1. Overview of Gonorrhea (GC) Epidemiology and Program Prevention Efforts

2. Year Number of Cases * Data extracted from STD*MIS

3. Rates for 2006-2008 are calculated based on interim population estimates from the Nevada State Demographer. Year Rate per 100,000 population

4. Year Rate per 100,000 population Rates for 2006-2008 are calculated based on interim population estimates from the Nevada State Demographer.

5. Number of Cases Age of Cases

6. N=1,159 Female Gonorrhea Cases N=1,004 Male Gonorrhea Cases * “API” category includes Asian / Pacific Islander / Native Hawaiian groups. “American Indian” category includes American Indian and Alaska Native groups.

7. Las Vegas Reno

8. Year 2010 Objective for Blacks (425 per 100,000) Rates for 2006-2008 are calculated based on interim population estimates from the Nevada State Demographer. Year Rate per 100,000 population

9. Age of Cases Number of Cases Sex of GC Cases Among Blacks, by Age: Nevada, 2008

10. 538 906 317 463 Rate of Male GC Cases per 100,000 Rate of Female GC Cases per 100,000 All Other Counties*: 168 All Other Counties*: 166 Las Vegas Reno * All other Frontier and Rural (Far) Counties include: Churchill, Carson City, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Pershing, Storey, and White Pine.

11. Data is based on statewide IPP data from IPP funded sites only.

12.  The Sentinel Site for GISP has been located at Southern Nevada Health District in Las Vegas, Nevada since 2002.  In 2009:  Obtained 655 cultures from symptomatic people at the SNHD STD Clinic  318 (49%) of the cultures collected were positive  287 samples were sent to the regional laboratory for evaluation of antimicrobial resistance ▪ Nevada has met or exceeded the goal of 25 positive male isolates per month in 2009 in all months except March (18 samples were sent)

13.  Targeted STD Screening in non-traditional settings.  Working with faith based organizations to reach minority populations  Provider education (i.e. Grand Rounds)  Individual provider educational visits/trainings  Correctional outreach  SNHD- In 2007-2009 focusing on pregnant women and teens (in corrections)

14.  Funding cuts  Reaching hidden high risk populations (internet, minority populations)  Reaching un-insured high risk populations  Challenges getting comprehensive sexual education to all youth in Nevada  Offering internal capacity for STD testing (oral and rectal