STDs and HIV in Clark County Kari Haecker

STDs and HIV in Clark County Kari Haecker Program Manager HIV/AIDS Prevention and Control Services March 28, 2018

Outline • Overview of local STD trends • Snapshot of HIV in Clark County • STD/HIV investigation process 2

Chlamydia 3

Gonorrhea 4

STD Demographics in Clark County Chlamydia Cases, 2017 Total Cases = 1858 Clark County Gonorrhea Cases, 2017 Total Cases = 508 Clark County Syphilis Cases, 2017 Total Cases = 80 Gender n % 56. 3% Male 60 75. 0% 222 43. 7% Female 20 25. 0% Age Group n % 10 -14 0 0. 0% 15 -24 168 33. 1% 15 -24 15 18. 8% 25 -34 181 35. 6% 25 -34 32 40. 0% 35 -44 112 22. 0% 35 -44 12 15. 0% 7. 1% 45 -54 34 6. 7% 45 -54 16 20. 0% 51 2. 7% 55 -64 11 2. 2% 55 -64 5 6. 3% 55 -64 20 1. 1% 65+ 2 0. 4% 65+ 0 0. 0% 65+ 3 0. 2% Gender n % Male 604 32. 5% Female 1254 67. 5% Age Group n % 10 -14 10 0. 5% 15 -24 1182 63. 6% 25 -34 461 24. 8% 35 -44 131 45 -54 Gender n % Male 286 Female Information extracted from PHIMS (Public Health Issue Management System) 5

Snapshot of HIV in Clark County vs. Washington State HIV Rates per 100, 000 New HIV Cases per 100, 000 9 8 7 6 5 4 3 2 1 0 WA Clark County 2010 8. 3 7. 3 2011 7. 3 6. 5 2012 7. 6 6 2013 6. 7 5. 7 2014 6. 5 5. 2 2015 6. 6 4. 4 2016 6. 1 4. 6 Information provided from Washington State Department of Health 6

Disease Investigation Process Who gets interviewed? • HIV: all new diagnoses In 2017 CCPH completed 1, 007 STD interviews. • Syphilis: all clients • Gonorrhea: all clients • Chlamydia: pregnant women and MSM How long are investigations? • Chlamydia: 2 weeks maximum • Gonorrhea: 2 weeks maximum • Syphilis & HIV: 1 month maximum 7

Expedited Partner Therapy (EPT) • The practice of treating sex partners of patients diagnosed with chlamydia and/or gonorrhea by providing a prescription or medications to the patient for their partner(s) without a clinical examination of the partner(s). • Free in WA through State support. What are we doing to increase accessibility in Clark County? • Conducted an assessment of EPT use by providers. • About 48% of positive chlamydia clients were offered EPT by a provider. • Intervention design. • Developing education materials focused on providers with high morbidity. • EPT updates to CCPH website including photos and instructional video. 8

Thank you! Comments and questions Clark County Public Health 1601 E Fourth Plain Blvd. , Bldg. 17 Vancouver, WA 98661 9