Gonorrhea Epidemiology & Prevention Program Efforts in Ohio Region V Gonorrhea Control Meeting...

Gonorrhea Epidemiology & Gonorrhea Epidemiology & Prevention Program Efforts in OhioPrevention Program Efforts in Ohio

Region V Gonorrhea Control MeetingRegion V Gonorrhea Control MeetingFebruary 2, 2010February 2, 2010

Jen Keagy, MPH, CHESSTD Program Manager

Ohio Department of Health

Gonorrhea in Ohio, 1953-2008

Source: ODH STD Surveillance

Gonorrhea in Ohio, 1999-2008

Source: ODH STD Surveillance

Gonorrhea in Ohio by Age Group, 2008

Source: ODH STD Surveillance

Gonorrhea in Ohio by Sex, 2008

Source: ODH STD Surveillance

Gonorrhea in Ohio by Race, 2008

Source: ODH STD Surveillance

Gonorrhea in Ohio by Age Group and Race, 2008

*Only includes cases where both Age and Race were reported (n =12,133).Source: ODH STD Surveillance

Gonorrhea in Ohio by Rate per 100,000 Persons, 2008

Source: ODH STD Surveillance

GC National Rankings - 2008

• Ohio – 10th

Franklin County (Columbus) – 9th

Hamilton County (Cincinnati) – 11th

Cuyahoga County (Cleveland) – 20th

Montgomery County (Dayton) – 62nd

Source: CDC – STD Surveillance Report 2008

IPP• All GC testing done at the Ohio Department of

Laboratory is through the IPP.• 85 IPP Sites

– 38 Family Planning, 35 STD, 11 Juvenile Detention Center, 1 Adult Correction

• 1% positivity rate required by ODH to be eligible for GC testing.

• 22 sites do only CT testing since they have fallen below 1% positivity for 12 months– 17 Family Planning , 5 STD

IPP

• 60,334 GC tests were run in 2009 for the IPP

• 1,773 tests were positive

• 2.9 % positivity rate overall for IPP

GISP

• Ohio has participated in the monitoring of trends in antimicrobial susceptibilities of strains of GC since the program began at CDC.

• In 1991, the Cleveland Clinic Laboratory was established as a Regional Reference Laboratory.

• Both the Cincinnati and Cleveland City Health Department STD clinics participate as sentinel sites for specimen collection as part of this project.

DIS

• ODH provides funding for 22 FTE DIS employed at the local health district level.

• Local DIS are only responsible for providing partner notification services for HIV and syphilis cases.

SANDUSKY

WILLIAMS

DEFIANCEHENRY

LUCASFULTON

WOOD

PAULDING

PUTNAM

VAN WERT

MERCER

DARKE

PREBLE

BUTLER

HAMILTON

ALLEN

AUGLAIZE

SHELBY

MIAMI

MONTGOMERY

WARREN

CLERMONT

HANCOCK

HARDIN

LOGAN

CHAMPAIGN

CLARK

GREENE

CLINTON

HIGHLAND

BROWNADAMS

SCIOTO

PIKE

FAYETTE

PICKAWAY

ROSS

FRANKLIN

DELAWARE

UNION

MARION

WYANDOT

SENECA

OTTAWA

ERIE

HURON

CRAWFORD

MORROW

LORAIN

RICH-LAND

KNOX

LICKING

FAIRFIELD

HOCKING

VINTON

JACKSON

LAWRENCE

GALLIA

MEIGS

ATHENS

WASHINGTON

MORGAN

PERRYMONROENOBLE

ASH-LAND

WAYNE

MEDINASUMMIT

CUYAHOGA

ASHTABULA

LAKE

GEAUGA

TRUMBULL

PORTAGE

MAHONING

COLUMBIANASTARK

TUSCA-

RAWAS

HOLMES

CARROLL

HARRISON

JEFFER-SON

COSHOCTON

MUSKINGUM GUERNSEYBELMONT

MADISON

STD Prevention Regions

Akron City HD

Montgomery Co HD

Columbus City HD

Toledo City HD

Cleveland City HD

Youngstown

City HD

Canton City HD

Cincinnati City HD

Portsmouth City HD

2 Toledo City HD

3 Cleveland City HD

1

1

2

Youngstown City HD

Canton City HD

Akron City HD

6 Columbus City HD

2

3

Montgomery County HD

CincinnatiCity HD

1 Portsmouth City HD

1 Portsmouth City HD Contract

Challenges

• DIS do not provide partner services for GC cases.

• EPT is not yet available in Ohio.

• ODH STD Surveillance has an approximate 7- month data backlog for GC and CT cases.

Next Steps• EPT passage and implementation.

• The Ohio IPP is reviewing how to improve the CDC Performance Measure on Timeliness of Treatment for GC.

• Encourage LHDs to enter data themselves.

• Educate providers on partner services.

• Comprehensive sex education in the schools.

Special Thanks• Jim Greenshields – IPP Coordinator• Debbie Merz – STD Surveillance• Lisa Mills – STD Surveillance

Contact InformationJen Keagy, MPH, CHESPhone: 614-466-3173

Email: Jen.Keagy@odh.ohio.gov