NYC DOHMH BSTDC School-Based Education, Screening and Treatment Pilot Program Meighan Rogers, MPH Bureau of STD Control, NYC DOHMH Region II IPP Meeting, May 31-June 1, 2006
Background Chlamydia and gonorrhea (CT/GC) largely asymptomatic Untreated infection can cause: - Infertility - Increased risk of HIV transmission - Pelvic inflammatory disease - Tubal scarring - Ectopic pregnancy Chlamydia cases, NYC, 2004: - 34,101 total - 10,084 (29.5%) among year-olds NYC Youth Risk Behavior Survey, 2005, N=7,058: - Approximately 50% of all students reported sexual intercourse
Planning Fall 2005 Funded for high school education, screening, treatment pilot (~$85,000) Observed Philadelphia high school screening January-March 2006 Negotiated school selection with Bureau of School Health and Department of Education (DOE) Secured IRB review/approval – DOE, DOHMH Secured parental support Opt-out passive parental consent Presentations at parent association meetings
Pilot Program Goals Educate 2,500 NYC students about - CT/GC - Access to sexual/reproductive healthcare Offer urine-based CT/GC tests Treat all students diagnosed with CT/GC in school Notify and treat locatable partners Provide disease prevention messages
Screening Materials
Summary Statistics – Education and Testing Total N=2003 STD Education 30% 70% InstructedAbsent N=1395 STD Testing - of the 1395 Educated 38% 62% Did Not TestTested Total N=1395 N=860
CT/GC Positivity by Sex, by School Percent Positive School 1School 2School 3Overall Male % Female %
Under Over 18 Age Percent Positive Male Female CT/GC Positivity by Age, by Sex
Treatment / Partner Elicitation N= 46 students tested positive (44CT/2GC) - 45 treated - 1 refused treatment N= 43 partners elicited 8 treated in school 14 treated at clinic or private doctor 15 not locatable 6 currently undergoing field follow up N= 29 students/partners underwent testing and/or treatment at a BSTDC clinic
Looking Ahead school-year Conduct project at 2 more schools (1 Brooklyn/1 Bronx) Complete project evaluation school-year Educate/offer screening to 10,000 NYC public high school students (~20 high schools, and 3-5 summer schools) Include larger schools in higher morbidity areas with fewer resources Enhance CT/GC testing capacity at school-based health centers
Thank You! BSTDC Project Staff Bureau of School Health Department of Education Public High School Staff District Public Health Offices For further information, please contact: Meighan Rogers (212)
Phildalephia High School Screening Program Positivity Rates by Sex and Year