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Gonorrhea in Arizona: Epidemiology and Program Efforts. Michelle Winscott, MD, MPH Epidemiologist January 14, 2010. Arizona Department of Health Services STD Control Program winscom@azdhs.gov. Arizona 2001-2009. * 2009 data estimated based upon available ADHS dataset. Year 2010 Goal:
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Gonorrhea in Arizona: Epidemiology and Program Efforts Michelle Winscott, MD, MPH Epidemiologist January 14, 2010 Arizona Department of Health Services STD Control Program winscom@azdhs.gov
Arizona 2001-2009 *2009 data estimated based upon available ADHS dataset Year 2010 Goal: 19 cases/100,000 population
Gonorrhea Testing Trends via the Maricopa County Laboratory and the Arizona Infertility Prevention Project
Race/Ethnicity among Arizona Gonorrhea Cases by Gender, 2008 N = 1869 cases Refused race = 2 N = 1577 cases Refused race = 0
Arizona Gonorrhea Cases and Percentages by Provider Type, 2008
N=795 cases N=640 cases N=193cases N=1821 cases
Pima County: Tucson Metropolitan Area Gonorrhea Cases by Zip Code of Residence, 2008 Location of Pima County Health Department STD Clinic
Gonorrhea in Arizona • Declining rates of gonorrhea despite increased screening • Gonorrhea cases diagnosed in the Maricopa and Pima County STD Clinics are interviewed and investigated • Treatment verification in Maricopa County of gonorrhea cases reported without treatment • Expedited Partner Therapy (2008) • Participating (Maricopa County) in GISP since 1987
Areas for Program Expansion • Planned/Underway • Hospitals: presumptive treatment education and EPT discharge planning • Gonorrhea and HIV co-morbidity analyses • Focused gonorrhea screening in high risk populations (2010 Arizona IPP gonorrhea screening) • Providers queried for missing data elements among gonorrhea cases • Provider EPT surveys • STD screening in Maricopa County high schools • Future • Expanding gonorrhea partner notification • Increasing treatment verification in corrections and hospitals • Expanding community and provider partnerships