STD Partner Services for MSM Can Be Used to Promote PrEP and Identify People Living with HIV Who are Inadequately Engaged in Care
|
|
- Erica Houston
- 5 years ago
- Views:
Transcription
1 STD Partner Services for MSM Can Be Used to Promote PrEP and Identify People Living with HIV Who are Inadequately Engaged in Care David A. Katz, Julia C. Dombrowski, Dawn Spellman, Teal R. Bell, Matthew R. Golden IUSTI 2018 World & European Congress 30 June 2018
2 STD Partner Services (PS) Offered to people diagnosed with bacterial STDs and their partners Historical objectives: - Ensure appropriate treatment for index case - Elicit, notify, test, and treat partners Decrease STD transmission and morbidity Practices vary internationally - In US, provided widely for syphilis, infrequently for GC/CT Concern that effectiveness may be declining Opportunity to provide population-based HIV prevention
3 Integrating HIV Prevention into STD PS HIV testing for cases at time of STD diagnosis HIV testing for partners SMS testing reminders PrEP referrals Identify PLWH inadequately engaged in care & (re)link PrEP = pre-exposure prophylaxis; PLWH = people living with HIV
4 Objectives Aim 1: Evaluate use of PS for early syphilis and gonorrhea among MSM to: - Ensure HIV testing at time of STD diagnosis - Provide referrals to PrEP care - Identify PLWH who are inadequately engaged in care Aim 2: Assess differences in efficiency of PS-based HIV prevention by STD diagnosis
5 Methods Setting Population King County, Washington All MSM diagnosed with early syphilis & gonorrhea Time period Cases diagnosed from Jan 2016-Dec 2017 Data source Outcome Matched HIV/STD surveillance and PS data Number needed to interview (NNTI) to: - Diagnose 1 new HIV case - Refer 1 person to PrEP - Identify 1 PLWH who is inadequately engaged in care Calculated as: Number interviewed for PS Number with outcome Stratification by STD diagnosis Syphilis = Primary/secondary vs. early latent Gonorrhea = Rectal vs. urethral vs. pharyngeal
6 Outcome Definitions Outcome Definition & Measurement NNTI Numerator New HIV diagnosis PrEP referral Inadequate engagement in HIV care Newly diagnosed with HIV at or following PS interview Based on PS record + HIV diagnosis date in HIV surveillance Accepted PS-based referral to PrEP care Case self-reported either: Not currently on ART OR If missing ART status: no HIV provider OR no care visit in last 6 months and no future visit HIV-negative MSM interviewed for PS HIV-negative MSM interviewed for PS MSM living with HIV interviewed for PS ART = antiretroviral therapy
7 MSM with Early Syphilis & Gonorrhea, N % (of 4999 total) STD diagnosis Syphilis Primary/Secondary % Syphilis Early latent % Gonorrhea - Rectal % Gonorrhea - Urethral % Gonorrhea - Pharyngeal % Prior HIV diagnosis % Diagnosed in STD clinic % Age % % %
8 Overall HIV Prevention Outcomes 4999 early syphilis and GC diagnosed among MSM 3523 (70%) without prior HIV diagnosis 1476 (30%) with prior HIV diagnosis 2205 (63%) interviewed for PS 767 (52%) interviewed for PS 0 (0%) newly HIV-diagnosed as a result of PS 444 (20%) accepted PS PrEP referral 39 (5.1%) reported inadequate engagement in HIV care Case-finding NNTI = PrEP Referral NNTI = 5.0 Engagement in Care NNTI = 19.7 GC = gonorrhea
9 % newly diagnosed with HIV HIV Case-Finding No new HIV diagnoses as a result of PS 32 (1.5%) of PS recipients were newly diagnosed with HIV 4.0% New HIV diagnoses at time of STD among MSM PS recipients without a prior HIV diagnosis 3.6% 3.0% 2.0% 1.0% 1.5% 1.0% 1.4% 0.8% 0.7% 0.0% Overall P&S Syphilis Early Latent Syphilis Rectal GC Urethral GC Pharyngeal GC P&S = primary and secondary. GC = gonorrhea
10 PrEP Promotion 2205 HIV-negative MSM interviewed for PS 1066 (48%) already on PrEP 1139 (52%) not on PrEP 1066 (94%) offered PrEP referral 444 (42%) accepted PrEP referral 56% initiated PrEP* NNTI: - 1 PrEP referral = 5.0 (3.8 P&S syphilis-5.4 pharyngeal GC) - 1 PrEP initiation* = 9.6 *Based on a random sample of cases diagnosed in 2016 (Katz et al, CROI 2018)
11 Promoting Engagement in HIV Care 767 MSM with prior HIV diagnosis interviewed for PS 696 (91%) assessed for HIV care/art status 657 (94%) on ART 39 (6%) inadequately engaged in care 30 (77%) not on ART 9 (23%) no provider/visit NNTI to identify 1 person inadequately engaged in care Overall = 19.7 Range = 10.3 P&S syphilis vs other infections
