Chlamydia Screening in Tower Hamlets Dr Jane Hutchinson
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Chlamydia Screening in Tower Hamlets Dr Jane Hutchinson 14 th January 2016
Headlines • Reducing undiagnosed Chlamydia remains a key Public Health Outcome Framework indicator across the UK • The detection rate indicator (DRI) required to reduce the incidence of infection is 2, 300 cases per 100, 000 population annually. • In 2014 DRI in TH was 1877 – 19/33 Local Authorities in London – 127/326 LA in England • Whilst improvement has been made, locally we remain some way from the DRI
Chlamydia testing among 15 -24 year olds in Tower Hamlets Test service type Year Number accepting a test Coverage Notes GUM 2013 2014 4506 5090 10. 8% 12. 2% Pop estimate = 41, 719 SRH 2013 2014 2389 2447 5. 8% GP 2013 2014 2707 2998 6. 5% 7. 2% Pharmacy 2013 2014 84 42 0. 1% TOP 2013 2014 192 30 <0. 05% NK & Other 2013 2014 626 732 1. 9% Total 2013 2014 10404 11339 24. 9% 27. 2%
Chlamydia diagnoses among 15 -24 year olds in Tower Hamlets Test service type Year Number of tests Number of infections Positivity GUM 2013 2014 4506 5090 322 450 7. 1% 8. 8% SRH 2013 2014 2389 2447 154 156 6. 4% GP 2013 2014 2707 2998 109 137 4% 4. 6% Pharmacy 2013 2014 84 42 8 <5 9. 5% - TOP 2013 2014 192 30 6 <5 3. 1% - NK & Other 2013 2014 526 732 27 37 5. 1% Total non. GUM 2013 2014 5898 6249 304 333 5. 2% 5. 3% Total 2013 2014 10404 11339 626 783 6% 6. 9% DRI 1501 1877
How are we driving improvement? • Increasing accessibility to testing: – Self sampling available across range of settings including >40 Community Pharmacies – Increase in targeted campaigns promoting testing to 15 -24 year olds • Preventing spread and re-infection: – Focused efforts to improve partner treatment and testing • PN outcome rate in GUM, pharmacy & CASH = 1. 05 achieved (vs. 0. 6 BASHH/NCSP standard) – Improving retest rates among those diagnosed with infection at 3 months (currently 35%; includes GP)
What do we want from General Practice? • Follow EMIS prompt and offer annual screen to any 1524 year olds accessing practice – 20 -24 year olds & MSM in Tower Hamlets have higher rates of infection than national average • Continue to treat and initiate partner notification for any patients diagnosed – 41% of people attending as contacts of infection locally tested positive for Chlamydia • Ensure all patients diagnosed with Chlamydia are offered a retest after 3 months – 7% of patients test positive at this time – Inform patients of this when you treat them
