Arkansas Department of Health STD Program Telephone: 501-661-2961 Email: mark.barnes@arkansas
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Transcript of Arkansas Department of Health STD Program Telephone: 501-661-2961 Email: mark.barnes@arkansas
Arkansas Department of Health STD Program
Telephone: 501-661-2961Email: [email protected]
Overview of Gonorrhea
Reported Cases of Gonorrhea: Reported Cases of Gonorrhea: Arkansas, 1995 - 2008Arkansas, 1995 - 2008
5,596
4,209 3,830 3,663
4,676 4,448 4,206 4,139 4,309 4,170 4,5114,477
3,234
4,673
0
3,000
6,000
9,000
12,000
15,000
18,000
21,000
1995 1997 1999 2001 2003 2005 2007
Year
Nu
mb
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of
Ca
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Rate of Gonorrhea per 100,000 Population: Rate of Gonorrhea per 100,000 Population: Arkansas, 1995 - 2008Arkansas, 1995 - 2008
0
50
100
150
200
250
1995 1997 1999 2001 2003 2005 2007
Year 2010 Objective
(19 per 100,000)
Rates for 1995 to 1999 calculated with 1990 Census denominator. Rates for 2000 to present calculated with 2000 Census denominator.
Year
Ra
te p
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100
,00
0 P
op
ula
tio
n
Rates of Gonorrhea per 100,000 Population, by Gender: Rates of Gonorrhea per 100,000 Population, by Gender: Arkansas, 2000– 2008Arkansas, 2000– 2008
0
50
100
150
200
250
300
2000 2001 2002 2003 2004 2005 2006 2007 2008
Female
Male
Rates for 2000 to present calculated with 2000 Census denominator.
Year
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100
,00
0 P
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Rates of Gonorrhea per 100,000 PopulationRates of Gonorrhea per 100,000 PopulationArkansas, 2008Arkansas, 2008
Select PopulationsSelect Populations
158
31
747786
975
738 755
0
100
200
300
400
500
600
700
800
900
1,000
Total White Black Population15-24
Females 15-24
Black Male BlackFemale
Select Populations
Rat
e p
er 1
00,0
00 P
opu
lati
on
State
Race/EthnicityRace/Ethnicity** among Gonorrhea Cases, by Sex: among Gonorrhea Cases, by Sex: Arkansas, 2008Arkansas, 2008
Hispanic1.6%
American Indian (non-
Hispanic)0%
Asian (non-Hispanic)
0%
White (non-Hispanic)
19.9%
Black (non-Hispanic)
71.1%
N=2,521
Female Gonorrhea Cases
Black (non-Hispanic)
79%
Asian (non-Hispanic)
0%
American Indian (non-
Hispanic)0%
Hispanic2.2%
White (non-Hispanic)
10.2%
N=1,989
Male Gonorrhea Cases
* Race and ethnicity are combined. Persons identified as Hispanic, alone or in combination with any US Census race category, are included in the Hispanic category. Persons in all other race categories are non-Hispanic.
* “Asian” category includes Asian / Pacific Islander / Native Hawaiian groups.
* “American Indian” category includes American Indian and Alaska Native groups.
* Distribution represent cases with a specified race/ethnicity. In 2008, 7.5% of Gonorrhea cases (8.2% male, 6.9% female) had neither race nor ethnicity specified in the disease report. Total N includes cases with unknown race/ethnicity.
Reported Cases of Gonorrhea : Reported Cases of Gonorrhea : Arkansas, Top Five Incidence Counties in 2008Arkansas, Top Five Incidence Counties in 2008
2001– 20082001– 2008
0
200
400
600
800
1,000
1,200
1,400
2001 2002 2003 2004 2005 2006 2007 2008
Pulaski
Jefferson
Crittenden
Mississippi
Criaghead
Rates for 2000 to present calculated with 2000 Census denominator.
Year
Nu
mb
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2008 Reported Gonorrhea2008 Reported GonorrheaBy Report SourceBy Report Source
ArkansasArkansas
49%
51%
Public
Private
N=4,511
2008 GC Morbidity by Provider Type2008 GC Morbidity by Provider TypeProvider TypeProvider Type # Cases# Cases % Morbidity% Morbidity
STD ClinicSTD Clinic 2,2562,256 50%50%
Hosp/EDsHosp/EDs 352352 8%8%
Family PlanningFamily Planning 269269 6%6%
Other – ScreeningOther – Screening 1,0321,032 23%23%
Other – Non-ScreeningOther – Non-Screening 1515 0%0%
CorrectionsCorrections 2727 1%1%
PMDPMD 545545 12%12%
PrenatalPrenatal 1212 0%0%
UnknownUnknown 33 0%0%
TOTALTOTAL 4,5114,511 100%100%
Electronic Field Records PilotElectronic Field Records Pilot Partnership with Neighboring StatesPartnership with Neighboring States Testing in Nontraditional Areas (i.e. Testing in Nontraditional Areas (i.e.
bookstores) bookstores) Integration of HIV Testing into HIV Care Integration of HIV Testing into HIV Care ProvidersProviders
Switching to NAATSwitching to NAAT Newly Released RFANewly Released RFA
ACCOMPLISHMENTSACCOMPLISHMENTS
Increase Case Load of Gonorrhea and Increase Case Load of Gonorrhea and Chlamydia Chlamydia
Staff Capacity Staff Capacity Developing Internet Based Outreach Developing Internet Based Outreach Growing Partners of BMSM and WMSMGrowing Partners of BMSM and WMSM IDU/Drug UsersIDU/Drug Users Community Capacity Community Capacity Doing More for LessDoing More for Less
CHALLENGESCHALLENGES
Internet Work GroupInternet Work Group Policy for Access to Relevant WebsitesPolicy for Access to Relevant Websites Outreach Strategy Outreach Strategy
Increasing Community PartnershipIncreasing Community Partnership Increasing Peer LeadersIncreasing Peer Leaders Integrating Community and ADHIntegrating Community and ADH Integration of HIV Prevention with Care Integration of HIV Prevention with Care
Providers Providers
FUTURE PRIORITIESFUTURE PRIORITIES
THANK YOU!THANK YOU!