12 Limitations Relied on self-reported ART/care status Unable to determine effect on (re)linkage to HIV care Intervention relied on: - Robust local HIV prevention and care infrastructure - Ability to identify MSM prior to case assignment May limit ability to replicate program Potential effect of interventions limited by successes in HIV prevention and care - Met 90/90/90 objectives - Declining HIV incidence (50% over last decade) - High PrEP coverage
13 Summary & Conclusions HIV care and prevention outcomes can be successfully integrated into STD PS Among MSM in King County: - primarily useful for PrEP promotion - some success identifying PLWH inadequately engaged in HIV care - not effective for HIV case-finding among index cases In areas with less HIV infrastructure or higher incidence, may have more benefit but be harder to implement Health departments should consider expanding the scope and objectives of STD PS to include HIV prevention
14 Acknowledgments Funding & Support - CDC AAPPS Evaluation Supplement & Minority AIDS Initiative - Washington State DOH Office of Infectious Disease - Public Health Seattle & King County HIV/STD Program Public Health Seattle & King County - Field services staff - PrEP clinic staff - Christina Thibault - Tigran Avoundjian CDC Division of STD Prevention - Brandy Maddox
Integrating PrEP into STD Partner Services in Washington State
Integrating PrEP into STD Partner Services in Washington State David Katz, PhD MPH University of Washington Public Health Seattle & King County NCSD Engage November 16, 2017 STD Partner Services (PS) in
More informationExtragenital Gonorrhea and Chlamydia among MSM
Extragenital Gonorrhea and Chlamydia among MSM Laura Quilter, MD Infectious Disease and STD PTC Fellow University of Washington Division of Allergy and Infectious Diseases 3/28/2016 uwptc@uw.edu uwptc.org
More informationSurveillance-Based Re-linkage to HIV Care: The King County Experience
University of Washington Public Health Capacity Building Center Surveillance-Based Re-linkage to HIV Care: The King County Experience Elizabeth Barash, MPH PHSKC HIV/STD Program Mark Fleming and Angela
More informationImproving Patient Engagement in HIV Care: Health Department Strategies
University of Washington Public Health Capacity Building Center Improving Patient Engagement in HIV Care: Health Department Strategies Julie Dombrowski, MD, MPH Deputy Director, PHSKC HIV/STD Program Assistant
More informationSTIs in the Indian Country
STIs in the Indian Country Multiple STI s and Risk for HIV Ryan Kreisberg, MPH Senior Epidemiologist, PRISM Data Manager Agenda STI/HIV Trends across the US and Arizona STIs in the Indian Country Multiple
More informationSTD UPDATE Patrick Loose, Chief HIV, STD & Hepatitis Branch February 15, 2018
Patrick Loose, Chief HIV, STD & Hepatitis Branch February 15, 2018 MISSION Improve health outcomes in communities disproportionately impacted by HIV and STDs Collect, study and publish data Diagnose and
More informationHIV and STD Integration: Using Data to Power the Program
HIV and STD Integration: Using Data to Power the Program Focus: Prevention and Surveillance Moderator: Romni Neiman, MPH, Assistant Branch Chief, CDPH STD Control Branch Speakers: Terri Lopez, HIV Surveillance
More informationRegional Collaboration to Optimize the Cascade: The Northwestern Public Health CFAR Consortium
Regional Collaboration to Optimize the Cascade: The Northwestern Public Health CFAR Consortium Julie Dombrowski, MD, MPH Assistant Professor of Medicine, University of Washington Deputy Director, Public
More informationUsing Partner Services Data to Enhance Molecular HIV Surveillance Cluster Analyses
Using Partner Services Data to Enhance Molecular HIV Surveillance Cluster Analyses Scott White, MS, MPH Epidemiology Manager Prevention, Treatment and Care Program Outline HIV in Utah Molecular HIV Surveillance
More informationStrengthening Linkages: why & how to connect our dots
Strengthening Linkages: why & how to connect our dots Sophy S. Wong, MD Medical Director, Bay Area & North Coast AETC Associate Clinical Professor of Medicine, UCSF Workshop objectives Why linkage matters
More informationPartner Services: Opportunities for Integration and Innovation
