gonorrhea control meeting region v february 2, 2010 chicago illinois
DESCRIPTION
Gonorrhea Control Meeting Region V February 2, 2010 Chicago Illinois. Illinois Department of Public Health STD Program. Reported Gonorrhea Illinois 1986 - 2008. Cases. Reported Gonorrhea Illinois (Excluding Chicago) 1990 - 2008. 2008 Illinois Gonorrhea Rates. >300. > 100 - 300. >0 - 100. - PowerPoint PPT PresentationTRANSCRIPT
Gonorrhea Control Meeting Region VFebruary 2, 2010 Chicago Illinois
Illinois Department of Public
HealthSTD Program
Reported GonorrheaIllinois 1986 - 2008
Cases
Reported GonorrheaIllinois (Excluding Chicago) 1990 - 2008
1,000
3,000
5,000
7,000
9,000
11,000
13,000
15,000
>300
> 100 - 300
0>0 - 100
Rate per 100,000
Population
2008 Illinois Gonorrhea Rates
Illinois Excluding Chicago Reported STD Case Rates
Disparity Between Racial/Ethnic Groups, 2008
African America
ns WhitesHispanic
s
Disparity: African America
ns vs. Whites
Disparity:
Hispanics vs.
WhitesChlamydia 1,877 127 463 15 X 3.7 XGonorrhea 859 23 45 37 X 2 XP/S* Syphilis 8 0.6 1.8 13 X 3 X
ILLINOIS IPP: 1999-2008GONORRHEA SCREENING : FEMALES
1999 2000 2001 2002 2003 2004 2005 2006 2007 20080
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
180,000
0
0.5
1
1.5
2
2.5
3
No. Pos
Total Test
% Pos
No. Tests
YEAR
% Pos
ILLINOIS IPP: 1999-2008GONORRHEA SCREENING : MALES
1999 2000 2001 2002 2003 2004 2005 2006 2007 20080
10,000
20,000
30,000
40,000
50,000
60,000
70,000
0
2
4
6
8
10
12
14
16
No. Pos
Total Test
% Pos
No. Tests
YEAR
% Pos
Illinois -Non-IPP: 1999-2008GONORRHEA SCREENING: FEMALES
1999 2000 2001 2002 2003 2004 2005 2006 2007 20080
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
No. Pos
Total Test
% Pos
No. Tests
YEAR
% Pos
Illinois -Non-IPP: 1999-2008GONORRHEA SCREENING: MALES
1997 1999 2000 2001 2002 2003 2004 2005 2006 2007 20080
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
0
1
2
3
4
5
6
7
8
9
10
No. Pos
Total Test
% Pos
No. Tests
YEAR
% Pos
GC Positivity Rates By Sex and Provider Type
IIPP Screening Program, 2008
Total Tests
Females% Pos.
Males% Pos.
Adult Correctional Facilities 7,849 2.3 3.5
Family Planning Clinics 71,930 1.2 4.0
Juvenile Detention Centers 6,500 7.6 2.4
Private Physicians 9,694 2.1 7.8
STD Clinics 41,075 5.6 10.5
Impact of Implementing Integrated* Clinics
on Gonorrhea and Chlamydia Reporting at an Illinois Health
Department, 2005 -20092005 2006 2007 2008 2009Gonorrhea
HD Clinics 366 332 327 277 30All Providers
2,257 2,530 2,782 2,559 1,950
% All Positives From HD
16.2% 13.1% 11.8% 10.8% 1.5%
ChlamydiaHD Clinics 965 911 895 809 67All Providers
6,587 7,574 8,110 8,218 7,039
% All Positives From HD
14.7% 12.0% 11.0% 9.8% 1.0%HD = Health Department* Integration of Family Planning and STD Clinics Implemented 1/2009
GC Positivity Rates By Sex By RaceIIPP Screening Program, 2008
Females% Pos.
% of Total Female Pos.
Males% Pos.
% of Total Male Pos.
