1. Universal Voluntary Screening of Adolescents for Gonorrhea and Chlamydia in a School Based Clinic .
Meg Rosenberg, M.D., Montefiore School Health Program
Marji Gold, M.D., Department of Family and Community Medicine, Montefiore Medical Center
Mayris Webber, Dr.P.H., Department of Epidemiology and Population Health, Montefiore Medical Center
David Appel, M.D., Project Director, Montefiore School Health Program
Corresponding presenter: Meg Rosenberg, M.D. at

2. Statement of Problem Why is a new approach to screening for Chlamydia and Gonorrhea important?

3. Can we screen more of our patients and diagnose more infections with universal voluntary testing? 2

4. Materials and Methods

5. Materials and Methods 2

6. Results 1 Proportion of students tested doubled during the first 5 months of the study period

7. Results 2 How many young women were tested?

9. Results Twice as many infections were identified during the first five months of the study period relative to usual care

10. Results 4 Why do patients decline testing?

11. Conclusions

12. Recommendations
Universal voluntary screening may be an effective way of diagnosing and treating asymptomatic chlamydia and gonorrhea infections in both young men and young women.
Further study needed to determine optimal screening intervals for young persons and to develop screening recommendations for young men
Potential values and harms of universal screening for young persons need to be considered
Research needed to understand health-care seeking behaviors of young men