Partner Services: Opportunities for Integration and Innovation Jessica Frasure Williams, MPH Director of Programs and Partnerships National Coalition of STD Directors (NCSD) EMERGING FUNCTIONS OF PARTNER
More informationSexual Health, HIV, and STDs
Sexual Health, HIV, and STDs Richard J. Wolitski, PhD Deputy Director, Behavioral and Social Science Division of HIV/AIDS Prevention Centers for Disease Control & Prevention Fenway Institute, Boston, MA
More informationHIV Partner Services in HIV Care Programs
Welcome HIV Partner Services in HIV Care Programs Building the Care Continuum: Comprehensive Approaches to HIV Care in California Manny Rios HIV Partner Services Specialist CDPH: Office of AIDS Brett AugsJoost
More informationUpdate on Sexually Transmitted Infections Jeanne Marrazzo, MD, MPH
Update on Sexually Transmitted Infections Jeanne Marrazzo, MD, MPH Division of Infectious Diseases University of Alabama at Birmingham School of Medicine Birmingham, Alabama Outline Syphilis in all its
More informationA Sex-informed Framework for HIV Prevention. Robert M. Grant, M.D., M.P.H. Betty Jean and Hiro Ogawa Endowed Investigator
A Sex-informed Framework for HIV Prevention Robert M. Grant, M.D., M.P.H. Betty Jean and Hiro Ogawa Endowed Investigator Disclosures Gilead Sciences donated study medication to US NIH for trials that I
More informationIncreasing PrEP Awareness and Supporting PrEP within Your Jurisdiction
Increasing PrEP Awareness and Supporting PrEP within Your Jurisdiction PRESENTED BY: MARK THRUN, MD ASSOCIATE PROFESSOR, UNIVERSITY OF COLORADO, DIVISION OF INFECTIOUS DISEASES DIRECTOR, HIV/STD PREVENTION
More informationMARION COUNTY HEALTH DEPARTMENT. Healthy people living and playing in healthy communities
MARION COUNTY HEALTH DEPARTMENT Healthy people living and playing in healthy communities STIs in Marion County 2011-2015 Katarina Ost OPHA 2016 Oregon State University Overview Methodology Marion County
More informationPartner Services. Health Care Professional. Professional. An Outline. Outline for the
Partner Services An Outline Outline An for the the for Health Care Care Health Professional Professional Partner Services programs reduce the spread of HIV by helping your patients inform partners. 20%
More informationZero HIV infections Zero HIV deaths Zero HIV stigma. Stephanie Cohen, MD, MPH on behalf of the Getting to Zero Consortium
Zero HIV infections Zero HIV deaths Zero HIV stigma Stephanie Cohen, MD, MPH on behalf of the Getting to Zero Consortium Number of New HIV Diagnoses Overall decline in new HIV diagnoses and death in San
More information2017 EPIDEMIOLOGY REPORT
2017 EPIDEMIOLOGY REPORT Volume 4, July 2017 A report on sexually transmitted infection and human immunodeficiency virus testing, positivity, and behavioral trends from 2012 2016 HOWARD BROWN HEALTH 2017
More informationThe MAX Clinic: A Structural Healthcare Systems Intervention Designed to Engage the Hardest-to- Reach Persons Living with HIV/AIDS
Mountain West AIDS Education and Training Center The MAX Clinic: A Structural Healthcare Systems Intervention Designed to Engage the Hardest-to- Reach Persons Living with HIV/AIDS Meena Ramchandani Acting
More informationPrEP Active Referrals at the Chicago Dept. of Public Health: past, present, and future. Ramona Bhatia, MD MS Supervising Physician HIV/STI 9/29/16
PrEP Active Referrals at the Chicago Dept. of Public Health: past, present, and future Ramona Bhatia, MD MS Supervising Physician HIV/STI 9/29/16 Burden of HIV in Chicago, 2014 22,875 people living with
More informationImproving HIV Prevention and Care in New Mexico Through Integrated Planning
Improving HIV Prevention and Care in New Mexico Through Integrated Planning Andrew Gans, MPH HIV, STD and Hepatitis Section Manager National Goals 1 Goals in the National HIV/AIDS Strategy (NHAS) 1. Reduce
More informationTrends in Reportable Sexually Transmitted Diseases in the United States, 2007
Trends in Reportable Sexually Transmitted Diseases in the United States, 2007 National Surveillance Data for Chlamydia, Gonorrhea, and Syphilis Sexually transmitted diseases (STDs) remain a major public
More informationPrEP 201: Beyond the Basics
NORTHWEST AIDS EDUCATION AND TRAINING CENTER PrEP 201: Beyond the Basics Joanne Stekler, MD MPH Associate Professor of Medicine University of Washington February 19, 2015 Disclosures and Disclaimers I
More informationLOCAL EPIDEMIOLOGY AND THE ROLE OF THE HEALTH DEPARTMENT
