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2013 HIV/STD Surveillance Report Please direct any questions or comments to: HIV/STD Surveillance Unit 1902 Mail Service Center Raleigh, North Carolina 27699-1902 919-733-7301 http://epi.publichealth.nc.gov/cd/stds/figures.html State of North Carolina ● Pat McCrory, Governor Department of Health and Human Services Aldona Z. Wos, M.D., Ambassador (Ret.), Secretary DHHS Penelope Slade-Sawyer, Division Director Division of Public Health ● www.ncdhhs.gov NC DHHS is an equal opportunity employer and provider 09/14 NCDHHS i Communicable Disease Branch Technical Notes Readers should note that fluctuations in the number of disease reports per year may be influenced by reporting issues. These issues may vary by disease. For example, the final implementation of HIV/AIDS and syphilis reporting integration into the NC Electronic Disease Surveillance System (NC EDSS) occurred during November-December of 2012. In order to convert, deduplicate and merge patient information into NC EDSS, data entry into the production database was suspended for approximately one month. Most of the backlog was cleared as of the time the reports were generated. These are primarily cases diagnosed in the last months of 2012. Readers should also be aware that HIV/AIDS and early syphilis data are presented by date of diagnosis rather than date of report. Please see the individual surveillance disease notes below for more information. About the authors North Carolina law requires that diagnoses of certain communicable diseases, including sexually transmitted diseases (STDs), be reported to local health departments that in turn report the information to the state. The HIV/STD Surveillance Unit (HSSU) is the designated recipient for STD morbidity reports at the state level and is responsible for aggregating these reports and providing statewide information about these diseases to others, including the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia. The HSSU is part of the Communicable Disease Branch within the North Carolina Division of Public Health. About the content of this report This document, the North Carolina 2013 HIV/STD Surveillance Report, includes summary tables of surveillance reports and other information for HIV infection, chlamydia, gonorrhea, and syphilis. In some instances, total numbers of reports may not agree between separate cross-tabulations due to missing values for some variables. Some statistics are provided for the geographic regions as displayed on the back cover. The state demographer and the GIS lab at the State Center for Health Statistics have produced a Geographic Regional Classification scheme based on "physiographic" qualities. Western Region: the counties west of (and including) Surry, Wilkes, Caldwell, Burke, and Rutherford. Eastern Region: everything east of (and including) Northampton, Halifax, Nash, Johnston, Cumberland, Hoke, Harnett, and Scotland. Piedmont Region: the counties in between the Western Region and the Eastern Region. Rates are presented for several categories of race/ethnicity, age groups and gender for each disease. Rates are also presented for counties across the state. Rates are expressed as cases per 100,000 population. Rate denominators were calculated using the available bridged race population estimates from the National Center for Health Statistics. Because bridged race population estimates were unavailable for 2013, 2012 estimates were used as denominators in rate calculation for 2013. Thus, the 2013 rates NCDHHS ii Communicable Disease Branch should be considered preliminary rates. More information about bridged race categories is available at the website, http://www.cdc.gov/nchs/nvss/bridged_race.htm. Rates that are based on small numbers of cases (generally fewer than 20) should be viewed with caution and are considered unreliable because these rates have large standard errors and confidence intervals that can be wider than the rates themselves. Because of this, demographic values less than five (<5) have been suppressed throughout this report. For a more complete discussion of rates based on small numbers, please see the North Carolina Center for Health Statistics,’ publication, Statistical Primer No.12 “Problems with Rates Based on Small Numbers” by Paul Buescher. This publication is available at the website, http://www.schs.state.nc.us/SCHS/pdf/primer12_2.pdf. HIV infection surveillance data HIV Infection Human immunodeficiency virus (HIV) case reports represent persons who have a confirmed diagnosis with HIV. This category represents all new diagnoses with HIV regardless of the stage of the disease and was referred to in previous documents as “HIV disease.” Cases are counted by the date of diagnosis for the initial HIV diagnosis. AIDS (acquired immunodeficiency syndrome) case reports, by contrast, represent only persons with HIV infection who have progressed to this later, more life-threatening, stage of disease. AIDS cases are counted by the date of AIDS diagnosis. Most AIDS case reports represent persons who were diagnosed with HIV infection in earlier years. However, in North Carolina, about one-fourth to one-third of the new HIV infection reports represent persons who are initially diagnosed with HIV infection and AIDS at, or very near, the same time (concurrent). HIV infection reports and AIDS case reports should be considered separately. The two categories should never be combined to estimate an infected population, as the broad category of HIV infection includes AIDS cases that are counted by the initial diagnosis of HIV infection. County of Residence Geographically, cases are counted by the patient’s county of residence at diagnosis. Patients who are residents of a long-term facility such as prisons or other institutions are counted by the address of the facility. This causes the case counts for counties with large institutions to be higher than otherwise expected. People with HIV infection in the prisons play different roles in the epidemic from other residents in the county. In this annual report, persons diagnosed in long-term prison settings are excluded from county and regional case totals and rates. These cases are, however, included in state totals. Year of diagnosis HIV infection is unlike most communicable diseases in that it is chronic in nature. Failure of providers to initially report cases and change in residence after initial diagnosis can complicate case counting. Therefore, enhanced surveillance activities may artificially result in fluctuations in the number of case reports counted by date of report. Tables in this report now display cases by date of diagnosis rather than date of report. NCDHHS iii Communicable Disease Branch HIV morbidity data for 2013 was not available until July 1, 2014. This six month delay in the presentation of HIV morbidity data for analysis will be an ongoing issue. Note: Most interstate duplicates are processed by the time data is closed for the calendar year. This process is coordinated by the CDC through the routine interstate duplication review. There was a delay in 2013, and this process was not completed by the time the 2013 data was closed, July 1, 2014. This, in turn, could potentially artificially inflate the HIV case numbers for 2013. North Carolina typically loses 150 to 200 duplicate HIV infection cases per year that were previously diagnosed in other states, to this process. Once the duplicates are removed, the newly diagnosed HIV infection case counts for 2013 should be in line with the overall decreasing trend seen since 2008. HIV risk categories and distribution For Table 14, we have reclassified cases with non-identified risk (NIR) or no risk reported (NRR). Because up to a third of our cases may be missing risk information, reassigning these cases to a risk group allows for a more complete picture of trends over time. Risk redistribution is only done for data at the state level. For more information on the specific methodology used, please see Appendix C of the most recent HIV/STD Epidemiologic Profile located: http://epi.publichealth.nc.gov/cd/stds/figures.html#profile. Chlamydia surveillance data Chlamydia case reports represent persons who have a laboratory-confirmed chlamydial infection. It is important to note that chlamydial infection is often asymptomatic in both males and females, and most cases are detected through screening. Changes in the number of reported cases may be due to changes in screening practices. The disease can cause serious complications in females, such as pelvic inflammatory disease and infertility. A number of screening programs are in place to detect chlamydia infection in young women. There are no comparable screening programs for young men. For this reason, chlamydia case reports are always highly biased with respect to gender. The North Carolina STD Surveillance data system underwent extensive changes in 2008 as North Carolina implemented the North Carolina Electronic Disease Surveillance System (NC EDSS). Reports are summarized by the date received at the HIV/STD Surveillance Unit rather than by date of diagnosis. Reported chlamydia cases have been on the rise over the last five years. Gonorrhea surveillance data Gonorrhea case reports represent persons who have a laboratory-confirmed gonorrhea infection. Gonorrhea is often symptomatic in males and slightly less so in females. Many cases are detected when patients seek medical care. Others are detected through screening but to a far lesser degree than chlamydia cases. Gonorrhea can cause serious complications for females and a number of screening programs exist targeting this population. There is less screening of males because they are more likely to have symptoms that would bring them to the STD clinic; therefore, gender bias in gonorrhea reporting is not likely to be large. Screening programs are focused on female patients and are predominately conducted at public clinics and health NCDHHS iv Communicable Disease Branch departments which can cause the reported cases to be biased toward those attending public clinics. Reports are summarized by the date received at the HIV/STD Surveillance Unit rather than by date of diagnosis. Reported gonorrhea cases have remained consistent the last five years with an increase in 2011. Syphilis surveillance data Syphilis cases are reported by stage of infection, which is determined through a combination of laboratory testing and patient interviews. Primary and secondary syphilis have very specific symptoms associated with them, so misclassification of these stages is highly unlikely. Early latent syphilis is asymptomatic but can be staged with confirmation that the infection is less than a year old. Together these three stages that occur within the first year of infection are called “early syphilis.” This report includes only early syphilis cases, though other later stages are reported to the HIV/STD Surveillance Unit. Because North Carolina performs patient interviews, partner notification, and contact tracing on all early syphilis cases, the quality of the early latent case data is also quite good. Screening programs are more likely to detect asymptomatic cases, which may introduce some bias in the early latent case reports toward screened populations (pregnant women, jail inmates, others). However, thorough contact tracing further aids in case detection and reduces these biases. During the fourth quarter of 2012, the HIV/STD Surveillance Unit converted syphilis surveillance data from the STD*MIS data system to NC EDSS. Due to the conversion to NC EDSS, 2013 syphilis data is inflated by about ten percent. Reports are summarized by the date of diagnosis rather than by date received at the HIV/STD Surveillance Unit. Please note that in previous HIV/STD Surveillance and Quarterly reports, syphilis cases are summarized by date of report, so there will be slight differences in the case numbers when comparing this report with previous reports. For more information For a more detailed discussion of the content, strengths, and weaknesses of STD and HIV surveillance data, please see Appendix B of the most recent HIV/STD Epidemiologic Profile. Recent trend information can also be found on the web site, http://epi.publichealth.nc.gov/cd/stds/figures.html#profile. NCDHHS v Communicable Disease Branch Table of Contents Technical Notes.............................................................................................................................................. i Highlights...................................................................................................................................................... vi Tables........................................................................................................................................................ 1-52 Table 1. N.C. HIV infection (HIV/AIDS) Cases Living as of 12/31/13 (by Residence at Diagnosis)............ 1 Table 2. N.C. HIV infection Cases by County Rank Order (by Year Diagnosed) ........................................ 2 Table 3. N.C. HIV infection Cases by County of First Diagnosis, 2009-2013.............................................. 4 Table 4. N.C. AIDS Cases Living as of 12/31/13 (by Residence at Diagnosis)........................................... 6 Table 5. N.C. AIDS Cases by County Rank Order (by Year Diagnosed) .................................................... 7 Table 6. N.C. AIDS Cases by County of AIDS Diagnosis, 2009-2013 ........................................................ 9 Table 7. N.C. Chlamydia Cases by County of Report, 2009-2013 ............................................................ 11 Table 8. N.C. Gonorrhea Cases by County of Report, 2009-2013............................................................ 13 Table 9. N.C. Primary and Secondary Syphilis Cases by County, by Year of Diagnosis 2009-2013 ....... 15 Table 10. N.C. Early Syphilis Cases by County, by Year of Diagnosis 2009-2013 ................................... 17 Table 11. N.C. Adult/Adolescent HIV infection Cases by Gender and Race/Ethnicity, 2009-2013........... 19 Table 12. N.C. Adult/Adolescent HIV infection Cases by Gender and Age, 2009-2013 ........................... 20 Table 13. N.C. Adult/Adolescent HIV infection Cases by Gender and Mode, 2009-2013......................... 22 Table 14. N.C. Adult/Adolescent HIV infection Cases by Gender and Mode (No NIRs), 2009-2013........ 23 Table 15. N.C. Adult/Adolescent AIDS Cases by Gender and Race/Ethnicity, 2009-2013....................... 24 Table 16. N.C. Adult/Adolescent AIDS Cases by Gender and Age, 2009-2013 ....................................... 25 Table 17. N.C. Chlamydia Cases by Gender and Race/Ethnicity, 2009-2013 .......................................... 27 Table 18. N.C. Chlamydia Cases by Gender and Age, 2009-2013........................................................... 28 Table 19. N.C. Gonorrhea Cases by Gender and Race/Ethnicity, 2009-2013 .......................................... 30 Table 20. N.C. Gonorrhea Cases by Gender and Age, 2009-2013........................................................... 31 Table 21. N.C. Primary and Secondary Syphilis by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013................................................................................................................................. 33 Table 22. N.C. Primary and Secondary Syphilis by Gender and Age, by Year of Diagnosis 2009-2013.. 34 Table 23. N.C. Early Syphilis Cases by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013 ... 36 Table 24. N.C. Early Syphilis Cases by Gender and Age, by Year of Diagnosis 2009-2013.................... 37 Table 25. N.C. Congenital Syphilis Cases by Race/Ethnicity and Year of Birth, 2004-2013..................... 39 Table 26. N.C. Likely Perinatal HIV Cases by Year of Birth, 2004-2013................................................... 39 Table 27. N.C. Regional HIV infection Cases and STD Cases, 2013. ...................................................... 40 Table 28. N.C. Regional Adult/Adolescent HIV infection Cases by Gender and Race/Ethnicity, 2013..... 41 Table 29. N.C. Regional Adult/Adolescent HIV infection Cases by Gender and Age, 2013 ..................... 42 Table 30. N.C. Regional Adult/Adolescent HIV infection Cases by Gender and Mode, 2013................... 44 Table 31. N.C. Regional Chlamydia Cases by Gender and Race/Ethnicity, 2013 .................................... 45 Table 32. N.C. Regional Chlamydia Cases by Gender and Age, 2013..................................................... 46 Table 33. N.C. Regional Gonorrhea Cases by Gender and Race/Ethnicity, 2013 .................................... 48 Table 34. N.C. Regional Gonorrhea Cases by Gender and Age, 2013..................................................... 49 Table 35. N.C. Regional Early Syphilis Cases by Gender and Race/Ethnicity, 2013................................ 49 Table 36. N.C. Regional Early Syphilis Cases by Gender and Age, by Year of Diagnosis 2013.............. 52 Map of North Carolina Geographic Regions ............................................................................................. 54 NCDHHS vi Communicable Disease Branch Highlights HIV Infection • As of December 31, 2013, the estimated number of living HIV infection cases diagnosed and reported in North Carolina was 28,101 (Table 1). • For 2013, 1,525 new diagnoses of HIV infection were reported (Table 3). Please note this number is inflated as the interstate deduplication analysis was delayed and not conducted for 2013 (see technical notes). • In 2012, 1,347 new diagnoses of HIV infection were reported. This is a noteworthy number, as it continues to show a decreasing trend in North Carolina for the number of newly diagnosed HIV infections over the last five years. For North Carolina, we expect the 2013 number of new diagnoses to be closer to that of 2012, after the interstate deduplication analysis is conducted. • The three-year (2011-2013) average rate of diagnosed HIV infection in North Carolina was 15.0 per 100,000 population. The top five counties with highest rates were Mecklenburg (31.0 per 100,000), Edgecombe (31.0 per 100,000), Cumberland (26.0 per 100,000), Durham (25.7 per 100,000), and Guilford County (23.5 per 100,000) (Table 2). • Among the HIV infection cases diagnosed in 2013, African Americans represented 64 percent of all cases with a rate of 55.8 per 100,000 adult/adolescent population. The highest rate (92.3 per 100,000) was among adult/adolescent African American males (Table 11). • For the newly diagnosed adult/adolescent HIV infection cases in 2013, men who have sex with men (MSM) was the principal risk factor indicated in 61 percent of total cases, heterosexual transmission risk was indicated in 33 percent, injection drug use (IDU) was indicated in 4 percent, and MSM/IDU was indicated in 2 percent of total cases (Table 14). Early Syphilis • The number of early syphilis cases diagnosed in North Carolina in 2013 was 677, with a rate of 6.9 per 100,000 population. In 2012, 598 early syphilis cases were diagnosed, with a rate of 6.2 per 100,000 population (Table 10). • The top five counties with the most early syphilis diagnoses in 2013 were Mecklenburg (151), Wake (102), Guilford (51), Forsyth (50), and Cumberland (47) (Table 10). • African American males had the highest rate of early syphilis (37.7 per 100,000), and represented 56 percent of total early syphilis cases in 2013 (Table 23). Chlamydia • The reported number of chlamydia cases in 2013 was 48,417 (Table 7). • Among female chlamydia reports in 2013, the age groups with highest rates were 20-24 year olds (4,560.5 per 100,000), followed by 15-19 year olds (3,871.3 per 100,000) (Table 18). Gonorrhea • The reported number of gonorrhea cases in 2013 was 13,665 (Table 8). • In 2013, African American females and males had the highest gonorrhea rates (356.6 and 333.8 per 100,000 respectively), and represented 30 percent and 25 percent of total cases (Table 19). Table 1. N. C. HIV Infection (HIV/AIDS)* Cases Living as of 12/31/13P by County of Residence at Diagnosis COUNTY HIV INFECTION* ALAMANCE 365 ALEXANDER 36 ALLEGHANY 2 ANSON 63 ASHE 10 AVERY 9 BEAUFORT 112 BERTIE 77 BLADEN 100 BRUNSWICK 165 BUNCOMBE 518 BURKE 73 CABARRUS 267 CALDWELL 49 CAMDEN 15 CARTERET 58 CASWELL 41 CATAWBA 224 CHATHAM 99 CHEROKEE 14 CHOWAN 27 CLAY 8 CLEVELAND 193 COLUMBUS 162 CRAVEN 236 CUMBERLAND 1,339 CURRITUCK 15 DARE 38 DAVIDSON 236 DAVIE 30 DUPLIN 175 DURHAM 1,565 EDGECOMBE 316 FORSYTH 1,385 FRANKLIN 111 GASTON 524 GATES 9 GRAHAM 3 GRANVILLE 164 GREENE 56 GUILFORD 2,111 HALIFAX 164 HARNETT 218 HAYWOOD 55 HENDERSON 82 HERTFORD 88 HOKE 141 HYDE 10 IREDELL 135 JACKSON 35 JOHNSTON 312 JONES 22 LEE 157 LENOIR 259 LINCOLN 62 COUNTY HIV INFECTION* MACON 29 MADISON 13 MARTIN 80 MCDOWELL 32 MECKLENBURG 5,195 MITCHELL 11 MONTGOMERY 38 MOORE 140 NASH 284 NEW HANOVER 586 NORTHAMPTON 68 ONSLOW 243 ORANGE 303 PAMLICO 20 PASQUOTANK 92 PENDER 58 PERQUIMANS 29 PERSON 77 PITT 583 POLK 20 RANDOLPH 156 RICHMOND 117 ROBESON 432 ROCKINGHAM 130 ROWAN 234 RUTHERFORD 52 SAMPSON 153 SCOTLAND 120 STANLY 80 STOKES 34 SURRY 62 SWAIN 17 TRANSYLVANIA 28 TYRRELL 5 UNION 189 VANCE 187 WAKE 2,987 WARREN 40 WASHINGTON 48 WATAUGA 26 WAYNE 310 WILKES 44 WILSON 349 YADKIN 26 YANCEY 12 NC TOTAL** 28,101P * Includes all living cases regardless of status (HIV or AIDS). **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 1 Communicable Disease Branch Table 2. N. C. HIV Infection† Cases by County Rank* Order (by Year Diagnosed)P *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 1 MECKLENBURG 323 270 300 34.2 27.9 31.0 31.0 1 EDGECOMBE 19 14 19 33.9 25.0 34.0 31.0 3 CUMBERLAND 97 69 87 30.0 21.3 26.8 26.0 4 DURHAM 68 71 75 24.8 25.4 26.8 25.7 5 GUILFORD 128 100 123 25.8 20.0 24.6 23.5 6 HALIFAX 13 12 9 23.9 22.2 16.7 20.9 7 WILSON 24 19 8 29.5 23.2 9.8 20.8 8 VANCE 9 10 9 19.9 22.2 19.9 20.7 9 PITT 33 35 38 19.3 20.3 22.0 20.5 10 HOKE 12 8 10 24.2 15.8 19.8 20.0 11 BLADEN 8 2 10 22.9 5.7 28.6 19.1 12 FORSYTH 80 54 69 22.6 15.1 19.3 19.0 13 NORTHAMPTON 4 5 3 18.2 23.3 14.0 18.5 14 ROBESON 29 24 21 21.5 17.7 15.5 18.2 15 WAYNE 23 20 20 18.6 16.1 16.1 16.9 16 WAKE 139 144 186 15.0 15.1 19.5 16.5 17 LENOIR 7 3 19 11.8 5.1 32.1 16.3 18 NASH 13 20 13 13.6 20.9 13.6 16.0 19 GRANVILLE 4 15 9 6.7 24.8 14.9 15.5 20 PERSON 4 6 8 10.1 15.3 20.4 15.3 21 ANSON 4 4 4 15.1 15.2 15.2 15.1 NORTH CAROLINA 1490 1347 1525P 15.4 13.8 15.6P 15.0 22 PASQUOTANK 7 4 7 17.3 9.9 17.2 14.8 22 GASTON 31 30 31 15.0 14.4 14.9 14.8 24 MARTIN 0 4 6 0.0 16.7 25.0 13.9 25 HERTFORD 4 1 5 16.3 4.1 20.5 13.6 26 ALAMANCE 20 17 25 13.1 11.0 16.2 13.5 27 COLUMBUS 11 6 6 19.0 10.4 10.4 13.3 28 BERTIE 3 2 3 14.3 9.7 14.5 12.8 29 BEAUFORT 8 3 6 16.8 6.3 12.6 11.9 30 SWAIN 2 1 2 14.3 7.1 14.1 11.8 31 BUNCOMBE 25 29 31 10.4 11.9 12.7 11.6 32 ORANGE 13 15 17 9.6 10.9 12.3 10.9 32 GREENE 1 3 3 4.6 14.0 14.0 10.9 34 CLEVELAND 12 9 10 12.3 9.2 10.3 10.6 34 DUPLIN 5 5 9 8.4 8.3 15.0 10.6 36 PAMLICO 0 3 1 0.0 22.9 7.6 10.2 36 CRAVEN 11 10 11 10.5 9.5 10.5 10.2 38 LEE 9 4 5 15.4 6.7 8.4 10.1 38 SCOTLAND 3 7 1 8.3 19.4 2.8 10.1 40 CABARRUS 17 15 22 9.4 8.1 11.9 9.8 40 NEW HANOVER 22 25 14 10.7 11.9 6.7 9.8 42 JONES 1 1 1 9.8 9.7 9.7 9.7 43 SAMPSON 6 7 5 9.4 10.9 7.8 9.4 44 FRANKLIN 5 4 8 8.2 6.5 13.0 9.2 45 HARNETT 10 11 12 8.4 9.0 9.8 9.1 46 MOORE 9 8 7 10.1 8.9 7.8 8.9 47 CASWELL 1 2 3 4.2 8.6 12.9 8.6 47 RICHMOND 8 3 1 17.1 6.4 2.1 8.6 49 ONSLOW 11 19 16 6.2 10.4 8.7 8.4 50 BRUNSWICK 5 13 10 4.5 11.6 8.9 8.3 51 STANLY 5 5 4 8.3 8.3 6.6 7.7 52 JOHNSTON 10 11 18 5.8 6.3 10.3 7.5 53 CATAWBA 9 15 10 5.8 9.7 6.5 7.3 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 2 Communicable Disease Branch Table 2. N. C. HIV Infection† Cases by County Rank* Order (by Year Diagnosed)P (Cont) *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 54 MONTGOMERY 2 1 3 7.2 3.6 10.8 7.2 55 DAVIDSON 11 10 14 6.7 6.1 8.6 7.1 56 CHOWAN 0 1 2 0.0 6.8 13.5 6.8 56 ROWAN 11 10 7 8.0 7.2 5.1 6.8 58 ROCKINGHAM 11 5 2 11.8 5.4 2.2 6.5 59 UNION 13 11 15 6.3 5.3 7.2 6.3 60 LINCOLN 3 6 5 3.8 7.6 6.3 5.9 61 CHATHAM 3 3 5 4.6 4.5 7.6 5.6 61 PENDER 4 2 3 7.5 3.7 5.5 5.6 63 WILKES 2 5 4 2.9 7.2 5.8 5.3 64 MCDOWELL 2 0 5 4.4 0.0 11.1 5.2 65 TRANSYLVANIA 3 1 1 9.1 3.0 3.0 5.1 66 SURRY 0 4 7 0.0 5.4 9.5 5.0 67 CARTERET 2 4 4 3.0 5.9 5.9 4.9 67 IREDELL 5 8 11 3.1 4.9 6.8 4.9 67 WARREN 0 3 0 0.0 14.6 0.0 4.9 70 DARE 0 1 4 0.0 2.9 11.6 4.8 71 RANDOLPH 8 7 5 5.6 4.9 3.5 4.7 72 JACKSON 1 2 2 2.5 4.9 4.9 4.1 73 RUTHERFORD 6 1 1 8.9 1.5 1.5 4.0 74 GRAHAM 0 0 1 0.0 0.0 11.5 3.8 75 CALDWELL 1 6 2 1.2 7.3 2.4 3.7 76 ALEXANDER 3 0 1 8.1 0.0 2.7 3.6 77 CAMDEN 1 0 0 9.9 0.0 0.0 3.3 77 POLK 1 1 0 4.9 4.9 0.0 3.3 79 STOKES 0 1 3 0.0 2.1 6.4 2.9 80 GATES 0 0 1 0.0 0.0 8.4 2.8 80 CURRITUCK 1 0 1 4.2 0.0 4.2 2.8 82 YADKIN 1 1 1 2.6 2.6 2.6 2.6 82 WASHINGTON 0 1 0 0.0 7.9 0.0 2.6 82 BURKE 1 3 3 1.1 3.3 3.3 2.6 82 WATAUGA 1 1 2 1.9 1.9 3.9 2.6 86 ASHE 1 1 0 3.7 3.7 0.0 2.5 87 DAVIE 1 2 0 2.4 4.8 0.0 2.4 88 HAYWOOD 2 0 2 3.4 0.0 3.4 2.3 89 HENDERSON 1 4 2 0.9 3.7 1.8 2.2 90 MACON 0 0 2 0.0 0.0 5.9 2.0 91 YANCEY 1 0 0 5.6 0.0 0.0 1.9 92 CHEROKEE 0 0 1 0.0 0.0 3.7 1.2 93 ALLEGHANY 0 0 0 0.0 0.0 0.0 0.0 93 AVERY 0 0 0 0.0 0.0 0.0 0.0 93 CLAY 0 0 0 0.0 0.0 0.0 0.0 93 HYDE 0 0 0 0.0 0.0 0.0 0.0 93 MADISON 0 0 0 0.0 0.0 0.0 0.0 93 MITCHELL 0 0 0 0.0 0.0 0.0 0.0 93 PERQUIMANS 0 0 0 0.0 0.0 0.0 0.0 93 TYRRELL 0 0 0 0.0 0.0 0.0 0.0 †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *Three-year average of rates per 100,000 population. **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 3 Communicable Disease Branch Table 3. N. C. HIV Infection† Cases by County of First Diagnosis, 2009-2013P COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 16 21 20 17 25 10.6 13.9 13.1 11.0 16.2 ALEXANDER 2 1 3 0 1 5.4 2.7 8.1 0.0 2.7 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 3 3 4 4 4 12.0 11.1 15.1 15.2 15.2 ASHE 0 1 1 1 0 0.0 3.7 3.7 3.7 0.0 AVERY 2 0 0 0 0 11.2 0.0 0.0 0.0 0.0 BEAUFORT 5 4 8 3 6 10.8 8.4 16.8 6.3 12.6 BERTIE 3 7 3 2 3 15.5 32.9 14.3 9.7 14.5 BLADEN 6 7 8 2 10 18.6 19.9 22.9 5.7 28.6 BRUNSWICK 10 8 5 13 10 9.3 7.4 4.5 11.6 8.9 BUNCOMBE 19 13 25 29 31 8.2 5.4 10.4 11.9 12.7 BURKE 4 2 1 3 3 4.5 2.2 1.1 3.3 3.3 CABARRUS 20 9 17 15 22 11.6 5.0 9.4 8.1 11.9 CALDWELL 2 2 1 6 2 2.5 2.4 1.2 7.3 2.4 CAMDEN 2 1 1 0 0 20.6 10.0 9.9 0.0 0.0 CARTERET 4 2 2 4 4 6.2 3.0 3.0 5.9 5.9 CASWELL 4 3 1 2 3 17.4 12.6 4.2 8.6 12.9 CATAWBA 15 13 9 15 10 9.4 8.4 5.8 9.7 6.5 CHATHAM 5 5 3 3 5 7.7 7.8 4.6 4.5 7.6 CHEROKEE 1 0 0 0 1 3.8 0.0 0.0 0.0 3.7 CHOWAN 0 1 0 1 2 0.0 6.8 0.0 6.8 13.5 CLAY 1 2 0 0 0 9.7 18.9 0.0 0.0 0.0 CLEVELAND 13 12 12 9 10 13.1 12.2 12.3 9.2 10.3 COLUMBUS 9 13 11 6 6 16.6 22.4 19.0 10.4 10.4 CRAVEN 11 10 11 10 11 11.2 9.6 10.5 9.5 10.5 CUMBERLAND 83 80 97 69 87 26.3 25.0 30.0 21.3 26.8 CURRITUCK 1 1 1 0 1 4.1 4.2 4.2 0.0 4.2 DARE 1 2 0 1 4 2.9 5.9 0.0 2.9 11.6 DAVIDSON 12 10 11 10 14 7.6 6.1 6.7 6.1 8.6 DAVIE 0 2 1 2 0 0.0 4.8 2.4 4.8 0.0 DUPLIN 11 11 5 5 9 20.7 18.7 8.4 8.3 15.0 DURHAM 82 86 68 71 75 30.4 32.0 24.8 25.4 26.8 EDGECOMBE 25 21 19 14 19 48.2 37.1 33.9 25.0 34.0 FORSYTH 89 59 80 54 69 24.7 16.8 22.6 15.1 19.3 FRANKLIN 9 5 5 4 8 15.0 8.2 8.2 6.5 13.0 GASTON 39 30 31 30 31 18.7 14.5 15.0 14.4 14.9 GATES 1 1 0 0 1 8.5 8.2 0.0 0.0 8.4 GRAHAM 0 0 0 0 1 0.0 0.0 0.0 0.0 11.5 GRANVILLE 11 10 4 15 9 19.1 16.7 6.7 24.8 14.9 GREENE 2 2 1 3 3 9.7 9.3 4.6 14.0 14.0 GUILFORD 129 113 128 100 123 26.9 23.1 25.8 20.0 24.6 HALIFAX 6 4 13 12 9 11.0 7.3 23.9 22.2 16.7 HARNETT 22 14 10 11 12 19.0 12.1 8.4 9.0 9.8 HAYWOOD 5 1 2 0 2 8.8 1.7 3.4 0.0 3.4 HENDERSON 4 7 1 4 2 3.9 6.5 0.9 3.7 1.8 HERTFORD 2 5 4 1 5 8.6 20.3 16.3 4.1 20.5 HOKE 11 11 12 8 10 24.4 23.2 24.2 15.8 19.8 HYDE 0 3 0 0 0 0.0 51.6 0.0 0.0 0.0 IREDELL 7 12 5 8 11 4.4 7.5 3.1 4.9 6.8 JACKSON 0 4 1 2 2 0.0 9.9 2.5 4.9 4.9 JOHNSTON 10 10 10 11 18 5.9 5.9 5.8 6.3 10.3 JONES 2 2 1 1 1 19.9 19.7 9.8 9.7 9.7 LEE 2 14 9 4 5 3.3 24.2 15.4 6.7 8.4 LENOIR 9 10 7 3 19 16.0 16.8 11.8 5.1 32.1 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 4 Communicable Disease Branch