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
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