LOCAL EPIDEMIOLOGY AND THE ROLE OF THE HEALTH DEPARTMENT M. Winston Tilghman, M.D. HIV, STD, and Hepatitis Branch Public Health Services www.stdsandiego.org LEARNING OBJECTIVE UPON COMPLETION OF THIS TRAINING,
More informationSTD, HIV and Hepatitis C 2017 Data Release. April 24,2018
STD, HIV and Hepatitis C 2017 Data Release April 24,2018 Acronyms MDH = Minnesota Department of Health STD = Sexually transmitted disease MSM = Men who have sex with men HCV = Hepatitis C virus HBV =Hepatitis
More informationHIV and Syphilis: Rising Rates for Men who have Sex with Men (MSM)
HIV and Syphilis: Rising Rates for Men who have Sex with Men (MSM) MARCH 2018 Rise in Syphilis After years of decline, sexually transmitted infections are increasing at alarming rates. The national rate
More informationFY 2018 PERFORMANCE PLAN. Public Health/ CHSB
Sexually Transmitted Infections Clinic Public Health/ CHSB Lilibeth Grandas x1211 Sharron Martin x1239 Program Purpose Program Information Reduce and prevent the incidence of sexually transmitted infections
More informationData to Care: Improving Health Across the HIV Care Continuum in Colorado
Data to Care: Improving Health Across the HIV Care Continuum in Colorado NASTAD Technical Assistance Meeting July 31, 2015 Maria Chaidez Statewide Linkage to Care Coordinator Quick Overview of CO As of
More informationCity and County of Denver Sexually Transmitted Infections Surveillance Report 2005
City and County of Denver Sexually Transmitted Infections Surveillance Report 2005 Denver Public Health Department Sexually Transmitted Disease Control Program November 2006 This report was prepared by:
More informationSTDS IN SAN FRANCISCO IN
STDS IN SAN FRANCISCO IN THE ERA OF GETTING TO ZERO Susan Philip MD MPH Disease Prevention and Control Branch Population Health Division San Francisco Health Commission May 16, 217 2 SFDPH STD Prevention
More informationPrEP for Women: HIV Prevention in Family Planning Settings
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention PrEP for Women: HIV Prevention in Family Planning Settings Dawn K. Smith, MD, MS, MPH Division of HIV/AIDS Prevention dsmith1@cdc.gov
More informationData: Access, Sources, and Systems
EXEMPLARY INTEGRATED HIV PREVENTION AND CARE PLAN SECTIONS Data: Access, Sources, and Systems REGION PLAN TYPE JURISDICTIONS HIV PREVALENCE Midwest Integrated state-only prevention and care plan State
More informationMissouri Statewide Integrated HIV Prevention and Care Plan, including the Statewide Coordinated Statement of Need, CY
Missouri Statewide Integrated HIV Prevention and Care Plan, including the Statewide Coordinated Statement of Need, CY 2017-2021 September 20, 2016 Developed through the collaborative efforts of the following
More informationSexually Transmitted Disease (STD) Surveillance Report, 2017
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Sexually Transmitted
More information2016 NYS HIV Quality of Care Review
2016 NYS HIV Quality of Care Review A new way forward in four parts Bruce Agins, MD, MPH Medical Director NYSDOH AIDS Institute December 15, 2016 Ending the Epidemic: update! A 3-Point plan announced by
More informationGonorrhea, Chlamydia, and Syphilis in Alaska
Department of Health and Social Services Division of Public Health Section of Epidemiology Karen Perdue, Commissioner Karen Pearson, Director John Middaugh, MD, Editor 361 C Street, Suite 54, P.O. Box
More informationGetting to Zero in California: Integration of HIV Prevention and Surveillance
Getting to Zero in California: Integration of HIV Prevention and Surveillance Steve Gibson, MSW and Deanna Sykes, PhD CDPH, Office of AIDS November 27, 2017 Learning Objectives Understand reasons for integrated
More informationSexual Health reproduction in reference to treatment as/for prevention
Sexual Health reproduction in reference to treatment as/for prevention The reasons for sexual reproductive health for PLHIV The number of people living with HIV (PLWH) continues to rise in the UK The increase
More informationFlorida s HIV Testing Efforts
Florida s HIV Testing Efforts Mara Michniewicz, MPH Prevention Program Manager Florida Department of Health (DOH) Bureau of Communicable Diseases HIV/AIDS Section Florida Comprehensive Planning Network
More informationForsyth County, North Carolina 2013 HIV/STD Surveillance Report
