Chlamydia

Sexually Transmitted Disease

Surveillance 2008

Division of STD Prevention

 Chlamydia Rates: Total and by sex: United States, 19892008

Rate (per 100,000 population)

600
Men
Women
480 Total

360

240

120

1989 91 93 95 97 99 2001 03 05 07

Note: As of January 2000, all 50 states and the District of Columbia had
regulations requiring the reporting of chlamydia cases.
 Chlamydia Rates by region: United States, 19992008

Rate (per 100,000 population)

450

360

270

180
West
Midwest
Northeast
90 South

1999 2000 01 02 03 04 05 06 07 08
 Chlamydia Rates by state: United States and outlying areas, 2008

331
VT 192
324 300 198 NH 160
287 276 MA 271
280 371 375 458 RI 314
302 446 CT 357
314 340
NJ 258
377 314 DE 447
411
228 460 349 MD 439
407 395 183 405
332 422 287
DC 1177
Guam 396 414
409
455 Rate per 100,000
391
470 499 597 population
535 447
728
422 <=300 (n= 13)
528 300.1-400 (n= 17)
711
466
389 >400 (n= 24)

Puerto Rico 174

Virgin Is. 535

Note: The total rate of chlamydia for the United States and outlying areas
(Guam, Puerto Rico, and Virgin Islands) was 398.5 per 100,000 population.
Chlamydia Rates by county: United States, 2008

Rate per 100,000

population
<=300.0 (n= 2,070)
300.1-400.0 (n= 390)
>400.0 (n= 681)
 Chlamydia Age- and sex-specific rates: United States, 2008

Men Rate (per 100,000 population) Women

3500 2800 2100 1400 700 0 Age 0 700 1400 2100 2800 3500

13.9 10-14 129.9

701.6 15-19 3275.8
1056.1 20-24 3179.9
565.9 25-29 1240.6
271.7 30-34 498.9
140.8 35-39 205.6
78.3 40-44 85.8
34.4 45-54 30.9
10.4 55-64 8.4
2.7 65+ 2.1
211.7 Total 585.6
 Chlamydia Rates by race/ethnicity: United States, 19992008

Rate (per 100,000 population)

1700
American Indian/AK Native
Asian/Pacific Islander
Black
1360 Hispanic
White

1020

680

340

1999 2000 01 02 03 04 05 06 07 08
 Chlamydia Cases by reporting source and sex: United States, 19992008

Cases (in thousands)

750

600

450 non-STD Clinic Male

non-STD Clinic Female
STD Clinic Male
300 STD Clinic Female

150

1999 2000 01 02 03 04 05 06 07 08
 Chlamydia Prevalence by age group and race/ethnicity from
a national survey, 19992002

Prevalence
16
Non-Hispanic White
Non-Hispanic Black
12 Mexican-American

0
14-19 20-29 30-39

Note: Error bars indicate 95% confidence intervals.

SOURCE: National Health and Nutrition Examination Survey. Ann Intern Med 2007;Jul 17;147(2):89-96.
 Chlamydia Median state-specific positivity among 15- to 24-year-old women
tested in family planning clinics: United States, 19972008

Median state-specific positivity rate

10

1997 98 99 2000 01 02 03 04 05 06 07 08

Note: As of 1997, all 10 DHHS regions, representing all 50 states, the District of
Columbia, and outlying areas, reported chlamydia positivity data.
DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and
State STD Control Programs, Centers for Disease Control and Prevention
Chlamydia Positivity among 15- to 24-year-old women tested in family
planning clinics by state: United States and outlying areas, 2008

7.2
VT 3.7
5.9 8.4 6.2 NH 3.9
4.7 6.5 MA 5.1
5.9 6.4 8.5 5.0 RI 7.6
6.9 6.9 CT 7.4
6.1 6.5
NJ 8.4
7.6 7.1 DE 8.6
7.9
12.5 7.3 8.4 MD 5.8
5.9 7.5 3.1 7.3
7.0 7.4 DC 9.5
4.7
7.9
6.2
8.7 6.8
8.1 10.3 11.8 Positivity (%)
10.8
13.8 11.3
12.4 <5.0 (n= 5)
12.3 5.0-9.9 (n= 39)
5.4
9.3 9.3 >=10.0 (n= 9)

Puerto Rico 7.4

Virgin Is. 15.0

Note: Includes states and outlying areas that reported chlamydia positivity data on at
least 500 women aged 15-24 years screened during 2008.

DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State
STD Control Programs, Centers for Disease Control and Prevention
Chlamydia Trends in positivity among 15- to 24-year-old women tested in
family planning clinics by HHS region, 20042008

5.9 5.7 5.8 6.0 7.5 7.7 7.6 7.6 7.6

5.6 4.6 4.7 4.7 4.8 5.2

04 05 06 07 08 04 05 06 07 08 04 05 06 07 08
Region X Region V Region I

6.7 6.4 6.8 7.3 7.5 X 7.1 5.7 5.6 5.9 6.2

V II I
04 05 06 07 08 VIII 04 05 06 07 08
Region IX Region II
IX VII III

7.2 7.3 7.8

6.3 6.3 IV 6.0 5.8 5.4 5.5 6.3
VI
04 05 06 07 08 04 05 06 07 08
Region VIII Region III

6.8 7.4 7.4 7.9 8.8 10.2 8.4 8.8 9.0 9.6 9.6
5.8 5.8 6.5 6.5

04 05 06 07 08 04 05 06 07 08 04 05 06 07 08
Region VII Region VI Region IV

DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and State
STD Control Programs, Centers for Disease Control and Prevention
 Chlamydia Percent of tests that were nucleic acid amplification tests (NAATs) in
family planning clinics among 15- to 24-year-old women by DHHS region, 20042008

Percent Percent Percent Percent

100 100 100 100
80 80 80 80
60 60 60 60
40 40 40 40
20 20 20 20
0 0 0 0
04 05 06 07 08 04 05 06 07 08 04 05 06 07 08 04 05 06 07 08
Region I Region II Region III Region IV
Percent Percent Percent Percent
100 100 100 100
80 80 80 80
60 60 60 60
40 40 40 40
20 20 20 20
0 0 0 0
04 05 06 07 08 04 05 06 07 08 04 05 06 07 08 04 05 06 07 08
Region V Region VI Region VII Region VIII
Percent Percent
100 100
80 80
60 60
40 40
20 20
0 0
04 05 06 07 08 04 05 06 07 08
Region IX Region X

DATA SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects), Office of Population Affairs, Local and
State STD Control Programs, Centers for Disease Control and Prevention