Table 3. N. C. HIV Infection† Cases by County of First Diagnosis, 2009-2013P (Cont) COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LINCOLN 3 5 3 6 5 3.9 6.4 3.8 7.6 6.3 MACON 4 1 0 0 2 12.0 2.9 0.0 0.0 5.9 MADISON 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 MARTIN 0 1 0 4 6 0.0 4.1 0.0 16.7 25.0 MCDOWELL 2 2 2 0 5 4.5 4.4 4.4 0.0 11.1 MECKLENBURG 339 312 323 270 300 37.1 33.8 34.2 27.9 31.0 MITCHELL 3 0 0 0 0 19.2 0.0 0.0 0.0 0.0 MONTGOMERY 1 2 2 1 3 3.6 7.2 7.2 3.6 10.8 MOORE 7 3 9 8 7 8.0 3.4 10.1 8.9 7.8 NASH 16 17 13 20 13 16.9 17.7 13.6 20.9 13.6 NEW HANOVER 29 17 22 25 14 14.9 8.4 10.7 11.9 6.7 NORTHAMPTON 6 2 4 5 3 29.8 9.1 18.2 23.3 14.0 ONSLOW 11 14 11 19 16 6.4 7.8 6.2 10.4 8.7 ORANGE 13 8 13 15 17 10.1 6.0 9.6 10.9 12.3 PAMLICO 1 1 0 3 1 8.1 7.6 0.0 22.9 7.6 PASQUOTANK 3 4 7 4 7 7.2 9.8 17.3 9.9 17.2 PENDER 2 2 4 2 3 3.8 3.8 7.5 3.7 5.5 PERQUIMANS 2 1 0 0 0 15.7 7.4 0.0 0.0 0.0 PERSON 4 3 4 6 8 10.6 7.6 10.1 15.3 20.4 PITT 31 29 33 35 38 19.5 17.2 19.3 20.3 22.0 POLK 0 1 1 1 0 0.0 4.9 4.9 4.9 0.0 RANDOLPH 10 6 8 7 5 7.0 4.2 5.6 4.9 3.5 RICHMOND 6 7 8 3 1 13.1 15.0 17.1 6.4 2.1 ROBESON 26 14 29 24 21 20.1 10.4 21.5 17.7 15.5 ROCKINGHAM 6 3 11 5 2 6.5 3.2 11.8 5.4 2.2 ROWAN 14 15 11 10 7 9.9 10.8 8.0 7.2 5.1 RUTHERFORD 2 3 6 1 1 3.2 4.4 8.9 1.5 1.5 SAMPSON 9 13 6 7 5 14.1 20.5 9.4 10.9 7.8 SCOTLAND 4 5 3 7 1 11.0 13.9 8.3 19.4 2.8 STANLY 5 4 5 5 4 8.4 6.6 8.3 8.3 6.6 STOKES 0 2 0 1 3 0.0 4.2 0.0 2.1 6.4 SURRY 6 2 0 4 7 8.3 2.7 0.0 5.4 9.5 SWAIN 0 0 2 1 2 0.0 0.0 14.3 7.1 14.1 TRANSYLVANIA 3 2 3 1 1 9.9 6.0 9.1 3.0 3.0 TYRRELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 UNION 18 12 13 11 15 9.1 5.9 6.3 5.3 7.2 VANCE 6 11 9 10 9 13.9 24.2 19.9 22.2 19.9 WAKE 185 168 139 144 186 20.6 18.5 15.0 15.1 19.5 WARREN 2 5 0 3 0 10.3 23.9 0.0 14.6 0.0 WASHINGTON 2 0 0 1 0 15.6 0.0 0.0 7.9 0.0 WATAUGA 2 1 1 1 2 4.4 2.0 1.9 1.9 3.9 WAYNE 16 14 23 20 20 14.1 11.4 18.6 16.1 16.1 WILKES 0 3 2 5 4 0.0 4.3 2.9 7.2 5.8 WILSON 33 18 24 19 8 42.1 22.1 29.5 23.2 9.8 YADKIN 0 1 1 1 1 0.0 2.6 2.6 2.6 2.6 YANCEY 2 0 1 0 0 10.8 0.0 5.6 0.0 0.0 Unassigned** 80 59 62 44 53 --- --- --- --- --- NC TOTAL 1,646 1,463 1,490 1,347 1,525P 17.5 15.3 15.4 13.8 15.6P †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *Rate per 100,000 population. **Unassigned includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 5 Communicable Disease Branch Table 4. N. C. AIDS* Cases Living as of 12/31/13P by County of Residence at Diagnosis COUNTY AIDS ALAMANCE 129 ALEXANDER 18 ALLEGHANY 0 ANSON 32 ASHE 0 AVERY 6 BEAUFORT 53 BERTIE 44 BLADEN 52 BRUNSWICK 84 BUNCOMBE 238 BURKE 32 CABARRUS 92 CALDWELL 28 CAMDEN 9 CARTERET 31 CASWELL 13 CATAWBA 116 CHATHAM 36 CHEROKEE 5 CHOWAN 14 CLAY 3 CLEVELAND 87 COLUMBUS 76 CRAVEN 108 CUMBERLAND 473 CURRITUCK 9 DARE 21 DAVIDSON 84 DAVIE 16 DUPLIN 92 DURHAM 534 EDGECOMBE 160 FORSYTH 499 FRANKLIN 55 GASTON 214 GATES 1 GRAHAM 3 GRANVILLE 64 GREENE 32 GUILFORD 705 HALIFAX 81 HARNETT 104 HAYWOOD 33 HENDERSON 53 HERTFORD 61 HOKE 63 HYDE 7 IREDELL 56 JACKSON 18 JOHNSTON 155 JONES 14 LEE 46 LENOIR 135 LINCOLN 27 COUNTY AIDS MACON 15 MADISON 7 MARTIN 38 MCDOWELL 15 MECKLENBURG 2,004 MITCHELL 8 MONTGOMERY 21 MOORE 67 NASH 129 NEW HANOVER 241 NORTHAMPTON 38 ONSLOW 103 ORANGE 93 PAMLICO 7 PASQUOTANK 42 PENDER 31 PERQUIMANS 15 PERSON 23 PITT 303 POLK 13 RANDOLPH 65 RICHMOND 51 ROBESON 215 ROCKINGHAM 45 ROWAN 92 RUTHERFORD 28 SAMPSON 74 SCOTLAND 48 STANLY 33 STOKES 13 SURRY 21 SWAIN 10 TRANSYLVANIA 8 TYRRELL 2 UNION 92 VANCE 85 WAKE 1,351 WARREN 11 WASHINGTON 30 WATAUGA 11 WAYNE 152 WILKES 16 WILSON 169 YADKIN 15 YANCEY 7 NC TOTAL** 11,829P * Includes all living AIDS cases. **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 6 Communicable Disease Branch Table 5. N. C. AIDS Cases by County Rank* Order (by Year Diagnosed)P *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 1 EDGECOMBE 17 12 10 30.3 21.4 17.9 23.2 2 MECKLENBURG 134 212 259 14.2 21.9 26.7 20.9 3 JONES 1 1 3 9.8 9.7 29.2 16.2 4 WASHINGTON 2 3 1 15.4 23.6 7.9 15.6 5 NORTHAMPTON 3 3 3 13.6 14.0 14.0 13.9 6 LENOIR 2 8 14 3.4 13.5 23.6 13.5 7 PITT 21 26 22 12.3 15.1 12.7 13.4 8 BLADEN 8 1 5 22.9 2.9 14.3 13.3 9 WILSON 10 12 9 12.3 14.7 11.0 12.6 9 ROBESON 17 21 13 12.6 15.5 9.6 12.6 9 VANCE 3 7 7 6.6 15.5 15.5 12.6 12 HALIFAX 9 8 3 16.6 14.8 5.6 12.3 12 HERTFORD 4 3 2 16.3 12.3 8.2 12.3 14 COLUMBUS 6 8 7 10.4 13.9 12.1 12.1 15 CUMBERLAND 48 32 36 14.8 9.9 11.1 11.9 16 BERTIE 5 1 1 23.9 4.8 4.8 11.2 17 WAYNE 17 11 13 13.7 8.9 10.5 11.0 18 RICHMOND 8 5 2 17.1 10.7 4.3 10.7 19 HOKE 7 5 4 14.1 9.9 7.9 10.6 20 GASTON 33 16 16 15.9 7.7 7.7 10.4 21 NASH 7 11 11 7.3 11.5 11.5 10.1 22 BUNCOMBE 21 22 26 8.7 9.0 10.6 9.4 22 GRANVILLE 2 7 8 3.3 11.6 13.2 9.4 24 FORSYTH 40 26 34 11.3 7.3 9.5 9.3 25 CLEVELAND 9 6 12 9.2 6.2 12.3 9.2 26 GUILFORD 51 38 45 10.3 7.6 9.0 9.0 27 MOORE 10 8 6 11.2 8.9 6.6 8.9 NORTH CAROLINA 815 789 894P 8.4 8.1 9.2P 8.6 28 BEAUFORT 6 2 4 12.6 4.2 8.4 8.4 28 DUPLIN 6 2 7 10.1 3.3 11.7 8.4 30 MARTIN 1 2 3 4.1 8.3 12.5 8.3 30 SCOTLAND 4 4 1 11.0 11.1 2.8 8.3 30 STANLY 2 2 11 3.3 3.3 18.2 8.3 33 DURHAM 23 25 19 8.4 8.9 6.8 8.0 34 WAKE 76 69 77 8.2 7.2 8.1 7.8 35 TYRRELL 0 1 0 0.0 23.1 0.0 7.7 36 HARNETT 10 7 6 8.4 5.7 4.9 6.3 36 SAMPSON 6 3 3 9.4 4.7 4.7 6.3 36 CLAY 2 0 0 18.8 0.0 0.0 6.3 39 UNION 15 7 14 7.3 3.4 6.7 5.8 39 PASQUOTANK 3 2 2 7.4 4.9 4.9 5.8 41 ALAMANCE 8 5 13 5.2 3.2 8.4 5.6 42 JOHNSTON 12 12 4 6.9 6.9 2.3 5.4 43 NEW HANOVER 12 10 10 5.8 4.8 4.8 5.1 43 TRANSYLVANIA 3 0 2 9.1 0.0 6.1 5.1 43 PAMLICO 1 0 1 7.5 0.0 7.6 5.1 43 ANSON 1 2 1 3.8 7.6 3.8 5.1 47 ROCKINGHAM 9 3 2 9.7 3.2 2.2 5.0 48 POLK 1 1 1 4.9 4.9 4.9 4.9 49 MADISON 2 1 0 9.6 4.8 0.0 4.8 49 MONTGOMERY 2 0 2 7.2 0.0 7.2 4.8 51 SWAIN 0 0 2 0.0 0.0 14.1 4.7 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 7 Communicable Disease Branch Table 5. N. C. AIDS Cases by County Rank* Order (by Year Diagnosed)P (Cont) *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 51 GREENE 0 1 2 0.0 4.7 9.3 4.7 53 ONSLOW 9 8 8 5.1 4.4 4.4 4.6 54 LEE 1 2 5 1.7 3.3 8.4 4.5 55 FRANKLIN 5 1 2 8.2 1.6 3.3 4.4 56 MITCHELL 1 0 1 6.5 0.0 6.5 4.3 57 CABARRUS 5 7 11 2.8 3.8 6.0 4.2 58 DAVIE 2 2 1 4.8 4.8 2.4 4.0 58 RANDOLPH 6 6 5 4.2 4.2 3.5 4.0 58 RUTHERFORD 5 2 1 7.4 3.0 1.5 4.0 61 CARTERET 3 2 3 4.5 3.0 4.4 3.9 61 BRUNSWICK 6 3 4 5.4 2.7 3.6 3.9 61 DARE 2 0 2 5.8 0.0 5.8 3.9 64 GRAHAM 0 0 1 0.0 0.0 11.5 3.8 65 ROWAN 3 7 4 2.2 5.1 2.9 3.4 66 CAMDEN 1 0 0 9.9 0.0 0.0 3.3 66 JACKSON 2 2 0 5.0 4.9 0.0 3.3 66 DAVIDSON 5 8 3 3.1 4.9 1.8 3.3 69 WARREN 1 0 1 4.8 0.0 4.9 3.2 70 PENDER 3 1 1 5.6 1.8 1.8 3.1 70 CHATHAM 4 1 1 6.1 1.5 1.5 3.1 72 MACON 1 0 2 3.0 0.0 5.9 3.0 73 LINCOLN 1 3 3 1.3 3.8 3.8 2.9 73 ORANGE 3 2 7 2.2 1.4 5.1 2.9 73 CASWELL 1 0 1 4.2 0.0 4.3 2.9 76 HAYWOOD 3 1 1 5.1 1.7 1.7 2.8 76 CATAWBA 2 10 1 1.3 6.5 0.6 2.8 78 IREDELL 1 8 4 0.6 4.9 2.5 2.7 79 CRAVEN 3 2 3 2.9 1.9 2.9 2.5 79 PERSON 1 1 1 2.5 2.5 2.5 2.5 79 PERQUIMANS 0 0 1 0.0 0.0 7.4 2.5 82 CHOWAN 0 0 1 0.0 0.0 6.8 2.3 83 MCDOWELL 1 1 1 2.2 2.2 2.2 2.2 84 AVERY 0 0 1 0.0 0.0 5.7 1.9 85 SURRY 0 2 2 0.0 2.7 2.7 1.8 85 ALEXANDER 0 2 0 0.0 5.4 0.0 1.8 87 CALDWELL 1 2 1 1.2 2.4 1.2 1.6 88 HENDERSON 3 1 1 2.8 0.9 0.9 1.5 88 BURKE 1 1 2 1.1 1.1 2.2 1.5 90 WILKES 1 1 1 1.4 1.4 1.4 1.4 91 YADKIN 1 0 0 2.6 0.0 0.0 0.9 92 STOKES 0 0 1 0.0 0.0 2.1 0.7 93 WATAUGA 0 0 1 0.0 0.0 1.9 0.6 94 ALLEGHANY 0 0 0 0.0 0.0 0.0 0.0 94 ASHE 0 0 0 0.0 0.0 0.0 0.0 94 CHEROKEE 0 0 0 0.0 0.0 0.0 0.0 94 CURRITUCK 0 0 0 0.0 0.0 0.0 0.0 94 GATES 0 0 0 0.0 0.0 0.0 0.0 94 HYDE 0 0 0 0.0 0.0 0.0 0.0 94 YANCEY 0 0 0 0.0 0.0 0.0 0.0 *Three-year average of rates per 100,000 population. **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 8 Communicable Disease Branch Table 6. N. C. AIDS Cases by County of AIDS Diagnosis, 2009-2013P COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 12 13 8 5 13 8.0 8.6 5.2 3.2 8.4 ALEXANDER 2 2 0 2 0 5.4 5.4 0.0 5.4 0.0 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 0 2 1 2 1 0.0 7.4 3.8 7.6 3.8 ASHE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 AVERY 1 1 0 0 1 5.6 5.6 0.0 0.0 5.7 BEAUFORT 6 1 6 2 4 12.9 2.1 12.6 4.2 8.4 BERTIE 3 1 5 1 1 15.5 4.7 23.9 4.8 4.8 BLADEN 1 7 8 1 5 3.1 19.9 22.9 2.9 14.3 BRUNSWICK 6 6 6 3 4 5.6 5.6 5.4 2.7 3.6 BUNCOMBE 3 10 21 22 26 1.3 4.2 8.7 9.0 10.6 BURKE 4 2 1 1 2 4.5 2.2 1.1 1.1 2.2 CABARRUS 4 5 5 7 11 2.3 2.8 2.8 3.8 6.0 CALDWELL 1 2 1 2 1 1.3 2.4 1.2 2.4 1.2 CAMDEN 1 1 1 0 0 10.3 10.0 9.9 0.0 0.0 CARTERET 2 3 3 2 3 3.1 4.5 4.5 3.0 4.4 CASWELL 1 1 1 0 1 4.3 4.2 4.2 0.0 4.3 CATAWBA 14 7 2 10 1 8.8 4.5 1.3 6.5 0.6 CHATHAM 1 4 4 1 1 1.5 6.3 6.1 1.5 1.5 CHEROKEE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 CHOWAN 1 0 0 0 1 6.8 0.0 0.0 0.0 6.8 CLAY 0 1 2 0 0 0.0 9.5 18.8 0.0 0.0 CLEVELAND 8 5 9 6 12 8.1 5.1 9.2 6.2 12.3 COLUMBUS 6 8 6 8 7 11.1 13.8 10.4 13.9 12.1 CRAVEN 15 8 3 2 3 15.2 7.7 2.9 1.9 2.9 CUMBERLAND 44 37 48 32 36 14.0 11.6 14.8 9.9 11.1 CURRITUCK 2 2 0 0 0 8.3 8.5 0.0 0.0 0.0 DARE 2 1 2 0 2 5.8 2.9 5.8 0.0 5.8 DAVIDSON 9 2 5 8 3 5.7 1.2 3.1 4.9 1.8 DAVIE 0 3 2 2 1 0.0 7.3 4.8 4.8 2.4 DUPLIN 5 5 6 2 7 9.4 8.5 10.1 3.3 11.7 DURHAM 33 36 23 25 19 12.2 13.4 8.4 8.9 6.8 EDGECOMBE 18 12 17 12 10 34.7 21.2 30.3 21.4 17.9 FORSYTH 48 26 40 26 34 13.3 7.4 11.3 7.3 9.5 FRANKLIN 5 8 5 1 2 8.3 13.2 8.2 1.6 3.3 GASTON 21 23 33 16 16 10.0 11.2 15.9 7.7 7.7 GATES 2 0 0 0 0 17.0 0.0 0.0 0.0 0.0 GRAHAM 0 0 0 0 1 0.0 0.0 0.0 0.0 11.5 GRANVILLE 6 6 2 7 8 10.4 10.0 3.3 11.6 13.2 GREENE 2 4 0 1 2 9.7 18.7 0.0 4.7 9.3 GUILFORD 61 48 51 38 45 12.7 9.8 10.3 7.6 9.0 HALIFAX 9 3 9 8 3 16.5 5.5 16.6 14.8 5.6 HARNETT 12 11 10 7 6 10.4 9.5 8.4 5.7 4.9 HAYWOOD 3 1 3 1 1 5.3 1.7 5.1 1.7 1.7 HENDERSON 4 4 3 1 1 3.9 3.7 2.8 0.9 0.9 HERTFORD 4 1 4 3 2 17.2 4.1 16.3 12.3 8.2 HOKE 4 7 7 5 4 8.9 14.7 14.1 9.9 7.9 HYDE 0 1 0 0 0 0.0 17.2 0.0 0.0 0.0 IREDELL 5 3 1 8 4 3.2 1.9 0.6 4.9 2.5 JACKSON 1 1 2 2 0 2.7 2.5 5.0 4.9 0.0 JOHNSTON 9 12 12 12 4 5.3 7.1 6.9 6.9 2.3 JONES 3 3 1 1 3 29.8 29.5 9.8 9.7 29.2 LEE 8 6 1 2 5 13.2 10.4 1.7 3.3 8.4 LENOIR 15 11 2 8 14 26.6 18.5 3.4 13.5 23.6 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 9 Communicable Disease Branch Table 6. N. C. AIDS Cases by County of AIDS Diagnosis, 2009-2013P (Cont) COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LINCOLN 0 5 1 3 3 0.0 6.4 1.3 3.8 3.8 MACON 2 1 1 0 2 6.0 2.9 3.0 0.0 5.9 MADISON 0 0 2 1 0 0.0 0.0 9.6 4.8 0.0 MARTIN 6 1 1 2 3 25.7 4.1 4.1 8.3 12.5 MCDOWELL 1 0 1 1 1 2.3 0.0 2.2 2.2 2.2 MECKLENBURG 174 128 134 212 259 19.0 13.9 14.2 21.9 26.7 MITCHELL 2 0 1 0 1 12.8 0.0 6.5 0.0 6.5 MONTGOMERY 1 2 2 0 2 3.6 7.2 7.2 0.0 7.2 MOORE 3 4 10 8 6 3.4 4.5 11.2 8.9 6.6 NASH 13 14 7 11 11 13.7 14.6 7.3 11.5 11.5 NEW HANOVER 11 8 12 10 10 5.6 3.9 5.8 4.8 4.8 NORTHAMPTON 5 2 3 3 3 24.8 9.1 13.6 14.0 14.0 ONSLOW 5 10 9 8 8 2.9 5.6 5.1 4.4 4.4 ORANGE 2 2 3 2 7 1.5 1.5 2.2 1.4 5.1 PAMLICO 1 0 1 0 1 8.1 0.0 7.5 0.0 7.6 PASQUOTANK 3 6 3 2 2 7.2 14.7 7.4 4.9 4.9 PENDER 3 0 3 1 1 5.7 0.0 5.6 1.8 1.8 PERQUIMANS 2 1 0 0 1 15.7 7.4 0.0 0.0 7.4 PERSON 4 5 1 1 1 10.6 12.7 2.5 2.5 2.5 PITT 24 25 21 26 22 15.1 14.8 12.3 15.1 12.7 POLK 1 0 1 1 1 5.2 0.0 4.9 4.9 4.9 RANDOLPH 4 8 6 6 5 2.8 5.6 4.2 4.2 3.5 RICHMOND 4 4 8 5 2 8.7 8.6 17.1 10.7 4.3 ROBESON 11 19 17 21 13 8.5 14.1 12.6 15.5 9.6 ROCKINGHAM 1 0 9 3 2 1.1 0.0 9.7 3.2 2.2 ROWAN 6 6 3 7 4 4.3 4.3 2.2 5.1 2.9 RUTHERFORD 0 1 5 2 1 0.0 1.5 7.4 3.0 1.5 SAMPSON 8 4 6 3 3 12.6 6.3 9.4 4.7 4.7 SCOTLAND 2 4 4 4 1 5.5 11.1 11.0 11.1 2.8 STANLY 2 1 2 2 11 3.3 1.7 3.3 3.3 18.2 STOKES 1 2 0 0 1 2.2 4.2 0.0 0.0 2.1 SURRY 1 1 0 2 2 1.4 1.4 0.0 2.7 2.7 SWAIN 0 0 0 0 2 0.0 0.0 0.0 0.0 14.1 TRANSYLVANIA 1 0 3 0 2 3.3 0.0 9.1 0.0 6.1 TYRRELL 0 0 0 1 0 0.0 0.0 0.0 23.1 0.0 UNION 8 5 15 7 14 4.0 2.5 7.3 3.4 6.7 VANCE 3 5 3 7 7 7.0 11.0 6.6 15.5 15.5 WAKE 110 83 76 69 77 12.3 9.2 8.2 7.2 8.1 WARREN 0 2 1 0 1 0.0 9.5 4.8 0.0 4.9 WASHINGTON 1 2 2 3 1 7.8 15.2 15.4 23.6 7.9 WATAUGA 3 0 0 0 1 6.6 0.0 0.0 0.0 1.9 WAYNE 9 9 17 11 13 7.9 7.3 13.7 8.9 10.5 WILKES 0 2 1 1 1 0.0 2.9 1.4 1.4 1.4 WILSON 20 8 10 12 9 25.5 9.8 12.3 14.7 11.0 YADKIN 0 1 1 0 0 0.0 2.6 2.6 0.0 0.0 YANCEY 2 0 0 0 0 10.8 0.0 0.0 0.0 0.0 Unassigned** 68 49 27 26 45 --- --- --- --- --- NC TOTAL 955 797 815 789 894P 10.2 8.3 8.4 8.1 9.2P *Rate per 100,000 population. **Unassigned includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 10 Communicable Disease Branch Table 7. N. C. Chlamydia Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 555 629 695 725 513 369.1 415.1 454.8 471.0 333.3 ALEXANDER 91 67 76 76 73 247.4 180.0 204.9 206.2 198.1 ALLEGHANY 11 6 22 17 23 100.3 53.8 199.8 155.6 210.5 ANSON 215 168 189 183 134 858.1 624.2 712.9 694.5 508.5 ASHE 24 21 28 22 11 93.0 76.9 103.2 81.2 40.6 AVERY 15 29 9 10 12 83.6 163.4 50.7 56.7 68.0 BEAUFORT 224 209 219 326 261 482.6 437.4 459.6 686.2 549.4 BERTIE 137 158 175 148 110 708.2 742.8 835.2 716.6 532.6 BLADEN 213 195 190 181 211 658.6 553.8 543.0 518.4 604.3 BRUNSWICK 239 242 368 281 252 223.2 223.9 333.7 250.3 224.5 BUNCOMBE 653 714 755 769 897 282.1 298.9 312.6 314.5 366.9 BURKE 274 251 209 225 226 306.0 276.6 230.0 248.6 249.7 CABARRUS 681 585 706 722 666 395.4 327.6 389.9 391.3 361.0 CALDWELL 177 167 266 195 177 221.5 201.2 323.4 238.0 216.0 CAMDEN 13 9 14 16 39 133.6 90.0 139.3 158.6 386.5 CARTERET 247 206 195 214 182 383.4 308.8 289.5 316.4 269.1 CASWELL 88 86 74 81 65 382.5 362.6 314.2 348.9 280.0 CATAWBA 535 581 564 557 542 336.2 376.4 366.3 360.9 351.2 CHATHAM 144 141 147 142 169 222.3 221.0 225.2 215.2 256.2 CHEROKEE 22 35 34 39 29 83.6 127.6 125.2 144.5 107.4 CHOWAN 100 85 69 85 60 676.4 575.8 464.6 575.4 406.2 CLAY 8 5 7 14 12 77.4 47.3 65.7 131.9 113.0 CLEVELAND 402 407 495 498 374 404.9 415.2 507.3 510.9 383.7 COLUMBUS 264 192 375 257 226 486.9 331.2 648.4 445.9 392.1 CRAVEN 602 574 791 535 552 611.0 552.3 756.8 510.6 526.9 CUMBERLAND 2,802 1,730 3,593 3,589 3,610 888.9 540.3 1111. 1107. 1114.0 CURRITUCK 42 39 66 51 70 173.4 164.9 275.6 211.8 290.7 DARE 72 82 92 90 104 209.9 241.1 268.4 260.3 300.8 DAVIDSON 449 442 519 488 544 283.1 271.4 318.3 298.9 333.2 DAVIE 103 62 75 83 109 248.7 150.0 181.2 200.3 263.1 DUPLIN 210 204 246 208 207 394.9 347.3 412.8 346.5 344.8 DURHAM 1,471 1,642 1,923 2,329 2,002 545.4 611.7 702.7 832.9 715.9 EDGECOMBE 621 646 661 645 541 1197. 1142. 1178. 1152. 966.9 FORSYTH 3,048 2,503 2,688 2,704 2,508 847.5 712.3 758.3 755.0 700.3 FRANKLIN 170 126 178 250 206 282.9 207.1 290.9 406.7 335.1 GASTON 773 880 1,435 892 1,258 369.9 426.8 693.5 428.7 604.7 GATES 35 46 55 49 46 297.4 377.3 455.6 412.8 387.6 GRAHAM 9 7 11 20 11 112.5 78.8 125.4 229.9 126.4 GRANVILLE 224 216 234 289 251 388.6 359.6 389.3 478.2 415.3 GREENE 118 92 122 104 84 571.2 430.0 563.4 485.3 392.0 GUILFORD 2,994 2,398 5,010 3,949 3,748 623.3 489.7 1011. 788.4 748.3 HALIFAX 402 348 370 426 421 736.5 638.0 681.2 788.8 779.5 HARNETT 334 450 468 417 468 288.5 388.6 392.3 341.4 383.2 HAYWOOD 98 65 137 132 114 171.6 110.2 233.3 224.1 193.5 HENDERSON 137 166 208 229 210 132.2 155.2 193.4 211.5 194.0 HERTFORD 189 194 221 171 162 811.8 788.0 901.0 699.7 662.9 HOKE 223 114 299 277 247 493.9 240.0 604.0 548.1 488.8 HYDE 16 14 16 13 13 307.0 240.6 273.6 221.9 221.9 IREDELL 516 452 560 542 466 326.3 282.9 347.8 333.1 286.4 JACKSON 122 107 176 154 108 330.7 265.3 436.9 380.7 267.0 JOHNSTON 407 474 545 464 550 241.5 279.4 315.4 265.2 314.4 JONES 38 40 44 33 31 377.3 393.8 429.4 321.2 301.7 LEE 230 226 275 281 312 380.3 390.3 469.2 470.6 522.5 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 11 Communicable Disease Branch Table 7. N. C. Chlamydia Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LENOIR 351 344 345 360 386 622.5 579.1 580.7 607.8 651.7 LINCOLN 172 210 197 187 196 226.2 267.9 249.9 235.8 247.1 MACON 37 58 78 50 74 111.3 171.0 230.4 147.6 218.5 MADISON 24 19 54 46 46 117.4 91.4 259.2 221.8 221.8 MARTIN 162 165 152 167 134 694.2 673.7 626.6 697.0 559.2 MCDOWELL 88 72 75 108 109 200.1 159.8 166.9 240.0 242.2 MECKLENBURG 5,840 4,627 7,456 6,287 6,087 639.2 501.2 788.8 648.8 628.2 MITCHELL 12 13 16 15 16 76.8 83.6 104.1 97.6 104.1 MONTGOMERY 64 93 101 90 107 230.7 334.7 362.4 325.3 386.7 MOORE 192 227 257 269 293 220.3 256.3 287.6 297.9 324.5 NASH 581 650 623 590 558 613.2 678.1 649.6 616.5 583.0 NEW HANOVER 891 698 1,159 1,069 933 456.7 343.4 562.8 510.9 445.9 NORTHAMPTON 143 91 132 139 143 710.2 412.7 600.1 648.7 667.4 ONSLOW 1,081 1,134 1,184 1,495 1,481 624.6 631.8 667.3 815.8 808.1 ORANGE 379 336 544 456 470 293.6 250.4 401.7 330.6 340.7 PAMLICO 35 36 37 34 37 281.8 274.2 277.9 260.1 283.0 PASQUOTANK 258 240 255 314 316 620.5 589.5 631.9 773.6 778.5 PENDER 124 107 161 133 153 236.7 204.0 301.0 245.4 282.3 PERQUIMANS 66 40 36 58 52 518.3 296.5 267.5 427.6 383.4 PERSON 124 125 189 171 159 329.2 316.9 477.9 435.5 404.9 PITT 1,405 1,760 1,912 1,663 1,639 883.3 1043. 1120. 963.8 949.8 POLK 14 17 21 32 24 72.7 83.1 103.5 157.9 118.4 RANDOLPH 308 360 405 399 365 216.7 253.7 285.1 280.1 256.2 RICHMOND 286 204 201 214 223 622.1 437.3 430.6 459.0 478.3 ROBESON 1,035 1,021 1,150 1,141 1,019 798.9 759.2 852.0 842.1 752.1 ROCKINGHAM 334 271 404 380 305 362.1 289.4 433.7 409.8 328.9 ROWAN 556 554 663 680 726 394.9 400.5 480.0 492.1 525.4 RUTHERFORD 183 192 227 253 193 288.6 283.3 336.7 375.8 286.7 SAMPSON 249 224 278 193 266 390.8 352.4 436.9 301.8 416.0 SCOTLAND 182 177 232 259 298 501.5 490.3 638.1 717.6 825.6 STANLY 235 324 218 165 184 393.0 534.8 360.8 272.4 303.8 STOKES 84 87 108 104 108 182.0 183.7 228.8 222.3 230.9 SURRY 105 133 169 160 152 144.8 180.4 229.6 217.5 206.6 SWAIN 20 42 97 75 42 149.2 300.2 691.2 530.4 297.0 TRANSYLVANIA 69 81 110 92 79 228.5 244.9 335.2 280.1 240.5 TYRRELL 24 20 24 14 26 588.5 452.8 549.1 322.7 599.4 UNION 485 440 515 517 459 244.2 217.6 251.0 247.9 220.1 VANCE 370 396 484 491 361 859.3 872.7 1070. 1087. 799.9 WAKE 3,590 4,530 4,748 4,667 4,210 400.1 499.6 511.3 490.2 442.2 WARREN 107 119 115 110 108 550.8 568.2 549.8 534.6 524.9 WASHINGTON 70 79 82 84 84 544.7 598.8 632.7 659.5 659.5 WATAUGA 79 96 92 94 116 173.7 188.1 178.1 181.2 223.6 WAYNE 712 887 876 820 817 625.6 722.0 707.4 660.0 657.6 WILKES 154 141 136 160 105 231.4 203.5 196.5 230.9 151.5 WILSON 585 1,122 539 533 425 746.6 1378. 661.5 651.1 519.1 YADKIN 69 51 72 64 101 183.0 132.8 188.1 168.0 265.2 YANCEY 13 27 26 20 15 70.1 151.9 146.9 113.4 85.1 UNKNOWN 0 0 0 2 0 --- --- --- --- --- NC TOTAL 43,734 42,167 53,854 50,621 48,417 466.2 441.1 558.0 519.1 496.5 *Rate per 100,000 population. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 12 Communicable Disease Branch Table 8. N. C. Gonorrhea Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 204 317 325 256 138 135.7 209.2 212.7 166.3 89.7 ALEXANDER 12 7 18 9 8 32.6 18.8 48.5 24.4 21.7 ALLEGHANY 0 0 0 0 2 0.0 0.0 0.0 0.0 18.3 ANSON 168 82 74 65 43 670.5 304.7 279.1 246.7 163.2 ASHE 1 2 2 2 0 3.9 7.3 7.4 7.4 0.0 AVERY 1 3 2 1 1 5.6 16.9 11.3 5.7 5.7 BEAUFORT 89 67 81 82 46 191.8 140.2 170.0 172.6 96.8 BERTIE 54 48 59 59 46 279.1 225.7 281.6 285.7 222.7 BLADEN 56 55 70 44 69 173.1 156.2 200.0 126.0 197.6 BRUNSWICK 43 58 52 77 62 40.2 53.7 47.2 68.6 55.2 BUNCOMBE 174 193 175 159 290 75.2 80.8 72.5 65.0 118.6 BURKE 57 81 79 70 33 63.7 89.3 86.9 77.3 36.5 CABARRUS 154 151 151 141 145 89.4 84.6 83.4 76.4 78.6 CALDWELL 33 36 62 44 44 41.3 43.4 75.4 53.7 53.7 CAMDEN 3 5 7 5 5 30.8 50.0 69.6 49.6 49.6 CARTERET 42 47 40 49 36 65.2 70.4 59.4 72.5 53.2 CASWELL 28 31 22 20 29 121.7 130.7 93.4 86.1 124.9 CATAWBA 158 186 210 156 113 99.3 120.5 136.4 101.1 73.2 CHATHAM 26 29 33 37 36 40.1 45.5 50.6 56.1 54.6 CHEROKEE 1 3 1 16 4 3.8 10.9 3.7 59.3 14.8 CHOWAN 33 27 43 8 10 223.2 182.9 289.5 54.2 67.7 CLAY 0 1 0 1 4 0.0 9.5 0.0 9.4 37.7 CLEVELAND 126 156 173 163 129 126.9 159.2 177.3 167.2 132.3 COLUMBUS 82 78 149 81 75 151.2 134.5 257.6 140.5 130.1 CRAVEN 116 159 260 145 103 117.7 153.0 248.8 138.4 98.3 CUMBERLAND 1,069 733 1,479 1,170 1,196 339.1 228.9 457.5 361.1 369.1 CURRITUCK 21 18 10 8 6 86.7 76.1 41.8 33.2 24.9 DARE 15 25 11 3 5 43.7 73.5 32.1 8.7 14.5 DAVIDSON 75 124 121 101 138 47.3 76.1 74.2 61.9 84.5 DAVIE 18 6 6 12 19 43.5 14.5 14.5 29.0 45.9 DUPLIN 67 60 75 70 64 126.0 102.1 125.8 116.6 106.6 DURHAM 561 680 747 820 758 208.0 253.3 273.0 293.2 271.1 EDGECOMBE 277 272 260 180 172 534.2 481.0 463.6 321.7 307.4 FORSYTH 847 774 854 712 742 235.5 220.3 240.9 198.8 207.2 FRANKLIN 81 57 66 98 62 134.8 93.7 107.9 159.4 100.9 GASTON 383 334 357 194 341 183.3 162.0 172.5 93.2 163.9 GATES 11 14 12 17 9 93.5 114.8 99.4 143.2 75.8 GRAHAM 0 0 1 1 2 0.0 0.0 11.4 11.5 23.0 GRANVILLE 68 93 67 87 85 118.0 154.8 111.5 144.0 140.6 GREENE 39 53 23 28 39 188.8 247.7 106.2 130.7 182.0 GUILFORD 1,100 871 1,981 1,473 1,344 229.0 177.9 399.9 294.1 268.3 HALIFAX 176 152 145 128 100 322.5 278.7 267.0 237.0 185.2 HARNETT 85 117 203 96 128 73.4 101.0 170.2 78.6 104.8 HAYWOOD 14 2 12 11 20 24.5 3.4 20.4 18.7 34.0 HENDERSON 29 45 75 72 64 28.0 42.1 69.7 66.5 59.1 HERTFORD 89 82 80 44 41 382.3 333.1 326.1 180.0 167.8 HOKE 70 52 148 116 90 155.0 109.5 298.9 229.5 178.1 HYDE 4 6 3 2 3 76.8 103.1 51.3 34.1 51.2 IREDELL 235 210 174 120 97 148.6 131.4 108.1 73.8 59.6 JACKSON 11 13 28 38 17 29.8 32.2 69.5 93.9 42.0 JOHNSTON 128 82 118 94 117 76.0 48.3 68.3 53.7 66.9 JONES 13 17 11 7 4 129.1 167.4 107.4 68.1 38.9 LEE 50 77 126 97 85 82.7 133.0 215.0 162.4 142.3 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 13 Communicable Disease Branch Table 8. N. C. Gonorrhea Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LENOIR 128 162 128 111 119 227.0 272.7 215.5 187.4 200.9 LINCOLN 44 39 57 36 22 57.9 49.8 72.3 45.4 27.7 MACON 2 4 6 7 11 6.0 11.8 17.7 20.7 32.5 MADISON 8 3 6 5 5 39.1 14.4 28.8 24.1 24.1 MARTIN 63 56 48 61 39 270.0 228.7 197.9 254.6 162.8 MCDOWELL 27 8 9 10 4 61.4 17.8 20.0 22.2 8.9 MECKLENBURG 2,035 1,516 2,269 1,848 1,775 222.7 164.2 240.0 190.7 183.2 MITCHELL 0 1 0 1 2 0.0 6.4 0.0 6.5 13.0 MONTGOMERY 21 19 25 14 22 75.7 68.4 89.7 50.6 79.5 MOORE 98 82 46 47 44 112.4 92.6 51.5 52.0 48.7 NASH 225 250 224 210 176 237.5 260.8 233.5 219.4 183.9 NEW HANOVER 312 220 255 262 266 159.9 108.2 123.8 125.2 127.1 NORTHAMPTON 61 44 74 49 41 302.9 199.5 336.4 228.7 191.3 ONSLOW 273 297 294 250 302 157.7 165.5 165.7 136.4 164.8 ORANGE 82 88 122 85 114 63.5 65.6 90.1 61.6 82.6 PAMLICO 5 13 17 8 5 40.3 99.0 127.7 61.2 38.2 PASQUOTANK 137 111 113 88 54 329.5 272.6 280.0 216.8 133.0 PENDER 31 23 33 23 47 59.2 43.9 61.7 42.4 86.7 PERQUIMANS 24 14 14 14 13 188.5 103.8 104.0 103.2 95.8 PERSON 28 30 40 35 44 74.3 76.0 101.1 89.1 112.1 PITT 581 550 603 351 323 365.3 325.9 353.2 203.4 187.2 POLK 5 5 4 10 3 26.0 24.5 19.7 49.3 14.8 RANDOLPH 50 87 107 47 55 35.2 61.3 75.3 33.0 38.6 RICHMOND 144 65 60 68 42 313.2 139.3 128.5 145.8 90.1 ROBESON 464 402 379 321 260 358.1 298.9 280.8 236.9 191.9 ROCKINGHAM 92 84 164 121 94 99.7 89.7 176.1 130.5 101.4 ROWAN 227 276 190 204 237 161.2 199.5 137.6 147.6 171.5 RUTHERFORD 30 44 56 35 58 47.3 64.9 83.1 52.0 86.2 SAMPSON 81 84 120 100 116 127.1 132.1 188.6 156.4 181.4 SCOTLAND 101 95 131 93 124 278.3 263.2 360.3 257.7 343.5 STANLY 104 122 43 34 55 173.9 201.4 71.2 56.1 90.8 STOKES 14 6 14 11 12 30.3 12.7 29.7 23.5 25.7 SURRY 24 16 19 19 15 33.1 21.7 25.8 25.8 20.4 SWAIN 1 5 9 21 3 7.5 35.7 64.1 148.5 21.2 TRANSYLVANIA 19 15 10 5 16 62.9 45.4 30.5 15.2 48.7 TYRRELL 9 6 3 3 3 220.7 135.8 68.6 69.2 69.2 UNION 204 133 162 172 112 102.7 65.8 79.0 82.5 53.7 VANCE 168 205 146 207 148 390.2 451.8 322.8 458.7 327.9 WAKE 1,010 1,249 1,355 1,340 1,205 112.6 137.7 145.9 140.7 126.6 WARREN 43 58 52 66 43 221.4 276.9 248.6 320.8 209.0 WASHINGTON 30 22 17 13 35 233.4 166.7 131.2 102.1 274.8 WATAUGA 5 6 11 8 2 11.0 11.8 21.3 15.4 3.9 WAYNE 332 293 237 221 197 291.7 238.5 191.4 177.9 158.6 WILKES 16 13 14 12 11 24.0 18.8 20.2 17.3 15.9 WILSON 238 529 181 183 156 303.8 650.1 222.1 223.5 190.6 YADKIN 13 11 8 6 13 34.5 28.6 20.9 15.8 34.1 YANCEY 5 1 2 0 3 27.0 5.6 11.3 0.0 17.0 UNKNOWN 0 0 0 0 0 --- --- --- --- --- NC TOTAL 14,811 14,153 17,158 14,324 13,665 157.9 148.0 177.8 146.9 140.1 *Rate per 100,000 population. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 14 Communicable Disease Branch Table 9. N. C. Primary and Secondary Syphilis Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 3 5 6 4 4 2.0 3.3 3.9 2.6 2.6 ALEXANDER 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 1 1 1 0 0 4.0 3.7 3.8 0.0 0.0 ASHE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 AVERY 0 1 0 0 0 0.0 5.6 0.0 0.0 0.0 BEAUFORT 3 1 0 2 2 6.5 2.1 0.0 4.2 4.2 BERTIE 1 1 4 0 0 5.2 4.7 19.1 0.0 0.0 BLADEN 1 1 0 1 0 3.1 2.8 0.0 2.9 0.0 BRUNSWICK 0 0 1 2 1 0.0 0.0 0.9 1.8 0.9 BUNCOMBE 5 4 7 3 4 2.2 1.7 2.9 1.2 1.6 BURKE 2 0 2 0 2 2.2 0.0 2.2 0.0 2.2 CABARRUS 6 1 11 1 2 3.5 0.6 6.1 0.5 1.1 CALDWELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 CAMDEN 1 0 0 0 0 10.3 0.0 0.0 0.0 0.0 CARTERET 0 0 2 0 0 0.0 0.0 3.0 0.0 0.0 CASWELL 0 1 1 0 0 0.0 4.2 4.2 0.0 0.0 CATAWBA 0 0 0 1 1 0.0 0.0 0.0 0.6 0.6 CHATHAM 0 3 2 1 2 0.0 4.7 3.1 1.5 3.0 CHEROKEE 0 0 1 0 0 0.0 0.0 3.7 0.0 0.0 CHOWAN 0 0 0 1 1 0.0 0.0 0.0 6.8 6.8 CLAY 0 0 1 1 0 0.0 0.0 9.4 9.4 0.0 CLEVELAND 2 2 0 1 1 2.0 2.0 0.0 1.0 1.0 COLUMBUS 1 1 1 0 0 1.8 1.7 1.7 0.0 0.0 CRAVEN 5 4 7 4 4 5.1 3.8 6.7 3.8 3.8 CUMBERLAND 10 21 15 12 29 3.2 6.6 4.6 3.7 8.9 CURRITUCK 1 0 0 1 0 4.1 0.0 0.0 4.2 0.0 DARE 1 0 0 0 0 2.9 0.0 0.0 0.0 0.0 DAVIDSON 2 2 6 4 2 1.3 1.2 3.7 2.5 1.2 DAVIE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 DUPLIN 2 3 0 0 1 3.8 5.1 0.0 0.0 1.7 DURHAM 17 14 11 20 26 6.3 5.2 4.0 7.2 9.3 EDGECOMBE 8 2 7 2 3 15.4 3.5 12.5 3.6 5.4 FORSYTH 114 61 18 21 29 31.7 17.4 5.1 5.9 8.1 FRANKLIN 1 1 1 0 3 1.7 1.6 1.6 0.0 4.9 GASTON 9 4 2 2 5 4.3 1.9 1.0 1.0 2.4 GATES 0 0 0 0 1 0.0 0.0 0.0 0.0 8.4 GRAHAM 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 GRANVILLE 2 0 0 1 1 3.5 0.0 0.0 1.7 1.7 GREENE 1 0 2 0 1 4.8 0.0 9.2 0.0 4.7 GUILFORD 43 43 50 32 29 9.0 8.8 10.1 6.4 5.8 HALIFAX 1 2 3 3 1 1.8 3.7 5.5 5.6 1.9 HARNETT 2 2 1 2 8 1.7 1.7 0.8 1.6 6.6 HAYWOOD 1 0 2 0 0 1.8 0.0 3.4 0.0 0.0 HENDERSON 4 0 0 1 1 3.9 0.0 0.0 0.9 0.9 HERTFORD 0 1 0 1 1 0.0 4.1 0.0 4.1 4.1 HOKE 0 1 0 1 0 0.0 2.1 0.0 2.0 0.0 HYDE 1 0 0 0 0 19.2 0.0 0.0 0.0 0.0 IREDELL 3 2 0 7 3 1.9 1.3 0.0 4.3 1.8 JACKSON 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 JOHNSTON 0 3 1 0 2 0.0 1.8 0.6 0.0 1.1 JONES 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 15 Communicable Disease Branch Table 9. N. C. Primary and Secondary Syphilis Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LEE 3 0 2 0 0 5.0 0.0 3.4 0.0 0.0 LENOIR 3 3 3 7 5 5.3 5.1 5.0 11.8 8.4 LINCOLN 2 0 0 0 0 2.6 0.0 0.0 0.0 0.0 MACON 1 0 1 0 0 3.0 0.0 3.0 0.0 0.0 MADISON 1 0 0 0 0 4.9 0.0 0.0 0.0 0.0 MARTIN 1 1 1 0 1 4.3 4.1 4.1 0.0 4.2 MCDOWELL 1 0 0 0 0 2.3 0.0 0.0 0.0 0.0 MECKLENBURG 111 98 103 81 108 12.1 10.6 10.9 8.4 11.1 MITCHELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 MONTGOMERY 0 0 1 0 0 0.0 0.0 3.6 0.0 0.0 MOORE 1 0 1 1 0 1.1 0.0 1.1 1.1 0.0 NASH 5 5 10 3 1 5.3 5.2 10.4 3.1 1.0 NEW HANOVER 5 0 3 2 5 2.6 0.0 1.5 1.0 2.4 NORTHAMPTON 3 1 1 0 1 14.9 4.5 4.5 0.0 4.7 ONSLOW 2 2 1 1 4 1.2 1.1 0.6 0.5 2.2 ORANGE 5 1 4 2 5 3.9 0.7 3.0 1.4 3.6 PAMLICO 0 1 0 0 1 0.0 7.6 0.0 0.0 7.6 PASQUOTANK 1 1 4 1 2 2.4 2.5 9.9 2.5 4.9 PENDER 1 0 2 0 2 1.9 0.0 3.7 0.0 3.7 PERQUIMANS 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 PERSON 1 0 2 0 1 2.7 0.0 5.1 0.0 2.5 PITT 12 10 9 22 13 7.5 5.9 5.3 12.7 7.5 POLK 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 RANDOLPH 0 0 4 1 1 0.0 0.0 2.8 0.7 0.7 RICHMOND 0 0 0 1 0 0.0 0.0 0.0 2.1 0.0 ROBESON 2 2 5 5 7 1.5 1.5 3.7 3.7 5.2 ROCKINGHAM 0 3 1 5 7 0.0 3.2 1.1 5.4 7.5 ROWAN 4 7 7 3 3 2.8 5.1 5.1 2.2 2.2 RUTHERFORD 2 0 2 0 0 3.2 0.0 3.0 0.0 0.0 SAMPSON 1 1 2 0 1 1.6 1.6 3.1 0.0 1.6 SCOTLAND 1 0 0 0 1 2.8 0.0 0.0 0.0 2.8 STANLY 0 1 0 0 1 0.0 1.7 0.0 0.0 1.7 STOKES 2 1 0 0 0 4.3 2.1 0.0 0.0 0.0 SURRY 0 0 1 1 0 0.0 0.0 1.4 1.4 0.0 SWAIN 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 TRANSYLVANIA 1 0 0 0 0 3.3 0.0 0.0 0.0 0.0 TYRRELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 UNION 4 2 1 2 4 2.0 1.0 0.5 1.0 1.9 VANCE 1 2 0 2 2 2.3 4.4 0.0 4.4 4.4 WAKE 67 40 41 54 64 7.5 4.4 4.4 5.7 6.7 WARREN 2 0 0 0 1 10.3 0.0 0.0 0.0 4.9 WASHINGTON 0 0 0 0 1 0.0 0.0 0.0 0.0 7.9 WATAUGA 0 1 1 1 0 0.0 2.0 1.9 1.9 0.0 WAYNE 33 20 10 3 9 29.0 16.3 8.1 2.4 7.2 WILKES 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 WILSON 2 1 2 3 1 2.6 1.2 2.5 3.7 1.2 YADKIN 1 0 0 1 1 2.7 0.0 0.0 2.6 2.6 YANCEY 0 0 1 0 0 0.0 0.0 5.6 0.0 0.0 UNKNOWN 0 0 0 0 0 --- --- --- --- --- NC TOTAL 536 392 392 334 423 5.7 4.1 4.1 3.4 4.3 *Rate per 100,000 population (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 16 Communicable Disease Branch Table 10. