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The Impact of Prostitution and Drugs on a Rural Syphilis Outbreak Connie Jones Peter Leone, MD Rhonda Ashby Evelyn Foust, MPH Judy Owen-O’Dowd April Locklear-Oxendine.

Published byBarnard Greer Modified over 9 years ago

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Presentation on theme: "The Impact of Prostitution and Drugs on a Rural Syphilis Outbreak Connie Jones Peter Leone, MD Rhonda Ashby Evelyn Foust, MPH Judy Owen-O’Dowd April Locklear-Oxendine."— Presentation transcript:

1 The Impact of Prostitution and Drugs on a Rural Syphilis Outbreak Connie Jones Peter Leone, MD Rhonda Ashby Evelyn Foust, MPH Judy Owen-O’Dowd April Locklear-Oxendine

2

3 Early Syphilis Robeson County versus North Carolina 02/02 HIV/STD Prevention and Care Branch

4 37% Decrease in Primary and Secondary 1998 - 2001 Increased DIS Staff Targeted DIS efforts into HMA’s Developed Community based projects Enhanced local health department Jail screening Actively used NC’s Outbreak response plan

5 SMART RIOT OUTREACH SCREENING RESULTS: 1,124 residents received education/outreach 728 were screened for syphilis 31 positive bloods found 15 (48%) were new cases 16 (51.6%) were previous cases 484 (66%) agreed to HIV screening 1 new HIV case and 1 previous HIV case

6 CHALLENGES IN ROBESON COUNTY Rural Area Prostitution Transportation Locating Clients Unemployment and Poverty Drugs Cultural Diversity

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10 RAILROAD TRACK

11 CRACK DITCH ENTRANCE

12 INSIDE CRACK DITCH

13 CRACK/SEX HOUSE

14 NEW CHALLENGES ENHANCE THE AVAILABILITY OF CULTURALLY RESPONSIVE PRIMARY CARE INCLUDING PSYCHOSOCIAL SERVICES TARGETING WOMEN: More outreach activities 24/7 Multilingual disease education Risk reduction counseling Holistic health assessment HIV/STD screening and treatment Substance abuse & mental health treatment & referral

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