Primary and Secondary (P&S) Syphilis among Men, New York City, 1999 - 2001 †

1. Primary and Secondary (P&S) Syphilis among Men,New York City, 1999 - 2001† STD Control Program New York City Department of Health †2001 data are preliminary.

2. Reported P&S Syphilis Case Rates, New York City, 1940 - 2001† † 2001 data are preliminary. * Based on date of report.

3. Reported P&S Syphilis, New York City,1996 - 2001†, Rates by Gender Males Total Females † 2001 data are preliminary

7. Reported P&S Syphilis Among Men, New York City, 1997 – 2001† , Rates by Borough of Residence †2001 data are preliminary

8. Reported P&S Syphilis Among Men, New York City, 1999 - 2001† ,Distribution by Race/Ethnicity †2001 data are preliminary

10. Reported P&S Syphilis, New York City, 1997- 2001†, Distribution by Diagnostic Facility PMDs/Hosps. STD Clinics Corrections †2001 data are preliminary

12. Reported P&S Syphilis Among Men,New York City, 2000 and 2001†, by Self-Identified Sexual Orientation No interview/Unk No Interview/Unk MSF MSM MSM MSF MSM/MSF MSM/MSF 2000 (N = 107) 2001 (N = 263) †2001 data are preliminary

13. Reported P&S Syphilis, New York City, 1999 – 2001†,Self-reported HIV‡ Positivity Among Men †2001 data are preliminary ‡HIV positivity among male cases of known HIV Status

14. Outbreak Response: surveillance & epi activities • Dedicated staff to syphilis • Re-trained field staff interviewing • Added behavioral info to case report form and surveillance data • Cases reviewed centrally and in field • Case-control study

15. Outbreak Response: Increase awareness of outbreak and access to services • Persons at Risk • Their Providers • Community-Based Organizations (CBOs) which serve them

16. Providers • Dear Colleague Letter • NYC DOH Website Updates • Prevention Training Center Collaboration • CME Courses • Grand Rounds • Facilitated Case Reporting

17. Persons at Risk and CBOs • Community Advisory Board • Community Forums • Press Releases • Street Fairs • Outreach Screening • Media Campaign

19. Acknowledgements New York City Department of Health STD Control Program Andrea Meyers Steve Rubin Robert Baselice Laura Neylans James Brown Jacques Mathieu Office of Policy and Planning Susan Resnick Massachusetts Institute of Technology Sarah Roszler Centers for Disease Control and Prevention Epidemiology and Surveillance Branch Gabriela Paz-Bailey