Arkansas Department of Health STD Program

Telephone: 501-661-2961Email: mark.barnes@arkansas.gov

Overview of Gonorrhea

Reported Cases of Gonorrhea: Reported Cases of Gonorrhea: Arkansas, 1995 - 2008Arkansas, 1995 - 2008

5,596

4,209 3,830 3,663

4,676 4,448 4,206 4,139 4,309 4,170 4,5114,477

3,234

4,673

0

3,000

6,000

9,000

12,000

15,000

18,000

21,000

1995 1997 1999 2001 2003 2005 2007

Year

Nu

mb

er

of

Ca

ses

Rate of Gonorrhea per 100,000 Population: Rate of Gonorrhea per 100,000 Population: Arkansas, 1995 - 2008Arkansas, 1995 - 2008

0

50

100

150

200

250

1995 1997 1999 2001 2003 2005 2007

Year 2010 Objective

(19 per 100,000)

Rates for 1995 to 1999 calculated with 1990 Census denominator. Rates for 2000 to present calculated with 2000 Census denominator.

Year

Ra

te p

er

100

,00

0 P

op

ula

tio

n

Rates of Gonorrhea per 100,000 Population, by Gender: Rates of Gonorrhea per 100,000 Population, by Gender: Arkansas, 2000– 2008Arkansas, 2000– 2008

0

50

100

150

200

250

300

2000 2001 2002 2003 2004 2005 2006 2007 2008

Female

Male

Rates for 2000 to present calculated with 2000 Census denominator.

Year

Ra

te p

er

100

,00

0 P

op

ula

tio

n

Rates of Gonorrhea per 100,000 PopulationRates of Gonorrhea per 100,000 PopulationArkansas, 2008Arkansas, 2008

Select PopulationsSelect Populations

158

31

747786

975

738 755

0

100

200

300

400

500

600

700

800

900

1,000

Total White Black Population15-24

Females 15-24

Black Male BlackFemale

Select Populations

Rat

e p

er 1

00,0

00 P

opu

lati

on

State

Race/EthnicityRace/Ethnicity** among Gonorrhea Cases, by Sex: among Gonorrhea Cases, by Sex: Arkansas, 2008Arkansas, 2008

Hispanic1.6%

American Indian (non-

Hispanic)0%

Asian (non-Hispanic)

0%

White (non-Hispanic)

19.9%

Black (non-Hispanic)

71.1%

N=2,521

Female Gonorrhea Cases

Black (non-Hispanic)

79%

Asian (non-Hispanic)

0%

American Indian (non-

Hispanic)0%

Hispanic2.2%

White (non-Hispanic)

10.2%

N=1,989

Male Gonorrhea Cases

* Race and ethnicity are combined. Persons identified as Hispanic, alone or in combination with any US Census race category, are included in the Hispanic category. Persons in all other race categories are non-Hispanic.

* “Asian” category includes Asian / Pacific Islander / Native Hawaiian groups.

* “American Indian” category includes American Indian and Alaska Native groups.

* Distribution represent cases with a specified race/ethnicity. In 2008, 7.5% of Gonorrhea cases (8.2% male, 6.9% female) had neither race nor ethnicity specified in the disease report. Total N includes cases with unknown race/ethnicity.

Reported Cases of Gonorrhea : Reported Cases of Gonorrhea : Arkansas, Top Five Incidence Counties in 2008Arkansas, Top Five Incidence Counties in 2008

2001– 20082001– 2008

0

200

400

600

800

1,000

1,200

1,400

2001 2002 2003 2004 2005 2006 2007 2008

Pulaski

Jefferson

Crittenden

Mississippi

Criaghead

Rates for 2000 to present calculated with 2000 Census denominator.

Year

Nu

mb

er

of

Ca

ses

2008 Reported Gonorrhea2008 Reported GonorrheaBy Report SourceBy Report Source

ArkansasArkansas

49%

51%

Public

Private

N=4,511

2008 GC Morbidity by Provider Type2008 GC Morbidity by Provider TypeProvider TypeProvider Type # Cases# Cases % Morbidity% Morbidity

STD ClinicSTD Clinic 2,2562,256 50%50%

Hosp/EDsHosp/EDs 352352 8%8%

Family PlanningFamily Planning 269269 6%6%

Other – ScreeningOther – Screening 1,0321,032 23%23%

Other – Non-ScreeningOther – Non-Screening 1515 0%0%

CorrectionsCorrections 2727 1%1%

PMDPMD 545545 12%12%

PrenatalPrenatal 1212 0%0%

UnknownUnknown 33 0%0%

TOTALTOTAL 4,5114,511 100%100%

Electronic Field Records PilotElectronic Field Records Pilot Partnership with Neighboring StatesPartnership with Neighboring States Testing in Nontraditional Areas (i.e. Testing in Nontraditional Areas (i.e.

bookstores) bookstores) Integration of HIV Testing into HIV Care Integration of HIV Testing into HIV Care ProvidersProviders

Switching to NAATSwitching to NAAT Newly Released RFANewly Released RFA

ACCOMPLISHMENTSACCOMPLISHMENTS

Increase Case Load of Gonorrhea and Increase Case Load of Gonorrhea and Chlamydia Chlamydia

Staff Capacity Staff Capacity Developing Internet Based Outreach Developing Internet Based Outreach Growing Partners of BMSM and WMSMGrowing Partners of BMSM and WMSM IDU/Drug UsersIDU/Drug Users Community Capacity Community Capacity Doing More for LessDoing More for Less

CHALLENGESCHALLENGES

Internet Work GroupInternet Work Group Policy for Access to Relevant WebsitesPolicy for Access to Relevant Websites Outreach Strategy Outreach Strategy

Increasing Community PartnershipIncreasing Community Partnership Increasing Peer LeadersIncreasing Peer Leaders Integrating Community and ADHIntegrating Community and ADH Integration of HIV Prevention with Care Integration of HIV Prevention with Care

Providers Providers

FUTURE PRIORITIESFUTURE PRIORITIES

THANK YOU!THANK YOU!