Background: Chlamydia and gonorrhea prevalence are assumed to be very high in the
Objectives: To measure the positivity of chlamydia and gonorrhea among inhabitants in
Methods: A mass screening program for chlamydia and gonorrhea was initiated in 2008 using self- or clinician-collected vaginal swabs or urine specimens. Men and women were offered testing through outreach,
Results: A total of 2439 specimens were tested with an overall positivity of 18.4% and 1.8% for chlamydia and gonorrhea, respectively. Twice as many women were tested than men with similar infection rates being observed. Chlamydia positivity was highest among women aged 14 to 24 years with approximately 30% being infected. The majority of individuals sought testing following a media campaign and outreach program to the neighboring islands. Up to 15% of these individuals tested positive for chlamydia.
Conclusions: A screening program has identified high rates of chlamydial infection in
Implications for Programs, Policy, and/or Research: Programs that lack sophisticated laboratory equipment require a modest amount of assistance to be successful in reaching underserved communities and identifying highly endemic infections. The infection rates in