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 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
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
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
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
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
MALE PRIMARY & SECONDARY SYPHILIS 7/1/09 – 12/31/09
HIV Pos-itive55%
HIV Neg-ative25%
HIV Un-
known20%
HIV PositiveHIV NegativeHIV Unknown
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
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
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)
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)