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7
(6,542), Haiti 6.8% (6,143), the Dominican Republic 4.3%, Honduras 1.2% (1,116), the United
Kingdom 1.2% (1,052), China 1.1% (1,038), and Mexico 1.0% ( ).
SEXUALLY TRANSMITTED DISEASES (STDs) In NYC the number of gonorrhea cases
diagnosed in 2004 decreased 19.4% from 13,468 in 2003 to 10,860 with an average case rate per
100,000 of 135.6. Brooklyn decreased 16% with 4,176 cases and an average rate of 168.4, had 38.5%
of NYC’s cases. All 11 Brooklyn UHF neighborhoods decreased. Still, Central Brooklyn led the
borough and NYC with 1,260 cases and a rate of 397.1. [8]
After a 4.5% increase in NYC chlamydia cases from 2002 to 2003, there was a 1.7% decrease in 2004
and the rate per 100,000 went from 434.3 to 426.9, the number of cases in Brooklyn decreased 1.6%
from 12,876 cases to 12,670 which was 37.1% of NYC’s chlamydia cases in 2004. The rate
decreased from 522.3 to 513.9. Brooklyn had the top three highest rates of the 42 UHF
neighborhoods in NYC beginning with Central Brooklyn at 1019.6 - 3,235 cases – more than half
of the total cases for both Manhattan and Queens and more than four times the number in
Staten Island. [8]
For the third year in a row the number of syphilis cases increased in NYC, in 2004 it was 16%
primarily among gay and bisexual men.
6
Brooklyn had 21.6% (134) of the diagnosed cases of syphilis
in NYC in 2004 and a case rate of 5.4 (up from 4.6 in 2003) per 100,000. The NYC average rate was
7.8 (up from 6.6). Central Brooklyn with 32 cases and a rate of 10.1
was 3rd of 11 in Brooklyn
and 12 of 42 in NYC. [8]
HEPATITIS
C (HCV)
In NYC, a total of 13,814 individuals were diagnosed with HCV in 2004.
7
This may be an over estimate, as some cases may have been reported earlier and are duplicates because
of missing information. Those with addresses outside NYC have been previously excluded, however
16% (2,233) have an unknown address which means they may or may not live in NYC, hence the
following data is provided using the 84% (11,581) known to live in NYC. Brooklyn had the most
cases with 29.2% (3,384) and an average rate of 137.3 per 100,000 ranking third of the 5
boroughs. The average rate for NYC was 144.7 and the highest rate in Brooklyn was in
Williamsburg, Bushwick with 274.8,
ranking 4th of 42 in NYC. Central Brooklyn with 424 cases
and a rate of 133.6 ranked 17th. [9]
DIABETES EPIDEMIC IN NYC An estimated 800,000 adult New Yorkers – more than one in every
eight – now have diabetes. The percentage is one third higher than that for the rest of the US, and the
rate is twice that of cases nationally. Nearly one third of diabetics do not know they have the disease
[14] In 2004, the average crude rate for NYC with 1,734 cases, was 21.7 per 100,000. With 565,
Brooklyn had the largest percentage of deaths (33.8%) and the third highest rate at 22.9 The highest rate
in Brooklyn (2nd in NYC) of the 59 Community Districts, was CD9: South Crown Heights, Prospect,
Lefferts Gardens and Wingate at 46.1 with 48 deaths.
Descriptions of the three CDs in Central
Brooklyn follow. CD3 with 47 deaths and a rate of 34.1 was 4th in Brooklyn and 10th in NYC, CD8
6
There were only 22 case of syphilis in females in 2004; ten of these were in Brooklyn.
7
Patients are required to be reported if they have a positive test for RIBA (an accurate test for antibodies to HCV) or a positive test for HCV nucleic acid
(NAT e.g. PCR test), or EIA with a high signal-to-cutoff value (a relatively new way of making the screening antibody test more accurate). Some of those
with a positive antibody test may have resolved their infection (they do not have the antibody anymore); most likely this is under 15%. Not all laboratories
and health care providers report as required, and many patients have not been tested or have not had these tests. Since fall 2000 the lower specificity EIA
antibody test is not reportable.