1. High School-Based STD/HIV Screening Efforts Puerto Rico, 2006-2007 STD/HIV/AIDS Prevention Division Infertility Prevention Project

2. Objectives Describe the STD/HIV screening protocol developed by STD/HIV/AIDS Prevention Division Describe the STD/HIV screening protocol developed by STD/HIV/AIDS Prevention Division Present strategies used and screening process Present strategies used and screening process Summarize findings Summarize findings

3. Background 8% of the total population of Puerto Rico (304,688) is between the ages of 14 to 18 years old*, 8% of the total population of Puerto Rico (304,688) is between the ages of 14 to 18 years old*, 49% are females* 49% are females* Total enrollment for public high schools in 2006 was 118,459 students Total enrollment for public high schools in 2006 was 118,459 students * Census 2000

4. SAN JUAN, PUERTO RICO, 2006 Comparison between students from 9 th to 12th Grade of Publics Schools of Puerto Rico who are sexually active during 2005 Department of Education SAN JUAN, PUERTO RICO, 2006 Year Percent

5. San Juan Background Department of Education PRDOH STD/HIV Prevention Aguadilla Mayagüez Arecibo Ponce Bayamón Caguas Fajardo

6. News Coverage News coverage of collaborative agreement between Secretary of the Department of Health Dr. Rosa Perez Perdomo and Secretary of the Department of Education Dr. Rafael Aragunde. September 2006.

7. Coordination Process PRDOH Prevention Personnel School District School Director Teachers Students Parents

8. STD/HIV Screening Flow Chart Student Syphilis and HIV blood samples Registry and filling of lab slip Chlamydia and G/C sample STD/HIV Pre-test Counseling by DIS and signing of consent STD/ HIV Health Education Tests results distribution and Referral for Treatment

9. Teachers’ Presentation

10. Health Education Registration

11. STD/HIV Pre-test Counseling by DIS and Signing of Consent

12. Chlamydia and Gonorrhea testing

13. Syphilis and HIV blood sample collection

14. RESULTS

15. STD/HIV Screening Source: Puerto Rico IPP 2006-2007 Type of test

16. Distribution by Gender in CT/GC tests (n=1162) Source: Puerto Rico IPP 2006-2007

17. Chlamydia Test Results Distribution by Site Site Total tests of CT/GC Positive test results of Chlamydia % Positivity MFTotalMF 1 3065951788% 2 39 78191013% 3 41751160787% 4 3152830222% 5 57721290000% 5 811242050773% 7 106169275714218% 8*9091181 1 8 95% Total4756871162946565% * We are still receiving results from this site

18. STD Clinic Coverage Metro (CLETS) Fajardo Bayamón Toa Baja Arecibo Isabela Mayagüez Caguas Juncos Humacao Ponce Guayama HIV/STD Clinics: Fajardo, CLETS, Caguas, Bayamón, Mayagüez STD only: Juncos, Ponce, Arecibo, Humacao, Guayama, Isabela and Toa Baja Labs: Metro (San Juan), Ponce and Mayagüez

19. Achievements Development of a unique public health initiative Development of a unique public health initiative Positive response of the students Positive response of the students All CT cases have been treated promptly All CT cases have been treated promptly Reaching priority target group for IPP Reaching priority target group for IPP Higher awareness about CT and GC among high school students Higher awareness about CT and GC among high school students

20. Challenges Fiscal and Human Resources Fiscal and Human Resources Time Consuming Time Consuming School Dynamics School Dynamics

21. Thank you for your attention!