1 / 14

GC Outbreak in Philadelphia

GC Outbreak in Philadelphia. Greta Anschuetz, MPH Philadelphia Department of Public Health greta.anschuetz@phila.gov. Reported Cases of GC: Philadelphia 1990 – 2010. 36% increase from 2009. Number of Cases. Year. GC Reports by Specimen Collection Date 2009-2011. 2 nd Increase.

aziza
Download Presentation

GC Outbreak in Philadelphia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. GC Outbreak in Philadelphia Greta Anschuetz, MPH Philadelphia Department of Public Health greta.anschuetz@phila.gov

  2. Reported Cases of GC: Philadelphia1990 – 2010 36% increase from 2009 Number of Cases Year

  3. GC Reports by Specimen Collection Date 2009-2011 2nd Increase 1st Increase Number of Cases Month, Year

  4. Reported GC in Philadelphia, PA

  5. Percent Increase by Age and Gender Percent Increase Age Group (Years)

  6. Ongoing GC Control Efforts • Comprehensive city-wide GC/CT screening program (includes IPP funded sites, prison and High School screening) • 100K females annually (8% CT pos; 2% GC pos) • 65K males annually (8% CT pos; 3% GC pos) • Partner services & rescreening for GC/CT infected HS students • GISP • SSuN site since July 2009: interview subset of GC cases • 743 interviews (~7% of GC reports) • No changes in reported risk factors/markers over time • 22% of male GC cases identify as MSM • Anonymous partner in last 12 mos.: 35% MSM vs. 24% MSW vs. 10% among females

  7. August 2009: Added screening for asymptomatic ED patients in a high GC prevalence area (ZIP 19143) Initially high CT positivity (6%) and GC positivity (4%) Very slow uptake by ED staff March 2011: Gained support of ED Director More specimens in past 3 weeks than in all of 2010! August 2010: Initiated Partner Services for all GC patients reported in same target area (ZIP 19143) for one month 2009-2010 GC Targeted Initiatives

  8. 2009/10 Area of Interest Includes ZIP codes with more than 50 cases reported in 2010

  9. 2011 GC Targeted Initiatives • March 2011: Approached ED in ZIP with high % increase (19124) about screening asymptomatic patients • Still in development • April 2011: Applied for CDC community approaches grant. Proposed case finding in social networks of the public high school • April 2011: Launched youth oriented intervention in collaboration with Philadelphia AIDS Activities Coordinating Office: • Comprehensive media campaign (including social media) targeting youth • Expansion of condom availability • HIV subsequent to teen STD data analysis

  10. Media Campaign and Condom Availability • Launched Take Control Philly, a comprehensive youth targeted STD/HIV Prevention Initiative • Unveiling of a consumer designed Philly labeled condom • Adolescent oriented website (www.takecontrolphilly.org) • Educational component • Mail me condoms • ~800 condom orders shipped via USPS

  11. HIV Subsequent to Teen STD Question: How many teens with an STD diagnosis are diagnosed with HIV in the future? Cohort Selection Females Males STD+: Case of CT/GC or Syphilis as a teen from any provider/lab received by PDPH STD-: >1 negative from HS Screening Program, never a case as a teen

  12. HIV Risk by Teen STD HistoryRisk Ratios and 95% CIs All STDs CT GC All STDs CT GC *Adjusted for race/ethnicity and birth year

  13. Conclusions • GC increase in 2010 is widespread and not localized to any group/region in Philadelphia • Small percent of increase can be explained by one lab not reporting in 2009 (~200 cases) • New initiatives focus on increasing condom availability and awareness among adolescents via media • Large cohort analysis shows that having an STD as a teen increases the risk of a subsequent HIV diagnosis

More Related