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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: [email protected]
