office of hiv, std, and hepatitis c services cdrs (communicable disease reports) how and why?...
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Office of HIV, STD, and Hepatitis C Services
CDRs (Communicable Disease Reports)
How and Why?STATEWIDE STD MEETING
September 2, 2009
Arshad AzizADHS/STD Epidemiologist
OLD CDR FORM
NEW CDR FORM
NEW CDR FORM
NEW CDR FORM
• New Communicable Disease Reports– http://www.azdhs.gov/phs/hvstdhpc/CDRRep
ortFinal_fill3.pdf
• It is ‘pdf’ file and fill able but you can not save data.
Reporting
• Updated Administrative Rules for Provider Reporting (R9-6-202)– http://www.azdhs.gov/phs/oids/code.htm
Reporting• All providers should submit a report within
five working days after a case or suspect case is diagnosed, treated, or detected.
• All laboratories should submit a report within five working days after obtaining a positive test result or a test result specified on this page.
Reporting (Cont’d)
Reporting (Cont’d)
• So Who Reports to Whom?– Administrative Code requires Health Care
Providers to report STDs to the Local Health Agency.
"Local health agency" means a county health department, a public health services district, a tribal health unit, or a U.S. Public Health Service Indian Health Service Unit.
– Administrative Code requires Local Health Agencies to report to the State STD Program.
Reporting (Cont’d)
• What Do We Want?– Providers report directly to their county health
department– Other local health agencies receiving reports
forward the report to the county health department
– County health departments report to the STD Program and also to other local health agencies (i.e., tribal health units, IHS health units)
Why?----- Importance of Reporting
• Effective public health surveillance and disease control
• To ensure effective treatment and follow-up of cases
• Early detection and prevention
• To monitor disease trends over time
Why?----- Importance of Reporting
• To identify high risk groups• To allocate resources- Racial disparity
issues In February of 2009, ADHS staff developed a “missing race” letter to be
sent to providers that have reported chlamydia and gonorrhea cases as
required but not included the race/ethnicity. These “missing race” letters were sent to approximately 700 providers in March 2009 and we received race/ethnicity information for 1160 cases. This information was entered into
central database.
• To develop policy and design prevention programs
Why?----- Importance of Reporting• To support grant application and CDC performance measures• CDC Required Performance Measures beginning with
2005 grant cycle– Medical and Lab Services (1 measure)– Partner Services (6 measures)– Surveillance and Data Management (3 Measures)– Clinical Services (4 Measures)– Syphilis Elimination - Enhanced Surveillance (1Measure)
• STD Program staff may call on County STD staff to request information necessary to respond to the CDC performance measures
ChlamydiaJan-June
2008Male
Jan-June 2008
Female
Jan-June 2008Total
Jan-June 2009
Male
Jan-June 2009
Female
Jan-June 2009Total
White, Non-Hispanic
641 1853 2494 615 1582 2207
Black, Non-Hispanic
362 586 948 417 502 923
Hispanic 910 2817 3728 833 2535 3379
Asian/PI 12 77 89 22 57 79
American Indian/ Alaska Native
250 1081 1333 157 807 964
Mixed 5 26 31 13 20 33
Other (Unknown)
26(899) 63(2771) 89(3671) 20(1136) 55(3726) 76(4871)
Total 3105 9274 12383 3213 9284 12532
Arizona Department of Health Services2010 Comprehensive Sexually Transmitted Disease (STD) Prevention Systems
Cooperative Agreement No. 1 H25 PS0013852009 Interim Progress Report
APPENDIX A: Required Data Tables
CDR RECEIVED, Arizona 2006-2008
CDR Received 2006-8, Arizona
300803182932033
21993
2513726981
0
5000
10000
15000
20000
25000
30000
35000
2006 2007 2008
Year
To
tal N
um
be
r o
f C
as
es
Total Number of Cases
CDR Received
Note: Syphilis cases are not included
%CDR Received, Arizona 2006-2008
% CDR Received, Arizona 2006-2008
73%79%
84%
0
20
40
60
80
100
2006 2007 2008
Year
% C
DR
Rec
eive
d
Note: Syphilis cases are not included
Syphilis Cases Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8
Syphilis Cases Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8
39%
32%
16%13%
31%
21%
12%
36%
14%12%11%
63%
0
10
20
30
40
50
60
70
0-15 16-30 31-60 >60
Lag Time (Days)
% o
f C
ases 2006
2007
2008
Gonorrhea Cases- Lag Time Between Collection and CDRs Received Dates, Arizona
2006-8Gonorrhea cases- Lag Time Between Collection and
CDRs Received Dates, Arizona 2006-8
22% 21%24%
33%
57%
18%
11%14%
63%
17%12%
8%0
10
20
30
40
50
60
70
0-15 16-30 31-60 >60
Lag Time (Days)
% o
f C
ases
2006
2007
2008
Chlamydia Cases- Lag Time Between Collection and CDRs Received Dates, Arizona
2006-8Chlamydia Cases- Lag Time Between Collection and
CDRs Received Dates, Arizona 2006-8
19%21%
25%
35%
47%
21%
16% 16%
52%
21%
16%
11%
0
10
20
30
40
50
60
0-15 16-30 31-60 >60
Lag Time (Days)
% o
f C
ases
2006
2007
2008
Violation of reporting rules • Under
Arizona Administrative Code (AAC) R9-6-202, 203, 204, and 205, a health care provider, an administrator of a health care facility or correctional facility, an administrator of a school, child care establishment, or shelter, or their authorized representatives shall submit a communicable disease report to the local health agency.
Violation of reporting rules
• Violation of reporting rules is a class III misdemeanor and is subject to referral to the facility's licensing agency or provider's state licensing board.
Contact InformationArshad Aziz Epidemiologist IIArizona STD Control Program150 N.18th Ave Phoenix AZ 85007P (602)364-4759F (602)364-2119Email: [email protected]
Kerry M. KenneySr. Public Health AdvisorArizona STD Control Program150 North 18th Avenue, Suite 140Phoenix, Arizona 85007Phone: (602) 364-2124Fax: (602) 364-2119E-Mail: [email protected]
ADHS STD WEBSITE
• http://wwW.azdhs.gov/phs/oids/std/index.htm