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Sexually Transmitted Disease Morbidity (STDM)
United States, Guam, Puerto Rico, and Virgin Islands,
1984 - 2006
SUMMARY This dataset contains Sexually Transmitted Disease (STD) morbidity case reports reported to the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC). The number of cases and disease incidence rates are reported by year, gender of patient, type of STD, and area of report. POPULATION Disease reports are from the 50 United States and D.C., Puerto Rico, Virgin Islands and Guam. See Data Source Information for more about the denominator population data sources. SOURCE Centers for Disease Control and Prevention, Sexually Transmitted Disease Surveillance. The latest CDC STD published surveillance reports are available at STD Surveillance and Statistics. IN WONDER You can produce tables, maps, charts, and data extracts. Obtain incidence counts and rates, and select specific disease and demographic criteria to produce cross-tabulated incidence measures. You can limit and index your data by any and all of these variables:
Please refer to the following topics:
STD Morbidity Data Request
Data Source Information
Additional Information
STD Morbidity Data Request
Output You can produce tables, maps, charts, and data extracts.
Variables You can limit and index your data by any and all of these variables:
How? The Request screen has sections to guide you through the making a data request as step-by-step process. However, to get your first taste of how the system works, you might want to simply press any Send button, and execute the default data request. The data results for your query appear on the Table screen. After you get your data results, try the Chart and Map screens. Or export your data to a file (tab-delimited line listing) for download to your computer. For more information, see the following:
Quick Start Guide Step 1, Organize and label results Step 2, Select location Step 3, Select disease, year and gender Step 4, Other options 'By-Variables' Select variables that serve as keys (indexes) for organizing your data. See How do I organize my data? for more information.
Note: To map your data, you must select at least one geographical location as a "By-Variable" for grouping your data, such as State.Help Click on any button labled "Help", located to the right hand side of the screen at the top of each section. Or click on any label, such as the "Group Results By" label. Send Sends your data request to be processed on the CDC WONDER databases. The Send buttons are located on the bottom of the Request page, and also in the upper right corner of each section, for easy access.
Step 1. Organize table layout:
Group Results By Select up to five variables that serve as keys for grouping your data. See Group Results By below for hints. Title Enter any desired description to display as a title with your results. The following statistical measures are available as query results:
Group Results By...Select up to five variables that serve as keys for grouping your data. For example, you could select to group (summarize, stratify, index) your data by State and by Year, to compare each the disease reports by state for each year.
How?
- See How do I organize my data? for more information.
- Also see "How do I select items from the list box?" for help using the screen.
Hints:
- About charts:
You cannot make charts when your data has more than two By-Variables.- About maps:
To make a map, you must request data grouped by a geographic location variable, such as State, as the first By-Variable. Then click the Map tab after you obtain the data results.- About regions:
You can only select one type of regional area division for a data request. For example, if you select to group the data by HHS regions , then you cannot also group the data by MMWR regions in the same request. However, you can also group the data by State .- When data is grouped by Region (when Region is selected as a By-Variable) then the data includes US and outlying areas.
- About diseases:
Because the denominator populations used for calculating rates vary among the different diseases, you must select Disease as one of the indexes when your request is limited to more two or more specific diseases. If you are selecting more than one disease, then select Disease as a By-Variable.
CountsCounts show the sum or the frequency incidence of STD disease case reports, for the selected categories in the data request.
RatesThe rates are calculated as the incidence of STD disease reports, divided by the population, and then the result is result is multiplied by 100,000 (the default factor) to indicate the rate per so many persons. You can select the factor for rates in the Other options section on the data request screen.
Notes:
- The phrase Not Reported is shown when the specific disease was not reported for the given location and year.
- The phrase Not Applicable is shown when the denominator population is not on record, or when the rate cannot be calculated due to lack of disease incidence count or lack of denominator population.
