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American Indians and Alaska Natives

HIV/AIDS

Though the overall numbers are small, in 2011, the estimated rate (per 100,000 population) of diagnoses of HIV infection among American Indian/Native American males was greater (18.0) than the rate for white males (14.5). The rate per 100,000 population among American Indian/Native American females was greater (5.5) than for white females (2.0).

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Sexually Transmitted Diseases (STD)

Gonorrhea

In 2010, the gonorrhea rate among American Indians/Alaska Natives was 105.7 cases per 100,000 population, which was 4.6 times the rate among whites. The disparity between gonorrhea rates for American Indians/Alaska Natives and whites was larger for American Indian/Alaska Native women (5.0 times) than for American Indian/Alaska Native men (3.9 times). In 2010, the disparity in gonorrhea rates for American Indians/Alaska Natives was higher in the West and Midwest than in the Northeast or South.

Native American dancing

Chlamydia

In 2010, the chlamydia rate among American Indians/Alaska Natives was 592.8 cases per 100,000 population, an increase of 7.8% from the 2009 rate of 549.8 cases per 100,000. Overall, the rate of chlamydia among American Indians/Alaska Natives in the United States was more than four times the rate among whites.

Syphilis

During 2009–2010, the rate of primary and secondary (P&S) syphilis among American Indians/Alaska Natives increased 8.7% (from 2.3 to 2.5 cases per 100,000 population). In 2010, 0.5% of all cases reported to CDC were among American Indians/Alaska Natives. The 2010 rate of P&S syphilis for American Indians/Alaska Natives was 1.2 times the rate for whites.

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Viral Hepatitis

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Acute Hepatitis C

During 2002–2010, the incidence rate of acute hepatitis C remained below 0.5 cases per 100,000 for all racial/ethnic populations except AI/ANs. Rates for AI/ANs have been higher than for other races/ethnicities, especially in 2010 and 2011.

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Tuberculosis (TB)

Native American girl with laptop computer

In 2010, 153 of the 11,182 TB cases reported to CDC were among American Indians or Alaska Natives.

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Resources

Tuberculosis in indigenous peoples in the U.S., 2003-2008. Bloss E, Holtz TH, Jereb J, Redd JT, Podewils LJ, Cheek JE, McCray E. Public Health Rep. 2011 Sep-Oct;126(5):677-89. PMID: 21886328

Patients diagnosed with tuberculosis at death or who died during therapy: association with the human immunodeficiency virus. Marks SM, Magee E, Robison V. Int J Tuberc Lung Dis. 2011 Apr;15(4):465-70. PMID: 21396204

Schneider E. Tuberculosis among American Indians and Alaska Natives in the United States, 1993-2002. American Journal of Public Health. 2005;95(5):873-880

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