Congenital Syphilis in Texas - Table Appendix

Data for Figure 2

CS and early syphilis cases* in women of childbearing age in Texas, 2012-2018
Cases

2012

2013

2014

2015

2016

2017

2018

Early syphilis cases for women of childbearing age

638

534

597

653

671

800

1,139

Congenital syphilis cases

79

73

75

73

71

164

367

*Includes primary, secondary, and early non-primary non-secondary


Data for Figure 3

CS cases by year of birth and total syphilis cases in women of childbearing age in Texas, 2012-2018
Cases

2012

2013

2014

2015

2016

2017

2018

Total syphilis cases* for women of childbearing age

1,485

1,418

1,537

1,573

1,664

2,006

2,402

Congenital syphilis cases

79

73

75

73

71

164

367

*Includes primary, secondary, early non-primary non-secondary, and unknown or late duration


Data for Figure 6

Syphilis rates* in women of childbearing age by county, Texas 2018
County Rate

Anderson

25.7

Angelina

42.0

Aransas

31.0

Armstrong

346.0

Atascosa

269.3

Austin

19.4

Bailey

74.7

Bandera

98.4

Bastrop

46.1

Bee

20.6

Bell

39.7

Bexar

66.6

Bowie

81.4

Brazoria

17.4

Brazos

24.5

Burnet

63.0

Caldwell

69.9

Callahan

42.1

Cameron

47.9

Cass

40.1

Chambers

0.0

Cherokee

65.6

Collin

8.5

Comal

15.4

Coryell

133.5

Dallas

68.4

Dawson

49.0

Deaf Smith

0.0

Denton

10.5

Dimmit

256.7

Duval

156.7

Eastland

33.0

Ector

32.2

Ellis

19.5

El Paso

29.0

Erath

9.6

Falls

27.9

Fannin

17.7

Fort Bend

12.9

Freestone

63.5

Frio

64.8

Gaines

24.3

Galveston

19.6

Gillespie

52.5

Gonzales

81.1

Gregg

53.7

Grimes

22.5

Guadalupe

3.0

Hale

15.9

Hansford

97.8

Hardin

19.1

Harris

53.2

Harrison

8.1

Hays

22.5

Henderson

29.4

Hidalgo

39.6

Hill

16.2

Hood

42.7

Hopkins

15.2

Howard

32.8

Hunt

27.0

Jackson

38.2

Jasper

33.6

Jefferson

56.4

Johnson

21.2

Jones

41.4

Karnes

83.8

Kaufman

38.2

Kerr

36.6

Kleberg

126.9

Lamb

168.6

Lampasas

28.2

Lavaca

62.3

Leon

37.6

Liberty

34.1

Limestone

26.5

Lubbock

26.6

McLennan

43.5

Martin

92.2

Matagorda

31.3

Maverick

34.1

Medina

11.5

Midland

27.3

Milam

71.1

Montgomery

13.8

Nacogdoches

51.9

Navarro

22.2

Newton

91.5

Nolan

39.4

Nueces

152.9

Orange

38.7

Palo Pinto

119.0

Panola

24.5

Parker

19.9

Potter

90.7

Rains

53.1

Randall

10.7

Red River

106.1

Robertson

97.6

Rockwall

5.1

Rusk

111.1

San Patricio

15.7

San Saba

127.7

Shelby

22.0

Smith

15.2

Somervell

61.8

Starr

30.1

Stephens

67.8

Tarrant

29.0

Taylor

13.3

Titus

46.6

Tom Green

24.9

Travis

34.7

Trinity

45.4

Tyler

33.4

Upshur

14.1

Uvalde

96.1

Val Verde

53.1

Van Zandt

21.1

Victoria

49.8

Walker

28.0

Ward

91.2

Washington

16.4

Webb

27.1

Wichita

15.7

Willacy

54.3

Williamson

11.6

Wilson

11.1

Wise

24.0

Yoakum

62.6

Young

98.2

Zavala

43.7

*Rates are calculated out of women of childbearing age by county


Data for Figure 7

Rates of Congenital Syphilis in Texas counties, Texas 2018*
County Rate

Anderson

157.2

Bailey

729.9

Bell

15.4

Bexar

216.5

Bowie

79.4

Brazos

103.3

Cameron

82.9

Cherokee

120.9

Collin

27.5

Comal

122.5

Dallas

149.6

Denton

29.9

Ector

33.4

Ellis

47.0

El Paso

51.8

Erath

223.2

Fort Bend

60.7

Galveston

23.7

Gonzales

292.4

Grayson

63.3

Harris

141.6

Henderson

111.5

Hildalgo

192.7

Hunt

182.3

Jefferson

26.4

Kaufman

65.0

Kerr

185.2

Kleberg

229.9

Liberty

88.3

Limestone

324.7

Lubbock

24.3

McLennan

28.3

Montgomery

27.3

Nueces

138.5

Panola

348.4

Robertson

473.9

Rusk

155.0

Smith

32.2

Somervell

1,298.7

Tarrant

74.0

Taylor

95.4

Travis

49.1

Trinity

662.3

Upshur

222.7

Uvalde

233.1

Val Verde

110.6

Walker

149.9

Webb

130.7

Wichita

57.5

Wise

119.5

*Rate was calculated using the 2015 birth data


Data for Figure 8

Proportion of women of childbearing age with syphilis and proportion of CS cases* by STD surveillance site, Texas 2018
Public Health
Jurisdiction
Congenital
syphilis cases
Women of
childbearing age
with syphilis

Houston

104

542

San Antonio

61

286

Dallas County

60

396

Region 11

45

152

Tarrant County

21

130

Region 2/3

17

107

Region 6/5S

11

98

Region 4/5N

9

92

Austin

8

102

El Paso

7

51

Corpus Christi

7

113

Region 7

6

130

Region 8

6

80

Region 1

2

31

Region 9/10

1

34

Galveston

1

13

Waco

1

24

Amarillo

0

21

*Proportions are calculated out of all women of childbearing age


Data for Figure 19

Congenital Syphilis Cascade, Texas 2018
Case Details

Number

Percent

Care or Treatment

Number

Percent

Total CS cases between January 1, 2018- December 31, 2018

367

-

 

-

-

Unknown or no prenatal care received

88

24%

Any Prenatal care

279

76%

Late prenatal care or unknown timing (<45 days before delivery)

35

13%

Timely prenatal care (≥45 days before delivery)

244

87%

Late or no screening test

39

16%

Timely screening test (≥45 days before delivery)

205

84%

Diagnosis <45 or unknown days before delivery

51

25%

Timely diagnosis of syphilis (≥45 days before delivery)

154

75%

Inadequate treatment*/No treatment/Unknown treatment

111

72%

Adequate, timely treatment**

43

28%

*Inadequate treatment is that which is initiated <30 days prior to delivery or was incorrect dosage based on syphilis stage
**Persons in this group may have delivered infants who meet the CS case definition based on infant criteria

 


Congenital Syphilis in Texas

Table of Contents | Executive Summary | About this Report | Understanding Syphilis | An Overview of Congenital Syphilis and Syphilis in Women of Childbearing Age in Texas | Maternal Demographics for Women Delivering Infants with Congenital Syphilis | Barriers to Care | Birth Outcomes Associated with Congenital Syphilis | Congenital Syphilis Cascade