- The denominator population used to compute the overall U.S. rate varies from year to year and from disease to disease, due to changes in reporting status for specific diseases and locations. For example, the denominator population for Congenital Syphilis is the number of live births. See Reporting Issues for more information.
- See About Rates in the Additional Information section below.
Step 2. Select location:Click a button to choose locations for States and outlying areas or Regions. You can limit to your data request to items in only one of these categories. However, you can group the data report by another location type, to show a row for each area.How?
- See "How do I change a Radio Button?" for help choosing the button.
- See "How do I select items from the list box?" for help selecting items in a list box.
Note:
Each state is a unique jurisdiction with different reporting rules for each disease. Reporting rules vary each year. See Reporting Issues for more information.
States and Outlying Areas
Select the location(s) that represent the patient's home state. Any number of locations can be specified here.
How?
- See "How do I change a Radio Button?" for help choosing the button.
- See "How do I select items from the list box?" for help selecting items in a list box.
Notes:
- The selection "United States, D.C. and outlying areas" includes Guam, Puerto Rico and the Virgin Islands.
- Each state is a unique jurisdiction with different reporting rules for each disease. Reporting rules vary each year. See Reporting Issues for more information.
- When the data are exported, separate columns show both the label and the code for each value. To see the full list of states and code values, request data grouped by State for the "United States, D.C. and outlying areas," and export the data results.
MMWR Regions
The states are grouped into reporting regions for the Morbidity and Mortality Weekly Report (MMWR). Select the location(s) that represent the patient's home state. Any number of locations can be specified here.
How?
- See "How do I change a Radio Button?" for help choosing the button.
- See "How do I select items from the list box?" for help selecting items in a list box.
Notes:
- Each state is a unique jurisdiction with different reporting rules for each disease. Reporting rules vary each year. See Reporting Issues for more information.
- When the data are exported, separate columns show both the label and the code for each value. To see the full list of labels and code values, request data grouped by this region for the "United States, D.C. and outlying areas," and export the data results.
Morbidity and Mortality Weekly Report (MMWR) Regions List of States 1 Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont 2 New Jersey, New York, Pennsylvania 3 Illinois, Indiana, Michigan, Ohio, Wisconsin 4 Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota 5 Delaware, District of Columbia (DC), Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia 6 Alabama, Kentucky, Mississippi, Tennessee 7 Arkansas, Louisiana, Oklahoma, Texas 8 Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming 9 Alaska, California, Hawaii, Oregon, Washington 10 Guam, Puerto Rico, Virgin Islands
HHS Regions
The states are grouped into reporting regions for the federal department of Health and Human Services (HHS). Select the location(s) that represent the patient's home state. Any number of locations can be specified here.
How?
- See "How do I change a Radio Button?" for help choosing the button.
- See "How do I select items from the list box?" for help selecting items in a list box.
Notes:
- Each state is a unique jurisdiction with different reporting rules for each disease. Reporting rules vary each year. See Reporting Issues for more information.
- When the data are exported, separate columns show both the label and the code for each value. To see the full list of labels and code values, request data grouped by this region for the "United States, D.C. and outlying areas," and export the data results.
Health and Human Services (HHS) Regions List of States 1 Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont 2 New Jersey, New York, Puerto Rico, Virgin Islands 3 Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia 4 Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee 5 Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin 6 Arkansas, Louisiana, New Mexico, Oklahoma, Texas 7 Iowa, Kansas, Missouri, Nebraska 8 Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming 9 (American Samoa), Arizona, California, Guam, Hawaii, Nevada 10 Alaska, Idaho, Oregon, Washington
STD Regions
The states are grouped into reporting regions for the Sexually Transmitted Disease (STD) surveillance program. Select the location(s) that represent the patient's home state. Any number of locations can be specified here.
How?
- See "How do I change a Radio Button?" for help choosing the button.
- See "How do I select items from the list box?" for help selecting items in a list box.
Notes:
- Each state is a unique jurisdiction with different reporting rules for each disease. Reporting rules vary each year. See Reporting Issues for more information.
