Puerto Rico GC Overview
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Puerto Rico GC Overview Puerto Rico GC Overview Gonorrhea Control in Region II November 9, 2009
description
Puerto Rico GC Overview. Gonorrhea Control in Region II November 9, 2009. Objectives. Present tendency of cases of GC in Puerto Rico Present the rates of GC Present cases by gender and age Future plans. GC Screening Timeline. 1970’s- start VDI with partner notification and Rx verification - PowerPoint PPT Presentation
Transcript of Puerto Rico GC Overview
Puerto Rico GC OverviewPuerto Rico GC Overview
Gonorrhea Control in Region II
November 9, 2009
ObjectivesObjectives
• Present tendency of cases of GC in Puerto
Rico
• Present the rates of GC
• Present cases by gender and age
• Future plans
GC Screening TimelineGC Screening Timeline
• 1970’s- start VDI with partner notification and Rx verification
• 1980’s – PPNG follow-up
• 1992 – Privatization of Community Health Clinics
• 1996- IPP and use of DNA-probe starts
• 2006 –PN and Rx verification stopped because of Syphilis Elimination efforts and is the beginning of use NAAT
• 2008 – GC culture implementation in two clinics with Lab on site
Cases of Cases of GonorrheaGonorrhea by year: by year: Puerto Rico,Puerto Rico, 1981-1981-20082008, ,
3,425
2,644
3,1283,417
3,115
2,390
1,853
1,567
1,229
1,061
592
350527
500618 648
526400
321 527 589
411276
277328
302323
269
19
81
19
82
19
83
19
84
19
85
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
Nu
mb
er
of
Ca
se
s
Year
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health,
Cases of Gonorrhea by gender: Puerto Rico,Cases of Gonorrhea by gender: Puerto Rico,2000-20082000-2008
101
134
287308
181
155
121134 135
172189
162
194
150
120
226
277
233
2000 2001 2002 2003 2004 2005 2006 2007 2008
Men Women
Nu
mb
er
of
ca
se
s
Year
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health,
Rates of Rates of GonorrheaGonorrhea per 100,000 per 100,000 Population by Age and Gender: Population by Age and Gender: Puerto Puerto Rico,Rico, 2008 2008
1.6
10.6
16.2
20.8
6
7.1
6.4
2.1
0.5
0 5 10 15 20 25
10 - 14
15 - 19
20 - 24
25 - 29
30 -34
35 - 39
40 - 44
45 - 54
55 - 64
Men
0
18.6
38.3
28.07
15.6
7.4
3.6
2.6
0.08
01020304050
Women
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health
Rates ofRates of STD STD per 100,000 Population: per 100,000 Population: Puerto Puerto Rico,Rico, 2000-20082000-2008
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health
0
25
50
75
100
125
150
175
200
225
250
2000 2001 2002 2003 2004 2005 2006 2007 2008
Ct
Gc
SyphilisP&S
LateSyphilis
Rates of GC per 100,000 population in Rates of GC per 100,000 population in Puerto Rico 2008Puerto Rico 2008
Aguadilla Arecibo
Ponce
Bayamón
Cagua
s
Fajardo
0.0 - 5.0
5.1 – 10.0
10.1 – 15. 0
15.1 – 20.0
Mayaguez
Metro
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health
Rates of CT per 100,000 population in Rates of CT per 100,000 population in Puerto Rico 2008Puerto Rico 2008
Aguadilla Arecibo
Ponce
Bayamón
Cagua
s
Fajardo
0 -100
101 – 200
201 – 300
Mayaguez
Metro
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health,
Rates of Syphilis P & S per 100,000 Rates of Syphilis P & S per 100,000 population in Puerto Rico 2008population in Puerto Rico 2008
Aguadilla Arecibo
Ponce
Bayamón
Cagua
s
Fajardo
0 - 3
4 – 6
7 - 9
Mayaguez
Metro
Source: STD Surveillance Office, STD/HIV Prevention Division, Puerto Rico Department of Health
HIV Cases reported, Puerto Rico, June 2008HIV Cases reported, Puerto Rico, June 2008
Aguadilla Arecibo
Ponce
Bayamón
Cagua
s
Fajardo
0 - 500
501 - 1000
1001 - 1500
Mayaguez
Metro
Source: VIH/AIDS Surveillance Office, Puerto Rico Department of Health
Gc Culture ReportGc Culture Report
• PRDOH Bacteriology Lab is in charge of processing and reporting the GC cultures
• All data is processed manually
• San Juan (CLETS) and Mayaguez clinicsPeriod Samples Gender with more
tests performedSites most tested
July to December 2008
29 female Rectal (6), Oral (6), Urethral (6)
January to August 2009
127 female Oral (38), Rectal (35), Urethral (22)
Future plansFuture plans
• Implementation of GC culture screening in additional STD Clinics
• Promote more screening in CLETS and Mayaguez
• Collect more data on GC culture screening
• Consideration of re-starting partner
services for GC cases
Thanks Thanks
Contact Information:
Greduvel Durán Guzmán, MD, MPH
Executive Director / Medical Services Director
Central Office for AIDS Affairs and Transmissible Diseases ( OCASET) Puerto Rico Department of Health
(787) 274-5536 / 3327 E-mail: [email protected]
Bessie R. Lopez, MA
Infertility Prevention Project Coordinator, STD/ HIV Prevention Division
Puerto Rico Department of Health
(787) 274-5572 / 33344 E-mail: [email protected]
