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Gonorrhea Epidemiology Prevention and Control in Chicago

Department of Public Health “Providing the Prescription for a Healthy City”. Gonorrhea Epidemiology Prevention and Control in Chicago. William Wong, MD STI/HIV Prevention and Control Services Division of STI/HIV/AIDS Chicago Department of Public Health. Acknowledgements.

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Gonorrhea Epidemiology Prevention and Control in Chicago

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  1. Department of Public Health“Providing the Prescription for a Healthy City” Gonorrhea EpidemiologyPrevention and Controlin Chicago William Wong, MD STI/HIV Prevention and Control Services Division of STI/HIV/AIDS Chicago Department of Public Health

  2. Acknowledgements Charmaine Murray, MPA Jenna Khan, MPH Irina Tabidze, MD, MPH

  3. Reported Cases of Gonorrhea – Chicago, 2000-2008 Reported Gonorrhea increased by 11.9% in 2008 Number of Cases Year

  4. Reported Cases of Gonorrhea by Sex – Chicago, 2000-2008 Year

  5. Proportion of Reported Gonorrhea Cases by Sex, Race/Ethnicity and Age – Chicago, 2008

  6. Reported Gonorrhea Morbidity by Provider Type – Chicago, 2008

  7. Chlamydia, Gonorrhea, and Primary and Secondary Syphilis - Counties and Independent Cities Ranked by Number of Reported Cases: United States, 2008 Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance, 2008. Atlanta, GA: U.S. Department of Health and Human Services; November 2009.

  8. Why did reported gonorrhea decrease annually since 2000, and then suddenly increase in 2008 in Chicago?

  9. Significant Events Affecting Gonorrhea Case Reporting – Chicago, 2000-2008 Closure of Mile Square STD Clinic Advent of Electronic Laboratory Reporting, CDPH EMR Number of Cases Closure of 31st Street STD Clinic Cessation of Universal STD Screening at County Jail Targeted STD STD Screening Restarted at County Jail Cessation of Targeted STD Screening at County Jail Closure of Evanston STD Clinic County STD Clinic Charges Fees for STD Visits Year

  10. Reported Chlamydia & Gonorrhea from CCJ Before and After Discontinuation of Universal STD Screening April 2002-March 2004 • Gonorrhea • Chlamydia • Gonorrhea • Chlamydia BEFORE April 2002 toMarch 2003 AFTER April 2003 toMarch 2004 Broad JM, Cox T, Rodriguez S, Mansour M, Mennella C, Swallow-Murphy D, Raba J, Wong W. The Impact of Discontinuation of Male STD Screening Services at a Large Urban County Jail ― Chicago, 2002–2004. Sex Transm Dis 2009;36(2): S49-S52

  11. Community Areas with High Gonorrhea Rates, STI Clinics, Federally Qualified Health Centers (FQHC), FQHC Look-Alikes (FQHCLA) and School-Based Health Centers (SBHC) – Chicago, South Side, 2008

  12. Community Areas with High Gonorrhea Rates, STI Clinics, Federally Qualified Health Centers (FQHC), FQHC Look-Alikes (FQHCLA) and School-Based Health Centers (SBHC) – Chicago, West Side, 2008

  13. Enhanced Gonorrhea Surveillance Projects – Chicago, 2010 • Gonococcal Isolate Surveillance Project (GISP) • Participant since 1996 • Quinolone-resistant Neisseria gonorrhoea (QRNG) identified (2004) • CDC discontinues FQ recommendation for GC Tx (2007) • QRNG prevalent (8%) among GISP isolates (2009) • GC cases with decreased susceptibility to cephalosporins identified (2009) • Population-based Gonorrhea Behavioral Surveillance STD Surveillance Network (SSuN) • Participant since 2008 • Sample of reported GC cases are assigned for DIS behavioral interview

  14. Opportunities for Enhancing Gonorrhea Prevention and Control – Chicago, 2010 • Access-to-Care: • Prevent/Mitigate closure of remaining STI Clinics • Strengthen referral networks • Optimize STD care in FQHCs, EDs, and other settings • Evaluate/improve GC Treatment Verification Program • Partner Services: • Implement EPT in Illinois • Community Engagement: • Engage community & adolescent health coalitions, planning bodies • Conduct targeted community education activities • Priority Populations: • Adolescents 15-24 years old • Pregnant Females • Incarcerated populations • Screening: • Review sentinel surveillance and prevalence monitoring data • Rebuild STI Screening Program in the County Jail • Expanded STI Screening in Chicago Public Schools • Validation of Rectal and Pharyngeal NAATs

  15. Contact Information William Wong, MD Director, STI/HIV Prevention and Control ServicesMedical Director, Division of STI/HIV/AIDS Chicago Department of Public HealthCity of Chicago Phone: 312-742-7372Email: wong_will@cdph.org

  16. Urgently Needed • CALL TO ACTION • $$$$$ / Funding • Additional Resources • Program Flexibility

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