- When the data are exported, separate columns show both the label and the code for each value. To see the full list of labels and code values, request data grouped by this region for the "United States, D.C. and outlying areas," and export the data results.
STD Regions List of States 1 Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington 2 Illinois, Indiana, Iowa, Kansas, Mississippi, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin 3 Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont 4 Alabama, Arkansas, Delaware, District of Columbia (DC), Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia 5 Guam, Puerto Rico, Virgin Islands
Step 3. Select disease, gender, and years:Limit your data request to the any number of options. The default option is all values.How?
See "How do I select items from the list box?" for help selecting items in a list box.Note:
The reporting rules for the diseases vary. Each state is a unique jurisdiction with different reporting rules. Reporting rules also change over time. See Reporting Issues for more information.
Disease
Select one or more diseases to limit your data request.
How?
See "How do I select items from the list box?" for help selecting items in a list box.Notes:
- Syphilis is classified in groups. Primary and Secondary Syphilis (23) includes incidence of disease originally reported under the individual diseases of primary syphilis (02) and secondary syphilis (03). Primary, secondary and early latent syphilis (24) includes incidence of disease originally reported under the individual diseases of primary syphilis (02), secondary syphilis (03), and early latent syphilis (04).
- Each state is a unique jurisdiction with different reporting rules for each disease. Reporting rules vary each year. See Reporting Issues for more information.
- Select "all diseases" or any single disease category to get rates. Rates are not calculated when disease categories are combined, because the reporting populations differ by disease.
- When the data are exported, separate columns show both the label and the code for each value. To see the full list of labels and code values, request data grouped by disease for "All Diseases" and export the data results.
Disease Code Description 16 Chancroid 19 Chlamydia 08 Gonorrhea 01 Total Syphilis 23 Primary and Secondary Syphilis 24 Primary, Secondary Syphilis, and Early Latent Syphilis 02 Primary Syphilis 03 Secondary Syphilis 04 Early Latent Syphilis 05 Late and Late Latent Syphilis 07 Congenital Syphilis
Year
Select any number of years to limit your data requests to the selected values. This field contains the year the case was reported.
How?
See "How do I select items from the list box?" for help selecting items in a list box.Note:
The years of available case reports are 1984 to 2006.
Gender
Select one or more values from the list to limit your data request to the selected values. Gender is categorized as Female, Male or Unknown.
How?
See "How do I select items from the list box?" for help selecting items in a list box.Note:
When the data are exported, separate columns show both the label and the code for each value. To see the full list of labels and code values, request data grouped by Gender for "All Genders," and export the data results.
Export Results If checked, then query results are exported to a local file. More information on how to import this file into other applications can be found here. Show Totals If checked totals and sub-totals will appear in the results table. Show Zero Values If checked rows containing zero counts will appear in the results table. If unchecked, zero count rows are suppressed. Precision Select the precision for rate calculations. When the rate calculated for a small numerator (incidence count) is zero, you may increase the precision to reveal the rate by showing more numbers to the right of the decimal point. Data Access Timeout This value specifies the maximum time to wait for the data access for a query to complete. If the data access takes too long to complete, a message will be displayed and you can increase the timeout or simplify your request. If you can't complete a request using the maximum timeout, contact user support and we will try to run a custom data request for you. Calculate Rates Per This value is the factor for the rate calculation. The default value is per 100,000 persons.
Data Source Information
Data Sources Disease Incidence Sources: The data are based on case reports of sexually transmitted diseases submitted by state and local health departments to CDC's Division of STD/HIV Prevention. The data are reported through STD*MIS, the National Electronic Telecommunications System for Surveillance (NETSS) or the National Electronic Disease Surveillance System (NEDSS).Population Data Sources:To learn more about the methods and source of these data please refer to:
Current STD Morbidity 1984-2006: Reports and corrections sent to CDC on hardcopy forms and for NETSS electronic data through June 22, 2007 have been included in the data for years 1984 - 2006. However, cases of Congenital Syphilis reported through June 25, 2008 are also included in the data for years 1984 - 2006.
