P16 Enhancing Gonorrhea Prevention through Regional Discussions and Action Plans

Wednesday, March 10, 2010
Pre-Function Lobby & Grand Ballroom D2/E (M4) (Omni Hotel)
Kevin O'Connor, MA, Program and Training Branch, Centers for Disease Control and Prevention, Atlanta, GA, Steven J. Shapiro, BS, Division of STD Prevention, Program and Training Branch, CDC, Atlanta, GA and Stuart Berman, MD, ScM, Division of STD Prevention, Epidemiology and Surevillance Branch, Centers for Disease Control and Prevention, Atlanta, GA

Background: From May, 2009 through February 2010, DSTDP hosted one-day gonorrhea control discussion meetings in the 10 HHS regions. These meetings highlight 1) persistent heavy disease burden among young African-Americans, 2) the potential for Neisseria gonorrhoeae to develop antimicrobial resistance to cephalosporins, and 3) the need to incorporate GC into infertility prevention efforts.

Objectives: By the end of this session, participants will be able to 1) identify several GC prevention strategies, 2) describe common elements of state-level GC prevention action plans, and 3) identify specific examples of states using local surveillance data to identify populations at risk for GC.

Methods: The regional meetings began with an overview of gonorrhea epidemiology and prevention strategies, then health departments presented their local epidemiology, challenges, and prevention activities. During a breakout discussion, states developed 3 6 month actions plans. Afterwards, STD leaders worked with local staff and key partners to implement planned activities. Follow-up measures include 3 and 6 month calls from Program Consultants and updates in subsequent IPP meetings.

Results: Each of the regional GC meetings was well received by participating STD directors and epidemiologists. STD program leaders identified specific at risk populations and developed action plans using these strategies: enhance screening, partner services, access to care, and engaging communities.

Conclusions: Though many were initially skeptical, most participants found the meetings constructive and helpful in considering strategies to address their GC morbidity.

Implications for Programs, Policy, and/or Research: One-day regional program focused meetings with key participants offer a format that should be considered for other program improvement activities. STD Directors participating in regional GC meetings have a greater appreciation of GC epidemiology and prevention strategies; this knowledge may be used to construct policies to support successful interventions.

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