1. Hot Topics, 2008: Program Issues William Wong, MD Division of STD/HIV/AIDS Chicago Department of Public Health City of Chicago 2008 National STD Prevention Conference Confronting Challenges, Applying Solutions

2. Caveats Focus on presentations at this conference –Innovations in public health practice –Common themes, lessons –Emerging issues in STD prevention and control Highlight selected abstracts, not exhaustive Limited in time for discussion

3. Increasing STDs Prevalence of STIs and BV among Female Adols in U.S.: Data from NHANES 2003-2004 (Forhan, D4a) Up, Up, and Away? Trends in CT Infections in U.S. (Lindsey Satterwhite, A6a) Syphilis in the U.S.: Epid. and Emerging Issues (Weinstock, A6b) Between the Lines: Examination of Recent Increases in GC in U.S. (Newman, A6c) Monitoring Emerging Resistance in GC in U.S. (Yee, A6d)

4. More Priorities: HPV & HSV Monitoring the Impact of the HPV Vaccine: The National Perspective (Newman, Datta, Hariri, Dunne, Bartlett, Tiro, A7) Strategies for Monitoring the Impact of HPV Vaccination Programs: State & Local HPV Disease Surveillance (Wheeler, Schmitt, Niccolai, Whitney, Rain Mocello, B7) HPV: New Vaccine and New Issues (Park, Dunne, Friedman, Gottlieb, Habel, D7) Genital Herpes Prevention and HSV-HIV Interactions (Leone, Blank - Mini-Plenary)

5. Missed Opportunities & Solutions Missed Opportunities for Chlamydia Screening of Young Women in the United States (Tao, LBP5) Integration of Contraceptive and STD/HIV Services for Young women in the U.S. (Farr, P125) Missed Gonorrhea Infections by Anatomic Site among Asymptomatic MSM Attending US STD Clinics, 2002-2006 (Mahle, A1d) Performance of NAATs for CT and GC Infections of the Oropharynx and Rectum in MSM (Schachter, LBSa)

6. Getting the Most Out of the Public Health Dollar Examining the Impact of Federally-Funded Syphilis Elimination Activities (Chesson, C8b) Putting Your Money Where Your Mouth is: Making Tough Choices When Allocating Scarce Resources (Hogan, C8f) To Screen or Not to Screen – Maximizing CT Screening of Adol Females in School-based Health Centers in CA (Braun, B8c) Targeted Screening in Corrections: An Opportunity for Treating Substantial Numbers of Asymptomatic STDs in High Prevalence Communities (Kent, Weinstock, Goldberg, Wong, Miller, Spaulding – D1 Symposium)

7. Maximizing Existing Programs Impact of Introducing “Express Visits for Asymptomatic Persons Seeking STD Services in a Busy Urban STD Clinic System, NYC, 2005-2006 (Borelli, C2d) An Update on Denver’s Efforts to Increase the Efficiency of STI Clinics by Tailoring Services Based on a Risk Triage System (Subiadur, C2c) Developing and Improving a Fast Track Services Program in Chicago STD Clinics (Wong, C2e)

8. Program Collaboration and Service Integration The Power of Many Voices: Increasing HIV, STD and Viral Hepatitis Integration (Taylor, Kern, Cropper Williams - A5) Increased HIV Testing and Quicker Case Referrals after adopting Rapid HIV Testing in STD Clinic (Spain, D5d) Acceptability of Acute HIV Infection Screening at STD Clinics that Utilize Rapid HIV Screening Tests, NYC, 2007 (Gallagher B6e) Brief Interventions to Increase HBV Vaccine Acceptance Among STD Clinic Patients (Zimet, D5e) STD Testing at EC Visits, NYC STD Clinics 2005-2007 (Handel, B9c)

9. Evolving Internet Tools Internet Information-seeking Behaviors of TV Medical Drama Viewers (Le, B3b) 21 st Century STD Prevention and Control: Empowering the Community with Internet-based Tools, SF, 2007 (Klausner, B3c) Introduction of Online Emergency Contraception Prescription Service in San Francisco (Phillip, B9d) Demonstration: Creating Online STD Test Results (Kohn) Expanded STDtest.org Provides San Franciscans with Free Testing and Secure Online Results for 5 STDs (Levine, B3e) URhealthstyle.org: Reaching the Massachusetts’ MySpace Generation to Promote Comprehensive Health Services (Bertrand, B3f) STDPreventionOnline.org – An Online Work Space for STD/HIV Prevention Program and Research (Rietmeijer, PLB1)

10. Innovations in Practice Can Self-collected Vaginal Swabs Facilitate Testing for Repeat CT Infections among STD Clinic Clients (Xu, C2b) Characteristics of Users of the Internet Who Submit Self-obtained Urogenital Samples Through the Mail for Testing Sexually Transmitted Infections (Gaydos, B8b) Self-collected vs. Provider-collected Rectal Screening for GC and CT in MSM (Wigen, P80) Can Self-collected Penile Swabs Be Used Instead of Urine Samples for Detection of CT? (Barnes, P77) Giving Positive HIV Test Results Over the Phone: Essentials for Success (Mendez, P185)

11. Eliminating Disparities & Removing Barriers Implementing and Sustaining a School-based STD Screening Program (Asbel, DeRavello, Gaydos, Rogers, Nsuami-A4) Chlamydia Screening in Indian Country – Program Development, Enhancement, and Expansion through Collaboration (Shapiro, Jones, Hamby, Tulloch – B1) Can Providers Assure Commercially Insured Adolescents Confidentiality for STI Screening and Treatment: Conflicting Laws and Innovative Approaches (Burstein, English, Berger, Armstrong, – D2) Collaboration for STD, HIV, and Teen Pregnancy Prevention: Perspectives on Process, Achievements, Challenges, and Lessons Learned in California (Sollers, Gibson, Sanbria, Ramsrom, Smith – B5)

12. Toward More Effective Partner Management Strategies Integration of Internet-based Partner Notification into Case Management (Ehlman, P95) Internet Partner Notification Outcomes from a Community-based DIS Program (Gratzer, C9b) Evidence that Receiving Public Health HIV Partner Counseling and Referral Services Increases Successful Partner Notification (Golden, C9c) Expedited Partner Therapy Toolkit: A Response to EPT Implementation Barriers (Ware, P97)

13. Doing the Basics Well Promising Practices: Integrating STD and HIV Partner Services Guidelines (Dooley, Vail, Hogben, Barnes, George, McNeese-Ward – D8) A Statewide Effort to Increase HIV and STD Education in Public Schools: The California Experience (Delgado, D4d) The Free Condom Initiative: Promoting Condom Availability and Use in NYC (Renaud, LBSd)

14. Structural Interventions Project Connect: Positive Effects of a Multi-level Social-ecological Intervention for Adolescents (Kerndt, Ethier, Chung, De Rosa, Dittus – C4) Alignment of Technology, Policy, and Law Result in 200% Increase in Perinatal STI Identification (Shiver, LBSf)

15. Consequences of Neglected Public Infrastructure

16. I-35 W St. Anthony Falls Bridge: Construction Progress Today Minnesota Dept of Transportation Bridge Construction Webcam Accessed 3/13/08

17. I-35 W St. Anthony Falls Bridge: Plans Light Rail Transport-ready which may help accommodate future transportation needs Design-build project complete in 437 days Designed to be aesthetically pleasing and fit in with its environment 10 lanes of traffic, five in each direction; Two lanes wider than former bridge 13 foot wide shoulders; previous bridge had no shoulders

18. N.B.B. Never Been Better

19. 2008 WILL BE GREAT! (…so don’t be late!)