Archive STD Morbidity data 1984-2003: Reports and corrections sent to CDC on hardcopy forms and for NETSS electronic data through May 2, 2003 have been included in the Archive data for years 1984 - 2003. However, cases of Congenital Syphilis that were reported for 2002 after May 2, 2003 are also included in the data for 1984 - 2003.
Population details:
- United States state and national population data for years 2000-2006:
The national population shown as the denominator for rate calculations is the sum of the state populations for each state reporting diseases in the given year. The population data used to calculate rates are the National Center for Health Statistics July 1st bridged-race postcensal population estimates for the resident population based on the Census 2000 counts. The population estimates were prepared under a collaborative arrangement with the U.S. Census Bureau and the National Center for Health Statistics. The population estimates are available on the Internet from: http://www.cdc.gov/nchs/about/major/dvs/popbridge/popbridge.htm. See population details below for more information.- Outlying areas:
Population estimates for 1980-1988 for areas outside the United States were obtained from the Bureau of the Census (Bureau of the Census; population estimates for Puerto Rico and the outlying areas: 1980 to 1988; Current Population Reports [Series P-25, No. 1049]; Washington: U.S. Government Printing Office, 1989). After 1988, population estimates for outlying areas were obtained from various sources located in these areas. Population estimates for Guam were obtained from the Guam Bureau of Statistics and Plans; estimates for Puerto Rico were obtained from the Bureau of Census; and estimates for the Virgin Islands were obtained from the University of the Virgin Islands.- Population data for congenital syphilis rates:
Denominators for computing rates of congenital syphilis for 1989-2005 were live births from the National Center for Health Statistics (NCHS) (Vital Statistics: Natality, 1989-2005; or Vital Statistics Reports, United States 1999, Vol. 48 No. 10-Natality). Rates before 1989 were calculated using published live birth data (NCHS; Vital Statistics Report, United States, 1988 [Vol.1-Natality]). United States rates for the years 2005 and 2006 are based on the live births from the year 2004 National Center for Health Statistics Natality data. Rates for Guam, Puerto Rico and the Virgin Islands for the years 1994 - 2005 are based on live births from the National Center for Health Statistics (NCHS) Natality Public Use Files. Territory rates for the year 2006 are based on live births from the 2005 National Center for Health Statistics (NCHS) Natality Public Use File.The current release of STD Morbidity data 1984-2006 includes these sources of state population data:
The Archive STD Morbidity data 1984-2003 includes these sources of state population data:
- 2006 state population estimates from the National Center for Health Statistics: Postcensal estimates of the resident population of the United States for July 1, 2000-July 1, 2006, by year, county, age, bridged race, Hispanic origin, and sex (Vintage 2006). Released August 16, 2007.
- 2005 state population estimates from the National Center for Health Statistics: Postcensal estimates of the resident population of the United States for July 1, 2000-July 1, 2005, by year, county, age, bridged race, Hispanic origin, and sex (Vintage 2005). Released August 16, 2006.
- 2004 state population estimates from the National Center for Health Statistics: Postcensal estimates of the resident population of the United States for July 1, 2000-July 1, 2004, by year, county, age, bridged race, Hispanic origin, and sex (Vintage 2004). Released September 8, 2005.
- 2003 state population estimates from the National Center for Health Statistics: Postcensal estimates of the resident population of the United States for July 1, 2000-July 1, 2003, by year, county, age, bridged race, Hispanic origin, and sex (Vintage 2003). Released September 14, 2004.
- 2000, 2001, 2002 state population estimates from the National Center for Health Statistics: Postcensal estimates of the resident population of the United States for July 1, 2000-July 1, 2002, by year, county, age, bridged race, Hispanic origin, and sex (Vintage 2002). Released August 1, 2003.
