1 / 32

STD/HIV Prevention Seattle & King County

STD/HIV Prevention Seattle & King County. Robert Marks 744-2275 robert.marks@kingcounty.gov. My discussion…. Public Health Goal PH Prevention Services STD Program STD & HIV Epidemiology Your Role STD & HIV Resources. Public Health Goal.

vin
Download Presentation

STD/HIV Prevention Seattle & King County

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. STD/HIV PreventionSeattle & King County Robert Marks 744-2275 robert.marks@kingcounty.gov

  2. My discussion… • Public Health Goal • PH Prevention Services • STD Program • STD & HIV Epidemiology • Your Role • STD & HIV Resources

  3. Public Health Goal • Stop thespread ofdisease and ensure individual health as well as the health of communities.

  4. You Did What!?!?Stop That! • You

  5. Public HealthPrevention Services • HIV Counseling and Testing • STD Clinic/District Sites/CBO’s • Disease Investigation & Partner Notification • Syringe Access & Disposal • Community Coalition Leadership • Black Leadership Council • Educational Materials Development • Technical Assistance and Training

  6. STD Clinic at Harborview (206) 744-3590 Monday-Friday 8am-6:30pm9:30am–6:30pm Tues

  7. STD Clinic at Harborview • Walk-in clinic (if after 3:00pm, call) • STD screening/treatment • HIV testing and early intervention services • Fees are based on income (No person will be turned away due to inability to pay.) • No charge for STD medications • If symptomatic, most likely expedited • Interpreter services available

  8. Disease Intervention Specialists • Provide health information to diagnosed individuals. • Assure appropriate medical care. • Elicit sex partners (and needle sharing partners for HIV diagnosed individuals) in order to get the partners into medical care.

  9. King CountySTD/HIV Epidemiology

  10. Chlamydia

  11. CT Positivity*, King County and Other WA Counties, 1992-2007 * Positivity = # positive tests divided by # total tests (through IPP)

  12. CT Incidence* among Womenages 15-29, 1992-2008 3394 cases * Based on reported cases, countywide

  13. CT Incidence among Womenby Age, 1992-2008

  14. Gonorrhea

  15. GC Incidence* among Womenages 15-29, 1992-2008 368 cases *Based on reported cases, countywide

  16. GC Incidence* by Sex, 1992-2008 812 cases 482 cases * Calculate using reported cases, countywide

  17. GC among MSM,* 1993-2008 *MSM cases included MSM cases diagnosed in the STD clinic, as well as rectal infections diagnosed elsewhere ^Starting in 2005, MSM definition also includes interview data

  18. King County: Gonorrhea Incidence in 15-29 year old Women, by Race

  19. King County: Gonorrhea Incidence in 15-29 year old Women, by Ethnicity

  20. GC Incidence among Womenby Age, 1992-2008

  21. Syphilis

  22. King County: Early syphilis*, 1994-2008 2005 total cases = 193 2006 total cases = 185 2007 total cases = 194 2008 total cases = 191 *Reported P, S, and EL syphilis **Excludes some male cases with unknown MSM status

  23. MSM

  24. GC, CT, and Early Syphilisamong MSM, 1993-2008* * New “definition” of MSM in 2005, based on case report, interviews, site of infection

  25. STD Summary • Chlamydia rates stable over past 3 years • MSM relatively unchanged • STD Clinic numbers dropped in women • Gonorrhea rates down (again) • Down in heterosexuals and MSM • Down in most age groups • Down in most race groups • Early syphilis cases similar to 2007 • Increase in EL cases vs. P&S continues • MSM stable for CT and syphilis, GC down

  26. HIV/AIDS

  27. Who is living with HIV/AIDS in KC?(as of 3/31/09) • 90% male • 42% diagnosed between 30-39 years of age • 74% currently 40 years and older • Race • 68% white • 17% black • 10% Hispanic • 3% Asian • Risk • 69% MSM • 8% MSM-IDU • 5% IDU • 10% heterosexual contact • 25% foreign-born at age of diagnosis (2006-2008)

  28. ProviderRole

  29. What is my role inSTD/HIV Prevention? • Talk about sex, drugs, disease & transmission. • Encourage and/or refer for screening/testing. • Assist individual to reduce risk. • Encourage discussion between partners.*** • Let patient know that Public Health will be contacting…confidentiality maintained. • Provide Expedited Partner Therapy. • Inform of STD Clinic services. • Complete Case Report for diagnosed disease.

  30. Clarify/define! • Sex • Monogamy • Agreements? • What happens ifsomeone strays?

  31. Web Resources • General STD info • www.kingcounty.gov/health/std • Lots of HIV info • www.kingcounty.gov/health/hiv

  32. Questions?Thoughts?

More Related