Black 4.3 78.6 10.4 88.1
White 0.7 18.1 1.9 8.9
Am. Indian 4.9 0.1 11.8 0.06
Asian/PI 0.2 0.1 3.0 0.5
Other 0.6 2.8 2.0 2.2
Unknown 0.5 0.4 2.5 0.3
Positioning and TimingHeron stands in the blue estuary,Solitary, unmoving for hours.A fish! Quick avian darting;The prey captured.
Source: 365 Tao Daily Meditations, Deng Ming-Dao
Recent IDPH GC Prevention Activities
Intervention Cost Impact is Measurable
Enacted EPT for GC/CT Minimal
Maybe
Conduct Self-Collected Swabs using Internet for CT/GC and Trichomoniasis
$60,000
Yes
Provided 5 LHDs with Intensive Technical Assistance for GC/CT Prevention Activities
Minimal
No
Support Mobile Health Vans in Champaign for Health Screening including GC/CT
$50,000
Yes
Conducted 4 Town Hall Meetings Targeting African American Parents and Youth in Collaboration with Agency Director and Office of Minority Health
Minimal
No
Collaborated with UISPH and CDPH to Conduct Study of Medical Costs of STDs in Adolescents 15-24
Minimal
No
Support GC/ CT Screening at Cook County Jail
$26,000*
Yes
* STD Program Funds
Recent IDPH GC Prevention Activities
Intervention Cost Impact is Measurable
Mentored Public Health Graduate Student to Identify Challenges and Best Practices to Improve CT/GC Screening in Illinois Juvenile Detention Centers
Minimal Yes
Collaborated with HIV Program, ISBOE, ICAH to Develop Adolescent STI Prevention Tool Kit for Persons Working With Youth
$120,000 No
Funded 24 LHDs ($10,000 each) in Top 30 for CT Cases to Conduct CT/GC Prevention Activities Using Community Engagement Model
$240,000 No
Funded Six LHDs to Provide Targeted GC Counseling and Partner Services Using a Fee for Service Model ($50 -$100 Cx and $100 for NBT)
$205,000*
Yes
Extended Grants to 24 LHDs and Provided $2,500 each to counsel at least 10 GC/CT cases per month for 4 months.
$60,000 Yes* STD Program Funds
HealthDepartment
# GCCases
# Target Zipcodes
# GC Cases in Target Zipcodes
% Cases in Target Zipcodes
CUPHD 436 5 395 91%ESHD 714 6 690 97%JCHD 135 1 118 87%PCHD 904 3 762 84%WCHD 865 5 722 84%VCHD 300 1 275 92%Total 3,354 21 2,962 88%
Reported Gonorrhea Cases in Six LHDs Selected for the GC
PS* Project in 2007
The 6 Project Site Counties Accounted for 26% of Reported GC Cases in 2007 in Illinois Excluding Chicago. * PS = Partner Services
Targeted GC Counseling and Sex Partner Services Outcomes By LHD: February –
December 2009
Rpt= Reported, Cx = Counseled, SP = Sex Partners
# CasesRpt.
# Cases Cx
% RptCasesCx
# SP Within60 Days/SP IndexPer Cx
% SPExam
# SP Exam Per Case Cx
% SP Exam - Newly Infected
# SP Newly Infected Per Case Counseled
CUPHD 207 139 67% 200/1.4 37% 0.36 70% 0.25ESHD 34 23 68% 31/1.3 50% 0.74 88% 0.65JCHD 80 69 86% 87/1.3 33% 0.25 53% 0.13PCHD 194 117 60% 165/1.4 30% 0.38 86% 0.32WCHD 394 302 77% 404/1.3 33% 0.35 52% 0.19
VCHD 12 10 83% 16/1.6 36% 0.50 40% 0.20Total 921 660 72% 903/1.4 35% 0.36 65% 0.23
Non-Targeted Gonorrhea and Chlamydia Counseling and
Partner Services, April – December 2009
The 6 Project Site Counties Accounted for 26% of Reported GC Cases in 2007 in Illinois Excluding Chicago
Diagnosis # CasesCounseled
% Total Cases Counseled
# Infected Newly Brought to Rx
Infected Brought to Rx Per Case Counseled
Dual Infected
114 12% 36 0.32
Chlamydia 346 38% 115 0.33Gonorrhea 462 50% 64 0.14Total 922 100% 215 0.23
Positioning and TimingIs GC Prevention Feasible
in My Jurisdiction?
