Pagaoa Melissa, Grey Jeremy, Torrone Elizabeth, Kreisel Kristen, Stenger Mark, Weinstock Hillard
From the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Sex Transm Dis. 2021 Oct 1;48(10):798-804. doi: 10.1097/OLQ.0000000000001506.
To describe changes in reported sexually transmitted diseases (STDs) during the US coronavirus disease 2019 pandemic, we compared the weekly number of reported nationally notifiable STDs in 2020 to 2019.
We reviewed cases of chlamydia, gonorrhea, and primary and secondary (P&S) syphilis reported to the US National Notifiable Disease Surveillance System in 2020. For each STD, we compare the number of 2020 cases reported for a given Morbidity and Mortality Weekly Report (MMWR) week to the number of 2019 cases reported in the same week, expressing 2020 cases as a percentage of 2019 cases. We also calculated the percent difference between 2020 and 2019 cumulative case totals as of MMWR week 50 (week of December 9).
During MMWR weeks 1 to 11 (week of December 29, 2019-March 11, 2020), the weekly number of cases of STDs reported in 2020 as a percentage of the cases in the same week in 2019 was similar. However, 2020 numbers were much lower than 2019 numbers in week 15 (week of April 8; chlamydia, 49.8%; gonorrhea, 71.2%; and P&S syphilis, 63.7%). As of week 50, the 2020 cumulative totals compared with 2019 were 14.0% lower for chlamydia, 7.1% higher for gonorrhea, and 0.9% lower for P&S syphilis.
During March-April 2020, national case reporting for STDs dramatically decreased compared with 2019. However, resurgence in reported gonorrhea and syphilis cases later in the year suggests STD reporting may have increased in 2020, underscoring the importance of continued STD prevention and care activities.
为描述美国2019年冠状病毒病大流行期间报告的性传播疾病（STD）的变化情况，我们将2020年全国法定报告STD的每周病例数与2019年进行了比较。
我们回顾了2020年向美国国家法定疾病监测系统报告的衣原体、淋病以及一期和二期梅毒病例。对于每种性传播疾病，我们将给定的《发病率与死亡率周报》（MMWR）周在2020年报告的病例数与2019年同一周报告的病例数进行比较，将2020年的病例数表示为2019年病例数的百分比。我们还计算了截至MMWR第50周（12月9日当周）2020年和2019年累计病例总数的百分比差异。
在MMWR第1至11周（2019年12月29日当周 - 2020年3月11日），2020年报告的STD每周病例数占2019年同一周病例数的百分比相似。然而，在第15周（4月8日当周），2020年的病例数远低于2019年（衣原体为49.8%；淋病为71.2%；一期和二期梅毒为63.7%）。截至第50周，与2019年相比，2020年衣原体累计总数低14.0%，淋病高7.1%，一期和二期梅毒低0.9%。
2020年3月至4月期间，与2019年相比，全国性传播疾病病例报告大幅下降。然而，当年晚些时候报告的淋病和梅毒病例有所回升，这表明2020年性传播疾病报告可能有所增加，凸显了持续开展性传播疾病预防和护理活动的重要性。
