Gonorrhea in New Mexico

Dan Burke, MPH STD Program Manager, New Mexico Dept. of Health

Are we seeing a decline?

Gonnorhea Case Trends NM

1235

1120

9211014

11301054

890 857

957 952

11361074

1472

1143

1328

1579

1758 1797

1410

974

0

200

400

600

800

1000

1200

1400

1600

1800

2000

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

* 2009 provisional numbers – based on 6 months of data

*

GC rates by Ethnic group - 2008

Rates are per 100,000 population

200.8

80.9

43.5 30.5

13.4 6.0

71.5

-

50.0

100.0

150.0

200.0

250.0

Af Amer HispanicWhite

AmericanIndian

Whitenon Hisp

Unknown Asian Total

…and number of cases 2008

127

675

84

258 264

2

1408

0

200

400

600

800

1000

1200

1400

1600

Af Amer HispanicWhite

AmericanIndian

Whitenon Hisp

Unknown Asian Total

GC cases by Age and Sex 2008

0

50

100

150

200

250

300

350

1 to 9 10 to 14 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39 40 to 44 45 to 49 55 to 49

Females

Males

IPP Testing Results

Males <25 Males >26 Males Total

Positive 53 40 93

Negative 1523 1260 2783

3.48% 3.17% 3.34%

Females <25 Females >25 Females Total

Positive 42 20 62

Negative 4505 2489 6994

0.93% 0.80% 0.89%

April – June 2008, includes FP and STD clinics

Gonorrhea Interventions

• Most Disease Prevention work in NM is integrated: STD/HIV/Hepatitis

• Focus on strengthening fundamentals of STD program and program improvement– Training at all levels– Operational systems to improve DIS ans front

line supervisory functioning– Systems such as replacing STD-MIS and

electronic lab reporting

Opportunities

• Working on increasing testing at Juvenile Detention settings

• Internet outreach targeting MSM and Gay Men’s Health clinics monthly in Albuquerque

Challenges

• Budget, Hiring freeze on state funded positions

• Recruiting qualified candidates on low salaries

Thank You

Dan Burke

505-476-1778

Daniel.burke@state.nm.us