ADHS AND COUNTY STD CONTROL AND PREVENTION PROCESSES AND ACTIVITIES - PowerPoint PPT Presentation

Loading...

PPT – ADHS AND COUNTY STD CONTROL AND PREVENTION PROCESSES AND ACTIVITIES PowerPoint presentation | free to view - id: 11d931-NTI5N



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

ADHS AND COUNTY STD CONTROL AND PREVENTION PROCESSES AND ACTIVITIES

Description:

Updated Administrative Rules for Provider Reporting (R9-6-202) ... the preceding 12 months OR negative syphilis serology in the preceding 12 months ... – PowerPoint PPT presentation

Number of Views:150
Avg rating:3.0/5.0
Slides: 35
Provided by: char457
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: ADHS AND COUNTY STD CONTROL AND PREVENTION PROCESSES AND ACTIVITIES


1
  • ADHS AND COUNTY STD CONTROL AND PREVENTION
    PROCESSES AND ACTIVITIES
  • Kerry Kenney
  • ADHS/STDP
  • STATEWIDE STD MEETING
  • April 25, 2008

2
Topics
  • Reporting
  • Chlamydia, Gonorrhea, Chancroid, LGV and Syphilis
    Case Follow-up
  • Inter-jurisdictional Case Transfers
  • Outbreak Detection and Follow-up
  • STD Training Opportunities
  • Performance Measures

3
Reporting
  • Updated Administrative Rules for Provider
    Reporting (R9-6-202)
  • http//www.azdhs.gov/phs/oids/code.htm
  • New Communicable Disease Reports
  • http//www.azdhs.gov/phs/hvstdhpc/CDRReportFinal_f
    ill3.pdf

4
(No Transcript)
5
(No Transcript)
6
(No Transcript)
7
Reporting
  • Updated Administrative Rules for Provider
    Reporting (R9-6-202)
  • New Communicable Disease Reports
  • http//www.azdhs.gov/phs/hvstdhpc/CDRReportFinal_f
    ill3.pdf
  • 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.

8
Reporting
  • What Do We Want?
  • Providers report directly to their county health
    department
  • Other local health agencies receiving reports
    forward or copy and 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)

9
STD Case Follow-up
  • Updated Administrative Rules for STD Control
    Measures and STD Related Testing and Notification
  • Control Measures for Communicable Diseases and
    Infestations (R9-6-313, 314, 332, 375)
  • STD Related Testing and Notification
    (R9-6-1102-1104)

10
STD Case Follow-up Chlamydia and Gonorrhea
  • Review CDRs received from providers for
    completeness and accuracy
  • Offer or arrange for treatment for each chlamydia
    or gonorrhea case that seeks treatment from the
    local health agency
  • Inform case that they must notify all sexual
    contacts within 60 days of symptoms or diagnosis
    up to the date of treatment of the need for
    testing/treatment

11
STD Case Follow-up Chlamydia and Gonorrhea
(contd)
  • Provide each case seeking treatment with health
    information including confidentiality of results,
    a description of the disease, treatment options,
    and risk reduction measures
  • Offer or arrange treatment for each contact of a
    case who seeks treatment from the local agency
    (consider EPT)
  • Provide contact with same health information as
    provided to a case

12
STD Case Follow-up Syphilis, LGV and Chancroid
Investigations
  • State STD Program requires chancroid, LGV, and
    syphilis case management activities be conducted
    only by individuals who have completed CDC
    Employment Development Guide module training and
    attended CDC Introduction to STD Intervention or
    Fundamentals of STD Intervention course
  • State STD Program has assigned Program staff to
    assist counties with syphilis, LGV and chancroid
    investigations

13
STD Case Follow-up Lymphogranuloma Venereum (LGV)
  • Notify State STD Program immediately and follow
    instruction for collection and shipment of swab
    and serum specimens to State/CDC
  • Conduct an epidemiologic investigation of each
    reported or suspect LGV case and submit a
    detailed written report
  • Enhanced Interview Record
  • CDC Lymphogranuloma Venereum (LGV) Suspected
    Case-Patient Information (ver.12.0, revised
    5/4/2005) Must be submitted to State/CDC along
    with specimens collected

