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Gonorrhea in Arizona: Epidemiology and Program Efforts

Gonorrhea in Arizona: Epidemiology and Program Efforts. Michelle Winscott, MD, MPH Epidemiologist January 14, 2010. Arizona Department of Health Services STD Control Program winscom@azdhs.gov. Arizona 2001-2009. * 2009 data estimated based upon available ADHS dataset. Year 2010 Goal:

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Gonorrhea in Arizona: Epidemiology and Program Efforts

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  1. Gonorrhea in Arizona: Epidemiology and Program Efforts Michelle Winscott, MD, MPH Epidemiologist January 14, 2010 Arizona Department of Health Services STD Control Program winscom@azdhs.gov

  2. Arizona 2001-2009 *2009 data estimated based upon available ADHS dataset Year 2010 Goal: 19 cases/100,000 population

  3. Gonorrhea Testing Trends via the Maricopa County Laboratory and the Arizona Infertility Prevention Project

  4. Race/Ethnicity among Arizona Gonorrhea Cases by Gender, 2008 N = 1869 cases Refused race = 2 N = 1577 cases Refused race = 0

  5. Arizona Gonorrhea Cases and Percentages by Provider Type, 2008

  6. N=795 cases N=640 cases N=193cases N=1821 cases

  7. Arizona 2008 Gonorrhea Cases and Rates, by County

  8. Pima County: Tucson Metropolitan Area Gonorrhea Cases by Zip Code of Residence, 2008 Location of Pima County Health Department STD Clinic

  9. Gonorrhea in Arizona • Declining rates of gonorrhea despite increased screening • Gonorrhea cases diagnosed in the Maricopa and Pima County STD Clinics are interviewed and investigated • Treatment verification in Maricopa County of gonorrhea cases reported without treatment • Expedited Partner Therapy (2008) • Participating (Maricopa County) in GISP since 1987

  10. Areas for Program Expansion • Planned/Underway • Hospitals: presumptive treatment education and EPT discharge planning • Gonorrhea and HIV co-morbidity analyses • Focused gonorrhea screening in high risk populations (2010 Arizona IPP gonorrhea screening) • Providers queried for missing data elements among gonorrhea cases • Provider EPT surveys • STD screening in Maricopa County high schools • Future • Expanding gonorrhea partner notification • Increasing treatment verification in corrections and hospitals • Expanding community and provider partnerships

  11. Thank You!

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