Don’t Say No, Say If ....to GC Prevention
Illinois Department of Public Health
STD Program
Self-Collected Test Kits for GC/CT/Trich.
Using Internet Web Site*Selected Illinois Counties, May 2008
to April 2009
* Iwantthekit.org in collaboration with JHU and SIUSM
Females Males Total# Kits Requested
219 142 371
# Kits Returned
77 44 121
% Kits Returned
35 % 30% 33%
# CT Positive Tests
6 3 9
% CT Positivity 7.8% 6.8% 7.4%
# GC Positive Tests
0 0 0
% GC Positivity 0 % 0 % 0%
# Trich Positive 14 6 20
% Trich Positive
18% 13.6% 16.5%
Champaign HDmobile vans
bring health services to clients where the live and hang out
Gonorrhea and Chlamydia Screening Using Mobile Health Vans
Champaign, Illinois in 2008
Females (N=90) Males (N=73)Age Group Percent
Chlamydia Positive
PercentGonorrheaPositive
PercentChlamydia Positive
PercentGonorrhea Positive
15 to 19 27.3 4.5 18.8 020 to 24 15.8 5.3 18.2 025 to 29 7.7 0 25.0 12.530+ 9.1 0 3.7 3.7
IIPP STD Clinics Timeliness to Treatment
Goals and Outcomes (Gonorrhea)
Jan - Jun 08 Jul - Dec 08 Jan - Jun 090
20
40
60
80
100
73 75 7884 87 91
Treatment Rates of Female Clients with Reported GC by
STD Clinics (Excluding Chicago)
% w/in 14 days % w/in 30 days2008 Goals: 14 days = 77%, 30 days = 87% 2009 Goals: 14 days = 79%, 30 days = 89%
Percent
IIPP FP Clinics Timeliness to Treatment
Goals and Outcomes (Gonorrhea)
Jan - Jun 08 Jul - Dec 08 Jan - Jun 090
20
40
60
80
100
64 707782 86 89
Treatment Rates of Female Clients with Reported GC by
FP Clinics (Excluding Chicago)
% w/in 14 days % w/in 30 days2008 Goals: 14 days = 67%, 30 days = 84% 2009 Goals: 14 days = 69%, 30 days = 86%
Percent
IIPP Timeliness to Treatment Outcomes (Gonorrhea) By Provider Type
Treatment Rates of Female Clients with Reported GC (Excluding Chicago)
Provider Type Jan Jun 2008 Jul Dec 2008
Jan Jun 2009
w/i 14 days w/i 14 days w/i 14 daysCorrections (Adult) 53% 45% 67%Hospital 93% 91% 92%Military 46% 53% 76%Other Health Dept Clinic
77% 75% 71%
Private Physician 89% 90% 88%School Based Clinic 89% 83% 81%University Health Service
100% 100% 100%
Gonorrhea and Chlamydia Screening and Diagnostic Testing, Cook County
Jail, 2009* Sex Gonorrhea Chlamydia
Total Tests
NumberPositive
Percent Positive
Total Tests
NumberPositive
Percent Positive
Male 2,369 120 5.0% 2,369 315 13.3%
Female 1,706 33 1.9% 1,706 115 6.7%
Unknown 165 4 2.6% 165 23 13.9%
Total 4,240 157 3.7% 4,240 453 10.7%
** Provisional and extrapolated based on full year IDPH Lab and 11 months LabCorp.
Illinois Excluding Chicago
Chicago
Gonorrhea 20,674 10,165 10,509Chlamydia 59,169 33,704 25,465Early Syphilis 825 207 618Congenital Syphilis
19 8 11
Reported STDs in Illinois, 2008
Gonorrhea Control Meeting Region V
February 2, 2010 Chicago Illinois
Illinois Department of Public
HealthSTD ProgramCharlie Rabins