indiana state report
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IndianaState Report
RVIPP MeetingSummer, 2010
2009 State Morbidity for CT and GC
• 21,799 cases of chlamydia (38% identified through IPP)
• 6,853 cases of gonorrhea (41% identified through IPP)
• Reduction in GC morbidity compared to 2008; chlamydia stable
Chlamydia in Indiana2005 - 2009
2005 2006 2007 2008 200918500
19000
19500
20000
20500
21000
21500
22000
22500
Gonorrhea in Indiana2005 - 2009
2005 2006 2007 2008 20090
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
High Morbidity Zip CodesChlamydia 2009
Zip Code City Number Cases #1 Submitter
46226 Indianapolis 600 Bell Flower STD
46218 Indianapolis 528 Bell Flower STD
46235 Indianapolis 431 Grassy Creek
46222 Indianapolis 428 Bell Flower STD
46806 Fort Wayne 424 Allen Co STD
46205 Indianapolis 367 Bell Flower STD
47302 Muncie 352 Open Door FP
46254 Indianapolis 343 Bell Flower STD
46201 Indianapolis 340 Bell Flower STD
46208 Indianapolis 290 Bell Flower STD
High Morbidity Zip CodesGonorrhea 2009
Zip Code City Number Cases #1 Submitter
46218 Indianapolis 295 Bell Flower STD
46226 Indianapolis 254 Bell Flower STD
46806 Fort Wayne 220 Allen Co STD
46235 Indianapolis 198 Bell Flower STD
46222 Indianapolis 198 Bell Flower STD
46201 Indianapolis 196 Bell Flower STD
46205 Indianapolis 183 Bell Flower STD
46208 Indianapolis 154 Bell Flower STD
46254 Indianapolis 140 Bell Flower STD
46628 South Bend 136 Memorial Hospital
Top Ten Zips Analysis
• Nine common zip codes in top ten list for both CT and GC, 8/9 are in Indianapolis and one is in Fort Wayne
• 19% of reported chlamydia was from top ten zips
• 29% of reported gonorrhea was from top ten zips
Treatment Timelinessin top ten zips
2009Chlamydia Gonorrhea58% treated in 14 d 71% treated in 14 d91% treated in 30 d 95% treated in 30 d
1/1-5/24/10Chlamydia48% treated in 14 d91% treated in 30 d
Days in TransitQ1 2010
CTGC
0
500
1,000
1,500
2,000
2,500
0 2 4 6 8 10 12 14 16 18 20 22 24 26 29 32 36 39 367
Days in transit
# S
pec
imen
s
Pregnancy Test Only Visit Testing2009 Results (Three Quarters Only)
Assessed variable “Reason for Test PTO Visit” = 1
N=7,561 (includes some bad data from sites that should not be using this Reason for Test code)
Chlamydia positive 710/7561 (9.4%)Gonorrhea positive 36/7561 (0.5%)
EPT Update on Progress2010
Indiana State Medical Association expressed disapproval to Medical Licensing Board Fall, 2009
January, 2010 – met with Legislative Committee of ISMA; no change
May, 2010 – Another hearing with Executive Committee of MLB; ISMA still opposes
June, 2010 – Another meeting with full board MLB
EPT Resources
• CDC policy meeting for external consultants May in Atlanta attended by Dr. Joan Duwve
• CDC project –Academic Edge, Inc. in Bloomington to develop web resources for providers, patients, and partners for EPT (national focus)
• www.partnercare.org• Link to talk at National STD Prevention Conf.
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