Forsyth County, North Carolina 2013 HIV/STD Surveillance Report Forsyth County Department of Public Health Division of Epidemiology and Surveillance 799 N. Highland Avenue Winston-Salem, NC 27102-0686
More informationHoward Brown Health Center
Howard Brown Health Center STI Annual Report, Background Howard Brown is the largest LGBT health center in the Midwest, providing comprehensive medical and behavioral health services to over, adults and
More informationDetecting HIV transmission clusters to better prioritize prevention efforts
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Detecting HIV transmission clusters to better prioritize prevention efforts Alexa Oster, MD Lead (Acting), Transmission and Molecular
More informationEvaluation of a Population-Based Program of Expedited Partner Therapy for Gonorrhea and Chlamydial Infection
Sexually Transmitted Diseases, August 2007, Vol. 34, No. 8, p.598 603 DOI: 10.1097/01.olq.0000258319.54316.06 Copyright 2007, American Sexually Transmitted Diseases Association All rights reserved. Evaluation
More informationPre-exposure Prophylaxis for HIV Prevention
Mountain West AIDS Education and Training Center Pre-exposure Prophylaxis for HIV Prevention Concerns about PrEP: Sexual Behavior and STIs Joanne Stekler, MD MPH May 19, 2016 This presentation is intended
More informationBidders Conference. Amendment to Request For Proposals for Provision of HIV Prevention Services July 28, 2011
Chicago Department of Public Health Bidders Conference Amendment to Request For Proposals 11-03 for Provision of HIV Prevention Services July 28, 2011 Chicago Department of Public Health Division of STI/HIV
More informationGonorrhea Cook County Department of Public Health
Gonorrhea What is it? Infection with the bacterium Neisseria gonorrhoeae (GC) causes gonorrheal infections, the second most commonly reported communicable disease in both Cook County Department of Public
More informationOR: Steps you can take in the clinic to prevent HIV infections
Implementing Changes to Reduce HIV Incidence: Synergies between Public Health and Primary Care Kevin Ard, MD, MPH Brigham and Women s Hospital, Massachusetts General Hospital, and the Fenway Institute
More informationA test and treat strategy to curb the spread of HIV shifts the public health response from behavioral interventions and faces criticism from skeptics
Rudy Owens April 21, 2011 Case 15, Day 1 LO: Investigate arguments for test and treat and prevention strategies for HIV and STIs. A test and treat strategy to curb the spread of HIV shifts the public health
More informationGetting to Zero Mecklenburg
Getting to Zero Mecklenburg Update on the Community Plan to Reduce New Cases of HIV in Mecklenburg County Gibbie Harris Health Director Mecklenburg County Public Health December 2018 Snapshot of HIV in
More informationSTD & HIV ANNUAL REPORT. An Annual Review of HIV and STD s reported in Oakland County, Michigan
STD & HIV ANNUAL REPORT 2016 An Annual Review of HIV and STD s reported in Oakland County, Michigan Similar to numbers reported statewide, Oakland County saw an increase in the number of reported cases
More informationMoving beyond condoms to prevent HIV transmission. Are you Prepared for HIV PrEP?
Moving beyond condoms to prevent HIV transmission Are you Prepared for HIV PrEP? The Issues New HIV infections in the US continue Vast majority of infections are sexually acquired Condoms work but are
More informationSyphilis among MSM: Clinical Care and Public Health Reporting
Massachusetts Department of Public Health Bureau of Infectious Disease and Laboratory Sciences Syphilis among MSM: Clinical Care and Public Health Reporting Kevin Ard, MD, MPH, Medical Director, National
More informationForsyth County, North Carolina 2012 HIV/STD Surveillance Report
Forsyth County, North Carolina 2012 HIV/STD Surveillance Report Forsyth County Department of Public Health Division of Epidemiology and Surveillance 799 N. Highland Avenue Winston-Salem, NC 27102-0686
More informationSTD County for St. Charles County
217 STD Report St. Charles County Department of Public Health STD Cases include Chlamydia, Gonorrhea, and Syphilis There was a total of 1,488 laboratory confirmed reportable STD cases in 217 among St.
More informationLooking at NY: Our rate of chlamydia is higher than the US as a whole; we rank 13th among all states.
