1. West Virginia Office of Epidemiology and Prevention Services 1 Gonorrhea Morbidity in West Virginia Caroline A. Williams, MD, Director Division of STD, HIV/AIDS and Hepatitis Philadelphia, Pennsylvania June 16, 2009

2. West Virginia Office of Epidemiology and Prevention Services 2 Gonorrhea Cases in West Virginia By Gender, 2004 - 2008 n=893 n=773 n=941 n=934 n=744

3. West Virginia Office of Epidemiology and Prevention Services 3 Gonorrhea Cases in West Virginia By Age Group, 2004 - 2008 n=893 n=773 n=941 n=934 n=744

4. West Virginia Office of Epidemiology and Prevention Services 4 Gonorrhea Cases in West Virginia By Race/Ethnicity, 2004 - 2008 n=893 n=773 n=941 n=934 n=744

5. West Virginia Office of Epidemiology and Prevention Services 5 Estimated % of Population and % of Reported Gonorrhea Cases, by Race/Ethnicity, West Virginia, 2008

6. West Virginia Office of Epidemiology and Prevention Services 6 Gonorrhea Cases per 100,000 Population By Race/Ethnicity, West Virginia, 2004 - 2008

7. West Virginia Office of Epidemiology and Prevention Services 7 Gonorrhea Cases in West Virginia By Age, Gender, and Race/Ethnicity, 2008 n=289 n=170 n=127 n=150

8. West Virginia Office of Epidemiology and Prevention Services 8 Gonorrhea Cases in West Virginia, 2008 State Total = 744

9. West Virginia Office of Epidemiology and Prevention Services 9 Gonorrhea Cases in West Virginia, 2007 State Total = 934

10. West Virginia Office of Epidemiology and Prevention Services 10 Gonorrhea Ranked by Cases

11. West Virginia Office of Epidemiology and Prevention Services 11 Gonorrhea Ranked by Rates

12. 12 Gonorrhea Rates per 100,000 Population, West Virginia, 2008 Seven county rates higher than the 2008 West Virginia rate (41.0) One county rate higher than the 2007 U.S. rate (118.9) U.S. WV

13. West Virginia Office of Epidemiology and Prevention Services 13 Strengths of West Virginia’s Gonorrhea Control Program WV is considered a low-incidence state for chlamydia, gonorrhea, syphilis and HIV/AIDS All GC cases are initiated to the field Active partner notification for all GC cases APTIMA is the testing method for the WV Office of Laboratory Services Colleges/universities and correctional facilities, including juvenile centers, offer Ct/GC testing