gonorrhea epidemiology and prevention program efforts in iowa
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Gonorrhea Epidemiology and Prevention Program Efforts in Iowa. Karen Thompson STD Program Manager Iowa Department of Public Health [email protected] 515-281-4936. GC Testing in Iowa. 1972 : GC Control Program was successful in decreasing the prevalence of disease in Iowa. - PowerPoint PPT PresentationTRANSCRIPT
Gonorrhea Epidemiology and
Prevention Program Efforts in Iowa
Karen Thompson
STD Program Manager
Iowa Department of Public Health
515-281-4936
GC Testing in Iowa• 1972: GC Control Program was successful in decreasing the
prevalence of disease in Iowa.
• 1986: Chlamydia Control Project was modeled after the GC Program when CT became reportable. – State funding was used until federal funds became available.
• 1998: A change from GC culture and CT Syva Micro Trak to Abbott Lcx Amplified DNA probe dual test occurred.– GC testing was merged with CT Control Project and renamed IPP.– Separate screening criteria for each disease existed.
• 2003: Lack of availability of the Abbott Lcx prompted a switch to the BD Probe Tec by the University Hygienic Laboratory. – Still a dual test, but there was now only one screening criteria.
• 2006: The UHL made a move to the Gen-probe Aptima Combo 2.
– Still being used and one criteria is in place for both CT and GC.
Diagnoses of Gonorrhea Infections in Iowa
1990-2008
Legend
0 to 4
5 to 9
10 to 19
20 to 49
50 or More
Reported Cases of Gonorrhea: 1997
Linn
142
Sac1
Lee
10
Sioux
6
Ida
0
Polk
352
Tama
3
Clay
0
Lyon
0
Iowa
0
Kossuth0
Cass1
Jasper
4
Adair
0
Page0
Story
10
Clayton1
Benton
3
Clinton30
Cedar3
Jones0
Fayette
2
Dallas
7
Butler
2
Mills
1
Floyd
1
Davis
0
Plymouth
3
Boone
0
Wright
3
Monona
0
Woodbury
125
Shelby1
Webster24
Scott213
Taylor1
Hardin
7
Marion
2
Carroll1
Harrison0
Wayne
0
Guthrie
0
Warren1
Greene0
O'Brien
0
Crawford1
Jackson
3
Keokuk
1
Johnson
17
Union2 Henry
1
Lucas
0
Franklin
0
Dubuque
11Calhoun
3Grundy
1
Worth
0
Decatur
0
Madison
0
Marshall
10
Clarke
0
Pottawattamie
11
Hancock
0
Mahaska1
Hamilton
1
Louisa
1
Palo Alto
0
Allamakee
0
Adams
0
Fremont
2Ringgold
0
Howard0
Delaware
1
Cherokee
1
Bremer
7
Winneshiek
1
Mitchell
0
Monroe
1
Buchanan
5
Emmet
1
Wapello
1
Poweshiek
2
Audubon
0
Pocahontas
0
Osceola
0
Washington3
Buena Vista
0
Black Hawk
206
Van Buren
0
Cerro Gordo
3
Appanoose
0
Chickasaw0
Jefferson
1
Humboldt0
Dickinson
1Winnebago
0
Montgomery1
Muscatine
5
Des Moines
43
Linn229
Sac
1
Lee18
Sioux2
Ida1
Polk
481
Tama
5
Clay3
Lyon
1
Iowa
1
Kossuth
1
Cass
1
Jasper
4
Adair0
Page2
Story
30
Clayton0
Benton1
Clinton19
Cedar2
Jones4
Fayette
9
Dallas
12
Butler
0
Mills
3
Floyd9
Davis0
Plymouth
1
Boone
5
Wright0
Monona0
Woodbury109
Shelby
2
Webster
54
Scott
306
Taylor0
Hardin1
Marion
8
Carroll
3
Harrison0
Wayne0
Guthrie0
Warren
9
Greene2
O'Brien0
Crawford8
Jackson3
Keokuk0
Johnson62
Union1 Henry
14
Lucas0
Franklin1
Dubuque72
Calhoun1
Grundy0
Worth0
Decatur1
Madison
8
Marshall9
Clarke7
Pottawattamie42
Hancock2
Mahaska
5
Hamilton
1
Louisa0
Palo Alto4
Allamakee0
Adams0
Fremont0
Ringgold0
Howard1
Delaware1
Cherokee2
Bremer
3
Winneshiek
2
Mitchell1
Monroe1
Buchanan
3
Emmet
0
Wapello5
Poweshiek0
Audubon
0
Pocahontas0
Osceola0
Washington1
Buena Vista
2
Black Hawk233
Van Buren
0
Cerro Gordo12
Appanoose0
Chickasaw2
Jefferson
0
Humboldt
2
Dickinson5
Winnebago1
Montgomery
1
Muscatine
6
Des Moines64
Reported Cases of Gonorrhea: 2007
Legend
0 to 4
5 to 9
10 to 19
20 to 49
50 or More
2008 Estimated Population 2008 GC Cases, n = 1,700
GC Cases by Race and Ethnicity GC Cases by Race and Ethnicity Compared to Iowa’s PopulationCompared to Iowa’s Population
2008: Reported Cases of Gonorrhea by Race, Ethnicity and Gender
Total Cases = 1,700
Source: Iowa Department of Public Health STD Prevention Program
Number of Cases
Male Female
Will insert Rates by race, ethnicity, and gender slide here
2008 Estimated Population 2008 GC Cases, n = 1,700
GC Prevalence by Age Compared to GC Prevalence by Age Compared to Iowa’s PopulationIowa’s Population
2008: Statewide reported Cases of Gonorrhea by Age and Gender
Total Cases = 1,700Source: Iowa Department of Public Health STD Prevention Program
Will insert rate by gender and age slide here
Data Source: UHL and Polk Co. Health Dept.