1 In this presentation, we will discuss: What are the most common STDs in NYS What are the most common STDs Can I get gonorrhea from oral sex How do you know if you/or your partner has an STD? Does getting
More informationGAY MEN/MSM AND STD S IN NJ: TAKE BETTER CARE OF YOUR PATIENTS! STEVEN DUNAGAN SPECIAL PROJECTS COORDINATOR NJ DOH STD PROGRAM SEPTEMBER 27, 2016
GAY MEN/MSM AND STD S IN NJ: TAKE BETTER CARE OF YOUR PATIENTS! STEVEN DUNAGAN SPECIAL PROJECTS COORDINATOR NJ DOH STD PROGRAM SEPTEMBER 27, 2016 TOPICS FOR DISCUSSION What medical providers should know
More informationIncidence des IST chez les PrEPeurs
Incidence des IST chez les PrEPeurs Jean-Michel Molina Hopital Saint-Louis, Université de Paris Diderot, Inserm U941, Paris, France PrEP, IST et Santé Sexuelle, 29 Mars 2018, Paris La PrEP en France Début
More informationWomen s Sexual Health: STI and HIV Screening. Barbara E. Wilgus, MSN, CRNP STD/HIV Prevention Training Center at Johns Hopkins
Women s Sexual Health: STI and HIV Screening Barbara E. Wilgus, MSN, CRNP STD/HIV Prevention Training Center at Johns Hopkins I have no disclosures! Review most recent rates of STIs and HIV across the
More informationImplementation of testing (and other interventions along the Continuum of Care)
Implementation of testing (and other interventions along the Continuum of Care) Jonathan Mermin, MD, MPH National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention U.S. Centers for Disease Control
More informationShow Me the Money: A Discussion about Investments Needed to Change STD Rates in the United States
Show Me the Money: A Discussion about Investments Needed to Change STD Rates in the United States Harrell Chesson Health Economist Centers for Disease Control and Prevention National Coalition of STD Directors
More informationCharacteristics of individuals who are HIV-positive, out of HIV care, and newly diagnosed with Sexually Transmitted Infections
Characteristics of individuals who are HIV-positive, out of HIV care, and newly diagnosed with Sexually Transmitted Infections 2014-2016 New York City Department of Health and Mental Hygiene Bureau of
More informationHigh Impact HIV Prevention Services and Best Practices
High Impact HIV Prevention Services and Best Practices David W. Purcell, JD, PhD Deputy Director for Behavioral and Social Science Division of HIV/AIDS Prevention Centers for Disease Control and Prevention
More informationC-YA! Philadelphia s Plan to Connect our Co-infected Community to a Cure for Hep C ALEX SHIRREFFS, MPH NASTAD TA MEETING NOVEMBER 29, 2017
C-YA! Philadelphia s Plan to Connect our Co-infected Community to a Cure for Hep C ALEX SHIRREFFS, MPH NASTAD TA MEETING NOVEMBER 29, 2017 Agenda: Background C YA Project Activities Data and Evaluation
More informationSexually Transmitted Infections in Vulnerable Groups. Kevin Rebe
Sexually Transmitted Infections in Vulnerable Groups Kevin Rebe Definition: Key Populations Key populations are: Defined groups who, due to specific higher-risk behaviours, are at increased Men risk who
More informationHIV Continuum of Care Connecticut, 2015
HIV Continuum of Care Connecticut, 2015 Heidi Jenkins, Section Chief TB, HIV, STD & Viral Hepatitis Section Public Health Initiatives State of Connecticut Department of Public Health 05/25/2017 HIV Continuum
More informationInfectious DISEASE Report
Infectious DISEASE 2014 Report Introduction For an electronic copy of the 2014 Disease Report ramseycounty.us The 2014 Disease Report provides final numbers, rates and trends for selected reportable diseases
More informationSTI Indicators by STI
STI Indicators by STI Table of Contents pg. 2 Sexual History pg. 3-4 Syphilis pg. 5-6 Gonorrhea pg. 7-9 Chlamydia pg. 10 HIV/PrEP 1 Sexual History Comprehensive Sexual History Elements Percentage of patients
More informationMSM&TGpopulations. Management in. Sex. Sex. Outline. STIs/HIV. Sex. Sexual fluidity and HIV. Risk behavior. Recreational drugs
Outline MSM = (at least) 9 patients /day Management in MSM&TGpopulations OPASSPUTCHAROEN M.D. CHULALONGKORNUNIVERSITY BANGKOK, TH /HIV Recreational drugs ual fluidity and HIV Risk behavior AIDS Patient
More informationFinancial Incentives, Linkage to Care and Viral Suppression HPTN 065 (TLC-Plus) Study. Wafaa El-Sadr ICAP at Columbia University New York, NY
Financial Incentives, Linkage to Care and Viral Suppression HPTN 065 (TLC-Plus) Study Wafaa El-Sadr ICAP at Columbia University New York, NY Outline of Presentation Background and study rationale Methods
More informationCombating the Rising Syphilis Epidemic Through Local and State Leadership
Combating the Rising Syphilis Epidemic Through Local and State Leadership Erika Samoff, PhD MPH NC DPH, CDB Victoria Mobley, MD MPH NC DPH, CDB Whitney Schwalm, BA Cabarrus County CDC Public Health Associate