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 8 7 10 7 6 5.3 4.6 6.5 4.5 3.9 ALEXANDER 0 0 1 1 0 0.0 0.0 2.7 2.7 0.0 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 1 1 1 1 0 4.0 3.7 3.8 3.8 0.0 ASHE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 AVERY 1 1 0 0 0 5.6 5.6 0.0 0.0 0.0 BEAUFORT 4 1 2 5 3 8.6 2.1 4.2 10.5 6.3 BERTIE 1 2 7 0 0 5.2 9.4 33.4 0.0 0.0 BLADEN 4 2 1 2 2 12.4 5.7 2.9 5.7 5.7 BRUNSWICK 2 0 2 4 1 1.9 0.0 1.8 3.6 0.9 BUNCOMBE 11 7 10 6 8 4.8 2.9 4.1 2.5 3.3 BURKE 4 1 3 1 6 4.5 1.1 3.3 1.1 6.6 CABARRUS 10 3 15 1 2 5.8 1.7 8.3 0.5 1.1 CALDWELL 0 0 1 0 0 0.0 0.0 1.2 0.0 0.0 CAMDEN 1 0 0 0 1 10.3 0.0 0.0 0.0 9.9 CARTERET 0 0 4 2 1 0.0 0.0 5.9 3.0 1.5 CASWELL 0 3 1 1 2 0.0 12.6 4.2 4.3 8.6 CATAWBA 1 1 2 2 3 0.6 0.6 1.3 1.3 1.9 CHATHAM 1 4 3 2 3 1.5 6.3 4.6 3.0 4.5 CHEROKEE 0 0 1 0 0 0.0 0.0 3.7 0.0 0.0 CHOWAN 0 0 0 1 1 0.0 0.0 0.0 6.8 6.8 CLAY 0 0 1 1 0 0.0 0.0 9.4 9.4 0.0 CLEVELAND 2 2 0 3 1 2.0 2.0 0.0 3.1 1.0 COLUMBUS 1 1 2 2 1 1.8 1.7 3.5 3.5 1.7 CRAVEN 8 10 15 10 6 8.1 9.6 14.4 9.5 5.7 CUMBERLAND 15 40 32 31 47 4.8 12.5 9.9 9.6 14.5 CURRITUCK 1 0 0 1 0 4.1 0.0 0.0 4.2 0.0 DARE 1 0 0 0 0 2.9 0.0 0.0 0.0 0.0 DAVIDSON 4 4 10 7 5 2.5 2.5 6.1 4.3 3.1 DAVIE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 DUPLIN 2 5 4 1 1 3.8 8.5 6.7 1.7 1.7 DURHAM 30 23 25 24 45 11.1 8.6 9.1 8.6 16.1 EDGECOMBE 13 7 9 4 7 25.1 12.4 16.0 7.1 12.5 FORSYTH 189 89 37 40 50 52.6 25.3 10.4 11.2 14.0 FRANKLIN 3 3 4 0 3 5.0 4.9 6.5 0.0 4.9 GASTON 16 6 6 5 7 7.7 2.9 2.9 2.4 3.4 GATES 0 1 0 0 1 0.0 8.2 0.0 0.0 8.4 GRAHAM 1 0 0 0 0 12.5 0.0 0.0 0.0 0.0 GRANVILLE 3 2 0 2 1 5.2 3.3 0.0 3.3 1.7 GREENE 2 0 2 0 1 9.7 0.0 9.2 0.0 4.7 GUILFORD 63 81 102 58 51 13.1 16.5 20.6 11.6 10.2 HALIFAX 2 3 7 3 1 3.7 5.5 12.9 5.6 1.9 HARNETT 3 3 3 3 11 2.6 2.6 2.5 2.5 9.0 HAYWOOD 2 0 2 0 0 3.5 0.0 3.4 0.0 0.0 HENDERSON 6 0 2 1 2 5.8 0.0 1.9 0.9 1.8 HERTFORD 1 2 0 1 1 4.3 8.1 0.0 4.1 4.1 HOKE 1 3 0 4 1 2.2 6.3 0.0 7.9 2.0 HYDE 1 1 0 0 0 19.2 17.2 0.0 0.0 0.0 IREDELL 3 3 1 7 6 1.9 1.9 0.6 4.3 3.7 JACKSON 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 JOHNSTON 1 3 1 2 4 0.6 1.8 0.6 1.1 2.3 JONES 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 17 Communicable Disease Branch Table 10. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LEE 6 4 4 1 1 9.9 6.9 6.8 1.7 1.7 LENOIR 3 3 4 12 14 5.3 5.1 6.7 20.3 23.6 LINCOLN 2 0 0 0 0 2.6 0.0 0.0 0.0 0.0 MACON 1 0 2 0 0 3.0 0.0 5.9 0.0 0.0 MADISON 3 0 0 2 0 14.7 0.0 0.0 9.6 0.0 MARTIN 1 2 3 0 1 4.3 8.2 12.4 0.0 4.2 MCDOWELL 1 0 0 0 0 2.3 0.0 0.0 0.0 0.0 MECKLENBURG 165 168 174 125 151 18.1 18.2 18.4 12.9 15.6 MITCHELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 MONTGOMERY 0 0 3 0 0 0.0 0.0 10.8 0.0 0.0 MOORE 1 1 1 2 0 1.1 1.1 1.1 2.2 0.0 NASH 9 7 11 4 2 9.5 7.3 11.5 4.2 2.1 NEW HANOVER 9 4 8 4 6 4.6 2.0 3.9 1.9 2.9 NORTHAMPTON 3 1 1 0 1 14.9 4.5 4.5 0.0 4.7 ONSLOW 3 4 2 1 8 1.7 2.2 1.1 0.5 4.4 ORANGE 7 1 4 3 5 5.4 0.7 3.0 2.2 3.6 PAMLICO 0 1 0 0 2 0.0 7.6 0.0 0.0 15.3 PASQUOTANK 1 2 5 1 3 2.4 4.9 12.4 2.5 7.4 PENDER 1 0 3 0 3 1.9 0.0 5.6 0.0 5.5 PERQUIMANS 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 PERSON 1 0 2 0 1 2.7 0.0 5.1 0.0 2.5 PITT 18 15 16 34 22 11.3 8.9 9.4 19.7 12.7 POLK 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 RANDOLPH 3 2 9 1 1 2.1 1.4 6.3 0.7 0.7 RICHMOND 1 0 0 3 0 2.2 0.0 0.0 6.4 0.0 ROBESON 3 7 9 6 10 2.3 5.2 6.7 4.4 7.4 ROCKINGHAM 2 4 4 5 7 2.2 4.3 4.3 5.4 7.5 ROWAN 7 8 11 5 5 5.0 5.8 8.0 3.6 3.6 RUTHERFORD 2 2 3 0 0 3.2 3.0 4.4 0.0 0.0 SAMPSON 2 1 2 5 2 3.1 1.6 3.1 7.8 3.1 SCOTLAND 1 2 0 2 1 2.8 5.5 0.0 5.5 2.8 STANLY 0 1 0 1 3 0.0 1.7 0.0 1.7 5.0 STOKES 2 2 1 0 1 4.3 4.2 2.1 0.0 2.1 SURRY 0 0 1 1 0 0.0 0.0 1.4 1.4 0.0 SWAIN 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 TRANSYLVANIA 1 1 0 0 0 3.3 3.0 0.0 0.0 0.0 TYRRELL 0 0 0 1 0 0.0 0.0 0.0 23.1 0.0 UNION 8 3 1 3 5 4.0 1.5 0.5 1.4 2.4 VANCE 2 3 2 2 6 4.6 6.6 4.4 4.4 13.3 WAKE 111 79 70 81 102 12.4 8.7 7.5 8.5 10.7 WARREN 3 1 0 0 1 15.4 4.8 0.0 0.0 4.9 WASHINGTON 3 0 0 0 1 23.3 0.0 0.0 0.0 7.9 WATAUGA 0 1 1 1 0 0.0 2.0 1.9 1.9 0.0 WAYNE 59 44 15 3 17 51.8 35.8 12.1 2.4 13.7 WILKES 0 2 1 0 0 0.0 2.9 1.4 0.0 0.0 WILSON 4 7 4 5 1 5.1 8.6 4.9 6.1 1.2 YADKIN 1 0 1 1 2 2.7 0.0 2.6 2.6 5.3 YANCEY 0 0 1 0 0 0.0 0.0 5.6 0.0 0.0 UNKNOWN 0 0 0 0 0 --- --- --- --- --- NC TOTAL 873 708 708 561 677 9.3 7.4 7.3 5.8 6.9 *Rate per 100,000 population. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 18 Communicable Disease Branch Table 11. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Race/Ethnicity by Year Of Diagnosis, 2009-2013P 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 319 19% 12.3 285 20% 10.9 280 19% 10.7 243 18% 9.2 318 21% 12.0 Black** 747 46% 99.4 689 47% 89.1 721 49% 91.9 650 49% 81.5 736 49% 92.3 Am.In/AN** 8 0% 18.8 <5 --- --- 9 1% 20.0 12 1% 26.4 7 0% 15.4 Asian/PI** 8 0% 10.3 6 0% 6.9 8 1% 8.8 8 1% 8.4 10 1% 10.5 Hispanic 113 7% 41.4 95 7% 31.1 77 5% 24.7 83 6% 25.9 104 7% 32.5 Unknown 27 2% --- 21 1% --- 46 3% --- 35 3% --- 14 1% --- Male Total 1,222 75% 32.7 1,098 75% 28.8 1,141 77% 29.6 1,031 77% 26.4 1,189 79% 30.4 White** 69 4% 2.5 51 4% 1.8 42 3% 1.5 60 4% 2.1 53 4% 1.9 Black** 322 20% 36.5 269 18% 29.5 266 18% 28.8 226 17% 24.1 232 15% 24.7 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 7 0% 6.6 Hispanic 18 1% 9.0 22 2% 8.6 21 1% 8.0 14 1% 5.2 22 1% 8.1 Unknown 6 0% --- 13 1% --- <5 --- --- <5 --- --- 6 0% --- Female Total 418 25% 10.5 359 25% 8.8 340 23% 8.2 306 23% 7.3 324 21% 7.7 White** 388 24% 7.2 336 23% 6.2 322 22% 5.9 303 23% 5.5 371 25% 6.8 Black** 1,069 65% 65.4 958 66% 56.9 987 67% 57.8 876 66% 50.5 968 64% 55.8 Am.In/AN** 9 1% 10.2 <5 --- --- 13 1% 13.8 12 1% 12.6 11 1% 11.5 Asian/PI** 10 1% 6.3 9 1% 4.9 11 1% 5.7 12 1% 6.0 17 1% 8.5 Hispanic 131 8% 27.7 117 8% 20.9 98 7% 17.1 97 7% 16.4 126 8% 21.3 Unknown 33 2% --- 34 2% --- 50 3% --- 37 3% --- 20 1% --- Total Total 1,640 100% 21.3 1,457 100% 18.4 1,481 100% 18.5 1,337 100% 16.5 1,513P 100% 18.7P †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 19 Communicable Disease Branch Table 12. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Age by Year of Diagnosis, 2009-2013P Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 <5 --- --- <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 67 4% 20.2 65 4% 19.3 82 6% 24.4 53 4% 15.9 52 3% 15.6 20-24 202 12% 57.4 226 16% 66.4 223 15% 64.6 222 17% 62.0 249 16% 69.5 25-29 160 10% 50.2 167 11% 53.2 173 12% 55.3 163 12% 51.8 190 13% 60.3 30-34 127 8% 42.6 111 8% 36.1 103 7% 33.2 105 8% 33.6 128 8% 41.0 35-39 129 8% 39.2 97 7% 30.0 101 7% 32.3 69 5% 22.4 108 7% 35.1 40-44 154 9% 47.5 120 8% 36.4 118 8% 35.2 115 9% 34.1 130 9% 38.5 45-49 176 11% 52.3 122 8% 35.8 129 9% 38.3 112 8% 33.6 137 9% 41.1 50-54 103 6% 33.0 84 6% 25.9 98 7% 29.8 88 7% 26.5 85 6% 25.6 55-59 56 3% 20.4 58 4% 20.2 60 4% 20.4 39 3% 12.9 47 3% 15.6 60-64 24 1% 10.1 23 2% 8.9 30 2% 11.2 38 3% 14.3 31 2% 11.7 65+ 24 1% 4.8 23 2% 4.4 22 1% 4.0 27 2% 4.7 32 2% 5.5 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total 1,222 75% 32.7 1,098 75% 28.8 1,141 77% 29.6 1,031 77% 26.4 1,189 79% 30.4 13-14 <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- 15-19 23 1% 7.3 16 1% 5.0 11 1% 3.5 14 1% 4.4 7 0% 2.2 20-24 40 2% 12.7 30 2% 9.2 31 2% 9.3 28 2% 8.3 24 2% 7.1 25-29 37 2% 11.9 36 2% 11.4 39 3% 12.3 39 3% 12.3 32 2% 10.1 30-34 41 3% 13.4 39 3% 12.3 31 2% 9.7 35 3% 10.8 32 2% 9.9 35-39 58 4% 17.4 58 4% 17.4 44 3% 13.6 36 3% 11.3 38 3% 11.9 40-44 62 4% 18.7 34 2% 10.1 43 3% 12.5 41 3% 11.8 51 3% 14.6 45-49 67 4% 19.0 57 4% 16.0 52 4% 14.8 38 3% 10.9 46 3% 13.2 50-54 43 3% 12.9 34 2% 9.8 37 2% 10.5 28 2% 7.9 42 3% 11.9 55-59 28 2% 9.3 29 2% 9.1 29 2% 8.9 23 2% 6.9 30 2% 9.0 60-64 12 1% 4.5 19 1% 6.6 14 1% 4.7 13 1% 4.4 14 1% 4.7 65+ 6 0% 0.9 6 0% 0.8 9 1% 1.2 10 1% 1.3 7 0% 0.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total 418 25% 10.5 359 25% 8.8 340 23% 8.2 306 23% 7.3 324 21% 7.7 Continued †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 20 Communicable Disease Branch Table 12. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Age by Year of Diagnosis, 2009-2013P (Cont) Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- 15-19 90 5% 13.9 81 6% 12.3 93 6% 14.2 67 5% 10.3 59 4% 9.1 20-24 242 15% 36.2 256 18% 38.4 254 17% 37.4 250 19% 35.9 273 18% 39.2 25-29 197 12% 31.2 203 14% 32.2 212 14% 33.6 202 15% 31.9 222 15% 35.1 30-34 168 10% 27.8 150 10% 24.0 134 9% 21.2 140 10% 22.1 160 11% 25.2 35-39 187 11% 28.2 155 11% 23.6 145 10% 22.8 105 8% 16.8 146 10% 23.3 40-44 216 13% 32.9 154 11% 23.1 161 11% 23.7 156 12% 22.7 181 12% 26.4 45-49 243 15% 35.3 179 12% 25.7 181 12% 26.3 150 11% 22.0 183 12% 26.9 50-54 146 9% 22.6 118 8% 17.6 135 9% 19.8 116 9% 16.9 127 8% 18.5 55-59 84 5% 14.5 87 6% 14.4 89 6% 14.4 62 5% 9.8 77 5% 12.1 60-64 36 2% 7.2 42 3% 7.7 44 3% 7.8 51 4% 9.0 45 3% 8.0 65+ 30 2% 2.5 29 2% 2.3 31 2% 2.4 37 3% 2.7 39 3% 2.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total 1,640 100% 21.3 1,457 100% 18.4 1,481 100% 18.5 1,337 100% 16.5 1,513P 100% 18.7P †HIV Infection includes all diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 21 Communicable Disease Branch Table 13. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Mode of Transmission, 2009-2013P 2009 2010 2011 2012 2013 Mode of Exposure Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct MSM* 707 43% 660 45% 704 48% 640 48% 656 43% IDU* 28 2% 24 2% 31 2% 12 1% 22 1% MSM/IDU* 12 1% 10 1% 15 1% 15 1% 27 2% Other Risk* 0 0% <5 --- <5 --- 0 0% 0 0% Heterosexual-CDC* 109 7% 67 5% 60 4% 57 4% 41 3% NIR/NRR* 238 15% 215 15% 231 16% 216 16% 337 22% Presumed Heterosexual* 128 8% 121 8% 99 7% 91 7% 106 7% Male Total 1222 75% 1098 75% 1141 77% 1031 77% 1189 79% IDU* 13 1% 10 1% 16 1% 14 1% 14 1% Other Risk * <5 --- 0 0% 0 0% 0 0% 0 0% Heterosexual-CDC* 133 8% 117 8% 77 5% 99 7% 70 5% NIR/NRR* 149 9% 145 10% 145 10% 132 10% 175 12% Presumed Heterosexual* 122 7% 87 6% 102 7% 61 5% 65 4% Female Total 418 25% 359 25% 340 23% 306 23% 324 21% MSM* 707 43% 660 45% 704 48% 640 48% 656 43% IDU* 41 3% 34 2% 47 3% 26 2% 36 2% MSM/IDU* 12 1% 10 1% 15 1% 15 1% 27 2% Other Risk * <5 --- <5 --- <5 --- 0 0% 0 0% Heterosexual-CDC* 242 15% 184 13% 137 9% 156 12% 111 7% NIR/NRR* 387 24% 360 25% 376 25% 348 26% 512 34% Presumed Heterosexual* 250 15% 208 14% 201 14% 152 11% 171 11% Total Total 1640 100% 1457 100% 1481 100% 1337 100% 1513P 100% †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *MSM= men who have sex with men; IDU= injection drug use; “Other Risk” includes Blood Products (adult hemophilia) and pediatric risk; “Presumed Heterosexual” includes cases initially classified as “NIR” with additional risk information consistent with heterosexual transmission; NIR/NRR= no identified risk reported. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 22 Communicable Disease Branch Table 14. N.C Adult/Adolescent HIV Infection† Cases by Gender and Mode of Transmission (NIRs Redistributed), 2009-2013P 2009 2010 2011 2012 2013 Mode of Exposure Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct MSM* 878 72% 821 75% 883 77% 810 79% 915 77% IDU* 35 3% 30 3% 39 3% 15 1% 31 3% MSM/IDU* 15 1% 12 1% 19 2% 19 2% 38 3% Other Risk* 0 0% <5 --- <5 --- 0 0% 0 0% Heterosexual-All * 294 24% 234 21% 199 17% 187 18% 205 17% Male Total 1,222 100% 1,098 100% 1,141 100% 1,031 100% 1,189 100% IDU* 20 5% 17 5% 28 8% 25 8% 30 9% Other Risk* <5 --- 0 0% 0 0% 0 0% 0 0% Heterosexual-All* 396 95% 342 95% 312 92% 281 92% 294 91% Female Total 418 100% 359 100% 340 100% 306 100% 324 100% MSM* 878 54% 821 56% 883 60% 810 61% 915 61% IDU* 55 3% 47 3% 67 5% 40 3% 61 4% MSM/IDU* 15 1% 12 1% 19 1% 19 1% 38 2% Other Risk* <5 --- <5 --- <5 --- 0 0% 0 0% Heterosexual-All* 691 42% 576 40% 511 35% 469 35% 499 33% Total†† Total 1,640 100% 1,457 100% 1,481 100% 1,337 100% 1,513P 100% †HIV Infection includes all newly reported HIV infected individuals by the date of first diagnosis (HIV or AIDS). *MSM= men who have sex with men; IDU= injection drug use; “Other Risk” ” includes Blood Products (adult hemophilia) and pediatric risk, NIR = No identified risk reported. ††Totals may not correspond to cases listed above due to redistribution of NIR cases (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 23 Communicable Disease Table 15. N. C. Adult/Adolescent AIDS Cases by Gender and Race/Ethnicity by Year of Diagnosis, 2009-2013P 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 162 17% 6.2 152 19% 5.8 144 18% 5.5 123 16% 4.6 156 17% 5.9 Black** 446 47% 59.4 343 43% 44.4 362 44% 46.1 374 47% 46.9 411 46% 51.5 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- 5 1% 11.0 <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 5 1% 5.2 Hispanic 67 7% 24.5 48 6% 15.7 37 5% 11.9 37 5% 11.6 56 6% 17.5 Unknown 13 1% --- 12 2% --- 23 3% --- 20 3% --- 16 2% --- Male Total 695 73% 18.6 561 71% 14.7 571 70% 14.8 561 71% 14.4 646 72% 16.5 White** 38 4% 1.4 24 3% 0.9 40 5% 1.4 32 4% 1.1 35 4% 1.2 Black** 211 22% 23.9 199 25% 21.8 184 23% 19.9 177 22% 18.9 193 22% 20.6 Am.In/AN** <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 0 0% 0.0 Hispanic 5 1% 2.5 6 1% 2.4 12 1% 4.6 14 2% 5.2 8 1% 2.9 Unknown <5 --- --- 5 1% --- <5 --- --- <5 --- --- 10 1% --- Female Total 260 27% 6.5 234 29% 5.7 244 30% 5.9 228 29% 5.4 247 28% 5.9 White** 200 21% 3.7 176 22% 3.3 184 23% 3.4 155 20% 2.8 191 21% 3.5 Black** 657 69% 40.2 542 68% 32.2 546 67% 31.9 551 70% 31.8 604 68% 34.8 Am.In/AN** <5 --- --- <5 --- --- 8 1% 8.5 6 1% 6.3 <5 --- --- Asian/PI** 7 1% 4.4 <5 --- --- <5 --- --- <5 --- --- 5 1% 2.5 Hispanic 72 8% 15.2 54 7% 9.6 49 6% 8.5 51 6% 8.6 64 7% 10.8 Unknown 15 2% --- 17 2% --- 26 3% --- 24 3% --- 26 3% --- Total Total 955 100% 12.4 795 100% 10.1 815 100% 10.2 789 100% 9.7 893P 100% 11.0P *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 24 Communicable Disease Branch Table 16. N. C. Adult/Adolescent AIDS Cases by Gender and Age by Year of Diagnosis, 2009-2013P Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 8 1% 2.4 10 1% 3.0 14 2% 4.2 <5 --- --- 5 1% 1.5 20-24 50 5% 14.2 31 4% 9.1 49 6% 14.2 39 5% 10.9 48 5% 13.4 25-29 81 8% 25.4 58 7% 18.5 58 7% 18.5 73 9% 23.2 78 9% 24.8 30-34 64 7% 21.5 72 9% 23.4 65 8% 20.9 63 8% 20.2 87 10% 27.9 35-39 83 9% 25.2 58 7% 17.9 68 8% 21.8 43 5% 14.0 55 6% 17.9 40-44 116 12% 35.8 72 9% 21.8 75 9% 22.4 87 11% 25.8 92 10% 27.3 45-49 131 14% 38.9 110 14% 32.3 84 10% 24.9 84 11% 25.2 91 10% 27.3 50-54 88 9% 28.2 74 9% 22.8 75 9% 22.8 82 10% 24.7 86 10% 25.9 55-59 51 5% 18.5 39 5% 13.6 37 5% 12.6 42 5% 13.9 54 6% 17.9 60-64 9 1% 3.8 17 2% 6.6 22 3% 8.2 23 3% 8.6 28 3% 10.5 65+ 14 1% 2.8 20 3% 3.8 23 3% 4.2 21 3% 3.6 22 2% 3.8 Unknown 0 0% --- 0 0% --- <5 --- --- 0 0% --- 0 0% --- Male Total 695 73% 18.6 561 71% 14.7 571 70% 14.8 561 71% 14.4 646 72% 16.5 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 5 1% 1.6 <5 --- --- <5 --- --- <5 --- --- <5 --- --- 20-24 10 1% 3.2 12 2% 3.7 7 1% 2.1 6 1% 1.8 11 1% 3.2 25-29 19 2% 6.1 10 1% 3.2 14 2% 4.4 12 2% 3.8 14 2% 4.4 30-34 29 3% 9.5 27 3% 8.5 34 4% 10.6 36 5% 11.2 26 3% 8.1 35-39 49 5% 14.7 41 5% 12.3 34 4% 10.5 31 4% 9.7 35 4% 11.0 40-44 41 4% 12.4 40 5% 11.8 45 6% 13.0 28 4% 8.0 38 4% 10.9 45-49 48 5% 13.6 41 5% 11.5 51 6% 14.5 43 5% 12.4 48 5% 13.8 50-54 26 3% 7.8 21 3% 6.1 26 3% 7.4 33 4% 9.3 31 3% 8.8 55-59 22 2% 7.3 17 2% 5.4 16 2% 4.9 17 2% 5.1 23 3% 6.9 60-64 9 1% 3.4 16 2% 5.6 9 1% 3.0 10 1% 3.3 13 1% 4.4 65+ <5 --- --- 8 1% 1.1 6 1% 0.8 10 1% 1.3 6 1% 0.8 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total 260 27% 6.5 234 29% 5.7 244 30% 5.9 228 29% 5.4 247 28% 5.9 * Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 25 Communicable Disease Branch Table 16. N. C. Adult/Adolescent AIDS Cases by Gender and Age by Year of Diagnosis, 2009-2013P (Cont) Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 13 1% 2.0 11 1% 1.7 16 2% 2.4 6 1% 0.9 7 1% 1.1 20-24 60 6% 9.0 43 5% 6.4 56 7% 8.3 45 6% 6.5 59 7% 8.5 25-29 100 10% 15.9 68 9% 10.8 72 9% 11.4 85 11% 13.4 92 10% 14.5 30-34 93 10% 15.4 99 12% 15.9 99 12% 15.7 99 13% 15.6 113 13% 17.8 35-39 132 14% 19.9 99 12% 15.1 102 13% 16.1 74 9% 11.8 90 10% 14.4 40-44 157 16% 23.9 112 14% 16.8 120 15% 17.6 115 15% 16.8 130 15% 19.0 45-49 179 19% 26.0 151 19% 21.7 135 17% 19.6 127 16% 18.7 139 16% 20.4 50-54 114 12% 17.7 95 12% 14.1 101 12% 14.8 115 15% 16.8 117 13% 17.1 55-59 73 8% 12.6 56 7% 9.3 53 7% 8.6 59 7% 9.3 77 9% 12.1 60-64 18 2% 3.6 33 4% 6.1 31 4% 5.5 33 4% 5.8 41 5% 7.3 65+ 16 2% 1.3 28 4% 2.3 29 4% 2.3 31 4% 2.3 28 3% 2.1 Unknown 0 0% --- 0 0% --- <5 --- --- 0 0% --- 0 0% --- Total Total 955 100% 12.4 795 100% 10.1 815 100% 10.2 789 100% 9.7 893P 100% 11.0P * Rate per 100,000 population. P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 26 Communicable Disease Branch Table 17. N. C. Chlamydia Cases by Gender and Race/Ethnicity, 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 958 2% 31.0 945 2% 30.6 1,210 2% 39.1 1,246 2% 39.9 1,381 3% 44.3 Black** 4,007 9% 421.5 3,835 9% 391.6 4,694 9% 473.8 4,329 9% 431.0 4,408 9% 438.9 Am.In/AN** 73 0% 136.9 95 0% 169.8 102 0% 180.9 94 0% 165.8 90 0% 158.7 Asian/PI** 38 0% 38.1 34 0% 31.0 35 0% 30.4 30 0% 24.9 40 0% 33.2 Hispanic 523 1% 131.4 470 1% 109.0 588 1% 133.5 607 1% 134.2 583 1% 128.9 Unknown 2,628 6% --- 2,675 6% --- 4,779 9% --- 5,045 10% --- 4,754 10% --- Male Total 8,227 19% 179.2 8,054 19% 172.8 11,408 21% 242.7 11,351 22% 238.8 11,256 23% 236.8 White** 6,024 14% 186.3 6,316 15% 195.2 7,250 13% 222.8 7,053 14% 215.7 7,114 15% 217.5 Black** 16,001 37% 1486.2 15,806 37% 1422.5 17,108 32% 1520.9 15,557 31% 1366.9 15,075 31% 1324.6 Am.In/AN** 498 1% 885.3 432 1% 721.1 583 1% 964.5 598 1% 982.0 564 1% 926.1 Asian/PI** 176 0% 168.4 206 0% 172.6 181 0% 144.4 197 0% 150.1 210 0% 160.0 Hispanic 1,990 5% 622.7 1,777 4% 474.3 2,244 4% 581.2 2,214 4% 555.5 2,318 5% 581.6 Unknown 10,540 24% --- 9,386 22% --- 14,836 28% --- 13,536 27% --- 11,863 25% --- Female Total 35,229 81% 735.4 33,923 80% 692.3 42,202 78% 852.5 39,155 77% 783.2 37,144 77% 743.0 White** 7,000 16% 110.7 7,276 17% 115.1 8,480 16% 133.5 8,305 16% 130.0 8,497 18% 133.0 Black** 20,090 46% 991.0 19,732 47% 944.0 21,860 41% 1033.3 19,917 39% 929.7 19,484 40% 909.4 Am.In/AN** 572 1% 522.0 527 1% 454.9 686 1% 587.1 695 1% 591.0 654 1% 556.1 Asian/PI** 215 0% 105.3 241 1% 105.2 217 0% 90.2 227 0% 90.1 250 1% 99.2 Hispanic 2,525 6% 351.8 2,254 5% 279.7 2,841 5% 343.7 2,823 6% 331.8 2,902 6% 341.1 Unknown 13,332 30% --- 12,137 29% --- 19,770 37% --- 18,654 37% --- 16,630 34% --- Total*** Total 43,734 100% 466.2 42,167 100% 441.1 53,854 100% 558.0 50,621 100% 519.1 48,417 100% 496.5 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/ PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 27 Communicable Disease Branch Table 18. N. C. Chlamydia Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 20 0% 6.5 20 0% 6.2 34 0% 10.4 30 0% 9.1 32 0% 9.7 15-19 1,943 4% 585.6 1,989 5% 590.1 2,683 5% 799.0 2,491 5% 746.0 2,155 4% 645.4 20-24 3,210 7% 911.5 3,137 7% 921.3 4,721 9% 1368.6 4,640 9% 1294.9 4,800 10% 1339.5 25-29 1,556 4% 488.2 1,425 3% 454.0 1,960 4% 626.3 2,127 4% 675.4 2,137 4% 678.6 30-34 678 2% 227.6 650 2% 211.4 940 2% 302.6 982 2% 314.6 1,035 2% 331.6 35-39 375 1% 113.9 391 1% 120.9 470 1% 150.5 489 1% 159.0 489 1% 159.0 40-44 203 0% 62.6 213 1% 64.5 271 1% 80.9 272 1% 80.6 300 1% 88.9 45-54 152 0% 23.4 168 0% 25.3 249 0% 37.4 239 0% 35.9 231 0% 34.7 55-64 41 0% 8.0 32 0% 5.9 37 0% 6.6 45 0% 7.9 61 0% 10.7 65+ 9 0% 1.8 11 0% 2.1 15 0% 2.7 15 0% 2.6 12 0% 2.1 Unknown 21 0% --- 12 0% --- 14 0% --- 8 0% --- <5 --- --- Male Total** 8,227 19% 179.2 8,054 19% 172.8 11,408 21% 242.7 11,351 22% 238.8 11,256 23% 236.8 10-14 424 1% 144.8 398 1% 129.1 463 1% 147.4 424 1% 133.7 385 1% 121.4 15-19 13,716 31% 4372.3 12,789 30% 3997.1 15,694 29% 4938.3 13,742 27% 4338.2 12,263 25% 3871.3 20-24 13,319 30% 4222.7 13,261 31% 4055.6 16,858 31% 5056.5 15,954 32% 4707.8 15,455 32% 4560.5 25-29 4,559 10% 1461.0 4,392 10% 1388.7 5,375 10% 1691.7 5,275 10% 1660.0 5,267 11% 1657.5 30-34 1,785 4% 581.9 1,763 4% 556.8 2,193 4% 684.6 2,134 4% 661.5 2,138 4% 662.8 35-39 740 2% 222.2 746 2% 223.9 861 2% 266.4 854 2% 267.7 878 2% 275.2 40-44 291 1% 87.8 270 1% 79.9 407 1% 117.9 384 1% 110.3 392 1% 112.6 45-54 182 0% 26.5 201 0% 28.6 255 0% 36.3 294 1% 41.9 286 1% 40.8 55-64 36 0% 6.3 41 0% 6.8 42 0% 6.7 56 0% 8.9 55 0% 8.7 65+ 6 0% 0.9 5 0% 0.7 7 0% 1.0 9 0% 1.2 13 0% 1.7 Unknown 132 0% --- 40 0% --- 31 0% --- 13 0% --- 10 0% --- Female Total** 35,229 81% 735.4 33,923 80% 692.3 42,202 78% 852.5 39,155 77% 783.2 37,144 77% 743.0 *Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 28 Communicable Disease Branch Table 18. N. C. Chlamydia Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 448 1% 74.5 419 1% 66.4 499 1% 77.7 454 1% 70.0 417 1% 64.3 15-19 15,720 36% 2435.3 14,832 35% 2257.4 18,444 34% 2822.0 16,267 32% 2500.1 14,423 30% 2216.7 20-24 16,619 38% 2489.4 16,472 39% 2467.8 21,675 40% 3195.3 20,639 41% 2960.2 20,261 42% 2905.9 25-29 6,152 14% 975.3 5,845 14% 927.5 7,379 14% 1170.0 7,421 15% 1172.9 7,408 15% 1170.9 30-34 2,478 6% 409.8 2,424 6% 388.4 3,148 6% 498.9 3,124 6% 492.2 3,173 7% 499.9 35-39 1,122 3% 169.4 1,142 3% 173.9 1,334 2% 209.9 1,347 3% 215.0 1,368 3% 218.3 40-44 497 1% 75.8 487 1% 72.9 682 1% 100.3 657 1% 95.8 693 1% 101.0 45-54 336 1% 25.2 370 1% 27.1 504 1% 36.8 533 1% 39.0 517 1% 37.8 55-64 77 0% 7.1 73 0% 6.4 79 0% 6.7 101 0% 8.4 116 0% 9.7 65+ 15 0% 1.3 16 0% 1.3 22 0% 1.7 24 0% 1.8 25 0% 1.9 Unknown 210 0% --- 64 0% --- 57 0% --- 24 0% --- 12 0% --- Total*** Total** 43,734 100% 466.2 42,167 100% 441.1 53,854 100% 558.0 50,621 100% 519.1 48,417 100% 496.5 *Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 29 Communicable Disease Branch Table 19. N. C. Gonorrhea Cases by Gender and Race/Ethnicity, 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 440 3% 14.2 394 3% 12.8 514 3% 16.6 493 3% 15.8 654 5% 21.0 Black** 3,958 27% 416.4 3,604 25% 368.0 3,913 23% 395.0 3,364 23% 335.0 3,352 25% 333.8 Am.In/AN** 68 0% 127.5 52 0% 92.9 54 0% 95.8 48 0% 84.6 63 0% 111.1 Asian/PI** 16 0% 16.0 8 0% 7.3 9 0% 7.8 10 0% 8.3 12 0% 9.9 Hispanic 136 1% 34.2 147 1% 34.1 172 1% 39.1 144 1% 31.8 167 1% 36.9 Unknown 1,667 11% --- 1,529 11% --- 2,525 15% --- 2,114 15% --- 1,867 14% --- Male Total 6,285 42% 136.9 5,734 41% 123.0 7,187 42% 152.9 6,173 43% 129.9 6,115 45% 128.7 White** 1,055 7% 32.6 1,067 8% 33.0 1,157 7% 35.6 939 7% 28.7 981 7% 30.0 Black** 4,949 33% 459.7 5,059 36% 455.3 5,158 30% 458.6 4,212 29% 370.1 4,059 30% 356.6 Am.In/AN** 130 1% 231.1 116 1% 193.6 144 1% 238.2 111 1% 182.3 107 1% 175.7 Asian/PI** 27 0% 25.8 27 0% 22.6 23 0% 18.3 33 0% 25.1 22 0% 16.8 Hispanic 166 1% 51.9 164 1% 43.8 213 1% 55.2 172 1% 43.2 158 1% 39.6 Unknown 2,089 14% --- 1,903 13% --- 3,195 19% --- 2,635 18% --- 2,214 16% --- Female Total 8,416 57% 175.7 8,336 59% 170.1 9,890 58% 199.8 8,102 57% 162.1 7,541 55% 150.8 White** 1,503 10% 23.8 1,463 10% 23.2 1,674 10% 26.4 1,435 10% 22.5 1,636 12% 25.6 Black** 8,940 60% 441.0 8,708 62% 416.6 9,095 53% 429.9 7,591 53% 354.3 7,414 54% 346.1 Am.In/AN** 199 1% 181.6 168 1% 145.0 198 1% 169.5 159 1% 135.2 170 1% 144.6 Asian/PI** 43 0% 21.1 35 0% 15.3 32 0% 13.3 43 0% 17.1 34 0% 13.5 Hispanic 304 2% 42.4 313 2% 38.8 387 2% 46.8 316 2% 37.1 325 2% 38.2 Unknown 3,822 26% --- 3,466 24% --- 5,772 34% --- 4,780 33% --- 4,086 30% --- Total*** Total 14,811 100% 157.9 14,153 100% 148.0 17,158 100% 177.8 14,324 100% 146.9 13,665 100% 140.1 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 30 Communicable Disease Branch Table 20. N. C. Gonorrhea Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 16 0% 5.2 17 0% 5.3 9 0% 2.7 12 0% 3.6 17 0% 5.1 15-19 1,218 8% 367.1 1,079 8% 320.1 1,279 7% 380.9 1,011 7% 302.8 880 6% 263.6 20-24 2,132 14% 605.4 2,077 15% 610.0 2,726 16% 790.3 2,291 16% 639.3 2,258 17% 630.1 25-29 1,178 8% 369.6 1,066 8% 339.6 1,344 8% 429.4 1,173 8% 372.5 1,204 9% 382.3 30-34 643 4% 215.9 602 4% 195.8 682 4% 219.5 672 5% 215.3 651 5% 208.5 35-39 391 3% 118.7 319 2% 98.6 389 2% 124.6 340 2% 110.6 365 3% 118.7 40-44 264 2% 81.4 247 2% 74.8 296 2% 88.3 255 2% 75.5 265 2% 78.5 45-54 315 2% 48.6 229 2% 34.4 334 2% 50.1 310 2% 46.6 342 3% 51.4 55-64 81 1% 15.8 70 0% 12.8 88 1% 15.7 81 1% 14.3 94 1% 16.6 65+ 22 0% 4.4 20 0% 3.8 26 0% 4.8 21 0% 3.6 34 0% 5.9 Unknown 18 0% --- 8 0% --- 7 0% --- <5 --- --- <5 --- --- Male Total** 6,285 42% 136.9 5,734 41% 123.0 7,187 42% 152.9 6,173 43% 129.9 6,115 45% 128.7 10-14 95 1% 32.4 83 1% 26.9 93 1% 29.6 100 1% 31.5 67 0% 21.1 15-19 2,940 20% 937.2 2,838 20% 887.0 3,253 19% 1023.6 2,451 17% 773.8 2,179 16% 687.9 20-24 3,113 21% 986.9 3,191 23% 975.9 3,892 23% 1167.4 3,142 22% 927.2 2,950 22% 870.5 25-29 1,248 8% 399.9 1,222 9% 386.4 1,484 9% 467.1 1,305 9% 410.7 1,259 9% 396.2 30-34 520 4% 169.5 548 4% 173.1 598 3% 186.7 587 4% 182.0 563 4% 174.5 35-39 247 2% 74.2 253 2% 75.9 280 2% 86.6 261 2% 81.8 280 2% 87.8 40-44 114 1% 34.4 85 1% 25.2 159 1% 46.1 141 1% 40.5 123 1% 35.3 45-54 77 1% 11.2 90 1% 12.8 104 1% 14.8 87 1% 12.4 96 1% 13.7 55-64 14 0% 2.5 5 0% 0.8 17 0% 2.7 22 0% 3.5 15 0% 2.4 65+ <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Unknown 38 0% --- 13 0% --- <5 --- --- <5 --- --- <5 --- --- Female Total** 8,416 57% 175.7 8,336 59% 170.1 9,890 58% 199.8 8,102 57% 162.1 7,541 55% 150.8 *Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 31 Communicable Disease Branch Table 20. N. C. Gonorrhea Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 111 1% 18.5 100 1% 15.8 103 1% 16.0 112 1% 17.3 84 1% 13.0 15-19 4,177 28% 647.1 3,936 28% 599.1 4,553 27% 696.6 3,469 24% 533.2 3,062 22% 470.6 20-24 5,286 36% 791.8 5,297 37% 793.6 6,649 39% 980.2 5,453 38% 782.1 5,212 38% 747.5 25-29 2,441 16% 387.0 2,300 16% 365.0 2,839 17% 450.1 2,485 17% 392.8 2,465 18% 389.6 30-34 1,170 8% 193.5 1,160 8% 185.9 1,284 7% 203.5 1,265 9% 199.3 1,214 9% 191.3 35-39 640 4% 96.6 577 4% 87.9 670 4% 105.4 604 4% 96.4 645 5% 102.9 40-44 381 3% 58.1 333 2% 49.9 457 3% 67.2 398 3% 58.0 388 3% 56.6 45-54 393 3% 29.4 320 2% 23.4 441 3% 32.2 399 3% 29.2 438 3% 32.1 55-64 95 1% 8.8 75 1% 6.5 105 1% 8.8 104 1% 8.7 109 1% 9.1 65+ 23 0% 1.9 20 0% 1.6 29 0% 2.3 21 0% 1.6 36 0% 2.7 Unknown 78 1% --- 26 0% --- 15 0% --- 6 0% --- 5 0% --- Total*** Total** 14,811 100% 157.9 14,153 100% 148.0 17,158 100% 177.8 14,324 100% 146.9 13,665 100% 140.1 *Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 32 Communicable Disease Branch Table 21. N. C. Primary and Secondary Syphilis Cases by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 84 16% 2.7 47 12% 1.5 81 21% 2.6 59 18% 1.9 105 25% 3.4 Black** 318 59% 33.5 270 69% 27.6 263 67% 26.5 212 63% 21.1 249 59% 24.8 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 Hispanic 18 3% 4.5 13 3% 3.0 8 2% 1.8 13 4% 2.9 13 3% 2.9 Unknown 6 1% --- 10 3% --- 8 2% --- 11 3% --- 14 3% --- Male Total 431 80% 9.4 342 87% 7.3 363 93% 7.7 299 90% 6.3 385 91% 8.1 White** 24 4% 0.7 10 3% 0.3 <5 --- --- 5 1% 0.2 5 1% 0.2 Black** 75 14% 7.0 40 10% 3.6 26 7% 2.3 24 7% 2.1 29 7% 2.5 Am.In/AN** 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 Asian/PI** 0 0% 0.0 0 0% 0.0 0 0% 0.0 <5 --- --- 0 0% 0.0 Hispanic 5 1% 1.6 0 0% 0.0 0 0% 0.0 <5 --- --- <5 --- --- Unknown <5 --- --- 0 0% --- <5 --- --- <5 --- --- <5 --- --- Female Total 105 20% 2.2 50 13% 1.0 29 7% 0.6 35 10% 0.7 38 9% 0.8 White** 108 20% 1.7 57 15% 0.9 83 21% 1.3 64 19% 1.0 110 26% 1.7 Black** 393 73% 19.4 310 79% 14.8 289 74% 13.7 236 71% 11.0 278 66% 13.0 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 Hispanic 23 4% 3.2 13 3% 1.6 8 2% 1.0 14 4% 1.6 14 3% 1.6 Unknown 7 1% --- 10 3% --- 9 2% --- 15 4% --- 17 4% --- Total Total 536 100% 5.7 392 100% 4.1 392 100% 4.1 334 100% 3.4 423 100% 4.3 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 33 Communicable Disease Branch Table 22. N. C. Primary and Secondary Syphilis Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 31 6% 9.3 18 5% 5.3 32 8% 9.5 9 3% 2.7 15 4% 4.5 20-24 99 18% 28.1 92 23% 27.0 112 29% 32.5 93 28% 26.0 101 24% 28.2 25-29 84 16% 26.4 76 19% 24.2 71 18% 22.7 58 17% 18.4 87 21% 27.6 30-34 47 9% 15.8 48 12% 15.6 39 10% 12.6 33 10% 10.6 43 10% 13.8 35-39 43 8% 13.1 24 6% 7.4 28 7% 9.0 27 8% 8.8 34 8% 11.1 40-44 38 7% 11.7 33 8% 10.0 28 7% 8.4 19 6% 5.6 37 9% 11.0 45-54 64 12% 9.9 41 10% 6.2 39 10% 5.9 44 13% 6.6 47 11% 7.1 55-64 24 4% 4.7 8 2% 1.5 12 3% 2.1 12 4% 2.1 17 4% 3.0 65+ <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total** 431 80% 9.4 342 87% 7.3 363 93% 7.7 299 90% 6.3 385 91% 8.1 10-14 <5 --- --- 0 0% 0.0 1 0% 0.3 0 0% 0.0 0 0% 0.0 15-19 13 2% 4.1 6 2% 1.9 5 1% 1.6 7 2% 2.2 <5 --- --- 20-24 31 6% 9.8 14 4% 4.3 7 2% 2.1 11 3% 3.2 12 3% 3.5 25-29 23 4% 7.4 6 2% 1.9 6 2% 1.9 6 2% 1.9 5 1% 1.6 30-34 13 2% 4.2 5 1% 1.6 <5 --- --- <5 --- --- <5 --- --- 35-39 9 2% 2.7 5 1% 1.5 <5 --- --- <5 --- --- <5 --- --- 40-44 <5 --- --- 8 2% 2.4 0 0% 0.0 <5 --- --- <5 --- --- 45-54 12 2% 1.7 6 2% 0.9 <5 --- --- <5 --- --- <5 --- --- 55-64 <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 65+ 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total** 105 20% 2.2 50 13% 1.0 29 7% 0.6 35 10% 0.7 38 9% 0.8 *Rate per 100,000 population. Continued ** Total includes cases with age less than 10. