1. Gonorrhea Epidemiology & Prevention Program Efforts in Ohio Region V Gonorrhea Control Meeting February 2, 2010 Jen Keagy, MPH, CHES STD Program Manager Ohio Department of Health

2. Gonorrhea in Ohio, 1953-2008 Source: ODH STD Surveillance

3. Gonorrhea in Ohio, 1999-2008 Source: ODH STD Surveillance

4. Gonorrhea in Ohio by Age Group, 2008 Source: ODH STD Surveillance

5. Gonorrhea in Ohio by Sex, 2008 Source: ODH STD Surveillance

6. Gonorrhea in Ohio by Race, 2008 Source: ODH STD Surveillance

7. Gonorrhea in Ohio by Age Group and Race, 2008 *Only includes cases where both Age and Race were reported (n =12,133). Source: ODH STD Surveillance

8. Gonorrhea in Ohio by Rate per 100,000 Persons, 2008 Source: ODH STD Surveillance

9. GC National Rankings - 2008 Ohio – 10 th  Franklin County (Columbus) – 9 th  Hamilton County (Cincinnati) – 11 th  Cuyahoga County (Cleveland) – 20 th  Montgomery County (Dayton) – 62 nd Source: CDC – STD Surveillance Report 2008

10. IPP All GC testing done at the Ohio Department of Laboratory is through the IPP. 85 IPP Sites –38 Family Planning, 35 STD, 11 Juvenile Detention Center, 1 Adult Correction 1% positivity rate required by ODH to be eligible for GC testing. 22 sites do only CT testing since they have fallen below 1% positivity for 12 months –17 Family Planning, 5 STD

11. IPP 60,334 GC tests were run in 2009 for the IPP 1,773 tests were positive 2.9 % positivity rate overall for IPP

12. GISP Ohio has participated in the monitoring of trends in antimicrobial susceptibilities of strains of GC since the program began at CDC. In 1991, the Cleveland Clinic Laboratory was established as a Regional Reference Laboratory. Both the Cincinnati and Cleveland City Health Department STD clinics participate as sentinel sites for specimen collection as part of this project.

13. DIS ODH provides funding for 22 FTE DIS employed at the local health district level. Local DIS are only responsible for providing partner notification services for HIV and syphilis cases.

14. SANDUSKY WILLIAMS DEFIANCE HENRY LUCAS FULTON WOOD PAULDING PUTNAM VAN WERT MERCER DARKE PREBLE BUTLER HAMILTON ALLEN AUGLAIZE SHELBY MIAMI MONTGOMERY WARREN CLERMONT HANCOCK HARDIN LOGAN CHAMPAIGN CLARK GREENE CLINTON HIGHLAND BROWN ADAMS SCIOTO PIKE FAYETTE PICKAWAY ROSS FRANKLIN DELAWARE UNION MARION WYANDOT SENECA OTTAWA ERIE HURON CRAWFORD MORROW LORAIN RICH - LAND KNOX LICKING FAIRFIELD HOCKING VINTON JACKSON LAWRENCE GALLIA MEIGS ATHENS WASHINGTON MORGAN PERRY MONROENOBLE ASH- LAND WAYNE MEDINA SUMMIT CUYAHOGA ASHTABULA LAKE GEAUGA TRUMBULL PORTAGE MAHONING COLUMBIANA STARK TUSCA- RAWAS HOLMES CARROLL HARRISON JEFFER- SON COSHOCTON MUSKINGUM GUERNSEY BELMONT MADISON STD Prevention Regions Akron City HD Montgomery Co HD Columbus City HD Toledo City HD Cleveland City HD Youngstown City HD Canton City HD Cincinnati City HD Portsmouth City HD 2 Toledo City HD 3 Cleveland City HD 1 1 2 Youngstown City HD Canton City HD Akron City HD 6 Columbus City HD 2 3 Montgomery County HD Cincinnati City HD 1 Portsmouth City HD 1 Portsmouth City HD Contract

15. Challenges DIS do not provide partner services for GC cases. EPT is not yet available in Ohio. ODH STD Surveillance has an approximate 7- month data backlog for GC and CT cases.

16. Next Steps EPT passage and implementation. The Ohio IPP is reviewing how to improve the CDC Performance Measure on Timeliness of Treatment for GC. Encourage LHDs to enter data themselves. Educate providers on partner services. Comprehensive sex education in the schools.

17. Special Thanks Jim Greenshields – IPP Coordinator Debbie Merz – STD Surveillance Lisa Mills – STD Surveillance Contact Information Jen Keagy, MPH, CHES Phone: 614-466-3173 Email: Jen.Keagy@odh.ohio.gov