Table 1

Data currently available from HIV and STI surveillance—ongoing surveillance

Name and custodianDescriptionGeographical areaPopulation coveredTime periodDemographicBehaviouralBiologicalReference
Sexually transmitted infection surveillance
New episodes seen at genitourinary medicine clinics (KC60). CDSCStatutory reporting of all episodes diagnosed at GUM clinicsNationalAll episodes diagnosed at GUM clinics1917–Age group, sexSexual orientation (selected diagnoses)STI diagnosis 6
Enhanced Surveillance of sexually transmitted infections in England. CDSCIndividual based KC60 by clinic, statutory reportingLondonAll individuals attending GUM clinics2000–Age, sex, ethnicity, residenceSexual orientation, previous STI, coinfections, repeat infectionsSTI diagnoses
Gonococcal resistance to antimicrobials surveillance programme (GRASP). CDSCActive, sentinel surveillance system prompted by laboratory referrals of gonococcal isolates to determine the epidemiology of antimicrobial resistance in north. N gonorrhoeae in England and Wales. Sampling for 3 months of each year.30 GUM clinicsIndividuals with antibiotic resistant gonococcol infections2000–3Age, sex, ethnicity, residenceSexual orientation, number of sexual partners, region of sex abroad, concurrent STI, previous gonorrhoeaGonorrhoea, antibiotic resistance, site of infection 37
Routine laboratory treponemal reporting. CDSCLaboratory surveillance, additional information completed by clinicians sending specimen. Currently under review.6 reference laboratoriesAll cases of infectious syphilis referred to reference laboratory for confirmation1996–Age, sex, country of birth, ethnicity, source of specimenSexual orientation, country where infection acquired and partners infection, pregnancyFinal syphilis diagnosis 69
Enhanced surveillance for infectious syphilis in the London Region. CDSC.An enhanced study to monitor the number of cases and associated risk factors for infectious syphilis in London. Established in response to clusters of syphilis in homosexual men.LondonAll cases of infectious syphilis (primary, secondary, and early latent) diagnosed at GUM clinicsApril 2001–Sex, age, county of birth, ethnicitySexual orientation, relevant social networks, reason for attending, number of sexual partners, where infection likely acquired, commercial sex workersStage of infection, HIV status (if known) 36
HIV infection surveillance
HIV laboratory reports. CDSCReporting system from laboratoriesNationalAll newly diagnosed HIV infections1985–Sex, age, ethnicityLikely route of infection and location of infection if acquired heterosexually. Previous negative tests.HIV-1/2 infection 39
AIDS case reports. CDSCReporting system from cliniciansNationalAll newly diagnosed AIDS cases1985–99Sex, age, ethnicity, country of birthLikely route of infection and location of infection if this is ongoing heterosexual spread. Previous negative testsAIDS case diagnoses. Pre-AIDS ARV treatment 39
Clinician HIV reporting. CDSCReporting system from cliniciansNationalAll newly diagnosed HIV infections2000–Sex age, ethnicity, country of birth, date of entry to UKVarious, depending on likely route of infection., including year of first sex, previous HIV tests, GUM clinic attendance and pregnancy history.AIDS case diagnoses. Pre-AIDS ARV treatment 39
HIV infection route follow up. CDSCInvestigation, to interview where necessary of all newly diagnosed infections with no identified risk factor for HIV, to establish likely route of infection, or confirm ongoing heterosexual transmission in UK.NationalNewly diagnosed HIV infections reported with no identified likely route of infection1991–Sex age, ethnicity, country of birth, date of entry to UK, marital statusDetailed sexual behaviour, including previous STI and HIV test behaviourHIV diagnosis 40
Survey of prevalent HIV infections diagnosed (SOPHID). CDSCAnnual cross sectional survey of all HIV diagnosed individuals receiving careNationalPrevalent diagnosed HIV infections1995–Sex, age, ethnicityLikely route of infectionCD4 count, level of antiretroviral therapy 41
Unlinked anonymous survey of dried blood spots. CDSCRepeated cross sectional survey unlinking and testing residual infant blood collected for metabolic testing for maternal HIV antibodyNational (6 regions)Pregnant women giving birth1992–Age, ethnicity, country of birth, area of residenceInfant blood tested for maternal HIV antibody 42
Unlinked anonymous survey of GUM clinic attenders. CDSCRepeated cross sectional survey unlinking and testing residual blood for HIVSentinel (15 GUM clinics)GUM clinic attenders receiving syphilis testing1990–Sex age, country of birthSexual orientation, STI diagnoses at visit, last HIV negative testSerum sample tested for HIV, STI diagnoses 42
Unlinked anonymous survey of injecting drug users. CDSCRepeated voluntary anonymous cross sectional survey with self completed questionnaire and saliva sampleSentinelInjecting drug users contacting services1990–Sex, ageSexual orientation number of sexual partners, condom use, drug injecting practices, previous HIV testSaliva tested for HIV, hepatitis B and C 42
Blood (and tissue) donations. National Blood ServiceTesting of all donations. Detailed information collected for all confirmed positivesNationalPopulation selected to donate blood (and tissues)1995– (HIV 1986– HCV 1991)Sex, age, ethnicity, country of birth, region of residencePossible exposures to infection and location and time. Details of high risk partners, if heterosexual. Previous negative testsHIV, HBV, HCV and T pallidum 44
Antenatal screening. National Blood ServiceAntenatal screening of pregnant women carried out by the National Blood ServiceSelected areasPregnant womenHBV 2000– HIV 2001–Age, ethnicity, regionHIV, HBV 44
Laboratory reports of acute hepatitis. CDSCLaboratory reports of acute hepatitis BNationalLaboratory confirmed acute hepatitis1985–Sex, ageSexual orientationHBV 45, 46