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STD/HIV Prevention Seattle & King County. Robert Marks 744-2275 robert.marks@kingcounty.gov. My discussion…. Public Health Goal PH Prevention Services STD Program STD & HIV Epidemiology Your Role STD & HIV Resources. Public Health Goal.

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std hiv prevention seattle king county

STD/HIV PreventionSeattle & King County

Robert Marks

744-2275 robert.marks@kingcounty.gov

my discussion
My discussion…
  • Public Health Goal
  • PH Prevention Services
  • STD Program
  • STD & HIV Epidemiology
  • Your Role
  • STD & HIV Resources
public health goal
Public Health Goal
  • Stop thespread ofdisease and ensure individual health as well as the health of communities.
public health prevention services
Public HealthPrevention Services
  • HIV Counseling and Testing
    • STD Clinic/District Sites/CBO’s
  • Disease Investigation & Partner Notification
  • Syringe Access & Disposal
  • Community Coalition Leadership
    • Black Leadership Council
  • Educational Materials Development
  • Technical Assistance and Training
slide6
STD Clinic at Harborview

(206) 744-3590

Monday-Friday 8am-6:30pm9:30am–6:30pm Tues

std clinic at harborview
STD Clinic at Harborview
  • Walk-in clinic (if after 3:00pm, call)
  • STD screening/treatment
  • HIV testing and early intervention services
  • Fees are based on income (No person will be turned away due to inability to pay.)
  • No charge for STD medications
  • If symptomatic, most likely expedited
  • Interpreter services available
disease intervention specialists
Disease Intervention Specialists
  • Provide health information to diagnosed individuals.
  • Assure appropriate medical care.
  • Elicit sex partners (and needle sharing partners for HIV diagnosed individuals) in order to get the partners into medical care.
slide11

CT Positivity*, King County and Other WA Counties, 1992-2007

* Positivity = # positive tests divided by # total tests (through IPP)

ct incidence among women ages 15 29 1992 2008
CT Incidence* among Womenages 15-29, 1992-2008

3394 cases

* Based on reported cases, countywide

slide15

GC Incidence* among Womenages 15-29, 1992-2008

368 cases

*Based on reported cases, countywide

gc incidence by sex 1992 2008
GC Incidence* by Sex, 1992-2008

812 cases

482 cases

* Calculate using reported cases, countywide

gc among msm 1993 2008
GC among MSM,* 1993-2008

*MSM cases included MSM cases diagnosed in the STD clinic, as well as rectal infections diagnosed elsewhere

^Starting in 2005, MSM definition also includes interview data

slide22

King County: Early syphilis*, 1994-2008

2005 total cases = 193

2006 total cases = 185

2007 total cases = 194

2008 total cases = 191

*Reported P, S, and EL syphilis

**Excludes some male cases with unknown MSM status

gc ct and early syphilis among msm 1993 2008
GC, CT, and Early Syphilisamong MSM, 1993-2008*

* New “definition” of MSM in 2005, based on case report, interviews, site of infection

std summary
STD Summary
  • Chlamydia rates stable over past 3 years
    • MSM relatively unchanged
    • STD Clinic numbers dropped in women
  • Gonorrhea rates down (again)
    • Down in heterosexuals and MSM
    • Down in most age groups
    • Down in most race groups
  • Early syphilis cases similar to 2007
    • Increase in EL cases vs. P&S continues
  • MSM stable for CT and syphilis, GC down
who is living with hiv aids in kc as of 3 31 09
Who is living with HIV/AIDS in KC?(as of 3/31/09)
  • 90% male
  • 42% diagnosed between 30-39 years of age
  • 74% currently 40 years and older
  • Race
    • 68% white
    • 17% black
    • 10% Hispanic
    • 3% Asian
  • Risk
    • 69% MSM
    • 8% MSM-IDU
    • 5% IDU
    • 10% heterosexual contact
  • 25% foreign-born at age of diagnosis (2006-2008)
what is my role in std hiv prevention
What is my role inSTD/HIV Prevention?
  • Talk about sex, drugs, disease & transmission.
  • Encourage and/or refer for screening/testing.
  • Assist individual to reduce risk.
  • Encourage discussion between partners.***
  • Let patient know that Public Health will be contacting…confidentiality maintained.
  • Provide Expedited Partner Therapy.
  • Inform of STD Clinic services.
  • Complete Case Report for diagnosed disease.
clarify define
Clarify/define!
  • Sex
  • Monogamy
  • Agreements?
  • What happens ifsomeone strays?
web resources
Web Resources
  • General STD info
    • www.kingcounty.gov/health/std
  • Lots of HIV info
    • www.kingcounty.gov/health/hiv