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National Notifiable Diseases Surveillance System, 2004<br />

Annual report<br />

Figure 27. Notification rates <strong>of</strong> chlamydial<br />

infections, Australia, 2004, by age group <strong>and</strong> sex<br />

Rate per 100,000 population<br />

1400<br />

1200<br />

1000<br />

800<br />

600<br />

400<br />

200<br />

0<br />

0-4<br />

5-9<br />

10-14<br />

15-19<br />

20-24<br />

25-29<br />

30-34<br />

35-39<br />

40-44<br />

45-49<br />

50-54<br />

55-59<br />

60-64<br />

65-69<br />

70-74<br />

75-79<br />

80-84<br />

85+<br />

Age group (years)<br />

Male<br />

Female<br />

Figure 28. Trends in notification rates <strong>of</strong><br />

chlamydial infection in persons aged 10–39 years,<br />

Australia, 2000 to 2004, by age group <strong>and</strong> sex<br />

Rate per 100,000 population<br />

1300<br />

1200<br />

10 to 14<br />

1100<br />

15 to 19<br />

1000<br />

20 to 24<br />

900<br />

25 to 29<br />

800<br />

30 to 34<br />

700<br />

35 to 39<br />

600<br />

500<br />

400<br />

300<br />

200<br />

100<br />

0<br />

2000 2001 2002 2003 2004 2000 2001 2002 2003 2004<br />

Male<br />

Year <strong>of</strong> onset<br />

Female<br />

group the annual rate increase dropped from 27 per<br />

cent to 14 per cent in males <strong>and</strong> from 26 per cent to<br />

15 per cent in females.<br />

In 2004, data on Indigenous status was complete<br />

in 59 per cent <strong>of</strong> cases <strong>of</strong> chlamydial infection,<br />

higher than the 43 per cent reported in 2003. The<br />

combined chlamydial infection notifi cations in four<br />

jurisdictions with greater than 50 per cent completeness<br />

<strong>of</strong> Indigenous status (the Northern Territory,<br />

South Australia, Western Australia, <strong>and</strong> Victoria)<br />

show that in 2004, the age adjusted notifi cation rate<br />

was 1,159 cases per 100,000 Indigenous population,<br />

<strong>and</strong> 178 cases per 100,000 non-Indigenous<br />

population (Table 12). The age adjusted rate ratio <strong>of</strong><br />

Indigenous to non-Indigenous was 7:1.<br />

Although surveillance data continues to show substantial<br />

increases in chlamydial infection notifications<br />

nationally, 2004 data suggests that the rate <strong>of</strong><br />

increase has declined. As a large proportion <strong>of</strong> cases<br />

with genital chlamydial infection are asymptomatic,<br />

notification rates for this disease are particularly<br />

Table 12. Trends in age adjusted notification rates <strong>of</strong> chlamydial infections, the Northern Territory, South Australia, Western Australia, <strong>and</strong> Victoria,<br />

2000 to 2004, by Indigenous status*<br />

Year NT SA Vic WA All<br />

Non-<br />

Indigenous Ratio †<br />

Non-<br />

Indigenous Ratio † Indigenous<br />

Non-<br />

Indigenous Ratio † Indigenous<br />

Non-<br />

Indigenous Ratio † Indigenous<br />

Non-<br />

Indigenous Ratio † Indigenous<br />

Indigenous<br />

Rate Rate Rate Rate<br />

Rate Rate Rate Rate Rate Rate<br />

2000 1,177.5 271.1 4.3 556.6 60.4 9.2 – – – 974.6 115.5 8.4 905.5 98.1 9.2<br />

2001 1,412.2 348.9 4.0 452.3 95.6 4.7 – – – 1,028.8 119.1 8.6 994.9 118.3 8.4<br />

2002 1,511.4 435.4 3.5 548.3 117.1 4.7 – – – 930.4 145.7 6.4 1,014.6 145.0 7.0<br />

2003 1,796.1 449.8 4.0 568.3 130.6 4.4 135.1 145.3 0.9 1,211.7 171.6 7.1 1,102.1 153.4 7.2<br />

2004 1,793.0 444.8 4.0 294.7 111.9 2.6 205.2 170.6 1.2 1,280.3 202.4 6.3 1,158.5 177.8 6.5<br />

* The rates in non-Indigenous peoples include diagnoses in people whose Indigenous status was not reported.<br />

† Ratio <strong>of</strong> Indigenous to non-Indigenous.<br />

CDI Vol 30 No 1 2006 37

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