STEP UP: NYC DOHMH STD School Screening Progress Meighan Rogers, MPH IPP Region II Mtg December,...
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Transcript of STEP UP: NYC DOHMH STD School Screening Progress Meighan Rogers, MPH IPP Region II Mtg December,...
STEP UP: NYC DOHMH STD School Screening
Progress
Meighan Rogers, MPH IPP Region II MtgDecember, 2007
Background Chlamydia – most commonly reported bacterial
STD nationwide and in NYC (almost 40,000 cases – 2006)
Disproportionately affects adolescents
Chlamydia and gonorrhea (CT/GC) usually asymptomatic
Up to 96% of men and women with CT have no symptoms
Both infections easily cured with antibiotics
NYC Chlamydia Cases by Age and Sex, 2006
Age Number of Cases
Females Males Both
10-14 yrs 354 66 420
15-19 yrs 9,380 2,773 12,153
20-24 yrs 9,459 4,278 13,737
25-29 yrs 4,543 2,672 7,215
30-34 yrs 2,024 1,415 3,439
All other Ages
2,528 1,741 4,269
TOTAL 28,288 12,945 41,233
Behavioral Factors
Females Males
Grade Sexually
ActiveSexuallyActive
9th 34% 48%
10th 43% 52%
11th 46% 55%
12th 58% 59%
All grades 43% 52%
Youth Risk Behavior Survey of approximately 7,000 students, NYC 2005
% of NYC High School Students Who Have Ever Had Sexual Intercourse:
DOE & DOHMH Collaboration
Spring 2006 pilot – 5 schools, private grant 2006-2007 Expansion:
Educated 11,298 students (46 sites) Tested 5420 (48%) Total positivity 4.8% overall (n=262) Treated 99% of students
2007-2008 Expansion: Goal: Educate 30,000 NYC students, test ~15,000 Focus on high morb neighborhoods Less focus on school-based health center (SBHC)
schools
How Does STEP UP Work? Education: 20-minute education
presentation Voluntary Testing:
Students receive brown paper bag with urine cup, contact info sheet, and call-back card
All students complete paperwork All students are brought to bathrooms for
voluntary testing
Treatment and counseling: Conducted at schools, with DOHMH staff/SBHC staff
NYC 2006-2007 ProgramAugust 2007 – November 2007 Totals
# of Schools/Programs Reached
25
# Students Attending Presentations
~7,000
# Students Tested 3479 (50.0%)
Total Positive CT/GC (%)
CT = 250 (7.2%)GC = 22 (0.64%)Coinfections = 7 (.20%)
Treated (%) 92.5%
Testing Results
STD Testing: Of the 7000 educated…
3%6%
91%
CT positive GC positive CT/ GC co-infected
Of the n=272 infections…
CT/GC Positivity Results, by sex
4.6
10.5
7.7
0
2
4
6
8
10
12
CT
/GC
Po
siti
vity
Male
Female
Overall
* Difference between males & females significant at p<.0001
Treatment Rates and Partner Follow Up Treatment rate: 93%
(n=245/265); remainder undergoing follow-up
Locatable partner info elicited from 86 patients (total partners n=101)
Of partners elicited, 53% (53/101) have been treated, others being followed
Acknowledgments Sophie Nurani, STEP UP team, Steve Rubin, Susan
Blank, Kristen Harvey, Julie Schillinger, Robin Recant Roger Platt, Julia Choe - School Health/NYC DOHMH NYC Dept of Education colleagues School-based health center partners School administrations and students
Contact information:Meighan Rogers: 212-788-4428