14
STD Case Follow-up LGV (contd)
  • Offer or arrange for treatment for each LGV case
    that seeks treatment from the local health agency
  • Inform LGV case that they must notify all sexual
    contacts within 60 days preceding treatment
  • Provide each LGV case seeking treatment with
    health information including confidentiality of
    results, a description of the disease, treatment
    options, and risk reduction measures

15
STD Case Follow-up LGV (contd)
  • Notify each contact to a LGV case of exposure to
    the disease and of the need for testing/
    treatment
  • Offer or arrange treatment for each contact of a
    LGV case who seeks treatment from the local
    agency
  • Provide contact with same health information as
    provided to a case

16
STD Case Follow-up Syphilis
  • Conduct an epidemiologic investigation of each
    reported or suspect syphilis case and submit a
    detailed written report (R9-6-206(D))
  • Enhanced Interview Record
  • Congenital Syphilis Case Investigation and Report
    (CDC 73.126)
  • Offer or arrange for treatment for each syphilis
    case that seeks treatment from the local health
    agency
  • Inform syphilis case that they must notify all
    sexual contacts within the appropriate time frame
    preceding treatment based on the stage of disease
    as follows

17
STD Case Follow-up Syphilis (contd)
  • Syphilis Interview Periods for Contacts
  • Primary Syphilis
  • 4 months and 1 week prior to date of treatment
  • Secondary Syphilis
  • 8 months prior to date of treatment
  • Early Latent Syphilis
  • 1 year preceding date of treatment
  • Latent Syphilis of Unknown Duration
  • 1 year prior to date of treatment
  • Late Latent Syphilis
  • 1 year prior to date of treatment

18
STD Case Follow-up Syphilis (contd)
  • Syphilis Disease Stages
  • Primary
  • Chancre or other appropriate symptom(s) of
    primary syphilis present at time of first
    examination
  • Secondary
  • Rash or other symptom(s) appropriate for
    secondary syphilis present at time of first
    examination AND a titer 14
  • Early Latent
  • History of primary or secondary syphilis symptoms
    in the preceding 12 months OR negative syphilis
    serology in the preceding 12 months OR 4-fold
    increase in titer in the preceding 12 months OR
    epidemiologic link to an independently confirmed
    early syphilis case

19
STD Case Follow-up Syphilis (contd)
  • Syphilis Disease Stages (contd)
  • Latent Syphilis of Unknown Duration
  • Case does not meet early latent criteria AND
    patient is 35 or younger AND titer is 132 or
    higher
  • Late Latent Syphilis
  • Latent syphilis in a patient with no evidence of
    having acquired the disease within the preceding
    12 months AND whose age and titer do not meet
    criteria for latent syphilis of unknown duration
  • Note All diagnoses of syphilis must be
    associated with a reactive treponemal test
    (FTA or TP-PA) OR positive darkfield exam.

20
STD Case Follow-up Syphilis (contd)
  • Provide each syphilis case seeking treatment with
    health information including confidentiality of
    results, a description of the disease, treatment
    options, and risk reduction measures
  • Notify each contact to a syphilis case of
    exposure to the disease and of the need for
    testing/ treatment
  • Offer or arrange treatment for each contact of a
    syphilis case who seeks treatment from the local
    agency
  • Provide contact with same health information as
    provided to a case

21
STD Case Follow-up Chancroid
  • Conduct an epidemiologic investigation of each
    reported or suspect chancroid case and submit a
    detailed written report (R9-6-206(D)
  • Enhanced Interview Record
  • Offer or arrange for treatment for chancroid case
    that seeks treatment from the local health agency
  • Inform case that they must notify all sexual
    contacts within 10 days of symptom onset of the
    need for testing/treatment

22
STD Case Follow-up Chancroid (contd)
  • Provide each case seeking treatment with health
    information including confidentiality of results,
    a description of the disease, treatment options,
    and risk reduction measures
  • Notify each contact to a chancroid case of
    exposure to the disease and of the need for
    testing/ treatment
  • Offer or arrange treatment for each contact of a
    case who seeks treatment from the local agency
  • Provide contact with same health information as
    provided to a case

