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STD Surveillance Network Enhanced County Level Gonorrhea Surveillance

STD Surveillance Network Enhanced County Level Gonorrhea Surveillance. Jennifer Donnelly, Epidemiologist Christie Mettenbrink, Epidemiologist. Presentation Overview. Colorado County Level SSuN Successes Colorado County Level SSuN Challenges Data Summary Program Implementation Uses

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STD Surveillance Network Enhanced County Level Gonorrhea Surveillance

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  1. STD Surveillance Network Enhanced County Level Gonorrhea Surveillance Jennifer Donnelly, Epidemiologist Christie Mettenbrink, Epidemiologist

  2. Presentation Overview • Colorado County Level SSuN Successes • Colorado County Level SSuN Challenges • Data Summary • Program Implementation Uses • County Level SSuN Methods

  3. Challenges to conducting population based surveillance • Inadequate patient contact information from providers and lab reports • Maintaining security and patient confidentiality • Patient concerns about identity theft when contacting for interview • Contacting patients under 18

  4. Successes to conducting population based surveillance • Implementation of PRISM • Created new SQL database with direct window link to PRISM • New database includes drop down menu items to reduce data entry errors and time spent on data cleaning • Use of SSuN data to update MSM risk, race/ethnicity and treatment information in PRISM (Race/ethnicity ascertainment increased nearly 6% in 2006 due to SSuN)

  5. Colorado SSuN Data Analysis and Results • Interested in geographic distribution of GC cases in the SSuN area • Interested in clustering of GC cases in SSuN area • Interested in differences in population characteristics within potential clusters found

  6. Potential Uses of SSuN Data to Direct Prevention Planning • Revisiting prevention counseling of all HIV-/GC+ MSM • 2007/2008 HIV incidence data suggests that 25% of newly identified HIV incidence cases had a GC diagnosis within the previous 24 months • Potential for increased testing and screening in identified “Hot Spots” • SSuN interviewer is able to contact HIV co-infected cases very quickly after diagnosis, which results in more timely referrals to care and resources • SSuN interviewer conducts some level of STI/HIV prevention counseling to all GC cases that are contacted as part of SSuN

  7. SSuN Sampling Methods 20 Random Cases SSuN Interview Completed Cases Contacted by phone Total Monthly GC Reports to CDPHE (100% Sampling) LTFU Status Defined New Cases Randomly Selected LTFU – Lost to follow up

  8. Distribution of SSuN Interviews and total GC morbidity (%)

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