STD PREVENTION AND CONTROL IN SAN DIEGO COUNTY M. Winston Tilghman, - - PowerPoint PPT Presentation

▶
std prevention and control
SMART_READER_LITE
LIVE PREVIEW

STD PREVENTION AND CONTROL IN SAN DIEGO COUNTY M. Winston Tilghman, - - PowerPoint PPT Presentation

May 08, 2023 122 likes •296 views

STD PREVENTION AND CONTROL IN SAN DIEGO COUNTY M. Winston Tilghman, M.D. County of San Diego Health and Human Services Agency Division of Public Health Services HIV, STD, and Hepatitis Branch CHEAC Annual Meeting October 17, 2018 PUBLIC

slide-1
SLIDE 1

STD PREVENTION AND CONTROL IN SAN DIEGO COUNTY

  • M. Winston Tilghman, M.D.

County of San Diego Health and Human Services Agency Division of Public Health Services HIV, STD, and Hepatitis Branch CHEAC Annual Meeting – October 17, 2018

PUBLIC HEALTH SERVICES

slide-2
SLIDE 2

SAN DIEGO COUNTY

▪ Population: 3.2 million people

slide-3
SLIDE 3

Early Syphilis Cases and Rates by Year San Diego County, 1998-2017

45 48 38 46 72 152 220 314 364 515 519 399 456 454 578 576 668 829 981 1130

0.9 0.9 1.0 0.9 1.3 3.7 4.6 6.3 7.6 11.2 11.0 8.6 8.9 9.3 10.6 11.0 20.5 25.1 29.8 34.1

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 200 400 600 800 1000 1200

Rate per 100,000 Population Number of Cases Year

Cases Rate per 100,000 population

slide-4
SLIDE 4

Cases – Early Syphilis in Women of Childbearing Age (15-49 y/o) & Pregnant Women, Congenital Syphilis, & Stillbirths San Diego County, 2013-2017

18 32 31 40 45 3 8 4 7 3 7 7 9 11 1 2 1 1

5 10 15 20 25 30 35 40 45 50 2013 2014 2015 2016 2017

Number of Cases

Women 15-49 y/o Pregnant Women Congenital Syphilis Stillbirths

Note: Early syphilis includes primary, secondary, and early latent stages of syphilis. Syphilitic stillbirths are included in the congenital syphilis case counts.

slide-5
SLIDE 5

Gonorrhea Cases and Rates by Year San Diego County, 1998-2017

15871560 17971875 21281972 2376 26062767 2385 2016184320192166 2597 2865 3391 3695 4992 5947 58.7 56.7 63.9 65.5 72.9 66.4 78.9 85.7 90.3 77.0 64.2 60.1 65.2 69.5 83.0 90.9 106.2 114.5 151.8 179.7

50 100 150 200 250 1000 2000 3000 4000 5000 6000 7000

Rate per 100,000 Population Number of Cases Year

Cases Rate per 100,000 population

slide-6
SLIDE 6

Chlamydia Cases and Rates by Year San Diego County, 1998-2017

7006 7576 8637 9168 10225102491082211001 11980 12692 1407314266 1533615349 165381604215626 17418 18904 20801 259.2 275.4 306.9 320.1 350.1 344.9 359.5 361.9 390.8 409.9 447.9 465.5 495.5 492.6 528.6 509.2 489.2 539.7 574.8 628.5

100 200 300 400 500 600 700 800 900 1000 5000 10000 15000 20000 25000

Rate per 100,000 Population Number of Cases Year

Cases Rate per 100,000 Population

slide-7
SLIDE 7

STD & HIV Cases by Year San Diego County, 1997-2017

slide-8
SLIDE 8

STD PROGRAM PRIORITIES

Prevent congenital syphilis Prevent other complications of syphilis (neuro, ocular disease) Prevent complications of untreated gonorrhea & chlamydia Prevent the development/spread of antibiotic-resistant gonorrhea Integrate HIV prevention into STD case investigations Ensure availability of testing & treatment services Support & educate local healthcare providers

slide-9
SLIDE 9

SURVEILLANCE

California Gonorrhea Surveillance System (CGSS) Gonococcal Isolate Surveillance Project (GISP) Active STD Case Surveillance

slide-10
SLIDE 10

DISEASE INTERVENTION

Male Rectal Gonorrhea (HIV-) Male Primary & Secondary Syphilis Syphilis – Females of Childbearing Age

slide-11
SLIDE 11

STD PREVENTION & OUTREACH

Don’t Think, Know Chlamydia Screening Project STD Community Intervention Project MSM Community Engagement

slide-12
SLIDE 12
slide-13
SLIDE 13

STD CLINICAL SERVICES

County Health Services Complex (Rosecrans) South Region Public Health Center Central Region Public Health Center North Coastal Public Health Center

slide-14
SLIDE 14

STD CLINIC LOCATIONS

slide-15
SLIDE 15

PROVIDER SUPPORT

STD Consultation Pager Clinical Training Syphilis Histories Coming Soon: Public Health Detailing

slide-16
SLIDE 16

REPORTS & COMMUNICATIONS

slide-17
SLIDE 17

QUESTIONS?