Presenter Carolyn Tunstall, IPP Coordinator

November 9, 2009

GC Prevention ActivitiesIn New Jersey

Gonorrhea Overview The state of New Jersey reported 5,298 GC cases in

2008. The NJSTD program is divided into three Regional

Areas. Region I reported 1,662 cases of GC ( 31%) Region II reported 1,470 cases of GC ( 28%) Region III reported 2,166 cases of GC ( 41%)

Trends in Reported Gonorrhea Cases1998-2008

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

GC

Cases New Jersey

Newark, NJ

NJ STD Cases Reported by Regions, 2008

22%

38%

40%

32%

44%

24%

31%

28%

41%

Chlamydia

Gonorrhea

Syphilis

REGION IEssex

REGION IIBergenHudsonHunterdonMiddlesexMorrisPassaicSomersetSussexUnionWarren

REGION IIIAtlanticBurlingtonCamdenCape MayCumberlandGloucesterMercerMonmouthOceanSalem

07114

0710507111

0710407017

07103

0701807107

07112

07114

07106

07108

07102

07112GONORRHEA 2008 CASES

<=50

51-10

0

101-1

50

151-2

00>2

00

2008 Gonorrhea Cases in Newark, East Orange, and Irvington

 Zip

Code Gonorrhea 2008 Case

Newark 07102 61

07103 209

07104 83

07105 50

07106 125

07107 107

07108 166

07112 171

07114 29

All Other 14

East Orange 07017 134

  07018 119

Irvington 07111 200

Essex County

0 500 1000

Gonorrhea Cases by Age and Sex – New Jersey (2008)

55%15-24yrs

Males Females

0 500 1000 1500

<1515-1920-24

25-29

50-5455+

45-4940-44

35-3930-34

GC Cases GC Cases

Age

0 100 200

Gonorrhea Cases by Age and Sex – Newark, NJ (2008)

55%15-24yrs

Males Females

0 100 200 300

<1515-1920-24

25-29

50-5455+

45-4940-44

35-3930-34

GC Cases GC Cases

Age

Trends in Reported GC Cases byRace/Ethnicity Over Time, 2004 -2008

0

500

1000

1500

2000

2500

3000

3500

2004 2005 2006 2007 2008

Hispanic AI/AN Asian Black White Other Not Given

GC

Cases

Gonorrhea by Age Group and Provider Type, 2008

0 50 100 150 200 250 300 350

STD

FP

Prenatal/OB

Other

Priv. Phys/HMO

Hospital (Inpat.)

ER

40 & Over

30-39

25-29

20-24

15-19

Under 15

Missing

GC/CT Case Report Data by Provider Type, 2008

Facility Type GC Cases CT CasesHIV Test Sites 4 71STD Clinics 1038 1872Drug Rx Clinics 1 3Family Planning 659 5336Prenatal/Obstetrics 218 1936Other Clinics 484 2674Private Phys./HMO 904 5843Hospital (Inpatient) 886 2565Emergency Room 965 1461Correctional Facility 88 372Laboratory 14 71School-Based Clinics 12 62Military 0 4Unknown 25 135Total 5298 22405

2009 GC Prevention Activities Newark ,Trenton & Camden STD clinics started offering urine

screenings for GC/CT to females and males (< 26 years of age).

Collaborating with NJCRI Mobile unit- to screen adolescences in “hot spots.”

Options for Women- New GC/CT site for female adolescences. Essex & Hudson County Juvenile Detention Center-

collaborates w/ STD field staff to ensure patients and partners are treated in timely manner for CT/GC.

2010 GC Action Plan Partnership w/ “key” stakeholders in Essex County. Partner with community “leaders” Collaborate w/ AHEC Mobile Unit- Camden County. 8 STD clinics- urine screening for GC females/males < 26 years

of age.

Barriers/Challenges…… Limited Resources ( reduction in funding & personnel). Training being available for all employees. Establishing partnerships Patients having access to care ( many rural clinics in Region 3). Due to limited staff, STD clinics reduced hours of operations. Many patients ( target population) are uninsured and utilize hospitals,

emergency rooms for care.

Thank You!!!