Iowa Infertility Prevention Project2008 Gonorrhea Prevalence
Monitoring DataClinic Type Total Tests GC Positives Positivity Rate
Family Planning 43,105 252 0.6%
STD Clinics 5,404 278 5.1%
Integrated 3,940 128 3.2%
Student Health 2,807 18 0.6%
Corrections 2,612 23 0.9%
CHC 916 3 0.3%
Other 392 3 0.8%
Indian Health 123 4 3.3%
Total 59,299 709 1.2%
MLS2b and 3b: Timeliness to GC Treatment in IPP and STD
SettingsGC/GC/IPPIPP
Jan-Jun 07Jan-Jun 07 Jul-Dec 07Jul-Dec 07 Jan-Jun 08Jan-Jun 08 Jul-Dec 08Jul-Dec 08 Jan-Jun 09Jan-Jun 09
1414 90/104=.8790/104=.87 124/144=.8124/144=.866
50/95=.5350/95=.53 99/110=.9099/110=.90 91/117=.7891/117=.78
3030 100/104=.9100/104=.966
140/144=.9140/144=.977
84/95=.8884/95=.88 109/110=.9109/110=.999
111/117=.95111/117=.95
GC/GC/STSTDD
Jan-Jun 07Jan-Jun 07 Jul-Dec 07Jul-Dec 07 Jan-Jun 08Jan-Jun 08 Jul-Dec 08Jul-Dec 08 Jan-Jun 09Jan-Jun 09
1414 67/68=.9967/68=.99 70/72=.9770/72=.97 61/66=.9261/66=.92 54/61=.8954/61=.89 58/59=.9858/59=.98
3030 68/68=168/68=1 71/72=.9971/72=.99 63/66=.9563/66=.95 61/61=161/61=1 59/59=1.059/59=1.0
► IPP Goals are .85 (14 Days) and .95 (30 Days)► STD Goals are .95 (14 Days) and .98 (30 Days)
PS3: Timeliness to GC Interview
Jan-Jun 06Jan-Jun 06 Jul-Dec 06Jul-Dec 06 Jan-Jun 07Jan-Jun 07 Jul-Dec 07Jul-Dec 07 Jan-Jun 08Jan-Jun 08 Jul-Dec 08Jul-Dec 08
7 7 DaysDays
82/111=.782/111=.744
100/136=.100/136=.7474
132/193=.132/193=.6868
61/165=.3761/165=.37 22/129=.122/129=.177
129/198=.129/198=.6565
14 14 DaysDays
96/111=.896/111=.866
116/136=.116/136=.8585
168/193=.168/193=.8787
93/165=.5693/165=.56 34/129=.234/129=.266
141/198=.141/198=.7171
30 30 DaysDays
97/111=.897/111=.877
135/136=.135/136=.9999
168/193=.168/193=.8787
114/165=.6114/165=.699
41/129=.341/129=.322
161/198=.161/198=.8181
• Jan – Jun 2009– 7 days: 434/834 = .52 goal .5– 14 days: 511/834 = .61 goal .7– 30 days: 571/834 = .68 goal .9
• 258 or 30.9% Not Interviewed
Programmatic Response: • Iowa Disease Surveillance System (IDSS)
• EPT
• IPP Criteria• Pregnancy Testing Only Clinics• School Screening
• Performance Measure Monitoring
• Chlamydia Toolkit Revision
• Funding for Social Marketing • PCSI Opportunity with HIV Prevention