- 1990-1999 state population estimates from the National Center for Health Statistics: intercensal estimates of the resident population of the United States for July 1, 1990-July 1, 1999, by year, county, age, bridged race, Hispanic origin, and sex. Released April 15, 2003. Prepared by the U.S. Census Bureau with support from the National Cancer Institute.
- 1984-1989 state population estimates based on the U.S. Census intercensal estimates for 1980-1989: (Irwin R; 1980-1989 Intercensal Population Estimates by Race, Sex, and Age; Alexandria: Demo-Detail, 1992; machine-readable data file).
- 2000-2003 state population data from the National Center for Health Statistics: Postcensal estimates of the July 1 resident population of the United States for July 1, 2000-July 1, 2002 by year, county, single-year age groups, bridged-race, sex, and Hispanic origin (Vintage 2002). Released August 1, 2003. The 2002-2003 rates are calculated using 2002 population denominators in the Archive STD Morbidity data 1984-2003 .
- 1990-1999 state population estimates from the National Center for Health Statistics: intercensal estimates of the resident population of the United States for July 1, 1990-July 1, 1999, by year, county, age, bridged race, Hispanic origin, and sex. Released April 15, 2003. Prepared by the U.S. Census Bureau with support from the National Cancer Institute.
- 1984-1989 state population estimates based on the U.S. Census intercensal estimates for 1980-1989: (Irwin R; 1980-1989 Intercensal Population Estimates by Race, Sex, and Age; Alexandria: Demo-Detail, 1992; machine-readable data file).
Additional Information
Suggested Citation US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for HIV, STD and TB Prevention (NCHSTP), Division of STD/HIV Prevention, Sexually Transmitted Disease Morbidity 1984 - 2006, CDC WONDER On-line Database, November 2008. Contact Please call toll-free 1-800-CDC-INFO (800-232-4636) or e-mail the Division of Sexually Transmitted Diseases Prevention at dstd@cdc.gov. About Rates: Rate Calculation and Population Denominator Issues About rate calculations: The default rate shown is the rate per 100,000 persons. The rate is calculated as the disease incidence count reported, divided by the population, and then the result is multiplied by 100,000 (or the specified factor in the data request criteria). The phrase Not Reported is shown when the specific disease was not reported for the given location and year. The phrase Not Applicable is shown when the denominator population is not on record, or when the rate cannot be calculated due to lack of disease incidence count or lack of denominator population. Rates are reported when data for all diseases or any single disease category are shown. Rates are not reported when data are combined for disease categories, because the reporting populations vary for different diseases. About the national population: The denominator population shown for the nation (U.S. total population) is the sum of the annual population for those states reporting the disease. The U.S. denominator population used to compute the overall U.S. rate varies from year to year and from disease to disease, due to changes in reporting status for specific diseases and states. See Reporting Issues and Population Data Sources for more information.
About the inclusion of the number of live births: The denominator population for Congenital Syphilis is the total number of live births in the given year(s). See Population Data Sources for more information.
The denominator population for Total Syphilis does not include live births in the calculation.
About previously published reports for 1990-2002: The denominator population shown in the archive 1984-2003 database is the bridged-race intercensal population estimates for 1990-2002, as published by NCHS in 2003. Previously STD rates for 1990-2002 had been calculated with a different denominator population, thus the rates shown here may differ somewhat from previous publications.
In July 2006, the following population estimates were revised in the archive 1984-2003 online database:
Revised Population Estimates Year Location Gender Previous Corrected 1984 Puerto Rico Female 1,712,900 1,699,900 1993 Virgin Islands Female 50,370 55,408 1993 Virgin Islands Male 55,408 51,145 1997 Virgin Islands Female 57,032 51,570 1997 Virgin Islands Male 52,645 61,293 1998 Virgin Islands Female 57,600 51,570 1998 Virgin Islands Male 53,200 61,293 On July 20, 2009, the denominator population estimates for calculating congenital syphilis rates for years 1984-1993 in the territorial areas Guam, Puerto Rico and the Virgin Islands were corrected in the archive 1984-2006 online database: the number of live births replaced the previous total population estimates.
