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Tuesday, March 11, 2008 - 4:00 PM

Expanded Provides San Franciscans with Free Testing and Secure Online Results for Five STDs

Andrew Woodruff1, Deborah K. Levine1, and J.D. Klausner2. (1) Internet Sexuality Information Services, Inc, 436 14th Street, Suite 1511, Oakland, CA, USA, (2) STD Prevention and Control Services, San Francisco Department of Public Health, 1360 Mission St, Suite # 401, San Francisco, CA, USA

In 2003 Internet Sexuality Information Services (ISIS) partnered with San Francisco Department of Public Health (SFDPH) to provide a simple and free way for San Francisco residents to request a syphilis test slip online and receive secure results electronically. Of all testers, 51/801 (2.3%) were positive. Now, ISIS and SFDPH are expanding to include testing for gonorrhea, Chlamydia, herpes and HIV, with HIV results coordinated through clinical services at the San Francisco's municipal STD clinic.

The goals of expansion include: 1. Re-design to provide online testing recommendations based on local epidemiology, 2. Provide free testing services for multiple STDs with results securely available online.

Community advisory board met twice to envision a more comprehensive online testing service. SFDPH staff worked with Labcorp to negotiate test prices, and engineers built an improved site, adding a testing recommendation tool and comprehensive STD/HIV information.

Community advisory board advised keeping the service free. They wanted website images to reflect a wide audience regardless of high-risk groups. They wanted to expand the capability of Labcorp to be able to provide testing for anal and oral gonorrhea and chlamydia in the future. The enhanced site will launch in January '08 and will rely on donations to maintain the service and cover testing costs.

Expansion of is a logical way to reach a variety of people who might be apprehensive about getting a doctor ordered test face-to-face or who may not have the time or money to visit a clinic. With additional funding in the future, we hope to expand to a national public health online testing service.

Online testing may be a cost effective way to test a large number of people. Widespread use of may show that online test result dissemination is a trusted system.