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STDs in Houston/Harris County

STDs in Houston/Harris County. Trends Interventions Emerging Issues. Reportable STDs. Chlamydia Chancroid Gonorrhea HIV/AIDS Syphilis. Why are STDs Important?. Facilitate Transmission of HIV Infection Cause Infertility Cause PID Adverse Outcomes on Pregnancy

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STDs in Houston/Harris County

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  1. STDs in Houston/Harris County Trends Interventions Emerging Issues

  2. Reportable STDs • Chlamydia • Chancroid • Gonorrhea • HIV/AIDS • Syphilis

  3. Why are STDs Important? • Facilitate Transmission of HIV Infection • Cause Infertility • Cause PID • Adverse Outcomes on Pregnancy • 17 Billion Dollar Cost Annually in USA

  4. Emerging Issues • Syphilis Outbreaks • HIV Co-Infection • Resurgence in Risky Behavior • Partner Services Innovation • Internet and STDs • Hepatitis

  5. How Are We Doing in Houston? In 2002, Houston Ranked: • 48th- Chlamydia (346.1/100,000) • 45th- Gonorrhea (153.9/100,000) • 31st- P&S Syphilis (3.3/100,000)

  6. Chlamydia EPIDEMIOLOGY

  7. Gonorrhea EPIDEMIOLOGY

  8. Syphilis EPIDEMIOLOGY

  9. SyphilisHouston/Harris County

  10. Syphilis Houston/Harris County vs U.S.

  11. Syphilis: Primary and SecondaryHouston/Harris County

  12. HDHHSSTD Interventions • Screening • Treatment • Education • Counseling • Partner Services

  13. Screening • Syphilis, gonorrhea, chlamydia, hep C,HIV testing in 3 STD clinics • Family Planning (no hep C) • Prenatal (no hep C) • Outreach Contractors (no gc)

  14. Screening • Mobile Unit Outreach testing • Collaboration with CBOs in outreach • Bookstores, Bath houses, streets, bars • Mobile clinic planned for 2003 • Jail tanks • Key HIV providers encouraged to test • Contracts with 7 CBOs to do screening

  15. Treatment • 3 STD Clinics • Some treatment in Family Planning and Maternity Clinics except for syphilis • Facilitate treatment with private providers - provide some meds • Facilitate treatment with Harris Co. Jail

  16. Treatment • DOT for chlamydia • Recommend epi profile based preventive treatment around syphilis outbreak • Encouraging stat RPR testing around outbreak • Hope to provide on site treatment on mobile clinic in 2003

  17. Vaccine • Hepatitis B vaccine in STD clinics • Plans for Hep A vaccine in STD clinics

  18. Education • 9 Health Educators trained in STDs • CDBG health ed in K-12; and in K-12 • HIV/STD Infoline • Contracts with 23 CBOs for education • Work with CPG to emphasize STDs • Provider alerts, media alerts, provider training • Expanding education to web sites, chat rooms

  19. Counseling • Clinicians • DIS • Contractors

  20. Partner Services • DIS provide partner referrals and notification for syphilis and HIV • Some chlamydia and gonorrhea • Clustering and social network outreach • Counseling and testing contractors

  21. Partner Services • Pursuing web based self-interview • Self-referral through internet/email • DIS Liaison with Key Providers • Working with CBOs on training DIS and DIS on training CBOs to improve and promote partner notification

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