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Overview of Gonorrhea (GC) Epidemiology and Program Prevention Efforts. Presented By: Steve Kutz, RN, MPH Public Health Nurse Supervisor, STD & Immunization Programs Washoe County Health District. Developed By: Sandi Noffsinger, MPH STD Program Coordinator Nevada State Health Division.
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Overview of Gonorrhea (GC) Epidemiology and Program Prevention Efforts Presented By:Steve Kutz, RN, MPHPublic Health Nurse Supervisor,STD & Immunization ProgramsWashoe County Health District Developed By:Sandi Noffsinger, MPHSTD Program CoordinatorNevada State Health Division
Reported Cases of Gonorrhea: Nevada 2000- 2008 Number of Cases Year * Data extracted from STD*MIS
Rate of Gonorrhea Cases per 100,000 Population: Nevada, 2000 - 2008 Rate per 100,000 population Year Rates for 2006-2008 are calculated based on interim population estimates from the Nevada State Demographer.
Rates of Gonorrhea Cases per 100,000 Population,by Sex: Nevada, 2000 – 2008 Rate per 100,000 population Year Rates for 2006-2008 are calculated based on interim population estimates from the Nevada State Demographer.
Sex of Gonorrhea Cases by Age at Diagnosis:Nevada, 2008 Age of Cases Number of Cases
Female Gonorrhea Cases Male Gonorrhea Cases N=1,004 N=1,159 Sex of Gonorrhea Cases by Race/Ethnicity:Nevada, 2008 • * “API” category includes Asian / Pacific Islander / Native Hawaiian groups. • “American Indian” category includes American Indian and Alaska Native groups.
Rates and Rank of Gonorrhea Cases in Nevada by County, 2008 Reno Las Vegas
Rate of Gonorrhea per 100,000 Population, by Race/Ethnicity: Nevada, 2000 - 2008 Year 2010 Objective for Blacks (425 per 100,000) Rate per 100,000 population Year Rates for 2006-2008 are calculated based on interim population estimates from the Nevada State Demographer.
Target Population: Black/African Americans,Demographics Sex of GC Cases Among Blacks, by Age: Nevada, 2008 Age of Cases Number of Cases
Geographic Distribution of Rate of GC Among Blacks by sex, in Nevada, 2008 906 463 All Other Counties*: 168 Reno All Other Counties*: 166 538 Rate of Male GC Cases per 100,000 317 * 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. Rate of Female GC Cases per 100,000 Las Vegas
Percent of GC Morbidity by Provider Type (Among Positive Cases), in Nevada, 2008 Data is based on statewide IPP data from IPP funded sites only.
Nevada’s Gonorrhea Isolate Surveillance Project (GISP) • 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)
Interventions for Prevention and Control • 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)
Challenges for GC Prevention and Control • 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