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 34 Communicable Disease Branch Table 22. N. C. Primary and Secondary Syphilis Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 44 8% 6.8 24 6% 3.7 37 9% 5.7 16 5% 2.5 18 4% 2.8 20-24 130 24% 19.5 106 27% 15.9 119 30% 17.5 104 31% 14.9 113 27% 16.2 25-29 107 20% 17.0 82 21% 13.0 77 20% 12.2 64 19% 10.1 92 22% 14.5 30-34 60 11% 9.9 53 14% 8.5 41 10% 6.5 37 11% 5.8 47 11% 7.4 35-39 52 10% 7.8 29 7% 4.4 32 8% 5.0 30 9% 4.8 38 9% 6.1 40-44 40 7% 6.1 41 10% 6.1 28 7% 4.1 21 6% 3.1 41 10% 6.0 45-54 76 14% 5.7 47 12% 3.4 42 11% 3.1 46 14% 3.4 49 12% 3.6 55-64 25 5% 2.3 8 2% 0.7 13 3% 1.1 12 4% 1.0 20 5% 1.7 65+ <5 --- --- <5 --- --- <5 --- --- <5 --- --- 5 1% 0.4 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 536 100% 5.7 392 100% 4.1 392 100% 4.1 334 100% 3.4 423 100% 4.3 *Rate per 100,000 population. ** Total includes cases with age less than 10. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 35 Communicable Disease Branch Table 23. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 126 14% 4.1 96 14% 3.1 126 18% 4.1 88 16% 2.8 152 22% 4.9 Black** 497 57% 52.3 451 64% 46.1 446 63% 45.0 370 66% 36.8 379 56% 37.7 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Hispanic 26 3% 6.5 17 2% 3.9 23 3% 5.2 19 3% 4.2 25 4% 5.5 Unknown 8 1% --- 15 2% --- 17 2% --- 15 3% --- 24 4% --- Male Total 664 76% 14.5 585 83% 12.6 618 87% 13.1 498 89% 10.5 585 86% 12.3 White** 49 6% 1.5 24 3% 0.7 9 1% 0.3 10 2% 0.3 11 2% 0.3 Black** 143 16% 13.3 97 14% 8.7 71 10% 6.3 41 7% 3.6 67 10% 5.9 Am.In/AN** <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- Hispanic 14 2% 4.4 <5 --- --- 6 1% 1.6 <5 --- --- 7 1% 1.8 Unknown <5 --- --- 0 0% --- <5 --- --- 6 1% --- 5 1% --- Female Total 209 24% 4.4 123 17% 2.5 90 13% 1.8 63 11% 1.3 92 14% 1.8 White** 175 20% 2.8 120 17% 1.9 135 19% 2.1 98 17% 1.5 163 24% 2.6 Black** 640 73% 31.6 548 77% 26.2 517 73% 24.4 411 73% 19.2 446 66% 20.8 Am.In/AN** 5 1% 4.6 <5 --- --- 5 1% 4.3 5 1% 4.3 5 1% 4.3 Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Hispanic 40 5% 5.6 18 3% 2.2 29 4% 3.5 23 4% 2.7 32 5% 3.8 Unknown 9 1% --- 15 2% --- 20 3% --- 21 4% --- 29 4% --- Total Total 873 100% 9.3 708 100% 7.4 708 100% 7.3 561 100% 5.8 677 100% 6.9 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 36 Communicable Disease Branch Table 24. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 48 5% 14.5 33 5% 9.8 51 7% 15.2 19 3% 5.7 19 3% 5.7 20-24 142 16% 40.3 151 21% 44.3 177 25% 51.3 145 26% 40.5 157 23% 43.8 25-29 128 15% 40.2 119 17% 37.9 126 18% 40.3 102 18% 32.4 121 18% 38.4 30-34 79 9% 26.5 70 10% 22.8 74 10% 23.8 56 10% 17.9 75 11% 24.0 35-39 74 8% 22.5 45 6% 13.9 45 6% 14.4 46 8% 15.0 56 8% 18.2 40-44 67 8% 20.7 61 9% 18.5 48 7% 14.3 41 7% 12.1 60 9% 17.8 45-54 94 11% 14.5 79 11% 11.9 71 10% 10.7 69 12% 10.4 66 10% 9.9 55-64 30 3% 5.8 19 3% 3.5 21 3% 3.7 14 2% 2.5 27 4% 4.8 65+ <5 --- --- 8 1% 1.5 <5 --- --- 5 1% 0.9 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total** 664 76% 14.5 585 83% 12.6 618 87% 13.1 498 89% 10.5 585 86% 12.3 10-14 <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 22 3% 7.0 12 2% 3.8 10 1% 3.1 13 2% 4.1 10 1% 3.2 20-24 55 6% 17.4 30 4% 9.2 23 3% 6.9 20 4% 5.9 33 5% 9.7 25-29 49 6% 15.7 17 2% 5.4 11 2% 3.5 8 1% 2.5 9 1% 2.8 30-34 24 3% 7.8 15 2% 4.7 11 2% 3.4 8 1% 2.5 9 1% 2.8 35-39 24 3% 7.2 15 2% 4.5 9 1% 2.8 6 1% 1.9 10 1% 3.1 40-44 11 1% 3.3 14 2% 4.1 8 1% 2.3 5 1% 1.4 9 1% 2.6 45-54 21 2% 3.1 18 3% 2.6 12 2% 1.7 <5 --- --- 7 1% 1.0 55-64 <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 65+ 0 0% 0.0 <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total** 209 24% 4.4 123 17% 2.5 90 13% 1.8 63 11% 1.3 92 14% 1.8 *Rate per 100,000 population. Continued ** Total includes cases with age less than 10. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 37 Communicable Disease Branch Table 24. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 70 8% 10.8 45 6% 6.8 61 9% 9.3 32 6% 4.9 29 4% 4.5 20-24 197 23% 29.5 181 26% 27.1 200 28% 29.5 165 29% 23.7 190 28% 27.3 25-29 177 20% 28.1 136 19% 21.6 137 19% 21.7 110 20% 17.4 130 19% 20.5 30-34 103 12% 17.0 85 12% 13.6 85 12% 13.5 64 11% 10.1 84 12% 13.2 35-39 98 11% 14.8 60 8% 9.1 54 8% 8.5 52 9% 8.3 66 10% 10.5 40-44 78 9% 11.9 75 11% 11.2 56 8% 8.2 46 8% 6.7 69 10% 10.1 45-54 115 13% 8.6 97 14% 7.1 83 12% 6.1 72 13% 5.3 73 11% 5.3 55-64 32 4% 3.0 19 3% 1.7 25 4% 2.1 14 2% 1.2 31 5% 2.6 65+ <5 --- --- 9 1% 0.7 5 1% 0.4 5 1% 0.4 5 1% 0.4 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 873 100% 9.3 708 100% 7.4 708 100% 7.3 561 100% 5.8 677 100% 6.9 * Rate per 100,000 population. ** Total includes cases with age less than 10. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 38 Communicable Disease Branch Table 25. N. C. Congenital Syphilis Reports by Race/Ethnicity, by Year of Birth 2004-2013 2004 2005 2006 2007 2008 Race/Ethnicity Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct White, non Hispanic <5 --- <5 --- <5 --- <5 --- <5 --- Black, non Hispanic 5 45% 7 54% <5 --- <5 --- <5 --- Other <5 --- <5 --- <5 --- <5 --- 5 45% Total 11 100% 13 100% 7 100% 9 100% 11 100% 2009 2010 2011 2012 2013 Race/Ethnicity Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct White, non Hispanic 0 0% <5 --- 0 0% 0 0% <5 --- Black, non Hispanic 8 80% 6 60% 5 83% <5 --- 0 0% Other <5 --- <5 --- <5 --- 0 0% 0 0% Total 10 100% 10 100% 6 100% 2 100% 1 100% Table 26. N. C. Likely Perinatal HIV Infection† Cases, by Year of Birth 2004-2013 Year of Birth 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total 4 5 7 9 5 3 0 2 2 1 †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis of status (HIV or AIDS). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 39 Communicable Disease Branch Table 27. N. C. Regional* HIV Infection and STD Cases, 2013P Race/Ethnicity HIV Infection Chlamydia Gonorrhea Early Syphilis Cases Pct Rate*** Cases Pct Rate*** Cases Pct Rate*** Cases Pct Rate*** Unassigned** 53 3% --- 0 0% --- 0 0% --- 0 0% --- EASTERN 406 27% 14.6 17,214 36% 617.0 4,702 34% 168.5 185 27% 6.6 PIEDMONT 998 65% 17.3 28,402 59% 491.9 8,349 61% 144.6 476 70% 8.2 WESTERN 68 4% 5.7 2,801 6% 235.7 614 4% 51.7 16 2% 1.3 Total 1,525P 100% 15.6P 48,417 100% 496.5 13,665 100% 140.1 677 100% 6.9 * Geographic regions as displayed on Back Cover and below. ** Unassigned includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). *** Rate per 100,000 population. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina Geographic Regions North Carolina 2013 HIV/STD Surveillance Report NCDHHS 40 Communicable Disease Branch Table 28. N. C. Regional Adult/Adolescent HIV Infection† Cases by Gender and Race/Ethnicity by Year Of Diagnosis, 2013P EASTERN PIEDMONT WESTERN TOTAL*** Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 61 4% 8.8 210 14% 13.8 39 3% 8.9 318 21% 12.0 Black** 211 14% 70.9 487 32% 102.2 6 0% 26.0 736 49% 92.3 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- 7 0% 15.4 Asian/PI** <5 --- --- 8 1% 10.3 0 0% 0.0 10 1% 10.5 Hispanic 21 1% 23.8 67 4% 32.7 5 0% 18.7 104 7% 32.5 Unknown 5 0% --- 8 1% --- <5 --- --- 14 1% --- Male Total 304 20% 27.1 781 52% 34.1 53 4% 10.7 1,189 79% 30.4 White** 21 1% 2.9 26 2% 1.6 5 0% 1.1 53 4% 1.9 Black** 66 4% 19.3 157 10% 27.3 8 1% 37.3 232 15% 24.7 Am.In/AN** <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- Asian/PI** 0 0% 0.0 7 0% 8.5 0 0% 0.0 7 0% 6.6 Hispanic 8 1% 11.3 12 1% 6.7 <5 --- --- 22 1% 8.1 Unknown <5 --- --- <5 --- --- 0 0% --- 6 0% --- Female Total 101 7% 8.5 206 14% 8.3 15 1% 2.9 324 21% 7.7 White** 82 5% 5.8 236 16% 7.5 44 3% 4.8 371 25% 6.8 Black** 277 18% 43.3 644 43% 61.2 14 1% 31.4 968 64% 55.8 Am.In/AN** 8 1% 12.1 <5 --- --- <5 --- --- 11 1% 11.5 Asian/PI** <5 --- --- 15 1% 9.4 0 0% 0.0 17 1% 8.5 Hispanic 29 2% 18.2 79 5% 20.5 7 0% 14.7 126 8% 21.3 Unknown 7 0% --- 12 1% --- <5 --- --- 20 1% --- Total Total 405 27% 17.5 987 65% 20.7 68 4% 6.7 1,513P 100% 18.7P †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes 53 cases with unassigned county. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 41 Communicable Disease Branch Table 29. N. C. Regional Adult/Adolescent HIV Infection† Cases by Gender and Age by Year Of Diagnosis, 2013P Age EASTERN PIEDMONT WESTERN TOTAL** Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 17 1% 17.8 34 2% 17.0 0 0% 0.0 52 3% 15.6 20-24 66 4% 52.6 177 12% 92.0 5 0% 12.4 249 16% 69.5 25-29 54 4% 55.3 125 8% 67.5 8 1% 24.9 190 13% 60.3 30-34 35 2% 39.4 76 5% 40.0 8 1% 24.1 128 8% 41.0 35-39 24 2% 29.2 71 5% 37.3 7 0% 20.1 108 7% 35.1 40-44 24 2% 27.8 91 6% 42.8 5 0% 12.9 130 9% 38.5 45-49 31 2% 35.2 89 6% 43.3 7 0% 17.5 137 9% 41.1 50-54 24 2% 26.5 49 3% 24.6 5 0% 11.9 85 6% 25.6 55-59 12 1% 13.9 31 2% 17.7 <5 --- --- 47 3% 15.6 60-64 7 0% 9.0 20 1% 13.5 <5 --- --- 31 2% 11.7 65+ 10 1% 5.9 18 1% 5.8 <5 --- --- 32 2% 5.5 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total 304 20% 27.1 781 52% 34.1 53 4% 10.7 1,189 79% 30.4 13-14 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 15-19 <5 --- --- <5 --- --- 0 0% 0.0 7 0% 2.2 20-24 8 1% 7.5 16 1% 8.2 0 0% 0.0 24 2% 7.1 25-29 9 1% 9.7 21 1% 10.9 <5 --- --- 32 2% 10.1 30-34 8 1% 9.0 21 1% 10.5 <5 --- --- 32 2% 9.9 35-39 14 1% 16.6 21 1% 10.4 <5 --- --- 38 3% 11.9 40-44 12 1% 13.3 35 2% 15.9 <5 --- --- 51 3% 14.6 45-49 14 1% 15.1 31 2% 14.5 <5 --- --- 46 3% 13.2 50-54 15 1% 15.2 25 2% 11.9 <5 --- --- 42 3% 11.9 55-59 9 1% 9.3 20 1% 10.5 <5 --- --- 30 2% 9.0 60-64 7 0% 8.1 7 0% 4.2 0 0% 0.0 14 1% 4.7 65+ <5 --- --- <5 --- --- <5 --- --- 7 0% 0.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total 101 7% 8.5 206 14% 8.3 15 1% 2.9 324 21% 7.7 Continued †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. ** Total includes 53 cases with unassigned county. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 42 Communicable Disease Branch Table 29. N. C. Regional Adult/Adolescent HIV Infection† Cases by Gender and Age by Year Of Diagnosis, 2013P Age EASTERN PIEDMONT WESTERN TOTAL** Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 15-19 20 1% 10.9 38 3% 9.7 0 0% 0.0 59 4% 9.1 20-24 74 5% 31.9 193 13% 49.9 5 0% 6.4 273 18% 39.2 25-29 63 4% 33.0 146 10% 38.6 10 1% 15.8 222 15% 35.1 30-34 43 3% 24.2 97 6% 24.8 10 1% 15.1 160 11% 25.2 35-39 38 3% 22.8 92 6% 23.5 9 1% 13.1 146 10% 23.3 40-44 36 2% 20.4 126 8% 29.1 9 1% 11.7 181 12% 26.4 45-49 45 3% 24.9 120 8% 28.6 8 1% 9.9 183 12% 26.9 50-54 39 3% 20.6 74 5% 18.0 7 0% 8.1 127 8% 18.5 55-59 21 1% 11.5 51 3% 14.0 <5 --- --- 77 5% 12.1 60-64 14 1% 8.5 27 2% 8.5 <5 --- --- 45 3% 8.0 65+ 12 1% 3.1 22 1% 3.0 5 0% 2.2 39 3% 2.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 405 27% 17.5 987 65% 20.7 68 4% 6.7 1,513P 100% 18.7P (Cont.) †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. ** Total includes 53 cases with unassigned county. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 43 Communicable Disease Branch Table 30. N. C. Regional Adult/Adolescent HIV Disease† Cases by Gender and Mode of Transmission, 2013P EASTERN PIEDMONT WESTERN TOTAL** Mode of Exposure Cases Pct Cases Pct Cases Pct Cases Pct MSM* 167 41% 457 46% 25 37% 656 43% IDU* <5 --- 12 1% <5 --- 22 1% MSM/IDU* <5 --- 17 2% 7 10% 27 2% Other Risk* 0 0% 0 0% 0 0% 0% 0% Heterosexual-CDC* 13 3% 23 2% <5 --- 41 3% NIR/NRR* 89 22% 211 21% 13 19% 337 22% Presumed Heterosexual* 29 7% 61 6% <5 --- 106 7% Male Total 304 75% 781 79% 53 78% 1189 79% IDU* 6 1% 6 1% <5 --- 14 1% Other Risk* 0 0% 0 0% 0 0% 0% 0% Heterosexual-CDC* 23 6% 46 5% <5 --- 70 5% NIR/NRR* 49 12% 116 12% 10 15% 175 12% Presumed Heterosexual* 23 6% 38 4% <5 --- 65 4% Female Total 101 25% 206 21% 15 22% 324 21% MSM* 167 41% 457 46% 25 37% 656 43% IDU* 9 2% 18 2% 5 7% 36 2% MSM/IDU* <5 --- 17 2% 7 10% 27 2% Other Risk* 0 0% 0 0% 0 0% 0% 0% Heterosexual-CDC* 36 9% 69 7% 5 7% 111 7% NIR/NRR* 138 34% 327 33% 23 34% 512 34% Presumed Heterosexual* 52 13% 99 10% <5 --- 171 11% Total Total 405 100% 987 100% 68 100% 1513P 100% †HIV Disease includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *MSM= men who have sex with men; IDU= injection drug use; “Other Risk” includes Blood Products (adult hemophilia) and pediatric cases; “Presumed Heterosexual” includes cases initially classified as “NIR” with additional risk information consistent with heterosexual transmission; NIR= no identified risk reported. **Total includes 53 cases with Unassigned County. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 44 Communicable Disease Branch Table 31. N. C. Regional Chlamydia Cases by Gender and Race/Ethnicity, 2013 EASTERN PIEDMONT WESTERN TOTAL Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 348 1% 42.6 760 2% 42.3 273 1% 54.2 1,381 3% 44.3 Black** 950 2% 254.5 3,333 7% 552.8 125 0% 443.5 4,408 9% 438.9 Am.In/AN** 31 0% 78.8 52 0% 451.5 7 0% 119.2 90 0% 158.7 Asian/PI** 10 0% 58.9 29 0% 29.6 <5 --- --- 40 0% 33.2 Hispanic 102 0% 82.5 450 1% 154.6 31 0% 82.4 583 1% 128.9 Unknown 2,167 4% --- 2,476 5% --- 111 0% --- 4,754 10% --- Male Total 3,608 7% 263.5 7,100 15% 253.4 548 1% 94.2 11,256 23% 236.8 White** 2,256 5% 269.6 3,519 7% 185.5 1,339 3% 249.6 7,114 15% 217.5 Black** 5,945 12% 1435.8 8,798 18% 1260.9 332 1% 1261.5 15,075 31% 1324.6 Am.In/AN** 332 1% 779.7 204 0% 1683.9 28 0% 451.3 564 1% 926.1 Asian/PI** 57 0% 261.9 131 0% 127.5 22 0% 323.3 210 0% 160.0 Hispanic 545 1% 518.5 1,632 3% 622.0 141 0% 453.3 2,318 5% 581.6 Unknown 4,461 9% --- 7,011 14% --- 391 1% --- 11,863 25% --- Female Total 13,596 28% 957.2 21,295 44% 716.6 2,253 5% 371.3 37,144 77% 743.0 White** 2,605 5% 157.6 4,280 9% 115.8 1,612 3% 154.9 8,497 18% 133.0 Black** 6,895 14% 875.8 12,132 25% 932.8 457 1% 838.5 19,484 40% 909.4 Am.In/AN** 363 1% 443.2 256 1% 1083.3 35 0% 289.8 654 1% 556.1 Asian/PI** 67 0% 173.0 160 0% 79.8 23 0% 182.1 250 1% 99.2 Hispanic 647 1% 282.9 2,083 4% 376.4 172 0% 250.3 2,902 6% 341.1 Unknown 6,637 14% --- 9,491 20% --- 502 1% --- 16,630 34% --- Total Total*** 17,214 36% 617.0 28,402 59% 491.9 2,801 6% 235.7 48,417 100% 496.5 * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 45 Communicable Disease Branch Table 32. N. C. Regional Chlamydia Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 12 0% 13.0 17 0% 8.4 3 0% 8.4 32 0% 9.7 15-19 615 1% 644.1 1,415 3% 708.4 125 0% 323.4 2,155 4% 645.4 20-24 1,699 4% 1354.8 2,884 6% 1498.3 217 0% 536.5 4,800 10% 1339.5 25-29 700 1% 716.8 1,322 3% 713.9 115 0% 358.4 2,137 4% 678.6 30-34 307 1% 345.4 686 1% 360.9 42 0% 126.5 1,035 2% 331.6 35-39 130 0% 157.9 340 1% 178.6 19 0% 54.6 489 1% 159.0 40-44 75 0% 86.9 214 0% 100.7 11 0% 28.4 300 1% 88.9 45-49 32 0% 36.4 108 0% 52.6 10 0% 25.0 150 0% 45.0 50-54 17 0% 18.8 60 0% 30.1 <5 --- --- 81 0% 24.4 55-59 11 0% 12.8 34 0% 19.5 <5 --- --- 47 0% 15.6 60-64 7 0% 9.0 7 0% 4.7 0 0% 0.0 14 0% 5.3 65+ <5 --- --- 11 0% 3.5 0 0% 0.0 12 0% 2.1 Unknown <5 --- --- <5 --- --- 0 0% --- <5 --- --- Male Total** 3,608 7% 263.5 7,100 15% 253.4 548 1% 94.2 11,256 23% 236.8 10-14 134 0% 151.1 237 0% 121.8 14 0% 41.3 385 1% 121.4 15-19 4,403 9% 4964.2 7,102 15% 3687.3 758 2% 2137.4 12,263 25% 3871.3 20-24 5,650 12% 5290.3 8,828 18% 4550.4 977 2% 2565.4 15,455 32% 4560.5 25-29 2,002 4% 2148.9 2,943 6% 1521.0 322 1% 1034.9 5,267 11% 1657.5 30-34 810 2% 908.8 1,218 3% 607.1 110 0% 335.1 2,138 4% 662.8 35-39 307 1% 364.3 528 1% 262.6 43 0% 127.7 878 2% 275.2 40-44 145 0% 161.2 233 0% 105.8 14 0% 36.7 392 1% 112.6 45-49 72 0% 77.6 110 0% 51.4 7 0% 17.3 189 0% 54.4 50-54 39 0% 39.5 52 0% 24.7 6 0% 13.6 97 0% 27.4 55-59 15 0% 15.5 21 0% 11.0 <5 --- --- 38 0% 11.4 60-64 9 0% 10.4 8 0% 4.8 0 0% 0.0 17 0% 5.7 65+ 6 0% 2.7 7 0% 1.7 0 0% 0.0 13 0% 1.7 Unknown <5 --- --- 7 0% --- 0 0% --- 10 0% --- Female Total** 13,596 28% 957.2 21,295 44% 716.6 2,253 5% 371.3 37,144 77% 743.0 * Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 46 Communicable Disease Branch Table 32. N. C. Regional Chlamydia Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 146 0% 80.6 254 1% 63.9 17 0% 24.4 417 1% 64.3 15-19 5,020 10% 2725.6 8,520 18% 2171.5 883 2% 1191.3 14,423 30% 2216.7 20-24 7,353 15% 3166.6 11,714 24% 3030.8 1,194 2% 1520.4 20,261 42% 2905.9 25-29 2,705 6% 1417.6 4,266 9% 1126.6 437 1% 691.5 7,408 15% 1170.9 30-34 1,117 2% 627.5 1,904 4% 487.3 152 0% 230.2 3,173 7% 499.9 35-39 438 1% 262.9 868 2% 221.7 62 0% 90.6 1,368 3% 218.3 40-44 220 0% 124.8 448 1% 103.5 25 0% 32.5 693 1% 101.0 45-49 104 0% 57.5 218 0% 52.0 17 0% 21.1 339 1% 49.8 50-54 56 0% 29.6 112 0% 27.3 10 0% 11.6 178 0% 26.0 55-59 26 0% 14.2 55 0% 15.0 <5 --- --- 85 0% 13.4 60-64 16 0% 9.7 15 0% 4.7 0 0% 0.0 31 0% 5.5 65+ 7 0% 1.8 18 0% 2.5 0 0% 0.0 25 0% 1.9 Unknown <5 --- --- 8 0% --- 0 0% --- 12 0% --- Total*** Total** 17,214 36% 617.0 28,402 59% 491.9 2,801 6% 235.7 48,417 100% 496.5 * Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 47 Communicable Disease Branch Table 33. N. C. Regional Gonorrhea Cases by Gender and Race/Ethnicity, 2013 EASTERN PIEDMONT WESTERN TOTAL Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 155 1% 19.0 348 3% 19.3 151 1% 30.0 654 5% 21.0 Black** 995 7% 266.6 2,252 16% 373.5 105 1% 372.5 3,352 25% 333.8 Am.In/AN** 33 0% 83.9 30 0% 260.5 0 0% 0.0 63 0% 111.1 Asian/PI** <5 --- --- 7 0% 7.2 <5 --- --- 12 0% 9.9 Hispanic 42 0% 34.0 114 1% 39.2 11 0% 29.2 167 1% 36.9 Unknown 775 6% --- 1,068 8% --- 24 0% --- 1,867 14% --- Male Total 2,003 15% 146.3 3,819 28% 136.3 293 2% 50.4 6,115 45% 128.7 White** 309 2% 36.9 507 4% 26.7 165 1% 30.8 981 7% 30.0 Black** 1,419 10% 342.7 2,536 19% 363.5 104 1% 395.2 4,059 30% 356.6 Am.In/AN** 69 1% 162.1 36 0% 297.2 <5 --- --- 107 1% 175.7 Asian/PI** 6 0% 27.6 15 0% 14.6 <5 --- --- 22 0% 16.8 Hispanic 48 0% 45.7 97 1% 37.0 13 0% 41.8 158 1% 39.6 Unknown 841 6% --- 1,338 10% --- 35 0% --- 2,214 16% --- Female Total 2,692 20% 189.5 4,529 33% 152.4 320 2% 52.7 7,541 55% 150.8 White** 464 3% 28.1 855 6% 23.1 317 2% 30.5 1,636 12% 25.6 Black** 2,417 18% 307.0 4,788 35% 368.1 209 2% 383.5 7,414 54% 346.1 Am.In/AN** 102 1% 124.5 66 0% 279.3 <5 --- --- 170 1% 144.6 Asian/PI** 9 0% 23.2 22 0% 11.0 <5 --- --- 34 0% 13.5 Hispanic 90 1% 39.3 211 2% 38.1 24 0% 34.9 325 2% 38.2 Unknown 1,620 12% --- 2,407 18% --- 59 0% --- 4,086 30% --- Total Total*** 4,702 34% 168.5 8,349 61% 144.6 614 4% 51.7 13,665 100% 140.1 * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 48 Communicable Disease Branch Table 34. N. C. Regional Gonorrhea Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 6 0% 6.5 10 0% 4.9 <5 --- --- 17 0% 5.1 15-19 288 2% 301.6 555 4% 277.8 37 0% 95.7 880 6% 263.6 20-24 803 6% 640.3 1,365 10% 709.1 90 1% 222.5 2,258 17% 630.1 25-29 398 3% 407.6 732 5% 395.3 74 1% 230.6 1,204 9% 382.3 30-34 220 2% 247.5 409 3% 215.2 22 0% 66.2 651 5% 208.5 35-39 116 1% 140.9 229 2% 120.3 20 0% 57.5 365 3% 118.7 40-44 58 0% 67.2 191 1% 89.9 16 0% 41.3 265 2% 78.5 45-49 51 0% 57.9 149 1% 72.5 13 0% 32.5 213 2% 63.9 50-54 32 0% 35.3 90 1% 45.2 7 0% 16.7 129 1% 38.9 55-59 15 0% 17.4 44 0% 25.2 <5 --- --- 63 0% 20.9 60-64 6 0% 7.7 24 0% 16.2 <5 --- --- 31 0% 11.7 65+ 9 0% 5.3 17 0% 5.5 8 0% 8.0 34 0% 5.9 Unknown <5 --- --- <5 --- --- 0 0% --- <5 --- --- Male Total** 2,003 15% 146.3 3,819 28% 136.3 293 2% 50.4 6,115 45% 128.7 10-14 17 0% 19.2 49 0% 25.2 <5 --- --- 67 0% 21.1 15-19 756 6% 852.4 1,348 10% 699.9 75 1% 211.5 2,179 16% 687.9 20-24 1,080 8% 1011.2 1,735 13% 894.3 135 1% 354.5 2,950 22% 870.5 25-29 466 3% 500.2 734 5% 379.4 59 0% 189.6 1,259 9% 396.2 30-34 209 2% 234.5 325 2% 162.0 29 0% 88.3 563 4% 174.5 35-39 86 1% 102.1 184 1% 91.5 10 0% 29.7 280 2% 87.8 40-44 40 0% 44.5 79 1% 35.9 <5 --- --- 123 1% 35.3 45-49 21 0% 22.6 43 0% 20.1 <5 --- --- 68 0% 19.6 50-54 8 0% 8.1 19 0% 9.0 <5 --- --- 28 0% 7.9 55-59 7 0% 7.2 6 0% 3.1 0 0% 0.0 13 0% 3.9 60-64 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 65+ 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Unknown <5 --- --- 0 0% --- 0 0% --- <5 --- --- Female Total** 2,692 20% 189.5 4,529 33% 152.4 320 2% 52.7 7,541 55% 150.8 * Rate per 100,000 population. Continued ** Total includes cases with age less than 10. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 49 Communicable Disease Branch Table 34. N. C. Regional Gonorrhea Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 23 0% 12.7 59 0% 14.8 <5 --- --- 84 1% 13.0 15-19 1,046 8% 567.9 1,904 14% 485.3 112 1% 151.1 3,062 22% 470.6 20-24 1,887 14% 812.7 3,100 23% 802.1 225 2% 286.5 5,212 38% 747.5 25-29 865 6% 453.3 1,466 11% 387.1 134 1% 212.0 2,465 18% 389.6 30-34 429 3% 241.0 734 5% 187.9 51 0% 77.2 1,214 9% 191.3 35-39 202 1% 121.3 413 3% 105.5 30 0% 43.8 645 5% 102.9 40-44 98 1% 55.6 270 2% 62.4 20 0% 26.0 388 3% 56.6 45-49 72 1% 39.8 192 1% 45.8 17 0% 21.1 281 2% 41.3 50-54 40 0% 21.1 109 1% 26.6 8 0% 9.3 157 1% 22.9 55-59 22 0% 12.0 50 0% 13.7 <5 --- --- 76 1% 12.0 60-64 6 0% 3.7 26 0% 8.2 <5 --- --- 33 0% 5.8 65+ 9 0% 2.3 19 0% 2.6 8 0% 3.5 36 0% 2.7 Unknown <5 --- --- <5 --- --- 0 0% --- 5 0% --- Total*** Total** 4,702 34% 168.5 8,349 61% 144.6 614 4% 51.7 13,665 100% 140.1 * Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 50 Communicable Disease Branch Table 35. N. C. Regional Early Syphilis Cases by Gender and Race/Ethnicity, 2013 EASTERN PIEDMONT WESTERN TOTAL Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 43 6% 5.3 97 14% 5.4 12 2% 2.4 152 22% 4.9 Black** 87 13% 23.3 289 43% 47.9 <5 --- --- 379 56% 37.7 Am.In/AN** <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- Asian/PI** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Hispanic 8 1% 6.5 17 3% 5.8 0 0% 0.0 25 4% 5.5 Unknown 6 1% --- 18 3% --- 0 0% --- 24 4% --- Male Total 148 22% 10.8 422 62% 15.1 15 2% 2.6 585 86% 12.3 White** 9 1% 1.1 <5 --- --- <5 --- --- 11 2% 0.3 Black** 24 4% 5.8 43 6% 6.2 0 0% 0.0 67 10% 5.9 Am.In/AN** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Asian/PI** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Hispanic <5 --- --- <5 --- --- 0 0% 0.0 7 1% 1.8 Unknown 0 0% --- 5 1% --- 0 0% --- 5 1% --- Female Total 37 5% 2.6 54 8% 1.8 <5 --- --- 92 14% 1.8 White** 52 8% 3.1 98 14% 2.7 13 2% 1.2 163 24% 2.6 Black** 111 16% 14.1 332 49% 25.5 3 0% 5.5 446 66% 20.8 Am.In/AN** <5 --- --- <5 --- --- 0 0% 0.0 5 1% 4.3 Asian/PI** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Hispanic 12 2% 5.2 20 3% 3.6 0 0% 0.0 32 5% 3.8 Unknown 6 1% --- 23 3% --- 0 0% --- 29 4% --- Total Total 185 27% 6.6 476 70% 8.2 16 2% 1.3 677 100% 6.9 * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 51 Communicable Disease Branch Table 36. N. C. Regional Early Syphilis Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 8 1% 8.4 9 1% 4.5 <5 --- --- 19 3% 5.7 20-24 50 7% 39.9 106 16% 55.1 <5 --- --- 157 23% 43.8 25-29 34 5% 34.8 83 12% 44.8 <5 --- --- 121 18% 38.4 30-34 15 2% 16.9 59 9% 31.0 <5 --- --- 75 11% 24.0 35-39 11 2% 13.4 43 6% 22.6 <5 --- --- 56 8% 18.2 40-44 16 2% 18.5 44 6% 20.7 0 0% 0.0 60 9% 17.8 45-49 <5 --- --- 33 5% 16.1 <5 --- --- 37 5% 11.1 50-54 5 1% 5.5 23 3% 11.5 <5 --- --- 29 4% 8.7 55-59 <5 --- --- 13 2% 7.4 0 0% 0.0 16 2% 5.3 60-64 <5 --- --- 8 1% 5.4 <5 --- --- 11 2% 4.1 65+ <5 --- --- <5 --- --- <5 --- --- <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total** 148 22% 10.8 422 62% 15.1 15 2% 2.6 585 86% 12.3 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 <5 --- --- 6 1% 3.1 0 0% 0.0 10 1% 3.2 20-24 11 2% 10.3 22 3% 11.3 0 0% 0.0 33 5% 9.7 25-29 7 1% 7.5 <5 --- --- 0 0% 0.0 9 1% 2.8 30-34 <5 --- --- 6 1% 3.0 0 0% 0.0 9 1% 2.8 35-39 <5 --- --- 7 1% 3.5 <5 --- --- 10 1% 3.1 40-44 <5 --- --- 6 1% 2.7 0 0% 0.0 9 1% 2.6 45-49 <5 --- --- <5 --- --- 0 0% 0.0 7 1% 2.0 50-54 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 55-59 <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- 60-64 <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- 65+ <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total** 37 5% 2.6 54 8% 1.8 <5 --- --- 92 14% 1.8 * Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 52 Communicable Disease Branch Table 36. N. C. Regional Early Syphilis Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 12 2% 6.5 15 2% 3.8 <5 --- --- 29 4% 4.5 20-24 61 9% 26.3 128 19% 33.1 <5 --- --- 190 28% 27.3 25-29 41 6% 21.5 85 13% 22.4 <5 --- --- 130 19% 20.5 30-34 18 3% 10.1 65 10% 16.6 <5 --- --- 84 12% 13.2 35-39 13 2% 7.8 50 7% 12.8 <5 --- --- 66 10% 10.5 40-44 19 3% 10.8 50 7% 11.6 0 0% 0.0 69 10% 10.1 45-49 6 1% 3.3 37 5% 8.8 <5 --- --- 44 6% 6.5 50-54 5 1% 2.6 23 3% 5.6 <5 --- --- 29 4% 4.2 55-59 5 1% 2.7 13 2% 3.6 0 0% 0.0 18 3% 2.8 60-64 <5 --- --- 9 1% 2.8 <5 --- --- 13 2% 2.3 65+ <5 --- --- <5 --- --- <5 --- --- 5 1% 0.4 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 185 27% 6.6 476 70% 8.2 16 2% 1.3 677 100% 6.9 * Rate per 100,000 population. ** Total includes cases with age less than 10. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 53 Communicable Disease Branch North Carolina Geographic Regions PITT WAKE HYDE DUPLIN BLADEN PENDER UNION WILKES BERTIE NASH ROBESON SAMPSON MOORE ONSLOW CRAVEN HALIFAX COLUMBUS SWAIN ASHE SURRY BEAUFORT WAYNE ANSON BURKE JOHNSTON BRUNSWICK RANDOLPH CHATHAM IREDELL JONES MACON HOKE LEE ROWAN GUILFORD HARNETT MARTIN BUNCOMBE STOKES DAVIDSON LENOIR DARE HAYWOOD JACKSON STANLY GATES WARREN FRANKLIN MADISON PERSON WILSON CARTERET YADKIN ORANGE TYRRELL DAVIE CASWELL FORSYTH POLK GASTON CALDWELL CHEROKEE ROCKINGHAM RUTHERFORD CLAY CATAWBA PAMLICO EDGECOMBE CLEVELAND MCDOWELL YANCEY AVERY LINCOLN GRAHAM CABARRUS HERTFORD GREENE WATAUGA GRANVILLE CUMBERLAND RICHMOND VANCE ALAMANCE MECKLENBURG NORTHAMPTON MONTGOMERY DURHAM HENDERSON SCOTLAND CAMDEN WASHINGTON TRANSYLVANIA MITCHELL ALEXANDER CURRITUCK ALLEGHANY PERQUIMANS CHOWAN PASQUOTANK NEW HANOVER Eastern Region Western Region Piedmont Region North Carolina 2013 HIV/STD Surveillance Report NCDHHS 54 Communicable Disease Branch
Object Description
Description
Title | HIV/AIDS surveillance report |
Other Title | HIV/AIDS surveillance report (Raleigh, N.C.) |
Date | 2014-11 |
Description | 2013 |
Digital Characteristics-A | 1.59 MB; 62 p. |
Digital Format | application/pdf |
Pres File Name-M | pubs_serial_hivaidssurveillance2013.pdf |
