High STD Reinfections in Riverside County Kim Saruwatari Director, - PowerPoint PPT Presentation

High STD Reinfections in Riverside County Kim Saruwatari Director, Riverside University Health System - Public Health

Sexually Transmitted Disease in Riverside County from STDs in 2013-2018 500 Riverside 450 Rate per 100,000 population County 400 350 300 • Riverside County STD trends 250 mirror California overall 200 • From 2017 to 2018, 150 • Chlamydia increased 2% 100 • Gonorrhea increased 22% 50 • Syphilis (P&S) increased 0 21% 2013 2014 2015 2016 2017 2018 Chlamydia Gonorrhea Syphilis (P&S) Source: 2018 Communicable Disease Report, Riverside University Health System – Public Health

Preliminary 534 individuals in Riverside Snapshot of STD County had 5 or more STD Reinfections in infections from 2014-2018 Riverside County 25 of those individuals had 10 or more STD infections from 2014-2018 One individual had 18 infections from 2014-2018

Case-Study of 7 individuals Episode Disease Person Id Age Ethnicity Race Sex Date Reinfections Chlamydia 3758299 27 Unknown White M 11/08/2017 6 Not Hispanic or Chlamydia 670242 43 Latino White M 08/02/2014 14 Syphilis (Early non-primary non- Not Hispanic or secondary) 410681 45 Latino White M 05/04/2015 16 Black or Not Hispanic or African Gonorrhea 391172 22 Latino American M 04/07/2015 13 American Not Hispanic or Indian or Chlamydia 148835 59 Latino Alaska Native M 02/02/2017 16 Syphilis Not Hispanic or (Secondary) 107582 52 Latino White M 06/12/2017 10 Hispanic or Gonorrhea 78911 21 Latino White M 04/24/2015 12 Key: Chlamydia Syphilis Gonorrhea

PersonId DISEASE SEX RACE DateCreated Person ID 670242 CHLAMYDA Male Unknown 4/5/2014 670242 CHLAMYDA Male White 8/5/2014 #670242 670242 SYP-SEC Male White 5/11/2015 670242 CHLAMYDA Male White 3/28/2016 670242 GC Male Oth-Unk 3/28/2016 670242 CHLAMYDA Male White 10/24/2016 • 14 infections/ 670242 SYP-SEC Male White 2/22/2017 reinfections from 670242 CHLAMYDA Male Oth-Unk 2/27/2018 2014 – 2018 670242 GC Male Oth-Unk 2/27/2018 • Each infection is 670242 CHLAMYDA Male Oth-Unk 4/23/2018 either a different 670242 GC Male Oth-Unk 4/23/2018 STD or more than 30 670242 CHLAMYDA Male Oth-Unk 8/27/2018 days apart 670242 CHLAMYDA Male Oth-Unk 12/10/2018 670242 GC Male Oth-Unk 12/10/2018

• 5 out of 7 individuals are also HIV positive, meaning there may be potential HIV transmission as well as additional STD transmission • 4 out of 7 had evidence of a latent syphilis infection • RUHS-PH HIV/STD branch had limited patient interaction with 3 out of 7 patients Summary of • 1 reported meth use • 1 reported only anonymous sex partners Case Study • 5 out of 7 patients are assigned to Riverside University Health System (FQHC’s) • 1 out of 7 had interactions with Behavioral Health • This is a preliminary report of the analysis. Improved methodology is currently being developed.