Download - 1. USVI’s Gonorrhea Surveillance Or, What is going on down there in America’s Paradise? 2
1
USVI’s Gonorrhea Surveillance
Or, What is going on down there in America’s Paradise?
2
We Are Here
3
Historical Challenges
• Territorial Government heavily dependent on tourism industry
• Three islands with population 110,000• Infrastructure challenges• Lack of meaningful surveillance system for any
disease, including GC• Local population
4
Who has the Gonorrhea?2004 2005 2006 2007 2008 1->6/2009
Males 8.8%of368
9.1%of262
5.6%of220
6.0%of355
7.1%of497
6.7%of226
Females 2.5%of4085
1.7%of2945
1.9%of2232
3.0% of 2414
2.9% of 2852
3.0% of972
Data provided by Cicatelli Associates
5
And, where are we finding our +GCs?
Males______Females
2004 2005 2006 2007 2008 1->6/2009
total
PrivatePractices
0% of 11_______0% of 3
CHC-s 0% - 6______1% -1272
20% - 5______1% -1228
0% - 1%_______ 1% - 527
50% - 2_______2% -174
0% - 2______2% - 216
None ______0% - 7
13% - 16______1% - 3424
Data provided by Cicatelli Associates
6
HereMales------------Females
2004 2005 2006 2007 2008 1->6/2009
Total
Prenatal 0% - 1---------4% - 204
25% - 4-----------3% - 333
0% - 5----------2% - 609
0----------2% - 12
0----------2% - 797
0-----------2% -121
10% -10------------2% - 2699
Family Planning
13% -8-----------2% - 2108
21%-24------------2% - 1065
0% -18-----------2% -801
8%-12----------4% - 1213
0%-9----------3% - 1298
0%-3-----------3% -597
9%-74----------2% -7082
STD/HIVTB clinics
9% - 336-----------7% -415
7%-220-----------3% -253
6%-190-----------3% -244
6%-334-----------3% -332
7%-480-----------5% - 503
7%-209-----------5% -234
7%-1769------------4% -1981
Data provided by Cicatelli Associates
7
How we addressed our GC
• 6/2008 Identified an IPP coordinator • 12/2008 Cut down # IPP sites to 6• Crafted strategies for CHCs and Prenatal to get
own funding for Genprobes• 1/2009 First STD conference• 2/2009 First serious attempt to get Quest Labs
to comply with mandated reporting to DOH
8
And, we also
• Promoted the NJDOH Labs to anyone, everyone in the Territory
• Cross trained our HIV Prevention Outreach Workers to be DIS
• Partnered with HIV Prevention to buy Genprobes for outreach into high GC areas
• Partnering AGAIN to produce a 2nd STD/HIV conference 2/2010
9
Continued Challenges
• Reporting by computer!• Getting private MDs to test• Collecting private MDs data• Highly valued staff is leaving• Cuts in budget for Genprobes• Competing grant funders
10
But, hope springs eternal
• H1N1 has brought highly talented CDC surveillance support, and they love our dog
11
12
Thank you, and you, and you, and Bon Voyage
• Cicatelli • New York City Prevention Training Center• New Jersey State Labs, especially JoAnn and
Melissa
• Dr. Hall
13