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

high std reinfections in riverside county
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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


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High STD Reinfections in Riverside County

Kim Saruwatari Director, Riverside University Health System - Public Health

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SLIDE 2

STDs in Riverside County

50 100 150 200 250 300 350 400 450 500

2013 2014 2015 2016 2017 2018

Rate per 100,000 population

Sexually Transmitted Disease in Riverside County from 2013-2018

Chlamydia Gonorrhea Syphilis (P&S)

  • Riverside County STD trends

mirror California overall

  • From 2017 to 2018,
  • Chlamydia increased 2%
  • Gonorrhea increased

22%

  • Syphilis (P&S) increased

21%

Source: 2018 Communicable Disease Report, Riverside University Health System – Public Health

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Preliminary Snapshot of STD Reinfections in Riverside County

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

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Case-Study of 7 individuals

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

Chlamydia Syphilis Gonorrhea Key:

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Person ID #670242

PersonId DISEASE SEX RACE DateCreated 670242 CHLAMYDA Male Unknown 4/5/2014 670242 CHLAMYDA Male White 8/5/2014 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 670242 SYP-SEC Male White 2/22/2017 670242 CHLAMYDA Male Oth-Unk 2/27/2018 670242 GC Male Oth-Unk 2/27/2018 670242 CHLAMYDA Male Oth-Unk 4/23/2018 670242 GC Male Oth-Unk 4/23/2018 670242 CHLAMYDA Male Oth-Unk 8/27/2018 670242 CHLAMYDA Male Oth-Unk 12/10/2018 670242 GC Male Oth-Unk 12/10/2018

  • 14 infections/

reinfections from 2014 – 2018

  • Each infection is

either a different STD or more than 30 days apart

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SLIDE 6

Summary of Case Study

  • 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
  • ut of 7 patients
  • 1 reported meth use
  • 1 reported only anonymous sex partners
  • 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.