IndianaState Report

RVIPP MeetingSummer, 2010

2009 State Morbidity for CT and GC

• 21,799 cases of chlamydia (38% identified through IPP)

• 6,853 cases of gonorrhea (41% identified through IPP)

• Reduction in GC morbidity compared to 2008; chlamydia stable

Chlamydia in Indiana2005 - 2009

2005 2006 2007 2008 200918500

19000

19500

20000

20500

21000

21500

22000

22500

Gonorrhea in Indiana2005 - 2009

2005 2006 2007 2008 20090

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

High Morbidity Zip CodesChlamydia 2009

Zip Code City Number Cases #1 Submitter

46226 Indianapolis 600 Bell Flower STD

46218 Indianapolis 528 Bell Flower STD

46235 Indianapolis 431 Grassy Creek

46222 Indianapolis 428 Bell Flower STD

46806 Fort Wayne 424 Allen Co STD

46205 Indianapolis 367 Bell Flower STD

47302 Muncie 352 Open Door FP

46254 Indianapolis 343 Bell Flower STD

46201 Indianapolis 340 Bell Flower STD

46208 Indianapolis 290 Bell Flower STD

High Morbidity Zip CodesGonorrhea 2009

Zip Code City Number Cases #1 Submitter

46218 Indianapolis 295 Bell Flower STD

46226 Indianapolis 254 Bell Flower STD

46806 Fort Wayne 220 Allen Co STD

46235 Indianapolis 198 Bell Flower STD

46222 Indianapolis 198 Bell Flower STD

46201 Indianapolis 196 Bell Flower STD

46205 Indianapolis 183 Bell Flower STD

46208 Indianapolis 154 Bell Flower STD

46254 Indianapolis 140 Bell Flower STD

46628 South Bend 136 Memorial Hospital

Top Ten Zips Analysis

• Nine common zip codes in top ten list for both CT and GC, 8/9 are in Indianapolis and one is in Fort Wayne

• 19% of reported chlamydia was from top ten zips

• 29% of reported gonorrhea was from top ten zips

Treatment Timelinessin top ten zips

2009Chlamydia Gonorrhea58% treated in 14 d 71% treated in 14 d91% treated in 30 d 95% treated in 30 d

1/1-5/24/10Chlamydia48% treated in 14 d91% treated in 30 d

Days in TransitQ1 2010

CTGC

0

500

1,000

1,500

2,000

2,500

0 2 4 6 8 10 12 14 16 18 20 22 24 26 29 32 36 39 367

Days in transit

# S

pec

imen

s

Pregnancy Test Only Visit Testing2009 Results (Three Quarters Only)

Assessed variable “Reason for Test PTO Visit” = 1

N=7,561 (includes some bad data from sites that should not be using this Reason for Test code)

Chlamydia positive 710/7561 (9.4%)Gonorrhea positive 36/7561 (0.5%)

EPT Update on Progress2010

Indiana State Medical Association expressed disapproval to Medical Licensing Board Fall, 2009

January, 2010 – met with Legislative Committee of ISMA; no change

May, 2010 – Another hearing with Executive Committee of MLB; ISMA still opposes

June, 2010 – Another meeting with full board MLB

EPT Resources

• CDC policy meeting for external consultants May in Atlanta attended by Dr. Joan Duwve

• CDC project –Academic Edge, Inc. in Bloomington to develop web resources for providers, patients, and partners for EPT (national focus)

• www.partnercare.org• Link to talk at National STD Prevention Conf.