Full Text | 2013 HIV/STD Surveillance Report Please direct any questions or comments to: HIV/STD Surveillance Unit 1902 Mail Service Center Raleigh, North Carolina 27699-1902 919-733-7301 http://epi.publichealth.nc.gov/cd/stds/figures.html State of North Carolina ● Pat McCrory, Governor Department of Health and Human Services Aldona Z. Wos, M.D., Ambassador (Ret.), Secretary DHHS Penelope Slade-Sawyer, Division Director Division of Public Health ● www.ncdhhs.gov NC DHHS is an equal opportunity employer and provider 09/14 NCDHHS i Communicable Disease Branch Technical Notes Readers should note that fluctuations in the number of disease reports per year may be influenced by reporting issues. These issues may vary by disease. For example, the final implementation of HIV/AIDS and syphilis reporting integration into the NC Electronic Disease Surveillance System (NC EDSS) occurred during November-December of 2012. In order to convert, deduplicate and merge patient information into NC EDSS, data entry into the production database was suspended for approximately one month. Most of the backlog was cleared as of the time the reports were generated. These are primarily cases diagnosed in the last months of 2012. Readers should also be aware that HIV/AIDS and early syphilis data are presented by date of diagnosis rather than date of report. Please see the individual surveillance disease notes below for more information. About the authors North Carolina law requires that diagnoses of certain communicable diseases, including sexually transmitted diseases (STDs), be reported to local health departments that in turn report the information to the state. The HIV/STD Surveillance Unit (HSSU) is the designated recipient for STD morbidity reports at the state level and is responsible for aggregating these reports and providing statewide information about these diseases to others, including the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia. The HSSU is part of the Communicable Disease Branch within the North Carolina Division of Public Health. About the content of this report This document, the North Carolina 2013 HIV/STD Surveillance Report, includes summary tables of surveillance reports and other information for HIV infection, chlamydia, gonorrhea, and syphilis. In some instances, total numbers of reports may not agree between separate cross-tabulations due to missing values for some variables. Some statistics are provided for the geographic regions as displayed on the back cover. The state demographer and the GIS lab at the State Center for Health Statistics have produced a Geographic Regional Classification scheme based on "physiographic" qualities. Western Region: the counties west of (and including) Surry, Wilkes, Caldwell, Burke, and Rutherford. Eastern Region: everything east of (and including) Northampton, Halifax, Nash, Johnston, Cumberland, Hoke, Harnett, and Scotland. Piedmont Region: the counties in between the Western Region and the Eastern Region. Rates are presented for several categories of race/ethnicity, age groups and gender for each disease. Rates are also presented for counties across the state. Rates are expressed as cases per 100,000 population. Rate denominators were calculated using the available bridged race population estimates from the National Center for Health Statistics. Because bridged race population estimates were unavailable for 2013, 2012 estimates were used as denominators in rate calculation for 2013. Thus, the 2013 rates NCDHHS ii Communicable Disease Branch should be considered preliminary rates. More information about bridged race categories is available at the website, http://www.cdc.gov/nchs/nvss/bridged_race.htm. Rates that are based on small numbers of cases (generally fewer than 20) should be viewed with caution and are considered unreliable because these rates have large standard errors and confidence intervals that can be wider than the rates themselves. Because of this, demographic values less than five (<5) have been suppressed throughout this report. For a more complete discussion of rates based on small numbers, please see the North Carolina Center for Health Statistics,’ publication, Statistical Primer No.12 “Problems with Rates Based on Small Numbers” by Paul Buescher. This publication is available at the website, http://www.schs.state.nc.us/SCHS/pdf/primer12_2.pdf. HIV infection surveillance data HIV Infection Human immunodeficiency virus (HIV) case reports represent persons who have a confirmed diagnosis with HIV. This category represents all new diagnoses with HIV regardless of the stage of the disease and was referred to in previous documents as “HIV disease.” Cases are counted by the date of diagnosis for the initial HIV diagnosis. AIDS (acquired immunodeficiency syndrome) case reports, by contrast, represent only persons with HIV infection who have progressed to this later, more life-threatening, stage of disease. AIDS cases are counted by the date of AIDS diagnosis. Most AIDS case reports represent persons who were diagnosed with HIV infection in earlier years. However, in North Carolina, about one-fourth to one-third of the new HIV infection reports represent persons who are initially diagnosed with HIV infection and AIDS at, or very near, the same time (concurrent). HIV infection reports and AIDS case reports should be considered separately. The two categories should never be combined to estimate an infected population, as the broad category of HIV infection includes AIDS cases that are counted by the initial diagnosis of HIV infection. County of Residence Geographically, cases are counted by the patient’s county of residence at diagnosis. Patients who are residents of a long-term facility such as prisons or other institutions are counted by the address of the facility. This causes the case counts for counties with large institutions to be higher than otherwise expected. People with HIV infection in the prisons play different roles in the epidemic from other residents in the county. In this annual report, persons diagnosed in long-term prison settings are excluded from county and regional case totals and rates. These cases are, however, included in state totals. Year of diagnosis HIV infection is unlike most communicable diseases in that it is chronic in nature. Failure of providers to initially report cases and change in residence after initial diagnosis can complicate case counting. Therefore, enhanced surveillance activities may artificially result in fluctuations in the number of case reports counted by date of report. Tables in this report now display cases by date of diagnosis rather than date of report. NCDHHS iii Communicable Disease Branch HIV morbidity data for 2013 was not available until July 1, 2014. This six month delay in the presentation of HIV morbidity data for analysis will be an ongoing issue. Note: Most interstate duplicates are processed by the time data is closed for the calendar year. This process is coordinated by the CDC through the routine interstate duplication review. There was a delay in 2013, and this process was not completed by the time the 2013 data was closed, July 1, 2014. This, in turn, could potentially artificially inflate the HIV case numbers for 2013. North Carolina typically loses 150 to 200 duplicate HIV infection cases per year that were previously diagnosed in other states, to this process. Once the duplicates are removed, the newly diagnosed HIV infection case counts for 2013 should be in line with the overall decreasing trend seen since 2008. HIV risk categories and distribution For Table 14, we have reclassified cases with non-identified risk (NIR) or no risk reported (NRR). Because up to a third of our cases may be missing risk information, reassigning these cases to a risk group allows for a more complete picture of trends over time. Risk redistribution is only done for data at the state level. For more information on the specific methodology used, please see Appendix C of the most recent HIV/STD Epidemiologic Profile located: http://epi.publichealth.nc.gov/cd/stds/figures.html#profile. Chlamydia surveillance data Chlamydia case reports represent persons who have a laboratory-confirmed chlamydial infection. It is important to note that chlamydial infection is often asymptomatic in both males and females, and most cases are detected through screening. Changes in the number of reported cases may be due to changes in screening practices. The disease can cause serious complications in females, such as pelvic inflammatory disease and infertility. A number of screening programs are in place to detect chlamydia infection in young women. There are no comparable screening programs for young men. For this reason, chlamydia case reports are always highly biased with respect to gender. The North Carolina STD Surveillance data system underwent extensive changes in 2008 as North Carolina implemented the North Carolina Electronic Disease Surveillance System (NC EDSS). Reports are summarized by the date received at the HIV/STD Surveillance Unit rather than by date of diagnosis. Reported chlamydia cases have been on the rise over the last five years. Gonorrhea surveillance data Gonorrhea case reports represent persons who have a laboratory-confirmed gonorrhea infection. Gonorrhea is often symptomatic in males and slightly less so in females. Many cases are detected when patients seek medical care. Others are detected through screening but to a far lesser degree than chlamydia cases. Gonorrhea can cause serious complications for females and a number of screening programs exist targeting this population. There is less screening of males because they are more likely to have symptoms that would bring them to the STD clinic; therefore, gender bias in gonorrhea reporting is not likely to be large. Screening programs are focused on female patients and are predominately conducted at public clinics and health NCDHHS iv Communicable Disease Branch departments which can cause the reported cases to be biased toward those attending public clinics. Reports are summarized by the date received at the HIV/STD Surveillance Unit rather than by date of diagnosis. Reported gonorrhea cases have remained consistent the last five years with an increase in 2011. Syphilis surveillance data Syphilis cases are reported by stage of infection, which is determined through a combination of laboratory testing and patient interviews. Primary and secondary syphilis have very specific symptoms associated with them, so misclassification of these stages is highly unlikely. Early latent syphilis is asymptomatic but can be staged with confirmation that the infection is less than a year old. Together these three stages that occur within the first year of infection are called “early syphilis.” This report includes only early syphilis cases, though other later stages are reported to the HIV/STD Surveillance Unit. Because North Carolina performs patient interviews, partner notification, and contact tracing on all early syphilis cases, the quality of the early latent case data is also quite good. Screening programs are more likely to detect asymptomatic cases, which may introduce some bias in the early latent case reports toward screened populations (pregnant women, jail inmates, others). However, thorough contact tracing further aids in case detection and reduces these biases. During the fourth quarter of 2012, the HIV/STD Surveillance Unit converted syphilis surveillance data from the STD*MIS data system to NC EDSS. Due to the conversion to NC EDSS, 2013 syphilis data is inflated by about ten percent. Reports are summarized by the date of diagnosis rather than by date received at the HIV/STD Surveillance Unit. Please note that in previous HIV/STD Surveillance and Quarterly reports, syphilis cases are summarized by date of report, so there will be slight differences in the case numbers when comparing this report with previous reports. For more information For a more detailed discussion of the content, strengths, and weaknesses of STD and HIV surveillance data, please see Appendix B of the most recent HIV/STD Epidemiologic Profile. Recent trend information can also be found on the web site, http://epi.publichealth.nc.gov/cd/stds/figures.html#profile. NCDHHS v Communicable Disease Branch Table of Contents Technical Notes.............................................................................................................................................. i Highlights...................................................................................................................................................... vi Tables........................................................................................................................................................ 1-52 Table 1. N.C. HIV infection (HIV/AIDS) Cases Living as of 12/31/13 (by Residence at Diagnosis)............ 1 Table 2. N.C. HIV infection Cases by County Rank Order (by Year Diagnosed) ........................................ 2 Table 3. N.C. HIV infection Cases by County of First Diagnosis, 2009-2013.............................................. 4 Table 4. N.C. AIDS Cases Living as of 12/31/13 (by Residence at Diagnosis)........................................... 6 Table 5. N.C. AIDS Cases by County Rank Order (by Year Diagnosed) .................................................... 7 Table 6. N.C. AIDS Cases by County of AIDS Diagnosis, 2009-2013 ........................................................ 9 Table 7. N.C. Chlamydia Cases by County of Report, 2009-2013 ............................................................ 11 Table 8. N.C. Gonorrhea Cases by County of Report, 2009-2013............................................................ 13 Table 9. N.C. Primary and Secondary Syphilis Cases by County, by Year of Diagnosis 2009-2013 ....... 15 Table 10. N.C. Early Syphilis Cases by County, by Year of Diagnosis 2009-2013 ................................... 17 Table 11. N.C. Adult/Adolescent HIV infection Cases by Gender and Race/Ethnicity, 2009-2013........... 19 Table 12. N.C. Adult/Adolescent HIV infection Cases by Gender and Age, 2009-2013 ........................... 20 Table 13. N.C. Adult/Adolescent HIV infection Cases by Gender and Mode, 2009-2013......................... 22 Table 14. N.C. Adult/Adolescent HIV infection Cases by Gender and Mode (No NIRs), 2009-2013........ 23 Table 15. N.C. Adult/Adolescent AIDS Cases by Gender and Race/Ethnicity, 2009-2013....................... 24 Table 16. N.C. Adult/Adolescent AIDS Cases by Gender and Age, 2009-2013 ....................................... 25 Table 17. N.C. Chlamydia Cases by Gender and Race/Ethnicity, 2009-2013 .......................................... 27 Table 18. N.C. Chlamydia Cases by Gender and Age, 2009-2013........................................................... 28 Table 19. N.C. Gonorrhea Cases by Gender and Race/Ethnicity, 2009-2013 .......................................... 30 Table 20. N.C. Gonorrhea Cases by Gender and Age, 2009-2013........................................................... 31 Table 21. N.C. Primary and Secondary Syphilis by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013................................................................................................................................. 33 Table 22. N.C. Primary and Secondary Syphilis by Gender and Age, by Year of Diagnosis 2009-2013.. 34 Table 23. N.C. Early Syphilis Cases by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013 ... 36 Table 24. N.C. Early Syphilis Cases by Gender and Age, by Year of Diagnosis 2009-2013.................... 37 Table 25. N.C. Congenital Syphilis Cases by Race/Ethnicity and Year of Birth, 2004-2013..................... 39 Table 26. N.C. Likely Perinatal HIV Cases by Year of Birth, 2004-2013................................................... 39 Table 27. N.C. Regional HIV infection Cases and STD Cases, 2013. ...................................................... 40 Table 28. N.C. Regional Adult/Adolescent HIV infection Cases by Gender and Race/Ethnicity, 2013..... 41 Table 29. N.C. Regional Adult/Adolescent HIV infection Cases by Gender and Age, 2013 ..................... 42 Table 30. N.C. Regional Adult/Adolescent HIV infection Cases by Gender and Mode, 2013................... 44 Table 31. N.C. Regional Chlamydia Cases by Gender and Race/Ethnicity, 2013 .................................... 45 Table 32. N.C. Regional Chlamydia Cases by Gender and Age, 2013..................................................... 46 Table 33. N.C. Regional Gonorrhea Cases by Gender and Race/Ethnicity, 2013 .................................... 48 Table 34. N.C. Regional Gonorrhea Cases by Gender and Age, 2013..................................................... 49 Table 35. N.C. Regional Early Syphilis Cases by Gender and Race/Ethnicity, 2013................................ 49 Table 36. N.C. Regional Early Syphilis Cases by Gender and Age, by Year of Diagnosis 2013.............. 52 Map of North Carolina Geographic Regions ............................................................................................. 54 NCDHHS vi Communicable Disease Branch Highlights HIV Infection • As of December 31, 2013, the estimated number of living HIV infection cases diagnosed and reported in North Carolina was 28,101 (Table 1). • For 2013, 1,525 new diagnoses of HIV infection were reported (Table 3). Please note this number is inflated as the interstate deduplication analysis was delayed and not conducted for 2013 (see technical notes). • In 2012, 1,347 new diagnoses of HIV infection were reported. This is a noteworthy number, as it continues to show a decreasing trend in North Carolina for the number of newly diagnosed HIV infections over the last five years. For North Carolina, we expect the 2013 number of new diagnoses to be closer to that of 2012, after the interstate deduplication analysis is conducted. • The three-year (2011-2013) average rate of diagnosed HIV infection in North Carolina was 15.0 per 100,000 population. The top five counties with highest rates were Mecklenburg (31.0 per 100,000), Edgecombe (31.0 per 100,000), Cumberland (26.0 per 100,000), Durham (25.7 per 100,000), and Guilford County (23.5 per 100,000) (Table 2). • Among the HIV infection cases diagnosed in 2013, African Americans represented 64 percent of all cases with a rate of 55.8 per 100,000 adult/adolescent population. The highest rate (92.3 per 100,000) was among adult/adolescent African American males (Table 11). • For the newly diagnosed adult/adolescent HIV infection cases in 2013, men who have sex with men (MSM) was the principal risk factor indicated in 61 percent of total cases, heterosexual transmission risk was indicated in 33 percent, injection drug use (IDU) was indicated in 4 percent, and MSM/IDU was indicated in 2 percent of total cases (Table 14). Early Syphilis • The number of early syphilis cases diagnosed in North Carolina in 2013 was 677, with a rate of 6.9 per 100,000 population. In 2012, 598 early syphilis cases were diagnosed, with a rate of 6.2 per 100,000 population (Table 10). • The top five counties with the most early syphilis diagnoses in 2013 were Mecklenburg (151), Wake (102), Guilford (51), Forsyth (50), and Cumberland (47) (Table 10). • African American males had the highest rate of early syphilis (37.7 per 100,000), and represented 56 percent of total early syphilis cases in 2013 (Table 23). Chlamydia • The reported number of chlamydia cases in 2013 was 48,417 (Table 7). • Among female chlamydia reports in 2013, the age groups with highest rates were 20-24 year olds (4,560.5 per 100,000), followed by 15-19 year olds (3,871.3 per 100,000) (Table 18). Gonorrhea • The reported number of gonorrhea cases in 2013 was 13,665 (Table 8). • In 2013, African American females and males had the highest gonorrhea rates (356.6 and 333.8 per 100,000 respectively), and represented 30 percent and 25 percent of total cases (Table 19). Table 1. N. C. HIV Infection (HIV/AIDS)* Cases Living as of 12/31/13P by County of Residence at Diagnosis COUNTY HIV INFECTION* ALAMANCE 365 ALEXANDER 36 ALLEGHANY 2 ANSON 63 ASHE 10 AVERY 9 BEAUFORT 112 BERTIE 77 BLADEN 100 BRUNSWICK 165 BUNCOMBE 518 BURKE 73 CABARRUS 267 CALDWELL 49 CAMDEN 15 CARTERET 58 CASWELL 41 CATAWBA 224 CHATHAM 99 CHEROKEE 14 CHOWAN 27 CLAY 8 CLEVELAND 193 COLUMBUS 162 CRAVEN 236 CUMBERLAND 1,339 CURRITUCK 15 DARE 38 DAVIDSON 236 DAVIE 30 DUPLIN 175 DURHAM 1,565 EDGECOMBE 316 FORSYTH 1,385 FRANKLIN 111 GASTON 524 GATES 9 GRAHAM 3 GRANVILLE 164 GREENE 56 GUILFORD 2,111 HALIFAX 164 HARNETT 218 HAYWOOD 55 HENDERSON 82 HERTFORD 88 HOKE 141 HYDE 10 IREDELL 135 JACKSON 35 JOHNSTON 312 JONES 22 LEE 157 LENOIR 259 LINCOLN 62 COUNTY HIV INFECTION* MACON 29 MADISON 13 MARTIN 80 MCDOWELL 32 MECKLENBURG 5,195 MITCHELL 11 MONTGOMERY 38 MOORE 140 NASH 284 NEW HANOVER 586 NORTHAMPTON 68 ONSLOW 243 ORANGE 303 PAMLICO 20 PASQUOTANK 92 PENDER 58 PERQUIMANS 29 PERSON 77 PITT 583 POLK 20 RANDOLPH 156 RICHMOND 117 ROBESON 432 ROCKINGHAM 130 ROWAN 234 RUTHERFORD 52 SAMPSON 153 SCOTLAND 120 STANLY 80 STOKES 34 SURRY 62 SWAIN 17 TRANSYLVANIA 28 TYRRELL 5 UNION 189 VANCE 187 WAKE 2,987 WARREN 40 WASHINGTON 48 WATAUGA 26 WAYNE 310 WILKES 44 WILSON 349 YADKIN 26 YANCEY 12 NC TOTAL** 28,101P * Includes all living cases regardless of status (HIV or AIDS). **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 1 Communicable Disease Branch Table 2. N. C. HIV Infection† Cases by County Rank* Order (by Year Diagnosed)P *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 1 MECKLENBURG 323 270 300 34.2 27.9 31.0 31.0 1 EDGECOMBE 19 14 19 33.9 25.0 34.0 31.0 3 CUMBERLAND 97 69 87 30.0 21.3 26.8 26.0 4 DURHAM 68 71 75 24.8 25.4 26.8 25.7 5 GUILFORD 128 100 123 25.8 20.0 24.6 23.5 6 HALIFAX 13 12 9 23.9 22.2 16.7 20.9 7 WILSON 24 19 8 29.5 23.2 9.8 20.8 8 VANCE 9 10 9 19.9 22.2 19.9 20.7 9 PITT 33 35 38 19.3 20.3 22.0 20.5 10 HOKE 12 8 10 24.2 15.8 19.8 20.0 11 BLADEN 8 2 10 22.9 5.7 28.6 19.1 12 FORSYTH 80 54 69 22.6 15.1 19.3 19.0 13 NORTHAMPTON 4 5 3 18.2 23.3 14.0 18.5 14 ROBESON 29 24 21 21.5 17.7 15.5 18.2 15 WAYNE 23 20 20 18.6 16.1 16.1 16.9 16 WAKE 139 144 186 15.0 15.1 19.5 16.5 17 LENOIR 7 3 19 11.8 5.1 32.1 16.3 18 NASH 13 20 13 13.6 20.9 13.6 16.0 19 GRANVILLE 4 15 9 6.7 24.8 14.9 15.5 20 PERSON 4 6 8 10.1 15.3 20.4 15.3 21 ANSON 4 4 4 15.1 15.2 15.2 15.1 NORTH CAROLINA 1490 1347 1525P 15.4 13.8 15.6P 15.0 22 PASQUOTANK 7 4 7 17.3 9.9 17.2 14.8 22 GASTON 31 30 31 15.0 14.4 14.9 14.8 24 MARTIN 0 4 6 0.0 16.7 25.0 13.9 25 HERTFORD 4 1 5 16.3 4.1 20.5 13.6 26 ALAMANCE 20 17 25 13.1 11.0 16.2 13.5 27 COLUMBUS 11 6 6 19.0 10.4 10.4 13.3 28 BERTIE 3 2 3 14.3 9.7 14.5 12.8 29 BEAUFORT 8 3 6 16.8 6.3 12.6 11.9 30 SWAIN 2 1 2 14.3 7.1 14.1 11.8 31 BUNCOMBE 25 29 31 10.4 11.9 12.7 11.6 32 ORANGE 13 15 17 9.6 10.9 12.3 10.9 32 GREENE 1 3 3 4.6 14.0 14.0 10.9 34 CLEVELAND 12 9 10 12.3 9.2 10.3 10.6 34 DUPLIN 5 5 9 8.4 8.3 15.0 10.6 36 PAMLICO 0 3 1 0.0 22.9 7.6 10.2 36 CRAVEN 11 10 11 10.5 9.5 10.5 10.2 38 LEE 9 4 5 15.4 6.7 8.4 10.1 38 SCOTLAND 3 7 1 8.3 19.4 2.8 10.1 40 CABARRUS 17 15 22 9.4 8.1 11.9 9.8 40 NEW HANOVER 22 25 14 10.7 11.9 6.7 9.8 42 JONES 1 1 1 9.8 9.7 9.7 9.7 43 SAMPSON 6 7 5 9.4 10.9 7.8 9.4 44 FRANKLIN 5 4 8 8.2 6.5 13.0 9.2 45 HARNETT 10 11 12 8.4 9.0 9.8 9.1 46 MOORE 9 8 7 10.1 8.9 7.8 8.9 47 CASWELL 1 2 3 4.2 8.6 12.9 8.6 47 RICHMOND 8 3 1 17.1 6.4 2.1 8.6 49 ONSLOW 11 19 16 6.2 10.4 8.7 8.4 50 BRUNSWICK 5 13 10 4.5 11.6 8.9 8.3 51 STANLY 5 5 4 8.3 8.3 6.6 7.7 52 JOHNSTON 10 11 18 5.8 6.3 10.3 7.5 53 CATAWBA 9 15 10 5.8 9.7 6.5 7.3 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 2 Communicable Disease Branch Table 2. N. C. HIV Infection† Cases by County Rank* Order (by Year Diagnosed)P (Cont) *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 54 MONTGOMERY 2 1 3 7.2 3.6 10.8 7.2 55 DAVIDSON 11 10 14 6.7 6.1 8.6 7.1 56 CHOWAN 0 1 2 0.0 6.8 13.5 6.8 56 ROWAN 11 10 7 8.0 7.2 5.1 6.8 58 ROCKINGHAM 11 5 2 11.8 5.4 2.2 6.5 59 UNION 13 11 15 6.3 5.3 7.2 6.3 60 LINCOLN 3 6 5 3.8 7.6 6.3 5.9 61 CHATHAM 3 3 5 4.6 4.5 7.6 5.6 61 PENDER 4 2 3 7.5 3.7 5.5 5.6 63 WILKES 2 5 4 2.9 7.2 5.8 5.3 64 MCDOWELL 2 0 5 4.4 0.0 11.1 5.2 65 TRANSYLVANIA 3 1 1 9.1 3.0 3.0 5.1 66 SURRY 0 4 7 0.0 5.4 9.5 5.0 67 CARTERET 2 4 4 3.0 5.9 5.9 4.9 67 IREDELL 5 8 11 3.1 4.9 6.8 4.9 67 WARREN 0 3 0 0.0 14.6 0.0 4.9 70 DARE 0 1 4 0.0 2.9 11.6 4.8 71 RANDOLPH 8 7 5 5.6 4.9 3.5 4.7 72 JACKSON 1 2 2 2.5 4.9 4.9 4.1 73 RUTHERFORD 6 1 1 8.9 1.5 1.5 4.0 74 GRAHAM 0 0 1 0.0 0.0 11.5 3.8 75 CALDWELL 1 6 2 1.2 7.3 2.4 3.7 76 ALEXANDER 3 0 1 8.1 0.0 2.7 3.6 77 CAMDEN 1 0 0 9.9 0.0 0.0 3.3 77 POLK 1 1 0 4.9 4.9 0.0 3.3 79 STOKES 0 1 3 0.0 2.1 6.4 2.9 80 GATES 0 0 1 0.0 0.0 8.4 2.8 80 CURRITUCK 1 0 1 4.2 0.0 4.2 2.8 82 YADKIN 1 1 1 2.6 2.6 2.6 2.6 82 WASHINGTON 0 1 0 0.0 7.9 0.0 2.6 82 BURKE 1 3 3 1.1 3.3 3.3 2.6 82 WATAUGA 1 1 2 1.9 1.9 3.9 2.6 86 ASHE 1 1 0 3.7 3.7 0.0 2.5 87 DAVIE 1 2 0 2.4 4.8 0.0 2.4 88 HAYWOOD 2 0 2 3.4 0.0 3.4 2.3 89 HENDERSON 1 4 2 0.9 3.7 1.8 2.2 90 MACON 0 0 2 0.0 0.0 5.9 2.0 91 YANCEY 1 0 0 5.6 0.0 0.0 1.9 92 CHEROKEE 0 0 1 0.0 0.0 3.7 1.2 93 ALLEGHANY 0 0 0 0.0 0.0 0.0 0.0 93 AVERY 0 0 0 0.0 0.0 0.0 0.0 93 CLAY 0 0 0 0.0 0.0 0.0 0.0 93 HYDE 0 0 0 0.0 0.0 0.0 0.0 93 MADISON 0 0 0 0.0 0.0 0.0 0.0 93 MITCHELL 0 0 0 0.0 0.0 0.0 0.0 93 PERQUIMANS 0 0 0 0.0 0.0 0.0 0.0 93 TYRRELL 0 0 0 0.0 0.0 0.0 0.0 †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *Three-year average of rates per 100,000 population. **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 3 Communicable Disease Branch Table 3. N. C. HIV Infection† Cases by County of First Diagnosis, 2009-2013P COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 16 21 20 17 25 10.6 13.9 13.1 11.0 16.2 ALEXANDER 2 1 3 0 1 5.4 2.7 8.1 0.0 2.7 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 3 3 4 4 4 12.0 11.1 15.1 15.2 15.2 ASHE 0 1 1 1 0 0.0 3.7 3.7 3.7 0.0 AVERY 2 0 0 0 0 11.2 0.0 0.0 0.0 0.0 BEAUFORT 5 4 8 3 6 10.8 8.4 16.8 6.3 12.6 BERTIE 3 7 3 2 3 15.5 32.9 14.3 9.7 14.5 BLADEN 6 7 8 2 10 18.6 19.9 22.9 5.7 28.6 BRUNSWICK 10 8 5 13 10 9.3 7.4 4.5 11.6 8.9 BUNCOMBE 19 13 25 29 31 8.2 5.4 10.4 11.9 12.7 BURKE 4 2 1 3 3 4.5 2.2 1.1 3.3 3.3 CABARRUS 20 9 17 15 22 11.6 5.0 9.4 8.1 11.9 CALDWELL 2 2 1 6 2 2.5 2.4 1.2 7.3 2.4 CAMDEN 2 1 1 0 0 20.6 10.0 9.9 0.0 0.0 CARTERET 4 2 2 4 4 6.2 3.0 3.0 5.9 5.9 CASWELL 4 3 1 2 3 17.4 12.6 4.2 8.6 12.9 CATAWBA 15 13 9 15 10 9.4 8.4 5.8 9.7 6.5 CHATHAM 5 5 3 3 5 7.7 7.8 4.6 4.5 7.6 CHEROKEE 1 0 0 0 1 3.8 0.0 0.0 0.0 3.7 CHOWAN 0 1 0 1 2 0.0 6.8 0.0 6.8 13.5 CLAY 1 2 0 0 0 9.7 18.9 0.0 0.0 0.0 CLEVELAND 13 12 12 9 10 13.1 12.2 12.3 9.2 10.3 COLUMBUS 9 13 11 6 6 16.6 22.4 19.0 10.4 10.4 CRAVEN 11 10 11 10 11 11.2 9.6 10.5 9.5 10.5 CUMBERLAND 83 80 97 69 87 26.3 25.0 30.0 21.3 26.8 CURRITUCK 1 1 1 0 1 4.1 4.2 4.2 0.0 4.2 DARE 1 2 0 1 4 2.9 5.9 0.0 2.9 11.6 DAVIDSON 12 10 11 10 14 7.6 6.1 6.7 6.1 8.6 DAVIE 0 2 1 2 0 0.0 4.8 2.4 4.8 0.0 DUPLIN 11 11 5 5 9 20.7 18.7 8.4 8.3 15.0 DURHAM 82 86 68 71 75 30.4 32.0 24.8 25.4 26.8 EDGECOMBE 25 21 19 14 19 48.2 37.1 33.9 25.0 34.0 FORSYTH 89 59 80 54 69 24.7 16.8 22.6 15.1 19.3 FRANKLIN 9 5 5 4 8 15.0 8.2 8.2 6.5 13.0 GASTON 39 30 31 30 31 18.7 14.5 15.0 14.4 14.9 GATES 1 1 0 0 1 8.5 8.2 0.0 0.0 8.4 GRAHAM 0 0 0 0 1 0.0 0.0 0.0 0.0 11.5 GRANVILLE 11 10 4 15 9 19.1 16.7 6.7 24.8 14.9 GREENE 2 2 1 3 3 9.7 9.3 4.6 14.0 14.0 GUILFORD 129 113 128 100 123 26.9 23.1 25.8 20.0 24.6 HALIFAX 6 4 13 12 9 11.0 7.3 23.9 22.2 16.7 HARNETT 22 14 10 11 12 19.0 12.1 8.4 9.0 9.8 HAYWOOD 5 1 2 0 2 8.8 1.7 3.4 0.0 3.4 HENDERSON 4 7 1 4 2 3.9 6.5 0.9 3.7 1.8 HERTFORD 2 5 4 1 5 8.6 20.3 16.3 4.1 20.5 HOKE 11 11 12 8 10 24.4 23.2 24.2 15.8 19.8 HYDE 0 3 0 0 0 0.0 51.6 0.0 0.0 0.0 IREDELL 7 12 5 8 11 4.4 7.5 3.1 4.9 6.8 JACKSON 0 4 1 2 2 0.0 9.9 2.5 4.9 4.9 JOHNSTON 10 10 10 11 18 5.9 5.9 5.8 6.3 10.3 JONES 2 2 1 1 1 19.9 19.7 9.8 9.7 9.7 LEE 2 14 9 4 5 3.3 24.2 15.4 6.7 8.4 LENOIR 9 10 7 3 19 16.0 16.8 11.8 5.1 32.1 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 4 Communicable Disease Branch Table 3. N. C. HIV Infection† Cases by County of First Diagnosis, 2009-2013P (Cont) COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LINCOLN 3 5 3 6 5 3.9 6.4 3.8 7.6 6.3 MACON 4 1 0 0 2 12.0 2.9 0.0 0.0 5.9 MADISON 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 MARTIN 0 1 0 4 6 0.0 4.1 0.0 16.7 25.0 MCDOWELL 2 2 2 0 5 4.5 4.4 4.4 0.0 11.1 MECKLENBURG 339 312 323 270 300 37.1 33.8 34.2 27.9 31.0 MITCHELL 3 0 0 0 0 19.2 0.0 0.0 0.0 0.0 MONTGOMERY 1 2 2 1 3 3.6 7.2 7.2 3.6 10.8 MOORE 7 3 9 8 7 8.0 3.4 10.1 8.9 7.8 NASH 16 17 13 20 13 16.9 17.7 13.6 20.9 13.6 NEW HANOVER 29 17 22 25 14 14.9 8.4 10.7 11.9 6.7 NORTHAMPTON 6 2 4 5 3 29.8 9.1 18.2 23.3 14.0 ONSLOW 11 14 11 19 16 6.4 7.8 6.2 10.4 8.7 ORANGE 13 8 13 15 17 10.1 6.0 9.6 10.9 12.3 PAMLICO 1 1 0 3 1 8.1 7.6 0.0 22.9 7.6 PASQUOTANK 3 4 7 4 7 7.2 9.8 17.3 9.9 17.2 PENDER 2 2 4 2 3 