More informationEstimate of the Number of Persons Living with HIV in Massachusetts
Estimate of the Number of Persons Living with HIV in Massachusetts Christian Hague, MPH Supervisor, HIV Surveillance Massachusetts Department of Public Health 2016 NATIONAL RYAN WHITE CONFERENCE ON HIV
More informationSTD Report 2010 Summary St. Charles County Department of Community Health and the Environment Alison Tucker, MSc 802 Figure 1:
STD Report 2010 Summary St. Charles County Department of Community Health and the Environment Alison Tucker, MSc STD cases include Chlamydia, Gonorrhea, and Syphilis There was a total of 802 reported laboratory
More informationHEPATITIS C, ACUTE CRUDE DATA. Number of Cases 5 Annual Incidence a LA County 0.05 California b 0.10 United States b 0.68 Age at Diagnosis Mean 38
2016 Annual Morbidity Report HEPATITIS C, ACUTE a Rates calculated based on less than 19 cases or events are considered unreliable b Calculated from: CDC. Notice to Readers: Final 2016 Reports of Nationally
More informationRapidly Growing Molecular Clusters of HIV in Texas. Analise Monterosso, MPH Epidemiologist Molecular HIV Surveillance Coordinator
Rapidly Growing Molecular Clusters of HIV in Texas Analise Monterosso, MPH Epidemiologist Molecular HIV Surveillance Coordinator Outline HIV in Texas HIV Drug Resistance testing (genotyping) in Texas Molecular
More information5/1/2017. Sexually Transmitted Diseases Burning Questions
Sexually Transmitted Diseases Burning Questions Jeffrey D. Klausner, MD, MPH Professor of Medicine and Public Health University of California Los Angeles Los Angeles, California FORMATTED: 04-03-17 Financial
More informationHIV and Syphilis Co-Infection in Maricopa County
HIV and Syphilis Co-Infection in Maricopa County Item Type Thesis Authors Thomas, Sarah Rights Copyright is held by the author. Digital access to this material is made possible by the College of Medicine
More informationWomen and PrEP: What are local health departments doing?
Women and PrEP: What are local health departments doing? Gretchen Weiss, MPH Director of HIV, STI, & Viral Hepatitis National Association of County and City Health Officials (NACCHO) Illinois HIV/STD Conference
More informationFamily Planning Title X Chlamydia Screening Quality Improvement Project
Family Planning Title X Chlamydia Screening Quality Improvement Project Illinois Department of Public Health STD Section Staff March 22, 2017 Objectives Discuss current STD trends and epidemiology of chlamydia
More informationHawai i to Zero. Timothy McCormick Harm Reduction Services Branch Hawai i Department of Health. January 16, 2018
HIV Prevention Efforts in Hawai i Hawai i to Zero Timothy McCormick Harm Reduction Services Branch Hawai i Department of Health January 16, 2018 People living with HIV who take HIV medicine as prescribed
More informationAssessing Needs, Gaps, and Barriers
EXEMPLARY INTEGRATED HIV PREVENTION AND CARE PLAN SECTIONS Assessing Needs, Gaps, and Barriers Washington State Statewide Coordinated Statement of Need REGION PLAN TYPE JURISDICTIONS HIV PREVALENCE West
More informationPartner Counseling and Referral Services
Partner Counseling and Referral Services Presented at the Sexually Transmitted Disease (STD) Intensive Course Cleveland, OH June 22, 2012 Rhiannon Richman, MPH Infertility Prevention Project Coordinator
More informationProgram Collaboration and Service Integration
Program Collaboration and Service Integration One Size Does Not Fit All Amanuel Rosario, MD Medical Director, TB Control District of Columbia Department of Health Marcelo Fernandez-Viña, MPH Adult Viral
More informationMoving PrEP Forward. Where We Are & Where We Need to Go. Christopher Hurt, MD Assistant Professor of Medicine Division of Infectious Diseases
Moving PrEP Forward Where We Are & Where We Need to Go Christopher Hurt, MD Assistant Professor of Medicine Division of Infectious Diseases Overview Recent study results & some context o o o Epidemiology
More informationEnding the Epidemic in New York State
Ending the Epidemic in New York State HIV Quality of Care Clinical and Consumer Advisory Committee Joint Meeting September 8, 2015 September 10, 2015 Defining the End of AIDS Goal Reduce from 3,000 to
More informationData Systems Across the Continuum Locating out of Care (LOOC) David Heal M.S.W. Washington State Department of Health July 30, 2015
Data Systems Across the Continuum Locating out of Care (LOOC) David Heal M.S.W. Washington State Department of Health July 30, 2015 Goals for Data to Care in WA Improve accuracy of surveillance data--washington
More informationPRESENTED BY: TINA MARKOVICH, MBA, BS - PROJECT DIRECTOR, SOUTHWESTERN IL HIV CARE CONNECT
PRESENTED BY: TINA MARKOVICH, MBA, BS - PROJECT DIRECTOR, SOUTHWESTERN IL HIV CARE CONNECT Quick Ice Breaker Raise your hand: Faith Based Community, Employer, School, Community Leader, Resident of St.
