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Infectious disease epidemiology, South Dakota

Infectious disease epidemiology, South Dakota. Tribal Conference on Health Data 15 March 2011 Pierre, South Dakota Lon Kightlinger, MSPH, PhD State Epidemiologist. Photo: C. Coppess www.dakotagraph.com. Infectious Disease Public Health Surveillance and Response. SURVEILLANCE

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Infectious disease epidemiology, South Dakota

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  1. Infectious disease epidemiology, South Dakota Tribal Conference on Health Data 15 March 2011 Pierre, South Dakota Lon Kightlinger, MSPH, PhD State Epidemiologist Photo: C. Coppess www.dakotagraph.com

  2. Infectious DiseasePublic Health Surveillance and Response SURVEILLANCE What is the problem? Reportable diseases. RISK FACTORS Who is at risk? Data analysis INTERVENTION Solve the problem? Disseminate information Good policy and service EVALUATION Does it work? Data and Feed back. Fix it.

  3. Reportable Diseases – South Dakota The South Dakota Department of Health is authorized by SDCL 34-22-12 and ARSD 44:20 to collect and process mandatory reports of communicable diseases by physicians, hospitals, laboratories, and other institutions. What to report: Disease reports must include as much of the following as is known: - Disease or condition diagnosed or suspected - Pertinent laboratory results and date of specimen collection - Case name, age, date of birth, sex, race, address and occupation - Attending physician’s name, address and phone number - Date of disease onset - Name and phone number of the person making the report. How to report:  Secure website: www.state.sd.us/doh/diseasereport  Telephone:1-800-592-1804 confidential answering device, or 1-800-592-1861 or 605-773-3737 for communicable disease staff during normal business hours; after hours Category I diseases or other emergencies, call 605-280-4810.  Fax: 605-773-5509  Mail or courier, address to: Infectious Disease Surveillance, Department of Health, 615 East 4th Street, Pierre, SD 57501; marked "Confidential Disease Report" CANCER (SDCL 1-43-14) Report to SD Cancer Registry; call 800-738-2301; Reportable cancers list found at http://doh.sd.gov/SDCR/PDF/ReportableList.pdf Fetal Alcohol Syndrome (SDCL 34-24-27) Report to Office of Data, Statistics and Vital Records, 600 E Capitol Ave, Pierre, SD 57501, call (605) 773-3361 (Effective December 2007)

  4. Infectious diseases by race, South Dakota 2000-2010

  5. Infectious diseases by race, South Dakota 2010

  6. Gonorrhea—Rates by Race/Ethnicity, United States, 2000–2009 Rate (per 100,000 population) 800 700 600 500 American Indians/Alaska Natives Asians/Pacific Islanders 400 Blacks 300 Hispanics Whites 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year

  7. Gonorrhea rates by county, 2009 Rate per 100,000 population <19.0 (n = 1,405) 19.1–100.0 (n = 1,129) >100.0 (n = 607)

  8. Gonorrhea cases, South Dakota 1980 - 2010

  9. Gonorrhea by race, South Dakota, 2000-2010 *2010 data provisional

  10. Gonorrhea cases by sex and race, South Dakota 2006 - 2010

  11. Gonorrhea, cases by age and sex, South Dakota, 2010 Age 9 Male (178) 38% Female (290) 62% 5 15 30 34 65 20 0

  12. Gonorrhea, cases by age and race, South Dakota, 2010 Age 6 2 American Indian (286) 64%* White (110) 24%* 7 15 23 48 8 6 *Unknown race cases excluded

  13. Gonorrhea by age and sex, American Indian, South Dakota, 2010 SD Dept of Health, reported cases, provisional data as of 1 March 2011

  14. Chlamydia—Rates by Race/Ethnicity, United States, 2000–2009 Rate (per 100,000 population) 2000 American Indians/Alaska Natives Asians/Pacific Islanders Blacks 1500 Hispanics Whites 1000 500 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year

  15. Chlamydia—Rates by County, United States, 2009 Rate per 100,000 population <300.0 300.1–400 >400.0

  16. Chlamydia cases, South Dakota 1986 - 2010

  17. South Dakota Chlamydia cases: sex and race, 2006 - 2010

  18. Chlamydia by race, South Dakota, 2000-2010 *2010 data provisional

  19. Chlamydia, cases by age and sex, South Dakota, 2010 Age 4 Male (873) 28% Female (2287) 72% 8 28 89 158 392 190 4

  20. Chlamydia, cases by age and race, South Dakota, 2010 Age 2 American Indian (1221) 54%* White (923) 41%* 5 8 63 140 432 264 5 *Unknown race cases excluded

  21. Chlamydia by age and sex, American Indian, South Dakota, 2010 SD Dept of Health, reported cases, provisional data as of 1 March 2011

  22. Living with HIV/AIDS by sex and race, South Dakota 2010

  23. Prevention of gonorrhea and chlamydia • STDs are hidden epidemics. • STDs are public health problems that lack easy solutions because they are rooted in human behavior and fundamental societal problems. • First problem: reluctance to confront issues surrounding sexuality and STDs. • Multifaceted approach necessary at individual and community levels.

  24. Prevention of gonorrhea and chlamydia • Abstain from sexual contact, or be in a long-term mutually monogamous relationship with a partner who has been tested and is not infected. • Latex male condoms, when used consistently and correctly, can reduce the risk of transmission. • Chlamydia testing yearly for all sexually active women ≤25 years of age. Annual screening also for all pregnant women and older women with risk factors for chlamydia (a new sex partner or multiple sex partners). • An infected person who has been treated should notify all recent sex partners so they can seek treatment. The patient and all their sex partners must avoid sex until their treatment has been completed.

  25. Disease Prevention Central office staff Nick Hill Lon Kightlinger Kristin Rounds Dave Morgan Not pictured Josh Clayton Bonnie Jameson Rhonda Kirsch SusanGannon Christine Olson Linda Schaefer Heather Row Tyann Gildemaster Jean Salonen Tammy LeBeau

  26. QUESTIONS? THANK YOU

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