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Gonorrhea Data and Challenges In California Indian Country

Gonorrhea Data and Challenges In California Indian Country. Richelle Harklerode, MPH Associate Epidemiologist California Tribal Epidemiology Center California Rural Indian Health Board. Urban Indian Health Institute. Rocky Mountain TEC. Northern Plains TEC. WA. NH. Great Lakes TEC.

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Gonorrhea Data and Challenges In California Indian Country

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  1. Gonorrhea Data and Challenges In California Indian Country Richelle Harklerode, MPH Associate Epidemiologist California Tribal Epidemiology Center California Rural Indian Health Board

  2. Urban Indian Health Institute Rocky Mountain TEC Northern Plains TEC WA NH Great Lakes TEC ME VT MT ND MN Northwest Portland TEC MA OR ID SD WI NY RI MI WY CT IA PA NV NE NJ OH IL IN UT California TEC WV DE CO KS MO VA MD KY NC OK AZ TN United South & Eastern Tribes, Inc. TEC AR SC NM GA TX Inter Tribal Council of Arizona, Inc. TEC MS AL AK LA Navajo TEC FL Southern Plains TEC Albuquerque Area TEC Alaskan Native TEC = IHS DEDP • = TEC = Not covered by TECs HI Tribal Epidemiology Centers (TECs)

  3. Misclassification • What is your race? • 53% of AIAN in California are multi-racial • CTEC linkage study • 60% misclassification in hospitalizations by the state • 65% underreporting of deaths by the state • 16% underreporting of deaths by IHS • h

  4. Data Access • Tribes • IHS • State • Other federal agencies

  5. Indian Health Centers Geography

  6. Small Communities • Confidentiality • Traditions and Social Norms • Stigma

  7. California Gonorrhea Rates • 2004 IHS reported for the 37 counties • AIAN = 41.7 • Total US = 113.5 • 2008 CDPH reported • AIAN = 36.1 • White = 25.1 • Total CA = 66.7

  8. CDC Gonorrhea Rates for California 2000-2008

  9. Thank You!Richelle Harklerode, MPHrichelle.harklerode@crihb.net916-929-9761 x1603

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