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REVIEW (Open Access)

Epidemiology of gonorrhoea: a global perspective

Robert D. Kirkcaldy A D , Emily Weston A , Aluisio C. Segurado B and Gwenda Hughes https://orcid.org/0000-0003-2090-7702 B C
+ Author Affiliations
- Author Affiliations

A Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA.

B Faculty of Medicine, University of São Paulo, Avenida Doutor Arnaldo, 455, 01246-903 São Paulo-SP, Brazil.

C HIV & STI Department, National Infection Service, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.

D Corresponding author. Email: rkirkcaldy@cdc.gov

Sexual Health 16(5) 401-411 https://doi.org/10.1071/SH19061
Submitted: 27 March 2019  Accepted: 19 July 2019   Published: 11 September 2019

Journal Compilation © CSIRO 2019 Open Access CC BY-NC-ND

Abstract

Although understanding the local epidemiology of gonorrhoea is critical for local efforts, understanding the multinational epidemiology may support development of national and international prevention and control policies and strategies. In this paper, current epidemiology of gonorrhoea is reviewed through an international lens and with a focus on selected populations. The World Health Organization (WHO) estimates that ~87 million new gonococcal infections occurred among people aged 15–49 years in 2016. Gonorrhoea rates are rising in many countries. Gay, bisexual and other men who have sex with men, racial or ethnic minorities, Indigenous populations and sex workers appear to bear disproportionate burdens of gonorrhoea. International travel can facilitate spread of gonorrhoea, including resistant strains, across international borders. Critical gaps in epidemiological knowledge are highlighted, including data on gonorrhoea among transgender persons and the burden of extragenital gonorrhoea. Even as further data are gathered, action — informed by currently available data — is needed now to confront this growing international threat.

Additional keywords: Neisseria gonorrhoeae.


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