3.8 3.8 7.5 3.7 5.5 PERQUIMANS 2 1 0 0 0 15.7 7.4 0.0 0.0 0.0 PERSON 4 3 4 6 8 10.6 7.6 10.1 15.3 20.4 PITT 31 29 33 35 38 19.5 17.2 19.3 20.3 22.0 POLK 0 1 1 1 0 0.0 4.9 4.9 4.9 0.0 RANDOLPH 10 6 8 7 5 7.0 4.2 5.6 4.9 3.5 RICHMOND 6 7 8 3 1 13.1 15.0 17.1 6.4 2.1 ROBESON 26 14 29 24 21 20.1 10.4 21.5 17.7 15.5 ROCKINGHAM 6 3 11 5 2 6.5 3.2 11.8 5.4 2.2 ROWAN 14 15 11 10 7 9.9 10.8 8.0 7.2 5.1 RUTHERFORD 2 3 6 1 1 3.2 4.4 8.9 1.5 1.5 SAMPSON 9 13 6 7 5 14.1 20.5 9.4 10.9 7.8 SCOTLAND 4 5 3 7 1 11.0 13.9 8.3 19.4 2.8 STANLY 5 4 5 5 4 8.4 6.6 8.3 8.3 6.6 STOKES 0 2 0 1 3 0.0 4.2 0.0 2.1 6.4 SURRY 6 2 0 4 7 8.3 2.7 0.0 5.4 9.5 SWAIN 0 0 2 1 2 0.0 0.0 14.3 7.1 14.1 TRANSYLVANIA 3 2 3 1 1 9.9 6.0 9.1 3.0 3.0 TYRRELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 UNION 18 12 13 11 15 9.1 5.9 6.3 5.3 7.2 VANCE 6 11 9 10 9 13.9 24.2 19.9 22.2 19.9 WAKE 185 168 139 144 186 20.6 18.5 15.0 15.1 19.5 WARREN 2 5 0 3 0 10.3 23.9 0.0 14.6 0.0 WASHINGTON 2 0 0 1 0 15.6 0.0 0.0 7.9 0.0 WATAUGA 2 1 1 1 2 4.4 2.0 1.9 1.9 3.9 WAYNE 16 14 23 20 20 14.1 11.4 18.6 16.1 16.1 WILKES 0 3 2 5 4 0.0 4.3 2.9 7.2 5.8 WILSON 33 18 24 19 8 42.1 22.1 29.5 23.2 9.8 YADKIN 0 1 1 1 1 0.0 2.6 2.6 2.6 2.6 YANCEY 2 0 1 0 0 10.8 0.0 5.6 0.0 0.0 Unassigned** 80 59 62 44 53 --- --- --- --- --- NC TOTAL 1,646 1,463 1,490 1,347 1,525P 17.5 15.3 15.4 13.8 15.6P †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *Rate per 100,000 population. **Unassigned includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 5 Communicable Disease Branch Table 4. N. C. AIDS* Cases Living as of 12/31/13P by County of Residence at Diagnosis COUNTY AIDS ALAMANCE 129 ALEXANDER 18 ALLEGHANY 0 ANSON 32 ASHE 0 AVERY 6 BEAUFORT 53 BERTIE 44 BLADEN 52 BRUNSWICK 84 BUNCOMBE 238 BURKE 32 CABARRUS 92 CALDWELL 28 CAMDEN 9 CARTERET 31 CASWELL 13 CATAWBA 116 CHATHAM 36 CHEROKEE 5 CHOWAN 14 CLAY 3 CLEVELAND 87 COLUMBUS 76 CRAVEN 108 CUMBERLAND 473 CURRITUCK 9 DARE 21 DAVIDSON 84 DAVIE 16 DUPLIN 92 DURHAM 534 EDGECOMBE 160 FORSYTH 499 FRANKLIN 55 GASTON 214 GATES 1 GRAHAM 3 GRANVILLE 64 GREENE 32 GUILFORD 705 HALIFAX 81 HARNETT 104 HAYWOOD 33 HENDERSON 53 HERTFORD 61 HOKE 63 HYDE 7 IREDELL 56 JACKSON 18 JOHNSTON 155 JONES 14 LEE 46 LENOIR 135 LINCOLN 27 COUNTY AIDS MACON 15 MADISON 7 MARTIN 38 MCDOWELL 15 MECKLENBURG 2,004 MITCHELL 8 MONTGOMERY 21 MOORE 67 NASH 129 NEW HANOVER 241 NORTHAMPTON 38 ONSLOW 103 ORANGE 93 PAMLICO 7 PASQUOTANK 42 PENDER 31 PERQUIMANS 15 PERSON 23 PITT 303 POLK 13 RANDOLPH 65 RICHMOND 51 ROBESON 215 ROCKINGHAM 45 ROWAN 92 RUTHERFORD 28 SAMPSON 74 SCOTLAND 48 STANLY 33 STOKES 13 SURRY 21 SWAIN 10 TRANSYLVANIA 8 TYRRELL 2 UNION 92 VANCE 85 WAKE 1,351 WARREN 11 WASHINGTON 30 WATAUGA 11 WAYNE 152 WILKES 16 WILSON 169 YADKIN 15 YANCEY 7 NC TOTAL** 11,829P * Includes all living AIDS cases. **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 6 Communicable Disease Branch Table 5. N. C. AIDS Cases by County Rank* Order (by Year Diagnosed)P *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 1 EDGECOMBE 17 12 10 30.3 21.4 17.9 23.2 2 MECKLENBURG 134 212 259 14.2 21.9 26.7 20.9 3 JONES 1 1 3 9.8 9.7 29.2 16.2 4 WASHINGTON 2 3 1 15.4 23.6 7.9 15.6 5 NORTHAMPTON 3 3 3 13.6 14.0 14.0 13.9 6 LENOIR 2 8 14 3.4 13.5 23.6 13.5 7 PITT 21 26 22 12.3 15.1 12.7 13.4 8 BLADEN 8 1 5 22.9 2.9 14.3 13.3 9 WILSON 10 12 9 12.3 14.7 11.0 12.6 9 ROBESON 17 21 13 12.6 15.5 9.6 12.6 9 VANCE 3 7 7 6.6 15.5 15.5 12.6 12 HALIFAX 9 8 3 16.6 14.8 5.6 12.3 12 HERTFORD 4 3 2 16.3 12.3 8.2 12.3 14 COLUMBUS 6 8 7 10.4 13.9 12.1 12.1 15 CUMBERLAND 48 32 36 14.8 9.9 11.1 11.9 16 BERTIE 5 1 1 23.9 4.8 4.8 11.2 17 WAYNE 17 11 13 13.7 8.9 10.5 11.0 18 RICHMOND 8 5 2 17.1 10.7 4.3 10.7 19 HOKE 7 5 4 14.1 9.9 7.9 10.6 20 GASTON 33 16 16 15.9 7.7 7.7 10.4 21 NASH 7 11 11 7.3 11.5 11.5 10.1 22 BUNCOMBE 21 22 26 8.7 9.0 10.6 9.4 22 GRANVILLE 2 7 8 3.3 11.6 13.2 9.4 24 FORSYTH 40 26 34 11.3 7.3 9.5 9.3 25 CLEVELAND 9 6 12 9.2 6.2 12.3 9.2 26 GUILFORD 51 38 45 10.3 7.6 9.0 9.0 27 MOORE 10 8 6 11.2 8.9 6.6 8.9 NORTH CAROLINA 815 789 894P 8.4 8.1 9.2P 8.6 28 BEAUFORT 6 2 4 12.6 4.2 8.4 8.4 28 DUPLIN 6 2 7 10.1 3.3 11.7 8.4 30 MARTIN 1 2 3 4.1 8.3 12.5 8.3 30 SCOTLAND 4 4 1 11.0 11.1 2.8 8.3 30 STANLY 2 2 11 3.3 3.3 18.2 8.3 33 DURHAM 23 25 19 8.4 8.9 6.8 8.0 34 WAKE 76 69 77 8.2 7.2 8.1 7.8 35 TYRRELL 0 1 0 0.0 23.1 0.0 7.7 36 HARNETT 10 7 6 8.4 5.7 4.9 6.3 36 SAMPSON 6 3 3 9.4 4.7 4.7 6.3 36 CLAY 2 0 0 18.8 0.0 0.0 6.3 39 UNION 15 7 14 7.3 3.4 6.7 5.8 39 PASQUOTANK 3 2 2 7.4 4.9 4.9 5.8 41 ALAMANCE 8 5 13 5.2 3.2 8.4 5.6 42 JOHNSTON 12 12 4 6.9 6.9 2.3 5.4 43 NEW HANOVER 12 10 10 5.8 4.8 4.8 5.1 43 TRANSYLVANIA 3 0 2 9.1 0.0 6.1 5.1 43 PAMLICO 1 0 1 7.5 0.0 7.6 5.1 43 ANSON 1 2 1 3.8 7.6 3.8 5.1 47 ROCKINGHAM 9 3 2 9.7 3.2 2.2 5.0 48 POLK 1 1 1 4.9 4.9 4.9 4.9 49 MADISON 2 1 0 9.6 4.8 0.0 4.8 49 MONTGOMERY 2 0 2 7.2 0.0 7.2 4.8 51 SWAIN 0 0 2 0.0 0.0 14.1 4.7 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 7 Communicable Disease Branch Table 5. N. C. AIDS Cases by County Rank* Order (by Year Diagnosed)P (Cont) *Rank based on three-year average rate Rank COUNTY 2011 CASES 2012 CASES 2013 CASES 2011 RATE 2012 RATE 2013 RATE AVG RATE* 51 GREENE 0 1 2 0.0 4.7 9.3 4.7 53 ONSLOW 9 8 8 5.1 4.4 4.4 4.6 54 LEE 1 2 5 1.7 3.3 8.4 4.5 55 FRANKLIN 5 1 2 8.2 1.6 3.3 4.4 56 MITCHELL 1 0 1 6.5 0.0 6.5 4.3 57 CABARRUS 5 7 11 2.8 3.8 6.0 4.2 58 DAVIE 2 2 1 4.8 4.8 2.4 4.0 58 RANDOLPH 6 6 5 4.2 4.2 3.5 4.0 58 RUTHERFORD 5 2 1 7.4 3.0 1.5 4.0 61 CARTERET 3 2 3 4.5 3.0 4.4 3.9 61 BRUNSWICK 6 3 4 5.4 2.7 3.6 3.9 61 DARE 2 0 2 5.8 0.0 5.8 3.9 64 GRAHAM 0 0 1 0.0 0.0 11.5 3.8 65 ROWAN 3 7 4 2.2 5.1 2.9 3.4 66 CAMDEN 1 0 0 9.9 0.0 0.0 3.3 66 JACKSON 2 2 0 5.0 4.9 0.0 3.3 66 DAVIDSON 5 8 3 3.1 4.9 1.8 3.3 69 WARREN 1 0 1 4.8 0.0 4.9 3.2 70 PENDER 3 1 1 5.6 1.8 1.8 3.1 70 CHATHAM 4 1 1 6.1 1.5 1.5 3.1 72 MACON 1 0 2 3.0 0.0 5.9 3.0 73 LINCOLN 1 3 3 1.3 3.8 3.8 2.9 73 ORANGE 3 2 7 2.2 1.4 5.1 2.9 73 CASWELL 1 0 1 4.2 0.0 4.3 2.9 76 HAYWOOD 3 1 1 5.1 1.7 1.7 2.8 76 CATAWBA 2 10 1 1.3 6.5 0.6 2.8 78 IREDELL 1 8 4 0.6 4.9 2.5 2.7 79 CRAVEN 3 2 3 2.9 1.9 2.9 2.5 79 PERSON 1 1 1 2.5 2.5 2.5 2.5 79 PERQUIMANS 0 0 1 0.0 0.0 7.4 2.5 82 CHOWAN 0 0 1 0.0 0.0 6.8 2.3 83 MCDOWELL 1 1 1 2.2 2.2 2.2 2.2 84 AVERY 0 0 1 0.0 0.0 5.7 1.9 85 SURRY 0 2 2 0.0 2.7 2.7 1.8 85 ALEXANDER 0 2 0 0.0 5.4 0.0 1.8 87 CALDWELL 1 2 1 1.2 2.4 1.2 1.6 88 HENDERSON 3 1 1 2.8 0.9 0.9 1.5 88 BURKE 1 1 2 1.1 1.1 2.2 1.5 90 WILKES 1 1 1 1.4 1.4 1.4 1.4 91 YADKIN 1 0 0 2.6 0.0 0.0 0.9 92 STOKES 0 0 1 0.0 0.0 2.1 0.7 93 WATAUGA 0 0 1 0.0 0.0 1.9 0.6 94 ALLEGHANY 0 0 0 0.0 0.0 0.0 0.0 94 ASHE 0 0 0 0.0 0.0 0.0 0.0 94 CHEROKEE 0 0 0 0.0 0.0 0.0 0.0 94 CURRITUCK 0 0 0 0.0 0.0 0.0 0.0 94 GATES 0 0 0 0.0 0.0 0.0 0.0 94 HYDE 0 0 0 0.0 0.0 0.0 0.0 94 YANCEY 0 0 0 0.0 0.0 0.0 0.0 *Three-year average of rates per 100,000 population. **Total includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 8 Communicable Disease Branch Table 6. N. C. AIDS Cases by County of AIDS Diagnosis, 2009-2013P COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 12 13 8 5 13 8.0 8.6 5.2 3.2 8.4 ALEXANDER 2 2 0 2 0 5.4 5.4 0.0 5.4 0.0 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 0 2 1 2 1 0.0 7.4 3.8 7.6 3.8 ASHE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 AVERY 1 1 0 0 1 5.6 5.6 0.0 0.0 5.7 BEAUFORT 6 1 6 2 4 12.9 2.1 12.6 4.2 8.4 BERTIE 3 1 5 1 1 15.5 4.7 23.9 4.8 4.8 BLADEN 1 7 8 1 5 3.1 19.9 22.9 2.9 14.3 BRUNSWICK 6 6 6 3 4 5.6 5.6 5.4 2.7 3.6 BUNCOMBE 3 10 21 22 26 1.3 4.2 8.7 9.0 10.6 BURKE 4 2 1 1 2 4.5 2.2 1.1 1.1 2.2 CABARRUS 4 5 5 7 11 2.3 2.8 2.8 3.8 6.0 CALDWELL 1 2 1 2 1 1.3 2.4 1.2 2.4 1.2 CAMDEN 1 1 1 0 0 10.3 10.0 9.9 0.0 0.0 CARTERET 2 3 3 2 3 3.1 4.5 4.5 3.0 4.4 CASWELL 1 1 1 0 1 4.3 4.2 4.2 0.0 4.3 CATAWBA 14 7 2 10 1 8.8 4.5 1.3 6.5 0.6 CHATHAM 1 4 4 1 1 1.5 6.3 6.1 1.5 1.5 CHEROKEE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 CHOWAN 1 0 0 0 1 6.8 0.0 0.0 0.0 6.8 CLAY 0 1 2 0 0 0.0 9.5 18.8 0.0 0.0 CLEVELAND 8 5 9 6 12 8.1 5.1 9.2 6.2 12.3 COLUMBUS 6 8 6 8 7 11.1 13.8 10.4 13.9 12.1 CRAVEN 15 8 3 2 3 15.2 7.7 2.9 1.9 2.9 CUMBERLAND 44 37 48 32 36 14.0 11.6 14.8 9.9 11.1 CURRITUCK 2 2 0 0 0 8.3 8.5 0.0 0.0 0.0 DARE 2 1 2 0 2 5.8 2.9 5.8 0.0 5.8 DAVIDSON 9 2 5 8 3 5.7 1.2 3.1 4.9 1.8 DAVIE 0 3 2 2 1 0.0 7.3 4.8 4.8 2.4 DUPLIN 5 5 6 2 7 9.4 8.5 10.1 3.3 11.7 DURHAM 33 36 23 25 19 12.2 13.4 8.4 8.9 6.8 EDGECOMBE 18 12 17 12 10 34.7 21.2 30.3 21.4 17.9 FORSYTH 48 26 40 26 34 13.3 7.4 11.3 7.3 9.5 FRANKLIN 5 8 5 1 2 8.3 13.2 8.2 1.6 3.3 GASTON 21 23 33 16 16 10.0 11.2 15.9 7.7 7.7 GATES 2 0 0 0 0 17.0 0.0 0.0 0.0 0.0 GRAHAM 0 0 0 0 1 0.0 0.0 0.0 0.0 11.5 GRANVILLE 6 6 2 7 8 10.4 10.0 3.3 11.6 13.2 GREENE 2 4 0 1 2 9.7 18.7 0.0 4.7 9.3 GUILFORD 61 48 51 38 45 12.7 9.8 10.3 7.6 9.0 HALIFAX 9 3 9 8 3 16.5 5.5 16.6 14.8 5.6 HARNETT 12 11 10 7 6 10.4 9.5 8.4 5.7 4.9 HAYWOOD 3 1 3 1 1 5.3 1.7 5.1 1.7 1.7 HENDERSON 4 4 3 1 1 3.9 3.7 2.8 0.9 0.9 HERTFORD 4 1 4 3 2 17.2 4.1 16.3 12.3 8.2 HOKE 4 7 7 5 4 8.9 14.7 14.1 9.9 7.9 HYDE 0 1 0 0 0 0.0 17.2 0.0 0.0 0.0 IREDELL 5 3 1 8 4 3.2 1.9 0.6 4.9 2.5 JACKSON 1 1 2 2 0 2.7 2.5 5.0 4.9 0.0 JOHNSTON 9 12 12 12 4 5.3 7.1 6.9 6.9 2.3 JONES 3 3 1 1 3 29.8 29.5 9.8 9.7 29.2 LEE 8 6 1 2 5 13.2 10.4 1.7 3.3 8.4 LENOIR 15 11 2 8 14 26.6 18.5 3.4 13.5 23.6 Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 9 Communicable Disease Branch Table 6. N. C. AIDS Cases by County of AIDS Diagnosis, 2009-2013P (Cont) COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LINCOLN 0 5 1 3 3 0.0 6.4 1.3 3.8 3.8 MACON 2 1 1 0 2 6.0 2.9 3.0 0.0 5.9 MADISON 0 0 2 1 0 0.0 0.0 9.6 4.8 0.0 MARTIN 6 1 1 2 3 25.7 4.1 4.1 8.3 12.5 MCDOWELL 1 0 1 1 1 2.3 0.0 2.2 2.2 2.2 MECKLENBURG 174 128 134 212 259 19.0 13.9 14.2 21.9 26.7 MITCHELL 2 0 1 0 1 12.8 0.0 6.5 0.0 6.5 MONTGOMERY 1 2 2 0 2 3.6 7.2 7.2 0.0 7.2 MOORE 3 4 10 8 6 3.4 4.5 11.2 8.9 6.6 NASH 13 14 7 11 11 13.7 14.6 7.3 11.5 11.5 NEW HANOVER 11 8 12 10 10 5.6 3.9 5.8 4.8 4.8 NORTHAMPTON 5 2 3 3 3 24.8 9.1 13.6 14.0 14.0 ONSLOW 5 10 9 8 8 2.9 5.6 5.1 4.4 4.4 ORANGE 2 2 3 2 7 1.5 1.5 2.2 1.4 5.1 PAMLICO 1 0 1 0 1 8.1 0.0 7.5 0.0 7.6 PASQUOTANK 3 6 3 2 2 7.2 14.7 7.4 4.9 4.9 PENDER 3 0 3 1 1 5.7 0.0 5.6 1.8 1.8 PERQUIMANS 2 1 0 0 1 15.7 7.4 0.0 0.0 7.4 PERSON 4 5 1 1 1 10.6 12.7 2.5 2.5 2.5 PITT 24 25 21 26 22 15.1 14.8 12.3 15.1 12.7 POLK 1 0 1 1 1 5.2 0.0 4.9 4.9 4.9 RANDOLPH 4 8 6 6 5 2.8 5.6 4.2 4.2 3.5 RICHMOND 4 4 8 5 2 8.7 8.6 17.1 10.7 4.3 ROBESON 11 19 17 21 13 8.5 14.1 12.6 15.5 9.6 ROCKINGHAM 1 0 9 3 2 1.1 0.0 9.7 3.2 2.2 ROWAN 6 6 3 7 4 4.3 4.3 2.2 5.1 2.9 RUTHERFORD 0 1 5 2 1 0.0 1.5 7.4 3.0 1.5 SAMPSON 8 4 6 3 3 12.6 6.3 9.4 4.7 4.7 SCOTLAND 2 4 4 4 1 5.5 11.1 11.0 11.1 2.8 STANLY 2 1 2 2 11 3.3 1.7 3.3 3.3 18.2 STOKES 1 2 0 0 1 2.2 4.2 0.0 0.0 2.1 SURRY 1 1 0 2 2 1.4 1.4 0.0 2.7 2.7 SWAIN 0 0 0 0 2 0.0 0.0 0.0 0.0 14.1 TRANSYLVANIA 1 0 3 0 2 3.3 0.0 9.1 0.0 6.1 TYRRELL 0 0 0 1 0 0.0 0.0 0.0 23.1 0.0 UNION 8 5 15 7 14 4.0 2.5 7.3 3.4 6.7 VANCE 3 5 3 7 7 7.0 11.0 6.6 15.5 15.5 WAKE 110 83 76 69 77 12.3 9.2 8.2 7.2 8.1 WARREN 0 2 1 0 1 0.0 9.5 4.8 0.0 4.9 WASHINGTON 1 2 2 3 1 7.8 15.2 15.4 23.6 7.9 WATAUGA 3 0 0 0 1 6.6 0.0 0.0 0.0 1.9 WAYNE 9 9 17 11 13 7.9 7.3 13.7 8.9 10.5 WILKES 0 2 1 1 1 0.0 2.9 1.4 1.4 1.4 WILSON 20 8 10 12 9 25.5 9.8 12.3 14.7 11.0 YADKIN 0 1 1 0 0 0.0 2.6 2.6 0.0 0.0 YANCEY 2 0 0 0 0 10.8 0.0 0.0 0.0 0.0 Unassigned** 68 49 27 26 45 --- --- --- --- --- NC TOTAL 955 797 815 789 894P 10.2 8.3 8.4 8.1 9.2P *Rate per 100,000 population. **Unassigned includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 10 Communicable Disease Branch Table 7. N. C. Chlamydia Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 555 629 695 725 513 369.1 415.1 454.8 471.0 333.3 ALEXANDER 91 67 76 76 73 247.4 180.0 204.9 206.2 198.1 ALLEGHANY 11 6 22 17 23 100.3 53.8 199.8 155.6 210.5 ANSON 215 168 189 183 134 858.1 624.2 712.9 694.5 508.5 ASHE 24 21 28 22 11 93.0 76.9 103.2 81.2 40.6 AVERY 15 29 9 10 12 83.6 163.4 50.7 56.7 68.0 BEAUFORT 224 209 219 326 261 482.6 437.4 459.6 686.2 549.4 BERTIE 137 158 175 148 110 708.2 742.8 835.2 716.6 532.6 BLADEN 213 195 190 181 211 658.6 553.8 543.0 518.4 604.3 BRUNSWICK 239 242 368 281 252 223.2 223.9 333.7 250.3 224.5 BUNCOMBE 653 714 755 769 897 282.1 298.9 312.6 314.5 366.9 BURKE 274 251 209 225 226 306.0 276.6 230.0 248.6 249.7 CABARRUS 681 585 706 722 666 395.4 327.6 389.9 391.3 361.0 CALDWELL 177 167 266 195 177 221.5 201.2 323.4 238.0 216.0 CAMDEN 13 9 14 16 39 133.6 90.0 139.3 158.6 386.5 CARTERET 247 206 195 214 182 383.4 308.8 289.5 316.4 269.1 CASWELL 88 86 74 81 65 382.5 362.6 314.2 348.9 280.0 CATAWBA 535 581 564 557 542 336.2 376.4 366.3 360.9 351.2 CHATHAM 144 141 147 142 169 222.3 221.0 225.2 215.2 256.2 CHEROKEE 22 35 34 39 29 83.6 127.6 125.2 144.5 107.4 CHOWAN 100 85 69 85 60 676.4 575.8 464.6 575.4 406.2 CLAY 8 5 7 14 12 77.4 47.3 65.7 131.9 113.0 CLEVELAND 402 407 495 498 374 404.9 415.2 507.3 510.9 383.7 COLUMBUS 264 192 375 257 226 486.9 331.2 648.4 445.9 392.1 CRAVEN 602 574 791 535 552 611.0 552.3 756.8 510.6 526.9 CUMBERLAND 2,802 1,730 3,593 3,589 3,610 888.9 540.3 1111. 1107. 1114.0 CURRITUCK 42 39 66 51 70 173.4 164.9 275.6 211.8 290.7 DARE 72 82 92 90 104 209.9 241.1 268.4 260.3 300.8 DAVIDSON 449 442 519 488 544 283.1 271.4 318.3 298.9 333.2 DAVIE 103 62 75 83 109 248.7 150.0 181.2 200.3 263.1 DUPLIN 210 204 246 208 207 394.9 347.3 412.8 346.5 344.8 DURHAM 1,471 1,642 1,923 2,329 2,002 545.4 611.7 702.7 832.9 715.9 EDGECOMBE 621 646 661 645 541 1197. 1142. 1178. 1152. 966.9 FORSYTH 3,048 2,503 2,688 2,704 2,508 847.5 712.3 758.3 755.0 700.3 FRANKLIN 170 126 178 250 206 282.9 207.1 290.9 406.7 335.1 GASTON 773 880 1,435 892 1,258 369.9 426.8 693.5 428.7 604.7 GATES 35 46 55 49 46 297.4 377.3 455.6 412.8 387.6 GRAHAM 9 7 11 20 11 112.5 78.8 125.4 229.9 126.4 GRANVILLE 224 216 234 289 251 388.6 359.6 389.3 478.2 415.3 GREENE 118 92 122 104 84 571.2 430.0 563.4 485.3 392.0 GUILFORD 2,994 2,398 5,010 3,949 3,748 623.3 489.7 1011. 788.4 748.3 HALIFAX 402 348 370 426 421 736.5 638.0 681.2 788.8 779.5 HARNETT 334 450 468 417 468 288.5 388.6 392.3 341.4 383.2 HAYWOOD 98 65 137 132 114 171.6 110.2 233.3 224.1 193.5 HENDERSON 137 166 208 229 210 132.2 155.2 193.4 211.5 194.0 HERTFORD 189 194 221 171 162 811.8 788.0 901.0 699.7 662.9 HOKE 223 114 299 277 247 493.9 240.0 604.0 548.1 488.8 HYDE 16 14 16 13 13 307.0 240.6 273.6 221.9 221.9 IREDELL 516 452 560 542 466 326.3 282.9 347.8 333.1 286.4 JACKSON 122 107 176 154 108 330.7 265.3 436.9 380.7 267.0 JOHNSTON 407 474 545 464 550 241.5 279.4 315.4 265.2 314.4 JONES 38 40 44 33 31 377.3 393.8 429.4 321.2 301.7 LEE 230 226 275 281 312 380.3 390.3 469.2 470.6 522.5 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 11 Communicable Disease Branch Table 7. N. C. Chlamydia Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LENOIR 351 344 345 360 386 622.5 579.1 580.7 607.8 651.7 LINCOLN 172 210 197 187 196 226.2 267.9 249.9 235.8 247.1 MACON 37 58 78 50 74 111.3 171.0 230.4 147.6 218.5 MADISON 24 19 54 46 46 117.4 91.4 259.2 221.8 221.8 MARTIN 162 165 152 167 134 694.2 673.7 626.6 697.0 559.2 MCDOWELL 88 72 75 108 109 200.1 159.8 166.9 240.0 242.2 MECKLENBURG 5,840 4,627 7,456 6,287 6,087 639.2 501.2 788.8 648.8 628.2 MITCHELL 12 13 16 15 16 76.8 83.6 104.1 97.6 104.1 MONTGOMERY 64 93 101 90 107 230.7 334.7 362.4 325.3 386.7 MOORE 192 227 257 269 293 220.3 256.3 287.6 297.9 324.5 NASH 581 650 623 590 558 613.2 678.1 649.6 616.5 583.0 NEW HANOVER 891 698 1,159 1,069 933 456.7 343.4 562.8 510.9 445.9 NORTHAMPTON 143 91 132 139 143 710.2 412.7 600.1 648.7 667.4 ONSLOW 1,081 1,134 1,184 1,495 1,481 624.6 631.8 667.3 815.8 808.1 ORANGE 379 336 544 456 470 293.6 250.4 401.7 330.6 340.7 PAMLICO 35 36 37 34 37 281.8 274.2 277.9 260.1 283.0 PASQUOTANK 258 240 255 314 316 620.5 589.5 631.9 773.6 778.5 PENDER 124 107 161 133 153 236.7 204.0 301.0 245.4 282.3 PERQUIMANS 66 40 36 58 52 518.3 296.5 267.5 427.6 383.4 PERSON 124 125 189 171 159 329.2 316.9 477.9 435.5 404.9 PITT 1,405 1,760 1,912 1,663 1,639 883.3 1043. 1120. 963.8 949.8 POLK 14 17 21 32 24 72.7 83.1 103.5 157.9 118.4 RANDOLPH 308 360 405 399 365 216.7 253.7 285.1 280.1 256.2 RICHMOND 286 204 201 214 223 622.1 437.3 430.6 459.0 478.3 ROBESON 1,035 1,021 1,150 1,141 1,019 798.9 759.2 852.0 842.1 752.1 ROCKINGHAM 334 271 404 380 305 362.1 289.4 433.7 409.8 328.9 ROWAN 556 554 663 680 726 394.9 400.5 480.0 492.1 525.4 RUTHERFORD 183 192 227 253 193 288.6 283.3 336.7 375.8 286.7 SAMPSON 249 224 278 193 266 390.8 352.4 436.9 301.8 416.0 SCOTLAND 182 177 232 259 298 501.5 490.3 638.1 717.6 825.6 STANLY 235 324 218 165 184 393.0 534.8 360.8 272.4 303.8 STOKES 84 87 108 104 108 182.0 183.7 228.8 222.3 230.9 SURRY 105 133 169 160 152 144.8 180.4 229.6 217.5 206.6 SWAIN 20 42 97 75 42 149.2 300.2 691.2 530.4 297.0 TRANSYLVANIA 69 81 110 92 79 228.5 244.9 335.2 280.1 240.5 TYRRELL 24 20 24 14 26 588.5 452.8 549.1 322.7 599.4 UNION 485 440 515 517 459 244.2 217.6 251.0 247.9 220.1 VANCE 370 396 484 491 361 859.3 872.7 1070. 1087. 799.9 WAKE 3,590 4,530 4,748 4,667 4,210 400.1 499.6 511.3 490.2 442.2 WARREN 107 119 115 110 108 550.8 568.2 549.8 534.6 524.9 WASHINGTON 70 79 82 84 84 544.7 598.8 632.7 659.5 659.5 WATAUGA 79 96 92 94 116 173.7 188.1 178.1 181.2 223.6 WAYNE 712 887 876 820 817 625.6 722.0 707.4 660.0 657.6 WILKES 154 141 136 160 105 231.4 203.5 196.5 230.9 151.5 WILSON 585 1,122 539 533 425 746.6 1378. 661.5 651.1 519.1 YADKIN 69 51 72 64 101 183.0 132.8 188.1 168.0 265.2 YANCEY 13 27 26 20 15 70.1 151.9 146.9 113.4 85.1 UNKNOWN 0 0 0 2 0 --- --- --- --- --- NC TOTAL 43,734 42,167 53,854 50,621 48,417 466.2 441.1 558.0 519.1 496.5 *Rate per 100,000 population. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 12 Communicable Disease Branch Table 8. N. C. Gonorrhea Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 204 317 325 256 138 135.7 209.2 212.7 166.3 89.7 ALEXANDER 12 7 18 9 8 32.6 18.8 48.5 24.4 21.7 ALLEGHANY 0 0 0 0 2 0.0 0.0 0.0 0.0 18.3 ANSON 168 82 74 65 43 670.5 304.7 279.1 246.7 163.2 ASHE 1 2 2 2 0 3.9 7.3 7.4 7.4 0.0 AVERY 1 3 2 1 1 5.6 16.9 11.3 5.7 5.7 BEAUFORT 89 67 81 82 46 191.8 140.2 170.0 172.6 96.8 BERTIE 54 48 59 59 46 279.1 225.7 281.6 285.7 222.7 BLADEN 56 55 70 44 69 173.1 156.2 200.0 126.0 197.6 BRUNSWICK 43 58 52 77 62 40.2 53.7 47.2 68.6 55.2 BUNCOMBE 174 193 175 159 290 75.2 80.8 72.5 65.0 118.6 BURKE 57 81 79 70 33 63.7 89.3 86.9 77.3 36.5 CABARRUS 154 151 151 141 145 89.4 84.6 83.4 76.4 78.6 CALDWELL 33 36 62 44 44 41.3 43.4 75.4 53.7 53.7 CAMDEN 3 5 7 5 5 30.8 50.0 69.6 49.6 49.6 CARTERET 42 47 40 49 36 65.2 70.4 59.4 72.5 53.2 CASWELL 28 31 22 20 29 121.7 130.7 93.4 86.1 124.9 CATAWBA 158 186 210 156 113 99.3 120.5 136.4 101.1 73.2 CHATHAM 26 29 33 37 36 40.1 45.5 50.6 56.1 54.6 CHEROKEE 1 3 1 16 4 3.8 10.9 3.7 59.3 14.8 CHOWAN 33 27 43 8 10 223.2 182.9 289.5 54.2 67.7 CLAY 0 1 0 1 4 0.0 9.5 0.0 9.4 37.7 CLEVELAND 126 156 173 163 129 126.9 159.2 177.3 167.2 132.3 COLUMBUS 82 78 149 81 75 151.2 134.5 257.6 140.5 130.1 CRAVEN 116 159 260 145 103 117.7 153.0 248.8 138.4 98.3 CUMBERLAND 1,069 733 1,479 1,170 1,196 339.1 228.9 457.5 361.1 369.1 CURRITUCK 21 18 10 8 6 86.7 76.1 41.8 33.2 24.9 DARE 15 25 11 3 5 43.7 73.5 32.1 8.7 14.5 DAVIDSON 75 124 121 101 138 47.3 76.1 74.2 61.9 84.5 DAVIE 18 6 6 12 19 43.5 14.5 14.5 29.0 45.9 DUPLIN 67 60 75 70 64 126.0 102.1 125.8 116.6 106.6 DURHAM 561 680 747 820 758 208.0 253.3 273.0 293.2 271.1 EDGECOMBE 277 272 260 180 172 534.2 481.0 463.6 321.7 307.4 FORSYTH 847 774 854 712 742 235.5 220.3 240.9 198.8 207.2 FRANKLIN 81 57 66 98 62 134.8 93.7 107.9 159.4 100.9 GASTON 383 334 357 194 341 183.3 162.0 172.5 93.2 163.9 GATES 11 14 12 17 9 93.5 114.8 99.4 143.2 75.8 GRAHAM 0 0 1 1 2 0.0 0.0 11.4 11.5 23.0 GRANVILLE 68 93 67 87 85 118.0 154.8 111.5 144.0 140.6 GREENE 39 53 23 28 39 188.8 247.7 106.2 130.7 182.0 GUILFORD 1,100 871 1,981 1,473 1,344 229.0 177.9 399.9 294.1 268.3 HALIFAX 176 152 145 128 100 322.5 278.7 267.0 237.0 185.2 HARNETT 85 117 203 96 128 73.4 101.0 170.2 78.6 104.8 HAYWOOD 14 2 12 11 20 24.5 3.4 20.4 18.7 34.0 HENDERSON 29 45 75 72 64 28.0 42.1 69.7 66.5 59.1 HERTFORD 89 82 80 44 41 382.3 333.1 326.1 180.0 167.8 HOKE 70 52 148 116 90 155.0 109.5 298.9 229.5 178.1 HYDE 4 6 3 2 3 76.8 103.1 51.3 34.1 51.2 IREDELL 235 210 174 120 97 148.6 131.4 108.1 73.8 59.6 JACKSON 11 13 28 38 17 29.8 32.2 69.5 93.9 42.0 JOHNSTON 128 82 118 94 117 76.0 48.3 68.3 53.7 66.9 JONES 13 17 11 7 4 129.1 167.4 107.4 68.1 38.9 LEE 50 77 126 97 85 82.7 133.0 215.0 162.4 142.3 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 13 Communicable Disease Branch Table 8. N. C. Gonorrhea Cases by County of Report, 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LENOIR 128 162 128 111 119 227.0 272.7 215.5 187.4 200.9 LINCOLN 44 39 57 36 22 57.9 49.8 72.3 45.4 27.7 MACON 2 4 6 7 11 6.0 11.8 17.7 20.7 32.5 MADISON 8 3 6 5 5 39.1 14.4 28.8 24.1 24.1 MARTIN 63 56 48 61 39 270.0 228.7 197.9 254.6 162.8 MCDOWELL 27 8 9 10 4 61.4 17.8 20.0 22.2 8.9 MECKLENBURG 2,035 1,516 2,269 1,848 1,775 222.7 164.2 240.0 190.7 183.2 MITCHELL 0 1 0 1 2 0.0 6.4 0.0 6.5 13.0 MONTGOMERY 21 19 25 14 22 75.7 68.4 89.7 50.6 79.5 MOORE 98 82 46 47 44 112.4 92.6 51.5 52.0 48.7 NASH 225 250 224 210 176 237.5 260.8 233.5 219.4 183.9 NEW HANOVER 312 220 255 262 266 159.9 108.2 123.8 125.2 127.1 NORTHAMPTON 61 44 74 49 41 302.9 199.5 336.4 228.7 191.3 ONSLOW 273 297 294 250 302 157.7 165.5 165.7 136.4 164.8 ORANGE 82 88 122 85 114 63.5 65.6 90.1 61.6 82.6 PAMLICO 5 13 17 8 5 40.3 99.0 127.7 61.2 38.2 PASQUOTANK 137 111 113 88 54 329.5 272.6 280.0 216.8 133.0 PENDER 31 23 33 23 47 59.2 43.9 61.7 42.4 86.7 PERQUIMANS 24 14 14 14 13 188.5 103.8 104.0 103.2 95.8 PERSON 28 30 40 35 44 74.3 76.0 101.1 89.1 112.1 PITT 581 550 603 351 323 365.3 325.9 353.2 203.4 187.2 POLK 5 5 4 10 3 26.0 24.5 19.7 49.3 14.8 RANDOLPH 50 87 107 47 55 35.2 61.3 75.3 33.0 38.6 RICHMOND 144 65 60 68 42 313.2 139.3 128.5 145.8 90.1 ROBESON 464 402 379 321 260 358.1 298.9 280.8 236.9 191.9 ROCKINGHAM 92 84 164 121 94 99.7 89.7 176.1 130.5 101.4 ROWAN 227 276 190 204 237 161.2 199.5 137.6 147.6 171.5 RUTHERFORD 30 44 56 35 58 47.3 64.9 83.1 52.0 86.2 SAMPSON 81 84 120 100 116 127.1 132.1 188.6 156.4 181.4 SCOTLAND 101 95 131 93 124 278.3 263.2 360.3 257.7 343.5 STANLY 104 122 43 34 55 173.9 201.4 71.2 56.1 90.8 STOKES 14 6 14 11 12 30.3 12.7 29.7 23.5 25.7 SURRY 24 16 19 19 15 33.1 21.7 25.8 25.8 20.4 SWAIN 1 5 9 21 3 7.5 35.7 64.1 148.5 21.2 TRANSYLVANIA 19 15 10 5 16 62.9 45.4 30.5 15.2 48.7 TYRRELL 9 6 3 3 3 220.7 135.8 68.6 69.2 69.2 UNION 204 133 162 172 112 102.7 65.8 79.0 82.5 53.7 VANCE 168 205 146 207 148 390.2 451.8 322.8 458.7 327.9 WAKE 1,010 1,249 1,355 1,340 1,205 112.6 137.7 145.9 140.7 126.6 WARREN 43 58 52 66 43 221.4 276.9 248.6 320.8 209.0 WASHINGTON 30 22 17 13 35 233.4 166.7 131.2 102.1 274.8 WATAUGA 5 6 11 8 2 11.0 11.8 21.3 15.4 3.9 WAYNE 332 293 237 221 197 291.7 238.5 191.4 177.9 158.6 WILKES 16 13 14 12 11 24.0 18.8 20.2 17.3 15.9 WILSON 238 529 181 183 156 303.8 650.1 222.1 223.5 190.6 YADKIN 13 11 8 6 13 34.5 28.6 20.9 15.8 34.1 YANCEY 5 1 2 0 3 27.0 5.6 11.3 0.0 17.0 UNKNOWN 0 0 0 0 0 --- --- --- --- --- NC TOTAL 14,811 14,153 17,158 14,324 13,665 157.9 148.0 177.8 146.9 140.1 *Rate per 100,000 population. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 14 Communicable Disease Branch Table 9. N. C. Primary and Secondary Syphilis Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 3 5 6 4 4 2.0 3.3 3.9 2.6 2.6 ALEXANDER 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 1 1 1 0 0 4.0 3.7 3.8 0.0 0.0 ASHE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 AVERY 0 1 0 0 0 0.0 5.6 0.0 0.0 0.0 BEAUFORT 3 1 0 2 2 6.5 2.1 0.0 4.2 4.2 BERTIE 1 1 4 0 0 5.2 4.7 19.1 0.0 0.0 BLADEN 1 1 0 1 0 3.1 2.8 0.0 2.9 0.0 BRUNSWICK 0 0 1 2 1 0.0 0.0 0.9 1.8 0.9 BUNCOMBE 5 4 7 3 4 2.2 1.7 2.9 1.2 1.6 BURKE 2 0 2 0 2 2.2 0.0 2.2 0.0 2.2 CABARRUS 6 1 11 1 2 3.5 0.6 6.1 0.5 1.1 CALDWELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 CAMDEN 1 0 0 0 0 10.3 0.0 0.0 0.0 0.0 CARTERET 0 0 2 0 0 0.0 0.0 3.0 0.0 0.0 CASWELL 0 1 1 0 0 0.0 4.2 4.2 0.0 0.0 CATAWBA 0 0 0 1 1 0.0 0.0 0.0 0.6 0.6 CHATHAM 0 3 2 1 2 0.0 4.7 3.1 1.5 3.0 CHEROKEE 0 0 1 0 0 0.0 0.0 3.7 0.0 0.0 CHOWAN 0 0 0 1 1 0.0 0.0 0.0 6.8 6.8 CLAY 0 0 1 1 0 0.0 0.0 9.4 9.4 0.0 CLEVELAND 2 2 0 1 1 2.0 2.0 0.0 1.0 1.0 COLUMBUS 1 1 1 0 0 1.8 1.7 1.7 0.0 0.0 CRAVEN 5 4 7 4 4 5.1 3.8 6.7 3.8 3.8 CUMBERLAND 10 21 15 12 29 3.2 6.6 4.6 3.7 8.9 CURRITUCK 1 0 0 1 0 4.1 0.0 0.0 4.2 0.0 DARE 1 0 0 0 0 2.9 0.0 0.0 0.0 0.0 DAVIDSON 2 2 6 4 2 1.3 1.2 3.7 2.5 1.2 DAVIE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 DUPLIN 2 3 0 0 1 3.8 5.1 0.0 0.0 1.7 DURHAM 17 14 11 20 26 6.3 5.2 4.0 7.2 9.3 EDGECOMBE 8 2 7 2 3 15.4 3.5 12.5 3.6 5.4 FORSYTH 114 61 18 21 29 31.7 17.4 5.1 5.9 8.1 FRANKLIN 1 1 1 0 3 1.7 1.6 1.6 0.0 4.9 GASTON 9 4 2 2 5 4.3 1.9 1.0 1.0 2.4 GATES 0 0 0 0 1 0.0 0.0 0.0 0.0 8.4 GRAHAM 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 GRANVILLE 2 0 0 1 1 3.5 0.0 0.0 1.7 1.7 GREENE 1 0 2 0 1 4.8 0.0 9.2 0.0 4.7 GUILFORD 43 43 50 32 29 9.0 8.8 10.1 6.4 5.8 HALIFAX 1 2 3 3 1 1.8 3.7 5.5 5.6 1.9 HARNETT 2 2 1 2 8 1.7 1.7 0.8 1.6 6.6 HAYWOOD 1 0 2 0 0 1.8 0.0 3.4 0.0 0.0 HENDERSON 4 0 0 1 1 3.9 0.0 0.0 0.9 0.9 HERTFORD 0 1 0 1 1 0.0 4.1 0.0 4.1 4.1 HOKE 0 1 0 1 0 0.0 2.1 0.0 2.0 0.0 HYDE 1 0 0 0 0 19.2 0.0 0.0 0.0 0.0 IREDELL 3 2 0 7 3 1.9 1.3 0.0 4.3 1.8 JACKSON 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 JOHNSTON 0 3 1 0 2 0.0 1.8 0.6 0.0 1.1 JONES 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 15 Communicable Disease Branch Table 9. N. C. Primary and Secondary Syphilis Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LEE 3 0 2 0 0 5.0 0.0 3.4 0.0 0.0 LENOIR 3 3 3 7 5 5.3 5.1 5.0 11.8 8.4 LINCOLN 2 0 0 0 0 2.6 0.0 0.0 0.0 0.0 MACON 1 0 1 0 0 3.0 0.0 3.0 0.0 0.0 MADISON 1 0 0 0 0 4.9 0.0 0.0 0.0 0.0 MARTIN 1 1 1 0 1 4.3 4.1 4.1 0.0 4.2 MCDOWELL 1 0 0 0 0 2.3 0.0 0.0 0.0 0.0 MECKLENBURG 111 98 103 81 108 12.1 10.6 10.9 8.4 11.1 MITCHELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 MONTGOMERY 0 0 1 0 0 0.0 0.0 3.6 0.0 0.0 MOORE 1 0 1 1 0 1.1 0.0 1.1 1.1 0.0 NASH 5 5 10 3 1 5.3 5.2 10.4 3.1 1.0 NEW HANOVER 5 0 3 2 5 2.6 0.0 1.5 1.0 2.4 NORTHAMPTON 3 1 1 0 1 14.9 4.5 4.5 0.0 4.7 ONSLOW 2 2 1 1 4 1.2 1.1 0.6 0.5 2.2 ORANGE 5 1 4 2 5 3.9 0.7 3.0 1.4 3.6 PAMLICO 0 1 0 0 1 0.0 7.6 0.0 0.0 7.6 PASQUOTANK 1 1 4 1 2 2.4 2.5 9.9 2.5 4.9 PENDER 1 0 2 0 2 1.9 0.0 3.7 0.0 3.7 PERQUIMANS 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 PERSON 1 0 2 0 1 2.7 0.0 5.1 0.0 2.5 PITT 12 10 9 22 13 7.5 5.9 5.3 12.7 7.5 POLK 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 RANDOLPH 0 0 4 1 1 0.0 0.0 2.8 0.7 0.7 RICHMOND 0 0 0 1 0 0.0 0.0 0.0 2.1 0.0 ROBESON 2 2 5 5 7 1.5 1.5 3.7 3.7 5.2 ROCKINGHAM 0 3 1 5 7 0.0 3.2 1.1 5.4 7.5 ROWAN 4 7 7 3 3 2.8 5.1 5.1 2.2 2.2 RUTHERFORD 2 0 2 0 0 3.2 0.0 3.0 0.0 0.0 SAMPSON 1 1 2 0 1 1.6 1.6 3.1 0.0 1.6 SCOTLAND 1 0 0 0 1 2.8 0.0 0.0 0.0 2.8 STANLY 0 1 0 0 1 0.0 1.7 0.0 0.0 1.7 STOKES 2 1 0 0 0 4.3 2.1 0.0 0.0 0.0 SURRY 0 0 1 1 0 0.0 0.0 1.4 1.4 0.0 SWAIN 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 TRANSYLVANIA 1 0 0 0 0 3.3 0.0 0.0 0.0 0.0 TYRRELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 UNION 4 2 1 2 4 2.0 1.0 0.5 1.0 1.9 VANCE 1 2 0 2 2 2.3 4.4 0.0 4.4 4.4 WAKE 67 40 41 54 64 7.5 4.4 4.4 5.7 6.7 WARREN 2 0 0 0 1 10.3 0.0 0.0 0.0 4.9 WASHINGTON 0 0 0 0 1 0.0 0.0 0.0 0.0 7.9 WATAUGA 0 1 1 1 0 0.0 2.0 1.9 1.9 0.0 WAYNE 33 20 10 3 9 29.0 16.3 8.1 2.4 7.2 WILKES 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 WILSON 2 1 2 3 1 2.6 1.2 2.5 3.7 1.2 YADKIN 1 0 0 1 1 2.7 0.0 0.0 2.6 2.6 YANCEY 0 0 1 0 0 0.0 0.0 5.6 0.0 0.0 UNKNOWN 0 0 0 0 0 --- --- --- --- --- NC TOTAL 536 392 392 334 423 5.7 4.1 4.1 3.4 4.3 *Rate per 100,000 population (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 16 Communicable Disease Branch Table 10. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* ALAMANCE 8 7 10 7 6 5.3 4.6 6.5 4.5 3.9 ALEXANDER 0 0 1 1 0 0.0 0.0 2.7 2.7 0.0 ALLEGHANY 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 ANSON 1 1 1 1 0 4.0 3.7 3.8 3.8 0.0 ASHE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 AVERY 1 1 0 0 0 5.6 5.6 0.0 0.0 0.0 BEAUFORT 4 1 2 5 3 8.6 2.1 4.2 10.5 6.3 BERTIE 1 2 7 0 0 5.2 9.4 33.4 0.0 0.0 BLADEN 4 2 1 2 2 12.4 5.7 2.9 5.7 5.7 BRUNSWICK 2 0 2 4 1 1.9 0.0 1.8 3.6 0.9 BUNCOMBE 11 7 10 6 8 4.8 2.9 4.1 2.5 3.3 BURKE 4 1 3 1 6 4.5 1.1 3.3 1.1 6.6 CABARRUS 10 3 15 1 2 5.8 1.7 8.3 0.5 1.1 CALDWELL 0 0 1 0 0 0.0 0.0 1.2 0.0 0.0 CAMDEN 1 0 0 0 1 10.3 0.0 0.0 0.0 9.9 CARTERET 0 0 4 2 1 0.0 0.0 5.9 3.0 1.5 CASWELL 0 3 1 1 2 0.0 12.6 4.2 4.3 8.6 CATAWBA 1 1 2 2 3 0.6 0.6 1.3 1.3 1.9 CHATHAM 1 4 3 2 3 1.5 6.3 4.6 3.0 4.5 CHEROKEE 0 0 1 0 0 0.0 0.0 3.7 0.0 0.0 CHOWAN 0 0 0 1 1 0.0 0.0 0.0 6.8 6.8 CLAY 0 0 1 1 0 0.0 0.0 9.4 9.4 0.0 CLEVELAND 2 2 0 3 1 2.0 2.0 0.0 3.1 1.0 COLUMBUS 1 1 2 2 1 1.8 1.7 3.5 3.5 1.7 CRAVEN 8 10 15 10 6 8.1 9.6 14.4 9.5 5.7 CUMBERLAND 15 40 32 31 47 4.8 12.5 9.9 9.6 14.5 CURRITUCK 1 0 0 1 0 4.1 0.0 0.0 4.2 0.0 DARE 1 0 0 0 0 2.9 0.0 0.0 0.0 0.0 DAVIDSON 4 4 10 7 5 2.5 2.5 6.1 4.3 3.1 DAVIE 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 DUPLIN 2 5 4 1 1 3.8 8.5 6.7 1.7 1.7 DURHAM 30 23 25 24 45 11.1 8.6 9.1 8.6 16.1 EDGECOMBE 13 7 9 4 7 25.1 12.4 16.0 7.1 12.5 FORSYTH 189 89 37 40 50 52.6 25.3 10.4 11.2 14.0 FRANKLIN 3 3 4 0 3 5.0 4.9 6.5 0.0 4.9 GASTON 16 6 6 5 7 7.7 2.9 2.9 2.4 3.4 GATES 0 1 0 0 1 0.0 8.2 0.0 0.0 8.4 GRAHAM 1 0 0 0 0 12.5 0.0 0.0 0.0 0.0 GRANVILLE 3 2 0 2 1 5.2 3.3 0.0 3.3 1.7 GREENE 2 0 2 0 1 9.7 0.0 9.2 0.0 4.7 GUILFORD 63 81 102 58 51 13.1 16.5 20.6 11.6 10.2 HALIFAX 2 3 7 3 1 3.7 5.5 12.9 5.6 1.9 HARNETT 3 3 3 3 11 2.6 2.6 2.5 2.5 9.0 HAYWOOD 2 0 2 0 0 3.5 0.0 3.4 0.0 0.0 HENDERSON 6 0 2 1 2 5.8 0.0 1.9 0.9 1.8 HERTFORD 1 2 0 1 1 4.3 8.1 0.0 4.1 4.1 HOKE 1 3 0 4 1 2.2 6.3 0.0 7.9 2.0 HYDE 1 1 0 0 0 19.2 17.2 0.0 0.0 0.0 IREDELL 3 3 1 7 6 1.9 1.9 0.6 4.3 3.7 JACKSON 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 JOHNSTON 1 3 1 2 4 0.6 1.8 0.6 1.1 2.3 JONES 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 *Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 17 Communicable Disease Branch Table 10. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by County, by Year of Diagnosis 2009-2013 COUNTY 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Cases Cases Cases Cases Cases Rate* Rate* Rate* Rate* Rate* LEE 6 4 4 1 1 9.9 6.9 6.8 1.7 1.7 LENOIR 3 3 4 12 14 5.3 5.1 6.7 20.3 23.6 LINCOLN 2 0 0 0 0 2.6 0.0 0.0 0.0 0.0 MACON 1 0 2 0 0 3.0 0.0 5.9 0.0 0.0 MADISON 3 0 0 2 0 14.7 0.0 0.0 9.6 0.0 MARTIN 1 2 3 0 1 4.3 8.2 12.4 0.0 4.2 MCDOWELL 1 0 0 0 0 2.3 0.0 0.0 0.0 0.0 MECKLENBURG 165 168 174 125 151 18.1 18.2 18.4 12.9 15.6 MITCHELL 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 MONTGOMERY 0 0 3 0 0 0.0 0.0 10.8 0.0 0.0 MOORE 1 1 1 2 0 1.1 1.1 1.1 2.2 0.0 NASH 9 7 11 4 2 9.5 7.3 11.5 4.2 2.1 NEW HANOVER 9 4 8 4 6 4.6 2.0 3.9 1.9 2.9 NORTHAMPTON 3 1 1 0 1 14.9 4.5 4.5 0.0 4.7 ONSLOW 3 4 2 1 8 1.7 2.2 1.1 0.5 4.4 ORANGE 7 1 4 3 5 5.4 0.7 3.0 2.2 3.6 PAMLICO 0 1 0 0 2 0.0 7.6 0.0 0.0 15.3 PASQUOTANK 1 2 5 1 3 2.4 4.9 12.4 2.5 7.4 PENDER 1 0 3 0 3 1.9 0.0 5.6 0.0 5.5 PERQUIMANS 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 PERSON 1 0 2 0 1 2.7 0.0 5.1 0.0 2.5 PITT 18 15 16 34 22 11.3 8.9 9.4 19.7 12.7 POLK 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 RANDOLPH 3 2 9 1 1 2.1 1.4 6.3 0.7 0.7 RICHMOND 1 0 0 3 0 2.2 0.0 0.0 6.4 0.0 ROBESON 3 7 9 6 10 2.3 5.2 6.7 4.4 7.4 ROCKINGHAM 2 4 4 5 7 2.2 4.3 4.3 5.4 7.5 ROWAN 7 8 11 5 5 5.0 5.8 8.0 3.6 3.6 RUTHERFORD 2 2 3 0 0 3.2 3.0 4.4 0.0 0.0 SAMPSON 2 1 2 5 2 3.1 1.6 3.1 7.8 3.1 SCOTLAND 1 2 0 2 1 2.8 5.5 0.0 5.5 2.8 STANLY 0 1 0 1 3 0.0 1.7 0.0 1.7 5.0 STOKES 2 2 1 0 1 4.3 4.2 2.1 0.0 2.1 SURRY 0 0 1 1 0 0.0 0.0 1.4 1.4 0.0 SWAIN 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0 TRANSYLVANIA 1 1 0 0 0 3.3 3.0 0.0 0.0 0.0 TYRRELL 0 0 0 1 0 0.0 0.0 0.0 23.1 0.0 UNION 8 3 1 3 5 4.0 1.5 0.5 1.4 2.4 VANCE 2 3 2 2 6 4.6 6.6 4.4 4.4 13.3 WAKE 111 79 70 81 102 12.4 8.7 7.5 8.5 10.7 WARREN 3 1 0 0 1 15.4 4.8 0.0 0.0 4.9 WASHINGTON 3 0 0 0 1 23.3 0.0 0.0 0.0 7.9 WATAUGA 0 1 1 1 0 0.0 2.0 1.9 1.9 0.0 WAYNE 59 44 15 3 17 51.8 35.8 12.1 2.4 13.7 WILKES 0 2 1 0 0 0.0 2.9 1.4 0.0 0.0 WILSON 4 7 4 5 1 5.1 8.6 4.9 6.1 1.2 YADKIN 1 0 1 1 2 2.7 0.0 2.6 2.6 5.3 YANCEY 0 0 1 0 0 0.0 0.0 5.6 0.0 0.0 UNKNOWN 0 0 0 0 0 --- --- --- --- --- NC TOTAL 873 708 708 561 677 9.3 7.4 7.3 5.8 6.9 *Rate per 100,000 population. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 18 Communicable Disease Branch Table 11. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Race/Ethnicity by Year Of Diagnosis, 2009-2013P 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 319 19% 12.3 285 20% 10.9 280 19% 10.7 243 18% 9.2 318 21% 12.0 Black** 747 46% 99.4 689 47% 89.1 721 49% 91.9 650 49% 81.5 736 49% 92.3 Am.In/AN** 8 0% 18.8 <5 --- --- 9 1% 20.0 12 1% 26.4 7 0% 15.4 Asian/PI** 8 0% 10.3 6 0% 6.9 8 1% 8.8 8 1% 8.4 10 1% 10.5 Hispanic 113 7% 41.4 95 7% 31.1 77 5% 24.7 83 6% 25.9 104 7% 32.5 Unknown 27 2% --- 21 1% --- 46 3% --- 35 3% --- 14 1% --- Male Total 1,222 75% 32.7 1,098 75% 28.8 1,141 77% 29.6 1,031 77% 26.4 1,189 79% 30.4 White** 69 4% 2.5 51 4% 1.8 42 3% 1.5 60 4% 2.1 53 4% 1.9 Black** 322 20% 36.5 269 18% 29.5 266 18% 28.8 226 17% 24.1 232 15% 24.7 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 7 0% 6.6 Hispanic 18 1% 9.0 22 2% 8.6 21 1% 8.0 14 1% 5.2 22 1% 8.1 Unknown 6 0% --- 13 1% --- <5 --- --- <5 --- --- 6 0% --- Female Total 418 25% 10.5 359 25% 8.8 340 23% 8.2 306 23% 7.3 324 21% 7.7 White** 388 24% 7.2 336 23% 6.2 322 22% 5.9 303 23% 5.5 371 25% 6.8 Black** 1,069 65% 65.4 958 66% 56.9 987 67% 57.8 876 66% 50.5 968 64% 55.8 Am.In/AN** 9 1% 10.2 <5 --- --- 13 1% 13.8 12 1% 12.6 11 1% 11.5 Asian/PI** 10 1% 6.3 9 1% 4.9 11 1% 5.7 12 1% 6.0 17 1% 8.5 Hispanic 131 8% 27.7 117 8% 20.9 98 7% 17.1 97 7% 16.4 126 8% 21.3 Unknown 33 2% --- 34 2% --- 50 3% --- 37 3% --- 20 1% --- Total Total 1,640 100% 21.3 1,457 100% 18.4 1,481 100% 18.5 1,337 100% 16.5 1,513P 100% 18.7P †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 19 Communicable Disease Branch Table 12. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Age by Year of Diagnosis, 2009-2013P Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 <5 --- --- <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 67 4% 20.2 65 4% 19.3 82 6% 24.4 53 4% 15.9 52 3% 15.6 20-24 202 12% 57.4 226 16% 66.4 223 15% 64.6 222 17% 62.0 249 16% 69.5 25-29 160 10% 50.2 167 11% 53.2 173 12% 55.3 163 12% 51.8 190 13% 60.3 30-34 127 8% 42.6 111 8% 36.1 103 7% 33.2 105 8% 33.6 128 8% 41.0 35-39 129 8% 39.2 97 7% 30.0 101 7% 32.3 69 5% 22.4 108 7% 35.1 40-44 154 9% 47.5 120 8% 36.4 118 8% 35.2 115 9% 34.1 130 9% 38.5 45-49 176 11% 52.3 122 8% 35.8 129 9% 38.3 112 8% 33.6 137 9% 41.1 50-54 103 6% 33.0 84 6% 25.9 98 7% 29.8 88 7% 26.5 85 6% 25.6 55-59 56 3% 20.4 58 4% 20.2 60 4% 20.4 39 3% 12.9 47 3% 15.6 60-64 24 1% 10.1 23 2% 8.9 30 2% 11.2 38 3% 14.3 31 2% 11.7 65+ 24 1% 4.8 23 2% 4.4 22 1% 4.0 27 2% 4.7 32 2% 5.5 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total 1,222 75% 32.7 1,098 75% 28.8 1,141 77% 29.6 1,031 77% 26.4 1,189 79% 30.4 13-14 <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- 15-19 23 1% 7.3 16 1% 5.0 11 1% 3.5 14 1% 4.4 7 0% 2.2 20-24 40 2% 12.7 30 2% 9.2 31 2% 9.3 28 2% 8.3 24 2% 7.1 25-29 37 2% 11.9 36 2% 11.4 39 3% 12.3 39 3% 12.3 32 2% 10.1 30-34 41 3% 13.4 39 3% 12.3 31 2% 9.7 35 3% 10.8 32 2% 9.9 35-39 58 4% 17.4 58 4% 17.4 44 3% 13.6 36 3% 11.3 38 3% 11.9 40-44 62 4% 18.7 34 2% 10.1 43 3% 12.5 41 3% 11.8 51 3% 14.6 45-49 67 4% 19.0 57 4% 16.0 52 4% 14.8 38 3% 10.9 46 3% 13.2 50-54 43 3% 12.9 34 2% 9.8 37 2% 10.5 28 2% 7.9 42 3% 11.9 55-59 28 2% 9.3 29 2% 9.1 29 2% 8.9 23 2% 6.9 30 2% 9.0 60-64 12 1% 4.5 19 1% 6.6 14 1% 4.7 13 1% 4.4 14 1% 4.7 65+ 6 0% 0.9 6 0% 0.8 9 1% 1.2 10 1% 1.3 7 0% 0.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total 418 25% 10.5 359 25% 8.8 340 23% 8.2 306 23% 7.3 324 21% 7.7 Continued †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 20 Communicable Disease Branch Table 12. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Age by Year of Diagnosis, 2009-2013P (Cont) Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- 15-19 90 5% 13.9 81 6% 12.3 93 6% 14.2 67 5% 10.3 59 4% 9.1 20-24 242 15% 36.2 256 18% 38.4 254 17% 37.4 250 19% 35.9 273 18% 39.2 25-29 197 12% 31.2 203 14% 32.2 212 14% 33.6 202 15% 31.9 222 15% 35.1 30-34 168 10% 27.8 150 10% 24.0 134 9% 21.2 140 10% 22.1 160 11% 25.2 35-39 187 11% 28.2 155 11% 23.6 145 10% 22.8 105 8% 16.8 146 10% 23.3 40-44 216 13% 32.9 154 11% 23.1 161 11% 23.7 156 12% 22.7 181 12% 26.4 45-49 243 15% 35.3 179 12% 25.7 181 12% 26.3 150 11% 22.0 183 12% 26.9 50-54 146 9% 22.6 118 8% 17.6 135 9% 19.8 116 9% 16.9 127 8% 18.5 55-59 84 5% 14.5 87 6% 14.4 89 6% 14.4 62 5% 9.8 77 5% 12.1 60-64 36 2% 7.2 42 3% 7.7 44 3% 7.8 51 4% 9.0 45 3% 8.0 65+ 30 2% 2.5 29 2% 2.3 31 2% 2.4 37 3% 2.7 39 3% 2.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total 1,640 100% 21.3 1,457 100% 18.4 1,481 100% 18.5 1,337 100% 16.5 1,513P 100% 18.7P †HIV Infection includes all diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 21 Communicable Disease Branch Table 13. N. C. Adult/Adolescent HIV Infection† Cases by Gender and Mode of Transmission, 2009-2013P 2009 2010 2011 2012 2013 Mode of Exposure Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct MSM* 707 43% 660 45% 704 48% 640 48% 656 43% IDU* 28 2% 24 2% 31 2% 12 1% 22 1% MSM/IDU* 12 1% 10 1% 15 1% 15 1% 27 2% Other Risk* 0 0% <5 --- <5 --- 0 0% 0 0% Heterosexual-CDC* 109 7% 67 5% 60 4% 57 4% 41 3% NIR/NRR* 238 15% 215 15% 231 16% 216 16% 337 22% Presumed Heterosexual* 128 8% 121 8% 99 7% 91 7% 106 7% Male Total 1222 75% 1098 75% 1141 77% 1031 77% 1189 79% IDU* 13 1% 10 1% 16 1% 14 1% 14 1% Other Risk * <5 --- 0 0% 0 0% 0 0% 0 0% Heterosexual-CDC* 133 8% 117 8% 77 5% 99 7% 70 5% NIR/NRR* 149 9% 145 10% 145 10% 132 10% 175 12% Presumed Heterosexual* 122 7% 87 6% 102 7% 61 5% 65 4% Female Total 418 25% 359 25% 340 23% 306 23% 324 21% MSM* 707 43% 660 45% 704 48% 640 48% 656 43% IDU* 41 3% 34 2% 47 3% 26 2% 36 2% MSM/IDU* 12 1% 10 1% 15 1% 15 1% 27 2% Other Risk * <5 --- <5 --- <5 --- 0 0% 0 0% Heterosexual-CDC* 242 15% 184 13% 137 9% 156 12% 111 7% NIR/NRR* 387 24% 360 25% 376 25% 348 26% 512 34% Presumed Heterosexual* 250 15% 208 14% 201 14% 152 11% 171 11% Total Total 1640 100% 1457 100% 1481 100% 1337 100% 1513P 100% †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *MSM= men who have sex with men; IDU= injection drug use; “Other Risk” includes Blood Products (adult hemophilia) and pediatric risk; “Presumed Heterosexual” includes cases initially classified as “NIR” with additional risk information consistent with heterosexual transmission; NIR/NRR= no identified risk reported. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 22 Communicable Disease Branch Table 14. N.C Adult/Adolescent HIV Infection† Cases by Gender and Mode of Transmission (NIRs Redistributed), 2009-2013P 2009 2010 2011 2012 2013 Mode of Exposure Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct MSM* 878 72% 821 75% 883 77% 810 79% 915 77% IDU* 35 3% 30 3% 39 3% 15 1% 31 3% MSM/IDU* 15 1% 12 1% 19 2% 19 2% 38 3% Other Risk* 0 0% <5 --- <5 --- 0 0% 0 0% Heterosexual-All * 294 24% 234 21% 199 17% 187 18% 205 17% Male Total 1,222 100% 1,098 100% 1,141 100% 1,031 100% 1,189 100% IDU* 20 5% 17 5% 28 8% 25 8% 30 9% Other Risk* <5 --- 0 0% 0 0% 0 0% 0 0% Heterosexual-All* 396 95% 342 95% 312 92% 281 92% 294 91% Female Total 418 100% 359 100% 340 100% 306 100% 324 100% MSM* 878 54% 821 56% 883 60% 810 61% 915 61% IDU* 55 3% 47 3% 67 5% 40 3% 61 4% MSM/IDU* 15 1% 12 1% 19 1% 19 1% 38 2% Other Risk* <5 --- <5 --- <5 --- 0 0% 0 0% Heterosexual-All* 691 42% 576 40% 511 35% 469 35% 499 33% Total†† Total 1,640 100% 1,457 100% 1,481 100% 1,337 100% 1,513P 100% †HIV Infection includes all newly reported HIV infected individuals by the date of first diagnosis (HIV or AIDS). *MSM= men who have sex with men; IDU= injection drug use; “Other Risk” ” includes Blood Products (adult hemophilia) and pediatric risk, NIR = No identified risk reported. ††Totals may not correspond to cases listed above due to redistribution of NIR cases (See Technical Notes). P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 23 Communicable Disease Table 15. N. C. Adult/Adolescent AIDS Cases by Gender and Race/Ethnicity by Year of Diagnosis, 2009-2013P 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 162 17% 6.2 152 19% 5.8 144 18% 5.5 123 16% 4.6 156 17% 5.9 Black** 446 47% 59.4 343 43% 44.4 362 44% 46.1 374 47% 46.9 411 46% 51.5 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- 5 1% 11.0 <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 5 1% 5.2 Hispanic 67 7% 24.5 48 6% 15.7 37 5% 11.9 37 5% 11.6 56 6% 17.5 Unknown 13 1% --- 12 2% --- 23 3% --- 20 3% --- 16 2% --- Male Total 695 73% 18.6 561 71% 14.7 571 70% 14.8 561 71% 14.4 646 72% 16.5 White** 38 4% 1.4 24 3% 0.9 40 5% 1.4 32 4% 1.1 35 4% 1.2 Black** 211 22% 23.9 199 25% 21.8 184 23% 19.9 177 22% 18.9 193 22% 20.6 Am.In/AN** <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 0 0% 0.0 Hispanic 5 1% 2.5 6 1% 2.4 12 1% 4.6 14 2% 5.2 8 1% 2.9 Unknown <5 --- --- 5 1% --- <5 --- --- <5 --- --- 10 1% --- Female Total 260 27% 6.5 234 29% 5.7 244 30% 5.9 228 29% 5.4 247 28% 5.9 White** 200 21% 3.7 176 22% 3.3 184 23% 3.4 155 20% 2.8 191 21% 3.5 Black** 657 69% 40.2 542 68% 32.2 546 67% 31.9 551 70% 31.8 604 68% 34.8 Am.In/AN** <5 --- --- <5 --- --- 8 1% 8.5 6 1% 6.3 <5 --- --- Asian/PI** 7 1% 4.4 <5 --- --- <5 --- --- <5 --- --- 5 1% 2.5 Hispanic 72 8% 15.2 54 7% 9.6 49 6% 8.5 51 6% 8.6 64 7% 10.8 Unknown 15 2% --- 17 2% --- 26 3% --- 24 3% --- 26 3% --- Total Total 955 100% 12.4 795 100% 10.1 815 100% 10.2 789 100% 9.7 893P 100% 11.0P *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 24 Communicable Disease Branch Table 16. N. C. Adult/Adolescent AIDS Cases by Gender and Age by Year of Diagnosis, 2009-2013P Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 8 1% 2.4 10 1% 3.0 14 2% 4.2 <5 --- --- 5 1% 1.5 20-24 50 5% 14.2 31 4% 9.1 49 6% 14.2 39 5% 10.9 48 5% 13.4 25-29 81 8% 25.4 58 7% 18.5 58 7% 18.5 73 9% 23.2 78 9% 24.8 30-34 64 7% 21.5 72 9% 23.4 65 8% 20.9 63 8% 20.2 87 10% 27.9 35-39 83 9% 25.2 58 7% 17.9 68 8% 21.8 43 5% 14.0 55 6% 17.9 40-44 116 12% 35.8 72 9% 21.8 75 9% 22.4 87 11% 25.8 92 10% 27.3 45-49 131 14% 38.9 110 14% 32.3 84 10% 24.9 84 11% 25.2 91 10% 27.3 50-54 88 9% 28.2 74 9% 22.8 75 9% 22.8 82 10% 24.7 86 10% 25.9 55-59 51 5% 18.5 39 5% 13.6 37 5% 12.6 42 5% 13.9 54 6% 17.9 60-64 9 1% 3.8 17 2% 6.6 22 3% 8.2 23 3% 8.6 28 3% 10.5 65+ 14 1% 2.8 20 3% 3.8 23 3% 4.2 21 3% 3.6 22 2% 3.8 Unknown 0 0% --- 0 0% --- <5 --- --- 0 0% --- 0 0% --- Male Total 695 73% 18.6 561 71% 14.7 571 70% 14.8 561 71% 14.4 646 72% 16.5 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 5 1% 1.6 <5 --- --- <5 --- --- <5 --- --- <5 --- --- 20-24 10 1% 3.2 12 2% 3.7 7 1% 2.1 6 1% 1.8 11 1% 3.2 25-29 19 2% 6.1 10 1% 3.2 14 2% 4.4 12 2% 3.8 14 2% 4.4 30-34 29 3% 9.5 27 3% 8.5 34 4% 10.6 36 5% 11.2 26 3% 8.1 35-39 49 5% 14.7 41 5% 12.3 34 4% 10.5 31 4% 9.7 35 4% 11.0 40-44 41 4% 12.4 40 5% 11.8 45 6% 13.0 28 4% 8.0 38 4% 10.9 45-49 48 5% 13.6 41 5% 11.5 51 6% 14.5 43 5% 12.4 48 5% 13.8 50-54 26 3% 7.8 21 3% 6.1 26 3% 7.4 33 4% 9.3 31 3% 8.8 55-59 22 2% 7.3 17 2% 5.4 16 2% 4.9 17 2% 5.1 23 3% 6.9 60-64 9 1% 3.4 16 2% 5.6 9 1% 3.0 10 1% 3.3 13 1% 4.4 65+ <5 --- --- 8 1% 1.1 6 1% 0.8 10 1% 1.3 6 1% 0.8 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total 260 27% 6.5 234 29% 5.7 244 30% 5.9 228 29% 5.4 247 28% 5.9 * Rate per 100,000 population. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 25 Communicable Disease Branch Table 16. N. C. Adult/Adolescent AIDS Cases by Gender and Age by Year of Diagnosis, 2009-2013P (Cont) Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 13 1% 2.0 11 1% 1.7 16 2% 2.4 6 1% 0.9 7 1% 1.1 20-24 60 6% 9.0 43 5% 6.4 56 7% 8.3 45 6% 6.5 59 7% 8.5 25-29 100 10% 15.9 68 9% 10.8 72 9% 11.4 85 11% 13.4 92 10% 14.5 30-34 93 10% 15.4 99 12% 15.9 99 12% 15.7 99 13% 15.6 113 13% 17.8 35-39 132 14% 19.9 99 12% 15.1 102 13% 16.1 74 9% 11.8 90 10% 14.4 40-44 157 16% 23.9 112 14% 16.8 120 15% 17.6 115 15% 16.8 130 15% 19.0 45-49 179 19% 26.0 151 19% 21.7 135 17% 19.6 127 16% 18.7 139 16% 20.4 50-54 114 12% 17.7 95 12% 14.1 101 12% 14.8 115 15% 16.8 117 13% 17.1 55-59 73 8% 12.6 56 7% 9.3 53 7% 8.6 59 7% 9.3 77 9% 12.1 60-64 18 2% 3.6 33 4% 6.1 31 4% 5.5 33 4% 5.8 41 5% 7.3 65+ 16 2% 1.3 28 4% 2.3 29 4% 2.3 31 4% 2.3 28 3% 2.1 Unknown 0 0% --- 0 0% --- <5 --- --- 0 0% --- 0 0% --- Total Total 955 100% 12.4 795 100% 10.1 815 100% 10.2 789 100% 9.7 893P 100% 11.0P * Rate per 100,000 population. P Note: The 2013 AIDS numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 26 Communicable Disease Branch Table 17. N. C. Chlamydia Cases by Gender and Race/Ethnicity, 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 958 2% 31.0 945 2% 30.6 1,210 2% 39.1 1,246 2% 39.9 1,381 3% 44.3 Black** 4,007 9% 421.5 3,835 9% 391.6 4,694 9% 473.8 4,329 9% 431.0 4,408 9% 438.9 Am.In/AN** 73 0% 136.9 95 0% 169.8 102 0% 180.9 94 0% 165.8 90 0% 158.7 Asian/PI** 38 0% 38.1 34 0% 31.0 35 0% 30.4 30 0% 24.9 40 0% 33.2 Hispanic 523 1% 131.4 470 1% 109.0 588 1% 133.5 607 1% 134.2 583 1% 128.9 Unknown 2,628 6% --- 2,675 6% --- 4,779 9% --- 5,045 10% --- 4,754 10% --- Male Total 8,227 19% 179.2 8,054 19% 172.8 11,408 21% 242.7 11,351 22% 238.8 11,256 23% 236.8 White** 6,024 14% 186.3 6,316 15% 195.2 7,250 13% 222.8 7,053 14% 215.7 7,114 15% 217.5 Black** 16,001 37% 1486.2 15,806 37% 1422.5 17,108 32% 1520.9 15,557 31% 1366.9 15,075 31% 1324.6 Am.In/AN** 498 1% 885.3 432 1% 721.1 583 1% 964.5 598 1% 982.0 564 1% 926.1 Asian/PI** 176 0% 168.4 206 0% 172.6 181 0% 144.4 197 0% 150.1 210 0% 160.0 Hispanic 1,990 5% 622.7 1,777 4% 474.3 2,244 4% 581.2 2,214 4% 555.5 2,318 5% 581.6 Unknown 10,540 24% --- 9,386 22% --- 14,836 28% --- 13,536 27% --- 11,863 25% --- Female Total 35,229 81% 735.4 33,923 80% 692.3 42,202 78% 852.5 39,155 77% 783.2 37,144 77% 743.0 White** 7,000 16% 110.7 7,276 17% 115.1 8,480 16% 133.5 8,305 16% 130.0 8,497 18% 133.0 Black** 20,090 46% 991.0 19,732 47% 944.0 21,860 41% 1033.3 19,917 39% 929.7 19,484 40% 909.4 Am.In/AN** 572 1% 522.0 527 1% 454.9 686 1% 587.1 695 1% 591.0 654 1% 556.1 Asian/PI** 215 0% 105.3 241 1% 105.2 217 0% 90.2 227 0% 90.1 250 1% 99.2 Hispanic 2,525 6% 351.8 2,254 5% 279.7 2,841 5% 343.7 2,823 6% 331.8 2,902 6% 341.1 Unknown 13,332 30% --- 12,137 29% --- 19,770 37% --- 18,654 37% --- 16,630 34% --- Total*** Total 43,734 100% 466.2 42,167 100% 441.1 53,854 100% 558.0 50,621 100% 519.1 48,417 100% 496.5 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/ PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 27 Communicable Disease Branch Table 18. N. C. Chlamydia Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 20 0% 6.5 20 0% 6.2 34 0% 10.4 30 0% 9.1 32 0% 9.7 15-19 1,943 4% 585.6 1,989 5% 590.1 2,683 5% 799.0 2,491 5% 746.0 2,155 4% 645.4 20-24 3,210 7% 911.5 3,137 7% 921.3 4,721 9% 1368.6 4,640 9% 1294.9 4,800 10% 1339.5 25-29 1,556 4% 488.2 1,425 3% 454.0 1,960 4% 626.3 2,127 4% 675.4 2,137 4% 678.6 30-34 678 2% 227.6 650 2% 211.4 940 2% 302.6 982 2% 314.6 1,035 2% 331.6 35-39 375 1% 113.9 391 1% 120.9 470 1% 150.5 489 1% 159.0 489 1% 159.0 40-44 203 0% 62.6 213 1% 64.5 271 1% 80.9 272 1% 80.6 300 1% 88.9 45-54 152 0% 23.4 168 0% 25.3 249 0% 37.4 239 0% 35.9 231 0% 34.7 55-64 41 0% 8.0 32 0% 5.9 37 0% 6.6 45 0% 7.9 61 0% 10.7 65+ 9 0% 1.8 11 0% 2.1 15 0% 2.7 15 0% 2.6 12 0% 2.1 Unknown 21 0% --- 12 0% --- 14 0% --- 8 0% --- <5 --- --- Male Total** 8,227 19% 179.2 8,054 19% 172.8 11,408 21% 242.7 11,351 22% 238.8 11,256 23% 236.8 10-14 424 1% 144.8 398 1% 129.1 463 1% 147.4 424 1% 133.7 385 1% 121.4 15-19 13,716 31% 4372.3 12,789 30% 3997.1 15,694 29% 4938.3 13,742 27% 4338.2 12,263 25% 3871.3 20-24 13,319 30% 4222.7 13,261 31% 4055.6 16,858 31% 5056.5 15,954 32% 4707.8 15,455 32% 4560.5 25-29 4,559 10% 1461.0 4,392 10% 1388.7 5,375 10% 1691.7 5,275 10% 1660.0 5,267 11% 1657.5 30-34 1,785 4% 581.9 1,763 4% 556.8 2,193 4% 684.6 2,134 4% 661.5 2,138 4% 662.8 35-39 740 2% 222.2 746 2% 223.9 861 2% 266.4 854 2% 267.7 878 2% 275.2 40-44 291 1% 87.8 270 1% 79.9 407 1% 117.9 384 1% 110.3 392 1% 112.6 45-54 182 0% 26.5 201 0% 28.6 255 0% 36.3 294 1% 41.9 286 1% 40.8 55-64 36 0% 6.3 41 0% 6.8 42 0% 6.7 56 0% 8.9 55 0% 8.7 65+ 6 0% 0.9 5 0% 0.7 7 0% 1.0 9 0% 1.2 13 0% 1.7 Unknown 132 0% --- 40 0% --- 31 0% --- 13 0% --- 10 0% --- Female Total** 35,229 81% 735.4 33,923 80% 692.3 42,202 78% 852.5 39,155 77% 783.2 37,144 77% 743.0 *Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 28 Communicable Disease Branch Table 18. N. C. Chlamydia Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 448 1% 74.5 419 1% 66.4 499 1% 77.7 454 1% 70.0 417 1% 64.3 15-19 15,720 36% 2435.3 14,832 35% 2257.4 18,444 34% 2822.0 16,267 32% 2500.1 14,423 30% 2216.7 20-24 16,619 38% 2489.4 16,472 39% 2467.8 21,675 40% 3195.3 20,639 41% 2960.2 20,261 42% 2905.9 25-29 6,152 14% 975.3 5,845 14% 927.5 7,379 14% 1170.0 7,421 15% 1172.9 7,408 15% 1170.9 30-34 2,478 6% 409.8 2,424 6% 388.4 3,148 6% 498.9 3,124 6% 492.2 3,173 7% 499.9 35-39 1,122 3% 169.4 1,142 3% 173.9 1,334 2% 209.9 1,347 3% 215.0 1,368 3% 218.3 40-44 497 1% 75.8 487 1% 72.9 682 1% 100.3 657 1% 95.8 693 1% 101.0 45-54 336 1% 25.2 370 1% 27.1 504 1% 36.8 533 1% 39.0 517 1% 37.8 55-64 77 0% 7.1 73 0% 6.4 79 0% 6.7 101 0% 8.4 116 0% 9.7 65+ 15 0% 1.3 16 0% 1.3 22 0% 1.7 24 0% 1.8 25 0% 1.9 Unknown 210 0% --- 64 0% --- 57 0% --- 24 0% --- 12 0% --- Total*** Total** 43,734 100% 466.2 42,167 100% 441.1 53,854 100% 558.0 50,621 100% 519.1 48,417 100% 496.5 *Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 29 Communicable Disease Branch Table 19. N. C. Gonorrhea Cases by Gender and Race/Ethnicity, 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 440 3% 14.2 394 3% 12.8 514 3% 16.6 493 3% 15.8 654 5% 21.0 Black** 3,958 27% 416.4 3,604 25% 368.0 3,913 23% 395.0 3,364 23% 335.0 3,352 25% 333.8 Am.In/AN** 68 0% 127.5 52 0% 92.9 54 0% 95.8 48 0% 84.6 63 0% 111.1 Asian/PI** 16 0% 16.0 8 0% 7.3 9 0% 7.8 10 0% 8.3 12 0% 9.9 Hispanic 136 1% 34.2 147 1% 34.1 172 1% 39.1 144 1% 31.8 167 1% 36.9 Unknown 1,667 11% --- 1,529 11% --- 2,525 15% --- 2,114 15% --- 1,867 14% --- Male Total 6,285 42% 136.9 5,734 41% 123.0 7,187 42% 152.9 6,173 43% 129.9 6,115 45% 128.7 White** 1,055 7% 32.6 1,067 8% 33.0 1,157 7% 35.6 939 7% 28.7 981 7% 30.0 Black** 4,949 33% 459.7 5,059 36% 455.3 5,158 30% 458.6 4,212 29% 370.1 4,059 30% 356.6 Am.In/AN** 130 1% 231.1 116 1% 193.6 144 1% 238.2 111 1% 182.3 107 1% 175.7 Asian/PI** 27 0% 25.8 27 0% 22.6 23 0% 18.3 33 0% 25.1 22 0% 16.8 Hispanic 166 1% 51.9 164 1% 43.8 213 1% 55.2 172 1% 43.2 158 1% 39.6 Unknown 2,089 14% --- 1,903 13% --- 3,195 19% --- 2,635 18% --- 2,214 16% --- Female Total 8,416 57% 175.7 8,336 59% 170.1 9,890 58% 199.8 8,102 57% 162.1 7,541 55% 150.8 White** 1,503 10% 23.8 1,463 10% 23.2 1,674 10% 26.4 1,435 10% 22.5 1,636 12% 25.6 Black** 8,940 60% 441.0 8,708 62% 416.6 9,095 53% 429.9 7,591 53% 354.3 7,414 54% 346.1 Am.In/AN** 199 1% 181.6 168 1% 145.0 198 1% 169.5 159 1% 135.2 170 1% 144.6 Asian/PI** 43 0% 21.1 35 0% 15.3 32 0% 13.3 43 0% 17.1 34 0% 13.5 Hispanic 304 2% 42.4 313 2% 38.8 387 2% 46.8 316 2% 37.1 325 2% 38.2 Unknown 3,822 26% --- 3,466 24% --- 5,772 34% --- 4,780 33% --- 4,086 30% --- Total*** Total 14,811 100% 157.9 14,153 100% 148.0 17,158 100% 177.8 14,324 100% 146.9 13,665 100% 140.1 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 30 Communicable Disease Branch Table 20. N. C. Gonorrhea Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 16 0% 5.2 17 0% 5.3 9 0% 2.7 12 0% 3.6 17 0% 5.1 15-19 1,218 8% 367.1 1,079 8% 320.1 1,279 7% 380.9 1,011 7% 302.8 880 6% 263.6 20-24 2,132 14% 605.4 2,077 15% 610.0 2,726 16% 790.3 2,291 16% 639.3 2,258 17% 630.1 25-29 1,178 8% 369.6 1,066 8% 339.6 1,344 8% 429.4 1,173 8% 372.5 1,204 9% 382.3 30-34 643 4% 215.9 602 4% 195.8 682 4% 219.5 672 5% 215.3 651 5% 208.5 35-39 391 3% 118.7 319 2% 98.6 389 2% 124.6 340 2% 110.6 365 3% 118.7 40-44 264 2% 81.4 247 2% 74.8 296 2% 88.3 255 2% 75.5 265 2% 78.5 45-54 315 2% 48.6 229 2% 34.4 334 2% 50.1 310 2% 46.6 342 3% 51.4 55-64 81 1% 15.8 70 0% 12.8 88 1% 15.7 81 1% 14.3 94 1% 16.6 65+ 22 0% 4.4 20 0% 3.8 26 0% 4.8 21 0% 3.6 34 0% 5.9 Unknown 18 0% --- 8 0% --- 7 0% --- <5 --- --- <5 --- --- Male Total** 6,285 42% 136.9 5,734 41% 123.0 7,187 42% 152.9 6,173 43% 129.9 6,115 45% 128.7 10-14 95 1% 32.4 83 1% 26.9 93 1% 29.6 100 1% 31.5 67 0% 21.1 15-19 2,940 20% 937.2 2,838 20% 887.0 3,253 19% 1023.6 2,451 17% 773.8 2,179 16% 687.9 20-24 3,113 21% 986.9 3,191 23% 975.9 3,892 23% 1167.4 3,142 22% 927.2 2,950 22% 870.5 25-29 1,248 8% 399.9 1,222 9% 386.4 1,484 9% 467.1 1,305 9% 410.7 1,259 9% 396.2 30-34 520 4% 169.5 548 4% 173.1 598 3% 186.7 587 4% 182.0 563 4% 174.5 35-39 247 2% 74.2 253 2% 75.9 280 2% 86.6 261 2% 81.8 280 2% 87.8 40-44 114 1% 34.4 85 1% 25.2 159 1% 46.1 141 1% 40.5 123 1% 35.3 45-54 77 1% 11.2 90 1% 12.8 104 1% 14.8 87 1% 12.4 96 1% 13.7 55-64 14 0% 2.5 5 0% 0.8 17 0% 2.7 22 0% 3.5 15 0% 2.4 65+ <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Unknown 38 0% --- 13 0% --- <5 --- --- <5 --- --- <5 --- --- Female Total** 8,416 57% 175.7 8,336 59% 170.1 9,890 58% 199.8 8,102 57% 162.1 7,541 55% 150.8 *Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 31 Communicable Disease Branch Table 20. N. C. Gonorrhea Cases by Gender and Age, 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 111 1% 18.5 100 1% 15.8 103 1% 16.0 112 1% 17.3 84 1% 13.0 15-19 4,177 28% 647.1 3,936 28% 599.1 4,553 27% 696.6 3,469 24% 533.2 3,062 22% 470.6 20-24 5,286 36% 791.8 5,297 37% 793.6 6,649 39% 980.2 5,453 38% 782.1 5,212 38% 747.5 25-29 2,441 16% 387.0 2,300 16% 365.0 2,839 17% 450.1 2,485 17% 392.8 2,465 18% 389.6 30-34 1,170 8% 193.5 1,160 8% 185.9 1,284 7% 203.5 1,265 9% 199.3 1,214 9% 191.3 35-39 640 4% 96.6 577 4% 87.9 670 4% 105.4 604 4% 96.4 645 5% 102.9 40-44 381 3% 58.1 333 2% 49.9 457 3% 67.2 398 3% 58.0 388 3% 56.6 45-54 393 3% 29.4 320 2% 23.4 441 3% 32.2 399 3% 29.2 438 3% 32.1 55-64 95 1% 8.8 75 1% 6.5 105 1% 8.8 104 1% 8.7 109 1% 9.1 65+ 23 0% 1.9 20 0% 1.6 29 0% 2.3 21 0% 1.6 36 0% 2.7 Unknown 78 1% --- 26 0% --- 15 0% --- 6 0% --- 5 0% --- Total*** Total** 14,811 100% 157.9 14,153 100% 148.0 17,158 100% 177.8 14,324 100% 146.9 13,665 100% 140.1 *Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 32 Communicable Disease Branch Table 21. N. C. Primary and Secondary Syphilis Cases by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 84 16% 2.7 47 12% 1.5 81 21% 2.6 59 18% 1.9 105 25% 3.4 Black** 318 59% 33.5 270 69% 27.6 263 67% 26.5 212 63% 21.1 249 59% 24.8 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 Hispanic 18 3% 4.5 13 3% 3.0 8 2% 1.8 13 4% 2.9 13 3% 2.9 Unknown 6 1% --- 10 3% --- 8 2% --- 11 3% --- 14 3% --- Male Total 431 80% 9.4 342 87% 7.3 363 93% 7.7 299 90% 6.3 385 91% 8.1 White** 24 4% 0.7 10 3% 0.3 <5 --- --- 5 1% 0.2 5 1% 0.2 Black** 75 14% 7.0 40 10% 3.6 26 7% 2.3 24 7% 2.1 29 7% 2.5 Am.In/AN** 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 Asian/PI** 0 0% 0.0 0 0% 0.0 0 0% 0.0 <5 --- --- 0 0% 0.0 Hispanic 5 1% 1.6 0 0% 0.0 0 0% 0.0 <5 --- --- <5 --- --- Unknown <5 --- --- 0 0% --- <5 --- --- <5 --- --- <5 --- --- Female Total 105 20% 2.2 50 13% 1.0 29 7% 0.6 35 10% 0.7 38 9% 0.8 White** 108 20% 1.7 57 15% 0.9 83 21% 1.3 64 19% 1.0 110 26% 1.7 Black** 393 73% 19.4 310 79% 14.8 289 74% 13.7 236 71% 11.0 278 66% 13.0 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 Hispanic 23 4% 3.2 13 3% 1.6 8 2% 1.0 14 4% 1.6 14 3% 1.6 Unknown 7 1% --- 10 3% --- 9 2% --- 15 4% --- 17 4% --- Total Total 536 100% 5.7 392 100% 4.1 392 100% 4.1 334 100% 3.4 423 100% 4.3 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 33 Communicable Disease Branch Table 22. N. C. Primary and Secondary Syphilis Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 31 6% 9.3 18 5% 5.3 32 8% 9.5 9 3% 2.7 15 4% 4.5 20-24 99 18% 28.1 92 23% 27.0 112 29% 32.5 93 28% 26.0 101 24% 28.2 25-29 84 16% 26.4 76 19% 24.2 71 18% 22.7 58 17% 18.4 87 21% 27.6 30-34 47 9% 15.8 48 12% 15.6 39 10% 12.6 33 10% 10.6 43 10% 13.8 35-39 43 8% 13.1 24 6% 7.4 28 7% 9.0 27 8% 8.8 34 8% 11.1 40-44 38 7% 11.7 33 8% 10.0 28 7% 8.4 19 6% 5.6 37 9% 11.0 45-54 64 12% 9.9 41 10% 6.2 39 10% 5.9 44 13% 6.6 47 11% 7.1 55-64 24 4% 4.7 8 2% 1.5 12 3% 2.1 12 4% 2.1 17 4% 3.0 65+ <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total** 431 80% 9.4 342 87% 7.3 363 93% 7.7 299 90% 6.3 385 91% 8.1 10-14 <5 --- --- 0 0% 0.0 1 0% 0.3 0 0% 0.0 0 0% 0.0 15-19 13 2% 4.1 6 2% 1.9 5 1% 1.6 7 2% 2.2 <5 --- --- 20-24 31 6% 9.8 14 4% 4.3 7 2% 2.1 11 3% 3.2 12 3% 3.5 25-29 23 4% 7.4 6 2% 1.9 6 2% 1.9 6 2% 1.9 5 1% 1.6 30-34 13 2% 4.2 5 1% 1.6 <5 --- --- <5 --- --- <5 --- --- 35-39 9 2% 2.7 5 1% 1.5 <5 --- --- <5 --- --- <5 --- --- 40-44 <5 --- --- 8 2% 2.4 0 0% 0.0 <5 --- --- <5 --- --- 45-54 12 2% 1.7 6 2% 0.9 <5 --- --- <5 --- --- <5 --- --- 55-64 <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 65+ 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total** 105 20% 2.2 50 13% 1.0 29 7% 0.6 35 10% 0.7 38 9% 0.8 *Rate per 100,000 population. Continued ** Total includes cases with age less than 10. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 34 Communicable Disease Branch Table 22. N. C. Primary and Secondary Syphilis Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 44 8% 6.8 24 6% 3.7 37 9% 5.7 16 5% 2.5 18 4% 2.8 20-24 130 24% 19.5 106 27% 15.9 119 30% 17.5 104 31% 14.9 113 27% 16.2 25-29 107 20% 17.0 82 21% 13.0 77 20% 12.2 64 19% 10.1 92 22% 14.5 30-34 60 11% 9.9 53 14% 8.5 41 10% 6.5 37 11% 5.8 47 11% 7.4 35-39 52 10% 7.8 29 7% 4.4 32 8% 5.0 30 9% 4.8 38 9% 6.1 40-44 40 7% 6.1 41 10% 6.1 28 7% 4.1 21 6% 3.1 41 10% 6.0 45-54 76 14% 5.7 47 12% 3.4 42 11% 3.1 46 14% 3.4 49 12% 3.6 55-64 25 5% 2.3 8 2% 0.7 13 3% 1.1 12 4% 1.0 20 5% 1.7 65+ <5 --- --- <5 --- --- <5 --- --- <5 --- --- 5 1% 0.4 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 536 100% 5.7 392 100% 4.1 392 100% 4.1 334 100% 3.4 423 100% 4.3 *Rate per 100,000 population. ** Total includes cases with age less than 10. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 35 Communicable Disease Branch Table 23. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by Gender and Race/Ethnicity, by Year of Diagnosis 2009-2013 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 126 14% 4.1 96 14% 3.1 126 18% 4.1 88 16% 2.8 152 22% 4.9 Black** 497 57% 52.3 451 64% 46.1 446 63% 45.0 370 66% 36.8 379 56% 37.7 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Hispanic 26 3% 6.5 17 2% 3.9 23 3% 5.2 19 3% 4.2 25 4% 5.5 Unknown 8 1% --- 15 2% --- 17 2% --- 15 3% --- 24 4% --- Male Total 664 76% 14.5 585 83% 12.6 618 87% 13.1 498 89% 10.5 585 86% 12.3 White** 49 6% 1.5 24 3% 0.7 9 1% 0.3 10 2% 0.3 11 2% 0.3 Black** 143 16% 13.3 97 14% 8.7 71 10% 6.3 41 7% 3.6 67 10% 5.9 Am.In/AN** <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- <5 --- --- Asian/PI** <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- <5 --- --- Hispanic 14 2% 4.4 <5 --- --- 6 1% 1.6 <5 --- --- 7 1% 1.8 Unknown <5 --- --- 0 0% --- <5 --- --- 6 1% --- 5 1% --- Female Total 209 24% 4.4 123 17% 2.5 90 13% 1.8 63 11% 1.3 92 14% 1.8 White** 175 20% 2.8 120 17% 1.9 135 19% 2.1 98 17% 1.5 163 24% 2.6 Black** 640 73% 31.6 548 77% 26.2 517 73% 24.4 411 73% 19.2 446 66% 20.8 Am.In/AN** 5 1% 4.6 <5 --- --- 5 1% 4.3 5 1% 4.3 5 1% 4.3 Asian/PI** <5 --- --- <5 --- --- <5 --- --- <5 --- --- <5 --- --- Hispanic 40 5% 5.6 18 3% 2.2 29 4% 3.5 23 4% 2.7 32 5% 3.8 Unknown 9 1% --- 15 2% --- 20 3% --- 21 4% --- 29 4% --- Total Total 873 100% 9.3 708 100% 7.4 708 100% 7.3 561 100% 5.8 677 100% 6.9 *Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 36 Communicable Disease Branch Table 24. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 48 5% 14.5 33 5% 9.8 51 7% 15.2 19 3% 5.7 19 3% 5.7 20-24 142 16% 40.3 151 21% 44.3 177 25% 51.3 145 26% 40.5 157 23% 43.8 25-29 128 15% 40.2 119 17% 37.9 126 18% 40.3 102 18% 32.4 121 18% 38.4 30-34 79 9% 26.5 70 10% 22.8 74 10% 23.8 56 10% 17.9 75 11% 24.0 35-39 74 8% 22.5 45 6% 13.9 45 6% 14.4 46 8% 15.0 56 8% 18.2 40-44 67 8% 20.7 61 9% 18.5 48 7% 14.3 41 7% 12.1 60 9% 17.8 45-54 94 11% 14.5 79 11% 11.9 71 10% 10.7 69 12% 10.4 66 10% 9.9 55-64 30 3% 5.8 19 3% 3.5 21 3% 3.7 14 2% 2.5 27 4% 4.8 65+ <5 --- --- 8 1% 1.5 <5 --- --- 5 1% 0.9 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total** 664 76% 14.5 585 83% 12.6 618 87% 13.1 498 89% 10.5 585 86% 12.3 10-14 <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 22 3% 7.0 12 2% 3.8 10 1% 3.1 13 2% 4.1 10 1% 3.2 20-24 55 6% 17.4 30 4% 9.2 23 3% 6.9 20 4% 5.9 33 5% 9.7 25-29 49 6% 15.7 17 2% 5.4 11 2% 3.5 8 1% 2.5 9 1% 2.8 30-34 24 3% 7.8 15 2% 4.7 11 2% 3.4 8 1% 2.5 9 1% 2.8 35-39 24 3% 7.2 15 2% 4.5 9 1% 2.8 6 1% 1.9 10 1% 3.1 40-44 11 1% 3.3 14 2% 4.1 8 1% 2.3 5 1% 1.4 9 1% 2.6 45-54 21 2% 3.1 18 3% 2.6 12 2% 1.7 <5 --- --- 7 1% 1.0 55-64 <5 --- --- 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 65+ 0 0% 0.0 <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total** 209 24% 4.4 123 17% 2.5 90 13% 1.8 63 11% 1.3 92 14% 1.8 *Rate per 100,000 population. Continued ** Total includes cases with age less than 10. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 37 Communicable Disease Branch Table 24. N. C. Early Syphilis (Primary, Secondary, Early Latent) Cases by Gender and Age, by Year of Diagnosis 2009-2013 Age 2009 2009 2009 2010 2010 2010 2011 2011 2011 2012 2012 2012 2013 2013 2013 Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 <5 --- --- <5 --- --- <5 --- --- 0 0% 0.0 0 0% 0.0 15-19 70 8% 10.8 45 6% 6.8 61 9% 9.3 32 6% 4.9 29 4% 4.5 20-24 197 23% 29.5 181 26% 27.1 200 28% 29.5 165 29% 23.7 190 28% 27.3 25-29 177 20% 28.1 136 19% 21.6 137 19% 21.7 110 20% 17.4 130 19% 20.5 30-34 103 12% 17.0 85 12% 13.6 85 12% 13.5 64 11% 10.1 84 12% 13.2 35-39 98 11% 14.8 60 8% 9.1 54 8% 8.5 52 9% 8.3 66 10% 10.5 40-44 78 9% 11.9 75 11% 11.2 56 8% 8.2 46 8% 6.7 69 10% 10.1 45-54 115 13% 8.6 97 14% 7.1 83 12% 6.1 72 13% 5.3 73 11% 5.3 55-64 32 4% 3.0 19 3% 1.7 25 4% 2.1 14 2% 1.2 31 5% 2.6 65+ <5 --- --- 9 1% 0.7 5 1% 0.4 5 1% 0.4 5 1% 0.4 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 873 100% 9.3 708 100% 7.4 708 100% 7.3 561 100% 5.8 677 100% 6.9 * Rate per 100,000 population. ** Total includes cases with age less than 10. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 38 Communicable Disease Branch Table 25. N. C. Congenital Syphilis Reports by Race/Ethnicity, by Year of Birth 2004-2013 2004 2005 2006 2007 2008 Race/Ethnicity Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct White, non Hispanic <5 --- <5 --- <5 --- <5 --- <5 --- Black, non Hispanic 5 45% 7 54% <5 --- <5 --- <5 --- Other <5 --- <5 --- <5 --- <5 --- 5 45% Total 11 100% 13 100% 7 100% 9 100% 11 100% 2009 2010 2011 2012 2013 Race/Ethnicity Cases Pct Cases Pct Cases Pct Cases Pct Cases Pct White, non Hispanic 0 0% <5 --- 0 0% 0 0% <5 --- Black, non Hispanic 8 80% 6 60% 5 83% <5 --- 0 0% Other <5 --- <5 --- <5 --- 0 0% 0 0% Total 10 100% 10 100% 6 100% 2 100% 1 100% Table 26. N. C. Likely Perinatal HIV Infection† Cases, by Year of Birth 2004-2013 Year of Birth 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total 4 5 7 9 5 3 0 2 2 1 †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis of status (HIV or AIDS). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 39 Communicable Disease Branch Table 27. N. C. Regional* HIV Infection and STD Cases, 2013P Race/Ethnicity HIV Infection Chlamydia Gonorrhea Early Syphilis Cases Pct Rate*** Cases Pct Rate*** Cases Pct Rate*** Cases Pct Rate*** Unassigned** 53 3% --- 0 0% --- 0 0% --- 0 0% --- EASTERN 406 27% 14.6 17,214 36% 617.0 4,702 34% 168.5 185 27% 6.6 PIEDMONT 998 65% 17.3 28,402 59% 491.9 8,349 61% 144.6 476 70% 8.2 WESTERN 68 4% 5.7 2,801 6% 235.7 614 4% 51.7 16 2% 1.3 Total 1,525P 100% 15.6P 48,417 100% 496.5 13,665 100% 140.1 677 100% 6.9 * Geographic regions as displayed on Back Cover and below. ** Unassigned includes cases with unknown county of residence at diagnosis or cases that were diagnosed at a long-term care facility such as prisons (See Technical Notes). *** Rate per 100,000 population. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina Geographic Regions North Carolina 2013 HIV/STD Surveillance Report NCDHHS 40 Communicable Disease Branch Table 28. N. C. Regional Adult/Adolescent HIV Infection† Cases by Gender and Race/Ethnicity by Year Of Diagnosis, 2013P EASTERN PIEDMONT WESTERN TOTAL*** Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 61 4% 8.8 210 14% 13.8 39 3% 8.9 318 21% 12.0 Black** 211 14% 70.9 487 32% 102.2 6 0% 26.0 736 49% 92.3 Am.In/AN** <5 --- --- <5 --- --- <5 --- --- 7 0% 15.4 Asian/PI** <5 --- --- 8 1% 10.3 0 0% 0.0 10 1% 10.5 Hispanic 21 1% 23.8 67 4% 32.7 5 0% 18.7 104 7% 32.5 Unknown 5 0% --- 8 1% --- <5 --- --- 14 1% --- Male Total 304 20% 27.1 781 52% 34.1 53 4% 10.7 1,189 79% 30.4 White** 21 1% 2.9 26 2% 1.6 5 0% 1.1 53 4% 1.9 Black** 66 4% 19.3 157 10% 27.3 8 1% 37.3 232 15% 24.7 Am.In/AN** <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- Asian/PI** 0 0% 0.0 7 0% 8.5 0 0% 0.0 7 0% 6.6 Hispanic 8 1% 11.3 12 1% 6.7 <5 --- --- 22 1% 8.1 Unknown <5 --- --- <5 --- --- 0 0% --- 6 0% --- Female Total 101 7% 8.5 206 14% 8.3 15 1% 2.9 324 21% 7.7 White** 82 5% 5.8 236 16% 7.5 44 3% 4.8 371 25% 6.8 Black** 277 18% 43.3 644 43% 61.2 14 1% 31.4 968 64% 55.8 Am.In/AN** 8 1% 12.1 <5 --- --- <5 --- --- 11 1% 11.5 Asian/PI** <5 --- --- 15 1% 9.4 0 0% 0.0 17 1% 8.5 Hispanic 29 2% 18.2 79 5% 20.5 7 0% 14.7 126 8% 21.3 Unknown 7 0% --- 12 1% --- <5 --- --- 20 1% --- Total Total 405 27% 17.5 987 65% 20.7 68 4% 6.7 1,513P 100% 18.7P †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes 53 cases with unassigned county. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 41 Communicable Disease Branch Table 29. N. C. Regional Adult/Adolescent HIV Infection† Cases by Gender and Age by Year Of Diagnosis, 2013P Age EASTERN PIEDMONT WESTERN TOTAL** Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 17 1% 17.8 34 2% 17.0 0 0% 0.0 52 3% 15.6 20-24 66 4% 52.6 177 12% 92.0 5 0% 12.4 249 16% 69.5 25-29 54 4% 55.3 125 8% 67.5 8 1% 24.9 190 13% 60.3 30-34 35 2% 39.4 76 5% 40.0 8 1% 24.1 128 8% 41.0 35-39 24 2% 29.2 71 5% 37.3 7 0% 20.1 108 7% 35.1 40-44 24 2% 27.8 91 6% 42.8 5 0% 12.9 130 9% 38.5 45-49 31 2% 35.2 89 6% 43.3 7 0% 17.5 137 9% 41.1 50-54 24 2% 26.5 49 3% 24.6 5 0% 11.9 85 6% 25.6 55-59 12 1% 13.9 31 2% 17.7 <5 --- --- 47 3% 15.6 60-64 7 0% 9.0 20 1% 13.5 <5 --- --- 31 2% 11.7 65+ 10 1% 5.9 18 1% 5.8 <5 --- --- 32 2% 5.5 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total 304 20% 27.1 781 52% 34.1 53 4% 10.7 1,189 79% 30.4 13-14 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 15-19 <5 --- --- <5 --- --- 0 0% 0.0 7 0% 2.2 20-24 8 1% 7.5 16 1% 8.2 0 0% 0.0 24 2% 7.1 25-29 9 1% 9.7 21 1% 10.9 <5 --- --- 32 2% 10.1 30-34 8 1% 9.0 21 1% 10.5 <5 --- --- 32 2% 9.9 35-39 14 1% 16.6 21 1% 10.4 <5 --- --- 38 3% 11.9 40-44 12 1% 13.3 35 2% 15.9 <5 --- --- 51 3% 14.6 45-49 14 1% 15.1 31 2% 14.5 <5 --- --- 46 3% 13.2 50-54 15 1% 15.2 25 2% 11.9 <5 --- --- 42 3% 11.9 55-59 9 1% 9.3 20 1% 10.5 <5 --- --- 30 2% 9.0 60-64 7 0% 8.1 7 0% 4.2 0 0% 0.0 14 1% 4.7 65+ <5 --- --- <5 --- --- <5 --- --- 7 0% 0.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total 101 7% 8.5 206 14% 8.3 15 1% 2.9 324 21% 7.7 Continued †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. ** Total includes 53 cases with unassigned county. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 42 Communicable Disease Branch Table 29. N. C. Regional Adult/Adolescent HIV Infection† Cases by Gender and Age by Year Of Diagnosis, 2013P Age EASTERN PIEDMONT WESTERN TOTAL** Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 13-14 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 15-19 20 1% 10.9 38 3% 9.7 0 0% 0.0 59 4% 9.1 20-24 74 5% 31.9 193 13% 49.9 5 0% 6.4 273 18% 39.2 25-29 63 4% 33.0 146 10% 38.6 10 1% 15.8 222 15% 35.1 30-34 43 3% 24.2 97 6% 24.8 10 1% 15.1 160 11% 25.2 35-39 38 3% 22.8 92 6% 23.5 9 1% 13.1 146 10% 23.3 40-44 36 2% 20.4 126 8% 29.1 9 1% 11.7 181 12% 26.4 45-49 45 3% 24.9 120 8% 28.6 8 1% 9.9 183 12% 26.9 50-54 39 3% 20.6 74 5% 18.0 7 0% 8.1 127 8% 18.5 55-59 21 1% 11.5 51 3% 14.0 <5 --- --- 77 5% 12.1 60-64 14 1% 8.5 27 2% 8.5 <5 --- --- 45 3% 8.0 65+ 12 1% 3.1 22 1% 3.0 5 0% 2.2 39 3% 2.9 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 405 27% 17.5 987 65% 20.7 68 4% 6.7 1,513P 100% 18.7P (Cont.) †HIV Infection includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). * Rate per 100,000 population. ** Total includes 53 cases with unassigned county. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 43 Communicable Disease Branch Table 30. N. C. Regional Adult/Adolescent HIV Disease† Cases by Gender and Mode of Transmission, 2013P EASTERN PIEDMONT WESTERN TOTAL** Mode of Exposure Cases Pct Cases Pct Cases Pct Cases Pct MSM* 167 41% 457 46% 25 37% 656 43% IDU* <5 --- 12 1% <5 --- 22 1% MSM/IDU* <5 --- 17 2% 7 10% 27 2% Other Risk* 0 0% 0 0% 0 0% 0% 0% Heterosexual-CDC* 13 3% 23 2% <5 --- 41 3% NIR/NRR* 89 22% 211 21% 13 19% 337 22% Presumed Heterosexual* 29 7% 61 6% <5 --- 106 7% Male Total 304 75% 781 79% 53 78% 1189 79% IDU* 6 1% 6 1% <5 --- 14 1% Other Risk* 0 0% 0 0% 0 0% 0% 0% Heterosexual-CDC* 23 6% 46 5% <5 --- 70 5% NIR/NRR* 49 12% 116 12% 10 15% 175 12% Presumed Heterosexual* 23 6% 38 4% <5 --- 65 4% Female Total 101 25% 206 21% 15 22% 324 21% MSM* 167 41% 457 46% 25 37% 656 43% IDU* 9 2% 18 2% 5 7% 36 2% MSM/IDU* <5 --- 17 2% 7 10% 27 2% Other Risk* 0 0% 0 0% 0 0% 0% 0% Heterosexual-CDC* 36 9% 69 7% 5 7% 111 7% NIR/NRR* 138 34% 327 33% 23 34% 512 34% Presumed Heterosexual* 52 13% 99 10% <5 --- 171 11% Total Total 405 100% 987 100% 68 100% 1513P 100% †HIV Disease includes all newly diagnosed HIV infected individuals by the date of first diagnosis regardless of status (HIV or AIDS). *MSM= men who have sex with men; IDU= injection drug use; “Other Risk” includes Blood Products (adult hemophilia) and pediatric cases; “Presumed Heterosexual” includes cases initially classified as “NIR” with additional risk information consistent with heterosexual transmission; NIR= no identified risk reported. **Total includes 53 cases with Unassigned County. P Note: The 2013 HIV Infection numbers are artificially inflated due to incomplete interstate deduplication (see Technical Notes). North Carolina 2013 HIV/STD Surveillance Report NCDHHS 44 Communicable Disease Branch Table 31. N. C. Regional Chlamydia Cases by Gender and Race/Ethnicity, 2013 EASTERN PIEDMONT WESTERN TOTAL Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 348 1% 42.6 760 2% 42.3 273 1% 54.2 1,381 3% 44.3 Black** 950 2% 254.5 3,333 7% 552.8 125 0% 443.5 4,408 9% 438.9 Am.In/AN** 31 0% 78.8 52 0% 451.5 7 0% 119.2 90 0% 158.7 Asian/PI** 10 0% 58.9 29 0% 29.6 <5 --- --- 40 0% 33.2 Hispanic 102 0% 82.5 450 1% 154.6 31 0% 82.4 583 1% 128.9 Unknown 2,167 4% --- 2,476 5% --- 111 0% --- 4,754 10% --- Male Total 3,608 7% 263.5 7,100 15% 253.4 548 1% 94.2 11,256 23% 236.8 White** 2,256 5% 269.6 3,519 7% 185.5 1,339 3% 249.6 7,114 15% 217.5 Black** 5,945 12% 1435.8 8,798 18% 1260.9 332 1% 1261.5 15,075 31% 1324.6 Am.In/AN** 332 1% 779.7 204 0% 1683.9 28 0% 451.3 564 1% 926.1 Asian/PI** 57 0% 261.9 131 0% 127.5 22 0% 323.3 210 0% 160.0 Hispanic 545 1% 518.5 1,632 3% 622.0 141 0% 453.3 2,318 5% 581.6 Unknown 4,461 9% --- 7,011 14% --- 391 1% --- 11,863 25% --- Female Total 13,596 28% 957.2 21,295 44% 716.6 2,253 5% 371.3 37,144 77% 743.0 White** 2,605 5% 157.6 4,280 9% 115.8 1,612 3% 154.9 8,497 18% 133.0 Black** 6,895 14% 875.8 12,132 25% 932.8 457 1% 838.5 19,484 40% 909.4 Am.In/AN** 363 1% 443.2 256 1% 1083.3 35 0% 289.8 654 1% 556.1 Asian/PI** 67 0% 173.0 160 0% 79.8 23 0% 182.1 250 1% 99.2 Hispanic 647 1% 282.9 2,083 4% 376.4 172 0% 250.3 2,902 6% 341.1 Unknown 6,637 14% --- 9,491 20% --- 502 1% --- 16,630 34% --- Total Total*** 17,214 36% 617.0 28,402 59% 491.9 2,801 6% 235.7 48,417 100% 496.5 * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 45 Communicable Disease Branch Table 32. N. C. Regional Chlamydia Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 12 0% 13.0 17 0% 8.4 3 0% 8.4 32 0% 9.7 15-19 615 1% 644.1 1,415 3% 708.4 125 0% 323.4 2,155 4% 645.4 20-24 1,699 4% 1354.8 2,884 6% 1498.3 217 0% 536.5 4,800 10% 1339.5 25-29 700 1% 716.8 1,322 3% 713.9 115 0% 358.4 2,137 4% 678.6 30-34 307 1% 345.4 686 1% 360.9 42 0% 126.5 1,035 2% 331.6 35-39 130 0% 157.9 340 1% 178.6 19 0% 54.6 489 1% 159.0 40-44 75 0% 86.9 214 0% 100.7 11 0% 28.4 300 1% 88.9 45-49 32 0% 36.4 108 0% 52.6 10 0% 25.0 150 0% 45.0 50-54 17 0% 18.8 60 0% 30.1 <5 --- --- 81 0% 24.4 55-59 11 0% 12.8 34 0% 19.5 <5 --- --- 47 0% 15.6 60-64 7 0% 9.0 7 0% 4.7 0 0% 0.0 14 0% 5.3 65+ <5 --- --- 11 0% 3.5 0 0% 0.0 12 0% 2.1 Unknown <5 --- --- <5 --- --- 0 0% --- <5 --- --- Male Total** 3,608 7% 263.5 7,100 15% 253.4 548 1% 94.2 11,256 23% 236.8 10-14 134 0% 151.1 237 0% 121.8 14 0% 41.3 385 1% 121.4 15-19 4,403 9% 4964.2 7,102 15% 3687.3 758 2% 2137.4 12,263 25% 3871.3 20-24 5,650 12% 5290.3 8,828 18% 4550.4 977 2% 2565.4 15,455 32% 4560.5 25-29 2,002 4% 2148.9 2,943 6% 1521.0 322 1% 1034.9 5,267 11% 1657.5 30-34 810 2% 908.8 1,218 3% 607.1 110 0% 335.1 2,138 4% 662.8 35-39 307 1% 364.3 528 1% 262.6 43 0% 127.7 878 2% 275.2 40-44 145 0% 161.2 233 0% 105.8 14 0% 36.7 392 1% 112.6 45-49 72 0% 77.6 110 0% 51.4 7 0% 17.3 189 0% 54.4 50-54 39 0% 39.5 52 0% 24.7 6 0% 13.6 97 0% 27.4 55-59 15 0% 15.5 21 0% 11.0 <5 --- --- 38 0% 11.4 60-64 9 0% 10.4 8 0% 4.8 0 0% 0.0 17 0% 5.7 65+ 6 0% 2.7 7 0% 1.7 0 0% 0.0 13 0% 1.7 Unknown <5 --- --- 7 0% --- 0 0% --- 10 0% --- Female Total** 13,596 28% 957.2 21,295 44% 716.6 2,253 5% 371.3 37,144 77% 743.0 * Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 46 Communicable Disease Branch Table 32. N. C. Regional Chlamydia Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 146 0% 80.6 254 1% 63.9 17 0% 24.4 417 1% 64.3 15-19 5,020 10% 2725.6 8,520 18% 2171.5 883 2% 1191.3 14,423 30% 2216.7 20-24 7,353 15% 3166.6 11,714 24% 3030.8 1,194 2% 1520.4 20,261 42% 2905.9 25-29 2,705 6% 1417.6 4,266 9% 1126.6 437 1% 691.5 7,408 15% 1170.9 30-34 1,117 2% 627.5 1,904 4% 487.3 152 0% 230.2 3,173 7% 499.9 35-39 438 1% 262.9 868 2% 221.7 62 0% 90.6 1,368 3% 218.3 40-44 220 0% 124.8 448 1% 103.5 25 0% 32.5 693 1% 101.0 45-49 104 0% 57.5 218 0% 52.0 17 0% 21.1 339 1% 49.8 50-54 56 0% 29.6 112 0% 27.3 10 0% 11.6 178 0% 26.0 55-59 26 0% 14.2 55 0% 15.0 <5 --- --- 85 0% 13.4 60-64 16 0% 9.7 15 0% 4.7 0 0% 0.0 31 0% 5.5 65+ 7 0% 1.8 18 0% 2.5 0 0% 0.0 25 0% 1.9 Unknown <5 --- --- 8 0% --- 0 0% --- 12 0% --- Total*** Total** 17,214 36% 617.0 28,402 59% 491.9 2,801 6% 235.7 48,417 100% 496.5 * Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 47 Communicable Disease Branch Table 33. N. C. Regional Gonorrhea Cases by Gender and Race/Ethnicity, 2013 EASTERN PIEDMONT WESTERN TOTAL Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 155 1% 19.0 348 3% 19.3 151 1% 30.0 654 5% 21.0 Black** 995 7% 266.6 2,252 16% 373.5 105 1% 372.5 3,352 25% 333.8 Am.In/AN** 33 0% 83.9 30 0% 260.5 0 0% 0.0 63 0% 111.1 Asian/PI** <5 --- --- 7 0% 7.2 <5 --- --- 12 0% 9.9 Hispanic 42 0% 34.0 114 1% 39.2 11 0% 29.2 167 1% 36.9 Unknown 775 6% --- 1,068 8% --- 24 0% --- 1,867 14% --- Male Total 2,003 15% 146.3 3,819 28% 136.3 293 2% 50.4 6,115 45% 128.7 White** 309 2% 36.9 507 4% 26.7 165 1% 30.8 981 7% 30.0 Black** 1,419 10% 342.7 2,536 19% 363.5 104 1% 395.2 4,059 30% 356.6 Am.In/AN** 69 1% 162.1 36 0% 297.2 <5 --- --- 107 1% 175.7 Asian/PI** 6 0% 27.6 15 0% 14.6 <5 --- --- 22 0% 16.8 Hispanic 48 0% 45.7 97 1% 37.0 13 0% 41.8 158 1% 39.6 Unknown 841 6% --- 1,338 10% --- 35 0% --- 2,214 16% --- Female Total 2,692 20% 189.5 4,529 33% 152.4 320 2% 52.7 7,541 55% 150.8 White** 464 3% 28.1 855 6% 23.1 317 2% 30.5 1,636 12% 25.6 Black** 2,417 18% 307.0 4,788 35% 368.1 209 2% 383.5 7,414 54% 346.1 Am.In/AN** 102 1% 124.5 66 0% 279.3 <5 --- --- 170 1% 144.6 Asian/PI** 9 0% 23.2 22 0% 11.0 <5 --- --- 34 0% 13.5 Hispanic 90 1% 39.3 211 2% 38.1 24 0% 34.9 325 2% 38.2 Unknown 1,620 12% --- 2,407 18% --- 59 0% --- 4,086 30% --- Total Total*** 4,702 34% 168.5 8,349 61% 144.6 614 4% 51.7 13,665 100% 140.1 * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. *** Total includes cases with unknown gender. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 48 Communicable Disease Branch Table 34. N. C. Regional Gonorrhea Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 6 0% 6.5 10 0% 4.9 <5 --- --- 17 0% 5.1 15-19 288 2% 301.6 555 4% 277.8 37 0% 95.7 880 6% 263.6 20-24 803 6% 640.3 1,365 10% 709.1 90 1% 222.5 2,258 17% 630.1 25-29 398 3% 407.6 732 5% 395.3 74 1% 230.6 1,204 9% 382.3 30-34 220 2% 247.5 409 3% 215.2 22 0% 66.2 651 5% 208.5 35-39 116 1% 140.9 229 2% 120.3 20 0% 57.5 365 3% 118.7 40-44 58 0% 67.2 191 1% 89.9 16 0% 41.3 265 2% 78.5 45-49 51 0% 57.9 149 1% 72.5 13 0% 32.5 213 2% 63.9 50-54 32 0% 35.3 90 1% 45.2 7 0% 16.7 129 1% 38.9 55-59 15 0% 17.4 44 0% 25.2 <5 --- --- 63 0% 20.9 60-64 6 0% 7.7 24 0% 16.2 <5 --- --- 31 0% 11.7 65+ 9 0% 5.3 17 0% 5.5 8 0% 8.0 34 0% 5.9 Unknown <5 --- --- <5 --- --- 0 0% --- <5 --- --- Male Total** 2,003 15% 146.3 3,819 28% 136.3 293 2% 50.4 6,115 45% 128.7 10-14 17 0% 19.2 49 0% 25.2 <5 --- --- 67 0% 21.1 15-19 756 6% 852.4 1,348 10% 699.9 75 1% 211.5 2,179 16% 687.9 20-24 1,080 8% 1011.2 1,735 13% 894.3 135 1% 354.5 2,950 22% 870.5 25-29 466 3% 500.2 734 5% 379.4 59 0% 189.6 1,259 9% 396.2 30-34 209 2% 234.5 325 2% 162.0 29 0% 88.3 563 4% 174.5 35-39 86 1% 102.1 184 1% 91.5 10 0% 29.7 280 2% 87.8 40-44 40 0% 44.5 79 1% 35.9 <5 --- --- 123 1% 35.3 45-49 21 0% 22.6 43 0% 20.1 <5 --- --- 68 0% 19.6 50-54 8 0% 8.1 19 0% 9.0 <5 --- --- 28 0% 7.9 55-59 7 0% 7.2 6 0% 3.1 0 0% 0.0 13 0% 3.9 60-64 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- 65+ 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Unknown <5 --- --- 0 0% --- 0 0% --- <5 --- --- Female Total** 2,692 20% 189.5 4,529 33% 152.4 320 2% 52.7 7,541 55% 150.8 * Rate per 100,000 population. Continued ** Total includes cases with age less than 10. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 49 Communicable Disease Branch Table 34. N. C. Regional Gonorrhea Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 23 0% 12.7 59 0% 14.8 <5 --- --- 84 1% 13.0 15-19 1,046 8% 567.9 1,904 14% 485.3 112 1% 151.1 3,062 22% 470.6 20-24 1,887 14% 812.7 3,100 23% 802.1 225 2% 286.5 5,212 38% 747.5 25-29 865 6% 453.3 1,466 11% 387.1 134 1% 212.0 2,465 18% 389.6 30-34 429 3% 241.0 734 5% 187.9 51 0% 77.2 1,214 9% 191.3 35-39 202 1% 121.3 413 3% 105.5 30 0% 43.8 645 5% 102.9 40-44 98 1% 55.6 270 2% 62.4 20 0% 26.0 388 3% 56.6 45-49 72 1% 39.8 192 1% 45.8 17 0% 21.1 281 2% 41.3 50-54 40 0% 21.1 109 1% 26.6 8 0% 9.3 157 1% 22.9 55-59 22 0% 12.0 50 0% 13.7 <5 --- --- 76 1% 12.0 60-64 6 0% 3.7 26 0% 8.2 <5 --- --- 33 0% 5.8 65+ 9 0% 2.3 19 0% 2.6 8 0% 3.5 36 0% 2.7 Unknown <5 --- --- <5 --- --- 0 0% --- 5 0% --- Total*** Total** 4,702 34% 168.5 8,349 61% 144.6 614 4% 51.7 13,665 100% 140.1 * Rate per 100,000 population. ** Total includes cases with age less than 10. *** Total includes cases with unknown gender. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 50 Communicable Disease Branch Table 35. N. C. Regional Early Syphilis Cases by Gender and Race/Ethnicity, 2013 EASTERN PIEDMONT WESTERN TOTAL Race/Ethnicity Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* White** 43 6% 5.3 97 14% 5.4 12 2% 2.4 152 22% 4.9 Black** 87 13% 23.3 289 43% 47.9 <5 --- --- 379 56% 37.7 Am.In/AN** <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- Asian/PI** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Hispanic 8 1% 6.5 17 3% 5.8 0 0% 0.0 25 4% 5.5 Unknown 6 1% --- 18 3% --- 0 0% --- 24 4% --- Male Total 148 22% 10.8 422 62% 15.1 15 2% 2.6 585 86% 12.3 White** 9 1% 1.1 <5 --- --- <5 --- --- 11 2% 0.3 Black** 24 4% 5.8 43 6% 6.2 0 0% 0.0 67 10% 5.9 Am.In/AN** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Asian/PI** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Hispanic <5 --- --- <5 --- --- 0 0% 0.0 7 1% 1.8 Unknown 0 0% --- 5 1% --- 0 0% --- 5 1% --- Female Total 37 5% 2.6 54 8% 1.8 <5 --- --- 92 14% 1.8 White** 52 8% 3.1 98 14% 2.7 13 2% 1.2 163 24% 2.6 Black** 111 16% 14.1 332 49% 25.5 3 0% 5.5 446 66% 20.8 Am.In/AN** <5 --- --- <5 --- --- 0 0% 0.0 5 1% 4.3 Asian/PI** 0 0% 0.0 <5 --- --- 0 0% 0.0 <5 --- --- Hispanic 12 2% 5.2 20 3% 3.6 0 0% 0.0 32 5% 3.8 Unknown 6 1% --- 23 3% --- 0 0% --- 29 4% --- Total Total 185 27% 6.6 476 70% 8.2 16 2% 1.3 677 100% 6.9 * Rate per 100,000 population. **Non Hispanic; Am. In/AN= American Indian/Alaskan Native; Asian/PI= Asian/Pacific Islander. North Carolina 2013 HIV/STD Surveillance Report NCDHHS 51 Communicable Disease Branch Table 36. N. C. Regional Early Syphilis Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 8 1% 8.4 9 1% 4.5 <5 --- --- 19 3% 5.7 20-24 50 7% 39.9 106 16% 55.1 <5 --- --- 157 23% 43.8 25-29 34 5% 34.8 83 12% 44.8 <5 --- --- 121 18% 38.4 30-34 15 2% 16.9 59 9% 31.0 <5 --- --- 75 11% 24.0 35-39 11 2% 13.4 43 6% 22.6 <5 --- --- 56 8% 18.2 40-44 16 2% 18.5 44 6% 20.7 0 0% 0.0 60 9% 17.8 45-49 <5 --- --- 33 5% 16.1 <5 --- --- 37 5% 11.1 50-54 5 1% 5.5 23 3% 11.5 <5 --- --- 29 4% 8.7 55-59 <5 --- --- 13 2% 7.4 0 0% 0.0 16 2% 5.3 60-64 <5 --- --- 8 1% 5.4 <5 --- --- 11 2% 4.1 65+ <5 --- --- <5 --- --- <5 --- --- <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Male Total** 148 22% 10.8 422 62% 15.1 15 2% 2.6 585 86% 12.3 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 <5 --- --- 6 1% 3.1 0 0% 0.0 10 1% 3.2 20-24 11 2% 10.3 22 3% 11.3 0 0% 0.0 33 5% 9.7 25-29 7 1% 7.5 <5 --- --- 0 0% 0.0 9 1% 2.8 30-34 <5 --- --- 6 1% 3.0 0 0% 0.0 9 1% 2.8 35-39 <5 --- --- 7 1% 3.5 <5 --- --- 10 1% 3.1 40-44 <5 --- --- 6 1% 2.7 0 0% 0.0 9 1% 2.6 45-49 <5 --- --- <5 --- --- 0 0% 0.0 7 1% 2.0 50-54 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 55-59 <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- 60-64 <5 --- --- <5 --- --- 0 0% 0.0 <5 --- --- 65+ <5 --- --- 0 0% 0.0 0 0% 0.0 <5 --- --- Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Female Total** 37 5% 2.6 54 8% 1.8 <5 --- --- 92 14% 1.8 * Rate per 100,000 population. ** Total includes cases with age less than 10. Continued North Carolina 2013 HIV/STD Surveillance Report NCDHHS 52 Communicable Disease Branch Table 36. N. C. Regional Early Syphilis Cases by Gender and Age, 2013 Age EASTERN PIEDMONT WESTERN TOTAL Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* Cases Pct Rate* 10-14 0 0% 0.0 0 0% 0.0 0 0% 0.0 0 0% 0.0 15-19 12 2% 6.5 15 2% 3.8 <5 --- --- 29 4% 4.5 20-24 61 9% 26.3 128 19% 33.1 <5 --- --- 190 28% 27.3 25-29 41 6% 21.5 85 13% 22.4 <5 --- --- 130 19% 20.5 30-34 18 3% 10.1 65 10% 16.6 <5 --- --- 84 12% 13.2 35-39 13 2% 7.8 50 7% 12.8 <5 --- --- 66 10% 10.5 40-44 19 3% 10.8 50 7% 11.6 0 0% 0.0 69 10% 10.1 45-49 6 1% 3.3 37 5% 8.8 <5 --- --- 44 6% 6.5 50-54 5 1% 2.6 23 3% 5.6 <5 --- --- 29 4% 4.2 55-59 5 1% 2.7 13 2% 3.6 0 0% 0.0 18 3% 2.8 60-64 <5 --- --- 9 1% 2.8 <5 --- --- 13 2% 2.3 65+ <5 --- --- <5 --- --- <5 --- --- 5 1% 0.4 Unknown 0 0% --- 0 0% --- 0 0% --- 0 0% --- Total Total** 185 27% 6.6 476 70% 8.2 16 2% 1.3 677 100% 6.9 * Rate per 100,000 population. ** Total includes cases with age less than 10. (Cont.) North Carolina 2013 HIV/STD Surveillance Report NCDHHS 53 Communicable Disease Branch North Carolina Geographic Regions PITT WAKE HYDE DUPLIN BLADEN PENDER UNION WILKES BERTIE NASH ROBESON SAMPSON MOORE ONSLOW CRAVEN HALIFAX COLUMBUS SWAIN ASHE SURRY BEAUFORT WAYNE ANSON BURKE JOHNSTON BRUNSWICK RANDOLPH CHATHAM IREDELL JONES MACON HOKE LEE ROWAN GUILFORD HARNETT MARTIN BUNCOMBE STOKES DAVIDSON LENOIR DARE HAYWOOD JACKSON STANLY GATES WARREN FRANKLIN MADISON PERSON WILSON CARTERET YADKIN ORANGE TYRRELL DAVIE CASWELL FORSYTH POLK GASTON CALDWELL CHEROKEE ROCKINGHAM RUTHERFORD CLAY CATAWBA PAMLICO EDGECOMBE CLEVELAND MCDOWELL YANCEY AVERY LINCOLN GRAHAM CABARRUS HERTFORD GREENE WATAUGA GRANVILLE CUMBERLAND RICHMOND VANCE ALAMANCE MECKLENBURG NORTHAMPTON MONTGOMERY DURHAM HENDERSON SCOTLAND CAMDEN WASHINGTON TRANSYLVANIA MITCHELL ALEXANDER CURRITUCK ALLEGHANY PERQUIMANS CHOWAN PASQUOTANK NEW HANOVER Eastern Region Western Region Piedmont Region North Carolina 2013 HIV/STD Surveillance Report NCDHHS 54 Communicable Disease Branch |
OCLC number | 39543950 |