Gonorrhea in Texas Jim Lee Senior Public Health Advisor

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Presentation transcript:

Gonorrhea in Texas Jim Lee Senior Public Health Advisor HIV/STD Prevention and Care Branch Texas Department of State Health Services

Gonorrhea Cases by Year of Report - Texas, 1970-2008

Gonorrhea Rates by Year of Report and Sex - Texas, 1991-2008

Gonorrhea Rates by Year of Report and Race/Ethnicity - Texas, 1991-2008

Gonorrhea Rates by Year of Report and Age Group - Texas, 1991-2008

Gonorrhea Rates by Age Group and Sex - Texas, 2008

Gonorrhea Cases by Age Group and Race/Ethnicity - Texas, 2008 All the young people are in the dark colored slices – over half of the total gonorrhea in 2008. All of the AA are in the pink and red slices – over half of the total. AA aged 15-24 alone accounted for 33% of total cases

Gonorrhea Cases by County - Texas, 2008

Gonorrhea Rates by County - Texas, 2008

Top 20 Counties by Gonorrhea Cases - Texas, 2008 Top 20 of 254 Counties

Top 20 Counties by Gonorrhea Rates - Texas, 2008 Top 20 of 254 Counties

Prevention Activities in Texas Screening and Treatment Texas Infertility Prevention Project (TIPP) Expedited STD Services InSPOT Texas 2008, 193,529 screened for GC in public health labs 8681 positive for GC (4.6%) 192,927 screened for CT 17,730 positive (9.2%) TIPP 100% Aptima by end of year Expand formulary maybe

Expedited STD Management Express Clinic Services Field-Delivered Therapy (FDT) Expedited Partner Therapy (EPT) Patient-Delivered Partner Therapy (PDPT) Although some places in Texas are providing expedited management, our vision is to spread it all over the state through – Texas Medical Board rules changed in April (first as emergency) and adopted permanently in June. Current activities – Survey to assess current state of affairs Update program standards Write Expedited STD Management Policy Write protocols for EPT, PDPT, FDT

InSPOT Texas page went live 6/09 In June there were 24 senders of 30 cards July there were 25 senders of 43 cards August – 49 senders of 82 cards – Back to school present? September – 36 senders of 37 cards 45 cards were for HIV 35 for syphilis 67 for chlamydia 60 were for GC

More information, call us: 512-533-3000 Acknowledgements Karen Arrowood Mary Cullinane Jennifer Curtis Tammy Foskey Ed Weckerly More information, call us: 512-533-3000 Website: http://www.dshs.state.tx.us/hivstd/