Syphilis Disease Trends

1
Syphilis Disease Trends

• HOUSTON/HARRIS COUNTY August, 2007
• Houston DHHS
• Bureau of Epidemiology

2
(No Transcript)
3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
City-wide Thresholds
12
Syphilis in Houston/Harris County A profile
of the Acres Homes community Houston DHHS
Bureau of HIV/STD Viral Hepatitis Prevention
13
Cases by yr of closure

• Cases reviewed for this analysis are counted in
  the year of closure. Final case classification
  is determined at time of closure after all
  disease intervention opportunities have been
  exhausted.

14
Acres Homes - 77088 and 77091 Cases closed by
diagnosis and yr of closure
15
Acres Homes- 77088 and 77091

• Most frequently reported providers
• 2005
• 25 - Harris County Jail
• 8 - COH Lyons STD
• 2006
• 20 Harris County Jail
• 19 COH- Medical Center Clinic
• 11 COH- Mobile Clinic
• 2007
• 23 Harris County Jail
• 13 COH- Medical Center Clinic
• 8 COH- Lyons Health Center

16
Acres Homes- 77088 and 77091

• 2007- Cases closed thru 7-27-07
• Sex
• 62 male
• 38 female
• Race/Ethnicity
• 75 African-American
• 10 Hispanic
• 10 White
• 5 Unknown
• Age range 18 65 yrs old.

17

• Most frequently reported risk factors
• 2007 cases
• Oral sex - 50 of males 45 of females
• Anonymous sex 38 of males 25 of females
• Trading sex for drugs/money- 30 of females
  22 of males
• Crack usage - 25 of females 9 of males
• Sex with a crack user - 25 of males 15 of
  females
• Non-injecting drug use other than crack
• 20 of females 13 of males
• MSM - 16 of males

18
Interventions

• Disease intervention interviews
• Partner/cluster notification
• Mobile Clinic Outreach
• Use of expanded treatment protocols
• CBO collaborations
• Intervention Locations
• W. Little York _at_ Carver
• W. Little York _at_ W. Montgomery
• Antoine _at_ De Soto

19
Next Steps

• Acres Homes
• Enhance screening at Harris County Jail and offer
  expanded treatment to at-risk persons.
• Intensify interventions around identified key
  locations.