Gonorrhea in Baltimore 2009 Seminal Region III Gonorrhea

Work Group Meeting Philadelphia, PA June 16, 2009

Gonorrhea Cases Baltimore City 2002-2008

0500

10001500

20002500

300035004000

45005000

2002 2003 2004 2005 2006 2007 2008

Gonorrhea

Number of Gonorrhea Case in 2007 by Sex and Race

Race of Male Gonorrhea Cases 2007 Total Number of Cases 1,470

41 White, Non Hispanic

11 Hispanic

1,243 Black, Non Hispanic

10 Asian/PI

165 Other/ Unknown

0 AI/AN

Race of Female Gonorrhea Cases 2007 Total Number of Cases 1,571

92 White, Non Hispanic

4 Hispanic

1,283 Black, Non Hispanic

1 Asian/PI

190 Other/ Unknown

1 AI/AN

2007 Gonorrhea Cases by 5 Year Age Groups

0 50 100 150 200 250 300 350 400 450 500 550 600 650

Age 10-14

Age 15-19

Age 20-24

Age 25-29

Age 30-34

Age 35-39

Age 40-44

Age 44+

Number of Cases

Male

Female

1,361 Gonorrhea Cases w/o Txmt DocumentationJanuary 1, 2002 to December 31,2002

Follow-up Results

207 Infected, Brought to Treatment

3 Infected, Not Treat

160 Previously Treated for this Infection

1 Not Infected

40 Unable to Locate

16 Located, Refused Counseling and Testing

32 Out of Jurisdiction

Gonorrhea Treatment Verified 891, 65%

Gonorrhea Sent to Field for Follow-up

470, 35%

Percent of GC & CT With Treatment Reported

0

10

20

30

40

50

60

70

80

2004 2005 2006 2007 2008

Year

Per

cent

ChlamydiaGonorrhea

EPT Update

EPT in Review

• EPT commenced in September of 2007

• Chlamydia-infected persons who return for treatment receive 1 gram of zithromax

• Gonorrhea infected persons receive 400 mg. Of Suprax and 1gm of zithromax.

EPT Data

• In 2008, we distributed 1,114 doses of EPT:

• EPT-1 = 561 doses 561 people

• EPT-2 = 382 doses 191 people• EPT-3 = 171 doses 57

people

Gonorrhea Rates Per Census Block Group, Baltimore City, 2002 [map]. 1:100,000. Census 2000 TIGER/Line Digital Boundary Shapefiles grp0024510.zip, wat24510.zip, lpy24510.zip [computer files], U.S. Census Summary File 1 (SF1) [computer file] and gc_counts_rates_0205_090308.dbf [computer file]. Johns Hopkins University School of Medicine, Community and Child Health Research Group, Baltimore, MD: September 2008. Using ArcGIS [GIS software]. Version 9.3. Redlands, CA: Environmental Systems Research Institute, Inc, 1999-2008.

Gonorrhea Rates Per Census Block Group, Baltimore City, 2003 [map]. 1:100,000. Census 2000 TIGER/Line Digital Boundary Shapefiles grp0024510.zip, wat24510.zip, lpy24510.zip [computer files], U.S. Census Summary File 1 (SF1) [computer file] and gc_counts_rates_0205_090308.dbf [computer file]. Johns Hopkins University School of Medicine, Community and Child Health Research Group, Baltimore, MD: September 2008. Using ArcGIS [GIS software]. Version 9.3. Redlands, CA: Environmental Systems Research Institute, Inc, 1999-2008.

Gonorrhea Rates Per Census Block Group, Baltimore City, 2004 [map]. 1:100,000. Census 2000 TIGER/Line Digital Boundary Shapefiles grp0024510.zip, wat24510.zip, lpy24510.zip [computer files], U.S. Census Summary File 1 (SF1) [computer file] and gc_counts_rates_0205_090308.dbf [computer file]. Johns Hopkins University School of Medicine, Community and Child Health Research Group, Baltimore, MD: September 2008. Using ArcGIS [GIS software]. Version 9.3. Redlands, CA: Environmental Systems Research Institute, Inc, 1999-2008.

Gonorrhea Rates Per Census Block Group, Baltimore City, 2005 [map]. 1:100,000. Census 2000 TIGER/Line Digital Boundary Shapefiles grp0024510.zip, wat24510.zip, lpy24510.zip [computer files], U.S. Census Summary File 1 (SF1) [computer file] and gc_counts_rates_0205_090308.dbf [computer file]. Johns Hopkins University School of Medicine, Community and Child Health Research Group, Baltimore, MD: September 2008. Using ArcGIS [GIS software]. Version 9.3. Redlands, CA: Environmental Systems Research Institute, Inc, 1999-2008.

Average Gonorrhea Rates Per Census Block Group, Baltimore City, 2002-2004 [map]. 1:100,000. Census 2000 TIGER/Line Digital Boundary Shapefiles grp0024510.zip, wat24510.zip, lpy24510.zip [computer files], U.S. Census Summary File 1 (SF1) [computer file] and gc_counts_rates_0205_090308.dbf [computer file]. Johns Hopkins University School of Medicine, Community and Child Health Research Group, Baltimore, MD: September 2008. Using ArcGIS [GIS software]. Version 9.3. Redlands, CA: Environmental Systems Research Institute, Inc, 1999-2008.

Core Study

• The CORE study is seeking to identify CORE transmission (hot spots) locations of STI transmission amongst heterosexuals in Baltimore City. We have identified 75 CORE locations via

Crosstabulation

• 1. BCHD STI, 2. Community Informant interviews, 3. GC+Poverty+drugs& crime, 4. strip clubs 5. crime counts (violent crimes or property crimes 6. drug markets 7. overdose data.