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sahr2001 - Health Systems Trust

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17 • <strong>Health</strong> and Related Indicators<br />

Syphilis prevalence rates by age in the different provinces reflect a different<br />

trend from HIV infection. A steady and significant decline in prevalence rates<br />

among pregnant women in all age groups was recorded at national level for<br />

the past three years. At national level, the syphilis infection rate is estimated<br />

to be 4.9% in 2000 compared to 6.5% in 1999 and 10.8% in 1998. However,<br />

provincial syphilis prevalence trends across the nine provinces showed less<br />

consistency than the age group estimates [Antenatal Survey 2000]. There<br />

also appear to be some problems with the provincial data supplied by the<br />

Department of <strong>Health</strong> when compared to data supplied for the same time<br />

period in previous years, and compared to data reported by some individual<br />

provinces based on the same survey. To date, it has not been possible to<br />

obtain clarification on this issue.<br />

Definitions:<br />

Reported cases: Number of cases of the condition reported to the Department<br />

of <strong>Health</strong> per 100 000 population (for the year). Population denominators<br />

are from StatsSA mid-year population estimates for the relevant year. Where<br />

available estimates ‘With AIDS’ have been used.<br />

Case Fatality Rate: Number of deaths due to the condition divided by the<br />

number of cases expressed as a percentage.<br />

New smear +ve cases cured (%): Percentage of new smear positive pulmonary<br />

tuberculosis cases cured.<br />

Syphilis prevalence rate (%) (antenatal): Percentage of women surveyed testing<br />

positive for syphilis.<br />

Eastern Cape<br />

Free State<br />

Gauteng<br />

KwaZulu-Natal<br />

Mpumalanga<br />

Northern Cape<br />

Northern Province<br />

North West<br />

Western Cape<br />

South Africa<br />

Reported cases of cholera (per 100 000)<br />

2000 1 - - - - - - - - - 23.5<br />

Case Fatality Rate: cholera<br />

2000 1 - - - - - - - - - 0.8<br />

Reported cases of malaria (per 100 000)<br />

1998 2 0.1 0.9 2.0 153.0 200.0 0.9 65.0 5.6 0.7 160.0<br />

1999 3 - - - 305.2 390.9 - 212.5 - - 119.7<br />

2000 3 - - - 471.8 412.3 - 141.2 - - 143.1<br />

Case Fatality Rate: malaria<br />

1999 3 - - - 0.8 0.6 - 1.0 - - 0.8<br />

2000 3 - - - 0.8 0.4 - 0.5 - - 0.7<br />

301

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