1. Office of HIV, STD, and Hepatitis C Services CDRs (Communicable Disease Reports) How and Why? STATEWIDE STD MEETING September 2, 2009 Arshad Aziz ADHS/STD Epidemiologist

2. OLD CDR FORM

3. NEW CDR FORM

5. New Communicable Disease Reports –http://www.azdhs.gov/phs/hvstdhpc/CDRRep ortFinal_fill3.pdfhttp://www.azdhs.gov/phs/hvstdhpc/CDRRep ortFinal_fill3.pdf It is ‘pdf’ file and fill able but you can not save data.

6. Reporting Updated Administrative Rules for Provider Reporting (R9-6-202) –http://www.azdhs.gov/phs/oids/code.htmhttp://www.azdhs.gov/phs/oids/code.htm

8. 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.

9. Reporting (Cont’d)

10. 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.

11. 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)

12. 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

13. 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

14. 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

15. Chlamydia Jan-June 2008 Male Jan-June 2008 Femal e Jan-June 2008 Total Jan-June 2009 Male Jan-June 2009 Femal e Jan-June 2009 Total White, Non- Hispani c 64118532494 615 15822207 Black, Non- Hispani c 362586 948 417 502923 Hispanic 9102817 37288332535 3379 Asian/PI 12 77 8922 57 79 American Indian/ Alaska Native 25010811333157807964 Mixed 52631132033 Other (Unkno wn) 26(899) 63(2771) 89(3671) 20(1136) 55(3726) 76(4871) Total 31059274123833213928412532 Arizona Department of Health Services 2010 Comprehensive Sexually Transmitted Disease (STD) Prevention Systems Cooperative Agreement No. 1 H25 PS001385 2009 Interim Progress Report APPENDIX A: Required Data Tables

16. CDR RECEIVED, Arizona 2006- 2008 Note: Syphilis cases are not included

17. %CDR Received, Arizona 2006- 2008 Note: Syphilis cases are not included

18. Syphilis Cases Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8

19. Gonorrhea Cases- Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8

20. Chlamydia Cases- Lag Time Between Collection and CDRs Received Dates, Arizona 2006-8

21. 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.Arizona Administrative Code (AAC) R9-6-202, 203, 204, and 205

22. 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.

23. Contact Information Arshad Aziz Epidemiologist II Arizona STD Control Program 150 N.18th Ave Phoenix AZ 85007 P (602)364-4759 F (602)364-2119 Email: aziza@azdhs.govaziza@azdhs.gov Kerry M. Kenney Sr. Public Health Advisor Arizona STD Control Program 150 North 18 th Avenue, Suite 140 Phoenix, Arizona 85007 Phone: (602) 364-2124 Fax:(602) 364-2119 E-Mail:kenneyk@azdhs.govkenneyk@azdhs.gov

24. ADHS STD WEBSITE http://wwW.azdhs.gov/phs/oids/std/index.h tmhttp://wwW.azdhs.gov/phs/oids/std/index.h tm