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STD/HIV Prevention Seattle & King County

STD/HIV Prevention Seattle & King County. Robert Marks 744-2275 robert.marks@kingcounty.gov. My discussion…. Public Health Goal PH Prevention Services STD Program STD & HIV Epidemiology Your Role STD & HIV Resources. Public Health Goal.

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STD/HIV Prevention Seattle & King County

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  1. STD/HIV PreventionSeattle & King County Robert Marks 744-2275 robert.marks@kingcounty.gov

  2. My discussion… • Public Health Goal • PH Prevention Services • STD Program • STD & HIV Epidemiology • Your Role • STD & HIV Resources

  3. Public Health Goal • Stop thespread ofdisease and ensure individual health as well as the health of communities.

  4. You Did What!?!?Stop That! • You

  5. Public HealthPrevention Services • HIV Counseling and Testing • STD Clinic/District Sites/CBO’s • Disease Investigation & Partner Notification • Syringe Access & Disposal • Community Coalition Leadership • Black Leadership Council • Educational Materials Development • Technical Assistance and Training

  6. STD Clinic at Harborview (206) 744-3590 Monday-Friday 8am-6:30pm9:30am–6:30pm Tues

  7. STD Clinic at Harborview • Walk-in clinic (if after 3:00pm, call) • STD screening/treatment • HIV testing and early intervention services • Fees are based on income (No person will be turned away due to inability to pay.) • No charge for STD medications • If symptomatic, most likely expedited • Interpreter services available

  8. Disease Intervention Specialists • Provide health information to diagnosed individuals. • Assure appropriate medical care. • Elicit sex partners (and needle sharing partners for HIV diagnosed individuals) in order to get the partners into medical care.

  9. King CountySTD/HIV Epidemiology

  10. Chlamydia

  11. CT Positivity*, King County and Other WA Counties, 1992-2007 * Positivity = # positive tests divided by # total tests (through IPP)

  12. CT Incidence* among Womenages 15-29, 1992-2008 3394 cases * Based on reported cases, countywide

  13. CT Incidence among Womenby Age, 1992-2008

  14. Gonorrhea

  15. GC Incidence* among Womenages 15-29, 1992-2008 368 cases *Based on reported cases, countywide

  16. GC Incidence* by Sex, 1992-2008 812 cases 482 cases * Calculate using reported cases, countywide

  17. GC among MSM,* 1993-2008 *MSM cases included MSM cases diagnosed in the STD clinic, as well as rectal infections diagnosed elsewhere ^Starting in 2005, MSM definition also includes interview data

  18. King County: Gonorrhea Incidence in 15-29 year old Women, by Race

  19. King County: Gonorrhea Incidence in 15-29 year old Women, by Ethnicity

  20. GC Incidence among Womenby Age, 1992-2008

  21. Syphilis

  22. King County: Early syphilis*, 1994-2008 2005 total cases = 193 2006 total cases = 185 2007 total cases = 194 2008 total cases = 191 *Reported P, S, and EL syphilis **Excludes some male cases with unknown MSM status

  23. MSM

  24. GC, CT, and Early Syphilisamong MSM, 1993-2008* * New “definition” of MSM in 2005, based on case report, interviews, site of infection

  25. STD Summary • Chlamydia rates stable over past 3 years • MSM relatively unchanged • STD Clinic numbers dropped in women • Gonorrhea rates down (again) • Down in heterosexuals and MSM • Down in most age groups • Down in most race groups • Early syphilis cases similar to 2007 • Increase in EL cases vs. P&S continues • MSM stable for CT and syphilis, GC down

  26. HIV/AIDS

  27. Who is living with HIV/AIDS in KC?(as of 3/31/09) • 90% male • 42% diagnosed between 30-39 years of age • 74% currently 40 years and older • Race • 68% white • 17% black • 10% Hispanic • 3% Asian • Risk • 69% MSM • 8% MSM-IDU • 5% IDU • 10% heterosexual contact • 25% foreign-born at age of diagnosis (2006-2008)

  28. ProviderRole

  29. What is my role inSTD/HIV Prevention? • Talk about sex, drugs, disease & transmission. • Encourage and/or refer for screening/testing. • Assist individual to reduce risk. • Encourage discussion between partners.*** • Let patient know that Public Health will be contacting…confidentiality maintained. • Provide Expedited Partner Therapy. • Inform of STD Clinic services. • Complete Case Report for diagnosed disease.

  30. Clarify/define! • Sex • Monogamy • Agreements? • What happens ifsomeone strays?

  31. Web Resources • General STD info • www.kingcounty.gov/health/std • Lots of HIV info • www.kingcounty.gov/health/hiv

  32. Questions?Thoughts?

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