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NYC DOHMH BSTDC School-Based Education, Screening and Treatment Pilot Program

This pilot program aims to educate high school students about chlamydia and gonorrhea, provide access to healthcare, offer urine-based testing, treat diagnosed students, and prevent the spread of these infections. Positive results and treatment data are presented by school and gender.

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NYC DOHMH BSTDC School-Based Education, Screening and Treatment Pilot Program

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  1. NYC DOHMH BSTDC School-Based Education, Screening and Treatment Pilot Program Meighan Rogers, MPH Bureau of STD Control, NYC DOHMH Region II IPP Meeting, May 31-June 1, 2006

  2. Background • Chlamydia and gonorrhea (CT/GC) largely asymptomatic • Untreated infection can cause: • Infertility • Increased risk of HIV transmission • Pelvic inflammatory disease • Tubal scarring • Ectopic pregnancy • Chlamydia cases, NYC, 2004: • 34,101 total • 10,084 (29.5%) among 15-19 year-olds • NYC Youth Risk Behavior Survey, 2005, N=7,058: • Approximately 50% of all students reported sexual intercourse

  3. Planning Fall 2005 • Funded for high school education, screening, treatment pilot (~$85,000) • Observed Philadelphia high school screening January-March 2006 • Negotiated school selection with Bureau of School Health and Department of Education (DOE) • Secured IRB review/approval – DOE, DOHMH • Secured parental support • Opt-out passive parental consent • Presentations at parent association meetings

  4. Pilot Program Goals • Educate 2,500 NYC students about • CT/GC • Access to sexual/reproductive healthcare • Offer urine-based CT/GC tests • Treat all students diagnosed with CT/GC in school • Notify and treat locatable partners • Provide disease prevention messages

  5. Screening Materials

  6. STD Testing - of the 1395 Educated STD Education 30% N=860 N=1395 38% 62% 70% Did Not Test Tested Instructed Absent Total N=1395 Total N=2003 Summary Statistics – Education and Testing

  7. 14 12.5 12 10 8.2 Male % 6.8 6.9 8 Female % Percent Positive 6 4.8 4.4 4 2.5 1.1 2 0 School 1 School 2 School 3 Overall CT/GC Positivity by Sex, by School

  8. Male Female CT/GC Positivity by Age, by Sex 14 12.5 12 9.1 10 7.6 7.3 8 8.3 Percent Positive 6 4.1 6.3 4 1.1 2 0.88 0 0 0 0 Under 15 15 16 17 18 Over 18 Age

  9. Treatment / Partner Elicitation • N= 46 students tested positive (44CT/2GC) • 45 treated • 1 refused treatment • N= 43 partners elicited • 8 treated in school • 14 treated at clinic or private doctor • 15 not locatable • 6 currently undergoing field follow up • N= 29 students/partners underwent testing and/or treatment at a BSTDC clinic

  10. Looking Ahead 2005-06 school-year • Conduct project at 2 more schools (1 Brooklyn/1 Bronx) • Complete project evaluation 2006-07 school-year • Educate/offer screening to 10,000 NYC public high school students (~20 high schools, and 3-5 summer schools) • Include larger schools in higher morbidity areas with fewer resources • Enhance CT/GC testing capacity at school-based health centers

  11. Thank You! • BSTDC Project Staff • Bureau of School Health • Department of Education • Public High School Staff • District Public Health Offices For further information, please contact: Meighan Rogers (212) 788-4428 mrogers@health.nyc.gov

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