 122.0 0.11 1998 11.2 131.6 0.09 1999 11.9 132.0 0.09 2000 10.8 131.6 0.08 Table 30. Gonorrhea Incidence by Gender, Utah and U.S., 1990-2000. Males Females (per 100,000) (per 100,000) Year Utah U.S. Utah U.S. 1990 25.8 322.3 20.3 235.5 1991 23.0 288.9 15.0 206.3 1992 22.8 223.1 19.8 171.5 1993 20.0 186.9 17.6 146.6 1994 18.5 179.3 13.2 152.1 1995 19.1 158.7 12.3 140.2 1996 18.1 127.4 9.4 119.0 1997 18.9 124.9 8.1 119.0 1998 15.9 132.7 6.6 130.0 1999 14.5 134.7 9.3 128.7 2000 12.5 134.6 9.2 128.3 .....1 1 Q 1990 1992 1994 Year 1996 1998 2000 Figure 19. Gonorrhea Incidence, Utah and U.S., 1990-2000. 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. Index of Disease Facts: Gonorrhea. [Online] http://www.health.state.ut.us/. Retrieved 3/13/02. Utah's Health: An Annual Review Volume VIII |