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USVI’s Gonorrhea Surveillance

Or, What is going on down there in America’s Paradise?

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We Are Here

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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

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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

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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

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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

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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

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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

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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

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But, hope springs eternal

• H1N1 has brought highly talented CDC surveillance support, and they love our dog

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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

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