More informationImproving the Reach and Effectiveness of STD Prevention, Screening, and Treatment Services in Local Public Health Systems
PHSSR Research-In-Progress Webinar Wednesday, December 9, 2015 12:00-1:00pm ET/ 9:00-10:00am PT Cost, Quality and Value of Public Health Services Improving the Reach and Effectiveness of STD Prevention,
More informationNATIONAL HIV PREVENTION INVENTORY MODULE 3: Analysis of Health Department HIV Prevention Programming in the United States
NATIONAL HIV PREVENTION INVENTORY MODULE 3: Analysis of Health Department HIV Prevention Programming in the United States Table of Contents Executive Summary.... 1 Key Findings... 2 Introduction... 4 Methodology...
More informationHIV & HCV in TN: State of the State
HIV & HCV in TN: State of the State Vanderbilt CCC HIV Symposium Nashville, TN / November 3, 2017 Carolyn Wester, MD, MPH TDH HIV/STD/VH Program Outline HIV Epidemiology Neutralizing the HIV CoC HCV Epidemiology
More informationSTDs among Men who Have Sex with Men (MSM), San Francisco
STDs among Men who Have Sex with Men (MSM), San Francisco 27 212 Applied Research, Community Health Epidemiology, and Surveillance (ARCHES) Population Health Division San Francisco Department of Public
More informationGetting Prepped for PrEP. Ken Ho, MD, MPH World AIDS Day
Getting Prepped for PrEP Ken Ho, MD, MPH World AIDS Day Objectives HIV epidemiology What is PrEP? Does it Work? Who gets PrEP? How do I prescribe PrEP What to do at the first visit? What to do at follow
More informationSexually Transmitted Diseases, Hepatitis C and HIV Epidemiology in North Dakota
Sexually Transmitted Diseases, Hepatitis C and HIV Epidemiology in North Dakota Sarah Weninger, MPH HIV.STD.Viral Hepatitis Prevention Coordinator Great Plains Area Indian Health Service Public Health
More information2.1 Increase 30 day linkage to 85% Statewide 83% (251/301) 84% Unknown 85% Ryan White (identified through EIS or Outreach) 84% (31/37) 90% (44/49) TBD
Objective Population Baseline (2016) 2017 2018 2019 2020 2021 Status 2021 Goal Goal 1: Reduce New HIV Infections Projected 1.1 Aware of HIV status Statewide 88% (1,100 people) 90% (1000 people) Met 90%
More informationAlabama Department of Public Health. Sexually Transmitted Diseases
Alabama Department of Public Health Sexually Transmitted Diseases Annual Report 29 August 16, 21 Dear Alabama Stakeholder: The Division of Sexually Transmitted Disease Prevention and Control of the Alabama
More informationState of Alabama HIV Surveillance 2014 Annual Report
State of Alabama HIV Surveillance 2014 Annual Report Prepared by: Division of STD Prevention and Control HIV Surveillance Branch Contact Person: Richard P. Rogers, MS, MPH richard.rogers@adph.state.al.us
More informationViral Load Suppression/Any HIV Care 84%
1 2 Viral Load Suppression/Any HIV Care 84% 3 Key Policy Advancements 4 Implementati on of 30% rent cap affordable housing project Expansion of data sharing Elimination of written consent for HIV Testing
More informationComprehensive HIV/AIDS Resources and Linkages for Inmates (CHARLI) and Care Coordination (CC) Collaborative. Care Coordination
Comprehensive HIV/AIDS Resources and Linkages for Inmates (CHARLI) and Care Coordination (CC) Collaborative CHARLI CHARLI Contract Monitor Susan Carr HIV Prevention Unit Virginia Department of Health Susan.Carr@vdh.virginia.gov
More informationLinkage, Re- Engagement, Retention, and Data- to- Care
Linkage, Re- Engagement, Retention, and Data- to- Care Mara Michniewicz, M.P.H. Prevention Program Manager Emma Spencer, Ph.D., M.P.H. Surveillance Program Manager Building Infrastructure to Support Linkage
More information