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Gonorrhea in Alaska

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  1. Gonorrhea in Alaska Region X Gonorrhea Control Meeting Seattle, WA July 20, 2008 Alaska STD Program Section of Epidemiology Division of Public Health, DHSS

  2. Gonorrhea long term trends – National and Alaska from 1970s – late 1990s: • Nationally, the gonorrhea case rate declined by 74% from 1975 – 1997. • Alaska’s gonorrhea case rate peaked in 1978 (1,310 cases per 100,000 persons) and decreased by 96% from that point to 1999 (49 cases per 100,000 persons).

  3. Gonorrhea Infection Rates – Alaska and US, 1998 - 2008

  4. Gonorrhea case rates by region – Alaska,2003-2008 Regional data

  5. Gonorrhea case rates by Region – Alaska,2008 267 73 11 75 373 12 Regional data

  6. Summary of 2008 GC Data • Total of 578 GC case reports; rate=85 cases per 100,000 • Highest GC Infection rates among: • Individuals aged 15-24 • Alaska Native/American Indians • Blacks/African Americans • Increases among: • Alaska Native/American Indians • Asian/Pacific Islander males • Decreases among: • Blacks/African Americans (40% among males) • Whites • Asian/Pacific Islander females

  7. GC cases by geographical region -- Alaska, Jan-Jun, 2003-2009 Regional data

  8. Proportion of Alaskan population v proportion of GC case reports by Region Regional data

  9. Age x Sex

  10. Age x Sex

  11. Gonorrhea cases by race and sex – Alaska, Jan-Jun 2007 - 2009

  12. Program activities • Partner Services as an inter-agency team in Anchorage and throughout Alaska (GC is priority over CT for interviewing activity) • STD data dissemination to professionals and public • Yearly bulletins to providers • Outbreak alerts to providers (*GC Outbreak pending) • Agency alerts on changes in testing levels/positivity rates • STD data reports/analysis on request • Capacity Building among Health Care Professionals • Annual STD Clinical Updates • FSTDI offered twice yearly (since 2003) • Technical Assistance on Clinical and Partner Service issues • Prompt feedback on appropriate GC treatment regimens

  13. A few more things… • Playful financing to increase DIS team • Increase Field-based testing and treatment for quick dispositions • Encourage/support Section of Nursing to hire Health Program Associates as STD DIS