Reporting Issues: Case reports may differ slightly from previously published data due to later revisions. About Chancroid reporting: Chancroid cases should be interpreted with caution in view of the fact that Haemophilus ducreyi, the causative organism of chancroid, is difficult to culture and, as a result, this condition may be substantially under diagnosed.
About Chlamydia reporting: Before 1996, Chlamydia reporting was voluntary, and thus sporadic. From 1995 - 2000, upstate New York did not report Chlamydia, and thus the total US donominator population for Chlamydia excludes the New York state population for the years 1995 - 2000. However, New York City did report Chlamydia before the year 2000, and the new New York City population and Chlamydia cases are included for 1984 - 2000.
Since Chlamydia is often without symptoms, the number of cases reported is more a function of the amount of screening done and not the actual incidence. Screening occurs more often for women because Chlamydia is associated with Pelvic Inflammatory Disease and infertility. There is approximately a 4:1 ratio of women to men in Chlamydia case reporting due to screening practices. Refer to Tracking the Hidden Epidemics 2000 - Chlamydia for more information about reporting and gender differences. Traditionally male cases of Chlamydia have not been reported in the MMWR Notifiable Disease Annual Summaries.
States not reporting Chlamydia prior to 1995 are the following:
(1984) Guam, Virgin Islands, Alaska, Alabama, Arkansas, Colorado, Connecticut, Florida, Georgia, Hawaii, Iowa, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, North Carolina, New Jersey, New Mexico, Oklahoma, Rhode Island, South Dakota, Tennessee, Texas, Vermont, Washington, West Virginia, WyomingAbout Gonorrhea reporting: In 1984, Gonorrhea was not reported by Guam or the Virgin Islands. Guam and the Virgin Islands are not included in the denominator population " for the total U.S. and territories, when Gonorrhea rates for 1984 are shown.
(1985) Alaska, Arkansas, Colorado, Connecticut, Florida, Massachusetts, Minnesota, Mississippi, North Carolina, New Jersey, New Mexico, Oklahoma, Tennessee, Texas, Virginia, Vermont
(1986) Alabama, Colorado, Connecticut, Florida, Michigan, Mississippi, North Carolina, New Jersey, New Mexico, Tennessee, Virginia, Vermont, Washington
(1987) Alaska, Alabama, Colorado, Florida, Michigan, Mississippi, North Carolina, New Mexico, Tennessee, Virginia, Vermont
(1988) Alaska, Alabama, Colorado, Florida, Michigan, Mississippi, North Carolina, New Jersey, Virginia, Vermont
(1989) Alabama, Colorado, Florida, Michigan, Mississippi, New Jersey, Vermont
(1990) Alaska, Alabama, Colorado, Michigan, New Jersey, Pennsylvania
(1991) Alaska, Alabama, Florida, Michigan, Mississippi
(1992) Alaska, Alabama, Florida, Mississippi
(1993) Alaska, Alabama, Florida, Mississippi (1994) Alaska, Florida, Mississippi
(1995) Alaska
In 1994, Gonorrhea was not reported by Georgia. Georgia is not included in the total US denominator population, when Gonorrhea rates for 1994 are shown.
About Syphilis reporting: Total Syphilis for a given year is the sum of the reported cases for Primary Syphilis, Secondary Syphilis, Early Latent Syphilis, Late and Late Latent Syphilis, and Congenital Syphilis combined.
The disease category Late and Late Latent Syphilis includes cases of unknown durations, late syphilis with clinical manifestations and neurosyphilis.
The denominator population for Congenital Syphilis is the total number of live births in the given year(s). See Population Data Sources for more information.
