contributing agency population (based on 08 est sdc) total early latent syphilis % of state...

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KENTUCKY MORBIDITY TRENDS (2006-2009) 2006 2007 2008 2009 0 10 20 30 40 50 60 70 80 90 100 73 56 93 92 36 34 47 64 0 0 1 2 P&S Early Congential

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Page 1: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

KENTUCKY MORBIDITY TRENDS (2006-2009)

2006 2007 2008 20090

10

20

30

40

50

60

70

80

90

100

73

56

93 92

36 34

47

64

0 0 1 2

P&SEarlyCongential

Page 2: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

2009KENTUCKY TOTAL EARLY SYPHILISHIGH MORBIDITY AREAS

CONTRIBUTINGAGENCY

POPULATION(based on 08 est SDC)

Total Early Latent

Syphilis

% of State Total Rate/100,000

JEFFERSON 713,877 56 36% 7.8

FAYETTE 282,114 46 29% 16.3

KY Total 4,269,245 156 100% 3.7

Page 3: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

2006 2007 2008 2009

7.1

6.0

14.3

16.3

7.3

5.36.1

7.8

2.3 2.1

3.3 3.7

Total Early SyphilisRate/100,0002006 - 2009Fayette Co. Jefferson Co. Kentucky

Page 4: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

2006 – 2009TOTAL EARLY SYPHILIS TRENDS BY RACE

2006 2007 2008 20090

10

20

30

40

50

60

70

80

90

100

2634

3846

71

47

83

94

0 1 0 17 4

915

0 1 0 0

African AmericanWhiteAsianHispanicAm Indian

Page 5: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

PRIMARY AND SECONDARY SYPHILIS CASES7/1/09 – 12/31/09

2009 Total Cases HIV(+) HIV ( - ) HIV Unk

P&S♂ 65 36 16 13

P&S ♀ 2 1 0 1

Page 6: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

MALE PRIMARY & SECONDARY SYPHILIS 7/1/09 – 12/31/09

HIV Pos-itive55%

HIV Neg-ative25%

HIV Un-

known20%

HIV PositiveHIV NegativeHIV Unknown

Page 7: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

P&S SYPHILIS MSM RISK FACTOR 7/1/09 – 12/31/09

MSM HIV POSITIVE

64%

MSM HIV NEG23%

MSM HIV UNK13%

MSM HIV POSITIVEMSM HIV NEGMSM HIV UNK

Page 8: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

CHALLENGES

Continuing MSM and HIV co-infected cases

Silo mentality towards HIV prevention and STD prevention

Lack of clear vision in approaching the MSM cases (Management’s responsibility)

Training issues involving seasoned staff (Both technical and motivational)

Inadequate surveillance system

Page 9: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

CURRENT ACTIVITIES

Partnership with community partners to make inroads into hard to reach groups and individuals

Capacity building and training with the STD staff. Providing training from ground up mind set, including expanding Internet Partner Services

Changes in clinical operations (Jefferson County)

Page 10: CONTRIBUTING AGENCY POPULATION (based on 08 est SDC) Total Early Latent Syphilis % of State TotalRate/100,000 JEFFERSON713,877 5636%7.8 FAYETTE282,114

FUTURE PLANS

Hire Surveillance Coordinator Integrate HIV/STD prevention efforts Change the role of DIS Additional training? Partnerships with HIV care providers,

i.e. WINGS clinic Increase usage of internet partner

notification (Create official protocol)