23
STD Case Follow-up STD Case Management Forms
  • New 6-page CDC Enhanced Interview Record
  • Effective January 1, 2008, required report form
    for syphilis and chancroid cases
  • Forms, instructions, and PowerPoint training
    program available from the STD Program

24
STD Case Follow-up STD Case Management Forms
(contd)
  • CDC Field Record (CDC 73.2936
  • Used to conduct positive laboratory report and
    contact investigations
  • required form for syphilis, chancroid and
    outbreak investigations
  • Forms and instructions available from the STD
    Program

25
STD Case Follow-up STD Case Management Forms
(contd)
  • CDC Visual Case Analysis (VCA) form
  • Required form for syphilis, chancroid and
    outbreak investigations
  • At-a-glance tool for determining exposure gaps
    and performing source spread analysis

26
STD Case Follow-up STD Case Management Forms
(contd)
  • CDC Congenital Syphilis Case Investigation and
    Report form (CDC 73.126)
  • Used to evaluate congenital syphilis status
  • Required Report form for State STD Program and
    CDC
  • Forms and instructions available from the STD
    Program

27
STD Case Follow-up STD Case Management Forms
(contd)
  • CDC LGV Case-Patient Information form (5 page)
  • Required form for reporting confirmed or
    suspected LGV to State/CDC
  • Form must be submitted to State/CDC along with
    specimens

28
Inter-jurisdictional Case Transfers
  • All STD case investigations with actionable
    locating information belonging to another
    jurisdiction, whether in-state or out-of-state,
    should be sent to State STD Programs ICCR
    (Inter/Intra-state Communication Control Record)
    Desk for forwarding
  • Positive laboratory reports
  • STD contact investigations
  • State ICCR Desk Contact Information
  • Phone (602) 364-4654 FAX (602) 364-2119

29
Outbreak Detection and Follow-up
  • Local health agencies are responsible to report
    any syphilis outbreak to the STD Program, conduct
    an epidemiologic investigation of the outbreak,
    and submit an outbreak investigation report to
    the STD Program AAC R9-6-206 (F), R9-6-375 (C)
  • The STD Program has developed an STD Outbreak
    Response Plan that can be used/adapted by local
    health agencies
  • Includes recommended outbreak threshold criteria
  • Includes recommended response organization and
    activities
  • The STD Program will provide outbreak assistance
    to local health agencies

30
STD Training Opportunities
  • California STD/HIV Prevention Training Center
  • (CA PTC)
  • On or off-site and online training available
  • Clinical
  • Behavioral
  • Partner Services
  • Several courses hosted by the State STD Program
  • Contact Information
  • http//www.stdhivtraining.org

31
STD Training Opportunities
  • Examples of Courses Offered Through CA PTC
  • Introduction to STD Intervention (9 days)
  • Fundamentals of STD Intervention (4 days)
  • Training Operating for Safety around Field
    Encounters (2 days)
  • Using Surveillance and Data for STD/HIV Programs
    (2 days)
  • HIV Disclosure Partner Services Training for
    PCRS (2 days)
  • Bridging Theory and Practice Applying Behavioral
    Theory to STD/HIV Prevention (2 days)
  • Fundamentals of STDs in Clinical Practice (3
    days)
  • 28th Annual Reproductive Health Symposium (2
    days)
  • Comprehensive Risk Counseling and Services (3
    days)

32
STD Training Opportunities
  • CDC Resources
  • CDC STD Program Tools
  • http//www.cdc.gov/std/program
  • Public Health Training Network
  • http//www2.cdc.gov/phtn
  • HIV/AIDS Training and Resources
  • http//www.cdc.gov/hiv/conferences.htm
  • Other Resources
  • National Coalition of STD Directors
  • http//www.ncsddc.org
  • STD Prevention Online
  • http//www.stdpreventiononline.org

33
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

34
Contact Information
  • Kerry M. Kenney
  • Sr. Public Health Advisor
  • Arizona STD Control Program
  • 50 North 18th Avenue, Suite 140
  • Phoenix, Arizona 85007
  • Phone (602) 364-2124
  • Fax (602) 364-2119
  • E-Mail kenneyk_at_azdhs.gov
About PowerShow.com