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Gonorrhea Morbidity and Gonorrhea Control Efforts in Indiana

Gonorrhea Morbidity and Gonorrhea Control Efforts in Indiana. Dawne DiOrio Rekas, M.P.A. Public Health Advisor Assistant STD Program Director/IPP Coordinator. Indiana Reported Gonorrhea Cases 1999 - 2008. 2008 Gonorrhea Morbidity Indiana. 2007-2008 Gonorrhea by Selected County.

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Gonorrhea Morbidity and Gonorrhea Control Efforts in Indiana

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  1. Gonorrhea Morbidity and Gonorrhea Control Efforts in Indiana DawneDiOrio Rekas, M.P.A. Public Health Advisor Assistant STD Program Director/IPP Coordinator

  2. Indiana Reported Gonorrhea Cases 1999 - 2008

  3. 2008 Gonorrhea MorbidityIndiana

  4. 2007-2008 Gonorrhea by Selected County

  5. Prevalence Data from IPP2003-Q3 2009

  6. Program Improvement Plan Increase number of gonorrhea interviews conducted by DIS During 2008, DIS interviewed 1,437 cases (16% of morbidity) Epi-treated or brought to treatment 496 partners (81% within 3 days)

  7. GC Control Efforts 2008-2009 2009 CDC Cooperative Agreement application • Funds requested to target young African American females in Marion County • Increase DIS interview of young African-Americans • Increase overall interviewing of STD clinic patients with GC • Focus on local efforts

  8. GC Control Efforts (cont.) • Raise awareness among other key stakeholders, especially state program leaders • Pursuit of EPT and FDT • Assess needs of target population through focus groups (CDC Small Project Proposal) for program planning

  9. Treatment / Partner Services for Gonorrhea • Family Planning, Planned Parenthood and other clinics locally send partner referral forms to DIS for notification/treatment • Field Delivered therapy increased from 3 of 10 districts in 2008 to 5 of 10 in 2009 • EPT remains ongoing priority

  10. Substantial Changes within ISDH affect STD Program in 2009

  11. 2010 Changes

  12. Traditional STD Program Approach

  13. “Some problems are so complex that you have to be highly intelligent and wellinformed just to be undecided about them.” —Laurence Peter, author of The Peter Principle

  14. Traditional Approach Drawbacks

  15. Summary • Indiana’s priority population for gonorrhea control – 15-24 year old African American males and females, in Marion County (primary) with four other high morbidity counties (secondary) • Plans may be challenging to implement successfully due to level of organizational and service delivery change at present time

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