Hawai‘i State Department of Health

Epidemiology - Data and Statistics

Summary

Hawai‘i experienced declining STD rates prior to 2000. However, this trend has ended as Hawai‘i is now experiencing an increase in STD rates similar to the early 1970's.

Chlamydia: Annual increases in reported chlamydia cases have ranged from 12%-45% since 1998. In 1992, Hawai‘i ranked first in the United States in Chlamydia case rates. In 2003, Hawai‘i ranked 3rd in the US with 5480 cases (440 chlamydia cases per 100,000 population) as compared to the US average of 304 chlamydia cases per 100,000 population. Hawai‘i has maintained its ranking in the top 10 States in the US with the highest Chlamydia case rates for the past last 10 years.

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Gonorrhea: There has been a 21%-70% annual increase in gonorrhea cases since 2001. The number of reported cases increased by 70% in 2003 . Emerging antibiotic- resistant N. gonorrhoeae strains continue to be a public health concern in the management of the disease acquired in Hawai‘i.

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Syphilis: The number of reported primary and secondary syphilis (P&S) cases has gradually increased from 2 P&S cases reported in 2000 to 14 cases reported in 2003. Over these years, the epidemiological profile of the P&S cases has shown a definite shift from heterosexual cases who acquired the infection from Asia to men who have sex with men (MSM) who acquired the infection locally. Ninety (90%) of P&S cases in 2003 were men who have sex with men of whom 60% were co-infected with HIV/AIDS. Pockets of syphilis outbreaks have continued confirming the increasing trend in syphilis and other STDs.

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