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The Impact of Prostitution and Drugs on a Rural Syphilis Outbreak

Connie Jones Peter Leone, MD Rhonda Ashby. Evelyn Foust, MPH Judy Owen-O’Dowd April Locklear-Oxendine. The Impact of Prostitution and Drugs on a Rural Syphilis Outbreak. Early Syphilis Robeson County versus North Carolina. 02/02 HIV/STD Prevention and Care Branch.

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The Impact of Prostitution and Drugs on a Rural Syphilis Outbreak

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  1. Connie Jones Peter Leone, MD Rhonda Ashby Evelyn Foust, MPH Judy Owen-O’Dowd April Locklear-Oxendine The Impact of Prostitutionand Drugs on aRural Syphilis Outbreak

  2. Early SyphilisRobeson County versus North Carolina 02/02 HIV/STD Prevention and Care Branch

  3. 37% Decrease in Primary and Secondary 1998 - 2001 • Increased DIS Staff • Targeted DIS efforts into HMA’s • Developed Community based projects • Enhanced local health department • Jail screening • Actively used NC’s Outbreak response plan

  4. SMART RIOTOUTREACH SCREENINGRESULTS: • 1,124 residents received education/outreach • 728 were screened for syphilis • 31 positive bloods found • 15 (48%) were new cases • 16 (51.6%) were previous cases • 484 (66%) agreed to HIV screening • 1 new HIV case and 1 previous HIV case

  5. CHALLENGES INROBESON COUNTY • Rural Area • Prostitution • Transportation • Locating Clients • Unemployment and Poverty • Drugs • Cultural Diversity

  6. RAILROAD TRACK

  7. CRACK DITCH ENTRANCE

  8. INSIDE CRACK DITCH

  9. CRACK/SEX HOUSE

  10. NEW CHALLENGES • ENHANCE THE AVAILABILITY OF CULTURALLY • RESPONSIVE PRIMARY CARE INCLUDING PSYCHOSOCIAL SERVICES TARGETING WOMEN: • More outreach activities 24/7 • Multilingual disease education • Risk reduction counseling • Holistic health assessment • HIV/STD screening and treatment • Substance abuse & mental health treatment & referral

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