Genital herpes diagnosis rate - WMCA

All diagnoses of first episode genital herpes among people accessing sexual health services* in England who are also residents in England, expressed as a rate per 100,000 population. Data is presented by area of patient residence and include those residents in England and those with an unknown residence (data for those residents outside of England is not included).*Sexual health services providing STI related care (Levels 2 and 3). Further details on the levels of sexual healthcare provision are provided in the  https://www.bashh.org/about-bashh/publications/standards-for-the-management-of-stis/ .RationaleGenital herpes is the most common ulcerative sexually transmitted infection seen in England. Infections are frequently due to herpes simplex virus (HSV) type 2, although HSV-1 infection is also seen. Recurrent infections are common with patients returning for treatment.Definition of numeratorThe number of diagnoses of genital herpes (first episode) among people accessing sexual health services in England who are also residents in England.Episode Activity codes (SNOMED or Sexual Health and HIV Activity Property Types (SHHAPT)) relating to diagnosis of genital herpes (first episode) were used. The clinical criteria used to diagnose the conditions are given at  https://www.bashh.org/guidelines .Data was de-duplicated to ensure that a patient received a diagnostic code only once for each episode. Patients cannot be tracked between services and therefore de-duplication relies on patient consultations at a single service.Definition of denominatorThe denominators for 2012 to 2022 are sourced from Office for National Statistics (ONS) population estimates based on the 2021 Census.Population estimates for 2023 were not available at the time of publication – therefore rates for 2023 are calculated using estimates from 2022 as a proxy.Further details on the ONS census are available from the https://www.ons.gov.uk/census .CaveatsEvery effort is made to ensure accuracy and completeness of GUMCAD data, including web-based reporting with integrated checks on data quality. However, responsibility for the accuracy and completeness of data lies with the reporting service.Data is updated on an annual basis due to clinic or laboratory resubmissions and improvements to data cleaning. Data may differ from previous publications.Figures reported in 2020 and 2021 are notably lower than previous years due to the disruption to SHSs during the national response to the COVID-19 pandemic.

英格兰性健康服务访问者中，第一例生殖器疱疹的诊断数据，以每10万人群中的发病率表示。数据按患者居住区域展示，包括英格兰居民以及居住情况不明的个体（不包括英格兰以外的居民的数据）。性健康服务提供性传播感染相关护理（二级和三级）。有关性健康护理提供级别的详细信息，请参考https://www.bashh.org/about-bashh/publications/standards-for-the-management-of-stis/。

研究背景：生殖器疱疹是英格兰最常见的溃疡性性传播感染。感染通常由单纯疱疹病毒2型引起，尽管单纯疱疹病毒1型感染也可见。复发性感染较为常见，患者会因治疗而反复就诊。

分子定义：英格兰性健康服务访问者中，英格兰居民第一例生殖器疱疹的诊断数量。使用与生殖器疱疹（第一例）诊断相关的病例活动代码（SNOMED或性健康和HIV活动属性类型（SHHAPT））。用于诊断条件的临床标准可在https://www.bashh.org/guidelines上找到。为确保每位患者在每个病例中仅获得一次诊断代码，对数据进行去重处理。由于无法在服务之间追踪患者，因此去重依赖于患者在单一服务中的就诊咨询。

分母定义：2012年至2022年的分母数据来源于基于2021年人口普查的国家统计局（ONS）人口估计。由于2023年的人口估计数据在发布时不可用，因此使用2022年的估计值作为代理来计算2023年的比率。有关ONS人口普查的详细信息，请参阅https://www.ons.gov.uk/census。

注意事项：尽管尽一切努力确保GUMCAD数据的准确性和完整性，包括基于网络的报告以及数据质量的集成检查，但数据准确性和完整性的责任在于报告服务。由于诊所或实验室的重新提交以及数据清洗的改进，数据每年更新一次。数据可能与之前的出版物有所不同。2020年和2021年报告的数字明显低于往年，这是由于对COVID-19大流行的国家应对措施期间性健康服务受到的干扰所致。