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Medical Forum / Diseases and Disorders / Herpes / April 2005

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Are there certain areas with higher herpes rates?

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Tom - 09 Apr 2005 01:00 GMT
Hello,

My friend told me that the Los Angeles area has one of the highest rates of
genital herpes going by some statistic. I am not sure this is possible. Is
it possible that there are certain geographical areas that have more
concentrations of people with herpes than others? I live in RI and I don't
know what the rate is here.

Other than that I am at the end of what was a minor outbreak that started
last Friday. I am still a little achy and tired, but the blisters are gone
so I know I am at the end. I am dating someone that also has genital herpes
and I am glad that we can be together and not have to worry about either
person getting it.

Tom
M2slo2cht@nospam.invalid - 09 Apr 2005 13:46 GMT
>Is
>it possible that there are certain geographical areas that have more
>concentrations of people with herpes than others?

Yes.
Rates differ by region, by age, by race and by culture. And probably
by any other subset you can think of. The 1 in 5 rate you hear quoted
most of the time is just an overall bottom line rate for the entire
sample population (meanng, US) of the study. Furthermore, rates will
vary over time within all subsets. That's the way statistics work.
Without having access to the raw data from the study, I don't know
where you can find out the stats for only Los Angeles or only Rhode
Island (or "only" any other subset of the population)

M2
Tom - 09 Apr 2005 14:23 GMT
Originally I heard that herpes was primarily a Caucasian disease, but I
think that has changed alot. Now there are more people 12-19 yrs old that
are getting it from oral sex than before. I guess you'd probably have to go
to a library to get that information if they even have it. Maybe Los Angeles
is considered higher because of the high sun levels and also smog and
traffic (higher stress), all things that weaken the immune system. Rhode
Island has severe winters, which is another bad thing for the body.

> >Is
> >it possible that there are certain geographical areas that have more
[quoted text clipped - 11 lines]
>
> M2
M2slo2cht@nospam.invalid - 09 Apr 2005 15:41 GMT
>Originally I heard that herpes was primarily a Caucasian disease,

Can't imagine who came up with that one. It's never been primarily any
one race. Although, if broken down, there are differences in rates
between races.  IIRC, Caucasian isn't the highest though.

>Now there are more people 12-19 yrs old that
>are getting it from oral sex than before.

I'd believe that to be true probably.

>I guess you'd probably have to go
>to a library to get that information if they even have it.

If you happen to be an actuary, statistician, or have an extensive
background/education in statistics, you can pull up reams of data from
various NHANES surveys and do your own analysis. Sorting through all
that to find what you want can be daunting though. Especially for the
inexperienced. And sometimes I think it's only the statisticians that
truly understand the meaning of anylitical results. Everybody else
seems to use the bottom line numbers to come up with their own ideas
as to the meaning of it all. In other words, two people can take that
1 in 5 stat and come up with assumptions and conclusions about it's
meaning that are totally opposite... and sometime they're BOTH wrong.

M2  <----- knows just enough about statistics to know how easily stats
can be misinterpreted (the devil's in the details)
xyzer@hotmail.com - 10 Apr 2005 23:59 GMT
> >Originally I heard that herpes was primarily a Caucasian disease,
>
[quoted text clipped - 23 lines]
> M2  <----- knows just enough about statistics to know how easily stats
> can be misinterpreted (the devil's in the details)

I know this is not what you had in mind, but does everyone agree that
at least 20% of this country's population has genital herpes?  Do we
also agree that 50-80% of the country has oral herpes?  Would anybody
argue with this?
M.L.S. - 11 Apr 2005 01:04 GMT
>I know this is not what you had in mind, but does everyone agree that
>at least 20% of this country's population has genital herpes?  Do we
>also agree that 50-80% of the country has oral herpes?  Would anybody
>argue with this?

I won't argue with those figures, but I think I'd argue with the
conclusion you're trying to attach to the figures.  

If only one person in the country *didn't* have herpes, I'd want to
respect that person's right not to acquire it.

On the other hand, I do think that there are sufficient numbers of
people with the disease that we should be getting over any sort of
social stigma attached to the thing, and by and large, in my
experience of the last few years, I see the stigma fading.  Sure,
there are people who don't want to expose themselves to the virus by
having sex with carriers, but I think the days when people were made
fun of and ostracized for having it are near over.  There is still a
way to go in those regards, but progress is being made.

Take care,

Mike
M2slo2cht@nospam.invalid - 11 Apr 2005 02:31 GMT
xyzer writes:
>does everyone agree that
>at least 20% of this country's population has genital herpes?

If you were to restate that to say, for this country's population
*over age 12*, then yes. That's what NHANES concluded.

>also agree that 50-80% of the country has oral herpes?  Would anybody
>argue with this?

I wouldn't argue with it but I could probably nitpick it if I put my
mind to it (i.e.above certain age groups etc).  Bottom line though, I
doubt anybody would argue that most *adults* in the US are infected
and most of those infected are unaware of it.
50% to 80% sounds like a reasonable statement.  I've seen a study as
high as 90%

Original poster asked about subsets though, not total population. Any
given subset may not match overall percentage. Might be higher, might
be lower, and that was my point.

M2
Tim Fitzmaurice - 11 Apr 2005 13:50 GMT
> xyzer writes:
>> does everyone agree that
>> at least 20% of this country's population has genital herpes?
>
> If you were to restate that to say, for this country's population
> *over age 12*, then yes. That's what NHANES concluded.

If I may be picky on your adjustment -

Actually he'd be right, that NHANES III concluded that 20.8% was the
count including adjusting for age. Without the age adjustment it was
21.9%

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
M2slo2cht@nospam.invalid - 11 Apr 2005 16:40 GMT
>If I may be picky on your adjustment -

You certainly may, kind sir ... and congrats on your new royalty.
Among other fine qualities, she obviously has positively smashing
druthers in hats ;-)

>Actually he'd be right, that NHANES III concluded that 20.8% was the
>count including adjusting for age. Without the age adjustment it was
>21.9%

Thanks for that.  You wouldn't happen to have the rates for only Los
Angeles and/or only Rhode Island would you? Or better yet, a credible
website that breaks the study down into different (odds & ends)
interesting sub-populations? I've picked up bits and pieces of data
and results in various articles and sites but one page devoted to this
one study broken down in many different ways would be an interesting
find.

M2
Tom - 12 Apr 2005 00:16 GMT
I guess the whole idea of knowing stats is kind of silly when you think
about it. One reason I thought of this was because once I was looking for
other available females with herpes for dating and did a search on
match.com. There is supposed to be some code you type in to find people with
herpes and its something like 43373? or something like that. Well anyway, I
found about 10 people in the whole US that actually listed that have it. I
guess there is still some stigma, but I don't have to worry about that. I
recently met a wonderful woman and now we are in a relationship. We both
have genital herpes HSV1 and there's no worries for either person. Now I
just have to get my outbreaks to calm down a little more and I'll be okay,
but that's getting better also.

Tom

> Thanks for that.  You wouldn't happen to have the rates for only Los
> Angeles and/or only Rhode Island would you? Or better yet, a credible
[quoted text clipped - 5 lines]
>
> M2
 
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