Gonorrhea Data and Challenges In California Indian Country Richelle Harklerode, MPH Associate Epidemiologist California Tribal Epidemiology Center California Rural Indian Health Board

Tribal Epidemiology Centers (TECs) = IHS DEDP  = TEC = Not covered by TECs

Misclassification What is your race? 53% of AIAN in California are multi-racial CTEC linkage study 60% misclassification in hospitalizations by the state 65% underreporting of deaths by the state 16% underreporting of deaths by IHS h

Data Access Tribes IHS State Other federal agencies

Geography Indian Health Centers

Small Communities Confidentiality Traditions and Social Norms Stigma

California Gonorrhea Rates 2004 IHS reported for the 37 counties AIAN = 41.7 Total US = CDPH reported AIAN = 36.1 White = 25.1 Total CA = 66.7

CDC Gonorrhea Rates for California

Thank You! Richelle Harklerode, MPH x1603