1. Presenter Carolyn Tunstall, IPP Coordinator November 9, 2009 GC Prevention Activities In New Jersey

2. Gonorrhea Overview The state of New Jersey reported 5,298 GC cases in 2008. The NJSTD program is divided into three Regional Areas.  Region I reported 1,662 cases of GC ( 31%)  Region II reported 1,470 cases of GC ( 28%)  Region III reported 2,166 cases of GC ( 41%)

3. Trends in Reported Gonorrhea Cases 1998-2008 GC Cases New Jersey Newark, NJ

4. NJ STD Cases Reported by Regions, 2008 Chlamydia Gonorrhea Syphilis REGION I Essex REGION II Bergen Hudson Hunterdon Middlesex Morris Passaic Somerset Sussex Union Warren REGION III Atlantic Burlington Camden Cape May Cumberland Gloucester Mercer Monmouth Ocean Salem

5. 2008 Gonorrhea Cases in Newark, East Orange, and Irvington Zip CodeGonorrhea 2008 Case Newark0710261 07103209 0710483 0710550 07106125 07107107 07108166 07112171 0711429 All Other14 East Orange07017134 07018119 Irvington07111200 Essex County

6. Gonorrhea Cases by Age and Sex – New Jersey (2008) 55% 15-24yrs MalesFemales <15 15-19 20-24 25-29 50-54 55+ 45-49 40-44 35-39 30-34 GC Cases Age

7. Gonorrhea Cases by Age and Sex – Newark, NJ (2008) 55% 15-24yrs MalesFemales <15 15-19 20-24 25-29 50-54 55+ 45-49 40-44 35-39 30-34 GC Cases Age

8. Trends in Reported GC Cases by Race/Ethnicity Over Time, 2004 -2008 GC Cases

9. Gonorrhea by Age Group and Provider Type, 2008

10. GC/CT Case Report Data by Provider Type, 2008 Facility TypeGC CasesCT Cases HIV Test Sites471 STD Clinics10381872 Drug Rx Clinics13 Family Planning6595336 Prenatal/Obstetrics2181936 Other Clinics4842674 Private Phys./HMO9045843 Hospital (Inpatient)8862565 Emergency Room9651461 Correctional Facility88372 Laboratory1471 School-Based Clinics1262 Military04 Unknown25135 Total529822405

11. 2009 GC Prevention Activities Newark,Trenton & Camden STD clinics started offering urine screenings for GC/CT to females and males (< 26 years of age). Collaborating with NJCRI Mobile unit- to screen adolescences in “hot spots.” Options for Women- New GC/CT site for female adolescences. Essex & Hudson County Juvenile Detention Center- collaborates w/ STD field staff to ensure patients and partners are treated in timely manner for CT/GC.

12. 2010 GC Action Plan Partnership w/ “key” stakeholders in Essex County. Partner with community “leaders” Collaborate w/ AHEC Mobile Unit- Camden County. 8 STD clinics- urine screening for GC females/males < 26 years of age.

13. Barriers/Challenges…… Limited Resources ( reduction in funding & personnel). Training being available for all employees. Establishing partnerships Patients having access to care ( many rural clinics in Region 3). Due to limited staff, STD clinics reduced hours of operations. Many patients ( target population) are uninsured and utilize hospitals, emergency rooms for care.

15. Thank You!!!