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Gonorrhea Epidemiology and Prevention Program Efforts in Iowa

Gonorrhea Epidemiology and Prevention Program Efforts in Iowa. Karen Thompson STD Program Manager Iowa Department of Public Health kthompso@idph.state.ia.us 515-281-4936. GC Testing in Iowa. 1972 : GC Control Program was successful in decreasing the prevalence of disease in Iowa.

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Gonorrhea Epidemiology and Prevention Program Efforts in Iowa

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  1. Gonorrhea Epidemiology and Prevention Program Efforts in Iowa Karen Thompson STD Program Manager Iowa Department of Public Health kthompso@idph.state.ia.us 515-281-4936

  2. GC Testing in Iowa • 1972: GC Control Program was successful in decreasing the prevalence of disease in Iowa. • 1986: Chlamydia Control Project was modeled after the GC Program when CT became reportable. • State funding was used until federal funds became available. • 1998: A change from GC culture and CT Syva Micro Trak to Abbott Lcx Amplified DNA probe dual test occurred. • GC testing was merged with CT Control Project and renamed IPP. • Separate screening criteria for each disease existed. • 2003: Lack of availability of the Abbott Lcx prompted a switch to the BD Probe Tec by the University Hygienic Laboratory. • Still a dual test, but there was now only one screening criteria. • 2006: The UHL made a move to the Gen-probe Aptima Combo 2. • Still being used and one criteria is in place for both CT and GC.

  3. Diagnoses of Gonorrhea Infections in Iowa1990-2008

  4. Reported Cases of Gonorrhea: 1997 Lyon Osceola Dickinson Emmet Winnebago Worth 0 Mitchell Howard 0 1 1 0 0 Allamakee Winneshiek 0 0 0 1 Kossuth 0 Sioux O'Brien Clay Palo Alto Hancock Cerro Gordo 6 Floyd Chickasaw 0 0 0 0 3 0 1 Fayette Clayton 2 1 Plymouth Humboldt Bremer Cherokee Buena Vista Pocahontas Wright Franklin Butler 0 3 7 1 0 0 3 0 2 Dubuque Delaware Buchanan Black Hawk Woodbury Webster 11 1 Ida 5 206 Sac Grundy Calhoun Hamilton Hardin 24 125 0 1 1 3 1 7 Jackson Jones 3 Linn Tama Benton Monona 0 Crawford Carroll Greene Boone Story Marshall 142 3 3 0 1 1 0 0 10 10 Clinton 30 Cedar 3 Harrison Shelby Audubon Guthrie Dallas Polk Jasper Poweshiek Iowa Johnson 0 Scott 1 0 0 7 352 4 2 0 17 213 Muscatine 5 Pottawattamie Cass Adair Keokuk Washington Madison Warren Marion Mahaska 11 1 3 0 1 1 1 0 2 Louisa 1 Mills Montgomery Adams Jefferson Union Clarke Lucas Monroe Wapello 1 Henry 1 0 2 1 0 0 1 1 Des Moines 1 43 Legend Fremont Page Van Buren Davis Taylor Appanoose Ringgold Decatur Wayne 2 0 0 0 to 4 1 0 0 0 0 0 Lee 5 to 9 10 10 to 19 20 to 49 50 or More

  5. Reported Cases of Gonorrhea: 2007 Lyon Osceola Dickinson Emmet Winnebago Worth 1 Howard 0 Mitchell 5 0 1 0 1 1 Allamakee Winneshiek 0 2 Kossuth 1 Sioux O'Brien Clay Palo Alto Hancock Cerro Gordo 2 Chickasaw 0 Floyd 3 4 2 12 9 2 Fayette Clayton 9 0 Plymouth Humboldt Bremer Cherokee Buena Vista Pocahontas Wright Franklin Butler 1 2 3 2 2 0 0 1 0 Dubuque Buchanan Delaware Black Hawk Webster 72 1 Woodbury 3 233 Ida Sac Grundy Calhoun Hamilton Hardin 109 54 1 1 0 1 1 1 Jackson 3 Jones Benton Linn Tama 4 Monona Crawford Carroll Greene Boone Story Marshall 229 1 0 5 8 3 2 5 30 9 Clinton 19 Cedar 2 Harrison Shelby Audubon Guthrie Dallas Polk Iowa Jasper Poweshiek Johnson 0 Scott 2 0 0 12 481 0 1 4 62 306 Muscatine 6 Pottawattamie Cass Adair Keokuk Washington Madison Warren Marion Mahaska 42 1 1 0 0 8 9 8 5 Louisa 0 Mills Montgomery Adams Jefferson Union Clarke Lucas Monroe Wapello 3 Henry 1 0 1 0 7 0 1 5 14 Des Moines 64 Legend Fremont Page Van Buren Davis Taylor Ringgold Decatur Wayne Appanoose 0 2 0 0 0 0 0 0 to 4 1 0 Lee 5 to 9 18 10 to 19 20 to 49 50 or More

  6. GC Cases by Race and Ethnicity Compared to Iowa’s Population 2008 Estimated Population 2008 GC Cases, n = 1,700

  7. 2008: Reported Cases of Gonorrhea by Race, Ethnicity and Gender Number of Cases Male Female Total Cases = 1,700 Source: Iowa Department of Public Health STD Prevention Program

  8. Will insert Rates by race, ethnicity, and gender slide here

  9. GC Prevalence by Age Compared to Iowa’s Population 2008 Estimated Population 2008 GC Cases, n = 1,700

  10. 2008: Statewide reported Cases of Gonorrhea by Age and Gender Total Cases = 1,700 Source: Iowa Department of Public Health STD Prevention Program

  11. Will insert rate by gender and age slide here

  12. Data Source: UHL and Polk Co. Health Dept. Iowa Infertility Prevention Project2008 Gonorrhea Prevalence Monitoring Data

  13. MLS2b and 3b: Timeliness to GC Treatment in IPP and STD Settings • IPP Goals are .85 (14 Days) and .95 (30 Days) • STD Goals are .95 (14 Days) and .98 (30 Days)

  14. PS3: Timeliness to GC Interview • Jan – Jun 2009 • 7 days: 434/834 = .52 goal .5 • 14 days: 511/834 = .61 goal .7 • 30 days: 571/834 = .68 goal .9 • 258 or 30.9% Not Interviewed

  15. Programmatic Response: • Iowa Disease Surveillance System (IDSS) • EPT • IPP Criteria • Pregnancy Testing Only Clinics • School Screening • Performance Measure Monitoring • Chlamydia Toolkit Revision • Funding for Social Marketing • PCSI Opportunity with HIV Prevention

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