Kansas STD Program

Overview of Gonorrhea Epidemiology and Program Prevention Efforts

Healthy Kansans living in safe and sustainable environments

Our Vision – Healthy Kansans living in safe and sustainable environments.

Reported Cases of Gonorrhea in Kansas:1999-2008

22682289

2208

26052544

2595270127612795

2665

1000

1500

2000

2500

3000

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Cases

Year

Our Vision – Healthy Kansans living in safe and sustainable environments.

Rates of gonorrhea per 100,000 PopulationKansas 1999-2008

99.5103.8 102.2

99.595.3

93 94.9

79.982.5 80.9

40

50

60

70

80

90

100

110

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Rate

Year

Our Vision – Healthy Kansans living in safe and sustainable environments.

A little deeper look at historical data…

Our Vision – Healthy Kansans living in safe and sustainable environments.

Rates of gonorrhea per 100,000 PopulationKansas 1999-2008

99.5 103.8 102.2 99.5 95.3 93 94.9

79.9 82.5 80.982.595.4 93.2 87.3

81.171.9 70.4

64.2 64.258.4

116.1 112.4 111 111.4 109.2 113.8 119.1

95.3 100.4103.2

0

20

40

60

80

100

120

140

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Rate All Male Female

Rate

Year

Our Vision – Healthy Kansans living in safe and sustainable environments.

Rates of Gonorrhea per 100,000 Population by Age and Gender: Kansas, 2008

2.62

18.3

18.7

46.3

1.2

0

0

0.5

5.8

559

525.2

2.1

1

95.3

264.4

183

136.5

14.4

44.1

215.4

13.1

120.1

0 100 200 300 400 500 600

55+

45 to 54

40 to 44

35 to 39

30 to 34

25 to 29

20 to 24

15 to 19

10 to 14

5 to 9

0 to 4

Male Female

Age Groups

Rate

Our Vision – Healthy Kansans living in safe and sustainable environments.

Race/Ethnicity of Gonorrhea Cases by SexKansas, 2008

15.1%

31.5%

55.4%

40.5%

5.4% 6.7%

22.9%19.9%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

White Black Hispanic Unknown

Male FemaleRace/Gender

Percent of Total

Asians and Native Americans were less than 1% by Gender.

Our Vision – Healthy Kansans living in safe and sustainable environments.

Cases & Rates by Zip Code

Top Zip Codes with over 50 Reported Cases in CY2008:• Greater Kansas City Area; 66104-158 cases; 66102-99 cases; 66208 -67 cases; 66207 -57 cases• Wichita; 67214-150 cases; 67218 -59 cases; 67217 –53 cases; 67211 -51 cases• Junction City; 66441 - 79 cases • Manhattan; 66502 - 79 cases• Topeka; 66605 – 59 Cases

These 11 zip codes represent 40% of all the Gonorrhea

Reported in CY2008 in Kansas.

Our Vision – Healthy Kansans living in safe and sustainable environments.

State of KansasReported Cases of GonorrheaJanuary-December, 2008

150.8

136.5

336.9 154.5

311.8

Current DISPlacement

Case Rates Greater than 100/100,000

Our Vision – Healthy Kansans living in safe and sustainable environments.

Kansas STD Program Changes Implemented to Emphasize Partner Services to Individuals with Gonorrhea

As of January 1, 2009:• All cases of gonorrhea reported in the state of Kansas have treatment

and pregnancy status (if Female) verified.• All cases of gonorrhea from the health department where DIS are

stationed are required to be interviewed.• All reported cases of gonorrhea in pregnant females must be

interviewed• All repeat positive cases of gonorrhea (between 4 weeks and 4

months) must be interviewed.

Our Vision – Healthy Kansans living in safe and sustainable environments.

Changes in Field Activity for Gonorrhea from the FH2008 to FH2009

Indicator FH2008 FH2009 Percent Change

Cases Reported to the Program

1,102 1,132 +3%

Cases Interviewed 205 277 +35%

Cases Interviewed within 3 days

179 229 +28%

Total Partners Initiated 192 296 +54%

New Partners Initiated 164 251 +53%

New Partners Examined 118 167 +42%

Partners Infected Brought to Treatment

23 40 +74%

Partners Preventively Treated

95 125 +32%

Partners Examined within 3 days

87 135 +55%

Our Vision – Healthy Kansans living in safe and sustainable environments.