All new STI diagnoses rate per 100,000 - WMCA

All chlamydia diagnoses 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 1, 2 or 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/ .RationaleA summary figure of all new STI diagnoses.Definition of numeratorThe number of new STI diagnoses among people accessing sexual health services in England who are also residents in England.STI data excluding chlamydia is sourced from the GUMCAD STI Surveillance System (Levels 2 and 3). GUMCAD data is reported by SHSs providing STI related care (Levels 2 or 3). Chlamydia data is sourced from GUMCAD (Level 3) and CTAD Chlamydia Surveillance System (Levels 1 and 2), UKHSA. CTAD data is reported by laboratories conducting testing for any service (Levels 1, 2 or 3) providing chlamydia testing.The Episode Activity codes (SNOMED or Sexual Health and HIV Activity Property Types (SHHAPT)) relating to diagnosis of: chancroid, Lymphogranuloma venereum (LGV), donovanosis, chlamydia, gonorrhoea, first episode anogenital herpes, new HIV diagnosis, molluscum contagiosum, non-specific genital infection (NSGI), pelvic inflammatory disease (PID) and epididymitis: non-specific, scabies and pediculosis pubis, syphilis (primary, secondary and early latent), trichomoniasis, first episode genital warts were used.In 2015, the new STI diagnoses group was expanded to include new codes that were not previously reported via GUMCADv2. The new codes include: Mycoplasma genitalium (C16); Shigella: flexneri, sonnei and unspecified (SG1, SG2, SG3).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.

英格兰境内接受性健康服务的居民中所有淋病诊断情况，以每10万人中的发生率表示。数据按患者居住区域划分，包括英格兰居民及居住情况不明的个体（不包括英格兰境外居民的淋病数据）。性健康服务提供与性传播感染（STI）相关的护理（包括一、二或三级水平）。有关性健康护理级别的详细信息请参阅https://www.bashh.org/about-bashh/publications/standards-for-the-management-of-stis/ 。该数据集旨在提供所有新STI诊断的汇总图。分子定义：英格兰境内接受性健康服务的居民中新STI诊断的数量。STI数据（除淋病外）来源于GUMCAD STI 监测系统（二、三级水平）。GUMCAD数据由提供STI相关护理的性健康服务（二、三级水平）报告。淋病数据来源于GUMCAD（三级）和CTAD淋病监测系统（一、二级水平），英国健康安全局（UKHSA）。CTAD数据由进行淋病检测的实验室报告（一、二、三级水平）。用于诊断以下疾病的SNOMED或性健康与HIV活动属性类型（SHHAPT）相关代码：软下疳、性病淋巴肉芽肿（LGV）、 Donovan病、淋病、淋病奈瑟菌、首例生殖器疱疹、新HIV诊断、传染性疣状赘生物、非特异性生殖器感染（NSGI）、盆腔炎性疾病（PID）和附睾炎：非特异性、疥疮和阴虱、梅毒（原发、继发和早期潜伏期）、滴虫病、首例生殖器疣。2015年，新STI诊断组扩大，包括以前通过GUMCADv2未报告的新代码，这些新代码包括：解脲支原体（C16）；痢疾杆菌：弗莱纳菌、宋内菌和未指定菌种（SG1、SG2、SG3）。用于诊断这些疾病的临床标准可在https://www.bashh.org/guidelines 上找到。为确保患者在每个病程中仅获得一次诊断代码，对数据进行去重处理。由于无法追踪患者在不同服务之间的活动，因此去重依赖于单一服务中的患者咨询。分母定义：2012至2022年的分母数据来源于基于2021年人口普查的英国国家统计局（ONS）人口估计。2023年的人口估计数据在出版时不可用，因此2023年的比率使用2022年的估计值作为代理。有关ONS人口普查的更多详细信息可在https://www.ons.gov.uk/census 上找到。注意事项：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。然而，数据的准确性和完整性责任在于报告服务。由于诊所或实验室的重新提交和数据处理改进，数据每年更新一次。数据可能与以前的出版物有所不同。2020年和2021年报告的数字明显低于前几年，这是由于国家应对COVID-19大流行期间性健康服务的中断所致。